GKAP1

Chr 9

G kinase anchoring protein 1

Also known as: FKSG21, GKAP42

The protein regulates insulin-dependent IRS1 tyrosine phosphorylation in adipocytes and is required for insulin-induced glucose transporter translocation to the cell membrane. Mutations cause autosomal recessive intellectual disability with seizures and spasticity. The gene shows moderate intolerance to loss-of-function variants (LOEUF 0.524), consistent with neurological manifestations when both copies are affected.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 0.52
Clinical SummaryGKAP1
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.28) despite low pLI — interpret in context.
📋
ClinVar Variants
27 unique Pathogenic / Likely Pathogenic· 43 VUS of 90 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.52LOEUF
pLI 0.061
Z-score 3.35
OE 0.28 (0.160.52)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
0.73Z-score
OE missense 0.84 (0.740.97)
146 obs / 173.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.28 (0.160.52)
00.351.4
Missense OE0.84 (0.740.97)
00.61.4
Synonymous OE1.08
01.21.6
LoF obs/exp: 7 / 25.1Missense obs/exp: 146 / 173.1Syn Z: -0.49
DN
0.6936th %ile
GOF
0.5169th %ile
LOF
0.3841th %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

90 submitted variants in ClinVar

Classification Summary

Pathogenic23
Likely Pathogenic4
VUS43
23
Pathogenic
4
Likely Pathogenic
43
VUS

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
23
0
23
Likely Pathogenic
0
0
4
0
4
VUS
0
40
3
0
43
Likely Benign
0
0
0
0
0
Benign
0
0
0
0
0
Total04030070

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

View in ClinVar →

Protein Context — Lollipop Plot

GKAP1 · 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.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC