COQ2: Coenzyme Q2, Polyprenyltransferase

Key enzyme in coenzyme Q10 biosynthesis; associated with primary coenzyme Q10 deficiency and multiple system atrophy.

Gene Information Card

Symbol COQ2
Full Name Coenzyme Q2, polyprenyltransferase
Gene Type Protein coding
Chromosomal Location 4q21.23
NCBI Gene ID 27235 ncbi.nlm.nih.gov/gene/27235
Ensembl ID ENSG00000138684
UniProt ID Q96H96
OMIM ID 609825
HGNC ID 25223
Aliases CL640, PHB, COQ10D1, MSA1

Description

The COQ2 gene encodes polyprenyltransferase, an enzyme essential for the biosynthesis of coenzyme Q10 (ubiquinone), a critical component of the mitochondrial electron transport chain and a lipid-soluble antioxidant. Mutations in COQ2 cause primary coenzyme Q10 deficiency, a mitochondrial disorder with variable clinical manifestations including encephalopathy, nephropathy, and myopathy. Additionally, specific variants have been associated with increased risk for multiple system atrophy (MSA).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Primary coenzyme Q10 deficiency 1 Loss-of-function mutations impair CoQ10 biosynthesis, disrupting mitochondrial respiration and antioxidant defense. OMIM #607426; ClinVar pathogenic variants
Multiple system atrophy (MSA) Homozygous or compound heterozygous COQ2 variants (e.g., V393A) reduce CoQ10 levels, contributing to neurodegeneration. PMID: 23314052; ClinVar risk allele

Expression Profile

Tissue Expression
Tissue nTPM level
Kidney 12.3 High
Liver 8.7 Medium
Heart 7.1 Medium
Brain 5.4 Low
Skeletal muscle 4.2 Low
Cell Line Expression
Cell Line nTPM Notes
HEK 293 9.8 Embryonic kidney cells
HepG2 8.1 Liver carcinoma cells
K562 6.5 Leukemia cells
SH-SY5Y 5.0 Neuroblastoma cells
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1178C>T (p.V393A) Missense 0.5% in East Asian populations Reduced enzyme activity; risk factor for MSA
c.483G>A (p.W161*) Nonsense Rare Loss of function; causes CoQ10 deficiency
c.890A>G (p.Y297C) Missense Rare Impaired polyprenyltransferase activity
Mutation functional classification

Loss of Function (LOF)

Nonsense and missense variants (e.g., p.W161*, p.Y297C) that reduce or abolish polyprenyltransferase activity, leading to CoQ10 deficiency.

Gain of Function (GOF)

No gain-of-function mutations reported for COQ2.

Dominant Negative (DN)

No dominant-negative mutations reported; COQ2 deficiency is typically autosomal recessive.

Pathways

Ubiquinone biosynthesis (KEGG: hsa00130)
Mitochondrial electron transport chain (Reactome: R-HSA-611105)

Protein Summary

COQ2 encodes a 421-amino acid polyprenyltransferase localized to the mitochondrial inner membrane. The enzyme catalyzes the prenylation of 4-hydroxybenzoate, a key step in coenzyme Q10 biosynthesis. CoQ10 shuttles electrons from complexes I and II to complex III in the respiratory chain and acts as a membrane antioxidant. Structural studies indicate a transmembrane domain and a conserved active site. Defects in COQ2 lead to reduced CoQ10 levels, mitochondrial dysfunction, and oxidative stress.

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