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Living with Combined oxidative phosphorylation defect type 7

A rare mitochondrial condition with slow weight gain and loss of skills in childhood, plus eye, muscle and walking problems.

Understanding Combined oxidative phosphorylation defect type 7

Combined oxidative phosphorylation defect type 7 is a rare mitochondrial disease caused by a problem making proteins in the cell's energy centers.

After normal early development, infants or young children grow slowly and lose skills. Eye problems such as drooping eyelids, eye movement trouble and optic nerve changes are common. Weakness in the face and throat, low muscle tone, balance trouble and muscle wasting can occur. GARD says the disease progresses relatively slowly.

Signs & symptoms

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

  • Slow weight gain (failure to thrive)
  • Walking problems and stiff legs
  • Optic nerve damage and vision loss
  • Eye muscle paralysis (ophthalmoplegia)
  • Muscle wasting and weakness
  • Developmental delay

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 brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MTRFR 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
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); 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 MTRFR gene?
How should vision be monitored?
What therapy can help with walking and chewing?

Quick facts

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

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

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: c12orf65 combined oxidative phosphorylation deficiency; combined oxidative phosphorylation deficiency caused by mutation in c12orf65; combined oxidative phosphorylation deficiency type 7; coxpd7; coxpd7 - combined oxidative phosphorylation defect type 7; severe c12orf65-related combined oxidative phosphorylation defect

Patient organizations

Source: NIH GARD · Combined oxidative phosphorylation defect type 7GARD ID 17234 · 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 7.

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