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Mitochondrial DNA Depletion Syndrome Type 4B
Mitochondrial Neurogastrointestinal Encephalomyopathy Type 4B

Presentation

[…] further investigation into the possibility of MNGIE as a diagnosis. [2] Presentation of these symptoms and lack of disordered eating are not enough for a diagnosis. [en.wikipedia.org]

The clinical presentation and onset of symptoms is very varied and largely depends on the phenotype that is expressed, which are summarized below. [radiopaedia.org]

Although Alpers-Huttenlocher syndrome has a restricted neuro-hepatic presentation, mutations in this same gene can result in a broad range of clinical presentations that involve not only the brain and liver, but the rest of the central and peripheral [medlink.com]

However, the focus of the book remains clinical, describing symptoms and signs at presentation, how to come to a diagnosis and methods for treatment. As with the previous edition, the book can be used in two main ways. [books.google.com]

Haplotype data for each patient is presented in Table 2. [journals.plos.org]

Treatment

Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]

Treatment Treatment Options: No treatment for the general disorder has been reported. [disorders.eyes.arizona.edu]

In acquired myopathies, treatment is targeted toward the underlying cause. Treatment of statin myopathies is dependent on creatine phosphokinase levels and degree of muscle symptoms. Consider lower doses when initiating statin therapy. [clevelandclinicmeded.com]

Prognosis

Treatment and prognosis Treatment is complex and non-curative, with focuses on family education, genetic counseling, symptom management, and supportive care 4. [radiopaedia.org]

The authors conclude that POLG mutations are an important cause of heterogeneous mitochondrial pathology and that more accurate genotype-phenotype correlations allow a more rapid genetic diagnosis and improved prognosis for mutation carriers URL go to [dare.uva.nl]

It also indicates the most probable age of onset, which will serve as the basis for a diagnosis and prognosis for the patient. [mitochondrialdiseasenews.com]

MDDSs have a poor prognosis in the majority of the cases. The outcome is usually better the later the onset of the MDDSs. Key Concepts Paediatric and adult neurologist must be aware of multisystem mitochondrial depletion syndromes (MDDSs). [els.net]

In cases suspected to be a primary inflammatory myopathy, specific autoantibodies can be considered to determine the prognosis and rule out associated conditions. [clevelandclinicmeded.com]

Etiology

Rhabdomyolysis may also be seen with infectious etiologies, alcohol, and toxic exposures. [clevelandclinicmeded.com]

The etiology of POLIP/MNGIE syndrome appears therefore to be due to a mitochondrial cytopathy secondary to thymidine phosphorylase gene mutation(s). [pubmed.ncbi.nlm.nih.gov]

It is concluded that this novel POLG mutation forms the most parsimonious etiological explanation for the here-described combination of ataxia, major depression, and cardiomyopathy. [dovepress.com]

These data provided the full pathophysiology of the phenotype, including the identification of the genetic etiology and the physiologic changes of reduced mtDNA content inducing mtDNA depletion. [medlink.com]

She also had Global developmental delay with Quadriplegic cerebral palsy and brain atrophy due to unknown etiology. She was having bilateral cataract, nystagmus associated with visual impairment along with hearing loss. [omicsonline.org]

Epidemiology

Relevant External Links for TYMP Genetic Association Database (GAD) TYMP Human Genome Epidemiology (HuGE) Navigator TYMP Atlas of Genetics and Cytogenetics in Oncology and Haematology: TYMP No data available for Genatlas for TYMP Gene Platelet-derived [genecards.org]

It is a descriptive, transversal-type, two- phase, epidemiological study, involving more than 21.600 inhabitants. [docslide.com.br]

The epidemiology of pathogenic mitochondrial DNA mutations. Ann Neurol 2000; 48:188. Chinnery PF, Turnbull DM. Epidemiology and treatment of mitochondrial disorders. Am J Med Genet 2001; 106:94. Farrar GJ, Chadderton N, Kenna PF, Millington-Ward S. [verywell.com]

Table 1 Clinical Features of Common Myopathies Myopathy Epidemiology Distribution of Weakness Other Systemic Manifestations Acquired Myopathies Dermatomyositis Female > male Peak incidence: children and ages 40–60 yr Symmetrical proximal muscle weakness [clevelandclinicmeded.com]

PubMed Central View Article PubMed Google Scholar Schaefer AM, Taylor RW, Turnbull DM, Chinnery PF: The epidemiology of mitochondrial disorders- past, present and future. Biochim Biophys Acta. 2004, 1659 (Suppl 2–3): 115-120. [ijponline.biomedcentral.com]

Pathophysiology

TP deficiency alone is unlikely to explain all clinical signs, and other factors, including the possible development of anti-TP antibodies, which may play a role in the pathophysiology. neurology muscle disease neuromuscular disease Statistics from Altmetric.com [casereports.bmj.com]

These data provided the full pathophysiology of the phenotype, including the identification of the genetic etiology and the physiologic changes of reduced mtDNA content inducing mtDNA depletion. [medlink.com]

This mutation was considered to be compatible with a mitochondrial disorder and implicated in the pathophysiology of the neuropsychiatric syndrome. [dovepress.com]

Our observations add to the growing body of evidence which implicates E1143G in the pathophysiology of disease (Hisama et al ., 2005 ; Horvath et al ., 2006 ). [academic.oup.com]

View Article PubMed Google Scholar Exner N, Lutz AK, Haass C, Winklhofer KF: Mitochondrial dysfunction in Parkinson’s disease: molecular mechanisms and pathophysiological consequences. EMBO J. 2012, 31: 3038-62. 10.1038/emboj.2012.170. [bmcmedgenet.biomedcentral.com]

Prevention

Protein coding - A0A1B0GV78 - 5' and 3' truncations in transcript evidence prevent annotation of the start and the end of the CDS. [ensembl.org]

To help explain this effect we determined that the G451E p55 heterodimer has a weakened ability to bind to p140 which prevents polγ from incorporating the normal amount of DNA building blocks (nucleotides) into newly synthesized DNA. [atlasofscience.org]

This further strengthens the importance of early and sustained glycemic control for a diabetic patient to prevent/inhibit the development of diabetic retinopathy. [iovs.arvojournals.org]

Significantly, mitochondrial genome dynamics and stability require autophagy to support mtDNA synthesis and prevent mtDNA depletion and irreversible loss of respiratory competence. [jcb.rupress.org]

Genet. (2001) [ Pubmed ] A crucial role of mitochondrial Hsp40 in preventing dilated cardiomyopathy. Hayashi, M., Imanaka-Yoshida, K., Yoshida, T., Wood, M., Fearns, C., Tatake, R.J., Lee, J.D. Nat. [wikigenes.org]

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