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Living with Combined oxidative phosphorylation defect type 15

A rare mitochondrial condition with low muscle tone, unsteady walking, developmental delay and vision problems.

Understanding Combined oxidative phosphorylation defect type 15

Combined oxidative phosphorylation defect type 15 is a rare mitochondrial disease caused by a problem making proteins in the cell's energy centers.

It begins in infancy or early childhood with low muscle tone, an unsteady walk and developmental delay, mostly affecting speech and coordination, followed by intellectual disability. Short stature, obesity, small head size and vision problems are also reported. Brain changes can match Leigh syndrome.

Signs & symptoms

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

  • Unsteady walking and poor coordination (ataxia)
  • Global developmental delay
  • Seizures
  • Eyes that do not line up (strabismus)
  • Reduced vision and optic nerve changes
  • Worsening neurological symptoms

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 genetic specialists.

  3. Consider genetic testing

    Changes in MTFMT 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
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
Should we have genetic testing for the MTFMT gene?
How often should vision be checked?
Which therapies can help with speech and coordination?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive, Mitochondrial
GenesMTFMT

Changes in the MTFMT gene are listed. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: combined oxidative phosphorylation deficiency 15; combined oxidative phosphorylation deficiency caused by mutation in mtfmt; combined oxidative phosphorylation deficiency type 15; coxpd15; coxpd15 - combined oxidative phosphorylation defect type 15; mtfmt combined oxidative phosphorylation deficiency

Patient organizations

Source: NIH GARD · Combined oxidative phosphorylation defect type 15GARD ID 17456 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Combined oxidative phosphorylation defect type 15.

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Explore actively recruiting Combined oxidative phosphorylation defect type 15 studies with HealthSpark.

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  • Eligibility is confirmed by the study team

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