Raras
Buscar doenças, sintomas, genes...
Encefalomiopatia neurogastrointestinal mitocondrial
ORPHA:298CID-10 · G71.3CID-11 · 5C53.20DOENÇA RARA

Síndrome caracterizada pela associação de dismotilidade gastrointestinal, neuropatia periférica, oftalmoplegia externa crônica progressiva e leucoencefalopatia.

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Introdução

O que você precisa saber de cara

📋

Síndrome caracterizada pela associação de dismotilidade gastrointestinal, neuropatia periférica, oftalmoplegia externa crônica progressiva e leucoencefalopatia.

Publicações científicas
257 artigos
Último publicado: 2026 Mar 26

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.1
Europe
Início
Adolescent
+ adult, childhood
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: G71.3
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (2)
0202010694
Sequenciamento completo do exoma (WES)genetic_test
0301070040
Atendimento em reabilitação — doenças rarasrehabilitation
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Entender a doença

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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
23 sintomas
🫃
Digestivo
20 sintomas
💪
Músculos
13 sintomas
📏
Crescimento
7 sintomas
👂
Ouvidos
3 sintomas
👁️
Olhos
3 sintomas

+ 39 sintomas em outras categorias

Características mais comuns

90%prev.
Náusea
Muito frequente (99-80%)
90%prev.
Leucencefalopatia
Muito frequente (99-80%)
90%prev.
Dismotilidade do intestino delgado
Muito frequente (99-80%)
90%prev.
Refluxo gastroesofágico
Muito frequente (99-80%)
90%prev.
Dismotilidade gastrointestinal
Muito frequente (99-80%)
90%prev.
Oftalmoplegia externa
Muito frequente (99-80%)
113sintomas
Muito frequente (14)
Frequente (25)
Ocasional (8)
Muito raro (1)
Sem dados (65)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 113 características clínicas mais associadas, ordenadas por frequência.

NáuseaNausea
Muito frequente (99-80%)90%
LeucencefalopatiaLeukoencephalopathy
Muito frequente (99-80%)90%
Dismotilidade do intestino delgadoSmall intestinal dysmotility
Muito frequente (99-80%)90%
Refluxo gastroesofágicoGastroesophageal reflux
Muito frequente (99-80%)90%
Dismotilidade gastrointestinalGastrointestinal dysmotility
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico257PubMed
Últimos 10 anos108publicações
Pico201813 papers
Linha do tempo
2026Hoje · 2026🧪 2011Primeiro ensaio clínico📈 2018Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

4 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.

LIG3DNA ligase 3Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Isoform 3 functions as a heterodimer with DNA-repair protein XRCC1 in the nucleus and can correct defective DNA strand-break repair and sister chromatid exchange following treatment with ionizing radiation and alkylating agents. Isoform 1 is targeted to mitochondria, where it functions as a DNA ligase in mitochondrial base-excision DNA repair (PubMed:10207110, PubMed:24674627)

LOCALIZAÇÃO

MitochondrionNucleus

VIAS BIOLÓGICAS (5)
HDR through MMEJ (alt-NHEJ)Gap-filling DNA repair synthesis and ligation in TC-NERGap-filling DNA repair synthesis and ligation in GG-NERAPEX1-Independent Resolution of AP Sites via the Single Nucleotide Replacement PathwayResolution of AP sites via the single-nucleotide replacement pathway
MECANISMO DE DOENÇA

Mitochondrial DNA depletion syndrome 20, MNGIE type

An autosomal recessive mitochondrial disorder characterized by severe gut dysmotility, muscle weakness and atrophy, neurological abnormalities including epilepsy, migraine, stroke-like episodes, learning difficulties or cognitive decline, and neurogenic bladder. Brain imaging usually shows diffuse leukoencephalopathy and may show cerebellar atrophy. Disease onset can range from infancy to the teenage years.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
31.8 TPM
Útero
24.9 TPM
Fallopian Tube
22.8 TPM
Cervix Endocervix
18.8 TPM
Ovário
18.6 TPM
OUTRAS DOENÇAS (2)
mitochondrial DNA depletion syndrome 20 (mngie type)mitochondrial neurogastrointestinal encephalomyopathy
HGNC:6600UniProt:P49916
POLGDNA polymerase subunit gamma-1Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Catalytic subunit of DNA polymerase gamma solely responsible for replication of mitochondrial DNA (mtDNA). Replicates both heavy and light strands of the circular mtDNA genome using a single-stranded DNA template, RNA primers and the four deoxyribonucleoside triphosphates as substrates (PubMed:11477093, PubMed:11897778, PubMed:15917273, PubMed:19837034, PubMed:9558343). Has 5' -> 3' polymerase activity. Functionally interacts with TWNK and SSBP1 at the replication fork to form a highly processiv

LOCALIZAÇÃO

MitochondrionMitochondrion matrix, mitochondrion nucleoid

VIAS BIOLÓGICAS (1)
Strand-asynchronous mitochondrial DNA replication
MECANISMO DE DOENÇA

Progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal dominant, 1

A disorder characterized by progressive weakness of ocular muscles and levator muscle of the upper eyelid. In a minority of cases, it is associated with skeletal myopathy, which predominantly involves axial or proximal muscles and which causes abnormal fatigability and even permanent muscle weakness. Ragged-red fibers and atrophy are found on muscle biopsy. A large proportion of chronic ophthalmoplegias are associated with other symptoms, leading to a multisystemic pattern of this disease. Additional symptoms are variable, and may include cataracts, hearing loss, sensory axonal neuropathy, ataxia, depression, hypogonadism, and parkinsonism.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
48.3 TPM
Linfócitos
42.0 TPM
Baço
41.5 TPM
Útero
40.9 TPM
Pulmão
38.7 TPM
OUTRAS DOENÇAS (11)
sensory ataxic neuropathy, dysarthria, and ophthalmoparesismitochondrial DNA depletion syndrome 4bmitochondrial DNA depletion syndrome 4amitochondrial disease
HGNC:9179UniProt:P54098
RRM2BRibonucleoside-diphosphate reductase subunit M2 BDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Plays a pivotal role in cell survival by repairing damaged DNA in a p53/TP53-dependent manner. Supplies deoxyribonucleotides for DNA repair in cells arrested at G1 or G2. Contains an iron-tyrosyl free radical center required for catalysis. Forms an active ribonucleotide reductase (RNR) complex with RRM1 which is expressed both in resting and proliferating cells in response to DNA damage

LOCALIZAÇÃO

CytoplasmNucleus

VIAS BIOLÓGICAS (2)
TP53 Regulates Metabolic GenesInterconversion of nucleotide di- and triphosphates
MECANISMO DE DOENÇA

Mitochondrial DNA depletion syndrome 8A

A disorder due to mitochondrial dysfunction characterized by various combinations of neonatal hypotonia, neurological deterioration, respiratory distress, lactic acidosis, and renal tubulopathy.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
35.2 TPM
Tireoide
33.1 TPM
Fibroblastos
25.4 TPM
Aorta
22.0 TPM
Pulmão
20.7 TPM
OUTRAS DOENÇAS (7)
progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal dominant 5rod-cone dystrophy, sensorineural deafness, and Fanconi-type renal dysfunctionmitochondrial DNA depletion syndrome 8aKearns-Sayre syndrome
HGNC:17296UniProt:Q7LG56
TYMPThymidine phosphorylaseDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

May have a role in maintaining the integrity of the blood vessels. Has growth promoting activity on endothelial cells, angiogenic activity in vivo and chemotactic activity on endothelial cells in vitro Catalyzes the reversible phosphorolysis of thymidine. The produced molecules are then utilized as carbon and energy sources or in the rescue of pyrimidine bases for nucleotide synthesis

LOCALIZAÇÃO

VIAS BIOLÓGICAS (2)
Pyrimidine salvagePyrimidine catabolism
MECANISMO DE DOENÇA

Mitochondrial DNA depletion syndrome 1, MNGIE type

A multisystem disease associated with mitochondrial dysfunction. It is clinically characterized by onset between the second and fifth decades of life, ptosis, progressive external ophthalmoplegia, gastrointestinal dysmotility (often pseudoobstruction), diffuse leukoencephalopathy, cachexia, peripheral neuropathy, and myopathy.

EXPRESSÃO TECIDUAL(Ubíquo)
Sangue
330.6 TPM
Pulmão
260.6 TPM
Baço
215.3 TPM
Tecido adiposo
140.0 TPM
Adipose Visceral Omentum
116.4 TPM
OUTRAS DOENÇAS (2)
mitochondrial DNA depletion syndrome 1mitochondrial neurogastrointestinal encephalomyopathy
HGNC:3148UniProt:P19971

Variantes genéticas (ClinVar)

1,070 variantes patogênicas registradas no ClinVar.

🧬 LIG3: GRCh37/hg19 17q12-21.2(chr17:33220181-39572233)x3 ()
🧬 LIG3: NM_013975.4(LIG3):c.1286+35_1286+36insATGCAAAACATGTGTAAGTAGCAGCTCCGCTGACAGCCTGAGCTGTCA ()
🧬 LIG3: NM_013975.4(LIG3):c.979G>C (p.Val327Leu) ()
🧬 LIG3: NM_013975.4(LIG3):c.2331+1G>T ()
🧬 LIG3: NM_013975.4(LIG3):c.-4-22G>T ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 113 variantes classificadas pelo ClinVar.

11
102
Patogênica (9.7%)
VUS (90.3%)
VARIANTES MAIS SIGNIFICATIVAS
TYMP: NM_001953.5(TYMP):c.766-2A>T [Likely pathogenic]
LOC130067862: NM_001953.5(TYMP):c.952G>T (p.Gly318Ter) [Likely pathogenic]
TYMP: NM_001953.5(TYMP):c.799G>A (p.Ala267Thr) [Uncertain significance]
TYMP: NM_001953.5(TYMP):c.498C>G (p.Val166=) [Uncertain significance]
TYMP: NM_001953.5(TYMP):c.332A>G (p.Gln111Arg) [Uncertain significance]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
1Fase 11
·Pré-clínico2
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 3 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Encefalomiopatia neurogastrointestinal mitocondrial

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

5 ensaios clínicos encontrados.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

🥈Melhor nível de evidência: Observacional
Timeline de publicações
108 papers (10 anos)
#1

Wernicke Encephalopathy Complicating a Distinctive POLG Phenotype With MNGIE-Like Features.

European journal of neurology2026 Mar

Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is an extremely rare autosomal recessive disease caused by variants in the thymidine phosphorylase gene (TYMP), primarily characterized by severe gastrointestinal and neurological symptoms. The complete phenotype of MNGIE has not been linked to any gene other than TYMP. We describe two identical twins who exhibited delayed psychomotor development, infantile bilateral cataract, congenital demyelinating polyneuropathy, and severe progressive gastrointestinal dysmotility with recurrent pseudo-obstruction episodes, along with diffuse supratentorial leukoencephalopathy that mainly overlaps with classic TYMP-related MNGIE. During the course of the disease, one patient developed Wernicke encephalopathy, triggered by chronic malnutrition related to recurrent gastrointestinal pseudo-obstruction. This patient later suffered from a catastrophic stroke-like episode, resulting in massive cerebral edema and brain death at the age of 38. Next-generation sequencing (NGS) using a custom-targeted mitochondrial gene panel identified two compound heterozygous variants in the POLG gene: the paternal variants p.Thr251Ile and p.Pro587Leu, occurring in cis, and the novel maternal variant p.Arg853Gly. Quantification of mtDNA by real-time PCR on skeletal muscle DNA detected significant depletion, but no multiple deletions were detected with mtDNA analysis by long-range PCR and Nanopore sequencing. These cases showed a very distinctive POLG phenotype, with some MNGIE-like features, expanding the clinical and genetic spectrum of the POLG-related diseases. Additionally, they highlighted the importance of monitoring for thiamine deficiency in mitochondrial patients with severe gastrointestinal dysmotility who experience sudden clinical deterioration.

#2

Role of mitochondria in neuronal function and survival in the enteric and central nervous systems.

Cellular and molecular life sciences : CMLS2026 Feb 26

Mitochondria are indispensable organelles that not only generate cellular energy through oxidative phosphorylation but also regulate calcium homeostasis, redox balance, and apoptotic signaling. Given the high metabolic demands of neurons, mitochondrial function and resilience mechanisms are essential for neuronal development, maturation, and survival; when these systems fail, pathological outcomes can arise. This review highlights the critical role of mitochondria in maintaining neuronal function, with discussion related to both the central (CNS) and enteric (ENS) nervous systems. We present how mitochondrial dysfunction, through impaired bioenergetics, oxidative stress, defective quality control, and altered dynamics, can drive neuronal cell loss. Furthermore, we highlight the link between mitochondrial defects and nervous system pathological outcomes in both primary mitochondrial disorders, such as mitochondrial neurogastrointestinal encephalomyopathy, and secondary mitochondrial disorders, such as Alzheimer, Parkinson, and Huntington disease, as well as amyotrophic lateral sclerosis. By integrating evidence from the CNS and ENS, this review highlights the central role of mitochondria in supporting and preserving neuronal health, as well as the potential of mitochondria as therapeutic targets in neurodegenerative disease. [Image: see text]

#3

Mitochondrial DNA Maintenance Defects: Clinical, Imaging, and Genetic Spectrum of Four Patients from a Single Tertiary Care Centre.

Annals of Indian Academy of Neurology2026 Jan 08

Mitochondrial DNA maintenance defects (MDMD) are rare genetic disorders that typically present in infancy but can manifest later with multi-organ involvement. We describe four MDMD cases (age 19-25) with distinct clinical and genetic profiles and delayed diagnosis. Two patients with mitochondrial neurogastrointestinal encephalomyopathy (homozygous TYMP variants: c.454G>T, c.866A>C) exhibited cachexia, ptosis, neuropathy, and confluent white matter hyperintensities leukodystrophy. Two others with MPV17 (c.293C>T) presented with neuromyopathy and hepatosplenomegaly; one showed novel concentric ring lesions on magnetic resonance imaging (MRI). Despite severe white matter changes/leukodystrophy, cognition was preserved. Diagnoses were delayed due to atypical gastrointestinal or neuromuscular symptoms. This series highlights the diagnostic challenge of MDMD and underscores that it should be considered in adolescents or young adults with unexplained neuropathy, white matter hyperintensities/leukodystrophy, or cachexia, even without classic hepatic or encephalopathic features. Genetic testing is essential for diagnosis, as phenotypic variability often obscures underlying MDMD. Our findings underscore the need for increased awareness of this delayed-diagnosis presentation to enable timely intervention.

#4

COVID-19 Outcomes and Risk Factors for Hospitalization in Adult Patients With Primary Immunodeficiency.

Allergy, asthma &amp; immunology research2026 Jan

The impact of coronavirus disease 2019 (COVID-19) on patients with primary immunodeficiency (PID) remains insufficiently characterized. This study aimed to describe the clinical manifestations, disease course, and outcomes of COVID-19 in patients with PID. Adult patients with PID who had COVID-19 infection between March 2020 and August 2022 were screened. Demographic and clinical data were retrospectively collected from institutional databases, and additional information was obtained through a patient questionnaire. A total of 36 patients (19 males, 17 females; median age: 36.5 years) with various PID subtypes were included: 24 with common variable immunodeficiency (CVID), 3 with cytotoxic T-lymphocyte-associated protein-4 haploinsufficiency, 3 with X-linked agammaglobulinemia (XLA), 2 with hypogammaglobulinemia, 1 with lipopolysaccharide-responsive and beige-like anchor protein deficiency, 1 with DiGeorge syndrome, 1 with mitochondrial neurogastrointestinal encephalomyopathy syndrome, and 1 with CVID-like capillary malformation-arteriovenous malformation syndrome 2. Overall, 63.9% (n = 23) were managed as outpatients, while 36.1% (n = 13) required hospitalization. Admission to the intensive care unit was required in 19.4% (n = 7) of the cases. The overall case fatality rate was 8.3% (n = 3), which is higher than the rate observed in the general population. Although the majority experienced a mild clinical course, patients with XLA exhibited prolonged symptoms and persistent seropositivity. Risk factors associated with hospitalization included lymphopenia, elevated C-reactive protein and ferritin levels, dyspnea, COVID-19 Reporting and Data System score ≥ 4 on imaging, need for supplemental oxygen, prolonged symptoms, and extended polymerase chain reaction positivity. A subset of adult patients with PID may be at increased risk for severe COVID-19.

#5

Expansion of the Phenotypic Spectrum of MNGIE: Lipodystrophy and Metabolic Alterations Associated with a p.Arg393_Val400dup TYMP Variant.

International journal of molecular sciences2025 Oct 07

Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is a rare autosomal recessive disorder caused by mutations in the TYMP gene, typically characterized by severe and progressive gastrointestinal and neurological manifestations. Recent reports have identified a subset of patients presenting with generalized lipodystrophy and metabolic abnormalities, suggesting that adipose tissue involvement may be an underrecognized feature of the disease. Herein, we report the case of a 16-year-old female carrying a previously described homozygous TYMP variant (c.1178_1201dup; p.Arg393_Val400dup), who presented during adolescence with generalized lipodystrophy, insulin resistance, hypertriglyceridemia, hepatic steatosis, and other metabolic complications. At diagnosis, she exhibited no overt neurological or gastrointestinal symptoms; however, electroneurography revealed subclinical peripheral neuropathy. This case broadens the phenotypic spectrum of TYMP-related disease by documenting a lipodystrophic and metabolic presentation associated with the p.Arg393_Val400dup variant. While TYMP mutations have been linked to lipodystrophy in rare cases, this specific variant had previously been reported only in the context of classical MNGIE, with no documented evidence of adipose tissue or metabolic derangement. Our findings highlight the importance of considering TYMP involvement in the differential diagnosis of atypical lipodystrophy syndromes, particularly when features suggest underlying mitochondrial dysfunction.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC146 artigos no totalmostrando 107

2026

Wernicke Encephalopathy Complicating a Distinctive POLG Phenotype With MNGIE-Like Features.

European journal of neurology
2026

Role of mitochondria in neuronal function and survival in the enteric and central nervous systems.

Cellular and molecular life sciences : CMLS
2026

COVID-19 Outcomes and Risk Factors for Hospitalization in Adult Patients With Primary Immunodeficiency.

Allergy, asthma &amp; immunology research
2026

Mitochondrial DNA Maintenance Defects: Clinical, Imaging, and Genetic Spectrum of Four Patients from a Single Tertiary Care Centre.

Annals of Indian Academy of Neurology
2025

Sequential development of three syndromes in a patient with m.3243A>G mutation: a case report.

Frontiers of medicine
2025

Expansion of the Phenotypic Spectrum of MNGIE: Lipodystrophy and Metabolic Alterations Associated with a p.Arg393_Val400dup TYMP Variant.

International journal of molecular sciences
2025

Untargeted Plasma Metabolomics Extends the Biomarker Profile of Mitochondrial Neurogastrointestinal Encephalomyopathy.

International journal of molecular sciences
2025

Mitochondrial Neurogastrointestinal Encephalomyopathy Presenting with Peripheral Neuropathy and Hearing Loss.

WMJ : official publication of the State Medical Society of Wisconsin
2025

Mitochondrial neurogastrointestinal encephalomyopathy in china: a novel TYMP variant and comprehensive clinical-genetic insights.

Orphanet journal of rare diseases
2025

Successful AAV8 gene therapy on hepatic ex situ machine perfusion for mitochondrial neurogastrointestinal encephalomyopathy.

Journal of hepatology
2025

Clinical and Intestinal Ultrasound Findings in Mitochondrial Neurogastrointestinal Encephalomyopathy:Report of One Case.

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
2025

Thymidine phosphorylase in nucleotide metabolism: physiological functions and its implications in tumorigenesis and anti-cancer therapy.

Frontiers in immunology
2025

Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE) Phenotype Associated With Unique Compound Heterozygous POLG Variants: Case Presentation and Review of the Literature.

Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
2025

Brain magnetic resonance imaging findings in Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE): A case-based review.

Radiology case reports
2024

Rare digestive disease: Mitochondrial neurogastrointestinal encephalomyopathy, review of the literature.

Journal of digestive diseases
2024

Primary mitochondrial diseases.

Handbook of clinical neurology
2024

Lysosomal dysfunction and overload of nucleosides in thymidine phosphorylase deficiency of MNGIE.

Journal of translational medicine
2024

Meningoencephalitis in a novel mutation in MNGIE (mitochondrial neurogastrointestinal encephalomyopathy) ending a familial diagnostic odyssey: A case series report.

Journal of central nervous system disease
2024

Successful Sequential Liver and Isolated Intestine Transplantation for Mitochondrial Neurogastrointestinal Encephalopathy Syndrome: A Case Report.

Annals of transplantation
2024

Multivisceral transplantation for the treatment of mitochondrial neurogastrointestinal encephalomyopathy.

Clinical transplantation
2025

A rare cause of anejaculation: mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) syndrome: case report.

International journal of impotence research
2023

Distinctive metabolic remodeling in TYMP deficiency beyond mitochondrial dysfunction.

Journal of molecular medicine (Berlin, Germany)
2023

Ocular manifestations of mitochondrial neurogastrointestinal encephalomyopathy: A case report and literature review.

American journal of medical genetics. Part A
2023

Distinctive gastrointestinal motor dysfunction in patients with MNGIE.

Neurogastroenterology and motility
2023

Hematopoietic stem cell transplantation with reduced toxicity conditioning regimen in mitochondrial neurogastrointestinal encephalopathy syndrome.

Pediatric blood &amp; cancer
2023

Progressive external ophthalmoplegia.

Handbook of clinical neurology
2022

Mitochondrial Neurogastrointestinal Encephalomyopathy Causing Fanconi Syndrome.

Kidney international reports
2022

Case report: A patient with mitochondrial neurogastrointestinal encephalomyopathy and chronic intestinal failure.

Frontiers in nutrition
2022

[Masks hiding mitochondrial neurogastrointestinal encephalomyopathy. Case report].

Terapevticheskii arkhiv
2022

Mitochondrial neurogastrointestinal encephalomyopathy in a Pakistani female: a case report.

Journal of medical case reports
2022

Clinical spectrum of early onset "Mediterranean" (homozygous p.P131L mutation) mitochondrial neurogastrointestinal encephalomyopathy.

JIMD reports
2022

A Rare Case of Mitochondrial Neurogastrointestinal Encephalomyopathy.

ACG case reports journal
2022

A novel thymidine phosphorylase mutation in a family with Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE): Molecular docking, dynamic simulation and computational investigations.

International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience
2022

A Case of Mitochondrial Neurogastrointestinal Encephalomyopathy with Metabolic Complications During Refeeding.

The American journal of case reports
2022

An Unfortunate Cause of Chronic Nausea and Vomiting: Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE).

Case reports in gastrointestinal medicine
2022

Loss of thymidine phosphorylase activity disrupts adipocyte differentiation and induces insulin-resistant lipoatrophic diabetes.

BMC medicine
2021

Engineering of the Recombinant Expression and PEGylation Efficiency of the Therapeutic Enzyme Human Thymidine Phosphorylase.

Frontiers in bioengineering and biotechnology
2022

Mitochondrial neurogastrointestinal encephalomyopathy: Clinical and biochemical impact of allogeneic stem cell transplantation in a Greek patient with one novel TYMP mutation.

Molecular genetics and metabolism reports
2021

Preclinical Assessment of a Gene-Editing Approach in a Mouse Model of Mitochondrial Neurogastrointestinal Encephalomyopathy.

Human gene therapy
2021

Circulating miRNAs as Biomarkers for Mitochondrial Neuro-Gastrointestinal Encephalomyopathy.

International journal of molecular sciences
2021

Biallelic variants in LIG3 cause a novel mitochondrial neurogastrointestinal encephalomyopathy.

Brain : a journal of neurology
2021

Novel Mutations of the TYMP Gene in Mitochondrial Neurogastrointestinal Encephalomyopathy: Case Series and Literature Review.

Journal of molecular neuroscience : MN
2021

Regional anesthesia in two consecutive surgeries in a patient with mitochondrial neurogastrointestinal encephalomyopathy: a case report.

Brazilian journal of anesthesiology (Elsevier)
2021

Evidence of enteric angiopathy and neuromuscular hypoxia in patients with mitochondrial neurogastrointestinal encephalomyopathy.

American journal of physiology. Gastrointestinal and liver physiology
2021

Hematopoietic stem cell transplantation for mitochondrial neurogastrointestinal encephalopathy: A single-center experience underscoring the multiple factors involved in the prognosis.

Pediatric blood &amp; cancer
2020

Efficacy of adeno-associated virus gene therapy in a MNGIE murine model enhanced by chronic exposure to nucleosides.

EBioMedicine
2020

Pregnancy in MNGIE: a clinical and metabolic honeymoon.

Annals of clinical and translational neurology
2020

Mitochondrial neurogastrointestinal encephalomyopathy: approaches to diagnosis and treatment.

Journal of translational genetics and genomics
2021

Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE): Position paper on diagnosis, prognosis, and treatment by the MNGIE International Network.

Journal of inherited metabolic disease
2020

TYMP Variants Result in Late-Onset Mitochondrial Myopathy With Altered Muscle Mitochondrial DNA Homeostasis.

Frontiers in genetics
2020

Liver transplantation in mitochondrial neurogastrointestinal encephalomyopathy (MNGIE): clinical long-term follow-up and pathogenic implications.

Journal of neurology
2020

Clinical and molecular characterization of a patient with mitochondrial Neurogastrointestinal Encephalomyopathy.

BMC gastroenterology
2020

Expression and Retention of Thymidine Phosphorylase in Cultured Reticulocytes as a Novel Treatment for MNGIE.

Molecular therapy. Methods &amp; clinical development
2020

Clinicopathology and Diagnosis Delay in a 40-Year-Old with Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE).

Case reports in gastroenterology
2020

Ongoing Developments and Clinical Progress in Drug-Loaded Red Blood Cell Technologies.

BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy
2020

Quantification of Plasma and Urine Thymidine and 2'-Deoxyuridine by LC-MS/MS for the Pharmacodynamic Evaluation of Erythrocyte Encapsulated Thymidine Phosphorylase in Patients with Mitochondrial Neurogastrointestinal Encephalomyopathy.

Journal of clinical medicine
2020

Successful liver transplantation in mitochondrial neurogastrointestinal encephalomyopathy (MNGIE).

Molecular genetics and metabolism
2019

Mitochondrial Neurogastrointestinal Encephalomyopathy: Novel Pathogenic Mutation in Thymidine Phosphorylase Gene in a Patient from Cape Verde Islands.

Case reports in neurological medicine
2019

Mitochondrial disorders and drugs: what every physician should know.

Drugs in context
2019

Leukoencephalopathy in Mitochondrial Neurogastrointestinal Encephalomyopathy-Like Syndrome with Polymerase-Gamma Mutations.

Annals of Indian Academy of Neurology
2019

Erythrocyte Encapsulated Thymidine Phosphorylase for the Treatment of Patients with Mitochondrial Neurogastrointestinal Encephalomyopathy: Study Protocol for a Multi-Centre, Multiple Dose, Open Label Trial.

Journal of clinical medicine
2019

Safety and Efficacy of Erythrocyte Encapsulated Thymidine Phosphorylase in Mitochondrial Neurogastrointestinal Encephalomyopathy.

Journal of clinical medicine
2019

Alpha-1-Antitrypsin Promoter Improves the Efficacy of an Adeno-Associated Virus Vector for the Treatment of Mitochondrial Neurogastrointestinal Encephalomyopathy.

Human gene therapy
2019

Genetic neuromuscular disorders: living the era of a therapeutic revolution. Part 1: peripheral neuropathies.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2019

Mitochondrial Neurogastrointestinal Encephalomyopathy Disease in Three Siblings from Pakistan with a Novel Mutation.

Journal of pediatric genetics
2019

Gastrointestinal Dysmotility in MNGIE: from thymidine phosphorylase enzyme deficiency to altered interstitial cells of Cajal.

Orphanet journal of rare diseases
2019

[Mitochondrial diseases].

Der Nervenarzt
2018

Mitochondrial Neurogastrointestinal Encephalomyopathy: Into the Fourth Decade, What We Have Learned So Far.

Frontiers in genetics
2018

The development of an in vitro cerebral organoid model for investigating the pathomolecular mechanisms associated with the central nervous system involvement in Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE).

Nucleosides, nucleotides &amp; nucleic acids
2018

Discovery profiling and bioinformatics analysis of serum microRNA in Mitochondrial NeuroGastroIntestinal Encephalomyopathy (MNGIE).

Nucleosides, nucleotides &amp; nucleic acids
2018

Peripheral neuropathy and gastroenterologic disorders: an overview on an underrecognized association.

Acta bio-medica : Atenei Parmensis
2019

A mitochondrial neurogastrointestinal encephalomyopathy with intestinal pseudo-obstruction resulted from a novel splice site mutation.

Clinical dysmorphology
2019

Leukoencephalopathy with a case of heterozygous POLG mutation mimicking mitochondrial neurogastrointestinal encephalomyopathy (MNGIE).

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
2018

Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE-MTDPS1).

Journal of clinical medicine
2018

Transplantation, gene therapy and intestinal pathology in MNGIE patients and mice.

BMC gastroenterology
2018

Validation of an Immunoassay for Anti-thymidine Phosphorylase Antibodies in Patients with MNGIE Treated with Enzyme Replacement Therapy.

Molecular therapy. Methods &amp; clinical development
2018

Mitochondrial neurogastrointestinal encephalomyopathy imitating Crohn's disease: a rare cause of malnutrition.

Journal of gastrointestinal and liver diseases : JGLD
2018

Mitochondrial Neurogastrointestinal Encephalomyopathy: A Nonrenal Indication for Peritoneal Dialysis.

Indian journal of nephrology
2018

Preclinical Efficacy and Safety Evaluation of Hematopoietic Stem Cell Gene Therapy in a Mouse Model of MNGIE.

Molecular therapy. Methods &amp; clinical development
2018

Long-Term Sustained Effect of Liver-Targeted Adeno-Associated Virus Gene Therapy for Mitochondrial Neurogastrointestinal Encephalomyopathy.

Human gene therapy
2017

Mitochondrial Neurogastrointestinal Encephalomyopathy in the Differential Diagnosis of Eating Disorders.

The Journal of adolescent health : official publication of the Society for Adolescent Medicine
2017

Mitochondrial Neurogastrointestinal Encephalomyopathy Syndrome with an Unusual Pattern of Inheritance.

Annals of Indian Academy of Neurology
2017

Transient clinical improvement of a mitochondrial neurogastrointestinal encephalomyopathy-like syndrome after allogeneic haematopoietic stem cell transplantation.

BMJ case reports
2017

Hemodialysis in MNGIE transiently reduces serum and urine levels of thymidine and deoxyuridine, but not CSF levels and neurological function.

Orphanet journal of rare diseases
2018

Migraine in mitochondrial disorders: Prevalence and characteristics.

Cephalalgia : an international journal of headache
2017

Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) mimicking refractory celiac disease.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
2018

Mitochondrial Neurogastrointestinal Encephalomyopathy Syndrome Treated with Stem Cell Transplant: A Case Series and Literature Review.

Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation
2017

Liver transplant reverses biochemical imbalance in mitochondrial neurogastrointestinal encephalomyopathy.

Mitochondrion
2017

Mitochondrial Neurogastrointestinal Encephalomyopathy Caused by Thymidine Phosphorylase Enzyme Deficiency: From Pathogenesis to Emerging Therapeutic Options.

Frontiers in cellular neuroscience
2016

Mitochondrial Neurogastrointestinal Encephalomyopathy Presenting as Anorexia Nervosa.

The Journal of adolescent health : official publication of the Society for Adolescent Medicine
2017

A novel thymidine phosphorylase mutation in a Chinese MNGIE patient.

Acta neurologica Belgica
2016

Liver transplantation for mitochondrial neurogastrointestinal encephalomyopathy.

Annals of neurology
2016

Right atrial thrombus associated with subclavian catheter developed due to total parenteral nutrition application.

Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery
2016

Human mitochondrial DNA replication machinery and disease.

Current opinion in genetics &amp; development
2016

Pearls & Oy-sters: Mitochondrial neurogastrointestinal encephalomyopathy: Diagnosis and response to peritoneal dialysis.

Neurology
2016

ITA-MNGIE: an Italian regional and national survey for mitochondrial neuro-gastro-intestinal encephalomyopathy.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2016

Long-Term Restoration of Thymidine Phosphorylase Function and Nucleoside Homeostasis Using Hematopoietic Gene Therapy in a Murine Model of Mitochondrial Neurogastrointestinal Encephalomyopathy.

Human gene therapy
2016

Peripheral neuropathy is a common manifestation of mitochondrial diseases: a single-centre experience.

European journal of neurology
2016

A celiac case mimicking mitochondrial neurogastrointestinal encephalomyopathy (MNGIE).

The Turkish journal of pediatrics
2015

MicroRNA expression profile of a Malaysian Bajau family with familial mitochondrial neurogastrointestinal encephalomyopathy.

Genetics and molecular research : GMR
2015

Fluoroquinolone-induced serious, persistent, multisymptom adverse effects.

BMJ case reports
2015

Allogeneic haematopoietic stem cell transplantation for mitochondrial neurogastrointestinal encephalomyopathy.

Brain : a journal of neurology
2015

Mitochondrial diseases caused by toxic compound accumulation: from etiopathology to therapeutic approaches.

EMBO molecular medicine
2015

Anesthetic Management of a Child with Mitochondrial Neurogastrointestinal Encephalopathy.

Case reports in anesthesiology
2015

Eye movement changes in mitochondrial neurogastrointestinal encephalomyopathy (MNGIE).

Journal of the neurological sciences
2015

Spontaneous abdominal esophageal perforation in a patient with mitochondrial neurogastrointestinal encephalomyopathy.

Acta clinica Belgica
2015

Mitochondrial Neurogastrointestinal Encephalomyopathy Treated with Stem Cell Transplantation: A Case Report and Review of Literature.

Hematology/oncology and stem cell therapy
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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Wernicke Encephalopathy Complicating a Distinctive POLG Phenotype With MNGIE-Like Features.
    European journal of neurology· 2026· PMID 41841518mais citado
  2. Role of mitochondria in neuronal function and survival in the enteric and central nervous systems.
    Cellular and molecular life sciences : CMLS· 2026· PMID 41746390mais citado
  3. Mitochondrial DNA Maintenance Defects: Clinical, Imaging, and Genetic Spectrum of Four Patients from a Single Tertiary Care Centre.
    Annals of Indian Academy of Neurology· 2026· PMID 41505238mais citado
  4. COVID-19 Outcomes and Risk Factors for Hospitalization in Adult Patients With Primary Immunodeficiency.
    Allergy, asthma &amp; immunology research· 2026· PMID 41592542mais citado
  5. Expansion of the Phenotypic Spectrum of MNGIE: Lipodystrophy and Metabolic Alterations Associated with a p.Arg393_Val400dup TYMP Variant.
    International journal of molecular sciences· 2025· PMID 41097015mais citado
  6. DCTPP1 orchestrates dCTP pool dynamics and mtDNA stability in quiescent cells.
    Cell Death Dis· 2026· PMID 41888522recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:298(Orphanet)
  2. MONDO:0017575(MONDO)
  3. GARD:9920(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q56014003(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Encefalomiopatia neurogastrointestinal mitocondrial
Compêndio · Raras BR

Encefalomiopatia neurogastrointestinal mitocondrial

ORPHA:298 · MONDO:0017575
Prevalência
1-9 / 1 000 000
Herança
Autosomal recessive
CID-10
G71.3 · Miopatia mitocondrial não classificada em outra parte
CID-11
Início
Adolescent, Adult, Childhood
Prevalência
0.1 (Europe)
MedGen
UMLS
C0872218
EuropePMC
Wikidata
Papers 10a
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