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GeneE
2 sources retrieved Β· Most recent: April 2026 Β· Index updated 14 days ago
β“˜GeneE is for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment.
COA5
cytochrome c oxidase assembly factor 5
Chromosome 2 Β· 2q11.2
NCBI Gene: 493753Ensembl: ENSG00000183513.10HGNC: HGNC:33848UniProt: Q86WW8
14PubMed Papers
21Diseases
0Drugs
1Pathogenic Variants
CLINICAL
OMIM Disease Gene
DATA QUALITY
βœ“ Experimental GO Evidenceβœ“ Swiss-Prot Reviewed
protein bindingmitochondrionmitochondrial respiratory chain complex IV assemblymitochondrial inner membraneneurodegenerative diseasefatal infantile encephalocardiomyopathyleigh syndrome due to mitochondrial complex iv deficiencyIsolated cytochrome C oxidase deficiency
✦AI Summary

Based on limited published evidence, COA5 is an assembly factor for cytochrome c oxidase (respiratory chain complex IV) localized to the mitochondrial inner membrane. COA5 stabilizes early complex IV assembly intermediates until displaced by the copper-delivery protein COX17 12. Recent functional studies demonstrate COA5 is essential for the early stage of complex IV biogenesis, specifically between MTCO1 maturation and MTCO2 incorporation 3. Pathogenic COA5 variants cause mitochondrial complex IV deficiency and neonatal hypertrophic cardiomyopathy 3. COA5 expression is modulated during cardiac ischemia/reperfusion injury 4.

Sources cited
1
COA5 is an assembly factor for cytochrome c oxidase complex IV
PMID: 21457908
2
COA5 stabilizes early complex IV assembly factors until displaced by COX17 copper-delivery protein
PMID: 35750769
3
COA5 is essential for early complex IV assembly, specifically between MTCO1 maturation and MTCO2 incorporation; pathogenic variants cause complex IV deficiency
PMID: 39779219
4
COA5 expression is downregulated in cardiac microvascular endothelial cells during ischemia/reperfusion injury
PMID: 28334711
⚠Limited data available β€” This gene has 4 indexed publications. Summary and analysis may be incomplete.
Disease Associationsβ“˜21
neurodegenerative diseaseOpen Targets
0.54Moderate
fatal infantile encephalocardiomyopathyOpen Targets
0.45Moderate
leigh syndrome due to mitochondrial complex iv deficiencyOpen Targets
0.37Weak
Isolated cytochrome C oxidase deficiencyOpen Targets
0.37Weak
diverticular diseaseOpen Targets
0.17Weak
smoking initiationOpen Targets
0.06Suggestive
Testicular regression syndromeOpen Targets
0.05Suggestive
congenital adrenal hyperplasia due to cytochrome P450 oxidoreductase deficiencyOpen Targets
0.04Suggestive
congenital adrenal hyperplasiaOpen Targets
0.04Suggestive
congenital lipoid adrenal hyperplasia due to STAR deficencyOpen Targets
0.04Suggestive
46,XY sex reversal 11Open Targets
0.04Suggestive
46,XX ovotesticular disorder of sex developmentOpen Targets
0.04Suggestive
testicular agenesisOpen Targets
0.04Suggestive
46,XY sex reversal 3Open Targets
0.03Suggestive
46,XY complete gonadal dysgenesisOpen Targets
0.03Suggestive
46,XX gonadal dysgenesisOpen Targets
0.03Suggestive
celiac diseaseOpen Targets
0.03Suggestive
congenital adrenal hyperplasia due to 11-beta-hydroxylase deficiencyOpen Targets
0.03Suggestive
pigmented nodular adrenocortical disease, primary, 3Open Targets
0.03Suggestive
Abruptio PlacentaeOpen Targets
0.02Suggestive
Mitochondrial complex IV deficiency, nuclear type 9UniProt
Pathogenic Variants1
NM_001008215.3(COA5):c.157G>C (p.Ala53Pro)Pathogenic
Cardioencephalomyopathy, fatal infantile, due to cytochrome c oxidase deficiency 3
β˜†β˜†β˜†β˜†2011β†’ Residue 53
View on ClinVar β†—
Related Genes
COX16Shared pathway100%COA4Shared pathway100%TMEM223Shared pathway100%COX20Shared pathway100%SMIM20Shared pathway100%PET100Shared pathway100%
Tissue Expression6 tissues
Ovary
100%
Brain
97%
Heart
88%
Liver
86%
Bone Marrow
66%
Lung
59%
Gene Interaction Network
Click a node to explore
COA5COX16COA4TMEM223COX20SMIM20PET100
PROTEIN STRUCTURE
Preparing viewer…
AlphaFoldAI-predicted Β· UniProt Q86WW8
View on AlphaFold β†—
Constraintβ“˜
LOEUFβ“˜
1.85LoF Tolerant
pLIβ“˜
0.00Tolerant
Observed/Expected LoF1.13 [0.60–1.85]
RankingsWhere COA5 stands among ~20K protein-coding genes
  • #15,831of 20,598
    Most Researched14
  • #5,440of 5,498
    Most Pathogenic Variants1
  • #16,861of 17,882
    Most Constrained (LOEUF)1.85
Genes detectedCOA5
Sources retrieved2 papers
Response timeβ€”
πŸ“„ Sources
2
1
Quantitative Proteomics Analysis of Ischemia/Reperfusion Injury-Modulated Proteins in Cardiac Microvascular Endothelial Cells and the Protective Role of Tongxinluo.
PMID: 28334711
Cell Physiol Biochem Β· 2017
1.00
2
COA5 has an essential role in the early stage of mitochondrial complex IV assembly.
PMID: 39779219
Life Sci Alliance Β· 2025
0.50