Skip to content
knowrare
HealthSignal
Your condition community

Living with Lipoic acid synthetase deficiency

A rare inherited condition of the cells' energy factories (mitochondria) that affects growth, muscles, and development from birth.

Understanding Lipoic acid synthetase deficiency

Lipoic acid synthetase deficiency is a rare condition that affects the mitochondria, the tiny structures in cells that make energy.

Mitochondria are found in almost every cell and create most of the energy needed for life and growth. This condition begins in newborns. It can involve a small head, feeding difficulties, low muscle tone, and developmental delay.

Signs & symptoms

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

  • Small head (microcephaly)
  • Feeding difficulties
  • Global developmental delay
  • Low muscle tone (hypotonia)
  • Thickened heart muscle (hypertrophic cardiomyopathy)
  • Sleep problems

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, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in LIAS 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

    Epilepsy Foundation, United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy 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 Epilepsy 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
Would LIAS gene testing help our family?
Which specialists should follow heart, feeding, and development?
What therapies can help with muscle tone and growth?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive, Mitochondrial
GenesLIAS

It is caused by changes in the LIAS gene. It is inherited in an autosomal recessive pattern.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: hyperglycinemia, lactic acidosis, and seizures

Patient organizations

Source: NIH GARD · Lipoic acid synthetase deficiencyGARD ID 12678 · 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 Lipoic acid synthetase deficiency.

Explore the Lipoic acid synthetase deficiency blog

Explore research for Lipoic acid synthetase deficiency

Explore actively recruiting Lipoic acid synthetase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lipoic acid synthetase deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Lipoic acid synthetase deficiency studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Lipoic acid synthetase deficiency

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Lipoic acid synthetase deficiency

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Lipoic acid synthetase deficiency experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.