AMER1

protein-coding

APC membrane recruitment protein 1, the group of APC membrane recruitment proteins

Gene summary

The protein encoded by this gene upregulates trancriptional activation by the Wilms tumor protein and interacts with many other proteins, including CTNNB1, APC, AXIN1, and AXIN2. Defects in this gene are a cause of osteopathia striata with cranial sclerosis (OSCS). [provided by RefSeq, May 2010]

Previous symbols:
  • FAM123B

MANE transcript

NM_152424.4

Inheritance

XL

ClinVar variants

P:54U:352B:263

Top phenotype

Osteopathia striata with cranial sclerosis

gnomAD constraint

pLI —, LoF o/e 0.18

Max pathogenic AF

—

Genomic locus

chrX:64,185,117-64,205,708

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~20.6 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

osteopathia striata with cranial sclerosisSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010310

Submitter: Genomics England PanelApp

osteopathia striata with cranial sclerosisSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010310

Submitter: PanelApp Australia

osteopathia striata with cranial sclerosisSUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010310

Submitter: Orphanet

osteopathia striata with cranial sclerosisSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010310

Submitter: Labcorp Genetics (formerly Invitae)

osteopathia striata with cranial sclerosisDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010310

Submitter: ClinGen

APC Membrane Recruitment Protein 1 (AMER1; MIM#300647) is an inhibitor of the canonical WNT signaling pathway and is involved in ubiquitination and degradation of beta-catenin. AMER1, also called WTX, is a X-linked gene associated with Osteopathia striata with cranial sclerosis (OSCS, XL; MIM#300373). The molecular etiology of OSCS was first described by Jenkins, et.al in 2008 [PMID:19079258] and has been described in many affected male and female individuals since [PMID:20209645, 20950377, 25296999, 28425981, 34622833, 34414661, others]. Variants are nonsense, frameshift, and small inter- or intragenic deletions, and LOF is the proposed mechanism of disease. Phenotypes in females are variable though often include cranial sclerosis and metaphyseal striations of the long bones. Phenotypes in males are also variable and can be associated with mild phenotypes similar to those seen in females or in more severe cases, with multiple congenital anomalies resulting in demise in utero or in the neonatal or early infantile period. Genetic evidence for AMER1 and Osteopathia striata with cranial sclerosis was scored at the maximum of 12 points and includes both male and female probands with some variants segregating in affected families. Functional evidence including expression studies [PMID:19079258] and mouse models recapitulating the observed human phenotype [PMID:29329488, 21571217] were scored for an additional 2.5 points. Given this and its replication in the literature over time, the association with the AMER1 gene and Osteopathia striata with cranial sclerosis is curated as Definitive by the Prenatal Gene Curation Expert Panel.

osteopathia striata with cranial sclerosisSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010310

Submitter: G2P

osteopathia striata with cranial sclerosisDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010310

Submitter: Illumina

Clinical Genomic Database (CGD)

Osteopathia striata with cranial sclerosisXL

Manifestation: Audiologic/Otolaryngologic; Cardiovascular; Craniofacial; Gastrointestinal; Genitourinary; Musculoskeletal; Neurologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 19079258; 20209645; 20950377; 22987541Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to AMER1 variants in ClinVar

14 Conditions Cataloged
not providedTotal: 512
Inborn genetic diseasesTotal: 120
not specifiedTotal: 69
Osteopathia striata with cranial sclerosisTotal: 63
AMER1-related disorderTotal: 47
Intellectual disabilityTotal: 4
Colorectal cancerTotal: 4
ObesityTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_152424.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
8
clinvar
113
clinvar
17
clinvar
138
missense
320
clinvar
99
clinvar
33
clinvar
452
nonsense
13
clinvar
9
clinvar
15
clinvar
37
start loss
1
clinvar
1
frameshift
19
clinvar
11
clinvar
9
clinvar
39
splice donor/acceptor (+/-2bp)
2
clinvar
2
Total342035221251669

Highest pathogenic variant AF is 9.258368e-7

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 2 of 2 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_152424.4RefSeqNP_689637.31MANE Select
ENST00000374869.8EnsemblENSP00000364003.41MANE Select

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
amer1Danio rerio

Structure: head

Quality: malformed

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Degradation of beta-catenin by the destruction complex
  • Degradation of beta-catenin by the destruction complex
  • Signaling by WNT
  • Signal Transduction
  • Disassembly of the destruction complex and recruitment of AXIN to the membrane

Biological Process

  • Wnt signaling pathway
  • positive regulation of protein ubiquitination
  • bone development
  • adipose tissue development
  • regulation of canonical Wnt signaling pathway

Molecular Function

  • protein binding
  • phosphatidylinositol-4,5-bisphosphate binding
  • beta-catenin binding
  • beta-catenin destruction complex binding

Cellular Component

  • cytosol
  • plasma membrane
  • nuclear body
  • intracellular membrane-bounded organelle

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000330258
Coding exons
1
Length
20628
Individuals with no LoFs
125690
Homozygous LoFs
2
Heterozygous LoFs
6
Defined
125698
p
0.0000318
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.5694744401.080.00003307382
Missense (PolyPhen)105126.380.830832172
Synonymous-1.151811621.110.00001142325
Loss of Function4.06528.30.1770.00000266424

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000110.000087rare
Ashkenazi Jewish00.0absent
East Asian0.0000740.000054rare
Finnish00.0absent
European (Non-Finnish)0.0000500.000035rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Regulator of the canonical Wnt signaling pathway. Acts by specifically binding phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2), translocating to the cell membrane and interacting with key regulators of the canonical Wnt signaling pathway, such as components of the beta-catenin destruction complex. Acts both as a positive and negative regulator of the Wnt signaling pathway, depending on the context: acts as a positive regulator by promoting LRP6 phosphorylation. Also acts as a negative regulator by acting as a scaffold protein for the beta- catenin destruction complex and promoting stabilization of Axin at the cell membrane. Promotes CTNNB1 ubiquitination and degradation. Involved in kidney development. {ECO:0000269|PubMed:17510365, ECO:0000269|PubMed:17925383, ECO:0000269|PubMed:19416806, ECO:0000269|PubMed:21304492, ECO:0000269|PubMed:21498506}.;

Recessive Scores

pRec
0.0852

Intolerance Scores

RVIS EVS
-0.39
RVIS percentile EVS
27.03

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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