PITX1

protein-coding

paired like homeodomain 1, the group of PRD class homeoboxes and pseudogenes

Gene summary

This gene encodes a member of the RIEG/PITX homeobox family, which is in the bicoid class of homeodomain proteins. Members of this family are involved in organ development and left-right asymmetry. This protein acts as a transcriptional regulator involved in basal and hormone-regulated activity of prolactin. [provided by RefSeq, Jul 2008]

Previous symbols:
  • BFT

MANE transcript

NM_002653.5

Inheritance

AD

ClinVar variants

P:13U:76B:23

Top phenotype

Clubfoot, congenital, with or without deficiency of long bones and/or mirror-image polydactyly; Liebenberg syndrome

gnomAD constraint

pLI —, LoF o/e 0.09

Max pathogenic AF

—

Genomic locus

chr5:135,027,734-135,034,813

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~7.1 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

brachydactyly-elbow wrist dysplasia syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008520

Submitter: Orphanet

familial clubfoot due to PITX1 point mutationSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0017383

Submitter: PanelApp Australia

brachydactyly-elbow wrist dysplasia syndromeLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0008520

Submitter: Labcorp Genetics (formerly Invitae)

clubfootSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007342

Submitter: G2P

clubfootLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0007342

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Clubfoot, congenital, with or without deficiency of long bones and/or mirror-image polydactyly; Liebenberg syndromeAD

Manifestation: Craniofacial; Musculoskeletal

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

Comments: Liebenberg syndrome may be caused by abornmal gene expression due to gene-regulatory anomalies

Refs: 18950742; 21775501; 22258522; 23022097Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to PITX1 variants in ClinVar

9 Conditions Cataloged
not providedTotal: 61
not specifiedTotal: 44
ClubfootTotal: 15
PITX1-related disorderTotal: 7
Brachydactyly-elbow wrist dysplasia syndromeTotal: 2
MicrognathiaTotal: 1
VATER associationTotal: 1
Hurler syndromeTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_002653.5. 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
18
clinvar
2
clinvar
20
missense
1
clinvar
3
clinvar
73
clinvar
2
clinvar
1
clinvar
80
nonsense
2
clinvar
2
start loss
0
frameshift
2
clinvar
4
clinvar
2
clinvar
8
splice donor/acceptor (+/-2bp)
1
clinvar
1
clinvar
2
Total31076203112

Highest pathogenic variant AF is 0.0000020524778

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 12 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_002653.5RefSeqNP_002644.43MANE Select
ENST00000265340.12EnsemblENSP00000265340.63MANE Select
ENST00000502676.1EnsemblENSP00000423624.12Standard
ENST00000506438.5EnsemblENSP00000427542.13Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • skeletal system development
  • anatomical structure morphogenesis
  • branchiomeric skeletal muscle development
  • pituitary gland development
  • embryonic hindlimb morphogenesis

Molecular Function

  • RNA polymerase II proximal promoter sequence-specific DNA binding
  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • RNA polymerase II transcription factor binding
  • DNA-binding transcription factor activity
  • protein binding

Cellular Component

  • nucleus
  • transcription factor complex
  • nucleolus
  • cytoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000265340
Coding exons
3
Length
7079
Individuals with no LoFs
121418
Homozygous LoFs
0
Heterozygous LoFs
1
Defined
121419
p
0.00000412
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.311381890.7320.000009332030
Missense (PolyPhen)3361.630.53546735
Synonymous-1.129582.11.160.00000437638
Loss of Function2.85111.40.08814.92e-7115

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.00000910.0000091rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Sequence-specific transcription factor that binds gene promoters and activates their transcription. May play a role in the development of anterior structures, and in particular, the brain and facies and in specifying the identity or structure of hindlimb. {ECO:0000250|UniProtKB:P56673}.;
Disease
DISEASE: Clubfoot, congenital, with or without deficiency of long bones and/or mirror-image polydactyly (CCF) [MIM:119800]: A congenital limb deformity defined as fixation of the foot in cavus, adductus, varus, and equinus (i.e., inclined inwards, axially rotated outwards, and pointing downwards) with concomitant soft tissue abnormalities. Clubfoot may occur in isolation or as part of a syndrome. Some patients present tibial hemimelia, bilateral patellar hypoplasia, and preaxial mirror-image polydactyly. {ECO:0000269|PubMed:18950742, ECO:0000269|PubMed:22258522}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Liebenberg syndrome (LBNBG) [MIM:186550]: An upper limb- malformation syndrome characterized by the combination of dysplastic elbow joints and the fusion of wrist bones with consequent radial deviation. {ECO:0000269|PubMed:23022097}. Note=The gene represented in this entry is involved in disease pathogenesis. A chromosomal aberration involving the PITX1 locus results in LBNBG. Translocation t(5;18)(q31.1;q12.3). Additionally, two chromosome 5 deletions located 5'of PITX1 have been found in LBNBG patients. These structural variations cause altered expression of PITX1 in the forelimb via the activation of ectopic enhancers (PubMed:23022097). {ECO:0000269|PubMed:23022097}.;

Recessive Scores

pRec
0.273

Intolerance Scores

LoFtool
0.105
RVIS EVS
-0.14
RVIS percentile EVS
43.29

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.994

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumHigh
CancerMediumMediumMedium
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