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An autosomal recessive disorder characterized by hypomyelination, microcephaly, liver dysfunction, and recurrent hypomyelination.
Features include always present findings: Hypochromic microcytic anemia, Short stature, Seizure, and Global developmental delay and others; and very common findings: Dysplastic corpus callosum, Low muscle tone (hypotonia), Secondary microcephaly, and Recurrent fever and others. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 3 | Seizure, Global developmental delay, Spasticity |
C2ORF69 encodes chromosome 2 open reading frame 69 (385 aa). May play a role in the respiratory chain Highest expression in Cells EBV-transformed lymphocytes (23.0 TPM) and Cells Cultured fibroblasts (21.0 TPM).
Combined oxidative phosphorylation deficiency 53 is associated with mutations in the C2ORF69 gene on chromosome 2.
C2ORF69 is classified as a druggable target with score 0.0.
Genetic testing for C2ORF69 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for combined oxidative phosphorylation deficiency 53 has been reported in the published literature.
Phenotype severity distribution: 6 always present features, 5 very common features, 4 common features.
No clinical trials have been registered for combined oxidative phosphorylation deficiency 53.
19 publications have been identified in PubMed for combined oxidative phosphorylation deficiency 53. Research spans Basic Science / Preclinical (42%), Review / Meta-Analysis (26%), and Case Report / Case Series (11%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 8 | 42% |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 11:21 AM UTC
Online Mendelian Inheritance in Man
Common questions about combined oxidative phosphorylation deficiency 53
Bones and joints | 3 | Septic arthritis, Joint inflammation (arthritis), Bone infection (osteomyelitis) |
Growth and development | 2 | Short stature, Failure to thrive |
Digestive system | 2 | Enlarged liver (hepatomegaly), Abdominal distention |
Blood and immune system | 1 | Hypochromic microcytic anemia |
Muscles | 1 | Low muscle tone (hypotonia) |
Head and neck | 1 | Secondary microcephaly |
Lab test results | 1 | Elevated CRP (inflammation marker) (elevated circulating c-reactive protein concentration) |
Metabolism | 1 | Recurrent fever |
Research summaries
5 |
26% |
Patient case studies | 2 | 11% |
Disease patterns and progression | 2 | 11% |
Testing and diagnosis research | 1 | 5% |
Clinical study results | 1 | 5% |
Heath O (2026). [PMID: 41719910](https://pubmed.ncbi.nlm.nih.gov/41719910/). *Mol Genet Metab*. [Basic Science / Preclinical]
Liu HL (2026). [PMID: 41845567](https://pubmed.ncbi.nlm.nih.gov/41845567/). *Aliment Pharmacol Ther*. [Diagnostic / Biomarker]
Khaksarian M (2026). [PMID: 42217061](https://pubmed.ncbi.nlm.nih.gov/42217061/). *Mol Biol Rep*. [Review / Meta-Analysis]
Xie W (2026). [PMID: 42113297](https://pubmed.ncbi.nlm.nih.gov/42113297/). *Mol Biol Rep*. [Review / Meta-Analysis]
Merkevicius K (2025). [PMID: 41239557](https://pubmed.ncbi.nlm.nih.gov/41239557/). *Brain*. [Epidemiology / Natural History]
Vangelov D (2025). [PMID: 40868094](https://pubmed.ncbi.nlm.nih.gov/40868094/). *Biomedicines*. [Basic Science / Preclinical]
Xu Y (2025). [PMID: 40156629](https://pubmed.ncbi.nlm.nih.gov/40156629/). *Urolithiasis*. [Basic Science / Preclinical]
Xu S (2025). [PMID: 40084689](https://pubmed.ncbi.nlm.nih.gov/40084689/). *Oncol Rep*. [Basic Science / Preclinical]
Xian JY (2025). [PMID: 41251724](https://pubmed.ncbi.nlm.nih.gov/41251724/). *Urolithiasis*. [Basic Science / Preclinical]
Głombik K (2025). [PMID: 40738385](https://pubmed.ncbi.nlm.nih.gov/40738385/). *Neuropharmacology*. [Clinical Trial Publication]