Autosomal recessive congenital ichthyosis: genes and variants
Autosomal recessive congenital ichthyosis is linked to 1 analyzed protein (TGM1). 64 DNA variants are known to cause it; 93 more are uncertain, and 0 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Also known as: Autosomal recessive congenital ichthyosis 1; Autosomal recessive congenital ichthyosis 7
Genes linked to Autosomal recessive congenital ichthyosis
TGM1: Protein-glutamine gamma-glutamyltransferase K
It crosslinks structural proteins and lipids during formation of the cornified envelope, creating the mechanically resilient outer skin barrier. Biallelic loss-of-function variants are a major cause of autosomal recessive congenital ichthyosis, particularly lamellar ichthyosis.
64 disease-causing and 91 uncertain variants in TGM1 are linked to Autosomal recessive congenital ichthyosis.
Weakly linked (only a few uncertain records): BACH2, FLG and MEFV.
Known disease-causing variants in Autosomal recessive congenital ichthyosis
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| TGM1 R143H | 143 | Disease-causing (★★★★) | |
| TGM1 R142C | 142 | Disease-causing (★★) | |
| TGM1 G144R | 144 | Disease-causing (★★) | |
| TGM1 G144E | 144 | Disease-causing (★★) | |
| TGM1 R315P | 315 | Disease-causing (★★) | |
| TGM1 R315C | 315 | Disease-causing (★★) | |
| TGM1 R389P | 389 | Disease-causing (★★) | |
| TGM1 R389H | 389 | Disease-causing (★★) | |
| TGM1 R142H | 142 | Disease-causing (★★) | |
| TGM1 R143C | 143 | Disease-causing (★★) | |
| TGM1 R286W | 286 | Disease-causing (★★) | |
| TGM1 G291S | 291 | Disease-causing (★★) | |
| TGM1 G291D | 291 | Disease-causing (★★) | |
| TGM1 R315L | 315 | Disease-causing (★★) | |
| TGM1 R315H | 315 | Disease-causing (★★) | |
| TGM1 R389C | 389 | Disease-causing (★★) | |
| TGM1 R396H | 396 | Disease-causing (★★) | |
| TGM1 R396L | 396 | Disease-causing (★★) | |
| TGM1 R396C | 396 | Disease-causing (★★) | |
| TGM1 G473R | 473 | Disease-causing (★★) | |
| TGM1 G473S | 473 | Disease-causing (★★) | |
| TGM1 G273R | 273 | Disease-causing (★★) | |
| TGM1 R286Q | 286 | Disease-causing (★★) | |
| TGM1 R307W | 307 | Disease-causing (★★) | |
| TGM1 R307G | 307 | Disease-causing (★★) | |
| TGM1 R126C | 126 | Disease-causing (★★) | |
| TGM1 Y134H | 134 | Disease-causing (★★) | |
| TGM1 R264W | 264 | Disease-causing (★★) | |
| TGM1 G278R | 278 | Disease-causing (★★) | |
| TGM1 I304F | 304 | Disease-causing (★★) | |
| TGM1 P474S | 474 | Disease-causing (★★) | |
| TGM1 D490G | 490 | Disease-causing (★★) | |
| TGM1 Y544C | 544 | Disease-causing (★★) | |
| TGM1 R126H | 126 | Disease-causing (★★) | |
| TGM1 Y134C | 134 | Disease-causing (★★) | |
| TGM1 R264Q | 264 | Disease-causing (★★) | |
| TGM1 R323W | 323 | Disease-causing (★★) | |
| TGM1 V383M | 383 | Disease-causing (★★) | |
| TGM1 R687H | 687 | Disease-causing (★★) | |
| TGM1 I140M | 140 | Disease-causing (★★) | |
| TGM1 G218S | 218 | Disease-causing (★★) | |
| TGM1 P352A | 352 | Disease-causing (★★) | |
| TGM1 S358R | 358 | Disease-causing (★★) | |
| TGM1 V379L | 379 | Disease-causing (★★) | |
| TGM1 W455R | 455 | Disease-causing (★★) | |
| TGM1 I480F | 480 | Disease-causing (★★) | |
| TGM1 T529I | 529 | Disease-causing (★★) | |
| TGM1 R687C | 687 | Disease-causing (★★) | |
| TGM1 S772R | 772 | Disease-causing (★★) | |
| TGM1 S272P | 272 | Disease-causing (★★) | |
| TGM1 T491M | 491 | Disease-causing (★★) | |
| TGM1 R142P | 142 | Disease-causing (★) | |
| TGM1 R142Q | 142 | Disease-causing (★) | |
| TGM1 W288R | 288 | Disease-causing (★) | |
| TGM1 H436R | 436 | Disease-causing (★) | |
| TGM1 F435L | 435 | Disease-causing (★) | |
| TGM1 G524D | 524 | Disease-causing (★) | |
| TGM1 R225P | 225 | Disease-causing (★) | |
| TGM1 Y276N | 276 | Disease-causing | |
| TGM1 G392D | 392 | Disease-causing |
Showing 60 of 64.
Which prediction tools work for Autosomal recessive congenital ichthyosis
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- MutPred2: 100 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- MetaLR: 100 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- REVEL: 99 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CATVariant: 98 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- AlphaMissense: 94 out of 100
- SIFT: 94 out of 100
- CADD: 90 out of 100
- PolyPhen-2: 87 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- phyloP: 76 out of 100
Diseases related to Autosomal recessive congenital ichthyosis
- Lamellar ichthyosis, also linked to TGM1
- Ichthyosis and erythrokeratoderma, also linked to TGM1
- Treacher Collins syndrome 2, also linked to TGM1
- Congenital reticular ichthyosiform erythroderma, also linked to TGM1
Frequently asked questions
Which genes are linked to Autosomal recessive congenital ichthyosis?
In CATVariant, Autosomal recessive congenital ichthyosis is linked to 1 analyzed protein: TGM1 (Protein-glutamine gamma-glutamyltransferase K).
How many genetic variants are linked to Autosomal recessive congenital ichthyosis?
207 variants: 64 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 93 are of uncertain significance or have conflicting reports.
Which uncertain variants in Autosomal recessive congenital ichthyosis look disease-causing?
None of the uncertain variants currently reaches the likely-pathogenic range on computable evidence alone.
Which variant effect predictor works best for Autosomal recessive congenital ichthyosis?
Among tools not trained on clinical labels, AlphaMissense separates this disease's known disease-causing variants from harmless ones best (AUROC 0.94, based on 16 disease-causing and 278 harmless variants).
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
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