ZIC2

Chr 13AD

Zic family zinc finger 2

Also known as: HPE5

ZIC2 encodes a zinc finger transcription factor that acts as both an activator and repressor, playing critical roles in early central nervous system development and retinal projection formation. Mutations cause holoprosencephaly type 5, the most common structural brain malformation, which is inherited in an autosomal dominant pattern. This gene is highly constrained against loss-of-function variants, reflecting its essential role in normal brain development.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismADLOEUF 0.271 OMIM phenotype
Clinical SummaryZIC2
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.97). One damaged copy is likely sufficient to cause disease.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.27LOEUF
pLI 0.974
Z-score 3.10
OE 0.00 (0.000.27)
Highly constrained

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

Missense Constraint
3.21Z-score
OE missense 0.41 (0.350.49)
98 obs / 237.2 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.00 (0.000.27)
00.351.4
Missense OE0.41 (0.350.49)
00.61.4
Synonymous OE1.37
01.21.6
LoF obs/exp: 0 / 11.2Missense obs/exp: 98 / 237.2Syn Z: -2.95
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveZIC2-related holoprosencephalyLOFAD
DN
0.4884th %ile
GOF
0.2596th %ile
LOF
0.91top 5%

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

LOFprediction above median · 1 literature citation · LOEUF 0.27

Literature Evidence

LOFHaploinsufficiency for ZIC2 is likely to cause the brain malformations seen in 13q deletion patients.PMID:9771712

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

ZIC2 · 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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