MMP21

Chr 10AR

matrix metallopeptidase 21

Also known as: HTX7, MMP-21

This gene encodes a matrix metalloproteinase that functions as a protease and may regulate potassium channel surface expression by retaining them in the endoplasmic reticulum. Mutations cause visceral heterotaxy-7, a developmental disorder affecting the normal left-right asymmetry of internal organs, inherited in an autosomal recessive pattern. The gene shows minimal constraint against loss-of-function variation.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 1.201 OMIM phenotype
Clinical SummaryMMP21
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
60 unique Pathogenic / Likely Pathogenic· 79 VUS of 148 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.20LOEUF
pLI 0.000
Z-score 0.88
OE 0.79 (0.531.20)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
1.34Z-score
OE missense 0.78 (0.700.87)
239 obs / 304.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.79 (0.531.20)
00.351.4
Missense OE0.78 (0.700.87)
00.61.4
Synonymous OE0.91
01.21.6
LoF obs/exp: 16 / 20.2Missense obs/exp: 239 / 304.7Syn Z: 0.79
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveMMP21-related heterotaxyLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.6647th %ile
GOF
0.5759th %ile
LOF
0.3746th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

148 submitted variants in ClinVar

Classification Summary

Pathogenic53
Likely Pathogenic7
VUS79
Likely Benign4
53
Pathogenic
7
Likely Pathogenic
79
VUS
4
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
4
5
44
0
53
Likely Pathogenic
5
2
0
0
7
VUS
0
74
5
0
79
Likely Benign
0
1
0
3
4
Benign
0
0
0
0
0
Total982493143

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

View in ClinVar →

Protein Context — Lollipop Plot

MMP21 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC