We studied a 57-year-old female patient with clinical and biochemical evide
nces of McArdle's disease. Her muscle biopsy also revealed signs of mitocho
ndrial proliferation, scattered RRF, and a deficit in complex I of the resp
iratory chain. Molecular genetic analysis showed that the patient was heter
ozygous for the most common mutation at codon 49 in the myophosphorylase ge
ne. Mitochondrial DNA analysis of muscle tissue revealed an additional G-to
-A transition at nucleotide position 7444 in the cytochrome c oxidase subun
it I (Col) gene. (C) 2001 Elsevier Science B.V. All rights reserved.