Gene
OTX2
orthodenticle homeobox 2
- HGNC 8522↗(opens in a new tab)
- Ensembl gene ENSG00000165588↗(opens in a new tab)
- NCBI Gene 5015↗(opens in a new tab)
Summary
- Cytogenetic location
- 14q22.3
- Coordinates
- Chromosome 14: 56,799,905–56,810,479 (GRCh38)
- Exons
- 5 exons across 10.6 kb
- Protein
- 297 amino acids
- MANE Select transcript
- ENST00000672264.2NM_021728.4
- 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
Hypogonadotropic Hypogonadism
Abnormal ovarian or testicular function due to insufficient hormonal stimulation from the hypothalamic-pituitary axis.
- 1 GenCC submitter rates it definitive or strong
Microphthalmia, Anophthalmia & Coloboma
- Syndromic Microphthalmia
Microphthalmia occurring with features outside the eye, caused by changes in genes such as SOX2, OTX2, BCOR, STRA6 and BMP4.
- 2 GenCC submitters rate it definitive or strong
What knowing changes
A genetic diagnosis guides checks for associated features, such as pituitary hormone problems with SOX2 or OTX2, and informs recurrence risk.
Non-Acquired Combined Pituitary Hormone Deficiency
- Combined pituitary hormone deficiency, genetic form
Inherited deficiency of several pituitary hormones, including PROP1, POU1F1, HESX1 and related causes.
- 1 GenCC submitter rates it definitive or strong
How OTX2 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
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 3 kb of the gene's 10.6 kb; 894 of those bases code for the protein.
How a genome test reads OTX2
12
positions in OTX2 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 10.6 kb of OTX2, introns included, not only the 3 kb of exons.
Genes linked to the same conditions
- FOXA2forkhead box A2Shares 2 conditions
- GH1growth hormone 1Shares 2 conditions
- GHRHRgrowth hormone releasing hormone receptorShares 2 conditions
- HESX1HESX homeobox 1Shares 2 conditions
- LHX3LIM homeobox 3Shares 2 conditions
- LHX4LIM homeobox 4Shares 2 conditions
- POU1F1POU class 1 homeobox 1Shares 2 conditions
- PROP1PROP paired-like homeobox 1Shares 2 conditions
- RAB3GAP2RAB3 GTPase activating non-catalytic protein subunit 2Shares 2 conditions
- RNPC3RNA binding region (RNP1, RRM) containing 3Shares 2 conditions
- ROBO1roundabout guidance receptor 1Shares 2 conditions
- SOX3SRY-box transcription factor 3Shares 2 conditions
Traits linked to OTX2
The Human Phenotype Ontology lists these as features of the rare conditions OTX2 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the eye
- Abnormally small eyeball
- Birth defect that causes a hole in the innermost layer at the back of the eye
- Hypoplastic optic chiasm
- Involuntary, rapid, rhythmic eye movements
- Macular atrophy
- Optic disc pallor
- Optic nerve aplasia
- Optic nerve hypoplasia
Show 52 more traits
- Retinal detachment
- Severe farsightedness
- Undetectable visual evoked potentials
- Abnormal choroid morphology
- Abnormal optic disc morphology
- Abnormal retinal pigmentation
- Abnormality of the eye
- Blindness
- Cross-eyed
- Cyclops eye
- Glaucoma
- Marked vision impairment
- Notched pupil
- Septo-optic dysplasia
- Visual impairment
- Abnormal color vision
- Abnormal electroretinogram
- Abnormal full-field electroretinogram
- Abnormal macular morphology
- Abnormal pupillary light reflex
- Absence of eyeballs
- Anterior chamber synechiae
- Bulging cornea
- Cat eye
- Clouding of the lens of the eye
- Decreased clarity of vision
- Difficulties with night vision
- Displaced pupil
- Extreme sensitivity of the eyes to light
- Farsightedness
- Loss of peripheral vision
- Optic disc drusen
- Persistent pupillary membrane
- Retina degeneration
- Retinal pigment epithelial mottling
- Slow pupillary light response
- Spicular pigmentation of the retina
- Undetectable electroretinogram
- Abnormal corneal endothelium morphology
- Blurred vision
- Chorioretinal atrophy
- Close sighted
- Granular macular appearance
- Macular pseudocoloboma
- Moderate visual impairment
- Outward facing eye ball
- Posterior subcapsular cataract
- Posterior synechiae of the anterior chamber
- Retinal pigment epithelial atrophy
- Rhegmatogenous retinal detachment
- Breakdown of light-sensitive cells in back of eye
- Cornea of eye less than 10mm in diameter
Abnormality of the endocrine system
- Absent pituitary stalk
- Central hypothyroidism
- Decreased circulating ACTH concentration
- Decreased growth hormone responses to growth hormone-releasing hormone challenge
- Decreased thyroid-stimulating hormone level
- Diminished prolactin response to thyrotrophin-releasing hormone stimulation
- Ectopic posterior pituitary
- Gonadotropin deficiency
Show 21 more traits
- Hypopituitarism
- Impaired growth-hormone response to insulin stimulation test
- Reduced circulating growth hormone concentration
- Reduced response to gonadotropin-releasing hormone stimulation test
- Underdeveloped pituitary gland
- Abnormal prolactin level
- Abnormality of the hypothalamus-pituitary axis
- Absent pituitary gland
- Decreased circulating follicle stimulating hormone concentration
- Decreased circulating insulin-like growth factor 1 concentration
- Decreased circulating luteinizing hormone level
- Decreased response to growth hormone stimulation test
- Hypogonadotropic hypogonadism
- Low thyroid gland function due to abnormal pituitary gland
- Posterior pituitary hypoplasia
- Absence of secondary sex characteristics
- Decreased circulating free T3
- Decreased circulating free T4 concentration
- Delayed puberty
- Diabetes insipidus
- Ectopic anterior pituitary gland
Abnormality of the nervous system
- Chiari malformation
- Delayed speech and language development
- Partial agenesis of the corpus callosum
- Thin corpus callosum
- Abnormal cranial nerve morphology
- Absent/small cerebellum
- Agenesis of corpus callosum
- Global developmental delay
Show 20 more traits
- Holoprosencephaly
- Abnormality of neuronal migration
- Absent septum pellucidum
- Aplasia/Hypoplasia of the cerebellar vermis
- Epilepsy
- Eye poking
- Intellectual disability, mild
- Intellectual disability, severe
- Paralysis or weakness of one side of body
- Autism
- Autism spectrum disorder
- Balance impairment
- Delayed social development
- Difficulty sleeping
- Extreme thirst
- Intellectual disability
- Mild global developmental delay
- Motor delay
- Unsteady walk
- Severe global developmental delay
Abnormality of head or neck
- Cleft palate
- Abnormally small tongue
- Absence of lower jaw bones
- Decreased nasal size
- Missing nostrils
- Narrow mouth
- Sparse or absent eyebrows
- Encephalocele
Show 3 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.). OTX2 gene: orthodenticle homeobox 2. Retrieved 17 October 2026, from https://dantelabs.com/genes/otx2
Dante Labs. OTX2 gene: orthodenticle homeobox 2 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/otx2
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