NKX2-6

Chr 8

NK2 homeobox 6

Also known as: CSX2, CTHM, NKX2F, NKX4-2

This gene encodes a homeobox-containing protein that belongs to the NK-2 homeobox family. This protein is a vertebrate homolog of Drosophila homeobox-containing protein called 'tinman', which has been shown to be essential for development of the heart-like dorsal vessel. In conjunction with related gene, NKX2-5, this gene may play a role in both pharyngeal and cardiac embryonic development. Mutations in this gene are associated with persistent truncus arteriosus.[provided by RefSeq, Aug 2011]

Primary Disease Associations & Inheritance

Conotruncal heart malformationsMIM #217095
Persistent truncus arteriosusMIM #217095
0
Active trials
2
Pubs (1 yr)
87
P/LP submissions
1%
P/LP missense
1.03
LOEUF
DN
Mechanism· predicted
Clinical SummaryNKX2-6
🧬
Gene-Disease Validity (ClinGen)
congenital heart disease · ARLimited

Limited evidence — not for standalone diagnostic reporting

Population Constraint (gnomAD)
Low constraint (pLI 0.02) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
85 unique Pathogenic / Likely Pathogenic· 82 VUS of 218 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.03LOEUF
pLI 0.019
Z-score 1.51
OE 0.45 (0.221.03)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.26Z-score
OE missense 0.94 (0.831.07)
165 obs / 174.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.45 (0.221.03)
00.351.4
Missense OE0.94 (0.831.07)
00.61.4
Synonymous OE0.76
01.21.6
LoF obs/exp: 4 / 8.8Missense obs/exp: 165 / 174.8Syn Z: 1.72
DN
0.6939th %ile
GOF
0.4085th %ile
LOF
0.57top 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

218 submitted variants in ClinVar

Classification Summary

Pathogenic78
Likely Pathogenic7
VUS82
Likely Benign35
Benign12
Conflicting2
78
Pathogenic
7
Likely Pathogenic
82
VUS
35
Likely Benign
12
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
78
0
78
Likely Pathogenic
0
1
6
0
7
VUS
4
73
5
0
82
Likely Benign
0
6
3
26
35
Benign
0
0
9
3
12
Conflicting
2
Total48010129216

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

View in ClinVar →

Protein Context — Lollipop Plot

NKX2-6 · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 1 results · since 2015Search PubMed ↗
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC