RPH3AL

Chr 17

rabphilin 3A like (without C2 domains)

Also known as: NOC2

This protein is a Rab GTPase effector that directly regulates calcium-dependent exocytosis in endocrine and exocrine cells, playing a key role in insulin secretion by pancreatic cells. Mutations cause autosomal recessive developmental and epileptic encephalopathy with microcephaly, affecting the nervous system with early childhood onset. The gene is not highly constrained against loss-of-function variants.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.41
Clinical SummaryRPH3AL
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.41LOEUF
pLI 0.000
Z-score 0.19
OE 0.95 (0.661.41)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.31Z-score
OE missense 1.07 (0.951.20)
192 obs / 180.1 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.95 (0.661.41)
00.351.4
Missense OE1.07 (0.951.20)
00.61.4
Synonymous OE0.98
01.21.6
LoF obs/exp: 18 / 18.9Missense obs/exp: 192 / 180.1Syn Z: 0.13
DN
0.6840th %ile
GOF
0.73top 25%
LOF
0.3939th %ile

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

GOFprediction above median
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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

RPH3AL · 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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