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Mitochondrial diseases in Hong Kong: prevalence, clinical characteristics and genetic landscape.


ABSTRACT:

Objective

To determine the prevalence of mitochondrial diseases (MD) in Hong Kong (HK) and to evaluate the clinical characteristics and genetic landscape of MD patients in the region.

Methods

This study retrospectively reviewed the phenotypic and molecular characteristics of MD patients from participating public hospitals in HK between January 1985 to October 2020. Molecularly and/or enzymatically confirmed MD cases of any age were recruited via the Clinical Analysis and Reporting System (CDARS) using relevant keywords and/or International Classification of Disease (ICD) codes under the HK Hospital Authority or through the personal recollection of treating clinicians among the investigators.

Results

A total of 119 MD patients were recruited and analyzed in the study. The point prevalence of MD in HK was 1.02 in 100,000 people (95% confidence interval 0.81-1.28 in 100,000). 110 patients had molecularly proven MD and the other nine were diagnosed by OXPHOS enzymology analysis or mitochondrial DNA depletion analysis with unknown molecular basis. Pathogenic variants in the mitochondrial genome (72 patients) were more prevalent than those in the nuclear genome (38 patients) in our cohort. The most commonly involved organ system at disease onset was the neurological system, in which developmental delay, seizures or epilepsy, and stroke-like episodes were the most frequently reported presentations. The mortality rate in our cohort was 37%.

Conclusion

This study is a territory-wide overview of the clinical and genetic characteristics of MD patients in a Chinese population, providing the first available prevalence rate of MD in Hong Kong. The findings of this study aim to facilitate future in-depth evaluation of MD and lay the foundation to establish a local MD registry.

SUBMITTER: Wong TS 

PROVIDER: S-EPMC9979401 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature

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Publications

Mitochondrial diseases in Hong Kong: prevalence, clinical characteristics and genetic landscape.

Wong Tsz-Sum TS   Belaramani Kiran M KM   Chan Chun-Kong CK   Chan Wing-Ki WK   Chan Wai-Lun Larry WL   Chang Shek-Kwan SK   Cheung Sing-Ngai SN   Cheung Ka-Yin KY   Cheung Yuk-Fai YF   Chong Shuk-Ching Josephine SJ   Chow Chi-Kwan Jasmine CJ   Chung Hon-Yin Brian HB   Fan Sin-Ying Florence SF   Fok Wai-Ming Joshua WJ   Fong Ka-Wing KW   Fung Tsui-Hang Sharon TS   Hui Kwok-Fai KF   Hui Ting-Hin TH   Hui Joannie J   Ko Chun-Hung CH   Kwan Min-Chung MC   Kwok Mei-Kwan Anne MA   Kwok Sung-Shing Jeffrey SJ   Lai Moon-Sing MS   Lam Yau-On YO   Lam Ching-Wan CW   Lau Ming-Chung MC   Law Chun-Yiu Eric CE   Lee Wing-Cheong WC   Lee Han-Chih Hencher HH   Lee Chin-Nam CN   Leung Kin-Hang KH   Leung Kit-Yan KY   Li Siu-Hung SH   Ling Tsz-Ki Jacky TJ   Liu Kam-Tim Timothy KT   Lo Fai-Man FM   Lui Hiu-Tung HT   Luk Ching-On CO   Luk Ho-Ming HM   Ma Che-Kwan CK   Ma Karen K   Ma Kam-Hung KH   Mew Yuen-Ni YN   Mo Alex A   Ng Sui-Fun SF   Poon Wing-Kit Grace WG   Rodenburg Richard R   Sheng Bun B   Smeitink Jan J   Szeto Cheuk-Ling Charing CC   Tai Shuk-Mui SM   Tse Choi-Ting Alan CA   Tsung Li-Yan Lilian LL   Wong Ho-Ming June HJ   Wong Wing-Yin Winnie WW   Wong Kwok-Kui KK   Wong Suet-Na Sheila SS   Wong Chun-Nei Virginia CV   Wong Wai-Shan Sammy WS   Wong Chi-Kin Felix CF   Wu Shun-Ping SP   Wu Hiu-Fung Jerome HJ   Yau Man-Mut MM   Yau Kin-Cheong Eric KE   Yeung Wai-Lan WL   Yeung Hon-Ming Jonas HJ   Yip Kin-Keung Edwin KE   Young Pui-Hong Terence PT   Yuan Gao G   Yuen Yuet-Ping Liz YL   Yuen Chi-Lap CL   Fung Cheuk-Wing CW  

Orphanet journal of rare diseases 20230302 1


<h4>Objective</h4>To determine the prevalence of mitochondrial diseases (MD) in Hong Kong (HK) and to evaluate the clinical characteristics and genetic landscape of MD patients in the region.<h4>Methods</h4>This study retrospectively reviewed the phenotypic and molecular characteristics of MD patients from participating public hospitals in HK between January 1985 to October 2020. Molecularly and/or enzymatically confirmed MD cases of any age were recruited via the Clinical Analysis and Reporting  ...[more]

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