MELAS
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Overview
From WUSTL NeuromuscularClinical Genetics Laboratory Pathology Nosology: Mitochondrial Encephalomyopathy; Lactic Acidosis; Stroke Epidemiology Incidence in children: 1:200,000 Genetics General Common causes: mtDNA point mutations in mtRNA genes Heteroplasmic mutations: Mutant mtDNA proportion ~ 56% to 95% Inheritance Maternal Occasional sporadic & non-inherited mutation (tRNA Leu) Clinical heterogeneity Rare to find more than 1 fully expressed MELAS in same family Maternal relatives often oligo- or asymptomatic Nuclear mutation (Rare): POLG1 Pathogenesis: mtDNA mutation leads to disordered mtDNA synthesis & function
OMIM Entries
External Resources
Data sourced from the Washington University Neuromuscular Disease Center. For clinical use, always refer to primary sources.