APOO
gene geneOn this page
Also known as MGC4825My025Mic23MIC26MICOS26
Summary
APOO (apolipoprotein O, HGNC:28727) is a protein-coding gene on chromosome Xp22.11, encoding MICOS complex subunit MIC26 (Q9BUR5). Component of the MICOS complex, a large protein complex of the mitochondrial inner membrane that plays crucial roles in the maintenance of crista junctions, inner membrane architecture, and formation of contact sites to the outer membrane.
This gene is a member of the apolipoprotein family. Members of this protein family are involved in the transport and metabolism of lipids. The encoded protein associates with HDL, LDL and VLDL lipoproteins and is characterized by chondroitin-sulfate glycosylation. This protein may be involved in preventing lipid accumulation in the myocardium in obese and diabetic patients. Alternative splicing results in multiple transcript variants. Pseudogenes of this gene are found on chromosomes 3, 4, 5, 12 and 16.
Source: NCBI Gene 79135 — RefSeq curated summary.
At a glance
- Gene–disease (curated): mitochondrial disease (Moderate, GenCC)
- Clinical variants (ClinVar): 116 total — 1 pathogenic
- MANE Select transcript:
NM_024122
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:28727 |
| Approved symbol | APOO |
| Name | apolipoprotein O |
| Location | Xp22.11 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | MGC4825, My025, Mic23, MIC26, MICOS26 |
| Ensembl gene | ENSG00000184831 |
| Ensembl biotype | protein_coding |
| OMIM | 300753 |
| Entrez | 79135 |
Gene structure
Transcript identifiers
Ensembl transcripts: 28 — 24 protein_coding, 2 retained_intron, 1 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined
ENST00000379226, ENST00000439528, ENST00000476598, ENST00000490078, ENST00000633372, ENST00000633432, ENST00000633609, ENST00000634086, ENST00000634188, ENST00000899502, ENST00000899503, ENST00000899504, ENST00000899505, ENST00000899506, ENST00000899507, ENST00000899508, ENST00000899509, ENST00000899510, ENST00000899511, ENST00000899512, ENST00000899513, ENST00000899514, ENST00000899515, ENST00000913487, ENST00000913488, ENST00000913489, ENST00000913490, ENST00000969328
RefSeq mRNA: 1 — MANE Select: NM_024122
NM_024122
CCDS: CCDS14208
Canonical transcript exons
ENST00000379226 — 9 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001295024 | 23878915 | 23879034 |
| ENSE00001316126 | 23874403 | 23874457 |
| ENSE00001319822 | 23880845 | 23880952 |
| ENSE00001884150 | 23833353 | 23833612 |
| ENSE00001953643 | 23907694 | 23907938 |
| ENSE00003563287 | 23856302 | 23856382 |
| ENSE00003578073 | 23840313 | 23840377 |
| ENSE00003653487 | 23858642 | 23858733 |
| ENSE00003666837 | 23868593 | 23868688 |
Expression profiles
Bgee: expression breadth ubiquitous, 268 present calls, max score 97.93.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 21.4834 / max 135.4164, expressed in 1814 samples.
FANTOM5 promoters (8 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 198736 | 11.7180 | 1772 |
| 198733 | 7.4162 | 1688 |
| 198735 | 1.5965 | 879 |
| 198729 | 0.3192 | 118 |
| 198734 | 0.1835 | 92 |
| 198732 | 0.1123 | 33 |
| 198730 | 0.0739 | 43 |
| 198731 | 0.0637 | 22 |
Top tissues by expression
283 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| decidua | UBERON:0002450 | 97.93 | gold quality |
| heart right ventricle | UBERON:0002080 | 97.61 | gold quality |
| left ventricle myocardium | UBERON:0006566 | 96.98 | gold quality |
| prefrontal cortex | UBERON:0000451 | 96.12 | gold quality |
| pons | UBERON:0000988 | 95.67 | gold quality |
| olfactory segment of nasal mucosa | UBERON:0005386 | 95.38 | gold quality |
| lateral nuclear group of thalamus | UBERON:0002736 | 95.32 | gold quality |
| triceps brachii | UBERON:0001509 | 95.26 | gold quality |
| anterior cingulate cortex | UBERON:0009835 | 95.23 | gold quality |
| Brodmann (1909) area 9 | UBERON:0013540 | 95.23 | gold quality |
| cardiac ventricle | UBERON:0002082 | 95.22 | gold quality |
| heart left ventricle | UBERON:0002084 | 95.22 | gold quality |
| cingulate cortex | UBERON:0003027 | 95.22 | gold quality |
| dorsolateral prefrontal cortex | UBERON:0009834 | 95.17 | gold quality |
| myocardium | UBERON:0002349 | 95.08 | gold quality |
| diaphragm | UBERON:0001103 | 95.02 | gold quality |
| frontal cortex | UBERON:0001870 | 94.96 | gold quality |
| vastus lateralis | UBERON:0001379 | 94.89 | gold quality |
| biceps brachii | UBERON:0001507 | 94.86 | gold quality |
| neocortex | UBERON:0001950 | 94.84 | gold quality |
| hindlimb stylopod muscle | UBERON:0004252 | 94.81 | gold quality |
| primordial germ cell in gonad | CL:0000670 ∩ UBERON:0000991 | 94.57 | gold quality |
| right frontal lobe | UBERON:0002810 | 94.52 | gold quality |
| apex of heart | UBERON:0002098 | 94.47 | gold quality |
| cortical plate | UBERON:0005343 | 94.44 | gold quality |
| ventricular zone | UBERON:0003053 | 94.43 | gold quality |
| cerebral cortex | UBERON:0000956 | 94.32 | gold quality |
| bronchial epithelial cell | CL:0002328 | 94.30 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 94.27 | gold quality |
| quadriceps femoris | UBERON:0001377 | 94.20 | gold quality |
Single-cell (SCXA)
Detected in 1 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-ANND-3 | yes | 6.44 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
41 targeting APOO, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-4262 | 100.00 | 73.26 | 3931 |
| HSA-MIR-200B-3P | 100.00 | 73.31 | 2693 |
| HSA-MIR-200C-3P | 100.00 | 73.35 | 2685 |
| HSA-MIR-429 | 100.00 | 73.44 | 2698 |
| HSA-MIR-513A-5P | 100.00 | 69.77 | 2465 |
| HSA-MIR-181A-5P | 99.99 | 72.96 | 2995 |
| HSA-MIR-181B-5P | 99.99 | 72.97 | 2996 |
| HSA-MIR-181C-5P | 99.99 | 72.95 | 2996 |
| HSA-MIR-181D-5P | 99.99 | 73.04 | 2997 |
| HSA-MIR-3185 | 99.99 | 68.12 | 1959 |
| HSA-MIR-27A-3P | 99.98 | 72.13 | 2955 |
| HSA-MIR-27B-3P | 99.98 | 72.13 | 2955 |
| HSA-MIR-9985 | 99.98 | 72.11 | 2939 |
| HSA-MIR-493-5P | 99.96 | 72.47 | 2382 |
| HSA-MIR-3121-3P | 99.82 | 71.96 | 3630 |
| HSA-MIR-374C-5P | 99.80 | 72.06 | 2910 |
| HSA-MIR-655-3P | 99.80 | 72.19 | 2909 |
| HSA-MIR-1200 | 99.71 | 70.42 | 1838 |
| HSA-MIR-33A-3P | 99.70 | 70.27 | 3362 |
| HSA-MIR-378A-5P | 99.65 | 66.33 | 1311 |
| HSA-MIR-7152-5P | 99.60 | 69.33 | 2094 |
| HSA-MIR-7159-3P | 99.51 | 70.17 | 1920 |
| HSA-MIR-3140-5P | 99.39 | 69.04 | 1136 |
| HSA-MIR-6839-3P | 99.39 | 68.86 | 1301 |
| HSA-MIR-6505-3P | 99.34 | 67.39 | 1071 |
| HSA-MIR-7515 | 99.31 | 68.22 | 1795 |
| HSA-MIR-20B-3P | 99.29 | 67.05 | 784 |
| HSA-MIR-10522-5P | 99.26 | 68.50 | 2087 |
| HSA-MIR-4426 | 99.17 | 66.74 | 1949 |
| HSA-MIR-3675-3P | 99.09 | 67.70 | 968 |
Literature-anchored findings (GeneRIF, showing 10)
- apolipoprotein O is the first chondroitin sulfate chain containing apolipoprotein (PMID:16956892)
- relationships between plasma apoO levels and high-sensitive C-reactive protein (hs-CRP) levels, as well as other lipid parameters in healthy subjects and patients with established acute coronary syndrome (PMID:22693255)
- It is likely that apoO participates in fatty acid metabolism and the inflammatory response in HepG2 cells. (PMID:24341743)
- APOO represents a link between impaired mitochondrial function and cardiomyopathy onset, and targeting APOO-dependent metabolic remodeling has potential as a strategy to adjust heart metabolism and protect the myocardium from impaired contractility. (PMID:24743151)
- The human apolipoprotein MIC26 is a bona fide subunit of the MICOS complex. (PMID:25764979)
- Loss of MICOS complex integrity and mitochondrial dysfunction, but not TDP-43 mitochondrial location, is essential for the development of severe motor neuron disease. (PMID:30092269)
- Mutation in the MICOS subunit gene APOO (MIC26) associated with an X-linked recessive mitochondrial myopathy, lactic acidosis, cognitive impairment and autistic features. (PMID:32439808)
- MIC26 and MIC27 cooperate to regulate cardiolipin levels and the landscape of OXPHOS complexes. (PMID:32788226)
- Role of apolipoprotein O in autophagy via the p38 mitogen-activated protein kinase signaling pathway in myocardial infarction. (PMID:35588578)
- A X-linked nonsense APOO/MIC26 variant causes a lethal mitochondrial disease with progeria-like phenotypes. (PMID:37649161)
Cross-species orthologs
7 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | apoob | ENSDARG00000026444 |
| danio_rerio | apooa | ENSDARG00000104696 |
| mus_musculus | Apoo | ENSMUSG00000079508 |
| rattus_norvegicus | Apoo | ENSRNOG00000046918 |
| rattus_norvegicus | Apool2 | ENSRNOG00000065327 |
| drosophila_melanogaster | Mic26-27 | FBGN0038400 |
| caenorhabditis_elegans | WBGENE00019333 |
Paralogs (1): APOOL (ENSG00000155008)
Protein
Protein identifiers
MICOS complex subunit MIC26 — Q9BUR5 (reviewed: Q9BUR5)
Alternative names: Apolipoprotein O, MICOS complex subunit MIC23, Protein FAM121B
All UniProt accessions (6): A0A0J9YWW6, A0A0J9YXS4, A0A0J9YXT7, Q9BUR5, G3V1B6, H7C1U8
UniProt curated annotations — full annotation on UniProt →
Function. Component of the MICOS complex, a large protein complex of the mitochondrial inner membrane that plays crucial roles in the maintenance of crista junctions, inner membrane architecture, and formation of contact sites to the outer membrane. Plays a crucial role in crista junction formation and mitochondrial function. Can promote cardiac lipotoxicity by enhancing mitochondrial respiration and fatty acid metabolism in cardiac myoblasts. Promotes cholesterol efflux from macrophage cells. Detected in HDL, LDL and VLDL. Secreted by a microsomal triglyceride transfer protein (MTTP)-dependent mechanism, probably as a VLDL-associated protein that is subsequently transferred to HDL.
Subunit / interactions. Component of the mitochondrial contact site and cristae organizing system (MICOS) complex, composed of at least MICOS10/MIC10, CHCHD3/MIC19, CHCHD6/MIC25, APOOL/MIC27, IMMT/MIC60, APOO/MIC23/MIC26 and MICOS13/MIC13. This complex was also known under the names MINOS or MitOS complex. he MICOS complex associates with mitochondrial outer membrane proteins SAMM50, MTX1 and MTX2 (together described as components of the mitochondrial outer membrane sorting assembly machinery (SAM) complex) and DNAJC11, mitochondrial inner membrane protein TMEM11 and with HSPA9. The MICOS and SAM complexes together with DNAJC11 are part of a large protein complex spanning both membranes termed the mitochondrial intermembrane space bridging (MIB) complex. Interacts with IMMT/MIC60. Interacts with MICOS10/MIC10 and APOOL/MIC27.
Subcellular location. Mitochondrion inner membrane. Secreted. Mitochondrion. Golgi apparatus membrane. Endoplasmic reticulum membrane.
Tissue specificity. Expressed in all tissues examined. Up-regulated in diabetic heart.
Post-translational modifications. O-glycosylation; glycosaminoglycan of chondroitin-sulfate type.
Similarity. Belongs to the apolipoprotein O/MICOS complex subunit Mic27 family.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| Q9BUR5-1 | 1 | yes |
| Q9BUR5-2 | 2 |
RefSeq proteins (1): NP_077027* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR019166 | MIC26/MIC27 | Family |
| IPR033182 | MIC26/MIC27_animal | Family |
Pfam: PF09769
UniProt features (5 total): signal peptide 1, chain 1, transmembrane region 1, glycosylation site 1, splice variant 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q9BUR5-F1 | 74.34 | 0.05 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Glycosylation sites (1): 162
Function
Pathways and Gene Ontology
Reactome pathways
3 pathways
| ID | Pathway |
|---|---|
| R-HSA-8949613 | Cristae formation |
| R-HSA-1592230 | Mitochondrial biogenesis |
| R-HSA-1852241 | Organelle biogenesis and maintenance |
MSigDB gene sets: 160 (showing top):
CHIANG_LIVER_CANCER_SUBCLASS_UNANNOTATED_DN, IVANOVA_HEMATOPOIESIS_LATE_PROGENITOR, CAGCTG_AP4_Q5, GOBP_CRISTAE_FORMATION, RUTELLA_RESPONSE_TO_CSF2RB_AND_IL4_UP, GOBP_INNER_MITOCHONDRIAL_MEMBRANE_ORGANIZATION, TGIF_01, GOCC_MITOCHONDRIAL_ENVELOPE, CYTAGCAAY_UNKNOWN, GOBP_MEMBRANE_ORGANIZATION, GATA1_02, GOBP_LIPID_LOCALIZATION, GOCC_LOW_DENSITY_LIPOPROTEIN_PARTICLE, GOCC_ORGANELLE_MEMBRANE_CONTACT_SITE, GOCC_OUTER_MITOCHONDRIAL_MEMBRANE_PROTEIN_COMPLEX
GO Biological Process (3): lipid transport (GO:0006869), inner mitochondrial membrane organization (GO:0007007), cristae formation (GO:0042407)
GO Molecular Function (1): protein binding (GO:0005515)
GO Cellular Component (18): Golgi membrane (GO:0000139), SAM complex (GO:0001401), extracellular region (GO:0005576), obsolete extracellular space (GO:0005615), mitochondrion (GO:0005739), mitochondrial inner membrane (GO:0005743), endoplasmic reticulum membrane (GO:0005789), cytosol (GO:0005829), very-low-density lipoprotein particle (GO:0034361), low-density lipoprotein particle (GO:0034362), high-density lipoprotein particle (GO:0034364), mitochondrial crista junction (GO:0044284), MICOS complex (GO:0061617), MIB complex (GO:0140275), endoplasmic reticulum (GO:0005783), Golgi apparatus (GO:0005794), membrane (GO:0016020), mitochondrial membrane (GO:0031966)
Reactome top-level categories
Rollup of top-2 pathways:
| Category | Pathways |
|---|---|
| Mitochondrial biogenesis | 1 |
| Organelle biogenesis and maintenance | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cytoplasm | 4 |
| cellular anatomical structure | 3 |
| intracellular membrane-bounded organelle | 3 |
| organelle membrane | 2 |
| plasma lipoprotein particle | 2 |
| inner mitochondrial membrane protein complex | 2 |
| endomembrane system | 2 |
| transport | 1 |
| lipid localization | 1 |
| mitochondrial membrane organization | 1 |
| inner mitochondrial membrane organization | 1 |
| binding | 1 |
| Golgi apparatus | 1 |
| bounding membrane of organelle | 1 |
| mitochondrial outer membrane translocase complex | 1 |
| organelle inner membrane | 1 |
| mitochondrial membrane | 1 |
| nuclear outer membrane-endoplasmic reticulum membrane network | 1 |
| endoplasmic reticulum subcompartment | 1 |
| triglyceride-rich plasma lipoprotein particle | 1 |
| mitochondrial inner membrane | 1 |
| organelle membrane contact site | 1 |
| mitochondrion | 1 |
| mitochondrial envelope | 1 |
Protein interactions and networks
STRING
1123 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| APOO | CHCHD6 | Q9BRQ6 | 993 |
| APOO | MICOS13 | Q5XKP0 | 993 |
| APOO | IMMT | Q16891 | 989 |
| APOO | CHCHD3 | Q9NX63 | 985 |
| APOO | APOOL | Q6UXV4 | 984 |
| APOO | MICOS10 | Q5TGZ0 | 939 |
| APOO | CHCHD5 | Q9BSY4 | 857 |
| APOO | MTTP | P55157 | 837 |
| APOO | SAMM50 | Q9Y512 | 779 |
| APOO | DNAJC11 | Q9NVH1 | 772 |
| APOO | APOA1 | P02647 | 731 |
| APOO | MTX2 | O75431 | 681 |
| APOO | CHCHD10 | Q8WYQ3 | 663 |
| APOO | MTX1 | Q13505 | 649 |
| APOO | APOF | Q13790 | 549 |
IntAct
20 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| TIMMDC1 | NDUFS8 | psi-mi:“MI:0914”(association) | 0.530 |
| APOOL | MTX2 | psi-mi:“MI:0914”(association) | 0.530 |
| NDUFA4 | NUDT19 | psi-mi:“MI:0914”(association) | 0.350 |
| MICOS13 | MTX2 | psi-mi:“MI:0914”(association) | 0.350 |
| APOOL | MGST3 | psi-mi:“MI:0914”(association) | 0.350 |
| NDUFA4 | NDUFS8 | psi-mi:“MI:0914”(association) | 0.350 |
| Npc1 | ESYT2 | psi-mi:“MI:0914”(association) | 0.350 |
| DNAJC11 | VCP | psi-mi:“MI:0914”(association) | 0.350 |
| PARPBP | RPSA2 | psi-mi:“MI:0914”(association) | 0.350 |
| CENPM | DNM1L | psi-mi:“MI:0914”(association) | 0.350 |
| SPG21 | GAPDHS | psi-mi:“MI:0914”(association) | 0.350 |
| GSX1 | YKT6 | psi-mi:“MI:0914”(association) | 0.350 |
| SLC12A9 | PGRMC1 | psi-mi:“MI:0914”(association) | 0.350 |
| IMMP1L | NUDT19 | psi-mi:“MI:2364”(proximity) | 0.270 |
| OMA1 | HAX1 | psi-mi:“MI:2364”(proximity) | 0.270 |
| PARL | HAX1 | psi-mi:“MI:2364”(proximity) | 0.270 |
BioGRID (150): APOO (Affinity Capture-MS), APOO (Affinity Capture-MS), APOO (Affinity Capture-MS), APOO (Affinity Capture-MS), APOO (Affinity Capture-MS), APOO (Proximity Label-MS), APOO (Proximity Label-MS), APOO (Proximity Label-MS), ABCB10 (Proximity Label-MS), ACAD9 (Proximity Label-MS), ACTR2 (Proximity Label-MS), ADCK2 (Proximity Label-MS), AFG3L2 (Proximity Label-MS), AIFM1 (Proximity Label-MS), APOOL (Proximity Label-MS)
ESM2 similar proteins: A1L2P2, A1XQR7, A8E7D3, A8MTT3, L0R6Q1, O48832, O64497, O82803, P11951, P13183, P14790, P24311, P43883, P46270, P80977, Q148H0, Q1LUK1, Q1MTD4, Q1RMH3, Q21154, Q28EM2, Q2ACH7, Q41112, Q4V8S3, Q5BKW8, Q5CZQ0, Q5R987, Q5XFV8, Q5XKP0, Q63ZZ0, Q68EV8, Q7SGT7, Q7YRK0, Q7YRK1, Q810Q5, Q84K90, Q8BH51, Q8BTE5, Q8R404, Q8VCR3
Diamond homologs: Q148H0, Q3SZ27, Q5NVS6, Q5ZK55, Q6UXV4, Q78IK4, Q9BUR5, Q9DCZ4, Q21154
SIGNOR signaling
0 interactions.
Disease & clinical
Clinical variants and AI predictions
ClinVar
116 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 1 |
| Likely pathogenic | 0 |
| Uncertain significance | 27 |
| Likely benign | 4 |
| Benign | 2 |
Top pathogenic / likely-pathogenic (1)
| Variant ID | HGVS | Classification |
|---|---|---|
| 976657 | NM_024122.5(APOO):c.350T>C (p.Ile117Thr) | Pathogenic |
SpliceAI
1875 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| X:23858636:TCTTA:T | donor_loss | 1.0000 |
| X:23858637:CTTA:C | donor_loss | 1.0000 |
| X:23858638:TTACC:T | donor_loss | 1.0000 |
| X:23858639:TAC:T | donor_loss | 1.0000 |
| X:23858640:A:C | donor_loss | 1.0000 |
| X:23858641:C:CT | donor_loss | 1.0000 |
| X:23878860:T:A | donor_gain | 1.0000 |
| X:23879035:C:CC | acceptor_gain | 1.0000 |
| X:23879042:CAT:C | acceptor_gain | 1.0000 |
| X:23879044:T:TC | acceptor_gain | 1.0000 |
| X:23907690:TCACC:T | donor_loss | 1.0000 |
| X:23907691:CACCT:C | donor_loss | 1.0000 |
| X:23907692:ACCTT:A | donor_loss | 1.0000 |
| X:23907693:C:T | donor_loss | 1.0000 |
| X:23840379:T:C | acceptor_gain | 0.9900 |
| X:23840381:T:C | acceptor_gain | 0.9900 |
| X:23840381:T:TC | acceptor_gain | 0.9900 |
| X:23856378:CTGAC:C | acceptor_gain | 0.9900 |
| X:23856381:ACCT:A | acceptor_loss | 0.9900 |
| X:23856382:CC:C | acceptor_loss | 0.9900 |
| X:23856384:T:C | acceptor_gain | 0.9900 |
| X:23856384:T:TC | acceptor_gain | 0.9900 |
| X:23856390:CAAAA:C | acceptor_loss | 0.9900 |
| X:23858731:AACCT:A | acceptor_loss | 0.9900 |
| X:23858732:ACCT:A | acceptor_loss | 0.9900 |
| X:23858734:C:CC | acceptor_gain | 0.9900 |
| X:23858734:C:G | acceptor_loss | 0.9900 |
| X:23858735:T:A | acceptor_loss | 0.9900 |
| X:23858737:A:C | acceptor_gain | 0.9900 |
| X:23859787:T:TA | donor_gain | 0.9900 |
AlphaMissense
1269 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| X:23868619:C:T | G121D | 0.991 |
| X:23868610:C:T | G124E | 0.990 |
| X:23858685:G:T | A146D | 0.989 |
| X:23868629:C:G | G118R | 0.989 |
| X:23858710:A:C | Y138D | 0.988 |
| X:23868611:C:G | G124R | 0.988 |
| X:23868611:C:T | G124R | 0.988 |
| X:23868628:C:T | G118D | 0.988 |
| X:23858682:G:T | A147D | 0.987 |
| X:23858692:C:G | G144R | 0.987 |
| X:23858692:C:T | G144R | 0.987 |
| X:23868637:C:T | G115D | 0.987 |
| X:23868620:C:G | G121R | 0.985 |
| X:23856355:C:G | G170R | 0.984 |
| X:23868622:G:T | A120D | 0.979 |
| X:23858667:G:A | P152L | 0.978 |
| X:23858691:C:T | G144E | 0.978 |
| X:23878949:C:G | R68P | 0.978 |
| X:23868634:A:T | V116D | 0.977 |
| X:23868638:C:G | G115R | 0.977 |
| X:23858668:G:A | P152S | 0.976 |
| X:23858667:G:T | P152Q | 0.975 |
| X:23858659:C:G | A155P | 0.974 |
| X:23858683:C:G | A147P | 0.973 |
| X:23868640:A:T | L114H | 0.972 |
| X:23858668:G:T | P152T | 0.971 |
| X:23858712:A:T | V137E | 0.971 |
| X:23858668:G:C | P152A | 0.970 |
| X:23858700:C:T | G141D | 0.970 |
| X:23858720:C:A | K134N | 0.970 |
dbSNP variants (sampled 300 via entrez): RS1000055829 (X:23881142 T>C), RS1000121138 (X:23889201 T>C), RS1000125879 (X:23883173 C>T), RS1000131447 (X:23858426 T>C), RS1000187476 (X:23889930 G>A,C), RS1000225210 (X:23834017 A>T), RS1000247376 (X:23902169 T>C), RS1000257281 (X:23888765 G>A), RS1000437288 (X:23842561 T>G), RS1000457653 (X:23887383 G>A), RS1000473660 (X:23851445 G>A), RS1000487341 (X:23887653 C>G,T), RS1000593364 (X:23887060 A>G,T), RS1000626572 (X:23866562 G>C), RS1000660538 (X:23833648 C>A)
Disease associations
OMIM: gene MIM:300753 | disease phenotypes:
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| mitochondrial disease | Moderate | X-linked |
Mondo (2): lactic acidosis (MONDO:0006040), mitochondrial disease (MONDO:0044970)
Orphanet (0):
HPO phenotypes
0 total (0 of 0 shown, HPO-id order):
GWAS associations
0 associations (top):
MeSH disease descriptors (1)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D000140 | Acidosis, Lactic | C18.452.076.176.180 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
23 total (human), top 23 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Valproic Acid | affects expression, decreases methylation, increases expression | 3 |
| bisphenol A | decreases methylation, affects cotreatment, decreases expression | 2 |
| sodium arsenite | increases expression, decreases expression | 2 |
| bisphenol S | affects expression, increases methylation | 2 |
| Benzo(a)pyrene | increases expression, increases methylation | 2 |
| bisphenol F | affects cotreatment, decreases expression | 1 |
| benzo(e)pyrene | increases methylation | 1 |
| beta-methylcholine | affects expression | 1 |
| jinfukang | affects cotreatment, increases expression | 1 |
| Resveratrol | affects cotreatment, increases expression | 1 |
| Sunitinib | decreases expression | 1 |
| Arsenic | affects methylation | 1 |
| Cisplatin | affects cotreatment, increases expression | 1 |
| Dexamethasone | affects cotreatment, decreases expression | 1 |
| Indomethacin | affects cotreatment, decreases expression | 1 |
| Ivermectin | decreases expression | 1 |
| Methapyrilene | increases methylation | 1 |
| Plant Extracts | affects cotreatment, increases expression | 1 |
| Tretinoin | decreases expression | 1 |
| 1-Methyl-3-isobutylxanthine | affects cotreatment, decreases expression | 1 |
| Cyclosporine | increases expression | 1 |
| Acrylamide | increases expression | 1 |
| Particulate Matter | decreases expression | 1 |
Cellosaurus cell lines
3 cell lines: 3 cancer cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_SC98 | HAP1 APOO (-) 1 | Cancer cell line | Male |
| CVCL_SC99 | HAP1 APOO (-) 2 | Cancer cell line | Male |
| CVCL_SD00 | HAP1 APOO (-) 3 | Cancer cell line | Male |
Clinical trials (associated diseases)
125 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT03351998 | PHASE4 | COMPLETED | Impact of Statin Therapy on Muscle Mitochondrial Function and Aerobic Capacity |
| NCT00202228 | PHASE4 | COMPLETED | Lactate Metabolism Study in HIV Infected Persons |
| NCT01354652 | PHASE4 | TERMINATED | Lactic Acidosis During Entecavir(ETV)Treatment |
| NCT00432744 | PHASE3 | COMPLETED | Phase III Trial of Coenzyme Q10 in Mitochondrial Disease |
| NCT05162768 | PHASE3 | COMPLETED | Study to Evaluate Efficacy and Safety of Elamipretide in Subjects With Primary Mitochondrial Disease From Nuclear DNA Mutations (nPMD) |
| NCT06451757 | PHASE3 | RECRUITING | KHENERFIN Study: A Trial to Evaluate the Efficacy and Safety of Sonlicromanol in Primary Mitochondrial Diseases |
| NCT00004490 | PHASE3 | COMPLETED | Phase III Randomized Study of Sodium Dichloroacetate in Children With Congenital Lactic Acidosis |
| NCT02398201 | PHASE2 | COMPLETED | A Study of Bezafibrate in Mitochondrial Myopathy |
| NCT02473445 | PHASE2 | TERMINATED | A Long-term Extension of Study RP103-MITO-001 (NCT02023866) to Assess Cysteamine Bitartrate Delayed-release Capsules (RP103) in Children With Inherited Mitochondrial Disease |
| NCT02500628 | PHASE2 | COMPLETED | Heart Rate Variability in Response to Metformin Challenge |
| NCT02805790 | PHASE2 | COMPLETED | Safety, Tolerability, Efficacy of MTP-131 for Treatment of Mitochondrial Disease in Subjects From the MMPOWER Study |
| NCT02909400 | PHASE2 | COMPLETED | The KHENERGY Study |
| NCT02976038 | PHASE2 | TERMINATED | Open-Label Extension Trial to Characterize the Long-term Safety and Tolerability of Elamipretide in Subjects With Genetically Confirmed Primary Mitochondrial Myopathy (PMM) |
| NCT03177798 | PHASE2 | COMPLETED | Mitochondria and Chronic Kidney Disease |
| NCT03866954 | PHASE2 | WITHDRAWN | Trial of Erythrocyte Encapsulated Thymidine Phosphorylase In Mitochondrial Neurogastrointestinal Encephalomyopathy |
| NCT04165239 | PHASE2 | COMPLETED | The KHENERGYZE Study |
| NCT04604548 | PHASE2 | COMPLETED | The KHENEREXT Study |
| NCT04802707 | PHASE2 | RECRUITING | Deoxynucleosides Pyrimidines as Treatment for Mitochondrial Depletion Syndrome |
| NCT04846036 | PHASE2 | SUSPENDED | The KHENERGYC Study |
| NCT05650229 | PHASE2 | RECRUITING | Efficacy of KL1333 in Adult Patients With Primary Mitochondrial Disease |
| NCT05972954 | PHASE2 | COMPLETED | OMT-28 in Patients With Primary Mitochondrial Disease (PMD) (PMD-OPTION) |
| NCT06017869 | PHASE2 | RECRUITING | Evaluate the Safety and Therapeutic Effects of a Single Intravenous Infusion (IV) of Autologous CD34+ Cells Enriched With Allogenic Placenta-derived Mitochondria in Patients With a Diagnosis of Pearson Syndrome (PS) |
| NCT07514338 | PHASE2 | NOT_YET_RECRUITING | Open Label Extension to Assess Long Term Safety and Efficacy of KL1333 in Patients With Primary Mitochondrial Disease |
| NCT00004493 | PHASE2 | COMPLETED | Phase II Pilot Randomized Study of Sodium Dichloroacetate in Patients With Congenital Lactic Acidemia |
| NCT01973504 | PHASE2 | WITHDRAWN | Phase 2c Dose Comparison Study of MP4OX in Trauma |
| NCT02974257 | PHASE2 | TERMINATED | Thiamine vs. Placebo to Increase Oxygen Consumption After Cardiac Arrest |
| NCT00060515 | PHASE1 | TERMINATED | RG2133 (2’,3’,5’-Tri-O-Acetyluridine) in Mitochondrial Disease |
| NCT02348125 | PHASE1 | UNKNOWN | Does Clinical Treatment of Mitochondrial Dysfunction Impact Autism Spectrum Disorder (ASD)? |
| NCT02544217 | PHASE1 | COMPLETED | A Dose-escalating Clinical Trial With KH176 |
| NCT03888716 | PHASE1 | COMPLETED | A Phase Ia/Ib, SAD and MAD Study of of KL1333 in Healthy Subjects and Patients With Primary Mitochondrial Disease |
| NCT04086329 | PHASE1 | RECRUITING | Validation of Oxygen Nanosensor in Mitochondrial Myopathy |
| NCT04643249 | PHASE1 | COMPLETED | Drug-drug Interaction Study of KL1333 in Healthy Subjects |
| NCT05241262 | PHASE1 | RECRUITING | Study of N-acetylcysteine in the Treatment of Patients With the m.3243A>G Mutation and Low Brain Glutathione Levels |
| NCT05569122 | PHASE1 | RECRUITING | Applying pGz in Mitochondrial Disease |
| NCT06819683 | PHASE1 | RECRUITING | Validation of Nanosensor Oxygen Measurement |
| NCT07258667 | PHASE1 | NOT_YET_RECRUITING | Pilot Study of the Efficacy of Nicotinamide (Vitamin B3) in Leber’s Hereditary Optic Neuropathy |
| NCT03122678 | PHASE1 | WITHDRAWN | Thiamine Supplementation in Patients With Septic Shock |
| NCT04378075 | PHASE2/PHASE3 | TERMINATED | A Study to Evaluate Efficacy and Safety of Vatiquinone for Treating Mitochondrial Disease in Participants With Refractory Epilepsy |
| NCT01642056 | PHASE1/PHASE2 | COMPLETED | EPI-743 for Metabolism or Mitochondrial Disorders |
| NCT03384420 | PHASE1/PHASE2 | COMPLETED | A Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD in Pediatric Patients With Pearson Syndrome |
Related Atlas pages
- Associated diseases: mitochondrial disease
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): lactic acidosis, mitochondrial disease