PLEKHF2

Chr 8

pleckstrin homology and FYVE domain containing 2

Also known as: EAPF, PHAFIN2, ZFYVE18

The protein is predicted to bind phosphatidylinositol and regulate endosome organization and transport from endosomes to lysosomes, potentially functioning in early endosome fusion and receptor trafficking. Mutations cause autosomal recessive intellectual disability with seizures and dysmorphic features, typically presenting in early childhood. The gene is highly constrained against loss-of-function mutations, suggesting that complete loss of protein function is likely pathogenic.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
1
Pubs (1 yr)
39
P/LP submissions
0%
P/LP missense
0.45
LOEUF
LOF
Mechanism· predicted
Clinical SummaryPLEKHF2
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.87) — some intolerance to loss-of-function variants.
📋
ClinVar Variants
39 unique Pathogenic / Likely Pathogenic· 16 VUS of 56 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.45LOEUF
pLI 0.867
Z-score 2.38
OE 0.00 (0.000.45)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.88Z-score
OE missense 0.55 (0.460.67)
76 obs / 138.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.00 (0.000.45)
00.351.4
Missense OE0.55 (0.460.67)
00.61.4
Synonymous OE0.67
01.21.6
LoF obs/exp: 0 / 6.6Missense obs/exp: 76 / 138.3Syn Z: 1.76
DN
0.4190th %ile
GOF
0.4184th %ile
LOF
0.64top 25%

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

LOFprediction above median · LOEUF 0.45

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

ClinVar Variant Classifications

56 submitted variants in ClinVar

Classification Summary

Pathogenic37
Likely Pathogenic2
VUS16
37
Pathogenic
2
Likely Pathogenic
16
VUS

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
37
0
37
Likely Pathogenic
0
0
2
0
2
VUS
0
13
3
0
16
Likely Benign
0
0
0
0
0
Benign
0
0
0
0
0
Total01342055

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

View in ClinVar →

Protein Context — Lollipop Plot

PLEKHF2 · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 1 results · since 2015Search PubMed ↗