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New DGK Gene Mutations in the Hepatocerebral Form of Mitochondrial DNA Depletion Syndrome
Michelangelo Mancuso, MD;
Silvio Ferraris, MD;
Jacklyn Pancrudo, BS;
Annette Feigenbaum, MD;
Julian Raiman, MD;
John Christodoulou, MBBS, FRACP, PhD;
David R. Thorburn, PhD;
Salvatore DiMauro, MD
Arch Neurol. 2005;62:745-747.
Objective To document novel homozygous mutations in the gene for deoxyguanosine kinase (DGK) in 3 children with mitochondrial DNA depletion.
Design Clinical features included liver failure, hypotonia, and nystagmus in 2 siblings, and liver cirrhosis, optic dysplasia, nystagmus, and microcephaly in the third patient. We sequenced the whole coding region of the DGK gene.
Results We identified 2 novel homozygous mutations, G352A and C269T, that lead to truncated proteins.
Conclusion These data confirm that DGK mutations typically affect the liver and brain.
Author Affiliations: Department of Neurology, Columbia University College of Physicians and Surgeons, New York, NY (Drs Mancuso, Ferraris, and DiMauro and Ms Pancrudo); Department of Neurosciences, University of Pisa, Pisa, Italy (Dr Mancuso); Division of Clinical Genetics and Metabolism, The Hospital for Sick Children and University of Toronto, Toronto, Ontario (Drs Feigenbaum and Raiman); and Murdoch Childrens Research Institute, Genetic Health Services Victoria, Royal Childrens Hospital, and Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia (Drs Christodoulou and Thorburn).
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