USP7

protein-coding

ubiquitin specific peptidase 7, the group of Ubiquitin specific peptidases

Gene summary

The protein encoded by this gene belongs to the peptidase C19 family, which includes ubiquitinyl hydrolases. This protein deubiquitinates target proteins such as p53 (a tumor suppressor protein) and WASH (essential for endosomal protein recycling), and regulates their activities by counteracting the opposing ubiquitin ligase activity of proteins such as HDM2 and TRIM27, involved in the respective process. Mutations in this gene have been implicated in a neurodevelopmental disorder. [provided by RefSeq, Mar 2016]

Previous symbols:
  • HAUSP

MANE transcript

NM_003470.3

Inheritance

AD

ClinVar variants

P:57U:232B:113

Top phenotype

Hao-Fountain syndrome

gnomAD constraint

pLI —, LoF o/e 0.01

Max pathogenic AF

—

Genomic locus

chr16:8,892,097-8,975,328

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~83.2 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Hao-Fountain syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014805

Submitter: ClinGen

The USP7 gene is located on chromosome 16 at 16p13.2 and encodes the ubiquitin-specific protease 7, a deubiquitinating enzyme that controls stability and localization of proteins involved in DNA replication, epigenetic regulation, cell cycle, and cell survival (Rouge et al., 2016, 27452404). It is a component of the MAGEL2-USP7-TRIM27 (MUST) complex regulating WASH activity, endosomal actin assembly and protein recycling (Hao et al., 2015, PMID 26365382). USP7 also regulates MDM2-p53 pathway implicated in apoptosis and cell cycle (Kon et al., 2011, PMID 21350561). The USP7 gene was first reported in 2015 in relation to autosomal dominant neurodevelopmental disorder, which has been also referred to as Hao-Fountain syndrome and neurodevelopmental disorder with speech delays, altered behavior, and neurologic anomalies (PMID 26365382; Fountain et al., 2019, PMID 30679821; Online Mendelian Inheritance in Man, OMIM®. McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University (Baltimore, MD), 2021. World Wide Web URL: https://omim.org/). The USP7-related neurodevelopmental disorder is characterized by global developmental delay, significant speech delay, impaired intellectual development, behavioral abnormalities, including autism spectrum, and mild dysmorphic features. Additional features may include feeding problems, hypotonia, seizures, delayed motor development, hypogonadism in males, joint and ocular anomalies. Brain imaging shows abnormalities in some patients and may include white matter changes, shallow gyra pattern, and ventricle anomalies. At least eight unique de novo variants have been reported, including stop-gained, frameshift and missense variants. Evidence supporting this gene-disease relationship includes case-level data and experimental data. Variants in this gene have been reported in at least eight probands in two publications (PMID 26365382; PMID 30679821). More evidence is available in the literature, but the maximum score for genetic evidence has been reached. Currently, there is strong evidence supporting loss-of-function variants as disease mechanism, whereas the role of missense variants is less well-understood. This gene-disease association is supported by protein interaction of USP7 with MAGE-L2 and TRIM27 to form a ligase complex that regulates WASH-mediated endosomal protein recycling (Hao et al., 2013, PMID 23452853; PMID 26365382) and by interaction with and stabilization of KMT2E (Ding et al., 2015; PMID 26678539). This gene-disease association is also supported by data from a conditional knockout mouse model (PMID 21350561). In summary, USP7 is definitively associated with USP7-related neurodevelopmental disorder. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time.

Hao-Fountain syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014805

Submitter: Illumina

The USP7 gene is located on chromosome 16 at 16p13.2 and encodes the ubiquitin-specific protease 7, a deubiquitinating enzyme that is a component of the MAGEL2-USP7-TRIM27 (MUST) complex regulating WASH activity, endosomal actin assembly and protein recycling. USP7 also regulates MDM2-p53 pathway implicated in apoptosis and cell cycle. USP7 was first reported in relation to autosomal dominant USP7-related neurodevelopmental disorder in 2015 (26365382: Hao et al. 2015). At least eight unique de novo variants have been reported, including missense, frameshift, and stop-gained variants. Evidence supporting this gene-disease relationship includes case-level data and experimental data. Variants in this gene have been reported in at least eight probands in two publications (26365382: Hao et al. 2015; 30679821: Fountain et al. 2019). More evidence is available in the literature, but the maximum score for genetic evidence has been reached. This gene-disease relationship is supported by protein interaction of USP with MAGE-L2 and TRIM27 to form a ligase complex that regulates WASH-mediated endosomal protein recycling (23452853: Hao et al. 2013) and a cell line with reduced USP7 showed impaired endosomal recycling (26365382: Hao et al. 2015). In summary, there is strong evidence to support the relationship between USP7 and autosomal dominant USP7-related neurodevelopmental disorder. An additional report in humans published three years from the first proposal of the association is needed to reach a definitive classification.

Hao-Fountain syndrome due to USP7 mutationSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0958071

Submitter: PanelApp Australia

Hao-Fountain syndrome due to USP7 mutationSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0958071

Submitter: G2P

Hao-Fountain syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014805

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Hao-Fountain syndromeAD

Manifestation: Craniofacial; Genitourinary; Musculoskeletal; Neurologic; 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: 26365382; 30679821Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to USP7 variants in ClinVar

10 Conditions Cataloged
not providedTotal: 440
Inborn genetic diseasesTotal: 58
Hao-Fountain syndromeTotal: 40
Hao-Fountain syndrome due to USP7 mutationTotal: 33
USP7-related disorderTotal: 21
not specifiedTotal: 14
USP7-related neurodevelopmental disorderTotal: 2
Neurodevelopmental disorderTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003470.3. 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
8
clinvar
89
clinvar
8
clinvar
105
missense
2
clinvar
15
clinvar
212
clinvar
13
clinvar
3
clinvar
245
nonsense
6
clinvar
7
clinvar
1
clinvar
14
start loss
0
frameshift
8
clinvar
7
clinvar
1
clinvar
16
splice donor/acceptor (+/-2bp)
5
clinvar
7
clinvar
10
clinvar
22
Total213623210211402

Highest pathogenic variant AF is 8.0314703e-7

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 40 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003470.3RefSeqNP_003461.231MANE Select
ENST00000344836.9EnsemblENSP00000343535.431MANE Select
NM_001286457.2RefSeqNP_001273386.231Standard
NM_001286458.2RefSeqNP_001273387.129Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
usp7Danio rerio

Structure: caudal fin upper lobe

Quality: fused with

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • FoxO signaling pathway - Homo sapiens (human)
  • Viral carcinogenesis - Homo sapiens (human)
  • Epstein-Barr virus infection - Homo sapiens (human)
  • Herpes simplex infection - Homo sapiens (human)
  • Regulation of toll-like receptor signaling pathway

Biological Process

  • transcription-coupled nucleotide-excision repair
  • ubiquitin-dependent protein catabolic process
  • multicellular organism development
  • maintenance of DNA methylation
  • viral process

Molecular Function

  • p53 binding
  • cysteine-type endopeptidase activity
  • thiol-dependent ubiquitin-specific protease activity
  • protein binding
  • protein C-terminus binding

Cellular Component

  • nucleus
  • nucleoplasm
  • chromosome
  • cytosol
  • nuclear body

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000344836
Coding exons
31
Length
72421
Individuals with no LoFs
125739
Homozygous LoFs
0
Heterozygous LoFs
4
Defined
125743
p
0.0000159
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense5.652256210.3620.00003507419
Missense (PolyPhen)13197.050.0659722321
Synonymous-2.442792321.200.00001461865
Loss of Function8.04177.20.01300.00000473830

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000350.000035rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Hydrolase that deubiquitinates target proteins such as FOXO4, p53/TP53, MDM2, ERCC6, DNMT1, UHRF1, PTEN, KMT2E/MLL5 and DAXX (PubMed:11923872, PubMed:15053880, PubMed:16964248, PubMed:18716620, PubMed:25283148, PubMed:26678539). Together with DAXX, prevents MDM2 self-ubiquitination and enhances the E3 ligase activity of MDM2 towards p53/TP53, thereby promoting p53/TP53 ubiquitination and proteasomal degradation (PubMed:15053880, PubMed:16845383, PubMed:18566590, PubMed:20153724). Deubiquitinates p53/TP53, preventing degradation of p53/TP53, and enhances p53/TP53-dependent transcription regulation, cell growth repression and apoptosis (PubMed:25283148). Deubiquitinates p53/TP53 and MDM2 and strongly stabilizes p53/TP53 even in the presence of excess MDM2, and also induces p53/TP53-dependent cell growth repression and apoptosis (PubMed:11923872). Deubiquitination of FOXO4 in presence of hydrogen peroxide is not dependent on p53/TP53 and inhibits FOXO4-induced transcriptional activity (PubMed:16964248). In association with DAXX, is involved in the deubiquitination and translocation of PTEN from the nucleus to the cytoplasm, both processes that are counteracted by PML (PubMed:18716620). Deubiquitinates KMT2E/MLL5 preventing KMT2E/MLL5 proteasomal-mediated degradation (PubMed:26678539). Involved in cell proliferation during early embryonic development. Involved in transcription-coupled nucleotide excision repair (TC- NER) in response to UV damage: recruited to DNA damage sites following interaction with KIAA1530/UVSSA and promotes deubiquitination of ERCC6, preventing UV-induced degradation of ERCC6 (PubMed:22466611, PubMed:22466612). Involved in maintenance of DNA methylation via its interaction with UHRF1 and DNMT1: acts by mediating deubiquitination of UHRF1 and DNMT1, preventing their degradation and promoting DNA methylation by DNMT1 (PubMed:21745816, PubMed:22411829). Deubiquitinates alkylation repair enzyme ALKBH3. OTUD4 recruits USP7 and USP9X to stabilize ALKBH3, thereby promoting the repair of alkylated DNA lesions (PubMed:25944111). Acts as a chromatin regulator via its association with the Polycomb group (PcG) multiprotein PRC1-like complex; may act by deubiquitinating components of the PRC1-like complex (PubMed:20601937). Able to mediate deubiquitination of histone H2B; it is however unsure whether this activity takes place in vivo (PubMed:20601937). Exhibits a preference towards 'Lys-48'-linked ubiquitin chains (PubMed:22689415). Increases regulatory T-cells (Treg) suppressive capacity by deubiquitinating and stabilizing the transcription factor FOXP3 which is crucial for Treg cell function (PubMed:23973222). {ECO:0000269|PubMed:11923872, ECO:0000269|PubMed:15053880, ECO:0000269|PubMed:16845383, ECO:0000269|PubMed:16964248, ECO:0000269|PubMed:18566590, ECO:0000269|PubMed:18716620, ECO:0000269|PubMed:20153724, ECO:0000269|PubMed:20601937, ECO:0000269|PubMed:21745816, ECO:0000269|PubMed:22411829, ECO:0000269|PubMed:22466611, ECO:0000269|PubMed:22466612, ECO:0000269|PubMed:22689415, ECO:0000269|PubMed:23973222, ECO:0000269|PubMed:25283148, ECO:0000269|PubMed:25944111, ECO:0000269|PubMed:26678539}.;

Recessive Scores

pRec
0.226

Intolerance Scores

LoFtool
0.0608
RVIS EVS
-1.33
RVIS percentile EVS
4.67

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
E
Essential (gene trap)
K
Indispensability pred.
E
Indispensability score
0.809

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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