This protein is required for coenzyme Q function in the mitochondrial respiratory chain and may serve as a chaperone or transport Q6 to respiratory complexes. Mutations cause primary coenzyme Q10 deficiency, which presents as a mitochondrial disorder affecting multiple systems including the brain, kidneys, and muscles. The condition follows autosomal recessive inheritance.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 0.62
Clinical SummaryCOQ10B
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.24) despite low pLI — interpret in context.
📋
ClinVar Variants
36 unique Pathogenic / Likely Pathogenic· 25 VUS of 70 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.62LOEUF
pLI 0.294
Z-score 2.48
OE 0.24 (0.110.62)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
1.00Z-score
OE missense 0.75 (0.640.89)
96 obs / 127.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.24 (0.110.62)
00.351.4
Missense OE0.75 (0.640.89)
00.61.4
Synonymous OE0.88
01.21.6
LoF obs/exp: 3 / 12.5Missense obs/exp: 96 / 127.9Syn Z: 0.64
DN
0.6453th %ile
GOF
0.4875th %ile
LOF
0.4430th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

70 submitted variants in ClinVar

Classification Summary

Pathogenic35
Likely Pathogenic1
VUS25
Likely Benign3
35
Pathogenic
1
Likely Pathogenic
25
VUS
3
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
35
0
35
Likely Pathogenic
0
0
1
0
1
VUS
0
22
3
0
25
Likely Benign
0
2
0
1
3
Benign
0
0
0
0
0
Total02439164

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

COQ10B · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
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Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC