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18 patient data entries in database for clusters 1 and 3.

Entry
#
Mutations
allele 1allele 2
Clinical representationSymptomsAge groupAge of onsetAge of patientAge of deathReference
199R1096C3
T914P1
reported as Alpers, onset at <1 year, presenting encephalopathy with epilepsy, hepatopathy, and movement disorder (ataxia). 7% mtDNA copy number in liver, 23% mtDNA copy number in muscle
-epilepsy
-movement disorder (ataxia)
-encephalopathy
-Alpers syndrome
-developmental delay
infantile
1n/an/aAshley et al, 2008;

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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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235T851A1
H277L3
Onset at 6 months of age, epilepsy, hepatopathy. 4% mtDNA copy number in liver, 32% mtDNA copy number in muscle.
-epilepsy
infantile
0.5n/an/aAshley et al, 2008;

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221D1184N1
S1095R3
Failure to thrive, feeding problems, intestinal pseudo-obstruction, congenital deafness, demyelinating sensomotor neurpathy, impaired liver function, death at age 3.
-demyelinating neuropathy
-failure to thrive
-GI dysmotility
infantile
n/an/a3Blok et al, 2009;

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211C1077G3
A957V1
Developmental delay, hypotonia, dementia/encephalopathy, seizures, myoclonic seizures, elevated transaminases, FTT, abnormal EEG. 81% mtDNA copy number in muscle, 27% mtDNA copy number in blood.
-myoclonic seizures
-failure to thrive
-hypotonic
-encephalopathy
-developmental delay
-dementia
infantile
n/a2n/aTang et al, 2011;

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184P1073L3
G848S1
Hypotonia, FTT, gastro-oesophaeal reflux. 36% mtDNA copy number in muscle, 62% mtDNA copy number in blood.
-failure to thrive
-hypotonic
infantile
n/a2n/aTang et al, 2011;

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183P1073L3
G848S1
pschomotor delay, seizures, liver disease, GI dysmotility, lactic acidosis.
-lactic acidosis
-liver dysfunction
-GI dysmotility
infantile
0.4n/a0.9Kurt et al, 2010;

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182R1096C3
G848S1
Developmental delay, hypotonia, dementia/encephalopathy, exercise intolerance, muscle weakness, easy fatigability, ptosis, GI reflux, delayed gastric emptying, cyclic vomiting, hepatic failure, elevated transaminases, lactic acidosis, short statue, FTT. 53% mtDNA copy number in blood.
-lactic acidosis
-muscle weakness
-exercise intolerance
-ptosis
-liver failure
-failure to thrive
-hypotonic
-encephalopathy
-developmental delay
-dementia
-vomiting
-GI reflux
-cyclic vomiting
-delayed gastric emptying
infantile
n/a2n/aTang et al, 2011;

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180D1184N1
R807P3
Growth retardation, hypotonia, RC deficiency in muscle, hepatic failure. Onset 5 months of age, death at 11 months of age. 3% mtDNA copy number in muscle, 25 mtDNA copy number in liver.
-liver failure
-hypotonic
-growth retardation
-retardation
infantile
0.5n/a1Sarzi et al, 2007;

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186R1047W3
T851A1
Juvenile Alpers, migraines at 12 years, ataxia, peripheral neuropathy, seizures, VPA-induced hepatopathy.
-movement disorder (ataxia)
-peripheral neuropathy
-headache/ migraine
-Alpers syndrome
-encephalopathy
-developmental delay
-epilepsy
childhood
12n/a17Wiltshire et al, 2008;

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195R1081Q3
A862T1
Onset at 2.5 years with epilepsy, diagnosed as Alpers. Complex IV 33%. showed psychomotor regression around age 2.5 years, and developed repetitive generalized tonic–clonic seizures. Myoclonic jerks.
-epilepsy
-Alpers syndrome
-encephalopathy
-developmental delay
childhood
37n/aFerreira et al, 2011;

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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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202G1051R3
H932Y1
PEO, erectile dysfunction, progressive hearing loss, dysarthria, ataxic gait, Romberg sign, severe peripheral axonal sensorimotor polyneuropathy.
-movement disorder (ataxia)
-polyneuropathy
-axonal sensorimotor polyneuropathy
-PEO
-dysarthria
-hearing loss
juvenile
1835n/aMancuso et al, 2004a;

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194R1047W3
A862T1
PEO with ataxia, SCA-like phenotype in siblings, multiple deletions in muscle mtDNA detected via LPCR. 3% COX deficient fibers.
-movement disorder (ataxia)
-PEO
adult
61n/an/aStewart et al, 2009;

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331R943C1
H277L3
left dominant hemi-parkinsonian features, bradykinesia, gait disturbance, resting tremor and postural instability, chronic progressive external ophthalomoplegia among mitochondrial myopathies
-movement disorder (ataxia)
-tremor
adult
5078n/aSato et al, 2011;

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357R1047W3
A862T1
CPEO, Ptosis, Peripheral neuropathy, COX-deficient fibers, presence of mitochondrial dna deletions in muscle, ataxia, dysarthria, Axonal sensory neuropathy /neuronopathy, Distal and proximal neurogenic change.
-movement disorder (ataxia)
-peripheral neuropathy
-ptosis
-PEO
-dysarthria
adult
2261n/aLax et al, 2012a;

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446H277L3
A862T1
Ataxia, sensory ataxic neuropathy, with cerebellar features, visual disturbances with diplopia, dysarthria and dysphasia. Multiple mtDNA seletions, COX-negative fibers and ragged red fibers were found in autopsy. Areflexic, absent reflexes, in all limbs, distal weakness and distal sensory loss of proprioception and vibration. She became encephalopathic and febrile.
-movement disorder (ataxia)
-sensory ataxia
-ragged red fibers
-cox-negative
-diplopia
-dysarthria
adult
465466McKelvie et al, 2012;

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70R869Q1
K319E3
Headaches/migraines, ataxia, peripheral neuropathy, muscle weakness, CPEO, abnromal EMG/NCV, ptosis, CPF abnormalities, abnormal histology, abnormal muscle ultrastructure, COX deficiency, ragged red fibers. 114% mtDNA copy number in blood.
-movement disorder (ataxia)
-peripheral neuropathy
-abnormal muscle ultrastructure
-ragged red fibers
-muscle weakness
-ptosis
-PEO
-headache/ migraine
adult
n/a44n/aTang et al, 2011;

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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: 18
Avg age of onset in displayed cases: 16.1
Std dev in onset in displayed cases: 19.8

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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