raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:401869

Multiple mitochondrial dysfunctions syndrome type 1

Synonyms: MMDS1 · NFU1 deficiency

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

A rare mitochondrial disease characterized by failure to thrive, infantile encephalopathy, muscular hypotonia, global developmental delay and regression, pulmonary arterial hypertension, episodes of apnea and bradycardia, respiratory failure, hyperglycinemia, and lactic acidosis. Hypertrophic or dilated cardiomyopathy have also been reported. Brain imaging may show leukoencephalopathy involving variable regions. The disease is typically fatal in early infancy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMultiple mitochondrial dysfunctions syndrome type 1MMDS1 · NFU1 deficiency
frSyndrome de dysfonctionnements mitochondriaux multiples type 1Déficit en NFU1
deSyndrom der multiplen mitochondrialen Dysfunktionen Typ 1NFU1-Mangel
esSíndrome de disfunción mitocondrial múltiple tipo 1Deficiencia de NFU1
itSindrome da disfunzione mitocondriale multipla tipo 1Deficit di NFU1
nlMultipele mitochondriale disfuncties-syndroom type 1NFU1-deficiëntie
ptSíndrome de disfunção mitocondrial múltipla, forma fatal tipo 1
plZespół śmiertelnej mnogiej dysfunkcji mitochondriów typu 1Niedobór NFU1
csSyndrom fatálních mnohočetných mitochondriálních dysfunkcí, typ 1Deficit NFU1
ukСиндром множинних мітохондріальних дисфункцій, тип 1MMDS1 · Дефіцит NFU1
zh多发性线粒体功能障碍综合征1型NFU1缺陷
trÇoklu mitokondriyal disfonksiyon sendromu tip 1MMDS1 · NFU1 eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM605711Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.21NTBTattributedvalidated
MONDO0011582Evalidated
UMLSC3276432Evalidated

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
NFU1Disease-causing germline mutation(s) inAssessedHGNC:16287ENSG000001695996081002p13.3NFU1 iron-sulfur cluster scaffold24334290[PMID]_24777537[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families21 casesWorldwideCase(s)Validated24777537[PMID]_22077971[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24777537[PMID]_22077971[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

24 annotations · validated 2026-01-16
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0008972Decreased activity of mitochondrial respiratory chain
HP:0002928Decreased activity of the pyruvate dehydrogenase complex
HP:0002376Developmental regression
HP:0001298Encephalopathy
HP:0001531Failure to thrive in infancy
HP:0008872Feeding difficulties in infancy
HP:0001263Global developmental delay
HP:0002154Hyperglycinemia
HP:0001252Hypotonia
HP:0002151Increased circulating lactate concentration
HP:0002092Pulmonary arterial hypertension
Occasional (29-5%)
HP:0005949Apneic episodes in infancy
HP:0034353Appendicular spasticity
HP:0001662Bradycardia
HP:0001638Cardiomyopathy
HP:0003150Glutaric aciduria
HP:0003108Hyperglycinuria
HP:0001276Hypertonia
HP:0500230Increased CSF glycine concentration
HP:0002490Increased CSF lactate
HP:0003648Lacticaciduria
HP:0002352Leukoencephalopathy
HP:0002878Respiratory failure
HP:0001250Seizure

Annotation source: 25918518[PMID]_25477904[PMID]_29441221[PMID]_34440194[PMID]

7

Sources for this card