raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:319514

Combined oxidative phosphorylation defect type 13

Synonyms: COXPD13

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

Combined oxidative phosphorylation defect type 13 is a rare mitochondrial disease due to a defect in mitochondrial protein synthesis characterized by normal early development followed by the sudden onset in infancy of poor feeding, dysphagia, truncal (followed by global) hypotonia, motor regression, abnormal movements (i.e. severe dystonia of limbs, choreoathetosis, facial dyskinesias) and reduced tendon reflexes. The disease course is severe but nonprogressive.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCombined oxidative phosphorylation defect type 13COXPD13
frDéficit combiné de la phosphorylation oxydative type 13= en
deKombinierter Defekt der oxidativen Phosphorylierung Typ 13= en
esDeficiencia combinada de la fosforilación oxidativa tipo 13= en
itDifetto combinato della fosforilazione ossidativa, tipo 13= en
nlGecombineerde oxidatieve fosforylatiedeficiëntie type 13COXPD13 · Gecombineerd defect in oxidatieve fosforylering type 13
ptDefeito combinado da fosforilação oxidativa, tipo 13
plZłożony defekt fosforylacji oksydacyjnej typu 13= en
csKombinovaná porucha oxidativní fosforylace, typ 13= en
ukКомбінований дефект окисного фосфорилювання, тип 13= en
zh复合氧化磷酸化缺陷型13型= en
trKombine oksidatif fosforilasyon defekti tip 13= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614932Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.23NTBTattributedvalidated
MONDO0013977Evalidated
UMLSC4706283Evalidated

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
PNPT1Disease-causing germline mutation(s) inAssessedHGNC:23166ENSG000001380356103162p16.1polyribonucleotide nucleotidyltransferase 123084291[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated23084291[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_23084291[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

33 annotations · validated 2019-08-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002151Increased circulating lactate concentration
HP:0200125Mitochondrial respiratory chain defects
Frequent (79-30%)
HP:0010994Abnormal corpus striatum morphology
HP:0008936Axial hypotonia
HP:0001266Choreoathetosis
HP:0012448Delayed myelination
HP:0001290Generalized hypotonia
HP:0002490Increased CSF lactate
HP:0002451Limb dystonia
HP:0001324Muscle weakness
HP:0000639Nystagmus
HP:0002421Poor head control
HP:0007069Profound static encephalopathy
HP:0000407Sensorineural hearing impairment
Occasional (29-5%)
HP:0002134Abnormal basal ganglia morphology
HP:0001273Abnormal corpus callosum morphology
HP:0000496Abnormality of eye movement
HP:0001344Absent speech
HP:0006466Ankle flexion contracture
HP:0000762Decreased nerve conduction velocity
HP:0000519Developmental cataract
HP:0040204Elevated CSF neopterin level
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0011471Gastrostomy tube feeding in infancy
HP:0003273Hip contracture
HP:0001511Intrauterine growth retardation
HP:0006895Lower limb hypertonia
HP:0002310Orofacial dyskinesia
HP:0000763Sensory neuropathy
HP:0003548Subsarcolemmal accumulations of abnormally shaped mitochondria
HP:0003803Type 1 muscle fiber predominance
HP:0003554Type 2 muscle fiber atrophy

Run the differential on the 2 obligate / very frequent terms

Annotation source: 30046113[PMID]_23084291[PMID]

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Sources for this card