Table 2e.

Mitochondrial DNA Maintenance Defects Presenting with Myopathy

GeneDisorderMOImtDNA
Maintenance
Defect
Usual Age
of Onset
Common Clinical Manifestations
in Addition to Muscle Weakness
AGK Sengers syndrome
(OMIM 212350)
ARDepletionNeonatal period
  • Hypotonia
  • Hypertrophic cardiomyopathy
  • Cataracts
DGUOK Myopathy ARMultiple deletionsEarly or mid-
adulthood
  • Ptosis
  • Ophthalmoplegia
DNA2 Myopathy
(OMIM 615156)
ADMultiple deletionsChildhood or
early adulthood
  • Ptosis
  • Ophthalmoplegia
MGME1 Myopathy
(OMIM 615084)
ARDepletion & multiple deletionsChildhood or
early adulthood
  • Ptosis
  • Ophthalmoplegia
POLG2 Myopathy
(OMIM 610131)
ADMultiple deletionsInfancy to
adulthood
  • Ptosis
  • Ophthalmoplegia
SLC25A4 Cardiomyopathy
(OMIM 615418)
ARMultiple deletionsChildhood
  • Exercise intolerance / easy fatigability
  • Hypertrophic cardiomyopathy
Cardiomyopathy
(OMIM 617184)
ADDepletionBirth
  • Hypotonia
  • Hypertrophic cardiomyopathy
TK2 Mitochondrial DNA depletion syndrome ARDepletionInfancy or
childhood
  • Hypotonia
  • Loss of acquired motor skills

AD = autosomal dominant; AR = autosomal recessive; MOI = mode of inheritance; mtDNA = mitochondrial DNA

From: Mitochondrial DNA Maintenance Defects Overview

Cover of GeneReviews®
GeneReviews® [Internet].
Adam MP, Feldman J, Mirzaa GM, et al., editors.
Seattle (WA): University of Washington, Seattle; 1993-2024.
Copyright © 1993-2024, University of Washington, Seattle. GeneReviews is a registered trademark of the University of Washington, Seattle. All rights reserved.

GeneReviews® chapters are owned by the University of Washington. Permission is hereby granted to reproduce, distribute, and translate copies of content materials for noncommercial research purposes only, provided that (i) credit for source (http://www.genereviews.org/) and copyright (© 1993-2024 University of Washington) are included with each copy; (ii) a link to the original material is provided whenever the material is published elsewhere on the Web; and (iii) reproducers, distributors, and/or translators comply with the GeneReviews® Copyright Notice and Usage Disclaimer. No further modifications are allowed. For clarity, excerpts of GeneReviews chapters for use in lab reports and clinic notes are a permitted use.

For more information, see the GeneReviews® Copyright Notice and Usage Disclaimer.

For questions regarding permissions or whether a specified use is allowed, contact: ude.wu@tssamda.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.