Cytochrome c oxidase subunit II Cytochrome c oxidase subunit 2 , also known as cytochrome c oxidase polypeptide II , is a protein that in humans is encoded by the MT-CO2 gene . Cytochrome c oxidase subunit II, abbreviated COXII , COX2 , COII , or MT-CO2 , is the second subunit of cytochrome c oxidase. It is also one of the three mitochondrial DNA encoded subunits of respiratory complex IV .Structure The MT-CO2 gene is located on the p arm of mitochondrial DNA at position 12 and it spans 683 base pairs . The MT-CO2 gene produces a 25 .6 kDa protein composed of 227 amino acids . MT-CO2 is a subunit of the enzyme Cytochrome c oxidase , an oligomeric enzymatic complex of the mitochondrial respiratory chain involved in the transfer of electrons from cytochrome c to oxygen . In eukaryotes this enzyme complex is located in the mitochondrial inner membrane ; in aerobic prokaryotes it is found in the plasma membrane . The enzyme complex consists of 3-4 subunits to up to 13 polypeptides . The N-terminal domain of cytochrome C oxidase contains two transmembrane alpha-helices. The structure of MT-CO2 is known to contain one redox center and a binuclear copper A center . The CuA is located in a conserved cysteine loop at 196 and 200 amino acid positions and conserved histidine at 204. Several bacterial MT-CO2 have a C-terminal extension that contains a covalently bound haem c.Function The MT-CO2 gene encodes for the second subunit of cytochrome c oxidase, a component of the mitochondrial respiratory chain that catalyzes the reduction of oxygen to water . MT-CO2 is one of the three subunits which are responsible for the formation of the functional core of the cytochrome c oxidase. MT-CO2 plays an essential role in the transfer of electrons from cytochrome c to the bimetallic center of the catalytic subunit 1 by utilizing its binuclear copper A center. It contains two adjacent transmembrane regions in its N-terminus and the major part of the protein is exposed to the periplasmic or to the mitochondrial intermembrane space , respectively. MT-CO2 provides the substrate-binding site and contains the binuclear copper A center, probably the primary acceptor in cytochrome c oxidase.Clinical significance Variants of MT-CO2 have been associated with the mitochondrial Complex IV deficiency, a deficiency in an enzyme complex of the mitochondrial respiratory chain that catalyzes the oxidation of cytochrome c utilizing molecular oxygen . The deficiency is characterized by heterogeneous phenotypes ranging from isolated myopathy to severe multisystem disease affecting several tissues and organs. Other Clinical Manifestations include hypertrophic cardiomyopathy , hepatomegaly and liver dysfunction , hypotonia , muscle weakness , exercise intolerance , developmental delay , delayed motor development and mental retardation . Mutations of MT-CO2 is also known to cause Leigh's disease , which may be caused by an abnormality or deficiency of cytochrome oxidase . A wide range of symptoms have been found in patients with pathogenic mutations in the MT-CO2 gene with the mitochonrdial Complex IV deficiency. A deletion mutation of a single nucleotide in the gene has been found to cause symptoms of reversible aphasia , right hemiparesis , hemianopsia , exercise intolerance, progressive mental impairment , and short stature . Furthermore, a patient with a nonsense mutation of the gene resulted in phenotypes such as short stature , low weight , microcephaly , skin abnormalities , severe hypotonia, and normal reflexes . A novel heteroplasmic mutation which altered the initiation codon of the MT-CO2 gene in patients have shown clinical manifestations such as progressive gait ataxia , cognitive impairment , bilateral optic atrophy , pigmentary retinopathy , a decrease in color vision , and mild distal-muscle wasting.Others Juvenile myopathy, encephalopathy , lactic acidosis , and stroke have also been associated with mutations in the MT-CO2 gene.Interactions MT-CO2 is known to interact with cytochrome c by the utilization of a lysine ring around the carboxyl containing heme edge of cytochrome c in MT-CO2, including glutamate 129, aspartate 132 , and glutamate 19.
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