PFKFB3

Chr 10

6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 3

Also known as: IPFK2, PFK2, iPFK-2

The protein catalyzes both the synthesis and degradation of fructose 2,6-bisphosphate, a key regulatory molecule controlling glycolysis and linking glucose metabolism to cell cycle progression. Mutations cause autosomal recessive glycogen storage disease type XII, which presents with hemolytic anemia, muscle weakness, and cardiac abnormalities. The gene shows moderate constraint to loss-of-function variation (LOEUF 0.447), consistent with its essential metabolic function.

OMIMResearchSummary from RefSeq, UniProt
LOEUF 0.45
Clinical SummaryPFKFB3
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.24) despite low pLI — interpret in context.
📋
ClinVar Variants
27 unique Pathogenic / Likely Pathogenic· 77 VUS of 137 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.45LOEUF
pLI 0.246
Z-score 3.83
OE 0.24 (0.130.45)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.66Z-score
OE missense 0.75 (0.680.83)
262 obs / 349.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.24 (0.130.45)
00.351.4
Missense OE0.75 (0.680.83)
00.61.4
Synonymous OE1.08
01.21.6
LoF obs/exp: 7 / 29.4Missense obs/exp: 262 / 349.4Syn Z: -0.80

ClinVar Variant Classifications

137 submitted variants in ClinVar

Classification Summary

Pathogenic25
Likely Pathogenic2
VUS77
Likely Benign2
Benign2
25
Pathogenic
2
Likely Pathogenic
77
VUS
2
Likely Benign
2
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
25
0
25
Likely Pathogenic
0
0
2
0
2
VUS
0
65
12
0
77
Likely Benign
0
0
0
2
2
Benign
0
0
1
1
2
Total065403108

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

View in ClinVar →

Protein Context — Lollipop Plot

PFKFB3 · 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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