AKR1C3

Chr 10

aldo-keto reductase family 1 member C3

Also known as: DD3, DDX, HA1753, HAKRB, HAKRe, HSD17B5, PGFS, hluPGFS

This gene encodes a cytosolic aldo-keto reductase that catalyzes the NADPH-dependent reduction of ketosteroids to hydroxysteroids, playing key roles in androgen and estrogen metabolism by converting precursors to potent hormones like testosterone and 17beta-estradiol. The gene is not loss-of-function intolerant (high LOEUF score), and pathogenic variants have not been established to cause recognizable human disease. While the enzyme has important roles in steroid hormone biosynthesis and prostaglandin metabolism, clinical disorders specifically attributed to AKR1C3 mutations are not currently well-defined in pediatric populations.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 1.86
Clinical SummaryAKR1C3
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.86LOEUF
pLI 0.000
Z-score -1.83
OE 1.43 (1.071.86)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-1.81Z-score
OE missense 1.39 (1.251.55)
237 obs / 170.5 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.43 (1.071.86)
00.351.4
Missense OE1.39 (1.251.55)
00.61.4
Synonymous OE1.29
01.21.6
LoF obs/exp: 30 / 21.0Missense obs/exp: 237 / 170.5Syn Z: -1.82
DN
0.75top 25%
GOF
0.6247th %ile
LOF
0.2873th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

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.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

AKR1C3 · 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

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →