OXNAD1

Chr 3

oxidoreductase NAD binding domain containing 1

Also known as: RFTN1-AS1

The protein is predicted to have oxidoreductase activity and localizes to mitochondria. Mutations cause autosomal recessive developmental and epileptic encephalopathy-115, characterized by early-onset seizures and developmental delays. The gene shows minimal constraint against loss-of-function variants.

OMIMResearchSummary from RefSeq
DNmechanismLOEUF 1.46
Clinical SummaryOXNAD1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
23 unique Pathogenic / Likely Pathogenic· 84 VUS of 125 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.46LOEUF
pLI 0.000
Z-score 0.32
OE 0.90 (0.581.46)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.45Z-score
OE missense 1.10 (0.971.24)
189 obs / 172.2 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.90 (0.581.46)
00.351.4
Missense OE1.10 (0.971.24)
00.61.4
Synonymous OE0.84
01.21.6
LoF obs/exp: 12 / 13.3Missense obs/exp: 189 / 172.2Syn Z: 1.00
DN
0.6162th %ile
GOF
0.5759th %ile
LOF
0.3745th %ile

The highest-scoring mechanism for this gene is dominant-negative.

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

125 submitted variants in ClinVar

Classification Summary

Pathogenic22
Likely Pathogenic1
VUS84
Likely Benign10
22
Pathogenic
1
Likely Pathogenic
84
VUS
10
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
22
0
22
Likely Pathogenic
0
0
1
0
1
VUS
0
81
3
0
84
Likely Benign
0
6
2
2
10
Benign
0
0
0
0
0
Total087282117

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

View in ClinVar →

Protein Context — Lollipop Plot

OXNAD1 · 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 →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC

No open access results found