PLEKHM1

Chr 17ARAD

pleckstrin homology and RUN domain containing M1

Also known as: AP162, B2, OPTA3, OPTB6

The protein functions as a multivalent adapter that regulates RAB7-dependent and HOPS complex-dependent fusion events in the endolysosomal system, facilitating late endosomal and lysosomal maturation, autophagosome clearance, and bone resorption in osteoclasts. Mutations cause osteopetrosis through both autosomal recessive (type 6) and autosomal dominant (type 3) inheritance patterns. The pathogenic mechanism involves impaired endolysosomal trafficking and defective osteoclast function, leading to deficient bone resorption.

Summary from RefSeq, OMIM, UniProt
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Primary Disease Associations & Inheritance

?Osteopetrosis, autosomal recessive 6MIM #611497
AR
Osteopetrosis, autosomal dominant 3MIM #618107
AD
0
Active trials
16
Pubs (1 yr)
7
P/LP submissions
0%
P/LP missense
0.47
LOEUF
Mechanism
Clinical SummaryPLEKHM1
🧬
Gene-Disease Validity (ClinGen)
osteopetrosis, autosomal dominant 3 · ADLimited

Limited evidence — not for standalone diagnostic reporting

2 total gene-disease associations curated

Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.29) despite low pLI — interpret in context.
📋
ClinVar Variants
7 unique Pathogenic / Likely Pathogenic· 1 VUS of 8 total submissions
📖
GeneReview available — PLEKHM1
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.47LOEUF
pLI 0.008
Z-score 4.25
OE 0.29 (0.180.47)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.18Z-score
OE missense 0.87 (0.810.93)
531 obs / 613.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.29 (0.180.47)
00.351.4
Missense OE0.87 (0.810.93)
00.61.4
Synonymous OE0.94
01.21.6
LoF obs/exp: 12 / 41.6Missense obs/exp: 531 / 613.4Syn Z: 0.78

ClinVar Variant Classifications

8 submitted variants in ClinVar

Classification Summary

Pathogenic7
VUS1
7
Pathogenic
1
VUS

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
1
0
6
0
7
Likely Pathogenic
0
0
0
0
0
VUS
0
1
0
0
1
Likely Benign
0
0
0
0
0
Benign
0
0
0
0
0
Total11608

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

View in ClinVar →

Protein Context — Lollipop Plot

PLEKHM1 · 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.

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Clinical Literature
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