Description
This panel was developed by the Australian Genomics Mitochondrial Disease Flagship and was further refined by merging the panels used by VCGS and RMH.

This panel contains: (1) disorders of oxidative phosphorylation (OXPHOS) subunits and their assembly factors, (2) defects of mitochondrial DNA, RNA and protein synthesis, (3) defects in the substrate-generating upstream reactions of OXPHOS, (4) defects in relevant cofactors and (5) defects in mitochondrial homeostasis (Mayr et al, 2015, PMID:25778941) as well as (6) a small number of other conditions that can mimic mitochondrial disorders.

Please note the panel contains mitochondrially encoded genes. These may only be sequenced and analysed using particular assays such as mitochondrial genome sequencing or whole genome sequencing. Please check with the testing laboratory whether these genes are included in analysis.

This panel has been compared against the Genomics England PanelApp Mitochondrial Disorders panel, and all discrepant gene classifications have been resolved with reciprocal feedback provided to Genomics England 23/03/2020.

9 reviewers

  • Rylee Peters (Victorian Clinical Genetics Services)

  • Ain Roesley (Victorian Clinical Genetics Services)

  • Hazel Phillimore (Victorian Clinical Genetics Services)

  • Sangavi Sivagnanasundram (Melbourne Health)

  • Naomi Baker (Victorian Clinical Genetics Services)

  • Chern Lim (Victorian Clinical Genetics Services)

  • Bryony Thompson (Royal Melbourne Hospital)

  • Zornitza Stark (Victorian Clinical Genetics Services)

  • Krithika Murali (Victorian Clinical Genetics Services)

38 Entities

reviewed, green

List Entity Reviews Mode of inheritance Details
38 Entitiess
Green Green List (high evidence)
ACAD9
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Mitochondrial complex I deficiency, nuclear type 20 MIM#611126
Tags
  • treatable
Green Green List (high evidence)
ATP5A1
3 reviews
1 green 1 red
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Mitochondrial complex V (ATP synthase) deficiency, nuclear type 4A (MIM#620358)
  • Combined oxidative phosphorylation deficiency 22 616045
  • Mitochondrial complex V (ATP synthase) deficiency nuclear type 4, 615228
  • Mitochondrial disorder, autosomal dominant
Tags
  • new gene name
Green Green List (high evidence)
COQ6
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Coenzyme Q10 deficiency, primary, 6 MIM#614650
Tags
Green Green List (high evidence)
COX18
2 reviews
1 green 1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Literature
Phenotypes
  • Mitochondrial disease (MONDO:0044970), COX18-related
Tags
Green Green List (high evidence)
FH
1 review
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • hereditary leiomyomatosis and renal cell cancer MONDO:0007888
  • fumaric aciduria MONDO:0011730
Tags
Green Green List (high evidence)
KARS
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Leukoencephalopathy with or without deafness (LEPID), MIM#619147
  • Deafness, autosomal recessive 89, MIM# 613916
  • Congenital deafness and adult-onset progressive leukoencephalopathy (DEAPLE), MIM#619196
Tags
Green Green List (high evidence)
LYRM7
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Mitochondrial complex III deficiency, nuclear type 8 - MIM#615838
Tags
Green Green List (high evidence)
MDH2
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Developmental and epileptic encephalopathy 51 MIM#617339
Tags
Green Green List (high evidence)
MFF
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Encephalopathy due to defective mitochondrial and peroxisomal fission 2, MIM# 617086
Tags
Green Green List (high evidence)
MT-CO1
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial respiratory chain complex deficiency, MONDO:0000066, MT-CO1-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-CO2
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial respiratory chain complex deficiency, MONDO:0000066, MT-CO2-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-CYB
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • mitochondrial respiratory chain complex deficiency, MONDO:0000066, MT-CYB-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-ND2
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-ND2-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-ND3
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-ND3-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-ND4
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-ND4-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-ND5
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-ND5-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-ND6
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-ND6-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-RNR1
2 reviews
2 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-RNR1-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TA
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TA-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TD
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TD-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TE
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TE-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TG
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TG-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TH
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TH-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TI
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TI-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TL1
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TL1-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TL2
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TL2-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TM
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • mitochondrial disease (MONDO:0044970), MT-TM-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TP
2 reviews
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
  • Expert Review Red
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TP-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TS1
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TS1-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TS2
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TS2-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TT
2 reviews
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TT-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TV
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TV-related
Tags
  • mtDNA
Green Green List (high evidence)
MT-TY
1 review
1 green
MITOCHONDRIAL
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial disease (MONDO:0044970), MT-TY-related
Tags
  • mtDNA
  • somatic
Green Green List (high evidence)
PDHA1
1 review
1 green
X-LINKED: hemizygous mutation in males, monoallelic mutations in females may cause disease (may be less severe, later onset than males)
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Pyruvate dehydrogenase E1-alpha deficiency - MIM#312170
Tags
Green Green List (high evidence)
PMPCA
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Spinocerebellar ataxia, autosomal recessive 2, MIM# 213200
Tags
Green Green List (high evidence)
PRDX3
2 reviews
2 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Literature
Phenotypes
  • Cerebellar ataxia MONDO:0000437, PRDX3-related
Tags
Green Green List (high evidence)
QRSL1
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Australian Genomics Health Alliance Mitochondrial Flagship
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Combined oxidative phosphorylation deficiency 40 MIM#618835
Tags
Green Green List (high evidence)
VPS13D
1 review
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • Victorian Clinical Genetics Services
Phenotypes
  • Spinocerebellar ataxia, autosomal recessive 4, MIM# 607317
Tags

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