ACTB

Chr 7AD

actin beta

Also known as: BKRNS, BNS, BRWS1, CSMH, DDS1, PS1TP5BP1, THC8

This gene encodes one of six different actin proteins. Actins are highly conserved proteins that are involved in cell motility, structure, integrity, and intercellular signaling. The encoded protein is a major constituent of the contractile apparatus and one of the two nonmuscle cytoskeletal actins that are ubiquitously expressed. Mutations in this gene cause Baraitser-Winter syndrome 1, which is characterized by intellectual disability with a distinctive facial appearance in human patients. Numerous pseudogenes of this gene have been identified throughout the human genome. [provided by RefSeq, Aug 2017]

Primary Disease Associations & Inheritance

Baraitser-Winter syndrome 1MIM #243310
AD
Becker nevus, syndromic or isolated, somatic mosaicMIM #604919
Congenital smooth muscle hamartoma with or without hemihypertrophy, somatic mosaicMIM #620470
Dystonia-deafness syndrome 1MIM #607371
AD
Thrombocytopenia 8, with dysmorphic features and developmental delayMIM #620475
AD
UniProtBecker nevus syndrome
586
ClinVar variants
135
Pathogenic / LP
0.99
pLI score· haploinsufficient
7
Active trials
Clinical SummaryACTB
🧬
Gene-Disease Validity (ClinGen)
Baraitser-Winter cerebrofrontofacial syndrome · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.99). One damaged copy is likely sufficient to cause disease.
📋
ClinVar Variants
135 Pathogenic / Likely Pathogenic· 153 VUS of 586 total submissions
💊
Clinical Trials
7 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint?LOEUF (Loss-of-function Observed/Expected Upper bound Fraction) is the upper bound of the 90% CI for LoF OE — the preferred gnomAD v4 metric. Lower = more intolerant to LoF. LOEUF < 0.35 = highly constrained.
0.23LOEUF
pLI 0.986
Z-score 3.32
OE 0.00 (0.000.23)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint?Missense Z-score: standard deviations fewer missense variants observed vs. expected. Z > 3.09 (p < 0.001) = gene does not tolerate missense variation. OE missense < 0.6 is also considered constrained.
5.02Z-score
OE missense 0.06 (0.040.10)
14 obs / 226.7 exp
Constrained

Extremely missense-constrained (top ~0.01%)

Observed / Expected Ratios?Shaded band = 90% confidence interval. Vertical tick = point estimate. Grey threshold line = gnomAD constraint cutoff for that variant class.
LoF OE?Ratio of observed to expected LoF variants. Upper CI bound (LOEUF) ≤ 0.35 = strong LoF constraint signal.0.00 (0.000.23)
00.351.4
Missense OE?Ratio of observed to expected missense variants. OE ≤ 0.6 = fewer missense variants than expected by chance.0.06 (0.040.10)
00.61.4
Synonymous OE?Control metric — synonymous variants are largely neutral and expected near OE = 1.0. Significant deviation may indicate annotation issues.1.96
01.21.6
LoF obs/exp: 0 / 12.9Missense obs/exp: 14 / 226.7Syn Z: -7.44

ClinVar Variant Classifications

586 submitted variants in ClinVar

Classification Summary

Pathogenic57
Likely Pathogenic78
VUS153
Likely Benign270
Benign11
Conflicting17
57
Pathogenic
78
Likely Pathogenic
153
VUS
270
Likely Benign
11
Benign
17
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
8
20
29
0
57
Likely Pathogenic
7
58
13
0
78
VUS
6
114
28
5
153
Likely Benign
0
0
94
176
270
Benign
0
0
7
4
11
Conflicting
17
Total21192171185586

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

ACTB · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Gene2Phenotype Curations

ACTB-related haploinsufficiency syndrome

strong
ADLoss Of FunctionAbsent Gene Product
Dev. Disorders
G2P ↗

ACTB-related Baraitser-Winter syndrome

definitive
ADGain Of FunctionAltered Gene Product Structure
Dev. DisordersEye
G2P ↗
missense variantinframe deletioninframe insertion

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

OMIM — Genotype-Phenotype Relationships

1 OMIM entry

ACTIN, BETA; ACTB
MIM #102630 · *

Baraitser-Winter syndrome 1

MIM #243310

Molecular basis of disorder known

Autosomal dominant

Becker nevus, syndromic or isolated, somatic mosaic

MIM #604919

Molecular basis of disorder known

Congenital smooth muscle hamartoma with or without hemihypertrophy, somatic mosaic

MIM #620470

Molecular basis of disorder known

Dystonia-deafness syndrome 1

MIM #607371

Molecular basis of disorder known

Autosomal dominant

Thrombocytopenia 8, with dysmorphic features and developmental delay

MIM #620475

Molecular basis of disorder known

Autosomal dominant
📖
GeneReview available — ACTB
Authoritative clinical overview · NCBI Bookshelf · Recommended first read
Open GeneReview ↗
Clinical Literature
Landmark / reviewRecent case evidence

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

16P11.2 Deletion Syndrome16p11.2 Duplications1Q21.1 Deletion

Online Study of People Who Have Genetic Changes and Features of Autism: Simons Searchlight

RECRUITING
NCT01238250Simons SearchlightStarted 2010-10
Endometrial CancerMethylationCytology

Clinical Studies of Endometrial Cytology and Cervical Methylation Assays in Endometrial Cancer Screening and Fertility-Preservation Evaluation

NOT YET RECRUITING
NCT06672341Yulan RenStarted 2024-11-04
Endometrial Cytology TestingCervical Methylation Testing
Gene Expression ProfilingOrthodentic Appliances

Genes Associated With Bone Metabolism in the Saliva During Orthodontic Treatment

ACTIVE NOT RECRUITING
NCT07303647Kurdistan Higher Council of Medical SpecialtiesStarted 2025-10-12
PCR
Cervix CancerHPV InfectionCervical High Grade Squamous Intraepithelial Lesion

Optimization of Cervical Cancer Screening Among Women Living With HIV in Latin American Countries

ACTIVE NOT RECRUITING
NCT06002126Phase NAWeill Medical College of Cornell UniversityStarted 2023-08-02
Xpert HPVQIAsure Methylation Test
AsthmaHealthy

Air Pollution, Asthma and Circadian Clocks

ACTIVE NOT RECRUITING
NCT03406351University of PennsylvaniaStarted 2018-01-15
Observational
COPD

Immuno-inflammatory Response of Erdosteine in COPD

NOT YET RECRUITING
NCT07329946Phase NAPierachille Santus, MD, PhDStarted 2026-02-28
ErdosteineStandard of Care (SOC)
Cushing Syndrome

Cushing's Syndrome Before and After Treatment (CORRECT)

RECRUITING
NCT05521529University of AarhusStarted 2023-02-16
no intervention, as this is an observational study