P2RX1

Chr 17

purinergic receptor P2X 1

Also known as: P2X1

P2RX1 encodes an ATP-gated cation channel that mediates rapid synaptic transmission in smooth muscle and contributes to platelet activation, neutrophil chemotaxis, and smooth muscle contractions in the vas deferens and urinary bladder. Mutations cause autosomal recessive episodic bleeding due to platelet dysfunction. The gene is not highly constrained against loss-of-function variants.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.21
Clinical SummaryP2RX1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
29 unique Pathogenic / Likely Pathogenic· 68 VUS of 136 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.21LOEUF
pLI 0.000
Z-score 0.81
OE 0.81 (0.561.21)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
1.02Z-score
OE missense 0.81 (0.720.92)
197 obs / 241.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.81 (0.561.21)
00.351.4
Missense OE0.81 (0.720.92)
00.61.4
Synonymous OE0.98
01.21.6
LoF obs/exp: 18 / 22.1Missense obs/exp: 197 / 241.7Syn Z: 0.14
DN
0.6453th %ile
GOF
0.6737th %ile
LOF
0.2680th %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

136 submitted variants in ClinVar

Classification Summary

Pathogenic29
VUS68
Likely Benign14
Benign16
29
Pathogenic
68
VUS
14
Likely Benign
16
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
29
0
29
Likely Pathogenic
0
0
0
0
0
VUS
0
57
11
0
68
Likely Benign
0
3
5
6
14
Benign
0
1
13
2
16
Total061588127

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

View in ClinVar →

Protein Context — Lollipop Plot

P2RX1 · 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
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