ACTB
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Summary
ACTB (actin beta, HGNC:132) is a protein-coding gene on chromosome 7p22.1, encoding Actin, cytoplasmic 1 (P60709). Actin is a highly conserved protein that polymerizes to produce filaments that form cross-linked networks in the cytoplasm of cells. It is a selective cancer dependency (DepMap: 72.1% of cell lines).
This gene encodes one of six different actin proteins. Actins are highly conserved proteins that are involved in cell motility, structure, integrity, and intercellular signaling. The encoded protein is a major constituent of the contractile apparatus and one of the two nonmuscle cytoskeletal actins that are ubiquitously expressed. Mutations in this gene cause Baraitser-Winter syndrome 1, which is characterized by intellectual disability with a distinctive facial appearance in human patients. Numerous pseudogenes of this gene have been identified throughout the human genome.
Source: NCBI Gene 60 — RefSeq curated summary.
At a glance
- Gene–disease (curated): Baraitser-Winter cerebrofrontofacial syndrome (Definitive, ClinGen) — +3 more curated relationships
- GWAS associations: 9
- Clinical variants (ClinVar): 714 total — 69 pathogenic, 85 likely-pathogenic
- Phenotypes (HPO): 158
- Druggable target: yes — 1 molecules with ChEMBL bioactivity
- Cancer dependency (DepMap): dependent in 72.1% of screened cell lines
- Dosage sensitivity (ClinGen): haploinsufficiency no evidence, triplosensitivity no evidence
- MANE Select transcript:
NM_001101
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:132 |
| Approved symbol | ACTB |
| Name | actin beta |
| Location | 7p22.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Ensembl gene | ENSG00000075624 |
| Ensembl biotype | protein_coding |
| OMIM | 102630 |
| Entrez | 60 |
Gene structure
Transcript identifiers
Ensembl transcripts: 43 — 35 protein_coding, 4 retained_intron, 2 nonsense_mediated_decay, 2 protein_coding_CDS_not_defined
ENST00000414620, ENST00000417101, ENST00000425660, ENST00000432588, ENST00000443528, ENST00000462494, ENST00000464611, ENST00000473257, ENST00000477812, ENST00000480301, ENST00000484841, ENST00000493945, ENST00000642480, ENST00000645025, ENST00000645576, ENST00000646584, ENST00000646664, ENST00000647275, ENST00000674681, ENST00000675515, ENST00000676189, ENST00000676319, ENST00000676397, ENST00000899420, ENST00000899421, ENST00000899422, ENST00000899423, ENST00000899424, ENST00000899425, ENST00000899426, ENST00000899427, ENST00000899428, ENST00000899429, ENST00000919298, ENST00000919299, ENST00000919300, ENST00000919301, ENST00000919302, ENST00000919303, ENST00000919304, ENST00000919305, ENST00000919306, ENST00000950579
RefSeq mRNA: 1 — MANE Select: NM_001101
NM_001101
CCDS: CCDS5341
Canonical transcript exons
ENST00000646664 — 6 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001526557 | 5530524 | 5530601 |
| ENSE00003465957 | 5528004 | 5528185 |
| ENSE00003542066 | 5529535 | 5529663 |
| ENSE00003549974 | 5529161 | 5529400 |
| ENSE00003614573 | 5528281 | 5528719 |
| ENSE00003821088 | 5527148 | 5527891 |
Expression profiles
Bgee: expression breadth ubiquitous, 295 present calls, max score 100.00.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 4893.4285 / max 55843.0669, expressed in 1829 samples.
FANTOM5 promoters (23 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 82608 | 4800.6647 | 1829 |
| 82602 | 22.7306 | 1816 |
| 82595 | 12.4852 | 1793 |
| 82585 | 10.3422 | 1765 |
| 82584 | 9.9612 | 1728 |
| 82600 | 7.4903 | 1663 |
| 82582 | 5.0654 | 1625 |
| 82589 | 4.0504 | 1618 |
| 82593 | 3.7775 | 1540 |
| 82583 | 3.1399 | 1347 |
Top tissues by expression
295 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| urethra | UBERON:0000057 | 100.00 | gold quality |
| postcentral gyrus | UBERON:0002581 | 100.00 | gold quality |
| saphenous vein | UBERON:0007318 | 100.00 | gold quality |
| ileal mucosa | UBERON:0000331 | 99.99 | gold quality |
| parietal lobe | UBERON:0001872 | 99.99 | gold quality |
| nipple | UBERON:0002030 | 99.99 | gold quality |
| synovial joint | UBERON:0002217 | 99.99 | gold quality |
| olfactory bulb | UBERON:0002264 | 99.99 | gold quality |
| CA1 field of hippocampus | UBERON:0003881 | 99.99 | gold quality |
| vena cava | UBERON:0004087 | 99.99 | gold quality |
| orbitofrontal cortex | UBERON:0004167 | 99.99 | gold quality |
| cauda epididymis | UBERON:0004360 | 99.99 | gold quality |
| blood vessel layer | UBERON:0004797 | 99.99 | gold quality |
| endometrium epithelium | UBERON:0004811 | 99.99 | gold quality |
| inferior vagus X ganglion | UBERON:0005363 | 99.99 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 99.99 | gold quality |
| adult organism | UBERON:0007023 | 99.99 | gold quality |
| lower lobe of lung | UBERON:0008949 | 99.99 | gold quality |
| Brodmann (1909) area 10 | UBERON:0013541 | 99.99 | gold quality |
| buccal mucosa cell | CL:0002336 | 99.98 | gold quality |
| dorsal root ganglion | UBERON:0000044 | 99.98 | gold quality |
| colonic mucosa | UBERON:0000317 | 99.98 | gold quality |
| renal medulla | UBERON:0000362 | 99.98 | gold quality |
| seminal vesicle | UBERON:0000998 | 99.98 | gold quality |
| cardia of stomach | UBERON:0001162 | 99.98 | gold quality |
| pylorus | UBERON:0001166 | 99.98 | gold quality |
| mucosa of urinary bladder | UBERON:0001259 | 99.98 | gold quality |
| superficial temporal artery | UBERON:0001614 | 99.98 | gold quality |
| right coronary artery | UBERON:0001625 | 99.98 | gold quality |
| trigeminal ganglion | UBERON:0001675 | 99.98 | gold quality |
Single-cell (SCXA)
Detected in 66 experiment(s), a significant marker in 33.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-CURD-122 | yes | 38051.11 |
| E-MTAB-10042 | yes | 31024.49 |
| E-HCAD-4 | yes | 26662.76 |
| E-CURD-98 | yes | 18582.01 |
| E-CURD-97 | yes | 17329.23 |
| E-MTAB-10432 | yes | 17240.56 |
| E-MTAB-6819 | yes | 11852.94 |
| E-MTAB-6678 | yes | 11683.87 |
| E-ANND-2 | yes | 11316.65 |
| E-CURD-46 | yes | 10653.43 |
| E-MTAB-9467 | yes | 10524.20 |
| E-GEOD-135922 | yes | 10010.74 |
| E-MTAB-8884 | yes | 9610.42 |
| E-CURD-88 | yes | 9124.77 |
| E-HCAD-11 | yes | 9094.45 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): AP1, APEX1, CNBP, CUX2, FOS, HOXA1, HOXA7, JUN, MBD1, MYC, MYOD1, MYOG, NFIC, NFKB, NFYA, NFYB, RARB, SFPQ, SP1, SRF, TBP, TP63, YBX1, ZBTB14, ZGLP1, ZHX2
miRNA regulators (miRDB)
81 targeting ACTB, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-3613-3P | 100.00 | 76.36 | 7965 |
| HSA-MIR-6870-5P | 99.99 | 68.55 | 2115 |
| HSA-MIR-196A-1-3P | 99.99 | 72.15 | 2772 |
| HSA-MIR-19A-3P | 99.98 | 75.33 | 2762 |
| HSA-MIR-19B-3P | 99.98 | 75.44 | 2754 |
| HSA-MIR-548N | 99.98 | 71.94 | 4170 |
| HSA-MIR-12136 | 99.98 | 72.81 | 5713 |
| HSA-MIR-4723-5P | 99.97 | 68.70 | 2034 |
| HSA-MIR-5698 | 99.97 | 68.49 | 2029 |
| HSA-MIR-7111-5P | 99.97 | 68.48 | 2062 |
| HSA-MIR-548AA | 99.96 | 70.64 | 3753 |
| HSA-MIR-548AP-3P | 99.96 | 70.64 | 3753 |
| HSA-MIR-548T-3P | 99.96 | 70.64 | 3753 |
| HSA-MIR-4525 | 99.94 | 64.38 | 675 |
| HSA-MIR-5010-5P | 99.94 | 64.11 | 705 |
| HSA-MIR-6772-5P | 99.94 | 67.01 | 577 |
| HSA-MIR-1-3P | 99.93 | 72.35 | 1914 |
| HSA-MIR-206 | 99.93 | 72.50 | 1893 |
| HSA-MIR-145-5P | 99.92 | 71.13 | 1836 |
| HSA-MIR-5195-3P | 99.92 | 70.92 | 1877 |
| HSA-MIR-3119 | 99.92 | 71.34 | 2390 |
| HSA-MIR-613 | 99.91 | 71.50 | 1710 |
| HSA-MIR-7-1-3P | 99.91 | 71.53 | 4384 |
| HSA-MIR-7-2-3P | 99.91 | 71.40 | 4394 |
| HSA-MIR-4697-3P | 99.89 | 67.09 | 1123 |
| HSA-MIR-4302 | 99.89 | 67.94 | 1187 |
| HSA-MIR-548D-3P | 99.87 | 70.67 | 4362 |
| HSA-LET-7A-2-3P | 99.87 | 70.53 | 1921 |
| HSA-MIR-548BB-3P | 99.86 | 70.58 | 4354 |
| HSA-LET-7G-3P | 99.85 | 70.43 | 1929 |
Functional genomics
ClinGen dosage: haploinsufficiency 0 (no evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map
DepMap (CRISPR cell-line fitness): dependent in 72.1% of screened cell lines.
Literature-anchored findings (GeneRIF, showing 40)
- region responsible for down-regulation of the gamma-actin gene during differentiation is not in the 3’ end of the gene in contrast to that for beta-actin. (PMID:11787062)
- human fibroblast cells infected by Cytomegalovirus could express immediate early mRNA and the expression of beta-actin mRNA decreased in a time- and titer-dependent manner (PMID:15101111)
- GLI oncogene is activated through fusion with the beta-actin gene (ACTB) in a group of distinctive pericytic neoplasms (PMID:15111311)
- characterization of the breakpoints of the ACTB-GLI and GLI-ACTB fusions at the genomic level in pericytoma with t(7;12) (PMID:15555571)
- beta-actin localizes to an active U6 promoter in RNA polymerase III (pol III) and is essential for basal pol III transcription. (PMID:15574586)
- Data lead to the conclusion that there is a distinct correlation between metastatic capacity of examined human colon adenocarcinoma cells, the state of actin polymerization, actin cytoskeleton organization and beta-actin expression. (PMID:15940343)
- both monomeric and oligomeric or polymeric forms of actin are at play and raising the possibility that the equilibrium between them, perhaps differentially regulated at various intranuclear sites, may be a major determinant of nuclear function. (PMID:16148048)
- beta-actin is a transcription factor stimulates eNOS expression; and the transcriptional effect appears to be 27nt-dependent (PMID:16210567)
- Actin could contribute to the initiation of apoptosis by enabling cytosolic pro-apoptotic proteins to be carried to mitochondria by the cytoskeleton-driven trafficking system. (PMID:16536728)
- These findings suggest that mutations in beta actin may be associated with a broad spectrum of developmental malformations and/or neurological abnormalities such as dystonia. (PMID:16685646)
- The results from this controlled CCT-actin folding assay are consistent with a model where CCT and Ac(I) are in a binding pre-equilibrium with a rate-limiting binding step, followed by a faster ATP-driven processing to native actin. (PMID:16762366)
- These data establish that the posttranscriptional event involving HuR-mediated beta-actin mRNA stabilization could be a part of the regulatory mechanisms responsible for maintaining cell integrity. (PMID:17548472)
- Beta-actin can be directly tyrosine-phosphorylated by Src in vitro, and in a Src-dependent manner in cells. Moreover, beta-actin dynamics are suppressed when Src is rendered kinase-inactive. (PMID:17651734)
- The specific and directed rearrangement of the beta-actin structure, seen in the natural beta-actin-TRiC system, is vital for guiding beta-actin to the native state. (PMID:17939680)
- We observed the nuclear translocation of the transcription factor Nrf2 associated with thinning of the actin stress fibers. (PMID:18261463)
- There was no significant difference in IL-4/beta-actin between the patients with AIH and the healthy controls. In contrast there was a significant difference of IFN-gamma/beta-actin between those two groups. (PMID:18533937)
- Results show overexpression or depletion of RHA could influence the interaction of Pol II with beta-actin and beta-actin-involved gene transcription regulation. (PMID:19309309)
- CTCF colocalizes with NELF on the U2 and beta-actin genes, raising the possibility that it helps the positioning and/or function of the NELF-dependent control point on these genes. (PMID:19451231)
- MARCKS regulates lamellipodia formation induced by IGF-I via association with PIP2 and beta-actin at membrane microdomains. (PMID:19475567)
- Data show that inducible Hox genes are selectively sensitive to the inhibition of actin polymerization and that actin polymerization is required for the assembly of a transcription complex on the regulatory region of the Hox genes. (PMID:19477923)
- These results reveal new aspects of beta- and gamma-actin organization that support their functional diversity. (PMID:19638415)
- Results suggest a novel mechanism by which cofilin is regulated by v-Src through tyrosine phosphorylation that triggers the degradation of cofilin through ubiquitination-proteosome pathway and reducing cellular F-actin contents and cell spreading. (PMID:19802004)
- Immunoblot analysis revealed profoundly decreased beta-actin levels during Ectromelia virus infection replicative cycle in the infected cells 24 hrs post infection. (PMID:20201613)
- The actin network plays a role in nuclear ERalpha actions in breast cancer cells. (PMID:20308691)
- This protein has been found differentially expressed in the anterior cingulate cortex from patients with schizophrenia (PMID:20381070)
- Data suggest that the existence of a common epitope on the molecules of phosducin and beta-actin may reflect a topological similarity of a small region of their surfaces. (PMID:20804785)
- Findings indicate that activation of the cofilin-F-actin pathway contributes to tumor cell migration and metastasis enhanced by Aur-A, revealing a novel function for mitotic Aur-A kinase in tumor progression. (PMID:21045147)
- Nuclear beta-actin controls growth arrest of epithelial cells. (PMID:21172822)
- ACTB showed high expression in forensic skin and body-fluid samples, providing a suitable marker for skin identification (PMID:21221983)
- Data indicate taht candidate genes ACTB, BZW, OCM, MACC1, NXPH1, PRPS1L1, RAC1 and RPA3, which lie within the DFNB90 region, were sequenced and no potentially causal variants were identified. (PMID:21734401)
- non-muscle alpha-ACTN4, HSPA5 and cytoplasmic ACTB, should be targeted in idiopathic premature ovarian failure cases (PMID:21890413)
- Data show that ENOA, PARK7 and Beta-actin are proper reference standards in obesity studies based on omental fat. (PMID:22272336)
- Antioxidant supplementation was noted to increase G6PDH in the pentose phosphate cycle and 18S rRNA in the ribosome. There were no significant changes in the gene expression levels of beta-ACT (PMID:22285204)
- Recombinant human actin is constantly shuttled into the murine nucleus by importin 9 and out by exportin 6. Nuclear actin is required for maximal transcription. (PMID:22323606)
- identified de novo missense changes in the cytoplasmic actin-encoding genes ACTB and ACTG1 in one and two probands, respectively; suggest that Baraitser-Winter syndrome is the predominant phenotype associated with mutation of these two genes (PMID:22366783)
- Cofilin nuclear shuttling is critical for the cofilin-actin rod stress response. (PMID:22623727)
- Data indicate beta-cytoplasmic (beta-CYA) and gamma-cytoplasmic (gamma-CYA) actins differential localization and dynamics at epithelial junctions. (PMID:22855531)
- roles for undetected ACtB in liver cancer progression (PMID:22961449)
- These results indicate that F-actin in association with the M protein alters the interaction between the M and H proteins, thereby modulating measles virus cell-cell fusion and assembly. (PMID:23221571)
- the roles of ACTB in tumors (PMID:23266771)
Cross-species orthologs
2 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| mus_musculus | Actb | ENSMUSG00000029580 |
| rattus_norvegicus | Potef | ENSRNOG00000034254 |
Paralogs (26): ACTR6 (ENSG00000075089), ACTL6B (ENSG00000077080), ACTR5 (ENSG00000101442), ACTR3C (ENSG00000106526), ACTA2 (ENSG00000107796), ACTR8 (ENSG00000113812), ACTR1B (ENSG00000115073), ACTR3 (ENSG00000115091), ACTL8 (ENSG00000117148), ACTRT1 (ENSG00000123165), ACTR10 (ENSG00000131966), ACTR3B (ENSG00000133627), ACTL6A (ENSG00000136518), ACTR2 (ENSG00000138071), ACTR1A (ENSG00000138107), ACTA1 (ENSG00000143632), ACTL7B (ENSG00000148156), ACTC1 (ENSG00000159251), ACTG2 (ENSG00000163017), ACTBL2 (ENSG00000169067), ACTRT2 (ENSG00000169717), ACTL9 (ENSG00000181786), ACTG1 (ENSG00000184009), ACTRT3 (ENSG00000184378), ACTL7A (ENSG00000187003), ACTL10 (ENSG00000288649)
Protein
Protein identifiers
Actin, cytoplasmic 1 — P60709 (reviewed: P60709)
Alternative names: Beta-actin
All UniProt accessions (14): P60709, A0A2R8Y793, A0A2R8YEA7, A0A2R8YFE2, A0A2R8YGF8, A0A6Q8PFE4, A0A6Q8PGD7, A0A6Q8PH58, C9JTX5, C9JUM1, C9JZR7, E7EVS6, G5E9R0, Q1KLZ0
UniProt curated annotations — full annotation on UniProt →
Function. Actin is a highly conserved protein that polymerizes to produce filaments that form cross-linked networks in the cytoplasm of cells. Actin exists in both monomeric (G-actin) and polymeric (F-actin) forms, both forms playing key functions, such as cell motility and contraction. In addition to their role in the cytoplasmic cytoskeleton, G- and F-actin also localize in the nucleus, and regulate gene transcription and motility and repair of damaged DNA. Plays a role in the assembly of the gamma-tubulin ring complex (gTuRC), which regulates the minus-end nucleation of alpha-beta tubulin heterodimers that grow into microtubule protafilaments. Part of the ACTR1A/ACTB filament around which the dynactin complex is built. The dynactin multiprotein complex activates the molecular motor dynein for ultra-processive transport along microtubules.
Subunit / interactions. Polymerization of globular actin (G-actin) leads to a structural filament (F-actin) in the form of a two-stranded helix. Each actin can bind to 4 others. Identified in a IGF2BP1-dependent mRNP granule complex containing untranslated mRNAs. Component of the BAF complex, which includes at least actin (ACTB), ARID1A, ARID1B/BAF250, SMARCA2, SMARCA4/BRG1, ACTL6A/BAF53, ACTL6B/BAF53B, SMARCE1/BAF57 SMARCC1/BAF155, SMARCC2/BAF170, SMARCB1/SNF5/INI1, and one or more of SMARCD1/BAF60A, SMARCD2/BAF60B, or SMARCD3/BAF60C. In muscle cells, the BAF complex also contains DPF3. Found in a complex with XPO6, Ran, ACTB and PFN1. Interacts with PFN1. Interacts with XPO6 and EMD. Interacts with ERBB2. Interacts with GCSAM. Interacts with TBC1D21. Interacts with CPNE1 (via VWFA domain) and CPNE4 (via VWFA domain). Interacts with DHX9 (via C-terminus); this interaction is direct and mediates the attachment to nuclear ribonucleoprotein complexes. Interacts with FAM107A. Associates with the gamma-tubulin ring complex (gTuRC) consisting of TUBGCP2, TUBGCP3, TUBGCP4, TUBGCP5 and TUBGCP6 and gamma-tubulin TUBG1 or TUBG2; within the complex, interacts with TUBGCP3 and TUBGCP6 to form a luminal bridge with MZT1 that stabilizes the initial structure during complex assembly. Part of the ACTR1A/ACTB filament around which the dynactin complex is built. The filament contains 8 copies of ACTR1A and 1 ACTB. Interacts with TPRN which forms ring-like structures in the stereocilium taper region; the interaction may stabilize stereocilia in inner ear hair cells. Interacts with AMOTL2 (via N-terminus), the interaction facilitates binding of cell junction complexes to actin fibers in endothelial cells.
Subcellular location. Cytoplasm. Cytoskeleton. Nucleus.
Post-translational modifications. ISGylated. Oxidation of Met-44 and Met-47 by MICALs (MICAL1, MICAL2 or MICAL3) to form methionine sulfoxide promotes actin filament depolymerization. MICAL1 and MICAL2 produce the (R)-S-oxide form. The (R)-S-oxide form is reverted by MSRB1 and MSRB2, which promote actin repolymerization. Monomethylation at Lys-84 (K84me1) regulates actin-myosin interaction and actomyosin-dependent processes. Demethylation by ALKBH4 is required for maintaining actomyosin dynamics supporting normal cleavage furrow ingression during cytokinesis and cell migration. Methylated at His-73 by SETD3. Methylation at His-73 is required for smooth muscle contraction of the laboring uterus during delivery. N-terminal cleavage of acetylated methionine of immature cytoplasmic actin by ACTMAP. N-terminal acetylation by NAA80 affects actin filament depolymerization and elongation, including elongation driven by formins. In contrast, filament nucleation by the Arp2/3 complex is not affected. (Microbial infection) Monomeric actin is cross-linked by V.cholerae toxins RtxA and VgrG1 in case of infection: bacterial toxins mediate the cross-link between Lys-50 of one monomer and Glu-270 of another actin monomer, resulting in formation of highly toxic actin oligomers that cause cell rounding. The toxin can be highly efficient at very low concentrations by acting on formin homology family proteins: toxic actin oligomers bind with high affinity to formins and adversely affect both nucleation and elongation abilities of formins, causing their potent inhibition in both profilin-dependent and independent manners.
Disease relevance. Dystonia-deafness syndrome 1 (DDS1) [MIM:607371] An autosomal dominant form of dystonia with juvenile onset, associated with congenital or childhood-onset sensorineural deafness. Dystonia is defined by the presence of sustained involuntary muscle contraction, often leading to abnormal postures. Some DDS1 patients have dysmorphic features, skeletal anomalies, and/or mild developmental delay with impaired intellectual development. The disease is caused by variants affecting the gene represented in this entry. Baraitser-Winter syndrome 1 (BRWS1) [MIM:243310] A rare developmental disorder characterized by the combination of congenital ptosis, high-arched eyebrows, hypertelorism, ocular colobomata, and a brain malformation consisting of anterior-predominant lissencephaly. Other typical features include postnatal short stature and microcephaly, intellectual disability, seizures, and hearing loss. The disease is caused by variants affecting the gene represented in this entry. Thrombocytopenia 8, with dysmorphic features and developmental delay (THC8) [MIM:620475] A form of thrombocytopenia, a hematologic disorder defined by a decrease in the number of platelets in circulating blood, resulting in the potential for increased bleeding and decreased ability for clotting. THC8 is an autosomal dominant form characterized by early-childhood onset of thrombocytopenia with platelet anisotropy. Affected individuals also have dysmorphic facial features and variable developmental delay with speech delay and mildly impaired intellectual development. The disease is caused by variants affecting the gene represented in this entry. Becker nevus syndrome (BNS) [MIM:604919] A syndrome characterized by the association of Becker nevi with musculoskeletal abnormalities, unilateral breast hypoplasia, intellectual disability, developmental delay, and cardiomyopathy. Becker nevus is a cutaneous hamartoma that appears in childhood as a unilateral tan patch and increases in thickness, pigmentation, and hair growth during adolescence. Histologically, epidermal acanthosis is accompanied by irregularly dispersed ectopic smooth muscle bundles and increased terminal hair follicles. Most cases are sporadic. The disease is caused by variants affecting the gene represented in this entry. Congenital smooth muscle hamartoma, with or without hemihypertrophy (CSMH) [MIM:620470] A benign skin lesion that usually presents as an indurated, slightly pigmented or flesh-colored plaque with perifollicular papules or coarse hair. Histopathologically, there is excessive proliferation of ectopic smooth muscle within the dermis. Hair follicles are normal in number and hyperkeratosis, acanthosis and hyperpigmentation of the basal cell layer can sometimes be seen. Rarely, CSMH is associated with hemihypertrophy. The disease is caused by variants affecting the gene represented in this entry.
Miscellaneous. In vertebrates 3 main groups of actin isoforms, alpha, beta and gamma have been identified. The alpha actins are found in muscle tissues and are a major constituent of the contractile apparatus. The beta and gamma actins coexist in most cell types as components of the cytoskeleton and as mediators of internal cell motility.
Similarity. Belongs to the actin family.
RefSeq proteins (1): NP_001092* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR004000 | Actin | Family |
| IPR004001 | Actin_CS | Conserved_site |
| IPR020902 | Actin/actin-like_CS | Conserved_site |
| IPR043129 | ATPase_NBD | Homologous_superfamily |
Pfam: PF00022
Catalyzed reactions (Rhea), 1 shown:
- ATP + H2O = ADP + phosphate + H(+) (RHEA:13065)
UniProt features (92 total): helix 22, strand 21, sequence variant 19, mutagenesis site 10, turn 7, modified residue 6, chain 2, cross-link 2, sequence conflict 2, initiator methionine 1
Structure
Experimental structures (PDB)
88 structures, top 30 by resolution.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 6MBK | X-RAY DIFFRACTION | 1.69 |
| 6OX0 | X-RAY DIFFRACTION | 1.75 |
| 6WK2 | X-RAY DIFFRACTION | 1.76 |
| 6MBJ | X-RAY DIFFRACTION | 1.78 |
| 6OX3 | X-RAY DIFFRACTION | 1.78 |
| 7W28 | X-RAY DIFFRACTION | 1.79 |
| 6WK1 | X-RAY DIFFRACTION | 1.89 |
| 6OX1 | X-RAY DIFFRACTION | 1.95 |
| 6ICT | X-RAY DIFFRACTION | 1.95 |
| 6V63 | X-RAY DIFFRACTION | 2.02 |
| 6OX2 | X-RAY DIFFRACTION | 2.09 |
| 6OX5 | X-RAY DIFFRACTION | 2.1 |
| 6ICV | X-RAY DIFFRACTION | 2.15 |
| 9QEW | ELECTRON MICROSCOPY | 2.18 |
| 6MBL | X-RAY DIFFRACTION | 2.2 |
| 3D2U | X-RAY DIFFRACTION | 2.21 |
| 8OI8 | ELECTRON MICROSCOPY | 2.28 |
| 6OX4 | X-RAY DIFFRACTION | 2.29 |
| 8OID | ELECTRON MICROSCOPY | 2.3 |
| 9QFJ | ELECTRON MICROSCOPY | 2.31 |
| 6V62 | X-RAY DIFFRACTION | 2.36 |
| 8QR1 | ELECTRON MICROSCOPY | 2.4 |
| 9QF2 | ELECTRON MICROSCOPY | 2.42 |
| 6NBW | X-RAY DIFFRACTION | 2.5 |
| 9QFD | ELECTRON MICROSCOPY | 2.61 |
| 9QEY | ELECTRON MICROSCOPY | 2.74 |
| 9QFB | ELECTRON MICROSCOPY | 2.74 |
| 9UXC | ELECTRON MICROSCOPY | 2.74 |
| 9C57 | ELECTRON MICROSCOPY | 2.75 |
| 9QFQ | ELECTRON MICROSCOPY | 2.76 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P60709-F1 | 95.31 | 0.93 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Post-translational modifications (8): 270, 1, 2, 44, 47, 73, 84, 50
Mutagenesis-validated functional residues (10):
| Position | Phenotype |
|---|---|
| 69 | decreased interaction with setd3. |
| 71 | decreased interaction with setd3. |
| 71 | impaired methylation by setd3. |
| 73 | abolished methylation by setd3. |
| 73 | weak methylation by a a-256 or v-256 setd3 mutant. high methylation by a f-256 and a-274 setd3 mutant. |
| 74 | impaired methylation by setd3. |
| 79 | does not affect methylation by setd3. |
| 80 | decreased interaction with setd3. |
| 81 | decreased interaction with setd3. |
| 82 | decreased interaction with setd3. |
Function
Pathways and Gene Ontology
Reactome pathways
100 pathways
| ID | Pathway |
|---|---|
| R-HSA-1445148 | Translocation of SLC2A4 (GLUT4) to the plasma membrane |
| R-HSA-190873 | Gap junction degradation |
| R-HSA-196025 | Formation of annular gap junctions |
| R-HSA-2029482 | Regulation of actin dynamics for phagocytic cup formation |
| R-HSA-3214847 | HATs acetylate histones |
| R-HSA-389957 | Prefoldin mediated transfer of substrate to CCT/TriC |
| R-HSA-390450 | Folding of actin by CCT/TriC |
| R-HSA-3928662 | EPHB-mediated forward signaling |
| R-HSA-3928665 | EPH-ephrin mediated repulsion of cells |
| R-HSA-418990 | Adherens junctions interactions |
| R-HSA-437239 | Recycling pathway of L1 |
| R-HSA-4420097 | VEGFA-VEGFR2 Pathway |
| R-HSA-445095 | Interaction between L1 and Ankyrins |
| R-HSA-446353 | Cell-extracellular matrix interactions |
| R-HSA-5250924 | B-WICH complex positively regulates rRNA expression |
| R-HSA-5626467 | RHO GTPases activate IQGAPs |
| R-HSA-5663213 | RHO GTPases Activate WASPs and WAVEs |
| R-HSA-5663220 | RHO GTPases Activate Formins |
| R-HSA-5674135 | MAP2K and MAPK activation |
| R-HSA-5689603 | UCH proteinases |
| R-HSA-5696394 | DNA Damage Recognition in GG-NER |
| R-HSA-6802946 | Signaling by moderate kinase activity BRAF mutants |
| R-HSA-6802948 | Signaling by high-kinase activity BRAF mutants |
| R-HSA-6802952 | Signaling by BRAF and RAF1 fusions |
| R-HSA-6802955 | Paradoxical activation of RAF signaling by kinase inactive BRAF |
| R-HSA-8856828 | Clathrin-mediated endocytosis |
| R-HSA-9035034 | RHOF GTPase cycle |
| R-HSA-9649948 | Signaling downstream of RAS mutants |
| R-HSA-9656223 | Signaling by RAF1 mutants |
| R-HSA-9662360 | Sensory processing of sound by inner hair cells of the cochlea |
MSigDB gene sets: 1028 (showing top):
GOBP_APICAL_PROTEIN_LOCALIZATION, GOBP_MORPHOGENESIS_OF_AN_EPITHELIUM, GOBP_REGULATION_OF_DOUBLE_STRAND_BREAK_REPAIR, GOBP_REGULATION_OF_CELL_ACTIVATION, GOBP_CHROMOSOME_ORGANIZATION, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_REGULATION_OF_DNA_RECOMBINATION, GOBP_EPITHELIUM_DEVELOPMENT, REACTOME_INNATE_IMMUNE_SYSTEM, GOBP_POSITIVE_REGULATION_OF_HEMOPOIESIS, GOBP_ESTABLISHMENT_OR_MAINTENANCE_OF_CELL_POLARITY, MACLACHLAN_BRCA1_TARGETS_DN, REACTOME_CYTOKINE_SIGNALING_IN_IMMUNE_SYSTEM, KAAB_FAILED_HEART_ATRIUM_DN, YAO_HOXA10_TARGETS_VIA_PROGESTERONE_UP
GO Biological Process (36): morphogenesis of a polarized epithelium (GO:0001738), chromatin remodeling (GO:0006338), regulation of transcription by RNA polymerase II (GO:0006357), cytoskeleton organization (GO:0007010), establishment or maintenance of cell polarity (GO:0007163), axonogenesis (GO:0007409), positive regulation of cell population proliferation (GO:0008284), substantia nigra development (GO:0021762), regulation of mitotic metaphase/anaphase transition (GO:0030071), adherens junction assembly (GO:0034333), maintenance of blood-brain barrier (GO:0035633), regulation of apoptotic process (GO:0042981), apical protein localization (GO:0045176), positive regulation of T cell differentiation (GO:0045582), negative regulation of cell differentiation (GO:0045596), positive regulation of cell differentiation (GO:0045597), positive regulation of myoblast differentiation (GO:0045663), positive regulation of DNA-templated transcription (GO:0045893), cell motility (GO:0048870), regulation of norepinephrine uptake (GO:0051621), positive regulation of norepinephrine uptake (GO:0051623), regulation of cell cycle (GO:0051726), regulation of G0 to G1 transition (GO:0070316), platelet aggregation (GO:0070527), protein localization to adherens junction (GO:0071896), cellular response to cytochalasin B (GO:0072749), regulation of transepithelial transport (GO:0150111), regulation of synaptic vesicle endocytosis (GO:1900242), positive regulation of stem cell population maintenance (GO:1902459), regulation of protein localization to plasma membrane (GO:1903076), positive regulation of double-strand break repair via homologous recombination (GO:1905168), regulation of G1/S transition of mitotic cell cycle (GO:2000045), regulation of double-strand break repair (GO:2000779), positive regulation of double-strand break repair (GO:2000781), regulation of nucleotide-excision repair (GO:2000819), postsynaptic actin cytoskeleton organization (GO:0098974)
GO Molecular Function (16): structural constituent of cytoskeleton (GO:0005200), ATP binding (GO:0005524), ATP hydrolysis activity (GO:0016887), kinesin binding (GO:0019894), protein kinase binding (GO:0019901), nitric-oxide synthase regulator activity (GO:0030235), Tat protein binding (GO:0030957), identical protein binding (GO:0042802), tau protein binding (GO:0048156), nitric-oxide synthase binding (GO:0050998), structural constituent of postsynaptic actin cytoskeleton (GO:0098973), transporter regulator activity (GO:0141108), nucleotide binding (GO:0000166), protein binding (GO:0005515), hydrolase activity (GO:0016787), nucleosomal DNA binding (GO:0031492)
GO Cellular Component (44): kinetochore (GO:0000776), chromatin (GO:0000785), nucleosome (GO:0000786), obsolete extracellular space (GO:0005615), nucleus (GO:0005634), nucleoplasm (GO:0005654), cytoplasm (GO:0005737), cytosol (GO:0005829), cytoskeleton (GO:0005856), actin filament (GO:0005884), plasma membrane (GO:0005886), brush border (GO:0005903), cell-cell junction (GO:0005911), adherens junction (GO:0005912), focal adhesion (GO:0005925), actin cytoskeleton (GO:0015629), membrane (GO:0016020), nuclear matrix (GO:0016363), SWI/SNF complex (GO:0016514), RSC-type complex (GO:0016586), lamellipodium (GO:0030027), axon (GO:0030424), cortical cytoskeleton (GO:0030863), vesicle (GO:0031982), protein-containing complex (GO:0032991), brahma complex (GO:0035060), NuA4 histone acetyltransferase complex (GO:0035267), cytoplasmic ribonucleoprotein granule (GO:0036464), apical junction complex (GO:0043296), calyx of Held (GO:0044305), synapse (GO:0045202), extracellular exosome (GO:0070062), tight junction (GO:0070160), npBAF complex (GO:0071564), nBAF complex (GO:0071565), blood microparticle (GO:0072562), dense body (GO:0097433), Schaffer collateral - CA1 synapse (GO:0098685), presynapse (GO:0098793), postsynaptic actin cytoskeleton (GO:0098871)
Reactome top-level categories
Rollup of top-15 pathways:
| Category | Pathways |
|---|---|
| RHO GTPase Effectors | 3 |
| Cooperation of Prefoldin and TriC/CCT in actin and tubulin folding | 2 |
| EPH-Ephrin signaling | 2 |
| L1CAM interactions | 2 |
| Membrane Trafficking | 1 |
| Gap junction trafficking | 1 |
| Gap junction degradation | 1 |
| Fcgamma receptor (FCGR) dependent phagocytosis | 1 |
| Chromatin modifying enzymes | 1 |
| Cell-cell junction organization | 1 |
| Signaling by VEGF | 1 |
| Cell junction organization | 1 |
| Positive epigenetic regulation of rRNA expression | 1 |
| RAF/MAP kinase cascade | 1 |
| Deubiquitination | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 6 |
| regulation of DNA-templated transcription | 2 |
| cellular process | 2 |
| positive regulation of cellular process | 2 |
| cell differentiation | 2 |
| regulation of cell differentiation | 2 |
| cytoskeleton | 2 |
| cytoskeletal protein binding | 2 |
| intracellular membraneless organelle | 2 |
| nuclear lumen | 2 |
| SWI/SNF superfamily-type complex | 2 |
| morphogenesis of an epithelium | 1 |
| chromatin organization | 1 |
| transcription by RNA polymerase II | 1 |
| organelle organization | 1 |
| cell morphogenesis involved in neuron differentiation | 1 |
| neuron projection morphogenesis | 1 |
| axon development | 1 |
| cell population proliferation | 1 |
| regulation of cell population proliferation | 1 |
| midbrain development | 1 |
| neural nucleus development | 1 |
| metaphase/anaphase transition of mitotic cell cycle | 1 |
| regulation of mitotic cell cycle phase transition | 1 |
| regulation of metaphase/anaphase transition of cell cycle | 1 |
| cell-cell junction assembly | 1 |
| adherens junction organization | 1 |
| tissue homeostasis | 1 |
| apoptotic process | 1 |
| regulation of programmed cell death | 1 |
| intracellular protein localization | 1 |
| T cell differentiation | 1 |
| regulation of T cell differentiation | 1 |
| positive regulation of lymphocyte differentiation | 1 |
| positive regulation of T cell activation | 1 |
| negative regulation of cellular process | 1 |
| negative regulation of developmental process | 1 |
| positive regulation of developmental process | 1 |
| myoblast differentiation | 1 |
| positive regulation of cell differentiation | 1 |
Protein interactions and networks
STRING
0 interactions, top by confidence (×1000):
IntAct
617 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| ACTG1 | ACTB | psi-mi:“MI:0915”(physical association) | 0.950 |
| ACTB | ACTB | psi-mi:“MI:0915”(physical association) | 0.950 |
| ACTB | ACTG1 | psi-mi:“MI:0915”(physical association) | 0.950 |
| ACTB | ACTB | psi-mi:“MI:0407”(direct interaction) | 0.950 |
| CFL1 | ACTB | psi-mi:“MI:0915”(physical association) | 0.930 |
| ACTB | CFL1 | psi-mi:“MI:0915”(physical association) | 0.930 |
| ACTB | CFL2 | psi-mi:“MI:0915”(physical association) | 0.910 |
| DSTN | ACTB | psi-mi:“MI:0915”(physical association) | 0.900 |
| ACTB | DSTN | psi-mi:“MI:0915”(physical association) | 0.900 |
| ACTB | CAP2 | psi-mi:“MI:0915”(physical association) | 0.820 |
| ACTB | NTAQ1 | psi-mi:“MI:0915”(physical association) | 0.740 |
BioGRID (1595): ACTB (Affinity Capture-MS), ACTB (Affinity Capture-MS), ACTB (Affinity Capture-MS), ACTB (Affinity Capture-Western), ACTB (Two-hybrid), ACTG1 (Two-hybrid), CFL1 (Two-hybrid), CFL2 (Two-hybrid), EHHADH (Two-hybrid), CAP2 (Two-hybrid), DSTN (Two-hybrid), WDYHV1 (Two-hybrid), ACTB (Affinity Capture-MS), ACTB (Affinity Capture-Western), ACTB (Reconstituted Complex)
ESM2 similar proteins: A2BDB0, O18499, O18500, O18840, O42161, O93400, P04829, P10984, P10986, P15475, P41340, P48975, P53478, P53485, P53505, P53506, P60706, P60707, P60708, P60709, P60710, P60711, P60712, P60713, P63256, P63257, P63258, P63259, P63260, P63261, P68142, P68143, P83750, P83751, Q25010, Q4L0Y2, Q4R561, Q5JAK2, Q5R1X3, Q5R6G0
Diamond homologs: A2AKE7, A2BDB0, A3C6D7, O17320, O18840, O65314, O93400, P02572, P02576, P02578, P07828, P07829, P07830, P0C539, P10984, P10995, P12432, P12433, P12716, P18602, P20904, P29751, P30163, P41339, P41341, P43239, P45520, P48975, P49055, P49128, P53458, P53459, P53465, P53470, P53471, P53472, P53477, P53478, P53479, P53498
SIGNOR signaling
27 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| FKBP15 | “up-regulates activity” | ACTB | binding |
| ACTB | up-regulates | Endocytosis | |
| ACTB | up-regulates | “Early Endosome” | |
| ACTB | “up-regulates quantity” | F-actin_assembly | binding |
| CD2AP | “up-regulates activity” | ACTB | binding |
| CKB | “up-regulates quantity” | ACTB | relocalization |
| SYN2 | “up-regulates activity” | ACTB | binding |
| SYN3 | “up-regulates activity” | ACTB | binding |
| SYN1 | “up-regulates activity” | ACTB | binding |
| GFAP | “up-regulates quantity” | ACTB | binding |
| MYO5A | “up-regulates activity” | ACTB | binding |
| ACTB | “form complex” | “NuA4 complex” | binding |
| ACTB | “form complex” | GBAF | binding |
| ACTB | “form complex” | “SWI/SNF ACTL6A-ARID1A-SMARCA2 variant” | binding |
| ACTB | “form complex” | “SWI/SNF ACTL6B varian” | binding |
| ACTB | “form complex” | “Neural progenitor-specific SWI/SNF” | binding |
| ACTB | “form complex” | “Muscle cell-specific SWI/SNF ARID1A variant” | binding |
| ACTB | “form complex” | “Muscle cell-specific SWI/SNF ARID1B variant” | binding |
| ACTB | “form complex” | “Muscle cell-specific SWI/SNF SMARCA4 variant” | binding |
| ACTB | “form complex” | “Brain-specific SWI/SNF SMARCA2 variant” | binding |
| ACTB | “form complex” | “Brain-specific SWI/SNF SMARCA4 variant” | binding |
| FHOD1 | “up-regulates quantity by stabilization” | ACTB | binding |
| ACTB | “form complex” | “Embryonic stem cell-specific SWI/SNF” | binding |
| IGF2BP1 | “up-regulates quantity” | ACTB | “post transcriptional regulation” |
| TAGLN2 | “down-regulates activity” | ACTB | binding |
| “IPP complex” | “up-regulates activity” | ACTB | relocalization |
| NTN1 | “up-regulates quantity” | ACTB | “post transcriptional regulation” |
Enriched among interaction partners
Reactome pathways and GO biological processes over-represented among this gene’s 182 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.
Reactome pathways:
| Pathway | Partners | Fold | FDR |
|---|---|---|---|
| Formation of neuronal progenitor and neuronal BAF (npBAF and nBAF) | 5 | 19.2× | 2e-03 |
| Striated Muscle Contraction | 6 | 15.6× | 1e-03 |
| Regulation of MITF-M-dependent genes involved in pigmentation | 5 | 11.2× | 6e-03 |
| Oncogenic MAPK signaling | 5 | 10.4× | 6e-03 |
| Extra-nuclear estrogen signaling | 6 | 8.6× | 5e-03 |
| Signaling by ALK fusions and activated point mutants | 6 | 7.6× | 7e-03 |
| ESR-mediated signaling | 7 | 7.5× | 5e-03 |
| Cargo recognition for clathrin-mediated endocytosis | 7 | 6.2× | 7e-03 |
GO biological processes:
| GO term | Partners | Fold | FDR |
|---|---|---|---|
| regulation of G0 to G1 transition | 5 | 21.1× | 8e-04 |
| regulation of nucleotide-excision repair | 5 | 18.8× | 9e-04 |
| regulation of mitotic metaphase/anaphase transition | 5 | 15.5× | 2e-03 |
| sarcomere organization | 6 | 14.4× | 8e-04 |
| regulation of G1/S transition of mitotic cell cycle | 6 | 11.5× | 2e-03 |
| intrinsic apoptotic signaling pathway | 5 | 11.2× | 6e-03 |
| positive regulation of double-strand break repair | 5 | 10.8× | 6e-03 |
| cerebral cortex development | 6 | 7.7× | 8e-03 |
Disease & clinical
Cancer significance
Clinical variants and AI predictions
ClinVar
714 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 69 |
| Likely pathogenic | 85 |
| Uncertain significance | 168 |
| Likely benign | 287 |
| Benign | 33 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1193058 | NM_001101.5(ACTB):c.586C>G (p.Arg196Gly) | Pathogenic |
| 1202044 | NM_001101.5(ACTB):c.484A>G (p.Thr162Ala) | Pathogenic |
| 1253973 | NM_001101.5(ACTB):c.353_356delinsTGAC (p.Lys118_Met119delinsMetThr) | Pathogenic |
| 127166 | NM_001101.5(ACTB):c.34A>C (p.Asn12His) | Pathogenic |
| 127167 | NM_001101.5(ACTB):c.356T>C (p.Met119Thr) | Pathogenic |
| 127168 | NM_001101.5(ACTB):c.359C>T (p.Thr120Ile) | Pathogenic |
| 127169 | NM_001101.5(ACTB):c.446C>T (p.Thr149Ile) | Pathogenic |
| 127170 | NM_001101.5(ACTB):c.586C>A (p.Arg196Ser) | Pathogenic |
| 127171 | NM_001101.5(ACTB):c.611C>G (p.Ala204Gly) | Pathogenic |
| 1319337 | NM_001101.5(ACTB):c.474_475dup (p.Val159fs) | Pathogenic |
| 1334712 | NM_001101.5(ACTB):c.439C>T (p.Arg147Cys) | Pathogenic |
| 1344710 | NM_001101.5(ACTB):c.439C>A (p.Arg147Ser) | Pathogenic |
| 147563 | GRCh38/hg38 7p22.3-22.1(chr7:54185-6638027)x3 | Pathogenic |
| 148450 | GRCh38/hg38 7p22.3-21.3(chr7:45130-7252065)x3 | Pathogenic |
| 1685500 | NM_001101.5(ACTB):c.141G>A (p.Met47Ile) | Pathogenic |
| 1711132 | GRCh37/hg19 7p22.3-21.3(chr7:43360-9649794)x3 | Pathogenic |
| 1809374 | GRCh37/hg19 7p22.1(chr7:4655928-5990874)x1 | Pathogenic |
| 18275 | NM_001101.5(ACTB):c.547C>T (p.Arg183Trp) | Pathogenic |
| 203375 | NM_001101.5(ACTB):c.123+1G>A | Pathogenic |
| 2445203 | NM_001101.5(ACTB):c.220G>T (p.Gly74Cys) | Pathogenic |
| 2574241 | NM_001101.5(ACTB):c.905G>C (p.Gly302Ala) | Pathogenic |
| 2575112 | NM_001101.5(ACTB):c.437G>T (p.Gly146Val) | Pathogenic |
| 2575113 | NM_001101.5(ACTB):c.437G>A (p.Gly146Asp) | Pathogenic |
| 2577405 | NM_001101.5(ACTB):c.992_1008del (p.Ala331fs) | Pathogenic |
| 2577406 | NM_001101.5(ACTB):c.1012_1023del (p.Ser338_Ile341del) | Pathogenic |
| 2577407 | NM_001101.5(ACTB):c.1101dup (p.Ser368fs) | Pathogenic |
| 264642 | NM_001101.5(ACTB):c.802G>C (p.Gly268Arg) | Pathogenic |
| 2684469 | GRCh37/hg19 7p22.3-21.3(chr7:43361-8890475)x3 | Pathogenic |
| 2684470 | GRCh37/hg19 7p22.3-22.1(chr7:43361-5965440)x3 | Pathogenic |
| 279939 | NM_001101.5(ACTB):c.127G>A (p.Val43Met) | Pathogenic |
SpliceAI
540 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 7:5527887:ATGAT:A | acceptor_gain | 1.0000 |
| 7:5527888:TGAT:T | acceptor_gain | 1.0000 |
| 7:5527889:GAT:G | acceptor_gain | 1.0000 |
| 7:5527890:AT:A | acceptor_gain | 1.0000 |
| 7:5527892:C:CC | acceptor_gain | 1.0000 |
| 7:5527892:CTGAG:C | acceptor_loss | 1.0000 |
| 7:5527893:T:G | acceptor_loss | 1.0000 |
| 7:5528000:CCAC:C | donor_loss | 1.0000 |
| 7:5528000:CCACC:C | donor_gain | 1.0000 |
| 7:5528001:CACC:C | donor_loss | 1.0000 |
| 7:5528002:A:AC | donor_gain | 1.0000 |
| 7:5528002:AC:A | donor_gain | 1.0000 |
| 7:5528003:C:CC | donor_gain | 1.0000 |
| 7:5528003:CC:C | donor_gain | 1.0000 |
| 7:5528003:CCTTG:C | donor_gain | 1.0000 |
| 7:5528181:CATGC:C | acceptor_gain | 1.0000 |
| 7:5528182:ATGC:A | acceptor_gain | 1.0000 |
| 7:5528183:TGC:T | acceptor_gain | 1.0000 |
| 7:5528183:TGCCT:T | acceptor_loss | 1.0000 |
| 7:5528184:GC:G | acceptor_gain | 1.0000 |
| 7:5528184:GCCTG:G | acceptor_loss | 1.0000 |
| 7:5528185:CC:C | acceptor_gain | 1.0000 |
| 7:5528186:C:CC | acceptor_gain | 1.0000 |
| 7:5528186:CTGA:C | acceptor_loss | 1.0000 |
| 7:5528187:T:G | acceptor_loss | 1.0000 |
| 7:5528276:CTCA:C | donor_loss | 1.0000 |
| 7:5528277:TCA:T | donor_loss | 1.0000 |
| 7:5528278:CA:C | donor_loss | 1.0000 |
| 7:5528279:A:AC | donor_gain | 1.0000 |
| 7:5528279:A:AT | donor_loss | 1.0000 |
AlphaMissense
2483 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 7:5527754:G:C | C374W | 1.000 |
| 7:5527767:A:T | V370D | 1.000 |
| 7:5527779:C:T | G366D | 1.000 |
| 7:5527780:C:G | G366R | 1.000 |
| 7:5527810:A:G | W356R | 1.000 |
| 7:5527810:A:T | W356R | 1.000 |
| 7:5527820:G:C | F352L | 1.000 |
| 7:5527820:G:T | F352L | 1.000 |
| 7:5527822:A:G | F352L | 1.000 |
| 7:5527830:A:G | L349P | 1.000 |
| 7:5527830:A:T | L349Q | 1.000 |
| 7:5527834:A:G | S348P | 1.000 |
| 7:5527836:G:T | A347D | 1.000 |
| 7:5527837:C:G | A347P | 1.000 |
| 7:5527839:A:G | L346P | 1.000 |
| 7:5527842:A:T | I345N | 1.000 |
| 7:5527845:G:A | S344F | 1.000 |
| 7:5527845:G:T | S344Y | 1.000 |
| 7:5527846:A:G | S344P | 1.000 |
| 7:5527848:C:A | G343V | 1.000 |
| 7:5527848:C:T | G343D | 1.000 |
| 7:5527849:C:A | G343C | 1.000 |
| 7:5527849:C:G | G343R | 1.000 |
| 7:5527851:C:A | G342V | 1.000 |
| 7:5527851:C:T | G342D | 1.000 |
| 7:5527852:C:A | G342C | 1.000 |
| 7:5527852:C:G | G342R | 1.000 |
| 7:5527852:C:T | G342S | 1.000 |
| 7:5527856:C:A | W340C | 1.000 |
| 7:5527856:C:G | W340C | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000706434 (7:5532384 G>C), RS1001036176 (7:5527107 G>T), RS1001089924 (7:5526982 C>T), RS1001528164 (7:5531577 C>A), RS1001654212 (7:5528918 C>A,G,T), RS1001913807 (7:5530749 C>G,T), RS1001972616 (7:5531451 C>G), RS1002137247 (7:5528782 G>A), RS1002321926 (7:5531624 C>A,T), RS1002532746 (7:5532537 C>T), RS1002736649 (7:5529500 C>T), RS1003588455 (7:5530314 C>G,T), RS1004201338 (7:5530336 G>A,T), RS1004901723 (7:5531514 C>T), RS1004931101 (7:5531389 A>G)
Disease associations
OMIM: gene MIM:102630 | disease phenotypes: MIM:243310, MIM:607371, MIM:609924, MIM:620475, MIM:604919, MIM:620453, MIM:620470
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| Baraitser-Winter cerebrofrontofacial syndrome | Definitive | Autosomal dominant |
| Baraitser-Winter syndrome 1 | Definitive | Autosomal dominant |
| ACTB-associated syndromic thrombocytopenia | Strong | Autosomal dominant |
| developmental malformations-deafness-dystonia syndrome | Strong | Autosomal dominant |
ClinGen Gene-Disease Validity (2)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| ACTB-associated syndromic thrombocytopenia | Moderate | AD |
| Baraitser-Winter cerebrofrontofacial syndrome | Definitive | AD |
Mondo (15): Baraitser-Winter syndrome 1 (MONDO:0009470), neurodevelopmental disorder (MONDO:0700092), developmental malformations-deafness-dystonia syndrome (MONDO:0011823), aminoacylase 1 deficiency (MONDO:0012368), intellectual disability (MONDO:0001071), Baraitser-Winter cerebrofrontofacial syndrome (MONDO:0017579), ACTB-associated syndromic thrombocytopenia (MONDO:0100433), thrombocytopenia (MONDO:0002049), Becker nevus syndrome (MONDO:0011500), congenital smooth muscle hamartoma (MONDO:0016986), dystonia 22, juvenile-onset (MONDO:0957539), congenital smooth muscle hamartoma, with or without hemihypertrophy (MONDO:0957564), dystonic disorder (MONDO:0003441), cleft palate (MONDO:0016064), microcephaly (MONDO:0001149)
Orphanet (9): Short stature-intellectual disability-eye anomalies-cleft lip/palate syndrome (Orphanet:2649), Baraitser-Winter cerebrofrontofacial syndrome (Orphanet:2995), Developmental malformations-deafness-dystonia syndrome (Orphanet:79107), Aminoacylase 1 deficiency (Orphanet:137754), Actinomyopathy-associated syndromic thrombocytopenia (Orphanet:674653), Becker nevus syndrome (Orphanet:64755), Congenital smooth muscle hamartoma (Orphanet:263435), Cleft palate (Orphanet:2014), NON RARE IN EUROPE: Unexplained intellectual disability (Orphanet:319658)
HPO phenotypes
158 total (30 of 158 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000006 | Autosomal dominant inheritance |
| HP:0000028 | Cryptorchidism |
| HP:0000045 | Abnormal scrotum morphology |
| HP:0000054 | Micropenis |
| HP:0000064 | Hypoplastic labia minora |
| HP:0000072 | Hydroureter |
| HP:0000126 | Hydronephrosis |
| HP:0000154 | Wide mouth |
| HP:0000158 | Macroglossia |
| HP:0000175 | Cleft palate |
| HP:0000202 | Orofacial cleft |
| HP:0000204 | Cleft upper lip |
| HP:0000218 | High palate |
| HP:0000219 | Thin upper lip vermilion |
| HP:0000233 | Thin vermilion border |
| HP:0000239 | Large fontanelles |
| HP:0000243 | Trigonocephaly |
| HP:0000252 | Microcephaly |
| HP:0000270 | Delayed cranial suture closure |
| HP:0000278 | Retrognathia |
| HP:0000280 | Coarse facial features |
| HP:0000286 | Epicanthus |
| HP:0000293 | Full cheeks |
| HP:0000303 | Mandibular prognathia |
| HP:0000307 | Pointed chin |
| HP:0000316 | Hypertelorism |
| HP:0000343 | Long philtrum |
| HP:0000347 | Micrognathia |
| HP:0000348 | High forehead |
| HP:0000358 | Posteriorly rotated ears |
GWAS associations
9 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST002183_6 | Relative hand skill in reading disability | 4.000000e-06 |
| GCST005905_15 | Global electrical heterogeneity phenotypes | 8.000000e-09 |
| GCST010244_420 | Triglyceride levels | 9.000000e-10 |
| GCST90002386_124 | High light scatter reticulocyte percentage of red cells | 1.000000e-12 |
| GCST90002388_17 | Lymphocyte count | 1.000000e-09 |
| GCST90002390_237 | Mean corpuscular hemoglobin | 3.000000e-12 |
| GCST90002391_216 | Mean corpuscular hemoglobin concentration | 4.000000e-12 |
| GCST90002405_217 | Reticulocyte count | 3.000000e-09 |
| GCST90002406_236 | Reticulocyte fraction of red cells | 1.000000e-10 |
EFO canonical traits (7, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0009902 | handedness |
| EFO:0004327 | electrocardiography |
| EFO:0004530 | triglyceride measurement |
| EFO:0004587 | lymphocyte count |
| EFO:0004527 | mean corpuscular hemoglobin |
| EFO:0004528 | mean corpuscular hemoglobin concentration |
| EFO:0007986 | reticulocyte count |
MeSH disease descriptors (9)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D002972 | Cleft Palate | C05.500.460.185; C05.660.207.540.460.185; C07.320.440.185; C07.465.525.185; C07.650.500.460.185; C07.650.525.185; C16.131.621.207.540.460.185; C16.131.850.500.460.185; C16.131.850.525.185 |
| D020821 | Dystonic Disorders | C10.228.662.300 |
| D008607 | Intellectual Disability | C10.597.606.360; C23.888.592.604.646; F01.700.687; F03.625.539 |
| D008831 | Microcephaly | C05.660.207.620; C10.500.507.400.500; C16.131.621.207.620; C16.131.666.507.400.500 |
| D065886 | Neurodevelopmental Disorders | F03.625 |
| D013921 | Thrombocytopenia | C15.378.140.855; C15.378.243.937 |
| C538246 | Aminoacylase 1 deficiency (supp.) | |
| C565735 | Becker Nevus Syndrome (supp.) | |
| C537704 | Juvenile-onset dystonia (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL2062353 (SINGLE PROTEIN)
Molecules with ChEMBL bioactivity
1 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 1,538 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).
| Molecule | Name | Phase | Patents |
|---|---|---|---|
| CHEMBL1232461 | MOLIBRESIB | 2 | 1,538 |
PharmGKB: 1 entry (VIP=true, CPIC=false)
ChEMBL bioactivities
2 potent at pChembl≥5 of 2 total, top 2 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).
| pChembl | Type | Value | Unit | Molecule |
|---|---|---|---|---|
| 5.33 | Kd | 4698 | nM | MOLIBRESIB |
| 5.05 | IC50 | 8840 | nM | MOLIBRESIB |
PubChem BioAssay actives
2 with measured affinity, of 22 total; 1 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.
| Compound | Assay | Type | Value | Unit |
|---|---|---|---|---|
| 2-[(4S)-6-(4-chlorophenyl)-8-methoxy-1-methyl-4H-[1,2,4]triazolo[4,3-a][1,4]benzodiazepin-4-yl]-N-ethylacetamide | 2179248: Binding affinity against ACTB (unknown origin) assessed as apparent dissociation constant incubated for 1 hr by colloidal coomassie staining based LC-MS/MS analysis | kd | 4.6980 | uM |
CTD chemical–gene interactions
160 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Benzo(a)pyrene | affects methylation, decreases expression, increases expression, affects cotreatment | 7 |
| bisphenol A | affects expression, decreases expression, decreases reaction, increases abundance | 5 |
| Cadmium Chloride | affects expression, decreases expression, increases expression, decreases methylation | 5 |
| sodium arsenite | affects cotreatment, increases expression, decreases expression | 4 |
| Arsenic Trioxide | decreases expression, increases expression | 3 |
| Air Pollutants | increases expression, affects cotreatment, increases abundance, increases oxidation, decreases expression | 3 |
| Valproic Acid | increases expression, increases methylation | 3 |
| Particulate Matter | decreases expression, increases abundance, affects cotreatment, increases expression | 3 |
| mono-(2-ethylhexyl)phthalate | affects cotreatment, increases expression | 2 |
| methacrylaldehyde | increases oxidation, increases abundance, affects cotreatment, increases expression | 2 |
| dibenzo(a,l)pyrene | decreases expression, increases expression | 2 |
| Acrolein | affects cotreatment, increases expression, increases oxidation, increases abundance | 2 |
| Caffeine | affects phosphorylation, decreases expression | 2 |
| Cisplatin | affects cotreatment, decreases expression | 2 |
| Dinitrochlorobenzene | affects binding, increases metabolic processing | 2 |
| Doxorubicin | affects expression | 2 |
| Endosulfan | decreases expression | 2 |
| Ozone | affects cotreatment, increases expression, increases oxidation, increases abundance | 2 |
| Quercetin | affects binding, decreases expression | 2 |
| Smoke | decreases expression, increases expression | 2 |
| Tobacco Smoke Pollution | affects expression, increases metabolic processing | 2 |
| Tretinoin | affects cotreatment, increases expression | 2 |
| Metribolone | affects binding, increases reaction, increases expression | 2 |
| Copper Sulfate | decreases expression, increases expression | 2 |
| aristolochic acid I | decreases expression | 1 |
| GSK-J4 | decreases expression | 1 |
| FR900359 | affects phosphorylation | 1 |
| bisphenol F | increases expression | 1 |
| 9-hydroxyoctadecadienoic acid | increases expression | 1 |
| napabucasin | decreases expression | 1 |
ChEMBL screening assays
21 unique, capped per target: 21 binding
Representative assays (with source publication via chembl_document):
| Assay ID | Type | Description | Source paper |
|---|---|---|---|
| CHEMBL2065201 | Binding | Binding affinity to ACTB in human Jurkat cells at 150 uM followed by UV irradiation for 30 mins with Wood’s glass filtered medium pressure mercury arc light after cell lysis measured after denaturing wash by SDS-PAGE based pull down assay | Biotinylated quercetin as an intrinsic photoaffinity proteomics probe for the identification of quercetin target proteins. — Bioorg Med Chem |
Cellosaurus cell lines
11 cell lines: 5 induced pluripotent stem cell, 2 cancer cell line, 2 transformed cell line, 2 spontaneously immortalized cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_D6ML | IUFi004-A-1 | Induced pluripotent stem cell | Female |
| CVCL_D6MM | IUFi004-A-2 | Induced pluripotent stem cell | Female |
| CVCL_D6RH | WTSIi018-B-19 | Induced pluripotent stem cell | Male |
| CVCL_D6RI | WTSIi018-B-20 | Induced pluripotent stem cell | Male |
| CVCL_E4DB | HEBHMUi018-A | Induced pluripotent stem cell | Male |
| CVCL_SB27 | HAP1 ACTB (-) 1 | Cancer cell line | Male |
| CVCL_SB28 | HAP1 ACTB (-) 2 | Cancer cell line | Male |
| CVCL_ZV86 | HEK293 cpstFRET-Actin | Transformed cell line | Female |
| CVCL_ZV87 | HEK293 Actin-cpstFRET-Actin | Transformed cell line | Female |
| CVCL_ZV90 | MDCK cpstFRET-Actin | Spontaneously immortalized cell line | Female |
Clinical trials (associated diseases)
299 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT04586348 | PHASE4 | UNKNOWN | Prenatal Iodine Supplementation and Early Childhood Neurodevelopment |
| NCT04873115 | PHASE4 | UNKNOWN | Double-blind, Placebo-controlled, Randomized Clinical Trial Comparing the Efficacy and Safety of Sialanar Plus orAl rehabiLitation Against Placebo Plus Oral Rehabilitation for chIldren and Adolescents With seVere Sialorrhoea and Neurodisabilties, |
| NCT05657860 | PHASE4 | COMPLETED | Guanfacine Extended Release for the Reduction of Aggression and Self-injurious Behavior Associated With Prader-Willi Syndrome |
| NCT05744479 | PHASE4 | RECRUITING | Metformin for Antipsychotic-induced Weight Gain in Adults With Intellectual Disability |
| NCT06107829 | PHASE4 | WITHDRAWN | Valbenazine Treatment of Tardive Dyskinesia in Adults With Intellectual/Developmental Disabilities |
| NCT06997198 | PHASE4 | NOT_YET_RECRUITING | Deutetrabenazine Treatment for Tardive Dyskinesia in Intellectual/Developmental Disabilities |
| NCT02559102 | PHASE3 | COMPLETED | Dexmedetomidine Sedation Versus General Anaesthesia for Inguinal Hernia Surgery in Infants |
| NCT02757079 | PHASE3 | COMPLETED | Study of the Efficacy and Safety of NPC-15 for Sleep Disorders of Children With Neurodevelopmental Disorders |
| NCT06915480 | PHASE3 | RECRUITING | Reducing Missed Appointments |
| NCT07377032 | PHASE3 | RECRUITING | TAP-GRIN: Interventional Study on Patients With GRIN-related Neurodevelopmental Disorders |
| NCT02270736 | PHASE3 | COMPLETED | Clinical Study to Investigate the Efficacy and Safety of NT 201 Compared to Placebo in the Treatment of Chronic Troublesome Drooling Associated With Neurological Disorders and/or Intellectual Disability |
| NCT02909959 | PHASE2 | COMPLETED | Sulforaphane for the Treatment of Young Men With Autism Spectrum Disorder |
| NCT06081348 | PHASE2 | RECRUITING | Sertraline vs. Placebo in the Treatment of Anxiety in Children and AdoLescents With NeurodevelopMental Disorders |
| NCT06352372 | PHASE2 | COMPLETED | Safety and Efficacy of tPBM for Epileptiform Activity in Autism |
| NCT02304302 | PHASE2 | COMPLETED | Down Syndrome Memantine Follow-up Study |
| NCT03862950 | PHASE2 | COMPLETED | A Trial of Metformin in Individuals With Fragile X Syndrome (Met) |
| NCT04529226 | PHASE2 | UNKNOWN | Study to Compare Clozapine vs Treatment as Usual in People With Intellectual Disability & Treatment-resistant Psychosis |
| NCT04821856 | PHASE2 | COMPLETED | Evaluation of the Effectiveness of Cannabidiol in Treating Severe Behavioural Problems in Children and Adolescents With Intellectual Disability |
| NCT00503191 | PHASE1 | COMPLETED | NeuroModulation Technique Treatment of Autism |
| NCT04475848 | PHASE1 | COMPLETED | A Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 in Healthy Participants |
| NCT06300398 | PHASE1 | COMPLETED | IAMA-6 Oral Dose Study in Healthy Adults |
| NCT05273320 | PHASE1 | COMPLETED | Clinical Trial of Nabilone for Aggression in Adults With Intellectual and Developmental Disabilities |
| NCT05301361 | PHASE1 | ENROLLING_BY_INVITATION | Sensitivity of the NIH Toolbox to Stimulant Treatment in Intellectual Disabilities |
| NCT06016764 | PHASE1 | COMPLETED | Use of MRI and cTBS for Catatonia in Autism |
| NCT06586827 | PHASE1 | COMPLETED | Impact of Competency-Based Training and Technical Assistance Employment Outcomes of Individuals With ID/DD |
| NCT07531940 | PHASE1 | NOT_YET_RECRUITING | Escalating Doses of Memantine in Down Syndrome (MEDS-123) |
| NCT01783041 | PHASE2/PHASE3 | COMPLETED | Effect of Early L-Carnitine Supplementation on Neurodevelopmental Outcomes in Very Preterm Infants |
| NCT05767385 | PHASE2/PHASE3 | RECRUITING | Fetal Cerebrovascular Autoregulation in Congenital Heart Disease and Association With Neonatal Neurobehavior |
| NCT05675098 | EARLY_PHASE1 | NOT_YET_RECRUITING | Central Nervous System Stimulants and Physical Function in Children With Cerebral Palsy |
| NCT00783783 | Not specified | COMPLETED | CYP2D6 Pharmacogenetics in Risperidone-Treated Children |
| NCT01778504 | Not specified | RECRUITING | Studying Childhood-onset Behavioral, Psychiatric, and Developmental Disorders |
| NCT01850784 | Not specified | UNKNOWN | High Energy Formula Feeding in Infants With Congenital Heart Disease |
| NCT01922791 | Not specified | COMPLETED | Nutrition and Pregnancy Intervention Study |
| NCT01942525 | Not specified | UNKNOWN | Influence of Intrauterine Growth Restriction on Amplitude-integrated EEG in Preterm Infants |
| NCT02003170 | Not specified | COMPLETED | Etiology and Early Diagnosis of Neurodevelopmental Disorders |
| NCT02118649 | Not specified | ACTIVE_NOT_RECRUITING | Enhancing Behavior and Brain Response to Visual Targets Using a Computer Game |
| NCT02557191 | Not specified | TERMINATED | Biomarkers, Neurodevelopment and Preterm Infants |
| NCT02690675 | Not specified | COMPLETED | Iron Supplement Effect on Child Development |
| NCT02694003 | Not specified | COMPLETED | Better Nights, Better Days for Children With Neurodevelopment Disorders |
| NCT02792894 | Not specified | COMPLETED | Family Networks (FaNs) for Children With Developmental Disorders and Delays |
Related Atlas pages
- Associated diseases: ACTB-associated syndromic thrombocytopenia, Baraitser-Winter cerebrofrontofacial syndrome, Baraitser-Winter syndrome 1, developmental malformations-deafness-dystonia syndrome
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): ACTB-associated syndromic thrombocytopenia, aminoacylase 1 deficiency, Baraitser-Winter cerebrofrontofacial syndrome, Baraitser-Winter syndrome 1, Becker nevus syndrome, cleft palate, congenital smooth muscle hamartoma, congenital smooth muscle hamartoma, with or without hemihypertrophy, developmental malformations-deafness-dystonia syndrome, dystonia 22, juvenile-onset, dystonic disorder, microcephaly, thrombocytopenia