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]
[COENZYME Q10 DEFICIENCY, PRIMARY, 4; COQ10D4](https://omim.org/entry/612016)
[COENZYME Q8A; COQ8A](https://omim.org/entry/606980)
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]
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]
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]
Many to one: 2 human genes to 1 Drosophila gene.
High-scoring ortholog of human COQ8B and COQ8A (1 Drosophila to 2 human).