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POLG

Chr 15q26.1

DNA polymerase gamma, catalytic subunit

Aliases:
POLG1, POLGA
MANE:
ENST00000268124.11

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Acute rhabdomyolysis

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Adult onset neurodegenerative disorder

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Ataxia and cerebellar anomalies - narrow panel

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Bilateral congenital or childhood onset cataracts

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Cholestasis

    BIALLELIC, autosomal or pseudoautosomal
  • DDG2P

    BIALLELIC, autosomal or pseudoautosomal
  • Early onset or syndromic epilepsy

    BIALLELIC, autosomal or pseudoautosomal
  • Gastrointestinal neuromuscular disorders

    BIALLELIC, autosomal or pseudoautosomal

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Disease associations (Open Targets)

  • mitochondrial DNA depletion syndrome 4a

    0.85
  • sensory ataxic neuropathy, dysarthria, and ophthalmoparesis

    0.84
  • progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal recessive 1

    0.83
  • mitochondrial neurogastrointestinal encephalomyopathy

    0.83
  • Sensory ataxic neuropathy - dysarthria - ophthalmoparesis

    0.83
  • progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal dominant 1

    0.83
  • Alpers syndrome

    0.77
  • spinocerebellar ataxia with epilepsy

    0.68
  • mitochondrial DNA depletion syndrome

    0.67
  • autosomal dominant progressive external ophthalmoplegia

    0.67

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

Protein function (UniProt)

DNA polymerase subunit gamma-1

Catalytic subunit of DNA polymerase gamma solely responsible for replication of mitochondrial DNA (mtDNA). Replicates both heavy and light strands of the circular mtDNA genome using a single-stranded DNA template, RNA primers and the four deoxyribonucleoside triphosphates as substrates (PubMed:11477093, PubMed:11897778, PubMed:15917273, PubMed:19837034, PubMed:9558343). Has 5' -> 3' polymerase activity. Functionally interacts with TWNK and SSBP1 at the replication fork to form a highly processive replisome, where TWNK unwinds the double-stranded DNA template prior to replication and SSBP1 covers the parental heavy strand to enable continuous replication of the entire mitochondrial genome. A single nucleotide incorporation cycle includes binding of the incoming nucleotide at the insertion site, a phosphodiester bond formation reaction that extends the 3'-end of the primer DNA, and translocation of the primer terminus to the post-insertion site. After completing replication of a mtDNA strand, mediates 3' -> 5' exonucleolytic degradation at the nick to enable proper ligation (PubMed:11477093, PubMed:11897778, PubMed:15167897, PubMed:15917273, PubMed:19837034, PubMed:26095671, PubMed:9558343). Highly accurate due to high nucleotide selectivity and 3' -> 5' exonucleolytic proofreading. Proficiently corrects base substitutions, single-base additions and deletions in non-repetitive sequences and short repeats, but displays lower proofreading activity when replicating longer homopolymeric stretches. Exerts exonuclease activity toward single-stranded DNA and double-stranded DNA containing 3'-terminal mispairs. When a misincorporation occurs, transitions from replication to a pro-nucleolytic editing mode and removes the missincorporated nucleoside in the exonuclease active site. Proceeds via an SN2 nucleolytic mechanism in which Asp-198 catalyzes phosphodiester bond hydrolysis and Glu-200 stabilizes the leaving group. As a result the primer strand becomes one nucleotide shorter and is positioned in the post-insertion site, ready to resume DNA synthesis (PubMed:10827171, PubMed:11477094, PubMed:11504725, PubMed:37202477). Exerts 5'-deoxyribose phosphate (dRP) lyase activity and mediates repair-associated mtDNA synthesis (gap filling) in base-excision repair pathway. Catalyzes the release of the 5'-terminal 2-deoxyribose-5-phosphate sugar moiety from incised apurinic/apyrimidinic (AP) sites to produce a substrate for DNA ligase. The dRP lyase reaction does not require divalent metal ions and likely proceeds via a Schiff base intermediate in a beta-elimination reaction mechanism (PubMed:9770471)

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.