A new pathogenic POLG variant

POLG gene mutations are the most common causes of inherited mitochondrial disorders. The enzyme produced by this gene is responsible for the replication and repair of mitochondrial DNA. To date, around 300 pathogenic variants have been described in this gene. The resulting clinical outcomes of POLG...

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Main Authors: S. Nicholas Russo, Ekta G. Shah, William C. Copeland, Mary Kay Koenig
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Molecular Genetics and Metabolism Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214426922000507
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author S. Nicholas Russo
Ekta G. Shah
William C. Copeland
Mary Kay Koenig
author_facet S. Nicholas Russo
Ekta G. Shah
William C. Copeland
Mary Kay Koenig
author_sort S. Nicholas Russo
collection DOAJ
description POLG gene mutations are the most common causes of inherited mitochondrial disorders. The enzyme produced by this gene is responsible for the replication and repair of mitochondrial DNA. To date, around 300 pathogenic variants have been described in this gene. The resulting clinical outcomes of POLG mutations are widely variable in both phenotype and severity. There is considerable overlap in the phenotype of the so-called POLG syndromes with no clear genotype-phenotype correlation. Here we describe a newly discovered pathogenic variant in the POLG gene in a 7-year-old male that died of uncontrollable refractory status epilepticus. Genetic epilepsy panel sequencing identified two variants in the POLG gene, the common p.A467T pathological mutation and a novel p.S809R POLG variant found in trans with the p.A467T POLG that accompanied a severely reduced mitochondrial DNA level in the patient's tissues.
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spelling doaj.art-104fd6eb742d499a956369e450d848282022-12-22T03:59:16ZengElsevierMolecular Genetics and Metabolism Reports2214-42692022-09-0132100890A new pathogenic POLG variantS. Nicholas Russo0Ekta G. Shah1William C. Copeland2Mary Kay Koenig3The University of Texas McGovern Medical School, Department of Pediatrics, Division of Child and Adolescent Neurology, Houston, TX, USA; Center for the Treatment of Pediatric Neurodegenerative Disease, The University of Texas McGovern Medical School, Houston, TX, United States of America; Corresponding author at: The University of Texas McGovern Medical School, 6410 Fannin Street, Suite 1535, Houston, TX 77030, USA.The University of Texas McGovern Medical School, Department of Pediatrics, Division of Child and Adolescent Neurology, Houston, TX, USAMitochondrial DNA Replication Group, Genome Integrity and Structural Biology Laboratory, National Institute of Health, Research Triangle Park, NC, USAThe University of Texas McGovern Medical School, Department of Pediatrics, Division of Child and Adolescent Neurology, Houston, TX, USA; Center for the Treatment of Pediatric Neurodegenerative Disease, The University of Texas McGovern Medical School, Houston, TX, United States of AmericaPOLG gene mutations are the most common causes of inherited mitochondrial disorders. The enzyme produced by this gene is responsible for the replication and repair of mitochondrial DNA. To date, around 300 pathogenic variants have been described in this gene. The resulting clinical outcomes of POLG mutations are widely variable in both phenotype and severity. There is considerable overlap in the phenotype of the so-called POLG syndromes with no clear genotype-phenotype correlation. Here we describe a newly discovered pathogenic variant in the POLG gene in a 7-year-old male that died of uncontrollable refractory status epilepticus. Genetic epilepsy panel sequencing identified two variants in the POLG gene, the common p.A467T pathological mutation and a novel p.S809R POLG variant found in trans with the p.A467T POLG that accompanied a severely reduced mitochondrial DNA level in the patient's tissues.http://www.sciencedirect.com/science/article/pii/S2214426922000507MitochondriaMitochondrial depletionAlpers-Huttenlocher syndromeDNA polymerase gammaPOLG syndrome
spellingShingle S. Nicholas Russo
Ekta G. Shah
William C. Copeland
Mary Kay Koenig
A new pathogenic POLG variant
Molecular Genetics and Metabolism Reports
Mitochondria
Mitochondrial depletion
Alpers-Huttenlocher syndrome
DNA polymerase gamma
POLG syndrome
title A new pathogenic POLG variant
title_full A new pathogenic POLG variant
title_fullStr A new pathogenic POLG variant
title_full_unstemmed A new pathogenic POLG variant
title_short A new pathogenic POLG variant
title_sort new pathogenic polg variant
topic Mitochondria
Mitochondrial depletion
Alpers-Huttenlocher syndrome
DNA polymerase gamma
POLG syndrome
url http://www.sciencedirect.com/science/article/pii/S2214426922000507
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