TBL1X

Chr XX-linked

transducin beta like 1 X-linked

Also known as: CHNG8, EBI, SMAP55, TBL1

The protein functions as an F-box-like protein that recruits the ubiquitin/proteasome complex to nuclear receptor-regulated transcription units and plays an essential role in transcription activation by mediating degradation of repressor complexes. Mutations cause X-linked congenital nongoitrous hypothyroidism. This gene is highly constrained against loss-of-function variants, indicating that such variants are likely to be pathogenic.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismX-linkedLOEUF 0.311 OMIM phenotype
Clinical SummaryTBL1X
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.98). One damaged copy is likely sufficient to cause disease.
📋
ClinVar Variants
86 unique Pathogenic / Likely Pathogenic· 91 VUS of 311 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.31LOEUF
pLI 0.979
Z-score 4.09
OE 0.12 (0.050.31)
Highly constrained

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

Missense Constraint
2.48Z-score
OE missense 0.56 (0.480.64)
138 obs / 247.8 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.12 (0.050.31)
00.351.4
Missense OE0.56 (0.480.64)
00.61.4
Synonymous OE1.04
01.21.6
LoF obs/exp: 3 / 25.1Missense obs/exp: 138 / 247.8Syn Z: -0.34
DN
0.3991th %ile
GOF
0.4085th %ile
LOF
0.75top 10%

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

LOFprediction above median · LOEUF 0.31

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

311 submitted variants in ClinVar

Classification Summary

Pathogenic84
Likely Pathogenic2
VUS91
Likely Benign9
Benign16
Conflicting1
84
Pathogenic
2
Likely Pathogenic
91
VUS
9
Likely Benign
16
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
84
0
84
Likely Pathogenic
1
0
1
0
2
VUS
1
77
13
0
91
Likely Benign
0
2
1
6
9
Benign
0
1
12
3
16
Conflicting
1
Total2801119203

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

View in ClinVar →

Protein Context — Lollipop Plot

TBL1X · 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.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC