There is increasing evidence for a role of defects of mitochondrial DN
A in the etiology of neurodegenerative disorders such as Parkinson's a
nd Alzheimer's disease as well as in normal aging. In several studies
a biochemical defect of complex I of the respiratory chain (NADH dehyd
rogenase, EC 1.6.5.3) has been found in the substantia nigra of Parkin
sonian brains. Thus, mutations of mitochondrial genes encoding subunit
s of complex I could contribute to the pathogenesis of Parkinson's dis
ease. A heteroplasmic G5460A mutation affecting the ND2 subunit of NAD
H dehydrogenase was detected in several brains of patients with idiopa
thic Parkinson's disease. Since this mutation is heteroplasmic we were
interested in the distribution of mutated and wild-type mitochondrial
DNA in different brain areas. Relative levels of mutated DNA were qua
ntified in a large number of anatomical regions using DNA extracted fr
om formalin-fixed and paraffin-embedded brain tissue. DNA was amplifie
d by the polymerase chain reaction and digested employing the restrict
ion enzyme HphI. The proportion of mutated DNA was determined by laser
densitometry. In addition, genotype-phenotype analyses were performed
on sections of the substantia nigra with the aid of an automated imag
e analysis system. Ratios of mutant to wild-type DNA varied between 44
% and 98%. However, there was no systematic relationship between mutat
ed DNA ratios and ontogenetically related brain areas suggesting that
the observed regional heterogeneity of mitochondrial DNA heteroplasmy
is most likely due to random segregation during development. Therefore
, tissue-specific differences in the sensitivity to pathogenic effects
of the ND2(5460) mutation or the influence of additional susceptibili
ty genes may be envisioned.