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Living with Combined oxidative phosphorylation defect type 2

A rare mitochondrial condition seen in newborns with slow growth before birth, swelling, brain differences and low muscle tone.

Understanding Combined oxidative phosphorylation defect type 2

Combined oxidative phosphorylation defect type 2 is a rare mitochondrial disease caused by a problem making proteins in the cell's energy centers.

Newborns may have severe slow growth before birth, swelling of the limbs and extra skin on the neck. Brain differences, short fingers or toes, and facial differences such as low-set ears are described. Babies have lactic acid build-up, lethargy, low muscle tone and very little movement.

Signs & symptoms

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

  • Small size for gestational age
  • Swelling (edema) and extra neck skin
  • Low muscle tone in newborns
  • Feeding difficulties
  • Brain differences (missing corpus callosum)
  • Short fingers or toes (brachydactyly)

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 MRPS16 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 MRPS16 gene?
Could this happen again in a future pregnancy?
Which specialists should be on our care team?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive, Mitochondrial
GenesMRPS16

Changes in the MRPS16 gene are listed. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: combined oxidative phosphorylation deficiency caused by mutation in mrps16; combined oxidative phosphorylation deficiency type 2; corpus callosum, agenesis of, with dysmorphism and fatal lactic acidosis; coxpd2; coxpd2 - combined oxidative phosphorylation defect type 2; mrps16 combined oxidative phosphorylation deficiency

Patient organizations

Source: NIH GARD · Combined oxidative phosphorylation defect type 2GARD ID 17232 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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