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IEMbase 0717: UQCRQ-related mitochondrial complex III deficiency, nuclear type 4

Scope

Field Value
IEMbase ID 717
Nosology 7.3.03.01
Nosology code IEM1143
Gene UQCRQ
External IDs OMIM:615159; ORPHA:1460
Generated mapping CANDIDATE to SCO1-Related_COX_Deficiency.yaml
Candidate DisMech targets No exact UQCRQ/MC3DN4 target identified
Review date 2026-07-07

IEMbase phenotype signal

IEMbase represents autosomal recessive UQCRQ-related mitochondrial complex III deficiency, nuclear type 4. MONDO resolves this disease to the UQCRQ-specific complex III deficiency nuclear type 4 term with OMIM:615159.

The cached phenotype table includes low-to-normal plasma glucose in neonatal and infantile windows, increased plasma lactate across age windows, possible basal ganglia MRI abnormalities, intellectual disability, loss of speech, and extrapyramidal signs.

DisMech phenotype coverage

No exact UQCRQ or MC3DN4 local target was identified.

The generated SCO1-Related_COX_Deficiency.yaml candidate is a complex IV copper-delivery disorder, not a UQCRQ complex III deficiency. The candidate shares broad mitochondrial and COX-deficiency language but does not match the gene, complex, or disease identity.

Concordance and completeness

Judgement: true local complex III gap. The SCO1 candidate should be rejected.

The IEMbase signal is specific enough to justify standalone UQCRQ/MC3DN4 coverage if curated, with lactate elevation, basal ganglia involvement, speech loss, intellectual disability, and extrapyramidal features. Complex IV copper delivery is a different mechanism.

Curation actions

  • Add a dedicated UQCRQ/MC3DN4 target if curated.
  • Reject SCO1-Related_COX_Deficiency.yaml as exact coverage.
  • Preserve low-to-normal glucose, lactate elevation, basal ganglia MRI abnormalities, intellectual disability, loss of speech, and extrapyramidal signs.
  • Keep complex III UQCRQ disease separate from SCO1 complex IV copper delivery.