U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Hypermetabolism due to uncoupled mitochondrial oxidative phosphorylation 2(HUMOP2)

MedGen UID:
1824010
Concept ID:
C5774237
Disease or Syndrome
Synonym: HUMOP2
 
Gene (location): ATP5F1B (12q13.3)
 
Monarch Initiative: MONDO:0859302
OMIM®: 620085

Definition

Hypermetabolism due to uncoupled mitochondrial oxidative phosphorylation-2 (HUMOP2) is characterized by failure to thrive apparent in infancy despite adequate caloric intake. Affected individuals show normal thyroid function, hyperphagia, tachypnea, increased basal temperature, and increased sweating. Biochemical studies demonstrate increased mitochondrial oxygen consumption with inefficient production of ATP in the final steps of oxidative phosphorylation due to an uncoupling defect (Ganetzky et al., 2022). Genetic Heterogeneity of Hypermetabolism due to Uncoupled Mitochondrial Oxidative Phosphorylation See also HUMOP1 (238800). [from OMIM]

Clinical features

From HPO
Failure to thrive
MedGen UID:
746019
Concept ID:
C2315100
Disease or Syndrome
Failure to thrive (FTT) refers to a child whose physical growth is substantially below the norm.
Decreased body weight
MedGen UID:
1806755
Concept ID:
C5574742
Finding
Abnormally low body weight.
Polyphagia
MedGen UID:
9369
Concept ID:
C0020505
Finding
A neurological anomaly with gross overeating associated with an abnormally strong desire or need to eat.
Mild global developmental delay
MedGen UID:
861405
Concept ID:
C4012968
Finding
A mild delay in the achievement of motor or mental milestones in the domains of development of a child.
Tachypnea
MedGen UID:
66669
Concept ID:
C0231835
Finding
Very rapid breathing.
Increased blood urea nitrogen
MedGen UID:
760252
Concept ID:
C0151539
Finding
An increased amount of nitrogen in the form of urea in the blood.
Hypervalinemia
MedGen UID:
120652
Concept ID:
C0268573
Disease or Syndrome
Valinemia is an inborn error of metabolism characterized clinically by vomiting, feeding difficulties, hypotonia, and developmental delay, and biochemically by high concentrations of valine in serum and urine (Wada, 1965).
Hyperleucinemia
MedGen UID:
451032
Concept ID:
C0268576
Disease or Syndrome
An increased concentration of leucine in the blood.
Recurrent fever
MedGen UID:
811468
Concept ID:
C3714772
Sign or Symptom
Periodic (episodic or recurrent) bouts of fever.
Hyperisoleucinemia
MedGen UID:
869234
Concept ID:
C4023657
Disease or Syndrome
An increased concentration of isoleucine in the blood.
Hyperammonemia
MedGen UID:
1802066
Concept ID:
C5574662
Laboratory or Test Result
An increased concentration of ammonia in the blood.

Recent clinical studies

Diagnosis

Auger C, Knuth CM, Abdullahi A, Samadi O, Parousis A, Jeschke MG
Mol Metab 2019 Nov;29:12-23. Epub 2019 Aug 20 doi: 10.1016/j.molmet.2019.08.011. PMID: 31668383Free PMC Article
Nelson TE
Curr Mol Med 2002 Jun;2(4):347-69. doi: 10.2174/1566524023362429. PMID: 12108947

Therapy

Siegmueller C, Narasimhaiah R
Emerg Med J 2010 Aug;27(8):639-40. Epub 2010 May 29 doi: 10.1136/emj.2009.072892. PMID: 20511642

Prognosis

Siegmueller C, Narasimhaiah R
Emerg Med J 2010 Aug;27(8):639-40. Epub 2010 May 29 doi: 10.1136/emj.2009.072892. PMID: 20511642

Supplemental Content

Table of contents

    Clinical resources

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...