HK3

Chr 5

hexokinase 3

Also known as: HKIII, HXK3

Hexokinase 3 catalyzes the phosphorylation of glucose to glucose-6-phosphate, the initial step of glycolysis and glucose metabolism pathways. Biallelic mutations cause severe infantile-onset epileptic encephalopathy with developmental delay, hypotonia, and movement disorders. This gene follows autosomal recessive inheritance and is not highly constrained against loss-of-function variants.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
28
Pubs (1 yr)
56
P/LP submissions
0%
P/LP missense
1.17
LOEUF
DN
Mechanism· predicted
Clinical SummaryHK3
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
54 unique Pathogenic / Likely Pathogenic· 196 VUS of 291 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.17LOEUF
pLI 0.000
Z-score 0.68
OE 0.89 (0.681.17)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.03Z-score
OE missense 1.00 (0.931.07)
593 obs / 594.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.89 (0.681.17)
00.351.4
Missense OE1.00 (0.931.07)
00.61.4
Synonymous OE1.05
01.21.6
LoF obs/exp: 37 / 41.7Missense obs/exp: 593 / 594.9Syn Z: -0.68
DN
0.6358th %ile
GOF
0.6247th %ile
LOF
0.3068th %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

291 submitted variants in ClinVar

Classification Summary

Pathogenic52
Likely Pathogenic2
VUS196
Likely Benign21
Benign4
52
Pathogenic
2
Likely Pathogenic
196
VUS
21
Likely Benign
4
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
52
0
52
Likely Pathogenic
0
0
2
0
2
VUS
0
191
4
1
196
Likely Benign
0
14
2
5
21
Benign
0
2
0
2
4
Total0207608275

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

View in ClinVar →

Protein Context — Lollipop Plot

HK3 · 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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