Leigh syndrome: One disorder, more than 75 monogenic causes

被引:366
作者
Lake, Nicole J. [1 ,2 ]
Compton, Alison G. [1 ,2 ]
Rahman, Shamima [3 ]
Thorburn, David R. [1 ,2 ,4 ]
机构
[1] Royal Childrens Hosp, Murdoch Childrens Res Inst, Melbourne, Vic 3052, Australia
[2] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia
[3] Univ Coll London & Metab Unit, Inst Child Hlth, Great Ormond St Hosp, Genet & Genom Med,Mitochondrial Res Grp, London, England
[4] Royal Childrens Hosp, Victorian Clin Genet Serv, Melbourne, Vic, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
COMPLEX I DEFICIENCY; C-OXIDASE DEFICIENCY; SUBACUTE NECROTIZING ENCEPHALOMYELOPATHY; MITOCHONDRIAL-DNA; M.13513G-GREATER-THAN-A MUTATION; NEUROPATHOLOGICAL FINDINGS; BIOTINIDASE DEFICIENCY; CLINICAL-FEATURES; POLYMERASE GAMMA; FOUNDER MUTATION;
D O I
10.1002/ana.24551
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Leigh syndrome is the most common pediatric presentation of mitochondrial disease. This neurodegenerative disorder is genetically heterogeneous, and to date pathogenic mutations in >75 genes have been identified, encoded by 2 genomes (mitochondrial and nuclear). More than one-third of these disease genes have been characterized in the past 5 years alone, reflecting the significant advances made in understanding its etiological basis. We review the diverse biochemical and genetic etiology of Leigh syndrome and associated clinical, neuroradiological, and metabolic features that can provide clues for diagnosis. We discuss the emergence of genotype-phenotype correlations, insights gleaned into the molecular basis of disease, and available therapeutic options. Ann Neurol 2016;79:190-203
引用
收藏
页码:190 / 203
页数:14
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