Information on PAX1

Basic details

Alt. symbols: HUP48 | OFC2

Approved name: paired box 1
Alt. names: paired box gene 1

Location: 20p11.22: 21705659 - 21718481 (+)
Gene type: protein_coding, 4 transcripts.

Scores: LoFtool: 0.182000 | pLI: 0.61608403 | LOEUF: 0.498

HGNC: 8615

NCBI: 5075, RefSeq: NG_047065.1

Ensembl: ENSG00000125813.15

LRG_ | Status: none

OMIM: 167411

Expression | ProteinAtlas

Normal function

PAX1 is a highly conserved transcription factor belonging to the family of PAX transcription factors. PAX1 is essential for the development of multiple tissues during embryogenesis, such as thymus, vertebral column, chondrogenic differentiation and chondrocyte maturation.

Dysfunction and disease

According to its function in the axial skeleton and thymus development, PAX1 loss of function variants were identified in the autosomal recessive syndrome otofaciocervical syndrome-2 with T-cell deficiency (OTFCS2, MIM#615560). It is a rare disorder characterized by facial and skeletal anomalies and mild intellectual disability; some patients exhibit altered thymus development with T-cell immunodeficiency and recurrent, sometimes fatal, infections. A homozygous PAX1 mutation in one patient is a ssociated with hypoparathyroidism (PMID: 37197558). In the last decade, PAX1 has emerged as a tumour suppressor in various human cancers, such as cervical cancer, ovarian cancer, colorectal carcinoma, parathyroid tumour, and oral squamous cell carcinoma. Consistent with its role in developing multiple tissues, when being dysregulated, PAX1 might regulate cell proliferation and differentiation of specific cancer cells, thus contributing to the activation or suppression of cancer development in specific tissue contexts. [Load More]

[Reviewed by Laura Crisponi on 2023-07-11 13:35:49]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
OTFCS2 Otofaciocervical syndrome 2 ARdict. icon Loss of Function 615560www icon 14 (6 fams)

Transcripts of PAX1

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
201 ENST00000398485.6 CCDS13146 protein_coding 5 No 2838 NM_006192
205 ENST00000613128.5 CCDS74709 Select protein_coding 5 Yes 5352 NM_001257096

Published variants

Found 5 variants

Var.name Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients
V147L EX2 488 c.439G>C p.Val147Leu missense_variant Pathogenic 4
N155del EX2 510-512 c.463_465del p.Asn155del inframe_deletion Pathogenic 1
G166V EX2 546 c.497G>T p.Gly166Val missense_variant Pathogenic 4
C368* EX4 1153 c.1104C>A p.Cys368Ter stop_gained Pathogenic 2
P392Afs*19 EX4 1217-1218 c.1169_1173dup p.Pro392AlafsTer19 frameshift_variant Pathogenic 2

Diagnostic pitfalls & paradigms

Considerations to take into account when analyzing this gene

Year Paradigm ⓘ PMID Notes
- Regions of Homology -
-Cryptic splicing-Unreported or not recorded in our DB.
-Uniparental disomy-Unreported or not recorded in our DB.
-Mosaicism-Unreported or not recorded in our DB.
-Incomplete penetrance-Unreported or not recorded in our DB.
-Di-/oligo-genic inheritance-Unreported or not recorded in our DB.
-Somatic reversion-Unreported or not recorded in our DB.

References linked to variants in PAX1

ID Year Title Journal PMID Variants
665 2017 A novel PAX1 null homozygous mutation in autosomal recessive... Clin. Gen. 28657137 1
666 2020 PAX1 is essential for development and function of the human ... Sci. Immunol. 32111619 4
667 2013 A hypofunctional PAX1 mutation causes autosomal recessively ... Hum. Gen. 23851939 1
668 2018 Autosomal recessive otofaciocervical syndrome type 2 with no... Am. J. Hum. Genet. 29681087 1

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