Undiscovered Phenotype of KARS1 Related Mitochondrial Leukoencephalopathy

Background: Infantile onset progressive leukoencephalopathy with or without deafness is an autosomal recessive neurodegenerative disorder with variable clinical presentation, manifesting in infancy or early childhood. This disorders is one of KARS1 gene mutation spectrum that results mostly from com...

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Main Authors: Najla Binsabbar, Sadia Tabassum
Format: Article
Language:English
Published: Discover STM Publishing Ltd 2023-02-01
Series:Journal of Biochemical and Clinical Genetics
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Online Access:https://www.jbcgenetics.com/?mno=175389
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author Najla Binsabbar
Sadia Tabassum
author_facet Najla Binsabbar
Sadia Tabassum
author_sort Najla Binsabbar
collection DOAJ
description Background: Infantile onset progressive leukoencephalopathy with or without deafness is an autosomal recessive neurodegenerative disorder with variable clinical presentation, manifesting in infancy or early childhood. This disorders is one of KARS1 gene mutation spectrum that results mostly from compound heterozygous mutations rather than homozygous mutations, resulting in a dysfunctional mitochondrial enzyme. Case presentation: We report our 4-year-old Saudi boy of non-consanguineous parents, with a compound heterozygous mutation in KARS1 gene presenting clinically with speech delay, bilateral sensonural hearing loss, unilateral progressive hemiparesis, iron deficiency anemia and lytic bone lesions. Conclusion: KARS1 mutation has a heterogenous phenotypic presentation, and variable clinical severity. We report a new clinical feature of lytic bone lesions which could potentially expand the phenotype of this genetic disorder spectrum. Early recognition of the clinical presentation is warranted to facilitate diagnosis, prognosis and appropriate family counseling. [JBCGenetics 2023; 6(2.000): 129-132]
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issn 1658-807X
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spelling doaj-art-10cbabbda856450eaf6f51538cc066ff2025-08-20T03:42:18ZengDiscover STM Publishing LtdJournal of Biochemical and Clinical Genetics1658-807X1658-80882023-02-016212913210.24911/JBCGenetics/183-1698921213175389Undiscovered Phenotype of KARS1 Related Mitochondrial LeukoencephalopathyNajla Binsabbar0Sadia Tabassum1Division of Pediatric Neurology, Department of Pediatrics, King Abdullah Specialist Children's Hospital, National Guard Health Affairs, Riyadh, Saudi Arabia National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia.Background: Infantile onset progressive leukoencephalopathy with or without deafness is an autosomal recessive neurodegenerative disorder with variable clinical presentation, manifesting in infancy or early childhood. This disorders is one of KARS1 gene mutation spectrum that results mostly from compound heterozygous mutations rather than homozygous mutations, resulting in a dysfunctional mitochondrial enzyme. Case presentation: We report our 4-year-old Saudi boy of non-consanguineous parents, with a compound heterozygous mutation in KARS1 gene presenting clinically with speech delay, bilateral sensonural hearing loss, unilateral progressive hemiparesis, iron deficiency anemia and lytic bone lesions. Conclusion: KARS1 mutation has a heterogenous phenotypic presentation, and variable clinical severity. We report a new clinical feature of lytic bone lesions which could potentially expand the phenotype of this genetic disorder spectrum. Early recognition of the clinical presentation is warranted to facilitate diagnosis, prognosis and appropriate family counseling. [JBCGenetics 2023; 6(2.000): 129-132]https://www.jbcgenetics.com/?mno=175389kars1leukoencephalopathydevelopmental delayhemiplegiadeafnesslytic bone lesions
spellingShingle Najla Binsabbar
Sadia Tabassum
Undiscovered Phenotype of KARS1 Related Mitochondrial Leukoencephalopathy
Journal of Biochemical and Clinical Genetics
kars1
leukoencephalopathy
developmental delay
hemiplegia
deafness
lytic bone lesions
title Undiscovered Phenotype of KARS1 Related Mitochondrial Leukoencephalopathy
title_full Undiscovered Phenotype of KARS1 Related Mitochondrial Leukoencephalopathy
title_fullStr Undiscovered Phenotype of KARS1 Related Mitochondrial Leukoencephalopathy
title_full_unstemmed Undiscovered Phenotype of KARS1 Related Mitochondrial Leukoencephalopathy
title_short Undiscovered Phenotype of KARS1 Related Mitochondrial Leukoencephalopathy
title_sort undiscovered phenotype of kars1 related mitochondrial leukoencephalopathy
topic kars1
leukoencephalopathy
developmental delay
hemiplegia
deafness
lytic bone lesions
url https://www.jbcgenetics.com/?mno=175389
work_keys_str_mv AT najlabinsabbar undiscoveredphenotypeofkars1relatedmitochondrialleukoencephalopathy
AT sadiatabassum undiscoveredphenotypeofkars1relatedmitochondrialleukoencephalopathy