raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:289560

Mitochondrial membrane protein-associated neurodegeneration

Synonyms: MPAN · NBIA due to C19orf12 mutation · NBIA4 · Neurodegeneration with brain iron accumulation due to C19orf12 mutation · Neurodegeneration with brain iron accumulation type 4

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

A rare neurodegenerative disorder characterized by iron accumulation in specific regions of the brain, usually the basal ganglia, and associated with slowly progressive pyramidal (spasticity) and extrapyramidal (dystonia) signs, motor axonal neuropathy, optic atrophy, cognitive decline, and neuropsychiatric abnormalities.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMitochondrial membrane protein-associated neurodegenerationMPAN · NBIA due to C19orf12 mutation · NBIA4 · Neurodegeneration with brain iron accumulation due to C19orf12 mutation · Neurodegeneration with brain iron accumulation type 4
frNeurodégénérescence associée à la protéine de membrane mitochondrialeMPAN · NBIA liée à des mutations de C19orf12 · NBIA4 · Neurodégénérescence avec surcharge cérébrale en fer liée à des mutations de C19orf12 · Neurodégénérescence avec surcharge cérébrale en fer type 4
deMitochondrienmembran-Protein-assoziierte NeurodegenerationMPAN · NBIA durch C19orf12-Gen-Mutation · NBIA4 · Neurodegeneration mit Eisenspeicherung im Gehirn Typ 4 · Neurodegeneration mit Eisenspeicherung im Gehirn durch C19orf12-Gen-Mutation
esNeurodegeneración asociada a proteínas de membrana mitocondrialMPAN · NBIA por una mutación en el gen C19orf12 · NBIA4 · Neurodegeneración con acumulación cerebral de hierro por una mutación en el gen C19orf12 · Neurodegeneración con acumulación cerebral de hierro tipo 4
itNeurodegenerazione associata alle proteine della membrana mitocondrialeMPAN · NBIA da mutazione in C19orf12 · NBIA5 · Neurodegenerazione con accumulo cerebrale di ferro da mutazione di C19orf12 · Neurodegenerazione con accumulo cerebrale di ferro, tipo 4
nlNeurodegeneratie geassocieerd met mitochondriaal membraaneiwitMPAN · NBIA door C19orf12-mutatie · NBIA4 · Neurodegeneratie met ijzerstapeling in hersenen door C19orf12-mutatie · Neurodegeneratie met ijzerstapeling in hersenen type 4
ptNeurodegenerescência associada a proteína de membrana mitocondrialMPAN · NBIA por mutação em C19orf12 · Neurodegenerescência com acumulação cerebral de ferro por mutação em C19orf12
plNeurodegeneracja związna z białkiem błony mitochondrialnejMPAN · NBIA z powodu mutacji C19orf12 · NBIA4 · Neurodegeneracja z gromadzeniem żelaza w mózgu typu 4 · Neurodegeneracja z gromadzeniem żelaza w mózgu z powodu mutacji C19orf12
csNeurodegenerace asociovaná s proteinem mitochondriální membrányMPAN · NBIA4 · Neurodegenerace s akumulací železa v mozku, typ 4 · NBIA z důvodu mutace C19orf12 · Neurodegenerace s akumulací železa v mozku z důvodu mutace C19orf12
ukМітохондріальна мембранна білок-асоційована нейродегенераціяMPAN · NBIA внаслідок мутації C19orf12 · NBIA4 · Нейродегенерація з накопиченням заліза в мозку через мутацію C19orf12 · Нейродегенерація з накопиченням заліза в мозку, тип 4
zh线粒体膜蛋白相关性神经变性C19orf12基因突变所致神经退行性变大脑铁蓄积
trMitokondriyal membran proteini-ilişkili nörodejenerasyonMPAN · NBIA4 · C19orf12 mutasyonuna bağlı NBIA · Beyin demir birikimi tip 4 ile seyreden nörodejenerasyon · C19orf12 mutasyonuna bağlı beyin demir birikimi ile seyreden nörodejenerasyon

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614298Evalidated
ICD-10G23.0NTBTattributedvalidated
ICD-115C64.10NTBTindexvalidated
MONDO0013674Evalidated
UMLSC3280371Evalidated
GARD12569Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
C19ORF12Disease-causing germline mutation(s) inAssessedHGNC:25443ENSG0000013194361429719q12chromosome 19 open reading frame 1221981780[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.1 / 100 000WorldwideValue and classValidated[EXPERT]_24575447[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.

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HPO phenotypes

26 annotations · validated 2018-03-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000708Atypical behavior
HP:0003487Babinski sign
HP:0001260Dysarthria
HP:0002378Hand tremor
HP:0001268Mental deterioration
HP:0001324Muscle weakness
HP:0002172Postural instability
HP:0002063Rigidity
HP:0001257Spasticity
Frequent (79-30%)
HP:0002453Abnormal globus pallidus morphology
HP:0045007Abnormality of the substantia nigra
HP:0002607Bowel incontinence
HP:0002067Bradykinesia
HP:0002015Dysphagia
HP:0001332Dystonia
HP:0002359Frequent falls
HP:0001288Gait disturbance
HP:0006801Hyperactive deep tendon reflexes
HP:0007002Motor axonal neuropathy
HP:0000648Optic atrophy
HP:0001300Parkinsonism
HP:0002313Spastic paraparesis
HP:0000020Urinary incontinence
Occasional (29-5%)
HP:0000570Abnormal saccadic eye movements
HP:0002362Shuffling gait
Very rare (<4-1%)
HP:0002093Respiratory insufficiency

Run the differential on the 9 obligate / very frequent terms

Annotation source: 23269600[PMID]_23278385[PMID]_24575447[PMID]

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Sources for this card