raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:565624

Combined oxidative phosphorylation defect type 39

Synonyms: COXPD39 · GFM2-related combined oxidative phosphorylation defect

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

A rare mitochondrial oxidative phosphorylation disorder characterized by early onset of severe developmental delay (sometimes with regression of developmental milestones) and intellectual disability, poor or absent speech, and hypotonia. Other features include movement disorder, seizures, or microcephaly, among others. Brain imaging may show features of Leigh syndrome with signal abnormalities in the basal ganglia or mid brain, cerebellar atrophy, or thin corpus callosum.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCombined oxidative phosphorylation defect type 39COXPD39 · GFM2-related combined oxidative phosphorylation defect
frDéficit combiné de la phosphorylation oxydative type 39COXPD39 · Déficit combiné de la phosphorylation oxydative associé à GFM2
deKombinierter Defekt der oxidativen Phosphorylierung Typ 39COXPD39 · GFM2-assoziierter Kombinierter Defekt der oxidativen Phosphorylierung
esDeficiencia combinada de la fosforilación oxidativa tipo 39COXPD39 · Deficiencia combinada de la fosforilación oxidativa asociada a GFM2
itDifetto combinato della fosforilazione ossidativa tipo 39COXPD39 · Difetto combinato della fosforilazione ossidativa correlato a GFM2
nlGecombineerde oxidatieve fosforylatiedeficiëntie type 39COXPD39 · GFM2-gerelateerde gecombineerde oxidatieve fosforylatiedeficiëntie
ptDefeito combinado da fosforilação oxidativa tipo 39
plZłożony defekt fosforylacji oksydacyjnej typu 39= en
csKombinovaný defekt oxidativní fosforylace typu 39= en
ukКомбінований дефект окисного фосфорилювання, тип 39COXPD39 · Комбінований дефект окислювального фосфорилювання, повязаний з GFM2
zh复合氧化磷酸化缺陷39型GFM2基因相关复合氧化磷酸化缺陷
trKombine oksidatif fosforilasyon defekti tip 39COXPD39 · GFM2-ilişkili kombine oksidatif fosforilasyon defekti

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618397Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.23NTBTattributedvalidated
MONDO0032726Evalidated
UMLSC5193075Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GFM2Disease-causing germline mutation(s) inAssessedHGNC:29682ENSG000001643476065445q13.3GTP dependent ribosome recycling factor mitochondrial 222700954[PMID]_26016410[PMID]_29075935[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated22700954[PMID]_26016410[PMID]_29075935[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22700954[PMID]_26016410[PMID]_29075935[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.

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HPO phenotypes

52 annotations · validated 2020-08-27
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0001317Abnormal cerebellum morphology
HP:0002500Abnormal cerebral white matter morphology
HP:0001273Abnormal corpus callosum morphology
HP:0012379Abnormal enzyme/coenzyme activity
HP:0001344Absent speech
HP:0008936Axial hypotonia
HP:0001662Bradycardia
HP:0001321Cerebellar hypoplasia
HP:0007321Deep white matter hypodensities
HP:0000750Delayed speech and language development
HP:0008872Feeding difficulties in infancy
HP:0030890Hyperintensity of cerebral white matter on MRI
HP:0002490Increased CSF lactate
HP:0002505Loss of ambulation
HP:0008763No social interaction
HP:0000543Optic disc pallor
HP:0002421Poor head control
HP:0000817Reduced eye contact
HP:0011344Severe global developmental delay
Occasional (29-5%)
HP:0011448Ankle clonus
HP:0007366Atrophy/Degeneration affecting the brainstem
HP:0003487Babinski sign
HP:0002059Cerebral atrophy
HP:0005745Congenital foot contractures
HP:0007371Corpus callosum atrophy
HP:0000028Cryptorchidism
HP:0000762Decreased nerve conduction velocity
HP:0002307Drooling
HP:0001260Dysarthria
HP:0002353EEG abnormality
HP:0001347Hyperreflexia
HP:0002079Hypoplasia of the corpus callosum
HP:0002521Hypsarrhythmia
HP:0002151Increased circulating lactate concentration
HP:0001511Intrauterine growth retardation
HP:0004305Involuntary movements
HP:0006956Lateral ventricle dilatation
HP:0031959Leg dystonia
HP:0002509Limb hypertonia
HP:0002061Lower limb spasticity
HP:0000252Microcephaly
HP:0003394Muscle spasm
HP:0001324Muscle weakness
HP:0002058Myopathic facies
HP:0011470Nasogastric tube feeding in infancy
HP:0001998Neonatal hypoglycemia
HP:0000194Open mouth
HP:0012428Prominent calcaneus
HP:0002650Scoliosis
HP:0001250Seizure
HP:0030051Tip-toe gait
HP:0002013Vomiting

Annotation source: 26016410[PMID]_29075935[PMID]

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Sources for this card