AMMECR1
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Summary
AMMECR1 (AMMECR nuclear protein 1, HGNC:467) is a protein-coding gene on chromosome Xq23, encoding Nuclear protein AMMECR1 (Q9Y4X0).
The exact function of this gene is not known, however, submicroscopic deletion of the X chromosome including this gene, COL4A5, and FACL4 genes, result in a contiguous gene deletion syndrome, the AMME complex (Alport syndrome, mental retardation, midface hypoplasia, and elliptocytosis). Alternatively spliced transcript variants encoding different isoforms have been found for this gene.
Source: NCBI Gene 9949 — RefSeq curated summary.
At a glance
- Gene–disease (curated): midface hypoplasia, hearing impairment, elliptocytosis, and nephrocalcinosis (Strong, GenCC) — +1 more curated relationship
- Clinical variants (ClinVar): 135 total — 8 pathogenic, 9 likely-pathogenic
- Phenotypes (HPO): 62
- Druggable target: yes
- MANE Select transcript:
NM_015365
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:467 |
| Approved symbol | AMMECR1 |
| Name | AMMECR nuclear protein 1 |
| Location | Xq23 |
| Locus type | gene with protein product |
| Status | Approved |
| Ensembl gene | ENSG00000101935 |
| Ensembl biotype | protein_coding |
| OMIM | 300195 |
| Entrez | 9949 |
Gene structure
Transcript identifiers
Ensembl transcripts: 8 — 4 protein_coding, 3 protein_coding_CDS_not_defined, 1 retained_intron
ENST00000262844, ENST00000372057, ENST00000372059, ENST00000473662, ENST00000496695, ENST00000680410, ENST00000686065, ENST00000697559
RefSeq mRNA: 3 — MANE Select: NM_015365
NM_001025580, NM_001171689, NM_015365
CCDS: CCDS14551, CCDS35368, CCDS55476
Canonical transcript exons
ENST00000262844 — 6 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000847163 | 110216518 | 110216632 |
| ENSE00000847164 | 110202446 | 110202536 |
| ENSE00000847165 | 110200954 | 110201050 |
| ENSE00001456822 | 110194186 | 110198634 |
| ENSE00001918550 | 110317599 | 110318085 |
| ENSE00003619634 | 110264489 | 110264599 |
Expression profiles
Bgee: expression breadth ubiquitous, 262 present calls, max score 95.89.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 11.7722 / max 237.1816, expressed in 1770 samples.
FANTOM5 promoters (4 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 200147 | 11.3036 | 1765 |
| 200146 | 0.3278 | 142 |
| 200151 | 0.0827 | 48 |
| 200150 | 0.0581 | 29 |
Top tissues by expression
290 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| esophagus squamous epithelium | UBERON:0006920 | 95.89 | gold quality |
| buccal mucosa cell | CL:0002336 | 94.89 | gold quality |
| trabecular bone tissue | UBERON:0002483 | 93.96 | gold quality |
| gingival epithelium | UBERON:0001949 | 93.87 | gold quality |
| squamous epithelium | UBERON:0006914 | 93.72 | gold quality |
| gingiva | UBERON:0001828 | 93.16 | gold quality |
| penis | UBERON:0000989 | 93.10 | gold quality |
| epithelium of esophagus | UBERON:0001976 | 92.65 | gold quality |
| germinal epithelium of ovary | UBERON:0001304 | 92.21 | gold quality |
| amniotic fluid | UBERON:0000173 | 91.69 | gold quality |
| mammalian vulva | UBERON:0000997 | 89.66 | gold quality |
| oviduct epithelium | UBERON:0004804 | 89.46 | gold quality |
| nipple | UBERON:0002030 | 89.33 | gold quality |
| tongue squamous epithelium | UBERON:0006919 | 89.23 | gold quality |
| upper leg skin | UBERON:0004262 | 88.69 | gold quality |
| oral cavity | UBERON:0000167 | 88.58 | gold quality |
| male germ line stem cell (sensu Vertebrata) in testis | CL:0000089 ∩ UBERON:0000473 | 87.64 | gold quality |
| mucosa of paranasal sinus | UBERON:0005030 | 87.62 | gold quality |
| cervix epithelium | UBERON:0004801 | 87.18 | gold quality |
| placenta | UBERON:0001987 | 86.66 | gold quality |
| pharyngeal mucosa | UBERON:0000355 | 86.63 | gold quality |
| cervix squamous epithelium | UBERON:0006922 | 86.27 | gold quality |
| skin of hip | UBERON:0001554 | 85.95 | gold quality |
| primordial germ cell in gonad | CL:0000670 ∩ UBERON:0000991 | 85.71 | gold quality |
| bone marrow | UBERON:0002371 | 85.65 | gold quality |
| adrenal tissue | UBERON:0018303 | 85.30 | gold quality |
| parietal pleura | UBERON:0002400 | 84.95 | gold quality |
| pancreatic ductal cell | CL:0002079 | 84.54 | silver quality |
| pigmented layer of retina | UBERON:0001782 | 84.22 | gold quality |
| choroid plexus epithelium | UBERON:0003911 | 83.65 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-ANND-3 | yes | 5.78 |
| E-MTAB-6142 | no | 75.18 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
348 targeting AMMECR1, 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-1252-5P | 100.00 | 69.80 | 2774 |
| HSA-MIR-3613-3P | 100.00 | 76.36 | 7965 |
| HSA-LET-7A-3P | 100.00 | 74.03 | 3932 |
| HSA-LET-7B-3P | 100.00 | 74.08 | 3913 |
| HSA-LET-7F-1-3P | 100.00 | 74.02 | 3928 |
| HSA-MIR-98-3P | 100.00 | 74.08 | 3907 |
| HSA-MIR-4533 | 100.00 | 69.48 | 2758 |
| HSA-MIR-5011-5P | 100.00 | 83.46 | 5820 |
| HSA-MIR-190A-3P | 100.00 | 80.35 | 5520 |
| HSA-MIR-3163 | 100.00 | 77.23 | 8605 |
| HSA-MIR-7110-3P | 100.00 | 73.18 | 2486 |
| HSA-MIR-5692A | 100.00 | 74.40 | 6850 |
| HSA-MIR-3924 | 100.00 | 72.09 | 2394 |
| HSA-MIR-8485 | 100.00 | 77.57 | 4731 |
| HSA-MIR-3134 | 100.00 | 66.43 | 777 |
| HSA-MIR-9-5P | 100.00 | 72.28 | 2361 |
| HSA-MIR-4747-5P | 100.00 | 67.90 | 2681 |
| HSA-MIR-5196-5P | 100.00 | 67.98 | 2761 |
| HSA-MIR-4476 | 100.00 | 68.18 | 2030 |
| HSA-MIR-6876-5P | 100.00 | 67.68 | 2126 |
| HSA-MIR-1277-5P | 100.00 | 73.95 | 5056 |
| HSA-MIR-6873-3P | 100.00 | 71.42 | 2626 |
| HSA-MIR-12118 | 100.00 | 65.88 | 1270 |
| HSA-MIR-4692 | 100.00 | 67.32 | 2066 |
| HSA-MIR-4682 | 100.00 | 68.89 | 1258 |
| HSA-MIR-4425 | 100.00 | 67.59 | 1049 |
| HSA-MIR-340-5P | 100.00 | 72.50 | 4437 |
| HSA-MIR-3646 | 100.00 | 73.56 | 5283 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-548AW | 99.99 | 72.57 | 3559 |
Literature-anchored findings (GeneRIF, showing 5)
- PH0010 from Pyrococcus horikoshii is highly homologous to human AMMECR 1C-terminal region (PMID:15558565)
- We conclude that AMMECR1 is a critical gene in the pathogenesis of Alport syndrome with intellectual disability (Mental retardation), Midface hypoplasia and Elliptocytosis (AMME), causing midface hypoplasia and elliptocytosis and contributing to early speech and language delay, infantile hypotonia and hearing loss (PMID:27811305)
- Study provides further evidence that mutated AMMECR1 gene is responsible for this clinically recognizable X-linked condition, Alport syndrome, mental retardation, midface hypoplasia, and elliptocytosis (AMME complex) with variable expressivity. (PMID:28089922)
- results suggest that AMMECR1 is potentially involved in cell cycle control and linked to a new syndrome with growth, bone, heart, and kidney alterations with or without elliptocytosis. (PMID:29193635)
- AMMECR1 plays a critical role in cell proliferation, cell-cycle progression, and apoptosis of human lung cancer cells, and may serve as a potential therapeutic target for non-small-cell lung cancer. (PMID:31519561)
Cross-species orthologs
5 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | ammecr1 | ENSDARG00000012892 |
| mus_musculus | Ammecr1 | ENSMUSG00000042225 |
| rattus_norvegicus | Ammecr1 | ENSRNOG00000022166 |
| drosophila_melanogaster | CG5902 | FBGN0039136 |
| caenorhabditis_elegans | WBGENE00011303 |
Paralogs (1): AMMECR1L (ENSG00000144233)
Protein
Protein identifiers
Nuclear protein AMMECR1 — Q9Y4X0 (reviewed: Q9Y4X0)
Alternative names: AMME syndrome candidate gene 1 protein
All UniProt accessions (4): Q9Y4X0, A0A0S2Z4V0, A0A0S2Z4X0, A0A8I5KSJ4
UniProt curated annotations — full annotation on UniProt →
Subcellular location. Nucleus.
Disease relevance. Midface hypoplasia, hearing impairment, elliptocytosis, and nephrocalcinosis (MFHIEN) [MIM:300990] An X-linked recessive disorder with onset in early childhood, characterized by midface hypoplasia, hearing impairment, elliptocytosis, and nephrocalcinosis. Variable clinical features include anemia, and mild early motor or speech delay. The disease is caused by variants affecting the gene represented in this entry. AMME complex (ATS-MR) [MIM:300194] An X-linked contiguous gene deletion syndrome characterized by glomerulonephritis, sensorineural hearing loss, intellectual disability, midface hypoplasia and elliptocytosis. The gene represented in this entry may be involved in disease pathogenesis.
Isoforms (4)
| UniProt ID | Names | Canonical? |
|---|---|---|
| Q9Y4X0-1 | 1 | yes |
| Q9Y4X0-2 | 2 | |
| Q9Y4X0-3 | 3 | |
| Q9Y4X0-4 | 4 |
RefSeq proteins (3): NP_001020751, NP_001165160, NP_056180* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR002733 | AMMECR1_domain | Domain |
| IPR023473 | AMMECR1 | Family |
| IPR027485 | AMMECR1_N | Homologous_superfamily |
| IPR036071 | AMMECR1_dom_sf | Homologous_superfamily |
Pfam: PF01871
UniProt features (11 total): splice variant 3, region of interest 2, compositionally biased region 2, chain 1, domain 1, sequence variant 1, modified residue 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q9Y4X0-F1 | 75.18 | 0.58 |
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 (1): 16
Function
Pathways and Gene Ontology
Reactome pathways
0 pathways
MSigDB gene sets: 457 (showing top):
RODRIGUES_THYROID_CARCINOMA_ANAPLASTIC_UP, GNF2_PRDX2, MORF_MSH3, TGCTGCT_MIR15A_MIR16_MIR15B_MIR195_MIR424_MIR497, TTCCGTT_MIR191, GCANCTGNY_MYOD_Q6, MORF_BRCA1, MEF2_02, CACCAGC_MIR138, MORF_RAD51L3, ATGTTAA_MIR302C, AACWWCAANK_UNKNOWN, NKX61_01, GTGCCTT_MIR506, GGGCATT_MIR365
GO Biological Process (0):
GO Molecular Function (1): protein binding (GO:0005515)
GO Cellular Component (3): nucleus (GO:0005634), nucleoplasm (GO:0005654), mitochondrion (GO:0005739)
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| intracellular membrane-bounded organelle | 2 |
| binding | 1 |
| nuclear lumen | 1 |
| cellular anatomical structure | 1 |
| cytoplasm | 1 |
Protein interactions and networks
STRING
804 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| AMMECR1 | ACSL4 | O60488 | 929 |
| AMMECR1 | KCNE5 | Q9UJ90 | 870 |
| AMMECR1 | COL4A5 | P29400 | 849 |
| AMMECR1 | NXT2 | Q9NPJ8 | 768 |
| AMMECR1 | GUCY2F | P51841 | 765 |
| AMMECR1 | TMEM164 | Q5U3C3 | 625 |
| AMMECR1 | RTL9 | Q8NET4 | 600 |
| AMMECR1 | OR10H5 | Q8NGA6 | 447 |
| AMMECR1 | FAM9A | Q8IZU1 | 391 |
| AMMECR1 | ZBED4 | O75132 | 389 |
| AMMECR1 | ACSL1 | P33121 | 389 |
| AMMECR1 | PABIR2 | Q7Z309 | 384 |
| AMMECR1 | SLC27A2 | O14975 | 383 |
| AMMECR1 | PDZD11 | Q5EBL8 | 376 |
| AMMECR1 | TMTC4 | Q5T4D3 | 375 |
IntAct
50 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| AMMECR1 | CALCOCO2 | psi-mi:“MI:0915”(physical association) | 0.670 |
| RBPMS | AMMECR1 | psi-mi:“MI:0915”(physical association) | 0.670 |
| CALCOCO2 | AMMECR1 | psi-mi:“MI:0915”(physical association) | 0.670 |
| Axin1 | LRP6 | psi-mi:“MI:0914”(association) | 0.600 |
| AMMECR1 | LRP6 | psi-mi:“MI:0915”(physical association) | 0.580 |
| LRP6 | AMMECR1 | psi-mi:“MI:0915”(physical association) | 0.580 |
| AMMECR1 | ADAMTSL4 | psi-mi:“MI:0915”(physical association) | 0.560 |
| ADAMTSL4 | AMMECR1 | psi-mi:“MI:0915”(physical association) | 0.560 |
| AMMECR1 | TRIM27 | psi-mi:“MI:0915”(physical association) | 0.560 |
| AMMECR1 | EFEMP2 | psi-mi:“MI:0915”(physical association) | 0.560 |
| AMMECR1 | psi-mi:“MI:0915”(physical association) | 0.560 | |
| AMMECR1 | KRTAP10-8 | psi-mi:“MI:0915”(physical association) | 0.560 |
BioGRID (45): CALCOCO2 (Two-hybrid), RBPMS (Two-hybrid), ADAMTSL4 (Two-hybrid), TSEN54 (Affinity Capture-MS), CLP1 (Affinity Capture-MS), PPIL4 (Affinity Capture-MS), GFER (Affinity Capture-MS), ZNF703 (Affinity Capture-MS), HNRNPF (Affinity Capture-MS), PPIL4 (Affinity Capture-MS), GFER (Affinity Capture-MS), CLP1 (Affinity Capture-MS), TSEN54 (Affinity Capture-MS), ZNF507 (Affinity Capture-MS), MEOX2 (Two-hybrid)
ESM2 similar proteins: A6H7H1, O46606, P10276, P11274, P11416, P22605, P22681, P22682, P53349, P55266, Q03353, Q03354, Q03355, Q0VGY8, Q3UR85, Q496Y0, Q50H33, Q52L14, Q5FBR4, Q5RAS7, Q5RDA9, Q5RDQ3, Q66JB6, Q69ZT9, Q6A0A9, Q6DCA0, Q6NRE7, Q6NS60, Q6P3S6, Q6PAJ1, Q6PDJ6, Q6ZWB6, Q7ZTI3, Q8C3F2, Q8HXH0, Q8JZZ6, Q8K4S7, Q8NEL9, Q8TEK3, Q8TF61
Diamond homologs: A1RT97, A1RY70, A3DP40, A4WGW1, A6UTA8, A8MBB6, B6YW91, C3MJ10, C3MYC8, C3MZQ7, C3N830, C3NF81, C4KIY8, C5A6U0, O26945, O28310, O57770, O67431, Q0W787, Q12WB4, Q46BJ4, Q4JAL7, Q58220, Q5JFK7, Q5RAS7, Q5RDQ3, Q6DCA0, Q74M72, Q8JZZ6, Q8PZK8, Q8R8N9, Q8TK33, Q8TY18, Q8TZL1, Q8ZYJ4, Q976G0, Q978N1, Q980T4, Q9HLJ2, Q9HMH2
SIGNOR signaling
0 interactions.
Disease & clinical
Clinical variants and AI predictions
ClinVar
135 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 8 |
| Likely pathogenic | 9 |
| Uncertain significance | 61 |
| Likely benign | 9 |
| Benign | 5 |
Top pathogenic / likely-pathogenic (17)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1703584 | GRCh37/hg19 Xq11.1-28(chrX:62685885-155233731) | Pathogenic |
| 375304 | NM_015365.3(AMMECR1):c.530G>A (p.Gly177Asp) | Pathogenic |
| 446219 | NC_000023.11:g.110250890_110665082del | Pathogenic |
| 4532147 | NM_015365.3(AMMECR1):c.756del (p.Ala253fs) | Pathogenic |
| 4689804 | NM_015365.3(AMMECR1):c.220del (p.Gln74fs) | Pathogenic |
| 599546 | NM_015365.3(AMMECR1):c.454del (p.Arg152fs) | Pathogenic |
| 817076 | NM_015365.3(AMMECR1):c.454dup (p.Arg152fs) | Pathogenic |
| 998005 | NM_015365.3(AMMECR1):c.805C>T (p.Gln269Ter) | Pathogenic |
| 1254296 | NM_015365.3(AMMECR1):c.794G>A (p.Trp265Ter) | Likely pathogenic |
| 2582539 | NM_015365.3(AMMECR1):c.887+2T>A | Likely pathogenic |
| 3066002 | NM_015365.3(AMMECR1):c.888-610_*1821del | Likely pathogenic |
| 3767995 | NM_015365.3(AMMECR1):c.790+1G>A | Likely pathogenic |
| 3910029 | NM_015365.3(AMMECR1):c.491G>A (p.Trp164Ter) | Likely pathogenic |
| 446130 | NM_015365.3(AMMECR1):c.429T>A (p.Tyr143Ter) | Likely pathogenic |
| 4795934 | NM_015365.3(AMMECR1):c.649G>A (p.Val217Met) | Likely pathogenic |
| 592175 | t(X;9)(q23;q12)dn | Likely pathogenic |
| 817146 | NM_015365.3(AMMECR1):c.433_448del (p.Tyr145fs) | Likely pathogenic |
SpliceAI
1728 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| X:110200949:TGTA:T | donor_loss | 1.0000 |
| X:110200950:GTA:G | donor_loss | 1.0000 |
| X:110200951:TACC:T | donor_loss | 1.0000 |
| X:110200953:CC:C | donor_loss | 1.0000 |
| X:110201046:CCATC:C | acceptor_gain | 1.0000 |
| X:110201047:CATCC:C | acceptor_gain | 1.0000 |
| X:110201048:ATCC:A | acceptor_loss | 1.0000 |
| X:110201049:TCCTG:T | acceptor_loss | 1.0000 |
| X:110201050:CCTGT:C | acceptor_loss | 1.0000 |
| X:110201051:CT:C | acceptor_loss | 1.0000 |
| X:110201052:T:A | acceptor_loss | 1.0000 |
| X:110216633:C:CC | acceptor_gain | 1.0000 |
| X:110309426:CTA:C | donor_gain | 1.0000 |
| X:110317597:A:AC | donor_gain | 1.0000 |
| X:110317598:C:CC | donor_gain | 1.0000 |
| X:110419132:GTGG:G | donor_gain | 1.0000 |
| X:110419133:TGGG:T | donor_loss | 1.0000 |
| X:110419134:GG:G | donor_gain | 1.0000 |
| X:110419135:GG:G | donor_gain | 1.0000 |
| X:110419136:G:GA | donor_loss | 1.0000 |
| X:110198633:ACC:A | acceptor_loss | 0.9900 |
| X:110198634:CCT:C | acceptor_loss | 0.9900 |
| X:110198635:C:CC | acceptor_gain | 0.9900 |
| X:110200769:CA:C | donor_gain | 0.9900 |
| X:110200785:C:CT | donor_gain | 0.9900 |
| X:110200786:T:TT | donor_gain | 0.9900 |
| X:110200948:CTGTA:C | donor_loss | 0.9900 |
| X:110200973:T:A | donor_gain | 0.9900 |
| X:110201047:CATC:C | acceptor_gain | 0.9900 |
| X:110201049:TC:T | acceptor_gain | 0.9900 |
AlphaMissense
2117 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| X:110198597:A:C | Y309D | 1.000 |
| X:110198625:A:C | S299R | 1.000 |
| X:110198625:A:T | S299R | 1.000 |
| X:110198626:C:A | S299I | 1.000 |
| X:110198626:C:T | S299N | 1.000 |
| X:110198627:T:G | S299R | 1.000 |
| X:110198632:T:C | Y297C | 1.000 |
| X:110198632:T:G | Y297S | 1.000 |
| X:110198633:A:C | Y297D | 1.000 |
| X:110198633:A:G | Y297H | 1.000 |
| X:110198633:A:T | Y297N | 1.000 |
| X:110198634:C:A | R296S | 1.000 |
| X:110198634:C:G | R296S | 1.000 |
| X:110200954:C:A | R296M | 1.000 |
| X:110200960:A:G | L294P | 1.000 |
| X:110200960:A:T | L294Q | 1.000 |
| X:110200966:A:C | I292R | 1.000 |
| X:110200966:A:T | I292K | 1.000 |
| X:110200974:C:A | R289S | 1.000 |
| X:110200974:C:G | R289S | 1.000 |
| X:110200975:C:A | R289M | 1.000 |
| X:110200975:C:G | R289T | 1.000 |
| X:110200976:T:C | R289G | 1.000 |
| X:110200990:A:T | I284N | 1.000 |
| X:110201000:T:C | K281E | 1.000 |
| X:110201003:A:C | Y280D | 1.000 |
| X:110201005:C:A | G279V | 1.000 |
| X:110201005:C:T | G279E | 1.000 |
| X:110201006:C:G | G279R | 1.000 |
| X:110201006:C:T | G279R | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000003600 (X:110352381 T>G), RS1000014040 (X:110282224 G>C), RS1000022298 (X:110224512 G>T), RS1000053110 (X:110362214 C>G,T), RS1000089617 (X:110349978 C>T), RS1000096822 (X:110221342 C>T), RS1000103740 (X:110361767 A>T), RS1000103882 (X:110423688 T>G), RS1000137405 (X:110293839 G>A), RS1000169722 (X:110421267 G>A), RS1000176119 (X:110272077 G>A), RS1000180526 (X:110260219 C>T), RS1000198968 (X:110211921 A>T), RS1000211517 (X:110293038 G>T), RS1000253426 (X:110234285 C>T)
Disease associations
OMIM: gene MIM:300195 | disease phenotypes: MIM:300990, MIM:617616
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| midface hypoplasia, hearing impairment, elliptocytosis, and nephrocalcinosis | Strong | X-linked |
| Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome | Supportive | X-linked |
Mondo (5): midface hypoplasia, hearing impairment, elliptocytosis, and nephrocalcinosis (MONDO:0010516), Turner syndrome (MONDO:0019499), Skraban-Deardorff syndrome (MONDO:0054636), nephrocalcinosis (MONDO:0001567), Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome (MONDO:0010263)
Orphanet (3): Midface hypoplasia-hearing impairment-elliptocytosis-nephrocalcinosis syndrome (Orphanet:688581), Turner syndrome (Orphanet:881), Intellectual disability-seizures-abnormal gait-facial dysmorphism syndrome (Orphanet:513456)
HPO phenotypes
62 total (30 of 62 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000083 | Renal insufficiency |
| HP:0000093 | Proteinuria |
| HP:0000110 | Renal dysplasia |
| HP:0000121 | Nephrocalcinosis |
| HP:0000160 | Narrow mouth |
| HP:0000176 | Submucous cleft hard palate |
| HP:0000193 | Bifid uvula |
| HP:0000219 | Thin upper lip vermilion |
| HP:0000233 | Thin vermilion border |
| HP:0000272 | Malar flattening |
| HP:0000337 | Broad forehead |
| HP:0000347 | Micrognathia |
| HP:0000365 | Hearing impairment |
| HP:0000396 | Overfolded helix |
| HP:0000405 | Conductive hearing impairment |
| HP:0000407 | Sensorineural hearing impairment |
| HP:0000410 | Mixed hearing impairment |
| HP:0000463 | Anteverted nares |
| HP:0000470 | Short neck |
| HP:0000486 | Strabismus |
| HP:0000494 | Downslanted palpebral fissures |
| HP:0000518 | Cataract |
| HP:0000545 | Myopia |
| HP:0000565 | Esotropia |
| HP:0000664 | Synophrys |
| HP:0000678 | Dental crowding |
| HP:0000684 | Delayed eruption of teeth |
| HP:0000750 | Delayed speech and language development |
| HP:0000944 | Abnormal metaphysis morphology |
| HP:0001182 | Tapered finger |
GWAS associations
0 associations (top):
MeSH disease descriptors (3)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D009397 | Nephrocalcinosis | C12.050.351.968.419.590; C12.200.777.419.590; C12.950.419.590; C18.452.174.130.560 |
| D014424 | Turner Syndrome | C12.050.351.875.253.309.872; C12.050.351.875.253.795.750; C12.200.706.316.309.872; C12.200.706.316.795.750; C12.800.316.309.872; C12.800.316.795.750; C14.240.400.980; C14.280.400.980; C16.131.240.400.970; C16.131.260.830.835.750; C16.131.939.316.309.872; C16.131.939.316.795.750; C16.320.180.830.835.750; C19.391.119.309.872; C19.391.119.795.750 |
| C564570 | Alport Syndrome, Mental Retardation, Midface Hypoplasia, and Elliptocytosis (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL5724732 (SINGLE PROTEIN)
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
38 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Valproic Acid | decreases expression, increases methylation, affects expression | 4 |
| arsenite | affects expression, affects binding, decreases reaction | 2 |
| Tobacco Smoke Pollution | decreases methylation, increases expression | 2 |
| Cyclosporine | decreases expression, increases expression | 2 |
| GSK-J4 | increases expression | 1 |
| triphenyl phosphate | affects expression | 1 |
| salinomycin | decreases expression | 1 |
| testosterone undecanoate | affects cotreatment, decreases expression | 1 |
| cobaltous chloride | decreases expression | 1 |
| potassium chromate(VI) | decreases expression, affects cotreatment | 1 |
| 2,3-bis(3’-hydroxybenzyl)butyrolactone | affects cotreatment, increases expression | 1 |
| epigallocatechin gallate | decreases expression, affects cotreatment | 1 |
| di-n-butylphosphoric acid | affects expression | 1 |
| perfluorooctane sulfonic acid | decreases expression | 1 |
| CGP 52608 | affects binding, increases reaction | 1 |
| torcetrapib | increases expression | 1 |
| Grape Seed Proanthocyanidins | affects cotreatment, increases expression | 1 |
| jinfukang | affects cotreatment, decreases expression | 1 |
| (+)-JQ1 compound | decreases expression | 1 |
| Resveratrol | affects cotreatment, increases expression | 1 |
| Sunitinib | decreases expression | 1 |
| Acetaminophen | decreases expression | 1 |
| Arsenic | affects methylation | 1 |
| Benzo(a)pyrene | affects methylation, increases methylation | 1 |
| Catechin | affects cotreatment, increases expression | 1 |
| Cisplatin | affects cotreatment, decreases expression | 1 |
| Coumestrol | affects cotreatment, increases expression | 1 |
| Doxorubicin | decreases expression | 1 |
| Estradiol | increases expression | 1 |
| Formaldehyde | decreases expression | 1 |
ChEMBL screening assays
6 unique, capped per target: 6 binding
Representative assays (with source publication via chembl_document):
| Assay ID | Type | Description | Source paper |
|---|---|---|---|
| CHEMBL5697638 | Binding | Inhibition of AMMECR1 (unknown origin) assessed as fold change at 10 uM incubated for 1 hr by colloidal coomassie staining based LC-MS/MS analysis | Inhibition of BET recruitment to chromatin as an effective treatment for MLL-fusion leukaemia. — Nature |
Clinical trials (associated diseases)
104 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00134745 | PHASE4 | COMPLETED | Defining the Optimal Hormonal Replacement Therapy in Turner Syndrome |
| NCT00256126 | PHASE4 | COMPLETED | Predictive Markers in Growth Hormone Deficiency (GHD) and Turner Syndrome (TS) Children Treated With SAIZEN® |
| NCT00266656 | PHASE4 | COMPLETED | Long-Term Growth and Skeletal Effects of Early Growth Hormone Treatment in Turner Syndrome |
| NCT00837616 | PHASE4 | COMPLETED | Estrogen Dosing in Turner Syndrome: Pharmacology and Metabolism |
| NCT01245374 | PHASE4 | COMPLETED | Norditropin NordiFlex® Device Compared to the Device Previously Used by Patients or Parents |
| NCT01419249 | PHASE4 | COMPLETED | First Year Growth Response Associated Genetic Markers Validation Phase IV Open-label Study in Growth Hormone Deficient and Turner Syndrome Pre-pubertal Children: the PREDICT Pharmacogenetics Validation Study |
| NCT01518062 | PHASE4 | COMPLETED | Safety of Somatropin and Induction of Puberty With 17-beta-oestradiol in Girls With Turner Syndrome |
| NCT01734486 | PHASE4 | COMPLETED | Growth Response in Girls With Turner Syndrome |
| NCT03015909 | PHASE4 | COMPLETED | Evaluation of the Ease of Use, Preference, and Safety of EutropinPen Inj. |
| NCT06544473 | PHASE4 | RECRUITING | Determining Dose Equivalence Between Oral and Transdermal Estrogen Treatment in Women With Turner Syndrome |
| NCT06570460 | PHASE4 | RECRUITING | Long Term Effects of Oral Versus Transdermal Estrogen Replacement Therapy in Turner Syndrome |
| NCT06834594 | PHASE4 | RECRUITING | Bleeding Patterns in Sequential and Continuous Progesterone Supplementation in Adolescents With Turner Syndrome |
| NCT00029159 | PHASE3 | COMPLETED | The Effect of Androgen and Growth Hormone on Height and Learning in Girls With Turner Syndrome |
| NCT00140998 | PHASE3 | COMPLETED | Estrogen Treatment (Oral vs. Patches) in Turner Syndrome |
| NCT00191113 | PHASE3 | COMPLETED | Somatropin Treatment to Final Height in Turner Syndrome |
| NCT00234533 | PHASE3 | COMPLETED | Study to Define Optimal IGF-1 Monitoring in Children Treated With NutropinAq |
| NCT00406926 | PHASE3 | COMPLETED | The Effect of Growth Hormone in Very Young Girls With Turner Syndrome |
| NCT01518036 | PHASE3 | COMPLETED | Use of Somatropin in Turner Syndrome |
| NCT01563926 | PHASE3 | COMPLETED | Evaluating Acceptance of New Liquid Somatropin Formulation in Children With Growth Hormone Deficiency |
| NCT01710696 | PHASE3 | COMPLETED | Induction of Puberty With 17-beta Estradiol in Girls With Turner Syndrome |
| NCT05723835 | PHASE3 | ACTIVE_NOT_RECRUITING | A Research Study Looking at How Safe Somapacitan is and How Well it Works in Children Who Need Help to Grow - REAL 9 |
| NCT07221851 | PHASE3 | RECRUITING | Trial Investigating the Efficacy and Safety of Weekly Lonapegsomatropin Compared to Daily Somatropin in Children and Adolescents With Short Stature or Growth Failure Due to Growth Hormone Sufficient Disorders |
| NCT07614152 | PHASE3 | NOT_YET_RECRUITING | The Efficacy and Safety of Inpegsomatropin Injection in Children With Turner Syndrome(TS) and Short Stature |
| NCT00249951 | PHASE3 | COMPLETED | Alkaline Citrate Treatment to Lower the Risk of Nephrocalcinosis in Preterm Infants |
| NCT01756547 | PHASE3 | UNKNOWN | Study to Assess the Efficacy and Safety of Oral Potassium Citrate on the Prevention of Nephrocalcinosis in Extreme Premature |
| NCT00001221 | PHASE2 | COMPLETED | Effect of Biosynthetic Growth Hormone and/or Ethinyl Estradiol on Adult Height in Patients With Turner Syndrome |
| NCT00001253 | PHASE2 | COMPLETED | The Effects of Estrogen on Cognition in Girls With Turner Syndrome |
| NCT03189160 | PHASE2 | UNKNOWN | A Study of PEG-somatropin Injection to Treat Children of Turner Syndrome |
| NCT05690386 | PHASE2 | ACTIVE_NOT_RECRUITING | A Trial to Investigate Different Doses of Lonapegsomatropin Compared to Somatropin in Individuals With Turner Syndrome |
| NCT05838885 | PHASE2 | COMPLETED | A Trial of YPEG-rhGH in Children With Short Stature |
| NCT05849389 | PHASE2 | RECRUITING | Vosoritide for Short Stature in Turner Syndrome |
| NCT07041814 | PHASE2 | NOT_YET_RECRUITING | A Study Comparing Different Treatment Approaches for the Initiation of Puberty in Girls With Turner Syndrome Using a TRIFECTA-DARED Approach for Rare Diseases |
| NCT04495608 | PHASE2 | COMPLETED | Multicenter, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Fluconazole in Hypercalcicuric Patients With Increased 1.25(OH) 2D Levels |
| NCT00097526 | Not specified | COMPLETED | Bone Mineral Density (BMD) in Adolescents With Growth Hormone Deficiency (GHD) |
| NCT00097552 | Not specified | COMPLETED | A Study to Evaluate Subjects With Turner Syndrome Treated With Growth Hormone |
| NCT00121875 | Not specified | TERMINATED | Study to Identify Markers of Insulin Resistance During Growth Hormone Treatment for Short Stature |
| NCT00419107 | Not specified | TERMINATED | Beta Cell Function in Women With Turner Syndrome |
| NCT00420654 | Not specified | COMPLETED | Growth Hormone Treatment of Women With Turner Syndrome |
| NCT00443144 | Not specified | COMPLETED | D3-GHR Polymorphism and Turner Syndrome |
| NCT00471731 | Not specified | COMPLETED | Dry Eye in Women With Turner Syndrome and Women With Premature Ovarian Failure |
Related Atlas pages
- Associated diseases: midface hypoplasia, hearing impairment, elliptocytosis, and nephrocalcinosis, Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome, midface hypoplasia, hearing impairment, elliptocytosis, and nephrocalcinosis, nephrocalcinosis, Skraban-Deardorff syndrome, Turner syndrome