Gene
POLG
DNA polymerase gamma, catalytic subunit
- HGNC 9179↗(opens in a new tab)
- Ensembl gene ENSG00000140521↗(opens in a new tab)
- NCBI Gene 5428↗(opens in a new tab)
Summary
- Cytogenetic location
- 15q26.1
- Coordinates
- Chromosome 15: 89,316,320–89,334,824 (GRCh38)
- Exons
- 23 exons across 18.5 kb
- Protein
- 1,239 amino acids
- Also known as
- POLG1, POLGA
- MANE Select transcript
- ENST00000268124.11NM_002693.3
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Primary Mitochondrial Disease
- Ataxia Neuropathy Spectrum
A POLG- or TWNK-related disorder causing problems with balance and coordination, sensory nerve damage, eye movement problems and sometimes seizures.
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Knowing guides seizure management, including avoiding valproate.
- Progressive External Ophthalmoplegia with Mitochondrial DNA Deletions
Caused by variants in nuclear genes such as POLG, TWNK, SLC25A4 and RRM2B that lead to multiple mitochondrial DNA deletions, causing drooping eyelids, weak eye movements and muscle weakness, usually in adulthood.
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Knowing guides monitoring of eye, heart and swallowing function and avoidance of valproate in POLG disease.
- Mitochondrial DNA Depletion Syndrome
Caused by variants in nuclear genes such as POLG, TWNK, TK2, DGUOK, MPV17, RRM2B and SUCLA2, which reduce the amount of mitochondrial DNA and can cause muscle, liver or brain disease.
- 5 GenCC submitters rate it definitive or strong
What knowing changes
Knowing is directly actionable: valproate must be avoided in POLG disease because of the risk of fatal liver failure, and TK2 deficiency has a nucleoside therapy.
How POLG is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 4.5 kb of the gene's 18.5 kb; 3,720 of those bases code for the protein.
How a genome test reads POLG
356
positions in POLG where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 18.5 kb of POLG, introns included, not only the 4.5 kb of exons.
Genes linked to the same conditions
- DNA2DNA replication helicase/nuclease 2Shares 2 conditions
- RRM2Bribonucleotide reductase regulatory TP53 inducible subunit M2BShares 2 conditions
- SLC25A4solute carrier family 25 member 4Shares 2 conditions
- TWNKtwinkle mtDNA helicaseShares 2 conditions
- AFG3L2AFG3 like matrix AAA peptidase subunit 2Shares 1 condition
- AGKacylglycerol kinaseShares 1 condition
- DGUOKdeoxyguanosine kinaseShares 1 condition
- FBXL4F-box and leucine rich repeat protein 4Shares 1 condition
- GUK1guanylate kinase 1Shares 1 condition
- LIG3DNA ligase 3Shares 1 condition
- MGME1mitochondrial genome maintenance exonuclease 1Shares 1 condition
- MPV17mitochondrial inner membrane protein MPV17Shares 1 condition
Traits linked to POLG
The Human Phenotype Ontology lists these as features of the rare conditions POLG can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Ataxia
- Babinski sign
- Degeneration of cerebellum
- Degeneration of cerebrum
- Difficulty articulating speech
- Dystonia
- Inability to coordinate movements when walking
- Instability or lack of coordination of central trunk muscles
Show 93 more traits
- Intention tremor
- Nerve damage causing decreased feeling and movement
- Numbness
- Parkinsonism
- Peripheral neuropathy
- Sensory ataxic neuropathy
- Slow movements
- Absent reflexes
- Leukoencephalopathy
- Abnormal cerebellar cortex morphology
- Abnormal cerebral white matter morphology
- Abnormal gait
- Abnormal thalamic MRI signal intensity
- Abnormality of central motor conduction
- Abnormality of movement
- Anxiety
- Atrophy/Degeneration involving the spinal cord
- Behavioral abnormality
- Bilateral tonic-clonic seizure with focal onset
- Cerebral infarct
- Choreoathetosis
- Cognitive impairment
- Coma
- Decreased motor nerve conduction velocity
- Decreased number of large peripheral myelinated nerve fibers
- Decreased reflex response
- Decreased sensory nerve conduction velocity
- Demyelinating peripheral neuropathy
- Depression
- Difficulty performing quick and alternating movements
- EEG with occipital epileptiform discharges
- Encephalopathy
- Epilepsia partialis continua
- Epilepsy
- Focal myoclonic seizure
- Focal T2 hyperintense thalamic lesion
- Generalized non-convulsive status epilepticus without coma
- Gliosis
- Global developmental delay
- Grand mal seizures
- Hand tremor
- Headache
- Impaired distal proprioception
- Impaired distal vibration sensation
- Impaired vibratory sensation
- Jerking
- Lack of coordination of movement
- Loss of developmental milestones
- Migraine
- Partial paralysis of legs
- Peripheral axonal neuropathy
- Pins and needles feeling
- Positive Romberg sign
- Progressive brain disease
- Progressive cerebellar ataxia
- Repeated seizures without recovery between them
- Resting tremor
- Seizure affecting one half of brain
- Sensory axonal neuropathy
- Slurred speech
- Tetraparesis
- Tremor
- Uncoordinated limb movement
- Vegetative state
- Worsening neurological symptoms
- Abnormal cerebrospinal fluid morphology
- Abnormality of extrapyramidal motor function
- Action tremor
- Can't control feelings
- Decreased muscle movement
- Decreased sensation in extremities
- Dementia
- Focal white matter lesions
- Intellectual disability
- Lethargy
- Memory impairment
- Parkinsonism with favorable response to dopaminergic medication
- Sensory ataxia
- Shuffled walk
- Stooped posture
- Twitching
- Bipolar disorder
- Astrocytosis
- Cerebral cortical neurodegeneration
- Decreased touch sensation in extremities
- High stepping
- Hypointensity of cerebral white matter on MRI
- Limb ataxia
- Loss of brain cells
- Paralysis
- Poor concentration
- Progressive gait ataxia
- Wide based walk
Abnormality of the musculoskeletal system
- Cytochrome C oxidase-negative muscle fibers
- Difficulty walking up stairs
- Increased variability in muscle fiber diameter
- Muscle fiber degeneration
- Muscle weakness
- Proximal neurogenic muscle weakness
- Ragged-red muscle fibers
- Scoliosis
Show 30 more traits
- Weakness of outermost muscles
- EMG: myopathic abnormalities
- Fiber type grouping
- Generalized decreased muscle tone
- Involuntary muscle stiffness, contraction, or spasm
- Low muscle tone
- Mitochondrial myopathy
- Muscle tissue disease
- Neck flexion weakness
- Osteoporosis
- Progressive spasticity
- Spastic paraparesis
- Spasticity and rigidity of muscles
- Tired easily
- Centrally nucleated skeletal muscle fibers
- Cogwheel rigidity
- Decreased muscle mass
- Diffuse skeletal muscle wasting
- Frequent falls
- Muscle degeneration
- Muscle stiffness
- Rigidity
- Muscle spasm
- Breakdown of skeletal muscle
- Decreased lung function due to weak breathing muscles
- Distal muscle wasting
- Generalized muscle weakness
- Muscle fiber necrosis
- Progressive muscle weakness
- Subsarcolemmal accumulations of abnormally shaped mitochondria
Abnormality of the digestive system
- Intestinal pseudo-obstruction
- Poor swallowing
- Abdominal bloating
- Abdominal cramps
- Abdominal pain
- Acid reflux
- Atrophic muscularis propria
- Diarrhea
Show 24 more traits
- Feeling full quickly when eating
- Gastrointestinal dysmotility
- Increased bowel sounds
- Nausea
- Poor appetite
- Small intestinal dysmotility
- Vomiting
- Abnormality of the gastrointestinal tract
- Accumulation of fluid in the abdomen
- Acute liver failure
- Bile duct proliferation
- Colonic diverticula
- Delayed gastric emptying
- Jaundice
- Liver failure
- Micronodular cirrhosis
- Constipation
- Scar tissue replaces healthy tissue in the liver
- Abnormality of the liver
- Enlarged liver
- Intermittent diarrhea
- Intestinal perforation
- Malabsorption
- Malnutrition
Abnormality of the eye
- Cerebral visual impairment
- Double vision
- Drooping of both upper eyelids
- Drooping upper eyelid
- Inward turning cross eyed
- Progressive external ophthalmoplegia
- Weakness of muscles controlling eye movement
- Paralysis or weakness of muscles within or surrounding outer part of eye
Show 19 more traits
- Abnormality of eye movement
- Abnormality of the eye
- Abnormality of vision
- Eye muscle paralysis
- Gaze-evoked nystagmus
- Hemianopia
- Involuntary, rapid, rhythmic eye movements
- Optic atrophy
- Total ophthalmoplegia
- Upgaze palsy
- Blindness
- Clouding of the lens of the eye
- Color blindness
- Optic neuritis
- Retina issue
- Retinal pigment epithelial mottling
- Visual impairment
- Abnormality of visual evoked potentials
- Visual loss
Laboratory abnormality
- Elevated circulating deoxyuridine concentration
- Elevated circulating thymidine concentration
- Reduced tissue thymidine phosphorylase activity
- Anasarca
- High liver enzymes
- Higher than normal levels of lactate in blood
- Increased blood alanine
- Increased circulating pyruvate concentration
Show 13 more traits
- Increased CSF protein concentration
- Increased lactate in body
- Elevated blood creatine phosphokinase
- Glucose intolerance
- Macrovesicular hepatic steatosis
- Mildly elevated creatine kinase
- Diabetes mellitus
- Fluid retention
- High levels of ketone bodies
- 3-Methylglutaconic aciduria
- Acidic urine
- Ethylmalonic aciduria
- Microvesicular hepatic steatosis
Abnormality of the cardiovascular system
- Disease of the heart muscle
- Mitral valve prolapse
- ST segment elevation
- Abnormal heart rate
- Left ventricular hypertrophy
- Mitral regurgitation
- Quivering upper heart chambers resulting in irregular heartbeat
- Reduced left ventricular ejection fraction
Show 3 more traits
Abnormality of limbs
- Areflexia of lower limbs
- Abnormality of the hand
- Foot drop
- Limb muscle weakness
- Quadriceps weakness
- Weak shoulder muscles
- Absent ankle reflexes
- Hand muscle weakness
Show 2 more traits
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). POLG gene: DNA polymerase gamma, catalytic subunit. Retrieved 16 October 2026, from https://dantelabs.com/genes/polg
Dante Labs. POLG gene: DNA polymerase gamma, catalytic subunit [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/polg
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