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Mitochondrial disease v0.1050 MT-TH Zornitza Stark Phenotypes for gene: MT-TH were changed from Dilated cardiomyopathy; Retinopathy; Deafness; MELAS; MERFF to Mitochondrial disease (MONDO:0044970), MT-TH-related
Mitochondrial disease v0.1049 MT-TH Zornitza Stark Publications for gene: MT-TH were set to
Mitochondrial disease v0.1048 MT-TH Zornitza Stark edited their review of gene: MT-TH: Added comment: DEFINITIVE by ClinGen.

More than 5 individuals reported. Age of onset in affected individuals varied from adolescence to the 40s. Clinical features included stroke-like episodes, seizures, myoclonus, ataxia, optic atrophy, retinal dystrophy, cataracts, hearing loss, hypogonadism, and mood disorder. Cerebellar vermis hypoplasia and signal changes in the basal ganglia, dentate nuclei, temporal lobes, and occipital lobes were seen on brain imaging.

Tissue biopsies identified ragged red fibers and COX-negative fibers. Laboratory investigations showed increased blood and cerebrospinal fluid lactate. Decreased activities of complexes I and IV were variably seen in muscle. Heteroplasmy levels of the variants in affected individuals ranged from 81% to homoplasmic in muscle, 33-87% in urine, 1-60% in blood, and undetectable to homoplasmic in fibroblasts. Single fiber testing, cybrid analysis, and Northern blot analysis further supported variant pathogenicity.

This gene-disease relationship is also supported by known biochemical function and functional alteration in patient and non-patient cells (in vitro functional assays demonstrated reduced rates of mitochondrial translation as a result of variants in MT-TH; PMID: 24920829, 21704194).; Changed publications: 12682337, 14967777, 15111688, 21704194, 21931169, 23696415, 35092007, 24920829, 21704194; Changed phenotypes: Mitochondrial disease (MONDO:0044970), MT-TH-related
Mitochondrial disease v0.401 MT-TH Zornitza Stark Tag mtDNA tag was added to gene: MT-TH.
Mitochondrial disease v0.401 MT-TH Zornitza Stark Marked gene: MT-TH as ready
Mitochondrial disease v0.401 MT-TH Zornitza Stark Gene: mt-th has been classified as Green List (High Evidence).
Mitochondrial disease v0.401 MT-TH Zornitza Stark Classified gene: MT-TH as Green List (high evidence)
Mitochondrial disease v0.401 MT-TH Zornitza Stark Gene: mt-th has been classified as Green List (High Evidence).
Mitochondrial disease v0.400 MT-TH Zornitza Stark gene: MT-TH was added
gene: MT-TH was added to Mitochondrial disease. Sources: Expert list
Mode of inheritance for gene gene: MT-TH was set to MITOCHONDRIAL
Phenotypes for gene: MT-TH were set to Dilated cardiomyopathy; Retinopathy; Deafness; MELAS; MERFF
Review for gene: MT-TH was set to GREEN
Added comment: Sources: Expert list