We have devised a novel method for quantitative analysis of the MELAS
(mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-l
ike episodes) tRNA(Leu(UUR)) mutation of mitochondrial DNA using a PCR
-SSCP (polymerase chain reaction-single-strand conformation polymorphi
sm) method, and compared the results obtained using the PCR-SSCP metho
d with those obtained using other methods including Southern blotting,
last one cycle hot PCR, and conventional PCR-RFLP (restriction fragme
nt length polymorphism). The standard curve obtained using the PCR-SSC
P method is linear, with a correlation coefficient of 0.999; it was de
termined that this method is more accurate than other methods for quan
titative analysis, The PCR-SSCP method does not require restriction di
gestions, thereby avoiding potential problems of partial digestions or
heteroduplex formation during PCR, The method is quite simple and sho
uld have a broad range of application for quantitation of mutant mtDNA
s in various mitochondrial encephalomyopathies. We applied the method
for quantitation of mutant mitochondrial DNA carrying a single base su
bstitution in the tRNA(Leu(UUR)) gene in two autopsied cases of MELAS,
In both cases, the mutant mtDNA is abundantly present (82-95%) with l
ittle variation among tissues. (C) 1995 John Wiley & Sons, Inc.