Table 1.
Clinical and molecular characterization of the patient cohort
Patient | Sex | Age of disease onset (years) | Age at study (years) | Primary clinical features |
Muscle histochemistry |
Molecular defects |
Nerve conduction studies |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CPEO | Ptosis | Peripheral neuropathy | Ataxia | Dysarthria | Epilepsy | COX- deficient fibres (%) | RRF (%) | POLG mutation | Presence of mitochondrial DNA deletions | NCS interpretation | EMG | ||||
1 | M | 17 | 42 | + | + | + | 20 | 20 | p.A467T; p.R1096C | Confirmed | Sensory and motor neuronopathy | Distal and proximal neurogenic change | |||
2 | M | 18 | 36 | + | + | + | 10 | 5 | p.A467T; p.A467T | Confirmed | Severe sensory and moderate motor neuronopathy. Proximal myopathy. | Distal neurogenic change, proximal myopathy | |||
3a | M | 18 | 50 | + | + | + | + | 20 | p.A467T; p.X1240Q | Confirmed | Severe sensory neuronopathy | Not investigated | |||
4 | F | 22 | 61 | + | + | + | + | + | 6 | p.A862T; p.R1047W | Confirmed | Axonal sensory neuropathy / neuronopathy | Distal and proximal neurogenic change | ||
5 | M | 25 | 49 | + | + | + | + | 16 | 5 | p.W748S; p.R1096C | Confirmed | Severe sensory and moderate motor neuronopathy | Distal neurogenic change, proximal myopathy | ||
6 | M | 26 | 36 | + | + | + | + | 3 | p.G746S; p.G484S | Confirmed | Severe sensory and moderate motor neuronopathy | Distal and proximal neurogenic change | |||
7 | M | 34 | 47 | + | + | + | 5 | 5 | p.A467T; p.W748S | Confirmed | Severe sensory and moderate motor neuronopathy | Distal neurogenic change, proximal myopathy | |||
8 | F | 41 | 42 | + | + | + | + | 25 | 5 | p.A467T; p.X1240Q | Confirmed | Sensory and motor neuronopathy | Distal neurogenic change | ||
9 | M | 41 | 44 | + | + | + | 10 | p.A467T; p.A467T | Confirmed | Severe sensory and moderate motor neuronopathy. Proximal myopathy. | Distal and proximal neurogenic change | ||||
10 | F | 44 | 48 | + | + | + | + | 5 | p.A467T; p.W748S | Confirmed | Severe sensory, moderate motor axonal neuronopathy | Distal neurogenic, proximal myopathy | |||
11 | F | 16 | 18 | + | + | + | 2 | p.A467T; p.W748S | Confirmed | Moderate sensory neuronopathy | Normal | ||||
12a | F | 20 | + | + | + | p.A467T; p.W748S | Confirmed | Not investigated. | Not investigated. |
a The cases used for post-mortem neuropathological investigation.
CPEO = Chronic Progressive External Ophthalmoplegia; NCS = nerve conduction study; RRF = ragged-red fibres.