MAP2K1

Chr 15AD

mitogen-activated protein kinase kinase 1

Also known as: CFC3, MAPKK1, MEK1, MEL, MKK1, PRKMK1

The protein encoded by this gene is a member of the dual specificity protein kinase family, which acts as a mitogen-activated protein (MAP) kinase kinase. MAP kinases, also known as extracellular signal-regulated kinases (ERKs), act as an integration point for multiple biochemical signals. This protein kinase lies upstream of MAP kinases and stimulates the enzymatic activity of MAP kinases upon wide variety of extra- and intracellular signals. As an essential component of MAP kinase signal transduction pathway, this kinase is involved in many cellular processes such as proliferation, differentiation, transcription regulation and development. [provided by RefSeq, Jul 2008]

Primary Disease Associations & Inheritance

Cardiofaciocutaneous syndrome 3MIM #615279
AD
Melorheostosis, isolated, somatic mosaicMIM #155950
528
ClinVar variants
55
Pathogenic / LP
0.90
pLI score
11
Active trials
Clinical SummaryMAP2K1
🧬
Gene-Disease Validity (ClinGen)
Noonan syndrome · ADLimited

Limited evidence — not for standalone diagnostic reporting

4 total gene-disease associations curated

Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.90) — some intolerance to loss-of-function variants.
📋
ClinVar Variants
55 Pathogenic / Likely Pathogenic· 214 VUS of 528 total submissions
💊
Clinical Trials
11 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Missense constrained — critical functional residues
LoF Constraint?LOEUF (Loss-of-function Observed/Expected Upper bound Fraction) is the upper bound of the 90% CI for LoF OE — the preferred gnomAD v4 metric. Lower = more intolerant to LoF. LOEUF < 0.35 = highly constrained.
0.38LOEUF
pLI 0.897
Z-score 3.59
OE 0.15 (0.070.38)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint?Missense Z-score: standard deviations fewer missense variants observed vs. expected. Z > 3.09 (p < 0.001) = gene does not tolerate missense variation. OE missense < 0.6 is also considered constrained.
3.11Z-score
OE missense 0.41 (0.340.48)
88 obs / 216.8 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios?Shaded band = 90% confidence interval. Vertical tick = point estimate. Grey threshold line = gnomAD constraint cutoff for that variant class.
LoF OE?Ratio of observed to expected LoF variants. Upper CI bound (LOEUF) ≤ 0.35 = strong LoF constraint signal.0.15 (0.070.38)
00.351.4
Missense OE?Ratio of observed to expected missense variants. OE ≤ 0.6 = fewer missense variants than expected by chance.0.41 (0.340.48)
00.61.4
Synonymous OE?Control metric — synonymous variants are largely neutral and expected near OE = 1.0. Significant deviation may indicate annotation issues.1.09
01.21.6
LoF obs/exp: 3 / 20.6Missense obs/exp: 88 / 216.8Syn Z: -0.65

ClinVar Variant Classifications

528 submitted variants in ClinVar

Classification Summary

Pathogenic27
Likely Pathogenic28
VUS214
Likely Benign195
Benign45
Conflicting19
27
Pathogenic
28
Likely Pathogenic
214
VUS
195
Likely Benign
45
Benign
19
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
18
9
0
27
Likely Pathogenic
0
19
9
0
28
VUS
17
153
38
6
214
Likely Benign
0
1
106
88
195
Benign
0
1
38
6
45
Conflicting
19
Total17192200100528

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

View in ClinVar →

Protein Context — Lollipop Plot

MAP2K1 · protein map & ClinVar variants

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

Gene2Phenotype Curations

MAP2K1-related cardiofaciocutaneous syndrome

definitive
ADGain Of FunctionAltered Gene Product Structure
Dev. Disorders
G2P ↗

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

OMIM — Genotype-Phenotype Relationships

1 OMIM entry

Cardiofaciocutaneous syndrome 3

MIM #615279

Molecular basis of disorder known

Autosomal dominant

Melorheostosis, isolated, somatic mosaic

MIM #155950

Molecular basis of disorder known

📖
GeneReview available — MAP2K1
Authoritative clinical overview · NCBI Bookshelf · Recommended first read
Open GeneReview ↗
Clinical Literature
Landmark / reviewRecent case evidence

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

EGFR NP_005219.2:p.S492RKRAS Gene MutationMAP2K1 Gene Mutation

Panitumumab With or Without Trametinib in Treating Patients With Stage IV Colorectal Cancer

ACTIVE NOT RECRUITING
NCT03087071Phase PHASE2M.D. Anderson Cancer CenterStarted 2017-12-29
Laboratory Biomarker AnalysisPanitumumabTrametinib
Metastatic Colon AdenocarcinomaMetastatic Colorectal CarcinomaMetastatic Rectal Adenocarcinoma

Panitumumab, Regorafenib, or TAS-102, in Treating Patients With Metastatic and/or Unresectable RAS Wild-Type Colorectal Cancer

ACTIVE NOT RECRUITING
NCT03992456Phase PHASE2Academic and Community Cancer Research UnitedStarted 2020-04-24
PanitumumabQuality-of-Life AssessmentQuestionnaire Administration
Slow-Flow Vascular MalformationFast-Flow Vascular MalformationVascular Malformations

A Trial of Targeted Therapies for Patients With Slow-Flow or Fast-Flow Vascular Malformations

RECRUITING
NCT05983159Phase PHASE2Murdoch Childrens Research InstituteStarted 2024-09-13
AlpelisibMirdametinib
Solid TumorPrecision Medicine

Precision Medicine Trial Based on Molecular Matching Therapy for Patients With Standard Treatment Exhaustion

RECRUITING
NCT06739395Phase PHASE2Tianjin Medical University Second HospitalStarted 2024-11-01
Olaparib tabletTemozolomide capsuleAnlotinib
Hormone-Resistant Prostate CancerMetastatic Prostate CarcinomaRecurrent Prostate Carcinoma

Trametinib in Treating Patients With Progressive Metastatic Hormone-Resistant Prostate Cancer

ACTIVE NOT RECRUITING
NCT02881242Phase PHASE2Jonsson Comprehensive Cancer CenterStarted 2018-01-30
Laboratory Biomarker AnalysisQuality-of-Life AssessmentTrametinib
Hairy Cell Leukemia

Encorafenib Plus Binimetinib for People With BRAF V600 Mutated Relapsed/Refractory HCL

RECRUITING
NCT04324112Phase PHASE2National Cancer Institute (NCI)Started 2020-10-28
binimetinibEncorafenib
Hairy Cell Leukemia

Binimetinib for People With Relapsed/Refractory BRAF Wild Type Hairy Cell Leukemia and Variant

RECRUITING
NCT04322383Phase PHASE2National Cancer Institute (NCI)Started 2021-01-07
binimetinib
RASopathy

Study of the Thyroid Function and Echostructural Morphology in Patients Affected With Rasopathies (ECORAS2023)

RECRUITING
NCT06489067University of Bari Aldo MoroStarted 2024-01-15
Breast Cancer, Metastatic Breast Cancer

Next Generation Sequencing-based "Oncochip" for Therapeutic Decision in Metastatic Breast Cancer. Study SHARP

ACTIVE NOT RECRUITING
NCT06727357Phase PHASE2European Institute of OncologyStarted 2019-09-26
Chemotherapy
Non Small Cell Lung CancerEGFR Gene MutationALK Gene Mutation

Treatment Strategies and Survival Outcome for Non-small Cell Lung Cancer With Oncogenic Mutation

RECRUITING
NCT04322890Phase PHASE2Hunan Province Tumor HospitalStarted 2020-04-16
OsimertinibAlectinib 150 MGCrizotinib 250 MG
Refractory Differentiated Thyroid Gland Carcinoma

Study of Targeted Therapy vs. Chemotherapy in Patients With Thyroid Cancer

RECRUITING
NCT06475989Phase PHASE3ECOG-ACRIN Cancer Research GroupStarted 2024-08-22
Biospecimen CollectionCabozantinibComputed Tomography