“…As the genes associated with POLR3-HLD have been discovered relatively recently and attempts at generating an animal model were predominantly unsuccessful (Choquet et al, 2017(Choquet et al, , 2019b, the cellular and molecular mechanisms underlying the white matter pathology of this disease are largely unknown. Research is ongoing regarding the investigation of the pathophysiology of POLR3-HLD; recent modeling of the disease has been accomplished in yeast (Moir et al, 2020), as well as in a conditional mouse model (pre-print data, not yet peer-reviewed; Merheb et al, 2020). Moreover, a variety of different types of pathogenic variants are known to cause POLR3-HLD, including nonsense, missense, intronic, synonymous, and splice site variants, as well as large exonic deletions, and small insertions or deletions (Bernard et al, 2011;Tétreault et al, 2011;Potic et al, 2012;Terao et al, 2012;Daoud et al, 2013;Takanashi et al, 2014;Wolf et al, 2014b;Gutierrez et al, 2015;Thiffault et al, 2015;La Piana et al, 2016;Jurkiewicz et al, 2017;Richards et al, 2017;Al Yazidi et al, 2019;Gauquelin et al, 2019;Harting et al, 2020;Hiraide et al, 2020b;Perrier et al, 2020).…”