Heterogeneity of Coenzyme Q10 Deficiency Patient Study and Literature Review

被引:156
作者
Emmanuele, Valentina [3 ]
Lopez, Luis C. [4 ]
Berardo, Andres
Naini, Ali [2 ]
Tadesse, Saba
Wen, Bing
D'Agostino, Erin
Solomon, Martha
DiMauro, Salvatore
Quinzii, Catarina
Hirano, Michio [1 ]
机构
[1] Columbia Univ, Dept Neurol, H Houston Merritt Clin Res Ctr, Med Ctr, New York, NY 10032 USA
[2] Columbia Univ, Med Ctr, Dept Pathol, New York, NY 10032 USA
[3] Univ Genoa, Dept Human Genet, PhD Program, Genoa, Italy
[4] Univ Granada, Inst Biotechnol, Biomed Res Ctr CIBM, Lab 139, Granada, Spain
基金
美国国家卫生研究院;
关键词
CEREBELLAR-ATAXIA; MITOCHONDRIAL ENCEPHALOMYOPATHY; UBIQUINONE DEFICIENCY; MYOPATHIC FORM; LEIGH-SYNDROME; MUTATIONS; NEPHROPATHY; PHENOTYPE; SYNTHASE;
D O I
10.1001/archneurol.2012.206
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Coenzyme Q 10 (CoQ 10) deficiency has been associated with 5 major clinical phenotypes: encephalomyopathy, severe infantile multisystemic disease, nephropathy, cerebellar ataxia, and isolated myopathy. Primary CoQ 10 deficiency is due to defects in CoQ 10 biosynthesis, while secondary forms are due to other causes. A review of 149 cases, including our cohort of 76 patients, confirms that CoQ 10 deficiency is a clinically and genetically heterogeneous syndrome that mainly begins in childhood and predominantly manifests as cerebellar ataxia. Coenzyme Q 10 measurement in muscle is the gold standard for diagnosis. Identification of CoQ 10 deficiency is important because the condition frequently responds to treatment. Causative mutations have been identified in a small proportion of patients. ©2012 American Medical Association. All rights reserved.
引用
收藏
页码:978 / 983
页数:6
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