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POLR3-related (or 4H) leukodystrophy is an autosomal recessive disorder caused by mutations in POLR3A or POLR3B and is characterized by neurological and non-neurological features. In a small proportion of patients, no mutation in either gene or only one mutation is found. Analysis of the POLR3B cDNA revealed a large deletion of exons 21-22 in one case and of exons 26-27 in another case. These are the first reports of long deletions causing POLR3-related leukodystrophy, suggesting that deletions and duplications in POLR3A or POLR3B should be investigated in patients with a compatible phenotype, especially if one pathogenic variant has been identified.

Citation

Mariana Gutierrez, Isabelle Thiffault, Kether Guerrero, Gabriel Á Martos-Moreno, Luan T Tran, William Benko, Marjo S van der Knaap, Rosalina M L van Spaendonk, Nicole I Wolf, Geneviève Bernard. Large exonic deletions in POLR3B gene cause POLR3-related leukodystrophy. Orphanet journal of rare diseases. 2015;10:69

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PMID: 26045207

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