Since October 1991, nearly 51,000 Cubans have been afflicted in an out
break of optic and peripheral neuropathies. To begin an investigation
of the possible role of mitochondrial DNA (mtDNA) mutations in the out
break, we studied mtDNA from 14 affected and two unaffected Cubans for
the 12 mutations associated with Leber's hereditary optic neuropathy.
Eleven probands (12 patients) had optic neuropathy and two had periph
eral neuropathy only. We also studied two unaffected relatives of one
proband. We identified two mtDNA mutations, at nucleotides 11778 and 3
460, in two of the 11 probands with optic neuropathy. Although this da
ta set is too small to reach statistically valid conclusions, it does
suggest that mtDNA mutations might be contributing to the outbreak of
optic neuropathy in Cuba.