ZIC1

Chr 3AD

Zic family zinc finger 1

Also known as: BAIDCS, CRS6, ZIC, ZNF201

This gene encodes a zinc finger transcription factor that acts as a transcriptional activator involved in neurogenesis and plays important roles in early CNS organogenesis, dorsal spinal cord development, and cerebellar maturation. Mutations cause craniosynostosis 6 and structural brain anomalies with impaired intellectual development and craniosynostosis, inherited in an autosomal dominant pattern. The gene is highly constrained against loss-of-function variants, indicating that proper protein function is critical for normal development.

OMIMResearchSummary from RefSeq, OMIM, UniProt
GOFmechanismADLOEUF 0.362 OMIM phenotypes
Clinical SummaryZIC1
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Gene-Disease Validity (ClinGen)
craniosynostosis 6 · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.93). One damaged copy is likely sufficient to cause disease.
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ClinVar Variants
17 unique Pathogenic / Likely Pathogenic· 60 VUS of 126 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.36LOEUF
pLI 0.934
Z-score 3.09
OE 0.08 (0.030.36)
Highly constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.57Z-score
OE missense 0.57 (0.500.65)
160 obs / 281.3 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.08 (0.030.36)
00.351.4
Missense OE0.57 (0.500.65)
00.61.4
Synonymous OE1.32
01.21.6
LoF obs/exp: 1 / 13.0Missense obs/exp: 160 / 281.3Syn Z: -2.81
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveZIC1-related craniosynostosisGOFAD
DN
0.5870th %ile
GOF
0.2597th %ile
LOF
0.88top 5%

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

LOFprediction above median · 24% of P/LP variants are LoF · LOEUF 0.36
GOF1 literature citation

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.

Literature Evidence

GOFHeterozygous gain of function mutations in the ZIC1 gene have been described with syndromic craniosynostosis, variable cerebral or cerebellar abnormalities and mild to moderate developmental delay.PMID:30391508

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

126 submitted variants in ClinVar

Classification Summary

Pathogenic14
Likely Pathogenic3
VUS60
Likely Benign39
Benign7
Conflicting1
14
Pathogenic
3
Likely Pathogenic
60
VUS
39
Likely Benign
7
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
3
1
10
0
14
Likely Pathogenic
1
1
1
0
3
VUS
3
51
5
1
60
Likely Benign
0
4
5
30
39
Benign
0
5
0
2
7
Conflicting
1
Total7622133124

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

View in ClinVar →

Protein Context — Lollipop Plot

ZIC1 · 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 →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗