MED25

protein-coding

mediator complex subunit 25, the group of Mediator complex|MicroRNA protein coding host genes

Gene summary

This gene encodes a component of the transcriptional coactivator complex termed the Mediator complex. This complex is required for transcription of most RNA polymerase II-dependent genes. The encoded protein plays a role in chromatin modification and in preinitiation complex assembly. Mutations in this gene are associated with Charcot-Marie-Tooth disease type 2B2. [provided by RefSeq, Apr 2010]

MANE transcript

NM_030973.4

Inheritance

AR

ClinVar variants

P:20U:339B:254

Top phenotype

Basel-Vanagait-Smirin-Yosef syndrome

gnomAD constraint

pLI —, LoF o/e 0.43

Max pathogenic AF

—

Genomic locus

chr19:49,818,282-49,840,383

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~22.1 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Charcot-Marie-Tooth disease type 2B2NO_KNOWN

Inheritance Pattern: AR

Disease ID:MONDO:0011570

Submitter: ClinGen

In association with a late-onset, axonal, sensorimotor polyneuropathy, MED25 was first described in a Costa Rican family with an extended multi-generational, autosomal recessive pedigree (Leal et al., 2001; PMID: 11112660; Berghoff et al., 2004; PMID: 15099588; Leal et al., 2009; PMID: 19290556). Since its first description, however, no further associated CMT families have been published. Contrarily, the only reported variant has been found in a homozygous state in 4 unaffected individuals (GnomAD). Re-assessing the first and only reported family by WES, Leal et al. identified a homozygous stop mutation in PNKP, a gene that is located in the same linkage region (Leal et al., 2018; PMID: 11112660). The authors identified 5 further families carrying biallelic loss-of-function mutations in PNKP as well, pointing towards the pathogenicity of this gene over MED25. With no further strong experimental evidence supporting the gene-disease relationship between MED25 and CMT2B, we thereby classify the gene as “DISPUTED”. The likewise associated, autosomal recessive Basel-Vanagaite-Smirin-Yosef syndrome has a congenital age at onset and does not include neuropathy in its phenotypic spectrum.

congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndromeMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0014643

Submitter: Ambry Genetics

congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndromeSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0014643

Submitter: Orphanet

autosomal recessive non-syndromic intellectual disabilitySUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0019502

Submitter: Orphanet

congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndromeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014643

Submitter: PanelApp Australia

congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndromeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014643

Submitter: Labcorp Genetics (formerly Invitae)

congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndromeDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0014643

Submitter: G2P

Clinical Genomic Database (CGD)

Basel-Vanagait-Smirin-Yosef syndromeAR

Manifestation: Cardiovascular; Craniofacial; Dermatologic; Genitourinary; Neurologic; Ophthalmologic

Intervention: Cardiovascular

Rationale: The condition can involve congenital cardiac anomalies, and awareness may allow early management

Refs: 19290556; 25792360Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MED25 variants in ClinVar

14 Conditions Cataloged
Charcot-Marie-Tooth disease type 2Total: 719
Inborn genetic diseasesTotal: 102
not providedTotal: 91
Charcot-Marie-Tooth diseaseTotal: 68
Congenital cataract-microcephaly-nevus flammeus simplex-severe intellectual disability syndromeTotal: 58
not specifiedTotal: 50
MED25-related disorderTotal: 19
Charcot-Marie-Tooth disease type 2B2Total: 11

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_030973.4. 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
11
clinvar
240
clinvar
4
clinvar
255
missense
1
clinvar
5
clinvar
292
clinvar
10
clinvar
308
nonsense
2
clinvar
6
clinvar
8
start loss
1
clinvar
1
frameshift
1
clinvar
9
clinvar
22
clinvar
32
splice donor/acceptor (+/-2bp)
1
clinvar
8
clinvar
9
Total2183392504613

Highest pathogenic variant AF is 0.00013089883

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 35 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_030973.4RefSeqNP_112235.218MANE Select
ENST00000312865.10EnsemblENSP00000326767.518MANE Select
NM_001378355.1RefSeqNP_001365284.118Standard
ENST00000538643.5EnsemblENSP00000437496.113Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
med25Danio rerio

Structure: peripheral neuron

Quality: branchiness

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Developmental Biology
  • Gene expression (Transcription)
  • Generic Transcription Pathway
  • RNA Polymerase II Transcription
  • Transcriptional regulation of white adipocyte differentiation

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • transcription initiation from RNA polymerase II promoter
  • positive regulation of chromatin binding
  • positive regulation of transcription by RNA polymerase II
  • negative regulation of fibroblast proliferation

Molecular Function

  • protein binding
  • transcription factor binding
  • retinoic acid receptor binding
  • retinoid X receptor binding

Cellular Component

  • nucleoplasm
  • mediator complex
  • nuclear transcription factor complex

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000312865
Coding exons
18
Length
20535
Individuals with no LoFs
125666
Homozygous LoFs
0
Heterozygous LoFs
82
Defined
125748
p
0.000326
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.253804550.8350.00002884691
Missense (PolyPhen)124171.020.725051798
Synonymous-2.452472031.220.00001451631
Loss of Function3.281739.10.4350.00000201403

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000330.00025rare
Latino/Admixed American0.000320.00032rare
Ashkenazi Jewish0.000210.00020rare
East Asian0.000880.00087rare
Finnish0.0000480.000046rare
European (Non-Finnish)0.000330.00031rare
South Asian0.000430.00042rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Component of the Mediator complex, a coactivator involved in the regulated transcription of nearly all RNA polymerase II-dependent genes. Mediator functions as a bridge to convey information from gene-specific regulatory proteins to the basal RNA polymerase II transcription machinery. Mediator is recruited to promoters by direct interactions with regulatory proteins and serves as a scaffold for the assembly of a functional preinitiation complex with RNA polymerase II and the general transcription factors. Required for RARA/RXRA-mediated transcription. {ECO:0000269|PubMed:14657022, ECO:0000269|PubMed:14983011, ECO:0000269|PubMed:17641689}.;
Disease
DISEASE: Basel-Vanagaite-Smirin-Yosef syndrome (BVSYS) [MIM:616449]: An autosomal recessive syndrome characterized by eye, brain, cardiac and palatal abnormalities as well as growth retardation, microcephaly and severe intellectual disability. {ECO:0000269|PubMed:25792360}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.148

Intolerance Scores

LoFtool
0.433
RVIS EVS
-0.53
RVIS percentile EVS
20.78

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.517

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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