This report describes progressive external ophthalmoplegia with mtDNA deletions, autosomal recessive 1, one of several diseases associated with the human DNA polymerase gene POLG, which plays a role in replication of mitochondrial DNA. See the human disease model report for mtDNA polymerase disorders, POLG-related (FBhh0000432) for information on experimental results using Drosophila models of this and related diseases. See MIM:174763 for variants of POLG associated with this disease. OMIM includes this disease in the phenotypic series progressive external ophthalmoplegia with mtDNA deletions (FBhh0000444).
[updated Nov. 2016 by FlyBase; FBrf0222196]
Progressive external ophthalmoplegia is characterized by multiple mitochondrial DNA deletions in skeletal muscle. The most common clinical features include adult onset of weakness of the external eye muscles and exercise intolerance. Additional symptoms are variable, and may include cataracts, hearing loss, sensory axonal neuropathy, ataxia, depression, hypogonadism, and parkinsonism. Both autosomal dominant and autosomal recessive inheritance can occur; autosomal recessive inheritance is usually more severe (Filosto et al., 2003, pubmed:12975295; Luoma et al., 2004, pubmed:15351195) [from MIM:157640; 2019.02.19]
[PROGRESSIVE EXTERNAL OPHTHALMOPLEGIA WITH MITOCHONDRIAL DNA DELETIONS, AUTOSOMAL RECESSIVE 1; PEOB1](https://omim.org/entry/258450)
[POLYMERASE, DNA, GAMMA; POLG](https://omim.org/entry/174763)