ZFPM2

Chr 8AD

zinc finger protein, FOG family member 2

Also known as: DIH3, FOG2, PRDM19, SRXY9, ZC2HC11B, ZNF89B, hFOG-2

This gene encodes a zinc finger transcription factor that acts as an essential cofactor for GATA family proteins, regulating genes critical for heart development and gonadal differentiation. Mutations cause autosomal dominant conditions including tetralogy of Fallot, diaphragmatic hernia, and 46,XY sex reversal, affecting cardiac, pulmonary, and reproductive development. The gene is highly constrained against loss-of-function variants (pLI >0.99), indicating that most protein-disrupting variants are likely pathogenic.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismADLOEUF 0.143 OMIM phenotypes
Clinical SummaryZFPM2
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.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.14LOEUF
pLI 1.000
Z-score 5.82
OE 0.05 (0.020.14)
Highly constrained

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

Missense Constraint
0.21Z-score
OE missense 0.98 (0.911.04)
581 obs / 595.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.05 (0.020.14)
00.351.4
Missense OE0.98 (0.911.04)
00.61.4
Synonymous OE0.98
01.21.6
LoF obs/exp: 2 / 43.3Missense obs/exp: 581 / 595.6Syn Z: 0.22
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
limitedZFPM2-related malformation syndromeOTHERAD
DN
0.2698th %ile
GOF
0.1999th %ile
LOF
0.83top 5%

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

LOFprediction above median · 1 literature citation · LOEUF 0.14

Literature Evidence

LOFThe same variant is seen in 2 additional family members, both of whom are asymptomatic, thus highlighting that ZFPM2 haploinsufficiency is associated with reduced penetrance.PMID:24769157

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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ZFPM2 · 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 →