TEFM

protein-coding

transcription elongation factor, mitochondrial

Gene summary

Enables transcription elongation factor activity. Involved in positive regulation of mitochondrial transcription and regulation of oxidative phosphorylation. Located in mitochondrial nucleoid. Part of ribonucleoprotein complex. Implicated in combined oxidative phosphorylation deficiency. [provided by Alliance of Genome Resources, Jul 2025]

Previous symbols:
  • C17orf42

MANE transcript

NM_024683.4

Inheritance

AR

ClinVar variants

U:52B:5

Top phenotype

Combined oxidative phosphorylation deficiency 58

gnomAD constraint

pLI —, LoF o/e 0.2

Max pathogenic AF

—

Genomic locus

chr17:30,897,336-30,906,238

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~8.9 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

combined oxidative phosphorylation deficiency 58MODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0957537

Submitter: Ambry Genetics

combined oxidative phosphorylation deficiency 58LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0957537

Submitter: Ambry Genetics

combined oxidative phosphorylation deficiency 58STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0957537

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Combined oxidative phosphorylation deficiency 58AR

Manifestation: Biochemical; Musculoskeletal; Neurologic; Ophthalmologic

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: 32313153; 36823193Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to TEFM variants in ClinVar

2 Conditions Cataloged
not specifiedTotal: 54
TEFM-related conditionTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_024683.4. 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
2
clinvar
3
missense
51
clinvar
3
clinvar
54
nonsense
0
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
0
Total00525057
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 17 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_024683.4RefSeqNP_078959.34MANE Select
ENST00000581216.6EnsemblENSP00000462963.14MANE Select
ENST00000306049.9EnsemblENSP00000306574.53Standard
ENST00000580840.1EnsemblENSP00000462973.13Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • oxidative phosphorylation
  • mitochondrial DNA replication
  • mitochondrial transcription
  • transcription elongation from mitochondrial promoter

Molecular Function

  • RNA binding
  • protein binding
  • crossover junction endodeoxyribonuclease activity
  • DNA polymerase processivity factor activity

Cellular Component

  • mitochondrion
  • mitochondrial matrix
  • mitochondrial nucleoid
  • ribonucleoprotein complex

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000581216
Coding exons
4
Length
9485
Individuals with no LoFs
124771
Homozygous LoFs
0
Heterozygous LoFs
22
Defined
124793
p
0.0000882
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.5841731960.8830.00001062347
Missense (PolyPhen)4357.640.74601737
Synonymous1.865474.40.7260.00000392697
Loss of Function2.86314.90.2018.44e-7184

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.0000870.000087rare
Ashkenazi Jewish0.0000990.000099rare
East Asian0.000330.00033rare
Finnish00.0absent
European (Non-Finnish)0.0000900.000088rare
South Asian0.0000650.000065rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Transcription elongation factor which increases mitochondrial RNA polymerase processivity. Regulates transcription of the mitochondrial genome, including genes important for the oxidative phosphorylation machinery. {ECO:0000269|PubMed:21278163}.;

Recessive Scores

pRec
0.0741

Intolerance Scores

RVIS EVS
-0.09
RVIS percentile EVS
46.74

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
E
Essential (gene trap)
E
Indispensability pred.
N
Indispensability score
0.114

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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