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Page 32                                              Berardo et al. J Transl Genet Genom 2020;4:22-35 I  https://doi.org/10.20517/jtgg.2020.02

               these syndromes and associated molecular defects will establish pathogenicity of variants identified by WES
               and obviate further studies that are available only in specialized research laboratories.


               Although in the suspect of primary coenzyme Q  deficiency high doses of coenzyme Q  supplementation
                                                                                          10
                                                         10
               are recommended, early-onset neurological features are often not responsive to supplementation. CoQ
                                                                                                         10
               biosynthetic analogs might be suitable alternatives to CoQ  supplementation, but additional analyses are
                                                                  10
               required before these compounds can be translated to the clinical setting.
               DECLARATIONS
               Authors’ contributions
               Wrote the manuscript, designed the study and performed data analysis and interpretation: Berardo A,
               Quinzii CM

               Availability of data and materials
               Not applicable.

               Financial support and sponsorship
               This work was supported by NIH P01 HD080642-01 (CMQ).

               Conflicts of interest
               All authors declared that there are no conflicts of interest.

               Ethical approval and consent to participate
               Not applicable.

               Consent for publication
               Not applicable.


               Copyright
               © The Author(s) 2020.


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