HIGD2A

Chr 5

HIG1 hypoxia inducible domain family member 2A

Also known as: HIG2A, RCF1b

The encoded protein is a subunit of cytochrome c oxidase (complex IV), the terminal enzyme in the mitochondrial respiratory chain that catalyzes the reduction of oxygen to water. Mutations cause mitochondrial complex IV deficiency, presenting as a multisystem disorder affecting organs with high energy demands including the brain, heart, and skeletal muscle. This condition follows autosomal recessive inheritance.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.57
Clinical SummaryHIGD2A
Population Constraint (gnomAD)
Low constraint (pLI 0.19) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.57LOEUF
pLI 0.191
Z-score 0.94
OE 0.38 (0.131.57)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.40Z-score
OE missense 0.86 (0.701.07)
57 obs / 66.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.38 (0.131.57)
00.351.4
Missense OE0.86 (0.701.07)
00.61.4
Synonymous OE1.07
01.21.6
LoF obs/exp: 1 / 2.6Missense obs/exp: 57 / 66.1Syn Z: -0.31
DN
0.87top 5%
GOF
0.7029th %ile
LOF
0.2289th %ile

This gene has evidence for multiple mechanisms of pathogenicity (dominant-negative and gain-of-function). Both the Badonyi & Marsh prediction and the broader genomic evidence point to dominant-negative as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

DNprediction above median
GOFprediction 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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

HIGD2A · 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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