Progressive External Ophthalmoplegia With Mitochondrial Dna Deletions, Autosomal Recessive 4; Peob4

Description

Adult-onset multiple mitochondrial DNA deletion syndrome due to DGUOK deficiency is an extremely rare multiple mitochondrial DNA deletion syndrome with markedly decreased deoxyguanosine kinase (DGUOK) activity in skeletal muscle characterized by a highly variable phenotype. Clinical manifestations include progressive external ophthalmoplegia, mitochondrial myopathy, recurrent rhabdomyolysis, lower motor neuron disease, mild cognitive impairment, sensory axonal neuropathy, optic atrophy, ataxia, hypogonadism and/or parkinsonism.

Clinical Features

Top most frequent phenotypes and symptoms related to Progressive External Ophthalmoplegia With Mitochondrial Dna Deletions, Autosomal Recessive 4; Peob4

  • Hearing impairment
  • Sensorineural hearing impairment
  • Ptosis
  • Cataract
  • Muscle weakness
  • Cognitive impairment
  • Myopathy
  • Peripheral neuropathy
  • Skeletal muscle atrophy
  • Dysphagia
And another 19 symptoms. If you need more information about this disease we can help you.
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Incidence and onset information

Not enough data available about incidence and published cases.


Mendelian

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Progressive External Ophthalmoplegia With Mitochondrial Dna Deletions, Autosomal Recessive 4; Peob4 Recommended genes panels

Panel Name, Specifity and genes Tested/covered
MitoMet®Plus aCGH Analysis.

By Baylor Miraca Genetics Laboratories in United States.

BRCA1, MTHFR, UBE3A, VHL, MUTYH, TP53, MCCC1, MCCC2, AARS2, ABCB11, ABCB4, ABHD12, ACACA, ACAD9, ACADM, ACADS, AGL, ACADVL, ACAT1, ZNF513 , (...)

View the complete list with 617 more genes
Specificity
1 %
Genes
100 %
DGUOK Comprehensive - Sequence & Deletion/Duplication Analysis.

By Baylor Miraca Genetics Laboratories in United States.

DGUOK
Specificity
100 %
Genes
100 %
DGUOK Deletion/Duplication Analysis.

By Baylor Miraca Genetics Laboratories in United States.

DGUOK
Specificity
100 %
Genes
100 %
DGUOK Sequence Analysis (Prenatal Diagnosis).

By Baylor Miraca Genetics Laboratories in United States.

DGUOK
Specificity
100 %
Genes
100 %
DGUOK Sequence Analysis.

By Baylor Miraca Genetics Laboratories in United States.

DGUOK
Specificity
100 %
Genes
100 %
mtDNA Depletion/Integrity Panel (MitomeNGS).

By Baylor Miraca Genetics Laboratories in United States.

TWNK, OPA1, POLG, SLC25A4, RRM2B, OPA3, DGUOK, SUCLA2, POLG2, TK2, TYMP, MPV17, SUCLG1, MGME1, SUCLG2
Specificity
7 %
Genes
100 %
Mitochondrial Hepatoencephalopathic Evaluation (POLG, DGUOK, MPV17, TWINKLE).

By Athena Diagnostics Inc in United States.

TWNK, POLG, DGUOK, MPV17
Specificity
25 %
Genes
100 %
DGUOK DNA Sequencing Test (Related to mtDNA depletion).

By Athena Diagnostics Inc in United States.

DGUOK
Specificity
100 %
Genes
100 %
Mitochondrial Depletion Panel.

By Greenwood Genetic Center Diagnostic Laboratories Greenwood Genetic Center in United States.

TWNK, OPA1, POLG, SLC25A4, RRM2B, MFN2, OPA3, AGK, DGUOK, ABAT, GFER, SUCLA2, POLG2, TK2, SPG7, TYMP, MPV17, SUCLG1, APTX, MGME1 , (...)

View the complete list with 3 more genes
Specificity
5 %
Genes
100 %
NGS Rhabdomyolysis and Metabolic Myopathies Panel.

By Greenwood Genetic Center Diagnostic Laboratories Greenwood Genetic Center in United States.

ACADM, AGL, ACADVL, ALDOA, TWNK, GAA, SLC16A1, CPT2, POLG, RRM2B, HADHA, DGUOK, PGM1, LDHA, ENO3, SUCLA2, TSFM, TK2, HADHB, PHKA1 , (...)

View the complete list with 27 more genes
Specificity
3 %
Genes
100 %
NGS Rhabdomyolysis and Metabolic Myopathies Panel.

By Greenwood Genetic Center Diagnostic Laboratories Greenwood Genetic Center in United States.

ACADM, AGL, ACADVL, ALDOA, TWNK, GAA, SLC16A1, CPT2, POLG, RRM2B, HADHA, DGUOK, PGM1, LDHA, ENO3, SUCLA2, TSFM, TK2, HADHB, PHKA1 , (...)

View the complete list with 27 more genes
Specificity
3 %
Genes
100 %
Comprehensive Mitochondrial Metabolic Panel.

By Knight Diagnostic Laboratories - Molecular Diagnostic Center Oregon Health & Science University in United States.

MCCC1, MCCC2, AARS2, ACACA, ACAD9, ACADL, ACADM, AGL, ACADVL, ACAT1, YARS2, PC, GYS2, UQCRQ, ARG1, UQCRB, HLCS, ATP5F1E, BTD, ATPAF2 , (...)

View the complete list with 176 more genes
Specificity
1 %
Genes
100 %
DGUOK Sequencing.

By Cincinnati Children's Hospital Medical Center Laboratory of Genetics and Genomics Cincinnati Children's Hospital Medical Center in United States.

DGUOK
Specificity
100 %
Genes
100 %
DGUOK Deletion/duplication analysis.

By Cincinnati Children's Hospital Medical Center Laboratory of Genetics and Genomics Cincinnati Children's Hospital Medical Center in United States.

DGUOK
Specificity
100 %
Genes
100 %
Mitochondrial Disorders Panel (mtDNA Sequencing, Nuclear Genes Sequencing, and Deletion/Duplication).

By ARUP Laboratories, Molecular Genetics and Genomics in United States.

MCCC2, ACAD9, ACADL, ACADM, ACADS, ACADVL, ACAT1, PC, UQCRQ, UQCRB, ATPAF2, BCKDHA, BCKDHB, BCS1L, TWNK, CPT2, OPA1, TRMU, WFS1, DLD , (...)

View the complete list with 132 more genes
Specificity
1 %
Genes
100 %
DGUOK. Complete sequencing.

By Instituto de Medicina Genomica Instituto de Medicina Genomica in Spain.

DGUOK
Specificity
100 %
Genes
100 %
Mitochondrial DNA depletion syndrome, hepatocerebral type (sequence analysis of DGUOK gene).

By CGC Genetics in Portugal.

DGUOK
Specificity
100 %
Genes
100 %
Progressive external ophthalmoplegia (NGS panel of 12 genes).

By CGC Genetics in Portugal.

TWNK, OPA1, POLG, SLC25A4, RRM2B, DGUOK, POLG2, TK2, TYMP, MGME1, DNA2, RNASEH1
Specificity
9 %
Genes
100 %
Progressive external ophthalmoplegia (NGS panel of 12 genes).

By CGC Genetics in Portugal.

TWNK, OPA1, POLG, SLC25A4, RRM2B, DGUOK, POLG2, TK2, TYMP, MGME1, DNA2, RNASEH1
Specificity
9 %
Genes
100 %
DGUOK Sequence Analysis.

By Translational Metabolic Laboratory Radboud University Medical Centre in Netherlands.

DGUOK
Specificity
100 %
Genes
100 %
DGUOK-Related Hepatocerebral Form of Mitochondrial DNA Depletion Syndrome via DGUOK Gene Sequencing with CNV Detection.

By PreventionGenetics PreventionGenetics in United States.

DGUOK
Specificity
100 %
Genes
100 %
Mitochondrial Genome Maintenance/Integrity Nuclear Genes Sequencing Panel with CNV Detection.

By PreventionGenetics PreventionGenetics in United States.

TWNK, OPA1, POLG, SLC25A4, RRM2B, MFN2, OPA3, AGK, DGUOK, SUCLA2, SLC25A3, POLG2, TK2, SPG7, TYMP, MPV17, SUCLG1, APTX, MGME1, SUCLG2 , (...)

View the complete list with 2 more genes
Specificity
5 %
Genes
100 %
Leukodystrophy and Leukoencephalopathy Sequencing Panel with CNV Detection.

By PreventionGenetics PreventionGenetics in United States.

PC, TYROBP, ATP7A, ATP7B, TWNK, ADSL, HSD17B4, CPS1, PSAP, GLB1, OCRL, POLG, NDUFS4, HSPD1, SLC25A4, RRM2B, FH, COQ9, DNM1L, DGUOK , (...)

View the complete list with 134 more genes
Specificity
1 %
Genes
100 %
Mitochondrial Oxidative Phosphorylation Deficiency Sequencing Panel (Nuclear Genes Only) with CNV Detection.

By PreventionGenetics PreventionGenetics in United States.

AARS2, ACAD9, YARS2, UQCRQ, UQCRB, ATP5F1E, ATPAF2, BCS1L, TWNK, C12orf65, ELAC2, OPA1, TRMU, DLD, POLG, NDUFS4, SLC25A4, GARS, AFG3L2, FOXRED1 , (...)

View the complete list with 154 more genes
Specificity
1 %
Genes
100 %
Mitochondrial Depletion.

By MGZ Medical Genetics Center in Germany.

TWNK, POLG, RRM2B, DGUOK, GFER, SUCLA2, TK2, TYMP, AIFM1, MPV17, SUCLG1, MGME1
Specificity
9 %
Genes
100 %
Combined Respiratory Chain Defects.

By MGZ Medical Genetics Center in Germany.

AARS2, YARS2, C12orf65, TRMU, POLG, RRM2B, MTO1, DGUOK, SARS2, MTPAP, GFER, SUCLA2, MRPS22, RARS2, DARS2, TUFM, TSFM, MRPS16, TK2, GFM1 , (...)

View the complete list with 12 more genes
Specificity
4 %
Genes
100 %
DGUOK-Related Mitochondrial DNA Depletion Syndrome, Hepatocerebral Form.

By MGZ Medical Genetics Center in Germany.

DGUOK
Specificity
100 %
Genes
100 %
Hepatic and pancreatic diseases - panels.

By MGZ Medical Genetics Center in Germany.

HFE, ABCB11, ABCB4, ATP7B, ATP8B1, INVS, HNF1B, TRMU, CC2D2A, JAG1, NPHP3, NPHP1, NPHP4, POLG, ALAS2, SLC25A13, SMPD1, DGUOK, FAH, MPV17 , (...)

View the complete list with 49 more genes
Specificity
2 %
Genes
100 %
Neurogenetic Disorders - panels.

By MGZ Medical Genetics Center in Germany.

MTHFR, TTR, UBE3A, AARS2, ABHD12, ACAD9, ACADM, ACADS, AGL, ACADVL, YARS2, PC, UQCRQ, ARG1, UQCRB, ATP5F1E, ATP7B, ATPAF2, AUH, BCKDHA , (...)

View the complete list with 577 more genes
Specificity
1 %
Genes
100 %
Mitochondrial Encephalopathy / Leigh Syndrome – Basic Diagnostic.

By MGZ Medical Genetics Center in Germany.

AARS2, ACAD9, TWNK, TRMU, POLG, NDUFS4, RRM2B, MTO1, COQ9, PDSS2, PDSS1, COQ6, DGUOK, TMEM70, SUCLA2, COQ8A, TK2, COQ2, SCO2, ETHE1 , (...)

View the complete list with 13 more genes
Specificity
4 %
Genes
100 %
Mitochondrial Diseases.

By MGZ Medical Genetics Center in Germany.

AARS2, ACAD9, ACADM, ACADS, AGL, ACADVL, YARS2, PC, UQCRQ, UQCRB, ATP5F1E, ATPAF2, AUH, BCS1L, TWNK, C12orf65, SDHAF2, CPT2, OPA1, TRMU , (...)

View the complete list with 148 more genes
Specificity
1 %
Genes
100 %
Mitochondrial Hepato(encephalo)pathy and Phenocopies.

By MGZ Medical Genetics Center in Germany.

AGL, BCS1L, TWNK, TRMU, POLG, DGUOK, PNPLA2, TSFM, GFM1, ABHD5, MPV17, CPT1A, SUCLG1, GBE1, SCO1
Specificity
7 %
Genes
100 %
Mitochondrial Encephalopathy.

By MGZ Medical Genetics Center in Germany.

AARS2, ACAD9, YARS2, PC, UQCRQ, UQCRB, ATP5F1E, ATPAF2, AUH, BCS1L, TWNK, SDHAF2, OPA1, TRMU, WFS1, DLD, POLG, NDUFS4, SLC25A19, SLC25A4 , (...)

View the complete list with 111 more genes
Specificity
1 %
Genes
100 %
Mitochondrial DNA depletion syndrome.

By Centogene AG - the Rare Disease Company in Germany.

DGUOK
Specificity
100 %
Genes
100 %
Comprehensive mitochondrial disorders panel.

By Centogene AG - the Rare Disease Company in Germany.

MCCC1, MCCC2, ACAD9, ACADM, ACADS, ACADVL, ACAT1, PC, UQCRB, HLCS, ATP5F1E, ATP7B, ATPAF2, AUH, BCKDHA, BCKDHB, BCS1L, TWNK, STAR, MTRR , (...)

View the complete list with 160 more genes
Specificity
1 %
Genes
100 %
Mitochondrial dysfunctions panel.

By Centogene AG - the Rare Disease Company in Germany.

PC, TWNK, POLG, RRM2B, DGUOK, SUCLA2, TK2, TYMP, PUS1, MPV17, SUCLG1, MT-TL1, MT-TK, MT-ND1, MT-ND6, MT-TS1, MT-TS2, MT-ND5, MT-TP, MT-TH , (...)

View the complete list with 2 more genes
Specificity
5 %
Genes
100 %
AllNeuro panel.

By Centogene AG - the Rare Disease Company in Germany.

F2, F5, FMR1, HTT, HFE, MTHFR, TTR, UBE3A, VHL, PTEN, AARS2, ABHD12, ACACA, ACAD9, ACADL, ACADM, ACADS, AGL, ACADVL, ACAT1 , (...)

View the complete list with 1185 more genes
Specificity
1 %
Genes
100 %
Comprehensive mtDNA Depletion Syndromes NGS Panel.

By MNG Laboratories (Medical Neurogenetics, LLC.) in United States.

TWNK, OPA1, POLG, SLC25A4, AFG3L2, RRM2B, DGUOK, SUCLA2, POLG2, TK2, TYMP, MPV17, SUCLG1, MGME1, FBXL4, CHCHD10
Specificity
7 %
Genes
100 %
Nuclear encoded Mitochondriopathies Panel.

By CeGaT GmbH in Germany.

MCCC1, MCCC2, AARS2, ACAD9, ACADM, ACADS, ACADVL, ACAT1, YARS2, FBP1, PC, UQCRQ, UQCRB, HLCS, ATP5F1E, BTD, ATPAF2, AUH, BCKDHA, BCKDHB , (...)

View the complete list with 263 more genes
Specificity
1 %
Genes
100 %
DGUOK-Related Mitochondrial DNA Depletion Syndrome, Hepatocerebral Form.

By Centre for Inherited Metabolic Diseases Karolinska University Hospital in Sweden.

DGUOK
Specificity
100 %
Genes
100 %
Mitochondrial Diseases (mtDNA and 133 nuclear genes).

By Asper Biogene Asper Biogene LLC in Estonia.

AARS2, ACAD9, ACADL, ACADM, ACADS, ACADVL, YARS2, FBP1, PC, GYS2, UQCRQ, UQCRB, HLCS, ATP5F1E, ATPAF2, AUH, BCS1L, TWNK, C12orf65, SLC37A4 , (...)

View the complete list with 112 more genes
Specificity
1 %
Genes
100 %
DGUOK-Related Mitochondrial DNA Depletion Syndrome, Hepatocerebral Form.

By Clinical Genomics Maastricht University Medical Centre in Netherlands.

DGUOK
Specificity
100 %
Genes
100 %
Neonatal and Adult Cholestasis: Sequencing Panel.

By EGL Genetic Diagnostics Eurofins Clinical Diagnostics in United States.

ABCB11, ABCB4, ATP8B1, INVS, HNF1B, TRMU, CC2D2A, JAG1, NPHP3, NPHP1, NPHP4, POLG, SLC25A13, SMPD1, DGUOK, FAH, MPV17, CYP27A1, MKS1, CFTR , (...)

View the complete list with 37 more genes
Specificity
2 %
Genes
100 %
Lactic Acidosis-Pyruvate NGS Panel.

By Fulgent Genetics Fulgent Genetics in United States.

ACAD9, YARS2, FBP1, PC, GYS2, UQCRB, ATP5F1E, ATPAF2, BCS1L, TRMU, DLD, POLG, NDUFS4, SLC25A4, FOXRED1, RRM2B, FH, COQ9, PDSS2, PDSS1 , (...)

View the complete list with 49 more genes
Specificity
2 %
Genes
100 %
Mitochondrial DNA Depletion Syndromes NGS Panel.

By Fulgent Genetics Fulgent Genetics in United States.

TWNK, POLG, SLC25A4, RRM2B, DGUOK, SUCLA2, POLG2, TK2, TYMP, MPV17, SUCLG1
Specificity
10 %
Genes
100 %
Nuclear-Mito NGS Panel.

By Fulgent Genetics Fulgent Genetics in United States.

HTT, UBE3A, MUTYH, TP53, MCCC1, MCCC2, AARS2, ACACA, ACAD9, ACADL, ACADM, ACADS, ACADVL, ACAT1, YARS2, FBP1, PC, GYS2, UQCRQ, UQCRB , (...)

View the complete list with 484 more genes
Specificity
1 %
Genes
100 %
mtDNA Depletion Syndrome NGS Panel.

By Fulgent Genetics Fulgent Genetics in United States.

TWNK, POLG, SLC25A4, RRM2B, DGUOK, SUCLA2, POLG2, TK2, TYMP, MPV17, SUCLG1
Specificity
10 %
Genes
100 %
DGUOK.

By Fulgent Genetics Fulgent Genetics in United States.

DGUOK
Specificity
100 %
Genes
100 %
Cholestasis Panel.

By Blueprint Genetics in Finland.

EPCAM, ABCB11, ABCB4, ATP8B1, TRMU, JAG1, NPHP3, NPHP1, NPHP4, SLC25A13, SMPD1, DGUOK, FAH, MKS1, CFTR, NPC1, NPC2, PEX2, SERPINA1, UGT1A1 , (...)

View the complete list with 26 more genes
Specificity
3 %
Genes
100 %
Comprehensive Metabolism Panel.

By Blueprint Genetics in Finland.

HFE, MTHFR, MCCC1, MCCC2, ACAD9, ACADL, ACADM, ACADS, AGL, ACADVL, ACAT1, ALDOA, ALDOB, FBP1, PC, GYS2, ARG1, HLCS, BTD, ATP7B , (...)

View the complete list with 414 more genes
Specificity
1 %
Genes
100 %
Mitochondrial DNA Depletion Syndrome Panel.

By Blueprint Genetics in Finland.

AUH, TWNK, C12orf65, OPA1, WFS1, POLG, SLC25A4, RRM2B, MFN2, OPA3, AGK, DGUOK, TMEM126A, SUCLA2, SLC25A3, POLG2, TK2, SPG7, TYMP, TIMM8A , (...)

View the complete list with 5 more genes
Specificity
4 %
Genes
100 %
Mitochondrial DNA depletion syndrome, hepatocerebral form due to DGUOK deficiency.

By Bioarray in Spain.

DGUOK
Specificity
100 %
Genes
100 %
Next Generation Sequencing for Jaundice Associated Genes Variation Test.

By National Taiwan University Hospital A1 Center National Taiwan University Hospital in Taiwan.

HFE, ABCB11, ABCB4, ATP7B, ATP8B1, BCS1L, TWNK, INVS, HBB, HNF1B, AMACR, JAG1, POLG, RRM2B, SLC25A13, DGUOK, MPV17, SUCLG1, ASS1, CYP27A1 , (...)

View the complete list with 53 more genes
Specificity
2 %
Genes
100 %
MITOCHONDRIAL DNA DEPLETION SYNDROME, HEPATOCEREBRAL FORM.

By Laboratorio de Genetica Clinica SL in Spain.

TWNK, POLG, DGUOK, MPV17
Specificity
25 %
Genes
100 %
Mitochondrial DNA Depletion Syndrome , Panel Massive Sequencing (NGS) 14 Genes.

By Reference Laboratory Genetics in Spain.

TWNK, OPA1, POLG, SLC25A4, RRM2B, MFN2, DGUOK, GFER, SUCLA2, POLG2, TK2, TYMP, MPV17, SUCLG1
Specificity
8 %
Genes
100 %

Alternate names

Progressive External Ophthalmoplegia With Mitochondrial Dna Deletions, Autosomal Recessive 4; Peob4 Is also known as progressive external ophthalmoplegia, autosomal recessive 4;adult-onset multiple mtdna deletion syndrome due to dguok deficiency.


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