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PEX1

peroxisomal biogenesis factor 1, the group of AAA ATPases|Peroxins

Basic information

Region (hg38): 7:92487019-92528520

Previous symbols: [ "ZWS1", "ZWS" ]

Links

ENSG00000127980NCBI:5189OMIM:602136HGNC:8850Uniprot:O43933AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • peroxisome biogenesis disorder 1A (Zellweger) (Definitive), mode of inheritance: AR
  • Heimler syndrome 1 (Strong), mode of inheritance: AR
  • Heimler syndrome 1 (Moderate), mode of inheritance: AR
  • peroxisome biogenesis disorder 1A (Zellweger) (Definitive), mode of inheritance: AR
  • peroxisome biogenesis disorder 1B (Moderate), mode of inheritance: AR
  • peroxisome biogenesis disorder 1A (Zellweger) (Definitive), mode of inheritance: AR
  • Zellweger spectrum disorders (Supportive), mode of inheritance: AR
  • peroxisome biogenesis disorder 1B (Strong), mode of inheritance: AR
  • peroxisome biogenesis disorder (Definitive), mode of inheritance: AR

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Heimler syndrome 1ARAudiologic/OtolaryngologicHeimler syndrome 1, representing a mild peroxisomal biogenesis disorder, includes sensorineural hearing loss among other features, and early recognition and treatment of hearing impairment may improve outcomes, including speech and language developmentAudiologic/Otolaryngologic; Biochemical; Craniofacial; Dental; Dermatologic; Gastrointestinal; Genitourinary; Musculoskeletal; Neurologic; Ophthalmologic; Renal2063923; 10636745; 9398848; 9398847; 9817926; 9539740; 10447258; 11389485; 12402331; 12032265; 15098231; 16086329; 16088892; 16141001; 20212125; 21844578; 21862673; 22378672; 26387595

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the PEX1 gene.

  • Zellweger spectrum disorders (1296 variants)
  • not provided (268 variants)
  • Peroxisome biogenesis disorder 1A (Zellweger) (245 variants)
  • Heimler syndrome 1 (157 variants)
  • Peroxisome biogenesis disorder 1B (64 variants)
  • not specified (49 variants)
  • Peroxisome biogenesis disorder 1B;Peroxisome biogenesis disorder 1A (Zellweger) (49 variants)
  • Inborn genetic diseases (47 variants)
  • Peroxisome biogenesis disorder (42 variants)
  • Peroxisome biogenesis disorder 1A (Zellweger);Peroxisome biogenesis disorder 1B (29 variants)
  • PEX1-related condition (18 variants)
  • Peroxisome biogenesis disorder 1B;Peroxisome biogenesis disorder 1A (Zellweger);Heimler syndrome 1 (11 variants)
  • Peroxisome biogenesis disorder 1A (Zellweger);Heimler syndrome 1;Peroxisome biogenesis disorder 1B (8 variants)
  • Peroxisome biogenesis disorder due to PEX1 defect (5 variants)
  • Retinal dystrophy (5 variants)
  • Peroxisome biogenesis disorder 1B;Heimler syndrome 1;Peroxisome biogenesis disorder 1A (Zellweger) (4 variants)
  • Heimler syndrome 1;Peroxisome biogenesis disorder 1B;Peroxisome biogenesis disorder 1A (Zellweger) (4 variants)
  • Peroxisome biogenesis disorder 1A (Zellweger);Peroxisome biogenesis disorder 1B;Heimler syndrome 1 (3 variants)
  • PEX1-RELATED DISORDERS (2 variants)
  • Peroxisome biogenesis disorder type 1A (2 variants)
  • Heimler syndrome 1;Peroxisome biogenesis disorder 1A (Zellweger);Peroxisome biogenesis disorder 1B (2 variants)
  • Penile hypospadias;Global developmental delay;Polymicrogyria;Very long chain fatty acid accumulation;Seizure (1 variants)
  • Microcephaly (1 variants)
  • See cases (1 variants)
  • Peroxisome biogenesis disorder 1A (Zellweger);Heimler syndrome 1 (1 variants)
  • Leber congenital amaurosis (1 variants)
  • Abnormality of metabolism/homeostasis (1 variants)
  • Peroxisomal disorder (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the PEX1 gene is commonly pathogenic or not.

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.

Variant type Pathogenic Likely pathogenic VUS Likely benign Benign Sum
synonymous
11
clinvar
384
clinvar
1
clinvar
396
missense
1
clinvar
11
clinvar
428
clinvar
19
clinvar
3
clinvar
462
nonsense
30
clinvar
62
clinvar
1
clinvar
93
start loss
3
clinvar
3
clinvar
6
frameshift
55
clinvar
121
clinvar
5
clinvar
181
inframe indel
1
clinvar
3
clinvar
21
clinvar
25
splice donor/acceptor (+/-2bp)
8
clinvar
51
clinvar
4
clinvar
63
splice region
28
70
6
104
non coding
1
clinvar
21
clinvar
145
clinvar
40
clinvar
207
Total 99 251 491 548 44

Highest pathogenic variant AF is 0.000506

Variants in PEX1

This is a list of pathogenic ClinVar variants found in the PEX1 region.

You can filter this list by clicking the number of variants in the Variants pathogenicity by type table.

Position Type Phenotype Significance ClinVar
7-92487029-T-C Peroxisome biogenesis disorder 1A (Zellweger) Uncertain significance (Jan 12, 2018)911512
7-92487165-C-T Peroxisome biogenesis disorder 1A (Zellweger) Uncertain significance (Jan 13, 2018)911513
7-92487216-A-G Peroxisome biogenesis disorder 1A (Zellweger) Uncertain significance (Jan 13, 2018)360910
7-92487221-G-T Peroxisome biogenesis disorder 1A (Zellweger) Uncertain significance (Jan 12, 2018)908541
7-92487223-A-G Peroxisome biogenesis disorder 1A (Zellweger) Uncertain significance (Jan 13, 2018)908542
7-92487277-T-C Peroxisome biogenesis disorder 1A (Zellweger) Uncertain significance (Jan 13, 2018)908543
7-92487324-C-G Peroxisome biogenesis disorder 1A (Zellweger) Uncertain significance (Jan 13, 2018)360911
7-92487458-T-C Zellweger spectrum disorders Likely benign (Apr 22, 2023)1674698
7-92487463-T-C Zellweger spectrum disorders Likely benign (Feb 03, 2022)1532596
7-92487468-T-C Inborn genetic diseases Uncertain significance (Jan 09, 2024)3211479
7-92487469-T-C Zellweger spectrum disorders Likely benign (Dec 20, 2019)1153780
7-92487470-A-T Zellweger spectrum disorders Uncertain significance (Oct 13, 2022)1062398
7-92487475-C-CT not specified Uncertain significance (Aug 01, 2022)1705047
7-92487477-G-T Zellweger spectrum disorders Uncertain significance (Oct 11, 2023)568356
7-92487481-A-T Zellweger spectrum disorders Likely benign (Feb 22, 2023)2790672
7-92487485-C-T Zellweger spectrum disorders Conflicting classifications of pathogenicity (Oct 14, 2023)502507
7-92487486-G-A Peroxisome biogenesis disorder 1A (Zellweger) • Zellweger spectrum disorders • not specified Uncertain significance (Aug 15, 2022)555569
7-92487493-T-C Zellweger spectrum disorders Likely benign (Dec 31, 2022)2884022
7-92487499-A-T not specified • Peroxisome biogenesis disorder 1A (Zellweger) • Zellweger spectrum disorders • PEX1-related disorder Conflicting classifications of pathogenicity (Jan 27, 2024)252486
7-92487501-T-G Zellweger spectrum disorders Uncertain significance (Sep 23, 2022)1719805
7-92487500-C-CTT Peroxisome biogenesis disorder 1A (Zellweger) • Zellweger spectrum disorders Uncertain significance (Mar 03, 2022)555409
7-92487505-A-AT Zellweger spectrum disorders Uncertain significance (Aug 19, 2022)1504986
7-92487508-T-C Zellweger spectrum disorders Likely benign (Nov 15, 2023)1149803
7-92487517-C-T Zellweger spectrum disorders Likely benign (Mar 07, 2021)1637743
7-92487521-G-C Zellweger spectrum disorders Uncertain significance (Aug 19, 2022)1931630

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
PEX1protein_codingprotein_codingENST00000248633 2441512
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
1.06e-141.0012549902491257480.000991
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense1.145826640.8760.00003318352
Missense in Polyphen126160.520.784931985
Synonymous0.9602202390.9210.00001192498
Loss of Function3.863569.80.5010.00000380802

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.001530.00153
Ashkenazi Jewish0.0002990.000298
East Asian0.0004350.000435
Finnish0.00009250.0000924
European (Non-Finnish)0.001530.00152
Middle Eastern0.0004350.000435
South Asian0.0007330.000719
Other0.0006540.000652

dbNSFP

Source: dbNSFP

Function
FUNCTION: Required for stability of PEX5 and protein import into the peroxisome matrix. Anchored by PEX26 to peroxisome membranes, possibly to form heteromeric AAA ATPase complexes required for the import of proteins into peroxisomes.;
Disease
DISEASE: Peroxisome biogenesis disorder complementation group 1 (PBD-CG1) [MIM:214100]: A peroxisomal disorder arising from a failure of protein import into the peroxisomal membrane or matrix. The peroxisome biogenesis disorders (PBD group) are genetically heterogeneous with at least 14 distinct genetic groups as concluded from complementation studies. Include disorders are: Zellweger syndrome (ZWS), neonatal adrenoleukodystrophy (NALD), infantile Refsum disease (IRD), and classical rhizomelic chondrodysplasia punctata (RCDP). ZWS, NALD and IRD are distinct from RCDP and constitute a clinical continuum of overlapping phenotypes known as the Zellweger spectrum (PBD-ZSS). {ECO:0000269|PubMed:19105186}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Peroxisome biogenesis disorder 1A (PBD1A) [MIM:214100]: A fatal peroxisome biogenesis disorder belonging to the Zellweger disease spectrum. PBD1A is an autosomal recessive systemic disorder characterized clinically by severe neurologic dysfunction with profound psychomotor retardation, severe hypotonia and neonatal seizures, craniofacial abnormalities, liver dysfunction, and biochemically by the absence of peroxisomes. Additional features include cardiovascular and skeletal defects, renal cysts, ocular abnormalities, and hearing impairment. Most severely affected individuals with the classic form of the disease (classic Zellweger syndrome) die within the first year of life. {ECO:0000269|PubMed:9398847, ECO:0000269|PubMed:9398848, ECO:0000269|PubMed:9539740}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Peroxisome biogenesis disorder 1B (PBD1B) [MIM:601539]: A peroxisome biogenesis disorder that includes neonatal adrenoleukodystrophy (NALD) and infantile Refsum disease (IRD), two milder manifestations of the Zellweger disease spectrum. The clinical course of patients with the NALD and IRD presentation is variable and may include developmental delay, hypotonia, liver dysfunction, sensorineural hearing loss, retinal dystrophy and vision impairment. Children with the NALD presentation may reach their teens, while patients with the IRD presentation may reach adulthood. The clinical conditions are often slowly progressive in particular with respect to loss of hearing and vision. The biochemical abnormalities include accumulation of phytanic acid, very long chain fatty acids (VLCFA), di- and trihydroxycholestanoic acid and pipecolic acid. {ECO:0000269|PubMed:11439091, ECO:0000269|PubMed:16088892, ECO:0000269|PubMed:9398847, ECO:0000269|PubMed:9539740}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Heimler syndrome 1 (HMLR1) [MIM:234580]: A form of Heimler syndrome, a very mild peroxisome biogenesis disorder characterized by sensorineural hearing loss, amelogenesis imperfecta resulting in enamel hyoplasia of the secondary dentition, nail defects, and occasional or late-onset retinal pigmentation abnormalities. {ECO:0000269|PubMed:26387595, ECO:0000269|PubMed:27302843}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway
Peroxisome - Homo sapiens (human);Metabolism of proteins;Peroxisomal protein import (Consensus)

Intolerance Scores

loftool
0.0841
rvis_EVS
-0.19
rvis_percentile_EVS
39.31

Haploinsufficiency Scores

pHI
0.571
hipred
Y
hipred_score
0.542
ghis
0.585

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
S
essential_gene_gene_trap
N
gene_indispensability_pred
E
gene_indispensability_score
0.934

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Pex1
Phenotype
digestive/alimentary 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); vision/eye 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); liver/biliary system phenotype; homeostasis/metabolism phenotype; growth/size/body region phenotype;

Gene ontology

Biological process
protein targeting to peroxisome;peroxisome organization;protein import into peroxisome matrix;microtubule-based peroxisome localization
Cellular component
cytoplasm;peroxisome;peroxisomal membrane;cytosol;extracellular exosome
Molecular function
protein binding;ATP binding;protein C-terminus binding;ATPase activity;ATPase activity, coupled;protein-containing complex binding