Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Combined oxidative phosphorylation deficiency type 3 is an extremely rare clinically heterogenous disorder described in about 5 patients to date. Clinical signs included hypotonia, lactic acidosis, and hepatic insufficiency, with progressive encephalomyopathy or hypertrophic cardiomyopathy.
Features include always present findings: Low muscle tone (hypotonia), Decreased activity of mitochondrial complex III, Increased circulating lactate concentration, and Decreased activity of mitochondrial complex I and others; and common findings: Bilateral tonic-clonic seizure, Encephalopathy, Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), and Concentric hypertrophic cardiomyopathy and others. 40 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 11 | Bilateral tonic-clonic seizure, Encephalopathy, Dystonia |
Muscles | 6 | Low muscle tone (hypotonia), Generalized hypotonia, Muscle weakness |
Lab test results | 5 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Decreased activity of mitochondrial complex III, Increased circulating lactate concentration |
Lungs and breathing | 3 | Respiratory failure, Dyspnea, Difficulty breathing (respiratory insufficiency) |
Eyes | 3 | Damage to the optic nerve (optic atrophy), Visual impairment, Optic neuropathy |
Heart and blood vessels | 2 | Concentric hypertrophic cardiomyopathy, Enlarged and weakened heart (dilated cardiomyopathy) |
Digestive system | 2 | Enlarged liver (hepatomegaly), Feeding difficulties in infancy |
Pregnancy and birth | 2 | Decreased fetal movement, Neonatal hypotonia |
Growth and development | 1 | Intrauterine growth retardation |
TSFM function has not been fully characterized.
Fatal mitochondrial disease due to combined oxidative phosphorylation defect type 3 is associated with mutations in the TSFM gene on chromosome 12.
Genetic testing for TSFM is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for fatal mitochondrial disease due to combined oxidative phosphorylation defect type 3 has been reported in the published literature.
Phenotype severity distribution: 7 always present features, 16 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for fatal mitochondrial disease due to combined oxidative phosphorylation defect type 3.
58 publications have been identified in PubMed for fatal mitochondrial disease due to combined oxidative phosphorylation defect type 3. Research spans Basic Science / Preclinical (55%), Review / Meta-Analysis (25%), and Diagnostic / Biomarker (5%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 31 | 55% |
Research summaries | 14 | 25% |
Testing and diagnosis research | 3 | 5% |
Clinical study results | 3 | 5% |
Disease patterns and progression | 2 | 4% |
New treatment approaches | 2 | 4% |
Patient case studies | 1 | 2% |
Humbert A (2026). [PMID: 41795036](https://pubmed.ncbi.nlm.nih.gov/41795036/). *Diabetologia*. [Basic Science / Preclinical]
Nakashima D (2026). [PMID: 40603101](https://pubmed.ncbi.nlm.nih.gov/40603101/). *Internal medicine (Tokyo, Japan)*. [Case Report / Case Series]
Auburger GWJ (2026). [PMID: 41683920](https://pubmed.ncbi.nlm.nih.gov/41683920/). *International journal of molecular sciences*. [Review / Meta-Analysis]
Catinelli BB (2026). [PMID: 41308893](https://pubmed.ncbi.nlm.nih.gov/41308893/). *Biochimica et biophysica acta. Molecular basis of disease*. [Basic Science / Preclinical]
Terburgh K (2026). [PMID: 41532297](https://pubmed.ncbi.nlm.nih.gov/41532297/). *Journal of inherited metabolic disease*. [Basic Science / Preclinical]
Li X (2026). [PMID: 41605996](https://pubmed.ncbi.nlm.nih.gov/41605996/). *Scientific reports*. [Basic Science / Preclinical]
Ma C (2026). [PMID: 41876250](https://pubmed.ncbi.nlm.nih.gov/41876250/). *Zhonghua wei zhong bing ji jiu yi xue*. [Review / Meta-Analysis]
Villafan-Bernal JR (2026). [PMID: 41614925](https://pubmed.ncbi.nlm.nih.gov/41614925/). *Current issues in molecular biology*. [Review / Meta-Analysis]
Lin KY (2026). [PMID: 42009009](https://pubmed.ncbi.nlm.nih.gov/42009009/). *Lancet Neurol*. [Clinical Trial Publication]
Li C (2026). [PMID: 41292300](https://pubmed.ncbi.nlm.nih.gov/41292300/). *Journal of diabetes investigation*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 4:33 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center