ANKRD65

Chr 1

ankyrin repeat domain 65

This gene encodes an ankyrin repeat domain-containing protein involved in protein-protein interactions and cellular signaling pathways. Mutations cause autosomal recessive neurodevelopmental disorder with seizures, microcephaly, and intellectual disability. The gene shows low constraint against loss-of-function variants, consistent with the recessive inheritance pattern observed in affected individuals.

0
Active trials
0
Pubs (1 yr)
136
P/LP submissions
0%
P/LP missense
1.96
LOEUF
GOF
Mechanism· predicted
Clinical SummaryANKRD65
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
129 unique Pathogenic / Likely Pathogenic· 122 VUS of 265 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.96LOEUF
pLI 0.000
Z-score -1.87
OE 1.87 (1.031.96)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.59Z-score
OE missense 0.86 (0.741.00)
117 obs / 136.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE1.87 (1.031.96)
00.351.4
Missense OE0.86 (0.741.00)
00.61.4
Synonymous OE1.01
01.21.6
LoF obs/exp: 10 / 5.3Missense obs/exp: 117 / 136.4Syn Z: -0.04
DN
0.5574th %ile
GOF
0.78top 25%
LOF
0.3552th %ile

The highest-scoring mechanism for this gene is gain-of-function.

GOFprediction 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

265 submitted variants in ClinVar

Classification Summary

Pathogenic122
Likely Pathogenic7
VUS122
Likely Benign12
122
Pathogenic
7
Likely Pathogenic
122
VUS
12
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
122
0
122
Likely Pathogenic
0
0
7
0
7
VUS
0
96
26
0
122
Likely Benign
0
8
1
3
12
Benign
0
0
0
0
0
Total01041563263

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

View in ClinVar →

Protein Context — Lollipop Plot

ANKRD65 · 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

No active trials found for this gene.

Search ClinicalTrials.gov →