DMBX1

Chr 1

diencephalon/mesencephalon homeobox 1

Also known as: Atx, MBX, OTX3, PAXB

The protein functions as a transcriptional repressor required for brain development, including repression of OTX2-mediated transactivation through heterodimer formation. Mutations cause autosomal recessive developmental and epileptic encephalopathy with microcephaly, affecting brain and sensory organ development. The gene is highly constrained against loss-of-function variants (pLI 0.93, LOEUF 0.37), indicating critical developmental importance.

OMIMResearchSummary from RefSeq, UniProt
LOFmechanismLOEUF 0.37
Clinical SummaryDMBX1
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.93). One damaged copy is likely sufficient to cause disease.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.37LOEUF
pLI 0.930
Z-score 3.06
OE 0.08 (0.030.37)
Highly constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
0.83Z-score
OE missense 0.85 (0.760.95)
209 obs / 245.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.08 (0.030.37)
00.351.4
Missense OE0.85 (0.760.95)
00.61.4
Synonymous OE0.98
01.21.6
LoF obs/exp: 1 / 12.9Missense obs/exp: 209 / 245.6Syn Z: 0.18
DN
0.6065th %ile
GOF
0.3292th %ile
LOF
0.72top 10%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · LOEUF 0.37

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

DMBX1 · 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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Clinical Literature
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