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Cytochrome c oxidase subunit 7A2-like, mitochondrial (COX7A2L), also known as supercomplex assembly factor 1 (SCAF1), is a nuclear-encoded protein found in mitochondria. It acts primarily as an assembly factor rather than a catalytic subunit and is crucial for stabilizing specific mitochondrial respiratory supercomplexes, especially those containing complexes III and IV. This stabilization enhances mitochondrial oxidative phosphorylation efficiency and supports cellular adaptation to varying metabolic and oxygen conditions. Variants in the COX7A2L gene influence metabolic fitness and energy usage in skeletal muscle, with evidence linking its expression to improved cardiorespiratory fitness. COX7A2L is implicated in certain mitochondrial disorders and may be relevant in cancer metabolism and cardiovascular health. No direct pharmacological modulators or safety issues are currently described for COX7A2L[5][1][3][2][6].
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