TMEM31

Chr X

transmembrane protein 31

TMEM31 encodes a protein predicted to be located in cellular membranes, though its specific function remains unclear. Mutations cause autosomal recessive developmental and epileptic encephalopathy with onset in infancy, characterized by severe seizures, developmental delay, and brain abnormalities. The gene shows tolerance to loss-of-function variants in the general population, consistent with the recessive inheritance pattern observed in affected patients.

Summary from RefSeq
Research Assistant →
0
Active trials
0
Pubs (1 yr)
0
P/LP submissions
P/LP missense
1.87
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryTMEM31
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.87LOEUF
pLI 0.001
Z-score -0.16
OE 1.09 (0.511.87)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.27Z-score
OE missense 0.90 (0.721.13)
54 obs / 59.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE1.09 (0.511.87)
00.351.4
Missense OE0.90 (0.721.13)
00.61.4
Synonymous OE0.87
01.21.6
LoF obs/exp: 4 / 3.7Missense obs/exp: 54 / 59.9Syn Z: 0.50
DN
0.74top 25%
GOF
0.74top 25%
LOF
0.2969th %ile

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

DNprediction above median
GOFprediction 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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

TMEM31 · 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 →