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PIGN

phosphatidylinositol glycan anchor biosynthesis class N

The PIGN gene provides instructions for an enzyme essential in the creation of glycophosphatidylinositol (GPI) anchors, which are crucial for attaching various proteins to cell surfaces. The PIGN gene encodes GPI ethanolamine phosphate transferase 1, an enzyme playing a key role in the biosynthesis of GPI anchors.

Chromosome 18q21.33 Autosomal recessive HGNC:8967 Tier C
PIGN 18q21.33 p arm q arm 18

PIGN is located on the long (q) arm of chromosome 18, at band 18q21.33. Arm ratio per GRCh38 - banding schematic.

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Clinical tests that include this

Overview

The PIGN gene, also known as phosphatidylinositol glycan anchor biosynthesis class N, is responsible for producing an enzyme called GPI ethanolamine phosphate transferase 1. This enzyme is a critical component in the multi-step process of creating glycophosphatidylinositol (GPI) anchors. GPI anchors are complex molecules that attach many different proteins to the cell surface, enabling them to perform their specific functions effectively.

What the gene does

The PIGN gene provides instructions for synthesising GPI ethanolamine phosphate transferase 1. This enzyme participates in the assembly pathway of a glycophosphatidylinositol (GPI) anchor, which is constructed within the endoplasmic reticulum. Once fully formed, a GPI anchor binds to specific proteins, known as GPI-anchored proteins. This attachment enables the GPI-anchored protein to then secure itself to the outer leaflet of the cell membrane. GPI-anchored proteins are diverse and perform a range of essential cellular functions, including mediating cell-to-cell adhesion, transmitting signals into cells, and contributing to cellular immunity against foreign substances.

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Chromosome location

The PIGN gene is situated on chromosome 18. Its specific location is at band 18q21.33. This gene codes for a protein that is 931 amino acids in length.

Protein structure

The PIGN gene encodes a protein that is 931 amino acids long. Domain architecture has not been experimentally characterised in detail for this protein.

Key variants

Variants within the PIGN gene can alter the function of the GPI ethanolamine phosphate transferase 1 enzyme, thereby disrupting the formation or function of GPI anchors. These genetic changes can range from single nucleotide changes to larger deletions or insertions, and their impact on protein function can vary.

The table below shows the top 10 pathogenic or likely-pathogenic variants currently classified in ClinVar for PIGN.
View all on ClinVar →

Sample of pathogenic variants

10 pathogenic / likely-pathogenic variants from ClinVar, ranked by review status (expert-panel-reviewed first). This is a sample; recurrent founder variants in a specific population may not appear here - see the full ClinVar listing via the link above.

Variant (HGVS) Protein change Classification Evidence Associated condition
c.2125C>T
single nucleotide variant
p.Arg709Ter Pathogenic/Likely pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.2329C>T
single nucleotide variant
p.Arg777Ter Pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.2399G>A
single nucleotide variant
p.Gly800Glu Pathogenic/Likely pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.465T>A
single nucleotide variant
p.Tyr155Ter Pathogenic/Likely pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.601_602insT
Insertion
p.Glu201fs Pathogenic/Likely pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.629T>G
single nucleotide variant
p.Leu210Ter Pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.718G>T
single nucleotide variant
p.Glu240Ter Pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.817dup
Duplication
p.Ala273fs Pathogenic/Likely pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.858G>A
single nucleotide variant
p.Trp286Ter Pathogenic/Likely pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1
c.895C>T
single nucleotide variant
p.Gln299Ter Pathogenic ★★☆☆ Multiple congenital anomalies-hypotonia-seizures syndrome 1

Evidence stars indicate ClinVar review status. Individual variant interpretation should always be performed by a qualified clinical laboratory - many variants remain classified as Variants of Uncertain Significance (VUS) pending more research.

Associated conditions

Pathogenic variants in the PIGN gene are associated with several inherited conditions, primarily affecting development across multiple body systems. These include Fryns syndrome, characterised by a range of developmental abnormalities often including a defect in the diaphragm. PIGN variants can also cause multiple congenital anomalies-hypotonia-seizures syndrome 1 (MCAHS1), which shares some features with Fryns syndrome but typically does not involve a congenital diaphragmatic hernia.

No disease links recorded for this gene in our reference set.

Inheritance pattern

Conditions caused by pathogenic PIGN variants typically follow autosomal recessive inheritance.

Carrier parent 1 altered copy Carrier parent 1 altered copy Affected Carrier Carrier Unaffected Affected Carrier Unaffected Circles = females · Squares = males

When both parents are carriers, each child has a 25% chance of being affected, 50% of being a carrier, and 25% of being unaffected.

Carrier frequency by population How common is heterozygous PIGN carrier status across ancestry groups?

UK clinical status

The PIGN gene is included on several panels within the NHS Genomic Medicine Service's PanelApp, indicating its clinical relevance in the UK. It is a 'green' gene for conditions such as Clefting, Congenital disorders of glycosylation, DDG2P, Early onset or syndromic epilepsy, Foetal anomalies (specifically within R21), Intellectual disability, Likely inborn error of metabolism (R98), and Undiagnosed metabolic disorders.

Frequently asked questions

What is the main role of the PIGN gene?

The PIGN gene provides instructions for creating an enzyme called GPI ethanolamine phosphate transferase 1, which is crucial for assembling glycophosphatidylinositol (GPI) anchors. These anchors are vital for attaching many proteins to the cell surface, enabling them to perform functions like cell adhesion and signalling.

What conditions are associated with PIGN gene variants?

Variants in the PIGN gene are primarily associated with Fryns syndrome, a condition affecting the development of multiple body parts, often including a defect in the diaphragm. They can also cause multiple congenital anomalies-hypotonia-seizures syndrome 1 (MCAHS1), which presents with similar features but typically without a diaphragmatic hernia.

How does a GPI anchor work?

A GPI anchor is a molecule that acts like a tether, attaching specific proteins to the outer surface of a cell's membrane. This ensures the proteins are correctly positioned and available to carry out their various functions, such as helping cells interact or relaying signals.

References

  1. Adam MP, Bick S, Mirzaa GM. Fryns Syndrome. 1993. PMID: 20301632
Educational content. This page is not medical or genetic advice, is not individually reviewed by a clinician for each reader, and should not replace a consultation with a qualified healthcare professional or genetic counsellor. If you are considering genetic testing or acting on a test result, book a consultation.
Data sources Last updated 13 September 2026. Content compiled from HGNC · MedlinePlus Genetics · ClinGen · Genomics England PanelApp · NHS National Genomic Test Directory · ClinVar · UniProt · AlphaFold .