SYP

Chr XXLR

synaptophysin

Also known as: MRX96, MRXSYP, XLID96

This gene encodes synaptophysin, an integral membrane protein of synaptic vesicles that regulates synaptic plasticity and directs targeting of synaptobrevin to intracellular compartments. Mutations cause X-linked intellectual developmental disorder with inheritance following an X-linked recessive pattern. The gene is highly constrained against loss-of-function variants (pLI 0.92, LOEUF 0.39), indicating that complete loss of function is likely not tolerated.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismXLRLOEUF 0.391 OMIM phenotype
Clinical SummarySYP
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Gene-Disease Validity (ClinGen)
non-syndromic X-linked intellectual disability · XLModerate

Moderate evidence — consider for supplementary testing

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.92). One damaged copy is likely sufficient to cause disease.
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ClinVar Variants
78 unique Pathogenic / Likely Pathogenic· 74 VUS of 200 total submissions
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Clinical Trials
2 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.39LOEUF
pLI 0.915
Z-score 2.99
OE 0.08 (0.030.39)
Highly constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.33Z-score
OE missense 0.67 (0.560.80)
87 obs / 129.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.08 (0.030.39)
00.351.4
Missense OE0.67 (0.560.80)
00.61.4
Synonymous OE1.18
01.21.6
LoF obs/exp: 1 / 12.3Missense obs/exp: 87 / 129.8Syn Z: -1.09
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveSYP-related intellectual developmental disorder, X-linkedLOFXLR
DN
0.5082th %ile
GOF
0.6736th %ile
LOF
0.53top 25%

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and loss-of-function). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
LOFLOEUF 0.39

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. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

200 submitted variants in ClinVar

Classification Summary

Pathogenic68
Likely Pathogenic10
VUS74
Likely Benign16
Benign2
Conflicting2
68
Pathogenic
10
Likely Pathogenic
74
VUS
16
Likely Benign
2
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
1
0
67
0
68
Likely Pathogenic
7
1
2
0
10
VUS
4
58
11
1
74
Likely Benign
0
6
2
8
16
Benign
0
0
0
2
2
Conflicting
2
Total12658211172

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

View in ClinVar →

Protein Context — Lollipop Plot

SYP · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
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