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Structural eye disease

Gene: NR6A1

Amber List (moderate evidence)

NR6A1 (nuclear receptor subfamily 6 group A member 1)
EnsemblGeneIds (GRCh38): ENSG00000148200
EnsemblGeneIds (GRCh37): ENSG00000148200
OMIM: 602778, Gene2Phenotype
NR6A1 is in 1 panel

2 reviews

Achchuthan Shanmugasundram (Genomics England Curator)

Green List (high evidence)

Comment on list classification: There is sufficient evidence available for the promotion of this gene to green rating in the next GMS update.
Created: 18 Jul 2025, 12:31 p.m. | Last Modified: 18 Jul 2025, 12:31 p.m.
Panel Version: 4.16
As reviewed by Siying Lin, PMID:40610405 reported six unrelated families with heterozygous rare variants (missense, nonsense, frameshift, or large deletion) in NR6A1 gene presenting with an autosomal dominant oculo-vertebral-renal (OVR) syndrome characterised by colobomatous microphthalmia, missing vertebrae and congenital kidney abnormalities. The variants showed incomplete penetrance and variable expressivity. Functional evidence from in silico, cellular, and zebrafish experiments showed that reported variants were either pathogenic or likely pathogenic for OVR syndrome.

This gene has not yet been associated with relevant phenotypes in OMIM, Gene2Phenotype or ClinGen.
Created: 18 Jul 2025, 12:27 p.m. | Last Modified: 18 Jul 2025, 12:27 p.m.
Panel Version: 4.12

Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted

Phenotypes
coloboma, MONDO:0001476; microphthalmia, MONDO:0021129

Publications

Siying Lin (Moorfields Eye Hospital)

Green List (high evidence)

PMID 40610405: 6 unrelated families with autosomal dominant syndromic form of colobomatous microphthalmia and missing vertebrae with or without congenital kidney abnormalities
Sources: Literature
Created: 4 Jul 2025, 6:56 a.m.

Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown

Phenotypes
microphthalmia, coloboma

Publications

Mode of pathogenicity
Other

Details

Mode of Inheritance
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert Review Amber
Phenotypes
  • coloboma, MONDO:0001476
  • microphthalmia, MONDO:0021129
Tags
Q3_25_promote_green Q3_25_NHS_review
OMIM
602778
Clinvar variants
Variants in NR6A1
Penetrance
Incomplete
Publications
Mode of Pathogenicity
Other
Panels with this gene

History Filter Activity

18 Jul 2025, Gel status: 2

Entity classified by Genomics England curator

Achchuthan Shanmugasundram (Genomics England Curator)

Gene: nr6a1 has been classified as Amber List (Moderate Evidence).

18 Jul 2025, Gel status: 0

Set Phenotypes

Achchuthan Shanmugasundram (Genomics England Curator)

Phenotypes for gene: NR6A1 were changed from microphthalmia, coloboma to coloboma, MONDO:0001476; microphthalmia, MONDO:0021129

18 Jul 2025, Gel status: 0

Set publications

Achchuthan Shanmugasundram (Genomics England Curator)

Publications for gene: NR6A1 were set to PMID: 40610405

18 Jul 2025, Gel status: 0

Set mode of inheritance

Achchuthan Shanmugasundram (Genomics England Curator)

Mode of inheritance for gene: NR6A1 was changed from MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted

18 Jul 2025, Gel status: 0

Added Tag, Added Tag

Achchuthan Shanmugasundram (Genomics England Curator)

Tag Q3_25_promote_green tag was added to gene: NR6A1. Tag Q3_25_NHS_review tag was added to gene: NR6A1.

4 Jul 2025, Gel status: 0

Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes, Set penetrance, Set mode of pathogenicity

Siying Lin (Moorfields Eye Hospital)

gene: NR6A1 was added gene: NR6A1 was added to Structural eye disease. Sources: Literature Mode of inheritance for gene: NR6A1 was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown Publications for gene: NR6A1 were set to PMID: 40610405 Phenotypes for gene: NR6A1 were set to microphthalmia, coloboma Penetrance for gene: NR6A1 were set to Incomplete Mode of pathogenicity for gene: NR6A1 was set to Other Review for gene: NR6A1 was set to GREEN