The protein regulates AMPA-type glutamate receptor function at synapses, maintaining high-frequency synaptic transmission by preventing receptor immobilization and synaptic depression. Mutations cause autosomal recessive developmental and epileptic encephalopathy with onset in infancy, characterized by severe intellectual disability, epilepsy, and progressive microcephaly. The gene is highly constrained against loss-of-function variants, reflecting its critical role in synaptic function.

OMIMResearchSummary from RefSeq, UniProt
LOFmechanismLOEUF 0.40
Clinical SummarySHISA6
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.85) — some intolerance to loss-of-function variants.
📋
ClinVar Variants
11 unique Pathogenic / Likely Pathogenic· 114 VUS of 128 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.40LOEUF
pLI 0.853
Z-score 3.46
OE 0.15 (0.070.40)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.15Z-score
OE missense 0.65 (0.580.73)
197 obs / 302.3 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.15 (0.070.40)
00.351.4
Missense OE0.65 (0.580.73)
00.61.4
Synonymous OE0.92
01.21.6
LoF obs/exp: 3 / 19.5Missense obs/exp: 197 / 302.3Syn Z: 0.70
DN
0.5869th %ile
GOF
0.6053th %ile
LOF
0.70top 10%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · LOEUF 0.40

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

128 submitted variants in ClinVar

Classification Summary

Pathogenic11
VUS114
11
Pathogenic
114
VUS

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
11
0
11
Likely Pathogenic
0
0
0
0
0
VUS
0
110
4
0
114
Likely Benign
0
0
0
0
0
Benign
0
0
0
0
0
Total0110150125

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

View in ClinVar →

Protein Context — Lollipop Plot

SHISA6 · 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 →