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Living with Hypertrophic cardiomyopathy and renal tubular disease due to mitochondrial DNA mutation

A mitochondrial (energy-making) condition affecting the heart muscle, kidneys, muscles, and brain, starting in infancy.

Understanding Hypertrophic cardiomyopathy and renal tubular disease due to mitochondrial DNA mutation

Hypertrophic cardiomyopathy and renal tubular disease due to mitochondrial DNA mutation is a mitochondrial disorder.

It involves thickened and enlarged heart muscle (cardiomyopathy), slow weight gain, muscle disease with low muscle tone, and developmental delay or loss of skills. Kidney problems include long-term kidney disease and renal tubular acidosis. Some people also have seizures and breathing trouble. It is seen in newborns and infants.

Signs & symptoms

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

  • Heart muscle disease (cardiomyopathy)
  • Chronic kidney disease
  • Slow weight gain
  • Low muscle tone (floppy infant)
  • Global developmental delay
  • Feeding difficulties

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, heart and blood vessel specialists and kidney specialists.

  3. Consider genetic testing

    Changes in MT-TL1 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

    Children's Cardiomyopathy Foundation, United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists); Kidney specialists (nephrologists)
Expert care
Expert lists: Children's Cardiomyopathy Foundation, 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 Children's Cardiomyopathy 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
Which heart and kidney tests do we need, and how often?
Which specialists should be involved in care?
What does mitochondrial inheritance mean for our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceMitochondrial
GenesMT-TL1

Changes in the MT-TL1 gene cause this condition. It is mitochondrial, meaning the gene is in the mitochondria, the cell's energy factories.

GeneticKidneyInherited MetabolicMitochondrial

Also known as: hypertrophic cardiomyopathy and renal tubular disease due to mitochondrial deoxyribonucleic acid mutation; hypertrophic cardiomyopathy and renal tubular disease due to mtdna mutation; hypertrophic cardiomyopathy with kidney anomalies due to mitochondrial dna mutation; hypertrophic cardiomyopathy with kidney anomalies due to mtdna mutation; hypertrophic cardiomyopathy with renal anomalies due to mitochondrial dna mutation

Patient organizations

Source: NIH GARD · Hypertrophic cardiomyopathy and renal tubular disease due to mitochondrial DNA mutationGARD ID 21442 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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