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Living with Combined oxidative phosphorylation defect type 8

A rare mitochondrial condition in newborns and infants with severe thickened heart muscle, weak muscles and underdeveloped lungs.

Understanding Combined oxidative phosphorylation defect type 8

Combined oxidative phosphorylation defect type 8 is a rare mitochondrial disease that affects the heart, muscles and brain.

Energy-making complexes are low in heart muscle, skeletal muscle and brain. This leads to severe thickened heart muscle (hypertrophic cardiomyopathy), poorly developed lungs, general muscle weakness and nervous system involvement. It starts in newborns and infants.

Signs & symptoms

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

  • Thickened, enlarged heart (hypertrophic cardiomyopathy)
  • Heart failure
  • Poorly developed lungs (pulmonary hypoplasia)
  • Generalized muscle weakness
  • Feeding difficulties and slow weight gain
  • Delayed motor skills

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 AARS2 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 CureARS 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 AARS2 gene?
How often should the heart be checked?
How can we support feeding and breathing?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive, Mitochondrial
GenesAARS2

Changes in the AARS2 gene are listed. GARD lists autosomal recessive and mitochondrial inheritance.

GeneticInherited MetabolicMitochondrial

Also known as: aars2 combined oxidative phosphorylation deficiency; cardiomyopathy, hypertrophic mitochondrial, fatal infantile; combined oxidative phosphorylation deficiency caused by mutation in aars2; combined oxidative phosphorylation deficiency type 8; coxpd8; coxpd8 - combined oxidative phosphorylation defect type 8

Patient organizations

Source: NIH GARD · Combined oxidative phosphorylation defect type 8GARD ID 17452 · 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 8.

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