PSMC1

Chr 14AR

proteasome 26S subunit, ATPase 1

Also known as: NEDGTH, P26S4, RPT2, S4, p56

PSMC1 encodes an ATPase subunit of the 26S proteasome, a multiprotein complex that degrades ubiquitinated proteins in an ATP-dependent manner to maintain cellular protein homeostasis. Mutations cause Birk-Aharoni syndrome, though the phenotypic spectrum remains incompletely defined. The condition follows autosomal recessive inheritance.

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

?Birk-Aharoni syndromeMIM #620071
AR
0
Active trials
11
Pubs (1 yr)
21
P/LP submissions
5%
P/LP missense
0.14
LOEUF· LoF intol.
LOF
Mechanism· predicted
Clinical SummaryPSMC1
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.
📋
ClinVar Variants
20 unique Pathogenic / Likely Pathogenic· 14 VUS of 46 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.14LOEUF
pLI 0.999
Z-score 4.31
OE 0.00 (0.000.14)
Highly constrained

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

Missense Constraint
3.95Z-score
OE missense 0.28 (0.230.34)
66 obs / 237.0 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.00 (0.000.14)
00.351.4
Missense OE0.28 (0.230.34)
00.61.4
Synonymous OE0.95
01.21.6
LoF obs/exp: 0 / 21.6Missense obs/exp: 66 / 237.0Syn Z: 0.35
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
limitedPSMC1-related neurodevelopmental disorderOTHERAD
DN
0.5771th %ile
GOF
0.3491th %ile
LOF
0.70top 10%

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

LOFprediction above median · LOEUF 0.14

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

46 submitted variants in ClinVar

Classification Summary

Pathogenic19
Likely Pathogenic1
VUS14
Likely Benign2
Benign1
19
Pathogenic
1
Likely Pathogenic
14
VUS
2
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
1
18
0
19
Likely Pathogenic
0
0
1
0
1
VUS
0
9
5
0
14
Likely Benign
0
0
0
2
2
Benign
0
0
0
1
1
Total01024337

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

View in ClinVar →

Protein Context — Lollipop Plot

PSMC1 · 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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