COQ8B

gene
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Also known as FLJ12229COQ8

Summary

COQ8B (coenzyme Q8B, HGNC:19041) is a protein-coding gene on chromosome 19q13.2, encoding Atypical kinase COQ8B, mitochondrial (Q96D53). Atypical kinase involved in the biosynthesis of coenzyme Q, also named ubiquinone, an essential lipid-soluble electron transporter for aerobic cellular respiration.

This gene encodes a protein with two copies of a domain found in protein kinases. The encoded protein has a complete protein kinase catalytic domain, and a truncated domain that contains only the active and binding sites of the protein kinase domain, however, it is not known whether the protein has any kinase activity. Multiple transcript variants encoding different isoforms have been found for this gene.

Source: NCBI Gene 79934 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): mitochondrial disease (Definitive, ClinGen) — +2 more curated relationships
  • GWAS associations: 20
  • Clinical variants (ClinVar): 335 total — 19 pathogenic, 13 likely-pathogenic
  • Phenotypes (HPO): 56
  • Druggable target: yes — 9 molecules with ChEMBL bioactivity
  • MANE Select transcript: NM_024876

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:19041
Approved symbolCOQ8B
Namecoenzyme Q8B
Location19q13.2
Locus typegene with protein product
StatusApproved
AliasesFLJ12229, COQ8
Ensembl geneENSG00000123815
Ensembl biotypeprotein_coding
OMIM615567
Entrez79934

Gene structure

Transcript identifiers

Ensembl transcripts: 73 — 46 protein_coding, 16 retained_intron, 11 nonsense_mediated_decay

ENST00000243583, ENST00000324464, ENST00000593544, ENST00000593724, ENST00000594084, ENST00000594490, ENST00000594720, ENST00000595254, ENST00000596357, ENST00000596455, ENST00000599643, ENST00000600080, ENST00000600707, ENST00000601304, ENST00000601451, ENST00000601967, ENST00000676555, ENST00000676578, ENST00000676651, ENST00000676960, ENST00000676962, ENST00000677018, ENST00000677039, ENST00000677399, ENST00000677496, ENST00000677517, ENST00000677633, ENST00000677800, ENST00000678057, ENST00000678119, ENST00000678166, ENST00000678312, ENST00000678316, ENST00000678371, ENST00000678404, ENST00000678419, ENST00000678433, ENST00000678467, ENST00000678569, ENST00000678961, ENST00000679002, ENST00000679012, ENST00000679070, ENST00000679130, ENST00000679315, ENST00000871645, ENST00000871646, ENST00000871647, ENST00000871648, ENST00000871649, ENST00000871650, ENST00000871651, ENST00000871652, ENST00000871653, ENST00000871654, ENST00000871655, ENST00000871656, ENST00000871657, ENST00000871658, ENST00000871659, ENST00000871660, ENST00000871661, ENST00000871662, ENST00000915176, ENST00000915177, ENST00000915178, ENST00000915179, ENST00000915180, ENST00000915181, ENST00000946421, ENST00000946422, ENST00000946423, ENST00000946424

RefSeq mRNA: 2 — MANE Select: NM_024876 NM_001142555, NM_024876

CCDS: CCDS12562, CCDS46081

Canonical transcript exons

ENST00000324464 — 15 exons

ExonStartEnd
ENSE000010520994070031040700451
ENSE000034692404071005940710136
ENSE000034721664070509640705181
ENSE000034904804071427840714397
ENSE000035296504069295140693037
ENSE000035668484070532540705447
ENSE000036003334070354140703622
ENSE000036330504069153040692373
ENSE000036359074071453140714635
ENSE000036593284069598940696054
ENSE000036656274070260040702693
ENSE000036658574070006740700174
ENSE000036716664071406740714133
ENSE000036912094070371540703855
ENSE000038444914071658740716886

Expression profiles

Bgee: expression breadth ubiquitous, 227 present calls, max score 95.18.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 6.8417 / max 89.2489, expressed in 1750 samples.

FANTOM5 promoters (4 alternative TSS)

Promoter IDTPM avgSamples expressed
1810053.98191403
1810032.60121392
1810020.156761
1810040.101941

Top tissues by expression

277 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
right uterine tubeUBERON:000130295.18gold quality
adenohypophysisUBERON:000219693.49gold quality
pituitary glandUBERON:000000792.75gold quality
tibial nerveUBERON:000132389.93gold quality
monocyteCL:000057689.83gold quality
right adrenal glandUBERON:000123389.61gold quality
granulocyteCL:000009489.59gold quality
mononuclear cellCL:000084289.46gold quality
olfactory segment of nasal mucosaUBERON:000538689.46gold quality
right adrenal gland cortexUBERON:003582789.13gold quality
apex of heartUBERON:000209889.06gold quality
leukocyteCL:000073889.03gold quality
body of stomachUBERON:000116188.34gold quality
ventricular zoneUBERON:000305388.33gold quality
right lobe of thyroid glandUBERON:000111988.29gold quality
left adrenal glandUBERON:000123488.22gold quality
right ovaryUBERON:000211888.09gold quality
endocervixUBERON:000045887.94gold quality
left adrenal gland cortexUBERON:003582587.84gold quality
left uterine tubeUBERON:000130387.76gold quality
body of uterusUBERON:000985387.67gold quality
left lobe of thyroid glandUBERON:000112087.34gold quality
left ovaryUBERON:000211987.31gold quality
adrenal cortexUBERON:000123587.28gold quality
right lobe of liverUBERON:000111487.17gold quality
ectocervixUBERON:001224986.97gold quality
mucosa of stomachUBERON:000119986.83gold quality
descending thoracic aortaUBERON:000234586.80gold quality
right hemisphere of cerebellumUBERON:001489086.79gold quality
colonic epitheliumUBERON:000039786.78gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3yes4.64

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

10 targeting COQ8B, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-76599.8468.242442
HSA-MIR-11181-3P99.7566.382205
HSA-MIR-320299.6667.702737
HSA-MIR-182799.6368.573265
HSA-MIR-939-3P98.9765.072347
HSA-MIR-4755-3P98.7765.591915
HSA-MIR-2467-3P98.6567.181969
HSA-MIR-425797.8668.051190
HSA-MIR-6879-5P97.7765.521521
HSA-MIR-10398-5P97.1264.941051

Literature-anchored findings (GeneRIF, showing 9)

  • Mutations in ADCK4 resulted in reduced CoQ10 levels and reduced mitochondrial respiratory enzyme activity in cells isolated from individuals with steroid-resistant nephrotic syndrome & transformed lymphoblasts. (PMID:24270420)
  • Study in Korean cohort revealed that ADCK4 mutations should be considered in older children presenting with steroid resistant focal segmental glomerulosclerosis. The association with medullary nephrocalcinosis may be an additional diagnostic indicator. (PMID:28405841)
  • a COQ8B polymorphism, present in 50% of the European population (NM_024876.3:c.521A > G, p.His174Arg), affects stability of the protein and could represent a risk factor for secondary Coenzyme Q deficiencies or for other complex traits. (PMID:29194833)
  • a novel ABC1 domain-localized pathogenic mutation responsible for ADCK4-glomerulopathy was identified, further supporting the importance of the C-terminal portion of ADCK4. (PMID:30352687)
  • Absence of Long Noncoding RNA H19 Promotes Childhood Nephrotic Syndrome through Inhibiting ADCK4 Signal. (PMID:32489187)
  • Transcription factor Kruppel-like factor 5 positively regulates the expression of AarF domain containing kinase 4. (PMID:33033902)
  • The role of novel COQ8B mutations in glomerulopathy and related kidney defects. (PMID:33084234)
  • Whole-exome sequencing reveals a novel homozygous mutation in the COQ8B gene associated with nephrotic syndrome. (PMID:34172776)
  • Bi-allelic variants in COQ8B, a gene involved in the biosynthesis of coenzyme Q10, lead to non-syndromic retinitis pigmentosa. (PMID:39226897)

Cross-species orthologs

5 orthologs

OrganismSymbolGene ID
danio_reriocoq8bENSDARG00000101130
mus_musculusCoq8bENSMUSG00000003762
rattus_norvegicusCoq8bENSRNOG00000020848
drosophila_melanogasterCoq8FBGN0052649
caenorhabditis_elegansWBGENE00000767

Paralogs (4): ADCK1 (ENSG00000063761), ADCK2 (ENSG00000133597), COQ8A (ENSG00000163050), ADCK5 (ENSG00000173137)

Protein

Protein identifiers

Atypical kinase COQ8B, mitochondrialQ96D53 (reviewed: Q96D53)

Alternative names: AarF domain-containing protein kinase 4, Coenzyme Q protein 8B

All UniProt accessions (21): A0A7I2V2R1, A0A7I2V3G8, A0A7I2V3W7, A0A7I2V3Y0, A0A7I2V455, A0A7I2V4T3, A0A7I2V4Z6, A0A7I2V544, A0A7I2V559, A0A7I2V5Z5, Q96D53, M0QZZ2, M0R001, M0R011, M0R0F4, M0R0L2, M0R2F4, M0R307, M0R340, M0R362, M0R3F7

UniProt curated annotations — full annotation on UniProt →

Function. Atypical kinase involved in the biosynthesis of coenzyme Q, also named ubiquinone, an essential lipid-soluble electron transporter for aerobic cellular respiration. Its substrate specificity is still unclear: may act as a protein kinase that mediates phosphorylation of COQ3. According to other reports, acts as a small molecule kinase, possibly a lipid kinase that phosphorylates a prenyl lipid in the ubiquinone biosynthesis pathway, as suggested by its ability to bind coenzyme Q lipid intermediates. However, the small molecule kinase activity was not confirmed by another publication. Required for podocyte migration.

Subunit / interactions. Homodimer; homodimerizes via its transmembrane region. Interacts with COQ6 and COQ7. Interacts with the multi-subunit COQ enzyme complex, composed of at least COQ3, COQ4, COQ5, COQ6, COQ7 and COQ9.

Subcellular location. Mitochondrion membrane. Cytoplasm. Cytosol. Cell membrane.

Tissue specificity. Widely expressed, including renal podocytes.

Disease relevance. Nephrotic syndrome 9 (NPHS9) [MIM:615573] A form of nephrotic syndrome, a renal disease clinically characterized by progressive renal failure, severe proteinuria, hypoalbuminemia, hyperlipidemia and edema. Kidney biopsies show focal segmental glomerulosclerosis. The disease is caused by variants affecting the gene represented in this entry.

Activity regulation. Autoinhibited by the N-terminal domain, containing the KxGQ motif, that completely occludes the typical substrate binding pocket. Nucleotide-binding relieves inhibition.

Domain organisation. Adopts an atypical protein kinase-like fold: while it adopts a core fold similar to that of well-characterized protein kinase-like domains. The KxGQ motif completely occludes the typical substrate binding pocket. Nucleotide-binding opens the substrate binding pocket and flips the active site from inside the hydrophobic core into a catalytically competent, solvent-exposed posture.

Pathway. Cofactor biosynthesis; ubiquinone biosynthesis.

Similarity. Belongs to the protein kinase superfamily. ADCK protein kinase family.

Isoforms (2)

UniProt IDNamesCanonical?
Q96D53-11yes
Q96D53-22

RefSeq proteins (2): NP_001136027, NP_079152* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR004147ABC1_domDomain
IPR011009Kinase-like_dom_sfHomologous_superfamily
IPR034646ADCK3_domDomain
IPR051409Atypical_kinase_ADCKFamily

Pfam: PF03109

UniProt features (29 total): sequence variant 13, binding site 5, short sequence motif 2, compositionally biased region 2, chain 1, transmembrane region 1, splice variant 1, domain 1, sequence conflict 1, region of interest 1, active site 1

Structure

Experimental structures (PDB)

0 structures.

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q96D53-F177.000.44

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (1): 367 (proton acceptor)

Ligand- & substrate-binding residues (5): 237; 324–327; 372; 386; 219

Function

Pathways and Gene Ontology

Reactome pathways

1 pathways

IDPathway
R-HSA-2142789Ubiquinol biosynthesis

MSigDB gene sets: 275 (showing top): CREL_01, GOBP_HINDBRAIN_DEVELOPMENT, AP1_01, GOBP_METENCEPHALON_DEVELOPMENT, GOBP_CEREBELLAR_CORTEX_MORPHOGENESIS, GOBP_KETONE_METABOLIC_PROCESS, EFC_Q6, GOBP_SMALL_MOLECULE_BIOSYNTHETIC_PROCESS, AP1_Q4_01, GOBP_CEREBELLAR_CORTEX_DEVELOPMENT, SHETH_LIVER_CANCER_VS_TXNIP_LOSS_PAM1, BACH2_01, WTGAAAT_UNKNOWN, GOCC_MITOCHONDRIAL_ENVELOPE, ARGGGTTAA_UNKNOWN

GO Biological Process (2): ubiquinone biosynthetic process (GO:0006744), cerebellar Purkinje cell layer morphogenesis (GO:0021692)

GO Molecular Function (7): protein kinase activity (GO:0004672), ATP binding (GO:0005524), lipid binding (GO:0008289), ATP hydrolysis activity (GO:0016887), nucleotide binding (GO:0000166), kinase activity (GO:0016301), transferase activity (GO:0016740)

GO Cellular Component (6): mitochondrion (GO:0005739), cytosol (GO:0005829), plasma membrane (GO:0005886), mitochondrial membrane (GO:0031966), cytoplasm (GO:0005737), membrane (GO:0016020)

Reactome top-level categories

Rollup of top-1 pathways:

CategoryPathways
Metabolism of cofactors1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure3
cytoplasm2
ubiquinone metabolic process1
quinone biosynthetic process1
anatomical structure morphogenesis1
cerebellar Purkinje cell layer development1
cerebellar cortex morphogenesis1
kinase activity1
phosphotransferase activity, alcohol group as acceptor1
catalytic activity, acting on a protein1
adenyl ribonucleotide binding1
purine ribonucleoside triphosphate binding1
binding1
ribonucleoside triphosphate phosphatase activity1
ATP-dependent activity1
nucleoside phosphate binding1
heterocyclic compound binding1
transferase activity, transferring phosphorus-containing groups1
catalytic activity1
intracellular membrane-bounded organelle1
membrane1
cell periphery1
mitochondrion1
mitochondrial envelope1
organelle membrane1
intracellular anatomical structure1

Protein interactions and networks

STRING

874 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
COQ8BCOQ6Q9Y2Z9967
COQ8BPDSS1Q5T2R2935
COQ8BCOQ4Q9Y3A0919
COQ8BCOQ2Q96H96912
COQ8BCOQ9O75208903
COQ8BCOQ5Q5HYK3862
COQ8BCOQ7Q99807861
COQ8BPDSS2Q86YH6859
COQ8BCOQ3Q9NZJ6858
COQ8BADCK2Q7Z695714
COQ8BCOQ10AQ96MF6677
COQ8BCOQ10BQ9H8M1657
COQ8BNPHS2Q9NP85620
COQ8BNPHS1O60500580
COQ8BINF2Q27J81571
COQ8BPLCE1Q9P212571

IntAct

96 interactions, top by confidence:

ABTypeScore
CFTRESYT2psi-mi:“MI:0914”(association)0.710
PMPCBpsi-mi:“MI:0914”(association)0.640
CD27TCAF2psi-mi:“MI:0914”(association)0.640
P2RX4FAM20Bpsi-mi:“MI:0914”(association)0.640
GYPATCAF2psi-mi:“MI:0914”(association)0.640
NRASRGL2psi-mi:“MI:0914”(association)0.550
CD70METTL15psi-mi:“MI:0914”(association)0.530
SLC2A12METTL15psi-mi:“MI:0914”(association)0.530
APLNRSLC33A1psi-mi:“MI:0914”(association)0.530
GPR17IPO8psi-mi:“MI:0914”(association)0.530
Hoxa1COQ8Bpsi-mi:“MI:0915”(physical association)0.370
Kif19psi-mi:“MI:0914”(association)0.350
HSCBRBP5psi-mi:“MI:0914”(association)0.350
BCL2L14psi-mi:“MI:0914”(association)0.350
P2RY6ESYT2psi-mi:“MI:0914”(association)0.350
SLC15A3psi-mi:“MI:0914”(association)0.350
UNC93B1psi-mi:“MI:0914”(association)0.350
PB2DNAJB6psi-mi:“MI:0914”(association)0.350
COQ8BTIMM44psi-mi:“MI:0914”(association)0.350
COQ8BCOQ9psi-mi:“MI:0914”(association)0.350
COQ3COQ8Bpsi-mi:“MI:0914”(association)0.350
ATAD3ATMEM223psi-mi:“MI:0914”(association)0.350
Mpsi-mi:“MI:0914”(association)0.350
DENND11psi-mi:“MI:0914”(association)0.350
PADDX39Apsi-mi:“MI:0914”(association)0.350
MTM9SF1psi-mi:“MI:0914”(association)0.350

BioGRID (141): ADCK4 (Affinity Capture-MS), ADCK4 (Affinity Capture-MS), ADCK4 (Affinity Capture-MS), ADCK4 (Affinity Capture-MS), COQ5 (Affinity Capture-MS), STOML2 (Affinity Capture-MS), PMPCA (Affinity Capture-MS), PMPCB (Affinity Capture-MS), COQ9 (Affinity Capture-MS), PITRM1 (Affinity Capture-MS), COQ6 (Affinity Capture-MS), ADCK3 (Affinity Capture-MS), COQ7 (Affinity Capture-MS), CHCHD2 (Affinity Capture-MS), CLPB (Affinity Capture-MS)

ESM2 similar proteins: A0A0U1RPR8, A1A4J8, A6H751, A6H784, A7YY46, D3ZBP4, D3ZX08, F1MH07, O08644, O15197, O43542, O43819, O43824, O75880, O88561, O88941, P0C0K6, P0C0K7, P0C7A1, P41226, P51839, P51840, P52785, Q02846, Q05932, Q13724, Q14CH7, Q3U6U5, Q4R380, Q5JTZ9, Q5SS80, Q5SUC9, Q69ZP3, Q6NZB1, Q6ZSI9, Q80UM7, Q8N490, Q8NFI3, Q8TDZ2, Q8VCL2

Diamond homologs: A3QJU3, B1XWR5, P27697, Q18486, Q29RI0, Q54IH6, Q566J8, Q5BJQ0, Q5RGU1, Q5ZMT7, Q60936, Q6AY19, Q7NZD1, Q8NI60, Q92338, Q94BU1, Q96D53, Q9SBB2, A0A172M468, A3QIE3, C3K8U2, Q93Y08, A1TTA2, A1U669, A1V750, A1W4D7, A2S8L4, A3MNU1, A3N5V1, A3NRJ7, A4XPM5, A5F4G3, A5WA47, A6VDI8, A9BP42, B0KM38, B0RLZ0, B0U2R2, B1J2S6, B2I583

SIGNOR signaling

0 interactions.

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 124 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

GO biological processes:

GO termPartnersFoldFDR
adenylate cyclase-modulating G protein-coupled receptor signaling pathway515.8×4e-03
phospholipase C-activating G protein-coupled receptor signaling pathway78.6×4e-03
G protein-coupled receptor signaling pathway134.4×4e-03

Disease & clinical

Clinical variants and AI predictions

ClinVar

335 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic19
Likely pathogenic13
Uncertain significance97
Likely benign121
Benign23

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1032201NM_024876.4(COQ8B):c.893+1G>TPathogenic
1453985NM_024876.4(COQ8B):c.811G>T (p.Glu271Ter)Pathogenic
2681741NM_024876.4(COQ8B):c.1297-2A>GPathogenic
2681743NM_024876.4(COQ8B):c.33del (p.Thr12fs)Pathogenic
3062386GRCh37/hg19 19q11-13.2(chr19:28271146-41508851)x3Pathogenic
3660280NM_024876.4(COQ8B):c.214del (p.Arg72fs)Pathogenic
3664204NM_024876.4(COQ8B):c.861C>A (p.Tyr287Ter)Pathogenic
3675482NM_024876.4(COQ8B):c.57_60del (p.Trp22fs)Pathogenic
3683924NM_024876.4(COQ8B):c.103-1G>TPathogenic
3710297NM_024876.4(COQ8B):c.1077dup (p.Glu360Ter)Pathogenic
3713511NM_024876.4(COQ8B):c.1125T>G (p.Tyr375Ter)Pathogenic
3714107NM_024876.4(COQ8B):c.289+1G>APathogenic
375336NM_024876.4(COQ8B):c.645del (p.Phe215fs)Pathogenic
4005848NM_024876.4(COQ8B):c.241G>T (p.Glu81Ter)Pathogenic
91846NM_024876.4(COQ8B):c.857A>G (p.Asp286Gly)Pathogenic
91848NM_024876.4(COQ8B):c.958C>T (p.Arg320Trp)Pathogenic
91849NM_024876.4(COQ8B):c.1027C>T (p.Arg343Trp)Pathogenic
974475NM_024876.4(COQ8B):c.1035+2T>CPathogenic
988900NM_024876.4(COQ8B):c.748G>A (p.Asp250Asn)Pathogenic
2444313NM_024876.4(COQ8B):c.271C>T (p.Arg91Cys)Likely pathogenic
2736895NM_024876.4(COQ8B):c.759C>A (p.Asn253Lys)Likely pathogenic
2977223NM_024876.4(COQ8B):c.368-1G>CLikely pathogenic
3242713NC_000019.9:g.(?41205952)(41211372_?)dupLikely pathogenic
3242714NC_000019.9:g.(?41211231)(41217328_?)delLikely pathogenic
3257711NM_024876.4(COQ8B):c.1156G>A (p.Asp386Asn)Likely pathogenic
3336632NM_024876.4(COQ8B):c.566G>A (p.Trp189Ter)Likely pathogenic
3680093NM_024876.4(COQ8B):c.367+1G>TLikely pathogenic
4293095NM_024876.4(COQ8B):c.449G>A (p.Arg150Gln)Likely pathogenic
4750427NM_024876.4(COQ8B):c.799+1G>ALikely pathogenic
4845808NM_024876.4(COQ8B):c.49_58del (p.Gly17fs)Likely pathogenic

SpliceAI

2457 predictions. Top by Δscore:

VariantEffectΔscore
19:40692945:CCCCA:Cdonor_loss1.0000
19:40692946:CCCAC:Cdonor_loss1.0000
19:40692947:CCACC:Cdonor_loss1.0000
19:40692948:CACC:Cdonor_loss1.0000
19:40692950:C:CTdonor_loss1.0000
19:40693034:CCAC:Cacceptor_gain1.0000
19:40693035:CAC:Cacceptor_gain1.0000
19:40693035:CACC:Cacceptor_gain1.0000
19:40693036:ACC:Aacceptor_loss1.0000
19:40693038:C:CCacceptor_gain1.0000
19:40693038:CTG:Cacceptor_loss1.0000
19:40693039:T:Aacceptor_loss1.0000
19:40695981:AGACT:Adonor_loss1.0000
19:40695982:GACTC:Gdonor_loss1.0000
19:40695983:ACTCA:Adonor_loss1.0000
19:40695984:CTCA:Cdonor_loss1.0000
19:40695985:TCAC:Tdonor_loss1.0000
19:40695986:CACC:Cdonor_loss1.0000
19:40695987:A:ACdonor_gain1.0000
19:40695988:C:Adonor_loss1.0000
19:40695988:C:CCdonor_gain1.0000
19:40695988:CCT:Cdonor_gain1.0000
19:40700062:CCAA:Cdonor_loss1.0000
19:40700063:CAAC:Cdonor_loss1.0000
19:40700065:ACCTG:Adonor_loss1.0000
19:40700066:C:CGdonor_loss1.0000
19:40700170:CAAAT:Cacceptor_gain1.0000
19:40700171:AAAT:Aacceptor_gain1.0000
19:40700172:AAT:Aacceptor_gain1.0000
19:40700173:AT:Aacceptor_gain1.0000

AlphaMissense

3518 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
19:40696040:G:CD386E0.996
19:40696040:G:TD386E0.996
19:40700110:T:CD367G0.994
19:40696041:T:AD386V0.993
19:40703721:C:AK237N0.991
19:40703721:C:GK237N0.991
19:40705350:C:AK155N0.991
19:40705350:C:GK155N0.991
19:40696041:T:GD386A0.990
19:40700094:G:CN372K0.990
19:40700094:G:TN372K0.990
19:40692201:C:GR490P0.989
19:40700091:G:CF373L0.988
19:40700091:G:TF373L0.988
19:40700093:A:GF373L0.988
19:40700169:G:CC347W0.988
19:40703762:G:CH224D0.988
19:40696037:A:CF387L0.987
19:40696037:A:TF387L0.987
19:40696039:A:GF387L0.987
19:40700140:T:AE357V0.987
19:40705332:G:CS161R0.987
19:40705332:G:TS161R0.987
19:40705334:T:GS161R0.987
19:40703723:T:CK237E0.986
19:40703728:G:TA235D0.986
19:40705357:G:TA153D0.986
19:40700110:T:AD367V0.985
19:40703770:C:TG221E0.985
19:40693000:A:TV416D0.984

dbSNP variants (sampled 300 via entrez): RS1000152731 (19:40693867 G>C), RS1000305338 (19:40710165 C>G,T), RS1000458646 (19:40716383 G>A), RS1000571034 (19:40712023 A>G), RS1000761940 (19:40693307 G>A), RS1000927943 (19:40698888 A>G,T), RS1000981334 (19:40700101 C>G), RS1001024978 (19:40711742 C>A), RS1001042380 (19:40698680 G>A), RS1001229682 (19:40716864 G>A), RS1001432351 (19:40695579 G>A,T), RS1001513731 (19:40704456 T>C), RS1001602602 (19:40701834 G>C), RS1001789009 (19:40710536 C>T), RS1001920555 (19:40706099 G>A)

Disease associations

OMIM: gene MIM:615567 | disease phenotypes: MIM:615573, MIM:268000

GenCC curated gene-disease

DiseaseClassificationInheritance
nephrotic syndrome, type 9DefinitiveAutosomal recessive
familial idiopathic steroid-resistant nephrotic syndromeSupportiveAutosomal dominant

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
mitochondrial diseaseDefinitiveAR

Mondo (8): nephrotic syndrome, type 9 (MONDO:0014257), mitochondrial disease (MONDO:0044970), retinitis pigmentosa (MONDO:0019200), kidney disorder (MONDO:0005240), retinal disorder (MONDO:0005283), nephrotic syndrome (MONDO:0005377), focal segmental glomerulosclerosis (MONDO:0100313), familial idiopathic steroid-resistant nephrotic syndrome (MONDO:0019006)

Orphanet (3): Hereditary steroid-resistant nephrotic syndrome (Orphanet:656), Mitochondrial disease (Orphanet:68380), Retinitis pigmentosa (Orphanet:791)

HPO phenotypes

56 total (30 of 56 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000093Proteinuria
HP:0000096Glomerular sclerosis
HP:0000097Focal segmental glomerulosclerosis
HP:0000405Conductive hearing impairment
HP:0000407Sensorineural hearing impairment
HP:0000501Glaucoma
HP:0000505Visual impairment
HP:0000512Abnormal electroretinogram
HP:0000543Optic disc pallor
HP:0000546Retinal degeneration
HP:0000551Color vision defect
HP:0000563Keratoconus
HP:0000602Ophthalmoplegia
HP:0000613Photophobia
HP:0000618Blindness
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000662Nyctalopia
HP:0000707Abnormality of the nervous system
HP:0000737Irritability
HP:0000842Hyperinsulinemia
HP:0000969Edema
HP:0001105Retinal atrophy
HP:0001945Fever
HP:0001967Diffuse mesangial sclerosis
HP:0002027Abdominal pain
HP:0002315Headache
HP:0002586Peritonitis
HP:0003073Hypoalbuminemia

GWAS associations

20 associations (top):

StudyTraitp-value
GCST003847_2Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) level)6.000000e-08
GCST003849_1Caffeine metabolism (plasma 3,7-dimethylxanthine (theobromine) level)4.000000e-06
GCST003851_10Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)5.000000e-12
GCST003851_11Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)8.000000e-09
GCST003851_12Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)2.000000e-10
GCST003851_13Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)9.000000e-22
GCST003851_14Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)9.000000e-10
GCST003851_15Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)9.000000e-11
GCST003851_16Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)3.000000e-09
GCST003851_17Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)2.000000e-11
GCST003851_18Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)1.000000e-08
GCST003851_19Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)3.000000e-11
GCST003851_20Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)3.000000e-09
GCST003851_21Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)1.000000e-09
GCST003851_22Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)2.000000e-08
GCST003851_23Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)3.000000e-08
GCST003851_26Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)5.000000e-12
GCST003851_27Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)1.000000e-08
GCST003851_9Caffeine metabolism (plasma 1,7-dimethylxanthine (paraxanthine) to 1,3,7-trimethylxanthine (caffeine) ratio)6.000000e-09
GCST009921_7Carotid intima media thickness (mean)1.000000e-10

EFO canonical traits (1, from GWAS)

EFO IDTrait name
EFO:0007872caffeine metabolite measurement

MeSH disease descriptors (5)

DescriptorNameTree numbers
D005923Glomerulosclerosis, Focal SegmentalC12.050.351.968.419.570.363.640; C12.200.777.419.570.363.660; C12.950.419.570.363.640
D007674Kidney DiseasesC12.050.351.968.419; C12.200.777.419; C12.950.419
D009404Nephrotic SyndromeC12.050.351.968.419.630.643; C12.200.777.419.630.643; C12.950.419.630.643
D012164Retinal DiseasesC11.768
D012174Retinitis PigmentosaC11.270.684; C11.768.585.658.500; C16.320.290.684

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL5753 (SINGLE PROTEIN)

Molecules with ChEMBL bioactivity

9 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 187,251 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL1287853FEDRATINIB43,554
CHEMBL24828VANDETANIB442,230
CHEMBL553ERLOTINIB4108,300
CHEMBL601719CRIZOTINIB414,403
CHEMBL31965CANERTINIB38,083
CHEMBL230011TG100-11521,504
CHEMBL475251R-4062762
CHEMBL607707PELITINIB26,340
CHEMBL296468BMS-38703212,075

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB variants

1 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs28493229COQ8B, ITPKC0.000

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: enzyme — ABC1-B subfamily

Binding affinities (BindingDB)

6 measured of 6 human assays (6 total across all organisms); most potent 6 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValue
4-(4-Fluorophenyl)-2-(4-hydroxyphenyl)-5-(4-pyridyl)-1H-imidazoleKD9.8 nM
4-[4-(4-fluorophenyl)-2-(4-methanesulfinylphenyl)-1H-imidazol-5-yl]pyridineKD12 nM
N-(4-bromo-2-fluorophenyl)-6-methoxy-7-[(1-methylpiperidin-4-yl)methoxy]quinazolin-4-amineKD150 nM
ERLOTINIB HYDROCHLORIDEKD1200 nM
CI-1033KD1700 nM
(E)-N-[4-(3-chloro-4-fluoro-anilino)-3-cyano-7-ethoxy-6-quinolyl]-4-(dimethylamino)but-2-enamideKD3500 nM

ChEMBL bioactivities

20 potent at pChembl≥5 of 20 total, top 16 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
7.57Kd27nMCHEMBL386051
7.19Kd64nMR-406
7.04Kd92nMTAE-684
6.89Kd129nMCHEMBL249097
6.52Kd300nMFEDRATINIB
5.96Kd1100nMCRIZOTINIB
5.85Kd1400nMTG100-115
5.77Kd1700nMVANDETANIB
5.60Kd2500nMERLOTINIB
5.54Kd2900nMBMS-387032
5.51Kd3100nMSB-203580
5.47Kd3400nMCANERTINIB
5.46Kd3500nMCHEMBL1241674
5.32Kd4800nMCHEMBL2425628
5.31Kd4900nMSB-202190
5.21Kd6100nMPELITINIB

PubChem BioAssay actives

20 with measured affinity, of 217 total; 16 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
6-(2,6-dichlorophenyl)-8-methyl-2-(3-methylsulfanylanilino)pyrido[2,3-d]pyrimidin-7-one625135: Binding constant for ADCK4 kinase domainkd0.0270uM
6-[[5-fluoro-2-(3,4,5-trimethoxyanilino)pyrimidin-4-yl]amino]-2,2-dimethyl-4H-pyrido[3,2-b][1,4]oxazin-3-one625135: Binding constant for ADCK4 kinase domainkd0.0640uM
5-chloro-2-N-[2-methoxy-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]phenyl]-4-N-(2-propan-2-ylsulfonylphenyl)pyrimidine-2,4-diamine625135: Binding constant for ADCK4 kinase domainkd0.0920uM
3-[[4-(5-hydroxy-2-methylanilino)pyrimidin-2-yl]amino]benzamide389079: Binding affinity to human ADCK4kd0.1290uM
Fedratinib625135: Binding constant for ADCK4 kinase domainkd0.3000uM
Crizotinib625135: Binding constant for ADCK4 kinase domainkd1.1000uM
3-[2,4-diamino-7-(3-hydroxyphenyl)pteridin-6-yl]phenol625135: Binding constant for ADCK4 kinase domainkd1.4000uM
Vandetanib435778: Binding constant for full-length ADCK4kd1.7000uM
Erlotinib435778: Binding constant for full-length ADCK4kd2.5000uM
N-[5-[(5-tert-butyl-1,3-oxazol-2-yl)methylsulfanyl]-1,3-thiazol-2-yl]piperidine-4-carboxamide625135: Binding constant for ADCK4 kinase domainkd2.9000uM
4-[4-(4-fluorophenyl)-2-(4-methylsulfinylphenyl)-1H-imidazol-5-yl]pyridine435778: Binding constant for full-length ADCK4kd3.1000uM
N-[4-(3-chloro-4-fluoroanilino)-7-(3-morpholin-4-ylpropoxy)quinazolin-6-yl]prop-2-enamide435778: Binding constant for full-length ADCK4kd3.4000uM
2-(4-amino-1-propan-2-ylpyrazolo[3,4-d]pyrimidin-3-yl)-1H-indol-5-ol625135: Binding constant for ADCK4 kinase domainkd3.5000uM
(4-hydroxypiperidin-1-yl)-[4-[[4-[4-(3-methylsulfonylpropoxy)indol-1-yl]pyrimidin-2-yl]amino]cyclohexyl]methanone769530: Binding affinity to ADCK4 (unknown origin)kd4.8000uM
4-[4-(4-fluorophenyl)-5-pyridin-4-yl-1H-imidazol-2-yl]phenol435778: Binding constant for full-length ADCK4kd4.9000uM
(E)-N-[4-(3-chloro-4-fluoroanilino)-3-cyano-7-ethoxyquinolin-6-yl]-4-(dimethylamino)but-2-enamide435778: Binding constant for full-length ADCK4kd6.1000uM

CTD chemical–gene interactions

27 total (human), top 27 by PubMed support.

ChemicalActions (top 5)PubMed papers
Smokedecreases expression, increases abundance, increases expression2
aristolochic acid Iincreases expression1
triphenyl phosphateaffects expression1
bisphenol Adecreases expression1
sodium arsenitedecreases expression1
di-n-butylphosphoric acidaffects expression1
monomethylarsonous aciddecreases expression1
abrineincreases expression1
bisphenol Saffects cotreatment, decreases expression1
(+)-JQ1 compounddecreases expression1
Temozolomidedecreases expression1
Air Pollutantsincreases abundance, increases expression1
Vehicle Emissionsdecreases expression, increases abundance1
Dexamethasoneaffects cotreatment, decreases expression1
Doxorubicindecreases expression1
Gallic Acidincreases expression1
Indomethacinaffects cotreatment, decreases expression1
Leaddecreases expression1
Tetrachlorodibenzodioxinaffects expression1
Thiramdecreases expression1
Tobacco Smoke Pollutiondecreases expression1
Toluenedecreases expression, increases methylation1
Valproic Acidincreases methylation1
1-Methyl-3-isobutylxanthineaffects cotreatment, decreases expression1
Sodium Seleniteincreases expression1
Cadmium Chloridedecreases expression1
Particulate Matterincreases abundance, decreases expression1

ChEMBL screening assays

77 unique, capped per target: 77 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1025759BindingBinding affinity to human ADCK3 at 10 uM relative to controlAssessment of chemical coverage of kinome space and its implications for kinase drug discovery. — J Med Chem

Cellosaurus cell lines

4 cell lines: 4 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_B1P3Abcam HeLa COQ8B KOCancer cell lineFemale
CVCL_D7MSUbigene A-549 COQ8B KOCancer cell lineMale
CVCL_SB63HAP1 COQ8B (-) 1Cancer cell lineMale
CVCL_SB64HAP1 COQ8B (-) 2Cancer cell lineMale

Clinical trials (associated diseases)

299 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT03351998PHASE4COMPLETEDImpact of Statin Therapy on Muscle Mitochondrial Function and Aerobic Capacity
NCT00717080PHASE4COMPLETEDThe Role of Capsular Tension Ring (CTR) in Anterior Capsular Contraction
NCT00432744PHASE3COMPLETEDPhase III Trial of Coenzyme Q10 in Mitochondrial Disease
NCT05162768PHASE3COMPLETEDStudy to Evaluate Efficacy and Safety of Elamipretide in Subjects With Primary Mitochondrial Disease From Nuclear DNA Mutations (nPMD)
NCT06451757PHASE3RECRUITINGKHENERFIN Study: A Trial to Evaluate the Efficacy and Safety of Sonlicromanol in Primary Mitochondrial Diseases
NCT00000114PHASE3COMPLETEDRandomized Trial of Vitamin A and Vitamin E Supplementation for Retinitis Pigmentosa
NCT00000116PHASE3COMPLETEDRandomized Trial of DHA for Retinitis Pigmentosa Patients Receiving Vitamin A
NCT00346333PHASE3COMPLETEDClinical Trial of Lutein for Patients With Retinitis Pigmentosa Receiving Vitamin A
NCT01786395PHASE3TERMINATEDPhase III Efficacy and Safety Clinical Study of UF-021 for Treatment of Retinitis Pigmentosa
NCT04224207PHASE3COMPLETEDManagement of Retinitis Pigmentosa by Mesenchymal Stem Cells by Wharton’s Jelly Derived Mesenchymal Stem Cells
NCT04636853PHASE3COMPLETEDCB-PRP in Retinitis Pigmentosa and Dry Age-related Macular Degeneration
NCT05537220PHASE3ACTIVE_NOT_RECRUITINGOral N-acetylcysteine for Retinitis Pigmentosa
NCT05800301PHASE3COMPLETEDManagement of Retinitis Pigmentosa Via Combination of Wharton’s Jelly-derived Mesenchymal Stem Cells and Magnovision
NCT05926583PHASE3ACTIVE_NOT_RECRUITINGA Study of AAV5-hRKp.RPGR for the Treatment of Japanese Participants With X-linked Retinitis Pigmentosa
NCT06388200PHASE3ACTIVE_NOT_RECRUITINGA Phase 3 Study Of OCU400 Gene Therapy for the Treatment Of Retinitis Pigmentosa
NCT07082855PHASE3NOT_YET_RECRUITINGA Multicenter, Randomized, Double-Blind, Controlled Clinical Study of Minocycline for the Treatment of Retinitis Pigmentosa
NCT07290530PHASE3NOT_YET_RECRUITING24-Month Trial of NPI-001 for the Preservation of Photoreceptors in Retinitis Pigmentosa Associated With Usher Syndrome
NCT02398201PHASE2COMPLETEDA Study of Bezafibrate in Mitochondrial Myopathy
NCT02473445PHASE2TERMINATEDA Long-term Extension of Study RP103-MITO-001 (NCT02023866) to Assess Cysteamine Bitartrate Delayed-release Capsules (RP103) in Children With Inherited Mitochondrial Disease
NCT02500628PHASE2COMPLETEDHeart Rate Variability in Response to Metformin Challenge
NCT02805790PHASE2COMPLETEDSafety, Tolerability, Efficacy of MTP-131 for Treatment of Mitochondrial Disease in Subjects From the MMPOWER Study
NCT02909400PHASE2COMPLETEDThe KHENERGY Study
NCT02976038PHASE2TERMINATEDOpen-Label Extension Trial to Characterize the Long-term Safety and Tolerability of Elamipretide in Subjects With Genetically Confirmed Primary Mitochondrial Myopathy (PMM)
NCT03177798PHASE2COMPLETEDMitochondria and Chronic Kidney Disease
NCT03866954PHASE2WITHDRAWNTrial of Erythrocyte Encapsulated Thymidine Phosphorylase In Mitochondrial Neurogastrointestinal Encephalomyopathy
NCT04165239PHASE2COMPLETEDThe KHENERGYZE Study
NCT04604548PHASE2COMPLETEDThe KHENEREXT Study
NCT04802707PHASE2RECRUITINGDeoxynucleosides Pyrimidines as Treatment for Mitochondrial Depletion Syndrome
NCT04846036PHASE2SUSPENDEDThe KHENERGYC Study
NCT05650229PHASE2RECRUITINGEfficacy of KL1333 in Adult Patients With Primary Mitochondrial Disease
NCT05972954PHASE2COMPLETEDOMT-28 in Patients With Primary Mitochondrial Disease (PMD) (PMD-OPTION)
NCT06017869PHASE2RECRUITINGEvaluate 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)
NCT07514338PHASE2NOT_YET_RECRUITINGOpen Label Extension to Assess Long Term Safety and Efficacy of KL1333 in Patients With Primary Mitochondrial Disease
NCT00100230PHASE2COMPLETEDDHA and X-Linked Retinitis Pigmentosa
NCT00447980PHASE2COMPLETEDA Study of Encapsulated Cell Technology (ECT) Implant for Participants With Early Stage Retinitis Pigmentosa
NCT00447993PHASE2COMPLETEDA Study of Encapsulated Cell Technology (ECT) Implant for Patients With Late Stage Retinitis Pigmentosa
NCT01233609PHASE2COMPLETEDTrial of Oral Valproic Acid for Retinitis Pigmentosa
NCT01399515PHASE2COMPLETEDEfficacy and Safety of Oral Valproic Acid for Retinitis Pigmentosa
NCT01530659PHASE2COMPLETEDRetinal Imaging in CNTF -Releasing Encapsulated Cell Implant Treated Patients for Early-stage Retinitis Pigmentosa
NCT01560715PHASE2COMPLETEDAutologous Bone Marrow-Derived Stem Cells Transplantation For Retinitis Pigmentosa