TMEM126A

Chr 11AR

transmembrane protein 126A

Also known as: OPA7

This mitochondrial membrane protein functions as a chaperone for cotranslational protein quality control and is required for assembly of the ND4 module of mitochondrial complex I. Mutations cause optic atrophy 7, which follows autosomal recessive inheritance and primarily affects the visual system through mitochondrial dysfunction.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 1.331 OMIM phenotype
Clinical SummaryTMEM126A
🧬
Gene-Disease Validity (ClinGen)
autosomal recessive optic atrophy, OPA7 type · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
31 unique Pathogenic / Likely Pathogenic· 91 VUS of 206 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.33LOEUF
pLI 0.002
Z-score 0.95
OE 0.63 (0.331.33)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.57Z-score
OE missense 1.16 (1.001.35)
118 obs / 101.9 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.63 (0.331.33)
00.351.4
Missense OE1.16 (1.001.35)
00.61.4
Synonymous OE0.98
01.21.6
LoF obs/exp: 5 / 7.9Missense obs/exp: 118 / 101.9Syn Z: 0.08
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveTMEM126A-related optic atrophyLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.83top 10%
GOF
0.4973th %ile
LOF
0.2970th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

206 submitted variants in ClinVar

Classification Summary

Pathogenic25
Likely Pathogenic6
VUS91
Likely Benign61
Benign11
Conflicting4
25
Pathogenic
6
Likely Pathogenic
91
VUS
61
Likely Benign
11
Benign
4
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
5
0
20
0
25
Likely Pathogenic
5
0
1
0
6
VUS
6
72
12
1
91
Likely Benign
0
4
31
26
61
Benign
0
1
10
0
11
Conflicting
4
Total16777427198

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

View in ClinVar →

Protein Context — Lollipop Plot

TMEM126A · 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 →