Table 4b.

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
  • HCM
  • Cataracts
DGUOK Deoxyguanosine kinase deficiency ARMultiple
deletions
Early 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 (See POLG-Related Disorders.)ADMultiple deletionsInfancy to adulthood
  • Ptosis
  • Ophthalmoplegia
SLC25A4 Cardiomyopathy (OMIM 615418)ARMultiple deletionsChildhood
  • Exercise intolerance / easy fatigability
  • HCM
Cardiomyopathy (OMIM 617184)ADDepletionBirth
  • Hypotonia
  • HCM
TK2 Mitochondrial DNA depletion syndromes ARDepletionInfancy or childhood
  • Hypotonia
  • Loss of acquired motor skills

AD = autosomal dominant; AR = autosomal recessive; HCM = hypertrophic cardiomyopathy; MOI = mode of inheritance

From: MPV17-Related Mitochondrial DNA Maintenance Defect

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