GJE1

Chr 6

gap junction protein epsilon 1

Also known as: CX23

The protein forms gap junction channels that allow small molecules to pass between adjacent cells, facilitating direct cell-to-cell communication. Mutations in this gene cause autosomal recessive erythrokeratoderma variabilis et progressiva, a skin disorder characterized by variable and progressive scaling and redness of the skin. The gene shows tolerance to loss-of-function variants (LOEUF 1.23), suggesting haploinsufficiency is not the primary disease mechanism.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.23
Clinical SummaryGJE1
Population Constraint (gnomAD)
Low constraint (pLI 0.11) — 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
1.23LOEUF
pLI 0.108
Z-score 1.26
OE 0.40 (0.161.23)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.58Z-score
OE missense 0.81 (0.661.00)
61 obs / 75.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.40 (0.161.23)
00.351.4
Missense OE0.81 (0.661.00)
00.61.4
Synonymous OE1.05
01.21.6
LoF obs/exp: 2 / 5.1Missense obs/exp: 61 / 75.1Syn Z: -0.20
DN
0.85top 5%
GOF
0.83top 10%
LOF
0.1399th %ile

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

DNprediction above median
GOFprediction 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

GJE1 · 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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Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
PubTator3
Top 5 full-text resultsSearch PubTator3 ↗
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC