ZRSR2

Chr XXLR

zinc finger CCCH-type, RNA binding motif and serine/arginine rich 2

Also known as: OFD21, U2AF1-RS2, U2AF1L2, U2AF1RS2, URP, ZC3H22

This gene encodes a pre-mRNA-binding protein required for splicing of both U2- and U12-type introns, specifically promoting recognition of 3'-splice sites and assembly of spliceosomal complexes. Mutations cause orofaciodigital syndrome XXI with X-linked recessive inheritance. The gene is highly constrained against loss-of-function variants (pLI >0.99), indicating intolerance to protein-truncating mutations.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismXLRLOEUF 0.131 OMIM phenotype
Clinical SummaryZRSR2
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.
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ClinVar Variants
74 unique Pathogenic / Likely Pathogenic· 42 VUS of 129 total submissions
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Clinical Trials
2 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
0.13LOEUF
pLI 1.000
Z-score 4.41
OE 0.00 (0.000.13)
Highly constrained

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

Missense Constraint
1.46Z-score
OE missense 0.71 (0.610.81)
137 obs / 194.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.00 (0.000.13)
00.351.4
Missense OE0.71 (0.610.81)
00.61.4
Synonymous OE0.96
01.21.6
LoF obs/exp: 0 / 22.7Missense obs/exp: 137 / 194.1Syn Z: 0.28
DN
0.4388th %ile
GOF
0.6247th %ile
LOF
0.68top 10%

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

LOFprediction above median · LOEUF 0.13

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

129 submitted variants in ClinVar

Classification Summary

Pathogenic71
Likely Pathogenic3
VUS42
Likely Benign8
Benign1
71
Pathogenic
3
Likely Pathogenic
42
VUS
8
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
2
0
69
0
71
Likely Pathogenic
3
0
0
0
3
VUS
0
24
18
0
42
Likely Benign
0
3
0
5
8
Benign
0
0
0
1
1
Total527876125

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

View in ClinVar →

Protein Context — Lollipop Plot

ZRSR2 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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