Gene
PEX5
peroxisomal biogenesis factor 5
- HGNC 9719↗(opens in a new tab)
- Ensembl gene ENSG00000139197↗(opens in a new tab)
- NCBI Gene 5830↗(opens in a new tab)
Summary
- Cytogenetic location
- 12p13.31
- Coordinates
- Chromosome 12: 7,189,686–7,211,459 (GRCh38)
- Exons
- 16 exons across 21.8 kb
- Protein
- 639 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- PTS1R
- Previous symbols
- PXR1
- MANE Select transcript
- ENST00000675855.1NM_001351132.2
- 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.
Read PEX5, and the rest of your genome, with one test.
From $449Free shipping · Results in 6–8 weeks
Get my Genome TestCurated reports relevant to this gene
Zellweger Spectrum & Peroxisome Biogenesis Disorders
- Peroxisome biogenesis disorders (Zellweger spectrum and rhizomelic chondrodysplasia punctata)Autosomal recessive
Changes in any of more than a dozen PEX genes, most often PEX1, affect the brain, liver, kidneys, bones, eyes and hearing, with severity ranging from life-limiting disease in infancy to milder vision, hearing and learning problems.
- ClinGen rates the link definitive
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Diagnosis guides monitoring of liver, adrenal, vision and hearing function, supplementation where appropriate, and carrier testing for relatives.
Broader groupings
Other Inherited Leukodystrophies
- Leukodystrophy (other and unspecified types)
One of 80 genes linked to it
Inherited conditions that damage or prevent the normal formation of myelin, the white matter of the brain and spinal cord. Different types follow autosomal recessive, autosomal dominant or X-linked inheritance depending on the gene involved.
- ClinGen rates the link definitive
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Knowing the specific genetic cause can end a diagnostic search, guide supportive care and surveillance, show whether a specific treatment exists, and allow testing of relatives.
Inheritance
- Autosomal recessive
- It takes a changed copy from each parent. With one, you are a carrier and usually unaffected; when both parents are carriers, each child has a one-in-four chance of inheriting two.
How PEX5 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 3.2 kb of the gene's 21.8 kb; 1,920 of those bases code for the protein.
How a genome test reads PEX5
75
positions in PEX5 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 21.8 kb of PEX5, introns included, not only the 3.2 kb of exons.
Genes linked to the same conditions
- PEX1peroxisomal biogenesis factor 1Shares 2 conditions
- PEX10peroxisomal biogenesis factor 10Shares 2 conditions
- PEX11Bperoxisomal biogenesis factor 11 betaShares 2 conditions
- PEX12peroxisomal biogenesis factor 12Shares 2 conditions
- PEX13peroxisomal biogenesis factor 13Shares 2 conditions
- PEX14peroxisomal biogenesis factor 14Shares 2 conditions
- PEX16peroxisomal biogenesis factor 16Shares 2 conditions
- PEX19peroxisomal biogenesis factor 19Shares 2 conditions
- PEX2peroxisomal biogenesis factor 2Shares 2 conditions
- PEX26peroxisomal biogenesis factor 26Shares 2 conditions
- PEX3peroxisomal biogenesis factor 3Shares 2 conditions
- PEX6peroxisomal biogenesis factor 6Shares 2 conditions
Traits linked to PEX5
The Human Phenotype Ontology lists these as features of the rare conditions PEX5 can cause. Each trait's page lists the other genes linked to it.
Abnormality of head or neck
- Abnormally small head
- Abnormality of the palate
- Depressed nasal bridge
- Eye folds
- Flat face
- High forehead
- Long, narrow head
- Nasal tip, upturned
Show 20 more traits
- Upward slanting of the opening between the eyelids
- Wide nasal bridge
- Wider-than-typical soft spot of skull
- Big calvaria
- Flat back of skull
- Flattened bony protrusion above eyes
- High palate
- Little lower jaw
- Abnormality of the face
- Abnormality of the tongue
- Bell's palsy
- Thickened skin folds of neck
- Abnormal facial shape
- Cleft palate
- Frontal bossing
- Fullness of eyelids
- High, narrow palate
- Prominent forehead
- Tall shaped head
- Wide fontanelles
Abnormality of the eye
- Clouding of the lens of the eye at birth
- Corneal opacity
- Cross-eyed
- Difficulties with night vision
- Involuntary, rapid, rhythmic eye movements
- Limited peripheral vision
- Optic atrophy
- Rod-cone dystrophy
Show 16 more traits
- Visual impairment
- Abnormal chorioretinal morphology
- Abnormal retinal pigmentation
- Clouding of the lens of the eye
- Drooping upper eyelid
- Posterior embryotoxon
- Glaucoma
- Horizontal nystagmus
- Speckled iris
- Vertical nystagmus
- Inward turning cross eyed
- Opacification of the corneal stroma
- Optic nerve dysplasia
- Pigmentary retinopathy
- Polar cataract
- Wide-set eyes
Abnormality of the nervous system
- Epilepsy
- Global developmental delay
- Intellectual disability, severe
- Peripheral neuropathy
- Abnormality of movement
- Cognitive impairment
- Diminished deep tendon reflex
- EEG abnormality
Show 13 more traits
- Increased reflexes
- Loss of developmental milestones
- Profound global developmental delay
- Severe global developmental delay
- Abnormality of neuronal migration
- Ataxia
- Behavioral abnormality
- Decreased reflex response
- More grooves in brain
- Convulsive status epilepticus
- Wide based walk
- Absent reflexes
- Intellectual disability
Abnormality of the digestive system
- Abnormality of the liver
- Enlarged liver
- Feeding difficulties in infancy
- Jaundice
- Liver failure
- Malabsorption
- Pyloric stenosis
- Intrahepatic biliary dysgenesis
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.). PEX5 gene: peroxisomal biogenesis factor 5. Retrieved 16 October 2026, from https://dantelabs.com/genes/pex5
Dante Labs. PEX5 gene: peroxisomal biogenesis factor 5 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/pex5
One test. A lifetime of answers.
From $449Free shipping · Results in 6–8 weeks