NDUFB3

Chr 2AR

NADH:ubiquinone oxidoreductase subunit B3

Also known as: B12, CI-B12, MC1DN25

This protein is an accessory subunit of mitochondrial Complex I (NADH dehydrogenase), which transfers electrons from NADH to the respiratory chain as the first enzyme in mitochondrial electron transport. Mutations cause mitochondrial complex I deficiency with autosomal recessive inheritance. The gene shows low constraint to loss-of-function variation (pLI ~0, LOEUF 1.94), consistent with the recessive inheritance pattern where heterozygous carriers are typically unaffected.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 1.941 OMIM phenotype
Clinical SummaryNDUFB3
🧬
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.
📋
ClinVar Variants
38 unique Pathogenic / Likely Pathogenic· 28 VUS of 88 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.94LOEUF
pLI 0.000
Z-score -1.10
OE 1.61 (0.791.94)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.32Z-score
OE missense 0.88 (0.691.12)
45 obs / 51.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE1.61 (0.791.94)
00.351.4
Missense OE0.88 (0.691.12)
00.61.4
Synonymous OE0.70
01.21.6
LoF obs/exp: 6 / 3.7Missense obs/exp: 45 / 51.4Syn Z: 0.98
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveNDUFB3-related mitochondrial complex I deficiencyLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.7131th %ile
GOF
0.5071th %ile
LOF
0.3746th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

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

ClinVar Variant Classifications

88 submitted variants in ClinVar

Classification Summary

Pathogenic33
Likely Pathogenic5
VUS28
Likely Benign7
Benign8
Conflicting2
33
Pathogenic
5
Likely Pathogenic
28
VUS
7
Likely Benign
8
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
2
0
31
0
33
Likely Pathogenic
2
1
2
0
5
VUS
0
23
5
0
28
Likely Benign
0
0
4
3
7
Benign
0
0
8
0
8
Conflicting
2
Total42450383

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

View in ClinVar →

Protein Context — Lollipop Plot

NDUFB3 · 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
Open Research Assistant →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC
Role of COX6C and NDUFB3 in septic shock and stroke.
Tian W et al.·Open Med (Wars)
2024Open Access