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Structural eye disease v4.43 NR6A1 Ida Ertmanska edited their review of gene: NR6A1: Added comment: PMID: 40774958 Rasouly et al., 2025
Large cohort with CAKUT - NR6A1 confirmed as a CAKUT gene - described 13 total cases with predicted pathogenic heterozygous NR6A1 variants identified through exome seq.
Of 13 cases, 4 had both CAKUT and eye structural anomalies (e.g. coloboma), and 1 case had eye anomalies without CAKUT. Mix of LoF and missense variants. No spine anomalies reported in this cohort.

PMID: 41733738 Jacquinet et al., 2026
5 affected individuals from 3 families with phenotypes including bilateral or unilateral renal agenesis/hypoplasia, along with variable congenital uterine anomalies (3/4 female individuals) and costovertebral defects associated with heterozygous deleterious variants in NR6A1: two inherited missense (c.1175T>G;p.(Met392Arg) and c.196C>T;p.(Arg66Cys)) as well as de novo loss of function c.439C>T, p.Gln147*. No ocular malformations reported in this cohort. Seq method: Trio WES / WES.
Functional evidence: loss of nr6a1 orthologs (a & b) in zebrafish causes skeletal anomalies (missing vertebrae) and abnormal kidney morphology.; Changed rating: GREEN; Changed publications to: 40610405, 40774958, 41733738; Changed phenotypes to: Oculovertebral syndrome, OMIM:621277; Changed mode of inheritance: MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Structural eye disease v4.43 NR6A1 Ida Ertmanska Publications for gene: NR6A1 were set to 40610405
Structural eye disease v4.42 NR6A1 Ida Ertmanska Phenotypes for gene: NR6A1 were changed from coloboma, MONDO:0001476; microphthalmia, MONDO:0021129; Oculovertebral syndrome, OMIM:621277 to coloboma, MONDO:0001476; microphthalmia, MONDO:0021129; Oculovertebral syndrome, OMIM:621277; oculovertebral syndrome, MONDO:0979866
Structural eye disease v4.41 NR6A1 Ida Ertmanska Added comment: Comment on phenotypes: OMIM phenotype updated 10th Apr 2026.
Structural eye disease v4.41 NR6A1 Ida Ertmanska Phenotypes for gene: NR6A1 were changed from coloboma, MONDO:0001476; microphthalmia, MONDO:0021129 to coloboma, MONDO:0001476; microphthalmia, MONDO:0021129; Oculovertebral syndrome, OMIM:621277
Structural eye disease v4.40 NR6A1 Eleanor Williams Tag Q3_25_promote_green was removed from gene: NR6A1.
Tag Q3_25_NHS_review was removed from gene: NR6A1.
Structural eye disease v4.39 NR6A1 Eleanor Williams reviewed gene: NR6A1: Rating: GREEN; Mode of pathogenicity: ; Publications: ; Phenotypes: ; Mode of inheritance:
Structural eye disease v4.38 NR6A1 Eleanor Williams Source NHS GMS was added to NR6A1.
Source Expert Review Green was added to NR6A1.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Structural eye disease v4.16 NR6A1 Achchuthan Shanmugasundram Classified gene: NR6A1 as Amber List (moderate evidence)
Structural eye disease v4.16 NR6A1 Achchuthan Shanmugasundram Added comment: Comment on list classification: There is sufficient evidence available for the promotion of this gene to green rating in the next GMS update.
Structural eye disease v4.16 NR6A1 Achchuthan Shanmugasundram Gene: nr6a1 has been classified as Amber List (Moderate Evidence).
Structural eye disease v4.15 NR6A1 Achchuthan Shanmugasundram Phenotypes for gene: NR6A1 were changed from microphthalmia, coloboma to coloboma, MONDO:0001476; microphthalmia, MONDO:0021129
Structural eye disease v4.14 NR6A1 Achchuthan Shanmugasundram Publications for gene: NR6A1 were set to PMID: 40610405
Structural eye disease v4.13 NR6A1 Achchuthan Shanmugasundram Mode of inheritance for gene: NR6A1 was changed from MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Structural eye disease v4.12 NR6A1 Achchuthan Shanmugasundram Tag Q3_25_promote_green tag was added to gene: NR6A1.
Tag Q3_25_NHS_review tag was added to gene: NR6A1.
Structural eye disease v4.12 NR6A1 Achchuthan Shanmugasundram reviewed gene: NR6A1: Rating: GREEN; Mode of pathogenicity: None; Publications: 40610405; Phenotypes: coloboma, MONDO:0001476, microphthalmia, MONDO:0021129; Mode of inheritance: MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Structural eye disease v4.9 NR6A1 Siying Lin 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
Added comment: PMID 40610405: 6 unrelated families with autosomal dominant syndromic form of colobomatous microphthalmia and missing vertebrae with or without congenital kidney abnormalities
Sources: Literature