Gene
GCK
glucokinase
- HGNC 4195↗(opens in a new tab)
- Ensembl gene ENSG00000106633↗(opens in a new tab)
- NCBI Gene 2645↗(opens in a new tab)
Summary
- Cytogenetic location
- 7p13
- Coordinates
- Chromosome 7: 44,144,275–44,189,439 (GRCh38)
- Exons
- 10 exons across 45.2 kb
- Protein
- 465 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- HK4, HKIV
- Previous symbols
- MODY2
- MANE Select transcript
- ENST00000403799.8NM_000162.5
- 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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Diabetes Mellitus
A metabolic disorder characterized by abnormally high blood sugar levels due to diminished production of insulin or insulin resistance/desensitization.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
What knowing changes
Teplizumab (Tzield) for stage 2 presymptomatic T1D (FDA approved 2022); insulin replacement at clinical T1D onset; TrialNet autoantibody screening for high-risk relatives; closed-loop insulin delivery systems
Hyperinsulinism
- Islet Cell AdenomatosisAutosomal dominant
A sporadic or inherited disorder characterized by the focal or diffuse proliferation of the cells of the islets of Langerhans in the pancreas. It results in hyperinsulinemia and hypoglycemia.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
Abnormally high levels of insulin in the blood.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
Maturity-Onset Diabetes Of The Young
- Autosomal dominant
MODY (maturity-onset diabetes of the young) is a rare, familial, clinically and genetically heterogeneous form of diabetes characterized by young age of onset (generally 10-45 years of age) with maintenance of endogenous insulin production, lack of pancreatic beta-cell autoimmunity, absence of obesity and insulin resistance and extra-pancreatic manifestations in some subtypes.
- 4 GenCC submitters rate it definitive or strong
What knowing changes
GCK-MODY: no treatment needed; HNF1A/HNF4A-MODY: low-dose sulfonylureas; HNF1B-MODY: insulin + renal monitoring; T2D polygenic: lifestyle modification, metformin, GLP-1 agonists, SGLT2 inhibitors based on comorbidity profile
Neonatal Diabetes Mellitus
Diabetes diagnosed in the first months of life, either permanent or transient, caused by single-gene defects in insulin production or secretion.
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Most people with KCNJ11 or ABCC8 neonatal diabetes can switch from insulin injections to sulfonylurea tablets, often with better glucose control.
Inheritance
- Autosomal dominant
- One changed copy, from either parent, is enough. A parent who has one passes it on to each child with a one-in-two chance.
How GCK is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
- Variants with a page
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 2.7 kb of the gene's 45.2 kb; 1,398 of those bases code for the protein.
How a genome test reads GCK
439
positions in GCK 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 45.2 kb of GCK, introns included, not only the 2.7 kb of exons.
Variants with a page (385)
The GCK variants with a page here, most review stars first. Each page describes ClinVar's public record of the variant, never a result.
| Variant | HGVS c. | Exon or intron | Position (GRCh38) | ClinVar classification | Review status |
|---|---|---|---|---|---|
| A53V | c.158C>T | Exon 2 | 44,153,351 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A188T | c.562G>A | Exon 5 | 44,149,986 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A201S | c.601G>T | Exon 6 | 44,149,838 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A208P | c.622G>C | Exon 6 | 44,149,817 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A208T | c.622G>A | Exon 6 | 44,149,817 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A208V | c.623C>T | Exon 6 | 44,149,816 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A259S | c.775G>T | Exon 7 | 44,147,738 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A259T | c.775G>A | Exon 7 | 44,147,738 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A259V | c.776C>T | Exon 7 | 44,147,737 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A378Cfs*80 | c.1132_1133del | Exon 9 | 44,145,616 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
Genes linked to the same conditions
- KCNJ11potassium inwardly rectifying channel subfamily J member 11Shares 5 conditions
- ABCC8ATP binding cassette subfamily C member 8Shares 4 conditions
- HNF1BHNF1 homeobox BShares 3 conditions
- INSinsulinShares 3 conditions
- NEUROD1neuronal differentiation 1Shares 3 conditions
- PDX1pancreatic and duodenal homeobox 1Shares 3 conditions
- APPL1adaptor protein, phosphotyrosine interacting with PH domain and leucine zipper 1Shares 2 conditions
- BSCL2BSCL2 lipid droplet biogenesis associated, seipinShares 2 conditions
- CELcarboxyl ester lipaseShares 2 conditions
- EIF2B1eukaryotic translation initiation factor 2B subunit alphaShares 2 conditions
- GATA4GATA binding protein 4Shares 2 conditions
- GATA6GATA binding protein 6Shares 2 conditions
Traits linked to GCK
The Human Phenotype Ontology lists these as features of the rare conditions GCK can cause. Each trait's page lists the other genes linked to it.
Laboratory abnormality
- Hyperinsulinemic hypoglycemia
- Maturity-onset diabetes of the young
- Type 1 diabetes
- Abnormal circulating C-peptide concentration
- Dehydration
- Glucose in urine
- High blood insulin levels while fasting
- High blood sugar
Show 16 more traits
- Hypoketotic hypoglycemia
- Neonatal insulin-dependent diabetes mellitus
- Recurrent low blood sugar levels
- Abnormal oral glucose tolerance
- Glucose intolerance
- High urine albumin levels
- Hypoglycemic seizures
- Ketonuria
- Diabetes mellitus
- Insulin resistant diabetes
- Low blood sugar in newborn
- Noninsulin-dependent diabetes
- Transient neonatal diabetes mellitus
- Body fails to respond to insulin
- Decreased circulating C-peptide concentration
- Diabetic ketoacidosis
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.). GCK gene: glucokinase. Retrieved 17 October 2026, from https://dantelabs.com/genes/gck
Dante Labs. GCK gene: glucokinase [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/gck
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