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Diffuse Cerebral Sclerosis of Schilder (D002549)
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Liver Cirrhosis (D008103)
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Mitochondrial Diseases (D028361)
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MITOCHONDRIAL DNA DEPLETION SYNDROME 4A (ALPERS TYPE) (OMIM:203700)

       Child Nodes:



 Sister Nodes: 
..expand3-Hydroxy-3-Methylglutaryl-CoA Synthase 2 Deficiency (C567784)
..expandAcyl-CoA Dehydrogenase Family, Member 9, Deficiency of (C567006)
..expandAtaxia and Polyneuropathy, Adult-Onset (C564020)
..expandAtaxia Neuropathy Spectrum (C579922)
..expandBjornstad syndrome (C537633)
..expandCarbamoyl-Phosphate Synthase I Deficiency Disease (D020165)
..expandCarnitine Palmitoyltransferase II Deficiency, Late-Onset (C563461)
..expandCarnitine Palmitoyltransferase II Deficiency, Lethal Neonatal (C563463)
..expandChildhood Myocerebrohepatopathy Spectrum (C579990)
..expandCoenzyme Q10 Deficiency (C564403)
..expandCombined Oxidative Phosphorylation Deficiency 4 (C565690)
..expandCombined Oxidative Phosphorylation Deficiency 5 (C567126)
..expandCowden-Like Syndrome (C567337)
..expandCytochrome-c Oxidase Deficiency (D030401) Child2
..expandDeoxyguanosine Kinase Deficiency (C580039)
..expandFinnish lethal neonatal metabolic syndrome (C537934)
..expandFriedreich Ataxia (D005621) Child6
..expandHypermetabolism due to Defect in Mitochondria (C565498)
..expandHypomyelination, Global Cerebral (C567847)
..expandHypotonia-Cystinuria Syndrome (C564710)
..expandKearns-Sayre Syndrome (D007625) Child1
..expandLeigh Disease (D007888) Child12
..expandLeukodystrophy, Hypomyelinating, 4 (C567390)
..expandLeukoencephalopathy with Brainstem and Spinal Cord Involvement and Lactate Elevation (C567009)
..expandMedium Chain 3-Ketoacyl-CoA Thiolase Deficiency (C566566)
..expandMitochondrial complex I deficiency (C537475)
..expandMitochondrial Complex II Deficiency (C565375)
..expandMitochondrial Complex III Deficiency (C565128)
..expandMITOCHONDRIAL COMPLEX V (ATP SYNTHASE) DEFICIENCY, NUCLEAR TYPE 1;MC5DN1 MITOCHONDRIAL COMPLEX V (ATP SYNTHASE) DEFICIENCY, ATPAF2 TYPE (OMIM:604273)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 3 (HEPATOCEREBRAL TYPE) (OMIM:251880)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 4A (ALPERS TYPE) (OMIM:203700)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 6 (HEPATOCEREBRAL TYPE) (OMIM:256810)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 9 (ENCEPHALOMYOPATHIC TYPE WITH METHYLMALONIC ACIDURIA) (OMIM:245400)
..expandMitochondrial DNA Depletion Syndrome, Myopathic Form (C563698)
..expandMitochondrial Myopathies (D017240) Child33
..expandMitochondrial Phosphate Carrier Deficiency (C563665)
..expandMultiple Acyl Coenzyme A Dehydrogenase Deficiency (D054069) Child1
..expandMultiple Mitochondrial Dysfunctions Syndrome (C565304)
..expandMULTIPLE MITOCHONDRIAL DYSFUNCTIONS SYNDROME 1 (OMIM:605711)
..expandMyopathy with Giant Abnormal Mitochondria (C564971)
..expandMyopathy, Cataract, Hypogonadism Syndrome (C563578)
..expandNavajo neurohepatopathy (C538344) Child1
..expandOphthalmoplegic Neuromuscular Disorder with Abnormal Mitochondria (C564925)
..expandOptic Atrophy, Autosomal Dominant (D029241)
..expandOptic Atrophy, Hereditary, Leber (D029242) Child1
..expandParkinson Disease, Mitochondrial (C564015)
..expandPhosphoenolpyruvate Carboxykinase Deficiency, Mitochondrial (C564890)
..expandProgressive External Ophthalmoplegia With Hypogonadism (C563576)
..expandProgressive External Ophthalmoplegia with Mitochondrial DNA Deletions, Autosomal Dominant, 1 (C563575)
..expandProgressive External Ophthalmoplegia With Mitochondrial Dna Deletions, Autosomal Dominant, 5 (C567768)
..expandProximal Myopathy with Focal Depletion of Mitochondria (C563453)
..expandPyruvate Carboxylase Deficiency Disease (D015324) Child1
..expandPyruvate Dehydrogenase Complex Deficiency Disease (D015325) Child4
..expandSarcosinemia (C537236)
..expandSpinocerebellar Ataxia with Epilepsy (C564395)
..expandSuccinate-Coa Ligase Deficiency (C580473)
..expandVDAC Deficiency (C565767)
..expandVLCAD deficiency (C536353)
..expandWolfram Syndrome 2 (C565733)
   

Human Disease MESH is developed by UMLS.
Further data from MedGen, OMIM, CTD
Term ID:7315
Name:MITOCHONDRIAL DNA DEPLETION SYNDROME 4A (ALPERS TYPE)
Definition:
Alternative IDs:
ParentIDs:MESH:D002549|MESH:D008103|MESH:D028361
TreeNumbers:C06.552.630/203700 |C10.114.375.112/203700 |C10.228.140.400/203700 |C10.228.140.695.562.112/203700 |C10.314.350.112/203700 |C18.452.660/203700 |C20.111.258.250.175/203700
Synonyms:ALPERS DIFFUSE DEGENERATION OF CEREBRAL GRAY MATTER WITH HEPATIC CIRRHOSIS |ALPERS-HUTTENLOCHER SYNDROME |ALPERS PROGRESSIVE INFANTILE POLIODYSTROPHY |ALPERS SYNDROME |MTDPS4A |NEURONAL DEGENERATION OF CHILDHOOD WITH LIVER DISEASE, PROGRESSIVE |PNDC
Slim Mappings:Digestive system disease|Immune system disease|Metabolic disease|Nervous system disease
Reference: MedGen: 203700
MeSH: 203700
OMIM: 203700;

Genes: POLG;
Phenotypes
1 HP:0000007Autosomal recessive inheritance
2 HP:0003593Infantile onset
3 HP:00035353-Methylglutaconic aciduria
4 HP:0000649Abnormality of visual evoked potentials
5 HP:0002446Astrocytosis
6 HP:0001251Ataxia
7 HP:0001408Bile duct proliferation
8 HP:0001272Cerebellar atrophy
9 HP:0006964Cerebral cortical neurodegeneration
10 HP:0100704Cerebral visual impairment
11 HP:0000726Dementia
12 HP:0002376Developmental regression
13 HP:0002910Elevated hepatic transaminase
14 HP:0012847Epilepsia partialis continua
15 HP:0003219Ethylmalonic aciduria
16 HP:0001508Failure to thrive
17 HP:0001290Generalized hypotonia
18 HP:0002171Gliosis
19 HP:0001263Global developmental delay
20 HP:0001399Hepatic failure
21 HP:0002240Hepatomegaly
22 HP:0001276Hypertonia
23 HP:0001252Hypotonia
24 HP:0002922Increased CSF protein
25 HP:0002151Increased serum lactate
26 HP:0001413Micronodular cirrhosis
27 HP:0001414Microvesicular hepatic steatosis
28 HP:0001336Myoclonus
29 HP:0002529Neuronal loss in central nervous system
30 HP:0003470Paralysis
31 HP:0003678Rapidly progressive
32 HP:0002133Status epilepticus
33 HP:0000572Visual loss
34 HP:0002013Vomiting
Disease Causing ClinVar Variants
Variation_NameGeneIDGeneSymbolClinicalSignificancedbSNPRCVaccessionTestedInGTRPhenotypeIDsChromosomeStartStopHGVS_cHGVS_pHGVS_gOtherIDsDisease_ClinVarDisease_hgmd
NM_002693.2(POLG):c.3218C>T (p.Pro1073Leu)5428POLGPathogenic267606959RCV000014470; RCV000014471; RCV000188673; NMedGen:C0205710,OMIM:203700,ORPHA:726,SNOMED CT:20415001; MedGen:C3150914,OMIM:613662; MedGen:CN221809158986221789862217NM_002693.2:c.3218C>TNP_002684.1:p.Pro1073LeuNC_000015.9:g.89862217G>AOMIM Allelic Variant:174763.0022C3150914 613662 Mitochondrial DNA depletion syndrome 4B, MNGIE type; CN221809 not provided; C0205710 203700 Progressive sclerosing poliodystrophy
NM_002693.2(POLG):c.2617G>T (p.Glu873Ter)5428POLGPathogenic121918047RCV000014453; NMedGen:C0205710,OMIM:203700,ORPHA:726,SNOMED CT:20415001158986447389864473NM_002693.2:c.2617G>TNP_002684.1:p.Glu873TerNC_000015.9:g.89864473C>AOMIM Allelic Variant:174763.0008C0205710 203700 Progressive sclerosing poliodystrophy
NM_002693.2(POLG):c.2542G>A (p.Gly848Ser)5428POLGPathogenic113994098RCV000014450; RCV000014449; RCV000014451; RCV000014452; RCV000188580; NMedGen:C0205710,OMIM:203700,ORPHA:726,SNOMED CT:20415001; MedGen:C1850303,OMIM:258450,ORPHA:254886; MedGen:C1868097; MedGen:C3150914,OMIM:613662; MedGen:CN221809158986502389865023NM_002693.2:c.2542G>ANP_002684.1:p.Gly848SerNC_000015.9:g.89865023C>TOMIM Allelic Variant:174763.0006C1850303 258450 Cerebellar ataxia infantile with progressive external ophthalmoplegia; C3150914 613662 Mitochondrial DNA depletion syndrome 4B, MNGIE type; CN221809 not provided; C0205710 203700 Progressive sclerosing poliodystrophy
NM_002693.2(POLG):c.2243G>C (p.Trp748Ser)5428POLGPathogenic;Uncertain significance113994097RCV000014459; RCV000014460; RCV000014461; RCV000080023; RCV000144870; NMedGen:C0007959, Orphanet:ORPHA166,SNOMED CT:50548001; MedGen:C0205710,OMIM:203700,ORPHA:726,SNOMED CT:20415001; MedGen:C1843851,OMIM:607459,ORPHA:70595; MedGen:C1843852; MedGen:CN221809158986665789866657NM_002693.2:c.2243G>CNP_002684.1:p.Trp748SerNC_000015.9:g.89866657C>GHGMD:CM042764,OMIM Allelic Variant:174763.0013C0007959 Charcot-Marie-Tooth disease; C1843852 Myoclonic epilepsy myopathy sensory ataxia; CN221809 not provided; C0205710 203700 Progressive sclerosing poliodystrophy; C1843851 607459 Sensory ataxic neuropathy, dysarthria, and ophthalmoparesis
NM_002693.2(POLG):c.2243G>C (p.Trp748Ser)5428POLGPathogenic;Uncertain significance113994097RCV000014459; RCV000014460; RCV000014461; RCV000080023; RCV000144870; NMedGen:C0007959, Orphanet:ORPHA166,SNOMED CT:50548001; MedGen:C0205710,OMIM:203700,ORPHA:726,SNOMED CT:20415001; MedGen:C1843851,OMIM:607459,ORPHA:70595; MedGen:C1843852; MedGen:CN221809158986665789866657NM_002693.2:c.2243G>CNP_002684.1:p.Trp748SerNC_000015.9:g.89866657C>GHGMD:CM042764,OMIM Allelic Variant:174763.0013C0007959 Charcot-Marie-Tooth disease; C1843852 Myoclonic epilepsy myopathy sensory ataxia; CN221809 not provided; CN169374 not specified; C0205710 203700 Progressive sclerosing poliodystrophy; C1843851 607459 Sensory ataxic neuropathy, dysarthria, an
NM_002693.2(POLG):c.1399G>A (p.Ala467Thr)5428POLGPathogenic113994095RCV000014441; RCV000184011; RCV000014440; RCV000014442; RCV000014443; RCV000188658; NMedGen:C0205710,OMIM:203700,ORPHA:726,SNOMED CT:20415001; MedGen:C1834846,OMIM:157640; MedGen:C1843851,OMIM:607459,ORPHA:70595; MedGen:C1843852; MedGen:C1850303,OMIM:258450,ORPHA:254886; MedGen:CN221809158987043289870432NM_002693.2:c.1399G>ANP_002684.1:p.Ala467ThrNC_000015.9:g.89870432C>TOMIM Allelic Variant:174763.0002C1834846 157640 Autosomal dominant progressive external ophthalmoplegia with mitochondrial DNA deletions 1; C1850303 258450 Cerebellar ataxia infantile with progressive external ophthalmoplegia; C1843852 Myoclonic epilepsy myopathy sensory ataxia; CN221
NM_002693.2(POLG):c.752C>T (p.Thr251Ile)5428POLGPathogenic;Uncertain significance113994094RCV000014447; RCV000184009; RCV000014448; RCV000020484; RCV000188641; RCV000194055; NMedGen:C0205710,OMIM:203700,ORPHA:726,SNOMED CT:20415001; MedGen:C0872218,OMIM:603041; MedGen:C1850303,OMIM:258450,ORPHA:254886; MedGen:C3150914,OMIM:613662; MedGen:CN169374; MedGen:CN221809158987341589873415NM_002693.2:c.752C>TNP_002684.1:p.Thr251IleNC_000015.9:g.89873415G>AOMIM Allelic Variant:174763.0007C1850303 258450 Cerebellar ataxia infantile with progressive external ophthalmoplegia; C3150914 613662 Mitochondrial DNA depletion syndrome 4B, MNGIE type; C0872218 603041 Myoneural gastrointestinal encephalopathy syndrome; CN221809 not provided; CN1693