MTM1
protein-codingmyotubularin 1, the group of Myotubularins|Phosphoinositide phosphatases
Gene summary
This gene encodes a dual-specificity phosphatase that acts on both phosphotyrosine and phosphoserine. It is required for muscle cell differentiation and mutations in this gene have been identified as being responsible for X-linked myotubular myopathy. [provided by RefSeq, Jul 2008]
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~104.7 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: ClinGen
MTM1 has been reported in relation to X-linked centronuclear myopathy since 1996 (Laporte et al., 8640223). At least 13 unique variants (nonsense and frameshift) have been identified in humans. Evidence supporting this gene-disease relationship includes case-level data and experimental data. Variants in this gene have been reported in at least 13 probands in at least 5 publications (PMID: 8640223, 27017278, 26938784, 15725586, 30232666). More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism for disease is haploinsufficiency. This gene-disease association is supported by animal models, functional alterations in patient cells, and expression studies. In summary, MTM1 is definitively associated with X-linked centronuclear myopathy. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time.
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: G2P
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: Orphanet
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: Genomics England PanelApp
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: Myriad Women's Health
Inheritance Pattern: XLR
Disease ID:MONDO:0010683
Submitter: Natera
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: Ambry Genetics
Inheritance Pattern: XL
Disease ID:MONDO:0010683
Submitter: PanelApp Australia
Clinical Genomic Database (CGD)
Manifestation: Gastrointestinal; Hematologic; Musculoskeletal; Renal
Intervention: Hematologic
Rationale: Among other findings affecting multiple organ systems, individuals may demonstrate a vitamin-K respondent bleeding diathesis, and surveillance and treatment may be beneficial
Comments: Increased risk of findings including subdural hemorrhage, subdural hygromas, and cephalohematomas has been reported
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to MTM1 variants in ClinVar
ClinVar Variants & Pathogenicity by Type
Statistics based on transcript NM_000252.3. 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.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 1 | 16 | 153 | 19 | 189 | |
| missense | 24 | 49 | 232 | 26 | 13 | 344 |
| nonsense | 41 | 18 | 8 | 67 | ||
| start loss | 3 | 3 | ||||
| frameshift | 71 | 26 | 97 | |||
| splice donor/acceptor (+/-2bp) | 33 | 13 | 18 | 64 | ||
| Total | 172 | 107 | 274 | 179 | 32 | 764 |
Highest pathogenic variant AF is 0.0000018446815
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_000243.1 | 14 | MANE Select | |
| Ensembl | ENSP00000359423.3 | 14 | MANE Select | |
| RefSeq | NP_001363835.1 | 14 | Standard | |
| RefSeq | NP_001363836.1 | 13 | Standard |
Model Organisms & Knockout Phenotypes
Observed phenotypic effects in mouse and zebrafish models
| Gene / Model | Organism | Observed Phenotype |
|---|---|---|
| mtm1 | Danio rerio | Structure: skeletal muscle cell Quality: decreased functionality abnormal |
Gene Ontology (GO) Annotations & Pathways
Biological processes, molecular functions, cellular components and pathways
Pathways ConsensusPathDB
- Inositol phosphate metabolism - Homo sapiens (human)
- Phosphatidylinositol signaling system - Homo sapiens (human)
- Metabolism of lipids
- Metabolism
- Synthesis of PIPs at the early endosome membrane
Biological Process
- protein dephosphorylation
- phosphatidylinositol biosynthetic process
- endosome to lysosome transport
- protein transport
- negative regulation of TOR signaling
Molecular Function
- phosphatidylinositol-3-phosphatase activity
- phosphoprotein phosphatase activity
- protein tyrosine phosphatase activity
- protein binding
- intermediate filament binding
Cellular Component
- ruffle
- cytoplasm
- late endosome
- cytosol
- plasma membrane
gnomAD Constraint
Source:
- Gene type
- protein_coding
- Transcript type
- protein_coding
- Transcript
- ENST00000370396
- Coding exons
- 14
- Length
- 104727
- Individuals with no LoFs
- 125421
- Homozygous LoFs
- 0
- Heterozygous LoFs
- 1
- Defined
- 125422
- p
- 0.00000399
| Z-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | 2.40 | 138 | 243 | 0.568 | 0.0000194 | 3978 |
| Missense (PolyPhen) | 43 | 113.62 | 0.37846 | 1872 | ||
| Synonymous | 1.65 | 66 | 85.5 | 0.772 | 0.00000702 | 1110 |
| Loss of Function | 4.63 | 1 | 26.9 | 0.0372 | 0.00000235 | 395 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0 | 0.0 | absent |
| Latino/Admixed American | 0 | 0.0 | absent |
| Ashkenazi Jewish | 0 | 0.0 | absent |
| East Asian | 0 | 0.0 | absent |
| Finnish | 0 | 0.0 | absent |
| European (Non-Finnish) | 0.000012 | 0.0000088 | rare |
| South Asian | 0 | 0.0 | absent |
| Other | 0 | 0.0 | absent |
dbNSFP Gene Annotations
Source:
- Function
- FUNCTION: Lipid phosphatase which dephosphorylates phosphatidylinositol 3-monophosphate (PI3P) and phosphatidylinositol 3,5-bisphosphate (PI(3,5)P2). Has also been shown to dephosphorylate phosphotyrosine- and phosphoserine- containing peptides. Negatively regulates EGFR degradation through regulation of EGFR trafficking from the late endosome to the lysosome. Plays a role in vacuolar formation and morphology. Regulates desmin intermediate filament assembly and architecture. Plays a role in mitochondrial morphology and positioning. Required for skeletal muscle maintenance but not for myogenesis. {ECO:0000269|PubMed:10900271, ECO:0000269|PubMed:11001925, ECO:0000269|PubMed:12646134, ECO:0000269|PubMed:14722070, ECO:0000269|PubMed:21135508, ECO:0000269|PubMed:9537414}.;
- Disease
- DISEASE: Myopathy, centronuclear, X-linked (CNMX) [MIM:310400]: A congenital muscle disorder characterized by progressive muscular weakness and wasting involving mainly limb girdle, trunk, and neck muscles. It may also affect distal muscles. Weakness may be present during childhood or adolescence or may not become evident until the third decade of life. Ptosis is a frequent clinical feature. The most prominent histopathologic features include high frequency of centrally located nuclei in muscle fibers not secondary to regeneration, radial arrangement of sarcoplasmic strands around the central nuclei, and predominance and hypotrophy of type 1 fibers. {ECO:0000269|PubMed:10063835, ECO:0000269|PubMed:10466421, ECO:0000269|PubMed:10502779, ECO:0000269|PubMed:10790201, ECO:0000269|PubMed:11793470, ECO:0000269|PubMed:12031625, ECO:0000269|PubMed:12522554, ECO:0000269|PubMed:12859411, ECO:0000269|PubMed:17005396, ECO:0000269|PubMed:19129059, ECO:0000269|PubMed:9285787, ECO:0000269|PubMed:9305655, ECO:0000269|PubMed:9829274}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Recessive Scores
- pRec
- 0.109
Intolerance Scores
- LoFtool
- 0.0493
- RVIS EVS
- -0.52
- RVIS percentile EVS
- 21.2
Essentials
- Essential (CRISPR)
- N
- Essential (CRISPR2)
- N
- Essential (gene trap)
- N
- Indispensability pred.
- E
- Indispensability score
- 0.686
Gene Damage Prediction
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |