NOXO1
Chr 16NADPH 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.
Population Genetics & Constraint
gnomAD v4 — loss-of-function & missense intolerance
Highly tolerant — LoF variants common in population
Tolerant to missense variation
The highest-scoring mechanism for this gene is gain-of-function.
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
Curated Variants Distribution
Classified variants from ClinVar · 5 ACMG categories
| Classification | LoF | Missense + Inframe | Non-coding | Synonymous | Total |
|---|---|---|---|---|---|
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 |
| Total | 2 | 94 | 59 | 1 | 156 |
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
External Resources
Links to major genomics databases and tools
Clinical Trials
Active and recruiting trials from ClinicalTrials.gov
No active trials found for this gene.
Search ClinicalTrials.gov →External Resources
Links to major genomics databases and tools