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Pearson syndrome

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133:, the deletions of mitochondrial DNA with Pearson syndrome range in size from 1.1 to 10 kilobases. A common mtDNA deletion associated with Pearson syndrome is the deletion of 4977 bp. This deletion has been labeled as m.8470_13446del4977. Diagnosing Pearson syndrome utilizes leukocyte DNA with the Southern Blot analysis. This type of mitochondrial DNA deletion is normally more abundant and easily isolated in the blood than in any other tissue type. 205: 114: 125:
Pearson syndrome consists of mtDNA deletions that differ in size and location compared to other mtDNA disorders such as chronic progressive ophthalmoplegia (CPEO) and Kearns-Sayre syndrome (KSS). The deletions in these molecules are usually spontaneous and normally include one or more tRNA genes.
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Pearson syndrome is a mitochondrial disease caused by a deletion in mitochondrial DNA (mtDNA). An mtDNA is genetic material contained in the cellular organelle called the mitochondria. Depending on the tissue type, each cell contains hundreds to thousands of mitochondria. There are 2–10 mtDNA
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To diagnose Pearson syndrome a physician can either collect a bone marrow biopsy and look for sideroblastic anemia, a symptom of Pearson Syndrome, or measure the fat content in a feces sample. Genetic testing is also an option in which identifying mutations in mitochondrial DNA, specifically
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Pearson, Howard A.; Lobel, Jeffrey S.; Kocoshis, Samuel A.; Naiman, J. Lawrence; Windmiller, Joan; Lammi, Ahti T.; Hoffman, Ronald; Marsh, John C. (1979). "A new syndrome of refractory sideroblastic anemia with vacuolization of marrow precursors and exocrine pancreatic dysfunction".
638:"A Phase I/II, Open Label, Single Dose Clinical Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD (Autologous cd34+ Cells Enriched With Blood Derived Mitochondria) in Pediatric Patients With Pearson Syndrome" 771: 141:
Pearson syndrome is classified as a mitochondrial disease because it consists of several overlapping syndromes that are caused by mutations of mitochondrial DNA. Specifically, Pearson syndrome is a combination of syndromes that involves the
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is the first company to conduct a designated clinical trial for treating patients affected by this disease. In December 2022 researchers at Minova reported modest results in five patients affected by either Pearson syndrome or
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Pearson syndrome was initially characterized in 1979 as a fatal disorder that affects infants. It has now been identified as a rare condition that affects multiple systems. The symptoms of Pearson syndrome are
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molecules in each mitochondrion. With mitochondrial disorders caused by defects in the mtDNA, the severity of the disease depends on the number of mutant mtDNA molecules present in the cells.
513:. In Pagon, Roberta A; Adam, Margaret P; Ardinger, Holly H; Wallace, Stephanie E; Amemiya, Anne; Bean, Lora JH; Bird, Thomas D; Fong, Chin-To; Smith, Richard JH; Stephens, Karen (eds.). 406:
Roberts, Roland G.; Sadikovic, Bekim; Wang, Jing; El-Hattab, Ayman; Landsverk, Megan; Douglas, Ganka; Brundage, Ellen K.; Craigen, William J.; Schmitt, Eric S.; Wong, Lee-Jun C. (2010).
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Kefala-Agoropoulou, Kalomoira; Roilides, Emmanuel; Lazaridou, Anna; Karatza, Eliza; Farmaki, Evangelia; Tsantali, Haido; Augoustides-Savvopoulou, Persephone; Tsiouris, John (2007).
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U.S. Department of Health and Human Services, National Institutes of Health, Genetic and Rare Diseases Information Center (updated in 2016). Pearson’s Syndrome. Retrieved from:
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Pearson syndrome is a very rare mitochondrial disorder characterized by health conditions such as sideroblastic anemia, liver disease and exocrine pancreas deficiency.
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Rotig, A; Colonna, M; Bonnefont, J.P; Blanche, S; Fischer, A; Saudubray, J.M; Munnich, A (1989). "Mitochondrial DNA deletion in Pearson's marrow/pancreas syndrome".
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van den Ouweland, J M W; de Klerk, J B C; van de Corput, M P; Dirks, R W; Raap, A K; Scholte, H R; Huijmans, J G M; Hart, L M; Bruining, G J; Maassen, J A (2000).
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https://rarediseases.info.nih.gov/diseases/7343/pearson-syndrome#:~:text=Diagnosis%20of%20Pearson%20syndrome%20is,therapy%2C%20and%20treatment%20of%20infections
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The syndrome was first described by pediatric hematologist and oncologist Howard Pearson in 1979; the deletions causing it were discovered a decade later.
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Individuals with this condition have difficulty absorbing nutrients from their diet. Infants with this condition generally do not grow nor gain weight.
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Even though prenatal testing for Pearson syndrome is theoretically possible, analyzing and interpreting the results would be extremely difficult.
933: 872: 783: 1102: 909: 587: 688:"Mitochondrial augmentation of hematopoietic stem cells in children with single large-scale mitochondrial DNA deletion syndromes" 1057: 1092: 1072: 962: 904: 865: 744: 467:"Characterization of a novel mitochondrial DNA deletion in a patient with a variant of the Pearson marrow–pancreas syndrome" 30:
Sideroblastic anemia with marrow cell vacuolization and exocrine pancreatic dysfunction, Pearson's marrow/pancreas syndrome
562: 1023: 662: 1029: 63: 956: 232: 83: 94:. Pearson syndrome is very rare: fewer than a hundred cases have been reported in medical literature worldwide. 197:. Pearson syndrome causes the exocrine pancreas to fail to function properly because of scarring and atrophy. 1097: 245: 948: 996: 888: 845: 82:. It is usually fatal in infancy. The few patients who survive into adulthood often develop symptoms of 40: 419: 226:
Currently there are no approved therapies for Pearson syndrome and patients rely on supportive care.
44: 541: 408:"Sequence Homology at the Breakpoint and Clinical Phenotype of Mitochondrial DNA Deletion Syndromes" 87: 715: 388: 334: 158:
anemia. With the pancreas not functioning properly, high levels of fat may develop in the liver (
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Pearson Syndrome research study of Inherited Bone Marrow Failure Syndromes (IBMFS)
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Pearson marrow–pancreas syndrome (PMPS) is a condition that presents with severe
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deletions or duplications, would confirm the diagnosis of Pearson syndrome.
711: 522: 492: 451: 384: 330: 113: 857: 840: 359:"Pearson syndrome in an infant heterozygous for C282Y allele of HFE gene" 295: 67: 59: 48: 763: 536: 534: 532: 1051: 775: 71: 1037: 203: 79: 788: 162:). PMPS can also lead to diabetes and scarring of the pancreas. 861: 183:. The syndrome also leads to anemia, low platelet count and 227: 753: 1015: 989: 947: 918: 895: 809: 757: 663:"Moms' mitochondria may refresh cells in sick kids" 26: 21: 601: 599: 686:Jacoby, Elad; et al. (21 December 2022). 352: 350: 348: 873: 8: 560:http://marrowfailure.cancer.gov/PEARSON.html 880: 866: 858: 754: 18: 482: 441: 431: 374: 189:transient erythroblastopenia of childhood 51:dysfunction. Other clinical features are 1108:Syndromes affecting the endocrine system 636:Minovia Therapeutics Ltd. (2020-06-21). 112: 265: 511:"Mitochondrial DNA Deletion Syndromes" 517:. Seattle: University of Washington. 7: 835:Mitochondrial DNA Deletion Syndromes 78:impairment, and, frequently, early 542:"Pearson marrow-pancreas syndrome" 471:European Journal of Human Genetics 14: 509:; Hirano, Michio (May 3, 2011). 150:Pearson marrow–pancreas syndrome 963:Mitochondrial encephalomyopathy 580:Nelson's Textbook of Pediatrics 692:Science Translational Medicine 1: 742:GeneReviews: Pearson syndrome 323:10.1016/S0140-6736(89)92897-3 288:10.1016/S0022-3476(79)80286-3 704:10.1126/scitranslmed.abo3724 433:10.1371/journal.pone.0015687 146:and the exocrine pancreas. 1124: 582:. Elsevier. p. 1652. 578:Kliegman, Stanton (2011). 187:. It may be confused with 129:With the use of molecular 64:insulin-dependent diabetes 1103:Syndromes affecting blood 1068: 376:10.1080/10245330701400900 276:The Journal of Pediatrics 1058:Mohr–Tranebjærg syndrome 1030:Kjer's optic neuropathy 897:Carbohydrate metabolism 546:Genetics Home Reference 484:10.1038/sj.ejhg.5200444 246:mitochondrial cytopathy 70:pancreatic deficiency, 1093:Mitochondrial diseases 1073:mitochondrial proteins 889:Mitochondrial diseases 209: 118: 233:Kearns–Sayre syndrome 207: 137:Mitochondrial disease 116: 84:Kearns–Sayre syndrome 41:mitochondrial disease 228:Minovia Therapeutics 86:. It is caused by a 45:sideroblastic anemia 424:2010PLoSO...515687S 810:External resources 747:2007-04-18 at the 642:ClinicalTrials.gov 565:2014-10-12 at the 558:Pearson Syndrome. 507:DiMauro, Salvatore 210: 119: 1080: 1079: 990:No primary system 855: 854: 698:(676): eabo3724. 171:Defining features 160:hepatic steatosis 156:reticulocytopenic 92:mitochondrial DNA 53:failure to thrive 43:characterized by 34: 33: 16:Medical condition 1115: 1007:Pearson syndrome 882: 875: 868: 859: 755: 724: 723: 683: 677: 676: 674: 673: 659: 653: 652: 650: 648: 633: 627: 620: 614: 607:Pearson Syndrome 603: 594: 593: 575: 569: 556: 550: 549: 538: 527: 526: 503: 497: 496: 486: 462: 456: 455: 445: 435: 403: 397: 396: 378: 354: 343: 342: 306: 300: 299: 270: 254:thrombocytopenia 37:Pearson syndrome 22:Pearson syndrome 19: 1123: 1122: 1118: 1117: 1116: 1114: 1113: 1112: 1083: 1082: 1081: 1076: 1064: 1011: 985: 943: 914: 891: 886: 856: 851: 850: 805: 804: 766: 749:Wayback Machine 733: 728: 727: 685: 684: 680: 671: 669: 667:www.science.org 661: 660: 656: 646: 644: 635: 634: 630: 621: 617: 604: 597: 590: 577: 576: 572: 567:Wayback Machine 557: 553: 540: 539: 530: 505: 504: 500: 464: 463: 459: 405: 404: 400: 356: 355: 346: 317:(8643): 902–3. 308: 307: 303: 272: 271: 267: 262: 241: 224: 215: 185:aplastic anemia 173: 168: 166:Pathophysiology 152: 139: 131:genetic testing 111: 103: 17: 12: 11: 5: 1121: 1119: 1111: 1110: 1105: 1100: 1098:Rare syndromes 1095: 1085: 1084: 1078: 1077: 1069: 1066: 1065: 1063: 1062: 1061: 1060: 1048: 1047: 1046: 1044:HUPRA syndrome 1034: 1033: 1032: 1019: 1017: 1013: 1012: 1010: 1009: 1004: 999: 993: 991: 987: 986: 984: 983: 978: 977: 976: 971: 959: 953: 951: 945: 944: 942: 941: 936: 931: 925: 923: 921:nervous system 916: 915: 913: 912: 907: 901: 899: 893: 892: 887: 885: 884: 877: 870: 862: 853: 852: 849: 848: 837: 826: 814: 813: 811: 807: 806: 803: 802: 791: 780: 767: 762: 761: 759: 758:Classification 752: 751: 739: 732: 731:External links 729: 726: 725: 678: 654: 628: 615: 595: 588: 570: 551: 528: 498: 477:(3): 195–203. 457: 418:(12): e15687. 398: 344: 301: 264: 263: 261: 258: 240: 237: 223: 220: 214: 211: 199: 198: 192: 172: 169: 167: 164: 151: 148: 138: 135: 110: 107: 102: 99: 32: 31: 28: 24: 23: 15: 13: 10: 9: 6: 4: 3: 2: 1120: 1109: 1106: 1104: 1101: 1099: 1096: 1094: 1091: 1090: 1088: 1075: 1074: 1067: 1059: 1056: 1055: 1054: 1053: 1049: 1045: 1042: 1041: 1040: 1039: 1035: 1031: 1028: 1027: 1026: 1025: 1021: 1020: 1018: 1014: 1008: 1005: 1003: 1000: 998: 995: 994: 992: 988: 982: 979: 975: 972: 970: 967: 966: 965: 964: 960: 958: 955: 954: 952: 950: 946: 940: 937: 935: 932: 930: 929:Leigh disease 927: 926: 924: 922: 917: 911: 908: 906: 903: 902: 900: 898: 894: 890: 883: 878: 876: 871: 869: 864: 863: 860: 847: 843: 842: 838: 836: 832: 831: 827: 825: 821: 820: 816: 815: 812: 808: 801: 797: 796: 792: 790: 786: 785: 781: 778: 777: 773: 769: 768: 765: 760: 756: 750: 746: 743: 740: 738: 735: 734: 730: 721: 717: 713: 709: 705: 701: 697: 693: 689: 682: 679: 668: 664: 658: 655: 643: 639: 632: 629: 625: 619: 616: 613: 609: 608: 602: 600: 596: 591: 589:9788131232774 585: 581: 574: 571: 568: 564: 561: 555: 552: 547: 543: 537: 535: 533: 529: 524: 520: 516: 512: 508: 502: 499: 494: 490: 485: 480: 476: 472: 468: 461: 458: 453: 449: 444: 439: 434: 429: 425: 421: 417: 413: 409: 402: 399: 394: 390: 386: 382: 377: 372: 369:(6): 549–53. 368: 364: 360: 353: 351: 349: 345: 340: 336: 332: 328: 324: 320: 316: 312: 305: 302: 297: 293: 289: 285: 282:(6): 976–84. 281: 277: 269: 266: 259: 257: 255: 251: 248:with anemia, 247: 238: 236: 234: 229: 221: 219: 212: 206: 202: 196: 193: 190: 186: 182: 178: 175: 174: 170: 165: 163: 161: 157: 149: 147: 145: 136: 134: 132: 127: 123: 115: 108: 106: 100: 98: 95: 93: 89: 85: 81: 77: 73: 69: 65: 61: 58: 54: 50: 47:and exocrine 46: 42: 38: 29: 25: 20: 1070: 1050: 1036: 1022: 1006: 961: 839: 828: 817: 793: 782: 770: 695: 691: 681: 670:. Retrieved 666: 657: 645:. Retrieved 641: 631: 618: 605: 579: 573: 554: 545: 514: 501: 474: 470: 460: 415: 411: 401: 366: 362: 314: 310: 304: 279: 275: 268: 242: 225: 216: 200: 194: 176: 153: 140: 128: 124: 120: 117:Mitochondria 104: 101:Presentation 96: 36: 35: 1016:Chromosomal 830:GeneReviews 647:20 December 548:. 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Index

mitochondrial disease
sideroblastic anemia
pancreas
failure to thrive
pancreatic
fibrosis
insulin-dependent diabetes
exocrine
muscle
neurologic
death
Kearns–Sayre syndrome
deletion
mitochondrial DNA

genetic testing
bone marrow
reticulocytopenic
hepatic steatosis
neutrophils
aplastic anemia
transient erythroblastopenia of childhood

Minovia Therapeutics
Kearns–Sayre syndrome
mitochondrial cytopathy
neutropenia
thrombocytopenia
doi
10.1016/S0022-3476(79)80286-3

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