HPCA

protein-coding

hippocalcin, the group of EF-hand domain containing

Gene summary

The protein encoded by this gene is a member of neuron-specific calcium-binding proteins family found in the retina and brain. This protein is associated with the plasma membrane. It has similarities to proteins located in the photoreceptor cells that regulate photosignal transduction in a calcium-sensitive manner. This protein displays recoverin activity and a calcium-dependent inhibition of rhodopsin kinase. It is identical to the rat and mouse hippocalcin proteins and thought to play an important role in neurons of the central nervous system in a number of species. [provided by RefSeq, Jul 2008]

Previous symbols:
  • DYT2

MANE transcript

NM_002143.3

Inheritance

AR

ClinVar variants

P:2U:26B:22

Top phenotype

Dystonia 2, torsion, autosomal recessive

gnomAD constraint

pLI —, LoF o/e 0.13

Max pathogenic AF

—

Genomic locus

chr1:32,885,994-32,898,441

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~12.4 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

torsion dystonia 2STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009141

Submitter: Labcorp Genetics (formerly Invitae)

complex movement disorder with or without neurodevelopmental featuresDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:1060159

Submitter: ClinGen

*HPCA* was first reported in relation to autosomal recessive complex movement disorder with or without neurodevelopmental features in 2015 (Charlesworth et al., PMID: 25799108). This condition is characterized by dystonia, which can be generalized or localized; dysarthria; motor delay; intellectual disability; and involuntary movements/jerking. Seven variants (missense, nonsense, frameshift) that have been reported in at least eight probands across six publications (PMIDs: 25799108, 30145809, 33511595, 34077496, 36698997, 36704070) are included in this curation. The mechanism of pathogenicity appears to be loss-of-function (PMID: 30145809). This gene-disease relationship is also supported by experimental evidence (mouse models, cell culture model, functional alteration evidence; PMIDs: 1280427, 15878804, 23142228, 33502045). Model evidence shows abnormal behavioral, reduced learning ability, and increased neurodegeneration in mutants. Expression-level data shows hippocampal expression of *HPCA*. In summary, there is definitive evidence supporting the relationship between *HPCA* and autosomal recessive complex movement disorder with or without neurodevelopmental features. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Cerebral Palsy GCEP on the meeting date 10/2/2025 (SOP Version 11).

torsion dystonia 2STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009141

Submitter: Genomics England PanelApp

torsion dystonia 2SUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009141

Submitter: Orphanet

torsion dystonia 2STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009141

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Dystonia 2, torsion, autosomal recessiveAR

Manifestation: 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: 14694054; 25799108Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to HPCA variants in ClinVar

4 Conditions Cataloged
not providedTotal: 46
not specifiedTotal: 13
Torsion dystonia 2Total: 5
HPCA-related disorderTotal: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_002143.3. 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
21
clinvar
21
missense
1
clinvar
1
clinvar
26
clinvar
1
clinvar
29
nonsense
0
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
0
Total112622050

Highest pathogenic variant AF is 0.0000027361802

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 19 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_002143.3RefSeqNP_002134.23MANE Select
ENST00000373467.4EnsemblENSP00000362566.33MANE Select
ENST00000854771.1EnsemblENSP00000524830.13Standard
ENST00000854771.2EnsemblENSP00000524830.13Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • brain development
  • calcium-mediated signaling
  • negative regulation of guanylate cyclase activity
  • activation of phospholipase D activity
  • positive regulation of adenylate cyclase activity

Molecular Function

  • actin binding
  • calcium ion binding
  • kinase binding
  • identical protein binding

Cellular Component

  • cytoplasm
  • cytosol
  • extrinsic component of membrane
  • axon
  • dendrite membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000373467
Coding exons
3
Length
12448
Individuals with no LoFs
125713
Homozygous LoFs
0
Heterozygous LoFs
2
Defined
125715
p
0.00000795
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.20571270.4500.000007651291
Missense (PolyPhen)1245.7560.26226472
Synonymous1.104353.20.8080.00000353347
Loss of Function2.2917.990.1254.23e-789

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000180.000018rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Calcium-binding protein that may play a role in the regulation of voltage-dependent calcium channels (PubMed:28398555). May also play a role in cyclic-nucleotide- mediated signaling through the regulation of adenylate and guanylate cyclases (By similarity). {ECO:0000250|UniProtKB:P84076, ECO:0000269|PubMed:28398555}.;
Disease
DISEASE: Dystonia 2, torsion, autosomal recessive (DYT2) [MIM:224500]: A form of torsion dystonia, a disease defined by the presence of sustained involuntary muscle contractions, often leading to abnormal postures. 'Torsion' refers to the twisting nature of body movements, often affecting the trunk. DYT2 is a slowly progressive form that first affects distal limbs and later involves the neck, orofacial, and craniocervical regions. {ECO:0000269|PubMed:25799108, ECO:0000269|PubMed:28398555}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.163

Intolerance Scores

LoFtool
0.150
RVIS EVS
-0.1
RVIS percentile EVS
46.2

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.993

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumLowLow
Primary ImmunodeficiencyMediumLowMedium
CancerMediumMediumMedium
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