The genetics of Leigh syndrome and its implications for clinical practice and risk management

Ilene S Ruhoy, Russell P Saneto Division of Pediatric Neurology, Seattle Children's Hospital/University of Washington, Seattle, WA, USAAbstract: Leigh syndrome, also referred to as subacute necrotizing encephalomyelopathy, is a severe, early-onset neurodegenerative disorder that is relentles...

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Main Authors: Ruhoy IS, Saneto RP
Format: Article
Language:English
Published: Dove Medical Press 2014-11-01
Series:The Application of Clinical Genetics
Online Access:http://www.dovepress.com/the-genetics-of-leigh-syndrome-and-its-implications-for-clinical-pract-peer-reviewed-article-TACG
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Saneto RP
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Saneto RP
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description Ilene S Ruhoy, Russell P Saneto Division of Pediatric Neurology, Seattle Children's Hospital/University of Washington, Seattle, WA, USAAbstract: Leigh syndrome, also referred to as subacute necrotizing encephalomyelopathy, is a severe, early-onset neurodegenerative disorder that is relentlessly progressive and devastating to both the patient and the patient's family. Attributed to the ultimate failure of the mitochondrial respiratory chain, once it starts, the disease often results in the regression of both mental and motor skills, leading to disability and rapid progression to death. It is a mitochondrial disorder with both phenotypic and genetic heterogeneity. The cause of death is most often respiratory failure, but there are a whole host of complications, including refractory seizures, that may further complicate morbidity and mortality. The symptoms may develop slowly or with rapid progression, usually associated with age of onset. Although the disease is usually diagnosed within the first year of life, it is important to note that recent studies reveal phenotypic heterogeneity, with some patients having evidence of in utero presentation and others having adult-onset symptoms.Keywords: mitochondrial disorder, neurodegeneration, multisystemic disease, oxidative phosphorylation, mitochondrial DNA, neuroimaging, seizures
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spelling doaj.art-5de0b7a3e55f497f8a1bf124422332dd2022-12-22T03:26:07ZengDove Medical PressThe Application of Clinical Genetics1178-704X2014-11-012014default22123419134The genetics of Leigh syndrome and its implications for clinical practice and risk managementRuhoy ISSaneto RPIlene S Ruhoy, Russell P Saneto Division of Pediatric Neurology, Seattle Children's Hospital/University of Washington, Seattle, WA, USAAbstract: Leigh syndrome, also referred to as subacute necrotizing encephalomyelopathy, is a severe, early-onset neurodegenerative disorder that is relentlessly progressive and devastating to both the patient and the patient's family. Attributed to the ultimate failure of the mitochondrial respiratory chain, once it starts, the disease often results in the regression of both mental and motor skills, leading to disability and rapid progression to death. It is a mitochondrial disorder with both phenotypic and genetic heterogeneity. The cause of death is most often respiratory failure, but there are a whole host of complications, including refractory seizures, that may further complicate morbidity and mortality. The symptoms may develop slowly or with rapid progression, usually associated with age of onset. Although the disease is usually diagnosed within the first year of life, it is important to note that recent studies reveal phenotypic heterogeneity, with some patients having evidence of in utero presentation and others having adult-onset symptoms.Keywords: mitochondrial disorder, neurodegeneration, multisystemic disease, oxidative phosphorylation, mitochondrial DNA, neuroimaging, seizureshttp://www.dovepress.com/the-genetics-of-leigh-syndrome-and-its-implications-for-clinical-pract-peer-reviewed-article-TACG
spellingShingle Ruhoy IS
Saneto RP
The genetics of Leigh syndrome and its implications for clinical practice and risk management
The Application of Clinical Genetics
title The genetics of Leigh syndrome and its implications for clinical practice and risk management
title_full The genetics of Leigh syndrome and its implications for clinical practice and risk management
title_fullStr The genetics of Leigh syndrome and its implications for clinical practice and risk management
title_full_unstemmed The genetics of Leigh syndrome and its implications for clinical practice and risk management
title_short The genetics of Leigh syndrome and its implications for clinical practice and risk management
title_sort genetics of leigh syndrome and its implications for clinical practice and risk management
url http://www.dovepress.com/the-genetics-of-leigh-syndrome-and-its-implications-for-clinical-pract-peer-reviewed-article-TACG
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