OTX2

orthodenticle homeobox 2, the group of PRD class homeoboxes and pseudogenes

Basic information

Region (hg38): 14:56799905-56816693

Links

ENSG00000165588NCBI:5015OMIM:600037HGNC:8522Uniprot:P32243AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • syndromic microphthalmia type 5 (Definitive), mode of inheritance: AD
  • syndromic microphthalmia type 5 (Strong), mode of inheritance: AD
  • pituitary hormone deficiency, combined, 6 (Moderate), mode of inheritance: AD
  • syndromic microphthalmia type 5 (Moderate), mode of inheritance: AD
  • septooptic dysplasia (Supportive), mode of inheritance: AD
  • isolated anophthalmia-microphthalmia syndrome (Supportive), mode of inheritance: AD
  • combined pituitary hormone deficiencies, genetic form (Supportive), mode of inheritance: AD
  • patterned macular dystrophy (Supportive), mode of inheritance: AD
  • syndromic microphthalmia type 5 (Supportive), mode of inheritance: AD
  • syndromic microphthalmia type 5 (Strong), mode of inheritance: AD
  • pituitary hormone deficiency, combined, 6 (Strong), mode of inheritance: AD

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Pituitary hormone deficiency, combined 6; Microphthalmia, syndromic 5; Retinal dystrophy, early-onset, and pituitary dysfunctionADEndocrine; GenitourinaryHormone replacement therapy can be effective, as individuals may have multiple pituitary insufficiency (eg, manifesting with hypothyroidism, growth hormone, gonadotropin, and cortisol deficiency)Endocrine; Genitourinary; Neurologic; Ophthalmologic15846561; 18628516; 18728160; 18781617; 19956411; 18854396; 19965921; 20396904; 20486942; 20494911; 21353197; 22198066; 24859618; 25293953; 25589041

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the OTX2 gene.

  • Anophthalmia-microphthalmia_syndrome (163 variants)
  • not_provided (62 variants)
  • Syndromic_microphthalmia_type_5 (36 variants)
  • Inborn_genetic_diseases (28 variants)
  • Pituitary_hormone_deficiency,_combined,_6 (20 variants)
  • OTX2-related_disorder (10 variants)
  • Retinal_dystrophy (10 variants)
  • not_specified (10 variants)
  • OTX2-Related_Syndromic_Microphthalmia (10 variants)
  • Syndromic_Microphthalmia,_Dominant (6 variants)
  • Anophthalmia (3 variants)
  • Combined_Pituitary_Hormone_Deficiency,_Dominant (2 variants)
  • Optic_atrophy (2 variants)
  • Intellectual_disability (1 variants)
  • Microcephaly (1 variants)
  • 46,XY_partial_gonadal_dysgenesis (1 variants)
  • Anxiety (1 variants)
  • Horizontal_nystagmus (1 variants)
  • Phonophobia (1 variants)
  • Leber_congenital_amaurosis (1 variants)
  • Hypotelorism (1 variants)
  • Male_infertility_with_azoospermia_or_oligozoospermia_due_to_single_gene_mutation (1 variants)
  • Protruding_ear (1 variants)
  • Pointed_chin (1 variants)
  • Hypertonia (1 variants)
  • Nystagmus (1 variants)
  • Low-set_ears (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the OTX2 gene is commonly pathogenic or not. These statistics are base on transcript: NM_000021728.4. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
2
clinvar
47
clinvar
1
clinvar
50
missense
5
clinvar
9
clinvar
127
clinvar
9
clinvar
150
nonsense
14
clinvar
2
clinvar
4
clinvar
20
start loss
0
frameshift
26
clinvar
5
clinvar
2
clinvar
33
splice donor/acceptor (+/-2bp)
1
clinvar
1
Total 45 17 135 56 1

Highest pathogenic variant AF is 0.00022798772

Loading clinvar variants...

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
OTX2protein_codingprotein_codingENST00000339475 39773
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
0.9230.0765124669031246720.0000120
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense1.051231600.7680.000007801908
Missense in Polyphen1954.2660.35013658
Synonymous-0.09996564.01.020.00000311616
Loss of Function3.03112.60.07926.56e-7140

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.000.00
Ashkenazi Jewish0.000.00
East Asian0.000.00
Finnish0.000.00
European (Non-Finnish)0.000.00
Middle Eastern0.000.00
South Asian0.00009810.0000981
Other0.000.00

dbNSFP

Source: dbNSFP

Function
FUNCTION: Transcription factor probably involved in the development of the brain and the sense organs. Can bind to the bicoid/BCD target sequence (BTS): 5'-TCTAATCCC-3'. {ECO:0000269|PubMed:22715480}.;
Disease
DISEASE: Microphthalmia, syndromic, 5 (MCOPS5) [MIM:610125]: Patients manifest unilateral or bilateral microphthalmia/clinical anophthalmia and variable additional features including pituitary dysfunction, coloboma, microcornea, cataract, retinal dystrophy, hypoplasia or agenesis of the optic nerve, agenesis of the corpus callosum, developmental delay, joint laxity, hypotonia, and seizures. Microphthalmia is a disorder of eye formation, ranging from small size of a single eye to complete bilateral absence of ocular tissues (anophthalmia). In many cases, microphthalmia/anophthalmia occurs in association with syndromes that include non-ocular abnormalities. {ECO:0000269|PubMed:15846561, ECO:0000269|PubMed:20396904, ECO:0000269|PubMed:22577225, ECO:0000269|PubMed:24167467}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Pituitary hormone deficiency, combined, 6 (CPHD6) [MIM:613986]: Combined pituitary hormone deficiency is defined as the impaired production of growth hormone and one or more of the other five anterior pituitary hormones. CPHD6 patients manifest neonatal hypoglycemia, and deficiencies of growth hormone, thyroid-stimulating hormone, luteinizing hormone, follicle stimulating hormone and adrenocorticotropic hormone. {ECO:0000269|PubMed:18728160, ECO:0000269|PubMed:22715480}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Retinal dystrophy, early-onset, with or without pituitary dysfunction (RDEOP) [MIM:610125]: An autosomal dominant ocular disease characterized by pattern dystrophy of the retinal pigment epithelium, and photoreceptor degeneration. Mild developmental anomalies include optic nerve head dysplasia, microcornea, and Rathke's cleft cyst. Some patients manifest pituary dysfunction. {ECO:0000269|PubMed:19956411, ECO:0000269|PubMed:25293953}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway
TP53 Network;Endoderm Differentiation;Dopaminergic Neurogenesis (Consensus)

Recessive Scores

pRec
0.344

Intolerance Scores

loftool
0.0813
rvis_EVS
-0.38
rvis_percentile_EVS
27.42

Haploinsufficiency Scores

pHI
0.933
hipred
Y
hipred_score
0.851
ghis
0.609

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
H
gene_indispensability_pred
E
gene_indispensability_score
0.796

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Otx2
Phenotype
taste/olfaction phenotype; endocrine/exocrine gland phenotype; growth/size/body region phenotype; homeostasis/metabolism phenotype; cellular phenotype; craniofacial phenotype; digestive/alimentary phenotype; muscle phenotype; nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan); hearing/vestibular/ear phenotype; pigmentation phenotype; cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan); normal phenotype; mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span); reproductive system phenotype; behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); respiratory system phenotype; embryo phenotype; skeleton phenotype; vision/eye phenotype;

Zebrafish Information Network

Gene name
otx2b
Affected structure
ceratobranchial cartilage
Phenotype tag
abnormal
Phenotype quality
shortened

Gene ontology

Biological process
axon guidance;regulation of smoothened signaling pathway;forebrain development;midbrain development;positive regulation of embryonic development;regulation of fibroblast growth factor receptor signaling pathway;positive regulation of transcription, DNA-templated;positive regulation of transcription by RNA polymerase II;protein-containing complex assembly;dopaminergic neuron differentiation;primitive streak formation;positive regulation of gastrulation
Cellular component
nucleus;growth cone;protein-containing complex
Molecular function
RNA polymerase II proximal promoter sequence-specific DNA binding;DNA-binding transcription factor activity, RNA polymerase II-specific;DNA-binding transcription activator activity, RNA polymerase II-specific;protein binding;eukaryotic initiation factor 4E binding