August 14, 2017

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Blood test uncovers hidden diseases

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Sufferers of rare mitochondrial disease have new hope with a new method developed at the University of Sydney. The method provides a diagnosis within weeks instead of months or years through a simple blood sample.

Mitochondrial diseases are rare and hard to diagnose. They can affect any organ, at any age and are often 'hidden' in other diseases such as diabetes, blindness, liver and and even Autism.

The new method has already led to two new disease gene discoveries where the patients suffered from lactate build-up and hyperglycemia (CYC1), and deafness and (MRPS7). The research published in the American Journal of Human Genetics and Human Molecular Genetics.

"One in 200 people will carry a mitochondrial genetic defect – which means nearly 120,000 Australians are at risk of developing serious illness," says Minal. "And yet are extremely difficult to diagnose. They are often referred to as the 'notorious masquerader'".

With the faster diagnosis, some people can be treated for what had previously been thought to be untreatable disease.

For others – even if not treatment is available, the diagnosis gives them a cause for the illness and the possibility to enrol in clinical trials. This can result in enormous improvements in quality of life.

Families can also receive genetic counselling and many may choose to use IVF when building a family, with medical staff able to quantify the risk of the being passed on.

Minal Menezes in the lab
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Minal Menezes in the lab

More information: Pauline Gaignard et al. Mutations in CYC1, Encoding Cytochrome c1 Subunit of Respiratory Chain Complex III, Cause Insulin-Responsive Hyperglycemia, The American Journal of Human Genetics (2013). DOI: 10.1016/j.ajhg.2013.06.015

Minal J. Menezes et al. Mutation in mitochondrial ribosomal protein S7 (MRPS7) causes congenital sensorineural deafness, progressive hepatic and renal failure and lactic acidemia, Human Molecular Genetics (2015). DOI: 10.1093/hmg/ddu747

Journal information: American Journal of Human Genetics , Human Molecular Genetics

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