SOX10
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Also known as DOMWS4WS2ESOX-10
Summary
SOX10 (SRY-box transcription factor 10, HGNC:11190) is a protein-coding gene on chromosome 22q13.1, encoding Transcription factor SOX-10 (P56693). Transcription factor that plays a central role in developing and mature glia. In precision oncology, SOX10 Loss is associated with resistance to Vemurafenib in Melanoma (CIViC Level D). It is a selective cancer dependency (DepMap: 16.7% of cell lines) and haploinsufficient (ClinGen: sufficient evidence).
This gene encodes a member of the SOX (SRY-related HMG-box) family of transcription factors involved in the regulation of embryonic development and in the determination of the cell fate. The encoded protein may act as a transcriptional activator after forming a protein complex with other proteins. This protein acts as a nucleocytoplasmic shuttle protein and is important for neural crest and peripheral nervous system development. Mutations in this gene are associated with Waardenburg-Shah and Waardenburg-Hirschsprung disease.
Source: NCBI Gene 6663 — RefSeq curated summary.
At a glance
- Gene–disease (curated): Waardenburg syndrome type 4C (Definitive, ClinGen) — +6 more curated relationships
- GWAS associations: 1
- Clinical variants (ClinVar): 1 total
- Phenotypes (HPO): 140
- Precision-oncology evidence (CIViC): 1 curated variant–drug association
- Cancer dependency (DepMap): dependent in 16.7% of screened cell lines
- Dosage sensitivity (ClinGen): haploinsufficiency sufficient evidence, triplosensitivity no evidence
- Transcription factor: yes — 46 downstream targets (CollecTRI)
- MANE Select transcript:
NM_006941
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:11190 |
| Approved symbol | SOX10 |
| Name | SRY-box transcription factor 10 |
| Location | 22q13.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | DOM, WS4, WS2E, SOX-10 |
| Ensembl gene | ENSG00000100146 |
| Ensembl biotype | protein_coding |
| OMIM | 602229 |
| Entrez | 6663 |
Gene structure
Transcript identifiers
Ensembl transcripts: 10 — 7 protein_coding, 1 protein_coding_CDS_not_defined, 1 retained_intron, 1 nonsense_mediated_decay
ENST00000360880, ENST00000396884, ENST00000427770, ENST00000446929, ENST00000470555, ENST00000651746, ENST00000652356, ENST00000690831, ENST00000698177, ENST00000851529
RefSeq mRNA: 1 — MANE Select: NM_006941
NM_006941
CCDS: CCDS13964
Canonical transcript exons
ENST00000396884 — 4 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000654130 | 37977867 | 37978135 |
| ENSE00003848621 | 37972312 | 37974198 |
| ENSE00003848892 | 37984339 | 37984555 |
| ENSE00003972902 | 37983357 | 37983868 |
Expression profiles
Bgee: expression breadth ubiquitous, 218 present calls, max score 98.87.
FANTOM5 (CAGE): breadth broad, TPM avg 13.2824 / max 829.5780, expressed in 349 samples.
FANTOM5 promoters (2 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 194109 | 13.2773 | 349 |
| 194108 | 0.0051 | 3 |
Top tissues by expression
286 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| inferior olivary complex | UBERON:0002127 | 98.87 | gold quality |
| sural nerve | UBERON:0015488 | 98.86 | gold quality |
| dorsal motor nucleus of vagus nerve | UBERON:0002870 | 98.71 | gold quality |
| inferior vagus X ganglion | UBERON:0005363 | 98.59 | gold quality |
| tibial nerve | UBERON:0001323 | 98.26 | gold quality |
| trigeminal ganglion | UBERON:0001675 | 98.13 | gold quality |
| dorsal root ganglion | UBERON:0000044 | 97.88 | gold quality |
| C1 segment of cervical spinal cord | UBERON:0006469 | 97.84 | gold quality |
| spinal cord | UBERON:0002240 | 97.76 | gold quality |
| medulla oblongata | UBERON:0001896 | 97.47 | gold quality |
| subthalamic nucleus | UBERON:0001906 | 97.45 | gold quality |
| ventral tegmental area | UBERON:0002691 | 97.16 | gold quality |
| parotid gland | UBERON:0001831 | 97.12 | gold quality |
| lateral globus pallidus | UBERON:0002476 | 96.69 | gold quality |
| dorsal plus ventral thalamus | UBERON:0001897 | 96.32 | gold quality |
| superior vestibular nucleus | UBERON:0007227 | 96.23 | gold quality |
| substantia nigra pars reticulata | UBERON:0001966 | 96.11 | gold quality |
| olfactory bulb | UBERON:0002264 | 95.92 | gold quality |
| CA1 field of hippocampus | UBERON:0003881 | 95.64 | gold quality |
| midbrain | UBERON:0001891 | 95.41 | gold quality |
| substantia nigra | UBERON:0002038 | 95.23 | gold quality |
| middle frontal gyrus | UBERON:0002702 | 95.08 | gold quality |
| amygdala | UBERON:0001876 | 94.42 | gold quality |
| putamen | UBERON:0001874 | 94.24 | gold quality |
| globus pallidus | UBERON:0001875 | 94.04 | gold quality |
| substantia nigra pars compacta | UBERON:0001965 | 94.00 | gold quality |
| pons | UBERON:0000988 | 93.85 | gold quality |
| Ammon’s horn | UBERON:0001954 | 93.68 | gold quality |
| medial globus pallidus | UBERON:0002477 | 93.22 | gold quality |
| lateral nuclear group of thalamus | UBERON:0002736 | 93.06 | gold quality |
Single-cell (SCXA)
Detected in 5 experiment(s), a significant marker in 5.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-GEOD-84465 | yes | 377.51 |
| E-HCAD-56 | yes | 268.88 |
| E-MTAB-9435 | yes | 212.04 |
| E-GEOD-135922 | yes | 22.70 |
| E-ANND-3 | yes | 4.67 |
Regulation
Is transcription factor: yes
Downstream targets (CollecTRI)
46 targets.
| Target | Regulation |
|---|---|
| ADAM2 | |
| ASCL1 | Unknown |
| BEST1 | Activation |
| CHRNA10 | |
| CHRNA2 | |
| CHRNA3 | |
| CHRNB4 | |
| CNTF | Repression |
| COL11A2 | Activation |
| COL2A1 | Activation |
| COMMD7 | |
| DCT | Repression |
| DHH | |
| EDNRB | Unknown |
| EGR2 | Activation |
| ERBB3 | Unknown |
| GJB1 | Activation |
| GJC2 | Unknown |
| GNAS | |
| JAG1 | Activation |
| L1CAM | Unknown |
| MAG | Unknown |
| MBP | Unknown |
| MET | Activation |
| MIA | Activation |
| MITF | Activation |
| MPZ | Unknown |
| NES | Unknown |
| NKX2-2 | Activation |
| PDGFRA | Unknown |
JASPAR motifs
| Motif | Name | Family |
|---|---|---|
| MA0442.1 | SOX10 | SOX-related factors |
| MA0442.2 | SOX10 | SOX-related factors |
| MA0442.3 | SOX10 | SOX-related factors |
JASPAR matrix evidence (PMIDs): PMID:17916232
Upstream regulators (CollecTRI, top): CTNNB1, EGR2, OLIG2, PAX3, RBPJ, SOX10, SOX9
miRNA regulators (miRDB)
88 targeting SOX10, 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-5692A | 100.00 | 74.40 | 6850 |
| HSA-MIR-4481 | 100.00 | 66.42 | 1669 |
| HSA-MIR-4283 | 100.00 | 66.42 | 2097 |
| HSA-MIR-3689D | 100.00 | 66.14 | 1181 |
| HSA-MIR-6851-5P | 100.00 | 65.63 | 1294 |
| HSA-MIR-5193 | 100.00 | 67.26 | 1744 |
| HSA-MIR-4775 | 99.98 | 75.00 | 6394 |
| HSA-MIR-4745-5P | 99.98 | 65.95 | 1028 |
| HSA-MIR-590-3P | 99.96 | 74.34 | 6478 |
| HSA-MIR-185-3P | 99.95 | 67.01 | 1743 |
| HSA-MIR-96-5P | 99.95 | 72.80 | 2140 |
| HSA-MIR-12133 | 99.92 | 71.82 | 2006 |
| HSA-MIR-1271-5P | 99.91 | 71.99 | 1972 |
| HSA-MIR-6783-3P | 99.89 | 67.92 | 2059 |
| HSA-MIR-1343-3P | 99.89 | 66.78 | 1815 |
| HSA-MIR-221-3P | 99.86 | 71.56 | 1329 |
| HSA-MIR-222-3P | 99.86 | 71.35 | 1337 |
| HSA-MIR-1321 | 99.84 | 65.30 | 1811 |
| HSA-MIR-577 | 99.78 | 69.13 | 2479 |
| HSA-MIR-4645-3P | 99.76 | 69.33 | 993 |
| HSA-MIR-3158-5P | 99.65 | 67.51 | 1763 |
| HSA-MIR-5700 | 99.64 | 69.88 | 2280 |
| HSA-MIR-486-3P | 99.51 | 66.82 | 1901 |
| HSA-MIR-4489 | 99.50 | 65.56 | 785 |
| HSA-MIR-4677-3P | 99.49 | 67.91 | 1246 |
| HSA-MIR-4688 | 99.48 | 64.68 | 828 |
| HSA-MIR-6743-5P | 99.48 | 63.60 | 721 |
| HSA-MIR-1275 | 99.47 | 67.90 | 2749 |
| HSA-MIR-6722-3P | 99.45 | 67.62 | 1919 |
| HSA-MIR-4666A-5P | 99.41 | 69.72 | 1887 |
Functional genomics
ClinGen dosage: haploinsufficiency 3 (sufficient evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map
DepMap (CRISPR cell-line fitness): dependent in 16.7% of screened cell lines.
Literature-anchored findings (GeneRIF, showing 40)
- novel mutations suggest a dominant negative role in Waardenburg-Shah syndrome (PMID:11546831)
- Results show that the inhibition of the nuclear export of Sox10 led to decreased transactivation of transfected reporters and endogenous target genes, arguing that continuous nucleocytoplasmic shuttling is essential for the function of Sox10. (PMID:12138193)
- Muations in SOX10 is associated with chronic intestinal pseudo-abstruction (PMID:12189494)
- SOX10 mutation carriers in Hirschsprung’s disease had a very long histologic transition and exhibited no gut caliber change (PMID:12720173)
- SOX10 modulates alpha-melanocyte-stimulating hormone-triggered expression of microphthalmia-associated transcription factor in melanocytes (PMID:12944398)
- The lack of normal SOX10 mediated activation of RET transcription may lead to intestinal aganglionosis, overexpression of genes coding for structural myelin proteins (PMID:14523991)
- phenotype of Sox10Dom/+ mutants ranges over a continuum from severe aganglionosis to no detectable phenotype in the gut (PMID:15843399)
- The SOX10 is highly expressed in unpigmented melanocyte precursors but are down-regulated upon differentiation. (PMID:15896776)
- DNA methylation status of the SOX10 CpG island could be an epigenetic sign of oligodendrocyte dysfunction in schizophrenia. (PMID:15930386)
- the transcriptional factor SOX10 is one of the key determinants of oligodendroglial differentiation (PMID:16205963)
- identified an association of Sox10 with the N-myc interactor Nmi, which was mediated by the high-mobility group of Sox10 and the central region of Nmi; Nmi modulated the transcriptional activity of Sox10 (PMID:16214168)
- SOX10 protein is modified by sumoylation; three sumoylation consensus sites were found in the SOX10 protein, all of them are functional and modulate SOX10 activity. (PMID:16494873)
- Results show that genetic variations in the SOX10 gene do not contribute to susceptibility to Japanese schizophrenia. (PMID:16741945)
- pediatric and adult high grade tumors display strong nuclear staining for SOX10 (PMID:16791471)
- Sox10-regulated ErbB3 overexpression is a novel insight into the biology of pilocytic astrocytoma. (PMID:16896310)
- SOX10 gene is related to the development of schizophrenia in a Japanese population. (PMID:17621166)
- Failure to properly terminate SOX10 translation causes the generation of a deleterious functional domain that occurs because of translation of the normal 3’-UTR; the mutant fusion protein causes a severe neurological disease. (PMID:17855451)
- investigation of the expression of Sox10 in other human tumors and in a number of gliomas. Sox10 expression was restricted to gliomas and melanomas. (PMID:17855658)
- Neurological phenotypes reminiscent of that observed in Waardenburg syndrome types 2 affected patients with SOX10 deletions. (PMID:17999358)
- A SOX10 “de novo” splice site mutation (c.698-2A > C) was identified in a severe type 4 Waardenburg syndrome without Hirschsprung disease. (PMID:18348267)
- A de novo missense mutation in the gene encoding the SOX10 transcription factor in a Spanish sporadic case of Waardenburg syndrome type IV. (PMID:18348274)
- Quantitative changes of enteric glia represented by SOX10 provide a basis for pathological assessment of glial proliferation and/or degeneration in the diseased gut. (PMID:18512230)
- Waardenburg syndrome type II is caused by a heterozygous SOX10 frameshift mutation. (PMID:18627047)
- Sox10 will serve as a more sensitive and specific marker for the diagnosis of melanocytic and schwannian tumors than S100 protein. (PMID:18636017)
- Multiple sites belonging to 4 different genes (proteolipid protein, Sox10, extracellular superoxide dismutase, and pleiotrophin) were shown to directly interact with Sox10 by chromatin immunoprecipitation assay. (PMID:18786246)
- SOX9 and SOX10 but not BRN2 seem to be required for nestin expression in human melanoma. (PMID:18923447)
- Report on spanish cases of Waardenburg syndrome type 4 with novel mutations in EDN3 and SOX 10 genes. (PMID:19764030)
- Sox10 can be reliably used for melanoma detection in sentinel lymph nodes. (PMID:19912373)
- The degree of sex reversal correlated with levels of Sox10 expression in different transgenic lines. (PMID:19933217)
- The SOX10 plays an active role in melanoma cells by regulating the MET gene. (PMID:20067553)
- The study describes the evaluation of the SOX10 gene in a series of 196 isolated Hirschsprung disease cases and reports a truncating c.153-155del mutation. (PMID:20130826)
- in ovo electroporation in the developing neural tube of chicken was used to determine which regions and properties of SOX10 are required for early neural crest development. (PMID:20308050)
- Seven new mutations in PAX3, MITF, and SOX10 genes in 11 families with type I or type II Waardenburg syndrome were identified. (PMID:20478267)
- Our results showed that SOX10 was strongly expressed by desmoplastic melanoma. (PMID:20653825)
- SOX10 downregulation resulted in variable effects on proliferation and migration rates in the melanoma cell lines. In conclusion, the SOX10 intensity level differed depending on the tissue studied and SOX10 might have a role in survival. (PMID:20890226)
- This database focuses on the transcription factor SOX10, which has essential roles in pigment cell development and function. (PMID:20974870)
- Two novel heterozygous mutations (c.254G>A and c.698-2A>T) in the SOX10 gene were detected in Chinese patients with type IV Waardenburg syndrome. (PMID:21531202)
- Sox-10 is useful in identifying nodal metastases in melanoma (PMID:21552103)
- Novel SOX10 missense mutations were found in 11 patients and were shown to be associated with various phenotypes of Waardenburg syndrome, ranging from WS2 to P. (PMID:21898658)
- Here, we further identified an E248fsX30 SOX10 mutation in a family of WS2. (PMID:21965087)
Cross-species orthologs
7 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | sox10 | ENSDARG00000077467 |
| mus_musculus | Sox10 | ENSMUSG00000033006 |
| rattus_norvegicus | Sox10 | ENSRNOG00000011305 |
| drosophila_melanogaster | Sox14 | FBGN0005612 |
| drosophila_melanogaster | Sox21a | FBGN0036411 |
| drosophila_melanogaster | Sox102F | FBGN0039938 |
| caenorhabditis_elegans | WBGENE00001182 |
Paralogs (20): SOX8 (ENSG00000005513), SOX30 (ENSG00000039600), SOX6 (ENSG00000110693), SOX4 (ENSG00000124766), SOX21 (ENSG00000125285), SOX9 (ENSG00000125398), SOX15 (ENSG00000129194), SOX5 (ENSG00000134532), SOX3 (ENSG00000134595), SOX13 (ENSG00000143842), SOX17 (ENSG00000164736), SOX14 (ENSG00000168875), SOX7 (ENSG00000171056), SOX11 (ENSG00000176887), SOX12 (ENSG00000177732), CFAP65 (ENSG00000181378), SOX2 (ENSG00000181449), SOX1 (ENSG00000182968), SRY (ENSG00000184895), SOX18 (ENSG00000203883)
Protein
Protein identifiers
Transcription factor SOX-10 — P56693 (reviewed: P56693)
All UniProt accessions (6): P56693, A0A494C0R1, A0A8I5KW15, A0A8V8TM01, A6PVD3, H0Y5N4
UniProt curated annotations — full annotation on UniProt →
Function. Transcription factor that plays a central role in developing and mature glia. Specifically activates expression of myelin genes, during oligodendrocyte (OL) maturation, such as DUSP15 and MYRF, thereby playing a central role in oligodendrocyte maturation and CNS myelination. Once induced, MYRF cooperates with SOX10 to implement the myelination program. Transcriptional activator of MITF, acting synergistically with PAX3. Transcriptional activator of MBP, via binding to the gene promoter.
Subunit / interactions. Monomer. Interacts with ARMCX3 at the mitochondrial outer membrane surface. Interacts with PAX3.
Subcellular location. Cytoplasm. Nucleus. Mitochondrion outer membrane.
Tissue specificity. Expressed in fetal brain and in adult brain, heart, small intestine and colon.
Disease relevance. Waardenburg syndrome 2E (WS2E) [MIM:611584] An autosomal dominant auditory-pigmentary disorder characterized by sensorineural deafness, pigmentary disturbances of the hair, skin and eyes, and absence of dystopia canthorum which is the lateral displacement of the inner canthus of each eye. Individuals with WS2E may have neurologic abnormalities, including mental impairment, myelination defects, and ataxia. Some patients can manifest features of Kallmann syndrome. The disease is caused by variants affecting the gene represented in this entry. Waardenburg syndrome 4C (WS4C) [MIM:613266] A disorder characterized by the association of Waardenburg features (depigmentation and deafness) with the absence of enteric ganglia in the distal part of the intestine (Hirschsprung disease). The disease is caused by variants affecting the gene represented in this entry. Peripheral demyelinating neuropathy, central dysmyelinating leukodystrophy, Waardenburg syndrome and Hirschsprung disease (PCWH) [MIM:609136] A complex neurocristopathy that includes features of 4 distinct syndromes: peripheral demyelinating neuropathy, central dysmyelinating leukodystrophy, Waardenburg syndrome and Hirschsprung disease. The disease is caused by variants affecting the gene represented in this entry.
Domain organisation. The transactivation domains TAM and TAC (for transactivation domain in the middle and at the C-terminus, respectively) are required to contact transcriptional coactivators and basal transcriptional machinery components and thereby induce gene transactivation.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| P56693-1 | 1 | yes |
| P56693-2 | 2 |
RefSeq proteins (1): NP_008872* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR009071 | HMG_box_dom | Domain |
| IPR022151 | Sox_N | Domain |
| IPR036910 | HMG_box_dom_sf | Homologous_superfamily |
| IPR050917 | SOX_TF | Family |
Pfam: PF00505, PF12444
UniProt features (38 total): sequence variant 19, region of interest 8, compositionally biased region 4, sequence conflict 2, chain 1, DNA-binding region 1, short sequence motif 1, modified residue 1, splice variant 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P56693-F1 | 57.32 | 0.17 |
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): 24
Function
Pathways and Gene Ontology
Reactome pathways
14 pathways
| ID | Pathway |
|---|---|
| R-HSA-9619665 | EGR2 and SOX10-mediated initiation of Schwann cell myelination |
| R-HSA-9764302 | Regulation of CDH19 Expression and Function |
| R-HSA-9824585 | Regulation of MITF-M-dependent genes involved in pigmentation |
| R-HSA-9856649 | Transcriptional and post-translational regulation of MITF-M expression and activity |
| R-HSA-1266738 | Developmental Biology |
| R-HSA-1500931 | Cell-Cell communication |
| R-HSA-418990 | Adherens junctions interactions |
| R-HSA-421270 | Cell-cell junction organization |
| R-HSA-446728 | Cell junction organization |
| R-HSA-9675108 | Nervous system development |
| R-HSA-9730414 | MITF-M-regulated melanocyte development |
| R-HSA-9759476 | Regulation of Homotypic Cell-Cell Adhesion |
| R-HSA-9764260 | Regulation of Expression and Function of Type II Classical Cadherins |
| R-HSA-9856651 | MITF-M-dependent gene expression |
MSigDB gene sets: 557 (showing top):
GOBP_MORPHOGENESIS_OF_AN_EPITHELIUM, CREL_01, MODULE_52, GOBP_EMBRYO_DEVELOPMENT_ENDING_IN_BIRTH_OR_EGG_HATCHING, GOBP_EPITHELIUM_DEVELOPMENT, GOBP_NEGATIVE_REGULATION_OF_CELL_DEVELOPMENT, MODY_HIPPOCAMPUS_POSTNATAL, GOBP_CELLULAR_RESPONSE_TO_LIPID, GOBP_NEGATIVE_REGULATION_OF_GLIOGENESIS, ASTON_MAJOR_DEPRESSIVE_DISORDER_DN, GOBP_GROWTH, GOBP_GLIAL_CELL_DEVELOPMENT, AREB6_01, GOBP_NEUROGENESIS, GOBP_REGULATION_OF_MYELINATION
GO Biological Process (36): negative regulation of transcription by RNA polymerase II (GO:0000122), in utero embryonic development (GO:0001701), neural crest cell migration (GO:0001755), morphogenesis of an epithelium (GO:0002009), positive regulation of neuroblast proliferation (GO:0002052), regulation of transcription by RNA polymerase II (GO:0006357), transcription elongation by RNA polymerase II (GO:0006368), neuroblast proliferation (GO:0007405), peripheral nervous system development (GO:0007422), anatomical structure morphogenesis (GO:0009653), negative regulation of Schwann cell proliferation (GO:0010626), positive regulation of gene expression (GO:0010628), oligodendrocyte development (GO:0014003), positive regulation of gliogenesis (GO:0014015), central nervous system myelination (GO:0022010), melanocyte differentiation (GO:0030318), positive regulation of myelination (GO:0031643), lacrimal gland development (GO:0032808), negative regulation of apoptotic process (GO:0043066), positive regulation of DNA-templated transcription (GO:0045893), cell maturation (GO:0048469), enteric nervous system development (GO:0048484), digestive tract morphogenesis (GO:0048546), developmental growth (GO:0048589), oligodendrocyte differentiation (GO:0048709), morphogenesis of a branching epithelium (GO:0061138), cellular response to progesterone stimulus (GO:0071393), cellular response to xenobiotic stimulus (GO:0071466), negative regulation of canonical Wnt signaling pathway (GO:0090090), regulation of DNA-templated transcription (GO:0006355), transcription by RNA polymerase II (GO:0006366), cell differentiation (GO:0030154), developmental process (GO:0032502), negative regulation of DNA-templated transcription (GO:0045892), positive regulation of transcription by RNA polymerase II (GO:0045944), stem cell differentiation (GO:0048863)
GO Molecular Function (13): transcription cis-regulatory region binding (GO:0000976), RNA polymerase II cis-regulatory region sequence-specific DNA binding (GO:0000978), DNA-binding transcription factor activity, RNA polymerase II-specific (GO:0000981), DNA-binding transcription activator activity (GO:0001216), DNA-binding transcription activator activity, RNA polymerase II-specific (GO:0001228), DNA binding (GO:0003677), DNA-binding transcription factor activity (GO:0003700), identical protein binding (GO:0042802), DNA-binding transcription factor binding (GO:0140297), sequence-specific double-stranded DNA binding (GO:1990837), promoter-specific chromatin binding (GO:1990841), chromatin binding (GO:0003682), protein binding (GO:0005515)
GO Cellular Component (7): chromatin (GO:0000785), nucleus (GO:0005634), nucleoplasm (GO:0005654), mitochondrial outer membrane (GO:0005741), cytoplasm (GO:0005737), mitochondrion (GO:0005739), membrane (GO:0016020)
Reactome top-level categories
Rollup of top-10 pathways:
| Category | Pathways |
|---|---|
| MITF-M-regulated melanocyte development | 2 |
| Developmental Biology | 2 |
| Nervous system development | 1 |
| Regulation of Expression and Function of Type II Classical Cadherins | 1 |
| MITF-M-dependent gene expression | 1 |
| Cell-cell junction organization | 1 |
| Cell junction organization | 1 |
| Cell-Cell communication | 1 |
| Adherens junctions interactions | 1 |
| Regulation of Homotypic Cell-Cell Adhesion | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 4 |
| transcription by RNA polymerase II | 3 |
| regulation of DNA-templated transcription | 3 |
| RNA polymerase II transcription regulatory region sequence-specific DNA binding | 3 |
| regulation of transcription by RNA polymerase II | 2 |
| positive regulation of neurogenesis | 2 |
| myelination | 2 |
| DNA-binding transcription factor activity | 2 |
| transcription cis-regulatory region binding | 2 |
| binding | 2 |
| intracellular membrane-bounded organelle | 2 |
| negative regulation of DNA-templated transcription | 1 |
| chordate embryonic development | 1 |
| neural crest cell development | 1 |
| mesenchymal cell migration | 1 |
| tissue morphogenesis | 1 |
| epithelium development | 1 |
| neuroblast proliferation | 1 |
| regulation of neuroblast proliferation | 1 |
| positive regulation of neural precursor cell proliferation | 1 |
| DNA-templated transcription elongation | 1 |
| generation of neurons | 1 |
| neural precursor cell proliferation | 1 |
| nervous system development | 1 |
| system development | 1 |
| developmental process | 1 |
| anatomical structure development | 1 |
| regulation of Schwann cell proliferation | 1 |
| Schwann cell proliferation | 1 |
| negative regulation of glial cell proliferation | 1 |
| gene expression | 1 |
| regulation of gene expression | 1 |
| positive regulation of macromolecule biosynthetic process | 1 |
| glial cell development | 1 |
| oligodendrocyte differentiation | 1 |
| regulation of gliogenesis | 1 |
| gliogenesis | 1 |
| oligodendrocyte development | 1 |
| axon ensheathment in central nervous system | 1 |
| pigment cell differentiation | 1 |
Protein interactions and networks
STRING
3404 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| SOX10 | PAX3 | P23760 | 993 |
| SOX10 | MITF | O75030 | 938 |
| SOX10 | NFATC4 | Q14934 | 919 |
| SOX10 | EDNRB | P24530 | 901 |
| SOX10 | OLIG2 | Q13516 | 875 |
| SOX10 | EDN3 | P14138 | 870 |
| SOX10 | TYR | P14679 | 869 |
| SOX10 | EGR2 | P11161 | 860 |
| SOX10 | OLIG1 | Q8TAK6 | 859 |
| SOX10 | SNAI2 | O43623 | 842 |
| SOX10 | NMI | Q13287 | 837 |
| SOX10 | DCT | P40126 | 829 |
| SOX10 | GFRA1 | P56159 | 823 |
| SOX10 | GDNF | P39905 | 802 |
| SOX10 | RET | P07949 | 793 |
IntAct
86 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| CRX | SOX10 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | POU6F2 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | HSF4 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | MAGED1 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | DAZAP2 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | C10orf55 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | PPIA | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | PRKCA | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | YWHAG | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | SETDB1 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | KAT5 | psi-mi:“MI:0915”(physical association) | 0.560 |
| LMO3 | SOX10 | psi-mi:“MI:0915”(physical association) | 0.560 |
| SOX10 | POU3F2 | psi-mi:“MI:0915”(physical association) | 0.530 |
| SOX10 | SOX10 | psi-mi:“MI:0915”(physical association) | 0.530 |
| SOX10 | PAX3 | psi-mi:“MI:0915”(physical association) | 0.530 |
| SOX10 | PAX3 | psi-mi:“MI:0407”(direct interaction) | 0.530 |
| SOX10 | POU3F2 | psi-mi:“MI:0407”(direct interaction) | 0.530 |
| SOX10 | SOX10 | psi-mi:“MI:0407”(direct interaction) | 0.530 |
BioGRID (206): SOX10 (Affinity Capture-Western), FBXW7 (Affinity Capture-Western), SOX10 (Reconstituted Complex), SOX10 (Biochemical Activity), SOX10 (Affinity Capture-Western), CHD7 (Affinity Capture-Western), SOX10 (Reconstituted Complex), PAX3 (Reconstituted Complex), SOX10 (Affinity Capture-Western), SOX10 (Affinity Capture-MS), HSF4 (Two-hybrid), CRX (Two-hybrid), POU6F2 (Two-hybrid), MAGED1 (Two-hybrid), DAZAP2 (Two-hybrid)
ESM2 similar proteins: A4IIJ8, A5A763, B7ZR65, F1LYL9, O18896, O55170, P10071, P27782, P40650, P48434, P48436, P56178, P56693, P57074, P61753, P61754, P70056, P70062, P70063, P70064, Q04886, Q04887, Q04888, Q0VGT2, Q5IS56, Q61602, Q66JF1, Q6DFF5, Q6F2E7, Q6GL68, Q6IZ48, Q6VVD7, Q7YRJ7, Q800Q5, Q8AXX8, Q90ZB6, Q91660, Q91731, Q924A0, Q9BG89
Diamond homologs: A2TED3, A4IIJ8, A4QNG3, A5A763, A5D8R3, B0ZTE1, B0ZTE2, B3DLD3, B7ZR65, F1LYL9, O00570, O15370, O18896, O42342, O42569, O42601, O55170, O57401, O60248, O95416, P0C1G9, P35713, P35716, P40637, P40639, P40646, P40650, P40652, P40656, P40657, P43267, P43680, P47792, P48430, P48431, P48432, P48433, P48434, P48435, P48436
SIGNOR signaling
5 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| NMI | “up-regulates activity” | SOX10 | binding |
| NMI | “down-regulates activity” | SOX10 | binding |
| ERK1/2 | “down-regulates activity” | SOX10 | phosphorylation |
| GSK3B | “down-regulates quantity” | SOX10 | phosphorylation |
Enriched among interaction partners
Reactome pathways and GO biological processes over-represented among this gene’s 36 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 |
|---|---|---|---|
| Transcriptional and post-translational regulation of MITF-M expression and activity | 5 | 33.0× | 2e-04 |
| Signaling by WNT | 5 | 20.7× | 5e-04 |
| Cell Cycle, Mitotic | 5 | 8.9× | 5e-03 |
| Cell Cycle | 6 | 8.0× | 3e-03 |
GO biological processes:
| GO term | Partners | Fold | FDR |
|---|---|---|---|
| positive regulation of cell migration | 7 | 12.3× | 3e-04 |
Disease & clinical
Cancer significance
Clinical variants and AI predictions
ClinVar
1 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 0 |
| Likely pathogenic | 0 |
| Uncertain significance | 1 |
| Likely benign | 0 |
| Benign | 0 |
Top pathogenic / likely-pathogenic (0)
SpliceAI
404 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 22:37974203:G:GC | acceptor_gain | 1.0000 |
| 22:37974194:CTGGC:C | acceptor_gain | 0.9900 |
| 22:37974196:GGC:G | acceptor_loss | 0.9900 |
| 22:37974197:GCCT:G | acceptor_loss | 0.9900 |
| 22:37974199:C:CC | acceptor_gain | 0.9900 |
| 22:37974203:G:C | acceptor_gain | 0.9900 |
| 22:37974215:C:CT | acceptor_gain | 0.9900 |
| 22:37977862:CTCA:C | donor_loss | 0.9900 |
| 22:37977863:TCA:T | donor_loss | 0.9900 |
| 22:37977864:CACC:C | donor_loss | 0.9900 |
| 22:37977865:A:AC | donor_gain | 0.9900 |
| 22:37977865:ACCT:A | donor_loss | 0.9900 |
| 22:37977866:C:A | donor_loss | 0.9900 |
| 22:37977866:C:CC | donor_gain | 0.9900 |
| 22:37978143:G:C | acceptor_gain | 0.9900 |
| 22:37978154:C:CT | acceptor_gain | 0.9900 |
| 22:37983351:GCTCA:G | donor_loss | 0.9900 |
| 22:37983352:CTCA:C | donor_loss | 0.9900 |
| 22:37983353:TCA:T | donor_loss | 0.9900 |
| 22:37983354:CAC:C | donor_loss | 0.9900 |
| 22:37983355:A:C | donor_loss | 0.9900 |
| 22:37983355:ACCT:A | donor_gain | 0.9900 |
| 22:37983356:C:CT | donor_loss | 0.9900 |
| 22:37983356:CCTC:C | donor_gain | 0.9900 |
| 22:37974195:TGGC:T | acceptor_gain | 0.9800 |
| 22:37974216:A:T | acceptor_gain | 0.9800 |
| 22:37977865:AC:A | donor_gain | 0.9800 |
| 22:37977866:CC:C | donor_gain | 0.9800 |
| 22:37978136:C:CC | acceptor_gain | 0.9800 |
| 22:37978141:G:C | acceptor_gain | 0.9800 |
AlphaMissense
3023 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 22:37978036:C:A | R176S | 1.000 |
| 22:37978036:C:G | R176S | 1.000 |
| 22:37978037:C:A | R176M | 1.000 |
| 22:37978037:C:G | R176T | 1.000 |
| 22:37978038:T:A | R176W | 1.000 |
| 22:37978038:T:C | R176G | 1.000 |
| 22:37978040:G:T | P175H | 1.000 |
| 22:37978041:G:A | P175S | 1.000 |
| 22:37978041:G:T | P175T | 1.000 |
| 22:37978046:T:C | Y173C | 1.000 |
| 22:37978046:T:G | Y173S | 1.000 |
| 22:37978047:A:C | Y173D | 1.000 |
| 22:37978047:A:G | Y173H | 1.000 |
| 22:37978047:A:T | Y173N | 1.000 |
| 22:37978048:C:A | K172N | 1.000 |
| 22:37978048:C:G | K172N | 1.000 |
| 22:37978049:T:A | K172M | 1.000 |
| 22:37978050:T:C | K172E | 1.000 |
| 22:37978052:T:C | Y171C | 1.000 |
| 22:37978053:A:C | Y171D | 1.000 |
| 22:37978053:A:G | Y171H | 1.000 |
| 22:37978053:A:T | Y171N | 1.000 |
| 22:37978062:G:C | H168D | 1.000 |
| 22:37978069:C:A | K165N | 1.000 |
| 22:37978069:C:G | K165N | 1.000 |
| 22:37978071:T:C | K165E | 1.000 |
| 22:37978072:G:C | H164Q | 1.000 |
| 22:37978072:G:T | H164Q | 1.000 |
| 22:37978073:T:A | H164L | 1.000 |
| 22:37978073:T:C | H164R | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000038348 (22:37984977 G>A,T), RS1000422643 (22:37979931 T>A), RS1000474971 (22:37979694 C>T), RS1001117637 (22:37972875 G>A), RS1001655214 (22:37980028 C>G), RS1001828333 (22:37973178 G>A), RS1002001294 (22:37980183 T>C), RS1002609890 (22:37978452 T>C), RS1002775621 (22:37975405 G>A), RS1002997364 (22:37975726 C>T), RS1003008153 (22:37975752 A>C,G), RS1003063105 (22:37981625 T>C), RS1003660327 (22:37983061 C>T), RS1003769412 (22:37977029 G>A), RS1003891184 (22:37975833 G>A)
Disease associations
OMIM: gene MIM:602229 | disease phenotypes:
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| PCWH syndrome | Definitive | Autosomal dominant |
| Waardenburg syndrome type 4C | Definitive | Autosomal dominant |
| Waardenburg syndrome type 2E | Definitive | Autosomal dominant |
| deaf blind hypopigmentation syndrome, Yemenite type | Definitive | Autosomal dominant |
| Kallmann syndrome | Supportive | Autosomal dominant |
| Waardenburg syndrome type 2 | Supportive | Autosomal dominant |
| Waardenburg-Shah syndrome | Supportive | Autosomal dominant |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| Waardenburg syndrome type 4C | Definitive | AD |
Mondo (7): PCWH syndrome (MONDO:0012198), Waardenburg syndrome type 4C (MONDO:0013202), Waardenburg syndrome type 2E (MONDO:0012698), Kallmann syndrome (MONDO:0018800), Waardenburg syndrome type 2 (MONDO:0019517), Waardenburg-Shah syndrome (MONDO:0019518), deaf blind hypopigmentation syndrome, Yemenite type (MONDO:0011133)
Orphanet (0):
HPO phenotypes
140 total (30 of 140 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000006 | Autosomal dominant inheritance |
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000008 | Abnormal morphology of female internal genitalia |
| HP:0000028 | Cryptorchidism |
| HP:0000044 | Hypogonadotropic hypogonadism |
| HP:0000054 | Micropenis |
| HP:0000077 | Abnormality of the kidney |
| HP:0000104 | Renal agenesis |
| HP:0000135 | Hypogonadism |
| HP:0000144 | Decreased fertility |
| HP:0000175 | Cleft palate |
| HP:0000365 | Hearing impairment |
| HP:0000366 | Abnormality of the nose |
| HP:0000407 | Sensorineural hearing impairment |
| HP:0000426 | Prominent nasal bridge |
| HP:0000430 | Underdeveloped nasal alae |
| HP:0000431 | Wide nasal bridge |
| HP:0000458 | Anosmia |
| HP:0000473 | Torticollis |
| HP:0000478 | Abnormality of the eye |
| HP:0000504 | Abnormality of vision |
| HP:0000505 | Visual impairment |
| HP:0000506 | Telecanthus |
| HP:0000508 | Ptosis |
| HP:0000522 | Alacrima |
| HP:0000534 | Abnormal eyebrow morphology |
| HP:0000545 | Myopia |
| HP:0000551 | Color vision defect |
| HP:0000633 | Decreased lacrimation |
| HP:0000635 | Blue irides |
GWAS associations
1 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST90002397_607 | Mean spheric corpuscular volume | 4.000000e-09 |
MeSH disease descriptors (5)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D017436 | Kallmann Syndrome | C12.050.351.875.253.096.750; C12.200.706.316.096.750; C12.800.316.096.750; C16.131.939.316.096.750; C16.320.467; C19.391.119.096.750; C19.391.482.600 |
| C563789 | Peripheral Demyelinating Neuropathy, Central Dysmyelination, Waardenburg Syndrome, and Hirschsprung Disease (supp.) | |
| C567679 | Waardenburg Syndrome, Type 4c (supp.) | |
| C536463 | Waardenburg syndrome type 2 (supp.) | |
| C536771 | Yemenite deaf-blind hypopigmentation syndrome (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
Clinical evidence (CIViC)
Drug × variant × indication: 1 predictive associations from 1 curated evidence items.
| Variant | Therapy | Indication | Effect | Level | CIViC |
|---|---|---|---|---|---|
| SOX10 Loss | Vemurafenib | Melanoma | Resistance | CIViC D | EID1710 |
PharmGKB: 1 entry (VIP=true, CPIC=false)
PharmGKB clinical annotations
1 annotations.
| Variant | Type | Level | Drugs | Phenotypes |
|---|---|---|---|---|
| rs139887 | Toxicity | 3 | carboplatin;docetaxel;paclitaxel | Ovarian Neoplasms |
PharmGKB variants
1 variants.
| Variant | Genes | Level | Score | #Clin annots | Drugs |
|---|---|---|---|---|---|
| rs139887 | POLR2F, SOX10 | 3 | 3.00 | 1 | carboplatin;docetaxel;paclitaxel |
CTD chemical–gene interactions
19 total (human), top 19 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Valproic Acid | increases expression, decreases expression, increases methylation, affects cotreatment | 6 |
| trichostatin A | increases expression, affects cotreatment | 3 |
| Vorinostat | affects cotreatment, increases expression | 2 |
| Panobinostat | affects cotreatment, increases expression | 2 |
| Benzo(a)pyrene | affects methylation | 2 |
| Nickel | decreases expression | 2 |
| FR900359 | increases phosphorylation | 1 |
| methylmercuric chloride | decreases expression | 1 |
| 4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamide | affects cotreatment, increases expression, decreases expression | 1 |
| dorsomorphin | affects cotreatment, increases expression, decreases expression | 1 |
| Calcitriol | increases expression | 1 |
| Dexamethasone | increases expression | 1 |
| Diethylhexyl Phthalate | decreases expression | 1 |
| Etoposide | affects response to substance | 1 |
| Folic Acid | increases expression | 1 |
| Lead | decreases expression | 1 |
| Phenylmercuric Acetate | affects cotreatment, decreases expression | 1 |
| Tretinoin | affects cotreatment, increases expression | 1 |
| Cadmium Chloride | decreases expression | 1 |
Cellosaurus cell lines
9 cell lines: 4 embryonic stem cell, 3 induced pluripotent stem cell, 2 cancer cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_A6L1 | SEES3-1V human SOX10, clone1 | Embryonic stem cell | Male |
| CVCL_A6L2 | SEES3-1V human SOX10, clone2 | Embryonic stem cell | Male |
| CVCL_A6L3 | SEES3-1V human SOX10, clone3 | Embryonic stem cell | Male |
| CVCL_A9SY | IMAGINi022-A | Induced pluripotent stem cell | Female |
| CVCL_B0JR | WAe009-A-71 | Embryonic stem cell | Female |
| CVCL_B5QQ | CPGHi005-A | Induced pluripotent stem cell | Male |
| CVCL_B8PW | Abcam HCT 116 SOX10 KO | Cancer cell line | Male |
| CVCL_B9SC | Abcam A-549 SOX10 KO | Cancer cell line | Male |
| CVCL_YP17 | JTUi002-A | Induced pluripotent stem cell | Male |
Clinical trials (associated diseases)
18 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT01403532 | PHASE4 | COMPLETED | Sequential Therapy for Hypogonadotropic Hypogonadism |
| NCT02880280 | PHASE4 | UNKNOWN | Human Menopausal Gonadotropin Combining With Human Chorionic Gonadotropin Treat Congenital Hypogonadotropic Hypogonadism |
| NCT03687606 | PHASE4 | UNKNOWN | Efficacy and Safety of Long Term Use of hCG or hCG Plus hMG in Males With Isolated Hypogonadotropic Hypogonadism (IHH) |
| NCT00064987 | PHASE2 | TERMINATED | Follicle Stimulating Hormone (FSH) to Improve Testicular Development in Men With Hypogonadism |
| NCT00392756 | PHASE1 | COMPLETED | Examination of Idiopathic Hypogonadotropic Hypogonadism (IHH)and Kallmann Syndrome (KS) |
| NCT00493961 | PHASE1 | COMPLETED | Studying the Effects of 7 Days of Gonadotropin Releasing Hormone (GnRH) Treatment in Men With Hypogonadism |
| NCT00914823 | PHASE1 | COMPLETED | Kisspeptin Administration in the Adult |
| NCT01438034 | PHASE1 | COMPLETED | Kisspeptin in the Evaluation of Delayed Puberty |
| NCT03118479 | PHASE1 | TERMINATED | Effect of Varying Testosterone Levels on Insulin Sensitivity in Men With Idiopathic Hypogonadotropic Hypogonadism (IHH) |
| NCT03655223 | Not specified | ENROLLING_BY_INVITATION | Early Check: Expanded Screening in Newborns |
| NCT00392457 | Not specified | COMPLETED | Investigating the Regulation of Reproductive Hormones in Adult Men |
| NCT00494169 | Not specified | COMPLETED | Investigation of the Genetic Causes of Kallmann Syndrome and Reproductive Disorders |
| NCT00623116 | Not specified | UNKNOWN | A Study to Characterize Epidemiology, Clinical and Genetic Features of Kallmann Syndrome in Finland |
| NCT01601171 | Not specified | RECRUITING | Genetics of Reproductive Disorders (Including Kallmann Syndrome) and Cleft Lip and/or Palate |
| NCT01914172 | Not specified | COMPLETED | Health Needs of Patients With Kallmann Syndrome |
| NCT04463316 | Not specified | RECRUITING | GROWing Up With Rare GENEtic Syndromes |
| NCT04733274 | Not specified | ACTIVE_NOT_RECRUITING | Patient and Healthcare Professional Views on Genetic/Genomic Information and Testing |
| NCT05971836 | Not specified | ACTIVE_NOT_RECRUITING | The Molecular Basis of Inherited Reproductive Disorders |
Related Atlas pages
- Associated diseases: PCWH syndrome, Waardenburg syndrome type 4C, Waardenburg syndrome type 2E, Kallmann syndrome, Waardenburg syndrome type 2, Waardenburg syndrome type 4A, deaf blind hypopigmentation syndrome, Yemenite type, melanoma
- Biomarker drugs (CIViC) (drugs whose response is associated with variants in this gene — CIViC predictive evidence, not targeting): Vemurafenib
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): deaf blind hypopigmentation syndrome, Yemenite type, Kallmann syndrome, melanoma, PCWH syndrome, Waardenburg syndrome type 2, Waardenburg syndrome type 2E, Waardenburg syndrome type 4C, Waardenburg-Shah syndrome