COASY Gene - Coenzyme A Synthase

Essential enzyme in coenzyme A biosynthesis and neurodegeneration

Gene Information Card

Symbol COASY
Full Name Coenzyme A Synthase
Gene Type Protein coding
Chromosomal Location 17q21.2
NCBI Gene ID 80347 ncbi.nlm.nih.gov/gene/80347
Ensembl ID ENSG00000168140
UniProt ID Q13057
OMIM ID 609855
HGNC ID 29998
Aliases NBP, PSEC0102, CoA synthase, CoASy

Description

The COASY gene encodes coenzyme A synthase, a bifunctional enzyme that catalyzes the final two steps of coenzyme A (CoA) biosynthesis: the dephosphorylation of 4'-phosphopantetheine to form 4'-phosphopantothenate and the subsequent adenylylation to form dephospho-CoA. CoA is an essential cofactor for numerous metabolic pathways including fatty acid oxidation, the citric acid cycle, and acetylcholine synthesis. Mutations in COASY are associated with neurodegeneration with brain iron accumulation (NBIA) type 6, also known as CoPAN (COASY protein-associated neurodegeneration).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Neurodegeneration with brain iron accumulation 6 (NBIA6, CoPAN) Loss-of-function mutations impair CoA biosynthesis, leading to mitochondrial dysfunction and iron accumulation in the brain OMIM #615643, multiple case reports
Pantothenate kinase-associated neurodegeneration (PKAN) Indirect: COASY acts downstream of PANK2; pathway disruption mimics PKAN phenotype Functional studies in cellular models

Expression Profile

Tissue Expression
Tissue nTPM level
Brain 12.5 Medium
Liver 18.3 Medium
Heart 15.7 Medium
Kidney 14.2 Medium
Skeletal muscle 9.8 Low
Cell Line Expression
Cell Line nTPM Notes
HEK293 16.1 High expression
HeLa 12.4 Medium expression
SH-SY5Y 14.8 Medium expression
HepG2 19.2 High expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.157C>T (p.Arg53Trp) Missense Rare Loss of enzyme activity
c.493G>A (p.Gly165Arg) Missense Rare Impaired CoA synthesis
c.1132C>T (p.Arg378*) Nonsense Very rare Premature truncation, loss of function
Mutation functional classification

Loss of Function (LOF)

Most COASY mutations are loss-of-function, reducing CoA synthase activity and leading to CoA deficiency.

Gain of Function (GOF)

No gain-of-function mutations reported.

Dominant Negative (DN)

No dominant-negative mutations reported; inheritance is autosomal recessive.

Gene Ontology (GO)

• coenzyme A synthase activity (GO:0004779) coenzyme A biosynthetic process (GO:0015937)
mitochondrion (GO:0005739) cytosol (GO:0005829)
transferase activity (GO:0016740)

Pathways

Pantothenate and CoA biosynthesis (KEGG: hsa00770)
Metabolic pathways (KEGG: hsa01100)

Protein Summary

Coenzyme A synthase (COASY) is a 564-amino acid bifunctional enzyme localized to mitochondria and cytosol. It contains a 4'-phosphopantetheine adenylyltransferase domain and a dephospho-CoA kinase domain. The enzyme catalyzes the final two steps of CoA biosynthesis, converting 4'-phosphopantetheine to dephospho-CoA and then to CoA. COASY is essential for cellular metabolism and energy production. Mutations cause autosomal recessive neurodegeneration with brain iron accumulation (NBIA6/CoPAN), characterized by dystonia, parkinsonism, and iron deposition in the basal ganglia.

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