OPHN1

Chr XXLR

oligophrenin 1

Also known as: ARHGAP41, MRX60, MRXSBL, OPN1

This gene encodes a Rho-GTPase-activating protein that stimulates GTP hydrolysis of Rho family members and is critical for dendritic spine stabilization, synaptic function, and synaptic vesicle endocytosis. Mutations cause X-linked intellectual developmental disorder with cerebellar hypoplasia and distinctive facial dysmorphism (Billuart type). The gene shows extreme constraint against loss-of-function variants and follows X-linked recessive inheritance.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismXLRLOEUF 0.161 OMIM phenotype
Clinical SummaryOPHN1
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Gene-Disease Validity (ClinGen)
X-linked intellectual disability-cerebellar hypoplasia syndrome · XLDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available
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GeneReview available — OPHN1
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.16LOEUF
pLI 1.000
Z-score 4.86
OE 0.03 (0.010.16)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
2.59Z-score
OE missense 0.58 (0.510.66)
174 obs / 300.5 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.03 (0.010.16)
00.351.4
Missense OE0.58 (0.510.66)
00.61.4
Synonymous OE0.98
01.21.6
LoF obs/exp: 1 / 29.5Missense obs/exp: 174 / 300.5Syn Z: 0.18
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveOPHN1-related intellectual developmental disorderLOFmonoallelic_X_heterozygous
DN
0.4091th %ile
GOF
0.5071th %ile
LOF
0.70top 10%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · LOEUF 0.16

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

OPHN1 · 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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