NKX3-2

protein-coding

NK3 homeobox 2, the group of NKL subclass homeoboxes and pseudogenes

Gene summary

Enables sequence-specific double-stranded DNA binding activity. Predicted to be involved in cell differentiation; negative regulation of chondrocyte differentiation; and regulation of transcription by RNA polymerase II. Predicted to act upstream of or within several processes, including intestinal epithelial cell development; middle ear morphogenesis; and skeletal system development. Predicted to be located in chromatin. Predicted to be active in nucleus. [provided by Alliance of Genome Resources, Jul 2025]

Previous symbols:
  • BAPX1

MANE transcript

NM_001189.4

Inheritance

AR

ClinVar variants

P:9U:109B:75

Top phenotype

Spondylo-megaepiphyseal-metaphyseal dysplasia

gnomAD constraint

pLI —, LoF o/e 0.13

Max pathogenic AF

—

Genomic locus

chr4:13,540,830-13,544,508

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~3.7 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

spondylo-megaepiphyseal-metaphyseal dysplasiaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013228

Submitter: Labcorp Genetics (formerly Invitae)

spondylo-megaepiphyseal-metaphyseal dysplasiaDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013228

Submitter: G2P

spondylo-megaepiphyseal-metaphyseal dysplasiaMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0013228

Submitter: Ambry Genetics

spondylo-megaepiphyseal-metaphyseal dysplasiaSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013228

Submitter: Orphanet

spondylo-megaepiphyseal-metaphyseal dysplasiaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013228

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Spondylo-megaepiphyseal-metaphyseal dysplasiaAR

Manifestation: Musculoskeletal

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 3925497; 13680008; 20004766Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to NKX3-2 variants in ClinVar

6 Conditions Cataloged
not providedTotal: 134
Inborn genetic diseasesTotal: 80
not specifiedTotal: 14
Connective tissue disorderTotal: 10
NKX3-2-related disorderTotal: 9
Spondylo-megaepiphyseal-metaphyseal dysplasiaTotal: 5

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001189.4. 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
2
clinvar
59
clinvar
3
clinvar
64
missense
107
clinvar
12
clinvar
1
clinvar
120
nonsense
2
clinvar
2
start loss
0
frameshift
5
clinvar
2
clinvar
7
splice donor/acceptor (+/-2bp)
0
Total72109714193

Highest pathogenic variant AF is 0.0000021009757

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 5 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001189.4RefSeqNP_001180.12MANE Select
ENST00000382438.6EnsemblENSP00000371875.52MANE Select
ENST00001141133.1EnsemblENSP00000811322.12Standard
XM_047416049.1RefSeqXP_047272005.12Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
nkx3.2Danio rerio

Structure: pharyngeal arch 1

Quality: absent

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Endochondral Ossification
  • Transcriptional regulation by RUNX2
  • Gene expression (Transcription)
  • Generic Transcription Pathway
  • RNA Polymerase II Transcription

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • skeletal system development
  • transcription by RNA polymerase II
  • determination of left/right symmetry
  • cell differentiation

Molecular Function

  • RNA polymerase II proximal promoter sequence-specific DNA binding
  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • DNA-binding transcription repressor activity, RNA polymerase II-specific
  • DNA-binding transcription factor activity
  • sequence-specific DNA binding

Cellular Component

  • nucleus

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000382438
Coding exons
2
Length
4221
Individuals with no LoFs
123278
Homozygous LoFs
0
Heterozygous LoFs
2
Defined
123280
p
0.00000811
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.5961931711.130.000007902017
Missense (PolyPhen)5458.1710.92829710
Synonymous-1.719878.71.250.00000400724
Loss of Function2.2017.520.1333.21e-7101

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish0.000140.000047rare
European (Non-Finnish)0.00000970.0000090rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Transcriptional repressor that acts as a negative regulator of chondrocyte maturation. PLays a role in distal stomach development; required for proper antral-pyloric morphogenesis and development of antral-type epithelium. In concert with GSC, defines the structural components of the middle ear; required for tympanic ring and gonium development and in the regulation of the width of the malleus (By similarity). {ECO:0000250}.;

Recessive Scores

pRec
0.141

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.925

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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