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A mitochondrial dysfunction syndrome in which the cause of the disease is a mutation in the FDXR gene. It is characterized by optic atrophy and/or auditory neuropathy variably associated with developmental delay or regression, global hypotonia, pyramidal and cerebellar signs, and seizures.
FDXR encodes ferredoxin reductase (491 aa). Serves as the first electron transfer protein in all the mitochondrial P450 systems including cholesterol side chain cleavage in all steroidogenic tissues, steroid 11-beta hydroxylation in the adrenal cortex, 25-OH-vitamin D3-24 hydroxylation in the kidney, and sterol C-27 hydroxylation in the liver. Highest expression in Adrenal Gland (302.8 TPM) and Testis (77.8 TPM).
Multiple mitochondrial dysfunctions syndrome 9b is associated with mutations in the FDXR gene on chromosome 17.
The FDXR protein participates in NADPH transfers electrons to FDXR, FDXR transfers electrons to FDX1,2 (FDX1L), and COQ6 hydroxylates DHB pathways.
FDXR is classified as a druggable target (Enzyme category) with score 13.1.
Genetic testing for FDXR is available. Testing is considered confirmatory for diagnosis.
No clinical trials have been registered for multiple mitochondrial dysfunctions syndrome 9b.
1 publication has been identified in PubMed for multiple mitochondrial dysfunctions syndrome 9b. Research spans Basic Science / Preclinical (100%).
Bargagna B (2024). [PMID: 39408793](https://pubmed.ncbi.nlm.nih.gov/39408793/). *Int J Mol Sci*. [Basic Science / Preclinical]
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 5:35 AM UTC
Online Mendelian Inheritance in Man