EMP1

Chr 12

epithelial membrane protein 1

Also known as: CL-20, EMP-1, TMP

EMP1 encodes a plasma membrane protein involved in apoptotic processes and membrane bleb formation. Mutations cause autosomal recessive developmental and epileptic encephalopathy with microcephaly, typically presenting in infancy with severe intellectual disability and treatment-resistant seizures. The gene shows moderate constraint against loss-of-function variants.

Summary from RefSeq
Research Assistant →
0
Active trials
40
Pubs (1 yr)
45
P/LP submissions
0%
P/LP missense
0.79
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryEMP1
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.17) despite low pLI — interpret in context.
📋
ClinVar Variants
45 unique Pathogenic / Likely Pathogenic· 27 VUS of 83 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.79LOEUF
pLI 0.497
Z-score 1.90
OE 0.17 (0.060.79)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.10Z-score
OE missense 0.97 (0.811.16)
86 obs / 88.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.17 (0.060.79)
00.351.4
Missense OE0.97 (0.811.16)
00.61.4
Synonymous OE1.02
01.21.6
LoF obs/exp: 1 / 6.0Missense obs/exp: 86 / 88.6Syn Z: -0.10
DN
0.6936th %ile
GOF
0.79top 25%
LOF
0.2483th %ile

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

GOFprediction above median
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

83 submitted variants in ClinVar

Classification Summary

Pathogenic43
Likely Pathogenic2
VUS27
Likely Benign5
43
Pathogenic
2
Likely Pathogenic
27
VUS
5
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
43
0
43
Likely Pathogenic
0
0
2
0
2
VUS
0
21
6
0
27
Likely Benign
0
3
1
1
5
Benign
0
0
0
0
0
Total02452177

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

View in ClinVar →

Protein Context — Lollipop Plot

EMP1 · 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.

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Clinical Literature
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