WDR19

protein-coding

WD repeat domain 19, the group of WD repeat domain containing|IFT-A complex

Gene summary

The protein encoded by this gene is a member of the WD (tryptophan-aspartic acid) repeat family, which is a large family of structurally-related proteins known to participate in a wide range of cellular processes. Each WD repeat typically contains about 40 amino acids that are usually bracketed by glycine-histidine and tryptophan-aspartic acid (WD) dipeptides. This protein contains six WD repeats, three transmembrane domains, and a clathrin heavy-chain repeat. Mutations in this gene have been described in individuals with a wide range of disorders affecting function of the cilium. These disorders are known as ciliopathies, and include Jeune syndrome, Sensenbrenner syndromes, Senior-Loken syndrome, combined or isolated nephronophthisis (NPHP), and retinitis pigmentosa (RP). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2015]

MANE transcript

NM_025132.4

Inheritance

AR, AD

ClinVar variants

P:172U:619B:278

Top phenotype

Short-rib thoracic dysplasia 5 with or without polydactyly; Cranioectodermal dysplasia 4; Nephronophthisis 13; Retinitis pigmentosa; Senior-Loken syndrome 8

gnomAD constraint

pLI —, LoF o/e 0.42

Max pathogenic AF

—

Genomic locus

chr4:39,182,504-39,285,810

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~103.3 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

cranioectodermal dysplasia 4DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013719

Submitter: G2P

Senior-Loken syndromeSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0017842

Submitter: Orphanet

nephronophthisis 1SUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009728

Submitter: Orphanet

Jeune syndromeSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0018770

Submitter: Orphanet

cranioectodermal dysplasiaSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009032

Submitter: Orphanet

asphyxiating thoracic dystrophy 5DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013717

Submitter: G2P

ciliopathyDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0005308

Submitter: ClinGen

*WDR19* was first reported in relation to autosomal recessive ciliopathies in 2011 (Bedrup et al., PMID: 22019272). Evidence supporting this gene-disease relationship includes case-level data and experimental data. *WDR19* has been noted to be associated with the following disease entities: Cranioectodermal dysplasia 4 (OMIM:614378), Nephronophthisis 13 (OMIM:614377), Senior-Loken syndrome 8 (OMIM:616307), and Short-rib thoracic dysplasia 5 with or without polydactyly (OMIM:614376). Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanism, inheritance pattern, and the phenotypic variability was representative of a syndromic spectrum of ciliopathy disorders caused by *WDR19*. Therefore, the above disease entities have been lumped into one disease entity, ciliopathy (MONDO:0005308). The mechanism of pathogenicity is reported to be loss of function. Variants in this gene have been reported in at least 14 probands in 4 publications (PMIDs: 22019272, 23683095, 23559409, 25726036) and are included in this curation. Additionally, variants in this gene segregated with disease in 3 additional family members. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. This gene-disease association is also supported by expression studies, functional alteration studies, and animal models. (PMIDs: 33517396, 22228095, 25726036, 22019273). Expression studies demonstrated a reduction in ciliated cells, a lack of WDR19 in cilia, and diffuse cytoplasmic staining in cells from affected patients. Exogenous expression of *WDR19* variants in *WDR19*-knockout cells did not rescue ciliogenesis defects. Finally, ENU-derived mice with a hypomorphic missense mutation (p.Leu750Pro) in *Wdr19* replicate skeletal and craniofacial anomalies seen in human skeletal ciliopathies. In summary, *WDR19* is definitively associated with autosomal recessive ciliopathy. 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 Kidney Cystic and Ciliopathy Disorders GCEP on the meeting date 5/25/22 (SOP Version 8).

Senior-Loken syndrome 8STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014579

Submitter: Labcorp Genetics (formerly Invitae)

ciliopathySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0005308

Submitter: PanelApp Australia

asphyxiating thoracic dystrophy 5STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013717

Submitter: Labcorp Genetics (formerly Invitae)

cranioectodermal dysplasia 4STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013719

Submitter: Labcorp Genetics (formerly Invitae)

nephronophthisis 13STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013718

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Short-rib thoracic dysplasia 5 with or without polydactyly; Cranioectodermal dysplasia 4; Nephronophthisis 13; Retinitis pigmentosa; Senior-Loken syndrome 8AD/AR

Manifestation: Craniofacial; Dental; Dermatologic; Gastrointestinal; Musculoskeletal; Neurologic; Ophthalmologic; Pulmonary; Renal

Intervention: General

Rationale: Genetic knowledge may potentially be beneficial related to manifestations such as renal issues; 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

Comments: Renal transplantation has been described

Refs: 19430947; 21378380; 22019273; 23559409; 23683095Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to WDR19 variants in ClinVar

27 Conditions Cataloged
Asphyxiating thoracic dystrophy 5Total: 1138
Senior-Loken syndrome 8Total: 1133
Cranioectodermal dysplasia 4Total: 318
not providedTotal: 307
Nephronophthisis 13Total: 290
Spermatogenic failure 72Total: 260
not specifiedTotal: 147
Inborn genetic diseasesTotal: 141

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_025132.4. 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
14
clinvar
251
clinvar
265
missense
7
clinvar
30
clinvar
589
clinvar
24
clinvar
3
clinvar
653
nonsense
18
clinvar
20
clinvar
1
clinvar
39
start loss
1
clinvar
1
frameshift
22
clinvar
24
clinvar
2
clinvar
48
splice donor/acceptor (+/-2bp)
4
clinvar
47
clinvar
12
clinvar
63
Total5112161927531069

Highest pathogenic variant AF is 0.000110417175

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 33 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_025132.4RefSeqNP_079408.336MANE Select
ENST00000399820.8EnsemblENSP00000382717.336MANE Select
NM_001317924.2RefSeqNP_001304853.131Standard
ENST00000503697.5EnsemblENSP00000423706.15Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
wdr19Danio rerio

Structure: post-vent region

Quality: curved ventral

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Signal Transduction
  • Hedgehog ,off, state
  • Signaling by Hedgehog
  • Intraflagellar transport
  • Cilium Assembly

Biological Process

  • cell morphogenesis
  • in utero embryonic development
  • gonad development
  • embryonic limb morphogenesis
  • embryonic camera-type eye development

Cellular Component

  • photoreceptor outer segment
  • nucleoplasm
  • cytoplasm
  • cytoskeleton
  • cilium

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000399820
Coding exons
36
Length
103407
Individuals with no LoFs
124550
Homozygous LoFs
0
Heterozygous LoFs
93
Defined
124643
p
0.000373
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.505736840.8380.00003478839
Missense (PolyPhen)124173.40.71512136
Synonymous0.3162282340.9740.00001222413
Loss of Function4.683174.60.4150.00000392956

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000260.00026rare
Latino/Admixed American0.000360.00035rare
Ashkenazi Jewish0.000100.000099rare
East Asian0.000470.00045rare
Finnish0.0000470.000046rare
European (Non-Finnish)0.000460.00043rare
South Asian0.000460.00042rare
Other0.000870.00083rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Component of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport (PubMed:20889716). Involved in cilia function and/or assembly (By similarity). Associates with the BBSome complex to mediate ciliary transport (By similarity). {ECO:0000250|UniProtKB:Q3UGF1, ECO:0000269|PubMed:20889716}.;
Disease
DISEASE: Cranioectodermal dysplasia 4 (CED4) [MIM:614378]: A disorder primarily characterized by craniofacial, skeletal and ectodermal abnormalities. Clinical features include craniosynostosis, narrow rib cage, short limbs, brachydactyly, hypoplastic and widely spaced teeth, sparse hair, skin laxity and abnormal nails. Nephronophthisis leading to progressive renal failure, hepatic fibrosis, heart defects, and retinitis pigmentosa have also been described. {ECO:0000269|PubMed:22019273}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Short-rib thoracic dysplasia 5 with or without polydactyly (SRTD5) [MIM:614376]: A form of short-rib thoracic dysplasia, a group of autosomal recessive ciliopathies that are characterized by a constricted thoracic cage, short ribs, shortened tubular bones, and a 'trident' appearance of the acetabular roof. Polydactyly is variably present. Non-skeletal involvement can include cleft lip/palate as well as anomalies of major organs such as the brain, eye, heart, kidneys, liver, pancreas, intestines, and genitalia. Some forms of the disease are lethal in the neonatal period due to respiratory insufficiency secondary to a severely restricted thoracic cage, whereas others are compatible with life. Disease spectrum encompasses Ellis-van Creveld syndrome, asphyxiating thoracic dystrophy (Jeune syndrome), Mainzer-Saldino syndrome, and short rib-polydactyly syndrome. {ECO:0000269|PubMed:22019273}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Nephronophthisis 13 (NPHP13) [MIM:614377]: An autosomal recessive disorder resulting in end-stage renal disease. It is a progressive tubulo-interstitial kidney disorder histologically characterized by modifications of the tubules with thickening of the basement membrane, interstitial fibrosis and, in the advanced stages, medullary cysts. {ECO:0000269|PubMed:22019273}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Senior-Loken syndrome 8 (SLSN8) [MIM:616307]: A renal- retinal disorder characterized by progressive wasting of the filtering unit of the kidney (nephronophthisis), with or without medullary cystic renal disease, and progressive eye disease. Typically this disorder becomes apparent during the first year of life. {ECO:0000269|PubMed:23559409, ECO:0000269|PubMed:23683095}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.0973

Intolerance Scores

LoFtool
0.548
RVIS EVS
0.56
RVIS percentile EVS
81.71

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.265

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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