DMRTA1

Chr 9

DMRT like family A1

Also known as: DMO, DMRT4

The DMRTA1 protein is a transcription factor that binds DNA and regulates gene expression involved in sex differentiation and gonadal development. Mutations cause autosomal recessive intellectual disability with microcephaly and growth retardation, typically presenting in early childhood. This gene shows minimal constraint against loss-of-function variants in the general population.

OMIMResearchSummary from RefSeq
DNmechanismLOEUF 1.17
Clinical SummaryDMRTA1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
77 unique Pathogenic / Likely Pathogenic· 89 VUS of 179 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.17LOEUF
pLI 0.000
Z-score 1.10
OE 0.69 (0.421.17)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-1.18Z-score
OE missense 1.21 (1.101.33)
307 obs / 254.3 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.69 (0.421.17)
00.351.4
Missense OE1.21 (1.101.33)
00.61.4
Synonymous OE1.20
01.21.6
LoF obs/exp: 10 / 14.5Missense obs/exp: 307 / 254.3Syn Z: -1.63
DN
0.6843th %ile
GOF
0.3391th %ile
LOF
0.58top 25%

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

179 submitted variants in ClinVar

Classification Summary

Pathogenic71
Likely Pathogenic6
VUS89
Likely Benign10
Benign2
71
Pathogenic
6
Likely Pathogenic
89
VUS
10
Likely Benign
2
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
71
0
71
Likely Pathogenic
0
0
6
0
6
VUS
0
80
9
0
89
Likely Benign
0
8
2
0
10
Benign
0
1
0
1
2
Total089881178

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

View in ClinVar →

Protein Context — Lollipop Plot

DMRTA1 · 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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