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Any progressive external ophthalmoplegia with mitochondrial DNA deletions in which the cause of the disease is a mutation in the TWNK gene.
Features include always present findings: Progressive external ophthalmoplegia and Global developmental delay; and sometimes findings: Premature ovarian insufficiency, Seizure, Arrhythmia, and Sensory axonal neuropathy and others. 37 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 15 | Seizure, Sensory axonal neuropathy, Depression |
Muscles | 8 | Limb muscle weakness, Proximal muscle weakness, Cytochrome C oxidase-negative muscle fibers |
Heart and blood vessels | 3 | Arrhythmia, Bradycardia, Heart muscle disease (cardiomyopathy) |
Hormones | 3 | Diabetes mellitus, Hypogonadism, Abnormality of the thyroid gland |
Eyes | 2 | Cataract, Ptosis |
Arms and legs | 1 | Limb muscle weakness |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Lab test results | 1 | Increased circulating lactate concentration |
Ears | 1 | Progressive hearing impairment |
Age of onset: later in life.
TWNK function has not been fully characterized.
Progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal dominant 3 is associated with mutations in the TWNK gene on chromosome 10.
Genetic testing for TWNK is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features.
No clinical trials have been registered for progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal dominant 3.
4 publications have been identified in PubMed for progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal dominant 3. Research spans Case Report / Case Series (50%), Review / Meta-Analysis (25%), and Clinical Trial Publication (25%).
Mayer D (2026). [PMID: 41766080](https://pubmed.ncbi.nlm.nih.gov/41766080/). *J Clin Neuromuscul Dis*. [Case Report / Case Series]
Yoshida C (2026). [PMID: 42366043](https://pubmed.ncbi.nlm.nih.gov/42366043/). *Intern Med*. [Case Report / Case Series]
Bao S (2025). [PMID: 40556660](https://pubmed.ncbi.nlm.nih.gov/40556660/). *Front Cardiovasc Med*. [Review / Meta-Analysis]
Karaa A (2024). [PMID: 39574155](https://pubmed.ncbi.nlm.nih.gov/39574155/). *Orphanet J Rare Dis*. [Clinical Trial Publication]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 5:41 PM UTC
Online Mendelian Inheritance in Man
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