MSN

protein-coding

moesin, the group of FERM domain containing

Gene summary

Moesin (for membrane-organizing extension spike protein) is a member of the ERM family which includes ezrin and radixin. ERM proteins appear to function as cross-linkers between plasma membranes and actin-based cytoskeletons. Moesin is localized to filopodia and other membranous protrusions that are important for cell-cell recognition and signaling and for cell movement. [provided by RefSeq, Jul 2008]

MANE transcript

NM_002444.3

Inheritance

XL

ClinVar variants

P:19U:176B:93

Top phenotype

Immunodeficiency 50

gnomAD constraint

pLI —, LoF o/e 0

Max pathogenic AF

—

Genomic locus

chrX:65,588,377-65,741,931

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~153.6 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

combined immunodeficiency due to moesin deficiencySTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010514

Submitter: PanelApp Australia

combined immunodeficiency due to moesin deficiencyDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010514

Submitter: ClinGen

MSN was first reported in relation to X-linked combined immunodeficiency due to moesin deficiency in 2016 (Lagresle-Peyrou et al., PMID: 27405666). This condition is characterized by T-B-NK- lymphopenia, recurrent infections, decreased circulating antibody level, and sepsis and leg ulcers in some patients. The age of onset and phenotypic presentation varied among patients reported. Four variants (missense & nonsense) that have been reported in 11 unrelated probands in 7 publications (PMIDs: 27405666, 28378256, 29556235, 32506361, 34093558, 36119109, 35754805, 34453634) are included in this curation. The variant was maternally inherited from unaffected mothers in all cases and in one case, the variant occured de novo in the proband's mother. Carrier mothers had skewed X chromosome inactivation in all hematopoietic lineages. Variants segregated with disease in 3 families. While seven probands were hemizygous for the same missense variant, p.Arg171Trp, it is likely that this variant occurs on different haplotypes, indicating that p.Arg171 may be a mutation hotspot. The mechanism of pathogenicity is known to be loss of function. This gene-disease association is also supported by mouse model, expression studies, functional alteration in non-patient cells, biochemical function, and rescue in patient cells (PMIDs: 22875842, 36119109, 34798556, 28978692, 27405666). In summary, MSN is definitively associated with X-linked combined immunodeficiency due to moesin deficiency. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time.

combined immunodeficiency due to moesin deficiencySTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010514

Submitter: Labcorp Genetics (formerly Invitae)

combined immunodeficiency due to moesin deficiencySUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010514

Submitter: Orphanet

combined immunodeficiency due to moesin deficiencyMODERATE

Inheritance Pattern: XL

Disease ID:MONDO:0010514

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Immunodeficiency 50XL

Manifestation: Allergy/Immunology/Infectious

Intervention: Allergy/Immunology/Infectious

Rationale: Individuals have been described with early onset and recurrent bacterial or varicella zoster virus infections, and awareness may allow preventive measures and early and aggressive treatments of infections

Refs: 27405666Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MSN variants in ClinVar

7 Conditions Cataloged
not providedTotal: 246
Inborn genetic diseasesTotal: 33
not specifiedTotal: 29
MSN-related disorderTotal: 10
Combined immunodeficiency due to moesin deficiencyTotal: 8
EBV-positive nodal T- and NK-cell lymphomaTotal: 1
AutismTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_002444.3. 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
9
clinvar
63
clinvar
8
clinvar
80
missense
1
clinvar
1
clinvar
138
clinvar
14
clinvar
7
clinvar
161
nonsense
6
clinvar
2
clinvar
10
clinvar
1
clinvar
19
start loss
0
frameshift
5
clinvar
2
clinvar
1
clinvar
8
splice donor/acceptor (+/-2bp)
2
clinvar
18
clinvar
20
Total1271767815288
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 27 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_002444.3RefSeqNP_002435.113MANE Select
ENST00000360270.7EnsemblENSP00000353408.513MANE Select
NM_001440778.1RefSeqNP_001427707.113Standard
ENST00000609672.5EnsemblENSP00000477441.13Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
msnaDanio rerio

Structure: blood vessel endothelial cell

Quality: physical object quality

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Tight junction - Homo sapiens (human)
  • Regulation of actin cytoskeleton - Homo sapiens (human)
  • Proteoglycans in cancer - Homo sapiens (human)
  • Measles - Homo sapiens (human)
  • Leukocyte transendothelial migration - Homo sapiens (human)

Biological Process

  • immunological synapse formation
  • cytoskeleton organization
  • leukocyte cell-cell adhesion
  • regulation of cell shape
  • regulation of cell size

Molecular Function

  • double-stranded RNA binding
  • actin binding
  • signaling receptor binding
  • structural constituent of cytoskeleton
  • protein binding

Cellular Component

  • uropod
  • extracellular space
  • nucleus
  • cytoplasm
  • cytosol

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000360270
Coding exons
13
Length
153535
Individuals with no LoFs
0
Homozygous LoFs
0
Heterozygous LoFs
0
Defined
0
p
0.00
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.931102370.4640.00002003830
Missense (PolyPhen)2290.5230.243031517
Synonymous0.07718282.90.9890.000006191030
Loss of Function4.44023.00.000.00000173386

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Probably involved in connections of major cytoskeletal structures to the plasma membrane. May inhibit herpes simplex virus 1 infection at an early stage. Plays a role in regulating the proliferation, migration, and adhesion of human lymphoid cells and participates in immunologic synapse formation (PubMed:27405666). {ECO:0000269|PubMed:21549406, ECO:0000269|PubMed:27405666}.;
Disease
DISEASE: Immunodeficiency 50 (IMD50) [MIM:300988]: A primary immunodeficiency disorder characterized by onset of recurrent bacterial or varicella zoster virus infections in early childhood, profound lymphopenia, hypogammaglobulinemia, fluctuating monocytopenia and neutropenia, and a poor immune response to vaccine antigens. {ECO:0000269|PubMed:27405666}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.453

Intolerance Scores

RVIS EVS
-0.23
RVIS percentile EVS
36.86

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
K
Indispensability pred.
E
Indispensability score
0.973

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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