P.079 MT-TA: A mitochondrial genome cause of developmental and epileptic encephalopathy
نویسندگان
چکیده
Background: MT-TA (OMIM 590000), one of 22 mitochondrial transfer-RNA (mt-tRNA) genes, encodes the mt-tRNA for alanine. Pathogenic variants in genes affect translation respiratory chain complexes I, III, and IV; which leads to dysfunction a clinically variable phenotype. pathogenic have been described only seven patients, all whom had isolated myopathy Methods: Case report. Results: Our patient initially presented with drug-resistant West syndrome, later evolving towards Lennox Gastaut Although she hypotonia, serum creatine kinase electromyography were normal. Brain-MRI showed bilateral symmetric hypointense T1, hyperintense T2-fluid-attenuated-inversion-recovery restricted-diffusion signal changes dentate nuclei. Mitochondrial genome testing identified previously published variant (m.5591G>A) 14% blood heteroplasmy 16% urine heteroplasmy. The was absent sampled from patient’s mother Conclusions: case extends phenotypic spectrum include developmental epileptic encephalopathy, apparent absence muscle disease. We hypothesize that our may greatest degree brain tissue; however, animal models induced pluripotent stem cell (iPSC) are needed identify precise mechanism by results phenotypes degrees
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ژورنال
عنوان ژورنال: Canadian Journal of Neurological Sciences
سال: 2022
ISSN: ['2057-0155', '0317-1671']
DOI: https://doi.org/10.1017/cjn.2022.176