SPAG6

Chr 10

sperm associated antigen 6

Also known as: CFAP194, CT141, FAP194, Repro-SA-1, pf16

The protein is essential for structural integrity of the central apparatus in sperm tails and flagellar motility. Mutations cause primary ciliary dyskinesia with male infertility and follow autosomal recessive inheritance. This gene shows extremely low constraint against loss-of-function variants (pLI near 0), consistent with recessive disease where heterozygous carriers are unaffected.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
16
Pubs (1 yr)
9
P/LP submissions
0%
P/LP missense
1.22
LOEUF
DN
Mechanism· predicted
Clinical SummarySPAG6
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
9 unique Pathogenic / Likely Pathogenic· 62 VUS of 86 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.22LOEUF
pLI 0.000
Z-score 0.67
OE 0.86 (0.611.22)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.74Z-score
OE missense 0.87 (0.790.97)
238 obs / 272.5 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.86 (0.611.22)
00.351.4
Missense OE0.87 (0.790.97)
00.61.4
Synonymous OE1.09
01.21.6
LoF obs/exp: 22 / 25.7Missense obs/exp: 238 / 272.5Syn Z: -0.69
DN
0.6550th %ile
GOF
0.4480th %ile
LOF
0.4429th %ile

The highest-scoring mechanism for this gene is dominant-negative.

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

86 submitted variants in ClinVar

Classification Summary

Pathogenic8
Likely Pathogenic1
VUS62
Likely Benign4
Benign2
8
Pathogenic
1
Likely Pathogenic
62
VUS
4
Likely Benign
2
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
8
0
8
Likely Pathogenic
0
0
1
0
1
VUS
0
59
3
0
62
Likely Benign
0
2
0
2
4
Benign
0
0
1
1
2
Total06113377

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

View in ClinVar →

Protein Context — Lollipop Plot

SPAG6 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

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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