RNF138

Chr 18

ring finger protein 138

Also known as: HSD-4, NARF, STRIN, hNARF

This E3 ubiquitin-protein ligase promotes DNA double-strand break repair through homologous recombination and regulates Wnt/beta-catenin signaling pathways. Mutations cause autosomal recessive intellectual disability with growth retardation, typically presenting in early childhood. The gene shows significant constraint against loss-of-function variants (LOEUF 0.51), indicating that complete loss of protein function is poorly tolerated.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
4
Pubs (1 yr)
41
P/LP submissions
P/LP missense
0.51
LOEUF
Mechanism
Clinical SummaryRNF138
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.68) — some intolerance to loss-of-function variants.
📋
ClinVar Variants
39 unique Pathogenic / Likely Pathogenic· 11 VUS of 66 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.51LOEUF
pLI 0.675
Z-score 2.73
OE 0.16 (0.070.51)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.12Z-score
OE missense 0.47 (0.380.58)
60 obs / 127.2 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.16 (0.070.51)
00.351.4
Missense OE0.47 (0.380.58)
00.61.4
Synonymous OE0.83
01.21.6
LoF obs/exp: 2 / 12.3Missense obs/exp: 60 / 127.2Syn Z: 0.88

ClinVar Variant Classifications

66 submitted variants in ClinVar

Classification Summary

Pathogenic38
Likely Pathogenic1
VUS11
Likely Benign1
38
Pathogenic
1
Likely Pathogenic
11
VUS
1
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories· variant type breakdown unavailable

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
38
Likely Pathogenic
1
VUS
11
Likely Benign
1
Benign
0
Total51

Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

RNF138 · 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
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Key Publications
Landmark & review papers · by relevance
PubMed
Top 2 results · since 2015Search PubMed ↗