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Sinyov et al.                                                                                                                                                                       mtDNA mutations in buccal epithelium



























                                   m.13513G>A       m.12315G>A       m.1555A>G         m.3256C>T        m.3336T>C


           Figure 1: The heteroplasmy level of mitochondrial genome mutations in whole blood and buccal epithelium from 134 donors. Error bars
           show the standard error. mtDNA: mitochondrial DNA

               P = [(h - N)/(M - N)]*100%,                    RESULTS

           Where:  P is the percentage heteroplasmy;  h is the   The investigated sample of  134 participants was
           peak height of  the  investigated nucleotide;  N  is the   divided by gender and age. All the examined individuals
           peak height of the investigated nucleotide, relevant to   had their IMT measured. A total of 35 of the donors
           the presence of 100% of normal alleles in a sample;   were men, with a mean ± standard deviation (SD) age
           M  is the peak height of  the investigated nucleotide,   of 61 ± 10 years and an IMT of 0.84 ± 0.21 mm. The
           relevant to the presence of 100% of mutant alleles in   remaining 97 donors were women, with a mean ± SD
           a sample.                                          age of 61 ± 11 years and an IMT of 0.79 ± 0.41 mm.

           Statistical processing of the data was carried out using   During the quantitative assessment of the mutant allele
           the software package SPSS version 22.0 (SPSS Inc.,   of  mitochondrial genome, data on the  heteroplasmy
           USA). [14]   Independent samples  were assessed using   levels in buccal epithelial and whole blood cells were
           t-tests  and Mann-Whitney  U-tests,  and correlation   obtained [Figure 1]. The obtained data were analyzed
           analyses  were also conducted. Differences were    using the t-test for independent samples.
           considered significant at P < 0.05.
                                                              Significant  differences  in  the  heteroplasmy  level  of
           Next, the possibility  that buccal epithelium  might be   the mitochondrial genome mutation m.3256C>T were
           equivalent to whole blood for the genetic diagnosis of   found between buccal epithelial and whole blood cells
           atherosclerosis  was assessed. For this purpose  the   (P = 0.01). However, there were no differences in the
           threshold heteroplasmy level of mutations was used,   mutations m.13513G>A (P = 0.48), m.3336T>C (P =
           after which in individuals atherosclerotic plaques were   0.65), m.12315G>A (P = 0.13), and m.1555А>G (P =
           detected or antiatherogenic  effect of these single   0.23).
           nucleotide substitutions manifests. [14]  According  to
           the data, previously  obtained by the members  of   The difference between average heteroplasmy levels
           our laboratory, [11]  the threshold heteroplasmy  level   of the investigated mutations did not exceed 5% and
           of mtDNA mutations for atherosclerotic  plaques  in   the standard  error in a range  of cases was higher
           human carotid arteries for atherogenic  mutations is:   than the mean level. This is probably connected to the
           17.5% for m.1555А>G; 6.5% for m.3336T>C; 7.5% for   fact that each individual has a different heteroplasmy
           m.12315G>A; and 15.5% for m.3256C>T. For the anti-  level  of mtDNA mutations, and  that heteroplasmy
           atherogenic mutation m.13513G>A, the threshold level   levels  significantly  differ  within  an  investigated
           of heteroplasmy is 32.5%.                          sample. Therefore, it is unlikely that the impact of the
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