Oculodentodigital dysplasia: genes and variants
Oculodentodigital dysplasia is linked to 1 analyzed protein (GJA1). 37 DNA variants are known to cause it; 110 more are uncertain, and 3 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Also known as: oculodentodigital dysplasia, autosomal recessive
Genes linked to Oculodentodigital dysplasia
GJA1: Gap junction alpha-1 protein
It forms connexin 43 gap junctions that permit direct electrical and metabolic communication between neighboring cells in heart, bone, skin, and many other tissues. Pathogenic variants cause oculodentodigital dysplasia and related syndromes with craniofacial, dental, limb, and sometimes cardiac abnormalities.
37 disease-causing and 110 uncertain variants in GJA1 are linked to Oculodentodigital dysplasia.
Where Oculodentodigital dysplasia variants cluster
- GJA1 Cytoplasmic (positions 2–23): 8 of 37 disease-causing changes, 3.8× more than its size predicts.
- GJA1 Extracellular (positions 45–76): 8 of 37 disease-causing changes, 2.6× more than its size predicts.
- GJA1 Transmembrane (positions 24–44): 5 of 37 disease-causing changes, 2.5× more than its size predicts.
- GJA1 Extracellular (positions 177–207): 5 of 37 disease-causing changes, 1.7× more than its size predicts.
Known disease-causing variants in Oculodentodigital dysplasia
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| GJA1 G22E | 22 | Cytoplasmic | Disease-causing (★★) |
| GJA1 R76S | 76 | Extracellular | Disease-causing (★★) |
| GJA1 G138S | 138 | Cytoplasmic | Disease-causing (★★) |
| GJA1 G138D | 138 | Cytoplasmic | Disease-causing (★★) |
| GJA1 A40V | 40 | Transmembrane | Disease-causing (★★) |
| GJA1 G38E | 38 | Transmembrane | Disease-causing (★★) |
| GJA1 A44V | 44 | Transmembrane | Disease-causing (★★) |
| GJA1 D47V | 47 | Extracellular | Disease-causing (★★) |
| GJA1 E48K | 48 | Extracellular | Disease-causing (★★) |
| GJA1 R148Q | 148 | Cytoplasmic | Disease-causing (★★) |
| GJA1 L11H | 11 | Cytoplasmic | Disease-causing (★) |
| GJA1 G22R | 22 | Cytoplasmic | Disease-causing (★) |
| GJA1 R76C | 76 | Extracellular | Disease-causing (★) |
| GJA1 G21R | 21 | Cytoplasmic | Disease-causing (★) |
| GJA1 N63D | 63 | Extracellular | Disease-causing (★) |
| GJA1 I139N | 139 | Cytoplasmic | Disease-causing (★) |
| GJA1 S201F | 201 | Extracellular | Disease-causing (★) |
| GJA1 V41L | 41 | Transmembrane | Disease-causing (★) |
| GJA1 I31M | 31 | Transmembrane | Disease-causing (★) |
| GJA1 Y66H | 66 | Extracellular | Disease-causing (★) |
| GJA1 I82M | 82 | Transmembrane | Disease-causing (★) |
| GJA1 V96M | 96 | Transmembrane | Disease-causing (★) |
| GJA1 K102N | 102 | Cytoplasmic | Disease-causing (★) |
| GJA1 I130T | 130 | Cytoplasmic | Disease-causing (★) |
| GJA1 P193A | 193 | Extracellular | Disease-causing (★) |
| GJA1 V216L | 216 | Transmembrane | Disease-causing (★) |
| GJA1 G60A | 60 | Extracellular | Disease-causing (★) |
| GJA1 K134N | 134 | Cytoplasmic | Disease-causing (★) |
| GJA1 T154N | 154 | Cytoplasmic | Disease-causing (★) |
| GJA1 L11P | 11 | Cytoplasmic | Disease-causing |
| GJA1 L11F | 11 | Cytoplasmic | Disease-causing |
| GJA1 R76H | 76 | Extracellular | Disease-causing |
| GJA1 S18P | 18 | Cytoplasmic | Disease-causing |
| GJA1 S201Y | 201 | Extracellular | Disease-causing |
| GJA1 Y17S | 17 | Cytoplasmic | Disease-causing |
| GJA1 H194P | 194 | Extracellular | Disease-causing |
| GJA1 K206R | 206 | Extracellular | Disease-causing |
Uncertain variants in Oculodentodigital dysplasia that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| GJA1 Y66C | 66 | Extracellular | Uncertain (★) | +7: 2 other pathogenic changes within 3 positions; Y66H at the same position is pathogenic; seen in 6.8e-07 of gnomAD DNA copies; REVEL 0.994 |
| GJA1 N63K | 63 | Extracellular | Uncertain (★) | +6: 3 other pathogenic changes within 3 positions; N63D at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.99 |
| GJA1 G138V | 138 | Cytoplasmic | Uncertain (★) | +6: 3 other pathogenic changes within 3 positions; G138S at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.94 |
Diseases related to Oculodentodigital dysplasia
- Hypoplastic left heart syndrome, also linked to GJA1
- Familial atrioventricular septal defect, also linked to GJA1
- Syndactyly type 3, also linked to GJA1
- Autosomal dominant palmoplantar keratoderma and congenital alopecia, also linked to GJA1
Frequently asked questions
Which genes are linked to Oculodentodigital dysplasia?
In CATVariant, Oculodentodigital dysplasia is linked to 1 analyzed protein: GJA1 (Gap junction alpha-1 protein).
How many genetic variants are linked to Oculodentodigital dysplasia?
161 variants: 37 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 110 are of uncertain significance or have conflicting reports.
Which uncertain variants in Oculodentodigital dysplasia look disease-causing?
3 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example GJA1 Y66C, GJA1 N63K and GJA1 G138V. These are leads for expert review, not diagnoses.
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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