NANOG encodes a homeobox transcription factor that maintains embryonic stem cell pluripotency and prevents cellular differentiation by binding to specific DNA sequences and regulating target gene expression. Mutations cause autosomal dominant intellectual disability with distinctive facial features and variable developmental anomalies. The gene has an associated GeneReviews entry, indicating established clinical significance in human disease.

Summary from RefSeq, UniProt
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3
Active trials
415
Pubs (1 yr)
44
P/LP submissions
0%
P/LP missense
0.56
LOEUF
DN
Mechanism· predicted
Clinical SummaryNANOG
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.72) — some intolerance to loss-of-function variants.
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ClinVar Variants
43 unique Pathogenic / Likely Pathogenic· 40 VUS of 95 total submissions
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Clinical Trials
3 active or recruiting trials — potential therapeutic options may be available
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GeneReview available — NANOG
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.56LOEUF
pLI 0.720
Z-score 2.39
OE 0.12 (0.040.56)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
0.40Z-score
OE missense 0.91 (0.781.05)
128 obs / 141.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.12 (0.040.56)
00.351.4
Missense OE0.91 (0.781.05)
00.61.4
Synonymous OE0.86
01.21.6
LoF obs/exp: 1 / 8.5Missense obs/exp: 128 / 141.4Syn Z: 0.80
DN
0.6162th %ile
GOF
0.4875th %ile
LOF
0.59top 25%

The highest-scoring mechanism for this gene is dominant-negative.

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

95 submitted variants in ClinVar

Classification Summary

Pathogenic41
Likely Pathogenic2
VUS40
Likely Benign2
Benign3
Conflicting1
41
Pathogenic
2
Likely Pathogenic
40
VUS
2
Likely Benign
3
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
41
0
41
Likely Pathogenic
0
0
2
0
2
VUS
0
31
9
0
40
Likely Benign
0
0
1
1
2
Benign
0
0
3
0
3
Conflicting
1
Total03156189

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

View in ClinVar →

Protein Context — Lollipop Plot

NANOG · 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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Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗