Gene
ATRX
ATRX chromatin remodeler
- HGNC 886↗(opens in a new tab)
- Ensembl gene ENSG00000085224↗(opens in a new tab)
- NCBI Gene 546↗(opens in a new tab)
Summary
- Cytogenetic location
- Xq21.1
- Coordinates
- Chromosome X: 77,504,880–77,786,216 (GRCh38)
- Exons
- 35 exons across 281.3 kb
- Protein
- 2,492 amino acids
- Also known as
- XH2, XNP
- Previous symbols
- RAD54, JMS, MRX52
- MANE Select transcript
- ENST00000373344.11NM_000489.6
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Get my Genome TestCurated reports relevant to this gene
46,XY Differences of Sex Development and Gonadal Dysgenesis
- 46,XY differences of sex development
Conditions in people with XY chromosomes in which gonadal or genital development is atypical, caused by variants in genes such as SRD5A2, HSD17B3, NR5A1, MAP3K1, DHH, WT1, CYP11A1 and LHCGR.
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Diagnosis informs hormone treatment, fertility counselling and, where dysgenetic gonads carry Y material, assessment of gonadal tumour risk.
Broader groupings
Intellectual Disability
One of 233 genes linked to it
- ClinGen rates the link definitive
- 6 GenCC submitters rate it definitive or strong
How ATRX is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 11.2 kb of the gene's 281.3 kb; 7,479 of those bases code for the protein.
How a genome test reads ATRX
85
positions in ATRX where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 281.3 kb of ATRX, introns included, not only the 11.2 kb of exons.
Genes linked to the same conditions
- ACSL4acyl-CoA synthetase long chain family member 4Shares 1 condition
- ADKadenosine kinaseShares 1 condition
- ADNPactivity dependent neuroprotector homeoboxShares 1 condition
- AFF2ALF transcription elongation factor 2Shares 1 condition
- AHDC1AT-hook DNA binding motif containing 1Shares 1 condition
- ALKBH8alkB homolog 8, tRNA methyltransferaseShares 1 condition
- ANK3ankyrin 3Shares 1 condition
- ANKRD11ankyrin repeat domain 11Shares 1 condition
- AP1S2adaptor related protein complex 1 subunit sigma 2Shares 1 condition
- AP2M1adaptor related protein complex 2 subunit mu 1Shares 1 condition
- ARandrogen receptorShares 1 condition
- ARHGEF9Cdc42 guanine nucleotide exchange factor 9Shares 1 condition
Traits linked to ATRX
The Human Phenotype Ontology lists these as features of the rare conditions ATRX can cause. Each trait's page lists the other genes linked to it.
Abnormality of head or neck
- Big lower jaw
- Depressed nasal bridge
- Eye folds
- Full lips
- Gap between teeth
- Midface retrusion
- Nasal tip, upturned
- Abnormal fontanelle morphology
Show 35 more traits
- Abnormality of the face
- Abnormally small head
- Flat face
- Abnormally large tongue
- Carp-like mouth
- Corners of eye widely separated
- Dark color of gums
- Drooling
- Drooping lower lip
- Flat nose
- Full lower lip
- Moon face
- Tented mouth
- Abnormal dentition
- Big sella turcica
- Sparse scalp hair
- Absent frontal sinuses
- Central incisor gap
- Coarse facial features
- High palate
- Hypoplastic philtrum
- Little lower jaw
- Long, narrow head
- Narrow forehead
- Open mouth
- Protruding tongue
- Short neck
- Short nose
- Short upper lip
- Thin red part of the upper lip
- Triangular nasal tip
- Upward slanting of the opening between the eyelids
- Wide mouth
- Wide nasal bridge
- Zygomatic flattening
Abnormality of the nervous system
- Epilepsy
- Grand mal seizures
- Intellectual disability
- Repetitive movements
- Behavioral abnormality
- Difficulty finding words
- Profound global developmental delay
- Autism
Show 22 more traits
- Can't control feelings
- Difficulty sleeping
- Motor delay
- Abnormality of movement
- Agenesis of corpus callosum
- Decrease in size of the outer layer of the brain due to loss of brain cells
- Depression
- Headache
- Memory impairment
- Psychotic episodes
- Self-injurious behavior
- Suicidal ideation
- Dementia
- Panic attack
- Paranoia
- Psychosis
- Degeneration of cerebrum
- Global developmental delay
- Increased reflexes
- Intellectual disability, severe
- More active than typical
- Paroxysmal bursts of laughter
Abnormality of blood and blood-forming tissues
- HbH hemoglobin
- Low blood neutrophil count
- Low platelet count
- Microcytic anemia
- Abnormal hemoglobin
- Bleeding tendency
- Bruising susceptibility
- Decreased blood lymphocyte number
Show 13 more traits
- Decreased total eosinophil count
- Elevated white blood count
- Iron deficiency anemia
- Acute blood cancer
- Black feces
- Blood spots
- Ecchymosis
- Low number of red blood cells or hemoglobin
- Myelodysplasia
- Vomiting blood
- Abnormality of blood and blood-forming tissues
- Hypochromic microcytic anemia
- Reduced alpha/beta synthesis ratio
Abnormality of the endocrine system
- Carcinoid tumor
- Increased circulating cortisol level
- Paradoxical increased cortisol secretion on dexamethasone suppression test
- Pituitary corticotropic cell adenoma
- Enlarged adrenal glands
- Increased circulating ACTH level
- Atypical pulmonary carcinoid tumor
- Increased serum serotonin
Show 2 more traits
Abnormality of the integument
- Buffalo hump
- Excessive hairiness
- Patchy darkened skin
- Plethora
- Poor wound healing
- Stretch marks
- Thin skin
- Dermatological manifestations of systemic disorders
Show 2 more traits
Abnormality of the eye
- Wide-set eyes
- Visual impairment
- Blindness
- Close sighted
- Optic atrophy
- Optic nerve compression
- Partial loss of field of vision
- Drooping upper eyelid
Show 1 more trait
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). ATRX gene: ATRX chromatin remodeler. Retrieved 17 October 2026, from https://dantelabs.com/genes/atrx
Dante Labs. ATRX gene: ATRX chromatin remodeler [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/atrx
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