Gene
GJB2
gap junction protein beta 2
- HGNC 4284↗(opens in a new tab)
- Ensembl gene ENSG00000165474↗(opens in a new tab)
- NCBI Gene 2706↗(opens in a new tab)
Summary
- Cytogenetic location
- 13q12.11
- Coordinates
- Chromosome 13: 20,187,470–20,192,938 (GRCh38)
- Exons
- 2 exons across 5.5 kb
- Protein
- 226 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- CX26, NSRD1
- Previous symbols
- DFNB1, DFNA3
- MANE Select transcript
- ENST00000382848.5NM_004004.6
- 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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Hearing Loss and Deafness
- Autosomal Dominant Nonsyndromic Hearing LossAutosomal dominant
Autosomal dominant form of nonsyndromic deafness.
- 3 GenCC submitters rate it definitive or strong
- Nonsyndromic Genetic Hearing Loss
One of 97 genes linked to it
Inherited hearing loss without other medical features, including the common recessive forms caused by GJB2, OTOF, SLC26A4, STRC and many other genes, as well as dominant, X-linked and mitochondrial forms.
- ClinGen rates the link definitive
- 6 GenCC submitters rate it definitive or strong
What knowing changes
Knowing the genetic cause can guide hearing support and cochlear implant decisions, gene-therapy trial eligibility (for example OTOF) and family counselling.
Hereditary Palmoplantar Keratodermas and Pachyonychia Congenita
- Hereditary palmoplantar keratoderma
Inherited thickening of the palms and soles, including pachyonychia congenita, mal de Meleda, Nagashima-type and Bothnian keratodermas, keratitis-ichthyosis-deafness syndrome, and the CTSC-related Papillon-Lefèvre and Haim-Munk syndromes.
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Diagnosis guides foot care and pain management; for CTSC-related forms early dental treatment protects the teeth, and GJB2-related forms warrant a hearing check.
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 GJB2 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- 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 2.3 kb of the gene's 5.5 kb; 681 of those bases code for the protein.
How a genome test reads GJB2
163
positions in GJB2 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 5.5 kb of GJB2, introns included, not only the 2.3 kb of exons.
Variants with a page (22)
The GJB2 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 |
|---|---|---|---|---|---|
| c.-22-2A>C | Intron 1 | 20,189,605 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.1A>G | Exon 2 | 20,189,581 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.1A>T | Exon 2 | 20,189,581 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.2T>C | Exon 2 | 20,189,580 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.2T>G | Exon 2 | 20,189,580 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.3G>A | Exon 2 | 20,189,579 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| E47K | c.139G>A | Exon 2 | 20,189,443 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| G12C | c.34G>T | Exon 2 | 20,189,548 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| G12Vfs*2 | c.35del | Exon 2 | 20,189,546 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| K188R | c.563A>G | Exon 2 | 20,189,019 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
Genes linked to the same conditions
- GJB6gap junction protein beta 6Shares 3 conditions
- GRHL2grainyhead like transcription factor 2Shares 3 conditions
- ACTG1actin gamma 1Shares 2 conditions
- ATP11AATPase phospholipid transporting 11AShares 2 conditions
- ATP2B2ATPase plasma membrane Ca2+ transporting 2Shares 2 conditions
- CD164CD164 moleculeShares 2 conditions
- CEACAM16CEA cell adhesion molecule 16, tectorial membrane componentShares 2 conditions
- COCHcochlinShares 2 conditions
- COL11A1collagen type XI alpha 1 chainShares 2 conditions
- COL11A2collagen type XI alpha 2 chainShares 2 conditions
- DIAPH1diaphanous related formin 1Shares 2 conditions
- EYA4EYA transcriptional coactivator and phosphatase 4Shares 2 conditions
Traits linked to GJB2
The Human Phenotype Ontology lists these as features of the rare conditions GJB2 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the integument
- Absent axillary hair
- Absent pubic hair
- Cobblestone-like hyperkeratosis
- Decreased ability to sweat
- Hyperkeratosis
- Ichthyosis
- Squamous cell carcinoma
- Knuckle pad
Show 19 more traits
- White discoloration of nails
- Congenital ichthyosiform erythroderma
- Follicular hyperkeratosis
- Poor nail formation
- Premature aged appearance
- Scaling skin
- Skin plaque
- Sparse hair
- Thickening of upper layer of skin
- Abnormality of the nail
- Abnormality of the toenail
- Hair loss
- Hyperkeratotic papule
- Papule
- Thick nail
- Skin cancer
- Skin nodule
- Trichilemmoma
- Atypical nail growth
Abnormality of limbs
- Honeycomb palmoplantar hyperkeratosis
- Thickening of palms and soles
- Thickening of the outer layer of the skin of the palms and soles
- Autoamputation of digits
- Coxa valga
- Equinus calcaneus
- Inability to straighten knee
- Small kneecap
Show 2 more traits
Abnormality of the immune system
- Red scaly skin caused by inflammatory skin disease
- Recurrent skin infections
- Folliculitis
- Psoriasiform dermatitis
- Recurrent bacterial skin infections
- Recurrent Candida infection
- Recurrent cutaneous fungal infections
- Acne inversa
Show 2 more traits
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.). GJB2 gene: gap junction protein beta 2. Retrieved 16 October 2026, from https://dantelabs.com/genes/gjb2
Dante Labs. GJB2 gene: gap junction protein beta 2 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/gjb2
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