raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:314637

Mitochondrial hypertrophic cardiomyopathy with lactic acidosis due to MTO1 deficiency

Synonyms: COXPD10 · Combined oxidative phosphorylation defect type 10

Type
Disease
Group
Disorder
Inheritance
Unknown
Age of onset
Infancy, Neonatal
Status
active

A rare mitochondrial oxidative phosphorylation disorder with complex I and IV deficiency characterized by lactic acidosis, hypotonia, hypertrophic cardiomyopathy and global developmental delay. Other clinical features include feeding difficulties, failure to thrive, seizures, optic atrophy and ataxia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMitochondrial hypertrophic cardiomyopathy with lactic acidosis due to MTO1 deficiencyCOXPD10 · Combined oxidative phosphorylation defect type 10
frCardiomyopathie hypertrophique mitochondriale avec acidose lactique par déficit en MTO1COXPD10 · Déficit combiné de la phosphorylation oxydative type 10
deKardiomyopathie, hypertrophe mitochondriale, mit Laktatazidose durch MTO1-MangelCOXPD10 · Kombinierten Defekt der oxidativen Phosphorylierung Typ 10 · OXPHOS-Defekt, kombinierter, Typ 10
esMiocardiopatía hipertrófica mitocondrial con acidosis láctica por deficiencia de MTO1COXPD10 · Deficiencia combinada de la fosforilación oxidativa tipo 10
itCardiomiopatia ipertrofica mitocondriale con acidosi lattica da deficit di MTO1COXPD10 · Difetto combinato della fosforilazione ossidativa, tipo 10
nlMitochondriale hypertrofische cardiomyopathie met lactaatacidose door MTO1-deficiëntieCOXPD10 · Gecombineerde oxidatieve fosforylatiedeficiëntie type 10
ptMiocardiopatía hipertrófica mitocondrial com acidose láctica por défice de MTO1COXPD10 · Defeito OXPHOS combinado tipo 10 · Defeito combinado da fosforilação oxidativa tipo 10 · Deficiência de OXPHOS combinado tipo 10
plMitochondrialna kardiomiopatia przerostowa z kwasicą mleczanową spowodowana niedoborem MTO1COXPD10 · Złożony defekt fosforylacji oksydacyjnej typu 10
csMitochondriální hypertrofická kardiomyopatie s laktátovou acidózou, způsobená deficitem MTO1COXPD10 · Kombinovaná porucha oxidativní fosforylace, typ 10
ukМітохондріальна гіпертрофічна кардіоміопатія з молочнокислим ацидозом, зумовлена дефіцитом MTO1Комбінований дефект окисного фосфорилювання, тип 10 · COXPD10
zh线粒体肥大型心肌病伴MTO1基因缺陷所致乳酸酸中毒联合氧化磷酸化缺陷10型
trMTO1 eksikliğine bağlı laktik asidoz ile seyreden mitokondriyal hipertrofik kardiyomiyopatiCOXPD10 · Kombine oksidatif fosforilasyon defekti tip 10

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614702Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.2YNTBTattributedvalidated
MONDO0013865Evalidated
UMLSC4749921Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MTO1Disease-causing germline mutation(s) inAssessedHGNC:19261ENSG000001352976146676q13mitochondrial tRNA translation optimization 1
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated23929671[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

18 annotations · validated 2026-01-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008347Decreased activity of mitochondrial complex IV
HP:0001639Hypertrophic cardiomyopathy
HP:0003128Lactic acidosis
Frequent (79-30%)
HP:0011923Decreased activity of mitochondrial complex I
HP:0001298Encephalopathy
HP:0001531Failure to thrive in infancy
HP:0008872Feeding difficulties in infancy
HP:0001263Global developmental delay
HP:0003348Hyperalaninemia
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0000648Optic atrophy
HP:0001250Seizure
Occasional (29-5%)
HP:0001251Ataxia
HP:0001943Hypoglycemia
HP:0002919Ketonuria
HP:0002465Poor speech
HP:0001716Wolff-Parkinson-White syndrome

Run the differential on the 3 obligate / very frequent terms

Annotation source: 34990597[PMID]_29331171[PMID]_23929671[PMID]

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Sources for this card