FB2026_02 , released June 18, 2026
Human Disease Model Report: mitochondrial complex IV deficiency, nuclear type 1
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General Information
Name
mitochondrial complex IV deficiency, nuclear type 1
FlyBase ID
FBhh0000109
Overview

This report describes mitochondrial complex IV deficiency, nuclear type 1 (MC4DN1); MC4DN1 exhibits autosomal recessive inheritance. The human gene implicated in this disease subtype is SURF1, which encodes a protein localized to the inner mitochondrial membrane and thought to be involved in the assembly of the cytochrome c oxidase (COX) complex. The human SURF1 gene is also implicated in a second disease, Charcot-Marie-Tooth disease, type 4K (MIM:616684). There is a single fly ortholog, Dmel\Surf1, for which RNAi-targeting constructs are available.

The human SURF1 gene has not been introduced into flies.

Depending upon the GAL4 driver used, reduced expression of Dmel\Surf1 effected by RNAi results in lethality or neuroanatomy-defective phenotypes.

[updated Feb. 2021 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: Leigh syndrome
Symptoms and phenotype

Leigh syndrome is an early-onset progressive neurodegenerative disorder; clinical symptoms depend on which areas of the central nervous system are involved. [from MIM:256000; 2016.01.06]

The symptoms of Leigh syndrome usually begin between the ages of three months and two years. Symptoms are associated with progressive neurological deterioration and may include loss of previously acquired motor skills, loss of appetite, vomiting, irritability, and/or seizure activity. [from NORD, Leigh Syndrome; 2016.08.12]

Parent Disease Summary: mitochondrial complex IV deficiency, nuclear type
Symptoms and phenotype

Mitochondrial complex IV deficiency (cytochrome c oxidase deficiency) is clinically heterogeneous, ranging from isolated myopathy to severe multisystem disease, with onset from infancy to adulthood. [from MIM:220110; 2016.08.12]

Specific Disease Summary: mitochondrial complex IV deficiency, nuclear type 1
OMIM report

[MITOCHONDRIAL COMPLEX IV DEFICIENCY, NUCLEAR TYPE 1; MC4DN1](https://omim.org/entry/220110)

Human gene(s) implicated

[SURFEIT 1; SURF1](https://omim.org/entry/185620)

Symptoms and phenotype

Mitochondrial complex IV deficiency nuclear type 1 (MC4DN1) is an autosomal recessive metabolic disorder characterized by rapidly progressive neurodegeneration and encephalopathy with loss of motor and cognitive skills between about 5 and 18 months of age after normal early development. Affected individuals show hypotonia, failure to thrive, loss of the ability to sit or walk, poor communication, and poor eye contact. [from MIM:220110; 2021.02.26]

Genetics

SURF1 is a nuclear gene; Leigh syndrome, SURF1-related [FlyBase designation] is inherited as an autosomal recessive caused by homozygous or compound heterozygous mutations in this gene.

Mitochondrial complex IV (cytochrome c oxidase) deficiency-1 (MC4DN1) is caused by homozygous or compound heterozygous mutation in the SURF1 gene. [from MIM:220110; 2021.02.26]

Cellular phenotype and pathology
Molecular information

SURF1 encodes a protein localized to the inner mitochondrial membrane and thought to be involved in the assembly of the cytochrome c oxidase (COX) complex. [from GeneCards, SURF1; 2016.01.06]

The SURF1 gene encodes an assembly factor of mitochondrial complex IV (COX), the terminal component of the mitochondrial respiratory chain (summary by Echaniz-Laguna et al., 2013; pubmed:24027061). [from MIM:185620; 2016.01.06]

External links
Disease synonyms
Leigh syndrome, SURF1-related
Leigh syndrome due to COX IV deficiency
Leigh syndrome due to mitochondrial complex IV deficiency
Leigh syndrome due to mitochondrial COX4 deficiency
MC4DN1
mitochondrial encephalopathy
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to one: 1 human to 1 Drosophila (reciprocal best hit).

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Surfeit 1 (Surf1) encodes a nuclear gene encoding a protein that might be involved in the assembly of the mitochondrial respiratory chain Cytochrome Oxidase (COX or Complex IV). Mutations in its human ortholog Surf1 are related to Leigh Syndrome with COX deficiency (LScox). Surf1 RNAi knockdown produces many of the hallmark signs of LScox, albeit with a more complex biochemical profile. [Date last reviewed: 2019-03-14]
      Molecular function (GO)
        Gene Groups / Pathways
        Comments on ortholog(s)

        High-scoring ortholog of human SURF1 (1 Drosophila to 1 human). Dmel\Surf1 shares 44% identity and 58% similarity with human SURF1.

        Orthologs and Alignments from DRSC
        DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
        Other Genes Used: Viral, Bacterial, Synthetic (0)
          Summary of Physical Interactions (0 groups)
          Alleles Reported to Model Human Disease (Disease Ontology) (1 alleles)
          Models Based on Experimental Evidence ( 1 )
          Modifiers Based on Experimental Evidence ( 1 )
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          Disease
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          References
          Alleles Representing Disease-Implicated Variants
          Genetic Tools, Stocks and Reagents
          Sources of Stocks
          Contact lab of origin for a reagent not available from a public stock center.
          Related mammalian, viral, bacterial, or synthetic transgenes
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          Selected Drosophila transgenes
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          Publicly Available Stocks
          RNAi constructs available
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          Selected Drosophila classical alleles
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          Publicly Available Stocks
          References (11)