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3 patient data entries in database for mutation R309C.

Entry
#
Mutations
allele 1allele 2
Clinical representationSymptomsAge groupAge of onsetAge of patientAge of deathReference
418R309C3
R309C3
Peripheral neuropathy, PEO, ataxia, myopathy, fatty liver, pigmentary neuropathy, strokes, epilepsy, dysarthria-dysphonia
-epilepsy
-movement disorder (ataxia)
-peripheral neuropathy
-myopathy
-PEO
-dysarthria
juvenile
14n/a22Amiot et al, 2009;

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651R309C3
R290C
SANDO. From the age of 31, she suffered from progressive external ophthalmoplegia, ptosis, dysarthria, weakness of upper and lower limbs and sensory ataxic neuropathy. Additionally, mental retardation was diagnosed. Nerve conduction studies indicated axonal sensory and motor neuropathy. MRI showed brain atrophy. Skeletal muscle biopsy disclosed ragged-red fibres. Analysis of mitochondrial DNA revealed multiple deletions in muscle tissue. Patient has a brother with same alleles and similar clinical history. Asymptomatic son with R309C.
-sensory ataxia
-ragged red fibers
-ptosis
-ophthalmoplegia
-external ophthalmoplegia
-retardation
-dysarthria
adult
3154n/aKaliszewska et al, 2015;

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691W748C5
R309C3
mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS). She first presented at 10 y with sudden onset of headache, repeated focal seizures and visual loss, complicated with residual sensory neuropathy and motor neuropathy, ophthalmoparesis (ophthalmoplegia) and cortical blindness. Extensive cytotoxic edema and ischemia in bilateral parietal–occipital lobes. recurrent seizure attacks and hemiparesis.
-lactic acidosis
-hemiparesis
-focal seizures
-myopathy
-mitochondrial myopathy
-PEO
-ophthalmoplegia
-stroke
-headache/ migraine
-encephalopathy
-cortical blindness
-stroke-like episodes
childhood
1018n/aLam et al, 2015;

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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: 3
Avg age of onset in displayed cases: 18.3
Std dev in onset in displayed cases: 9.1

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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