SQOR

protein-coding

sulfide quinone oxidoreductase

Gene summary

The protein encoded by this gene may function in mitochondria to catalyze the conversion of sulfide to persulfides, thereby decreasing toxic concencrations of sulfide. Alternative splicing results in multiple transcript variants that encode the same protein. [provided by RefSeq, Sep 2012]

Previous symbols:
  • SQRDL

MANE transcript

NM_021199.4

Inheritance

AR

ClinVar variants

P:2U:62B:4

Top phenotype

Sulfide:quinone oxidoreductase deficiency

gnomAD constraint

pLI —, LoF o/e 0.79

Max pathogenic AF

—

Genomic locus

chr15:45,631,148-45,691,281

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~60.1 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

sulfide quinone oxidoreductase deficiencySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0030982

Submitter: Labcorp Genetics (formerly Invitae)

Leigh syndromeLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0009723

Submitter: ClinGen

The relationship between SQOR and Leigh syndrome spectrum was evaluated using the ClinGen Clinical Validity Framework as of November 23, 2020. The SQOR gene encodes sulfide quinone oxidoreductase, an enzyme that breaks down hydrogen sulfide which, when accumulated, inhibits complex IV. The SQOR gene was first reported in relation to autosomal recessive Leigh syndrome spectrum in 2020 (PMID: 32160317). Evidence supporting this gene-disease relationship includes case-level data and experimental data. This curation included two variants identified in two cases from one publication (PMID: 32160317). Of note, there was much debate among this Expert Panel if Subject II-3 from Family B should be scored as the variant was also found to be homozygous in two healthy siblings. However, after extensive discussion within the Expert Panel, it was decided to score this case but downgrade the score. No segregation data were available. Loss of function is implicated as the mechanism of disease. This gene-disease association is also supported by biochemical function and expression (PMIDs: 27977873, 22067608). 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 U24 ClinGen Mitochondrial Disease Gene Curation Expert Panel on November 23, 2020 (SOP Version 7).

sulfide quinone oxidoreductase deficiencyMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0030982

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Sulfide:quinone oxidoreductase deficiencyAR

Manifestation: Biochemical; Neurologic

Intervention: Biochemical

Rationale: The condition can involve neurometabolic sequelae, and adequate caloric intake with fasting avoidance has been recommended; Medical management. (eg, with hydroxycobalamin and methylene blue) has been suggested as potentially beneficial

Refs: 32160317Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SQOR variants in ClinVar

3 Conditions Cataloged
not specifiedTotal: 61
Sulfide quinone oxidoreductase deficiencyTotal: 3
SQOR-related disorderTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_021199.4. 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
3
clinvar
1
clinvar
4
missense
1
clinvar
58
clinvar
3
clinvar
62
nonsense
0
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
1
clinvar
1
Total20624068

Highest pathogenic variant AF is 0.0000024783456

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 66 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_021199.4RefSeqNP_067022.19MANE Select
ENST00000260324.12EnsemblENSP00000260324.79MANE Select
NM_001271213.2RefSeqNP_001258142.19Standard
ENST00000561493.5EnsemblENSP00000457937.13Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Sulfur metabolism - Homo sapiens (human)
  • Sulfide oxidation to sulfate
  • Degradation of cysteine and homocysteine
  • Metabolism of amino acids and derivatives
  • Metabolism

Biological Process

  • sulfide oxidation, using sulfide:quinone oxidoreductase
  • hydrogen sulfide metabolic process

Molecular Function

  • quinone binding
  • sulfide:quinone oxidoreductase activity
  • FAD binding

Cellular Component

  • mitochondrial inner membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000260324
Coding exons
9
Length
60147
Individuals with no LoFs
125669
Homozygous LoFs
0
Heterozygous LoFs
79
Defined
125748
p
0.000314
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.5322252490.9050.00001312906
Missense (PolyPhen)99106.640.928381199
Synonymous-0.55710295.11.070.00000540898
Loss of Function0.9201721.60.7860.00000117252

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000590.00055rare
Latino/Admixed American0.000960.00093rare
Ashkenazi Jewish0.0000990.000099rare
East Asian0.000270.00027rare
Finnish0.0000540.000046rare
European (Non-Finnish)0.000170.00017rare
South Asian0.000400.00039rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Catalyzes the oxidation of hydrogen sulfide with the help of a quinone, such as ubiquinone, giving rise to thiosulfate and ultimately to sulfane (molecular sulfur) atoms. Requires an additional electron acceptor; can use sulfite, sulfide or cyanide (in vitro). {ECO:0000269|PubMed:22852582}.;

Recessive Scores

pRec
0.253

Intolerance Scores

RVIS EVS
0.44
RVIS percentile EVS
77.85

Essentials

Essential (gene trap)
N
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