HNRNPK

Chr 9AD

heterogeneous nuclear ribonucleoprotein K

Also known as: AUKS, CSBP, HNRPK, TUNP

The protein functions as an RNA-binding protein that complexes with heterogeneous nuclear RNA in the nucleus, influencing pre-mRNA processing and mRNA metabolism, with a distinct binding preference for poly(C) sequences. Loss-of-function mutations cause Au-Kline syndrome, inherited in an autosomal dominant pattern. The gene is highly intolerant to loss-of-function variants, consistent with haploinsufficiency as the disease mechanism.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
LOFmechanismADLOEUF 0.101 OMIM phenotype
Clinical SummaryHNRNPK
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Gene-Disease Validity (ClinGen)
neurodevelopmental disorder-craniofacial dysmorphism-cardiac defect-hip dysplasia syndrome · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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ClinVar Variants
109 unique Pathogenic / Likely Pathogenic· 107 VUS of 386 total submissions
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Clinical Trials
2 active or recruiting trials — potential therapeutic options may be available
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GeneReview available — HNRNPK
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.10LOEUF
pLI 1.000
Z-score 5.15
OE 0.00 (0.000.10)
Highly constrained

Among the most LoF-intolerant genes (~top 3%)

Missense Constraint
3.99Z-score
OE missense 0.33 (0.280.39)
93 obs / 281.5 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.00 (0.000.10)
00.351.4
Missense OE0.33 (0.280.39)
00.61.4
Synonymous OE1.16
01.21.6
LoF obs/exp: 0 / 30.9Missense obs/exp: 93 / 281.5Syn Z: -1.22
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveHNRNPK-related Au-Kline syndromeLOFAD
DN
0.2598th %ile
GOF
0.2597th %ile
LOF
0.86top 5%

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

LOFprediction above median · 1 literature citation · 43% of P/LP variants are LoF · LOEUF 0.10

Literature Evidence

LOFClinical spectrum of Kabuki-like syndrome caused by HNRNPK haploinsufficiency.PMID:28374925

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

386 submitted variants in ClinVar

Classification Summary

Pathogenic57
Likely Pathogenic52
VUS107
Likely Benign92
Benign48
Conflicting11
57
Pathogenic
52
Likely Pathogenic
107
VUS
92
Likely Benign
48
Benign
11
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
27
2
28
0
57
Likely Pathogenic
20
24
8
0
52
VUS
3
87
15
2
107
Likely Benign
0
5
47
40
92
Benign
0
1
44
3
48
Conflicting
11
Total5011914245367

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

View in ClinVar →

Protein Context — Lollipop Plot

HNRNPK · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
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