FB2025_05 , released December 11, 2025
Human Disease Model Report: mitochondrial complex IV deficiency, nuclear type 5
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General Information
Name
mitochondrial complex IV deficiency, nuclear type 5
FlyBase ID
FBhh0000353
Overview

This report describes mitochondrial complex IV deficiency, nuclear type 5 (MC4DN5), previously called Leigh syndrome, French Canadian type. MC4DN5 exhibits autosomal recessive inheritance. The human gene implicated in this disease subtype is leucine rich pentatricopeptide repeat containing (LRPPRC), which is a nuclear gene targeted primarily to the mitochondria. It appears to play a role in RNA metabolism in both nuclei and mitochondria, and may play a role in the translation or stability of mitochondrially encoded cytochrome c oxidase (COX) subunits. There are two orthologous genes in Drosophila: Lrpprc2, for which classical mutations, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated, and bsf, for which RNAi-targeting constructs and alleles caused by insertional mutagenesis are available.

The human LRPPRC gene has not been introduced into flies.

Mutations of the fly Lrpprc2 gene were identified in a screen for essential genes (screened as mosaics) required for the maintenance of neurons in the fly visual system and were observed to result in decreased mitochondrial ATP production. Candidate genes have been assessed for genetic interactions with these mutations. Dmel\bsf and Dmel\Lrpprc2 appear to be partially redundant: homozygous loss-of-function mutations in either gene result in pupal lethality; the double mutant (homozygous) is lethal in the embryonic stage. Physical interactions have been described for both #bsf and Lrpprc2 and a single genetic interaction has been described for Lrpprc2; see below and in the bsf and Lrpprc2 gene reports.

[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 5
OMIM report

[MITOCHONDRIAL COMPLEX IV DEFICIENCY, NUCLEAR TYPE 5; MC4DN5](https://omim.org/entry/220111)

Human gene(s) implicated

[LEUCINE-RICH PPR MOTIF-CONTAINING PROTEIN; LRPPRC](https://omim.org/entry/607544)

Symptoms and phenotype

This type of Leigh syndrome is a severe neurologic disorder with onset in infancy. Features include delayed psychomotor development, mental retardation, mild dysmorphic facial features, hypotonia, ataxia, and the development of lesions in the brainstem and basal ganglia. Affected individuals tend to have episodic metabolic and/or neurologic crises in early childhood, which often lead to early death (summary by Debray et al., 2011; pubmed:21266382). [from MIM:220111; 2016.08.02]

Genetics

The French Canadian type of Leigh syndrome is caused by homozygous or compound heterozygous mutation in the LRPPRC gene; autosomal recessive. [from MIM:220111; 2016.08.02]

Cellular phenotype and pathology
Molecular information

The LRPPRC protein localizes primarily to mitochondria and is predicted to have an N-terminal mitochondrial targeting sequence. Its precise role is unknown; appears to play a role in RNA metabolism in both nuclei and mitochondria. Plays a role in translation or stability of mitochondrially encoded cytochrome c oxidase (COX) subunits. [Gene Cards, LRPPRC; 2016.08.02]

LRPPRC (leucine-rich PPR motif-containing protein) acts as part of a large protein complex that regulates posttranscriptional gene expression in mitochondria (Sasarman et al., 2010; pubmed:20200222). [from MIM:607544; 2016.08.02]

External links
Disease synonyms
COX deficiency, French-Canadian type
COX deficiency, French Canadian type
COX deficiency, Saguenay-Lac-Saint-Jean type
cytochrome C oxidase deficiency, French-Canadian type
cytochrome c oxidase deficiency, French Canadian type
Leigh syndrome, French-Canadian type
Leigh syndrome, French Canadian type
Leigh syndrome, LRPPRC-related
Leigh syndrome, Saguenay-Lac-Saint-Jean type
LSFC
MC4DN5
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to many: 1 human to 2 Drosophila.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (2)
      Gene Snapshot
      Leucine-rich pentatricopeptide repeat containing 2 (Lrpprc2) encodes an RNA-binding protein that forms a complex with the product of SLIRP2. It localizes to the mitochondrial matrix where it functions to coordinate mitochondrial translation. [Date last reviewed: 2019-03-14]
      Molecular function (GO)
      Gene Groups / Pathways
        Comments on ortholog(s)

        Moderate-scoring ortholog of human LRPPRC (2 Drosophila to 1 human). Dmel\Lrpprc2 shares 24% identity and 42% similarity with human LRPPRC.

        Orthologs and Alignments from DRSC
        DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
        Gene Snapshot
        bicoid stability factor (bsf) encodes a member of the family of proteins containing the pentatricopeptide motif, an RNA binding domain. It is found in the cytoplasm, where it functions in mRNA stability and post-transcriptional control of gene expression, and in mitochondria, where it has multiple roles in gene expression. It acts at many stages of development, and is required for progression through oogenesis and viability. [Date last reviewed: 2019-03-28]
        Molecular function (GO)
        Gene Groups / Pathways
          Comments on ortholog(s)

          High-scoring ortholog of human LRPPRC (2 Drosophila to 1 human). Dmel\bsf shares 30% identity and 49% similarity with human LRPPRC.

          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 (26 groups)
            protein-protein
            Interacting group
            Assay
            References
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based, anti tag coimmunoprecipitation, peptide massfingerprinting
            experimental knowledge based
            experimental knowledge based
            protein-protein
            Interacting group
            Assay
            References
            experimental knowledge based
            experimental knowledge based
            experimental knowledge based
            anti tag coimmunoprecipitation, western blot
            experimental knowledge based
            anti tag coimmunoprecipitation, Identification by mass spectrometry
            anti tag coimmunoprecipitation, Identification by mass spectrometry
            experimental knowledge based
            pull down, autoradiography
            anti tag coimmunoprecipitation, Identification by mass spectrometry
            anti tag coimmunoprecipitation, Identification by mass spectrometry
            anti tag coimmunoprecipitation, Identification by mass spectrometry
            experimental knowledge based
            anti tag coimmunoprecipitation, Identification by mass spectrometry
            RNA-protein
            Interacting group
            Assay
            References
            pull down, western blot
            Alleles Reported to Model Human Disease (Disease Ontology) (2 alleles)
            Models Based on Experimental Evidence ( 2 )
            Modifiers Based on Experimental Evidence ( 1 )
            Allele
            Disease
            Interaction
            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
            Allele
            Transgene
            Publicly Available Stocks
            Selected Drosophila transgenes
            Allele
            Transgene
            Publicly Available Stocks
            RNAi constructs available
            Allele
            Transgene
            Publicly Available Stocks
            Selected Drosophila classical alleles
            Allele
            Allele class
            Mutagen
            Publicly Available Stocks
            amorphic allele - molecular evidence
            P-element activity
            References (9)