raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:254905

Isolated cytochrome C oxidase deficiency

Synonyms: Isolated COX deficiency · Isolated mitochondrial respiratory chain complex IV deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive, Mitochondrial inheritance
Status
active

A rare mitochondrial oxidative phosphorylation disorder characterized by a highly variable clinical phenotype, including a benign infantile mitochondrial type affecting mainly the skeletal muscle, a lethal infantile mitochondrial myopathy linked to severe metabolic acidosis and mitochondrial dysfunction in skeletal muscle and often also in heart, Leigh syndrome, which causes severe, early-onset, progressive, and fatal encephalopathy, and French-Canadian type Leigh syndrome, which affects mostly the skeletal muscle, but also brain and liver.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIsolated cytochrome C oxidase deficiencyIsolated COX deficiency · Isolated mitochondrial respiratory chain complex IV deficiency
frDéficit isolé en cytochrome C oxydaseDéficit isolé en COX · Déficit isolé en complexe IV de la chaîne respiratoire mitochondriale
deCytochrom-c-Oxidase-Mangel, isolierterCOX-Mangel, isolierter · Isolierter mitochondrialer Atmungskettendefekt im Komplex IV
esDeficiencia aislada de citocromo C oxidasaDeficiencia aislada de COX · Deficiencia aislada del complejo 4 de la cadena respiratoria mitocondrial · Deficiencia aislada del complejo IV de la cadena respiratoria mitocondrial
itDeficit isolato della citocromo C ossidasiDeficit isolato del complesso IV della catena respiratoria mitocondriale · Deficit isolato di COX
nlGeïsoleerde cytochroom C-oxidasedeficiëntieGeïsoleerde COX-deficiëntie · Geïsoleerde mitochondriale ademhalingsketencomplex IV-deficiëntie
ptDeficiência isolada da citocromo C oxidaseDeficiência isolada da COX · Deficiência isolada do complexo IV da cadeia respiratória mitocondrial
plIzolowany Niedobór oksydazy cytochromu cIzolowany Niedobór COX · Izolowany Niedobór kompleksu IV mitochondrialnego łańcucha oddechowego
csIzolovaný deficit cytochrom C oxidázyIzolovaný deficit COX · Izolovaný deficit komplexu IV mitochondriálního respiračního řetězce
ukІзольований дефіцит цитохрому С оксидазиІзольований дефіцит COX · Ізольований дефіцит IV комплексу мітохондріального дихального ланцюга
zh孤立性细胞色素C氧化酶缺乏症孤立性线粒体呼吸链复合物IV缺乏症
trİzole sitokrom C oksidaz eksikliğiİzole COX eksikliği · İzole mitokondriyal solunum zinciri kompleksi IV eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM220110BTNTvalidated
OMIM619046BTNTvalidated
OMIM619048BTNTvalidated
OMIM619051BTNTvalidated
OMIM619052BTNTvalidated
OMIM619053BTNTvalidated
OMIM619054BTNTvalidated
OMIM619055BTNTvalidated
OMIM619058BTNTvalidated
OMIM619059BTNTvalidated
OMIM619060BTNTvalidated
OMIM619061BTNTvalidated
OMIM619062BTNTvalidated
OMIM619063BTNTvalidated
OMIM619064BTNTvalidated
OMIM619355BTNTvalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.2YNTBTindexvalidated
MONDO0009068Evalidated
MeSHD030401Evalidated
UMLSC5779825Evalidated
GARD48Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

14 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
COX5ADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2267ENSG0000017874160377315q24.2cytochrome c oxidase subunit 5A28247525[PMID]
COX8ADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2294ENSG0000017634012387011q13.1cytochrome c oxidase subunit 8A26685157[PMID]
MT-CO2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:7421ENSG00000198712516040mitochondriamitochondrially encoded cytochrome c oxidase II10205264[PMID]_10486321[PMID]_11471180[PMID]_11558799[PMID]_11579424[PMID]
COA3Disease-causing germline mutation(s) inAssessedHGNC:24990ENSG0000018397861477517q21.2cytochrome c oxidase assembly factor 325604084[PMID]
COX10Disease-causing germline mutation(s) inAssessedHGNC:2260ENSG0000000669560212517p12cytochrome c oxidase assembly factor heme A:farnesyltransferase COX1010767350[PMID]_12928484[PMID]_15455402[PMID]
COX14Disease-causing germline mutation(s) inAssessedHGNC:28216ENSG0000017844961447812q13.12cytochrome c oxidase assembly factor COX1422243966[PMID]
COX16Disease-causing germline mutation(s) inAssessedHGNC:20213ENSG0000013398361806414q24.2cytochrome c oxidase assembly factor COX1633169484[PMID]
COX20Disease-causing germline mutation(s) inAssessedHGNC:26970ENSG000002036676146981q44cytochrome c oxidase assembly factor COX2023125284[PMID]
COX4I1Disease-causing germline mutation(s) inAssessedHGNC:2265ENSG0000013114312386416q24.1cytochrome c oxidase subunit 4I131290619[PMID]
COX6A2Disease-causing germline mutation(s) inAssessedHGNC:2279ENSG0000015688560200916p11.2cytochrome c oxidase subunit 6A231155743[PMID]
COX6B1Disease-causing germline mutation(s) inAssessedHGNC:2280ENSG0000012626712408919q13.12cytochrome c oxidase subunit 6B118499082[PMID]_24781756[PMID]
MT-CO1Disease-causing germline mutation(s) inAssessedHGNC:7419ENSG00000198804516030mitochondriamitochondrially encoded cytochrome c oxidase I12140182[PMID]_16284789[PMID]_11579424[PMID]
MT-CO3Disease-causing germline mutation(s) inAssessedHGNC:7422ENSG00000198938516050mitochondriamitochondrially encoded cytochrome c oxidase III8630495[PMID]_9634511[PMID]_11063732[PMID]_12414820[PMID]_11579424[PMID]
PET117Disease-causing germline mutation(s) inAssessedHGNC:40045ENSG0000023283861477120p11.23PET117 cytochrome c oxidase chaperone28386624[PMID]
5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card