Mutations in TFAM, encoding mitochondrial transcription factor A, cause neonatal liver failure associated with mtDNA depletion
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文摘

Two siblings with TFAM deficiency, a novel hepatocerebral mtDNA depletion syndrome

Major manifestations were IUGR, hypoglycemia and rapidly progressive liver failure.

Both patients had abnormal newborn screening with elevated methionine or tyrosine.

Exome sequencing uncovered a homozygous variant in TFAM in affected siblings.

Tissue studies show mtDNA depletion, decreased nucleoids and TFAM protein expression.

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