Preferred Label : Mitochondrial complex iv deficiency, nuclear type 1;
Symbol : MC4DN1;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Cytochrome C oxidase deficiency; Cox deficiency; Mitochondrial complex iv deficiency;
Description : Complex IV (cytochrome c oxidase; EC 1.9.3.1) is the terminal enzyme of the respiratory
chain and consists of 13 polypeptide subunits, 3 of which are encoded by mitochondrial
DNA. The 3 mitochondrially encoded proteins in the cytochrome oxidase complex are
the actual catalytic subunits that carry out the electron transport function (Saraste,
1983). See 123995 for discussion of some of the nuclear-encoded subunits. Shoubridge
(2001) provided a comprehensive review of cytochrome c oxidase deficiency and noted
that most isolated COX deficiencies are inherited as autosomal recessive disorders
caused by mutations in nuclear-encoded genes; mutations in the mtDNA-encoded COX subunit
genes are relatively rare.;
Inheritance : Autosomal recessive; Mitochondrial;
Molecular basis : Caused by mutation in the cytochrome c oxidase subunit 8A gene (COX8A, 123870.0001); Caused by mutation in the cytochrome c oxidase subunit 6A2 gene (COX6A2, 602009.0001); Caused by mutation in the cytochrome c oxidase assembly factor COX20 gene (COX20,
614698.0001); Caused by mutation in the mitochondrial tRNA lysine 1 gene (MTTL1, 590050.0001); Caused by mutation in the cytochrome c oxidase subunit X gene (COX10, 602125.0001); Caused by mutation in the cytochrome c oxidase subunit I gene (MTCO1, 516030.0004); Caused by mutation in the mitochondrial tRNA serine 1 gene (MTTS1, 590080.0003); Caused by mutation in the cytochrome c oxidase subunit II gene (MTCO2, 516040.0001); Caused by mutation in the PET100 cytochrome c oxidase chaperone gene (PET100, 614770.0001); Caused by mutation in the chromosome 12 open reading frame 62 gene (C12ORF62, 614478.0001); Caused by mutation in the mitochondrial apoptogenic protein 1 gene (APOPT1, 616003.0001); Caused by mutation in the cytochrome c oxidase subunit 15 gene (COX15, 603646); Caused by mutation in the cytochrome c oxidase assembly factor 3 gene (COA3, 614775.0001); Caused by mutation in the surfeit 1 gene (SURF1, 185620.0001); Caused by mutation in the cytochrome c oxidase, subunit 4I1 gene (COX4I1, 123864.0001); Caused by mutation in the translational activator of mitochondrially encoded cytochrome
c oxidase subunit 1 gene (TACO1, 612958.0001); Caused by mutation in the cytochrome c oxidase subunit VIb, polypeptide 1 gene (COX6B1,
124089.0001); Caused by mutation in the leucine-rich PPR motif-containing protein gene (LRPPRC,
607544.0001); Caused by mutation in the cytochrome c oxidase subunit III gene (MTCO3, 516050.0004); Caused by mutation in the SCO cytochrome c oxidase assembly protein 1gene (SCO1, 603644.0001);
Laboratory abnormalities : Increased serum lactate; Increased CSF lactate; Proteinuria; Glucosuria; Aminoaciduria; Hyperphosphaturia; Decreased activity of cytochrome c oxidase in muscle and fibroblasts;
Prefixed ID : #220110;
Origin ID : 220110;
UMLS CUI : C5435656;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)