title: Sensory ataxic neuropathy due to a novel C10Orf2 mutation with probable germline mosaicism.
abstract: The authors describe siblings with progressive external ophthalmoplegia (PEO) due to a novel heterozygous A to G transition at nucleotide 955 of C10Orf2 (Twinkle). The mutation was not identified in parents' blood, hair follicles, buccal mucosa, or urinary epithelium, indicating germ line mosaicism. One sibling presented with sensory ataxic neuropathy, dysarthria, and ophthalmoparesis (SANDO), a phenotype previously associated with the POLG1 gene, highlighting the clinical overlap in autosomal PEO.
authors.affiliation: Department of Neurology, The Medical School, University of Newcastle upon Tyne, UK.
authors.forename: G
authors.initials: G
authors.lastname: Hudson
authors.forename: M
authors.initials: M
authors.lastname: Deschauer
authors.forename: K
authors.initials: K
authors.lastname: Busse
authors.forename: S
authors.initials: S
authors.lastname: Zierz
authors.forename: P F
authors.initials: PF
authors.lastname: Chinnery
mesh_terms: D000328:Adult; D019943:Amino Acid Substitution; D001259:Ataxia / Q000235:genetics*; D001763:Blepharoptosis / Q000235:genetics; D002879:Chromosomes, Human, Pair 10 / Q000235:genetics*; D003062:Codon / Q000235:genetics; D004265:DNA Helicases; D019915:DNA Primase / Q000235:genetics* / Q000502:physiology; D004272:DNA, Mitochondrial / Q000235:genetics; D003704:Dementia / Q000235:genetics; D004401:Dysarthria / Q000235:genetics*; D003576:Electron Transport Complex IV / Q000032:analysis; D005260:Female; D020233:Gait Disorders, Neurologic / Q000235:genetics; D018740:Genetic Heterogeneity; D018095:Germ-Line Mutation; D006579:Heterozygote; D006801:Humans; D008297:Male; D008875:Middle Aged; D008931:Mitochondria, Muscle / Q000201:enzymology; D024101:Mitochondrial Proteins; D009030:Mosaicism; D017246:Ophthalmoplegia, Chronic Progressive External / Q000235:genetics*; D010375:Pedigree; D017384:Sequence Deletion; D013385:Succinate Dehydrogenase / Q000032:analysis / Q000172:deficiency
chemical_list: D003062:Codon; D004272:DNA, Mitochondrial; D024101:Mitochondrial Proteins; D013385:Succinate Dehydrogenase; D003576:Electron Transport Complex IV; D019915:DNA Primase; D004265:DNA Helicases; C431576:TWNK protein, human