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IEMbase 0740: ATP5F1E-related mitochondrial ATP synthase F1 epsilon deficiency

Scope

Field Value
IEMbase ID 740
Nosology 7.5.03.01
Nosology code IEM0483
Gene ATP5F1E
External IDs OMIM:614053
Generated mapping CANDIDATE; fuzzy COX10-Related_COX_Deficiency.yaml
Candidate DisMech targets Broad complex V context only; no exact ATP5F1E target identified
Review date 2026-07-07

IEMbase phenotype signal

IEMbase represents autosomal recessive ATP5F1E-related mitochondrial ATP synthase F1 subunit epsilon deficiency, also labeled mitochondrial complex V deficiency, nuclear type 3. The cached rows point to an adult presentation with elevated plasma lactate, hypertrophic cardiomyopathy, hypotonia, polyneuropathy, and psychomotor retardation.

DisMech phenotype coverage

No exact ATP5F1E target was identified locally.

The generated COX10-Related_COX_Deficiency.yaml candidate is not an exact match. COX10 is a complex IV heme A biosynthesis/assembly disorder, whereas ATP5F1E encodes an ATP synthase F1 epsilon subunit. Local complex V context in NARP_syndrome.yaml and Myopathy_Lactic_Acidosis_and_Sideroblastic_Anemia.yaml does not cover the ATP5F1E disease identity.

Concordance and completeness

Judgement: true ATP5F1E complex V local gap. Reject the COX10 candidate as exact coverage.

IEMbase gives a focused adult phenotype prompt: lactate elevation, hypertrophic cardiomyopathy, hypotonia, polyneuropathy, and psychomotor delay. Those features overlap with mitochondrial disease generally, but DisMech lacks the ATP5F1E-specific entry.

Curation actions

  • Add ATP5F1E-related mitochondrial complex V deficiency, nuclear type 3, to the complex V backlog.
  • Reject COX10-Related_COX_Deficiency.yaml as exact coverage.
  • Preserve adult lactate, hypertrophic cardiomyopathy, hypotonia, polyneuropathy, and psychomotor-delay prompts.