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Living with Mitochondrial proton-transporting ATP synthase complex deficiency

A rare mitochondrial condition with a wide range of symptoms, including low muscle tone, heart muscle disease, and developmental delay.

Understanding Mitochondrial proton-transporting ATP synthase complex deficiency

Mitochondrial proton-transporting ATP synthase complex deficiency is a rare genetic mitochondrial condition with a wide range of symptoms.

Symptoms can include low muscle tone, thickened heart muscle (hypertrophic cardiomyopathy), delayed development, brain disease (encephalopathy), nerve damage in the arms and legs, and lactic acid buildup. It can show up as clinical syndromes such as NARP and MILS. Signs begin in the newborn period.

Signs & symptoms

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

  • Low muscle tone (hypotonia)
  • Thickened or stretched heart muscle (cardiomyopathy)
  • Poor balance and coordination (ataxia)
  • Seizures
  • Delays in reaching developmental milestones
  • Nerve damage in the arms and legs (peripheral neuropathy)

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  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 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 find the gene involved?
How should heart health be monitored?
Which specialists should be on the care team?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive, Mitochondrial

Changes in genes (also called variants) cause this condition. GARD lists autosomal recessive and mitochondrial inheritance but does not name a gene in this record.

GeneticInherited MetabolicMitochondrial

Also known as: isolated adenosine triphosphate synthase deficiency; isolated atp synthase deficiency; isolated mitochondrial respiratory chain complex v deficiency; mitochondrial complex v (atp synthase) deficiency; mitochondrial complex v (atp synthase) deficiency, nuclear type

Patient organizations

Source: NIH GARD · Mitochondrial proton-transporting ATP synthase complex deficiencyGARD ID 18649 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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