SYNE1

protein-coding

spectrin repeat containing nuclear envelope protein 1, the group of Spectrin repeat containing nuclear envelope family|KASH domain containing

Gene summary

This gene encodes a spectrin repeat containing protein expressed in skeletal and smooth muscle, and peripheral blood lymphocytes, that localizes to the nuclear membrane. Mutations in this gene have been associated with autosomal recessive spinocerebellar ataxia 8, also referred to as autosomal recessive cerebellar ataxia type 1 or recessive ataxia of Beauce. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008]

Previous symbols:
  • C6orf98

MANE transcript

NM_182961.4

Inheritance

AR, AD

ClinVar variants

P:400U:3437B:1598

Top phenotype

Emery-Dreifuss muscular dystrophy 4, autosomal dominant

gnomAD constraint

pLI —, LoF o/e 0.37

Max pathogenic AF

—

Genomic locus

chr6:152,121,687-152,637,801

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~516.1 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

arthrogryposis multiplex congenita 3, myogenic typeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0032778

Submitter: Labcorp Genetics (formerly Invitae)

autosomal recessive ataxia, Beauce typeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0012549

Submitter: Laboratory for Molecular Medicine

This gene-disease relationship has undergone rapid assessment. Classifications are based on preliminary review of gene-disease validity during analysis of genomic sequencing results.

autosomal recessive ataxia, Beauce typeDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0012549

Submitter: ClinGen

Spectrin repeat-containing nuclear envelop protein 1 (*SYNE1*) was first reported in relation to autosomal recessive spinocerebellar ataxia 8 (SCAR8) in 2006 (Gros-Louis et al., PMID 17159980). The age of onset and phenotypic spectrum vary widely but can include adult onset pure ataxia, and a syndromic ataxia which can include but is not limited to, motor neuron dysfunction and scoliosis. Per criteria outlined by the ClinGen Lumping and Splitting guidelines, we found a difference in molecular mechanism and phenotypic variability. Therefore, the following disease entities have been split into multiple disease entities, spinocerebellar ataxia, autosomal recessive 8 (OMIM: 610743) and arthrogryposis multiplex congenita 3, myogenic type (OMIM: 618484). There are assertions in the literature of an autosomal dominant Emery-Dreifuss muscular dystrophy 4 (OMIM: 612998) associated with missense variation in *SYNE1* but will be curated seperately. 6 variants (3 nonsense, 1 frame-shift, and 2 canonical splice site) that have been reported in 6 probands in 2 publications (PMIDs 17159980, 27086870) are included in this curation. Genetic case evidence includes segregation from a family with a published LOD score of 3 for a 500 kb linkage region where *SYNE1* is the only gene. More evidence is available in the literature, but the maximum score for genetic evidence has been reached. The mechanism of pathogenicity appears to be loss of function. This gene-disease relationship is also supported by an animal model and expression study (PMIDs 19008300, 22768332). Expression in the brain is strong but there is also evidence of multple spliceforms with varying expression in other tissues. In a mouse model with the terminal KASH domain removed, mice homozygous for the change experienced high rates of death near birth from respiratory failure with surviving adults showed signs of abnormal gait, muscle pathology, kyphoscoliosis, hind limb weakness and cardiac conduction defects. In summary, there is definitive evidence supporting the relationship between *SYNE1* and autosomal recessive spinocerebellar ataxia. 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 Cerebellar Ataixa GCEP on the meeting date December 10, 2025 (SOP Version 11).

Emery-Dreifuss muscular dystrophy 4, autosomal dominantMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0013071

Submitter: Ambry Genetics

autosomal recessive ataxia, Beauce typeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0012549

Submitter: Labcorp Genetics (formerly Invitae)

Emery-Dreifuss muscular dystrophy 4, autosomal dominantSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0013071

Submitter: PanelApp Australia

autosomal recessive ataxia, Beauce typeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0012549

Submitter: G2P

autosomal recessive ataxia, Beauce typeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0012549

Submitter: PanelApp Australia

Emery-Dreifuss muscular dystrophy 4, autosomal dominantLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0013071

Submitter: Labcorp Genetics (formerly Invitae)

autosomal recessive ataxia, Beauce typeDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0012549

Submitter: Ambry Genetics

Emery-Dreifuss muscular dystrophy 4, autosomal dominantLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0013071

Submitter: Illumina

autosomal recessive ataxia, Beauce typeSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0012549

Submitter: Orphanet

arthrogryposis multiplex congenita 3, myogenic typeMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0032778

Submitter: ClinGen

Spectrin repeat-containing nuclear envelope protein 1 (*SYNE1*:protein name nesprin) was first reported in relation to autosomal recessive arthrogryposis multiplex congenita in 2009 (Attali et al., PMID: 19542096). Features of *SYNE1*-related arthrogryposis can include but are not limited to: decreased fetal movement, congenital contractures, hypotonia, kyphoscoliosis and or respiratory difficulty. Per criteria outlined by the ClinGen Lumping and Splitting guidelines, we found a difference in the molecular mechanism and phenotypic variability. Therefore, the following disease entities have been split into multiple disease entities, spinocerebellar ataxia, autosomal recessive 8 (OMIM: 610743) and arthrogryposis multiplex congenita 3, myogenic type (OMIM: 618484). This split is based on the observation that the arthrogryposis entity is entirely associated with biallelic loss of function variants that would affect the nesprin-1-alpha isoform. The split curation for autosomal recessive *SYNE1*-related spinocerebellar ataxia has been curated separately. 5 variants (3 nonsense and 2 truncating) that have been reported in 5 probands in 5 publications (PMIDs: 19542096, 24319099, 27782104, 35739559, 30626539) are included in this curation. The mechanism of pathogenicity appears to be loss of function. This gene-disease relationship is also supported by a mouse model and an expression study showing expresion of the nesprin-1-alpha isoform is nearly entirely unique to skeletal muscle and cardiac tissue (PMIDs: 19008300, 24718612). No cerebellar features have been noted in the probands in the literature to date however the variants in this curation would also lead to loss of function in the large nesprin isoform which has been associated with the *SYNE1*-related spinocerebellar ataxia entity. 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 Cerebellar Ataxia GCEP on the meeting date December 10, 2025 (SOP Version 11).

autosomal recessive myogenic arthrogryposis multiplex congenitaSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0017892

Submitter: Orphanet

autosomal dominant Emery-Dreifuss muscular dystrophySUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0020336

Submitter: Orphanet

arthrogryposis multiplex congenita 3, myogenic typeMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0032778

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Emery-Dreifuss muscular dystrophy 4, autosomal dominantAD

Manifestation: Cardiovascular; Musculoskeletal; Neurologic

Intervention: Cardiovascular

Rationale: One reported patient was found to have left ventricular basal and septal hypertrophy with mild diastolic dysfunction, and surveillance (eg, with echocardiogram) may allow early medical management

Refs: 17503513; 17159980; 17761684; 19542096; 20301553; 20301609; 24319099; 27782104Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SYNE1 variants in ClinVar

36 Conditions Cataloged
Autosomal recessive ataxia, Beauce typeTotal: 4741
Emery-Dreifuss muscular dystrophy 4, autosomal dominantTotal: 4666
not providedTotal: 3237
not specifiedTotal: 641
SYNE1-related disorderTotal: 233
Inborn genetic diseasesTotal: 116
Arthrogryposis multiplex congenita 3, myogenic typeTotal: 107
Intellectual disabilityTotal: 17

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_182961.4. 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
144
clinvar
1363
clinvar
17
clinvar
1524
missense
3
clinvar
9
clinvar
3261
clinvar
184
clinvar
33
clinvar
3490
nonsense
111
clinvar
66
clinvar
5
clinvar
182
start loss
1
clinvar
1
frameshift
83
clinvar
61
clinvar
7
clinvar
151
splice donor/acceptor (+/-2bp)
14
clinvar
53
clinvar
19
clinvar
1
clinvar
87
Total21118934371548505435

Highest pathogenic variant AF is 0.00012490139

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 89 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_182961.4RefSeqNP_892006.3144MANE Select
ENST00000367255.10EnsemblENSP00000356224.5144MANE Select
NM_001347701.2RefSeqNP_001334630.117Standard
NM_001347702.2RefSeqNP_001334631.118MANE Plus Clinical

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
syne1bDanio rerio

Structure: post-vent region

Quality: increased curvature

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • miR-targeted genes in epithelium - TarBase
  • miR-targeted genes in lymphocytes - TarBase
  • miR-targeted genes in muscle cell - TarBase

Biological Process

  • nucleus organization
  • Golgi organization
  • spermatogenesis
  • muscle cell differentiation
  • cytoskeletal anchoring at nuclear membrane

Molecular Function

  • RNA binding
  • actin binding
  • protein binding
  • lamin binding
  • enzyme binding

Cellular Component

  • P-body
  • nucleus
  • nuclear envelope
  • nuclear outer membrane
  • nucleoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000367255
Coding exons
144
Length
516118
Individuals with no LoFs
125312
Homozygous LoFs
0
Heterozygous LoFs
436
Defined
125748
p
0.00174
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.29144654.41e+31.010.00025258271
Missense (PolyPhen)10671162.10.9181916036
Synonymous-1.6417981.71e+31.050.00010116092
Loss of Function12.81824870.3740.00002645737

Population LoF Frequency

PopulationCAFp-valueStatus
African0.00180.0018notable
Latino/Admixed American0.00200.0020notable
Ashkenazi Jewish0.000620.00060rare
East Asian0.00150.0015notable
Finnish0.00120.0012notable
European (Non-Finnish)0.00190.0019notable
South Asian0.00170.0017notable
Other0.00180.0018notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Multi-isomeric modular protein which forms a linking network between organelles and the actin cytoskeleton to maintain the subcellular spatial organization. As a component of the LINC (LInker of Nucleoskeleton and Cytoskeleton) complex involved in the connection between the nuclear lamina and the cytoskeleton. The nucleocytoplasmic interactions established by the LINC complex play an important role in the transmission of mechanical forces across the nuclear envelope and in nuclear movement and positioning. May be involved in nucleus-centrosome attachment and nuclear migration in neural progenitors implicating LINC complex association with SUN1/2 and probably association with cytoplasmic dynein-dynactin motor complexes; SYNE1 and SYNE2 may act redundantly. Required for centrosome migration to the apical cell surface during early ciliogenesis. May be involved in nuclear remodeling during sperm head formation in spermatogenenis; a probable SUN3:SYNE1/KASH1 LINC complex may tether spermatid nuclei to posterior cytoskeletal structures such as the manchette. {ECO:0000250|UniProtKB:Q6ZWR6, ECO:0000269|PubMed:11792814, ECO:0000269|PubMed:18396275}.;
Disease
DISEASE: Spinocerebellar ataxia, autosomal recessive, 8 (SCAR8) [MIM:610743]: Spinocerebellar ataxia is a clinically and genetically heterogeneous group of cerebellar disorders. Patients show progressive incoordination of gait and often poor coordination of hands, speech and eye movements, due to degeneration of the cerebellum with variable involvement of the brainstem and spinal cord. SCAR8 is an autosomal recessive form. {ECO:0000269|PubMed:17159980}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Emery-Dreifuss muscular dystrophy 4, autosomal dominant (EDMD4) [MIM:612998]: A form of Emery-Dreifuss muscular dystrophy, a degenerative myopathy characterized by weakness and atrophy of muscle without involvement of the nervous system, early contractures of the elbows, Achilles tendons and spine, and cardiomyopathy associated with cardiac conduction defects. {ECO:0000269|PubMed:17761684}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.461

Intolerance Scores

LoFtool
0.881
RVIS EVS
-0.16
RVIS percentile EVS
41.65

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.669

Gene Damage Prediction

AllRecessiveDominant
MendelianHighHighHigh
Primary ImmunodeficiencyHighHighHigh
CancerHighHighHigh
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