ADNP (Q9H2P0) variants and mutations
ADNP (also known as Q9H2P0) is a human protein-coding gene encoding an activity-dependent neuroprotector homeobox protein. It regulates chromatin, transcription, and neuronal development through interactions with multiple nuclear and cytoskeletal partners. Heterozygous loss-of-function variants cause Helsmoortel-Van der Aa syndrome, a neurodevelopmental disorder commonly involving intellectual disability, autism-related features, and characteristic facial findings. This analysis covers 1,775 ADNP variants and mutations. Of these, 68% have computational variant effect predictions. Disease context includes ADNP-related multiple congenital anomalies - intellectual disability - autism sp, ADNP-related multiple congenital anomalies-intellectual disability-autism spectr, and hereditary disease. Example ADNP variants include M1V, Q3*, and L4*.
Variant analysis overview
- Gene: ADNP
- Protein: Q9H2P0
- UniProt accession: Q9H2P0
- Organism: Homo sapiens
- Variants analyzed: 1775
- Variant scope: all variants
- Completed: 2026-08-19
Variant and mutation evidence
- Variant composition: 1,340 unspecified-consequence records; 2 stop retained variant; 1 stop lost; 209 missense variants; 160 synonymous variants; 25 in-frame deletions; 29 frameshift variants; 5 stop-gained variants; 2 in-frame insertions; 1 protein altering variant; 1 substitution
- Prediction scores: 1,205 variants have prediction scores (68% of the analyzed set).
Clinical, disease, and population context
- Disease context: 25 disease associations are represented. Top associations: ADNP-related multiple congenital anomalies - intellectual disability - autism sp, ADNP-related multiple congenital anomalies-intellectual disability-autism spectr, hereditary disease, Intellectual disability, neurodegenerative disease, prostate carcinoma, Global developmental delay, neurodevelopmental disorder, Seizure, autism spectrum disorder, smoking initiation, autism.
Protein structure and variant hotspots
- Protein features: 19 post-translational modification sites.
- PTM context: 42 variants overlap post-translational modification sites.
- Experimental data: 41 protein positions have experimental scores. Source: ADNP Homeobox domain domainome 1.0.
Data sources
Evidence in this analysis draws on EBI Proteins Variation, UniProt, gnomAD v4, EuropePMC, 3D Hotspot Analysis, Interaction Network Analysis, AlphaFold DB, gnomAD constraint, Open Targets, ClinGen, MaveDB, LitVar.
Notable ADNP variants
Examples include M1V, Q3*, L4*, P5H, P5S, V6D, N7S, N8D. Listed records include available protein-change notation, database identifiers, clinical classifications, computational predictions, population evidence, experimental measurements, and disease context.
- M1V (p.Met1Val), rs2515621772, ClinGen CA408982673, ClinVar RCV003041388, Pathogenic, not provided
- Q3* (p.Gln3Ter), rs2515621745, ClinGen CA408982648, ClinVar RCV003694801, Pathogenic
- L4* (p.Leu4Ter), cosmic curated COSV10082
- P5H (p.Pro5His), rs2122841043, ClinGen CA408982626, ClinVar RCV002275432, Ensembl rs2122841043, Uncertain significance, not provided
- P5S (p.Pro5Ser), NCI-TCGA TCGA novel, Variant assessed as somatic; high impact.
- V6D (p.Val6Asp), cosmic curated COSV10649
- N7S (p.Asn7Ser), gnomAD rs1982232826, CADD 24.00
- N8D (p.Asn8Asp), NCI-TCGA TCGA novel, CADD 27.10, PolyPhen-2 0.98, Variant assessed as somatic; moderate impact.
- L9I (p.Leu9Ile), gnomAD rs1470830305, CADD 23.30, PolyPhen-2 0.17
- G10C (p.Gly10Cys), gnomAD rs1982231582, CADD 25.10, PolyPhen-2 0.94
- S11N (p.Ser11Asn), Ensembl rs1228251546
- L12* (p.Leu12Ter), rs2515621585, ClinGen CA408982509, ClinVar RCV002824853, Pathogenic
- L12S (p.Leu12Ser), cosmic curated COSV62426
- A15V (p.Ala15Val), gnomAD rs1175242224, CADD 24.70, PolyPhen-2 0.99
- R16Q (p.Arg16Gln), cosmic curated COSV99050, CADD 28.20, PolyPhen-2 0.99
- I22K (p.Ile22Lys), cosmic curated COSV10082
- L23I (p.Leu23Ile), cosmic curated COSV10082
- S24* (p.Ser24Ter), rs2122840680, ClinGen CA2573054885, ClinVar RCV001822110, Pathogenic
- I26M (p.Ile26Met), ExAC rs780378714, gnomAD rs780378714, CADD 25.30, PolyPhen-2 0.99
- G27E (p.Gly27Glu), Ensembl rs2122840514
- E29K (p.Glu29Lys), TOPMed rs1331613380
- Y30* (p.Tyr30Ter), Ensembl rs1982226508
- C31Y (p.Cys31Tyr), ExAC rs772625604, Uncertain significance, not provided
- K32E (p.Lys32Glu), rs2515621268, ClinGen CA408982192, ClinVar RCV003547133, Likely benign, not provided
- E33* (p.Glu33Ter), NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, Variant assessed as somatic; high impact.
- E33G (p.Glu33Gly), rs1982225871, ClinGen CA408982173, ClinVar RCV004378056, TOPMed rs1982225871, CADD 29.00, PolyPhen-2 0.68, Uncertain significance, Inborn genetic diseases
- H34N (p.His34Asn), NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, Variant assessed as somatic; moderate impact.
- I35T (p.Ile35Thr), rs779223805, ClinGen CA9908959, ClinVar RCV003719745, ExAC rs779223805, CADD 23.80, PolyPhen-2 0.05, Uncertain significance, not provided
- I35V (p.Ile35Val), rs372633654, ClinGen CA9908960, ClinVar RCV002958000, ClinVar RCV003340569, CADD 20.20, PolyPhen-2 0.00, Conflicting interpretations, not provided; Inborn genetic diseases; ADNP-related multiple congenital anomalie
- K39* (p.Lys39Ter), cosmic curated COSV62426
- Q40P (p.Gln40Pro), cosmic curated COSV10082, ExAC rs779504010, TOPMed rs779504010, gnomAD rs779504010, CADD 24.10, PolyPhen-2 0.53
- Q40R (p.Gln40Arg), ExAC rs779504010, TOPMed rs779504010, gnomAD rs779504010, CADD 22.70, PolyPhen-2 0.35, Uncertain significance, not provided
- F41L (p.Phe41Leu), rs2122826673, ClinGen CA408981663, ClinVar RCV001767553, Ensembl rs2122826673, CADD 28.50, PolyPhen-2 0.96, Uncertain significance, not provided
- E42* (p.Glu42Ter), rs2122826639, ClinGen CA408981655, ClinVar RCV002274305, Ensembl rs2122826639, Likely pathogenic
- P43S (p.Pro43Ser), cosmic curated COSV10967
- D45Y (p.Asp45Tyr), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- Y47H (p.Tyr47His), TOPMed rs1982041539
- L48F (p.Leu48Phe), cosmic curated COSV62425
- K49N (p.Lys49Asn), rs1271741809, ClinGen CA408981557, ClinVar RCV002397098, ClinVar RCV005097541, Uncertain significance, not specified; not provided; Inborn genetic diseases
- N50K (p.Asn50Lys), rs771310564, ClinGen CA408981543, ClinVar RCV002306394, Uncertain significance, not provided
- T51N (p.Thr51Asn), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- T51S (p.Thr51Ser), cosmic curated COSV62427
- T52A (p.Thr52Ala), rs997944825, ClinGen CA315264421, ClinVar RCV003690649, TOPMed rs997944825, CADD 22.10, PolyPhen-2 0.04, Uncertain significance, not provided
- T52I (p.Thr52Ile), cosmic curated COSV62424
- W53* (p.Trp53Ter), cosmic curated COSV62425
- W53S (p.Trp53Ser), ESP rs141983216, ExAC rs141983216, TOPMed rs141983216, gnomAD rs141983216, CADD 27.10, PolyPhen-2 0.83
- E54K (p.Glu54Lys), NCI-TCGA Cosmic COSV6242, cosmic curated COSV62425, Variant assessed as somatic; moderate impact.
- V56G (p.Val56Gly), rs2515616123, ClinGen CA408981489, ClinVar RCV003573818, Uncertain significance, not provided
- V56I (p.Val56Ile), rs191245137, gnomAD 20-50889945-C-T, CADD 6.91
- G57* (p.Gly57Ter), cosmic curated COSV62424
- p.Gly100 Leu103delinsVal, gnomAD 20-50889851-AAAGC, CADD 13.20
- G57G (p.Gly57Gly), gnomAD 20-50889859-T-A, CADD 12.10
- G57E (p.Gly57Glu), gnomAD 20-50889860-C-T, CADD 8.08
- G57R (p.Gly57Arg), gnomAD 20-50889861-C-G, CADD 7.17
- G57D (p.Gly57Asp), gnomAD 20-50889878-C-T, CADD 10.40
- G57V (p.Gly57Val), rs150159497, gnomAD 20-50889923-C-A, CADD 7.96
- L58P (p.Leu58Pro), Ensembl rs1982038125, CADD 3.44
- W59* (p.Trp59Ter), cosmic curated COSV10743
- D60N (p.Asp60Asn), cosmic curated COSV10082, TOPMed rs1488367897, gnomAD rs1488367897, CADD 26.00, PolyPhen-2 0.83
- D60Y (p.Asp60Tyr), TOPMed rs1488367897, gnomAD rs1488367897
- S62* (p.Ser62Ter), NCI-TCGA TCGA novel, Variant assessed as somatic; high impact.
- S62L (p.Ser62Leu), rs2515616031, ClinGen CA408981429, ClinVar RCV003225782, Uncertain significance, ADNP-related multiple congenital anomalies - intellectual disability - autism sp
- L63L (p.Leu63Leu), gnomAD 20-50889931-A-G, CADD 5.17
- L63R (p.Leu63Arg), gnomAD 20-50889932-A-C, CADD 6.26
- L63P (p.Leu63Pro), gnomAD 20-50889932-A-G, CADD 6.16
- T64M (p.Thr64Met), rs752399004, ClinGen CA9908934, cosmic curated COSV62424, ClinVar RCV001557910, CADD 25.60, PolyPhen-2 0.96, Benign/Likely benign, Inborn genetic diseases; not provided
- T64R (p.Thr64Arg), NCI-TCGA Cosmic COSV6242, CADD 24.30, PolyPhen-2 0.96, Variant assessed as somatic; moderate impact.
- N66S (p.Asn66Ser), rs1255162432, ClinGen CA408981397, ClinVar RCV001817461, TOPMed rs1255162432, CADD 18.30, PolyPhen-2 0.02, Uncertain significance, not specified
- N66N (p.Asn66Asn), rs1980483341, gnomAD 20-50889946-G-A, CADD 6.27
- N66T (p.Asn66Thr), gnomAD 20-50889946-GT-G, CADD 0.64
- N66V (p.Asn66Val), rs1980484052, gnomAD 20-50889948-T-TTA, CADD 1.35
- Q67H (p.Gln67His), rs1555812161, ClinGen CA408981383, ClinVar RCV000622881, ClinVar RCV001265428, Likely pathogenic, Inborn genetic diseases
- Q67R (p.Gln67Arg), gnomAD 20-50889908-T-C, CADD 7.28
- Q67K (p.Gln67Lys), gnomAD 20-50889909-G-T, CADD 2.78
- Q67* (p.Gln67Ter), gnomAD 20-50889909-G-A, CADD 2.39
- D68E (p.Asp68Glu), rs2515593090, ClinGen CA408979946, ClinVar RCV002462419, CADD 22.70, PolyPhen-2 0.98, Uncertain significance, not provided
- D68G (p.Asp68Gly), cosmic curated COSV62425
- D68H (p.Asp68His), TOPMed rs1156714622, gnomAD rs1156714622
- D68N (p.Asp68Asn), TOPMed rs1156714622, gnomAD rs1156714622, CADD 30.00, PolyPhen-2 0.99
- R70Q (p.Arg70Gln), ExAC rs749754079, gnomAD rs749754079, CADD 28.60, PolyPhen-2 0.98
- R70W (p.Arg70Trp), rs2122765532, ClinGen CA408979935, cosmic curated COSV62426, ClinVar RCV001531967, Uncertain significance, not provided
- R70H (p.Arg70His), rs770876855, gnomAD 20-50889941-C-T, CADD 2.02
- R70C (p.Arg70Cys), rs1980482759, gnomAD 20-50889942-G-A, CADD 1.84
- T71A (p.Thr71Ala), gnomAD rs1386764011, CADD 23.60, PolyPhen-2 0.10
- T81del (p.Thr81del), gnomAD 20-50889916-AGTT-, CADD 4.06
- T71K (p.Thr71Lys), gnomAD 20-50889920-G-T, CADD 7.27
- T71T (p.Thr71Thr), rs548093313, gnomAD 20-50889928-C-T, CADD 1.01
- T71N (p.Thr71Asn), rs1404701748, gnomAD 20-50889929-G-GT, CADD 1.29
- T71M (p.Thr71Met), rs566404407, gnomAD 20-50889929-G-A, CADD 0.09
- K72N (p.Lys72Asn), gnomAD 20-50889952-C-A, CADD 3.07
- P73A (p.Pro73Ala), gnomAD rs1219215759, CADD 23.40
- P73S (p.Pro73Ser), NCI-TCGA Cosmic COSV6242, cosmic curated COSV62425, CADD 23.90, PolyPhen-2 0.18, Variant assessed as somatic; moderate impact.
- F74L (p.Phe74Leu), TOPMed rs1158820341, gnomAD rs1158820341, CADD 23.30, PolyPhen-2 0.94
- C75F (p.Cys75Phe), cosmic curated COSV10466
- C76F (p.Cys76Phe), Ensembl rs867583860
- S77N (p.Ser77Asn), gnomAD rs1981180832, CADD 24.30
- S77R (p.Ser77Arg), cosmic curated COSV10442
- A78T (p.Ala78Thr), rs2122765289, ClinGen CA408979881, ClinVar RCV002246945, Ensembl rs2122765289, CADD 22.10, PolyPhen-2 0.11, Uncertain significance, not specified
- A78V (p.Ala78Val), ExAC rs769438690, gnomAD rs769438690, CADD 22.40, PolyPhen-2 0.11
- P80L (p.Pro80Leu), cosmic curated COSV10466, CADD 22.70, PolyPhen-2 0.00
- P80S (p.Pro80Ser), rs1312314309, gnomAD 20-50889897-G-A, CADD 4.73
- S82A (p.Ser82Ala), rs1981178953, ClinGen CA408979852, ClinVar RCV002718012, Ensembl rs1981178953, Uncertain significance, Inborn genetic diseases
- K84R (p.Lys84Arg), rs2515592854, ClinGen CA408979838, ClinVar RCV002303891, Uncertain significance, not provided
- F85L (p.Phe85Leu), rs2515592845, ClinGen CA408979834, ClinVar RCV002296834, cosmic curated COSV62424, Uncertain significance, not provided
- F85S (p.Phe85Ser), NCI-TCGA TCGA novel, Variant assessed as somatic; high impact.
- S87C (p.Ser87Cys), NCI-TCGA Cosmic COSV6242, cosmic curated COSV62424, Variant assessed as somatic; moderate impact.
- A88A (p.Ala88Ala), rs1208326177, gnomAD 20-50889868-A-G, CADD 10.70
- A88V (p.Ala88Val), rs1980475361, gnomAD 20-50889869-G-A, CADD 10.60
- A88G (p.Ala88Gly), gnomAD 20-50889869-G-C, CADD 10.10
- A88D (p.Ala88Asp), gnomAD 20-50889869-G-T, CADD 9.95
- A88S (p.Ala88Ser), gnomAD 20-50889870-C-A, CADD 14.30
- A88T (p.Ala88Thr), gnomAD 20-50889870-C-T, CADD 14.70
- A88E (p.Ala88Glu), gnomAD 20-50889905-G-T, CADD 3.40
- A88P (p.Ala88Pro), rs1980478979, gnomAD 20-50889906-C-G, CADD 3.40
- K90N (p.Lys90Asn), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- K90R (p.Lys90Arg), gnomAD 20-50889856-CT-C, CADD 8.41
- K90E (p.Lys90Glu), rs552814913, gnomAD 20-50889858-T-C, CADD 10.20
- K90* (p.Lys90Ter), gnomAD 20-50889864-T-TA, CADD 8.40
- H92Y (p.His92Tyr), cosmic curated COSV99050
- H92H (p.His92His), rs997849120, gnomAD 20-50889934-G-A, CADD 1.66
- H92Q (p.His92Gln), gnomAD 20-50889934-G-T, CADD 1.43
- H92N (p.His92Asn), gnomAD 20-50889936-G-T, CADD 3.64
- R94C (p.Arg94Cys), rs1186714720, ClinGen CA408979595, NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, CADD 24.40, PolyPhen-2 0.44, Uncertain significance, not provided
- R94H (p.Arg94His), gnomAD rs1465944504, CADD 20.70, PolyPhen-2 0.28, Uncertain significance, not provided
- N95D (p.Asn95Asp), rs1981176767, ClinGen CA408979587, ClinVar RCV001200153, Ensembl rs1981176767, Uncertain significance, not provided
- N95S (p.Asn95Ser), NCI-TCGA Cosmic COSV6242, cosmic curated COSV62426, Ensembl rs1981176415, CADD 23.20, PolyPhen-2 0.97, Variant assessed as somatic; moderate impact.
- V96L (p.Val96Leu), NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, Variant assessed as somatic; moderate impact.
- V96V (p.Val96Val), rs972001143, gnomAD 20-50889910-C-T, CADD 1.65
- V96S (p.Val96Ser), gnomAD 20-50889913-TAC-T, CADD 7.30
- V96I (p.Val96Ile), rs1365256794, gnomAD 20-50889915-C-T, CADD 7.58
- H97Y (p.His97Tyr), cosmic curated COSV10649
- S98T (p.Ser98Thr), gnomAD 20-50889845-C-G, CADD 3.97
- E99D (p.Glu99Asp), gnomAD rs1359523797, CADD 23.00
- D100Y (p.Asp100Tyr), rs2122764922, ClinGen CA408979525, ClinVar RCV001732575, Ensembl rs2122764922, Uncertain significance, not provided
- E102K (p.Glu102Lys), gnomAD rs1231041828
- E102Q (p.Glu102Gln), rs1231041828, NCI-TCGA Cosmic COSV6242, cosmic curated COSV62425, gnomAD rs1231041828, Variant assessed as somatic; moderate impact.
- N103K (p.Asn103Lys), gnomAD rs1330561585, NCI-TCGA TCGA novel, Variant assessed as somatic; high impact.
- R104S (p.Arg104Ser), NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, Variant assessed as somatic; moderate impact.
- I105L (p.Ile105Leu), rs2515592671, ClinGen CA408979465, ClinVar RCV002320688, Likely benign, Inborn genetic diseases
- I105K (p.Ile105Lys), rs1268949125, gnomAD 20-50889864-TAA-T, CADD 7.89
- I105I (p.Ile105Ile), gnomAD 20-50889865-A-T, CADD 11.20
- I105V (p.Ile105Val), rs1980474881, gnomAD 20-50889867-T-C, CADD 5.68
- L106F (p.Leu106Phe), cosmic curated COSV10817, NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- p.Leu103 Lys104del, gnomAD 20-50889847-CTTCA, CADD 12.90
- L106L (p.Leu106Leu), gnomAD 20-50889850-C-T, CADD 13.00
- L106V (p.Leu106Val), gnomAD 20-50889873-G-C, CADD 13.80
- L106I (p.Leu106Ile), gnomAD 20-50889882-G-T, CADD 6.60
- L106P (p.Leu106Pro), gnomAD 20-50889893-A-G, CADD 5.46
- L106R (p.Leu106Arg), gnomAD 20-50889899-A-C, CADD 10.60
- L107P (p.Leu107Pro), gnomAD 20-50889827-A-G, CADD 3.44
- L107L (p.Leu107Leu), gnomAD 20-50889828-G-A, CADD 10.30
- L107M (p.Leu107Met), gnomAD 20-50889828-G-T, CADD 9.55
- L107V (p.Leu107Val), gnomAD 20-50889837-G-C, CADD 0.12
- N108S (p.Asn108Ser), gnomAD rs1470506532
- C109Y (p.Cys109Tyr), rs2515592600, ClinVar RCV004594815, Likely pathogenic, ADNP-related multiple congenital anomalies - intellectual disability - autism sp
- P110S (p.Pro110Ser), rs2515592592, ClinGen CA408979406, ClinVar RCV003405875, Uncertain significance, ADNP-related disorder
- Y111C (p.Tyr111Cys), cosmic curated COSV62424
- T113I (p.Thr113Ile), NCI-TCGA TCGA novel, Uncertain significance, not provided
- T113R (p.Thr113Arg), rs1980471951, gnomAD 20-50889833-G-C, CADD 0.87
- T113D (p.Thr113Asp), rs1980472177, gnomAD 20-50889835-C-CA, CADD 0.61
- N115K (p.Asn115Lys), Ensembl rs1600936325
- N115S (p.Asn115Ser), rs140023121, ClinGen CA9908903, ClinVar RCV002534933, ClinVar RCV004026890, CADD 22.60, PolyPhen-2 0.97, Conflicting interpretations, Inborn genetic diseases; not provided
- A116G (p.Ala116Gly), ExAC rs774846069, TOPMed rs774846069, gnomAD rs774846069, CADD 19.10, PolyPhen-2 0.00, Uncertain significance, not specified
- A116V (p.Ala116Val), ExAC rs774846069, TOPMed rs774846069, gnomAD rs774846069, CADD 23.80, PolyPhen-2 0.19
- p.Ala107 Thr109del, rs1415654034, gnomAD 20-50889830-CCTGT, CADD 4.42
- A116D (p.Ala116Asp), gnomAD 20-50889839-G-GTA, CADD 2.25
- A116T (p.Ala116Thr), gnomAD 20-50889840-C-T, CADD 0.90
- A116E (p.Ala116Glu), gnomAD 20-50889841-T-TCG, CADD 3.81
- D117N (p.Asp117Asn), Ensembl rs1354881480
- K119E (p.Lys119Glu), rs2122764432, ClinGen CA408978331, ClinVar RCV003332815, Ensembl rs2122764432, CADD 27.00, Uncertain significance, not provided
- K119N (p.Lys119Asn), ExAC rs763316391, gnomAD rs763316391, CADD 24.20, PolyPhen-2 0.99
- K119R (p.Lys119Arg), rs182284347, ClinGen CA9908901, cosmic curated COSV10610, ClinVar RCV001265426, CADD 23.70, PolyPhen-2 0.97, Conflicting interpretations, Inborn genetic diseases; not specified; not provided
- T120A (p.Thr120Ala), Ensembl rs2122764375, CADD 25.60
- E122G (p.Glu122Gly), NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, Variant assessed as somatic; moderate impact.
- I125V (p.Ile125Val), NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, Variant assessed as somatic; moderate impact.
- I127V (p.Ile127Val), rs374165514, ClinGen CA9908895, ClinVar RCV002584820, ClinVar RCV005552893, CADD 19.60, PolyPhen-2 0.00, Likely benign, Inborn genetic diseases; not provided
- F128L (p.Phe128Leu), cosmic curated COSV62425, Ensembl rs2122764239, CADD 27.40, PolyPhen-2 0.94
- H129N (p.His129Asn), NCI-TCGA Cosmic COSV1008, cosmic curated COSV10082, Variant assessed as somatic; moderate impact.
- A130V (p.Ala130Val), TOPMed rs1981164654
- P131A (p.Pro131Ala), rs1020146684, ClinGen CA408978162, ClinVar RCV001527634, TOPMed rs1020146684, CADD 24.90, Uncertain significance, Global developmental delay
Public ADNP analysis runs
- ADNP analysis run — ADNP (1,775 variants) — completed 2026-08-19