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Genetic Epilepsy v0.1956 ALDH3A2 Zornitza Stark Phenotypes for gene: ALDH3A2 were changed from to Sjogren-Larsson syndrome, MIM# 270200
Genetic Epilepsy v0.762 LARS Zornitza Stark Marked gene: LARS as ready
Genetic Epilepsy v0.762 LARS Zornitza Stark Added comment: Comment when marking as ready: HGNC approved name is LARS1
Genetic Epilepsy v0.762 LARS Zornitza Stark Gene: lars has been classified as Green List (High Evidence).
Genetic Epilepsy v0.762 LARS Zornitza Stark Phenotypes for gene: LARS were changed from Infantile liver failure syndrome 1, MIM# 615438 to Infantile liver failure syndrome 1, MIM# 615438; Seizures; Intellectual disability; Encephalopathy
Genetic Epilepsy v0.761 LARS Zornitza Stark Tag new gene name tag was added to gene: LARS.
Genetic Epilepsy v0.761 LARS Zornitza Stark Classified gene: LARS as Green List (high evidence)
Genetic Epilepsy v0.761 LARS Zornitza Stark Gene: lars has been classified as Green List (High Evidence).
Genetic Epilepsy v0.760 LARS Konstantinos Varvagiannis gene: LARS was added
gene: LARS was added to Genetic Epilepsy. Sources: Literature
Mode of inheritance for gene: LARS was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: LARS were set to 32699352
Phenotypes for gene: LARS were set to Infantile liver failure syndrome 1, MIM# 615438
Penetrance for gene: LARS were set to Complete
Review for gene: LARS was set to GREEN
Added comment: Please consider inclusion with amber/green rating in the current panel.

Biallelic pathogenic LARS1 variants cause Infantile liver failure syndrome 1, MIM# 615438.

Lenz et al (2020 - PMID: 32699352) review the phenotype of 25 affected individuals from 15 families.

Seizures occurred in 19/24 and were commonly associated with infections. Encephalopathic episodes (in 13 patients) accompanied by seizures up to status epilepticus occurred independently of hepatic decompensation.

In addition 22/24 presented with neurodevelopmental delay. The authors comment that cognitive impairment was present in 13/17 individuals (mild-severe) whereas most presented with learning disabilities.

These patients will most likely investigated for their liver disease (although presentation was highly variable and/or very mild in few).

The gene encodes a cytoplasmic amino-acyl tRNA synthetase (ARS) with neurologic manifestations observed in almost all patients (and seizures / DD and ID common to other disorders due to mutations in other genes encoding for ARSs).

Please note that the HGNC approved symbol for this gene is LARS1.
Sources: Literature