More than one independent report |
Yes |
2 |
Yes |
2 |
Yes |
2 |
Yes |
2 |
Yes |
2 |
≤6 points: neutral polymorphisms; |
Evolutionary conservation of the base pair |
No change |
2 |
No change |
2 |
No change |
2 |
No change |
2 |
No change |
2 |
7~10 points: possibly pathogenic; |
Variant heteroplasmy |
No |
0 |
No |
0 |
No |
0 |
No |
0 |
No |
0 |
Segregation of the mutation with disease |
Yes |
2 |
No |
0 |
Yes |
2 |
Yes |
2 |
Yes |
2 |
11-13 points (not including evidence from single fiber, steady-state level or trans-mitochondrial cybrid studies): probably pathogenic |
Histochemical evidence of mitochondrial disease |
No evidence |
0 |
No evidence |
0 |
No evidence |
0 |
No evidence |
0 |
No evidence |
0 |
Biochemical defect in complex I, III or IV |
Yes |
2 |
Yes |
2 |
Yes |
2 |
No |
0 |
Yes |
2 |
Evidence of mutation segregation with biochemical defect from single-fiber studies |
No |
0 |
No |
0 |
No |
0 |
No |
0 |
No |
0 |
Mutant mt-tRNA steady-state level or evidence of pathogenicity in trans-mitochondrial cybrid studies |
Strong evidence |
5 |
Strong evidence |
5 |
Strong evidence |
5 |
Weak evidence |
3 |
Strong evidence |
5 |
≥11 points (including evidence from single fiber, steady-state level or trans-mitochondrial cybrid studies): definitely pathogenic |
Maximum score |
Definitely pathogenic |
13 |
Definitely pathogenic |
11 |
Definitely pathogenic |
13 |
Possibly pathogenic |
9 |
Definitely pathogenic |
13 |