FB2025_05 , released December 11, 2025
Human Disease Model Report: combined oxidative phosphorylation deficiency 54
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General Information
Name
combined oxidative phosphorylation deficiency 54
FlyBase ID
FBhh0001461
Overview

Human mutations in all three subunits of the mitochondrial ribonuclease P complex cause mitochondrial disease. This report describes combined oxidative phosphorylation deficiency 54 (COXPD54), which is associated with the human gene PRORP (also known as MRPP3). COXPD54 exhibits autosomal recessive inheritance. There is a single orthologous gene in Drosophila, Dmel\mldr, for which multiple genetic reagents have been generated, including classical missense mutations, RNAi-targeting and overexpression constructs, and a CRISPR/Cas9-mediated knockout construct.

The human PRORP gene has not been introduced into flies.

Using tissue-specific RNAi knockdown, effects of reduced levels of Dmel\mldr in skeletal and heart muscle have been assessed. Reduction in skeletal muscle decreases adult eclosion and causes reduced muscle mass and function; adult flies exhibit age-progressive locomotor defects. Reduction in cardiac muscle results in phenotypes of impaired contractility and significant arrhythmia in adult hearts.

See also the FlyBase gene group report for MITOCHONDRIAL RNASE P COMPLEX (FBgg0001674).

[Updated Jun. 2022 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: combined oxidative phosphorylation deficiency
Symptoms and phenotype

Combined oxidative phosphorylation deficiency is an autosomal recessive multisystem disorder with variable manifestations resulting from a defect in the mitochondrial oxidative phosphorylation (OXPHOS) system. Onset occurs at or soon after birth, and features can include growth retardation, microcephaly, hypertonicity, axial hypotonia, encephalopathy, cardiomyopathy, and liver dysfunction. Death usually occurs in the first weeks or years of life (summary by Smits et al., 2011; pubmed:21119709). [from MIM:609060; 2021.04.17]

Specific Disease Summary: combined oxidative phosphorylation deficiency 54
OMIM report

[COMBINED OXIDATIVE PHOSPHORYLATION DEFICIENCY 54; COXPD54](https://omim.org/entry/619737)

Human gene(s) implicated

[PROTEIN ONLY RNASE P CATALYTIC SUBUNIT; PRORP](https://omim.org/entry/609947)

Symptoms and phenotype

Combined oxidative phosphorylation deficiency-54 (COXPD54) is an autosomal recessive disorder with pleiotropic multisystem presentations resulting from a disruption in mitochondrial transcription and translation. The phenotype is highly variable. Many patients have early-onset sensorineural hearing loss, sometimes in isolation, and sometimes associated with global developmental delay or primary ovarian failure. Other features may include peripheral hypertonia, seizures, muscle weakness, behavioral abnormalities, and leukoencephalopathy on brain imaging (summary by Hochberg et al., 2021; pubmed:34715011). [from MIM:619737; 2022.06.14]

Genetics

Combined oxidative phosphorylation deficiency-54 (COXPD54) is caused by homozygous or compound heterozygous mutation in the PRORP gene. [from MIM:619737; 2022.06.14]

Cellular phenotype and pathology
Molecular information

PRORP encodes the catalytic ribonuclease component of mitochondrial ribonuclease P, a complex composed of TRMT10C/MRPP1, HSD17B10/MRPP2 and PRORP/MRPP3, which cleaves tRNA molecules in their 5' ends. [Gene Cards, PRORP; 2022.06.14]

External links
Disease synonyms
COXPD54
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)
      Gene Snapshot
      mulder (mldr) encodes a protein involved in mitochondrial tRNA processing. [Date last reviewed: 2019-09-12]
      Molecular function (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      High-scoring ortholog of human PRORP (1 Drosophila to 1 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 (2 groups)
        protein-protein
        Interacting group
        Assay
        References
        anti tag coimmunoprecipitation, anti tag western blot
        anti tag coimmunoprecipitation, anti tag western blot
        Alleles Reported to Model Human Disease (Disease Ontology) (1 alleles)
        Models Based on Experimental Evidence ( 1 )
        Allele
        Disease
        Evidence
        References
        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 (4)