HPCA

Chr 1AR

hippocalcin

Also known as: BDR2, DYT2

The protein is a neuron-specific calcium-binding protein that inhibits rhodopsin kinase in a calcium-dependent manner and regulates photosignal transduction. Mutations cause autosomal recessive torsion dystonia 2 through a predicted gain-of-function mechanism. The protein localizes to the cytoplasm and cytosol and is thought to play an important role in central nervous system neurons.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
MultiplemechanismARLOEUF 0.591 OMIM phenotype
Clinical SummaryHPCA
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Gene-Disease Validity (ClinGen)
complex movement disorder with or without neurodevelopmental features · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.68) — some intolerance to loss-of-function variants.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available
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GeneReview available — HPCA
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.59LOEUF
pLI 0.678
Z-score 2.29
OE 0.13 (0.040.59)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.20Z-score
OE missense 0.45 (0.360.56)
57 obs / 126.8 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.13 (0.040.59)
00.351.4
Missense OE0.45 (0.360.56)
00.61.4
Synonymous OE0.81
01.21.6
LoF obs/exp: 1 / 8.0Missense obs/exp: 57 / 126.8Syn Z: 1.10
DN
0.7326th %ile
GOF
0.75top 25%
LOF
0.3452th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
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

HPCA · 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 →
Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
PubTator3
Top 5 full-text resultsSearch PubTator3 ↗
Key Publications
Landmark & review papers · by relevance
PubMed
Genetics and Pathogenesis of Dystonia.
Thomsen M et al.·Annu Rev Pathol
2024Review
Selenitetriglycerides-Redox-active agents.
Flis A et al.·Pharmacol Rep
2015
Genetic Dystonias: Update on Classification and New Genetic Discoveries.
Keller Sarmiento IJ et al.·Curr Neurol Neurosci Rep
2021Review
Top 5 results · since 2015Search PubMed ↗