SEMA3E

protein-coding

semaphorin 3E, the group of Immunoglobulin like domain containing|Semaphorins

Gene summary

Semaphorins are a large family of conserved secreted and membrane associated proteins which possess a semaphorin (Sema) domain and a PSI domain (found in plexins, semaphorins and integrins) in the N-terminal extracellular portion. Based on sequence and structural similarities, semaphorins are put into eight classes: invertebrates contain classes 1 and 2, viruses have class V, and vertebrates contain classes 3-7. Semaphorins serve as axon guidance ligands via multimeric receptor complexes, some (if not all) containing plexin proteins. This gene encodes a class 4 semaphorin. This gene encodes a class 3 semaphorin. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, May 2010]

Previous symbols:
  • SEMAH

MANE transcript

NM_012431.3

Inheritance

AD

ClinVar variants

P:5U:506B:208

Top phenotype

CHARGE syndrome

gnomAD constraint

pLI —, LoF o/e 0.47

Max pathogenic AF

—

Genomic locus

chr7:83,363,238-83,649,139

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~285.9 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

CHD7-related CHARGE syndromeMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:1010178

Submitter: PanelApp Australia

CHARGE syndromeLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0008965

Submitter: Ambry Genetics

Kallmann syndromeLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0018800

Submitter: Ambry Genetics

complex neurodevelopmental disorderLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: Ambry Genetics

CHARGE syndromeLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0008965

Submitter: Labcorp Genetics (formerly Invitae)

CHARGE syndromeLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0008965

Submitter: ClinGen

The SEMA3E gene was first associated with autosomal dominant CHARGE syndrome in 2004 (PMID: 15235037), but the associated, presumed de novo variant p.Ser703Leu was later reclassified as a variant of unknown significance (PMID: 32441320, Hamosh (2022)). A subsequent report further links another SEMA3E variant to a fetus from terminated pregnancy with ultrasound consistent with the CHARGE syndrome (PMID: 31691538). Heterozygous SEMA3E variants exhibit a broad phenotypic spectrum, including intellectual disability and Kallmann syndrome characterized by hypogonadotropic hypogonadism (PMID: 25985275, 38593951, 35628442). Although immunodeficiency is a recognized feature in other genetic causes of CHARGE syndrome (driven by abnormal thymic development and T-cell lymphopenia), clinical manifestations of immunodeficiency were only linked to a presumed de novo SEMA3E variant in one genetic screening study of an IEI cohort report describing twins with an inborn error of immunity phenotype but none of the typical CHARGE syndrome features, and detailed immunophenotyping was not performed (PMID: 32441320). Mechanistically, zebrafish knockdown studies demonstrate typical CHARGE-like non-immunological phenotypes that can be rescued by SEMA3E overexpression (PMID: 31464029). In summary, there is limited evidence to support this gene-disease relationship. This classification was approved by the ClinGen SCID-CID Working Group on 8/20/2026 (SOP Version 12).

Clinical Genomic Database (CGD)

CHARGE syndromeAD

Manifestation: Cardiovascular; Craniofacial; Gastrointestinal; Genitourinary; Musculoskeletal; Neurologic; Ophthalmologic; Renal

Intervention: Cardiovascular

Rationale: The condition can involve congenital cardiac anomalies, and awareness may allow early management

Refs: 11241468; 15235037Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SEMA3E variants in ClinVar

11 Conditions Cataloged
CHARGE syndromeTotal: 644
SEMA3E-related disorderTotal: 354
not specifiedTotal: 142
not providedTotal: 118
Hypogonadotropic hypogonadism 7 with or without anosmiaTotal: 58
Hypogonadotropic hypogonadism 5 with or without anosmiaTotal: 2
Dilated cardiomyopathy 1ATotal: 1
Inflammatory bowel diseaseTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_012431.3. 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
7
clinvar
184
clinvar
3
clinvar
194
missense
3
clinvar
468
clinvar
20
clinvar
1
clinvar
492
nonsense
13
clinvar
13
start loss
0
frameshift
2
clinvar
10
clinvar
12
splice donor/acceptor (+/-2bp)
8
clinvar
8
Total055062044719

Highest pathogenic variant AF is 0.000016728354

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 8 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_012431.3RefSeqNP_036563.117MANE Select
ENST00000643230.2EnsemblENSP00000496491.117MANE Select
NM_001178129.2RefSeqNP_001171600.116Standard
ENST00000453333.2EnsemblENSP00000415184.12Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
sema3eDanio rerio

Structure: axial vasculature

Quality: has fewer parts of type

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Axon guidance - Homo sapiens (human)
  • Developmental Biology
  • Other semaphorin interactions
  • Semaphorin interactions
  • Plexin-D1 Signaling

Biological Process

  • branching involved in blood vessel morphogenesis
  • neural crest cell migration
  • negative regulation of cell-matrix adhesion
  • sprouting angiogenesis
  • regulation of cell shape

Molecular Function

  • protein binding
  • semaphorin receptor binding
  • neuropilin binding
  • chemorepellent activity

Cellular Component

  • extracellular region
  • extracellular space
  • integral component of plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000307792
Coding exons
17
Length
285105
Individuals with no LoFs
125713
Homozygous LoFs
0
Heterozygous LoFs
35
Defined
125748
p
0.000139
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.4654084350.9370.00002355096
Missense (PolyPhen)137172.080.796122018
Synonymous-2.281891531.230.000008441426
Loss of Function3.272144.50.4720.00000252519

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American0.000120.00012rare
Ashkenazi Jewish00.0absent
East Asian0.0000540.000054rare
Finnish0.000320.00032rare
European (Non-Finnish)0.000130.00013rare
South Asian0.000160.00016rare
Other0.000160.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Plays an important role in signaling via the cell surface receptor PLXND1. Mediates reorganization of the actin cytoskeleton, leading to the retraction of cell projections. Promotes focal adhesion disassembly and inhibits adhesion of endothelial cells to the extracellular matrix. Regulates angiogenesis, both during embryogenesis and after birth. Can down- regulate sprouting angiogenesis. Required for normal vascular patterning during embryogenesis. Plays an important role in ensuring the specificity of synapse formation (By similarity). {ECO:0000250}.;

Recessive Scores

pRec
0.112

Intolerance Scores

LoFtool
0.718
RVIS EVS
-0.8
RVIS percentile EVS
12.49

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.158

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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