SYN1

Chr XX-linked

synapsin I

Also known as: EPILX, EPILX1, MRX50, SYN1a, SYN1b, SYNI

This gene is a member of the synapsin gene family. Synapsins encode neuronal phosphoproteins which associate with the cytoplasmic surface of synaptic vesicles. Family members are characterized by common protein domains, and they are implicated in synaptogenesis and the modulation of neurotransmitter release, suggesting a potential role in several neuropsychiatric diseases. This member of the synapsin family plays a role in regulation of axonogenesis and synaptogenesis. The protein encoded serves as a substrate for several different protein kinases and phosphorylation may function in the regulation of this protein in the nerve terminal. Mutations in this gene may be associated with X-linked disorders with primary neuronal degeneration such as Rett syndrome. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

Primary Disease Associations & Inheritance

Epilepsy, X-linked 1, with variable learning disabilities and behavior disordersMIM #300491
X-linked
Intellectual developmental disorder, X-linked 50MIM #300115
X-linked
548
ClinVar variants
124
Pathogenic / LP
0.99
pLI score· haploinsufficient
1
Active trials
Clinical SummarySYN1
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Gene-Disease Validity (ClinGen)
X-linked complex neurodevelopmental disorder · XLDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.99). One damaged copy is likely sufficient to cause disease.
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ClinVar Variants
124 Pathogenic / Likely Pathogenic· 232 VUS of 548 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint?LOEUF (Loss-of-function Observed/Expected Upper bound Fraction) is the upper bound of the 90% CI for LoF OE — the preferred gnomAD v4 metric. Lower = more intolerant to LoF. LOEUF < 0.35 = highly constrained.
0.25LOEUF
pLI 0.992
Z-score 3.82
OE 0.05 (0.020.25)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint?Missense Z-score: standard deviations fewer missense variants observed vs. expected. Z > 3.09 (p < 0.001) = gene does not tolerate missense variation. OE missense < 0.6 is also considered constrained.
2.97Z-score
OE missense 0.47 (0.400.55)
116 obs / 247.3 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios?Shaded band = 90% confidence interval. Vertical tick = point estimate. Grey threshold line = gnomAD constraint cutoff for that variant class.
LoF OE?Ratio of observed to expected LoF variants. Upper CI bound (LOEUF) ≤ 0.35 = strong LoF constraint signal.0.05 (0.020.25)
00.351.4
Missense OE?Ratio of observed to expected missense variants. OE ≤ 0.6 = fewer missense variants than expected by chance.0.47 (0.400.55)
00.61.4
Synonymous OE?Control metric — synonymous variants are largely neutral and expected near OE = 1.0. Significant deviation may indicate annotation issues.0.83
01.21.6
LoF obs/exp: 1 / 18.9Missense obs/exp: 116 / 247.3Syn Z: 1.44

ClinVar Variant Classifications

548 submitted variants in ClinVar

Classification Summary

Pathogenic107
Likely Pathogenic17
VUS232
Likely Benign161
Benign6
Conflicting25
107
Pathogenic
17
Likely Pathogenic
232
VUS
161
Likely Benign
6
Benign
25
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
22
0
85
0
107
Likely Pathogenic
9
2
6
0
17
VUS
2
200
26
4
232
Likely Benign
0
7
52
102
161
Benign
0
1
4
1
6
Conflicting
25
Total33210173107548

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

View in ClinVar →

Protein Context — Lollipop Plot

SYN1 · protein map & ClinVar variants

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

Gene2Phenotype Curations

SYN1-related epilepsy with variable learning disabilities and behaviour disorders

strong
Monoallelic X HemizygousLoss Of FunctionAbsent Gene Product
Dev. Disorders
G2P ↗

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

OMIM — Genotype-Phenotype Relationships

1 OMIM entry

SYNAPSIN I; SYN1
MIM #313440 · *

Epilepsy, X-linked 1, with variable learning disabilities and behavior disorders

MIM #300491

Molecular basis of disorder known

X-linked

Intellectual developmental disorder, X-linked 50

MIM #300115

Molecular basis of disorder known

X-linked
Clinical Literature
Landmark / reviewRecent case evidence