raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:254930

Combined oxidative phosphorylation defect type 7

Synonyms: Severe C12ORF65-related combined oxidative phosphorylation defect · COXPD7 · Severe C12ORF65-related COXPD

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood, Infancy
Status
active

Combined oxidative phosphorylation defect type 7 is a rare mitochondrial disease due to a defect in mitochondrial protein synthesis characterized by a variable phenotype that includes onset in infancy or early childhood of failure to thrive and psychomotor regression (after initial normal development), as well as ocular manifestations (such as ptosis, nystagmus, optic atrophy, ophthalmoplegia and reduced vision). Additional manifestations include bulbar paresis with facial weakness, hypotonia, difficulty chewing, dysphagia, mild dysarthria, ataxia, global muscle atrophy, and areflexia. It has a relatively slow disease progression with patients often living into the third decade of life.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCombined oxidative phosphorylation defect type 7Severe C12ORF65-related combined oxidative phosphorylation defect · COXPD7 · Severe C12ORF65-related COXPD
frDéficit combiné de la phosphorylation oxydative type 7COXPD7 · Déficit combiné de la phosphorylation oxydative associé à C12ORF65, forme sévère
deKombinierter Defekt der oxidativen Phosphorylierung Typ 7COXPD7 · OXPHOS-Defekt, kombinierter schwerer, C12ORF65-assoziierter
esDeficiencia combinada de la fosforilación oxidativa tipo 7COXPD grave asociada a C12ORF65 · COXPD7 · Deficiencia combinada de la fosforilación oxidativa grave asociada a C12ORF65
itDifetto combinato della fosforilazione ossidativa, tipo 7COXPD7
nlGecombineerde oxidatieve fosforylatiedeficiëntie type 7COXPD7 · Ernstige C12ORF65-gerelateerde COXPD · Ernstige C12ORF65-gerelateerde gecombineerde oxidatieve fosforylatiedeficiëntie · Gecombineerd defect in oxidatieve fosforylering type 7
ptDeficiência combinada da fosforilação oxidativa, tipo 7COXPD7
plZłożony defekt fosforylacji oksydacyjnej typu 7COXPD7
csKombinovaný defekt oxidativní fosforylace, typ 7COXPD7
ukКомбінований дефект окисного фосфорилювання, тип 7COXPD7 · Тяжкий комбінований дефект окисного фосфорилювання, повязаний з C12ORF65 · Тяжке COXPD, повязане з C12ORF65
zh结合氧化磷酸化不足7严重C12ORF65基因相关联合氧化磷酸化缺陷症
trKombine oksidatif fosforilasyon defekti tip 7COXPD7 · Ağır C12ORF65-ilişkili COXPD · Ağır C12ORF65-ilişkili kombine oksidatif fosforilasyon defekti

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613559Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.23NTBTindexvalidated
MONDO0013306Evalidated
UMLSC3150801Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MTRFRDisease-causing germline mutation(s) inAssessedHGNC:26784ENSG0000013092161354112q24.31mitochondrial translation release factor in rescue20598281[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated24284555[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24284555[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

42 annotations · validated 2020-01-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000648Optic atrophy
HP:0003202Skeletal muscle atrophy
HP:0000505Visual impairment
Frequent (79-30%)
HP:0007256Abnormal pyramidal sign
HP:0100543Cognitive impairment
HP:0003693Distal amyotrophy
HP:0002936Distal sensory impairment
HP:0001508Failure to thrive
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0031629Impaired tandem gait
HP:0002395Lower limb hyperreflexia
HP:0007340Lower limb muscle weakness
HP:0000602Ophthalmoplegia
HP:0003477Peripheral axonal neuropathy
HP:0001761Pes cavus
HP:0002313Spastic paraparesis
HP:0001123Visual field defect
Occasional (29-5%)
HP:0012747Abnormal brainstem MRI signal intensity
HP:0002500Abnormal cerebral white matter morphology
HP:0012696Abnormal thalamic MRI signal intensity
HP:0001284Areflexia
HP:0001251Ataxia
HP:0001283Bulbar palsy
HP:0003380Decreased number of peripheral myelinated nerve fibers
HP:0002376Developmental regression
HP:0001260Dysarthria
HP:0007641Dyschromatopsia
HP:0012707Elevated brain lactate level by MRS
HP:0020049Exodeviation
HP:0001349Facial diplegia
HP:0008947Floppy infant
HP:0011471Gastrostomy tube feeding in infancy
HP:0002079Hypoplasia of the corpus callosum
HP:0005216Impaired mastication
HP:0002540Inability to walk
HP:0000639Nystagmus
HP:0200136Oral-pharyngeal dysphagia
HP:0002590Paralytic ileus
HP:0000508Ptosis
HP:0002943Thoracic scoliosis
HP:0003484Upper limb muscle weakness

Run the differential on the 3 obligate / very frequent terms

Annotation source: 20598281[PMID]_24424123[PMID]_28091420[PMID]_24198383[PMID]

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Sources for this card