SPOP

protein-coding

speckle type BTB/POZ protein, the group of BTB domain containing

Gene summary

This gene encodes a protein that may modulate the transcriptional repression activities of death-associated protein 6 (DAXX), which interacts with histone deacetylase, core histones, and other histone-associated proteins. In mouse, the encoded protein binds to the putative leucine zipper domain of macroH2A1.2, a variant H2A histone that is enriched on inactivated X chromosomes. The BTB/POZ domain of this protein has been shown in other proteins to mediate transcriptional repression and to interact with components of histone deacetylase co-repressor complexes. Alternative splicing of this gene results in multiple transcript variants encoding the same protein. [provided by RefSeq, Jul 2008]

MANE transcript

NM_001007228.2

Inheritance

AD

ClinVar variants

P:19U:192B:12

Top phenotype

Nabais Sa-de Vries syndrome type 2 (Neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies)

gnomAD constraint

pLI —, LoF o/e 0

Max pathogenic AF

—

Genomic locus

chr17:49,598,884-49,678,163

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~79.3 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomaliesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0032943

Submitter: G2P

neurodevelopmental disorder with microcephaly and dysmorphic faciesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0032942

Submitter: Labcorp Genetics (formerly Invitae)

neurodevelopmental disorder with microcephaly and dysmorphic faciesMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0032942

Submitter: ClinGen

*SPOP* is located on chromosome 17q21.33 and encodes Speckle-type BTB/POZ protein which forms homodimers and is involved in the ubiquitin proteasome pathway (Nabais Sa et al., 2020, PMID: 32109420). *SPOP* was first reported in relation to neurodevelopmental disorder with microcephaly and dysmorphic facies, MONDO:0032942 and neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies, MONDO:0032943 in 2020 (PMID: 32109420) and has a previously well-established role in cancer. Per criteria outlined by the ClinGen Lumping and Splitting Working group, while there was no difference in inheritance patterns, there were differences in molecular mechanisms and slightly differing clinical presentations for each disorder. Variants resulting in neurodevelopmental disorder with microcephaly and dysmorphic facies were found to cause disease through a gain of function mechanism and those that cause neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies (MONDO:0032943) cause disease through a dominant negative mechanism (PMID: 32109420). Therefore, the disease entities have been split into two. The curation for neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies (MONDO:0032943) has been curated separately. Neurodevelopmental disorder with microcephaly and dysmorphic facies, MONDO:0032942 is characterised by microcephaly, intellectual disability of variable severity and consistent dysmorphic features including small forehead, full nasal tip, highly arched eyebrows and a pointed chin (PMID: 32109420). 5 variants (4 missense, 1 truncating) have been reported in 5 cases across 4 publications (PMIDs: 32109420, 35892095, 36063898, 39918173) and are included in this curation. The mechanism of pathogenicity is reported to be gain of function (PMID: 32109420). This gene-disease relationship is supported by experimental evidence (biochemical function, protein interaction and functional alteration in patient cells and cell lines) (PMID: 19818702, 32109420). Other genes involved in the ubiquitin proteasome pathway (*CUL3*, *CUL7*, *CUL4B*, *UBR1*, *UBE3B*) are strongly or definitively associated with neurodevelopmental or syndromic disorders. *SPOP* interacts on a protein level with *CUL3*. *SPOP* has a MATH domain which binds substrate to be tagged for degradation and binds *CUL3* via a BTB domain (PMID: 19818708, 14528312). Cellular models in patient cells demonstrated variants acted through a gain of function mechanism with increased degradation of substrate resulting in reduced substrate amount in cells (PMID: 32109420, 28805821). In summary there is moderate evidence to support this gene-disease relationship.. While more evidence is needed to establish this relationship definitively, no convincing contradictory evidence has emerged. This classification was approved by the ClinGen Syndromic Disorders Gene Curation Expert Panel on the meeting date November 11th, 2025 (SOP Version 11).

neurodevelopmental disorder with microcephaly and dysmorphic faciesMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0032942

Submitter: Illumina

neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomaliesDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0032943

Submitter: ClinGen

*SPOP* is located on chromosome 17q21.33 and encodes Speckle-type BTB/POZ protein which forms homodimers and is involved in the ubiquitin proteasome pathway (Nabais Sa et al., 2020, PMID: 32109420). *SPOP* was first reported in relation to neurodevelopmental disorder with microcephaly and dysmorphic facies, MONDO:0032942 and neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies, MONDO:0032943 in 2020 (PMID: 32109420) and has a previously well-established role in cancer. Per criteria outlined by the ClinGen Lumping and Splitting Working group, while there was no difference in inheritance patterns, there were differences in molecular mechanisms and slightly differing clinical presentations for each disorder. Variants resulting in neurodevelopmental disorder with microcephaly and dysmorphic facies were found to cause disease through a gain of function mechanism and those that cause neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies, MONDO:0032943 cause disease through a dominant negative mechanism (PMID: 32109420). Therefore, the disease entities have been split into two. The curation for neurodevelopmental disorder with microcephaly and dysmorphic facies has been curated separately. Neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies, MONDO:0032943 is characterised by macrocephaly, poor growth/short stature, mild to moderate intellectual disability and consistent dysmorphic features including high/broad forehead, hypertelorism and pointed chin (PMID: 32109420). Other features such as congenital cardiac disease and endocrine abnormalities such as hypothyroidism are variably present. 7 variants (all missense) have been reported in 13 cases across 2 publications (PMID: 32109420, 36259278), Clinvar (SCV001432745.2, SCV003852901.1, SCV006071201.1, SCV005091493.1, SCV001987200.2) and GeneDx internal data are included in this curation. Functional data was applied at the variant level from an assay where variants from patients were introduced into a cell line and demonstrated that these variants acted through a dominant negative mechanism with reduced degradation of substrate below heterozygous wild type resulting in increased substrate amount in cells (PMID: 32109420, 28805821). The mechanism of pathogenicity is reported to be dominant negative (PMID: 32109420). This gene-disease association is supported by experimental evidence (biochemical function and protein interaction) (PMID: 19818702, 32109420). Other genes involved in the ubiquitin proteasome pathway (*CUL3*, *CUL7*, *CUL4B*, *UBR1*, *UBE3B*) are strongly or definitively associated with neurodevelopmental or syndromic disorders. *SPOP* interacts on a protein level with *CUL3*. *SPOP* has a MATH domain which binds substrate to be tagged for degradation and binds *CUL3* via a BTB domain (PMID: 19818708, 14528312). In summary there is definitive evidence to support the relationship between *SPOP* and autosomal dominant neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies, MONDO:0032943. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Syndromic Disorders Gene Curation Expert Panel on December 4th, 2025 (SOP Version 11).

neurodevelopmental disorder with microcephaly and dysmorphic faciesMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0032942

Submitter: Ambry Genetics

neurodevelopmental disorder with microcephaly and dysmorphic faciesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0032942

Submitter: G2P

neurodevelopmental disorderSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0700092

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Nabais Sa-de Vries syndrome type 2 (Neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomalies)AD

Manifestation: Cardiovascular; Craniofacial; Endocrine; Neurologic; Ophthalmologic

Intervention: Cardiovascular; Endocrine

Rationale: The condition can include structural cardiovascular anomalies, and awareness may allow early detection and management; Endocrine abnormalities, including hypothyroidism, have been described, and awareness may allow early detection and management

Refs: 32109420Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SPOP variants in ClinVar

9 Conditions Cataloged
Prostate cancerTotal: 162
not providedTotal: 44
Inborn genetic diseasesTotal: 13
Neurodevelopmental disorder with microcephaly and dysmorphic faciesTotal: 12
Neurodevelopmental disorder with relative macrocephaly and with or without cardiac or endocrine anomaliesTotal: 11
not specifiedTotal: 7
SPOP-related disorderTotal: 6
Nabais Sa-de Vries syndromeTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001007228.2. 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
18
clinvar
9
clinvar
27
missense
17
clinvar
103
clinvar
2
clinvar
122
nonsense
6
clinvar
1
clinvar
7
start loss
0
frameshift
1
clinvar
57
clinvar
58
splice donor/acceptor (+/-2bp)
1
clinvar
8
clinvar
9
Total019192120223

Highest pathogenic variant AF is 0.000002052197

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 120 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001007228.2RefSeqNP_001007229.19MANE Select
ENST00000504102.6EnsemblENSP00000425905.19MANE Select
NM_001007226.1RefSeqNP_001007227.19Standard
NM_001007227.1RefSeqNP_001007228.19Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
spopDanio rerio

Structure: whole organism

Quality: decreased size

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Hedgehog signaling pathway - Homo sapiens (human)
  • HH-Ncore
  • mRNA Processing
  • Hedgehog Signaling Pathway
  • Signal Transduction

Biological Process

  • ubiquitin-dependent protein catabolic process
  • protein ubiquitination
  • regulation of proteolysis
  • proteasome-mediated ubiquitin-dependent protein catabolic process

Molecular Function

  • protein binding
  • ubiquitin protein ligase binding

Cellular Component

  • nucleus
  • nucleoplasm
  • cytoplasm
  • nuclear speck
  • Cul3-RING ubiquitin ligase complex

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000393331
Coding exons
9
Length
79351
Individuals with no LoFs
0
Homozygous LoFs
0
Heterozygous LoFs
0
Defined
0
p
0.00
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense4.14462180.2110.00001242474
Missense (PolyPhen)780.1320.087356967
Synonymous-0.7708980.21.110.00000458695
Loss of Function4.21020.70.000.00000102248

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Component of a cullin-RING-based BCR (BTB-CUL3-RBX1) E3 ubiquitin-protein ligase complex that mediates the ubiquitination of target proteins, leading most often to their proteasomal degradation. In complex with CUL3, involved in ubiquitination and proteasomal degradation of BRMS1, DAXX, PDX1/IPF1, GLI2 and GLI3. In complex with CUL3, involved in ubiquitination of H2AFY and BMI1; this does not lead to their proteasomal degradation. Inhibits transcriptional activation of PDX1/IPF1 targets, such as insulin, by promoting PDX1/IPF1 degradation. The cullin-RING-based BCR (BTB-CUL3-RBX1) E3 ubiquitin-protein ligase complex containing homodimeric SPOP has higher ubiquitin ligase activity than the complex that contains the heterodimer formed by SPOP and SPOPL. {ECO:0000269|PubMed:14528312, ECO:0000269|PubMed:15897469, ECO:0000269|PubMed:16524876, ECO:0000269|PubMed:19818708, ECO:0000269|PubMed:22085717, ECO:0000269|PubMed:22632832}.;

Recessive Scores

pRec
0.186

Intolerance Scores

RVIS EVS
-0.19
RVIS percentile EVS
39.68

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.993

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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