raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:254913

Isolated ATP synthase deficiency

Synonyms: Isolated mitochondrial respiratory chain complex V deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Neonatal
Status
active

Isolated ATP synthase deficiency is a rare, genetic, mitochondrial oxidative phosphorylation disorder that may present with a wide range of symptoms (including muscular hypotonia, hypertrophic cardiomyopathy, psychomotor delay, encephalopathy, peripheral neuropathy, lactic acidosis, 3-methylglutaconic aciduria) and clinical syndromes (including NARP and MILS).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIsolated ATP synthase deficiencyIsolated mitochondrial respiratory chain complex V deficiency
frDéficit isolé en ATP synthaseDéficit isolé en complexe V de la chaîne respiratoire mitochondriale
deATP-Synthase-Mangel, isolierterIsolierter mitochondrialer Atmungskettendefekt im Komplex V
esDeficiencia aislada de ATP sintasaDeficiencia aislada del complejo 5 de la cadena respiratoria mitocondrial · Deficiencia aislada del complejo V de la cadena respiratoria mitocondrial
itDeficit isolato di ATP sintasiDeficit isolato del complesso V della catena respiratoria mitocondriale
nlGeïsoleerde ATP-synthasedeficiëntieGeïsoleerde mitochondriale ademhalingsketencomplex V-deficiëntie
ptDeficiência isolada da ATP sintetaseDeficiência isolada do complexo V da cadeia respiratória mitocondrial
plIzolowany niedobór syntazy ATPIzolowany Niedobór kompleksu V mitochondrialnego łańcucha oddechowego
csIzolovaný deficit ATP syntázyIzolovaný deficit komplexu V mitochondriálního dýchacího řetězce
ukІзольований дефіцит АТФ-синтазиІзольований дефіцит V комплексу мітохондріального дихального ланцюга
zh孤立性ATP合酶缺乏症孤立性线粒体呼吸链复合物V缺乏症
trİzole ATP sentaz eksikliğiİzole mitokondriyal solunum zinciri kompleks V eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM604273BTNTvalidated
OMIM614053BTNTvalidated
OMIM615228BTNTvalidated
OMIM618120BTNTvalidated
OMIM618683BTNTvalidated
OMIM620358BTNTvalidated
OMIM620359BTNTvalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.25Especificvalidated
MONDO0014471Evalidated
MONDO14471Evalidated
UMLSC4757950Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

8 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ATP5F1ADisease-causing germline mutation(s) inAssessedHGNC:823ENSG0000015223416436018q21.1ATP synthase F1 subunit alpha23599390[PMID]
ATP5F1DDisease-causing germline mutation(s) inAssessedHGNC:837ENSG0000009962460315019p13.3ATP synthase F1 subunit delta29478781[PMID]
ATP5F1EDisease-causing germline mutation(s) inAssessedHGNC:838ENSG0000012417260615320q13.32ATP synthase F1 subunit epsilon20566710[PMID]
ATP5MKDisease-causing germline mutation(s) inAssessedHGNC:30889ENSG0000017391561520410q24.33ATP synthase membrane subunit k29917077[PMID]
ATP5PODisease-causing germline mutation(s) inAssessedHGNC:850ENSG0000024183760082821q22.11ATP synthase peripheral stalk subunit OSCP34954817[PMID]_35621276[PMID]
ATPAF2Disease-causing germline mutation(s) inAssessedHGNC:18802ENSG0000017195360891817p11.2ATP synthase mitochondrial F1 complex assembly factor 214757859[PMID]
MT-ATP6Disease-causing germline mutation(s) inAssessedHGNC:7414ENSG00000198899516060mitochondriamitochondrially encoded ATP synthase membrane subunit 621686774[PMID]_28412374[PMID]
MT-ATP8Disease-causing germline mutation(s) inAssessedHGNC:7415ENSG00000228253516070mitochondriamitochondrially encoded ATP synthase membrane subunit 821686774[PMID]
5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

40 annotations · validated 2023-01-20
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:00035353-Methylglutaconic aciduria
HP:0011675Arrhythmia
HP:0001251Ataxia
HP:0001644Dilated cardiomyopathy
HP:0001298Encephalopathy
HP:0003348Hyperalaninemia
HP:0001987Hyperammonemia
HP:0001639Hypertrophic cardiomyopathy
HP:0001252Hypotonia
HP:0003128Lactic acidosis
HP:0001270Motor delay
HP:0001324Muscle weakness
HP:0012758Neurodevelopmental delay
HP:0009830Peripheral neuropathy
HP:0002098Respiratory distress
HP:0001250Seizure
Occasional (29-5%)
HP:0000618Blindness
HP:0000518Cataract
HP:0001272Cerebellar atrophy
HP:0002120Cerebral cortical atrophy
HP:0001260Dysarthria
HP:0001332Dystonia
HP:0003546Exercise intolerance
HP:0002240Hepatomegaly
HP:0000135Hypogonadism
HP:0000821Hypothyroidism
HP:0001254Lethargy
HP:0000252Microcephaly
HP:0032794Myoclonic seizure
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000508Ptosis
HP:0000089Renal hypoplasia
HP:0000510Rod-cone dystrophy
HP:0000407Sensorineural hearing impairment
HP:0004322Short stature
HP:0001258Spastic paraplegia
HP:0000486Strabismus
HP:0002445Tetraplegia
Very rare (<4-1%)
HP:0000602Ophthalmoplegia

Annotation source: 35330152[PMID]

7

Sources for this card