DHRSX

Chr YAR

dehydrogenase/reductase X-linked

Also known as: CDG1DD, CXorf11, DHRS5X, DHRS5Y, DHRSXY, DHRSY, SDR46C1, SDR7C6

DHRSX encodes an oxidoreductase that catalyzes key steps in dolichol biosynthesis, functioning as both a NAD(+)-dependent dehydrogenase and NADPH-dependent reductase to convert polyprenol to dolichol for protein N-linked glycosylation. Mutations cause congenital disorder of glycosylation type 1DD with pseudoautosomal recessive inheritance. The gene shows tolerance to loss-of-function variants (LOEUF 1.197), suggesting reduced penetrance or variable expressivity may occur.

OMIMResearchSummary from RefSeq, OMIM, UniProt
DNmechanismARLOEUF 1.201 OMIM phenotype
Clinical SummaryDHRSX
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
1.20LOEUF
pLI 0.000
Z-score 1.11
OE 0.64 (0.361.20)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.24Z-score
OE missense 0.95 (0.841.08)
171 obs / 180.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.64 (0.361.20)
00.351.4
Missense OE0.95 (0.841.08)
00.61.4
Synonymous OE1.17
01.21.6
LoF obs/exp: 7 / 11.0Missense obs/exp: 171 / 180.2Syn Z: -1.19
DN
0.77top 25%
GOF
0.5955th %ile
LOF
0.2091th %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

DHRSX · 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.

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