DTYMK

Chr 2AR

deoxythymidylate kinase

Also known as: CDC8, CONPM, PP3731, TMPK, TYMK

The protein catalyzes the phosphorylation of thymidine monophosphate (dTMP) to thymidine diphosphate (dTDP), an essential step in producing DNA building blocks within mitochondria. Mutations cause autosomal recessive neurodegeneration with childhood onset and progressive microcephaly. The gene is highly tolerant to loss-of-function variants in the general population (pLI 0.00006, LOEUF 1.54).

Summary from RefSeq, OMIM, UniProt
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Primary Disease Associations & Inheritance

Neurodegeneration, childhood-onset, with progressive microcephalyMIM #619847
AR
1
Active trials
9
Pubs (1 yr)
111
P/LP submissions
3%
P/LP missense
1.54
LOEUF
DN
Mechanism· predicted
Clinical SummaryDTYMK
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
109 unique Pathogenic / Likely Pathogenic· 65 VUS of 184 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.54LOEUF
pLI 0.000
Z-score 0.45
OE 0.83 (0.471.54)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.25Z-score
OE missense 0.94 (0.811.09)
122 obs / 130.0 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.83 (0.471.54)
00.351.4
Missense OE0.94 (0.811.09)
00.61.4
Synonymous OE1.05
01.21.6
LoF obs/exp: 7 / 8.4Missense obs/exp: 122 / 130.0Syn Z: -0.31
DN
0.74top 25%
GOF
0.5856th %ile
LOF
0.3164th %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

184 submitted variants in ClinVar

Classification Summary

Pathogenic96
Likely Pathogenic13
VUS65
Likely Benign6
Benign1
96
Pathogenic
13
Likely Pathogenic
65
VUS
6
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
1
3
92
0
96
Likely Pathogenic
0
0
13
0
13
VUS
0
42
23
0
65
Likely Benign
0
4
0
2
6
Benign
0
1
0
0
1
Total1501282181

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

View in ClinVar →

Protein Context — Lollipop Plot

DTYMK · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
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