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Features include always present findings: Hearing loss (hearing impairment), Enlarged heart (cardiomegaly), Low red blood cell count (anemia), and Lactic acidosis; and common findings: Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Decreased circulating cortisol level, and Nonimmune hydrops fetalis. 10 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lab test results | 2 |
GATB encodes glutamyl-tRNA amidotransferase subunit B (557 aa). Allows the formation of correctly charged Gln-tRNA(Gln) through the transamidation of misacylated Glu-tRNA(Gln) in the mitochondria. Highest expression in Brain Spinal cord cervical c-1 (46.7 TPM) and Brain Frontal Cortex BA9 (28.1 TPM).
Combined oxidative phosphorylation deficiency 41 is associated with mutations in the GATB gene on chromosome 4.
GATB is classified as a druggable target with score 0.0.
Genetic testing for GATB is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 4 always present features, 3 common features.
No clinical trials have been registered for combined oxidative phosphorylation deficiency 41.
33 publications have been identified in PubMed for combined oxidative phosphorylation deficiency 41. Research spans Basic Science / Preclinical (61%), Review / Meta-Analysis (21%), and Other (6%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 20 | 61% |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 2:18 AM UTC
Online Mendelian Inheritance in Man
Common questions about combined oxidative phosphorylation deficiency 41
Ears | 1 | Hearing loss (hearing impairment) |
Hormones | 1 | Decreased circulating cortisol level |
Heart and blood vessels | 1 | Enlarged heart (cardiomegaly) |
Blood and immune system | 1 | Low red blood cell count (anemia) |
Pregnancy and birth | 1 | Nonimmune hydrops fetalis |
Growth and development | 1 | Intrauterine growth retardation |
Age of onset: before birth.
Research summaries
7 |
21% |
Other research | 2 | 6% |
Disease patterns and progression | 2 | 6% |
Patient case studies | 1 | 3% |
Clinical study results | 1 | 3% |
Morison LD (2026). [PMID: 40379967](https://pubmed.ncbi.nlm.nih.gov/40379967/). *Eur J Hum Genet*. [Other]
Dadsena R (2026). [PMID: 41865916](https://pubmed.ncbi.nlm.nih.gov/41865916/). *Neuroimage*. [Basic Science / Preclinical]
Lin KY (2026). [PMID: 42009009](https://pubmed.ncbi.nlm.nih.gov/42009009/). *Lancet Neurol*. [Clinical Trial Publication]
Grzybowska-Ganszczyk D (2026). [PMID: 41718203](https://pubmed.ncbi.nlm.nih.gov/41718203/). *J Funct Morphol Kinesiol*. [Review / Meta-Analysis]
Heath O (2026). [PMID: 41719910](https://pubmed.ncbi.nlm.nih.gov/41719910/). *Mol Genet Metab*. [Basic Science / Preclinical]
Fiegler-Rudol J (2025). [PMID: 40362277](https://pubmed.ncbi.nlm.nih.gov/40362277/). *Int J Mol Sci*. [Review / Meta-Analysis]
Verma KK (2025). [PMID: 40374790](https://pubmed.ncbi.nlm.nih.gov/40374790/). *Metabolomics*. [Review / Meta-Analysis]
Birkbeck MG (2025). [PMID: 40204627](https://pubmed.ncbi.nlm.nih.gov/40204627/). *NMR Biomed*. [Basic Science / Preclinical]
Hu Q (2025). [PMID: 41044054](https://pubmed.ncbi.nlm.nih.gov/41044054/). *ACS Nano*. [Basic Science / Preclinical]
Kalantari M (2025). [PMID: 41048249](https://pubmed.ncbi.nlm.nih.gov/41048249/). *Parasite Epidemiol Control*. [Basic Science / Preclinical]