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23 patient data entries in database for mutation L304R.

Entry
#
Mutations
allele 1allele 2
Clinical representationSymptomsAge groupAge of onsetAge of patientAge of deathReference
10L304R3
A143V1
Cerebral cavernous malformation, teen onset CPEO. 110% mtDNA copy number in blood.
-PEO
juvenile
n/a22n/aTang et al, 2011;

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42L304R3
P587L2
T251I
PEO, myopathy, ataxia.
-movement disorder (ataxia)
-myopathy
-PEO
adult
4574n/aHorvath et al, 2006;

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43L304R3
T251I
P587L2
PEO, Neuropathy. Affect sibling.
-PEO
adult
6068n/aHorvath et al, 2006;

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50L304R3
L304R3
Seizures, ptosis, elevated transaminases, lactic acidosis, elevated dopamine, abnormal MRI. 48% mtDNA copy number in muscle, 26% mtDNA copy number in liver.
-lactic acidosis
-ptosis
infantile
n/a4n/aTang et al, 2011;

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51L304R3
L304R3
CPEO, muscle weakness, ptosis, ataxia. 53% mtDNA copy number in blood.
-movement disorder (ataxia)
-muscle weakness
-ptosis
-PEO
childhood
n/a10n/aTang et al, 2011;

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55L304R3
L304R3
CPEO, ptosis, ataxia, abnormal EMG/NCV, cerebellar atrophy, large mitochondrial proliferation, ragged red fibers, easy fatigability, abnormal muscle histology, hypotonia, lactic acidosis, high CSF lactate, organic aciduria/tiglyglycine, low plasma carnitine. 36% mtDNA copy number in muscle, 22% mtDNA copy number in blood.
-lactic acidosis
-movement disorder (ataxia)
-cerebellar atrophy
-abnormal muscle histology
-ragged red fibers
-ptosis
-PEO
-hypotonic
childhood
n/a9n/aTang et al, 2011;

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56L304R3
L304R3
Peripheral neuropathy exercise intolerance, easy fatigability, CPEO, abnormal EMG/NCV, ptosis, lactic acidosis, CPK abnormalities, short stature, FTT, abnormal VERS, developmental delay, abnormal respiratory enzymes, ragged red fibers. 37% mtDNA copy number in muscle, 20% mtDNA copy number in blood.
-lactic acidosis
-peripheral neuropathy
-ragged red fibers
-exercise intolerance
-ptosis
-PEO
-failure to thrive
-developmental delay
-CPK abnormalities
childhood
n/a12n/aTang et al, 2011;

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57L304R3
L304R3
Peripheral neuropathy, exercise intolerance, muscle weakness, abnormal EMG/NCV, ptosis, lactic acidosis, COX deficiency, CPEO. 58% mtDNA copy number in blood.
-lactic acidosis
-peripheral neuropathy
-muscle weakness
-exercise intolerance
-ptosis
-PEO
childhood
n/a9n/aTang et al, 2011;

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58L304R3
L304R3
Peripheral neuropathy exercise intolerance, muscle weakness, easy fatigability, abnormal EMG/NCV, ptosis, CPK abnormalities, short stature, abnormal muscle histology, ragged red fibers, elevated pyruvate. 45% mtDNA copy number in blood.
-peripheral neuropathy
-abnormal muscle histology
-ragged red fibers
-muscle weakness
-exercise intolerance
-ptosis
-CPK abnormalities
juvenile
n/a23n/aTang et al, 2011;

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59A467T2
L304R3
myopathy, PEO, dysarthria.
-myopathy
-PEO
-dysarthria
juvenile
16n/a37Van Goethem et al, 2003a;

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60A467T2
L304R3
sensory ataxic neuropathy, PEO, dysarthria.
-sensory ataxia
-PEO
-dysarthria
adult
25n/an/aVan Goethem et al, 2003a;

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61G737R5
L304R3
Muscle weakness, ptosis, ophthalmoparesis/CPEO. 61% mtDNA copy number in blood.
-muscle weakness
-ptosis
-PEO
adult
n/a54n/aTang et al, 2011;

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62W748S5
E1143G
L304R3
SCAE, age of onset 20, death at 27, ptosis and multiple deletions in muscle.
-ptosis
adult
20n/a27Naimi et al, 2006;

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63R1081P3
L304R3
Age 10, encephalopathy, ataxia, seizures, myoclonic seizures, pyramidal signs, dystonia, choria, muscle weakness, CPEO, ptosis, elevated alanine, abnormal EEG, MRS/lactate peak. 79% mtDNA copy number in blood.
-myoclonic seizures
-movement disorder (ataxia)
-muscle weakness
-ptosis
-PEO
-encephalopathy
-dystonia
childhood
n/a10n/aTang et al, 2011;

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448G888D1
L304R3
Alpers, psychomotor retardation, epileptic encephalopathy, progressive cerebral atrophy and altered liver enzymes, mtDNA depletion. Patient 9. Age of onset information obtained from corresponding author via email.
-encephalopathy
-retardation
-Alpers syndrome
-developmental delay
-epilepsy
infantile
1n/a1.33Navarro-Sastre et al, 2012;

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449L304R3
Y282D
Alpers, intractable convulsions and severe epileptic status, high mtDNA depletion (8% residual mtDNA). Patient 10. Age of onset information obtained from corresponding author via email.
-Alpers syndrome
-encephalopathy
-developmental delay
-epilepsy
infantile
1.75n/an/aNavarro-Sastre et al, 2012;

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569L304R3
A467T2
psychiatric symptoms, ptosis, opthalmoplegia, dysphonia, dysphagia, muscle weakness, loss of weight, areflexia.
-muscle weakness
-ptosis
-PEO
-dysphagia
-areflexia
juvenile
1628n/aVan Goethem et al, 2001;

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570L304R3
A467T2
ocular symptoms, psychiatric symptoms, ptosis, opthalmoplegia, muscle weakness, distal sensory neuropathy, areflexia, pes cavus.
-muscle weakness
-ptosis
-PEO
-areflexia
adult
2538n/aVan Goethem et al, 2001;

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571L304R3
A467T2
ocular symptoms, ptosis, opthalmoplegia, dysphagia, muscle weakness, areflexia, retinopathy.
-muscle weakness
-ptosis
-PEO
-dysphagia
-areflexia
adult
2434n/aVan Goethem et al, 2001;

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678L304R3
SANDO syndrome, Sensory motor demyelinating neuropathy
-demyelinating neuropathy
childhood
n/a10n/aBindu et al, 2016;

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679L304R3
CPEO, Sensory motor axonal neuropathy
-demyelinating neuropathy
-PEO
adult
n/a26n/aBindu et al, 2016;

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680L304R3
Mitochondrial spinocerebellar ataxia epilepsy syndrome, motor axonal neuropathy
-epilepsy
-cerebellar ataxia
-movement disorder (ataxia)
-demyelinating neuropathy
childhood
n/a6n/aBindu et al, 2016;

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685L304R3
L304R3
Relatively Mild phenotype
-no known symptoms
childhood
10n/an/aAshley et al, 2008;

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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: 23
Number of patient cases marked as outliers: 3 (cases excluded from avg: 678, 679, 680)
Avg age of onset in displayed cases: 19.8
Std dev in onset in displayed cases: 15.9

Search criteria for patient entries:
Mutations Entry IDs Clusters Reference Residue range
Mutations:
Allele 1:Allele 2:
Separate multiple mutations with commas.
Use "PNF" for non-missense mutations.
Match: Inclusive Exact
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