Early onset or syndromic epilepsy
Gene: POLGEnsemblGeneIds (GRCh38): ENSG00000140521
EnsemblGeneIds (GRCh37): ENSG00000140521
OMIM: 174763, Gene2Phenotype
POLG is in 32 panels
8 reviews
Helen Lord (Oxford Medical Genetics Laboratories)
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Rebecca Foulger (Genomics England curator)
Kept rating as Green based on Green post-Webex review from Helen Lord.Created: 9 Sep 2019, 10:38 a.m. | Last Modified: 9 Sep 2019, 10:38 a.m.
Panel Version: 1.320
Review and rating collated by Helen Lord (Oxford University Hospitals NHS Foundation Trust, 2019_08_30) on behalf of West Midlands, Oxford and Wessex GLH for GMS Neurology specialist test group. This gene was re-reviewed following the group Webex call on 2019_08_08 for Clinical Indication R59 Early onset or syndromic epilepsy.Created: 5 Sep 2019, 2:26 p.m. | Last Modified: 9 Sep 2019, 10:38 a.m.
Panel Version: 1.320
Review and rating collated by Tracy Lester (Oxford Medical Genetics Laboratories Oxford University Hospitals NHS Foundation Trust, 2019_02_06) on behalf of Wessex and West Midlands GLH for GMS Neurology specialist test group, for Clinical Indication R59 'Early onset or syndromic epilepsy'. Review contributors: John Taylor and Helen Lord. Suggested gene rating: Green.Created: 6 Aug 2019, 8:38 p.m. | Last Modified: 6 Aug 2019, 8:38 p.m.
Panel Version: 1.189
Tracy Lester (Genetics laboratory, Oxford UK)
AD and AR PEO and AR mitochondrial DNA depletion syndrome. Epilepsy/seizures are a feature of mitochondrial DNA depletion syndrome.Created: 6 Aug 2019, 8:31 p.m. | Last Modified: 6 Aug 2019, 8:31 p.m.
Panel Version: 1.188
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Phenotypes
Mitochondrial DNA depletion syndrome 4A (Alpers type),203700; Mitochondrial DNA depletion syndrome 4B (MNGIE type),613662; Mitochondrial recessive ataxia syndrome (includes SANDO and SCAE),607459; Progressive external ophthalmoplegia,157640; Progressive external ophthalmoplegia,258450
Publications
Amy McTague (UCL Institute of Child Health)
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Phenotypes
Mitochondrial DNA depletion syndrome 4A (Alpers type); Mitochondrial DNA depletion syndrome 4B (MNGIE type); Mitochondrial recessive ataxia syndrome (includes SANDO and SCAE)
Publications
- Naviaux & Nguyen (2004) Ann Neurol 55: 706-712
- Goethem et al (2003) Eur J Hum Genet 11: 547-549
- Goethen et al (2004) Neurology 63: 1251-1257
Variants in this GENE are reported as part of current diagnostic practice
Natalie Trump (NHS - Great Ormond Street Hospital)
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Phenotypes
Mitochondrial DNA depletion syndrome 4A (Alpers type); Mitochondrial DNA depletion syndrome 4B (MNGIE type); Mitochondrial recessive ataxia syndrome (includes SANDO and SCAE)
Publications
- Naviaux & Nguyen (2004) Ann Neurol 55: 706-712
- Goethem et al (2003) Eur J Hum Genet 11: 547-549
- Goethen et al (2004) Neurology 63: 1251-1257
Variants in this GENE are reported as part of current diagnostic practice
Manju Kurian (UCL-Institute of Child Health)
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Phenotypes
Mitochondrial DNA depletion syndrome 4A (Alpers type); Mitochondrial DNA depletion syndrome 4B (MNGIE type); Mitochondrial recessive ataxia syndrome (includes SANDO and SCAE)
Publications
- Naviaux & Nguyen (2004) Ann Neurol 55: 706-712
- Goethem et al (2003) Eur J Hum Genet 11: 547-549
- Goethen et al (2004) Neurology 63: 1251-1257
Variants in this GENE are reported as part of current diagnostic practice
Richard Scott (North Thames GMC/UCL)
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Phenotypes
Mitochondrial DNA depletion syndrome 4A (Alpers type); Mitochondrial DNA depletion syndrome 4B (MNGIE type); Mitochondrial recessive ataxia syndrome (includes SANDO and SCAE)
Publications
- Naviaux & Nguyen (2004) Ann Neurol 55: 706-712
- Goethem et al (2003) Eur J Hum Genet 11: 547-549
- Goethen et al (2004) Neurology 63: 1251-1257
Variants in this GENE are reported as part of current diagnostic practice
Ellen McDonagh (Genomics England Curator)
Comment when marking as ready: Confirmed DD gene and all 4 reviewers agree this should be green. Biallelic mode of inheritance and loss-of-function mechanism confirmed.Created: 21 Jan 2016, 11:36 a.m.
Details
- Mode of Inheritance
- BIALLELIC, autosomal or pseudoautosomal
- Sources
-
- Wessex and West Midlands GLH
- NHS GMS
- Victorian Clinical Genetics Services
- UKGTN
- Expert
- Expert Review Green
- Phenotypes
-
- Mitochondrial DNA depletion syndrome 4A (Alpers type)
- Mitochondrial DNA depletion syndrome 4B (MNGIE type)
- Mitochondrial recessive ataxia syndrome (includes SANDO and SCAE)
- OMIM
- 174763
- Clinvar variants
- Variants in POLG
- Penetrance
- None
- Publications
-
- Naviaux & Nguyen (2004) Ann Neurol 55: 706-712
- Goethem et al (2003) Eur J Hum Genet 11: 547-549
- Goethen et al (2004) Neurology 63: 1251-1257
- Panels with this gene
-
- Neonatal cholestasis
- Possible mitochondrial disorder - nuclear genes
- Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies
- Ataxia and cerebellar anomalies - narrow panel
- Bilateral congenital or childhood onset cataracts
- DDG2P
- Undiagnosed metabolic disorders
- Hereditary neuropathy
- Mitochondrial DNA maintenance disorder
- Hereditary neuropathy or pain disorder
- Primary ovarian insufficiency
- Gastrointestinal neuromuscular disorders
- Inherited white matter disorders
- White matter disorders and cerebral calcification - narrow panel
- Acute rhabdomyolysis
- Arthrogryposis
- Hereditary ataxia
- Hereditary ataxia with onset in adulthood
- POLG-related disorder
- Intellectual disability
- Cholestasis
- Mitochondrial liver disease, including transient infantile liver failure
- Fetal anomalies
- Childhood onset dystonia, chorea or related movement disorder
- Optic neuropathy
- Hyperammonaemia
- Adult onset neurodegenerative disorder
- Paediatric pseudo-obstruction syndrome
- Likely inborn error of metabolism
- Mitochondrial disorders
- Rhabdomyolysis and metabolic muscle disorders
- Early onset or syndromic epilepsy
History Filter Activity
Added New Source
Rebecca Foulger (Genomics England curator)Source Wessex and West Midlands GLH was added to POLG.
Added New Source
Rebecca Foulger (Genomics England curator)Source NHS GMS was added to POLG.
Panel promoted to version 1.0
Sarah Leigh (Genomics England Curator)Ellen McDonagh: Comment when marking as ready:
Added New Source
Sarah Leigh (Genomics England Curator)Victorian Clinical Genetics Services was added to POLG. Panel: Genetic Epilepsy Syndromes
Added New Source
Sarah Leigh (Genomics England Curator)POLG was added to Genetic Epilepsy Syndromes panel. Sources: Expert Review Green,Expert,UKGTN
Created
Sarah Leigh (Genomics England Curator)POLG was created by Sarah Leigh