FB2026_03 , released September 17, 2026
Human Disease Model Report: mitochondrial complex IV deficiency, nuclear type 17
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General Information
Name
mitochondrial complex IV deficiency, nuclear type 17
FlyBase ID
FBhh0001123
Overview

This report describes mitochondrial complex IV deficiency, nuclear type 17 (MC4DN17), which shows autosomal recessive inheritance. The human gene implicated in this disease is COA8 (previously named ADOPT1), a nuclear-encoded gene. There is a single high-ranking ortholog in Drosophila, Dmel\Coa8, for which RNAi targeting constructs and insertion lines have been generated.

The human gene COA8 has not been introduced into flies.

Knockdown of Coa8 does not reduce flies' lifespan, but it does reduce cytochrome c oxidase activity and mitochondrial complex IV activity, as well as general locomotor and climbing activity. Flies lacking Coa8 have lower survival rates after treatment with paraquat, which indicates that Coa8 participates in the response to reactive oxygen species, as is seen in mammals.

[updated Feb. 2021 by FlyBase; FBrf0222196]

Disease Summary Information
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 17
OMIM report

[MITOCHONDRIAL COMPLEX IV DEFICIENCY, NUCLEAR TYPE 17; MC4DN17](https://omim.org/entry/619061)

Human gene(s) implicated

[CYTOCHROME C OXIDASE ASSEMBLY FACTOR 8; COA8](https://omim.org/entry/616003)

Symptoms and phenotype

Clinical features include abnormalities of brain magnetic resonance imaging (cavitating leukodystrophy), and neurometabolic failure, including progressive ataxia and spastic tetraparesis. (Brischigliaro et al. 2019 and references therein, FBrf0243568.)

Mitochondrial complex IV deficiency nuclear type 17 (MC4DN17) is an autosomal recessive neurometabolic disorder with somewhat variable clinical manifestations and severity. Most affected individuals present in early childhood with motor and gait difficulties after normal early development. These motor abnormalities progress to spastic tetraparesis, sometimes resulting in loss of ambulation. Many patients also show episodic developmental regression: some have impaired cognition and dysarthria, although others have normal speech and cognition. [from MIM:619061; 2021.02.26]

Genetics

Loss-of-function mutations in the COA8 gene (alias APOPT1, APOP-1, or C14ORF153) have been identified in seven subjects from six different families presenting a distinctive form of mitochondrial encephalopathy. (Brischigliaro et al. 2019 and references therein, FBrf0243568.)

mitochondrial complex IV deficiency nuclear type 17 (MC4DN17) is caused by homozygous or compound heterozygous mutation in the APOPT1 (COA8) gene. [from MIM:619061; 2021.02.26]

Cellular phenotype and pathology

Absence of APOPT1/COA8 does not affect the synthesis of any of the mtDNA-encoded COX subunits. However, their stability is severely compromised, being most probably actively degraded due to impaired incorporation into the nascent complex. (Signes et al. 2019, pubmed:30552096.)

Molecular information

COA8 encodes a 206-amino acid protein targeted and localized within mitochondria in mammals. Recent evidence proved that it is associated with the inner membrane, with the C-terminal region facing the mitochondrial matrix. (Signes et al. 2019, pubmed:30552096; Brischigliaro et al. 2019 and references therein, FBrf0243568.)

External links
Disease synonyms
cytochrome c oxidase deficiency
MC4DN17
mitochondrial complex IV disorder (postulated), COA8-related
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 gene to 1 Drosophila gene.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Molecular function (GO)
        Gene Groups / Pathways
          Comments on ortholog(s)

          Single high-ranking ortholog of human gene COA8.

          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 ( 0 )
            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.
            Bloomington Stock Center Disease Page
            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
            References (5)