KEAP1

protein-coding

kelch like ECH associated protein 1, the group of BTB domain containing|Kelch like

Gene summary

This gene encodes a cytoplasmic regulatory protein that plays a role in the cellular response to oxidative and electrophilic stress. The encoded protein regulates NRF2, a transcription factor that controls the expression of antioxidant and cytoprotective genes. Under non-stress conditions, KEAP1 binds NRF2 and promotes its ubiquitination and proteasomal degradation, thereby maintaining low NRF2 levels. During oxidative or electrophilic stress, conformational changes in KEAP1 impair its ability to promote NRF2 degradation, allowing NRF2 to activate genes that protect cells from oxidative damage and toxic insults. [provided by RefSeq, Mar 2026]

MANE transcript

NM_203500.2

Inheritance

AD

ClinVar variants

U:72B:10

Top phenotype

goiter, multinodular 1, with or without Sertoli-Leydig cell tumors

gnomAD constraint

pLI —, LoF o/e 0.38

Max pathogenic AF

—

Genomic locus

chr19:10,486,125-10,503,558

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~17.4 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

goiter, multinodular 1, with or without Sertoli-Leydig cell tumorsSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007681

Submitter: Orphanet

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to KEAP1 variants in ClinVar

2 Conditions Cataloged
not specifiedTotal: 52
not providedTotal: 12

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_203500.2. 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
2
clinvar
7
clinvar
9
missense
60
clinvar
3
clinvar
63
nonsense
3
clinvar
3
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
6
clinvar
6
Total007210082
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 32 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_203500.2RefSeqNP_987096.15MANE Select
ENST00000171111.10EnsemblENSP00000171111.45MANE Select
NM_012289.4RefSeqNP_036421.25Standard
ENST00000393623.6EnsemblENSP00000377245.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Ubiquitin mediated proteolysis - Homo sapiens (human)
  • Hepatocellular carcinoma - Homo sapiens (human)
  • Fluid shear stress and atherosclerosis - Homo sapiens (human)
  • Pathways in cancer - Homo sapiens (human)
  • Quercetin and Nf-kB- AP-1 Induced Cell Apoptosis

Biological Process

  • in utero embryonic development
  • proteasomal ubiquitin-independent protein catabolic process
  • viral process
  • protein ubiquitination
  • protein deubiquitination

Molecular Function

  • protein binding
  • transcription factor binding
  • protein homodimerization activity
  • disordered domain specific binding

Cellular Component

  • nucleoplasm
  • cytoplasm
  • endoplasmic reticulum
  • microtubule organizing center
  • cytosol

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000171111
Coding exons
5
Length
17622
Individuals with no LoFs
125727
Homozygous LoFs
0
Heterozygous LoFs
21
Defined
125748
p
0.0000835
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense3.802064270.4830.00003004071
Missense (PolyPhen)45165.030.272681571
Synonymous0.7331761890.9320.00001481246
Loss of Function3.101129.10.3790.00000195244

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000620.000062rare
Latino/Admixed American0.0000610.000058rare
Ashkenazi Jewish0.000310.00030rare
East Asian0.0000540.000054rare
Finnish00.0absent
European (Non-Finnish)0.0000820.000079rare
South Asian0.000170.00016rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Acts as a substrate adapter protein for the E3 ubiquitin ligase complex formed by CUL3 and RBX1 and targets NFE2L2/NRF2 for ubiquitination and degradation by the proteasome, thus resulting in the suppression of its transcriptional activity and the repression of antioxidant response element-mediated detoxifying enzyme gene expression. Retains NFE2L2/NRF2 and may also retain BPTF in the cytosol. Targets PGAM5 for ubiquitination and degradation by the proteasome. {ECO:0000269|PubMed:14585973, ECO:0000269|PubMed:15379550, ECO:0000269|PubMed:15572695, ECO:0000269|PubMed:15983046, ECO:0000269|PubMed:17046835}.;

Recessive Scores

pRec
0.209

Intolerance Scores

LoFtool
0.303
RVIS EVS
-1.13
RVIS percentile EVS
6.43

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
E
Essential (gene trap)
K
Indispensability pred.
E
Indispensability score
0.942

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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