PSTPIP2

Chr 18

proline-serine-threonine phosphatase interacting protein 2

Also known as: MAYP

This protein binds to F-actin and regulates the actin cytoskeleton. Mutations cause camptodactyly-arthropathy-coxa vara-pericarditis syndrome, an autoinflammatory disorder with skeletal abnormalities and pericarditis, inherited in an autosomal recessive pattern. The gene shows moderate tolerance to loss-of-function variants.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
5
Pubs (1 yr)
50
P/LP submissions
0%
P/LP missense
0.57
LOEUF
DN
Mechanism· predicted
Clinical SummaryPSTPIP2
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.33) despite low pLI — interpret in context.
📋
ClinVar Variants
48 unique Pathogenic / Likely Pathogenic· 25 VUS of 100 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.57LOEUF
pLI 0.003
Z-score 3.38
OE 0.33 (0.200.57)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.14Z-score
OE missense 0.76 (0.660.88)
137 obs / 180.0 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.33 (0.200.57)
00.351.4
Missense OE0.76 (0.660.88)
00.61.4
Synonymous OE0.98
01.21.6
LoF obs/exp: 10 / 29.9Missense obs/exp: 137 / 180.0Syn Z: 0.14
DN
0.77top 25%
GOF
0.5856th %ile
LOF
0.2873th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

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.

ClinVar Variant Classifications

100 submitted variants in ClinVar

Classification Summary

Pathogenic46
Likely Pathogenic2
VUS25
Likely Benign4
46
Pathogenic
2
Likely Pathogenic
25
VUS
4
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
46
0
46
Likely Pathogenic
0
0
2
0
2
VUS
0
23
2
0
25
Likely Benign
0
3
1
0
4
Benign
0
0
0
0
0
Total02651077

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

View in ClinVar →

Protein Context — Lollipop Plot

PSTPIP2 · 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.

Search ClinicalTrials.gov →
Clinical Literature
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