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Mitochondrial neurogastrointestinal encephalomyopathy

ORPHA:298DiseaseAutosomal recessiveAdolescent, Adult, Childhood

Ассоциированные гены (4)

POLG
DNA polymerase gamma, catalytic subunit
Disease-causing germline mutation(s) in
OMIM: 174763
TYMP
thymidine phosphorylase
Disease-causing germline mutation(s) (loss of function) in
OMIM: 131222
RRM2B
ribonucleotide reductase regulatory TP53 inducible subunit M2B
Disease-causing germline mutation(s) in
OMIM: 604712
LIG3
DNA ligase 3
Disease-causing germline mutation(s) in
OMIM: 600940

Фенотипы (48)

Очень частый (80–99%)14
HP:0000544External ophthalmoplegia
HP:0002013Vomiting
HP:0002015Dysphagia
HP:0002018Nausea
HP:0002020Gastroesophageal reflux
HP:0002027Abdominal pain
HP:0002352Leukoencephalopathy
HP:0002579Gastrointestinal dysmotility
HP:0003270Abdominal distention
HP:0004326Cachexia
HP:0004396Poor appetite
HP:0007141Sensorimotor neuropathy
HP:0012850Small intestinal dysmotility
HP:0025149Atrophic muscularis propria
Частый (30–79%)25
HP:0000407Sensorineural hearing impairment
HP:0000508Ptosis
HP:0000597Ophthalmoparesis
HP:0001155Abnormality of the hand
HP:0001824Weight loss
HP:0002014Diarrhea
HP:0002460Distal muscle weakness
HP:0002500Abnormal cerebral white matter morphology
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002922Increased CSF protein concentration
HP:0003128Lactic acidosis
HP:0003200Ragged-red muscle fibers
HP:0003348Hyperalaninemia
HP:0003387Decreased number of large peripheral myelinated nerve fibers
HP:0003388Easy fatigability
HP:0003401Paresthesia
HP:0003431Decreased motor nerve conduction velocity
HP:0003448Decreased sensory nerve conduction velocity
HP:0003477Peripheral axonal neuropathy
HP:0007108Demyelinating peripheral neuropathy
HP:0008049Abnormality of the extraocular muscles
HP:0009027Foot dorsiflexor weakness
HP:0009830Peripheral neuropathy
HP:0011024Abnormality of the gastrointestinal tract
HP:0012103Abnormality of the mitochondrion
Периодический (5–29%)8
HP:0000044Hypogonadotropic hypogonadism
HP:0000815Hypergonadotropic hypogonadism
HP:0001249Intellectual disability
HP:0001394Cirrhosis
HP:0001403Macrovesicular hepatic steatosis
HP:0001903Anemia
HP:0003199Decreased muscle mass
HP:0025461Abnormal cell morphology
Очень редкий (1–4%)1
HP:0000726Dementia

Эпидемиология (3)

Point prevalence
1-9 / 1 000 000
Europe
Prevalence at birth
1-9 / 1 000 000
Israel
Prevalence at birth
1-9 / 1 000 000
Specific population

Лекарства и терапия

Источник: Open Targets Platform (в реальном времени)

Клинические исследования

Источник: ClinicalTrials.gov (в реальном времени)

Внешние ресурсы