WAS

Chr XXLR

WASP actin nucleation promoting factor

Also known as: IMD2, SCNX, THC, THC1, WASP, WASPA

The WAS protein regulates actin cytoskeleton dynamics in hematopoietic cells by transducing signals from cell surface receptors and interacting with Cdc42 and the Arp2/3 complex. Mutations cause X-linked recessive disorders including classic Wiskott-Aldrich syndrome with immune dysregulation and microthrombocytopenia, as well as isolated X-linked thrombocytopenia and severe congenital neutropenia. The gene is highly constrained against loss-of-function variants, reflecting its essential role in hematopoietic cell function.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismXLRLOEUF 0.155 OMIM phenotypes
Clinical SummaryWAS
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Gene-Disease Validity (ClinGen)
X-linked severe congenital neutropenia · XLDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
📋
ClinVar Variants
131 unique Pathogenic / Likely Pathogenic· 55 VUS of 257 total submissions
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Clinical Trials
12 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.15LOEUF
pLI 0.999
Z-score 4.15
OE 0.00 (0.000.15)
Highly constrained

Among the most LoF-intolerant genes (~top 3%)

Missense Constraint
1.98Z-score
OE missense 0.62 (0.530.71)
129 obs / 209.5 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.00 (0.000.15)
00.351.4
Missense OE0.62 (0.530.71)
00.61.4
Synonymous OE0.92
01.21.6
LoF obs/exp: 0 / 20.0Missense obs/exp: 129 / 209.5Syn Z: 0.62
DN
0.3395th %ile
GOF
0.3293th %ile
LOF
0.75top 10%

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

LOFprediction above median · 40% of P/LP variants are LoF · LOEUF 0.15

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

257 submitted variants in ClinVar

Classification Summary

Pathogenic104
Likely Pathogenic27
VUS55
Likely Benign29
Benign4
Conflicting10
104
Pathogenic
27
Likely Pathogenic
55
VUS
29
Likely Benign
4
Benign
10
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
41
13
50
0
104
Likely Pathogenic
11
13
3
0
27
VUS
2
37
14
2
55
Likely Benign
0
5
10
14
29
Benign
0
3
1
0
4
Conflicting
10
Total54717816229

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

View in ClinVar →

Protein Context — Lollipop Plot

WAS · 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

Anterior Cruciate Ligament Injuries

Biologic Therapy to Prevent Osteoarthritis After ACL Injury

RECRUITING
NCT03968913Phase EARLY_PHASE1University of California, Los AngelesStarted 2021-09-15
Anakinra injectionsterile saline injection
Malignant Solid Neoplasm

Testing Trastuzumab and Pertuzumab in Patients With Higher Than Normal Copies of the HER2 Gene Found in Their Tumors (MATCH - Subprotocol J)

ACTIVE NOT RECRUITING
NCT06136897Phase PHASE2National Cancer Institute (NCI)Started 2017-03-23
Biopsy ProcedureBiospecimen CollectionEchocardiography Test
Granulomatosis With PolyangiitisWegener Granulomatosis

TEMPO Study: Trimethoprim-Sulfamethoxazole in Granulomatosis With Polyangiitis

ACTIVE NOT RECRUITING
NCT03919435Phase PHASE1, PHASE2University of PennsylvaniaStarted 2019-03-27
Trimethoprim Sulfamethoxazole
Neoadjuvant TherapyHigh Risk Prostate CancerLocally Advanced Prostate Cancer

Neoadjuvant Intense Endocrine Therapy for High Risk and Locally Advanced Prostate Cancer

RECRUITING
NCT05406999Phase PHASE2The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolStarted 2020-02-01
ADTAbiraterone AcetatePrednisolone tablets
ALK-positive Advanced NSCLCALK-positive Non-small Cell Lung Cancer (NSCLC)MPR

Efficacy and Safety of Ensartinib in Neoadjuvant Therapy for Stage IIA - IIIB (Operable or Potentially Operable) ALK-Positive Lung Adenocarcinoma :A Multicenter, Real-World Clinical Study

NOT YET RECRUITING
NCT06785584Phase PHASE4Fujian Medical University Union HospitalStarted 2025-02-01
Ensartinib
HIV

Long-term Follow-up of Study Participant Treated With Lentiviral-Based Genetically Modified Autologous Cell Product ,AGT103-T

ENROLLING BY INVITATION
NCT05529342American Gene Technologies International Inc.Started 2022-08-29
Gene modified therapy
Cystic FibrosisLiver Disease

Genetic Modifiers of Cystic Fibrosis (CF) Liver Disease

ACTIVE NOT RECRUITING
NCT00804583University of North Carolina, Chapel HillStarted 2004-03
Mantle Cell LymphomaRefractory Lymphoma

Avo In R/R And Previously Untreated MCL

RECRUITING
NCT04855695Phase PHASE1, PHASE2Austin I KimStarted 2021-07-02
AcalabrutinibVenetoclaxObinutuzumab
Neoplasms

Study to Evaluate Safety and Antitumor Activity of Lete-Cel (GSK3377794) in HLA-A2+ Participants With NY-ESO-1 Positive Previously Treated Advanced (Metastatic or Unresectable) Synovial Sarcoma or Myxoid/Round Cell Liposarcoma

ACTIVE NOT RECRUITING
NCT06703346Phase PHASE2USWM CT, LLCStarted 2019-12-31
Letetresgene autoleucel (Lete-Cel (GSK3377794))CyclophosphamideFludarabine
Active C. Difficile Colitis

Defined Fecal Microbiota Transplantation for Clostridium Difficile Diarrhea

ENROLLING BY INVITATION
NCT01868373Phase PHASE1Baylor College of MedicineStarted 2013-02-28
Microbiota Transplantation (FMT)
NSCLC

Analysis of Deoxyribonucleic Acid and Ribonucleic Acid Next-Generation Sequencing in Non-Small Cell Lung Cancer Patients Without Pathological Complete Response Following Neoadjuvant Immunotherapy

NOT YET RECRUITING
NCT07179445Tianjin Medical University Cancer Institute and HospitalStarted 2025-09-20
Not applicable- observational study
Chronic Myeloid Leukemia (CML)

Open-label Study of Asciminib for CML-CP or CML-AP Patients With T315I Mutation Who Are Resistant, Intolerant or Ineligible to Ponatinib.

RECRUITING
NCT06514534Phase PHASE2Novartis PharmaceuticalsStarted 2025-02-18
ABL001/Asciminib
Clinical Literature
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