SIX1

Chr 14AD

SIX homeobox 1

Also known as: BOS3, DFNA23, TIP39

SIX1 encodes a homeobox transcription factor that regulates cell proliferation, apoptosis, and embryonic development of multiple organs including kidney, muscle, and inner ear. Mutations cause autosomal dominant branchiootic syndrome type 3 (involving branchial arch anomalies, hearing loss, and renal malformations) and autosomal dominant deafness type 23. The gene is moderately constrained against loss-of-function variants (pLI 0.65, LOEUF 0.52).

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismADLOEUF 0.522 OMIM phenotypes
Clinical SummarySIX1
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Gene-Disease Validity (ClinGen)
branchio-oto-renal syndrome · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.65) — some intolerance to loss-of-function variants.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.52LOEUF
pLI 0.653
Z-score 2.69
OE 0.17 (0.070.52)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.19Z-score
OE missense 0.74 (0.630.86)
119 obs / 161.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.17 (0.070.52)
00.351.4
Missense OE0.74 (0.630.86)
00.61.4
Synonymous OE1.13
01.21.6
LoF obs/exp: 2 / 12.1Missense obs/exp: 119 / 161.6Syn Z: -0.90
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveSIX1-related deafnessOTHERAD
strongSIX1-related non-syndromic craniosynostosisLOFAD
definitiveSIX1-related branchiootic syndromeOTHERAD
DN
0.5770th %ile
GOF
0.4874th %ile
LOF
0.62top 25%

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

LOF1 literature citation

Literature Evidence

LOFAlthough haploinsufficiency of EYA1 and SIX1 are known to cause BOR, copy number variation analysis has only been performed on a limited number of BOR patients.PMID:23851940

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

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

SIX1 · 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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Clinical Literature
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