Combined Oxidative Phosphorylation Deficiency 37, also known as coxpd37, is related to sengers syndrome and optic atrophy 11. An important gene associated with Combined Oxidative Phosphorylation Deficiency 37 is MICOS13 (Mitochondrial Contact Site And Cristae Organizing System Subunit 13), and among its related pathways/superpathways are Organelle biogenesis and maintenance and Peroxisomal lipid metabolism. Affiliated tissues include liver and skeletal muscle, and related phenotypes are hyperreflexia and failure to thrive