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.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 1.17
Clinical SummaryHK3
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
1.17LOEUF
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

0 submitted variants 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.

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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