CYP21A2

Chr 6

cytochrome P450 family 21 subfamily A member 2

Also known as: CA21H, CAH1, CPS1, CYP21, CYP21B, P450c21B

This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and hydroxylates steroids at the 21 position. Its activity is required for the synthesis of steroid hormones including cortisol and aldosterone. Mutations in this gene cause congenital adrenal hyperplasia. A related pseudogene is located near this gene; gene conversion events involving the functional gene and the pseudogene are thought to account for many cases of steroid 21-hydroxylase deficiency. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

GeneReviewsResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

UniProtAdrenal hyperplasia 3
5
Active trials
140
Pubs (1 yr)
P/LP submissions
P/LP missense
0.82
LOEUF
Multiple*
Mechanism· predicted
📖
GeneReview available — CYP21A2
Authoritative clinical overview · Recommended first read
Open GeneReview ↗
Some data sources returned errors (1)

omim: Error: OMIM fetch failed: 429

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?
0.82LOEUF
pLI 0.000
Z-score 2.16
OE 0.47 (0.280.82)
Tolerant

Typical tolerance to LoF variation

Missense Constraint?
1.15Z-score
OE missense 0.80 (0.720.90)
219 obs / 272.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?
LoF OE?0.47 (0.280.82)
00.351.4
Missense OE?0.80 (0.720.90)
00.61.4
Synonymous OE?0.84
01.21.6
LoF obs/exp: 9 / 19.2Missense obs/exp: 219 / 272.6Syn Z: 1.37

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CYP21A2 · protein map & ClinVar variants

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