SHROOM4
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Also known as KIAA1202Shrm4SHAP
Summary
SHROOM4 (shroom family member 4, HGNC:29215) is a protein-coding gene on chromosome Xp11.22, encoding Protein Shroom4 (Q9ULL8). Probable regulator of cytoskeletal architecture that plays an important role in development.
This gene encodes a member of the APX/Shroom family, which contain an N-terminal PDZ domain and a C-terminal ASD2 motif. The encoded protein may play a role in cytoskeletal architecture. Mutations in this gene have been linked to the X-linked Stocco dos Santos syndrome characterized by cognitive disabilities. Alternatively spliced transcript variants have been described.
Source: NCBI Gene 57477 — RefSeq curated summary.
At a glance
- Gene–disease (curated): idiopathic generalized epilepsy (Strong, GenCC) — +4 more curated relationships
- GWAS associations: 1
- Clinical variants (ClinVar): 419 total — 2 likely-pathogenic
- Phenotypes (HPO): 17
- Dosage sensitivity (ClinGen): haploinsufficiency no evidence, triplosensitivity no evidence
- MANE Select transcript:
NM_020717
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:29215 |
| Approved symbol | SHROOM4 |
| Name | shroom family member 4 |
| Location | Xp11.22 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | KIAA1202, Shrm4, SHAP |
| Ensembl gene | ENSG00000158352 |
| Ensembl biotype | protein_coding |
| OMIM | 300579 |
| Entrez | 57477 |
Gene structure
Transcript identifiers
Ensembl transcripts: 6 — 4 protein_coding, 2 protein_coding_CDS_not_defined
ENST00000289292, ENST00000376020, ENST00000460112, ENST00000483955, ENST00000484922, ENST00000898514
RefSeq mRNA: 1 — MANE Select: NM_020717
NM_020717
CCDS: CCDS35277
Canonical transcript exons
ENST00000376020 — 9 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001038485 | 50598266 | 50598535 |
| ENSE00001038487 | 50602633 | 50602813 |
| ENSE00001038494 | 50633178 | 50635668 |
| ENSE00001302283 | 50607381 | 50608184 |
| ENSE00001325221 | 50627614 | 50627675 |
| ENSE00001525342 | 50586796 | 50596964 |
| ENSE00002042413 | 50813902 | 50814194 |
| ENSE00003492620 | 50638174 | 50638308 |
| ENSE00003688468 | 50695786 | 50695937 |
Expression profiles
Bgee: expression breadth ubiquitous, 190 present calls, max score 89.98.
FANTOM5 (CAGE): breadth broad, TPM avg 3.8268 / max 149.2680, expressed in 775 samples.
FANTOM5 promoters (6 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 199297 | 1.3513 | 607 |
| 199294 | 1.0799 | 249 |
| 199293 | 0.6708 | 244 |
| 199296 | 0.4348 | 168 |
| 199298 | 0.1973 | 85 |
| 199299 | 0.0928 | 40 |
Top tissues by expression
243 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| buccal mucosa cell | CL:0002336 | 89.98 | silver quality |
| tendon of biceps brachii | UBERON:0008188 | 87.12 | gold quality |
| left ventricle myocardium | UBERON:0006566 | 85.64 | gold quality |
| corpus callosum | UBERON:0002336 | 85.30 | gold quality |
| upper lobe of left lung | UBERON:0008952 | 84.90 | gold quality |
| C1 segment of cervical spinal cord | UBERON:0006469 | 84.62 | gold quality |
| sural nerve | UBERON:0015488 | 84.49 | gold quality |
| right lung | UBERON:0002167 | 84.29 | gold quality |
| upper lobe of lung | UBERON:0008948 | 84.09 | gold quality |
| kidney epithelium | UBERON:0004819 | 83.47 | silver quality |
| spinal cord | UBERON:0002240 | 83.28 | gold quality |
| apex of heart | UBERON:0002098 | 82.83 | gold quality |
| lung | UBERON:0002048 | 82.75 | gold quality |
| male germ line stem cell (sensu Vertebrata) in testis | CL:0000089 ∩ UBERON:0000473 | 81.35 | gold quality |
| heart left ventricle | UBERON:0002084 | 79.33 | gold quality |
| cardiac ventricle | UBERON:0002082 | 79.20 | gold quality |
| medial globus pallidus | UBERON:0002477 | 79.01 | gold quality |
| subcutaneous adipose tissue | UBERON:0002190 | 78.03 | gold quality |
| omental fat pad | UBERON:0010414 | 78.02 | gold quality |
| peritoneum | UBERON:0002358 | 77.98 | gold quality |
| adipose tissue of abdominal region | UBERON:0007808 | 77.69 | gold quality |
| globus pallidus | UBERON:0001875 | 77.55 | gold quality |
| substantia nigra | UBERON:0002038 | 77.39 | gold quality |
| adipose tissue | UBERON:0001013 | 77.29 | gold quality |
| heart right ventricle | UBERON:0002080 | 77.29 | gold quality |
| inferior vagus X ganglion | UBERON:0005363 | 77.21 | gold quality |
| heart | UBERON:0000948 | 76.67 | gold quality |
| midbrain | UBERON:0001891 | 76.58 | gold quality |
| tendon | UBERON:0000043 | 76.31 | gold quality |
| metanephros cortex | UBERON:0010533 | 76.13 | gold quality |
Single-cell (SCXA)
Detected in 3 experiment(s), a significant marker in 3.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-HCAD-35 | yes | 72.22 |
| E-ANND-3 | yes | 10.74 |
| E-GEOD-130148 | yes | 4.38 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
160 targeting SHROOM4, 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-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-5692B | 100.00 | 71.32 | 2622 |
| HSA-MIR-5692C | 100.00 | 71.32 | 2622 |
| HSA-MIR-4795-3P | 100.00 | 74.62 | 4024 |
| HSA-MIR-5692A | 100.00 | 74.40 | 6850 |
| HSA-MIR-200B-3P | 100.00 | 73.31 | 2693 |
| HSA-MIR-200C-3P | 100.00 | 73.35 | 2685 |
| HSA-MIR-429 | 100.00 | 73.44 | 2698 |
| HSA-MIR-1252-5P | 100.00 | 69.80 | 2774 |
| HSA-MIR-196A-1-3P | 99.99 | 72.15 | 2772 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-3667-3P | 99.99 | 67.17 | 1636 |
| HSA-MIR-4803 | 99.98 | 71.99 | 3117 |
| HSA-MIR-607 | 99.97 | 73.62 | 5593 |
| HSA-MIR-3148 | 99.97 | 75.06 | 6478 |
| HSA-MIR-5688 | 99.96 | 73.23 | 4504 |
| HSA-MIR-495-3P | 99.96 | 72.81 | 4197 |
| HSA-MIR-651-3P | 99.94 | 73.48 | 5177 |
| HSA-MIR-6835-3P | 99.93 | 70.49 | 2904 |
| HSA-MIR-552-5P | 99.93 | 68.56 | 1583 |
| HSA-MIR-3119 | 99.92 | 71.34 | 2390 |
| HSA-MIR-6508-5P | 99.92 | 70.67 | 2465 |
| HSA-MIR-10523-5P | 99.91 | 69.22 | 2038 |
| HSA-MIR-1305 | 99.91 | 71.43 | 3443 |
| HSA-MIR-7-1-3P | 99.91 | 71.53 | 4384 |
| HSA-MIR-7-2-3P | 99.91 | 71.40 | 4394 |
| HSA-MIR-4648 | 99.91 | 67.00 | 710 |
| HSA-MIR-3671 | 99.90 | 73.04 | 3897 |
Functional genomics
ClinGen dosage: haploinsufficiency 0 (no evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map
Literature-anchored findings (GeneRIF, showing 2)
- Shrm4 interaction with GABA-B receptors shapes inhibitory neurotransmission. (PMID:28262662)
- X-linked variations in SHROOM4 are implicated in congenital anomalies of the urinary tract and the anorectal, cardiovascular and central nervous systems. (PMID:36379543)
Cross-species orthologs
4 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | shroom4 | ENSDARG00000079900 |
| mus_musculus | Shroom4 | ENSMUSG00000068270 |
| rattus_norvegicus | Shroom4 | ENSRNOG00000002959 |
| drosophila_melanogaster | Shrm | FBGN0085408 |
Paralogs (3): SHROOM3 (ENSG00000138771), SHROOM2 (ENSG00000146950), SHROOM1 (ENSG00000164403)
Protein
Protein identifiers
Protein Shroom4 — Q9ULL8 (reviewed: Q9ULL8)
Alternative names: Second homolog of apical protein
All UniProt accessions (1): Q9ULL8
UniProt curated annotations — full annotation on UniProt →
Function. Probable regulator of cytoskeletal architecture that plays an important role in development. May regulate cellular and cytoskeletal architecture by modulating the spatial distribution of myosin II.
Subunit / interactions. Interacts directly with F-actin.
Subcellular location. Cytoplasm. Cytoskeleton.
Tissue specificity. Expressed in all fetal and adult tissues investigated. Expressed in adult heart, brain, placenta, lung, liver, skeletal muscle, kidney and pancreas. In brain regions detected in cerebellum, cerebral cortex, medulla, spinal cord, occipital pole, frontal lobe, temporal lobe and putamen. The expression is strongest in the medulla and weakest in the cerebral cortex.
Disease relevance. A chromosomal aberration involving SHROOM4 is a cause of X-linked intellectual disability (XLID). Translocation t(X;8)(p11.22;p23.3) with FBXO25. A chromosomal aberration involving SHROOM4 is a cause of X-linked intellectual disability (XLID). Translocation t(X;19).
Similarity. Belongs to the shroom family.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| Q9ULL8-1 | 1, SHAP-B | yes |
| Q9ULL8-2 | 2, SHAP-A |
RefSeq proteins (1): NP_065768* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR001478 | PDZ | Domain |
| IPR014799 | ASD2_dom | Domain |
| IPR027685 | Shroom_fam | Family |
| IPR036034 | PDZ_sf | Homologous_superfamily |
Pfam: PF00595, PF08687
UniProt features (40 total): region of interest 8, compositionally biased region 8, sequence variant 7, strand 5, modified residue 3, helix 3, domain 2, chain 1, coiled-coil region 1, splice variant 1, sequence conflict 1
Structure
Experimental structures (PDB)
1 structures.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 2EDP | SOLUTION NMR |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q9ULL8-F1 | 47.74 | 0.15 |
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 (3): 411, 729, 1019
Function
Pathways and Gene Ontology
Reactome pathways
0 pathways
MSigDB gene sets: 146 (showing top):
GOBP_COGNITION, MONNIER_POSTRADIATION_TUMOR_ESCAPE_UP, GTGCCTT_MIR506, GOBP_ACTIN_FILAMENT_ORGANIZATION, GOBP_HEAD_DEVELOPMENT, GOCC_APICAL_PLASMA_MEMBRANE, GOMF_ACTIN_BINDING, GOCC_CELL_CELL_JUNCTION, GOCC_CYTOPLASMIC_SIDE_OF_MEMBRANE, GOCC_APICAL_PART_OF_CELL, GOCC_POSTSYNAPSE, GOCC_ACTIN_FILAMENT_BUNDLE, GOCC_ACTOMYOSIN, GOCC_SYNAPSE, GOCC_SIDE_OF_MEMBRANE
GO Biological Process (5): actin filament organization (GO:0007015), brain development (GO:0007420), actin cytoskeleton organization (GO:0030036), cognition (GO:0050890), regulation of postsynaptic membrane neurotransmitter receptor levels (GO:0099072)
GO Molecular Function (4): myosin II binding (GO:0045159), actin filament binding (GO:0051015), actin binding (GO:0003779), protein binding (GO:0005515)
GO Cellular Component (17): stress fiber (GO:0001725), nucleoplasm (GO:0005654), cytoplasm (GO:0005737), actin filament (GO:0005884), adherens junction (GO:0005912), focal adhesion (GO:0005925), cytoplasmic side of plasma membrane (GO:0009898), basal plasma membrane (GO:0009925), apical plasma membrane (GO:0016324), cortical actin cytoskeleton (GO:0030864), apical junction complex (GO:0043296), presynapse (GO:0098793), postsynapse (GO:0098794), glutamatergic synapse (GO:0098978), GABA-ergic synapse (GO:0098982), cytoskeleton (GO:0005856), actin cytoskeleton (GO:0015629)
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 4 |
| synapse | 4 |
| actin cytoskeleton | 2 |
| cell-cell junction | 2 |
| plasma membrane region | 2 |
| actin cytoskeleton organization | 1 |
| supramolecular fiber organization | 1 |
| central nervous system development | 1 |
| animal organ development | 1 |
| head development | 1 |
| cytoskeleton organization | 1 |
| actin filament-based process | 1 |
| nervous system process | 1 |
| regulation of biological quality | 1 |
| myosin binding | 1 |
| actin binding | 1 |
| protein-containing complex binding | 1 |
| cytoskeletal protein binding | 1 |
| binding | 1 |
| actomyosin | 1 |
| contractile actin filament bundle | 1 |
| nuclear lumen | 1 |
| intracellular anatomical structure | 1 |
| polymeric cytoskeletal fiber | 1 |
| cell-substrate junction | 1 |
| plasma membrane | 1 |
| cytoplasmic side of membrane | 1 |
| basal part of cell | 1 |
| apical part of cell | 1 |
| cortical cytoskeleton | 1 |
| intracellular membraneless organelle | 1 |
| cytoskeleton | 1 |
Protein interactions and networks
STRING
1576 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| SHROOM4 | APEX1 | P27695 | 657 |
| SHROOM4 | CENPVL1 | A0A0U1RR11 | 507 |
| SHROOM4 | LYG1 | Q8N1E2 | 507 |
| SHROOM4 | IFT70A | Q86WT1 | 467 |
| SHROOM4 | PBDC1 | Q9BVG4 | 449 |
| SHROOM4 | EPM2AIP1 | Q7L775 | 449 |
| SHROOM4 | SHROOM1 | Q2M3G4 | 429 |
| SHROOM4 | KDM6A | O15550 | 418 |
| SHROOM4 | RTF2 | Q9BY42 | 414 |
| SHROOM4 | SHROOM3 | Q8TF72 | 410 |
| SHROOM4 | ZSWIM3 | Q96MP5 | 404 |
| SHROOM4 | SKIC2 | Q15477 | 401 |
| SHROOM4 | IQSEC2 | Q5JU85 | 401 |
| SHROOM4 | ZNF674 | Q2M3X9 | 400 |
| SHROOM4 | KDM5C | P41229 | 399 |
IntAct
156 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| DGKZ | SHROOM4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| E6 | SHROOM4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| ATP2B4 | SHROOM4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | TAMALIN | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| ARHGEF16 | SHROOM4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| TIAM2 | SHROOM4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| APBA3 | SHROOM4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | AHNAK | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | APBA1 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | APBA2 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | ARHGAP21 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | ARHGEF11 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | CARD11 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | CASK | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | WHRN | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | DLG1 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | DLG2 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | DLG3 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | DLG4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| SHROOM4 | DLG5 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
BioGRID (4): SHROOM4 (Synthetic Lethality), SHROOM4 (Affinity Capture-MS), SHROOM4 (Affinity Capture-RNA), PPIA (Cross-Linking-MS (XL-MS))
ESM2 similar proteins: A0A0A6YY25, A0A5K7RLP0, A6NMK8, A8MVX0, B2RQL2, B2RXH4, C9JSJ3, D2J0Y4, O54824, P97303, Q01954, Q05AH6, Q0VET5, Q14005, Q1W617, Q2YDE2, Q3MHT3, Q3U0P1, Q3ULM6, Q3UXL4, Q4R7L6, Q5RC05, Q5T0L3, Q68CR7, Q6GQV1, Q6NS69, Q6NZK5, Q6P1D7, Q6PG16, Q6ZVT6, Q7Z4V0, Q80W88, Q80XI1, Q811R2, Q86T90, Q86YN6, Q8BHP2, Q8BLK9, Q8BP99, Q8BW86
Diamond homologs: A1Z9P3, Q09JY9, Q13796, Q1W617, Q7TP36, Q8TF72, Q9QXN0, Q9ULL8, A1ZA47, A2ALK8, A2ALU4, D4A702, E9Q9W7, O00151, O70209, O70400, O75112, O88382, P36202, P50479, P52944, P70271, Q3SX40, Q3SYZ8, Q3T005, Q3T0C8, Q3TJD7, Q53GG5, Q5E9E1, Q5F488, Q5RBI7, Q5TCQ9, Q62920, Q66HS7, Q679P3, Q6GLJ6, Q6INU3, Q6P7E4, Q6QGC0, Q86UL8
SIGNOR signaling
0 interactions.
Enriched among interaction partners
Reactome pathways and GO biological processes over-represented among this gene’s 103 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 |
|---|---|---|---|
| Ras activation upon Ca2+ influx through NMDA receptor | 5 | 42.6× | 6e-06 |
| Unblocking of NMDA receptors, glutamate binding and activation | 5 | 40.6× | 6e-06 |
| Negative regulation of NMDA receptor-mediated neuronal transmission | 5 | 40.6× | 6e-06 |
| Assembly and cell surface presentation of NMDA receptors | 10 | 37.9× | 2e-11 |
| Dopamine Neurotransmitter Release Cycle | 5 | 37.0× | 7e-06 |
| Long-term potentiation | 5 | 35.5× | 8e-06 |
| Neurexins and neuroligins | 10 | 29.4× | 1e-10 |
| Protein-protein interactions at synapses | 6 | 23.8× | 7e-06 |
GO biological processes:
| GO term | Partners | Fold | FDR |
|---|---|---|---|
| establishment or maintenance of epithelial cell apical/basal polarity | 11 | 65.9× | 3e-15 |
| receptor clustering | 7 | 45.0× | 4e-08 |
| protein localization to synapse | 5 | 39.5× | 1e-05 |
| regulation of postsynaptic membrane neurotransmitter receptor levels | 7 | 35.8× | 2e-07 |
| cell-cell adhesion | 10 | 10.5× | 5e-06 |
| protein-containing complex assembly | 8 | 9.4× | 1e-04 |
| regulation of small GTPase mediated signal transduction | 6 | 8.9× | 2e-03 |
| establishment of localization in cell | 5 | 8.3× | 7e-03 |
Disease & clinical
Clinical variants and AI predictions
ClinVar
419 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 0 |
| Likely pathogenic | 2 |
| Uncertain significance | 233 |
| Likely benign | 42 |
| Benign | 25 |
Top pathogenic / likely-pathogenic (2)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1321285 | NM_020717.5(SHROOM4):c.4212+1G>A | Likely pathogenic |
| 564844 | GRCh37/hg19 Xp11.22(chrX:50394843-50659280)x2 | Likely pathogenic |
SpliceAI
2294 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| X:50596726:T:A | donor_gain | 1.0000 |
| X:50596727:C:A | donor_gain | 1.0000 |
| X:50596750:T:TA | donor_gain | 1.0000 |
| X:50596751:C:A | donor_gain | 1.0000 |
| X:50598263:TAC:T | donor_loss | 1.0000 |
| X:50598264:A:AT | donor_loss | 1.0000 |
| X:50598265:CCTT:C | donor_gain | 1.0000 |
| X:50627608:ACTT:A | donor_loss | 1.0000 |
| X:50627610:TTA:T | donor_loss | 1.0000 |
| X:50627611:TA:T | donor_loss | 1.0000 |
| X:50627612:ACCT:A | donor_gain | 1.0000 |
| X:50627612:ACCTC:A | donor_gain | 1.0000 |
| X:50627613:CCTC:C | donor_gain | 1.0000 |
| X:50627613:CCTCC:C | donor_gain | 1.0000 |
| X:50627673:TTC:T | acceptor_gain | 1.0000 |
| X:50627673:TTCCT:T | acceptor_loss | 1.0000 |
| X:50627676:C:CG | acceptor_loss | 1.0000 |
| X:50627677:T:A | acceptor_loss | 1.0000 |
| X:50695780:CCTTA:C | donor_loss | 1.0000 |
| X:50695783:TA:T | donor_loss | 1.0000 |
| X:50695784:ACCT:A | donor_gain | 1.0000 |
| X:50695785:C:CG | donor_loss | 1.0000 |
| X:50695785:CCT:C | donor_gain | 1.0000 |
| X:50695785:CCTC:C | donor_gain | 1.0000 |
| X:50695787:T:TA | donor_gain | 1.0000 |
| X:50695934:CAAT:C | acceptor_gain | 1.0000 |
| X:50695937:TC:T | acceptor_loss | 1.0000 |
| X:50695938:C:CC | acceptor_gain | 1.0000 |
| X:50695940:G:C | acceptor_gain | 1.0000 |
| X:50695943:T:C | acceptor_gain | 1.0000 |
AlphaMissense
9822 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| X:50598345:A:G | L1378P | 1.000 |
| X:50695792:A:T | V88D | 1.000 |
| X:50695822:T:A | K78I | 1.000 |
| X:50695828:A:G | L76P | 1.000 |
| X:50695834:A:G | L74P | 1.000 |
| X:50813915:A:T | L35H | 1.000 |
| X:50813945:A:G | L25P | 1.000 |
| X:50813945:A:T | L25H | 1.000 |
| X:50813950:G:C | F23L | 1.000 |
| X:50813950:G:T | F23L | 1.000 |
| X:50813951:A:G | F23S | 1.000 |
| X:50813952:A:G | F23L | 1.000 |
| X:50813955:C:G | G22R | 1.000 |
| X:50813956:C:A | W21C | 1.000 |
| X:50813956:C:G | W21C | 1.000 |
| X:50813958:A:G | W21R | 1.000 |
| X:50813958:A:T | W21R | 1.000 |
| X:50596732:A:G | L1482P | 0.999 |
| X:50596741:A:G | L1479P | 0.999 |
| X:50596795:A:G | L1461P | 0.999 |
| X:50596936:A:G | L1414P | 0.999 |
| X:50598528:A:G | L1317P | 0.999 |
| X:50695804:A:G | L84P | 0.999 |
| X:50695821:T:A | K78N | 0.999 |
| X:50695821:T:G | K78N | 0.999 |
| X:50695825:A:T | I77N | 0.999 |
| X:50695838:C:G | A73P | 0.999 |
| X:50695847:G:T | R70S | 0.999 |
| X:50695882:A:T | L58Q | 0.999 |
| X:50695888:T:A | D56V | 0.999 |
dbSNP variants (sampled 300 via entrez): RS1000003339 (X:50620400 T>C,G), RS1000052173 (X:50729534 C>T), RS1000110107 (X:50742688 A>G), RS1000135922 (X:50647078 T>C), RS1000162732 (X:50791730 A>C), RS1000166303 (X:50580656 C>T), RS1000211404 (X:50647649 A>G), RS1000218921 (X:50672644 C>T), RS1000251368 (X:50712496 A>G), RS1000338528 (X:50731291 C>G), RS1000348970 (X:50591749 A>C,G), RS1000382980 (X:50721932 G>T), RS1000393295 (X:50780911 A>G), RS1000435180 (X:50722464 G>A), RS1000519984 (X:50674644 T>C)
Disease associations
OMIM: gene MIM:300579 | disease phenotypes: MIM:300434
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| idiopathic generalized epilepsy | Strong | X-linked |
| congenital anomaly of kidney and urinary tract | Strong | X-linked |
| X-linked intellectual disability, Stocco dos Santos type | Supportive | X-linked |
| complex neurodevelopmental disorder | Limited | X-linked |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| X-linked complex neurodevelopmental disorder | Disputed | XL |
Mondo (5): X-linked intellectual disability, Stocco dos Santos type (MONDO:0010325), intellectual disability (MONDO:0001071), complex neurodevelopmental disorder (MONDO:0100038), idiopathic generalized epilepsy (MONDO:0005579), congenital anomaly of kidney and urinary tract (MONDO:0019719)
Orphanet (2): X-linked intellectual disability, Stocco Dos Santos type (Orphanet:85288), NON RARE IN EUROPE: Unexplained intellectual disability (Orphanet:319658)
HPO phenotypes
17 total (17 of 17 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000286 | Epicanthus |
| HP:0000486 | Strabismus |
| HP:0000518 | Cataract |
| HP:0000750 | Delayed speech and language development |
| HP:0000752 | Hyperactivity |
| HP:0001007 | Hirsutism |
| HP:0001250 | Seizure |
| HP:0001344 | Absent speech |
| HP:0001518 | Small for gestational age |
| HP:0001762 | Talipes equinovarus |
| HP:0002205 | Recurrent respiratory infections |
| HP:0002808 | Kyphosis |
| HP:0003144 | Increased serum serotonin |
| HP:0004322 | Short stature |
| HP:0005280 | Depressed nasal bridge |
| HP:0008780 | Congenital bilateral hip dislocation |
| HP:0010864 | Severe intellectual disability |
GWAS associations
1 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST008163_462 | Height | 4.000000e-07 |
MeSH disease descriptors (4)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D008607 | Intellectual Disability | C10.597.606.360; C23.888.592.604.646; F01.700.687; F03.625.539 |
| C566906 | Cakut (supp.) | |
| C562694 | Epilepsy, Idiopathic Generalized (supp.) | |
| C537495 | Stocco dos Santos syndrome (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
23 total (human), top 23 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| aristolochic acid I | decreases expression | 1 |
| FR900359 | affects phosphorylation | 1 |
| triphenyl phosphate | affects expression | 1 |
| bisphenol A | affects cotreatment, decreases methylation | 1 |
| erucylphospho-N,N,N-trimethylpropylammonium | increases expression | 1 |
| 4-(4-((5-(4,5-dimethyl-2-nitrophenyl)-2-furanyl)methylene)-4,5-dihydro-3-methyl-5-oxo-1H-pyrazol-1-yl)benzoic acid | increases expression | 1 |
| Resveratrol | affects cotreatment, decreases expression | 1 |
| Temozolomide | decreases expression | 1 |
| Sunitinib | decreases expression | 1 |
| Fulvestrant | affects cotreatment, decreases methylation | 1 |
| Acetaminophen | increases expression | 1 |
| Benzo(a)pyrene | affects methylation, decreases methylation | 1 |
| Doxorubicin | decreases expression | 1 |
| Estradiol | affects cotreatment, increases expression | 1 |
| Gasoline | affects cotreatment, increases abundance, increases expression | 1 |
| Nickel | decreases expression | 1 |
| Plant Extracts | affects cotreatment, decreases expression | 1 |
| Polycyclic Aromatic Hydrocarbons | affects cotreatment, increases abundance, increases expression | 1 |
| Tobacco Smoke Pollution | decreases expression | 1 |
| Urethane | decreases expression | 1 |
| Valproic Acid | decreases methylation | 1 |
| Antirheumatic Agents | increases expression | 1 |
| Particulate Matter | affects cotreatment, increases abundance, increases expression | 1 |
Clinical trials (associated diseases)
224 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT03590197 | PHASE4 | COMPLETED | Effect of Melatonin on Seizure Outcome, Neuronal Damage and Quality of Life in Patients With Generalized Epilepsy |
| NCT03940326 | PHASE4 | COMPLETED | Levetiracetam Versus Valproate in Idiopathic Generalized Tonic-clonic Seizures |
| 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 |
| NCT00150735 | PHASE3 | COMPLETED | Monotherapy With Levetiracetam in Newly Diagnosed Patients Suffering From Epilepsy |
| NCT00150748 | PHASE3 | COMPLETED | Long Term Follow up Treatment With Levetiracetam in Subjects of 4 Years and Older With Generalized Epilepsy |
| NCT03678753 | PHASE3 | COMPLETED | Randomized, Double-Blind Study to Evaluate Efficacy and Safety of Cenobamate Adjunctive Therapy in PGTC Seizures |
| NCT05147571 | PHASE3 | ACTIVE_NOT_RECRUITING | RNS System NAUTILUS Study |
| 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 |
| NCT06908356 | PHASE2 | RECRUITING | An Open Label Trial to Evaluate the Efficacy and Safety of PRAX-628 in Adults With Focal Onset or Tonic-Clonic Seizures |
| 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 |
| NCT04115345 | PHASE1 | COMPLETED | A Study of a Renal Autologous Cell Therapy (REACT) in Patients With Chronic Kidney Disease (CKD) From Congenital Anomalies of the Kidney and Urinary Tract (CAKUT). |
| NCT05694169 | PHASE1 | TERMINATED | A Study of Participants With Chronic Kidney Disease Previously Treated With REACT |
| 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) |
| NCT06310681 | Not specified | COMPLETED | Pilot Testing of a Co-adapted Group Programme for Parents/Carers of Children With Complex Neurodisability |
| NCT07303049 | Not specified | NOT_YET_RECRUITING | Cognitive Benefit of Intensive Rehabilitation Using Rhythmic Music Training in Children With Complex Neurodevelopmental Disorder |
| NCT06425159 | PHASE2/PHASE3 | TERMINATED | A Study to Determine if BHV-7000 is Effective and Safe in Adults With Idiopathic Generalized Epilepsy With Generalized Tonic-clonic Seizures |
| NCT00001325 | Not specified | COMPLETED | Metabolic Abnormalities in Children With Epilepsy |
| NCT00916903 | Not specified | TERMINATED | Genetic Disease Gene Identification |
| NCT01311440 | Not specified | COMPLETED | Modified Atkins Diet Treatment for Adults With Drug-resistant Epilepsy |
| NCT01432821 | Not specified | COMPLETED | Blinking and Yawning in Epilepsy: The Role of Dopamine |
| NCT03368469 | Not specified | WITHDRAWN | Transcranial Direct Current Stimulation (tDCS) in Children and Adolescents With Epilepsy and Depression |
| NCT03457961 | Not specified | UNKNOWN | Post-market Study of AMPA Receptor Antagonists for Epilepsy Patients in Hong Kong |
| NCT03955432 | Not specified | TERMINATED | Long-term Cardiac Monitoring in Epilepsy |
| NCT04252846 | Not specified | COMPLETED | A Study to Investigate Dosage, Effectiveness, and Safety of Perampanel When Used as First Add-on Therapy in Participants >=12 Years With Partial Onset Seizures With or Without Secondary Generalization or With Primary Generalized Tonic-Clonic Seizures Associated With Idiopathic Generalized Epilepsy |
| NCT04965571 | Not specified | COMPLETED | Clinical Features and Outcome of Wilson’s Disease With Generalized Epilepsy in Chinese Patients |
| NCT05374928 | Not specified | ACTIVE_NOT_RECRUITING | Human Epilepsy Project 3 |
| NCT05530109 | Not specified | TERMINATED | Study of Attentional Disorders in Patients Suffering From Idiopathic Generalized Epilepsy. |
| NCT06388174 | Not specified | RECRUITING | Idiopathic Generalized Epilepsy Syndromes |
| NCT06797791 | Not specified | COMPLETED | Assessment of Multifocal Continuous Theta Burst Transcranial Magnetic Stimulation (cTBS) Effects in Generalized Epilepsy Patients. |
| NCT04537364 | Not specified | COMPLETED | Prediction of Renal Parenchymal Damage of CAKUT |
Related Atlas pages
- Associated diseases: complex neurodevelopmental disorder, X-linked intellectual disability, Stocco dos Santos type, idiopathic generalized epilepsy, congenital anomaly of kidney and urinary tract, X-linked complex neurodevelopmental disorder
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): congenital anomaly of kidney and urinary tract, idiopathic generalized epilepsy, X-linked intellectual disability, Stocco dos Santos type