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From the Departments of Neurology (Drs. Vilà, Naini, Bonilla, DiMauro, and Hirano) and Biochemistry and Molecular Biophysics (Dr. Marina), Columbia University College of Physicians & Surgeons. New York, NY; Centre dInvestigacions en Bioquimíca i Biologia Molecular (CIBBIM) (T. Segovia-Silvestre and Drs. Meseguer and Andreu) and Department of Neurology (Dr. Gámez), Hospitals Vall dHebron, Barcelona, Spain; INSERM UR523, Institut de Myologie (Dr. Lombès), Hôpital de La Salpêtrière, Paris, France.
Address correspondence and reprint requests to Dr. Antoni L. Andreu, Centre dInvestigacions en Bioquimíca i Biologia Molecular (CIBBIM), Hospitals Vall dHebron, Passeig Vall dHebron, 119-129, 08035 Barcelona, Spain; e-mail: tandreu{at}hg.vhebron.es
Mutations in the thymidine kinase 2 (TK2) gene cause a myopathic form of the mitochondrial DNA depletion syndrome (MDS). Here, the authors report the unusual clinical, biochemical, and molecular findings in a 14-year-old patient in whom pathogenic mutations were identified in the TK2 gene. This report extends the phenotypic expression of primary TK2 deficiency and suggests that factors other than TK2 may modify expression of the clinical phenotype in patients with MDS syndrome.
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