MRPS23

protein-coding

mitochondrial ribosomal protein S23, 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. A pseudogene corresponding to this gene is found on chromosome 7p. [provided by RefSeq, Jul 2008]

MANE transcript

NM_016070.4

Inheritance

AR

ClinVar variants

P:2U:42B:29

Top phenotype

Combined oxidative phosphorylation deficiency 46

gnomAD constraint

pLI —, LoF o/e 0.31

Max pathogenic AF

—

Genomic locus

chr17:57,834,781-57,850,056

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~15.3 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

combined oxidative phosphorylation deficiency 46LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0033534

Submitter: Ambry Genetics

combined oxidative phosphorylation deficiency 45STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0033533

Submitter: PanelApp Australia

mitochondrial diseaseLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0044970

Submitter: ClinGen

The relationship between *MRPS23* and primary mitochondrial disease was evaluated using the ClinGen Clinical Validity Framework as of November 4, 2024. The *MRPS23* gene encodes the mitochondrial ribosomal protein S23. The *MRPS23* gene was first reported in relation to autosomal recessive primary mitochondrial disease in 2016 (PMID: 26741492). *MRPS23* has been associated with a single disease entity to date; combined oxidative phosphorylation deficiency 46 [OMIM# 618952]. This is one disease entity according to the ClinGen Lumping and Splitting Framework, and is considered a primary mitochondrial disease. Evidence supporting this gene-disease relationship includes case-level data and experimental data. This curation included two homozygous missense variants identified in six unrelated cases from two publications (PMIDs: 26741492, 38086984). The NM_016070:c.119C>T (p.Pro40Leu) variant was seen in affected individuals from five families from the Hmong hill tribe in Thailand (PMID: 38086984). Clinical features in affected individuals included hypoglycemia, liver disease, altered consciousness, vomiting, delayed growth, developmental delay, hearing loss, and lactic acidosis. The mechanism of disease is suspected to be 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). 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 November 4, 2024 (SOP Version 11).

combined oxidative phosphorylation deficiency 46LIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0033534

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Combined oxidative phosphorylation deficiency 46AR

Manifestation: Biochemical; Gastrointestinal

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: 26741492Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MRPS23 variants in ClinVar

5 Conditions Cataloged
not providedTotal: 44
not specifiedTotal: 30
MRPS23-related disorderTotal: 8
Combined oxidative phosphorylation deficiency 46Total: 2
Inborn genetic diseasesTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_016070.4. 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
1
clinvar
22
clinvar
2
clinvar
25
missense
1
clinvar
1
clinvar
34
clinvar
4
clinvar
1
clinvar
41
nonsense
1
clinvar
1
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
6
clinvar
6
Total114226373

Highest pathogenic variant AF is 0.0000020521547

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 15 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_016070.4RefSeqNP_057154.25MANE Select
ENST00000313608.13EnsemblENSP00000320184.85MANE Select
ENST00000578444.1EnsemblENSP00000463677.14Standard
ENST00000578444.2EnsemblENSP00000463677.14Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Mitochondrial translation initiation
  • Translation
  • Metabolism of proteins
  • Mitochondrial translation elongation
  • Mitochondrial translation termination

Biological Process

  • mitochondrial translational elongation
  • mitochondrial translational termination

Molecular Function

  • RNA binding
  • structural constituent of ribosome
  • protein binding

Cellular Component

  • mitochondrion
  • mitochondrial inner membrane
  • ribosome
  • nuclear membrane
  • intermediate filament cytoskeleton

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000313608
Coding exons
5
Length
10576
Individuals with no LoFs
125733
Homozygous LoFs
0
Heterozygous LoFs
15
Defined
125748
p
0.0000596
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.1691071120.9550.000006381217
Missense (PolyPhen)3833.4591.1357371
Synonymous0.1664344.40.9680.00000268373
Loss of Function1.9939.710.3095.71e-799

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American0.0000870.000087rare
Ashkenazi Jewish00.0absent
East Asian0.0000540.000054rare
Finnish0.0000460.000046rare
European (Non-Finnish)0.0000360.000035rare
South Asian0.000130.00013rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Disease
DISEASE: Note=Defects in MRPS23 may play a role in mitochondrial disorders characterized by combined respiratory chain complex deficiencies. {ECO:0000269|PubMed:26741492}.;

Recessive Scores

pRec
0.0793

Intolerance Scores

LoFtool
0.299
RVIS EVS
-0.32
RVIS percentile EVS
31.46

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
E
Essential (gene trap)
E
Indispensability pred.
E
Indispensability score
0.987

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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