HMGA2

Chr 12AD

high mobility group AT-hook 2

Also known as: BABL, HMGI-C, HMGIC, LIPO, SRS5, STQTL9

HMGA2 encodes a transcriptional regulator that controls cell cycle progression and positively regulates IGF2 expression. Mutations cause Silver-Russell syndrome 5, a growth disorder characterized by prenatal and postnatal growth restriction, with autosomal dominant inheritance. The gene is highly constrained against loss-of-function variants, indicating intolerance to complete protein loss.

GeneReviewsOMIMResearchSummary from OMIM, UniProt
LOFmechanismADLOEUF 0.451 OMIM phenotype
Clinical SummaryHMGA2
🧬
Gene-Disease Validity (ClinGen)
Silver-Russell syndrome 5 · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.87) — some intolerance to loss-of-function variants.
📋
ClinVar Variants
25 unique Pathogenic / Likely Pathogenic· 23 VUS of 74 total submissions
💊
Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available
📖
GeneReview available — HMGA2
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.45LOEUF
pLI 0.870
Z-score 2.39
OE 0.00 (0.000.45)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.34Z-score
OE missense 0.48 (0.350.67)
25 obs / 52.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.00 (0.000.45)
00.351.4
Missense OE0.48 (0.350.67)
00.61.4
Synonymous OE1.78
01.21.6
LoF obs/exp: 0 / 6.7Missense obs/exp: 25 / 52.1Syn Z: -2.63
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongHMGA2-related Silver-Russell-like syndromeLOFAD
DN
0.2897th %ile
GOF
0.10100th %ile
LOF
0.77top 5%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · 1 literature citation · 36% of P/LP variants are LoF · LOEUF 0.45

Literature Evidence

LOFWe suggest that HMGA2 mutations leading to haploinsufficiency should be investigated in the SRS patients negative for the typical 11p15 (epi)mutations and matUPD7.PMID:25809938

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

74 submitted variants in ClinVar

Classification Summary

Pathogenic21
Likely Pathogenic4
VUS23
Likely Benign11
Benign3
21
Pathogenic
4
Likely Pathogenic
23
VUS
11
Likely Benign
3
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
5
0
16
0
21
Likely Pathogenic
4
0
0
0
4
VUS
4
14
5
0
23
Likely Benign
1
1
5
4
11
Benign
0
1
1
1
3
Total141627562

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

View in ClinVar →

Protein Context — Lollipop Plot

HMGA2 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
Open Research Assistant →