PAICS

protein-coding

phosphoribosylaminoimidazole carboxylase and phosphoribosylaminoimidazolesuccinocarboxamide synthase, the group of Purinosome

Gene summary

This gene encodes a bifunctional enzyme containing phosphoribosylaminoimidazole carboxylase activity in its N-terminal region and phosphoribosylaminoimidazole succinocarboxamide synthetase in its C-terminal region. It catalyzes steps 6 and 7 of purine biosynthesis. The gene is closely linked and divergently transcribed with a locus that encodes an enzyme in the same pathway, and transcription of the two genes is coordinately regulated. The human genome contains several pseudogenes of this gene. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Previous symbols:
  • PAIS

MANE transcript

NM_001079524.2

Inheritance

AR

ClinVar variants

P:4U:39B:2

Top phenotype

Phosphoribosylaminoimidazole carboxylase deficiency

gnomAD constraint

pLI —, LoF o/e 0.5

Max pathogenic AF

—

Genomic locus

chr4:56,435,741-56,464,578

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~28.8 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

PAICS deficiencyLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0859003

Submitter: Ambry Genetics

PAICS deficiencyLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0859003

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Phosphoribosylaminoimidazole carboxylase deficiencyAR

Manifestation: Craniofacial; Gastrointestinal; Musculoskeletal; Pulmonary

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: 31600779Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to PAICS variants in ClinVar

5 Conditions Cataloged
not specifiedTotal: 32
Phosphoribosylaminoimidazole carboxylase deficiencyTotal: 5
not providedTotal: 2
PAICS-related conditionTotal: 1
Fetal anomalies with a likely genetic causeTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001079524.2. 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
1
missense
2
clinvar
36
clinvar
1
clinvar
39
nonsense
1
clinvar
1
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
3
clinvar
3
Total13392045

Highest pathogenic variant AF is 0.001114124

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 70 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001079524.2RefSeqNP_001072992.19MANE Select
ENST00000512576.3EnsemblENSP00000421096.19MANE Select
NM_001079525.2RefSeqNP_001072993.110Standard
NM_001392010.1RefSeqNP_001378939.115Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
paicsDanio rerio

Structure: iridophore

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Purine metabolism - Homo sapiens (human)
  • Purine Nucleoside Phosphorylase Deficiency
  • Mercaptopurine Action Pathway
  • Azathioprine Action Pathway
  • Xanthine Dehydrogenase Deficiency (Xanthinuria)

Biological Process

  • 'de novo' IMP biosynthetic process
  • purine nucleobase biosynthetic process
  • purine ribonucleoside monophosphate biosynthetic process

Molecular Function

  • phosphoribosylaminoimidazole carboxylase activity
  • phosphoribosylaminoimidazolesuccinocarboxamide synthase activity
  • protein binding
  • ATP binding
  • identical protein binding

Cellular Component

  • cytoplasm
  • cytosol
  • membrane
  • extracellular exosome

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000399688
Coding exons
10
Length
25628
Individuals with no LoFs
122164
Homozygous LoFs
167
Heterozygous LoFs
2316
Defined
124647
p
0.0100
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.131541990.7740.000009232786
Missense (PolyPhen)5881.6050.710741151
Synonymous-0.01936968.81.000.00000322808
Loss of Function2.181122.10.4990.00000123276

Population LoF Frequency

PopulationCAFp-valueStatus
African0.160.14notable
Latino/Admixed American0.00890.0081notable
Ashkenazi Jewish00.0absent
East Asian0.000560.00056rare
Finnish0.0000480.000046rare
European (Non-Finnish)0.00110.00099notable
South Asian0.000640.00059rare
Other0.00550.0051notable

dbNSFP Gene Annotations

Source: dbNSFP

Recessive Scores

pRec
0.211

Intolerance Scores

LoFtool
0.963
RVIS EVS
1.04
RVIS percentile EVS
91.21

Essentials

Essential (CRISPR)
E
Essential (gene trap)
E
Indispensability pred.
E
Indispensability score
0.988

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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