XK
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Also known as XKR1KxX1k
Summary
XK (X-linked Kx blood group antigen, Kell and VPS13A binding protein, HGNC:12811) is a protein-coding gene on chromosome Xp21.1, encoding Endoplasmic reticulum membrane adapter protein XK (P51811). Recruits the lipid transfer protein VPS13A from lipid droplets to the endoplasmic reticulum (ER) membrane.
This locus controls the synthesis of the Kell blood group ‘precursor substance’ (Kx). Mutations in this gene have been associated with McLeod syndrome, an X-linked, recessive disorder characterized by abnormalities in the neuromuscular and hematopoietic systems. The encoded protein has structural characteristics of prokaryotic and eukaryotic membrane transport proteins.
Source: NCBI Gene 7504 — RefSeq curated summary.
At a glance
- Gene–disease (curated): XK-related neurodegenerative disease (Strong, GenCC)
- GWAS associations: 1,968
- Clinical variants (ClinVar): 139 total — 14 pathogenic, 1 likely-pathogenic
- Phenotypes (HPO): 31
- MANE Select transcript:
NM_021083
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:12811 |
| Approved symbol | XK |
| Name | X-linked Kx blood group antigen, Kell and VPS13A binding protein |
| Location | Xp21.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | XKR1, Kx, X1k |
| Ensembl gene | ENSG00000047597 |
| Ensembl biotype | protein_coding |
| OMIM | 314850 |
| Entrez | 7504 |
Gene structure
Transcript identifiers
Ensembl transcripts: 1 — 1 protein_coding
ENST00000378616
RefSeq mRNA: 1 — MANE Select: NM_021083
NM_021083
CCDS: CCDS14241
Canonical transcript exons
ENST00000378616 — 3 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000668235 | 37694286 | 37694548 |
| ENSE00001478096 | 37727636 | 37732130 |
| ENSE00001478097 | 37685791 | 37686206 |
Expression profiles
Bgee: expression breadth ubiquitous, 221 present calls, max score 95.47.
FANTOM5 (CAGE): breadth broad, TPM avg 3.4384 / max 274.4853, expressed in 577 samples.
FANTOM5 promoters (3 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 195894 | 2.6648 | 430 |
| 195893 | 0.3939 | 148 |
| 195895 | 0.3796 | 180 |
Top tissues by expression
276 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| trabecular bone tissue | UBERON:0002483 | 95.47 | gold quality |
| jejunal mucosa | UBERON:0000399 | 93.68 | gold quality |
| colonic mucosa | UBERON:0000317 | 91.38 | gold quality |
| mucosa of sigmoid colon | UBERON:0004993 | 90.88 | gold quality |
| endothelial cell | CL:0000115 | 90.44 | gold quality |
| duodenum | UBERON:0002114 | 85.84 | gold quality |
| bone marrow | UBERON:0002371 | 85.29 | gold quality |
| ileal mucosa | UBERON:0000331 | 84.59 | gold quality |
| jejunum | UBERON:0002115 | 84.13 | gold quality |
| middle temporal gyrus | UBERON:0002771 | 83.51 | gold quality |
| Brodmann (1909) area 23 | UBERON:0013554 | 83.50 | gold quality |
| rectum | UBERON:0001052 | 83.03 | gold quality |
| monocyte | CL:0000576 | 82.74 | gold quality |
| mononuclear cell | CL:0000842 | 82.39 | gold quality |
| superior frontal gyrus | UBERON:0002661 | 81.05 | gold quality |
| leukocyte | CL:0000738 | 81.04 | gold quality |
| postcentral gyrus | UBERON:0002581 | 81.03 | gold quality |
| blood vessel layer | UBERON:0004797 | 80.41 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 80.02 | gold quality |
| mucosa of transverse colon | UBERON:0004991 | 79.98 | gold quality |
| entorhinal cortex | UBERON:0002728 | 79.67 | gold quality |
| large intestine | UBERON:0000059 | 79.30 | gold quality |
| orbitofrontal cortex | UBERON:0004167 | 79.28 | gold quality |
| parietal lobe | UBERON:0001872 | 78.90 | gold quality |
| colon | UBERON:0001155 | 78.85 | gold quality |
| sigmoid colon | UBERON:0001159 | 78.39 | gold quality |
| bone marrow cell | CL:0002092 | 77.82 | gold quality |
| transverse colon | UBERON:0001157 | 77.78 | gold quality |
| skeletal muscle tissue of rectus abdominis | UBERON:0004511 | 77.54 | silver quality |
| intestine | UBERON:0000160 | 77.37 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 2.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-ANND-3 | yes | 4.53 |
| E-MTAB-9067 | yes | 3.17 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
157 targeting XK, 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-3646 | 100.00 | 73.56 | 5283 |
| HSA-MIR-1277-5P | 100.00 | 73.95 | 5056 |
| HSA-MIR-3613-3P | 100.00 | 76.36 | 7965 |
| HSA-MIR-29A-3P | 100.00 | 73.11 | 1835 |
| HSA-MIR-29B-3P | 100.00 | 73.18 | 1833 |
| HSA-MIR-29C-3P | 100.00 | 73.15 | 1833 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-4500 | 99.99 | 72.72 | 2367 |
| HSA-MIR-548C-3P | 99.99 | 74.01 | 7587 |
| HSA-MIR-33A-5P | 99.99 | 68.62 | 1055 |
| HSA-MIR-33B-5P | 99.99 | 68.58 | 1062 |
| HSA-MIR-4775 | 99.98 | 75.00 | 6394 |
| HSA-MIR-4715-3P | 99.98 | 66.03 | 670 |
| HSA-LET-7A-5P | 99.98 | 72.29 | 1790 |
| HSA-LET-7B-5P | 99.98 | 72.31 | 1790 |
| HSA-LET-7C-5P | 99.98 | 72.29 | 1790 |
| HSA-LET-7E-5P | 99.98 | 72.29 | 1790 |
| HSA-LET-7F-5P | 99.98 | 72.56 | 1784 |
| HSA-LET-7G-5P | 99.98 | 72.37 | 1784 |
| HSA-LET-7I-5P | 99.98 | 72.37 | 1788 |
| HSA-MIR-98-5P | 99.98 | 72.33 | 1787 |
| HSA-MIR-3148 | 99.97 | 75.06 | 6478 |
| HSA-MIR-4458 | 99.96 | 71.64 | 1650 |
| HSA-LET-7D-5P | 99.96 | 71.76 | 1632 |
| HSA-MIR-6825-5P | 99.96 | 69.81 | 3431 |
| HSA-MIR-1250-3P | 99.96 | 70.04 | 4038 |
| HSA-MIR-548AA | 99.96 | 70.64 | 3753 |
| HSA-MIR-548AP-3P | 99.96 | 70.64 | 3753 |
| HSA-MIR-548T-3P | 99.96 | 70.64 | 3753 |
Literature-anchored findings (GeneRIF, showing 10)
- In human cortex, the results show expression of XK in cortical neurons with an apparent cytoplasmic localization. (PMID:17379193)
- Sequence analysis demonstrated a 5 bp deletion in exon 2 of the XK gene in McLeod syndrome. (PMID:17469188)
- This study identified one non-synonymous and one intron variant in mood disorder and schizophrenia subjects, respectively, in XK. (PMID:21145924)
- Novel XK protein mutations are reported in two patients who exhibit typical clinical characteristics of McLeod syndrome. (PMID:21463873)
- study reports the clinical findings and a novel nonsense hemizygous mutation, c.154C>T (p.Gln52X) at exon 1 of XK gene in a Taiwanese family with McLeod syndrome (PMID:24635891)
- The XK gene was not linked to hypermutability in red cells from patients with paroxysmal nocturnal hemoglobinuria. (PMID:24816235)
- the expression of KX is critical to normal morphology, and null mutations are associated with the McLeod neuroacanthocytosis syndrome. (PMID:26308465)
- XK is a partner for VPS13A: a molecular link between Chorea-Acanthocytosis and McLeod Syndrome. (PMID:32845802)
- A partnership between the lipid scramblase XK and the lipid transfer protein VPS13A at the plasma membrane. (PMID:35994651)
- Clinical Features and Novel Pathogenic Variants of Chinese Patients With McLeod Syndrome and Chorea-Acanthocytosis. (PMID:39324427)
Cross-species orthologs
3 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | xk | ENSDARG00000056618 |
| mus_musculus | Xk | ENSMUSG00000015342 |
| rattus_norvegicus | Xk | ENSRNOG00000003749 |
Paralogs (2): XKR3 (ENSG00000172967), XKRX (ENSG00000182489)
Protein
Protein identifiers
Endoplasmic reticulum membrane adapter protein XK — P51811 (reviewed: P51811)
Alternative names: Kell complex 37 kDa component, Kx antigen, Membrane transport protein XK, XK-related protein 1
All UniProt accessions (1): P51811
UniProt curated annotations — full annotation on UniProt →
Function. Recruits the lipid transfer protein VPS13A from lipid droplets to the endoplasmic reticulum (ER) membrane.
Subunit / interactions. Heterodimer with Kell; disulfide-linked. Interacts with VPS13A.
Subcellular location. Endoplasmic reticulum membrane.
Tissue specificity. High levels in skeletal muscle, heart, brain, and pancreas; low levels in placenta, lung, liver, and kidney.
Post-translational modifications. Not glycosylated.
Disease relevance. McLeod syndrome (MCLDS) [MIM:300842] A multisystem disorder characterized by the absence of red blood cell Kx antigen, weak expression of Kell red blood cell antigens, acanthocytosis, and compensated hemolysis. Most carriers of this McLeod blood group phenotype have acanthocytosis and elevated serum creatine kinase levels and are prone to develop a severe neurologic disorder resembling Huntington disease. Additional symptoms include generalized seizures, neuromuscular symptoms leading to weakness and atrophy, and cardiomyopathy mainly manifesting with atrial fibrillation, malignant arrhythmias, and dilated cardiomyopathy. The disease is caused by variants affecting the gene represented in this entry.
Polymorphism. XK is responsible for the Kx blood group system.
Similarity. Belongs to the XK family.
RefSeq proteins (1): NP_066569* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR018629 | XK-rel | Family |
| IPR051773 | XK-related_adapter | Family |
Pfam: PF09815
UniProt features (34 total): topological domain 11, transmembrane region 10, sequence variant 5, compositionally biased region 2, chain 1, region of interest 1, modified residue 1, disulfide bond 1, mutagenesis site 1, sequence conflict 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P51811-F1 | 81.89 | 0.49 |
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): 115
Disulfide bonds (1): 347
Mutagenesis-validated functional residues (1):
| Position | Phenotype |
|---|---|
| 347 | loss of kell-xk complex. |
Function
Pathways and Gene Ontology
Reactome pathways
1 pathways
| ID | Pathway |
|---|---|
| R-HSA-375276 | Peptide ligand-binding receptors |
MSigDB gene sets: 289 (showing top):
GSE45365_CD8A_DC_VS_CD11B_DC_IFNAR_KO_UP, GSE37336_LY6C_POS_VS_NEG_NAIVE_CD4_TCELL_UP, GSE45365_NK_CELL_VS_CD11B_DC_UP, RNGTGGGC_UNKNOWN, ZHAN_LATE_DIFFERENTIATION_GENES_UP, GOBP_MUSCLE_TISSUE_DEVELOPMENT, WWTAAGGC_UNKNOWN, GNF2_PRDX2, BHATI_G2M_ARREST_BY_2METHOXYESTRADIOL_DN, GOBP_STRIATED_MUSCLE_CELL_DIFFERENTIATION, GOBP_NEUROGENESIS, MEF2_02, GNF2_ANK1, SRF_Q5_01, KRASNOSELSKAYA_ILF3_TARGETS_DN
GO Biological Process (7): amino acid transport (GO:0006865), intracellular calcium ion homeostasis (GO:0006874), regulation of cell size (GO:0008361), intracellular magnesium ion homeostasis (GO:0010961), regulation of axon diameter (GO:0031133), myelination (GO:0042552), skeletal muscle fiber development (GO:0048741)
GO Molecular Function (2): protein-macromolecule adaptor activity (GO:0030674), protein binding (GO:0005515)
GO Cellular Component (4): endoplasmic reticulum membrane (GO:0005789), plasma membrane (GO:0005886), membrane (GO:0016020), endoplasmic reticulum (GO:0005783)
Reactome top-level categories
Rollup of top-1 pathways:
| Category | Pathways |
|---|---|
| Class A/1 (Rhodopsin-like receptors) | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| intracellular monoatomic cation homeostasis | 2 |
| transport | 1 |
| calcium ion homeostasis | 1 |
| regulation of cellular component size | 1 |
| magnesium ion homeostasis | 1 |
| regulation of cell projection size | 1 |
| regulation of axonogenesis | 1 |
| axon ensheathment | 1 |
| skeletal muscle tissue development | 1 |
| myotube cell development | 1 |
| protein binding | 1 |
| molecular adaptor activity | 1 |
| binding | 1 |
| organelle membrane | 1 |
| nuclear outer membrane-endoplasmic reticulum membrane network | 1 |
| endoplasmic reticulum subcompartment | 1 |
| membrane | 1 |
| cell periphery | 1 |
| cellular anatomical structure | 1 |
| cytoplasm | 1 |
| endomembrane system | 1 |
| intracellular membrane-bounded organelle | 1 |
Protein interactions and networks
STRING
684 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| XK | VPS13A | Q96RL7 | 952 |
| XK | KEL | P23276 | 896 |
| XK | STS | P08842 | 636 |
| XK | CYBB | P04839 | 556 |
| XK | XKR8 | Q9H6D3 | 505 |
| XK | DMD | P11532 | 475 |
| XK | CYBA | P13498 | 456 |
| XK | XKR9 | Q5GH70 | 450 |
| XK | SETBP1 | Q9Y6X0 | 423 |
| XK | HTT | P42858 | 414 |
| XK | NCF2 | P19878 | 410 |
| XK | VPS13D | Q5THJ4 | 385 |
| XK | MT-CYB | P00156 | 375 |
| XK | VPS13B | Q7Z7G8 | 360 |
| XK | PRDM16 | Q9HAZ2 | 343 |
IntAct
3 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| XK | SRC | psi-mi:“MI:0915”(physical association) | 0.400 |
| CLGN | XK | psi-mi:“MI:0915”(physical association) | 0.370 |
BioGRID (10): XK (Affinity Capture-Western), XK (Affinity Capture-Western), XK (Affinity Capture-Western), XK (Biochemical Activity), SRC (Affinity Capture-MS), XK (Affinity Capture-MS), XK (Affinity Capture-MS), XK (Affinity Capture-RNA), XK (Affinity Capture-MS), XK (Two-hybrid)
ESM2 similar proteins: A3KNK1, A4FUY9, A5D6V4, A5PN43, A8DZH4, D3ZWZ9, E1BY51, E7EYQ9, F4JTN2, O14524, P51811, Q28CV2, Q3T124, Q3TPR7, Q3ZBX1, Q49LS5, Q4R8A8, Q4V8X0, Q502E0, Q5F3F5, Q5GH61, Q5HZD4, Q5HZE5, Q5PQQ4, Q5PR61, Q5RDB4, Q5U4X7, Q5YCC5, Q68DH5, Q6AXF6, Q6GQE1, Q6P4P2, Q6Q3F5, Q7ZX75, Q7ZYA0, Q810F5, Q86UW1, Q86X19, Q8BKU8, Q8C561
Diamond homologs: O14609, P51811, Q49LS5, Q5GH22, Q5GH60, Q5GH61, Q5GH68, Q5GH77, Q6PP77, Q9QXY7, Q49LS9
SIGNOR signaling
0 interactions.
Disease & clinical
Clinical variants and AI predictions
ClinVar
139 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 14 |
| Likely pathogenic | 1 |
| Uncertain significance | 65 |
| Likely benign | 21 |
| Benign | 11 |
Top pathogenic / likely-pathogenic (15)
| Variant ID | HGVS | Classification |
|---|---|---|
| 2423022 | NC_000023.10:g.(?37545215)(37670170_?)del | Pathogenic |
| 2507382 | NM_021083.4(XK):c.856_860del (p.Leu286fs) | Pathogenic |
| 3032247 | NM_021083.4(XK):c.274C>T (p.Gln92Ter) | Pathogenic |
| 3340180 | NM_021083.4(XK):c.397C>T (p.Arg133Ter) | Pathogenic |
| 4077101 | NM_021083.4(XK):c.719dup (p.Ile241fs) | Pathogenic |
| 521845 | NM_021083.4(XK):c.1015A>T (p.Lys339Ter) | Pathogenic |
| 9764 | NM_021083.4(XK):c.508+1G>A | Pathogenic |
| 9765 | NM_021083.4(XK):c.509-1G>A | Pathogenic |
| 9766 | XK, 1-BP DEL | Pathogenic |
| 9767 | NM_021083.4(XK):c.1013del (p.Phe338fs) | Pathogenic |
| 9768 | NM_021083.4(XK):c.880T>C (p.Cys294Arg) | Pathogenic |
| 9769 | NM_021083.4(XK):c.938_951del (p.Asn313fs) | Pathogenic |
| 9770 | NM_021083.4(XK):c.941G>A (p.Trp314Ter) | Pathogenic |
| 9771 | NM_021083.4(XK):c.895C>T (p.Gln299Ter) | Pathogenic |
| 2429766 | NM_021083.4(XK):c.771G>A (p.Trp257Ter) | Likely pathogenic |
SpliceAI
452 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| X:37694285:GGT:G | acceptor_gain | 1.0000 |
| X:37694530:G:GT | donor_gain | 1.0000 |
| X:37694546:G:GT | donor_gain | 1.0000 |
| X:37694546:GAA:G | donor_gain | 1.0000 |
| X:37694549:G:GG | donor_gain | 1.0000 |
| X:37686204:CAGGT:C | donor_loss | 0.9900 |
| X:37686205:AGGTG:A | donor_loss | 0.9900 |
| X:37686206:GGT:G | donor_loss | 0.9900 |
| X:37686207:GTG:G | donor_loss | 0.9900 |
| X:37686208:T:G | donor_loss | 0.9900 |
| X:37694283:CAG:C | acceptor_loss | 0.9900 |
| X:37694283:CAGGT:C | acceptor_loss | 0.9900 |
| X:37694284:A:AG | acceptor_gain | 0.9900 |
| X:37694285:G:A | acceptor_loss | 0.9900 |
| X:37694285:G:GG | acceptor_gain | 0.9900 |
| X:37694543:G:GT | donor_gain | 0.9900 |
| X:37694545:AGAA:A | donor_gain | 0.9900 |
| X:37727630:CCCCA:C | acceptor_loss | 0.9900 |
| X:37727631:CCCA:C | acceptor_loss | 0.9900 |
| X:37727632:CCA:C | acceptor_loss | 0.9900 |
| X:37727633:CA:C | acceptor_loss | 0.9900 |
| X:37727633:CAG:C | acceptor_loss | 0.9900 |
| X:37727634:A:AG | acceptor_gain | 0.9900 |
| X:37727634:A:AT | acceptor_loss | 0.9900 |
| X:37727635:G:GG | acceptor_gain | 0.9900 |
| X:37694284:AG:A | acceptor_gain | 0.9800 |
| X:37694284:AGGT:A | acceptor_gain | 0.9800 |
| X:37694285:GG:G | acceptor_gain | 0.9800 |
| X:37694285:GGTG:G | acceptor_gain | 0.9800 |
| X:37694285:GGTGT:G | acceptor_gain | 0.9800 |
AlphaMissense
2904 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| X:37727767:T:A | W214R | 0.998 |
| X:37727767:T:C | W214R | 0.998 |
| X:37694473:T:C | F145L | 0.997 |
| X:37694475:C:A | F145L | 0.997 |
| X:37694475:C:G | F145L | 0.997 |
| X:37694495:T:C | L152P | 0.996 |
| X:37727771:G:C | R215T | 0.996 |
| X:37686125:T:C | L55P | 0.995 |
| X:37686206:G:T | R82M | 0.995 |
| X:37694438:G:C | R133P | 0.995 |
| X:37727674:G:A | G183R | 0.995 |
| X:37727674:G:C | G183R | 0.995 |
| X:37727675:G:A | G183E | 0.995 |
| X:37727772:G:C | R215S | 0.995 |
| X:37727772:G:T | R215S | 0.995 |
| X:37686193:G:A | G78R | 0.994 |
| X:37686193:G:C | G78R | 0.994 |
| X:37694486:C:A | A149D | 0.994 |
| X:37727773:A:C | S216R | 0.994 |
| X:37727775:C:A | S216R | 0.994 |
| X:37727775:C:G | S216R | 0.994 |
| X:37727884:T:A | W253R | 0.994 |
| X:37727884:T:C | W253R | 0.994 |
| X:37728009:C:G | C294W | 0.994 |
| X:37686206:G:C | R82T | 0.993 |
| X:37694447:T:C | F136S | 0.993 |
| X:37727698:G:C | A191P | 0.993 |
| X:37727771:G:T | R215M | 0.993 |
| X:37728111:T:A | N328K | 0.993 |
| X:37728111:T:G | N328K | 0.993 |
dbSNP variants (sampled 300 via entrez): RS1000109116 (X:37704020 G>A), RS1000583447 (X:37731139 C>A), RS1000760507 (X:37686245 C>A,G), RS1000824521 (X:37721699 A>G), RS1000889141 (X:37695905 T>C), RS1001002591 (X:37705376 C>T), RS1001202997 (X:37726976 G>A), RS1001255218 (X:37726583 A>G), RS1001274467 (X:37685638 C>A,T), RS1001518574 (X:37705278 T>C), RS1001556014 (X:37691617 C>T), RS1001608297 (X:37691915 C>T), RS1001952837 (X:37710234 G>T), RS1002181507 (X:37701617 T>G), RS1002203769 (X:37729614 A>C,G)
Disease associations
OMIM: gene MIM:314850 | disease phenotypes: MIM:300842, MIM:138990, MIM:306400
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| XK-related neurodegenerative disease | Strong | X-linked |
Mondo (2): XK-related neurodegenerative disease (MONDO:0018945), granulomatous disease, chronic, X-linked (MONDO:0010600)
Orphanet (2): McLeod neuroacanthocytosis syndrome (Orphanet:59306), Chronic granulomatous disease (Orphanet:379)
HPO phenotypes
31 total (30 of 31 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000716 | Depression |
| HP:0000722 | Compulsive behaviors |
| HP:0000739 | Anxiety |
| HP:0001250 | Seizure |
| HP:0001260 | Dysarthria |
| HP:0001324 | Muscle weakness |
| HP:0001332 | Dystonia |
| HP:0001417 | X-linked inheritance |
| HP:0001638 | Cardiomyopathy |
| HP:0001644 | Dilated cardiomyopathy |
| HP:0001744 | Splenomegaly |
| HP:0001927 | Acanthocytosis |
| HP:0002072 | Chorea |
| HP:0002197 | Generalized-onset seizure |
| HP:0002240 | Hepatomegaly |
| HP:0003198 | Myopathy |
| HP:0003201 | Rhabdomyolysis |
| HP:0003236 | Elevated circulating creatine kinase concentration |
| HP:0003438 | Absent Achilles reflex |
| HP:0003581 | Adult onset |
| HP:0005110 | Atrial fibrillation |
| HP:0006938 | Impaired vibration sensation at ankles |
| HP:0007002 | Motor axonal neuropathy |
| HP:0012046 | Areflexia of upper limbs |
| HP:0012075 | Personality disorder |
| HP:0020181 | Reduced haptoglobin level |
| HP:0025435 | Increased circulating lactate dehydrogenase concentration |
| HP:0030948 | Elevated gamma-glutamyltransferase level |
| HP:0031956 | Elevated circulating aspartate aminotransferase concentration |
| HP:0031964 | Elevated circulating alanine aminotransferase concentration |
GWAS associations
1968 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST001769_1 | Alcohol and nicotine co-dependence | 8.000000e-07 |
| GCST001927_4 | Response to anti-TNF therapy in rheumatoid arthritis | 1.000000e-06 |
| GCST002027_1 | Red blood cell traits | 5.000000e-09 |
| GCST002028_1 | Serum selenium levels | 2.000000e-06 |
| GCST002030_1 | Primary tooth development (time to first tooth eruption) | 2.000000e-10 |
| GCST002031_1 | Primary tooth development (number of teeth) | 3.000000e-08 |
| GCST005830_100 | Hand grip strength | 4.000000e-12 |
| GCST005830_121 | Hand grip strength | 4.000000e-10 |
| GCST005830_124 | Hand grip strength | 7.000000e-10 |
| GCST005830_61 | Hand grip strength | 2.000000e-08 |
| GCST005830_82 | Hand grip strength | 9.000000e-09 |
| GCST005830_86 | Hand grip strength | 1.000000e-08 |
| GCST006269_674 | General cognitive ability | 6.000000e-10 |
| GCST006663_1 | HDL cholesterol | 1.000000e-06 |
| GCST006663_2 | HDL cholesterol | 5.000000e-06 |
| GCST006663_3 | HDL cholesterol | 2.000000e-06 |
| GCST006663_4 | HDL cholesterol | 4.000000e-06 |
| GCST006664_1 | Triglyceride levels | 6.000000e-07 |
| GCST006664_2 | Triglyceride levels | 8.000000e-08 |
| GCST006669_1 | HDL cholesterol and triglyceride levels (pleiotropy) | 7.000000e-06 |
| GCST006669_2 | HDL cholesterol and triglyceride levels (pleiotropy) | 1.000000e-06 |
| GCST006669_3 | HDL cholesterol and triglyceride levels (pleiotropy) | 2.000000e-06 |
| GCST006669_4 | HDL cholesterol and triglyceride levels (pleiotropy) | 1.000000e-06 |
| GCST006669_5 | HDL cholesterol and triglyceride levels (pleiotropy) | 5.000000e-06 |
| GCST006669_6 | HDL cholesterol and triglyceride levels (pleiotropy) | 8.000000e-06 |
| GCST006669_7 | HDL cholesterol and triglyceride levels (pleiotropy) | 4.000000e-06 |
| GCST006669_8 | HDL cholesterol and triglyceride levels (pleiotropy) | 2.000000e-13 |
| GCST006920_2 | Regular attendance at a gym or sports club | 4.000000e-08 |
| GCST006921_2 | Regular attendance at a pub or social club | 1.000000e-08 |
| GCST006922_8 | Regular attendance at a religious group | 1.000000e-08 |
EFO canonical traits (16, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0004653 | response to TNF antagonist |
| EFO:0004528 | mean corpuscular hemoglobin concentration |
| EFO:0006941 | grip strength measurement |
| EFO:0004337 | intelligence |
| EFO:0004612 | high density lipoprotein cholesterol measurement |
| EFO:0004530 | triglyceride measurement |
| EFO:0009592 | social interaction measurement |
| EFO:0009282 | sodium measurement |
| EFO:0007876 | insomnia measurement |
| EFO:0004343 | waist-hip ratio |
| EFO:0004340 | body mass index |
| EFO:0007936 | disease prognosis measurement |
| EFO:0006919 | cardiovascular event measurement |
| EFO:0600027 | hemoglobin change measurement |
| EFO:0007991 | eosinophil percentage of leukocytes |
| EFO:0004533 | alkaline phosphatase measurement |
MeSH disease descriptors (2)
| Descriptor | Name | Tree numbers |
|---|---|---|
| C564210 | Granulomatous Disease, Chronic, Autosomal Dominant Type (supp.) | |
| C564038 | Neuroacanthocytosis, Mcleod Type (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 |
|---|---|---|
| Phenylmercuric Acetate | affects cotreatment, decreases expression | 2 |
| Valproic Acid | increases expression | 2 |
| aristolochic acid I | decreases expression | 1 |
| methylmercuric chloride | decreases expression | 1 |
| triphenyl phosphate | affects expression | 1 |
| pirinixic acid | affects binding, increases activity, increases expression | 1 |
| trichostatin A | decreases expression, increases expression | 1 |
| arsenite | affects methylation | 1 |
| sodium arsenite | increases expression | 1 |
| cobaltous chloride | decreases expression | 1 |
| avobenzone | decreases expression | 1 |
| di-n-butylphosphoric acid | affects expression | 1 |
| CGP 52608 | affects binding, increases reaction | 1 |
| entinostat | increases expression | 1 |
| 4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamide | decreases expression, affects cotreatment | 1 |
| abrine | decreases expression | 1 |
| 2-methyl-2H-pyrazole-3-carboxylic acid (2-methyl-4-o-tolylazophenyl)amide | affects cotreatment, increases expression | 1 |
| dorsomorphin | affects cotreatment, decreases expression | 1 |
| 2,3,5-trichloro-6-phenyl-(1,4)benzoquinone | increases expression | 1 |
| Temozolomide | increases expression | 1 |
| Sunitinib | decreases expression | 1 |
| Amiodarone | increases expression | 1 |
| Benzo(a)pyrene | affects methylation, increases methylation | 1 |
| Diazinon | increases methylation | 1 |
| Estradiol | increases expression | 1 |
| Silicon Dioxide | decreases expression | 1 |
| Tetrachlorodibenzodioxin | affects cotreatment, increases expression | 1 |
| Thiram | decreases expression | 1 |
| Tobacco Smoke Pollution | decreases expression | 1 |
| Tretinoin | decreases expression | 1 |
Clinical trials (associated diseases)
6 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT01381003 | PHASE1/PHASE2 | WITHDRAWN | Lentiviral Gene Therapy for X-Linked Chronic Granulomatous Disease (X-CGD) |
| NCT02234934 | PHASE1/PHASE2 | COMPLETED | Study of Gene Therapy Using a Lentiviral Vector to Treat X-linked Chronic Granulomatous Disease |
| NCT05600907 | EARLY_PHASE1 | ACTIVE_NOT_RECRUITING | Study to Assess the Use of JSP191 in Matched Unrelated Donor Transplantation for Chronic Granulomatous Disease (CGD) |
| NCT01953016 | Not specified | COMPLETED | Participation in a Research Registry for Immune Disorders |
| NCT02233036 | Not specified | COMPLETED | Evaluating the Transition From Pediatric to Adult Care Among Adolescents With Chronic Granulomatous Disease |
| NCT05546775 | Not specified | UNKNOWN | Immunological Profile and Clinical Characteristics of Children Diagnosed With Chronic Granulomatous Disease |
Related Atlas pages
- Associated diseases: XK-related neurodegenerative disease
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): alcohol and nicotine codependence, granulomatous disease, chronic, X-linked, stroke disorder, XK-related neurodegenerative disease