ORMDL1

Chr 2

ORMDL sphingolipid biosynthesis regulator 1

ORMDL1 encodes a protein that regulates sphingolipid biosynthesis by modulating serine palmitoyltransferase activity in response to ceramide levels, maintaining ceramide homeostasis in the endoplasmic reticulum. No established Mendelian diseases have been definitively associated with ORMDL1 mutations in pediatric patients. The gene shows relatively low constraint to loss-of-function variation (pLI = 0.12, LOEUF = 1.16), suggesting haploinsufficiency may be tolerated.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.16
Clinical SummaryORMDL1
Population Constraint (gnomAD)
Low constraint (pLI 0.12) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.16LOEUF
pLI 0.123
Z-score 1.36
OE 0.37 (0.151.16)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.78Z-score
OE missense 0.76 (0.630.94)
66 obs / 86.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.37 (0.151.16)
00.351.4
Missense OE0.76 (0.630.94)
00.61.4
Synonymous OE0.86
01.21.6
LoF obs/exp: 2 / 5.4Missense obs/exp: 66 / 86.3Syn Z: 0.60
DN
0.7326th %ile
GOF
0.77top 25%
LOF
0.3358th %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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ORMDL1 · 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.

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Clinical Literature
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Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
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Top 5 full-text resultsSearch PubTator3 ↗