Abstract

 More than half of the patients with a suspicion of mitochondrial disease remain undiagnosed, accentuating the great potential and continuing challenges in the molecular diagnosis of mitochondrial diseases. Mutations in non-coding regions, epigenetic changes, oligenic inheritance, and yet-to-be-discovered novel genes may contribute to the phenotypes in patients with a negative results for Mendelian disorder based on whole exome sequencing.

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