GUF1
geneOn this page
Also known as FLJ13220
Summary
GUF1 (GTP binding elongation factor GUF1, HGNC:25799) is a protein-coding gene on chromosome 4p12, encoding Translation factor GUF1, mitochondrial (Q8N442). Promotes mitochondrial protein synthesis.
This gene encodes a GTPase that triggers back-translocation of the elongating ribosome during mitochondrial protein synthesis. The protein contains a highly conserved C-terminal domain not found in other GTPases that facilitates tRNA binding. The encoded protein is thought to prevent misincorporation of amino acids in stressful, suboptimal conditions. An allelic variant in this gene has been associated with early infantile epileptic encephalopathy-40. Alternative splicing results in multiple transcript variants.
Source: NCBI Gene 60558 — RefSeq curated summary.
At a glance
- Gene–disease (curated): infantile spasms (Supportive, GenCC) — +1 more curated relationship
- GWAS associations: 3
- Clinical variants (ClinVar): 507 total — 1 pathogenic
- Phenotypes (HPO): 26
- MANE Select transcript:
NM_021927
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:25799 |
| Approved symbol | GUF1 |
| Name | GTP binding elongation factor GUF1 |
| Location | 4p12 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | FLJ13220 |
| Ensembl gene | ENSG00000151806 |
| Ensembl biotype | protein_coding |
| OMIM | 617064 |
| Entrez | 60558 |
Gene structure
Transcript identifiers
Ensembl transcripts: 10 — 7 protein_coding, 2 protein_coding_CDS_not_defined, 1 nonsense_mediated_decay
ENST00000281543, ENST00000506793, ENST00000511493, ENST00000513775, ENST00000908204, ENST00000908205, ENST00000953397, ENST00000953398, ENST00000953399, ENST00000953400
RefSeq mRNA: 4 — MANE Select: NM_021927
NM_001345867, NM_001345868, NM_001345869, NM_021927
CCDS: CCDS3468
Canonical transcript exons
ENST00000281543 — 17 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001001895 | 44678420 | 44678787 |
| ENSE00001001898 | 44680441 | 44680552 |
| ENSE00001326320 | 44698544 | 44700928 |
| ENSE00003484611 | 44689286 | 44689409 |
| ENSE00003498615 | 44691666 | 44691799 |
| ENSE00003507099 | 44697408 | 44697444 |
| ENSE00003534248 | 44683235 | 44683318 |
| ENSE00003539262 | 44681123 | 44681203 |
| ENSE00003548079 | 44680694 | 44680842 |
| ENSE00003554628 | 44690717 | 44690860 |
| ENSE00003562070 | 44689843 | 44689975 |
| ENSE00003563457 | 44686510 | 44686713 |
| ENSE00003605714 | 44694412 | 44694513 |
| ENSE00003613581 | 44688007 | 44688146 |
| ENSE00003628882 | 44695615 | 44695734 |
| ENSE00003640763 | 44685959 | 44686023 |
| ENSE00003654760 | 44682334 | 44682411 |
Expression profiles
Bgee: expression breadth ubiquitous, 268 present calls, max score 88.97.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 28.6858 / max 248.6367, expressed in 1817 samples.
FANTOM5 promoters (3 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 47534 | 23.1843 | 1815 |
| 47536 | 2.7714 | 1204 |
| 47535 | 2.7300 | 1234 |
Top tissues by expression
285 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| ventricular zone | UBERON:0003053 | 88.97 | gold quality |
| gastrocnemius | UBERON:0001388 | 88.87 | gold quality |
| muscle of leg | UBERON:0001383 | 88.70 | gold quality |
| biceps brachii | UBERON:0001507 | 88.44 | gold quality |
| hindlimb stylopod muscle | UBERON:0004252 | 88.16 | gold quality |
| cortical plate | UBERON:0005343 | 87.89 | gold quality |
| ganglionic eminence | UBERON:0004023 | 87.62 | gold quality |
| adrenal tissue | UBERON:0018303 | 86.86 | gold quality |
| muscle organ | UBERON:0001630 | 85.85 | gold quality |
| skeletal muscle tissue of rectus abdominis | UBERON:0004511 | 85.67 | gold quality |
| calcaneal tendon | UBERON:0003701 | 85.61 | gold quality |
| anterior cingulate cortex | UBERON:0009835 | 85.44 | gold quality |
| cingulate cortex | UBERON:0003027 | 85.31 | gold quality |
| rectum | UBERON:0001052 | 84.26 | gold quality |
| skeletal muscle tissue of biceps brachii | UBERON:0004502 | 84.21 | gold quality |
| right frontal lobe | UBERON:0002810 | 83.64 | gold quality |
| oral cavity | UBERON:0000167 | 83.52 | gold quality |
| C1 segment of cervical spinal cord | UBERON:0006469 | 83.51 | gold quality |
| amygdala | UBERON:0001876 | 83.40 | gold quality |
| stromal cell of endometrium | CL:0002255 | 83.37 | gold quality |
| olfactory segment of nasal mucosa | UBERON:0005386 | 83.29 | gold quality |
| mucosa of transverse colon | UBERON:0004991 | 83.28 | gold quality |
| dorsolateral prefrontal cortex | UBERON:0009834 | 83.22 | gold quality |
| heart right ventricle | UBERON:0002080 | 83.20 | gold quality |
| prefrontal cortex | UBERON:0000451 | 83.14 | gold quality |
| body of pancreas | UBERON:0001150 | 82.95 | gold quality |
| heart left ventricle | UBERON:0002084 | 82.64 | gold quality |
| nucleus accumbens | UBERON:0001882 | 82.63 | gold quality |
| jejunal mucosa | UBERON:0000399 | 82.60 | gold quality |
| cardiac ventricle | UBERON:0002082 | 82.51 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-ANND-3 | yes | 4.17 |
| E-CURD-53 | no | 122.76 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
130 targeting GUF1, 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-3646 | 100.00 | 73.56 | 5283 |
| HSA-MIR-3613-3P | 100.00 | 76.36 | 7965 |
| HSA-MIR-3163 | 100.00 | 77.23 | 8605 |
| HSA-MIR-548C-3P | 99.99 | 74.01 | 7587 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-371B-5P | 99.99 | 75.34 | 4759 |
| HSA-MIR-511-3P | 99.99 | 68.85 | 1467 |
| HSA-MIR-373-5P | 99.98 | 75.36 | 4753 |
| HSA-MIR-616-5P | 99.98 | 75.58 | 4775 |
| HSA-MIR-3065-5P | 99.97 | 71.56 | 3281 |
| HSA-MIR-4666A-3P | 99.96 | 71.71 | 3434 |
| HSA-MIR-1250-3P | 99.96 | 70.04 | 4038 |
| HSA-MIR-559 | 99.95 | 72.28 | 3609 |
| HSA-MIR-548AB | 99.95 | 71.31 | 3488 |
| HSA-MIR-3912-5P | 99.95 | 66.11 | 925 |
| HSA-MIR-548A-5P | 99.94 | 71.27 | 3482 |
| HSA-MIR-548AD-5P | 99.94 | 71.23 | 3502 |
| HSA-MIR-548AE-5P | 99.94 | 71.23 | 3502 |
| HSA-MIR-548AK | 99.94 | 71.24 | 3488 |
| HSA-MIR-548AM-5P | 99.94 | 71.24 | 3488 |
| HSA-MIR-548AP-5P | 99.94 | 71.14 | 3489 |
| HSA-MIR-548AR-5P | 99.94 | 71.28 | 3515 |
| HSA-MIR-548AS-5P | 99.94 | 71.22 | 3482 |
| HSA-MIR-548AU-5P | 99.94 | 71.24 | 3488 |
| HSA-MIR-548AY-5P | 99.94 | 71.23 | 3502 |
| HSA-MIR-548B-5P | 99.94 | 71.23 | 3502 |
| HSA-MIR-548BB-5P | 99.94 | 71.27 | 3509 |
| HSA-MIR-548C-5P | 99.94 | 71.24 | 3488 |
| HSA-MIR-548D-5P | 99.94 | 71.23 | 3502 |
| HSA-MIR-548H-5P | 99.94 | 71.24 | 3488 |
Literature-anchored findings (GeneRIF, showing 2)
- Homozygous variant in the GUF1 gene identified in the three siblings with West syndrome. (PMID:26486472)
- The structure provides insights into the tRNA-remodeling function of EF-4 on the ribosome and suggests that the displacement of the CCA-end of the A-site tRNA away from the peptidyl transferase center (PTC) is functionally significant. (PMID:27092003)
Cross-species orthologs
5 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | guf1 | ENSDARG00000029088 |
| mus_musculus | Guf1 | ENSMUSG00000029208 |
| rattus_norvegicus | Guf1 | ENSRNOG00000002207 |
| drosophila_melanogaster | waw | FBGN0024182 |
| caenorhabditis_elegans | WBGENE00022862 |
Paralogs (18): MTIF2 (ENSG00000085760), GTPBP1 (ENSG00000100226), EEF1A2 (ENSG00000101210), GSPT1 (ENSG00000103342), EFTUD2 (ENSG00000108883), HBS1L (ENSG00000112339), EIF2S3 (ENSG00000130741), EEFSEC (ENSG00000132394), EFL1 (ENSG00000140598), EEF1A1 (ENSG00000156508), EIF5B (ENSG00000158417), GFM2 (ENSG00000164347), EEF2 (ENSG00000167658), GFM1 (ENSG00000168827), GTPBP2 (ENSG00000172432), TUFM (ENSG00000178952), EIF2S3B (ENSG00000180574), GSPT2 (ENSG00000189369)
Protein
Protein identifiers
Translation factor GUF1, mitochondrial — Q8N442 (reviewed: Q8N442)
Alternative names: Elongation factor 4 homolog, GTPase GUF1, Ribosomal back-translocase
All UniProt accessions (2): Q8N442, D6RBJ0
UniProt curated annotations — full annotation on UniProt →
Function. Promotes mitochondrial protein synthesis. May act as a fidelity factor of the translation reaction, by catalyzing a one-codon backward translocation of tRNAs on improperly translocated ribosomes. Binds to mitochondrial ribosomes in a GTP-dependent manner.
Subcellular location. Mitochondrion inner membrane.
Disease relevance. Developmental and epileptic encephalopathy 40 (DEE40) [MIM:617065] A form of epileptic encephalopathy, a heterogeneous group of severe early-onset epilepsies characterized by refractory seizures, neurodevelopmental impairment, and poor prognosis. Development is normal prior to seizure onset, after which cognitive and motor delays become apparent. DEE40 inheritance is autosomal recessive. The disease is caused by variants affecting the gene represented in this entry.
Similarity. Belongs to the TRAFAC class translation factor GTPase superfamily. Classic translation factor GTPase family. LepA subfamily.
RefSeq proteins (4): NP_001332796, NP_001332797, NP_001332798, NP_068746* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR000640 | EFG_V-like | Domain |
| IPR000795 | T_Tr_GTP-bd_dom | Domain |
| IPR004161 | EFTu-like_2 | Domain |
| IPR005225 | Small_GTP-bd | Domain |
| IPR006297 | EF-4 | Family |
| IPR009000 | Transl_B-barrel_sf | Homologous_superfamily |
| IPR013842 | LepA_CTD | Domain |
| IPR027417 | P-loop_NTPase | Homologous_superfamily |
| IPR031157 | G_TR_CS | Conserved_site |
| IPR035647 | EFG_III/V | Homologous_superfamily |
| IPR035654 | LepA_IV | Domain |
| IPR038363 | LepA_C_sf | Homologous_superfamily |
Pfam: PF00009, PF00679, PF03144, PF06421
Catalyzed reactions (Rhea), 1 shown:
- GTP + H2O = GDP + phosphate + H(+) (RHEA:19669)
UniProt features (12 total): sequence conflict 3, binding site 3, sequence variant 3, transit peptide 1, chain 1, domain 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q8N442-F1 | 81.89 | 0.34 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Ligand- & substrate-binding residues (3): 75–82; 140–144; 194–197
Function
Pathways and Gene Ontology
Reactome pathways
0 pathways
MSigDB gene sets: 0 (showing top):
GO Biological Process (2): translation (GO:0006412), positive regulation of translation (GO:0045727)
GO Molecular Function (6): GTPase activity (GO:0003924), GTP binding (GO:0005525), mitochondrial ribosome binding (GO:0097177), nucleotide binding (GO:0000166), hydrolase activity (GO:0016787), ribosome binding (GO:0043022)
GO Cellular Component (4): mitochondrion (GO:0005739), mitochondrial inner membrane (GO:0005743), mitochondrial matrix (GO:0005759), membrane (GO:0016020)
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| peptidyltransferase activity | 1 |
| translational initiation | 1 |
| translational elongation | 1 |
| translational termination | 1 |
| macromolecule biosynthetic process | 1 |
| protein metabolic process | 1 |
| protein biosynthetic process | 1 |
| translation | 1 |
| regulation of translation | 1 |
| positive regulation of gene expression | 1 |
| positive regulation of protein metabolic process | 1 |
| ribonucleoside triphosphate phosphatase activity | 1 |
| guanyl ribonucleotide binding | 1 |
| purine ribonucleoside triphosphate binding | 1 |
| ribosome binding | 1 |
| nucleoside phosphate binding | 1 |
| heterocyclic compound binding | 1 |
| catalytic activity | 1 |
| ribonucleoprotein complex binding | 1 |
| cytoplasm | 1 |
| intracellular membrane-bounded organelle | 1 |
| organelle inner membrane | 1 |
| mitochondrial membrane | 1 |
| mitochondrion | 1 |
| intracellular organelle lumen | 1 |
| cellular anatomical structure | 1 |
Protein interactions and networks
STRING
2962 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| GUF1 | GUCA1A | P43080 | 833 |
| GUF1 | CIB1 | Q99828 | 816 |
| GUF1 | GUCA1B | Q9UMX6 | 760 |
| GUF1 | NCS1 | P36610 | 658 |
| GUF1 | CALM1 | P02593 | 654 |
| GUF1 | RCVRN | P35243 | 627 |
| GUF1 | GUCY2D | Q02846 | 615 |
| GUF1 | CALML3 | P27482 | 602 |
| GUF1 | CABP7 | Q86V35 | 598 |
| GUF1 | CALML5 | Q9NZT1 | 598 |
| GUF1 | GCA | P28676 | 576 |
| GUF1 | TSFM | P43897 | 568 |
| GUF1 | EEF2 | P13639 | 562 |
| GUF1 | CALML6 | Q8TD86 | 554 |
| GUF1 | KCNIP1 | Q9NZI2 | 554 |
IntAct
68 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| TNFSF14 | TMEM11 | psi-mi:“MI:0914”(association) | 0.670 |
| FAM174A | BLTP3B | psi-mi:“MI:0914”(association) | 0.530 |
| IL13RA2 | METTL15 | psi-mi:“MI:0914”(association) | 0.530 |
| TSPYL6 | NME4 | psi-mi:“MI:0914”(association) | 0.530 |
| TMEM9 | ESYT2 | psi-mi:“MI:0914”(association) | 0.530 |
| TNF | B4GALT5 | psi-mi:“MI:0914”(association) | 0.530 |
| SLC22A15 | ZFPL1 | psi-mi:“MI:0914”(association) | 0.530 |
| ANKRD28 | psi-mi:“MI:0914”(association) | 0.350 | |
| HSCB | RBP5 | psi-mi:“MI:0914”(association) | 0.350 |
| ESR1 | ESYT2 | psi-mi:“MI:0914”(association) | 0.350 |
| C5AR2 | ILVBL | psi-mi:“MI:0914”(association) | 0.350 |
| TMCO3 | POTEF | psi-mi:“MI:0914”(association) | 0.350 |
| LAMP2 | HSPA12A | psi-mi:“MI:0914”(association) | 0.350 |
| TNF | NRP1 | psi-mi:“MI:0914”(association) | 0.350 |
| MRPS7 | ANKRD28 | psi-mi:“MI:0914”(association) | 0.350 |
| ATAD3A | TMEM223 | psi-mi:“MI:0914”(association) | 0.350 |
| M | psi-mi:“MI:0914”(association) | 0.350 | |
| DENND11 | psi-mi:“MI:0914”(association) | 0.350 | |
| ITM2B | ILVBL | psi-mi:“MI:0914”(association) | 0.350 |
| RAMP2 | GXYLT2 | psi-mi:“MI:0914”(association) | 0.350 |
| OSTM1 | ILVBL | psi-mi:“MI:0914”(association) | 0.350 |
| MAGEA9 | CIBAR1 | psi-mi:“MI:0914”(association) | 0.350 |
| UQCRFS1 | VWA8 | psi-mi:“MI:0914”(association) | 0.350 |
| MALSU1 | VWA8 | psi-mi:“MI:0914”(association) | 0.350 |
| PTCD1 | VWA8 | psi-mi:“MI:0914”(association) | 0.350 |
| PFDN5 | GTPBP10 | psi-mi:“MI:0914”(association) | 0.350 |
| LRRC25 | POTEF | psi-mi:“MI:0914”(association) | 0.350 |
| P2RY10 | POTEF | psi-mi:“MI:0914”(association) | 0.350 |
BioGRID (117): GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Affinity Capture-MS), GUF1 (Proximity Label-MS), GUF1 (Proximity Label-MS), GUF1 (Proximity Label-MS), GUF1 (Affinity Capture-MS)
ESM2 similar proteins: A2RVK7, A2X0Q3, A6QLJ3, O00442, O23617, O81147, O81852, P0CT46, P31754, P37142, P48605, P49080, P49368, P80318, Q01415, Q06265, Q14181, Q2HJ88, Q2KHU3, Q3SWZ4, Q3T0K2, Q4QR75, Q4R3J0, Q4R963, Q5NVF9, Q5R6J8, Q5R7P3, Q5RCW2, Q5RGJ5, Q5XJQ5, Q69LE7, Q6P502, Q6STH5, Q6YXZ7, Q7YRA3, Q84T68, Q8C3X4, Q8GZQ3, Q8K1R3, Q8N442
Diamond homologs: A0L631, A0Q1R8, A1ARG8, A1CLD7, A1D5Z0, A2QU25, A4IR35, A4J7F8, A4QV78, A5D3X6, A5DG70, A5DWY7, A5G4G3, A6Q241, A6QLJ3, A6RGX9, A7A1H2, A7TPD4, A7ZCJ3, A9KKU4, A9S3D3, B0CS18, B0G189, B0K3Y4, B0KA85, B0XZZ2, B3Q991, B3RHG9, B3RXR7, B5EB36, B6H2S6, B6K6L6, B6QW35, B8B2R1, B8DIZ5, B8J444, B8MS24, B9M4U5, B9MJZ5, B9RUN8
SIGNOR signaling
0 interactions.
Disease & clinical
Clinical variants and AI predictions
ClinVar
507 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 1 |
| Likely pathogenic | 0 |
| Uncertain significance | 302 |
| Likely benign | 146 |
| Benign | 21 |
Top pathogenic / likely-pathogenic (1)
| Variant ID | HGVS | Classification |
|---|---|---|
| 253096 | NM_021927.3(GUF1):c.1825G>T (p.Ala609Ser) | Pathogenic |
SpliceAI
2167 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 4:44680435:TTCTA:T | acceptor_loss | 1.0000 |
| 4:44680437:CTAG:C | acceptor_loss | 1.0000 |
| 4:44680439:A:T | acceptor_loss | 1.0000 |
| 4:44680440:G:GA | acceptor_loss | 1.0000 |
| 4:44680690:ATAG:A | acceptor_loss | 1.0000 |
| 4:44680691:TAGGG:T | acceptor_loss | 1.0000 |
| 4:44680692:A:AG | acceptor_gain | 1.0000 |
| 4:44680693:G:A | acceptor_loss | 1.0000 |
| 4:44680693:G:GG | acceptor_gain | 1.0000 |
| 4:44680743:A:G | acceptor_gain | 1.0000 |
| 4:44680809:A:T | donor_gain | 1.0000 |
| 4:44680839:ACCG:A | donor_gain | 1.0000 |
| 4:44680840:CCG:C | donor_gain | 1.0000 |
| 4:44680840:CCGGT:C | donor_loss | 1.0000 |
| 4:44680841:CG:C | donor_gain | 1.0000 |
| 4:44680841:CGGT:C | donor_loss | 1.0000 |
| 4:44680842:GG:G | donor_gain | 1.0000 |
| 4:44680843:G:C | donor_loss | 1.0000 |
| 4:44680843:G:GG | donor_gain | 1.0000 |
| 4:44680844:TAAG:T | donor_loss | 1.0000 |
| 4:44682328:TTTCA:T | acceptor_loss | 1.0000 |
| 4:44682329:TTCA:T | acceptor_loss | 1.0000 |
| 4:44682330:TCAGG:T | acceptor_loss | 1.0000 |
| 4:44682331:CA:C | acceptor_loss | 1.0000 |
| 4:44682332:A:AG | acceptor_gain | 1.0000 |
| 4:44682332:AG:A | acceptor_gain | 1.0000 |
| 4:44682332:AGG:A | acceptor_gain | 1.0000 |
| 4:44682332:AGGGA:A | acceptor_loss | 1.0000 |
| 4:44682333:G:GG | acceptor_gain | 1.0000 |
| 4:44682333:GG:G | acceptor_gain | 1.0000 |
AlphaMissense
4379 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 4:44680519:A:C | S82R | 0.999 |
| 4:44680521:T:A | S82R | 0.999 |
| 4:44680521:T:G | S82R | 0.999 |
| 4:44680749:A:C | E111D | 0.999 |
| 4:44680749:A:T | E111D | 0.999 |
| 4:44680769:T:A | V118D | 0.999 |
| 4:44681123:G:C | G143R | 0.999 |
| 4:44681124:G:A | G143D | 0.999 |
| 4:44681135:T:C | F147L | 0.999 |
| 4:44681137:T:A | F147L | 0.999 |
| 4:44681137:T:G | F147L | 0.999 |
| 4:44682411:G:C | K195N | 0.999 |
| 4:44682411:G:T | K195N | 0.999 |
| 4:44689887:G:C | R416P | 0.999 |
| 4:44689890:T:C | L417P | 0.999 |
| 4:44680514:G:A | G80D | 0.998 |
| 4:44680516:A:C | K81Q | 0.998 |
| 4:44680517:A:T | K81I | 0.998 |
| 4:44680528:G:C | A85P | 0.998 |
| 4:44680763:T:C | I116T | 0.998 |
| 4:44680763:T:G | I116S | 0.998 |
| 4:44680829:T:C | L138P | 0.998 |
| 4:44680834:G:C | D140H | 0.998 |
| 4:44680835:A:G | D140G | 0.998 |
| 4:44681128:T:A | H144Q | 0.998 |
| 4:44681128:T:G | H144Q | 0.998 |
| 4:44682409:A:G | K195E | 0.998 |
| 4:44682410:A:C | K195T | 0.998 |
| 4:44689403:G:A | G399D | 0.998 |
| 4:44689857:G:A | G406E | 0.998 |
dbSNP variants (sampled 300 via entrez): RS1000008740 (4:44676512 C>G), RS1000305928 (4:44689505 C>A,T), RS1000435480 (4:44701306 T>C), RS1000453336 (4:44676874 C>T), RS1000486744 (4:44696108 T>C), RS1000710814 (4:44695301 C>T), RS1000771928 (4:44683284 AAG>A), RS1000814921 (4:44696367 G>A), RS1000842209 (4:44682255 A>G), RS1001079914 (4:44682908 T>C), RS1001114818 (4:44679182 C>T), RS1001188109 (4:44678968 T>A), RS1001376799 (4:44685740 C>A,G,T), RS1001552114 (4:44695936 C>G,T), RS1001572317 (4:44688659 G>A,C)
Disease associations
OMIM: gene MIM:617064 | disease phenotypes: MIM:617065
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| infantile spasms | Supportive | Autosomal dominant |
| developmental and epileptic encephalopathy, 40 | Limited | Unknown |
Mondo (3): developmental and epileptic encephalopathy, 40 (MONDO:0014895), long QT syndrome (MONDO:0002442), infantile spasms (MONDO:0018097)
Orphanet (1): West syndrome (Orphanet:3451)
HPO phenotypes
26 total (26 of 26 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000707 | Abnormality of the nervous system |
| HP:0000817 | Reduced eye contact |
| HP:0001250 | Seizure |
| HP:0001252 | Hypotonia |
| HP:0001254 | Lethargy |
| HP:0001257 | Spasticity |
| HP:0001266 | Choreoathetosis |
| HP:0001285 | Spastic tetraparesis |
| HP:0001336 | Myoclonus |
| HP:0001511 | Intrauterine growth retardation |
| HP:0001518 | Small for gestational age |
| HP:0002120 | Cerebral cortical atrophy |
| HP:0002187 | Profound intellectual disability |
| HP:0002376 | Developmental regression |
| HP:0002521 | Hypsarrhythmia |
| HP:0003577 | Congenital onset |
| HP:0003623 | Neonatal onset |
| HP:0008936 | Axial hypotonia |
| HP:0011121 | Abnormal skin morphology |
| HP:0011968 | Feeding difficulties |
| HP:0012469 | Infantile spasms |
| HP:0012736 | Profound global developmental delay |
| HP:0033258 | Sudden unexpected death in epilepsy |
| HP:0033363 | Hyaline membranes |
| HP:0200134 | Epileptic encephalopathy |
GWAS associations
3 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST003670_15 | Systolic blood pressure | 9.000000e-07 |
| GCST009391_1112 | Metabolite levels | 9.000000e-06 |
| GCST010002_6 | Refractive error | 5.000000e-18 |
EFO canonical traits (2, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0006335 | systolic blood pressure |
| EFO:0010448 | 3-hydroxyphenylacetic acid measurement |
MeSH disease descriptors (1)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D008133 | Long QT Syndrome | C14.280.067.565; C14.280.123.625; C16.131.240.400.715; C23.550.073.547 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
35 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Acetaminophen | decreases expression | 2 |
| Air Pollutants | affects cotreatment, decreases expression, increases abundance, increases expression | 2 |
| Valproic Acid | decreases methylation, increases expression | 2 |
| triphenyl phosphate | affects expression | 1 |
| alpha-pinene | affects cotreatment, decreases expression, increases abundance | 1 |
| deoxynivalenol | increases expression | 1 |
| sodium arsenite | decreases expression | 1 |
| cobaltous chloride | decreases expression | 1 |
| nivalenol | increases expression | 1 |
| methacrylaldehyde | affects cotreatment, decreases expression, increases abundance | 1 |
| CGP 52608 | affects binding, increases reaction | 1 |
| perfluoro-n-nonanoic acid | increases expression | 1 |
| jinfukang | decreases expression | 1 |
| Resveratrol | affects cotreatment, increases expression | 1 |
| Temozolomide | increases expression | 1 |
| Sunitinib | increases expression | 1 |
| Leflunomide | decreases expression | 1 |
| Acrolein | affects cotreatment, decreases expression, increases abundance | 1 |
| Atrazine | decreases expression | 1 |
| Benzo(a)pyrene | increases expression | 1 |
| Doxorubicin | decreases expression | 1 |
| Methyl Methanesulfonate | increases expression | 1 |
| Ozone | decreases expression, increases abundance, affects cotreatment | 1 |
| Plant Extracts | affects cotreatment, increases expression | 1 |
| Quercetin | decreases expression | 1 |
| Ribonucleotides | affects binding | 1 |
| Silicon Dioxide | decreases expression | 1 |
| Thiram | decreases expression | 1 |
| Tretinoin | decreases expression | 1 |
| Urethane | decreases expression | 1 |
Clinical trials (associated diseases)
93 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT01413711 | PHASE4 | WITHDRAWN | An Open-Label, Single and Multiple Oral Dose Pharmacokinetic Study of Vigabatrin in Infants With Infantile Spasms |
| NCT02092883 | PHASE4 | COMPLETED | Evaluation of Neuroinflammation in Children With Infantile Spasms |
| NCT02513940 | PHASE4 | COMPLETED | Influence of Testosterone Administration on Drug-Induced QT Interval Prolongation and Torsades de Pointes |
| NCT03834883 | PHASE4 | COMPLETED | Reducing the Risk of Drug-Induced QT Interval Lengthening in Women |
| NCT04169100 | PHASE4 | UNKNOWN | Novel Form of Acquired Long QT Syndrome |
| NCT04675788 | PHASE4 | COMPLETED | Novel Approaches for Minimizing Drug-Induced QT Interval Lengthening |
| NCT01575639 | PHASE3 | COMPLETED | Prednisolone in Infantile Spasms- High Dose Versus Usual Dose |
| NCT01828437 | PHASE3 | COMPLETED | Addition of Pyridoxine to Prednisolone in Infantile Spasms |
| NCT02299115 | PHASE3 | WITHDRAWN | Prednisolone Versus Vigabatrin in the First-line Treatment of Infantile Spasms |
| NCT02953548 | PHASE3 | COMPLETED | Trial of Cannabidiol (CBD; GWP42003-P) for Infantile Spasms (GWPCARE7) |
| NCT02954887 | PHASE3 | COMPLETED | Phase 3 Trial of Cannabidiol (CBD; GWP42003-P) for Infantile Spasms: Open-label Extension Phase (GWPCARE7) |
| NCT00441896 | PHASE2 | COMPLETED | A Randomized, Controlled Trial of Ganaxolone in Patients With Infantile Spasms |
| NCT00442104 | PHASE2 | TERMINATED | Open-label Extension to Protocol 1042-0500 |
| NCT02829827 | PHASE2 | TERMINATED | A Phase 2 Study of Radiprodil in Subjects With Drug-resistant Infantile Spasms (IS) |
| NCT03976076 | PHASE2 | TERMINATED | A Study of Orally Administered JBPOS0101 in Refractory Infantile Spasms Patients |
| NCT06819670 | PHASE2 | RECRUITING | A Study to Prevent Infantile Spasms Relapse |
| NCT01648205 | PHASE2 | COMPLETED | Long-term Efficacy Study of Sodium Channel Blocker in LQT3 Patients |
| NCT02412709 | PHASE2 | UNKNOWN | Long QT Syndrome Screening in Newborns |
| NCT04581408 | PHASE2 | COMPLETED | Mutation-specific Therapy for the Long QT Syndrome |
| NCT00316459 | PHASE1 | COMPLETED | Study Evaluating the Effects of Multiple Oral Doses of ERB-041 on Cardiac Repolarization in Healthy Subjects |
| NCT01849003 | PHASE1 | COMPLETED | Study of the Effect of GS-6615 in Subjects With LQT-3 |
| NCT02365532 | PHASE1 | COMPLETED | Effect of Oral GS-6615 on Dofetilide-Induced QT Prolongation, Safety, and Tolerability in Healthy Adults |
| NCT02412098 | PHASE1 | COMPLETED | Pharmacokinetics of Eleclazine in Adults With Normal and Impaired Hepatic Function |
| NCT02441829 | PHASE1 | COMPLETED | Pharmacokinetics of Eleclazine in Adults With Normal and Impaired Renal Function |
| NCT05759962 | PHASE1 | COMPLETED | Phase 1 Study of LQT-1213 in Healthy Adults |
| NCT01006811 | PHASE2/PHASE3 | COMPLETED | Use of the Modified Atkins Diet in Infantile Spasms |
| NCT01549288 | PHASE2/PHASE3 | WITHDRAWN | Trial of the Modified Atkins Diet in Infantile Spasms Refractory to Hormonal Therapy |
| NCT05279118 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Ketogenic Diet vs ACTH for the Treatment of Children With West Syndrome |
| NCT06201897 | PHASE2/PHASE3 | RECRUITING | Cortical Excitability in West Syndrome Using Transcranial Magnetic Stimulation |
| NCT00001325 | Not specified | COMPLETED | Metabolic Abnormalities in Children With Epilepsy |
| NCT00552045 | Not specified | COMPLETED | Epilepsy Phenome/Genome Project |
| NCT00968136 | Not specified | COMPLETED | Short-term Ketogenic Diet as Compared With Conventional Long-term Trial in Refractory Infantile Spasms: A Randomized, Controlled Study |
| NCT01073579 | Not specified | COMPLETED | Sabril Patient Registry |
| NCT01367964 | Not specified | UNKNOWN | Prevention of West Syndrome With Low-dose Adrenocorticotropin Hormone (ACTH) |
| NCT01723787 | Not specified | COMPLETED | Genetic Studies in Patients and Families With Infantile Spasms |
| NCT02220114 | Not specified | COMPLETED | Acceptability Study of a New Paediatric Form of Vigabatrin in Infants and Children With Infantile Spasms or Pharmacoresistant Partial Epilepsy |
| NCT02885389 | Not specified | COMPLETED | Molecular Genetics in Infantile Spasms |
| NCT04302116 | Not specified | RECRUITING | Vigabatrin With High Dose Prednisolone Combination Therapy vs Vigabatrin Alone for Infantile Spasm |
| NCT05126914 | Not specified | RECRUITING | Multicentre Real-life Follow-up Study of Rare Epileptic Syndromes in Children and Adolescents |
| NCT06315829 | Not specified | COMPLETED | Artificial Intelligence-based Video Analysis to Detect Infantile Spasms |
Related Atlas pages
- Associated diseases: developmental and epileptic encephalopathy, 40, infantile spasms
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): developmental and epileptic encephalopathy, 40, infantile spasms