PHIP

Chr 6

PHIP subunit of CUL4-Ring ligase complex

Also known as: BRWD2, CHUJANS, DCAF14, DIDOD, RepID, WDR11, ndrp

This gene encodes a protein that binds to the insulin receptor substrate 1 protein and regulates glucose transporter translocation in skeletal muscle cells. The encoded protein may also regulate growth and survival of pancreatic beta cells. Elevated copy number of this gene may be associated with melanoma severity and the encoded protein may promote melanoma metastasis in human patients. [provided by RefSeq, Oct 2016]

ResearchGenerating clinical summary…
LOFmechanismLOEUF 0.11
Clinical SummaryPHIP
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Gene-Disease Validity (ClinGen)
PHIP-related behavioral problems-intellectual disability-obesity-dysmorphic features syndrome · ADDefinitive

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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ClinVar Variants
92 unique Pathogenic / Likely Pathogenic· 407 VUS of 895 total submissions
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Clinical Trials
2 active or recruiting trials — potential therapeutic options may be available
Some data sources returned errors (1)

omim: Error: OMIM fetch failed: 429

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint?
0.11LOEUF
pLI 1.000
Z-score 8.93
OE 0.06 (0.030.11)
Highly constrained

Among the most LoF-intolerant genes (~top 3%)

Missense Constraint?
5.14Z-score
OE missense 0.53 (0.490.57)
508 obs / 954.9 exp
Constrained

Extremely missense-constrained (top ~0.01%)

Observed / Expected Ratios?
LoF OE?0.06 (0.030.11)
00.351.4
Missense OE?0.53 (0.490.57)
00.61.4
Synonymous OE?0.98
01.21.6
LoF obs/exp: 6 / 104.6Missense obs/exp: 508 / 954.9Syn Z: 0.30
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitivePHIP-related developmental delay, intellectual disability, obesity, and dysmorphic featuresLOFAD

This gene — mechanism propensity

DN
0.2698th %ile
GOF
0.3193th %ile
LOF
0.81top 5%

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

LOFprediction above median · 1 literature citation · 82% of P/LP variants are LoF · LOEUF 0.11 · ClinGen HI: Sufficient evidence for dosage pathogenicity

Literature Evidence

LOFA genotype-first approach identifies an intellectual disability-overweight syndrome caused by PHIP haploinsufficiency.1

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

References

  1. 1.PMID 29209020

ClinVar Variant Classifications

895 submitted variants in ClinVar

Classification Summary

Pathogenic40
Likely Pathogenic52
VUS407
Likely Benign317
Benign26
Conflicting20
40
Pathogenic
52
Likely Pathogenic
407
VUS
317
Likely Benign
26
Benign
20
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
40
0
0
0
40
Likely Pathogenic
35
14
3
0
52
VUS
12
355
33
7
407
Likely Benign
0
26
142
149
317
Benign
0
12
9
5
26
Conflicting
20
Total87407187161862

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

View in ClinVar →

4 pathogenic / likely-pathogenic (of 5) ClinVar copy-number / structural variants overlap PHIP — these span large chromosomal regions, not the gene specifically, and are excluded from the counts above. Explore in CNV tools →

Protein Context — Lollipop Plot

PHIP · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.