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MERRF syndrome

MERRF syndrome
Ragged red fibers in MELAS.jpg
"ragged red fibers" in MELAS syndrome
Classification and external resources
Specialty neurology
ICD-10 G31.8
ICD-9-CM 277.87
OMIM 545000
DiseasesDB 30794
MeSH D017243
GeneReviews
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MERRF syndrome (or myoclonic epilepsy with ragged red fibers) is a . It is extremely rare, with an estimated prevalence of 1/400,000 in Northern Europe, and has varying degrees of expressivity owing to heteroplasmy.

It involves the following characteristics:

The MERRF syndrome is caused by a maternally-inherited mutation at position 8344 in the in over 80% of cases. This point mutation disrupts the mitochondrial gene for tRNA-Lys and so disrupts synthesis of proteins essential for oxidative phosphorylation.

Many genes are involved. These include:

Like many mitochondrial diseases, there is no cure for MERRF and treatment is primarily symptomatic. High doses of Coenzyme Q10 and L-Carnitine have been tried with little success as therapies in hopes of improving mitochondrial function.


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