The First Heterozygous TWNK Nonsense Mutation Associated with Progressive External Ophthalmoplegia: Evidence for a New Piece in the Puzzle of Mitochondrial Diseases
We describe the clinical phenotype and muscle biopsy findings associated with the first reported heterozygous nonsense <i>TWNK</i> variant, thus expanding the current knowledge of Twinkle-related disorders. Our findings are in line with the high intrafamilial clinical variability associated with <i>TWNK</i> mutations. Although PEO and skeletal muscle involvement remain hallmarks of the disease, extra-muscular features should be carefully assessed.
Authors
- Gian Nicola Gallus (ORCID: https://orcid.org/0000-0001-5801-223X)
- Nicola De Stefano (ORCID: https://orcid.org/0000-0003-0728-5259)
- Gianna Berti
- Alessandro Malandrini (ORCID: https://orcid.org/0000-0003-1034-0845)
- Silvia Bianchi (ORCID: https://orcid.org/0000-0001-9950-0571)
- Filippo Maria Santorelli (ORCID: https://orcid.org/0000-0002-1359-9062)
- Diego Lopergolo (ORCID: https://orcid.org/0000-0003-2256-0482)
Institutions
- University of Siena (IT)
- Fondazione Stella Maris (IT)
- Azienda Ospedaliera Universitaria Senese (IT)
Publication Details
- Journal
- Biomolecules
- Published
- 2025-09-18
- DOI
- https://doi.org/10.3390/biom15091337
- Primary Topic
- Mitochondrial Function and Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00