NPIPA5

Chr 16

nuclear pore complex interacting protein family member A5

Also known as: NPIP

The NPIPA5 protein is a nuclear pore complex-interacting protein involved in nucleocytoplasmic transport regulation. Mutations cause autosomal recessive intellectual disability with developmental delay and seizures. This gene shows low constraint against loss-of-function variants, consistent with a recessive inheritance pattern.

MultiplemechanismLOEUF 1.86
Clinical SummaryNPIPA5
Population Constraint (gnomAD)
Low constraint (pLI 0.11) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
156 unique Pathogenic / Likely Pathogenic· 113 VUS of 276 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.86LOEUF
pLI 0.108
Z-score 0.27
OE 0.75 (0.231.86)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-1.95Z-score
OE missense 1.62 (1.401.86)
128 obs / 79.2 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.75 (0.231.86)
00.351.4
Missense OE1.62 (1.401.86)
00.61.4
Synonymous OE1.42
01.21.6
LoF obs/exp: 1 / 1.3Missense obs/exp: 128 / 79.2Syn Z: -1.92
DN
0.76top 25%
GOF
0.78top 25%
LOF
0.3842th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
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

276 submitted variants in ClinVar

Classification Summary

Pathogenic117
Likely Pathogenic39
VUS113
Likely Benign2
117
Pathogenic
39
Likely Pathogenic
113
VUS
2
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories· variant type breakdown unavailable

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
117
Likely Pathogenic
39
VUS
113
Likely Benign
2
Benign
0
Total271

Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

NPIPA5 · 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 →
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

No open access results found