USP33

Chr 1

ubiquitin specific peptidase 33

Also known as: VDU1

This gene encodes a deubiquitinating enzyme that regulates centrosome duplication, axon guidance signaling through ROBO1, and G-protein coupled receptor recycling. Mutations cause autosomal dominant neurodevelopmental disorder with developmental delay, intellectual disability, and autism spectrum disorder. The gene is highly constrained against loss-of-function variants (pLI = 0.86, LOEUF = 0.33), indicating that complete loss of protein function is likely not tolerated.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
13
Pubs (1 yr)
15
P/LP submissions
0%
P/LP missense
0.33
LOEUF· LoF intol.
Mechanism
Clinical SummaryUSP33
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.86) — some intolerance to loss-of-function variants.
📋
ClinVar Variants
15 unique Pathogenic / Likely Pathogenic· 96 VUS of 151 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.33LOEUF
pLI 0.862
Z-score 5.50
OE 0.20 (0.130.33)
Highly constrained

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

Missense Constraint
2.10Z-score
OE missense 0.73 (0.660.80)
341 obs / 469.3 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.20 (0.130.33)
00.351.4
Missense OE0.73 (0.660.80)
00.61.4
Synonymous OE1.04
01.21.6
LoF obs/exp: 11 / 55.0Missense obs/exp: 341 / 469.3Syn Z: -0.43

ClinVar Variant Classifications

151 submitted variants in ClinVar

Classification Summary

Pathogenic14
Likely Pathogenic1
VUS96
Likely Benign3
14
Pathogenic
1
Likely Pathogenic
96
VUS
3
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
14
0
14
Likely Pathogenic
0
0
1
0
1
VUS
1
87
8
0
96
Likely Benign
0
3
0
0
3
Benign
0
0
0
0
0
Total190230114

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

View in ClinVar →

Protein Context — Lollipop Plot

USP33 · 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.

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Clinical Literature
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