Idiopathic inflammatory myopathies are progressive, debilitating muscle dis
eases. The pathogenesis of these disorders is multifactorial and appears to
include mutations of the mitochondrial genome, which are usually indicated
by morphological changes of mitochondria. The vast majority of all mitocho
ndrial DNA deletions found are located between the origins of replication i
n the "major region" between nt5760-nt190. Using long distance PCR and sequ
encing techniques, me detected deletions which were unusually large (ca. 10
500-12800 bp) and show uncommon 5'-breakpoints between nt800 and nt3326. Un
like most other deletions, their breakpoints are far upstream of the "major
region." The atypical location of these deletions suggests a different pat
homechanism. The impact of the mitochondrial DNA deletions in the pathogene
tic cascade remains uncertain. (C) 2000 Academic Press.