Locus HPE5 ZIC2

Disease ID
HPE5
Gene ID
ZIC2
Updated
Jun 15, 2026
v2.22.0
Other gene loci
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Disease

Name Holoprosencephaly-5
Inheritance
Description
Holoprosencephaly associated with mutations in the ZIC2 gene .
Prevalence
1.4 1,000,000
0.05-0.23/100,000; math done by 40% of pathogenic variants in ZIC2 are expansion ; 5% of non-syndromic HPE are ZIC2 gene , and nonsyndromic HPE is 25-50% of HPE, which affects 1/10,000 newborns - ZIC2 is 9.2% of HPE cases, which occur in 1/16,000 live births . Holoprosencephaly has worldwide distribution , but STR-specific distribution is unknown.
Age of Onset Age of Onset(Typical)Years0  00  0
0
HPO Terms
Association
Mendelian

Locus

Details
The benign allele of 15 repeats expands to 25 repeats to cause disease , although the expansion can potentially present with a mild phenotype
Mechanism
LoF
Polyalanine expansion interfering with DNA binding and transcriptional activation, .
Detection
Year
2001
Location in Gene
Coding Exon 3
Gene Strand

Alleles

Ref. Motif
GCN
Ranges BenignIntermediatePathogenicUnits15  150  025  25
Benign (ref.)
Benign (gene)
Pathogenic (ref.)
GCN
Pathogenic (gene)
CNG
Unknown (ref.)
Unknown (gene)
Interruption (ref.)
Interruption (gene)

gnomAD

Pathogenic genotype frequency data is not displayed for this locus because a substantial number of large alleles failed manual review by the gnomAD team.

References

Direct supporting references for info on this page.

1
Ontology Lookup Service (OLS)
mondo:0012322
2
Holoprosencephaly Overview
Cedrik,Tekendo-Ngongang, Maximilian,Muenke, Paul,Kruszka
GeneReviews® · 1993-01-01
genereviews:NBK1530
3
Nonsyndromic holoprosencephaly: MedlinePlus Genetics
url:medlineplus.gov/genetics/condition/nonsyndromic-holoprosencephaly/
4
Holoprosencephaly.
Christèle,Dubourg, Claude,Bendavid, Laurent,Pasquier, Catherine,Henry, Sylvie,Odent, Véronique,David
Orphanet journal of rare diseases · 2007-02-02
pmid:17274816
5
Vérification de la connexion...
orphanet:2162
6
POLYALANINE TRACT DISORDERS AND NEUROCOGNITIVE PHENOTYPES
Cheryl,Shoubridge, Jozef,Gecz
Madame Curie Bioscience Database [Internet] · 2013-01-01
genereviews:NBK51932
7
P703: Pathogenic ZIC2 polyalanine expansion detected by exome sequencing in a family with multi-generation holoprosencephaly
Nichole,Owen, Liesbeth,Vossaert, Lorraine,Potocki, Elizabeth,Mizerik
Genetics in Medicine Open · 2024-01-01
doi:10.1016/j.gimo.2024.101607
8
The full spectrum of holoprosencephaly-associated mutations within the ZIC2 gene in humans predicts loss-of-function as the predominant disease mechanism.
Erich,Roessler, Felicitas,Lacbawan, Christèle,Dubourg, Aimee,Paulussen, Jos,Herbergs, Ute,Hehr, Claude,Bendavid, Nan,Zhou, Maia,Ouspenskaia, Sherri,Bale, Sylvie,Odent, Vèronique,David, Maximilian,Muenke
Human mutation · 2009-04-01
pmid:19177455
9
In vitro analysis of partial loss-of-function ZIC2 mutations in holoprosencephaly: alanine tract expansion modulates DNA binding and transactivation.
Lucia,Brown, Melinda,Paraso, Ruth,Arkell, Stephen,Brown
Human molecular genetics · 2004-12-08
pmid:15590697
10
Holoprosencephaly due to mutations in ZIC2: alanine tract expansion mutations may be caused by parental somatic recombination.
L Y,Brown, S,Odent, V,David, M,Blayau, C,Dubourg, C,Apacik, M A,Delgado, B D,Hall, J F,Reynolds, A,Sommer, D,Wieczorek, S A,Brown, M,Muenke
Human molecular genetics · 2001-04-01
pmid:11285244

Additional Literature

Additional literature related to this locus.

Raw PubMed search results
(All PubMed results returned by searching for this gene, tandem repeats, and disease, in medline format)

Identification of a novel non-coding deletion in Allan-Herndon-Dudley syndrome by long-read HiFi genome sequencing.
Jihoon G,Yoon, Seungbok,Lee, Soojin,Park, Se Song,Jang, Jaeso,Cho, Man Jin,Kim, Soo Yeon,Kim, Woo Joong,Kim, Jin Sook,Lee, Jong-Hee,Chae
BMC medical genomics · 2025-03-03
pmid:40033291