ATP5F1A

protein-coding

ATP synthase F1 subunit alpha, the group of ATPase F1/V1 alpha/A and beta/B subunit family|Mitochondrial complex V: ATP synthase subunits

Gene summary

This gene encodes a subunit of mitochondrial ATP synthase. Mitochondrial ATP synthase catalyzes ATP synthesis, using an electrochemical gradient of protons across the inner membrane during oxidative phosphorylation. ATP synthase is composed of two linked multi-subunit complexes: the soluble catalytic core, F1, and the membrane-spanning component, Fo, comprising the proton channel. The catalytic portion of mitochondrial ATP synthase consists of 5 different subunits (alpha, beta, gamma, delta, and epsilon) assembled with a stoichiometry of 3 alpha, 3 beta, and a single representative of the other 3. The proton channel consists of three main subunits (a, b, c). This gene encodes the alpha subunit of the catalytic core. Alternatively spliced transcript variants encoding the different isoforms have been identified. Pseudogenes of this gene are located on chromosomes 9, 2, and 16. [provided by RefSeq, Mar 2012]

Previous symbols:
  • ATP5AL2
  • ATPM
  • ATP5A1

MANE transcript

NM_004046.6

Inheritance

AD, AR

ClinVar variants

P:9U:144B:71

Top phenotype

Mitochondrial complex V (ATP synthase) deficiency, nuclear type 4A; Combined oxidative phosphorylation deficiency 22; Mitochondrial complex V (ATP synthase) deficiency, nuclear type 4B, encephalopathic type

gnomAD constraint

pLI —, LoF o/e 0.04

Max pathogenic AF

—

Genomic locus

chr18:46,080,248-46,104,334

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~24.1 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

mitochondrial complex V (ATP synthase) deficiency, nuclear type 4ASTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0957254

Submitter: G2P

mitochondrial complex V (ATP synthase) deficiency, nuclear type 4AMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0957254

Submitter: PanelApp Australia

mitochondrial complex V (ATP synthase) deficiency, nuclear type 4BSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014091

Submitter: G2P

mitochondrial proton-transporting ATP synthase complex deficiencySUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0014471

Submitter: Orphanet

combined oxidative phosphorylation deficiency 22LIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0020727

Submitter: Labcorp Genetics (formerly Invitae)

mitochondrial complex V (ATP synthase) deficiency, nuclear type 4ASTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0957254

Submitter: Labcorp Genetics (formerly Invitae)

mitochondrial diseaseMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0044970

Submitter: Illumina

Clinical Genomic Database (CGD)

Mitochondrial complex V (ATP synthase) deficiency, nuclear type 4A; Combined oxidative phosphorylation deficiency 22; Mitochondrial complex V (ATP synthase) deficiency, nuclear type 4B, encephalopathic typeAD/AR

Manifestation: Audiologic/Otolaryngologic; Biochemical; Cardiovascular; Musculoskeletal; Neurologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 23596069; 23599390; 34483339; 34954817Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ATP5F1A variants in ClinVar

9 Conditions Cataloged
not providedTotal: 220
Inborn genetic diseasesTotal: 58
not specifiedTotal: 18
ATP5F1A-related disorderTotal: 12
Mitochondrial complex V (ATP synthase) deficiency, nuclear type 4ATotal: 10
Combined oxidative phosphorylation deficiency 22Total: 6
Mitochondrial complex V (ATP synthase) deficiency, nuclear type 4BTotal: 4
Lactic acidosisTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_004046.6. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
3
clinvar
55
clinvar
3
clinvar
61
missense
2
clinvar
6
clinvar
133
clinvar
10
clinvar
3
clinvar
154
nonsense
2
clinvar
2
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
1
clinvar
6
clinvar
7
Total27144656224

Highest pathogenic variant AF is 6.8406376e-7

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 69 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_004046.6RefSeqNP_004037.112MANE Select
ENST00000398752.11EnsemblENSP00000381736.512MANE Select
NM_001001935.3RefSeqNP_001001935.110Standard
NM_001001937.2RefSeqNP_001001937.112Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Alzheimer,s disease - Homo sapiens (human)
  • Huntington,s disease - Homo sapiens (human)
  • Thermogenesis - Homo sapiens (human)
  • Doxorubicin Pathway (Cardiomyocyte Cell), Pharmacodynamics
  • Oxidative phosphorylation - Homo sapiens (human)

Biological Process

  • negative regulation of endothelial cell proliferation
  • lipid metabolic process
  • ATP biosynthetic process
  • response to oxidative stress
  • ATP synthesis coupled proton transport

Molecular Function

  • RNA binding
  • protein binding
  • ATP binding
  • ATPase activity
  • transmembrane transporter activity

Cellular Component

  • mitochondrial proton-transporting ATP synthase complex, catalytic core F(1)
  • mitochondrion
  • mitochondrial inner membrane
  • mitochondrial proton-transporting ATP synthase complex
  • mitochondrial matrix

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000282050
Coding exons
12
Length
20191
Individuals with no LoFs
125739
Homozygous LoFs
0
Heterozygous LoFs
5
Defined
125744
p
0.0000199
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.442053290.6220.00001913547
Missense (PolyPhen)52156.950.331311714
Synonymous-0.4441261201.050.000006781163
Loss of Function4.55126.10.03840.00000142307

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish0.0000460.000046rare
European (Non-Finnish)0.0000350.000035rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Mitochondrial membrane ATP synthase (F(1)F(0) ATP synthase or Complex V) produces ATP from ADP in the presence of a proton gradient across the membrane which is generated by electron transport complexes of the respiratory chain. F-type ATPases consist of two structural domains, F(1) - containing the extramembraneous catalytic core, and F(0) - containing the membrane proton channel, linked together by a central stalk and a peripheral stalk. During catalysis, ATP synthesis in the catalytic domain of F(1) is coupled via a rotary mechanism of the central stalk subunits to proton translocation. Subunits alpha and beta form the catalytic core in F(1). Rotation of the central stalk against the surrounding alpha(3)beta(3) subunits leads to hydrolysis of ATP in three separate catalytic sites on the beta subunits. Subunit alpha does not bear the catalytic high-affinity ATP-binding sites (By similarity). {ECO:0000250, ECO:0000269|PubMed:10077593, ECO:0000269|PubMed:19285951}.;
Disease
DISEASE: Combined oxidative phosphorylation deficiency 22 (COXPD22) [MIM:616045]: A mitochondrial disorder characterized by intrauterine growth retardation, microcephaly, hypotonia, pulmonary hypertension, failure to thrive, encephalopathy, and heart failure. {ECO:0000269|PubMed:23596069}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Mitochondrial complex V deficiency, nuclear 4 (MC5DN4) [MIM:615228]: A mitochondrial disorder with heterogeneous clinical manifestations including dysmorphic features, psychomotor retardation, hypotonia, growth retardation, cardiomyopathy, enlarged liver, hypoplastic kidneys and elevated lactate levels in urine, plasma and cerebrospinal fluid. {ECO:0000269|PubMed:23599390}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.584

Intolerance Scores

RVIS EVS
-0.38
RVIS percentile EVS
27.88

Essentials

Essential (gene trap)
E
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