FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: coenzyme Q10 deficiency, primary, 4
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General Information
Name
coenzyme Q10 deficiency, primary, 4
FlyBase ID
FBhh0001447
Overview

This report describes coenzyme Q10 deficiency, primary, 4 (COQ10D4); COQ10D4 exhibits autosomal recessive inheritance. The human gene implicated in this disease is COQ8A, which encodes a mitochondrial protein involved in the biosynthesis of coenzyme Q (ubiquinone). There is a single orthologous gene in Drosophila, Dmel\Coq8, for which missense alleles and RNAi-targeting constructs have been generated. Dmel\Coq8 is also orthologous to the human gene COQ8B; COQ8B is implicated in nephrotic syndrome, type 9 (MIM:615573, FBhh0000621).

A wild-type UAS construct of the human Hsap\COQ8A gene has been introduced into flies. Expression of the human gene results in dominant negative phenotypes, preventing assessment of functional complementation. Since Coq8 functions as a dimer, it is possible that Hsap\COQ8A interferes with Coq8 function.

Pan-neuronal RNAi knockdown of Dmel\Coq8 is semi-lethal, with escapers exhibiting severe locomotor deficits. Knockdown of Coq8 in the eye results in degeneration of photoreceptors, progressive necrosis and increased generation of reactive oxygen species. Mutations in the fly gene analogous to variants implicated in human disease have been characterized; see the 'Disease-Implicated Variants' table below.

[updated Apr. 2022 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: coenzyme Q10 deficiency, primary
Symptoms and phenotype
Specific Disease Summary: coenzyme Q10 deficiency, primary, 4
OMIM report

[COENZYME Q10 DEFICIENCY, PRIMARY, 4; COQ10D4](https://omim.org/entry/612016)

Human gene(s) implicated

[COENZYME Q8A; COQ8A](https://omim.org/entry/606980)

Symptoms and phenotype

Primary coenzyme Q10 deficiency-4 (COQ10D4) is an autosomal recessive disorder characterized by childhood-onset of cerebellar ataxia and exercise intolerance. Some affected individuals develop seizures and have mild mental impairment, indicating variable severity (summary by Mollet et al., 2008, pubmed:18319072; Lagier-Tourenne et al., 2008, pubmed:18319074). [from MIM:612016; 2022.04.04]

Genetics

Primary coenzyme Q10 deficiency-4 (COQ10D4) is caused by homozygous or compound heterozygous mutation in the COQ8A gene (previously designated ADCK3). [from MIM:612016; 2022.04.04]

Cellular phenotype and pathology
Molecular information

COQ8A encodes a mitochondrial protein involved in the biosynthesis of coenzyme Q (ubiquinone), an essential lipid-soluble electron transporter for aerobic cellular respiration. [Gene Cards, COQ8A; 2022.04.04]

Oral coenzyme Q10 supplementation does not result in significant improvement of neurologic symptoms. [from MIM:612016; 2022.04.04]

External links
Disease synonyms
autosomal recessive spinocerebellar ataxia-9
COQ10D4
SCAR9
Ortholog Information
Human gene(s) in FlyBase
Human gene (HGNC)
Symbol / Name
D. melanogaster ortholog (based on DIOPT)
Comments on ortholog(s)

Many to one: 2 human genes to 1 Drosophila gene.

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

    High-scoring ortholog of human COQ8B and COQ8A (1 Drosophila to 2 human).

    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) (8 alleles)
      Models Based on Experimental Evidence ( 7 )
      Modifiers Based on Experimental Evidence ( 1 )
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      Disease
      Interaction
      References
      Models Based on Experimental Evidence ( 0 )
      Allele
      Disease
      Evidence
      References
      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.
      Bloomington Stock Center Disease Page
      Related mammalian, viral, bacterial, or synthetic transgenes
      Allele
      Transgene
      Publicly Available Stocks
      Selected Drosophila transgenes
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      Publicly Available Stocks
      RNAi constructs available
      Allele
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      Publicly Available Stocks
      Selected Drosophila classical alleles
      Allele
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      Publicly Available Stocks
      References (5)