KEGG   DISEASE: Alpers syndrome
Entry
H01389                      Disease                                
Name
Alpers syndrome;
Alpers-Huttenlocher syndrome;
Diffuse cerebral sclerosis of Schilder;
Hepatocerebral degeneration of childhood;
Mitochondrial DNA depletion syndrome 4A
  Supergrp
Mitochondrial DNA depletion syndrome [DS:H00469]
Mitochondrial disease [DS:H01427]
Description
Alpers syndrome is a rare mitochondrial disease associated with mutations in the POLG1 gene encoding the mitochondrial DNA polymerase gamma. Alpers syndrome affects children and young adults and is characterized by the clinical triad of refractory seizures, psychomotor regression, and characteristic liver disease. The tempo of disease progression and onset varies among patients. The majority of patients are healthy before disease onset, and seizures herald the disorder in most patients.
Category
Inherited metabolic disorder, Mitochondrial disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 05 Endocrine, nutritional or metabolic diseases
  Metabolic disorders
   Inborn errors of metabolism
    5C53  Inborn errors of energy metabolism
     H01389  Alpers syndrome
Gene
POLG [HSA:5428] [KO:K02332]
Comment
(The most common mutation) A467T
(Juvenile-onset) W748S G848S E1143G E873X
Other DBs
ICD-11: 5C53.20
ICD-10: G31.8
MeSH: D002549
OMIM: 203700
Reference
  Authors
Saneto RP, Cohen BH, Copeland WC, Naviaux RK
  Title
Alpers-Huttenlocher syndrome.
  Journal
Pediatr Neurol 48:167-78 (2013)
DOI:10.1016/j.pediatrneurol.2012.09.014
Reference
  Authors
Uusimaa J, Hinttala R, Rantala H, Paivarinta M, Herva R, Roytta M, Soini H, Moilanen JS, Remes AM, Hassinen IE, Majamaa K
  Title
Homozygous W748S mutation in the POLG1 gene in patients with juvenile-onset Alpers syndrome and status epilepticus.
  Journal
Epilepsia 49:1038-45 (2008)
DOI:10.1111/j.1528-1167.2008.01544.x
Reference
  Authors
Nguyen KV, Ostergaard E, Ravn SH, Balslev T, Danielsen ER, Vardag A, McKiernan PJ, Gray G, Naviaux RK
  Title
POLG mutations in Alpers syndrome.
  Journal
Neurology 65:1493-5 (2005)
DOI:10.1212/01.wnl.0000182814.55361.70
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