NOXO1

Chr 16

NADPH oxidase organizer 1

Also known as: P41NOX, P41NOXA, P41NOXB, P41NOXC, SH3PXD5, SNX28

The protein is an NADPH oxidase organizer that potentiates superoxide-generating activity of NOX1 and NOX3 and is required for biogenesis of otoconia, the crystalline structures in the inner ear that detect gravity. Mutations cause autosomal recessive hearing loss with vestibular dysfunction due to absent or malformed otoconia. The gene shows low constraint to loss-of-function variants, consistent with a recessive inheritance pattern affecting primarily inner ear development and function.

OMIMResearchSummary from RefSeq, UniProt
GOFmechanismLOEUF 1.62
Clinical SummaryNOXO1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
43 unique Pathogenic / Likely Pathogenic· 103 VUS of 162 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.62LOEUF
pLI 0.000
Z-score -0.21
OE 1.06 (0.711.62)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.81Z-score
OE missense 1.15 (1.041.28)
252 obs / 218.3 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.06 (0.711.62)
00.351.4
Missense OE1.15 (1.041.28)
00.61.4
Synonymous OE1.17
01.21.6
LoF obs/exp: 15 / 14.1Missense obs/exp: 252 / 218.3Syn Z: -1.31
DN
0.5674th %ile
GOF
0.6930th %ile
LOF
0.4037th %ile

The highest-scoring mechanism for this gene is gain-of-function.

GOFprediction 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

162 submitted variants in ClinVar

Classification Summary

Pathogenic42
Likely Pathogenic1
VUS103
Likely Benign10
42
Pathogenic
1
Likely Pathogenic
103
VUS
10
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
42
0
42
Likely Pathogenic
0
0
1
0
1
VUS
1
86
16
0
103
Likely Benign
1
8
0
1
10
Benign
0
0
0
0
0
Total294591156

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

View in ClinVar →

Protein Context — Lollipop Plot

NOXO1 · 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
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Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC