SERPINB8

Chr 18AR

serpin family B member 8

Also known as: C18orf53, CAP2, PI-8, PI8, PSS5

SERPINB8 encodes a serine protease inhibitor that enhances mechanical stability of desmosome-mediated cell-cell adhesion in the skin. Mutations cause peeling skin syndrome 5, an autosomal recessive disorder characterized by superficial skin peeling. The gene shows extremely low constraint to loss-of-function variation (pLI near 0), consistent with its recessive inheritance pattern.

Summary from RefSeq, OMIM, UniProt
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Primary Disease Associations & Inheritance

Peeling skin syndrome 5MIM #617115
AR
0
Active trials
4
Pubs (1 yr)
105
P/LP submissions
2%
P/LP missense
1.41
LOEUF
Multiple*
Mechanism· predicted
Clinical SummarySERPINB8
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
101 unique Pathogenic / Likely Pathogenic· 70 VUS of 219 total submissions

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 0.35
OE 0.90 (0.601.41)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.95Z-score
OE missense 1.19 (1.071.32)
240 obs / 202.0 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.90 (0.601.41)
00.351.4
Missense OE1.19 (1.071.32)
00.61.4
Synonymous OE1.09
01.21.6
LoF obs/exp: 14 / 15.5Missense obs/exp: 240 / 202.0Syn Z: -0.66
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
limitedSERPINB8-related peeling skin syndromeOTHERAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.74top 25%
GOF
0.6736th %ile
LOF
0.2190th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

219 submitted variants in ClinVar

Classification Summary

Pathogenic92
Likely Pathogenic9
VUS70
Likely Benign20
Benign21
Conflicting2
92
Pathogenic
9
Likely Pathogenic
70
VUS
20
Likely Benign
21
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
1
91
0
92
Likely Pathogenic
1
1
7
0
9
VUS
2
53
15
0
70
Likely Benign
0
5
5
10
20
Benign
0
6
12
3
21
Conflicting
2
Total36613013214

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

View in ClinVar →

Protein Context — Lollipop Plot

SERPINB8 · 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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Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC