HOXA2

protein-coding

homeobox A2, the group of HOXL subclass homeoboxes

Gene summary

In vertebrates, the genes encoding the class of transcription factors called homeobox genes are found in clusters named A, B, C, and D on four separate chromosomes. Expression of these proteins is spatially and temporally regulated during embryonic development. This gene is part of the A cluster on chromosome 7 and encodes a DNA-binding transcription factor which may regulate gene expression, morphogenesis, and differentiation. The encoded protein may be involved in the placement of hindbrain segments in the proper location along the anterior-posterior axis during development. [provided by RefSeq, Jul 2008]

Previous symbols:
  • HOX1K

MANE transcript

NM_006735.4

Inheritance

AD, SD, AR

ClinVar variants

P:9U:68B:10

Top phenotype

Microtia, hearing impairment, and cleft palate

gnomAD constraint

pLI —, LoF o/e 0.27

Max pathogenic AF

—

Genomic locus

chr7:27,100,354-27,102,686

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~2.3 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

bilateral microtia-deafness-cleft palate syndromeMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0012854

Submitter: Laboratory for Molecular Medicine

This gene-disease relationship has undergone rapid assessment. Classifications are based on preliminary review of gene-disease validity during analysis of genomic sequencing results.

bilateral microtia-deafness-cleft palate syndromeMODERATE

Inheritance Pattern: SD

Disease ID:MONDO:0012854

Submitter: Ambry Genetics

bilateral microtia-deafness-cleft palate syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0012854

Submitter: Labcorp Genetics (formerly Invitae)

bilateral microtia-deafness-cleft palate syndromeLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0012854

Submitter: Labcorp Genetics (formerly Invitae)

microtiaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0010920

Submitter: Orphanet

bilateral microtia-deafness-cleft palate syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0012854

Submitter: Orphanet

bilateral microtia-deafness-cleft palate syndromeLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0012854

Submitter: Ambry Genetics

bilateral microtia-deafness-cleft palate syndromeMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0012854

Submitter: Ambry Genetics

bilateral microtia-deafness-cleft palate syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0012854

Submitter: PanelApp Australia

bilateral microtia-deafness-cleft palate syndromeLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0012854

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Microtia, hearing impairment, and cleft palateAR

Manifestation: Audiologic/Otolaryngologic; Craniofacial; Musculoskeletal

Intervention: Audiologic/Otolaryngologic

Rationale: Early recognition and treatment of hearing impairment may improve outcomes, including speech and language development

Refs: 18394579Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to HOXA2 variants in ClinVar

11 Conditions Cataloged
Inborn genetic diseasesTotal: 43
HOXA2-related disorderTotal: 31
Bilateral microtia-deafness-cleft palate syndromeTotal: 20
not specifiedTotal: 9
not providedTotal: 8
MICROTIA WITHOUT HEARING IMPAIRMENTTotal: 1
MICROTIA WITH OR WITHOUT HEARING IMPAIRMENTTotal: 1
Postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndromeTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_006735.4. 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
6
clinvar
5
clinvar
11
missense
1
clinvar
60
clinvar
5
clinvar
66
nonsense
2
clinvar
1
clinvar
1
clinvar
4
start loss
0
frameshift
2
clinvar
3
clinvar
1
clinvar
6
splice donor/acceptor (+/-2bp)
0
Total546810087

Highest pathogenic variant AF is 7.43185e-7

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 3 of 3 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_006735.4RefSeqNP_006726.12MANE Select
ENST00000222718.7EnsemblENSP00000222718.52MANE Select
ENST00001141882.1EnsemblENSP00000801793.12Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Activation of anterior HOX genes in hindbrain development during early embryogenesis
  • Developmental Biology
  • Regulation of expression of SLITs and ROBOs
  • Signaling by ROBO receptors
  • Axon guidance

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • cell fate determination
  • osteoblast development
  • segment specification
  • motor neuron axon guidance

Molecular Function

  • RNA polymerase II proximal promoter sequence-specific DNA binding
  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • DNA-binding transcription repressor activity, RNA polymerase II-specific
  • DNA-binding transcription factor activity

Cellular Component

  • nucleus
  • intracellular membrane-bounded organelle

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000222718
Coding exons
2
Length
2710
Individuals with no LoFs
125737
Homozygous LoFs
0
Heterozygous LoFs
11
Defined
125748
p
0.0000437
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.4141751910.9160.000009742445
Missense (PolyPhen)5162.1430.82068830
Synonymous0.02328484.30.9970.00000479767
Loss of Function2.25311.10.2714.90e-7141

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000170.00017rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000440.000044rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Sequence-specific transcription factor which is part of a developmental regulatory system that provides cells with specific positional identities on the anterior-posterior axis.;
Disease
DISEASE: Microtia, hearing impairment, and cleft palate (MHICP) [MIM:612290]: A disease characterized by microtia, mixed symmetric severe to profound hearing impairment, and partial cleft palate. Microtia is a congenital deformity of the outer ear that is small and abnormally shaped. In classic microtia, the pinna is essentially absent, except for a vertical sausage-shaped skin remnant. The superior aspect of this sausage-shaped skin remnant consists of underlying unorganized cartilage, and the inferior aspect of this remnant consists of a relatively well-formed lobule. Syndromic forms of microtia occur in conjunction with other abnormalities including cleft palate, a congenital fissure of the soft and/or hard palate due to faulty fusion. {ECO:0000269|PubMed:18394579}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Microtia with or without hearing impairment (MCRT) [MIM:612290]: Microtia is a congenital deformity of the outer ear that is small and abnormally shaped. In classic microtia, the pinna is essentially absent, except for a vertical sausage-shaped skin remnant. The superior aspect of this sausage-shaped skin remnant consists of underlying unorganized cartilage, and the inferior aspect of this remnant consists of a relatively well- formed lobule. {ECO:0000269|PubMed:23775976}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.139

Intolerance Scores

LoFtool
0.138
RVIS EVS
-0.34
RVIS percentile EVS
30.07

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.700

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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