Imperial College London

Professor Lefkos Middleton

Faculty of MedicineSchool of Public Health

Chair in Clinical Neurology
 
 
 
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Contact

 

+44 (0)20 3311 7290l.middleton CV

 
 
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Assistant

 

Ms Naia Headland-Vanni +44 (0)20 3311 7290

 
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Location

 

Room 10L05 LaboratoryCharing Cross HospitalCharing Cross Campus

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Summary

 

Publications

Publication Type
Year
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250 results found

Oliveira SA, Scott WK, Nance MA, Watts RL, Hubble JP, Koller WC, Lyons KE, Pahwa R, Stern MB, Hiner BC, Jankovic J, Ondo WG, Allen FH, Scott BL, Goetz CG, Small GW, Mastaglia FL, Stajich JM, Zhang FY, Booze MW, Reaves JA, Middleton LT, Haines JL, Pericak-Vance MA, Vance JM, Martin ERet al., 2003, Association study of Parkin gene polymorphisms with idiopathic Parkinson disease, ARCHIVES OF NEUROLOGY, Vol: 60, Pages: 975-980, ISSN: 0003-9942

Journal article

Mooser V, Waterworth DM, Isenhour T, Middleton Let al., 2003, Cardiovascular pharmacogenetics in the SNP era, JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol: 1, Pages: 1398-1402, ISSN: 1538-7933

Journal article

Antonellis A, Ellsworth RE, Sambuughin N, Puls I, Abel A, Lee-Lin SQ, Jordanova A, Kremensky I, Christodoulou K, Middleton LT, Sivakumar K, Ionasescu V, Funalot B, Vance JM, Goldfarb LG, Fischbeck KH, Green EDet al., 2003, Glycyl tRNA synthetase mutations in Charcot-Marie-Tooth disease type 2D and distal spinal muscular atrophy type V, AMERICAN JOURNAL OF HUMAN GENETICS, Vol: 72, Pages: 1293-1299, ISSN: 0002-9297

Journal article

Oliveira SA, Scott WK, Martin ER, Nance MA, Watts RL, Hubble JP, Koller WC, Pahwa R, Stern MB, Hiner BC, Ondo WG, Allen FH, Scott BL, Goetz CG, Small GW, Mastaglia F, Stajich JM, Zhang FY, Booze MW, Winn MP, Middleton LT, Haines JL, Pericak-Vance MA, Vance JMet al., 2003, Parkin mutations and susceptibility alleles in late-onset Parkinson's disease, ANNALS OF NEUROLOGY, Vol: 53, Pages: 624-629, ISSN: 0364-5134

Journal article

van der Walt JM, Martin ER, Scott WK, Zhang F, Nance MA, Watts RL, Hubble JP, Haines JL, Koller WC, Lyons K, Pahwa R, Stern MB, Colcher A, Hiner BC, Jankovic J, Ondo WG, Allen FH, Goetz CG, Small GW, Mastaglia F, Roses AD, Stajich JM, Booze MW, Fujiwara K, Gibson RA, Middleton LT, Scott BL, Pericak-Vance MA, Vance JMet al., 2003, Genetic polymorphisms of the <i>N</i>-acetyltransferase genes and risk of Parkinson's disease, NEUROLOGY, Vol: 60, Pages: 1189-1191, ISSN: 0028-3878

Journal article

van der Walt JM, Nicodemus KK, Martin ER, Scott WK, Nance MA, Watts RL, Hubble JP, Haines JL, Koller WC, Lyons K, Pahwa R, Stern MB, Colcher A, Hiner BC, Jankovic J, Ondo WG, Allen FH, Goetz CG, Small GW, Mastaglia F, Stajich JM, McLaurin AC, Middleton LT, Scott BL, Schmechel DE, Pericak-Vance MA, Vance JMet al., 2003, Mitochondrial polymorphisms significantly reduce the risk of Parkinson disease, AMERICAN JOURNAL OF HUMAN GENETICS, Vol: 72, Pages: 804-811, ISSN: 0002-9297

Journal article

Zamba-Papanicolaou E, Christodoulou K, Christodoulou C, Kyriakides T, Middleton LTet al., 2002, Hereditary motor neuronopathies, Pages: 1220-1224, ISSN: 0035-3787

Conference paper

Zamba-Papanicolaou E, Christodoulou K, Christodoulou C, Kyriakidesl T, Middleton LTet al., 2002, Hereditary motor neuronopathies., Rev Neurol (Paris), Vol: 158, Pages: 1220-1224, ISSN: 0035-3787

Journal article

Zamba-Papanicolaou E, Christoloudou K, Christoloudou C, Kyriakides T, Middleton LTet al., 2002, Hereditary motor Neuronopathies, 6th Meeting on Diseases of the Peripheral Nervous System, Publisher: MASSON EDITEUR, Pages: 1220-1224, ISSN: 0035-3787

Conference paper

Hauser ER, Crossman DC, Granger C, Haines JL, Jones CJH, Mooser V, Hauser MA, Middleton L, Roses AD, Pericak-Vance MA, Vance JM, Kraus WEet al., 2002, Results of a genome-wide scan in 438 families with early-onset coronary artery disease, American-Heart-Association Abstracts From Scientific Sessions, Publisher: LIPPINCOTT WILLIAMS & WILKINS, Pages: 745-745, ISSN: 0009-7322

Conference paper

Georgiou DM, Zidar J, Korosec M, Middleton LT, Kyriakides T, Christodoulou Ket al., 2002, A novel <i>NF-L</i> mutation <i>Pro22Ser</i> is associated with CMT2 in a large Slovenian family, NEUROGENETICS, Vol: 4, Pages: 93-96, ISSN: 1364-6745

Journal article

Hauser ER, Crossman DC, Granger C, Haines JL, Jones CJH, Mooser V, Middleton L, Roses AD, Hauser MA, Pericak-Vance M, Vance JM, Kraus WEet al., 2002, A genome-wide scan in 433 families with early-onset coronary artery disease., 52nd Annual Meeting of the American-Society-of-Human-Genetics, Publisher: UNIV CHICAGO PRESS, Pages: 459-459, ISSN: 0002-9297

Conference paper

Li YJ, Scott WK, Hedges DJ, Zhang FY, Gaskell PC, Nance MA, Watts RL, Hubble JP, Koller WC, Pahwa R, Stern MB, Hiner BC, Jankovic J, Allen AA, Goetz CG, Mastaglia F, Stajich JM, Gibson RA, Middleton LT, Saunders AM, Scott BL, Small GW, Nicodemus KK, Reed AD, Schmechel DE, Welsh-Bohmer KA, Conneally PM, Roses AD, Gilbert JR, Vance JM, Haines JL, Pericak-Vance MAet al., 2002, Age at onset in two common neurodegenerative diseases is genetically controlled, AMERICAN JOURNAL OF HUMAN GENETICS, Vol: 70, Pages: 985-993, ISSN: 0002-9297

Journal article

Martin ER, Scott WK, Nance MA, Watts RL, Hubble JP, Koller WC, Lyons K, Pahwa R, Stern MB, Colcher A, Hiner BC, Jankovic J, Ondo WG, Allen FH, Goetz CG, Small GW, Masterman D, Mastaglia F, Laing NG, Stajich JM, Ribble RC, Booze MW, Rogala A, Hauser MA, Zhang FY, Gibson RA, Middleton LT, Roses AD, Haines JL, Scott BL, Pericak-Vance MA, Vance JMet al., 2001, Association of single-nucleotide polymorphisms of the tau gene with late-onset Parkinson disease, JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, Vol: 286, Pages: 2245-2250, ISSN: 0098-7484

Journal article

Scott WK, Nance MA, Watts RL, Hubble JP, Koller WC, Lyons K, Pahwa R, Stern MB, Colcher A, Hiner BC, Jankovic J, Ondo WG, Allen FH, Goetz CG, Small GW, Masterman D, Mastaglia F, Laing NG, Stajich JM, Slotterbeck B, Booze MW, Ribble RC, Rampersaud E, West SG, Gibson RA, Middleton LT, Roses AD, Haines JL, Scott BL, Vance JM, Pericak-Vance MAet al., 2001, Complete genomic screen in parkinson disease - Evidence for multiple genes, JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, Vol: 286, Pages: 2239-2244, ISSN: 0098-7484

Journal article

Scott WK, Stajich JM, Scott BL, Nance MA, Watts RL, Hubble JP, Haines JL, Koller WC, Pahwa R, Stern MB, Hiner BC, Jankovic J, Allen FH, Goetz CG, Small GW, Mastaglia F, Middleton LT, Roses AD, Vance JM, Pericak-Vance MAet al., 2001, Complete genomic screen in idiopathic Parkinson disease., AMERICAN JOURNAL OF HUMAN GENETICS, Vol: 69, Pages: 513-513, ISSN: 0002-9297

Journal article

Oliveira SA, Martin ER, Scott WK, Nance MA, Watts RL, Hubble JP, Koller WC, Pahwa R, Stern MB, Hiner BC, Jankovic J, Goetz CG, Small GW, Hauser MA, Middleton LT, Roses AD, Haines JL, Scott BL, Pericak-Vance MA, Vance JMet al., 2001, Association of tau with late-onset Parkinson disease., AMERICAN JOURNAL OF HUMAN GENETICS, Vol: 69, Pages: 511-511, ISSN: 0002-9297

Journal article

Christodoulou K, Deymeer F, Serdaroglu P, Ă–zdemir C, Poda M, Georgiou DM, Ioannou P, Tsingis M, Zamba E, Middleton LTet al., 2001, Mapping of the second Friedreich's ataxia (<i>FRDA2</i>) locus to chromosome 9p23-p11:: evidence for further locus heterogeneity, NEUROGENETICS, Vol: 3, Pages: 127-132, ISSN: 1364-6745

Journal article

Zamba E, Christodoulou K, Al-Qudah AK, Horani K, Kyriakides T, Middleton LT, Mubaidin Aet al., 2001, Autosomal recessive distal hereditary motor neuropathies, Pages: 53-56, ISSN: 1128-2460

Hereditary motor neuronopathies form a group of heterogeneous disorders, the cardinal symptom of which is loss of motor function due to muscle weakness and atrophy. The initial distribution of weakness depends on type of hereditary motor neuronopathies and may be predominantly distal or proximal in the upper and/or lower limbs or bulbar. The mode of inheritance is either autosomal dominant, autosomal recessive or rarely X-linked. In 1993 Harding classified hereditary motor neuronopathies according to clinical picture, age of onset and type of inheritance. The distal form of hereditary motor neuronopathies is one subgroup with four autosomal dominant forms and three autosomal recessive forms (I-VII). The three autosomal recessive forms are: a. type III, a mild juvenile disorder with a relatively benign course; b. type IV, a severe juvenile disorder causing disability early in life; and c. type VI, a severe infantile disorder with an age of onset in infancy, a rapid progression of the disease and early death. Recently we have, identified a novel form of autosomal recessive distal hereditary motor neuronopathies (HMN-J) in a cluster of 27 patients originating from the Jerash region of Jordan. The clinical picture of patients is: age of onset 6-10 years, with distal weakness and wasting in legs, and within 2 years, involvement of the distal upper limb muscles. At the early stages of disease pyramidal features are present. The clinical picture of patients and laboratory findings - including neurophysiology studies, biopsies of sural nerve and muscle and genetic analysis of families - will be discussed.

Conference paper

Georgiou DM, Jedrzejowska H, Ryniewicz B, Hausmanowa-Petrusewicz I, Zamba E, Kyriakides T, Christodoulou K, Middleton LTet al., 2001, Molecular genetic studies in autosomal recessive Charcot-Marie-Tooth disease, Pages: 35-38, ISSN: 1128-2460

Autosomal recessive Charcot-Marie-Tooth disease has been classified based on clinical, neurophysiological and neuropathological criteria, into three types: CMT4A, CMT4B and CMT4C. Seven demyelinating and one axonal autosomal recessive Charcot-Marie-Tooth disease loci have thus, so far been mapped. More recently, the genes for two of these loci were identified; Myotubularin -related protein-2 for CMT4B1 and N-myc downstream -regulated gene 1 for CMT4D. We performed linkage and haplotype analyses of seven axonal autosomal recessive Charcot-Marie-Tooth disease families at the above axonal and demyelinating autosomal recessive Charcot-Marie-Tooth disease loci. Data are presented and discussed.

Conference paper

Middleton L, Freeman A, Brewster S, Foster C, Roses Aet al., 2000, From gene-specific tests to pharmacogenetics, Pages: 198-203, ISSN: 1422-2795

Over the next 3-5 years pharmacogenetics will provide opportunities to enhance the efficacy and tolerability of medicines, accelerated by the ongoing rapid development of a high-density map of single-nucleotide polymorphisms (SNP) and of high-throughput SNP scoring technologies. It is important that this application of genetic technology is clearly differentiated from genetic tests for monogenic and complex diseases, which are associated with a number of ethical, legal and social implications. The ethical, legal and social issues associated with pharmacogenetics need to be identified and clearly differentiated from those associated with gene-specific tests for disease. Copyright © 2001 S. Karger AG, Basel.

Conference paper

Christodoulou K, Zamba E, Tsingis M, Mubaidin A, Horani K, Abu-Sheik S, El-Khateeb M, Kyriacou K, Kyriakides T, Al-Qudah AK, Middleton Let al., 2000, A novel form of distal hereditary motor neuronopathy maps to chromosome 9p21.1-p12, ANNALS OF NEUROLOGY, Vol: 48, Pages: 877-884, ISSN: 0364-5134

Journal article

Neocleous V, Humphray SJ, Howard PJ, Hammond S, Tsingis M, Georgiou A, Al-Qudah AK, Mubaidin A, Horani K, Askanas V, Engel K, Dalakas M, Rowland LP, Mirabella M, Zamba E, Kyriakides T, Middleton LT, Christodoulou Ket al., 2000, BAC based physical map of the distal hereditary motor neuronopathy (HMN-J) and autosomal recessive inclusion body myopathy (AR-IBM) region on chromosome 9p21.1-p12., AMERICAN JOURNAL OF HUMAN GENETICS, Vol: 67, Pages: 407-407, ISSN: 0002-9297

Journal article

Hauser ER, Mooser V, Schmidt S, Crossman DC, Haines JL, Jones C, Winkelmann B, Foster C, Haynes C, Dowdy ZE, Estabrooks SE, Middleton LT, Manasco P, Roses AD, Granger CB, Kraus WE, Pericak-Vance MAet al., 2000, Concordance for cardiovascular risk factors in affected sib pairs (ASPs) with early-onset coronary artery disease (CAD)., AMERICAN JOURNAL OF HUMAN GENETICS, Vol: 67, Pages: 212-212, ISSN: 0002-9297

Journal article

Wang HL, Ohno K, Milone M, Brengman JM, Evoli A, Batocchi AP, Middleton LT, Christodoulou K, Engel AG, Sine SMet al., 2000, Fundamental gating mechanism of nicotinic receptor channel revealed by mutation causing a congenital myasthenic syndrome, JOURNAL OF GENERAL PHYSIOLOGY, Vol: 116, Pages: 449-460, ISSN: 0022-1295

Journal article

Christodoulou K, Zamba E, Tsingis M, Mubaidin A, Horani K, Abu-Sheik S, El-Khateeb M, Kyriacou K, Kyriakides T, Al-Qudah AK, Middleton Let al., 2000, A novel form of distal hereditary motor neuronopathy maps to chromosome 9p21.1-p12, Annals of Neurology, Vol: 48, Pages: 877-884, ISSN: 0364-5134

Distal hereditary motor neuronopathies (dHMNs) form a heterogeneous group of rare disorders characterized by distal weakness and wasting in the limbs with no significant sensory involvement. Harding has classified dHMNs into seven categories based on clinical and genetic criteria. We report a novel form of autosomal recessive dHMN in 7 consanguineous families located in the Jerash region of Jordan. Onset of the disease is between 6 and 10 years of age and is characterized by weakness and atrophy of the lower limbs associated with pyramidal features. Within 2 years, symptoms progress to the upper limbs. Neurophysiological studies typically show normal conduction velocities, reduced compound motor action potential amplitudes, normal sensory nerve action potentials, and chronic neurogenic changes on needle electromyography. No significant abnormalities are seen on sural nerve biopsy. We call this novel form of dHMN Jerash hereditary motor neuronopathy. We studied the families at the molecular genetic level and mapped the Jerash hereditary motor neuronopathy gene to an approximately 0.54-cM region on chromosome 9p21.1-p12, flanked by microsatellite polymorphic marker loci D9S1845 and D9S1791. A maximum LOD score of 19.80 at θ = 0.001 was obtained between the disease and locus D9S1878.

Journal article

Zamba E, Christodoulou K, Al-Shehab A, Mubaidin A, Neocleous V, Tsingis M, Abu-Sheik S, Middleton L, Horany K, Al-Qudah AKet al., 2000, Clinical and genetic heterogeneity in autosomal recessive CMS Jordanian families, Acta Myologica, Vol: 19, Pages: 37-40, ISSN: 1128-2460

Journal article

Christodoulou K, Neocleous V, Tsingis M, Pantzaris M, Kyriallis K, Zamba E, Bairactaris C, Mavrommatis J, Middleton L, Mylonas Iet al., 2000, Autosomal recessive congenital myasthenic syndrome in three Greek-Gypsy families, Acta Myologica, Vol: 19, Pages: 41-43, ISSN: 1128-2460

Congenital myasthenic syndromes (CMS) are a group of disorders in which neuromuscular transmission is impaired. We review our molecular genetic data in three Greek-Gypsy autosomal recessive CMS families originating from different geographic regions of Greece. Intrafamilial phenotypic variability has been reported for this group of twelve patients. Mutational screening revealed that CMS in all our Greek-Gypsy patients is caused by a single homozygous mutation (ε 1267delG) in the ε-subunit of the acetylcholine receptor. Our findings indicate that a single founder mutation may exist in the gypsy community, responsible for the development of CMS in this ethnic group.

Journal article

Middleton LT, Christodoulou K, Mubaidin A, Zamba E, Tsingis M, Kyriacou K, Abu-Sheikh S, Kyriakides T, Neocleous V, Georgiou DM, El-Khateeb M, Al-Qudan A, Horany Ket al., 1999, Distal Hereditary Motor Neuronopathy of the Jerash Type., Ann N Y Acad Sci, Vol: 883, Pages: 65-68

A novel form of autosomal recessive distal hereditary motor neuronopathy (distal HMN) is reported. The presence of pyramidal signs within the early stages of the disease with persistence of knee hyperreflexia form distinctive clinical features. We have mapped the HMN-J gene to chromosome 9p21.1-p12, within an estimated interval of 1.2-Mb.

Journal article

Middleton LT, Christodoulou K, Mubaidin A, Zamba E, Tsingis M, Kyriacou K, Abu-Sheikh S, Kyriakides T, Neocleous V, Georgiou DM, El-Khateeb M, Al-Qudah A, Horany Ket al., 1999, Distal Hereditary Motor Neuronopathy of the Jerash Type., Ann N Y Acad Sci, Vol: 883, Pages: 439-442

Journal article

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