• 2
    Haplo
    Score
  • 0
    Triplo
    Score

Gene Facts External Data Attribution

HGNC Symbol
PIGA (HGNC:8957) HGNC Entrez Ensembl OMIM UCSC Uniprot GeneReviews LOVD LSDB ClinVar
HGNC Name
phosphatidylinositol glycan anchor biosynthesis class A
Gene type
protein-coding gene
Locus type
gene with protein product
Previous symbols
No previous names found
Alias symbols
GPI3, PIG-A
%HI
26.91(Read more about the DECIPHER Haploinsufficiency Index)
pLI
0.96(Read more about gnomAD pLI score)
LOEUF
0.3(Read more about gnomAD LOEUF score)
Cytoband
Xp22.2
Genomic Coordinates
GRCh37/hg19: chrX:15337573-15353676 NCBI Ensembl UCSC
GRCh38/hg38: chrX:15319451-15335554 NCBI Ensembl UCSC
MANE Select Transcript
NM_002641.4 ENST00000333590.6 (Read more about MANE Select)
Function
Catalytic subunit of the glycosylphosphatidylinositol-N- acetylglucosaminyltransferase (GPI-GnT) complex that catalyzes the transfer of N-acetylglucosamine from UDP-N-acetylglucosamine to phosphatidylinositol and participates in the first step of GPI biosynthesis. {ECO:0000305|PubMed:16162815}. (Source: Uniprot)

Dosage Sensitivity Summary (Gene)

Dosage ID:
ISCA-36641
ClinGen Curation ID:
CCID:007664
Curation Status:
Complete
Issue Type:
Dosage Curation - Gene
Haploinsufficiency:
Emerging Evidence for Haploinsufficiency (2)
Triplosensitivity:
No Evidence for Triplosensitivity (0)
Last Evaluated:
11/09/2021

Haploinsufficiency (HI) Score Details

HI Score:
2
HI Evidence Strength:
Emerging Evidence for Haploinsufficiency (Disclaimer)
HI Disease:
  • Developmental and epileptic encephalopathy Monarch
HI Evidence:
  • PUBMED: 25473036
    Soden et al., 2014 identified an insertion variant in an affected male proband with congenital anomalies, hypotonia, and seizures. His unaffected mother was heterozygous for the variant and had random X chromosome inactivation.
  • PUBMED: 24357517
    Belet, et al., 2014, report a frameshift mutation in exon 2 in a 24-year old male who, at age 6 months, had onset of myoclonic seizures with arrest of development and axial hypotonia (described in Claes et al, 1997, PMID:9307258). Affect maternal uncles died in infancy of respiratory infections or status epilepticus. Female carriers were all normal. The authors showed that the mutation results in the likely use of an alternate start codon leading to a hypomorphic N-truncated protein.
  • PUBMED: 32452540
    Bayat et al., 2020 reviewed 76 affected males from 47 unrelated families with hemizygous variants in PIGA, including 34 missense, 4 splice site, 4 truncating. De novo in 6 novel and 1 previously reported patient. 47 unrelated families. All carrier females unaffected. 29 of the 33 missense variants were in highly conserved amnio acids and many are predicted to be deleterious. One individual with a splicing variant (c.-63+1G>C), presented with Fryns syndrome like phenotype, which has previously only been reported as a result of recessive variants in PIGN.
HI Evidence Comments:
No focal deletions of PIGA have been reported. Additional functional analysis of many loss of function variants reported have been suggested to result in residual or altered protein function. Authors suggested that complete disruption of the PIGA gene may result in early embryonic lethality in males. Additionally, per Tarailo-Graovac 2015 (PMID 25885527): "Studies in mice revealed that complete disruption of the PIGA gene results in early embryonic lethality in males, while in carrier female mice late embryonic lethality is observed [3]. Based on these studies, it is believed that complete loss of PIGA function is lethal in humans. A number of studies suggest that the human mutations identified to date result in reduced, but not absent, PIGA activity and using the flow cytometry of blood granulocytes method, Kato et al. [18] showed that the phenotype severity of the PIGA germline mutations appeared to correlate with genotype and the residual functional activity of the PIGA protein [18]. Functional studies on the truncating c.1234C>T mutation (p.R412X) suggest that small amounts of full length PIGA protein were generated by the read through of the premature termination codon (PTC). " Additionally, acquired somatic mutations in PIGA have been associated with paroxysmal nocturnal hemoglobinuria (PNH). PNH is an uncommon acquired hemolytic anemia that often manifests with hemoglobinuria, abdominal pain, smooth muscle dystonias, fatigue, and thrombosis (see OMIM #300818).
NOTE:

The loss-of-function and triplosensitivity ratings for genes on the X chromosome are made in the context of a male genome to account for the effects of hemizygous duplications or nullizygous deletions. In contrast, disruption of some genes on the X chromosome causes male lethality and the ratings of dosage sensitivity instead take into account the phenotype in female individuals. Factors that may affect the severity of phenotypes associated with X-linked disorders include the presence of variable copies of the X chromosome (i.e. 47,XXY or 45,X) and skewed X-inactivation in females.

Triplosensitivity (TS) Score Details

TS Score:
0
TS Evidence Strength:
No Evidence for Triplosensitivity (Disclaimer)
NOTE:

The loss-of-function and triplosensitivity ratings for genes on the X chromosome are made in the context of a male genome to account for the effects of hemizygous duplications or nullizygous deletions. In contrast, disruption of some genes on the X chromosome causes male lethality and the ratings of dosage sensitivity instead take into account the phenotype in female individuals. Factors that may affect the severity of phenotypes associated with X-linked disorders include the presence of variable copies of the X chromosome (i.e. 47,XXY or 45,X) and skewed X-inactivation in females.

Genomic View

Select assembly: (NC_000023.10) (NC_000023.11)