DDX28

Chr 16

DEAD-box helicase 28

Also known as: MDDX28

The protein functions as an RNA helicase with RNA and Mg(2+)-dependent ATPase activity that is essential for proper assembly of the mitochondrial large ribosomal subunit. Mutations in DDX28 cause autosomal dominant neurodevelopmental disorders through a dominant-negative mechanism. The gene is highly intolerant to loss-of-function variants, consistent with haploinsufficiency being pathogenic.

Summary from RefSeq, UniProt, Mechanism
Research Assistant →
0
Active trials
4
Pubs (1 yr)
17
P/LP submissions
0%
P/LP missense
1.41
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryDDX28
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
17 unique Pathogenic / Likely Pathogenic· 78 VUS of 98 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.41LOEUF
pLI 0.000
Z-score 0.39
OE 0.89 (0.581.41)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.75Z-score
OE missense 1.12 (1.021.23)
337 obs / 300.6 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.89 (0.581.41)
00.351.4
Missense OE1.12 (1.021.23)
00.61.4
Synonymous OE1.05
01.21.6
LoF obs/exp: 13 / 14.6Missense obs/exp: 337 / 300.6Syn Z: -0.44
DN
0.6842th %ile
GOF
0.6444th %ile
LOF
0.3356th %ile

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

DNprediction above median
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

98 submitted variants in ClinVar

Classification Summary

Pathogenic15
Likely Pathogenic2
VUS78
Likely Benign2
15
Pathogenic
2
Likely Pathogenic
78
VUS
2
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
15
0
15
Likely Pathogenic
0
0
2
0
2
VUS
0
70
8
0
78
Likely Benign
0
2
0
0
2
Benign
0
0
0
0
0
Total07225097

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

View in ClinVar →

Protein Context — Lollipop Plot

DDX28 · 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 →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 1 results · since 2015Search PubMed ↗