Actin is a highly conserved protein that polymerizes to produce filaments that form cross-linked networks in the cytoplasm of cells (PubMed:25255767, PubMed:29581253). Actin exists in both monomeric (G-actin) and polymeric (F-actin) forms, both forms playing key functions, such as cell motility and contraction (PubMed:29581253). In addition to their role in the cytoplasmic cytoskeleton, G- and F-actin also localize in the nucleus, and regulate gene transcription and motility and repair of damaged DNA (PubMed:29925947). Plays a role in the assembly of the gamma-tubulin ring complex (gTuRC), which regulates the minus-end nucleation of alpha-beta tubulin heterodimers that grow into microtubule protafilaments (PubMed:39321809, PubMed:38609661). Part of the ACTR1A/ACTB filament around which the dynactin complex is built (By similarity). The dynactin multiprotein complex activates the molecular motor dynein for ultra-processive transport along microtubules (By similarity)

OMIMResearchGenerating clinical summary…
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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Clinical Trials
8 active or recruiting trials — potential therapeutic options may be available
Some data sources returned errors (1)

ncbi: Error: NCBI fetch failed: 429 https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esearch.fcgi

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 OE?0.00 (0.000.23)
00.351.4
Missense OE?0.06 (0.040.10)
00.61.4
Synonymous OE?1.96
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

This gene — mechanism propensity

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 1.1
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.2
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.3

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

0 submitted variants 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.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

Propionic Acidemia

AAVrh10-PCCA Gene Therapy for Propionic Acidemia

RECRUITING
NCT07643844Phase PHASE1Mayo ClinicStarted 2026-06
AAVrh10-PCCA low doseAAVrh10-PCCA middle doseAAVrh10-PCCA high dose
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 2026-09-01
ErdosteineStandard of Care (SOC)
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
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
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
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