Main clinical features
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impaired SAM transport into mitochondria causes a complex syndrome causing multiple primary defects, including those affecting RNA stability, protein modification, mitochondrial translation, and the biosynthesis of CoQ10
early acute circulatory collapse and pulmonary hypertension, severe lactic acidosis, and elevated pyruvate level
activities of respiratory-chain enzymes were normal in fibroblasts but showed decreased activities of complexes I, III, and IV in skeletal muscle (PMID: 26522469)) |