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. Author manuscript; available in PMC: 2023 Aug 21.
Published in final edited form as: Handb Clin Neurol. 2023;194:9–21. doi: 10.1016/B978-0-12-821751-1.00018-X

Table 2.2.

Nuclear genes with pathogenic variants that cause mitochondrial progressive external ophthalmoplegia

Gene Protein PEO Phenotype Inheritance Reference
TYMP Thymidine phosphorylase MNGIE AR Nishino et al. (2000)
SLC25A4 Adenine nucleotide translocator 1 PEO AD/AR Kaukonen et al. (2000)
TK2 Thymidine kinase 2 PEO/PEO-plus AR Saada et al. (2001) and Garone et al. (2018)
DGUOK Deoxyguanosine kinase PEO AR Mandel et al. (2001) and Ronchi et al. (2012)
POLG Polymerase gamma catalytic subunit PEO/PEO-plus/SANDO/MNGIE-like AD/AR Van Goethem et al. (2001) and Van Goethem et al. (2003a)
TWNK Twinkle PEO AD/AR Spelbrink et al. (2001)
POLG2 Polymerase gamma subunit 2 PEO AD/AR Longley et al. (2006)
RRM2B P53-subunit of ribonucleotide reductase PEO/KSS/MNGIE-like AD/AR Bourdon et al. (2007) and Pitceathly et al. (2012)
OPA1 GTPase mitochondrial fusion PEO-plus AD Hudson et al. (2008)
MGME1 Mitochondrial genome maintenance exonuclease 1 PEO/KSS AR Kornblum et al. (2013)
DNA2 DNA replication ATP-dependent PEO AD Ronchi et al. (2013)
SPG7 Paraplegin PEO-plus AR Wedding et al. (2014)
AFGL2 AFG3-like protein 2 PEO-plus AD Gorman et al. (2015)
RNASEH1 Ribonuclease H1 PEO/PEO-plus AR Reyes et al. (2015) and Bugiardini et al. (2017)
C1QBP Complement component C1q binding protein PEO AR Feichtinger et al. (2017)
TOP3A DNA topoisomerase 3 alpha PEO-plus AR Nicholls et al. (2018)
GMPR GMP reductase 1 PEO AD Sommerville et al. (2020)
LIG3 Ligase III MNGIE-like AR Bonora et al. (2021)
RRM1 Ribonucleotide reductase catalytic subunit PEO/MNGIE-like AD/AR Shintaku et al. (2022)

Abbreviations: AD, autosomal dominant; AR, autosomal recessive; KSS, Kearns–Sayre syndrome; MNGIE, mitochondrial neurogastrointestinal encephalomyopathy; PEO, progressive external ophthalmoplegia; SANDO, sensory ataxic neuropathy dysarthria ophthalmoplegia.