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Any mitochondrial complex III deficiency in which the cause of the disease is a mutation in the BCS1L gene.
Features include always present findings: Decreased liver function, Periportal fibrosis, Decreased activity of mitochondrial complex III, and Global developmental delay and others; and common findings: Delayed CNS myelination, Aminoaciduria, Hypertyrosinemia, and Elevated circulating alkaline phosphatase concentration and others. 53 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 13 |
BCS1L encodes BCS1 ubiquinol-cytochrome c reductase complex chaperone (419 aa). Chaperone necessary for the incorporation of Rieske iron-sulfur protein UQCRFS1 into the mitochondrial respiratory chain complex III. Highest expression in Cervix Endocervix (49.0 TPM) and Cervix Ectocervix (46.8 TPM).
Mitochondrial complex III deficiency nuclear type 1 is associated with mutations in the BCS1L gene on chromosome 2.
The BCS1L protein participates in BCS1L:LETM hexamer and LETM1 exchanges protons (mitochondrial intermembrane space) for calcium (mitochondrial matrix) pathways.
BCS1L is classified as a druggable target (Transporter category) with score 0.0.
Genetic testing for BCS1L is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for mitochondrial complex III deficiency nuclear type 1 has been reported in the published literature.
Phenotype severity distribution: 12 always present features, 14 common features.
No clinical trials have been registered for mitochondrial complex III deficiency nuclear type 1.
61 publications have been identified in PubMed for mitochondrial complex III deficiency nuclear type 1. Research spans Basic Science / Preclinical (70%), Case Report / Case Series (13%), and Review / Meta-Analysis (8%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 42 | 70% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 9:39 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Muscles | 8 | Low muscle tone (hypotonia), Generalized hypotonia, Muscle weakness |
Digestive system | 7 | Decreased liver function, Decreased mitochondrial complex III activity in liver tissue, Microvesicular hepatic steatosis |
Lab test results | 5 | Elevated circulating alkaline phosphatase concentration, Decreased mitochondrial complex III activity in liver tissue, Decreased activity of mitochondrial complex III |
Eyes | 2 | Cataract, Ptosis |
Ears | 1 | Hearing loss (hearing impairment) |
Kidneys and urinary system | 1 | Tubulointerstitial nephritis |
Growth and development | 1 | Failure to thrive |
Metabolism | 1 | Metabolic acidosis |
Heart and blood vessels | 1 | Thickened heart muscle (hypertrophic cardiomyopathy) |
Patient case studies
8 |
13% |
Research summaries | 5 | 8% |
Testing and diagnosis research | 2 | 3% |
Disease patterns and progression | 2 | 3% |
Clinical study results | 1 | 2% |
Ambrose A (2026). [PMID: 41789364](https://pubmed.ncbi.nlm.nih.gov/41789364/). *Ther Adv Rare Dis*. [Basic Science / Preclinical]
Xu M (2026). [PMID: 41771836](https://pubmed.ncbi.nlm.nih.gov/41771836/). *Cell Death Dis*. [Basic Science / Preclinical]
Yuan JH (2026). [PMID: 41361485](https://pubmed.ncbi.nlm.nih.gov/41361485/). *J Hum Genet*. [Case Report / Case Series]
Zhou Y (2026). [PMID: 41824529](https://pubmed.ncbi.nlm.nih.gov/41824529/). *PLoS Genet*. [Basic Science / Preclinical]
Chen Q (2026). [PMID: 41852833](https://pubmed.ncbi.nlm.nih.gov/41852833/). *Anim Nutr*. [Basic Science / Preclinical]
Zhu L (2026). [PMID: 41961935](https://pubmed.ncbi.nlm.nih.gov/41961935/). *Sci Adv*. [Basic Science / Preclinical]
Shen L (2026). [PMID: 41744643](https://pubmed.ncbi.nlm.nih.gov/41744643/). *Biology (Basel)*. [Epidemiology / Natural History]
Li X (2026). [PMID: 41613800](https://pubmed.ncbi.nlm.nih.gov/41613800/). *Oncol Res*. [Basic Science / Preclinical]
Li S (2026). [PMID: 41909124](https://pubmed.ncbi.nlm.nih.gov/41909124/). *Front Cell Dev Biol*. [Basic Science / Preclinical]
Vieira Neto E (2026). [PMID: 41500837](https://pubmed.ncbi.nlm.nih.gov/41500837/). *J Inherit Metab Dis*. [Basic Science / Preclinical]