raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:363534

Mitochondrial DNA depletion syndrome, hepatocerebrorenal form

Synonyms: mtDNA depletion syndrome, hepatocerebrorenal form

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

A rare, genetic, mitochondrial DNA depletion syndrome characterized by neonatal or early-infantile onset hepatopathy (manifesting with hepatomegaly, cholestasis, increased transaminases, coagulopathy, hypoalbuminemia, ascites, and/or liver failure), associated with renal tubulopathy and progressive neurodegenerative manifestations, which include muscular atrophy, hyporeflexia, ataxia, sensory neuropathy, epilepsy, sensorineural hearing impairment, psychomotor regression, athetosis, nystagmus, and/or ophthalmoplegia. Patients typically present with recurrent vomiting, severe failure to thrive, feeding difficulties, and fasting hypoglycemia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMitochondrial DNA depletion syndrome, hepatocerebrorenal formmtDNA depletion syndrome, hepatocerebrorenal form
frDéplétion de l'ADN mitochondrial, forme hépato-cérébro-rénaleDéplétion de l'ADNmt, forme hépato-cérébro-rénale
deMitochondriales DNA-Depletionssyndrom, hepato-zerebro-renale FormmtDNA-Depletionssyndrom, hepatozerebrorenales
esSíndrome de depleción del ADN mitocondrial, forma hepato-cerebro-renalSíndrome de depleción del ADNmt, forma hepato-cerebro-renal
itSindrome da deplezione del DNA mitocondriale, forma epato-cerebro-renaleSindrome da deplezione del mtDNA, forma epato-cerebro-renale
nlMitochondriaal DNA-depletiesyndroom, hepatocerebrorenale vormmtDNA-depletiesyndroom, hepatocerebrorenale vorm
ptSíndrome de depleção do ADN mitocondrial, forma hepatocerebrorenalSíndrome de depleção do ADNmt, forma hepatocerebrorenal
plZespół deplecji mitochondrialnego DNA, postać wątrobowo-mózgowo-nerkowaZespół deplecji mtDNA, postać wątrobowo-mózgowo-nerkowa
csSyndrom deplece mitochondriální DNA, hepatocerebrorenální formaSyndrom deplece mtDNA, hepatocerebrorenální forma
ukСиндром виснаження мітохондріальної ДНК, гепатоцереброренальна формаСиндром виснаження мтДНК, гепатоцереброренальна форма
zh线粒体DNA缺失综合征,肝脑肾型mtDNA缺失综合征肝脑肾型
trMitokondriyal DNA deplesyon sendromu, hepatoserebrorenal formumtDNA tükenme sendromu, hepatoserebrorenal formu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM271245Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.20NTBTindexvalidated
MONDO0018197Evalidated
UMLSC5190602Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TWNKDisease-causing germline mutation(s) inAssessedHGNC:1160ENSG0000010781560607510q24.31twinkle mtDNA helicase23375728[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated23375728[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

Orphanet has no HPO annotation for this code in this release.

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Sources for this card