Gene
PEX6
peroxisomal biogenesis factor 6
- HGNC 8859↗(opens in a new tab)
- Ensembl gene ENSG00000124587↗(opens in a new tab)
- NCBI Gene 5190↗(opens in a new tab)
Summary
- Cytogenetic location
- 6p21.1
- Coordinates
- Chromosome 6: 42,963,865–42,979,181 (GRCh38)
- Exons
- 17 exons across 15.3 kb
- Protein
- 980 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- PXAAA1, PAF-2
- MANE Select transcript
- ENST00000304611.13NM_000287.4
- 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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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
- 6 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
Autosomal Recessive Cerebellar Ataxias (incl. CANVAS and AVED)
- Autosomal Recessive Cerebellar AtaxiaAutosomal recessive
One of 57 genes linked to it
A group of recessively inherited ataxias caused by biallelic variants in genes such as RFC1, FXN, SACS, TTPA, SETX, APTX, PNKP, ANO10 and SYNE1.
- 1 GenCC submitter rates it definitive or strong
What knowing changes
Ataxia with vitamin E deficiency (TTPA) is treatable with vitamin E supplements; other forms are managed with physiotherapy and symptom care, and relatives can be offered carrier testing.
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
- 6 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 PEX6 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 3.4 kb of the gene's 15.3 kb; 2,943 of those bases code for the protein.
How a genome test reads PEX6
273
positions in PEX6 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 15.3 kb of PEX6, introns included, not only the 3.4 kb of exons.
Genes linked to the same conditions
- CYP27A1cytochrome P450 family 27 subfamily A member 1Shares 2 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
Traits linked to PEX6
The Human Phenotype Ontology lists these as features of the rare conditions PEX6 can cause. Each trait's page lists the other genes linked to it.
Abnormality of head or neck
- Amelogenesis imperfecta
- Depressed nasal bridge
- Epicanthus inversus
- Upward slanting of the opening between the eyelids
- Abnormal dentition
- Abnormal nasolacrimal system morphology
- Abnormal tooth enamel
- Abnormality of the eyebrow
Show 26 more traits
- Abnormality of the eyelid
- Abnormality of the palate
- Eye folds
- Flat face
- High forehead
- Long, narrow head
- Nasal tip, upturned
- Taurodontia
- Thin eyebrow
- Wide nasal bridge
- Wider-than-typical soft spot of skull
- Abnormally small head
- Big calvaria
- Flat back of skull
- Flattened bony protrusion above eyes
- High palate
- Little lower jaw
- Round face
- Small dilated blood vessels near membrane covering front of eye and eyelids
- Abnormality of the face
- Abnormality of the tongue
- Bell's palsy
- High frontal hairline
- Thickened skin folds of neck
- Dental crowding
- Short nose
Abnormality of the nervous system
- Abnormality of movement
- Cognitive impairment
- Diminished deep tendon reflex
- EEG abnormality
- Epilepsy
- Global developmental delay
- Increased reflexes
- Intellectual disability
Show 18 more traits
- Loss of developmental milestones
- Profound global developmental delay
- Severe global developmental delay
- Abnormal gait
- Abnormality of neuronal migration
- Ataxia
- Behavioral abnormality
- Damage to nerves that sense feeling
- Head tremor
- Impaired vibration sensation in the lower limbs
- Inability to coordinate movements when walking
- More grooves in brain
- Nerve damage causing decreased feeling and movement
- Progressive cerebellar ataxia
- Spinocerebellar atrophy
- Decreased reflex response
- Peripheral neuropathy
- Decreased nerve conduction velocity
Abnormality of the genitourinary system
- Underdevelopment of external reproductive organs
- Enlarged clitoris
- Hydronephrosis
- Hypospadias
- Multicystic kidney dysplasia
- Primary amenorrhea
- Undescended testes
- Cystic kidney disease
Show 1 more trait
Abnormality of the integument
- Beau's lines
- Abnormal fingernails
- Abnormal hair quantity
- Abnormality of nail color
- Abnormality of the toenail
- Flattened and twisted hair
- White discoloration of nails
- Darkened and thickened skin
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.). PEX6 gene: peroxisomal biogenesis factor 6. Retrieved 16 October 2026, from https://dantelabs.com/genes/pex6
Dante Labs. PEX6 gene: peroxisomal biogenesis factor 6 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/pex6
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