MRPS2

protein-coding

mitochondrial ribosomal protein S2, the group of Small subunit mitochondrial ribosomal proteins|Mitochondrial ribosomal proteins

Gene summary

Mammalian mitochondrial ribosomal proteins are encoded by nuclear genes and help in protein synthesis within the mitochondrion. Mitochondrial ribosomes (mitoribosomes) consist of a small 28S subunit and a large 39S subunit. They have an estimated 75% protein to rRNA composition compared to prokaryotic ribosomes, where this ratio is reversed. Another difference between mammalian mitoribosomes and prokaryotic ribosomes is that the latter contain a 5S rRNA. Among different species, the proteins comprising the mitoribosome differ greatly in sequence, and sometimes in biochemical properties, which prevents easy recognition by sequence homology. This gene encodes a 28S subunit protein that belongs to the ribosomal protein S2 family. Alternatively spliced transcript variants have been observed for this gene. [provided by RefSeq, May 2012]

MANE transcript

NM_016034.5

Inheritance

AR

ClinVar variants

P:7U:81B:41

Top phenotype

Combined oxidative phosphorylation deficiency 36

gnomAD constraint

pLI —, LoF o/e 1.23

Max pathogenic AF

—

Genomic locus

chr9:135,499,984-135,504,673

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~4.7 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

combined oxidative phosphorylation deficiency 36LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0054781

Submitter: Ambry Genetics

combined oxidative phosphorylation deficiency 36LIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0054781

Submitter: Labcorp Genetics (formerly Invitae)

combined oxidative phosphorylation deficiency 36STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0054781

Submitter: G2P

combined oxidative phosphorylation deficiency 36STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0054781

Submitter: PanelApp Australia

mitochondrial diseaseMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0044970

Submitter: ClinGen

The relationship between *MRPS2* and *MRPS2*-related primary mitochondrial disease was evaluated using the ClinGen Clinical Validity Framework as of January 27, 2025. The *MRPS2* gene encodes the mitochondrial ribosomal protein S2. The *MRPS2* gene was first reported in relation to autosomal recessive *MRPS2*-related primary mitochondrial disease in 2018 (PMID: 29576219). *MRPS2* has been associated with a single disease entity to date; combined oxidative phosphorylation deficiency 36 [OMIM# 617950]. This is one disease entity according to the ClinGen Lumping and Splitting Framework, and has been renamed as *MRPS2*-related primary mitochondrial disease. Evidence supporting this gene-disease relationship includes case-level data and experimental data. This curation included four missense variants identified in four unrelated cases from three publications (PMIDs: 29576219, 34991560, 38029925). Affected individuals had developmental delay, sensorineural hearing loss, feeding difficulty, hypoglycemia, failure to thrive, muscle weakness, elevated blood lactate, metabolic acidosis, and increased excretion of Krebs cycle intermediates. Brain imaging was normal. There were variable respiratory chain enzyme deficiencies in skeletal muscle, skin fibroblasts, and liver. The mechanism of disease is loss of function. This gene-disease relationship is also supported by a biochemical function shared with other genes associated with primary mitochondrial disease (PMID: 33340416) and rescue in patient cells (PMID: 29576219). In summary, there is limited evidence to support the relationship between *MRPS2* and autosomal recessive *MRPS2*-related primary mitochondrial disease. However, given the consistent clinical and biochemical phenotype seen in the four reported cases, and since it is likely homozygous or compound heterozygous nonsense variants are not compatible with life, this Expert Panel elected to upgrade the classification to moderate. 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 January 27, 2025 (SOP Version 11).

Clinical Genomic Database (CGD)

Combined oxidative phosphorylation deficiency 36AR

Manifestation: Audiologic/Otolaryngologic; Biochemical; 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: 29576219Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MRPS2 variants in ClinVar

4 Conditions Cataloged
not providedTotal: 73
not specifiedTotal: 63
MRPS2-related disorderTotal: 23
Combined oxidative phosphorylation deficiency 36Total: 18

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_016034.5. 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
1
clinvar
27
clinvar
1
clinvar
29
missense
1
clinvar
4
clinvar
77
clinvar
7
clinvar
6
clinvar
95
nonsense
1
clinvar
1
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
1
clinvar
2
clinvar
3
Total1681347129

Highest pathogenic variant AF is 0.000061972765

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 13 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_016034.5RefSeqNP_057118.14MANE Select
ENST00000241600.10EnsemblENSP00000241600.54MANE Select
NM_001371401.1RefSeqNP_001358330.14Standard
ENST00000371785.5EnsemblENSP00000360850.14Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Ribosome - Homo sapiens (human)
  • Mitochondrial translation initiation
  • Translation
  • Metabolism of proteins
  • Mitochondrial translation elongation

Biological Process

  • mitochondrial translation
  • mitochondrial ribosome assembly
  • mitochondrial translational elongation
  • mitochondrial translational termination

Molecular Function

  • structural constituent of ribosome

Cellular Component

  • mitochondrion
  • mitochondrial inner membrane
  • mitochondrial small ribosomal subunit

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000371785
Coding exons
4
Length
4690
Individuals with no LoFs
125717
Homozygous LoFs
0
Heterozygous LoFs
23
Defined
125740
p
0.0000915
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.07381972000.9850.00001291925
Missense (PolyPhen)6173.60.82881650
Synonymous-0.8059989.31.110.00000610618
Loss of Function-0.57997.311.233.95e-782

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.0000580.000058rare
Ashkenazi Jewish00.0absent
East Asian0.000390.00038rare
Finnish00.0absent
European (Non-Finnish)0.0000990.000097rare
South Asian0.0000990.000098rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Required for mitoribosome formation and stability, and mitochondrial translation. {ECO:0000269|PubMed:29576219}.;
Disease
DISEASE: Combined oxidative phosphorylation deficiency 36 (COXPD36) [MIM:617950]: An autosomal recessive, multisystem disease resulting from deficiencies of mitochondrial respiratory enzyme complexes and mitochondrial dysfunction. Clinical manifestations include sensorineural hearing impairment, mild developmental delay, hypoglycemia, and intellectual disability. {ECO:0000269|PubMed:29576219}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.158

Intolerance Scores

LoFtool
0.588
RVIS EVS
0.6
RVIS percentile EVS
82.74

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
E
Indispensability pred.
E
Indispensability score
0.849

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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