ROBO1

Chr 3ARAD

roundabout guidance receptor 1

Also known as: CPHD8, DUTT1, NORS, NYS8, SAX3

Bilateral symmetric nervous systems have special midline structures that establish a partition between the two mirror image halves. Some axons project toward and across the midline in response to long-range chemoattractants emanating from the midline. The product of this gene is a member of the immunoglobulin gene superfamily and encodes an integral membrane protein that functions in axon guidance and neuronal precursor cell migration. This receptor is activated by SLIT-family proteins, resulting in a repulsive effect on glioma cell guidance in the developing brain. A related gene is located at an adjacent region on chromosome 3. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2009]

Primary Disease Associations & Inheritance

?Nystagmus 8, congenital, autosomal recessiveMIM #257400
AR
Neurooculorenal syndromeMIM #620305
AR
Pituitary hormone deficiency, combined or isolated, 8MIM #620303
AD
0
Active trials
14
Pathogenic / LP
262
ClinVar variants
49
Pubs (1 yr)
1.1
Missense Z
0.60
LOEUF
Clinical SummaryROBO1
🧬
Gene-Disease Validity (ClinGen)
congenital heart disease · ARLimited

Limited evidence — not for standalone diagnostic reporting

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
14 Pathogenic / Likely Pathogenic· 170 VUS of 262 total submissions
📖
GeneReview available — ROBO1
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.60LOEUF
pLI 0.000
Z-score 4.72
OE 0.46 (0.360.60)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.07Z-score
OE missense 0.90 (0.850.95)
825 obs / 916.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.46 (0.360.60)
00.351.4
Missense OE0.90 (0.850.95)
00.61.4
Synonymous OE1.17
01.21.6
LoF obs/exp: 41 / 89.1Missense obs/exp: 825 / 916.3Syn Z: -2.45
DNGOFLOF
DN
0.7133th %ile
GOF
0.6638th %ile
LOF
0.4528th %ile

This gene has evidence for multiple mechanisms of pathogenicity (dominant-negative, gain-of-function and loss-of-function). Both the Badonyi & Marsh prediction and the broader genomic evidence point to dominant-negative as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

DNprediction above median
GOFprediction above median
LOF43% of P/LP variants are LoF

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

262 submitted variants in ClinVar

Classification Summary

Pathogenic5
Likely Pathogenic9
VUS170
Likely Benign69
Benign8
Conflicting1
5
Pathogenic
9
Likely Pathogenic
170
VUS
69
Likely Benign
8
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
5
0
5
Likely Pathogenic
6
0
3
0
9
VUS
1
159
10
0
170
Likely Benign
1
4
26
38
69
Benign
0
3
4
1
8
Conflicting
1
Total81664839262

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

View in ClinVar →

ROBO1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Gene2Phenotype Curations

ROBO1-related neurooculorenal syndrome

moderate
ARLoss Of FunctionAbsent Gene Product, Altered Gene Product Structure
Dev. Disorders
G2P ↗
splice region variantframeshift variantstop gainedmissense variant

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Landmark / reviewRecent case evidence