MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect

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ORPHA:485421OMIM:617086E88.8
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Overview

MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect is a very rare inherited brain disease caused by changes (mutations) in a gene called MFF. This gene gives instructions for making a protein that helps divide two important structures inside our cells: mitochondria (the cell's power generators) and peroxisomes (structures that break down harmful substances). When MFF does not work properly, these structures cannot split and renew themselves the way they should. As a result, cells — especially brain cells — do not function well, leading to serious neurological problems. This condition is sometimes referred to as MFF deficiency. It typically appears in infancy or early childhood and mainly affects the brain and nervous system. Children with this condition often have seizures that are hard to control, significant developmental delays, and intellectual disability. Muscle tone problems, movement difficulties, and vision issues are also common. The condition can also affect how the body processes certain fats and other molecules because peroxisomes are not working correctly. There is currently no cure for MFF-related encephalopathy. Treatment focuses on managing symptoms, especially seizures, and supporting development through therapies such as physical, occupational, and speech therapy. A team of specialists is usually needed to provide the best care. Research into this condition is still in early stages, and new findings continue to improve our understanding of how to help affected individuals and families.

Also known as:

Key symptoms:

Seizures that are difficult to controlSignificant intellectual disabilityDelayed development of motor skills such as sitting and walkingLow muscle tone (floppiness) or abnormally high muscle toneMovement problems and poor coordinationVision problems or abnormal eye movementsFeeding difficulties in infancySmall head size (microcephaly)Abnormal brain structure seen on MRI scansSpeech and language delays or absence of speechFatigue and low energy

Clinical phenotype terms (29)— hover any for plain English
Nasogastric tube feedingHP:0040288Epileptic spasmHP:0011097External ophthalmoplegiaHP:0000544Abnormal nonverbal communicative behaviorHP:0000758
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect.

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No specialists are currently listed for MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect.

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Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect.

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Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.Which anti-seizure medications are most likely to help my child, and what are the side effects?,Should we have genetic testing done on other family members, and what does this mean for future pregnancies?,What therapies — physical, occupational, speech — should we start right away, and how often should they happen?,Are there any clinical trials or research studies we could join?,What signs of worsening should prompt us to seek emergency care?,How often should my child be seen by each specialist, and who should coordinate overall care?,Are there any dietary changes or supplements that might help support mitochondrial or peroxisomal function?

Common questions about MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect

What is MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect?

MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect is a very rare inherited brain disease caused by changes (mutations) in a gene called MFF. This gene gives instructions for making a protein that helps divide two important structures inside our cells: mitochondria (the cell's power generators) and peroxisomes (structures that break down harmful substances). When MFF does not work properly, these structures cannot split and renew themselves the way they should. As a result, cells — especially brain cells — do not function well, leading to serious neurological proble

How is MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect inherited?

MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect typically begin?

Typical onset of MFF-related encephalopathy due to mitochondrial and peroxisomal fission defect is infantile. Age of onset can vary across affected individuals.