NCKAP1

protein-coding

NCK associated protein 1, the group of SCAR/WAVE complex

Gene summary

Contributes to small GTPase binding activity. Involved in Rac protein signal transduction; positive regulation of Arp2/3 complex-mediated actin nucleation; and positive regulation of lamellipodium assembly. Located in extracellular exosome and focal adhesion. Part of SCAR complex. [provided by Alliance of Genome Resources, Jul 2025]

MANE transcript

NM_013436.5

Inheritance

AD

ClinVar variants

P:27U:193B:16

Top phenotype

complex neurodevelopmental disorder

gnomAD constraint

pLI —, LoF o/e 0

Max pathogenic AF

—

Genomic locus

chr2:182,909,115-183,038,858

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~129.7 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: ClinGen

*NCKAP1* encodes a core component of the WAVE complex that regulates neuronal cytoskeletal dynamics. NCKAP1 was first reported in relation to autosomal dominant complex neurodevelopmental disorder in 2020 (Guo et al., PMID: 33157009). Both *de novo* and inherited truncating variants have been reported. Common phenotypes in individuals with NCKPA1-related neurodevelopmental disorder include global developmental delay, intellectual disability or learning disabilities, speech-language problems, autism spectrum disorder or autistic features, attention deficit-hyperactivity disorder, and seizures. Additionally, some patients exhibit tall stature, obesity, gastrointestinal disturbances, hearing and visual impairment, and congenital heart defects. In familial cases, the variants segregated with intellectual disability, seizures or variable neuropsychiatric phenotypes, including schizophrenia, psychotic episodes, depression, and severe anxiety. Sixteen variants (5 frameshift, 6 nonsense, 3 canonical splice, and 2 splice region variants shown to lead to exon skipping) reported in 17 probands in 5 publications (PMIDs: 33157009, 36553572, 40551827, 41462819, 41531171) are included in this curation. Nine variants occurred *de novo*, 5 were inherited and 3 were of unknown inheritance. Four of the variants are located in the penultimate or last exon and are not predicted to cause nonsense-mediated decay. More evidence is available in the literature, but the maximum score for genetic evidence (12 points) has been reached. *NCKAP1* is highly constrained for truncating variants (pLI = 1, LOEUF = 0.2, gnomAD v4.1.1). The mechanism of pathogenicity is loss of function. This gene-disease relationship is also supported by biochemical function, functional alterations in non-patient cells and a mouse model. Two other genes encoding components of the WAVE regulatory complex, *CYFIP2* and *WASF1*, have been implicated in neurodevelopmental disorders with overlapping features. *Nckap1* (*Nap1*) knock-down in cortical neurons and in mouse embryos resulted in reduced axonal and dendritic growth and branching and retarded neuronal differentiation *in vivo* (PMID:17481396). Nckap1 plays an essential role in facilitating neuronal cytoskeletal changes underlying the differentiation of cortical neurons. In summary, there is definitive evidence supporting the relationship between *NCKPA1* and autosomal dominant complex neurodevelopmental disorder. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time. This gene-disease pair was originally evaluated by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel on December 6, 2023. It was reevaluated on June 22, 2026 (SOP Version 12). Although additional cases were added, the classification did not change.

neurodevelopmental disorderLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0700092

Submitter: G2P

neurodevelopmental disorderSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0700092

Submitter: PanelApp Australia

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to NCKAP1 variants in ClinVar

16 Conditions Cataloged
not providedTotal: 129
Inborn genetic diseasesTotal: 69
NCKAP1-related disorderTotal: 23
not specifiedTotal: 10
Neurodevelopmental disorderTotal: 6
Complex neurodevelopmental disorderTotal: 3
Global developmental delayTotal: 2
NCKAP1-related neurodevelopmental disorder with autism featuresTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_013436.5. 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
1
clinvar
13
clinvar
1
clinvar
15
missense
3
clinvar
181
clinvar
2
clinvar
186
nonsense
6
clinvar
3
clinvar
2
clinvar
11
start loss
0
frameshift
4
clinvar
8
clinvar
3
clinvar
15
splice donor/acceptor (+/-2bp)
1
clinvar
2
clinvar
6
clinvar
9
Total1116193151236
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 68 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_013436.5RefSeqNP_038464.131MANE Select
ENST00000361354.9EnsemblENSP00000355348.331MANE Select
NM_001437266.1RefSeqNP_001424195.131Standard
NM_001437267.1RefSeqNP_001424196.132Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
nckap1Danio rerio

Structure: CaP motoneuron

Quality: has fewer parts of type

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Regulation of actin cytoskeleton - Homo sapiens (human)
  • Exercise-induced Circadian Regulation
  • Regulation of Actin Cytoskeleton
  • Signal Transduction
  • VEGFA-VEGFR2 Pathway

Biological Process

  • cell morphogenesis
  • apoptotic process
  • central nervous system development
  • positive regulation of lamellipodium assembly
  • viral process

Molecular Function

  • protein binding
  • Rac GTPase binding

Cellular Component

  • ruffle
  • cytosol
  • focal adhesion
  • integral component of membrane
  • lamellipodium

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000360982
Coding exons
32
Length
129744
Individuals with no LoFs
0
Homozygous LoFs
0
Heterozygous LoFs
0
Defined
0
p
0.00
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense4.272915810.5010.00002877483
Missense (PolyPhen)56154.070.363462017
Synonymous0.2211941980.9800.000009842051
Loss of Function7.60067.20.000.00000352850

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: Part of the WAVE complex that regulates lamellipodia formation. The WAVE complex regulates actin filament reorganization via its interaction with the Arp2/3 complex. Actin remodeling activity is regulated by RAC1. As component of the WAVE1 complex, required for BDNF-NTRK2 endocytic trafficking and signaling from early endosomes. {ECO:0000250|UniProtKB:P28660}.;

Recessive Scores

pRec
0.186

Intolerance Scores

LoFtool
0.0326
RVIS EVS
-1.2
RVIS percentile EVS
5.76

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
E
Essential (gene trap)
H
Indispensability pred.
E
Indispensability score
0.801

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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