SURF1

Chr 9AR

SURF1 cytochrome c oxidase assembly factor

Also known as: CMT4K, MC4DN1, SHY1

The SURF1 protein localizes to the inner mitochondrial membrane and is involved in the biogenesis of cytochrome c oxidase (complex IV). Mutations cause autosomal recessive mitochondrial complex IV deficiency leading to Leigh syndrome and Charcot-Marie-Tooth disease type 4K through loss of function. The gene shows tolerance to loss-of-function variants, consistent with the recessive inheritance pattern where biallelic mutations are required for disease.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 1.722 OMIM phenotypes
Clinical SummarySURF1
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Gene-Disease Validity (ClinGen)
Leigh syndrome · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — 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
1.72LOEUF
pLI 0.000
Z-score -0.67
OE 1.19 (0.821.72)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.68Z-score
OE missense 1.15 (1.021.31)
177 obs / 153.3 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.19 (0.821.72)
00.351.4
Missense OE1.15 (1.021.31)
00.61.4
Synonymous OE1.65
01.21.6
LoF obs/exp: 18 / 15.2Missense obs/exp: 177 / 153.3Syn Z: -3.89

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

SURF1 · 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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Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗