COX14

protein-coding

cytochrome c oxidase assembly factor COX14, the group of Mitochondrial respiratory chain complex assembly factors

Gene summary

This gene encodes a small single-pass transmembrane protein that localizes to mitochondria. This protein may play a role in coordinating the early steps of cytochrome c oxidase (COX; also known as complex IV) subunit assembly and, in particular, the synthesis and assembly of the COX I subunit of the holoenzyme. Mutations in this gene have been associated with mitochondrial complex IV deficiency. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Nov 2012]

Previous symbols:
  • C12orf62

MANE transcript

NM_032901.4

Inheritance

AR

ClinVar variants

P:2U:24B:7

Top phenotype

Mitochondrial complex IV deficiency, nuclear type 10

gnomAD constraint

pLI —, LoF o/e 0

Max pathogenic AF

—

Genomic locus

chr12:50,112,082-50,120,457

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~8.4 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

cytochrome-c oxidase deficiency diseaseSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009068

Submitter: Orphanet

cytochrome-c oxidase deficiency diseaseLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0009068

Submitter: Labcorp Genetics (formerly Invitae)

mitochondrial complex IV deficiency, nuclear type 10LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0033639

Submitter: G2P

mitochondrial diseaseLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0044970

Submitter: ClinGen

The relationship between *COX14* and primary mitochondrial disease was evaluated using the ClinGen Clinical Validity Framework as of March 21, 2022. The *COX14* gene encodes a Complex IV, or cytochrome c oxidase (COX) assembly factor and is also involved in translation of *MT-CO1*, the gene encoding the COX1 subunit of the enzyme. The *COX14* gene has been reported in relation to autosomal recessive primary mitochondrial disease in a single family in a single publication in 2012 (PMID: 22243966). While various names have been given to the constellation of features seen in those with *COX14*-related disease, pathogenic variants in this gene cause a primary mitochondrial disease. Therefore, the *COX14* phenotype has been lumped into one disease entity according to the ClinGen Lumping and Splitting Framework. Evidence supporting this gene-disease relationship includes case-level data and experimental data. While segregation data were considered, the LOD score (1.68) did not meet criteria to be scored per the ClinGen Gene Curation SOP V8 (PMID: 22243966). This curation included one homozygous variant identified in one proband in one publication (PMID: 22243966). Affected individuals in this family had a severe lactic acidosis and died shortly after birth. Loss of function is suspected to be the mechanism of disease. This gene-disease association is also supported by known biochemical function, functional alteration in patient cells, functional alteration in non-patient cells, and rescue in patient cells (PMID: 22243966). In summary, there is limited evidence to support this gene-disease relationship. While more evidence is needed to establish this relationship definitively, no convincing evidence has emerged that contradicts the gene-disease relationship. This classification was approved by the NICHD/NINDS U24 ClinGen Mitochondrial Disease Gene Curation Expert Panel on March 21, 2022 (SOP Version 8).

Clinical Genomic Database (CGD)

Mitochondrial complex IV deficiency, nuclear type 10AR

Manifestation: Cardiovascular; Biochemical; Craniofacial; Endocrine; Gastrointestinal; Musculoskeletal; Neurologic; Ophthalmologic; Renal

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: 22243966Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to COX14 variants in ClinVar

3 Conditions Cataloged
not providedTotal: 27
not specifiedTotal: 11
Mitochondrial complex IV deficiency, nuclear type 10Total: 5

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_032901.4. 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
7
clinvar
7
missense
1
clinvar
20
clinvar
21
nonsense
1
clinvar
1
start loss
1
clinvar
1
frameshift
1
clinvar
2
clinvar
3
splice donor/acceptor (+/-2bp)
0
Total11247033

Highest pathogenic variant AF is 0.000011152983

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 21 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_032901.4RefSeqNP_116290.11MANE Select
ENST00000550487.6EnsemblENSP00000446524.11MANE Select
NM_001257133.2RefSeqNP_001244062.11Standard
NM_001257134.2RefSeqNP_001244063.11Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Thermogenesis - Homo sapiens (human)
  • Gene expression (Transcription)
  • Generic Transcription Pathway
  • RNA Polymerase II Transcription
  • Respiratory electron transport

Biological Process

  • mitochondrial respiratory chain complex IV assembly

Cellular Component

  • mitochondrion
  • integral component of membrane
  • mitochondrial membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000550487
Coding exons
1
Length
8479
Individuals with no LoFs
125732
Homozygous LoFs
0
Heterozygous LoFs
12
Defined
125744
p
0.0000477
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.05973534.01.030.00000195363
Missense (PolyPhen)1010.7130.93343134
Synonymous0.5131012.30.8146.15e-7113
Loss of Function0.76900.6890.002.85e-810

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000170.00017rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000530.000053rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Core component of the MITRAC (mitochondrial translation regulation assembly intermediate of cytochrome c oxidase complex) complex, that regulates cytochrome c oxidase assembly. Requires for coordination of the early steps of cytochrome c oxidase assembly with the synthesis of MT-CO1. {ECO:0000269|PubMed:22243966, ECO:0000269|PubMed:22356826}.;
Disease
DISEASE: Note=Defects in COX14 may be a cause of a mitochondrial disorder presenting with severe congenital lactic acidosis and dysmorphic features associated with a COX assembly defect. Other features include brain hypertrophy, diffuse alteration of the white-matter myelination, and numerous cavities in the parieto- occipital region, brainstem, and cerebellum, as well as hepatomegaly, hypertrophic cardiomyopathy, renal hypoplasia, and adrenal-gland hyperplasia. {ECO:0000269|PubMed:22243966}.;

Intolerance Scores

RVIS EVS
-0.03
RVIS percentile EVS
51.04

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.114

Gene Damage Prediction

AllRecessiveDominant
MendelianLowLowLow
Primary ImmunodeficiencyMediumLowMedium
CancerLowLowLow
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