KEGG   DISEASE: Mitochondrial DNA depletion syndrome
Entry
H00469                      Disease                                
Name
Mitochondrial DNA depletion syndrome
  Subgroup
Alpers syndrome [DS:H01389]
MNGIE syndrome [DS:H01390]
  Supergrp
Mitochondrial disease [DS:H01427]
Description
Mitochondrial DNA depletion syndromes (MDSs) are a group of heterogeneous autosomal recessive disorders associated with a severe reduction in mitochondrial DNA in the affected tissues. The manifestations vary from tissue-specific mtDNA depletion to wide-spread multisystemic disorders. Some genes are known to underlie this group of disorders, and many disease genes are still unidentified. However, the disease mechanisms seem to be intimately associated with mtDNA replication and nucleotide pool regulation.
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
     H00469  Mitochondrial DNA depletion syndrome
Pathway-based classification of diseases [BR:br08402]
 Replication and repair
  nt06504  Base excision repair
   H00469  Mitochondrial DNA depletion syndrome
 Cellular process
  nt06536  Mitophagy
   H00469  Mitochondrial DNA depletion syndrome
Pathway
hsa01232 Nucleotide metabolism   
hsa03410 Base excision repair   
hsa04137  Mitophagy - animal
Network
nt06504 Base excision repair
nt06536 Mitophagy
Gene
(MTDPS1) TYMP [HSA:1890] [KO:K00758]
(MTDPS2) TK2 [HSA:7084] [KO:K00857]
(MTDPS3) DGUOK [HSA:1716] [KO:K00904]
(MTDPS4A/4B) POLG [HSA:5428] [KO:K02332]
(MTDPS5) SUCLA2 [HSA:8803] [KO:K01900]
(MTDPS6) MPV17 [HSA:4358] [KO:K13348]
(MTDPS7) TWNK [HSA:56652] [KO:K17680]
(MTDPS8A/8B) RRM2B [HSA:50484] [KO:K10808]
(MTDPS9) SUCLG1 [HSA:8802] [KO:K01899]
(MTDPS10) AGK [HSA:55750] [KO:K09881]
(MTDPS11) MGME1 [HSA:92667] [KO:K19465]
(MTDPS12A/12B) SLC25A4 [HSA:291] [KO:K05863]
(MTDPS13) FBXL4 [HSA:26235] [KO:K10270]
(MTDPS14) OPA1 [HSA:4976] [KO:K17079]
(MTDPS15) TFAM [HSA:7019] [KO:K11830]
(MTDPS16/16B) POLG2 [HSA:11232] [KO:K02333]
(MTDPS17) MRM2 [HSA:29960] [KO:K02427]
(MTDPS18) SLC25A21 [HSA:89874] [KO:K15110]
(MTDPS19) SLC25A10 [HSA:1468] [KO:K13577]
(MTDPS20) LIG3 [HSA:3980] [KO:K10776]
Comment
MNGIE type: MTDPS1, MTDPS4B, MTDPS8B, MTDPS20
Myopathic type: MTDPS2, MTDPS11
Hepatocerebral type: MTDPS3, MTDPS6, MTDPS7, MTDPS15
Encephalomyopathic: MTDPS5, MTDPS8A, MTDPS9, MTDPS12A, MTDP13
Alpers type: MTDPS4A
Cardiomyopathic type: MTDPS12B
Hepatic type: MTDPS16
Neuroophthalmic type: MTDPS16B
Other DBs
ICD-11: 5C53.20
ICD-10: E88.8
MeSH: D017237
OMIM: 603041 609560 251880 203700 613662 612073 256810 271245 612075 245400 221350 615084 617184 615418 615471 616896 617156 618528 619425 618567 618811 618972 619780
Reference
  Authors
Suomalainen A, Isohanni P
  Title
Mitochondrial DNA depletion syndromes--many genes, common mechanisms.
  Journal
Neuromuscul Disord 20:429-37 (2010)
DOI:10.1016/j.nmd.2010.03.017
Reference
  Authors
Saito K, Kimura N, Oda N, Shimomura H, Kumada T, Miyajima T, Murayama K, Tanaka M, Fujii T
  Title
Pyruvate therapy for mitochondrial DNA depletion syndrome.
  Journal
Biochim Biophys Acta 1820:632-6 (2012)
DOI:10.1016/j.bbagen.2011.08.006
Reference
PMID:9924029 (MTDPS1)
  Authors
Nishino I, Spinazzola A, Hirano M
  Title
Thymidine phosphorylase gene mutations in MNGIE, a human mitochondrial disorder.
  Journal
Science 283:689-92 (1999)
DOI:10.1126/science.283.5402.689
Reference
PMID:11687801 (MTDPS2)
  Authors
Saada A, Shaag A, Mandel H, Nevo Y, Eriksson S, Elpeleg O
  Title
Mutant mitochondrial thymidine kinase in mitochondrial DNA depletion myopathy.
  Journal
Nat Genet 29:342-4 (2001)
DOI:10.1038/ng751
Reference
PMID:11687800 (MTDPS3)
  Authors
Mandel H, Szargel R, Labay V, Elpeleg O, Saada A, Shalata A, Anbinder Y, Berkowitz D, Hartman C, Barak M, Eriksson S, Cohen N
  Title
The deoxyguanosine kinase gene is mutated in individuals with depleted hepatocerebral mitochondrial DNA.
  Journal
Nat Genet 29:337-41 (2001)
DOI:10.1038/ng746
Reference
PMID:15122711 (MTDPS4A)
  Authors
Naviaux RK, Nguyen KV
  Title
POLG mutations associated with Alpers' syndrome and mitochondrial DNA depletion.
  Journal
Ann Neurol 55:706-12 (2004)
DOI:10.1002/ana.20079
Reference
PMID:12825077 (MTDPS4B)
  Authors
Van Goethem G, Schwartz M, Lofgren A, Dermaut B, Van Broeckhoven C, Vissing J
  Title
Novel POLG mutations in progressive external ophthalmoplegia mimicking mitochondrial neurogastrointestinal encephalomyopathy.
  Journal
Eur J Hum Genet 11:547-9 (2003)
DOI:10.1038/sj.ejhg.5201002
Reference
PMID:15877282 (MTDPS5)
  Authors
Elpeleg O, Miller C, Hershkovitz E, Bitner-Glindzicz M, Bondi-Rubinstein G, Rahman S, Pagnamenta A, Eshhar S, Saada A
  Title
Deficiency of the ADP-forming succinyl-CoA synthase activity is associated with encephalomyopathy and mitochondrial DNA depletion.
  Journal
Am J Hum Genet 76:1081-6 (2005)
DOI:10.1086/430843
Reference
PMID:16582910 (MTDPS6)
  Authors
Spinazzola A, Viscomi C, Fernandez-Vizarra E, Carrara F, D'Adamo P, Calvo S, Marsano RM, Donnini C, Weiher H, Strisciuglio P, Parini R, Sarzi E, Chan A, DiMauro S, Rotig A, Gasparini P, Ferrero I, Mootha VK, Tiranti V, Zeviani M
  Title
MPV17 encodes an inner mitochondrial membrane protein and is mutated in infantile hepatic mitochondrial DNA depletion.
  Journal
Nat Genet 38:570-5 (2006)
DOI:10.1038/ng1765
Reference
PMID:16135556 (MTDPS7)
  Authors
Nikali K, Suomalainen A, Saharinen J, Kuokkanen M, Spelbrink JN, Lonnqvist T, Peltonen L
  Title
Infantile onset spinocerebellar ataxia is caused by recessive mutations in mitochondrial proteins Twinkle and Twinky.
  Journal
Hum Mol Genet 14:2981-90 (2005)
DOI:10.1093/hmg/ddi328
Reference
PMID:17486094 (MTDPS8A)
  Authors
Bourdon A, Minai L, Serre V, Jais JP, Sarzi E, Aubert S, Chretien D, de Lonlay P, Paquis-Flucklinger V, Arakawa H, Nakamura Y, Munnich A, Rotig A
  Title
Mutation of RRM2B, encoding p53-controlled ribonucleotide reductase (p53R2), causes severe mitochondrial DNA depletion.
  Journal
Nat Genet 39:776-80 (2007)
DOI:10.1038/ng2040
Reference
PMID:19667227 (MTDPS8B)
  Authors
Shaibani A, Shchelochkov OA, Zhang S, Katsonis P, Lichtarge O, Wong LJ, Shinawi M
  Title
Mitochondrial neurogastrointestinal encephalopathy due to mutations in RRM2B.
  Journal
Arch Neurol 66:1028-32 (2009)
DOI:10.1001/archneurol.2009.139
Reference
PMID:17668387 (MTDPS9)
  Authors
Ostergaard E, Christensen E, Kristensen E, Mogensen B, Duno M, Shoubridge EA, Wibrand F
  Title
Deficiency of the alpha subunit of succinate-coenzyme A ligase causes fatal infantile lactic acidosis with mitochondrial DNA depletion.
  Journal
Am J Hum Genet 81:383-7 (2007)
DOI:10.1086/519222
Reference
PMID:22284826 (MTDPS10)
  Authors
Mayr JA, Haack TB, Graf E, Zimmermann FA, Wieland T, Haberberger B, Superti-Furga A, Kirschner J, Steinmann B, Baumgartner MR, Moroni I, Lamantea E, Zeviani M, Rodenburg RJ, Smeitink J, Strom TM, Meitinger T, Sperl W, Prokisch H
  Title
Lack of the mitochondrial protein acylglycerol kinase causes Sengers syndrome.
  Journal
Am J Hum Genet 90:314-20 (2012)
DOI:10.1016/j.ajhg.2011.12.005
Reference
PMID:23313956 (MTDPS11)
  Authors
Kornblum C, Nicholls TJ, Haack TB, Scholer S, Peeva V, Danhauser K, Hallmann K, Zsurka G, Rorbach J, Iuso A, Wieland T, Sciacco M, Ronchi D, Comi GP, Moggio M, Quinzii CM, DiMauro S, Calvo SE, Mootha VK, Klopstock T, Strom TM, Meitinger T, Minczuk M, Kunz WS, Prokisch H
  Title
Loss-of-function mutations in MGME1 impair mtDNA replication and cause multisystemic mitochondrial disease.
  Journal
Nat Genet 45:214-9 (2013)
DOI:10.1038/ng.2501
Reference
PMID:27693233 (MTDPS12A)
  Authors
Thompson K, Majd H, Dallabona C, Reinson K, King MS, Alston CL, He L, Lodi T, Jones SA, Fattal-Valevski A, Fraenkel ND, Saada A, Haham A, Isohanni P, Vara R, Barbosa IA, Simpson MA, Deshpande C, Puusepp S, Bonnen PE, Rodenburg RJ, Suomalainen A, Ounap K, Elpeleg O, Ferrero I, McFarland R, Kunji ER, Taylor RW
  Title
Recurrent De Novo Dominant Mutations in SLC25A4 Cause Severe Early-Onset Mitochondrial Disease and Loss of Mitochondrial DNA Copy Number.
  Journal
Am J Hum Genet 99:860-876 (2016)
DOI:10.1016/j.ajhg.2016.08.014
Reference
PMID:16155110 (MTDPS12B)
  Authors
Palmieri L, Alberio S, Pisano I, Lodi T, Meznaric-Petrusa M, Zidar J, Santoro A, Scarcia P, Fontanesi F, Lamantea E, Ferrero I, Zeviani M
  Title
Complete loss-of-function of the heart/muscle-specific adenine nucleotide translocator is associated with mitochondrial myopathy and cardiomyopathy.
  Journal
Hum Mol Genet 14:3079-88 (2005)
DOI:10.1093/hmg/ddi341
Reference
PMID:23993193 (MTDPS13)
  Authors
Bonnen PE, Yarham JW, Besse A, Wu P, Faqeih EA, Al-Asmari AM, Saleh MA, Eyaid W, Hadeel A, He L, Smith F, Yau S, Simcox EM, Miwa S, Donti T, Abu-Amero KK, Wong LJ, Craigen WJ, Graham BH, Scott KL, McFarland R, Taylor RW
  Title
Mutations in FBXL4 cause mitochondrial encephalopathy and a disorder of mitochondrial DNA maintenance.
  Journal
Am J Hum Genet 93:471-81 (2013)
DOI:10.1016/j.ajhg.2013.07.017
Reference
PMID:26561570 (MTDPS14)
  Authors
Spiegel R, Saada A, Flannery PJ, Burte F, Soiferman D, Khayat M, Eisner V, Vladovski E, Taylor RW, Bindoff LA, Shaag A, Mandel H, Schuler-Furman O, Shalev SA, Elpeleg O, Yu-Wai-Man P
  Title
Fatal infantile mitochondrial encephalomyopathy, hypertrophic cardiomyopathy and optic atrophy associated with a homozygous OPA1 mutation.
  Journal
J Med Genet 53:127-31 (2016)
DOI:10.1136/jmedgenet-2015-103361
Reference
PMID:27448789 (MTDPS15)
  Authors
Stiles AR, Simon MT, Stover A, Eftekharian S, Khanlou N, Wang HL, Magaki S, Lee H, Partynski K, Dorrani N, Chang R, Martinez-Agosto JA, Abdenur JE
  Title
Mutations in TFAM, encoding mitochondrial transcription factor A, cause neonatal liver failure associated with mtDNA depletion.
  Journal
Mol Genet Metab 119:91-9 (2016)
DOI:10.1016/j.ymgme.2016.07.001
Reference
PMID:30157269 (MTDPS16)
  Authors
Hoff KE, DeBalsi KL, Sanchez-Quintero MJ, Longley MJ, Hirano M, Naini AB, Copeland WC
  Title
Characterization of the human homozygous R182W POLG2 mutation in mitochondrial DNA depletion syndrome.
  Journal
PLoS One 13:e0203198 (2018)
DOI:10.1371/journal.pone.0203198
Reference
PMID:31778857 (MTDPS16B)
  Authors
Dosekova P, Dubiel A, Karlowicz A, Zietkiewicz S, Rydzanicz M, Habalova V, Pienkowski VM, Skirkova M, Han V, Mosejova A, Gdovinova Z, Kaliszewska M, Tonska K, Szymanski MR, Skorvanek M, Ploski R
  Title
Whole exome sequencing identifies a homozygous POLG2 missense variant in an adult patient presenting with optic atrophy, movement disorders, premature ovarian  failure and mitochondrial DNA depletion.
  Journal
Eur J Med Genet 63:103821 (2020)
DOI:10.1016/j.ejmg.2019.103821
Reference
PMID:28973171 (MTDPS17)
  Authors
Garone C, D'Souza AR, Dallabona C, Lodi T, Rebelo-Guiomar P, Rorbach J, Donati MA, Procopio E, Montomoli M, Guerrini R, Zeviani M, Calvo SE, Mootha VK, DiMauro S, Ferrero I, Minczuk M
  Title
Defective mitochondrial rRNA methyltransferase MRM2 causes MELAS-like clinical syndrome.
  Journal
Hum Mol Genet 26:4257-4266 (2017)
DOI:10.1093/hmg/ddx314
Reference
PMID:29517768 (MTDPS18)
  Authors
Boczonadi V, King MS, Smith AC, Olahova M, Bansagi B, Roos A, Eyassu F, Borchers C, Ramesh V, Lochmuller H, Polvikoski T, Whittaker RG, Pyle A, Griffin H, Taylor RW, Chinnery PF, Robinson AJ, Kunji ERS, Horvath R
  Title
Mitochondrial oxodicarboxylate carrier deficiency is associated with mitochondrial DNA depletion and spinal muscular atrophy-like disease.
  Journal
Genet Med 20:1224-1235 (2018)
DOI:10.1038/gim.2017.251
Reference
PMID:29211846 (MTDPS19)
  Authors
Punzi G, Porcelli V, Ruggiu M, Hossain MF, Menga A, Scarcia P, Castegna A, Gorgoglione R, Pierri CL, Laera L, Lasorsa FM, Paradies E, Pisano I, Marobbio CMT, Lamantea E, Ghezzi D, Tiranti V, Giannattasio S, Donati MA, Guerrini R, Palmieri L, Palmieri F, De Grassi A
  Title
SLC25A10 biallelic mutations in intractable epileptic encephalopathy with complex I deficiency.
  Journal
Hum Mol Genet 27:499-504 (2018)
DOI:10.1093/hmg/ddx419
Reference
PMID:33855352 (MTDPS20)
  Authors
Bonora E, Chakrabarty S, Kellaris G, Tsutsumi M, Bianco F, Bergamini C, Ullah F, Isidori F, Liparulo I, Diquigiovanni C, Masin L, Rizzardi N, Cratere MG, Boschetti E, Papa V, Maresca A, Cenacchi G, Casadio R, Martelli P, Matera I, Ceccherini I, Fato R, Raiola G, Arrigo S, Signa S, Sementa AR, Severino M, Striano P, Fiorillo C, Goto T, Uchino S, Oyazato Y, Nakamura H, Mishra SK, Yeh YS, Kato T, Nozu K, Tanboon J, Morioka I, Nishino I, Toda T, Goto YI, Ohtake A, Kosaki K, Yamaguchi Y, Nonaka I, Iijima K, Mimaki M, Kurahashi H, Raams A, MacInnes A, Alders M, Engelen M, Linthorst G, de Koning T, den Dunnen W, Dijkstra G, van Spaendonck K, van Gent DC, Aronica EM, Picco P, Carelli V, Seri M, Katsanis N, Duijkers FAM, Taniguchi-Ikeda M, De Giorgio R
  Title
Biallelic variants in LIG3 cause a novel mitochondrial neurogastrointestinal encephalomyopathy.
  Journal
Brain 144:1451-1466 (2021)
DOI:10.1093/brain/awab056
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KEGG   DISEASE: Progressive external ophthalmoplegia
Entry
H01118                      Disease                                
Name
Progressive external ophthalmoplegia;
Autosomal dominant progressive external ophthalmoplegia
  Subgroup
Autosomal recessive progressive external ophthalmoplegia [DS:H01395]
  Supergrp
Mitochondrial disease [DS:H01427]
Description
Progressive external ophthalmoplegia (PEO) is a progressive weakness of the external muscles of the eye resulting in blepharoptosis and ophthalmoparesis. Often other muscles are involved resulting in dysphagia and a variable neck and limb muscle weakness. Most sporadic PEO cases have an acquired genetic disease with a heteroplasmic large deletion of mitochondrial DNA (mtDNA) in muscle. In familial PEO, several modes of inheritance occur. Patients may have a nuclear gene defect that predisposes to the accumulation of mtDNA deletions. Recently, mutations in such nuclear genes have been discovered. Some mutations are dominant (PEOA) and others recessive.
Category
Nervous system disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 09 Diseases of the visual system
  Strabismus or ocular motility disorders
   9C82  Disorders of extraocular muscles
    H01118  Progressive external ophthalmoplegia
Pathway-based classification of diseases [BR:br08402]
 Replication and repair
  nt06509  DNA replication
   H01118  Progressive external ophthalmoplegia
  nt06504  Base excision repair
   H01118  Progressive external ophthalmoplegia
Pathway
hsa03410 Base excision repair   
Network
nt06504 Base excision repair
nt06509 DNA replication
Gene
(PEOA1) POLG [HSA:5428] [KO:K02332]
(PEOA2) SLC25A4 [HSA:291] [KO:K05863]
(PEOA3) TWNK [HSA:56652] [KO:K17680]
(PEOA4) POLG2 [HSA:11232] [KO:K02333]
(PEOA5) RRM2B [HSA:50484] [KO:K10808]
(PEOA6) DNA2 [HSA:1763] [KO:K10742]
Other DBs
ICD-11: 9C82.0
ICD-10: H49.4
MeSH: D017246
OMIM: 157640 609283 609286 610131 613077 615156
Reference
  Authors
Van Goethem G, Martin JJ, Van Broeckhoven C
  Title
Progressive external ophthalmoplegia characterized by multiple deletions of mitochondrial DNA: unraveling the pathogenesis of human mitochondrial DNA instability and the initiation of a genetic classification.
  Journal
Neuromolecular Med 3:129-46 (2003)
DOI:10.1385/NMM:3:3:129
Reference
  Authors
Copeland WC
  Title
Defects in mitochondrial DNA replication and human disease.
  Journal
Crit Rev Biochem Mol Biol 47:64-74 (2012)
DOI:10.3109/10409238.2011.632763
Reference
PMID:12975295 (PEOA1)
  Authors
Filosto M, Mancuso M, Nishigaki Y, Pancrudo J, Harati Y, Gooch C, Mankodi A, Bayne L, Bonilla E, Shanske S, Hirano M, DiMauro S
  Title
Clinical and genetic heterogeneity in progressive external ophthalmoplegia due to mutations in polymerase gamma.
  Journal
Arch Neurol 60:1279-84 (2003)
DOI:10.1001/archneur.60.9.1279
Reference
PMID:10926541 (PEOA2)
  Authors
Kaukonen J, Juselius JK, Tiranti V, Kyttala A, Zeviani M, Comi GP, Keranen S, Peltonen L, Suomalainen A
  Title
Role of adenine nucleotide translocator 1 in mtDNA maintenance.
  Journal
Science 289:782-5 (2000)
DOI:10.1126/science.289.5480.782
Reference
PMID:11431692 (PEOA3)
  Authors
Spelbrink JN, Li FY, Tiranti V, Nikali K, Yuan QP, Tariq M, Wanrooij S, Garrido N, Comi G, Morandi L, Santoro L, Toscano A, Fabrizi GM, Somer H, Croxen R, Beeson D, Poulton J, Suomalainen A, Jacobs HT, Zeviani M, Larsson C
  Title
Human mitochondrial DNA deletions associated with mutations in the gene encoding Twinkle, a phage T7 gene 4-like protein localized in mitochondria.
  Journal
Nat Genet 28:223-31 (2001)
DOI:10.1038/90058
Reference
PMID:16685652 (PEOA4)
  Authors
Longley MJ, Clark S, Yu Wai Man C, Hudson G, Durham SE, Taylor RW, Nightingale S, Turnbull DM, Copeland WC, Chinnery PF
  Title
Mutant POLG2 disrupts DNA polymerase gamma subunits and causes progressive external ophthalmoplegia.
  Journal
Am J Hum Genet 78:1026-34 (2006)
DOI:10.1086/504303
Reference
PMID:19664747 (PEOA5)
  Authors
Tyynismaa H, Ylikallio E, Patel M, Molnar MJ, Haller RG, Suomalainen A
  Title
A heterozygous truncating mutation in RRM2B causes autosomal-dominant progressive external ophthalmoplegia with multiple mtDNA deletions.
  Journal
Am J Hum Genet 85:290-5 (2009)
DOI:10.1016/j.ajhg.2009.07.009
Reference
PMID:23352259 (PEOA6)
  Authors
Ronchi D, Di Fonzo A, Lin W, Bordoni A, Liu C, Fassone E, Pagliarani S, Rizzuti M, Zheng L, Filosto M, Ferro MT, Ranieri M, Magri F, Peverelli L, Li H, Yuan YC, Corti S, Sciacco M, Moggio M, Bresolin N, Shen B, Comi GP
  Title
Mutations in DNA2 link progressive myopathy to mitochondrial DNA instability.
  Journal
Am J Hum Genet 92:293-300 (2013)
DOI:10.1016/j.ajhg.2012.12.014
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