GFM1

protein-coding

G elongation factor mitochondrial 1

Gene summary

Eukaryotes contain two protein translational systems, one in the cytoplasm and one in the mitochondria. Mitochondrial translation is crucial for maintaining mitochondrial function and mutations in this system lead to a breakdown in the respiratory chain-oxidative phosphorylation system and to impaired maintenance of mitochondrial DNA. This gene encodes one of the mitochondrial translation elongation factors. Its role in the regulation of normal mitochondrial function and in different disease states attributed to mitochondrial dysfunction is not known. [provided by RefSeq, Jul 2008]

MANE transcript

NM_024996.7

Inheritance

AR

ClinVar variants

P:218U:212B:287

Top phenotype

Combined oxidative phosphorylation deficiency 1

gnomAD constraint

pLI —, LoF o/e 0.58

Max pathogenic AF

—

Genomic locus

chr3:158,644,527-158,695,581

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~51.1 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hepatoencephalopathy due to combined oxidative phosphorylation defect type 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0012191

Submitter: PanelApp Australia

hepatoencephalopathy due to combined oxidative phosphorylation defect type 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0012191

Submitter: G2P

hepatoencephalopathy due to combined oxidative phosphorylation defect type 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0012191

Submitter: Natera

hepatoencephalopathy due to combined oxidative phosphorylation defect type 1SUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0012191

Submitter: Orphanet

Leigh syndromeMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0009723

Submitter: ClinGen

The relationship between GFM1 and Leigh syndrome spectrum was evaluated using the ClinGen Clinical Validity Framework as of December 9, 2019. The GFM1 gene encodes mitochondrial elongation factor G1 (also referred to as EFG1 or EGF1), that is one of three nuclear-encoded elongation factors and plays an important role in mitochondrial translation. The GFM1 gene was first reported in relation to autosomal recessive Leigh syndrome spectrum in 2007 (PMID: 17160893). Evidence supporting this gene-disease relationship includes case-level data and experimental data. This curation included six unique variants identified in three unrelated cases from three publications; all cases were compound heterozygous for a predicted null variant and a missense variant (PMIDs: 217160893, 23430926, 25852744). No segregation data were available. Loss of function is implicated as the mechanism of disease. Of note, this gene has also been implicated in other mitochondrial diseases (including fatal infantile hepatopathy) which will be assessed separately. This gene-disease association is also supported by known biochemical function, expression, functional alteration in patient cells, functional alteration in non-patient cells, rescue in patient cells, and rescue in animal models (PMIDs: 17160893, 18853439, 27977873, 21364917, 25852744). In summary, there is moderate 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 U24 ClinGen Mitochondrial Disease Gene Curation Expert Panel December 9, 2019 (SOP Version 7).

hepatoencephalopathy due to combined oxidative phosphorylation defect type 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0012191

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Combined oxidative phosphorylation deficiency 1AR

Manifestation: Cardiovascular; Gastrointestinal; 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: 15537906; 17160893; 21119709Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to GFM1 variants in ClinVar

12 Conditions Cataloged
not providedTotal: 756
Hepatoencephalopathy due to combined oxidative phosphorylation defect type 1Total: 277
not specifiedTotal: 103
Inborn genetic diseasesTotal: 78
GFM1-related disorderTotal: 56
GFM1-related disordersTotal: 14
See casesTotal: 4
Combined oxidative phosphorylation deficiencyTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_024996.7. 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
10
clinvar
258
clinvar
2
clinvar
270
missense
2
clinvar
21
clinvar
199
clinvar
24
clinvar
2
clinvar
248
nonsense
16
clinvar
30
clinvar
1
clinvar
47
start loss
1
clinvar
1
frameshift
33
clinvar
65
clinvar
1
clinvar
99
splice donor/acceptor (+/-2bp)
3
clinvar
47
clinvar
1
clinvar
1
clinvar
52
Total541642122834717

Highest pathogenic variant AF is 0.00011029307

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 57 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_024996.7RefSeqNP_079272.418MANE Select
ENST00000486715.6EnsemblENSP00000419038.118MANE Select
NM_001308164.2RefSeqNP_001295093.119Standard
NM_001308166.2RefSeqNP_001295095.114Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • miR-targeted genes in epithelium - TarBase
  • miR-targeted genes in lymphocytes - TarBase
  • miR-targeted genes in muscle cell - TarBase
  • Translation
  • Metabolism of proteins

Biological Process

  • mitochondrial translational elongation

Molecular Function

  • RNA binding
  • translation elongation factor activity
  • GTPase activity
  • protein binding
  • GTP binding

Cellular Component

  • mitochondrion
  • mitochondrial matrix

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000486715
Coding exons
18
Length
48298
Individuals with no LoFs
125646
Homozygous LoFs
0
Heterozygous LoFs
102
Defined
125748
p
0.000406
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.283394120.8230.00002134879
Missense (PolyPhen)109151.170.721041725
Synonymous-0.6091511421.070.000007131461
Loss of Function2.652746.50.5800.00000298493

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000620.00062rare
Latino/Admixed American0.000120.00012rare
Ashkenazi Jewish0.0000990.000099rare
East Asian0.000270.00027rare
Finnish0.000460.00046rare
European (Non-Finnish)0.000450.00045rare
South Asian0.000590.00059rare
Other0.000490.00049rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Mitochondrial GTPase that catalyzes the GTP-dependent ribosomal translocation step during translation elongation. During this step, the ribosome changes from the pre-translocational (PRE) to the post-translocational (POST) state as the newly formed A- site-bound peptidyl-tRNA and P-site-bound deacylated tRNA move to the P and E sites, respectively. Catalyzes the coordinated movement of the two tRNA molecules, the mRNA and conformational changes in the ribosome. Does not mediate the disassembly of ribosomes from messenger RNA at the termination of mitochondrial protein biosynthesis. {ECO:0000255|HAMAP-Rule:MF_03061, ECO:0000269|PubMed:19716793}.;
Disease
DISEASE: Combined oxidative phosphorylation deficiency 1 (COXPD1) [MIM:609060]: A mitochondrial disease resulting in early rapidly progressive hepatoencephalopathy. {ECO:0000269|PubMed:15537906, ECO:0000269|PubMed:17160893, ECO:0000269|PubMed:21119709, ECO:0000269|PubMed:26741492}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.162

Intolerance Scores

LoFtool
0.836
RVIS EVS
0.62
RVIS percentile EVS
83.47

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
E
Essential (gene trap)
E
Indispensability pred.
N
Indispensability score
0.408

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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