ZHX1 encodes a nuclear transcriptional repressor containing zinc fingers and homeobox DNA-binding domains that forms homodimers and heterodimers with other ZHX family members and interacts with transcriptional machinery including DNMT3B. The gene is highly constrained against loss-of-function variants (pLI = 0.80, LOEUF = 0.38), suggesting intolerance to haploinsufficiency, but no specific disease associations have been established in the provided data.

OMIMResearchSummary from RefSeq, UniProt
LOFmechanismLOEUF 0.38
Clinical SummaryZHX1
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.80) — some intolerance to loss-of-function variants.
📋
ClinVar Variants
6 unique Pathogenic / Likely Pathogenic· 90 VUS of 100 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.38LOEUF
pLI 0.804
Z-score 3.96
OE 0.18 (0.090.38)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.96Z-score
OE missense 0.74 (0.680.81)
339 obs / 456.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.18 (0.090.38)
00.351.4
Missense OE0.74 (0.680.81)
00.61.4
Synonymous OE0.96
01.21.6
LoF obs/exp: 5 / 27.4Missense obs/exp: 339 / 456.7Syn Z: 0.43
DN
0.3296th %ile
GOF
0.2497th %ile
LOF
0.72top 10%

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

LOFprediction above median · LOEUF 0.38

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

100 submitted variants in ClinVar

Classification Summary

Pathogenic6
VUS90
Likely Benign1
6
Pathogenic
90
VUS
1
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
6
0
6
Likely Pathogenic
0
0
0
0
0
VUS
0
90
0
0
90
Likely Benign
0
0
0
1
1
Benign
0
0
0
0
0
Total0906197

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

View in ClinVar →

Protein Context — Lollipop Plot

ZHX1 · 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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