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MT-CO1

Chr mitochondria

mitochondrially encoded cytochrome c oxidase I

Aliases:
COX1, COI

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Acute rhabdomyolysis

    MITOCHONDRIAL
  • Likely inborn error of metabolism

    MITOCHONDRIAL
  • Mitochondrial disorders

    MITOCHONDRIAL
  • Rhabdomyolysis and metabolic muscle disorders

    MITOCHONDRIAL
  • Undiagnosed metabolic disorders

    MITOCHONDRIAL
  • Monogenic hearing loss

    MITOCHONDRIAL
  • Albinism or congenital nystagmus

    MITOCHONDRIAL
  • Infantile nystagmus

    MITOCHONDRIAL

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Disease associations (Open Targets)

  • mitochondrial disease

    0.71
  • Leber hereditary optic neuropathy

    0.70
  • mitochondrial non-syndromic sensorineural hearing loss

    0.68
  • Isolated cytochrome C oxidase deficiency

    0.67
  • myelodysplastic syndrome with ring sideroblasts

    0.61
  • myoglobinuria, recurrent

    0.61
  • hereditary recurrent myoglobinuria

    0.60
  • MELAS syndrome

    0.57
  • Mitochondrial non-syndromic sensorineural deafness with susceptibility to aminoglycoside exposure

    0.56
  • MERRF syndrome

    0.51

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

Cytochrome c oxidase subunit 1

Component of the cytochrome c oxidase, the last enzyme in the mitochondrial electron transport chain which drives oxidative phosphorylation. The respiratory chain contains 3 multisubunit complexes succinate dehydrogenase (complex II, CII), ubiquinol-cytochrome c oxidoreductase (cytochrome b-c1 complex, complex III, CIII) and cytochrome c oxidase (complex IV, CIV), that cooperate to transfer electrons derived from NADH and succinate to molecular oxygen, creating an electrochemical gradient over the inner membrane that drives transmembrane transport and the ATP synthase. Cytochrome c oxidase is the component of the respiratory chain that catalyzes the reduction of oxygen to water. Electrons originating from reduced cytochrome c in the intermembrane space (IMS) are transferred via the dinuclear copper A center (CU(A)) of subunit 2 and heme A of subunit 1 to the active site in subunit 1, a binuclear center (BNC) formed by heme A3 and copper B (CU(B)). The BNC reduces molecular oxygen to 2 water molecules using 4 electrons from cytochrome c in the IMS and 4 protons from the mitochondrial matrix

Curated MONDO disease pages that list MT-CO1 among their top associated genes.

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.