Leukodystrophy, hypomyelinating, 21

disease
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Also known as HLD21

Summary

Leukodystrophy, hypomyelinating, 21 (MONDO:0030263) is a disease caused by POLR3K (GenCC Strong), with 1 cohort gene.

At a glance

  • Causal gene: POLR3K (GenCC Strong)
  • Cohort genes: 1
  • ClinVar variants: 5

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameleukodystrophy, hypomyelinating, 21
Mondo IDMONDO:0030263
OMIM619310
DOIDDOID:0070407
UMLSC5543334
MedGen1778269
GARD0025525
Is cancer (heuristic)no

Also known as: HLD21 · leukodystrophy, hypomyelinating, 21

Data availability: 5 ClinVar variants · 3 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by body system or component › nervous system disordercentral nervous system disorderneurodegenerative diseaseinherited neurodegenerative disorderleukodystrophyPOLR-related leukodystrophyPOLR3-related leukodystrophyleukodystrophy, hypomyelinating, 21

Related subtypes (3): leukodystrophy, hypomyelinating, 7, with or without oligodontia and/or hypogonadotropic hypogonadism, hypomyelinating leukodystrophy 8 with or without oligodontia and-or hypogonadotropic hypogonadism, hypomyelinating leukodystrophy 11

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

5 retrieved; paginated sample, class counts are floors:

3 pathogenic, 2 uncertain significance

ClinVarVariant (HGVS)GeneClassificationReview
2499509NC_000016.10:g.(30362_?)_(?_48162)delLOC130058083Pathogeniccriteria provided, single submitter
1065610NM_016310.5(POLR3K):c.121C>T (p.Arg41Trp)POLR3KPathogenicno assertion criteria provided
2499507NM_016310.5(POLR3K):c.322G>T (p.Asp108Tyr)POLR3KPathogeniccriteria provided, single submitter
2435164NM_016310.5(POLR3K):c.122G>A (p.Arg41Gln)POLR3KUncertain significancecriteria provided, single submitter
2435165NM_016310.5(POLR3K):c.95ACA[1] (p.Asn33del)POLR3KUncertain significancecriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 3 · Orphanet: 0 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
POLR3KStrongAutosomal recessiveleukodystrophy, hypomyelinating, 213

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
POLR3KHGNC:14121ENSG00000161980Q9Y2Y1DNA-directed RNA polymerase III subunit RPC10gencc,clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
POLR3KDNA-directed RNA polymerase III subunit RPC10Core component of RNA polymerase III (Pol III) which synthesizes small non-coding RNAs using the four ribonucleoside triphosphates as substrates.

Protein-family classification

Druggable: 0 · Difficult: 1 · Unknown: 0 · Druggable fraction: 0.0

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Transcription factor18.3×0.121

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
POLR3KTranscription factornoZnf_TFIIS, Zn_ribbon_RPB9, Rpa12/Rpb9/Rpc10/TFS

Expression context

Cohort genes with no expression data: 0.

1 cohort gene are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)1
unknown0

Top tissues across cohort

TissueCohort genes
mucosa of transverse colon1
prefrontal cortex1
primordial germ cell in gonad1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
POLR3K277ubiquitousmarkermucosa of transverse colon, prefrontal cortex, primordial germ cell in gonad

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
POLR3K2,332

Structural data

PDB: 1 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
POLR3KQ9Y2Y129

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 12. Enrichment computed across 1 evidence-associated genes (1 with Reactome annotation).

Pathways by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
RNA Polymerase III Chain Elongation1634.4×0.005POLR3K
RNA Polymerase III Transcription Termination1496.5×0.005POLR3K
RNA Polymerase III Transcription Initiation From Type 2 Promoter1423.0×0.005POLR3K
RNA Polymerase III Transcription Initiation From Type 1 Promoter1407.9×0.005POLR3K
RNA Polymerase III Transcription Initiation From Type 3 Promoter1407.9×0.005POLR3K
RNA Polymerase III Transcription Initiation1335.9×0.005POLR3K
RNA Polymerase III Transcription1326.3×0.005POLR3K
Cytosolic sensors of pathogen-associated DNA1285.5×0.005POLR3K
RNA Polymerase III Abortive And Retractive Initiation1278.5×0.005POLR3K
Innate Immune System125.5×0.047POLR3K
Gene expression (Transcription)117.8×0.061POLR3K
Immune System113.0×0.077POLR3K

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
transcription by RNA polymerase III1766.0×0.004POLR3K
defense response to virus169.3×0.022POLR3K
innate immune response133.6×0.030POLR3K

Therapeutics

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 1

Druggability breadth: 0 of 1 evidence-associated genes (0%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

SymbolMoleculesMax phase
POLR3K00

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

Pharmacogenomics

Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

0 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug1POLR3K

Undrugged target profiles

1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
POLR3K0

Clinical trials & evidence

Clinical trials

Clinical trials: 0.