SDHC

protein-coding

succinate dehydrogenase complex subunit C, the group of Mitochondrial complex II: succinate dehydrogenase subunits

Gene summary

This gene encodes one of four nuclear-encoded subunits that comprise succinate dehydrogenase, also known as mitochondrial complex II, a key enzyme complex of the tricarboxylic acid cycle and aerobic respiratory chains of mitochondria. The encoded protein is one of two integral membrane proteins that anchor other subunits of the complex, which form the catalytic core, to the inner mitochondrial membrane. There are several related pseudogenes for this gene on different chromosomes. Mutations in this gene have been associated with paragangliomas. Alternatively spliced transcript variants have been described. [provided by RefSeq, May 2013]

Previous symbols:
  • PGL3

MANE transcript

NM_003001.5

Inheritance

AD

ClinVar variants

P:108U:404B:182

Top phenotype

Paraganglioma and gastric stromal sarcoma; Gastrointestinal stromal tumor; Pheochromocytoma/paraganglioma syndrome 3

gnomAD constraint

pLI —, LoF o/e 0.67

Max pathogenic AF

—

Genomic locus

chr1:161,314,381-161,363,206

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~48.8 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

mitochondrial diseaseNO_KNOWN

Inheritance Pattern: Unknown

Disease ID:MONDO:0044970

Submitter: ClinGen

The relationship between *SDHC* and primary mitochondrial disease was evaluated using the ClinGen Clinical Validity Framework as of March 7, 2022. The *SDHC* gene encodes the succinate dehydrogenase complex iron sulphur subunit C. Defects of this protein lead to complex II deficiency. This gene has also been implicated in autosomal dominant hereditary paraganglioma. This gene disease relationship has been assessed separately (https://search.clinicalgenome.org/kb/genes/HGNC:10682). However, after extensive literature review, no cases have been reported to have features consistent with primary mitochondrial disease. There is one mouse model (PMID: 31469588) with features that resemble primary mitochondrial disease, including lactic acidosis, hypoglycemia, circulating insulin decrease, weight loss, elevated CK, decreased muscle function, decline in activity, and, most importantly, protection from death by hypoxic conditioning. However, brain pathology did not reveal Leigh syndrome features and there was no direct biochemical evidence of complex II deficiency. In summary, there is no evidence for a causal role for *SDHC* variants in primary mitochondrial disease. This gene-disease association is not supported by experimental evidence and no reports have directly implicated the gene in individuals with primary mitochondrial disease to date. This classification was approved by the NICHD/NINDS U24 ClinGen Mitochondrial Disease Gene Curation Expert Panel on March 7, 2022 (SOP Version 8).

gastrointestinal stromal tumorSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0011719

Submitter: Labcorp Genetics (formerly Invitae)

pheochromocytoma/paraganglioma syndrome 3STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0011544

Submitter: Labcorp Genetics (formerly Invitae)

Carney-Stratakis syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0011740

Submitter: Genomics England PanelApp

gastrointestinal stromal tumorSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0011719

Submitter: Genomics England PanelApp

pheochromocytoma/paraganglioma syndrome 3DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011544

Submitter: G2P

hereditary pheochromocytoma-paragangliomaDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0017366

Submitter: ClinGen

Hereditary Paraganglioma-Pheochromocytoma Syndromes (PGL/PCC) [MONDO:0017366, PMID: 20301715] are associated with an increased risk of multiple paragangliomas and pheochromocytomas tumors within multiple organ systems transmitted in autosomal dominant inheritance. The molecular mechanism is loss of function in one of the 4 genes comprising the succinate dehydrogenase and SDHAF gene for flavination of SDHA, as well as stabilization of the SDH complex. SDHC encodes one of the 4 subunits of SDH (succinate dehydrogenase), one of the two small integral membrane proteins in the mitochondrial complex II. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanism, inheritance pattern and phenotypic variability. Therefore, this is a lumping Curation for SDHC and SDHC associated Hereditary Paraganglioma-Pheochromocytoma syndromes (PGL/PCC) including autosomal dominant inherited Paraganglioma 3 (MIM: 605373) and Gastrointestinal stromal tumor (MIM: 606764). SDHC was first reported in relation to PGL/PCC in 2000 [Niemann and Muller et al., PMID: 11062460]. Three nonsense, two initiation codon, three missense, one splicing and one deletion variants are included in this curation [PMID: 11062460, 15342702, 29386252 and 16405730]. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. This gene-disease association is also supported by experimental evidence. Absent expression of SDHB, the iron protein, catalytic component of mitochondrial complex II were reported in 5 PGL/PCC patients carrying SDHC germline variants [PMIDs: 19576851 and 20236688]. Loss of the complex II SDH (succinate dehydrogenase) and SQR (succinate coenzyme Q oxidoreductase) enzyme activities were shown in Hela cells and Chinese hamster B9 cells transfected with two SDHC mutants, His127Ala and His127Tyr. The absence of SDH and SDR activities in SDHC targeted shRNA Hela and B9 cells can be rescued by wt SDHC construct, but not by the constructs of the two SDHC mutants [PMID: 19332149]. Knockout mouse homolog of human SDHC is homozygous-lethal [PubMed: 27626380]. In summary, the SDHC gene is definitely associated with autosomal dominant PGL/PCC syndrome. This has been repeatedly demonstrated in both the genetic, and experimental, biochemical and functional studies, and has been upheld over time.

Carney-Stratakis syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011740

Submitter: Orphanet

pheochromocytoma/paraganglioma syndrome 3STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0011544

Submitter: Ambry Genetics

renal cell carcinomaMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0005086

Submitter: Genomics England PanelApp

hereditary pheochromocytoma-paragangliomaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0017366

Submitter: Orphanet

Clinical Genomic Database (CGD)

Paraganglioma and gastric stromal sarcoma; Gastrointestinal stromal tumor; Pheochromocytoma/paraganglioma syndrome 3AD

Manifestation: Oncologic

Intervention: Oncologic

Rationale: The condition involves increased risk of certain types of neoplasms, and surveillance/early treatment of tumors (eg, surgical resection) may be beneficial

Refs: 15342702; 15342702; 16249420; 17804857; 17667967; 21173220; 21348866; 22703879Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SDHC variants in ClinVar

16 Conditions Cataloged
Pheochromocytoma/paraganglioma syndrome 3Total: 687
Gastrointestinal stromal tumorTotal: 642
Hereditary cancer-predisposing syndromeTotal: 510
Hereditary pheochromocytoma and paragangliomaTotal: 141
not providedTotal: 134
not specifiedTotal: 67
SDHC-related disorderTotal: 32
Carney-Stratakis syndromeTotal: 21

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003001.5. 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
7
clinvar
164
clinvar
9
clinvar
180
missense
2
clinvar
20
clinvar
388
clinvar
7
clinvar
1
clinvar
418
nonsense
9
clinvar
4
clinvar
13
start loss
5
clinvar
2
clinvar
7
frameshift
30
clinvar
6
clinvar
5
clinvar
1
clinvar
42
splice donor/acceptor (+/-2bp)
5
clinvar
25
clinvar
4
clinvar
34
Total515740417210694

Highest pathogenic variant AF is 0.000048328693

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 45 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003001.5RefSeqNP_002992.16MANE Select
ENST00000367975.7EnsemblENSP00000356953.36MANE Select
NM_001035511.3RefSeqNP_001030588.15Standard
NM_001035512.3RefSeqNP_001030589.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Citrate cycle (TCA cycle) - Homo sapiens (human)
  • Non-alcoholic fatty liver disease (NAFLD) - Homo sapiens (human)
  • Alzheimer,s disease - Homo sapiens (human)
  • Huntington,s disease - Homo sapiens (human)
  • Thermogenesis - Homo sapiens (human)

Biological Process

  • tricarboxylic acid cycle
  • mitochondrial electron transport, succinate to ubiquinone
  • aerobic respiration
  • oxidation-reduction process

Molecular Function

  • succinate dehydrogenase (ubiquinone) activity
  • electron transfer activity
  • heme binding
  • metal ion binding

Cellular Component

  • mitochondrion
  • mitochondrial inner membrane
  • mitochondrial respiratory chain complex II, succinate dehydrogenase complex (ubiquinone)
  • integral component of membrane
  • respiratory chain complex II

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000367975
Coding exons
6
Length
48938
Individuals with no LoFs
125675
Homozygous LoFs
0
Heterozygous LoFs
21
Defined
125696
p
0.0000835
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.8257496.80.7640.000005331081
Missense (PolyPhen)1829.0020.62064334
Synonymous-0.1653735.71.040.00000191355
Loss of Function0.990710.50.6696.19e-7107

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish00.0absent
East Asian0.0000540.000054rare
Finnish0.0000460.000046rare
European (Non-Finnish)0.000130.00012rare
South Asian0.000130.00013rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Membrane-anchoring subunit of succinate dehydrogenase (SDH) that is involved in complex II of the mitochondrial electron transport chain and is responsible for transferring electrons from succinate to ubiquinone (coenzyme Q).;
Disease
DISEASE: Paragangliomas 3 (PGL3) [MIM:605373]: A neural crest tumor usually derived from the chromoreceptor tissue of a paraganglion. Paragangliomas can develop at various body sites, including the head, neck, thorax and abdomen. Most commonly, they are located in the head and neck region, specifically at the carotid bifurcation, the jugular foramen, the vagal nerve, and in the middle ear. {ECO:0000269|PubMed:11062460}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Paraganglioma and gastric stromal sarcoma (PGGSS) [MIM:606864]: Gastrointestinal stromal tumors may be sporadic or inherited in an autosomal dominant manner, alone or as a component of a syndrome associated with other tumors, such as in the context of neurofibromatosis type 1 (NF1). Patients have both gastrointestinal stromal tumors and paragangliomas. Susceptibility to the tumors was inherited in an apparently autosomal dominant manner, with incomplete penetrance. {ECO:0000269|PubMed:17804857}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.354

Intolerance Scores

LoFtool
0.335
RVIS EVS
0.39
RVIS percentile EVS
75.87

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
E
Indispensability pred.
E
Indispensability score
0.994

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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