XPNPEP3

protein-coding

X-prolyl aminopeptidase 3, the group of M24 metallopeptidase family|Aminopeptidases

Gene summary

The protein encoded by this gene belongs to the family of X-pro-aminopeptidases that utilize a metal cofactor, and remove the N-terminal amino acid from peptides with a proline residue in the penultimate position. This protein has been shown to localize to the mitochondria of renal cells, and have a role in ciliary function. Mutations in this gene are associated with nephronophthisis-like nephropathy-1. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene, however, expression of some of these isoforms in vivo is not known.[provided by RefSeq, Mar 2011]

MANE transcript

NM_022098.4

Inheritance

AR

ClinVar variants

P:22U:138B:42

Top phenotype

Nephronophthisis-like nephropathy 1

gnomAD constraint

pLI —, LoF o/e 0.59

Max pathogenic AF

—

Genomic locus

chr22:40,857,077-40,932,815

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~75.7 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

late-onset nephronophthisisSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0019742

Submitter: Orphanet

nephronophthisis-like nephropathy 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013163

Submitter: PanelApp Australia

nephronophthisis-like nephropathy 1STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013163

Submitter: Labcorp Genetics (formerly Invitae)

nephronophthisis-like nephropathy 1MODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0013163

Submitter: Ambry Genetics

nephronophthisis-like nephropathy 1LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0013163

Submitter: G2P

nephronophthisis-like nephropathy 1DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013163

Submitter: ClinGen

The *XPNPEP3* gene is located on chromosome at 22q13.2 and encodes a member of the family of X-pro-aminopeptidases that utilize a metal cofactor and remove the N-terminal amino acid from peptides with a proline residue in the penultimate position. This protein has been shown to localize to the mitochondria of kidney cells and have a role in ciliary function. (provided by RefSeq, Mar 2011). *XPNPEP3* was first reported in relation to autosomal recessive Nephronophthisis-like Nephropathy 1 (NPHPL1) in 2010 (O'Toole et al. PMID: 20179356). The mechanism of disease is biallelic loss of function. Evidence supporting this gene-disease relationship includes case-level, segregation, and experimental data. Variants in this gene have been reported in at least 6 probands in 5 publications (PMID: 29383790, 32660933,37599822,38035175, DOI: 10.1681/ASN.20233411S1571a). Unpublished data was included in this curation, a patient with a consistent phenotype associated with compound heterozygous null variants (Molecular Biology Laboratory, Fundació Puigvert and submitted to ClinVar), increasing the final score by 3.0 points for a total of 11.3 genetic evidence points. This gene-disease association is supported by protein interaction, in vitro functional assays, and a zebrafish and a mouse model (PMID: 20179356, 37599822). There is significant correlation between β-catenin nuclear localization and XPNPEP3 levels, suggesting *XPNPEP3* has a role in Wnt-mediated regulation of ciliary development (Kumar et al. 2018; PMID: 29383790, non-scorable evidence). In summary, there is Definitive evidence to support *XPNPEP3* as a cause of an autosomal recessive ciliopathy. This gene-disease pair was originally evaluated by the ClinGen Kidney Cystic and Ciliopathy Disorders GCEP on 04/28/2021 (SOP Version 8). It was reevaluated on 6/10/2024 (SOP Version 10). As a result of this reevaluation, the classification changed from Moderate to Definitive.

Clinical Genomic Database (CGD)

Nephronophthisis-like nephropathy 1AR

Manifestation: Audiologic/Otolaryngologic; Neurologic; Renal

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

Comments: Avoidance of nephrotoxic medications may be beneficial

Refs: 20179356Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to XPNPEP3 variants in ClinVar

7 Conditions Cataloged
Nephronophthisis-like nephropathy 1Total: 175
not specifiedTotal: 71
Inborn genetic diseasesTotal: 67
not providedTotal: 27
XPNPEP3-related disorderTotal: 6
Kidney disorderTotal: 6
Left ventricular noncompaction cardiomyopathyTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_022098.4. 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
2
clinvar
34
clinvar
36
missense
1
clinvar
129
clinvar
8
clinvar
138
nonsense
3
clinvar
6
clinvar
2
clinvar
11
start loss
1
clinvar
1
frameshift
2
clinvar
5
clinvar
1
clinvar
8
splice donor/acceptor (+/-2bp)
5
clinvar
3
clinvar
8
Total616138420202

Highest pathogenic variant AF is 0.000061959865

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 23 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_022098.4RefSeqNP_071381.110MANE Select
ENST00000357137.9EnsemblENSP00000349658.410MANE Select
NM_001204827.2RefSeqNP_001191756.12Standard
ENST00000428799.1EnsemblENSP00000394283.13Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
xpnpep3Danio rerio

Structure: head

Quality: decreased size

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • glomerular filtration
  • proteolysis
  • protein processing

Molecular Function

  • aminopeptidase activity
  • protein binding
  • manganese ion binding
  • protein homodimerization activity
  • metalloaminopeptidase activity

Cellular Component

  • cytoplasm
  • mitochondrion

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000357137
Coding exons
10
Length
110758
Individuals with no LoFs
125668
Homozygous LoFs
0
Heterozygous LoFs
80
Defined
125748
p
0.000318
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.09952902851.020.00001613316
Missense (PolyPhen)8192.5220.875471025
Synonymous0.237991020.9700.000005391002
Loss of Function2.071729.00.5860.00000193289

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000490.00049rare
Latino/Admixed American0.000260.00026rare
Ashkenazi Jewish00.0absent
East Asian0.000650.00065rare
Finnish0.000370.00037rare
European (Non-Finnish)0.000350.00035rare
South Asian0.0000980.000098rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Catalyzes the removal of a penultimate prolyl residue from the N-termini of peptides, such as Leu-Pro-Ala (PubMed:25609706, PubMed:28476889). Also shows low activity towards peptides with Ala or Ser at the P1 position (PubMed:28476889). {ECO:0000269|PubMed:25609706, ECO:0000269|PubMed:28476889}.;

Recessive Scores

pRec
0.138

Intolerance Scores

LoFtool
0.647
RVIS EVS
-0.27
RVIS percentile EVS
34.6

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
H
Indispensability pred.
E
Indispensability score
0.826

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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