MYSM1

protein-coding

Myb like, SWIRM and MPN domains 1, the group of Myb/SANT domain containing|JAMM/MPN+ metallopeptidase family

Gene summary

Enables deubiquitinase activity; histone binding activity; and transcription coactivator activity. Involved in chromatin remodeling; positive regulation of transcription by RNA polymerase II; and regulation of hemopoiesis. Located in nucleolus and nucleoplasm. Part of protein-containing complex. Implicated in diabetic retinopathy. [provided by Alliance of Genome Resources, Jul 2025]

MANE transcript

NM_001085487.3

Inheritance

AR

ClinVar variants

P:36U:229B:140

Top phenotype

Bone marrow failure syndrome 4

gnomAD constraint

pLI —, LoF o/e 0.26

Max pathogenic AF

—

Genomic locus

chr1:58,643,440-58,700,090

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~56.7 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

bone marrow failure syndrome 4STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0020856

Submitter: PanelApp Australia

bone marrow failure syndrome 4STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0020856

Submitter: Labcorp Genetics (formerly Invitae)

bone marrow failure syndrome 4DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0020856

Submitter: ClinGen

MYSM1 was first reported in relation to autosomal recessive bone marrow syndrome in 2013 (Alsultan et al., PMID: 24288411). Bone marrow failure due to MYSM1 deficiency is characterized by anemia, leukopenia, thrombocytopenia, and B cell deficiency resulting in recurrent infections and in some cases, non hematologic features such as dysmorphic features, skeletal abnormalities, and developmental delay. At least seven variants (e.g. missense, nonsense, frameshift, and canonical splice) that have been reported in seven probands in seven publications (PMIDs: 24288411, 28115216, 26220525, 33858043, 30735661, 32640305, 35295078) are included in this curation. MYSM1 variants segregated with disease in two families and heterozygous carriers were asymptomatic (PMIDs: 28115216, 24288411). More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity is known to be loss of function. This gene-disease relationship is also supported by mouse models, in vivo genetic reversion in an affected patient, biochemical function, functional alteration, and protein interactions studies. (PMIDs: 26125289, 26474655, 22184403, 26220525, 28115216). In summary, there is definitive evidence supporting the relationship between MYSM1 and autosomal recessive bone marrow failure. 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 SCID-CID GCEP on June 7, 2024 (SOP Version 10).

bone marrow failure syndrome 4LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0020856

Submitter: G2P

Clinical Genomic Database (CGD)

Bone marrow failure syndrome 4AR

Manifestation: Allergy/Immunology/Infectious; Craniofacial; Dental; Dermatologic; Hematologic; Neurologic; Ophthalmologic

Intervention: Allergy/Immunology/Infectious

Rationale: The condition can involve anemia and increased risk of infection, and interventions such as RBC transfusions and early and aggressive treatment of infections may be beneficial; BMT has been described

Refs: 24288411; 26220525; 28115216Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MYSM1 variants in ClinVar

6 Conditions Cataloged
not providedTotal: 471
Inborn genetic diseasesTotal: 97
not specifiedTotal: 25
MYSM1-related disorderTotal: 23
Bone marrow failure syndrome 4Total: 16
Congenital progressive bone marrow failure-B-cell immunodeficiency-skeletal dysplasia syndromeTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001085487.3. 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
6
clinvar
119
clinvar
2
clinvar
127
missense
1
clinvar
215
clinvar
15
clinvar
4
clinvar
235
nonsense
18
clinvar
2
clinvar
20
start loss
1
clinvar
1
frameshift
8
clinvar
3
clinvar
1
clinvar
12
splice donor/acceptor (+/-2bp)
6
clinvar
4
clinvar
10
Total2792291346405

Highest pathogenic variant AF is 0.00020214781

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 24 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001085487.3RefSeqNP_001078956.120MANE Select
ENST00000472487.6EnsemblENSP00000418734.120MANE Select
ENST00000655340.1EnsemblENSP00000499373.120Standard
ENST00000655340.2EnsemblENSP00000499373.120Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
mysm1Danio rerio

Structure: pharyngeal arch cartilage

Quality: malformed

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Post-translational protein modification
  • Metabolism of proteins
  • Metalloprotease DUBs
  • Deubiquitination

Biological Process

  • chromatin remodeling
  • regulation of cell migration
  • monoubiquitinated histone H2A deubiquitination
  • pigmentation
  • positive regulation of transcription by RNA polymerase II

Molecular Function

  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • DNA binding
  • transcription coactivator activity
  • thiol-dependent ubiquitin-specific protease activity
  • metallopeptidase activity

Cellular Component

  • nucleus
  • nucleoplasm
  • plasma membrane
  • protein-containing complex

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000472487
Coding exons
20
Length
45354
Individuals with no LoFs
124737
Homozygous LoFs
0
Heterozygous LoFs
57
Defined
124794
p
0.000228
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.223534240.8330.00002135478
Missense (PolyPhen)86132.920.6471632
Synonymous0.4391321390.9530.000006641430
Loss of Function4.901350.60.2570.00000267632

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000270.00026rare
Latino/Admixed American0.000190.00017rare
Ashkenazi Jewish0.000210.00020rare
East Asian0.000170.00017rare
Finnish0.0000940.000093rare
European (Non-Finnish)0.000360.00034rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Metalloprotease that specifically deubiquitinates monoubiquitinated histone H2A, a specific tag for epigenetic transcriptional repression, thereby acting as a coactivator. Preferentially deubiquitinates monoubiquitinated H2A in hyperacetylated nucleosomes. Deubiquitination of histone H2A leads to facilitate the phosphorylation and dissociation of histone H1 from the nucleosome. Acts as a coactivator by participating in the initiation and elongation steps of androgen receptor (AR)-induced gene activation. {ECO:0000269|PubMed:17707232}.;

Intolerance Scores

LoFtool
0.748
RVIS EVS
0.16
RVIS percentile EVS
64.82

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.530

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumHigh
CancerMediumMediumMedium
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