GABRA6

Chr 5

gamma-aminobutyric acid type A receptor subunit alpha6

The GABRA6 protein is an alpha subunit of GABA-A receptors, heteropentameric ligand-gated chloride channels that mediate the major inhibitory neurotransmission in the brain and are found at both synaptic and extrasynaptic sites including glutamatergic synapses. Mutations in GABRA6 cause autosomal recessive early infantile epileptic encephalopathy with febrile seizures plus, characterized by seizure onset in infancy. This gene is not highly constrained against loss-of-function variation, which is consistent with the recessive inheritance pattern observed in associated disorders.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.38
Clinical SummaryGABRA6
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
1.38LOEUF
pLI 0.000
Z-score 0.25
OE 0.94 (0.651.38)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.41Z-score
OE missense 1.07 (0.971.19)
257 obs / 239.2 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.94 (0.651.38)
00.351.4
Missense OE1.07 (0.971.19)
00.61.4
Synonymous OE1.20
01.21.6
LoF obs/exp: 19 / 20.2Missense obs/exp: 257 / 239.2Syn Z: -1.47
DN
0.77top 25%
GOF
0.80top 10%
LOF
0.3066th %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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

GABRA6 · 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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