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Síndrome Barth
ORPHA:111CID-10 · E71.1CID-11 · 5C50.E0OMIM 302060DOENÇA RARA

A síndrome de Barth (BTHS) é um erro congênito do metabolismo dos fosfolipídios caracterizado por cardiomiopatia dilatada (CMD), miopatia esquelética, neutropenia, retardo de crescimento e acidúria orgânica.

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Introdução

O que você precisa saber de cara

📋

A síndrome de Barth (BTHS) é um erro congênito do metabolismo dos fosfolipídios caracterizado por cardiomiopatia dilatada (CMD), miopatia esquelética, neutropenia, retardo de crescimento e acidúria orgânica.

Pesquisas ativas
3 ensaios
11 total registrados no ClinicalTrials.gov
Publicações científicas
555 artigos
Último publicado: 2026 Mar 20

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.22
Europe
Início
Childhood
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: E71.1
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (7)
0202010279
Dosagem de aminoácidos (erros inatos)metabolic_test
0202010295
Dosagem de ácidos orgânicos na urinagenetic_test
0202010490
Teste de triagem para erros inatos do metabolismonewborn_screening
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202080013
Teste do pezinho (triagem neonatal)nutritional
0301070040
Atendimento em reabilitação — doenças raras
+1 outros procedimentos
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

❤️
Coração
7 sintomas
😀
Face
6 sintomas
🩸
Sangue
4 sintomas
📏
Crescimento
2 sintomas
💪
Músculos
2 sintomas
🧬
Pele e cabelo
1 sintomas

+ 14 sintomas em outras categorias

Características mais comuns

100%prev.
Cardiomiopatia dilatada
Muito frequente (99-80%)
100%prev.
Cabelo claro
Obrigatório (100%)
100%prev.
Bronquite recorrente
Obrigatório (100%)
100%prev.
Aumento do volume diastólico final do ventrículo esquerdo
Obrigatório (100%)
100%prev.
Cardiomiopatia hipertrófica
Obrigatório (100%)
100%prev.
Queixo pontudo
Obrigatório (100%)
40sintomas
Muito frequente (23)
Frequente (4)
Ocasional (4)
Sem dados (9)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 40 características clínicas mais associadas, ordenadas por frequência.

Cardiomiopatia dilatadaDilated cardiomyopathy
Muito frequente (99-80%)100%
Cabelo claroFair hair
Obrigatório (100%)100%
Bronquite recorrenteRecurrent bronchitis
Obrigatório (100%)100%
Aumento do volume diastólico final do ventrículo esquerdoIncreased left ventricular end-diastolic volume
Obrigatório (100%)100%
Cardiomiopatia hipertróficaHypertrophic cardiomyopathy
Obrigatório (100%)100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico555PubMed
Últimos 10 anos200publicações
Pico202250 papers
Linha do tempo
2026Hoje · 2026🧪 2009Primeiro ensaio clínico📈 2022Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: X-linked recessive.

TAFAZZINTafazzinDisease-causing germline mutation(s) (loss of function) inAltamente restrito
FUNÇÃO

Acyltransferase required to remodel newly synthesized phospholipid cardiolipin (1',3'-bis-[1,2-diacyl-sn-glycero-3-phospho]-glycerol or CL), a key component of the mitochondrial inner membrane, with tissue specific acyl chains necessary for adequate mitochondrial function (PubMed:12930833, PubMed:19164547, PubMed:19700766, PubMed:26908608, PubMed:33096711). Its role in cellular physiology is to improve mitochondrial performance (PubMed:32234310). CL is critical for the coassembly of lipids and p

LOCALIZAÇÃO

Mitochondrion outer membraneMitochondrion inner membraneMitochondrion membraneCytoplasm

VIAS BIOLÓGICAS (2)
Acyl chain remodeling of CLMitochondrial protein import
MECANISMO DE DOENÇA

Barth syndrome

An X-linked disease characterized by dilated cardiomyopathy with endocardial fibroelastosis, a predominantly proximal skeletal myopathy, growth retardation, neutropenia, and organic aciduria, particularly excess of 3-methylglutaconic acid. Additional features include hypertrophic cardiomyopathy, isolated left ventricular non-compaction, ventricular arrhythmia, motor delay, poor appetite, fatigue and exercise intolerance, hypoglycemia, lactic acidosis, hyperammonemia, and dramatic late catch-up growth after growth delay throughout childhood.

OUTRAS DOENÇAS (2)
Barth syndromefamilial isolated dilated cardiomyopathy
HGNC:11577UniProt:Q16635

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 FORZINITY (ELAMIPRETIDE HYDROCHLORIDE)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

380 variantes patogênicas registradas no ClinVar.

🧬 TAFAZZIN: GRCh38/hg38 Xq26.3-28(chrX:137491159-155700385)x2 ()
🧬 TAFAZZIN: NM_000116.5(TAFAZZIN):c.284+1G>A ()
🧬 TAFAZZIN: NM_000116.5(TAFAZZIN):c.126del (p.Thr43fs) ()
🧬 TAFAZZIN: NM_000116.5(TAFAZZIN):c.238+1G>A ()
🧬 TAFAZZIN: GRCh37/hg19 Xq28(chrX:153622204-153783167)x3 ()
Ver todas no ClinVar

Vias biológicas (Reactome)

2 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
Aprovado1
3Fase 31
·Pré-clínico7
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 9 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome Barth

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

2 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

11 ensaios clínicos encontrados, 3 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
332 papers (10 anos)
#1

Disturbed mitochondrial maturation in cardiolipin remodeling-deficient cardiomyocytes.

iScience2026 Mar 20

Barth syndrome, a rare X-linked genetic disorder, features early-onset cardiomyopathy. The causal gene, TAFAZZIN, encodes a transacylase that mediates the acyl chain remodeling of cardiolipin, a critical phospholipid in the inner mitochondrial membrane. While Barth syndrome exhibits hallmark cardiolipin abnormalities, the precise mechanisms linking TAFAZZIN deficiency and disturbed cardiolipin metabolism to progressive cardiac dysfunction remain unclear. In this study, we modeled Barth syndrome cardiomyopathy in human induced pluripotent stem cell-derived cardiomyocytes with in vitro maturation treatments that simulate heart developmental stimuli. We found that cardiomyocyte maturation involves progressive cristae dynamics associated with protein and lipid alterations in the inner mitochondrial membrane. TAFAZZIN-deficient cardiomyocytes fail to adapt to the developmental stimuli, resulting in damaged cristae, compromised mitochondrial respiration, and cardiomyocyte dysfunction. These results demonstrate that TAFAZZIN deficiency perturbs functional and structural development of mitochondria, which may contribute to mitochondrial dysfunction and associated childhood progression to cardiomyopathy in Barth syndrome.

#2

Generation of a pluripotent embryonic stem cell TAFAZZIN hESC model (WAe009-A-3H) of Barth syndrome.

Stem cell research2026 Mar 03

Barth syndrome is among the most common mitochondrial diseases presenting with cardiomyopathy. We have generated a human embryonic stem cell (hESC) model of Barth syndrome (TAFAZZINΔ3 C15) in a female background (H9 hESC) using CRISPR/Cas9 gene editing, with compound heterozygous variants in TAFAZZIN that result in exon 3 skipping in all stable transcripts. This cell line displayed characteristics consistent with pluripotent stem cells, including typical colony morphology, expression of pluripotency markers, trilineage potential, and a normal karyotype. This TAFAZZINΔ3 C15 line could be used for investigation of disease mechanisms in mitochondrial cardiomyopathy and preclinical therapeutic screening.

#3

Letter to the Editor: Battle Won but War Lost for Barth Syndrome Patients.

Therapeutic innovation &amp; regulatory science2026 Mar 14
#4

Correction to: Granulopoietic Dysregulation in a Patient-Tailored Mouse Model of Barth Syndrome.

Stem cell reviews and reports2026 Jan
#5

Deficient Cardiolipin Remodelling Alters Muscle Fibre Composition and Neuromuscular Connectivity in Barth Syndrome.

Journal of cachexia, sarcopenia and muscle2026 Apr

Barth syndrome (BTHS) is a rare X-linked mitochondrial disorder caused by mutations in the TAFAZZIN gene, which disrupts cardiolipin (CL) remodelling and mitochondrial function. While cardiac manifestations of BTHS are well characterized in male patients, the mechanisms underlying skeletal muscle weakness and fatigability are poorly understood. We investigated neuromuscular and mitochondrial alterations in a novel murine model (TazPM) carrying a patient-derived D75H point mutation knocked into the Tafazzin locus. This mutation preserves protein abundance but abolishes enzymatic activity. Skeletal muscle function was assessed via weightlifting and hanging tests. Muscle fibre composition and neuromuscular junction (NMJ) integrity were evaluated using immunofluorescence, western blotting and in vivo electrophysiology. Mitochondrial morphology was examined by transmission electron microscopy, and bioenergetics were quantified using ultra-performance liquid chromatography. Stress signalling was assessed by western blotting. Male TazPM mice exhibited seven-fold elevated total monolysocardiolipin and five-fold reduced mature CL levels, confirming deficient transacylase activity. These mice exhibited lower muscle strength and endurance, 32% smaller muscle fibres of all types and a shift towards fast-twitch type 2B fibres, which are more susceptible to fatigue. Electrophysiological analysis revealed a 60% reduction in motor unit number and an increase in average single motor unit potential, indicating motor neuron remodelling. NMJ protein analysis showed decreased MUSK and DOK7 and increased CHRNA1, suggesting impaired NMJ integrity. Despite mitochondrial structural abnormalities and reduced expression of key mitochondrial proteins (NDUFB8, MCU, TMEM65), resting ATP, phosphocreatine and adenine nucleotide ratios were unchanged in both glycolytic and oxidative muscles. However, stress signalling pathways were markedly activated, including phosphorylation of eIF2α, increased CHOP, DELE1, p53 expression and altered Wnt/β-catenin signalling components. Whole-body deficiency of tafazzin enzymatic activity, as occurs in BTHS, is sufficient to result in widespread neuromuscular remodelling, including fibre size/type shifts, motor unit loss, NMJ dysregulation and stress pathway activation, without overt energetic failure at rest. These findings suggest that myopathy in BTHS arises not solely from mitochondrial ATP insufficiency but rather from cumulative structural and signalling adaptations.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC336 artigos no totalmostrando 191

2026

Disturbed mitochondrial maturation in cardiolipin remodeling-deficient cardiomyocytes.

iScience
2026

Deficient Cardiolipin Remodelling Alters Muscle Fibre Composition and Neuromuscular Connectivity in Barth Syndrome.

Journal of cachexia, sarcopenia and muscle
2026

Generation of a pluripotent embryonic stem cell TAFAZZIN hESC model (WAe009-A-3H) of Barth syndrome.

Stem cell research
2026

Effects of Cannabidiol on TAFAZZIN-Deficient B-Lymphoblastoid Cells.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2026

Case Report: Deletion in the 5' untranslated region of TAFAZZIN in a boy with Barth syndrome.

Frontiers in cardiovascular medicine
2026

2025 FDA TIDES (Peptides and Oligonucleotides) Harvest.

Pharmaceuticals (Basel, Switzerland)
2026

3D bioprinted myocardium patches for rare Barth syndrome: TAZ mutation correction in cardioblasts.

Annals of medicine and surgery (2012)
2025

Pharmacological increases in circulating ketones fail to alleviate the hypertrophic cardiomyopathy present in the Tafazzin knockdown mouse model of Barth syndrome.

Journal of pharmacy &amp; pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques
2026

Elamipretide: First Approval.

Drugs
2025

Deficient Cardiolipin Remodeling Alters Muscle Fiber Composition and Neuromuscular Connectivity in Barth Syndrome.

bioRxiv : the preprint server for biology
2025

Real-world disease burden and health care resource utilization for patients with Barth syndrome.

Journal of medical economics
2026

Elamipretide: The first cardiolipin-directed mitochondrial therapeutic for Barth syndrome approved under accelerated approval.

Drug discoveries &amp; therapeutics
2025

Complex Arrhythmias in Pediatrics and Congenital Heart Disease: Case Review.

Cardiac electrophysiology clinics
2025

Barth syndrome: Natural history in infants and young children.

Molecular genetics and metabolism
2026

Adaptive mechanisms in pancreatic islets counteract mitochondrial dysfunction in Barth syndrome.

Diabetologia
2025

Integrated multi-omics mapping of mitochondrial dysfunction and substrate preference in Barth syndrome cardiac tissue.

EMBO molecular medicine
2025

Cardiolipin dynamics promote membrane remodeling by mitochondrial OPA1.

Nature communications
2025

The B-lymphoblastoid model in Barth syndrome.

Biochimica et biophysica acta. Molecular and cell biology of lipids
2025

Metabolic cardiomyopathies: untangling clinical heterogeneity with human stem-cell derived models.

EMBO molecular medicine
2025

Pyrimidine Nucleos(t)ide Therapy in Patients With Thymidine Kinase 2 Deficiency: A Multicenter Retrospective Chart Review Study.

Neurology
2025

Genetic suppression features ABHD18 as a Barth syndrome therapeutic target.

Nature
2025

A novel TAFAZZIN gene variant c.525_533del causing Barth syndrome and leading to heart transplantation: a case report.

Frontiers in pediatrics
2025

Elamipretide in the Management of Barth Syndrome: Current Evidence and a Case Report.

Molecular genetics and metabolism
2025

Calmodulin enhancement of mitochondrial calcium uniporter function in isolated mitochondria.

Cell calcium
2025

Granulopoietic Dysregulation in a Patient-Tailored Mouse Model of Barth Syndrome.

Stem cell reviews and reports
2025

Cardiolipin acyl chain composition tailors the conformation of mammalian ATP synthase dimers.

Communications chemistry
2025

Cardiac pathology in a patient with a novel pathogenic variant c.703del (p.Ile235SerfsTer4) of the TAFAZZIN gene.

Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology
2025

A review of disorders of cardiolipin metabolism: Pathophysiology, clinical presentation and future directions.

Molecular genetics and metabolism
2025

Cardiac Transplantation Does Not Improve Exercise Tolerance, Muscle Mass, or Substrate Metabolism in Barth Syndrome.

JIMD reports
2025

Tafazzin-deficient zebrafish display mitochondrial dysfunction, neutropenia, and metabolic defects without myopathy.

Scientific reports
2025

Allogenic mitochondria transfer improves cardiac function in iPS-cell-differentiated cardiomyocytes of a patient with Barth syndrome.

Experimental &amp; molecular medicine
2025

Mechano-energetic uncoupling in heart failure.

Nature reviews. Cardiology
2025

Mitochondria-Homing Drug Mitochonic Acid 5 Improves Barth Syndrome Myopathy in a Human-Induced Pluripotent Stem Cell Model and Barth Syndrome Drosophila Model.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2025

Analysis of neuronal cardiolipin and monolysocardiolipin from biological samples with cyclic ion mobility mass spectrometry.

Frontiers in physiology
2025

Emerging roles of pyruvate dehydrogenase phosphatase 1: a key player in metabolic health.

Frontiers in physiology
2025

Reproductive decision-making for Barth syndrome carriers: Unexplored complexities.

Journal of genetic counseling
2025

A murine model of Barth syndrome recapitulates human cardiac and skeletal muscle phenotypes.

Disease models &amp; mechanisms
2025

Contemporary insights into elamipretide's mitochondrial mechanism of action and therapeutic effects.

Biomedicine &amp; pharmacotherapy = Biomedecine &amp; pharmacotherapie
2025

Barth Syndrome: TAFAZZIN Gene, Cardiologic Aspects, and Mitochondrial Studies-A Comprehensive Narrative Review.

Genes
2025

Initial Psychometric Evaluation of the Barth Syndrome Symptom Assessment (BTHS-SA) for Adolescents and Adults in a Phase 2 Clinical Study.

Orphanet journal of rare diseases
2025

What can ATP content tell us about Barth syndrome muscle phenotypes?

Journal of translational genetics and genomics
2025

Signs and symptoms of carriers of non-DMD X-linked neuromuscular diseases: A scoping review.

Journal of neuromuscular diseases
2025

Solid-state NMR protocols for unveiling dynamics and (drug) interactions of membrane-bound proteins.

Protein science : a publication of the Protein Society
2025

Health-related quality of life and family functioning in parents of children with Barth syndrome: an application of the Double ABCX model.

Orphanet journal of rare diseases
2025

Trends in Research on Hypertrophic Cardiomyopathy and Mitochondria From 2003 to 2023: A Bibliometric Analysis.

Health science reports
2025

[Analysis of 21 cases of Barth syndrome in children].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2025

Tafazzin regulates neutrophil maturation and inflammatory response.

EMBO reports
2025

Expanded-access use of elamipretide in a newborn with Barth syndrome: a case report.

European heart journal. Case reports
2024

Cell-Penetrating Peptide Enhances Tafazzin Gene Therapy in Mouse Model of Barth Syndrome.

International journal of molecular sciences
2025

Cranial, Renal, and Skeletal Anomalies in a Fetus With a Pathogenic Variant in the TAFAZZIN Gene.

Prenatal diagnosis
2024

The Loss of Tafazzin Transacetylase Activity Is Sufficient to Drive Testicular Infertility.

Journal of developmental biology
2025

Proteolytic regulation of mitochondrial magnesium channel by m-AAA protease and prohibitin complex.

Genetics
2024

Expanded-access use of elamipretide in a critically ill patient with Barth syndrome.

Genetics in medicine open
2025

Stem cell models of TAFAZZIN deficiency reveal novel tissue-specific pathologies in Barth syndrome.

Human molecular genetics
2024

Barth syndrome: a rare cause of cardiomyopathy in neonates.

BMJ case reports
2025

Rescue of mitochondrial dysfunction through alteration of extracellular matrix composition in barth syndrome cardiac fibroblasts.

Biomaterials
2025

Gpr55 deficiency crucially alters cardiomyocyte homeostasis and counteracts angiotensin II induced maladaption in female mice.

British journal of pharmacology
2024

[Barth syndrome in an adult patient: an overview of the problem and case report. A review].

Terapevticheskii arkhiv
2024

Reduced protein kinase C delta in a high molecular weight complex in mitochondria and elevated creatine uptake into Barth syndrome B lymphoblasts.

Journal of translational genetics and genomics
2024

Case Report: A Chinese child with Barth syndrome caused by a novel TAFAZZIN mutation.

Frontiers in cardiovascular medicine
2024

ECG Findings Are Poor Predictors for Adverse Events and Cardiac Death in Barth Syndrome.

Progress in pediatric cardiology
2024

Neurological glycogen storage diseases and emerging therapeutics.

Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics
2024

Perturbations in mitochondrial metabolism associated with defective cardiolipin biosynthesis: An in-organello real-time NMR study.

The Journal of biological chemistry
2024

Recent and anticipated novel drug approvals (3Q 2024 through 2Q 2025).

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
2024

A Barth Syndrome Patient-Derived D75H Point Mutation in TAFAZZIN Drives Progressive Cardiomyopathy in Mice.

International journal of molecular sciences
2023

How can we use stem cell-derived cardiomyocytes to understand the involvement of energetic metabolism in alterations of cardiac function?

Frontiers in molecular medicine
2024

Tafazzin deficiency causes substantial remodeling in the lipidome of a mouse model of Barth Syndrome cardiomyopathy.

Frontiers in molecular medicine
2024

The subtherapeutic dose of valproic acid induces the activity of cardiolipin-dependent proteins.

Biochimica et biophysica acta. Bioenergetics
2024

Cardiolipin remodeling maintains the inner mitochondrial membrane in cells with saturated lipidomes.

Journal of lipid research
2024

Dietary linoleic acid supplementation fails to rescue established cardiomyopathy in Barth syndrome.

Journal of molecular and cellular cardiology plus
2024

SS-31 treatment ameliorates cardiac mitochondrial morphology and defective mitophagy in a murine model of Barth syndrome.

Scientific reports
2024

Functional diversity among cardiolipin binding sites on the mitochondrial ADP/ATP carrier.

The EMBO journal
2024

Upregulation of the AMPK-FOXO1-PDK4 pathway is a primary mechanism of pyruvate dehydrogenase activity reduction in tafazzin-deficient cells.

Scientific reports
2024

Isolation of Mitochondria for Mitochondrial Supercomplex Analysis from Small Tissue and Cell Culture Samples.

Journal of visualized experiments : JoVE
2024

Mitochondrial Calcium Regulation of Cardiac Metabolism in Health and Disease.

Physiology (Bethesda, Md.)
2024

Long-term efficacy and safety of elamipretide in patients with Barth syndrome: 168-week open-label extension results of TAZPOWER.

Genetics in medicine : official journal of the American College of Medical Genetics
2024

Whole genome sequencing in paediatric channelopathy and cardiomyopathy.

Frontiers in cardiovascular medicine
2024

Formation of multiple ion types during MALDI imaging mass spectrometry analysis of Mitragyna speciosa alkaloids in dosed rat brain tissue.

Talanta
2024

Temporal Effects of Safflower Oil Diet-Based Linoleic Acid Supplementation on Barth Syndrome Cardiomyopathy.

Circulation
2024

Upregulation of the AMPK-FOXO1-PDK4 pathway is a primary mechanism of pyruvate dehydrogenase activity reduction and leads to increased glucose uptake in tafazzin-deficient cells.

bioRxiv : the preprint server for biology
2024

Decreased pyruvate dehydrogenase activity in Tafazzin-deficient cells is caused by dysregulation of pyruvate dehydrogenase phosphatase 1 (PDP1).

The Journal of biological chemistry
2023

The Impact of Raising Children with Barth Syndrome on Parental Health-Related Quality of Life and Family Functioning: Preliminary Reliability and Validity of the PedsQL™ Family Impact Module.

Occupational therapy international
2023

A monolysocardiolipin-cytochrome c peroxidase causes defects in Barth syndrome.

Nature metabolism
2023

Anomalous peroxidase activity of cytochrome c is the primary pathogenic target in Barth syndrome.

Nature metabolism
2023

Activation of the integrated stress response rewires cardiac metabolism in Barth syndrome.

Basic research in cardiology
2023

One episode of low intensity aerobic exercise prior to systemic AAV9 administration augments transgene delivery to the heart and skeletal muscle.

Journal of translational medicine
2023

Phenotypic Characterization of Female Carrier Mice Heterozygous for Tafazzin Deletion.

Biology
2023

A novel panel of Drosophila TAFAZZIN mutants in distinct genetic backgrounds as a resource for therapeutic testing.

PloS one
2023

[Analysis of a Chinese pedigree affected with rare heart diseases due to variants of TNNI3 and TAZ genes].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2023

Cardiolipin deficiency leads to the destabilization of mitochondrial magnesium channel MRS2 in Barth syndrome.

Human molecular genetics
2023

Mitochondrial phospholipid metabolism in health and disease.

Journal of cell science
2023

Case report: Variability in clinical features as a potential pitfall for the diagnosis of Barth syndrome.

Frontiers in pediatrics
2023

Elevated liver glycogenolysis mediates higher blood glucose during acute exercise in Barth syndrome.

PloS one
2023

Current avenues of gene therapy in Pompe disease.

Current opinion in neurology
2023

Recent Advances in Methods for Analyzing Lipids and Fatty Acids.

Journal of visualized experiments : JoVE
2024

The multifaceted roles of the brain glycogen.

Journal of neurochemistry
2023

FGF21 and GDF15 are elevated in Barth Syndrome and are correlated to important clinical measures.

Molecular genetics and metabolism
2023

Metabolic switch from fatty acid oxidation to glycolysis in knock-in mouse model of Barth syndrome.

EMBO molecular medicine
2023

Single Cell Transcriptomic Analysis in a Mouse Model of Barth Syndrome Reveals Cell-Specific Alterations in Gene Expression and Intercellular Communication.

International journal of molecular sciences
2023

Temporal evolution of the heart failure phenotype in Barth syndrome and treatment with elamipretide.

Future cardiology
2023

Efficacy and Safety of Elamipretide in Individuals With Primary Mitochondrial Myopathy: The MMPOWER-3 Randomized Clinical Trial.

Neurology
2023

Reduction in mRNA Expression of the Neutrophil Chemoattract Factor CXCL1 in Pseudomonas aeruginosa Treated Barth Syndrome B Lymphoblasts.

Biology
2023

A case of infantile Barth syndrome with severe heart failure: Importance of splicing variants in the TAZ gene.

Molecular genetics &amp; genomic medicine
2022

Quality of life in Barth syndrome.

Therapeutic advances in rare disease
2023

Why Don't More Mitochondrial Diseases Exhibit Cardiomyopathy?

Journal of cardiovascular development and disease
2023

Identifying responders to elamipretide in Barth syndrome: Hierarchical clustering for time series data.

Orphanet journal of rare diseases
2023

Narrative review of pediatric heart failure in the age of precision medicine.

Translational pediatrics
2023

Genetic modifiers modulate phenotypic expression of tafazzin deficiency in a mouse model of Barth syndrome.

Human molecular genetics
2023

Functional regeneration of dilated cardiomyopathy by transcatheter bilateral pulmonary artery banding: first-in-human case series.

European heart journal. Case reports
2023

Phenotypic Characterization of Male Tafazzin-Knockout Mice at 3, 6, and 12 Months of Age.

Biomedicines
2023

Cardiolipin metabolism regulates expression of muscle transcription factor MyoD1 and muscle development.

The Journal of biological chemistry
2023

Use of Elamipretide in patients assigned treatment in the compassionate use program: Case series in pediatric patients with rare orphan diseases.

JIMD reports
2023

Analysis of tafazzin and deoxyribonuclease 1 like 1 transcripts and X chromosome sequencing in the evaluation of the effect of mosaicism in the TAZ gene on phenotypes in a family affected by Barth syndrome.

Mutation research
2022

Barth Syndrome: Psychosocial Impact and Quality of Life Assessment.

Journal of cardiovascular development and disease
2022

Cardiolipin, and not monolysocardiolipin, preferentially binds to the interface of complexes III and IV.

Chemical science
2022

Prenatal case report of Barth syndrome caused by novel TAFAZZIN mutation: Clinical characteristics of fetal dilated cardiomyopathy with ascites.

Frontiers in pediatrics
2022

Beneficial effects of SS-31 peptide on cardiac mitochondrial dysfunction in tafazzin knockdown mice.

Scientific reports
2023

Repeatability assessment for simultaneous measurement of arterial blood flow, venous oxygen saturation, and muscle perfusion following dynamic exercise.

NMR in biomedicine
2022

Generation of a homozygous TAZ knockout hESCs line by CRISPR/Cas9 system.

Stem cell research
2022

Stimulating myocardial pyruvate dehydrogenase activity fails to alleviate cardiac abnormalities in a mouse model of human Barth syndrome.

Frontiers in cardiovascular medicine
2023

Myelodysplastic syndrome in a patient with Barth syndrome (3-methylglutaconic aciduria type II).

Pediatric blood &amp; cancer
2022

Tafazzin deficiency attenuates anti-cluster of differentiation 40 and interleukin-4 activation of mouse B lymphocytes.

Cell and tissue research
2022

Stimulating the sir2-spargel axis rescues exercise capacity and mitochondrial respiration in a Drosophila model of Barth syndrome.

Disease models &amp; mechanisms
2022

Corrigendum: Re-expression of tafazzin isoforms in TAZ-deficient C6 glioma cells restores cardiolipin composition but not proliferation rate and alterations in gene expression.

Frontiers in genetics
2022

Natural history comparison study to assess the efficacy of elamipretide in patients with Barth syndrome.

Orphanet journal of rare diseases
2022

Matrix produced by diseased cardiac fibroblasts affects early myotube formation and function.

Acta biomaterialia
2022

Myocardial disturbances of intermediary metabolism in Barth syndrome.

Frontiers in cardiovascular medicine
2022

Re-Expression of Tafazzin Isoforms in TAZ-Deficient C6 Glioma Cells Restores Cardiolipin Composition but Not Proliferation Rate and Alterations in Gene Expression.

Frontiers in genetics
2022

Tafazzin deficiency in mouse mesenchymal stem cells promote reprogramming of activated B lymphocytes toward immunosuppressive phenotypes.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2022

Hypogammaglobulinaemia and B cell lymphopaenia in Barth syndrome.

BMJ case reports
2022

Current Knowledge on the Role of Cardiolipin Remodeling in the Context of Lipid Oxidation and Barth Syndrome.

Frontiers in molecular biosciences
2022

N-oleoylethanolamide treatment of lymphoblasts deficient in Tafazzin improves cell growth and mitochondrial morphology and dynamics.

Scientific reports
2022

AAV-vector based gene therapy for mitochondrial disease: progress and future perspectives.

Orphanet journal of rare diseases
2022

Cancer Incidence and Mortality According to Pre-Existing Heart Failure in a Community-Based Cohort.

JACC. CardioOncology
2022

Barth Syndrome Cardiomyopathy: An Update.

Genes
2022

Phosphatidylglycerol Supplementation Alters Mitochondrial Morphology and Cardiolipin Composition.

Membranes
2022

Antioxidant system disturbances and mitochondrial dysfunction induced by 3-methyglutaric acid in rat heart are prevented by bezafibrate.

European journal of pharmacology
2022

Impaired surface marker expression in stimulated Epstein-Barr virus transformed lymphoblasts from Barth Syndrome patients.

Scientific reports
2022

Fingerprinting Cardiolipin in Leukocytes by Mass Spectrometry for a Rapid Diagnosis of Barth Syndrome.

Journal of visualized experiments : JoVE
2022

Biallelic variants in TAMM41 are associated with low muscle cardiolipin levels, leading to neonatal mitochondrial disease.

HGG advances
2022

Extended recovery of cardiac function after severe infantile cardiomyopathy presentation of Barth syndrome.

JIMD reports
2022

Longitudinal Observational Study of Cardiac Outcome Risk Factor Prediction in Children, Adolescents, and Adults with Barth Syndrome.

Pediatric cardiology
2022

Fine-Tuning 3-Methylglutaconic Aciduria Cutoffs for a Patient with Infantile-Onset Barth Syndrome.

Clinical chemistry
2022

NAD supplementation improves mitochondrial performance of cardiolipin mutants.

Biochimica et biophysica acta. Molecular and cell biology of lipids
2022

Restoration of mitophagy ameliorates cardiomyopathy in Barth syndrome.

Autophagy
2022

Hereditary myopathies associated with hematological abnormalities.

Muscle &amp; nerve
2022

A new murine model of Barth syndrome neutropenia links TAFAZZIN deficiency to increased ER stress-induced apoptosis.

Blood advances
2021

"I Want That Life a Lot…How on Earth Do I Get That?" Examining Challenges for Men With Barth Syndrome in Their Transitions to Adulthood.

Journal of patient experience
2022

Blocking phosphatidylglycerol degradation in yeast defective in cardiolipin remodeling results in a new model of the Barth syndrome cellular phenotype.

The Journal of biological chemistry
2022

Barth syndrome and the many fascinating aspects of cardiolipin.

Journal of inherited metabolic disease
2022

Long-chain fatty acid oxidation and respiratory complex I deficiencies distinguish Barth Syndrome from idiopathic pediatric cardiomyopathy.

Journal of inherited metabolic disease
2021

Studying Lipid-Related Pathophysiology Using the Yeast Model.

Frontiers in physiology
2021

Resistance exercise training with protein supplementation improves skeletal muscle strength and improves quality of life in late adolescents and young adults with Barth syndrome: A pilot study.

JIMD reports
2021

Tafazzin deficiency in mouse mesenchymal stem cells potentiates their immunosuppression and impairs activated B lymphocyte immune function.

bioRxiv : the preprint server for biology
2022

Current and future treatment approaches for Barth syndrome.

Journal of inherited metabolic disease
2021

Cardiolipin remodeling enables protein crowding in the inner mitochondrial membrane.

The EMBO journal
2022

Interplay between cardiolipin and plasmalogens in Barth syndrome.

Journal of inherited metabolic disease
2021

Loss of Mitochondrial Ca2+ Uniporter Limits Inotropic Reserve and Provides Trigger and Substrate for Arrhythmias in Barth Syndrome Cardiomyopathy.

Circulation
2022

Cardiolipin function in the yeast S. cerevisiae and the lessons learned for Barth syndrome.

Journal of inherited metabolic disease
2022

Elamipretide for Barth syndrome cardiomyopathy: gradual rebuilding of a failed power grid.

Heart failure reviews
2022

A simple mechanistic explanation for Barth syndrome and cardiolipin remodeling.

Journal of inherited metabolic disease
2021

Self-regulation in Barth syndrome: a qualitative perspective of adolescents, adults and parents in the U.K.

Orphanet journal of rare diseases
2021

Case report of Barth syndrome: a forgotten cause of cardiomyopathy.

European heart journal. Case reports
2022

The lipid environment modulates cardiolipin and phospholipid constitution in wild type and tafazzin-deficient cells.

Journal of inherited metabolic disease
2022

MCU-complex-mediated mitochondrial calcium signaling is impaired in Barth syndrome.

Human molecular genetics
2021

The Influence of Supplemental Dietary Linoleic Acid on Skeletal Muscle Contractile Function in a Rodent Model of Barth Syndrome.

Frontiers in physiology
2022

Barth Syndrome Foundation: From humble beginnings to becoming an integral partner.

Journal of inherited metabolic disease
2022

Mechano-energetic aspects of Barth syndrome.

Journal of inherited metabolic disease
2022

An improved functional assay in blood spot to diagnose Barth syndrome using the monolysocardiolipin/cardiolipin ratio.

Journal of inherited metabolic disease
2022

Experimental models of Barth syndrome.

Journal of inherited metabolic disease
2022

Clinical presentation and natural history of Barth Syndrome: An overview.

Journal of inherited metabolic disease
2021

Splicing mutation in TAZ gene leading to exon skipping and Barth syndrome.

Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology
2022

An echocardiographic finding mimicking tricuspid atresia in a neonate with dilated cardiomyopathy.

Cardiology in the young
2021

Reduced protein kinase C delta association with a higher molecular weight complex in mitochondria of Barth Syndrome lymphoblasts.

bioRxiv : the preprint server for biology
2021

A 9-year-old male with Barth syndrome and cardiac transplant presenting with hyperviscosity syndrome caused by EBV-negative plasmacytoid posttransplant lymphoproliferative disorder.

Pediatric blood &amp; cancer
2021

Favorable outcomes after heart transplantation in Barth syndrome.

The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
2021

Diverse mitochondrial abnormalities in a new cellular model of TAFFAZZIN deficiency are remediated by cardiolipin-interacting small molecules.

The Journal of biological chemistry
2021

High-resolution mass spectrometric analysis of cardiolipin profiles in Barth syndrome.

Mitochondrion
2021

Neurological & psychological aspects of Barth syndrome: Clinical manifestations and potential pathogenic mechanisms.

Mitochondrion
2021

Genetic Characterization of Short Stature Patients With Overlapping Features of Growth Hormone Insensitivity Syndromes.

The Journal of clinical endocrinology and metabolism
2021

Cardiolipin Remodeling Defects Impair Mitochondrial Architecture and Function in a Murine Model of Barth Syndrome Cardiomyopathy.

Circulation. Heart failure
2021

Development and content validity of the Barth Syndrome Symptom Assessment (BTHS-SA) for adolescents and adults.

Orphanet journal of rare diseases
2021

Treatment of Barth Syndrome by Cardiolipin Manipulation (CARDIOMAN) With Bezafibrate: Protocol for a Randomized Placebo-Controlled Pilot Trial Conducted in the Nationally Commissioned Barth Syndrome Service.

JMIR research protocols
2021

Standard of care for lipedema in the United States.

Phlebology
2021

Barth syndrome-related cardiomyopathy is associated with a reduction in myocardial glucose oxidation.

American journal of physiology. Heart and circulatory physiology
2021

Barth syndrome with severe dilated cardiomyopathy and growth hormone resistance: a case report.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2021

Increased Reactive Oxygen Species-Mediated Ca2+/Calmodulin-Dependent Protein Kinase II Activation Contributes to Calcium Handling Abnormalities and Impaired Contraction in Barth Syndrome.

Circulation
2020

Myths to debunk: the non-compacted myocardium.

European heart journal supplements : journal of the European Society of Cardiology
2021

Barth syndrome: cardiolipin, cellular pathophysiology, management, and novel therapeutic targets.

Molecular and cellular biochemistry
2020

A case undergoing cocktail therapy for cardiac involvement in Barth syndrome.

Pediatrics international : official journal of the Japan Pediatric Society
2020

Dynamic Cardiolipin Synthesis Is Required for CD8+ T Cell Immunity.

Cell metabolism
Ver todos os 336 no EuropePMC

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Disturbed mitochondrial maturation in cardiolipin remodeling-deficient cardiomyocytes.
    iScience· 2026· PMID 41847620mais citado
  2. Generation of a pluripotent embryonic stem cell TAFAZZIN hESC model (WAe009-A-3H) of Barth syndrome.
    Stem cell research· 2026· PMID 41825300mais citado
  3. Letter to the Editor: Battle Won but War Lost for Barth Syndrome Patients.
    Therapeutic innovation &amp; regulatory science· 2026· PMID 41832308mais citado
  4. Correction to: Granulopoietic Dysregulation in a Patient-Tailored Mouse Model of Barth Syndrome.
    Stem cell reviews and reports· 2026· PMID 41026397mais citado
  5. Deficient Cardiolipin Remodelling Alters Muscle Fibre Composition and Neuromuscular Connectivity in Barth Syndrome.
    Journal of cachexia, sarcopenia and muscle· 2026· PMID 41841200mais citado
  6. Effects of Cannabidiol on TAFAZZIN-Deficient B-Lymphoblastoid Cells.
    FASEB J· 2026· PMID 41823370recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:111(Orphanet)
  2. OMIM OMIM:302060(OMIM)
  3. MONDO:0010543(MONDO)
  4. GARD:5890(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q928424(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome Barth
Compêndio · Raras BR

Síndrome Barth

ORPHA:111 · MONDO:0010543
Prevalência
1-9 / 1 000 000
Herança
X-linked recessive
CID-10
E71.1 · Outros distúrbios do metabolismo de aminoácidos de cadeia ramificada
CID-11
Ensaios
3 ativos
Início
Childhood
Prevalência
0.22 (Europe)
MedGen
UMLS
C0574083
Testes
118 disponíveis
EuropePMC
Wikidata
Papers 10a
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