RP1

protein-coding

RP1 axonemal microtubule associated, the group of Doublecortin superfamily

Gene summary

This gene encodes a member of the doublecortin family. The protein encoded by this gene contains two doublecortin domains, which bind microtubules and regulate microtubule polymerization. The encoded protein is a photoreceptor microtubule-associated protein and is required for correct stacking of outer segment disc. This protein and the RP1L1 protein, another retinal-specific protein, play essential and synergistic roles in affecting photosensitivity and outer segment morphogenesis of rod photoreceptors. Because of its response to in vivo retinal oxygen levels, this protein was initially named ORP1 (oxygen-regulated protein-1). This protein was subsequently designated RP1 (retinitis pigmentosa 1) when it was found that mutations in this gene cause autosomal dominant retinitis pigmentosa. Mutations in this gene also cause autosomal recessive retinitis pigmentosa. Transcript variants resulted from an alternative promoter and alternative splicings have been found, which overlap the current reference sequence and has several exons upstream and downstream of the current reference sequence. However, the biological validity and full-length nature of some variants cannot be determined at this time.[provided by RefSeq, Sep 2010]

MANE transcript

NM_006269.2

Inheritance

AD, SD, AR

ClinVar variants

P:353U:1069B:367

Top phenotype

Retinitis pigmentosa 1, autosomal dominant; Retinitis pigmentosa 1, autosomal recessive

gnomAD constraint

pLI —, LoF o/e 0.52

Max pathogenic AF

—

Genomic locus

chr8:54,509,422-54,871,720

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~362.3 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

retinitis pigmentosa 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008377

Submitter: Ambry Genetics

RP1-related dominant retinopathySTRONG

Inheritance Pattern: SD

Disease ID:MONDO:0800400

Submitter: PanelApp Australia

RP1-related recessive retinopathyDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0800399

Submitter: ClinGen

*RP1* was first reported in relation to an inherited retinal dystrophy, autosomal dominant (or semidominant) retinitis pigmentosa (RP), in 1999 (Pierce et al., PMID: 10391211 & Sullivan et al. PMID: 10391212). *RP1* was later reported in relation to autosomal recessive RP in 2005 (Khaliq et al., PMID: 15863674). It appears that the majority of *RP1* variants located in the middle region between c.1981 (p.661) to c.2749 (p.917) are associated with dominant RP, while the variants in the N-terminal portion from c.1 (p.1) to c.1837 (p.613) and the C-terminal from c.2816 (p.939) to c.6471 (p.2157) are mostly associated with recessive RP (summarized in Wang et al., PMID: 33681214). Patients with recessive RP generally exhibit much more severe phenotypes than patients with dominant RP. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we split retinitis pigmentosa 1 (OMIM: 180100) into two disease entities, RP1-related dominant retinopathy and RP1-related recessive retinopathy (MONDO:0800399). The split curation for RP1-related dominant retinopathy has been curated separately. The RP1 protein is a member of the doublecortin family and is present in the ciliary axoneme of both rods and cones (reviewed in Nikopoulos et al, PMID: 31253780). Several nonsense and frameshift variants have been curated and more evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity for variants in RP1-related recessive retinopathy appears to be LOF. This gene-disease relationship is also supported by expression studies and knock-out mouse models. In summary, *RP1* is definitively associated with RP1-related recessive retinopathy. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This clinical validity classification was approved by the ClinGen Retina GCEP on July 7, 2022 (SOP v9).

RP1-related recessive retinopathySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0800399

Submitter: PanelApp Australia

retinitis pigmentosaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019200

Submitter: Orphanet

retinitis pigmentosa 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008377

Submitter: Illumina

retinitis pigmentosa 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0008377

Submitter: Labcorp Genetics (formerly Invitae)

RP1-related dominant retinopathyDEFINITIVE

Inheritance Pattern: SD

Disease ID:MONDO:0800400

Submitter: ClinGen

*RP1* was first reported in relation to autosomal dominant (or semidominant) retinitis pigmentosa (RP) in 1999 (Pierce et al., PMID: 10391211 & Sullivan et al. PMID: 10391212). *RP1* was later reported in relation to autosomal recessive RP in 2005 (Khaliq et al., PMID: 15863674). It appears that the majority of *RP1* variants located in the region encoding the middle of the RP1 protein between c.1981 (p.661) to c.2749 (p.917) are associated with dominant RP, while the variants in the N-terminal portion from c.1 (p.1) to c.1837 (p.613) and the C-terminal from c.2816 (p.939) to c.6471 (p.2157) are mostly associated with recessive RP (summarized in Wang et al., PMID: 33681214). Patients with recessive RP generally exhibit much more severe phenotypes than patients with dominant RP. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we split retinitis pigmentosa 1 (OMIM: 180100) into two disease entities, RP1-related dominant retinopathy (MONDO:0800400) and RP1-related recessive retinopathy. The split curation for RP1-related recessive retinopathy has been curated separately. The RP1 protein is a member of the doublecortin family and is present in the ciliary axoneme of both rods and cones (reviewed in Nikopoulos et al, PMID: 31253780). Several nonsense and frameshift variants have been curated. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The variants in RP1-related dominant retinopathy are thought to escape nonsense-mediated decay (NMD) and their mechanism of pathogenicity appears to be dominant negative (reviewed in Nanda et al., PMID: 30731082). This gene-disease relationship is also supported by expression studies. In summary, *RP1* is definitively associated with RP1-related dominant retinopathy. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification has been approved by the ClinGen Retina GCEP on September 1st, 2022 (SOP Version 9).

retinitis pigmentosa 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008377

Submitter: G2P

RP1-related recessive retinopathyDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0800399

Submitter: Ambry Genetics

retinitis pigmentosa 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0008377

Submitter: G2P

retinitis pigmentosa 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0008377

Submitter: Labcorp Genetics (formerly Invitae)

RP1-related dominant retinopathySTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0800400

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Retinitis pigmentosa 1, autosomal dominant; Retinitis pigmentosa 1, autosomal recessiveAD/AR

Manifestation: Ophthalmologic

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: 1783394; 10391211; 10391212; 18552984; 19933189; 20664799; 21746989; 22052604; 22317909; 22321012; 22917891; 23077400Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to RP1 variants in ClinVar

19 Conditions Cataloged
not providedTotal: 1489
Inborn genetic diseasesTotal: 312
Retinal dystrophyTotal: 207
Retinitis pigmentosaTotal: 144
Retinitis pigmentosa 1Total: 131
RP1-related disorderTotal: 29
not specifiedTotal: 18
Autosomal recessive retinitis pigmentosaTotal: 10

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_006269.2. 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
12
clinvar
292
clinvar
10
clinvar
315
missense
3
clinvar
17
clinvar
1047
clinvar
59
clinvar
6
clinvar
1132
nonsense
78
clinvar
41
clinvar
4
clinvar
123
start loss
0
frameshift
140
clinvar
64
clinvar
6
clinvar
210
splice donor/acceptor (+/-2bp)
2
clinvar
7
clinvar
9
Total2231301069351161789

Highest pathogenic variant AF is 0.00014689002

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 15 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_006269.2RefSeqNP_006260.13MANE Select
ENST00000220676.2EnsemblENSP00000220676.13MANE Select
NM_001375654.1RefSeqNP_001362583.129Standard
ENST00000636932.1EnsemblENSP00000489857.122Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • visual perception
  • phototransduction, visible light
  • axoneme assembly
  • intracellular signal transduction
  • photoreceptor cell outer segment organization

Molecular Function

  • protein binding
  • microtubule binding

Cellular Component

  • photoreceptor outer segment
  • photoreceptor inner segment
  • microtubule
  • microtubule associated complex
  • axoneme

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000220676
Coding exons
3
Length
14768
Individuals with no LoFs
125529
Homozygous LoFs
0
Heterozygous LoFs
219
Defined
125748
p
0.000871
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.89411691.09e+31.080.000055314374
Missense (PolyPhen)167182.080.917162415
Synonymous0.2183903960.9860.00002104037
Loss of Function3.393057.80.5190.00000295901

Population LoF Frequency

PopulationCAFp-valueStatus
African0.00110.0011notable
Latino/Admixed American0.000690.00069rare
Ashkenazi Jewish00.0absent
East Asian0.00300.0030notable
Finnish0.000460.00046rare
European (Non-Finnish)0.000720.00071rare
South Asian0.000750.00075rare
Other0.00110.0011notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Microtubule-associated protein regulating the stability and length of the microtubule-based axoneme of photoreceptors. Required for the differentiation of photoreceptor cells, it plays a role in the organization of the outer segment of rod and cone photoreceptors ensuring the correct orientation and higher-order stacking of outer segment disks along the photoreceptor axoneme (By similarity). {ECO:0000250}.;
Disease
DISEASE: Retinitis pigmentosa 1 (RP1) [MIM:180100]: A retinal dystrophy belonging to the group of pigmentary retinopathies. Retinitis pigmentosa is characterized by retinal pigment deposits visible on fundus examination and primary loss of rod photoreceptor cells followed by secondary loss of cone photoreceptors. Patients typically have night vision blindness and loss of midperipheral visual field. As their condition progresses, they lose their far peripheral visual field and eventually central vision as well. {ECO:0000269|PubMed:10391211, ECO:0000269|PubMed:10484783, ECO:0000269|PubMed:11095597, ECO:0000269|PubMed:15863674, ECO:0000269|PubMed:15933747, ECO:0000269|PubMed:19956407, ECO:0000269|PubMed:20664799, ECO:0000269|PubMed:22052604, ECO:0000269|PubMed:22334370}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.102

Intolerance Scores

LoFtool
0.497
RVIS EVS
0.85
RVIS percentile EVS
88.38

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.0265

Gene Damage Prediction

AllRecessiveDominant
MendelianHighHighHigh
Primary ImmunodeficiencyHighHighHigh
CancerHighHighHigh
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