COQ4

Chr 9AR

coenzyme Q4

Also known as: CGI-92, COQ10D7, SPAX10

The protein functions as a lyase that catalyzes C1-decarboxylation of 4-hydroxy-3-methoxy-5-(all-trans-decaprenyl)benzoic acid to 2-methoxy-6-(all-trans-decaprenyl)phenol during ubiquinone biosynthesis. Autosomal recessive mutations cause primary coenzyme Q10 deficiency type 7 and spastic ataxia 10 through disruption of the coenzyme Q10 biosynthetic pathway. Loss of function mutations result in cellular energy defects due to impaired mitochondrial electron transport chain function.

GeneReviewsOMIMResearchSummary from OMIM, UniProt
LOFmechanismARLOEUF 1.582 OMIM phenotypes
Clinical SummaryCOQ4
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Gene-Disease Validity (ClinGen)
mitochondrial disease · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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GeneReview available — COQ4
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.58LOEUF
pLI 0.000
Z-score -0.01
OE 1.00 (0.651.58)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.36Z-score
OE missense 0.92 (0.811.05)
157 obs / 170.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE1.00 (0.651.58)
00.351.4
Missense OE0.92 (0.811.05)
00.61.4
Synonymous OE1.18
01.21.6
LoF obs/exp: 13 / 13.0Missense obs/exp: 157 / 170.4Syn Z: -1.24

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

COQ4 · 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.

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Clinical Literature
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Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
PubTator3
Top 4 full-text resultsSearch PubTator3 ↗