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Living with Mitochondrial DNA depletion syndrome 8a

A rare mitochondrial condition that starts in newborns or infants, with weak muscles, slow growth, and kidney problems.

Understanding Mitochondrial DNA depletion syndrome 8a

Mitochondrial DNA depletion syndrome 8a is a rare mitochondrial condition that affects many parts of the body, including the muscles, brain, and kidneys.

It usually starts in newborns or infants and can cause weak muscles, slow growth, lactic acid buildup, and developmental delay. It can lead to breathing and digestive problems. Some babies have milder symptoms. Other symptoms may include hearing loss, small head size, seizures, vision problems, and kidney problems.

Signs & symptoms

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

  • Low muscle tone in the trunk
  • Kidney tube problems (proximal tubulopathy)
  • Slow growth
  • Lactic acid buildup
  • Delays in reaching developmental milestones
  • Breathing and digestive 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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RRM2B 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); Digestive system specialists (gastroenterologists); 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
Can genetic testing for the RRM2B gene confirm this diagnosis?
Which specialists, such as for the kidneys and breathing, should be involved?
How can feeding and growth be supported?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive, Mitochondrial
GenesRRM2B

This condition is caused by changes in the RRM2B gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalGastrointestinalInherited MetabolicMitochondrial

Also known as: mitochondrial dna depletion syndrome 8a (encephalomyopathic type with renal tubulopathy); mitochondrial dna depletion syndrome 8a encephalomyopathic type with renal tubulopathy; mitochondrial dna depletion syndrome caused by mutation in rrm2b; mitochondrial dna depletion syndrome type 8a; mitochondrial dna depletion syndrome, encephalomyopathic form with renal tubulopathy; mitochondrial dna depletion syndrome, encephalomyopathic form, with renal tubulopathy

Patient organizations

Source: NIH GARD · Mitochondrial DNA depletion syndrome 8aGARD ID 13200 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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