raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:420733

Combined oxidative phosphorylation defect type 21

Synonyms: COXPD21

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

Combined oxidative phosphorylation defect type 21 is a rare mitochondrial disease characterized by axial hypotonia with limb hypertonia, developmental delay, hyperlactatemia, central nervous system anomalies visible on magnetic resonance imaging (e.g. corpus callosum hypoplasia, lesions of the globus pallidus) and multiple deficiency of the mitochondrial respiratory chain complexes in muscle tissue, but not in fibroblasts or liver.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCombined oxidative phosphorylation defect type 21COXPD21
frDéficit combiné de la phosphorylation oxydative type 21= en
deKombinierter Defekt der oxidativen Phosphorylierung Typ 21= en
esDeficiencia combinada de la fosforilación oxidativa tipo 21= en
itDifetto combinato della fosforilazione ossidativa, tipo 21= en
nlGecombineerde oxidatieve fosforylatiedeficiëntie type 21COXPD21 · Gecombineerd defect in oxidatieve fosforylering type 21
ptDéfice combinado da fosforilação oxidativa tipo 21
plZłożony defekt fosforylacji oksydacyjnej typu 21= en
csKombinovaný deficit oxidativní fosforylace, typ 21= en
ukКомбінований дефект окисного фосфорилювання, тип 21= en
zh联合氧化磷酸化缺陷症21型= en
trKombine oksidatif fosforilasyon defekti tip 21= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615918Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.23NTBTattributedvalidated
MONDO0014398Evalidated
UMLSC4706316Evalidated

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
TARS2Disease-causing germline mutation(s) inAssessedHGNC:30740ENSG000001433746128051q21.2threonyl-tRNA synthetase 2, mitochondrial24827421[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated24827421[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24827421[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

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

7

Sources for this card