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Living with Mitochondrial pyruvate carrier deficiency

A rare condition that starts in the newborn period, with brain disease, developmental delay, and lactic acid buildup.

Understanding Mitochondrial pyruvate carrier deficiency

Mitochondrial pyruvate carrier deficiency is a rare condition of pyruvate metabolism that starts in the newborn period.

It causes a mitochondrial brain disease (encephalopathy) with global developmental delay. Blood tests show lactic acid buildup and raised pyruvate. Other reported features include epilepsy, nerve damage, low muscle tone, rapid eye movements, an enlarged liver, and certain facial features such as a head that grows slowly.

Signs & symptoms

GARD lists these among the less common symptoms; its summary also describes the features above:

  • Brain disease (encephalopathy)
  • Nerve damage in the arms and legs (peripheral neuropathy)
  • Breathing difficulties
  • Head that grows slowly (progressive microcephaly)
  • Eye folds (epicanthus)
  • Long philtrum (groove above the upper lip)

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 and genetic specialists.

  3. Consider genetic testing

    Changes in MPC1 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); 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 MPC1 gene confirm this diagnosis?
How should lactic acid and pyruvate levels be monitored?
What options exist for managing seizures and supporting development?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive, Mitochondrial
GenesMPC1

This condition is caused by changes in the MPC1 gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited MetabolicMitochondrial

Also known as: mpycd

Patient organizations

Source: NIH GARD · Mitochondrial pyruvate carrier deficiencyGARD ID 17771 · 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

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