POLQ

protein-coding

DNA polymerase theta, the group of DNA polymerases

Gene summary

Enables several functions, including catalytic activity, acting on DNA; identical protein binding activity; and magnesium ion binding activity. Involved in DNA metabolic process; negative regulation of double-strand break repair via homologous recombination; and protein homooligomerization. Located in nucleoplasm. Is active in mitochondrial nucleoid; nucleus; and site of double-strand break. [provided by Alliance of Genome Resources, Jun 2026]

MANE transcript

NM_199420.4

Inheritance

—

ClinVar variants

U:2459B:1200

Top phenotype

POLQ-related disorder

gnomAD constraint

pLI —, LoF o/e 1.05

Max pathogenic AF

—

Genomic locus

chr3:121,431,431-121,545,988

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~114.6 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

No GenCC data available for this gene.

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to POLQ variants in ClinVar

6 Conditions Cataloged
not specifiedTotal: 3599
POLQ-related disorderTotal: 61
not providedTotal: 39
Familial cancer of breastTotal: 5
TeratomaTotal: 1
Hereditary breast ovarian cancer syndromeTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_199420.4. 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
5
clinvar
1069
clinvar
5
clinvar
1079
missense
2447
clinvar
112
clinvar
13
clinvar
2572
nonsense
3
clinvar
3
start loss
0
frameshift
1
clinvar
1
clinvar
2
splice donor/acceptor (+/-2bp)
3
clinvar
3
Total0024591182183659
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 15 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_199420.4RefSeqNP_955452.330MANE Select
ENST00000264233.6EnsemblENSP00000264233.530MANE Select
ENST00000683498.1EnsemblENSP00000507534.12Standard
ENST00000932951.1EnsemblENSP00000603010.130Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • HDR through MMEJ (alt-NHEJ)
  • DNA Repair
  • DNA Double-Strand Break Repair
  • Homology Directed Repair
  • Purine metabolism

Biological Process

  • double-strand break repair via homologous recombination
  • DNA-dependent DNA replication
  • DNA repair
  • base-excision repair
  • double-strand break repair

Molecular Function

  • chromatin binding
  • damaged DNA binding
  • DNA-directed DNA polymerase activity
  • protein binding
  • ATP binding

Cellular Component

  • nucleus
  • nucleoplasm
  • chromosome
  • cytoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000264233
Coding exons
30
Length
114576
Individuals with no LoFs
125208
Homozygous LoFs
2
Heterozygous LoFs
538
Defined
125748
p
0.00215
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.75112491.33e+30.9420.000066217014
Missense (PolyPhen)365425.090.858645457
Synonymous0.8174404620.9520.00002214932
Loss of Function-0.4521221171.050.000006661444

Population LoF Frequency

PopulationCAFp-valueStatus
African0.00350.0034notable
Latino/Admixed American0.00230.0023notable
Ashkenazi Jewish0.000500.00040rare
East Asian0.00370.0034notable
Finnish0.000230.00023rare
European (Non-Finnish)0.00170.0017notable
South Asian0.00440.0043notable
Other0.00230.0023notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: DNA polymerase that promotes microhomology-mediated end- joining (MMEJ), an alternative non-homologous end-joining (NHEJ) machinery triggered in response to double-strand breaks in DNA (PubMed:25642963, PubMed:25643323). MMEJ is an error-prone repair pathway that produces deletions of sequences from the strand being repaired and promotes genomic rearrangements, such as telomere fusions, some of them leading to cellular transformation (PubMed:25642963, PubMed:25643323). POLQ acts as an inhibitor of homology-recombination repair (HR) pathway by limiting RAD51 accumulation at resected ends (PubMed:25642963). POLQ-mediated MMEJ may be required to promote the survival of cells with a compromised HR repair pathway, thereby preventing genomic havoc by resolving unrepaired lesions (By similarity). The polymerase acts by binding directly the 2 ends of resected double-strand breaks, allowing microhomologous sequences in the overhangs to form base pairs. It then extends each strand from the base-paired region using the opposing overhang as a template. Requires partially resected DNA containing 2 to 6 base pairs of microhomology to perform MMEJ (PubMed:25643323). The polymerase activity is highly promiscuous: unlike most polymerases, promotes extension of ssDNA and partial ssDNA (pssDNA) substrates (PubMed:18503084, PubMed:21050863, PubMed:22135286). Also exhibits low-fidelity DNA synthesis, translesion synthesis and lyase activity, and it is implicated in interstrand-cross-link repair, base excision repair and DNA end-joining (PubMed:14576298, PubMed:18503084, PubMed:19188258, PubMed:24648516). Involved in somatic hypermutation of immunoglobulin genes, a process that requires the activity of DNA polymerases to ultimately introduce mutations at both A/T and C/G base pairs (By similarity). {ECO:0000250|UniProtKB:Q8CGS6, ECO:0000269|PubMed:14576298, ECO:0000269|PubMed:18503084, ECO:0000269|PubMed:19188258, ECO:0000269|PubMed:21050863, ECO:0000269|PubMed:22135286, ECO:0000269|PubMed:24648516, ECO:0000269|PubMed:25642963, ECO:0000269|PubMed:25643323}.;
Disease
DISEASE: Breast cancer (BC) [MIM:114480]: A common malignancy originating from breast epithelial tissue. Breast neoplasms can be distinguished by their histologic pattern. Invasive ductal carcinoma is by far the most common type. Breast cancer is etiologically and genetically heterogeneous. Important genetic factors have been indicated by familial occurrence and bilateral involvement. Mutations at more than one locus can be involved in different families or even in the same case. {ECO:0000269|PubMed:20624954, ECO:0000269|PubMed:20700469, ECO:0000269|PubMed:25409685}. Note=The gene represented in this entry may be involved in disease pathogenesis.;

Recessive Scores

pRec
0.0939

Intolerance Scores

LoFtool
0.648
RVIS EVS
2.32
RVIS percentile EVS
98.37

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.786

Gene Damage Prediction

AllRecessiveDominant
MendelianHighMediumHigh
Primary ImmunodeficiencyHighHighHigh
CancerHighHighHigh
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