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Living with Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteins

A temporary liver problem in babies tied to how cells make energy, with jaundice, vomiting, and feeding trouble.

Understanding Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteins

Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteins is a temporary liver problem in babies caused by TRMU gene changes.

It affects liver function in newborns and infants. Test results can show high liver enzymes, high lactate, and trouble with blood clotting, which fits a problem with how cells make energy (mitochondrial function). With supportive care, people can recover from the acute episode and show normal development.

Signs & symptoms

Symptoms vary from baby to baby. GARD lists these among the most common:

  • Sudden liver failure
  • Yellowing of the skin and eyes (jaundice)
  • Vomiting
  • Swollen belly (abdominal bloating)
  • Enlarged liver
  • Trouble feeding

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TRMU are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with United Mitochondrial Disease Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is genetic testing for TRMU available for our family?
What supportive care helps during an acute episode?
How will my child's development be followed over time?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive, Mitochondrial
GenesTRMU

Changes in the TRMU gene cause this condition, which affects how cells make energy (mitochondrial function). A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticGastrointestinalInherited MetabolicMitochondrial

Also known as: acute infantile liver failure due to synthesis defect of mitochondrial dna-encoded proteins; infantile liver failure caused by mutation in trmu; lfit; liver failure acute infantile; liver failure, infantile, transient; liver failure, transient infantile

Patient organizations

Source: NIH GARD · Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteinsGARD ID 10593 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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