TMEM187

Chr X

transmembrane protein 187

Also known as: CXorf12, DXS9878E, ITBA1

This gene encodes a multi-pass membrane protein with unknown specific function. Mutations cause autosomal recessive developmental and epileptic encephalopathy with early infantile onset, characterized by severe intellectual disability, epilepsy, and developmental delays. The gene shows low constraint against loss-of-function variants, consistent with the recessive inheritance pattern observed in affected individuals.

OMIMResearchSummary from RefSeq
DNmechanismLOEUF 1.59
Clinical SummaryTMEM187
Population Constraint (gnomAD)
Low constraint (pLI 0.02) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
169 unique Pathogenic / Likely Pathogenic· 59 VUS of 250 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.59LOEUF
pLI 0.016
Z-score 0.68
OE 0.66 (0.301.59)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.14Z-score
OE missense 0.97 (0.841.12)
129 obs / 133.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.66 (0.301.59)
00.351.4
Missense OE0.97 (0.841.12)
00.61.4
Synonymous OE1.03
01.21.6
LoF obs/exp: 3 / 4.6Missense obs/exp: 129 / 133.4Syn Z: -0.19
DN
0.7228th %ile
GOF
0.5758th %ile
LOF
0.2679th %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

250 submitted variants in ClinVar

Classification Summary

Pathogenic165
Likely Pathogenic4
VUS59
Likely Benign8
Benign2
Conflicting2
165
Pathogenic
4
Likely Pathogenic
59
VUS
8
Likely Benign
2
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
165
0
165
Likely Pathogenic
0
0
4
0
4
VUS
0
46
13
0
59
Likely Benign
0
6
0
2
8
Benign
0
1
0
1
2
Conflicting
2
Total0531823240

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

View in ClinVar →

Protein Context — Lollipop Plot

TMEM187 · 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
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