SEPTIN5

Chr 22

septin 5

Also known as: CDCREL, CDCREL-1, CDCREL1, H5, HCDCREL-1, PNUTL1, SEPT5, Septin-5

SEPTIN5 encodes a filament-forming cytoskeletal GTPase that regulates cytoskeletal organization and may function in cytokinesis and platelet secretion. The gene is highly constrained against loss-of-function variants and is located in the 22q11 region that is frequently deleted in DiGeorge and velocardiofacial syndromes. Mutations in SEPTIN5 itself have not been established as a cause of Mendelian disease, though the gene's involvement in chromosomal rearrangements has been reported in acute myeloid leukemia.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.36
Clinical SummarySEPTIN5
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.93). One damaged copy is likely sufficient to cause disease.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.36LOEUF
pLI 0.927
Z-score 3.70
OE 0.14 (0.060.36)
Highly constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.63Z-score
OE missense 0.53 (0.460.61)
128 obs / 243.5 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.14 (0.060.36)
00.351.4
Missense OE0.53 (0.460.61)
00.61.4
Synonymous OE1.09
01.21.6
LoF obs/exp: 3 / 21.6Missense obs/exp: 128 / 243.5Syn Z: -0.75
DN
0.6744th %ile
GOF
0.6541th %ile
LOF
0.4233th %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
LOFLOEUF 0.36

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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

SEPTIN5 · 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
Open Research Assistant →