MALT1

Chr 18AR

MALT1 paracaspase

Also known as: IMD12, MLT, MLT1, PCASP1

This gene encodes a caspase-like protease that forms CBM signaling complexes to activate NF-κB and p38 MAP kinase pathways, promoting expression of pro-inflammatory cytokines and mediating T-cell receptor signaling and lymphocyte activation. Mutations cause immunodeficiency 12, an autosomal recessive primary immunodeficiency affecting adaptive and innate immune responses. The gene is highly constrained against loss-of-function variants (pLI 0.99, LOEUF 0.3), indicating that biallelic mutations causing severe protein disruption are likely pathogenic.

Summary from RefSeq, OMIM, UniProt
Research Assistant →

Primary Disease Associations & Inheritance

Immunodeficiency 12MIM #615468
AR
2
Active trials
58
Pubs (1 yr)
24
P/LP submissions
5%
P/LP missense
0.30
LOEUF· LoF intol.
Mechanism
Clinical SummaryMALT1
🧬
Gene-Disease Validity (ClinGen)
combined immunodeficiency due to MALT1 deficiency · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.99). One damaged copy is likely sufficient to cause disease.
📋
ClinVar Variants
21 unique Pathogenic / Likely Pathogenic· 83 VUS of 300 total submissions
💊
Clinical Trials
2 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.30LOEUF
pLI 0.987
Z-score 4.94
OE 0.15 (0.080.30)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
2.84Z-score
OE missense 0.59 (0.530.66)
229 obs / 385.9 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.15 (0.080.30)
00.351.4
Missense OE0.59 (0.530.66)
00.61.4
Synonymous OE0.85
01.21.6
LoF obs/exp: 6 / 39.5Missense obs/exp: 229 / 385.9Syn Z: 1.35

ClinVar Variant Classifications

300 submitted variants in ClinVar

Classification Summary

Pathogenic15
Likely Pathogenic6
VUS83
Likely Benign169
Benign12
15
Pathogenic
6
Likely Pathogenic
83
VUS
169
Likely Benign
12
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
3
0
12
0
15
Likely Pathogenic
2
1
3
0
6
VUS
1
77
5
0
83
Likely Benign
0
0
77
92
169
Benign
0
0
12
0
12
Total67810992285

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

View in ClinVar →

Protein Context — Lollipop Plot

MALT1 · 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 →