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Most Common: Hearing Loss (D034381), Deafness (D003638), Sensorineural HL (D006319), Waardenburg Syndrome, Usher Syndromes
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Metabolism, Inborn Errors (D008661)
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Mitochondrial Diseases (D028361)
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Cytochrome-c Oxidase Deficiency (D030401)

       Child Nodes:
........expandCardioencephalomyopathy, Fatal Infantile, due to Cytochrome C Oxidase Deficiency (C565784)
........expandLeigh syndrome , French Canadian type (C537004)



 Sister Nodes: 
..expand3-Hydroxy-3-Methylglutaryl-CoA Synthase 2 Deficiency (C567784)
..expandAcyl-CoA Dehydrogenase Family, Member 9, Deficiency of (C567006)
..expandAtaxia and Polyneuropathy, Adult-Onset (C564020)
..expandAtaxia Neuropathy Spectrum (C579922)
..expandBjornstad syndrome (C537633)
..expandCarbamoyl-Phosphate Synthase I Deficiency Disease (D020165)
..expandCarnitine Palmitoyltransferase II Deficiency, Late-Onset (C563461)
..expandCarnitine Palmitoyltransferase II Deficiency, Lethal Neonatal (C563463)
..expandChildhood Myocerebrohepatopathy Spectrum (C579990)
..expandCoenzyme Q10 Deficiency (C564403)
..expandCombined Oxidative Phosphorylation Deficiency 4 (C565690)
..expandCombined Oxidative Phosphorylation Deficiency 5 (C567126)
..expandCowden-Like Syndrome (C567337)
..expandCytochrome-c Oxidase Deficiency (D030401) Child2
..expandDeoxyguanosine Kinase Deficiency (C580039)
..expandFinnish lethal neonatal metabolic syndrome (C537934)
..expandFriedreich Ataxia (D005621) Child6
..expandHypermetabolism due to Defect in Mitochondria (C565498)
..expandHypomyelination, Global Cerebral (C567847)
..expandHypotonia-Cystinuria Syndrome (C564710)
..expandKearns-Sayre Syndrome (D007625) Child1
..expandLeigh Disease (D007888) Child12
..expandLeukodystrophy, Hypomyelinating, 4 (C567390)
..expandLeukoencephalopathy with Brainstem and Spinal Cord Involvement and Lactate Elevation (C567009)
..expandMedium Chain 3-Ketoacyl-CoA Thiolase Deficiency (C566566)
..expandMitochondrial complex I deficiency (C537475)
..expandMitochondrial Complex II Deficiency (C565375)
..expandMitochondrial Complex III Deficiency (C565128)
..expandMITOCHONDRIAL COMPLEX V (ATP SYNTHASE) DEFICIENCY, NUCLEAR TYPE 1;MC5DN1 MITOCHONDRIAL COMPLEX V (ATP SYNTHASE) DEFICIENCY, ATPAF2 TYPE (OMIM:604273)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 3 (HEPATOCEREBRAL TYPE) (OMIM:251880)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 4A (ALPERS TYPE) (OMIM:203700)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 6 (HEPATOCEREBRAL TYPE) (OMIM:256810)
..expandMITOCHONDRIAL DNA DEPLETION SYNDROME 9 (ENCEPHALOMYOPATHIC TYPE WITH METHYLMALONIC ACIDURIA) (OMIM:245400)
..expandMitochondrial DNA Depletion Syndrome, Myopathic Form (C563698)
..expandMitochondrial Myopathies (D017240) Child33
..expandMitochondrial Phosphate Carrier Deficiency (C563665)
..expandMultiple Acyl Coenzyme A Dehydrogenase Deficiency (D054069) Child1
..expandMultiple Mitochondrial Dysfunctions Syndrome (C565304)
..expandMULTIPLE MITOCHONDRIAL DYSFUNCTIONS SYNDROME 1 (OMIM:605711)
..expandMyopathy with Giant Abnormal Mitochondria (C564971)
..expandMyopathy, Cataract, Hypogonadism Syndrome (C563578)
..expandNavajo neurohepatopathy (C538344) Child1
..expandOphthalmoplegic Neuromuscular Disorder with Abnormal Mitochondria (C564925)
..expandOptic Atrophy, Autosomal Dominant (D029241)
..expandOptic Atrophy, Hereditary, Leber (D029242) Child1
..expandParkinson Disease, Mitochondrial (C564015)
..expandPhosphoenolpyruvate Carboxykinase Deficiency, Mitochondrial (C564890)
..expandProgressive External Ophthalmoplegia With Hypogonadism (C563576)
..expandProgressive External Ophthalmoplegia with Mitochondrial DNA Deletions, Autosomal Dominant, 1 (C563575)
..expandProgressive External Ophthalmoplegia With Mitochondrial Dna Deletions, Autosomal Dominant, 5 (C567768)
..expandProximal Myopathy with Focal Depletion of Mitochondria (C563453)
..expandPyruvate Carboxylase Deficiency Disease (D015324) Child1
..expandPyruvate Dehydrogenase Complex Deficiency Disease (D015325) Child4
..expandSarcosinemia (C537236)
..expandSpinocerebellar Ataxia with Epilepsy (C564395)
..expandSuccinate-Coa Ligase Deficiency (C580473)
..expandVDAC Deficiency (C565767)
..expandVLCAD deficiency (C536353)
..expandWolfram Syndrome 2 (C565733)
   

Human Disease MESH is developed by UMLS.
Further data from MedGen, OMIM, CTD
Term ID:2952
Name:Cytochrome-c Oxidase Deficiency
Definition:A disease that results from a congenital defect in ELECTRON TRANSPORT COMPLEX IV. Defects in ELECTRON TRANSPORT COMPLEX IV can be caused by mutations in the SURF1, SCO2, COX10, or SCO1 genes. ELECTRON TRANSPORT COMPLEX IV deficiency caused by mutation in SURF1 manifests itself as LEIGH DISEASE; that caused by mutation in SCO2 as fatal infantile cardioencephalomyopathy; that caused by mutation in COX10 as tubulopathy and leukodystrophy; and that caused by mutation in SCO1 as early-onset hepatic failure and neurologic disorder. (from Online Mendelian Inheritance in Man, http://www.ncbi.nlm.nih.gov/Omim, MIM#220110, May 17, 2001)
Alternative IDs:OMIM:220110
ParentIDs:MESH:D008661|MESH:D028361
TreeNumbers:C16.320.565.240 |C18.452.660.195
Synonyms:Complex IV Deficiencies |Complex IV Deficiency |Cox Deficiencies |Cox Deficiency |Cytochrome-c Oxidase Deficiencies |Cytochrome C Oxidase Deficiency |Cytochrome Oxidase Deficiencies |Cytochrome Oxidase Deficiency |Deficiencies, Complex IV |Deficiencies, Cox |Defic
Slim Mappings:Genetic disease (inborn)|Metabolic disease
Reference: MedGen: D030401
MeSH: D030401
OMIM: 220110;

Genes: APOPT1; COA5; COX10; COX14; COX20; COX6B1; FASTKD2; PET100; TACO1;
Phenotypes
1 HP:0000007Autosomal recessive inheritance
2 HP:0003355Aminoaciduria
3 HP:0001903Anemia
4 HP:0001251Ataxia
5 HP:0003688Cytochrome C oxidase-negative muscle fibers
6 HP:0001410Decreased liver function
7 HP:0003546Exercise intolerance
8 HP:0002875Exertional dyspnea
9 HP:0001508Failure to thrive
10 HP:0001290Generalized hypotonia
11 HP:0001263Global developmental delay
12 HP:0003076Glycosuria
13 HP:0002240Hepatomegaly
14 HP:0001425Heterogeneous
15 HP:0003109Hyperphosphaturia
16 HP:0001639Hypertrophic cardiomyopathy
17 HP:0001252Hypotonia
18 HP:0002490Increased CSF lactate
19 HP:0006565Increased hepatocellular lipid droplets
20 HP:0012240Increased intramyocellular lipid droplets
21 HP:0002151Increased serum lactate
22 HP:0001249Intellectual disability
23 HP:0003128Lactic acidosis
24 HP:0001427Mitochondrial inheritance
25 HP:0001270Motor delay
26 HP:0000648Optic atrophy
27 HP:0000580Pigmentary retinopathy
28 HP:0000093Proteinuria
29 HP:0000508Ptosis
30 HP:0001994Renal Fanconi syndrome
31 HP:0000124Renal tubular dysfunction
32 HP:0002098Respiratory distress
33 HP:0002747Respiratory insufficiency due to muscle weakness
34 HP:0001250Seizure
35 HP:0000407Sensorineural hearing impairment
Disease Causing ClinVar Variants
Variation_NameGeneIDGeneSymbolClinicalSignificancedbSNPRCVaccessionTestedInGTRPhenotypeIDsChromosomeStartStopHGVS_cHGVS_pHGVS_gOtherIDsDisease_ClinVarDisease_hgmd
NM_001312871.1(COX20):c.154A>C (p.Thr52Pro)-1-Pathogenic587777004RCV000049300; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:674340001245005357245005357NM_001312871.1:c.154A>CNP_001299800.1:p.Thr52ProOMIM Allelic Variant:614698.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_032374.4(APOPT1):c.163-1G>A84334APOPT1Pathogenic587777785RCV000144486; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:6743400014104037959104037959NM_032374.4:c.163-1G>A14:g.104037959G>AOMIM Allelic Variant:616003.0002C0268237 220110 Cytochrome-c oxidase deficiency
NM_032374.4(APOPT1):c.235C>T (p.Arg79Ter)84334APOPT1Pathogenic587777784RCV000144485; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:6743400014104038032104038032NM_032374.4:c.235C>TNP_115750.2:p.Arg79TerNC_000014.8:g.104038032C>TOMIM Allelic Variant:616003.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_032374.4(APOPT1):c.353T>C (p.Phe118Ser)84334APOPT1Pathogenic587777786RCV000144487; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:6743400014104038150104038150NM_032374.4:c.353T>CNP_115750.2:p.Phe118Ser14:g.104038150T>COMIM Allelic Variant:616003.0003C0268237 220110 Cytochrome-c oxidase deficiency
NM_032374.4(APOPT1):c.370_372delGAA (p.Glu124del)84334APOPT1Pathogenic587777787RCV000144488; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:6743400014104040453104040455NM_032374.4:c.370_372delGAANP_115750.2:p.Glu124delOMIM Allelic Variant:616003.0004C0268237 220110 Cytochrome-c oxidase deficiency
NM_001040431.2(COA3):c.215A>G (p.Tyr72Cys)28958COA3Pathogenic139877390RCV000170599; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000174095018540950185NM_001040431.2:c.215A>GNP_001035521.1:p.Tyr72CysNC_000017.10:g.40950185T>COMIM Allelic Variant:614775.0002C0268237 220110 Cytochrome-c oxidase deficiency
NM_001040431.2(COA3):c.199dupC (p.Leu67Profs)28958COA3Pathogenic757472611RCV000170598; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000174095050140950501NM_001040431.2:c.199dupCNP_001035521.1:p.Leu67ProfsNC_000017.10:g.40950501dupGOMIM Allelic Variant:614775.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_001303.3(COX10):c.587C>A (p.Thr196Lys)1352COX10Pathogenic104894555RCV000007958; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000171400552214005522NM_001303.3:c.587C>ANP_001294.2:p.Thr196LysNC_000017.10:g.14005522C>AOMIM Allelic Variant:602125.0002C0268237 220110 Cytochrome-c oxidase deficiency
NM_001303.3(COX10):c.612C>A (p.Asn204Lys)1352COX10Pathogenic104894560RCV000007956; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000171400554714005547NM_001303.3:c.612C>ANP_001294.2:p.Asn204LysNC_000017.10:g.14005547C>AOMIM Allelic Variant:602125.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_001303.3(COX10):c.674C>T (p.Pro225Leu)1352COX10Pathogenic104894556RCV000007959; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000171406324314063243NM_001303.3:c.674C>TNP_001294.2:p.Pro225LeuNC_000017.10:g.14063243C>TOMIM Allelic Variant:602125.0003C0268237 220110 Cytochrome-c oxidase deficiency
NM_001257133.1(COX14):c.57G>A (p.Met19Ile)84987COX14Pathogenic587776904RCV000024195; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000125051388350513883NM_001257133.1:c.57G>ANP_001244062.1:p.Met19Ile12:g.50513883G>AOMIM Allelic Variant:614478.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_001863.4(COX6B1):c.58C>T (p.Arg20Cys)1340COX6B1Pathogenic778740017RCV000201789; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000193614220336142203NM_001863.4:c.58C>TNP_001854.1:p.Arg20CysNC_000019.9:g.36142203C>TOMIM Allelic Variant:124089.0002C0268237 220110 Cytochrome-c oxidase deficiency
NM_001863.4(COX6B1):c.59G>A (p.Arg20His)1340COX6B1Pathogenic121909602RCV000018371; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000193614220436142204NM_001863.4:c.59G>ANP_001854.1:p.Arg20HisNC_000019.9:g.36142204G>AOMIM Allelic Variant:124089.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_004074.2(COX8A):c.115-1G>C1351COX8APathogenic869025575RCV000208577; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000116374369663743696NM_004074.2:c.115-1G>CNC_000011.9:g.63743696G>COMIM Allelic Variant:123870.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_001136194.1(FASTKD2):c.1294C>T (p.Arg432Ter)22868FASTKD2Pathogenic118203917RCV000000673; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:674340002207638988207638988NM_001136194.1:c.1294C>TNP_001129666.1:p.Arg432TerNC_000002.11:g.207638988C>TOMIM Allelic Variant:612322.0001C0268237 220110 Cytochrome-c oxidase deficiency
m.6480G>A4512MT-CO1Pathogenic199476128RCV000010304; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M64806480--NC_012920.1:m.6480G>AOMIM Allelic Variant:516030.0004C0268237 220110 Cytochrome-c oxidase deficiency
m.6930G>A4512MT-CO1Pathogenic28679680RCV000010306; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M69306930--NC_012920.1:m.6930G>AOMIM Allelic Variant:516030.0006C0268237 220110 Cytochrome-c oxidase deficiency
m.7587T>C4513MT-CO2Pathogenic199474825RCV000010294; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M75877587--NC_012920.1:m.7587T>COMIM Allelic Variant:516040.0001C0268237 220110 Cytochrome-c oxidase deficiency
m.7671T>A4513MT-CO2Pathogenic199474827RCV000010296; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M76717671--NC_012920.1:m.7671T>AOMIM Allelic Variant:516040.0003C0268237 220110 Cytochrome-c oxidase deficiency
m.7896G>A4513MT-CO2Pathogenic199474829RCV000010298; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M78967896--NC_012920.1:m.7896G>AOMIM Allelic Variant:516040.0005C0268237 220110 Cytochrome-c oxidase deficiency
m.8042_8043delAT4513MT-CO2Pathogenic199474828RCV000010297; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M80428043--NC_012920.1:m.8042_8043delATOMIM Allelic Variant:516040.0004C0268237 220110 Cytochrome-c oxidase deficiency
m.9379G>A4514MT-CO3Pathogenic267606615RCV000010293; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M93799379--NC_012920.1:m.9379G>AOMIM Allelic Variant:516050.0006C0268237 220110 Cytochrome-c oxidase deficiency
m.9487_9501delTCGCAGGATTTTTCT4514MT-CO3Pathogenic267606612RCV000010289; RCV000010290; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000; MedGen:C4017626M94879501--NC_012920.1:m.9487_9501delTCGCAGGATTTTTCTOMIM Allelic Variant:516050.0003C0268237 220110 Cytochrome-c oxidase deficiency; C4017626 Mitochondrial complex IV deficiency with recurrent myoglobinuria
m.9537dupC4514MT-CO3Pathogenic267606614RCV000010292; RCV000144008; NMedGen:C0023264,OMIM:256000,SNOMED CT:29570005; MedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M95379537--NC_012920.1:m.9537dupCOMIM Allelic Variant:516050.0005C0268237 220110 Cytochrome-c oxidase deficiency; C0023264 256000 Leigh syndrome
m.9952G>A4514MT-CO3Pathogenic267606613RCV000010291; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000M99529952--NC_012920.1:m.9952G>AOMIM Allelic Variant:516050.0004C0268237 220110 Cytochrome-c oxidase deficiency
m.3243A>G4567MT-TL1Pathogenic199474657RCV000010211; RCV000143997; RCV000022901; RCV000022902; RCV000010206; RCV000192054; RCV000032997; RCV000010208; RCV000010209; RCV000010210; YMedGen:C0023264,OMIM:256000,SNOMED CT:29570005; MedGen:C0152164,OMIM:500007,SNOMED CT:18773000; MedGen:C0162671,OMIM:540000,ORPHA:550,SNOMED CT:39925003; MedGen:C0162672,OMIM:545000,ORPHA:551; MedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000; MedGM32433243--NC_012920.1:m.3243A>GOMIM Allelic Variant:590050.0001C0152164 500007 Cyclical vomiting syndrome; C0268237 220110 Cytochrome-c oxidase deficiency; C0162671 540000 Juvenile myopathy, encephalopathy, lactic acidosis AND stroke; C0023264 256000 Leigh syndrome; C0162672 545000 Myoclonus with epilepsy with ragge
m.5728T>C4570MT-TNPathogenic199476132RCV000010247; RCV000010248; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000; MedGen:C1838979,OMIM:252010M57285728--NC_012920.1:m.5728T>COMIM Allelic Variant:590010.0003C0268237 220110 Cytochrome-c oxidase deficiency; C1838979 252010 Mitochondrial complex I deficiency
NM_001171155.1(PET100):c.3G>C (p.Met1Ile)100131801PET100Pathogenic587777839RCV000111466; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:674340001976947227694722NM_001171155.1:c.3G>CNP_001164626.1:p.Met1Ile19:g.7694722G>COMIM Allelic Variant:614770.0001C0268237 220110 Cytochrome-c oxidase deficiency
NM_001171155.1(PET100):c.142C>T (p.Gln48Ter)100131801PET100Pathogenic587779779RCV000144455; NHuman Phenotype Ontology:HP:0004902,MedGen:CN004345; MedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:674340001976963627696362NM_001171155.1:c.142C>TNP_001164626.1:p.Gln48TerNC_000019.9:g.7696362C>T-CN004345 Congenital lactic acidosis; C0268237 220110 Cytochrome-c oxidase deficiency
NM_004589.3(SCO1):c.521C>T (p.Pro174Leu)6341SCO1Pathogenic104894630RCV000006555; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000171059612210596122NM_004589.3:c.521C>TNP_004580.1:p.Pro174LeuNC_000017.10:g.10596122G>AOMIM Allelic Variant:603644.0002C0268237 220110 Cytochrome-c oxidase deficiency
NM_004589.3(SCO1):c.394G>A (p.Gly132Ser)6341SCO1Pathogenic587777220RCV000106300; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000171059624910596249NM_004589.3:c.394G>ANP_004580.1:p.Gly132SerNC_000017.10:g.10596249C>TOMIM Allelic Variant:603644.0003C0268237 220110 Cytochrome-c oxidase deficiency
NM_004589.3(SCO1):c.363_364delGA (p.Lys122Valfs)6341SCO1Pathogenic587776629RCV000006554; NMedGen:C0268237,OMIM:220110,ORPHA:254905,SNOMED CT:67434000171059905810599059NM_004589.3:c.363_364delGANP_004580.1:p.Lys122ValfsOMIM Allelic Variant:603644.0001C0268237 220110 Cytochrome-c oxidase deficiency