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8 patient data entries in database for clusters 2 and 4.

Entry
#
Mutations
allele 1allele 2
Clinical representationSymptomsAge groupAge of onsetAge of patientAge of deathReference
11T251I
P587L2
C224Y4
Alpers, trunk hypotonia, seizures at 4 months, RC deficiency in liver. 28% mtDNA copy number in liver.
-liver dysfunction
-hypotonic
-Alpers syndrome
-encephalopathy
-developmental delay
-epilepsy
infantile
0.3n/an/aSarzi et al, 2007;

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13A467T2
R227W4
Onset at 4 months with FTT, dementia, hypotonia, seizures, myoclonus, GI problems, hepatopathy, hearing loss, delayed myelinisation. Death at 10 months
-myoclonic seizures
-delayed myelination
-failure to thrive
-hypotonic
-dementia
-GI problems
-hearing loss
infantile
0.3n/a0.8de Vries et al, 2007;

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16A467T2
R227P4
Severe childhood multi-system disorder, epilepsy and failure to thrive, GI problems, hypotonia, retardation.
-epilepsy
-failure to thrive
-hypotonic
-retardation
-GI problems
infantile
0.5n/a1de Vries et al, 2007;

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17A467T2
R227P4
FTT, died after epilepticus.
-epilepsy
-failure to thrive
infantile
n/an/a1Blok et al, 2009;

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19T251I
P587L2
R232G4
Alpers, epilepsy and hepatopathy, onset 5 months of age.
-epilepsy
-Alpers syndrome
-encephalopathy
-developmental delay
infantile
0.5n/an/aAshley et al, 2008;

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33R232G4
T251I
P587L2
Infantile hepatocerebral, presented at 3 months as hypotonia followed by mtDNA depletion in liver, dementia, and death at 6 months by ventilatory insufficiency.
-hepatocerebral
-hypotonic
-dementia
-respiratory deficiency
infantile
0.3n/a0.5Ferrari et al, 2005;

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12T251I
P587L2
R227W4
PEO
-PEO
adult
48n/an/aHorvath et al, 2006;

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263R227W4
T251I
P587L2
PEO, bilateral ptosis, severe limita- tion of ocular motility, and a mosaic distribution of ragged-red and cytochrome c oxidase–negative fibers in the muscle biopsy. All patients had multiple deletions of muscle mtDNA.
-ragged red fibers
-ptosis
-PEO
adult
48n/an/aAgostino et al, 2003;

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1-5 pathogenic cluster assignment of mutations. Mutations displayed without a superscript number are outside of the assigned pathogenic clusters. See cluster definitions for details.

Number of displayed patient cases: 8
Avg age of onset in displayed cases: 12.4
Std dev in onset in displayed cases: 20.6

Search criteria for patient entries:
Mutations Entry IDs Clusters Reference Residue range
Patients for cluster combinations:
First cluster: Second cluster:
Age group: Any Infantile Childhood Juvenile Adult
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