PRPS1

Chr XXLRX-linked

phosphoribosyl pyrophosphate synthetase 1

Also known as: ARTS, CMTX5, DFN2, DFNX1, PPRibP, PRS-I, PRSI

The PRPS1 protein catalyzes the synthesis of phosphoribosylpyrophosphate (PRPP), which is essential for nucleotide synthesis and purine metabolism. Mutations cause a spectrum of X-linked disorders including Arts syndrome (severe intellectual disability, sensorineural hearing loss, and ataxia), X-linked Charcot-Marie-Tooth disease type 5, X-linked deafness, and PRPS-related gout. This gene is highly constrained against loss-of-function variants (pLI 0.92, LOEUF 0.38) and follows X-linked inheritance patterns.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
MultiplemechanismXLR/X-linkedLOEUF 0.385 OMIM phenotypes
Clinical SummaryPRPS1
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Gene-Disease Validity (ClinGen)
phosphoribosylpyrophosphate synthetase superactivity · XLLimited

Limited evidence — not for standalone diagnostic reporting

2 total gene-disease associations curated

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.92). One damaged copy is likely sufficient to cause disease.
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GeneReview available — PRPS1
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.38LOEUF
pLI 0.915
Z-score 2.61
OE 0.00 (0.000.38)
Highly constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
3.73Z-score
OE missense 0.08 (0.050.13)
10 obs / 129.5 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.00 (0.000.38)
00.351.4
Missense OE0.08 (0.050.13)
00.61.4
Synonymous OE0.91
01.21.6
LoF obs/exp: 0 / 7.9Missense obs/exp: 10 / 129.5Syn Z: 0.48
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitivePRPS1-related deafnessOTHERXLR
definitivePRPS1-related retinal dystrophyOTHERmonoallelic_X_heterozygous
definitivePRPS1-related Arts syndromeLOFXLR
definitivePRPS1-related phosphoribosylpyrophosphate synthetase superactivityGOFXLR
definitivePRPS1-related Charcot-Marie-Tooth diseaseLOFXLR
DN
0.4388th %ile
GOF
0.4973th %ile
LOF
0.67top 25%

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

LOFprediction above median · LOEUF 0.38

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. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

PRPS1 · 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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