Table 3.

Selected Allelic Disorders

GenePhenotype
MT-TF
MT-TH
MT-TI
MT-TK
MT-TL1
MT-TS1
MT-TS2
  • Cerebellar ataxia, cataract, and diabetes mellitus (OMIM 590085)
1.
2.

In three families with the MT-TK m.8356T>C pathogenic variant, some affected individuals had typical MERRF but others also had stroke-like episodes and migraine (MERRF/MELAS overlap). See also Differential Diagnosis.

3.

One affected individual with MERRF/MELAS overlap syndrome had two pathogenic variants: the MT-TL1 variant m.3243A>G (the most frequent cause of MELAS) and the MT-TK variant m.8356T>C (a rare cause of MERRF) [Nakamura et al 2010].

4.

A MERRF/Kearns-Sayre syndrome overlap syndrome has been reported to be caused by the pathogenic variant m.3255G>A in MT-TL1 (reported in 2 individuals [Nishigaki et al 2003, Fujioka et al 2014]) and by the pathogenic variant m.3291T>C in MT-TL1 (reported in 1 individual [Emmanuele et al 2011]).

From: MERRF

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