PEX26

protein-coding

peroxisomal biogenesis factor 26, the group of Peroxins

Gene summary

This gene belongs to the peroxin-26 gene family. It is probably required for protein import into peroxisomes. It anchors PEX1 and PEX6 to peroxisome membranes, possibly to form heteromeric AAA ATPase complexes required for the import of proteins into peroxisomes. Defects in this gene are the cause of peroxisome biogenesis disorder complementation group 8 (PBD-CG8). PBD refers to a group of peroxisomal disorders arising from a failure of protein import into the peroxisomal membrane or matrix. The PBD group is comprised of four disorders: Zellweger syndrome (ZWS), neonatal adrenoleukodystrophy (NALD), infantile Refsum disease (IRD), and classical rhizomelic chondrodysplasia punctata (RCDP). Alternatively spliced transcript variants have been identified for this gene. [provided by RefSeq, Dec 2010]

MANE transcript

NM_001127649.3

Inheritance

AR

ClinVar variants

P:73U:196B:170

Top phenotype

Peroxisome biogenesis disorder 7A; Peroxisome biogenesis disorder 7B; Adrenoleukodystrophy, neonatal; Refsum disease, infantile

gnomAD constraint

pLI —, LoF o/e 0.08

Max pathogenic AF

—

Genomic locus

chr22:18,077,923-18,105,396

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~27.5 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

peroxisome biogenesis disorder 7A (Zellweger)STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013938

Submitter: Labcorp Genetics (formerly Invitae)

peroxisome biogenesis disorderSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0019234

Submitter: PanelApp Australia

peroxisome biogenesis disorder 7BSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013939

Submitter: Ambry Genetics

peroxisome biogenesis disorderDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0019234

Submitter: ClinGen

PEX26 was first reported in relation to autosomal recessive peroxisomal biogenesis disorder in 2003 (Matsumoto et al., PMID: 12851857). Numerous variants have been reported in humans per ClinVar. Evidence supporting this gene-disease relationship includes case-level data and experimental data. Summary of case-level and experimental data: 14.5 points. Variants (nonsense, missense, and frameshift) in this gene have been reported in at least 12 probands in 3 publications (PMIDS: 12851857, 15542397, 15858711). More evidence is available in the literature, but the maximum score (12) for genetic evidence has been reached. The mechanism for disease is expected to be loss of function. This gene-disease association is supported by expression studies and in vitro functional assays. In summary, PEX26 is definitively associated with autosomal recessive peroxisomal biogenesis disorder. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time.

peroxisome biogenesis disorder 7A (Zellweger)DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013938

Submitter: G2P

peroxisome biogenesis disorder 7BDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013939

Submitter: G2P

Zellweger spectrum disordersSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0019609

Submitter: Orphanet

Clinical Genomic Database (CGD)

Peroxisome biogenesis disorder 7A; Peroxisome biogenesis disorder 7B; Adrenoleukodystrophy, neonatal; Refsum disease, infantileAR

Manifestation: Biochemical; Craniofacial; Gastrointestinal; Genitourinary; Musculoskeletal; Neurologic; Renal

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: 12851857; 12717447; 15542397; 15858711; 19105186Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to PEX26 variants in ClinVar

11 Conditions Cataloged
Peroxisome biogenesis disorder 7A (Zellweger)Total: 469
Peroxisome biogenesis disorder 7BTotal: 453
not providedTotal: 94
PEX26-related disorderTotal: 60
Inborn genetic diseasesTotal: 51
not specifiedTotal: 45
Peroxisome biogenesis disorderTotal: 10
Retinal dystrophyTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001127649.3. 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
clinvar
158
clinvar
160
missense
13
clinvar
193
clinvar
10
clinvar
2
clinvar
218
nonsense
9
clinvar
7
clinvar
16
start loss
1
clinvar
2
clinvar
3
frameshift
18
clinvar
13
clinvar
2
clinvar
33
splice donor/acceptor (+/-2bp)
3
clinvar
6
clinvar
9
Total31421961682439

Highest pathogenic variant AF is 0.00008674242

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 13 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001127649.3RefSeqNP_001121121.15MANE Select
ENST00000399744.8EnsemblENSP00000382648.45MANE Select
NM_001199319.2RefSeqNP_001186248.14Standard
NM_017929.6RefSeqNP_060399.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Peroxisome - Homo sapiens (human)
  • Metabolism of proteins
  • Peroxisomal protein import

Biological Process

  • protein targeting to peroxisome
  • protein import into peroxisome matrix
  • protein import into peroxisome membrane

Molecular Function

  • protein binding
  • protein C-terminus binding
  • protein-containing complex binding
  • ATPase binding

Cellular Component

  • peroxisome
  • peroxisomal membrane
  • integral component of peroxisomal membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000329627
Coding exons
5
Length
53217
Individuals with no LoFs
125728
Homozygous LoFs
0
Heterozygous LoFs
20
Defined
125748
p
0.0000795
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.3681781651.080.000009191913
Missense (PolyPhen)5160.5620.84212762
Synonymous-0.03267372.61.000.00000373656
Loss of Function3.08113.00.07726.60e-7141

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000620.000062rare
Latino/Admixed American0.000150.00014rare
Ashkenazi Jewish0.0000990.000099rare
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.000110.000097rare
South Asian0.0000680.000065rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Probably required for protein import into peroxisomes. Anchors PEX1 and PEX6 to peroxisome membranes, possibly to form heteromeric AAA ATPase complexes required for the import of proteins into peroxisomes. Involved in the import of catalase and proteins containing a PTS2 target sequence, but not in import of proteins with a PTS1 target sequence. {ECO:0000269|PubMed:12717447, ECO:0000269|PubMed:12851857}.;
Disease
DISEASE: Peroxisome biogenesis disorder 7A (PBD7A) [MIM:614872]: A fatal peroxisome biogenesis disorder belonging to the Zellweger disease spectrum and clinically characterized 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:12851857}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Peroxisome biogenesis disorder 7B (PBD7B) [MIM:614873]: 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:12717447, ECO:0000269|PubMed:12851857}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Intolerance Scores

LoFtool
0.105
RVIS EVS
1.13
RVIS percentile EVS
92.16

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.797

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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