ACTB

Chr 7AD

actin beta

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

The protein is a major constituent of the contractile apparatus and one of two nonmuscle cytoskeletal actins that are ubiquitously expressed, functioning in cell motility, structure, integrity, and intercellular signaling. Loss-of-function mutations cause autosomal dominant conditions including Baraitser-Winter syndrome 1 (characterized by intellectual disability with distinctive facial features), dystonia-deafness syndrome 1, and thrombocytopenia with dysmorphic features and developmental delay. The gene is highly intolerant to loss-of-function variants, reflecting the essential role of cytoskeletal actin in cellular function.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
MultiplemechanismADLOEUF 0.235 OMIM phenotypes
Clinical SummaryACTB
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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.
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ClinVar Variants
102 unique Pathogenic / Likely Pathogenic· 134 VUS of 500 total submissions
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Clinical Trials
7 active or recruiting trials — potential therapeutic options may be available
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GeneReview available — ACTB
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
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
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
LoF OE0.00 (0.000.23)
00.351.4
Missense OE0.06 (0.040.10)
00.61.4
Synonymous OE1.96
01.21.6
LoF obs/exp: 0 / 12.9Missense obs/exp: 14 / 226.7Syn Z: -7.44
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongACTB-related haploinsufficiency syndromeLOFAD
definitiveACTB-related Baraitser-Winter syndromeGOFAD
DN
0.4785th %ile
GOF
0.6345th %ile
LOF
0.79top 5%

This gene has evidence for multiple mechanisms of pathogenicity (loss-of-function, gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to loss-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

LOFprediction above median · 1 literature citation · LOEUF 0.23
GOF1 literature citation
DN1 literature citation

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Literature Evidence

DNDominant negative mutations in ACTB are responsible for Baraitser-Winter syndrome 1.PMID:27633570
GOFBaraitser-Winter, Fryns-Aftimos and cerebrofrontofacial syndrome types 1 and 3 have recently been associated with heterozygous gain-of-function mutations in one of the two ubiquitous cytoplasmic actin-encoding genes ACTB and ACTG1 that encode β- and γ-actins.PMID:25052316
LOFIn 3 unrelated patients (XXIV, XXV, and XXVI) with a pleiotropic developmental disorder similar to BRWS1, Cuvertino et al. (2017) identified de novo heterozygous loss-of-function frameshift or nonsense mutations in the ACTB gene (102630.0008-102630.0010), consistent with haploinsufficiency.PMID:29220674

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

500 submitted variants in ClinVar

Classification Summary

Pathogenic47
Likely Pathogenic55
VUS134
Likely Benign235
Benign6
Conflicting9
47
Pathogenic
55
Likely Pathogenic
134
VUS
235
Likely Benign
6
Benign
9
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
7
19
21
0
47
Likely Pathogenic
8
39
8
0
55
VUS
6
107
17
4
134
Likely Benign
0
0
86
149
235
Benign
0
0
5
1
6
Conflicting
9
Total21165137154486

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.

3D Protein StructureAlphaFold

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
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
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
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
AsthmaHealthy

Air Pollution, Asthma and Circadian Clocks

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

Immuno-inflammatory Response of Erdosteine in COPD

NOT YET RECRUITING
NCT07329946Phase NAPierachille Santus, MD, PhDStarted 2026-09-01
ErdosteineStandard of Care (SOC)
Clinical Literature
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