SYN1
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Summary
SYN1 (synapsin I, HGNC:11494) is a protein-coding gene on chromosome Xp11.3-p11.23, encoding Synapsin-1 (P17600). Neuronal phosphoprotein that coats synaptic vesicles, and binds to the cytoskeleton. It is haploinsufficient (ClinGen: sufficient evidence).
This gene is a member of the synapsin gene family. Synapsins encode neuronal phosphoproteins which associate with the cytoplasmic surface of synaptic vesicles. Family members are characterized by common protein domains, and they are implicated in synaptogenesis and the modulation of neurotransmitter release, suggesting a potential role in several neuropsychiatric diseases. This member of the synapsin family plays a role in regulation of axonogenesis and synaptogenesis. The protein encoded serves as a substrate for several different protein kinases and phosphorylation may function in the regulation of this protein in the nerve terminal. Mutations in this gene may be associated with X-linked disorders with primary neuronal degeneration such as Rett syndrome. Alternatively spliced transcript variants encoding different isoforms have been identified.
Source: NCBI Gene 6853 — RefSeq curated summary.
At a glance
- Gene–disease (curated): X-linked complex neurodevelopmental disorder (Definitive, ClinGen) — +2 more curated relationships
- Clinical variants (ClinVar): 705 total — 46 pathogenic, 18 likely-pathogenic
- Phenotypes (HPO): 10
- Dosage sensitivity (ClinGen): haploinsufficiency sufficient evidence, triplosensitivity no evidence
- MANE Select transcript:
NM_006950
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:11494 |
| Approved symbol | SYN1 |
| Name | synapsin I |
| Location | Xp11.3-p11.23 |
| Locus type | gene with protein product |
| Status | Approved |
| Ensembl gene | ENSG00000008056 |
| Ensembl biotype | protein_coding |
| OMIM | 313440 |
| Entrez | 6853 |
Gene structure
Transcript identifiers
Ensembl transcripts: 7 — 6 protein_coding, 1 retained_intron
ENST00000295987, ENST00000340666, ENST00000638337, ENST00000639776, ENST00000640721, ENST00000950906, ENST00000950907
RefSeq mRNA: 2 — MANE Select: NM_006950
NM_006950, NM_133499
CCDS: CCDS14280, CCDS35233
Canonical transcript exons
ENST00000295987 — 13 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000361448 | 47575128 | 47575274 |
| ENSE00000669348 | 47574002 | 47574590 |
| ENSE00000669350 | 47574688 | 47574775 |
| ENSE00000669354 | 47576131 | 47576233 |
| ENSE00000669361 | 47577439 | 47577501 |
| ENSE00000867029 | 47604978 | 47605067 |
| ENSE00000867030 | 47605223 | 47605379 |
| ENSE00000867031 | 47606945 | 47607036 |
| ENSE00000867032 | 47607141 | 47607198 |
| ENSE00001368328 | 47619352 | 47619857 |
| ENSE00001472563 | 47571901 | 47572999 |
| ENSE00001601408 | 47576498 | 47576640 |
| ENSE00001715201 | 47576332 | 47576406 |
Expression profiles
Bgee: expression breadth ubiquitous, 190 present calls, max score 99.08.
FANTOM5 (CAGE): breadth broad, TPM avg 9.4518 / max 584.3615, expressed in 724 samples.
FANTOM5 promoters (10 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 199128 | 8.2505 | 365 |
| 199104 | 0.4775 | 209 |
| 199106 | 0.2960 | 158 |
| 199129 | 0.1185 | 72 |
| 199127 | 0.0739 | 46 |
| 199131 | 0.0739 | 35 |
| 199130 | 0.0697 | 39 |
| 199132 | 0.0351 | 15 |
| 199103 | 0.0286 | 7 |
| 199105 | 0.0281 | 7 |
Top tissues by expression
280 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| right frontal lobe | UBERON:0002810 | 99.08 | gold quality |
| right hemisphere of cerebellum | UBERON:0014890 | 98.80 | gold quality |
| prefrontal cortex | UBERON:0000451 | 98.61 | gold quality |
| cerebellar hemisphere | UBERON:0002245 | 98.59 | gold quality |
| cerebellar cortex | UBERON:0002129 | 98.55 | gold quality |
| anterior cingulate cortex | UBERON:0009835 | 98.38 | gold quality |
| cingulate cortex | UBERON:0003027 | 98.36 | gold quality |
| frontal cortex | UBERON:0001870 | 98.29 | gold quality |
| frontal lobe | UBERON:0016525 | 98.29 | gold quality |
| Brodmann (1909) area 9 | UBERON:0013540 | 98.24 | gold quality |
| dorsolateral prefrontal cortex | UBERON:0009834 | 98.23 | gold quality |
| cerebellum | UBERON:0002037 | 97.97 | gold quality |
| postcentral gyrus | UBERON:0002581 | 97.76 | gold quality |
| parietal lobe | UBERON:0001872 | 97.61 | gold quality |
| neocortex | UBERON:0001950 | 97.59 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 97.54 | gold quality |
| superior frontal gyrus | UBERON:0002661 | 97.52 | gold quality |
| CA1 field of hippocampus | UBERON:0003881 | 97.50 | gold quality |
| amygdala | UBERON:0001876 | 97.45 | gold quality |
| cerebral cortex | UBERON:0000956 | 96.99 | gold quality |
| temporal lobe | UBERON:0001871 | 96.87 | gold quality |
| entorhinal cortex | UBERON:0002728 | 96.55 | gold quality |
| hypothalamus | UBERON:0001898 | 96.49 | gold quality |
| orbitofrontal cortex | UBERON:0004167 | 96.39 | gold quality |
| nucleus accumbens | UBERON:0001882 | 96.36 | gold quality |
| Ammon’s horn | UBERON:0001954 | 96.34 | gold quality |
| telencephalon | UBERON:0001893 | 95.94 | gold quality |
| forebrain | UBERON:0001890 | 95.31 | gold quality |
| brain | UBERON:0000955 | 95.19 | gold quality |
| cortical plate | UBERON:0005343 | 94.81 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-GEOD-84465 | yes | 6.61 |
| E-ANND-3 | no | 2.66 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): EGR1, KDM5C, NRF1, POU2F2, REST, SP1
miRNA regulators (miRDB)
93 targeting SYN1, 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-4283 | 100.00 | 66.42 | 2097 |
| HSA-MIR-4673 | 100.00 | 66.64 | 1490 |
| HSA-MIR-4531 | 99.99 | 69.70 | 3181 |
| HSA-MIR-4645-5P | 99.98 | 65.81 | 1284 |
| HSA-MIR-19A-3P | 99.98 | 75.33 | 2762 |
| HSA-MIR-19B-3P | 99.98 | 75.44 | 2754 |
| HSA-MIR-6825-5P | 99.96 | 69.81 | 3431 |
| HSA-MIR-539-5P | 99.93 | 70.30 | 2855 |
| HSA-MIR-6857-5P | 99.87 | 65.32 | 985 |
| HSA-MIR-3151-5P | 99.86 | 63.83 | 1069 |
| HSA-MIR-544A | 99.84 | 68.66 | 1965 |
| HSA-MIR-6756-5P | 99.82 | 67.97 | 2466 |
| HSA-MIR-4799-5P | 99.82 | 70.60 | 2663 |
| HSA-MIR-448 | 99.79 | 72.37 | 2103 |
| HSA-MIR-4694-3P | 99.79 | 69.53 | 2640 |
| HSA-MIR-3913-5P | 99.78 | 67.26 | 968 |
| HSA-MIR-3680-3P | 99.75 | 72.51 | 3095 |
| HSA-MIR-92A-2-5P | 99.75 | 67.01 | 2164 |
| HSA-MIR-6764-5P | 99.75 | 67.89 | 2304 |
| HSA-MIR-6745 | 99.74 | 65.33 | 1321 |
| HSA-MIR-4306 | 99.72 | 70.50 | 3630 |
| HSA-MIR-377-5P | 99.70 | 65.28 | 712 |
| HSA-MIR-6086 | 99.70 | 65.38 | 699 |
| HSA-MIR-6766-5P | 99.68 | 67.70 | 2325 |
| HSA-MIR-3202 | 99.66 | 67.70 | 2737 |
| HSA-MIR-6134 | 99.63 | 65.68 | 1537 |
| HSA-MIR-1915-3P | 99.58 | 66.79 | 1988 |
| HSA-MIR-182-3P | 99.57 | 67.57 | 825 |
| HSA-MIR-513C-5P | 99.50 | 68.42 | 1730 |
| HSA-MIR-514B-5P | 99.50 | 68.19 | 1766 |
Functional genomics
ClinGen dosage: haploinsufficiency 3 (sufficient evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map
Literature-anchored findings (GeneRIF, showing 26)
- The results showed that synapsin I was significantly decreased in the stratum radiatum of CA1 subfield and the molecular layer of DG in AD patients. (PMID:14673601)
- SYN1 nonsense mutation is the likely cause of epileptic and other phenotypes (PMID:14985377)
- Synapsins and S100A1 interact in nerve terminals where coexpresssed; S100A1 cannot bind SV-associated synapsin I and may function as a cytoplasmic store of monomeric synapsin I; synapsin dimerization and interaction with S100A1 are mutually exclusive (PMID:15147519)
- This study concluded that the human synapsin I gene is positively regulated by nuclear respiratory factor 1 and mediates the function of nuclear respiratory factor 1 in neurite outgrowth. (PMID:19301426)
- The authors propose claudin-2 and SYN1 work in concert to enhance microbial translocation across the intestinal epithelial barrier to contribute to chronic immune activation and CD4 T-cell depletion in HIV-1-infected patients. (PMID:20700059)
- the nucleocytoplasmic shuttling of dysbindin-1 regulates synapsin I expression and thus may be involved in the pathogenesis of schizophrenia. (PMID:20921223)
- SYN1 loss-of-function mutations in autism and partial epilepsy cause impaired synaptic function. (PMID:21441247)
- The histone modification marks were significantly increased in major depression and this effect was correlated with significant increases in SYN1b gene expression. (PMID:22571925)
- The allelic frequencies of SYN1 are associated with Korean female schizophrenia. (PMID:22807112)
- A conserved region of human and mouse SYN1 promoters contains cis-sites for the transcriptional activator Sp1 in close proximity to REST binding motifs. (PMID:23250796)
- Epileptogenic Q555X SYN1 mutant triggers imbalances in release dynamics and short-term plasticity. (PMID:23406870)
- Data indicate that in patients carrying the W356x mutation the function of synapsin I is markedly impaired, and support the value of Syn1(-/-) mice as an experimental model mimicking the human pathology. (PMID:23818987)
- The implementation of the AlphaScreen pSYN1 assay and future development of additional primary neuronal HTS assays provides an attractive approach for discovery of novel classes of therapeutic candidates for a variety of CNS disorders. (PMID:24088370)
- these findings suggest PRICKLE1 mutations contribute to ASD by disrupting the interaction with SYN1 and regulation of synaptic vesicles. (PMID:24312498)
- Patterns of the immunoreactivity with antibodies to SNAP-25, synapsin-I and synaptophysin are completely appropriate to those of adult’s OB on the 38-40 weeks of the prenatal development. (PMID:26204769)
- Cerebral malaria causes pre-synaptic excitation and eventually activation of synapsin I, leading to increased neurotransmitter release. (PMID:26823711)
- These findings contribute to previous work showing dysregulation of Synapsins, particularly SYN2, in mood disorders and improve our understanding of the regulatory mechanisms that precipitate these changes likely leading to the BD or MDD phenotype. (PMID:27515700)
- Authors identified the c.236 C > G/p.S79W mutation in SYN1 as causative for the non-syndromic ID of the MRX50 family. Accordingly, the in vitro characterization of S79W SynI clearly indicates that the mutation does not interfere with neurodevelopmental aspects, but perturbs spontaneous SV exocytosis, SV clustering and SV lateral mobility along axons. (PMID:28973667)
- A surface-based group study using novel diffusion and quantitative multiparametric imaging on 13 SYN1Q555X mutation carriers and 13 age- and sex-matched controls. Results showed significant microstructural alterations in several regions usually involved in oral and written language as well as dyslexia. The most significant changes in these regions were lowered mean diffusivity and increased fractional anisotropy. (PMID:29671924)
- Autoantibodies to synapsin I sequestrate synapsin I and alter synaptic function. (PMID:31727880)
- Semaphorin 3A controls enteric neuron connectivity and is inversely associated with synapsin 1 expression in Hirschsprung disease. (PMID:32934297)
- Cooperative function of synaptophysin and synapsin in the generation of synaptic vesicle-like clusters in non-neuronal cells. (PMID:33431828)
- Synapsin Condensates Recruit alpha-Synuclein. (PMID:33774037)
- Familial SYN1 variants related neurodevelopmental disorders in Asian pediatric patients. (PMID:34243774)
- An interaction between synapsin and C9orf72 regulates excitatory synapses and is impaired in ALS/FTD. (PMID:35876881)
- Novel SYN1 Variant in Two Brothers with Focal Epilepsy and Their Prompt Response to Valproate. (PMID:36693418)
Cross-species orthologs
3 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| mus_musculus | Syn1 | ENSMUSG00000037217 |
| rattus_norvegicus | Syn1 | ENSRNOG00000010365 |
| caenorhabditis_elegans | WBGENE00004913 |
Paralogs (2): SYN2 (ENSG00000157152), SYN3 (ENSG00000185666)
Protein
Protein identifiers
Synapsin-1 — P17600 (reviewed: P17600)
Alternative names: Brain protein 4.1, Synapsin I
All UniProt accessions (3): P17600, A0A1W2PS00, A0A1W2PSE9
UniProt curated annotations — full annotation on UniProt →
Function. Neuronal phosphoprotein that coats synaptic vesicles, and binds to the cytoskeleton. Acts as a regulator of synaptic vesicles trafficking, involved in the control of neurotransmitter release at the pre-synaptic terminal. Also involved in the regulation of axon outgrowth and synaptogenesis. The complex formed with NOS1 and CAPON proteins is necessary for specific nitric-oxid functions at a presynaptic level.
Subunit / interactions. Homodimer. Can form oligomers with SYN2. Interacts with CAPON. Forms a ternary complex with NOS1. Isoform Ib interacts with PRNP.
Subcellular location. Synapse. Golgi apparatus. Presynapse. Cytoplasmic vesicle. Secretory vesicle. Synaptic vesicle.
Post-translational modifications. Substrate of different protein kinases. Phosphorylated by CaMK2 and MAPK1. Phosphorylation, including phosphorylation at Ser-9, promotes synapsin-1 dissociation from synaptic vesicles, regulates its rate of dispersion, and controls the kinetics of vesicle pool turnover and neurotransmitter release.
Disease relevance. Epilepsy, X-linked 1, with variable learning disabilities and behavior disorders (EPILX1) [MIM:300491] A neurologic disorder characterized by variable combinations of epilepsy, learning difficulties, macrocephaly, and aggressive behavior. The disease is caused by variants affecting the gene represented in this entry. Intellectual developmental disorder, X-linked 50 (XLID50) [MIM:300115] A form of intellectual disability, a disorder characterized by significantly below average general intellectual functioning associated with impairments in adaptive behavior and manifested during the developmental period. Intellectual deficiency is the only primary symptom of non-syndromic X-linked forms, while syndromic forms present with associated physical, neurological and/or psychiatric manifestations. The disease is caused by variants affecting the gene represented in this entry.
Domain organisation. The A region binds phospholipids with a preference for negatively charged species.
Similarity. Belongs to the synapsin family.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| P17600-1 | IA | yes |
| P17600-2 | IB |
RefSeq proteins (2): NP_008881, NP_598006 (=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR001359 | Synapsin | Family |
| IPR013815 | ATP_grasp_subdomain_1 | Homologous_superfamily |
| IPR016185 | PreATP-grasp_dom_sf | Homologous_superfamily |
| IPR019735 | Synapsin_CS | Conserved_site |
| IPR019736 | Synapsin_P_site | PTM |
| IPR020897 | Synapsin_pre-ATP-grasp_dom | Domain |
| IPR020898 | Synapsin_ATP-bd_dom | Domain |
Pfam: PF02078, PF02750, PF10581
UniProt features (57 total): modified residue 23, compositionally biased region 9, glycosylation site 9, region of interest 7, sequence variant 4, splice variant 2, sequence conflict 2, chain 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P17600-F1 | 69.86 | 0.44 |
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 (23): 9, 39, 62, 67, 312, 427, 430, 432, 436, 438, 476, 534, 547, 551, 553, 556, 568, 605, 622, 663 …
Glycosylation sites (9): 55, 87, 96, 103, 261, 432, 526, 564, 578
Function
Pathways and Gene Ontology
Reactome pathways
8 pathways
| ID | Pathway |
|---|---|
| R-HSA-181429 | Serotonin Neurotransmitter Release Cycle |
| R-HSA-212676 | Dopamine Neurotransmitter Release Cycle |
| R-HSA-9662360 | Sensory processing of sound by inner hair cells of the cochlea |
| R-HSA-112310 | Neurotransmitter release cycle |
| R-HSA-112315 | Transmission across Chemical Synapses |
| R-HSA-112316 | Neuronal System |
| R-HSA-9659379 | Sensory processing of sound |
| R-HSA-9709957 | Sensory Perception |
MSigDB gene sets: 208 (showing top):
GOBP_SYNAPTIC_VESICLE_LOCALIZATION, MODULE_274, GOBP_VESICLE_LOCALIZATION, MODULE_563, GOBP_REGULATION_OF_EXOCYTOSIS, GOBP_NEUROTRANSMITTER_TRANSPORT, GOBP_NEUROGENESIS, GOBP_VESICLE_MEDIATED_TRANSPORT, GOBP_CELL_CELL_SIGNALING, GOBP_REGULATION_OF_VESICLE_MEDIATED_TRANSPORT, VART_KSHV_INFECTION_ANGIOGENIC_MARKERS_UP, GOBP_EXOCYTOSIS, GOBP_CELL_JUNCTION_ORGANIZATION, GATA3_01, REACTOME_DOPAMINE_NEUROTRANSMITTER_RELEASE_CYCLE
GO Biological Process (10): chemical synaptic transmission (GO:0007268), neurotransmitter secretion (GO:0007269), regulation of neurotransmitter secretion (GO:0046928), neuron development (GO:0048666), synapse organization (GO:0050808), synaptic vesicle clustering (GO:0097091), regulation of synaptic vesicle cycle (GO:0098693), regulation of synaptic vesicle exocytosis (GO:2000300), modulation of chemical synaptic transmission (GO:0050804), synaptic vesicle cycle (GO:0099504)
GO Molecular Function (7): actin binding (GO:0003779), ATP binding (GO:0005524), protein kinase binding (GO:0019901), identical protein binding (GO:0042802), calcium-dependent protein binding (GO:0048306), cytoskeletal protein-membrane anchor activity (GO:0106006), protein binding (GO:0005515)
GO Cellular Component (16): synaptonemal complex (GO:0000795), Golgi apparatus (GO:0005794), cytoskeleton (GO:0005856), synaptic vesicle (GO:0008021), postsynaptic density (GO:0014069), axon (GO:0030424), dendrite (GO:0030425), synaptic vesicle membrane (GO:0030672), cell body (GO:0044297), presynaptic active zone (GO:0048786), Schaffer collateral - CA1 synapse (GO:0098685), presynapse (GO:0098793), extrinsic component of synaptic vesicle membrane (GO:0098850), cytoplasmic vesicle (GO:0031410), cell projection (GO:0042995), synapse (GO:0045202)
Reactome top-level categories
Rollup of top-5 pathways:
| Category | Pathways |
|---|---|
| Neurotransmitter release cycle | 2 |
| Sensory processing of sound | 1 |
| Transmission across Chemical Synapses | 1 |
| Neuronal System | 1 |
| Sensory Perception | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| presynapse | 4 |
| cellular anatomical structure | 4 |
| chemical synaptic transmission | 2 |
| establishment of localization in cell | 2 |
| synaptic vesicle cycle | 2 |
| protein binding | 2 |
| cytoplasm | 2 |
| neuron projection | 2 |
| synapse | 2 |
| anterograde trans-synaptic signaling | 1 |
| neurotransmitter transport | 1 |
| signal release from synapse | 1 |
| neurotransmitter secretion | 1 |
| modulation of chemical synaptic transmission | 1 |
| regulation of neurotransmitter transport | 1 |
| regulation of secretion by cell | 1 |
| neuron differentiation | 1 |
| cell development | 1 |
| cell junction organization | 1 |
| synaptic vesicle localization | 1 |
| regulation of vesicle-mediated transport | 1 |
| synaptic vesicle exocytosis | 1 |
| regulation of neurotransmitter secretion | 1 |
| regulation of regulated secretory pathway | 1 |
| regulation of trans-synaptic signaling | 1 |
| vesicle-mediated transport in synapse | 1 |
| cytoskeletal protein binding | 1 |
| adenyl ribonucleotide binding | 1 |
| purine ribonucleoside triphosphate binding | 1 |
| kinase binding | 1 |
| calcium ion binding | 1 |
| cytoskeletal adaptor activity | 1 |
| lipid binding | 1 |
| protein-membrane adaptor activity | 1 |
| binding | 1 |
| synaptonemal structure | 1 |
| endomembrane system | 1 |
| intracellular membrane-bounded organelle | 1 |
| intracellular membraneless organelle | 1 |
| exocytic vesicle | 1 |
Protein interactions and networks
STRING
3098 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| SYN1 | DLG4 | P78352 | 951 |
| SYN1 | SYP | P08247 | 900 |
| SYN1 | SNAP25 | P13795 | 886 |
| SYN1 | GAP43 | P17677 | 886 |
| SYN1 | RIC8B | Q9NVN3 | 872 |
| SYN1 | SLC17A7 | Q9P2U7 | 865 |
| SYN1 | SYT1 | P21579 | 862 |
| SYN1 | VAMP2 | P19065 | 836 |
| SYN1 | MARCKS | P29966 | 835 |
| SYN1 | MAPT | P10636 | 826 |
| SYN1 | CALM1 | P02593 | 818 |
| SYN1 | RAB3A | P20336 | 817 |
| SYN1 | SLC32A1 | Q9H598 | 816 |
| SYN1 | CALML4 | Q96GE6 | 799 |
| SYN1 | GRIA1 | P42261 | 793 |
IntAct
29 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| EGFR | SYN1 | psi-mi:“MI:0915”(physical association) | 0.550 |
| SYN1 | EGFR | psi-mi:“MI:0915”(physical association) | 0.550 |
| YWHAZ | BLTP3B | psi-mi:“MI:0914”(association) | 0.530 |
| NUFIP1 | PDE2A | psi-mi:“MI:0914”(association) | 0.530 |
| SNCA | SYN1 | psi-mi:“MI:2364”(proximity) | 0.420 |
| SNCA | SYN1 | psi-mi:“MI:0914”(association) | 0.420 |
| RB1CC1 | SYN1 | psi-mi:“MI:0915”(physical association) | 0.370 |
| SYN1 | LUC7L3 | psi-mi:“MI:0914”(association) | 0.350 |
| MAPT | NCAN | psi-mi:“MI:0914”(association) | 0.350 |
| PRNP | SYNJ1 | psi-mi:“MI:0914”(association) | 0.350 |
| PRNP | MBP | psi-mi:“MI:0914”(association) | 0.350 |
| SNAP25 | STX7 | psi-mi:“MI:0914”(association) | 0.350 |
| MAPT | SHTN1 | psi-mi:“MI:0914”(association) | 0.350 |
| YWHAE | DEPDC5 | psi-mi:“MI:0914”(association) | 0.350 |
| GPM6A | KIF2A | psi-mi:“MI:0914”(association) | 0.350 |
| HAX1 | DNM1L | psi-mi:“MI:0914”(association) | 0.350 |
| DNAAF2 | DNM1L | psi-mi:“MI:0914”(association) | 0.350 |
| DGUOK | BIN1 | psi-mi:“MI:0914”(association) | 0.350 |
| DUSP2 | SYN3 | psi-mi:“MI:0914”(association) | 0.350 |
| ARMC1 | DCX | psi-mi:“MI:0914”(association) | 0.350 |
| VCP | FAM171A2 | psi-mi:“MI:0914”(association) | 0.350 |
| MAPT | DCTN6 | psi-mi:“MI:2364”(proximity) | 0.270 |
| SYN1 | KAT5 | psi-mi:“MI:0915”(physical association) | 0.000 |
| SYN1 | SYN1 | psi-mi:“MI:0915”(physical association) | 0.000 |
| SYN1 | VIM | psi-mi:“MI:0915”(physical association) | 0.000 |
BioGRID (61): SYN1 (Affinity Capture-MS), SYN1 (Affinity Capture-MS), SYN1 (Affinity Capture-MS), SYN1 (Affinity Capture-MS), SYN1 (Affinity Capture-MS), SYN1 (Two-hybrid), GTF3C2 (Affinity Capture-MS), PSMD2 (Affinity Capture-MS), VPS54 (Affinity Capture-MS), LUC7L3 (Affinity Capture-MS), DGCR8 (Affinity Capture-MS), ERGIC1 (Affinity Capture-MS), SAP130 (Affinity Capture-MS), ANTXR1 (Affinity Capture-MS), ERI1 (Affinity Capture-MS)
ESM2 similar proteins: A1L020, A8IH47, A8INQ0, A8JID5, D4P3R7, F1LP90, O49067, O88935, O96013, P09951, P17600, P53814, P83510, Q01JD1, Q05A36, Q10EL1, Q2QPW2, Q3UHD9, Q5QD03, Q5R8Z4, Q688R3, Q69T21, Q6C3D7, Q71FD5, Q75AS0, Q75DK7, Q7TSJ6, Q7XQN1, Q7XT42, Q80VW5, Q84SL2, Q8BTW9, Q8CGU4, Q8CI12, Q8N4C8, Q8NHG8, Q8TDN4, Q8VHH5, Q96G74, Q96KQ7
Diamond homologs: O14994, O62732, O70441, O88935, P09951, P17599, P17600, Q24546, Q63537, Q64332, Q6QM28, Q8JZP2, Q92777
SIGNOR signaling
19 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| SYN1 | down-regulates | Synaptic_vesicle_exocytosis | |
| PKA | “down-regulates activity” | SYN1 | phosphorylation |
| “BHC complex” | “down-regulates quantity by repression” | SYN1 | “transcriptional regulation” |
| SYN1 | “up-regulates activity” | RAB3A | binding |
| SYN1 | “up-regulates activity” | ACTB | binding |
| SYN1 | “up-regulates activity” | Actin_cytoskeleton_reorganization | binding |
| CDK5 | up-regulates | SYN1 | phosphorylation |
| PRKAA1 | “down-regulates activity” | SYN1 | phosphorylation |
| UHMK1 | unknown | SYN1 | phosphorylation |
| KDM5C | “down-regulates quantity by repression” | SYN1 | “transcriptional regulation” |
| PAK1 | “up-regulates activity” | SYN1 | phosphorylation |
| PAK2 | unknown | SYN1 | phosphorylation |
| PAK3 | “up-regulates activity” | SYN1 | phosphorylation |
| PAK | unknown | SYN1 | phosphorylation |
| PRKACA | “down-regulates activity” | SYN1 | phosphorylation |
| CAMK1 | “down-regulates activity” | SYN1 | phosphorylation |
| CAMK2G | unknown | SYN1 | phosphorylation |
Disease & clinical
Clinical variants and AI predictions
ClinVar
705 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 46 |
| Likely pathogenic | 18 |
| Uncertain significance | 308 |
| Likely benign | 223 |
| Benign | 16 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1067772 | NM_006950.3(SYN1):c.1941_1947dup (p.Ala650fs) | Pathogenic |
| 1068662 | NM_006950.3(SYN1):c.700C>T (p.Arg234Ter) | Pathogenic |
| 1074864 | NM_006950.3(SYN1):c.433_434del (p.Gln145fs) | Pathogenic |
| 1301801 | NM_006950.3(SYN1):c.1166dup (p.Ser390fs) | Pathogenic |
| 1326265 | NM_006950.3(SYN1):c.122del (p.Gly41fs) | Pathogenic |
| 1451507 | NM_006950.3(SYN1):c.1682dup (p.Gln562fs) | Pathogenic |
| 1456713 | NM_006950.3(SYN1):c.1258_1261dup (p.Gln421fs) | Pathogenic |
| 1489277 | NM_006950.3(SYN1):c.1385dup (p.Pro463fs) | Pathogenic |
| 1700040 | NM_006950.3(SYN1):c.39del (p.Phe13fs) | Pathogenic |
| 1700042 | NM_006950.3(SYN1):c.1258dup (p.Arg420fs) | Pathogenic |
| 1700043 | NM_006950.3(SYN1):c.980+43_981del | Pathogenic |
| 1700045 | NM_006950.3(SYN1):c.975del (p.Tyr326fs) | Pathogenic |
| 1700046 | NM_006950.3(SYN1):c.1729del (p.Ala577fs) | Pathogenic |
| 1700047 | NM_006950.3(SYN1):c.1794_1906del (p.Thr601fs) | Pathogenic |
| 1700048 | NM_006950.3(SYN1):c.1321dup (p.Ala441fs) | Pathogenic |
| 1710316 | NM_006950.3(SYN1):c.1444C>T (p.Gln482Ter) | Pathogenic |
| 1710318 | NM_006950.3(SYN1):c.527+1G>T | Pathogenic |
| 1710320 | NM_006950.3(SYN1):c.1406dup (p.Pro470fs) | Pathogenic |
| 1710321 | NM_006950.3(SYN1):c.1266del (p.Gln423fs) | Pathogenic |
| 1879762 | NM_006950.3(SYN1):c.691C>T (p.Gln231Ter) | Pathogenic |
| 207469 | NM_006950.3(SYN1):c.1264C>T (p.Arg422Ter) | Pathogenic |
| 2133546 | NM_006950.3(SYN1):c.1647_1650del (p.Ala550fs) | Pathogenic |
| 2133935 | NM_006950.3(SYN1):c.554_555insA (p.Arg186fs) | Pathogenic |
| 2694635 | NM_006950.3(SYN1):c.57_63del (p.Asn19fs) | Pathogenic |
| 2714242 | NM_006950.3(SYN1):c.1655del (p.Pro552fs) | Pathogenic |
| 2766607 | NM_006950.3(SYN1):c.98_114del (p.Pro33fs) | Pathogenic |
| 2822546 | NM_006950.3(SYN1):c.1287del (p.Arg430fs) | Pathogenic |
| 282790 | NM_006950.3(SYN1):c.377G>A (p.Trp126Ter) | Pathogenic |
| 2834690 | NM_006950.3(SYN1):c.1594C>T (p.Gln532Ter) | Pathogenic |
| 2849297 | NM_006950.3(SYN1):c.1208_1211del (p.Lys403fs) | Pathogenic |
SpliceAI
2390 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| X:47574686:AC:A | donor_gain | 1.0000 |
| X:47574687:CC:C | donor_gain | 1.0000 |
| X:47575122:CCTGA:C | donor_loss | 1.0000 |
| X:47575123:CTGA:C | donor_loss | 1.0000 |
| X:47575124:TGAC:T | donor_loss | 1.0000 |
| X:47575125:GACCT:G | donor_loss | 1.0000 |
| X:47575126:A:AT | donor_loss | 1.0000 |
| X:47575127:C:CT | donor_loss | 1.0000 |
| X:47575159:T:TA | donor_gain | 1.0000 |
| X:47575196:TGTTG:T | donor_gain | 1.0000 |
| X:47575270:ACCAC:A | acceptor_gain | 1.0000 |
| X:47575271:CCAC:C | acceptor_gain | 1.0000 |
| X:47575271:CCACC:C | acceptor_gain | 1.0000 |
| X:47575272:CACC:C | acceptor_gain | 1.0000 |
| X:47575273:AC:A | acceptor_gain | 1.0000 |
| X:47575274:CC:C | acceptor_gain | 1.0000 |
| X:47575274:CCT:C | acceptor_loss | 1.0000 |
| X:47575275:C:CC | acceptor_gain | 1.0000 |
| X:47575275:CT:C | acceptor_loss | 1.0000 |
| X:47576128:TA:T | donor_loss | 1.0000 |
| X:47576129:A:C | donor_loss | 1.0000 |
| X:47576130:CCT:C | donor_gain | 1.0000 |
| X:47576229:TGTAT:T | acceptor_gain | 1.0000 |
| X:47576230:GTAT:G | acceptor_gain | 1.0000 |
| X:47576231:TAT:T | acceptor_gain | 1.0000 |
| X:47576232:AT:A | acceptor_gain | 1.0000 |
| X:47576232:ATC:A | acceptor_loss | 1.0000 |
| X:47576233:TCT:T | acceptor_loss | 1.0000 |
| X:47576234:C:CC | acceptor_gain | 1.0000 |
| X:47576234:C:CG | acceptor_loss | 1.0000 |
AlphaMissense
4548 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| X:47572873:G:C | F703L | 1.000 |
| X:47572873:G:T | F703L | 1.000 |
| X:47572875:A:G | F703L | 1.000 |
| X:47572885:G:C | F699L | 1.000 |
| X:47572885:G:T | F699L | 1.000 |
| X:47572886:A:C | F699C | 1.000 |
| X:47572886:A:G | F699S | 1.000 |
| X:47572887:A:G | F699L | 1.000 |
| X:47572895:C:A | R696M | 1.000 |
| X:47576138:A:T | I384N | 1.000 |
| X:47576165:A:G | L375P | 1.000 |
| X:47576169:C:G | A374P | 1.000 |
| X:47576174:A:T | V372E | 1.000 |
| X:47576178:C:G | A371P | 1.000 |
| X:47576181:A:G | C370R | 1.000 |
| X:47576189:A:G | L367P | 1.000 |
| X:47576209:G:C | C360W | 1.000 |
| X:47576211:A:G | C360R | 1.000 |
| X:47576221:C:A | W356C | 1.000 |
| X:47576221:C:G | W356C | 1.000 |
| X:47576223:A:G | W356R | 1.000 |
| X:47576223:A:T | W356R | 1.000 |
| X:47576356:A:G | L344P | 1.000 |
| X:47576379:C:A | K336N | 1.000 |
| X:47576379:C:G | K336N | 1.000 |
| X:47576380:T:G | K336T | 1.000 |
| X:47576381:T:C | K336E | 1.000 |
| X:47576382:C:A | W335C | 1.000 |
| X:47576382:C:G | W335C | 1.000 |
| X:47576383:C:A | W335L | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000047738 (X:47597200 T>C), RS1000082751 (X:47586417 C>G), RS1000133980 (X:47579179 C>T), RS1000144047 (X:47573115 G>C), RS1000196781 (X:47572463 T>C), RS1000398847 (X:47597637 G>A), RS1000632535 (X:47610520 C>T), RS1000649794 (X:47596578 T>A), RS1000920962 (X:47618471 C>G,T), RS1000930549 (X:47572048 C>T), RS1001002728 (X:47599811 C>T), RS1001077846 (X:47583197 CAAT>C), RS1001096299 (X:47581904 C>T), RS1001108183 (X:47608972 G>A), RS1001190153 (X:47573380 G>T)
Disease associations
OMIM: gene MIM:313440 | disease phenotypes: MIM:300491, MIM:300115
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| epilepsy, X-linked 1, with variable learning disabilities and behavior disorders | Strong | X-linked |
| intellectual disability, X-linked 50 | Strong | X-linked |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| X-linked complex neurodevelopmental disorder | Definitive | XL |
Mondo (7): epilepsy, X-linked 1, with variable learning disabilities and behavior disorders (MONDO:0010339), intellectual disability, X-linked 50 (MONDO:0010251), epilepsy (MONDO:0005027), neurodevelopmental disorder (MONDO:0700092), X-linked complex neurodevelopmental disorder (MONDO:0100148), Klinefelter syndrome (MONDO:0006823), intellectual disability (MONDO:0001071)
Orphanet (3): X-linked epilepsy-learning disabilities-behavior disorders syndrome (Orphanet:85294), X-linked non-syndromic intellectual disability (Orphanet:777), NON RARE IN EUROPE: Unexplained intellectual disability (Orphanet:319658)
HPO phenotypes
10 total (10 of 10 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000256 | Macrocephaly |
| HP:0000718 | Aggressive behavior |
| HP:0000729 | Autistic behavior |
| HP:0001250 | Seizure |
| HP:0001256 | Mild intellectual disability |
| HP:0001328 | Specific learning disability |
| HP:0001417 | X-linked inheritance |
| HP:0001419 | X-linked recessive inheritance |
| HP:0001423 | X-linked dominant inheritance |
| HP:0007359 | Focal-onset seizure |
GWAS associations
0 associations (top):
MeSH disease descriptors (6)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D004827 | Epilepsy | C10.228.140.490 |
| D008607 | Intellectual Disability | C10.597.606.360; C23.888.592.604.646; F01.700.687; F03.625.539 |
| D007713 | Klinefelter Syndrome | C12.050.351.875.253.795.500; C12.200.706.316.795.500; C12.800.316.795.500; C16.131.260.830.835.500; C16.131.939.316.795.500; C16.320.180.830.835.500; C19.391.119.795.500; C19.391.482.629 |
| D065886 | Neurodevelopmental Disorders | F03.625 |
| C564505 | Epilepsy, X-Linked, with Variable Learning Disabilities and Behavior Disorders (supp.) | |
| C564713 | Mental Retardation, X-Linked 50 (supp.) |
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 |
|---|---|---|
| Particulate Matter | decreases expression, decreases reaction | 3 |
| Acetylcysteine | decreases reaction, decreases expression | 2 |
| Glutathione | decreases expression, decreases reaction | 2 |
| Lead | decreases expression, decreases reaction, increases abundance, affects expression | 2 |
| dicrotophos | increases expression | 1 |
| methylmercuric chloride | increases expression | 1 |
| mipafox | decreases expression | 1 |
| lead acetate | decreases expression, decreases reaction, increases abundance | 1 |
| O,O-diethyl O-3,5,6-trichloro-2-pyridyl phosphate | affects expression, affects response to substance | 1 |
| ethyl-p-hydroxybenzoate | decreases expression | 1 |
| cypermethrin | decreases expression | 1 |
| aluminum sulfate | decreases expression | 1 |
| cyfluthrin | decreases expression | 1 |
| CGP 52608 | affects binding, increases reaction | 1 |
| abrine | increases expression | 1 |
| bisphenol S | affects cotreatment, increases methylation | 1 |
| (+)-JQ1 compound | increases expression | 1 |
| Aripiprazole | decreases expression | 1 |
| Resveratrol | affects cotreatment, decreases expression | 1 |
| Decitabine | decreases expression, decreases reaction | 1 |
| Fulvestrant | affects cotreatment, increases methylation | 1 |
| Acetaminophen | decreases expression | 1 |
| Benzo(a)pyrene | affects methylation, decreases methylation, increases methylation | 1 |
| Colforsin | increases expression | 1 |
| Hemin | decreases expression, decreases reaction, increases abundance | 1 |
| Ivermectin | decreases expression | 1 |
| Paraoxon | decreases expression | 1 |
| Plant Extracts | affects cotreatment, decreases expression | 1 |
| S-Adenosylmethionine | decreases expression, decreases reaction | 1 |
| Trichlorfon | decreases expression | 1 |
Cellosaurus cell lines
1 cell lines: 1 cancer cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_B1HU | Abcam A-549 SYN1 KO | Cancer cell line | Male |
Clinical trials (associated diseases)
300 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00004637 | PHASE4 | COMPLETED | Double-Blind, Placebo-Controlled Trial of Vitamin E as Add-on Therapy for Children With Epilepsy |
| NCT00043914 | PHASE4 | COMPLETED | Measurement Of Serum Levels Of Two Antiepileptic Drugs During Conversion In Patients With Epilepsy |
| NCT00132223 | PHASE4 | UNKNOWN | Effects on the Diagnostic Accuracy of Magnetic Imaging Angiographies of the Supra-Aortic Vessels by Three Different Magnetic Resonance Contrast Agents in Patients |
| NCT00133081 | PHASE4 | UNKNOWN | Study to Improve the Treatment of Epilepsy (SITE) |
| NCT00137709 | PHASE4 | UNKNOWN | Hormone Profiles in Adults With Newly Diagnosed Epilepsy |
| NCT00154076 | PHASE4 | COMPLETED | A Multicenter Comparative Trial of Zonisamide and Topiramate as Initial Monotherapy in Untreated Epilepsies |
| NCT00165828 | PHASE4 | TERMINATED | Efficacy and Safety of an add-on Treatment With Zonisamide in Adults With Focal Epileptic Seizures With or Without Secondary Generalization |
| NCT00181116 | PHASE4 | COMPLETED | Levetiracetam for Benign Rolandic Epilepsy |
| NCT00207935 | PHASE4 | COMPLETED | Use of Sustained Release Antiepileptic Medication (Depakote® ER) for Pediatric Epilepsy in a Mental Retardation/Developmental Disorder Population |
| NCT00215592 | PHASE4 | COMPLETED | Open Label, Zonegran (Zonisamide) In Partial Onset Seizures |
| NCT00266604 | PHASE4 | COMPLETED | A Study to Evaluate the Dosing, Effectiveness and Safety of Topiramate for the Treatment of Epilepsy |
| NCT00288639 | PHASE4 | COMPLETED | Lyrica (Pregabalin) Administered as an Add-on Therapy for Partial Seizures (LEADER). |
| NCT00312676 | PHASE4 | UNKNOWN | Compare Tolerability of an Overnight Switch to Gradual Switch Between Two Different Forms of Depakote |
| NCT00323947 | PHASE4 | COMPLETED | Methylphenidate for Treating Attention Deficit Hyperactivity Disorder in Children With Both ADHD and Epilepsy |
| NCT00385411 | PHASE4 | COMPLETED | Study of Valproate in Young Patients Suffering From Epilepsy |
| NCT00522418 | PHASE4 | TERMINATED | Study Comparing Best Medical Practice With or Without VNS Therapy in Pharmacoresistant Partial Epilepsy Patients |
| NCT00537940 | PHASE4 | COMPLETED | Comparative Study Of Pregabalin And Gabapentin As Adjunctive Therapy In Subjects With Partial Seizures |
| NCT00552526 | PHASE4 | UNKNOWN | Ketogenic Diet vs.Antiepileptic Drug Treatment in Drug Resistant Epilepsy |
| NCT00564915 | PHASE4 | COMPLETED | RCT of the Efficacy of the Ketogenic Diet in the Treatment of Epilepsy |
| NCT00571155 | PHASE4 | COMPLETED | Trial of Levetiracetam in Patients With Primary Brain Tumors and Symptomatic Seizures Who Undergo Surgery |
| NCT00572195 | PHASE4 | COMPLETED | RNS® System LTT Study |
| NCT00610532 | PHASE4 | TERMINATED | Evaluating the Transporter Protein Inhibitor Probenecid In Patients With Epilepsy |
| NCT00630357 | PHASE4 | COMPLETED | Trial to Evaluate the Safety and Efficacy of Keppra After Conversion to Mono-therapy in Subjects With Partial Epilepsy |
| NCT00630630 | PHASE4 | COMPLETED | Study on Safety and Efficacy of Levetiracetam in the Adjunctive Treatment of Female Subjects With C1 Catamenial Epilepsy |
| NCT00630968 | PHASE4 | COMPLETED | S.K.A.T.E.: Safety of Keppra as Adjunctive Therapy in Epilepsy |
| NCT00631150 | PHASE4 | COMPLETED | A Phase IV-Pharmacovigilance Study of Keppra Greece - S.K.A.T.E.: Safety of Keppra as Adjunctive Therapy in Epilepsy |
| NCT00659958 | PHASE4 | COMPLETED | ZAGAL Study: Evaluating Effectiveness and Tolerability of Zonisamide as Adjunctive Therapy in Patients With Partial Onset Seizures Treated With Two Antiepileptic Drugs |
| NCT00713622 | PHASE4 | COMPLETED | Comparing The Effect On Cognition Of Adjunctive Therapy With Zonisamide Versus Sodium Valproate |
| NCT00807989 | PHASE4 | COMPLETED | The Efficacy and Safety of Low Dose Combination of LTG and VPA Compared to CBZ Monotherapy |
| NCT00832884 | PHASE4 | COMPLETED | The Safety of Intravenous Lacosamide |
| NCT00869622 | PHASE4 | COMPLETED | Antiepileptic Drugs and Osteoporotic Prevention Trial |
| NCT00896987 | PHASE4 | COMPLETED | Lamotrigine Cognitive Function Study in Adult Untreated Epilepsies |
| NCT00952081 | PHASE4 | COMPLETED | A Pilot Study to Evaluate Efficacy and Safety of Clevidipine in Neurosurgical Patients |
| NCT01118455 | PHASE4 | TERMINATED | Trial to Assess Vagus Nerve Stimulation Therapy vs. Anti-Epileptic Drug (AED) Treatment in Children With Refractory Seizures |
| NCT01127165 | PHASE4 | COMPLETED | Low and High Dose Zonisamide in Children as Monotherapy |
| NCT01127256 | PHASE4 | COMPLETED | Comparative Study of Zonisamide and Carbamazepine as an Initial Monotherapy: Efficacy and Safety Evaluation |
| NCT01140867 | PHASE4 | COMPLETED | Open-label, Multi-center Trial of Zonisamide as Adjunctive Therapy in Patients With Uncontrolled Partial Epilepsy |
| NCT01175954 | PHASE4 | COMPLETED | Cognitive and Behavioral Effects of Lacosamide |
| NCT01229735 | PHASE4 | COMPLETED | Levetiracetam Versus Topiramate as Adjunctive Therapy to Evaluate Efficacy and Safety in Subjects With Refractory Partial Onset Seizures |
| NCT01244724 | PHASE4 | TERMINATED | Lexapro for Major Depression in Patients With Epilepsy |
Related Atlas pages
- Associated diseases: epilepsy, X-linked 1, with variable learning disabilities and behavior disorders, intellectual disability, X-linked 50, 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): epilepsy, epilepsy, X-linked 1, with variable learning disabilities and behavior disorders, intellectual disability, X-linked 50, Klinefelter syndrome, X-linked complex neurodevelopmental disorder