RARE DISEASERESEARCH ATLAS

ORPHA:1933

Mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria

high confidenceDisorder

Also known as: Booth-Haworth-Dilling syndrome · Mitochondrial encephalomyopathy-aminoacidopathy syndrome · mtDNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria

Query health: suspect — Only one of 2 strategies returned hits (phrase).

Publications

22

32.9th percentile

Trials

0

Interventional, condition-specific

Researchers

194

Distinct authors in sample

Gene link

SUCLA2

Strong

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

A rare DNA depletion syndrome characterized by or onset of global , , , neurologic decline, sensorineural deafness, and movement disorder. , external ophthalmoplegia, polyneuropathy, , and renal tubular dysfunction have also been reported. Brain imaging may show T2-weighted hyperintensities in the basal ganglia, and laboratory examination may reveal lactic and mild methylmalonic aciduria.

How rare: <1 / 1 000 000 — fewer than one in a million. In a city the size of Kolkata, that might mean on the order of fifteen people.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (4)

booth-Haworth-Dilling syndrome · mitochondrial DNA depletion syndrome 5 · mitochondrial DNA depletion syndrome type 5 · mitochondrial encephalomyopathy-aminoacidopathy syndrome

Research stages

Trial readiness signals

Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”

2/6 stages with a signal

No matched interventional trial; the gene is known and literature exists — preclinical or natural-history work may still be the practical next step.

  1. Gene identifiedPresent

    Strong — SUCLA2

  2. LiteraturePresent

    22 matched papers (15 in last 10 years) Source

  3. Phenotype characterisedNot checked

    Not yet enriched from Monarch / HPO

  4. Animal modelNot checked

    Not yet enriched from Monarch / Alliance

  5. Orphan designationNot checked

    FDA/EMA orphan-drug designation not enriched yet

  6. Interventional trialNot found

    No matched interventional trial under our ClinicalTrials.gov rules

Biology

Genes and phenotypes

Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.

Do we know what causes it?

Yes — we know a specific gene responsible (SUCLA2).

GenCC classification: Strong.

Phenotypes (Monarch / HPO)

Not enriched in this build — Monarch phenotype joins were not run for this record.

Animal models (Monarch / Alliance)

Not enriched in this build.

Literature

Is anyone studying this?

22

22 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.

22 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).

15 in the last 10 years · high confidence · 32.9th percentile (publications denominator)

Phrase hits: 22 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

194

Distinct author names in 22 sampled papers — named people below.

Who's working on it?

No interventional trial matched this name; these authors publish on it in the sampled literature — a practical starting point for contact.

  1. 01
    El-Hattab AW2 papers · 1993

    Associate Professor, Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates

    Papers in Europe PMC
  2. 02
    Scaglia F2 papers · 1993

    Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas

    Papers in Europe PMC
  3. 03
    Al Asmar D1 paper · 2025

    Division of Inborn Errors of Metabolism, Department of Pediatrics, Children's University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria.

    Papers in Europe PMC
  4. 04
    Al Balwi M1 paper · 2016

    King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

    Papers in Europe PMC
  5. 05
    Al Khudari R1 paper · 2025

    Department of Pediatrics, Children's University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria. alkhudarirawan@gmail.com.

    Papers in Europe PMC
  6. 06
    Al Mutairi F1 paper · 2016

    Department of Pediatrics, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

    Papers in Europe PMC
  7. 07
    Al Othaim A1 paper · 2016

    King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

    Papers in Europe PMC
  8. 08
    Alfadhel M1 paper · 2016

    Department of Pediatrics, King Abdulaziz Medical City, Riyadh, Saudi Arabia. dralfadhelm@gmail.com.

    Papers in Europe PMC
  9. 09
    Alfares AA1 paper · 2016

    Ministry of National Guard-Health Affairs (NGHA), Riyadh, Saudi Arabia.

    Papers in Europe PMC
  10. 10
    Alzaben A1 paper · 2016

    Department of Pediatrics, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

0

interventional trials for this specific condition

No interventional trial testing a treatment matched this specific condition name on ClinicalTrials.gov (observational studies and pan-disease registries are listed separately when present).

Data as of 27 July 2026

No matched interventional trials. This is true for 73% of diseases in the trials denominator (5114 of 7003). Here are the researchers publishing on it.

high confidence · 36.5th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

No interventional trial testing a treatment was found for this specific condition name on ClinicalTrials.gov.

Broader category mitochondrial DNA depletion syndrome, encephalomyopathic form also has no matched interventional trial. See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.

Broader category: mitochondrial DNA depletion syndrome, encephalomyopathic form

0

Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.

Parent-category matching found a broader label but no interventional trials under it. How we count trials.

Where to find support

We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:

India — NPRD

Last verified 2026-07-26

This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.

Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.

How we counted this

Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.

"Mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria" OR "Booth-Haworth-Dilling syndrome" OR "Mitochondrial encephalomyopathy-aminoacidopathy syndrome" OR "mtDNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria" OR "mitochondrial DNA depletion syndrome 5" OR "mitochondrial DNA depletion syndrome type 5"

Run this search on Europe PMC

ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):

"Mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria" OR "Booth-Haworth-Dilling syndrome" OR "Mitochondrial encephalomyopathy-aminoacidopathy syndrome" OR "mtDNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria" OR "mitochondrial DNA depletion syndrome 5" OR "mitochondrial DNA depletion syndrome type 5" OR "SUCLA2"

Recall-expansion terms: SUCLA2

Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.

Parent-category trials query:

"mitochondrial DNA depletion syndrome, encephalomyopathic form"

Query health: suspect — strategies attempted: phrase, recall-expansion; with hits: phrase

Run this search on ClinicalTrials.gov

Confidence reasoning

  • Preferred label is multi-word and distinctive
  • No synonyms dropped by stoplist
  • No label/synonym collisions with other diseases in this corpus

Ingested 2026-07-26T18:33:00.291Z