A novel VARS2 gene variant in a patient with epileptic encephalopathy

Background: Mitochondrial disorders are heterogeneous clinical syndromes caused by defective activity in the mitochondrial respiratory chain, resulting in a faulty oxidative phosphorylation system. These inherited disorders are individually rare, and furthermore they are phenotypic variables. The ge...

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Main Authors: Lucija Ruzman, Ivana Kolic, Jelena Radic Nisevic, Antonija Ruzic Barsic, Ingrid Skarpa Prpic, Igor Prpic
Format: Article
Language:English
Published: Upsala Medical Society 2019-10-01
Series:Upsala Journal of Medical Sciences
Subjects:
Online Access:http://dx.doi.org/10.1080/03009734.2019.1670297
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author Lucija Ruzman
Ivana Kolic
Jelena Radic Nisevic
Antonija Ruzic Barsic
Ingrid Skarpa Prpic
Igor Prpic
author_facet Lucija Ruzman
Ivana Kolic
Jelena Radic Nisevic
Antonija Ruzic Barsic
Ingrid Skarpa Prpic
Igor Prpic
author_sort Lucija Ruzman
collection DOAJ
description Background: Mitochondrial disorders are heterogeneous clinical syndromes caused by defective activity in the mitochondrial respiratory chain, resulting in a faulty oxidative phosphorylation system. These inherited disorders are individually rare, and furthermore they are phenotypic variables. The genetically characterized mitochondrial disorders are rarely associated with epileptic encephalopathies. Case presentation: We present the clinical phenotype, biochemical analysis, and electrographic and neuro-radiological features of a 5-month-old girl with epileptic encephalopathy, microcephaly, severe psychomotor delay, hypertrophic cardiomyopathy, and abnormal MRI scan. Using whole-genome sequencing technique, compound heterozygous mutations of the VARS2 gene were revealed, with one previously unreported frameshift mutation. Conclusion: Our report extends the phenotypic spectrum of VARS2-related disorders with an initial presentation of epileptic encephalopathy and early death due to malignant arrhythmia.
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spelling doaj.art-41b2b4f82f384be581de0f99110d3ece2023-09-02T17:56:00ZengUpsala Medical SocietyUpsala Journal of Medical Sciences0300-97342000-19672019-10-01124427327710.1080/03009734.2019.16702971670297A novel VARS2 gene variant in a patient with epileptic encephalopathyLucija Ruzman0Ivana Kolic1Jelena Radic Nisevic2Antonija Ruzic Barsic3Ingrid Skarpa Prpic4Igor Prpic5Pediatric Clinic, Clinical Hospital Center RijekaPediatric Clinic, Clinical Hospital Center RijekaPediatric Clinic, Clinical Hospital Center RijekaThalassoterapia OpatijaNeurology Clinic, Clinical Hospital Center RijekaPediatric Clinic, Clinical Hospital Center RijekaBackground: Mitochondrial disorders are heterogeneous clinical syndromes caused by defective activity in the mitochondrial respiratory chain, resulting in a faulty oxidative phosphorylation system. These inherited disorders are individually rare, and furthermore they are phenotypic variables. The genetically characterized mitochondrial disorders are rarely associated with epileptic encephalopathies. Case presentation: We present the clinical phenotype, biochemical analysis, and electrographic and neuro-radiological features of a 5-month-old girl with epileptic encephalopathy, microcephaly, severe psychomotor delay, hypertrophic cardiomyopathy, and abnormal MRI scan. Using whole-genome sequencing technique, compound heterozygous mutations of the VARS2 gene were revealed, with one previously unreported frameshift mutation. Conclusion: Our report extends the phenotypic spectrum of VARS2-related disorders with an initial presentation of epileptic encephalopathy and early death due to malignant arrhythmia.http://dx.doi.org/10.1080/03009734.2019.1670297encephalocardiomyopathyepileptic encephalopathymitochondrial diseasevars2
spellingShingle Lucija Ruzman
Ivana Kolic
Jelena Radic Nisevic
Antonija Ruzic Barsic
Ingrid Skarpa Prpic
Igor Prpic
A novel VARS2 gene variant in a patient with epileptic encephalopathy
Upsala Journal of Medical Sciences
encephalocardiomyopathy
epileptic encephalopathy
mitochondrial disease
vars2
title A novel VARS2 gene variant in a patient with epileptic encephalopathy
title_full A novel VARS2 gene variant in a patient with epileptic encephalopathy
title_fullStr A novel VARS2 gene variant in a patient with epileptic encephalopathy
title_full_unstemmed A novel VARS2 gene variant in a patient with epileptic encephalopathy
title_short A novel VARS2 gene variant in a patient with epileptic encephalopathy
title_sort novel vars2 gene variant in a patient with epileptic encephalopathy
topic encephalocardiomyopathy
epileptic encephalopathy
mitochondrial disease
vars2
url http://dx.doi.org/10.1080/03009734.2019.1670297
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