PAX3

protein-coding

paired box 3, the group of PRD class homeoboxes and pseudogenes|Paired boxes

Gene summary

This gene is a member of the paired box (PAX) family of transcription factors. Members of the PAX family typically contain a paired box domain and a paired-type homeodomain. These genes play critical roles during fetal development. Mutations in paired box gene 3 are associated with Waardenburg syndrome, craniofacial-deafness-hand syndrome, and alveolar rhabdomyosarcoma. The translocation t(2;13)(q35;q14), which represents a fusion between PAX3 and the forkhead gene, is a frequent finding in alveolar rhabdomyosarcoma. Alternative splicing results in transcripts encoding isoforms with different C-termini. [provided by RefSeq, Jul 2008]

Previous symbols:
  • WS1

MANE transcript

NM_181458.4

Inheritance

AD, SD, AR

ClinVar variants

P:208U:160B:68

Top phenotype

Waardenburg syndrome, type 1; Waardenburg syndrome, type 3; Craniofacial-deafness-hand syndrome

gnomAD constraint

pLI —, LoF o/e 0.24

Max pathogenic AF

—

Genomic locus

chr2:222,199,887-222,298,998

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~99.1 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Waardenburg syndrome type 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008670

Submitter: G2P

Waardenburg syndromeSTRONG

Inheritance Pattern: SD

Disease ID:MONDO:0018094

Submitter: PanelApp Australia

Waardenburg syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018094

Submitter: ClinGen

The relationship between PAX3 and autosomal dominant Waardenburg syndrome was evaluated using the ClinGen Clinical Validity Framework as of 10/10/2017. Variants in PAX3 were first reported in humans with this disease as early as 1995 (Hol et al., PMID 7897628). At least 10 unique variants (e.g. missense, nonsense, frameshift) have been reported in humans. Evidence supporting this gene-disease relationship includes case-level data, biochemical function studies and expression in mouse hair follicles as well as several mouse models (PMID: 18983540, 20095975, 28381738, 28043919, 15729346). Variants in this gene have been reported in at least 8 probands in 12 publications (PMIDs 27759048, 7897628, 28690861, 30314436, 25932447). Variants in this gene segregated with disease in 7 additional family members. In summary, PAX3 is definitively associated with autosomal dominant Waardenberg syndrome. 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 Hearing Loss Working Group on 11/15/2017 (SOP Version 5).

Waardenburg syndrome type 3SUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007862

Submitter: Orphanet

Waardenburg syndrome type 1SUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008670

Submitter: Orphanet

Waardenburg syndrome type 1MODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0008670

Submitter: G2P

craniofacial-deafness-hand syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007395

Submitter: G2P

Waardenburg syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0018094

Submitter: PanelApp Australia

Waardenburg syndrome type 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0008670

Submitter: Labcorp Genetics (formerly Invitae)

craniofacial-deafness-hand syndromeLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0007395

Submitter: Labcorp Genetics (formerly Invitae)

Waardenburg syndrome type 3LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0007862

Submitter: Ambry Genetics

Waardenburg syndrome type 3STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0007862

Submitter: Labcorp Genetics (formerly Invitae)

craniofacial-deafness-hand syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007395

Submitter: Orphanet

Clinical Genomic Database (CGD)

Waardenburg syndrome, type 1; Waardenburg syndrome, type 3; Craniofacial-deafness-hand syndromeAD/AR

Manifestation: Audiologic/Otolaryngologic; Craniofacial; Dermatologic; Musculoskeletal; Ophthalmologic

Intervention: Audiologic/Otolaryngologic

Rationale: Early recognition and treatment of hearing impairment may improve outcomes, including speech and language development

Comments: The condition may be clinically recognizable, especially in individuals with one allelic form, Waardenburg syndrome, type 3, which includes features such as upper limb anomalies; A homozygous individual has been described, with very severe phenotypic effects

Refs: 14902764; 6059431; 091186; 6859126; 1887852; 1347149; 1536170; 1347148; 1576755; 8423616; 8447316; 7981674; 8588597; 8533800; 7726174; 8664898; 9279758; 9654197; 11683776; 14556253; 12949970; 20024939; 20199465; 20478267; 20664692; 21965087Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to PAX3 variants in ClinVar

18 Conditions Cataloged
not providedTotal: 296
Waardenburg syndrome type 1Total: 148
PAX3-related disorderTotal: 81
not specifiedTotal: 56
Inborn genetic diseasesTotal: 50
Craniofacial-deafness-hand syndromeTotal: 46
Waardenburg syndromeTotal: 41
Waardenburg syndrome type 3Total: 25

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_181458.4. 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
1
clinvar
2
clinvar
51
clinvar
1
clinvar
55
missense
22
clinvar
55
clinvar
151
clinvar
16
clinvar
244
nonsense
28
clinvar
13
clinvar
3
clinvar
44
start loss
0
frameshift
41
clinvar
27
clinvar
3
clinvar
71
splice donor/acceptor (+/-2bp)
9
clinvar
12
clinvar
1
clinvar
22
Total100108160671436

Highest pathogenic variant AF is 0.0000034205107

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 24 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_181458.4RefSeqNP_852123.19MANE Select
ENST00000392070.7EnsemblENSP00000375922.39MANE Select
NM_000438.6RefSeqNP_000429.24Standard
NM_001127366.3RefSeqNP_001120838.19Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
pax3aDanio rerio

Structure: melanoblast

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Transcriptional misregulation in cancer - Homo sapiens (human)
  • Neural Crest Differentiation
  • Ectoderm Differentiation
  • Chromatin modifying enzymes
  • HATs acetylate histones

Biological Process

  • transcription by RNA polymerase II
  • apoptotic process
  • nervous system development
  • muscle organ development
  • sensory perception of sound

Molecular Function

  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • DNA-binding transcription factor activity
  • protein binding
  • sequence-specific DNA binding
  • HMG box domain binding

Cellular Component

  • nucleoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000392069
Coding exons
10
Length
99109
Individuals with no LoFs
125694
Homozygous LoFs
0
Heterozygous LoFs
54
Defined
125748
p
0.000215
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.622062830.7290.00001583294
Missense (PolyPhen)61112.430.542581318
Synonymous-0.6831231141.080.00000707993
Loss of Function3.51624.90.2410.00000138265

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish0.000110.000099rare
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000350.000035rare
South Asian0.00160.0016notable
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Transcription factor that may regulate cell proliferation, migration and apoptosis. Involved in neural development and myogenesis. Transcriptional activator of MITF, acting synergistically with SOX10 (PubMed:21965087). {ECO:0000269|PubMed:16951170, ECO:0000269|PubMed:21965087}.;
Disease
DISEASE: Waardenburg syndrome 1 (WS1) [MIM:193500]: WS1 is an autosomal dominant disorder characterized by non-progressive sensorineural deafness, pigmentary disturbances such as frontal white blaze of hair, heterochromia of irides, white eyelashes, leukoderma, and wide bridge of nose owing to lateral displacement of the inner canthus of each eye (dystopia canthorum). WS1 shows variable clinical expression and some affected individuals do not manifest hearing impairment or iris pigmentation disturbances. Dystopia canthorum is the most consistent sign and is found in 98% of the patients. {ECO:0000269|PubMed:10779847, ECO:0000269|PubMed:12949970, ECO:0000269|PubMed:1303193, ECO:0000269|PubMed:1347148, ECO:0000269|PubMed:1347149, ECO:0000269|PubMed:16971891, ECO:0000269|PubMed:20478267, ECO:0000269|PubMed:21965087, ECO:0000269|PubMed:7825605, ECO:0000269|PubMed:7833953, ECO:0000269|PubMed:7981674, ECO:0000269|PubMed:8447316, ECO:0000269|PubMed:8490648, ECO:0000269|PubMed:8533800, ECO:0000269|PubMed:8589691, ECO:0000269|PubMed:8845842, ECO:0000269|PubMed:9067759, ECO:0000269|PubMed:9452070, ECO:0000269|PubMed:9541113, ECO:0000269|Ref.35}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Waardenburg syndrome 3 (WS3) [MIM:148820]: WS3 is an autosomal dominant disorder characterized by sensorineural deafness, pigmentary disturbances, dystopia canthorum and limb anomalies such as hypoplasia of the musculoskeletal system, flexion contractures, fusion of the carpal bones, syndactylies. {ECO:0000269|PubMed:12949970, ECO:0000269|PubMed:7726174, ECO:0000269|PubMed:8447316, ECO:0000269|Ref.36}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Craniofacial-deafness-hand syndrome (CDHS) [MIM:122880]: Thought to be an autosomal dominant disease which comprises absence or hypoplasia of the nasal bones, hypoplastic maxilla, small and short nose with thin nares, limited movement of the wrist, short palpebral fissures, ulnar deviation of the fingers, hypertelorism and profound sensory-neural deafness. {ECO:0000269|PubMed:8664898}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Rhabdomyosarcoma 2 (RMS2) [MIM:268220]: A form of rhabdomyosarcoma, a highly malignant tumor of striated muscle derived from primitive mesenchymal cells and exhibiting differentiation along rhabdomyoblastic lines. Rhabdomyosarcoma is one of the most frequently occurring soft tissue sarcomas and the most common in children. It occurs in four forms: alveolar, pleomorphic, embryonal and botryoidal rhabdomyosarcomas. {ECO:0000269|PubMed:8275086}. Note=The gene represented in this entry is involved in disease pathogenesis. A chromosomal aberration involving PAX3 is found in rhabdomyosarcoma. Translocation (2;13)(q35;q14) with FOXO1. The resulting protein is a transcriptional activator. {ECO:0000269|PubMed:8275086}.; DISEASE: Note=A chromosomal aberration involving PAX3 is a cause of rhabdomyosarcoma. Translocation t(2;2)(q35;p23) with NCOA1 generates the NCOA1-PAX3 oncogene consisting of the N-terminus part of PAX3 and the C-terminus part of NCOA1. The fusion protein acts as a transcriptional activator. Rhabdomyosarcoma is the most common soft tissue carcinoma in childhood, representing 5-8% of all malignancies in children. {ECO:0000269|PubMed:15313887}.;

Recessive Scores

pRec
0.680

Intolerance Scores

LoFtool
0.00923
RVIS EVS
0
RVIS percentile EVS
53.85

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.693

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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