HSPA5

Chr 9

heat shock protein family A (Hsp70) member 5

Also known as: BIP, GRP78, HEL-S-89n

The protein functions as an endoplasmic reticulum chaperone that facilitates protein folding and quality control, and serves as a key repressor of the unfolded protein response by binding and inactivating stress sensors PERK and IRE1 under normal conditions. Pathogenic variants in HSPA5 have not been definitively established as a cause of human genetic disease based on the available information. The protein's role in cellular stress response and ER homeostasis suggests potential involvement in neurodevelopmental disorders if mutations were to occur, though specific disease associations and inheritance patterns require further clinical characterization.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.41
Clinical SummaryHSPA5
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.77) — some intolerance to loss-of-function variants.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Missense constrained — critical functional residues
LoF Constraint
0.41LOEUF
pLI 0.773
Z-score 3.61
OE 0.18 (0.090.41)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
4.03Z-score
OE missense 0.41 (0.360.47)
152 obs / 370.0 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.18 (0.090.41)
00.351.4
Missense OE0.41 (0.360.47)
00.61.4
Synonymous OE1.09
01.21.6
LoF obs/exp: 4 / 22.5Missense obs/exp: 152 / 370.0Syn Z: -0.89
DN
0.6842th %ile
GOF
0.6540th %ile
LOF
0.48top 25%

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

DNprediction above median
GOFprediction 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

HSPA5 · 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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