SPINK6

Chr 5

serine peptidase inhibitor Kazal type 6

Also known as: BUSI2, UNQ844

The protein encoded by this gene is a Kazal-type serine protease inhibitor that acts on kallikrein-related peptidases in the skin. Two transcript variants the same protein have been found for this gene. [provided by RefSeq, Aug 2010]

0
Active trials
13
Pathogenic / LP
29
ClinVar variants
3
Pubs (1 yr)
-0.4
Missense Z
1.95
LOEUF
Clinical SummarySPINK6
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
13 Pathogenic / Likely Pathogenic· 15 VUS of 29 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.95LOEUF
pLI 0.000
Z-score -1.39
OE 1.69 (0.901.95)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.38Z-score
OE missense 1.16 (0.921.48)
48 obs / 41.2 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.69 (0.901.95)
00.351.4
Missense OE1.16 (0.921.48)
00.61.4
Synonymous OE0.78
01.21.6
LoF obs/exp: 8 / 4.7Missense obs/exp: 48 / 41.2Syn Z: 0.66
DN
DN
0.75top 25%
GOF
0.6346th %ile
LOF
0.2287th %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

29 submitted variants in ClinVar

Classification Summary

Pathogenic13
VUS15
Likely Benign1
13
Pathogenic
15
VUS
1
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
13
0
13
Likely Pathogenic
0
0
0
0
0
VUS
0
13
2
0
15
Likely Benign
0
0
1
0
1
Benign
0
0
0
0
0
Total01316029

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

View in ClinVar →

SPINK6 · 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.

Search ClinicalTrials.gov →
Clinical Literature
Landmark / reviewRecent case evidence