Table 3.

Mitochondrial DNA Maintenance Defects Presenting with Myopathy

GeneDisorderMOImtDNA
Maintenance
Defect
Usual Age
of Onset
Common Clinical Manifestations
in Addition to Muscle Weakness
TK2 TK2-related mtDNA maintenance defect, myopathic form (this GeneReview)ARDepletionInfancy or
childhood
  • Hypotonia
  • Loss of acquired motor skills
AGK Sengers syndrome (OMIM 212350)ARDepletionNeonatal period
  • Hypotonia
  • Hypertrophic cardiomyopathy
  • Cataracts
DGUOK Myopathy ARMultiple deletionsEarly or mid-
adulthood
  • Ptosis
  • Ophthalmoplegia
DNA2 Myopathy (OMIM 615156)ADMultiple deletionsChildhood or
early adulthood
  • Ptosis
  • Ophthalmoplegia
MGME1 Myopathy (OMIM 615084)ARDepletion & multiple deletionsChildhood or
early adulthood
  • Ptosis
  • Ophthalmoplegia
POLG2 Myopathy (OMIM 610131)ADMultiple deletionsInfancy to
adulthood
  • Ptosis
  • Ophthalmoplegia
SLC25A4 Cardiomyopathy (OMIM 615418)ARMultiple deletionsChildhood
  • Exercise intolerance / easy fatigability
  • Hypertrophic cardiomyopathy
Cardiomyopathy (OMIM 617184)ADDepletionBirth
  • Hypotonia
  • Hypertrophic cardiomyopathy

AD = autosomal dominant; AR = autosomal recessive; MOI = mode of inheritance

From: TK2-Related Mitochondrial DNA Maintenance Defect, Myopathic Form

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