Gene
PIGA
phosphatidylinositol glycan anchor biosynthesis class A
- HGNC 8957↗(opens in a new tab)
- Ensembl gene ENSG00000165195↗(opens in a new tab)
- NCBI Gene 5277↗(opens in a new tab)
Summary
- Cytogenetic location
- Xp22.2
- Coordinates
- Chromosome X: 15,319,456–15,335,523 (GRCh38)
- Exons
- 6 exons across 16.1 kb
- Protein
- 484 amino acids
- Inheritance
- X-linked recessive
- Also known as
- GPI3, PIG-A
- MANE Select transcript
- ENST00000333590.6NM_002641.4
- 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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GPI Anchor Biosynthesis Defects
- PIGA-Related Multiple Congenital Anomalies-Hypotonia-Seizures Syndrome (MCAHS2)X-linked recessive
An X-linked GPI anchor defect caused by inherited or new germline variants in PIGA, mainly affecting boys, with early-onset epilepsy, low muscle tone and developmental delay.
- 3 GenCC submitters rate it definitive or strong
- Multiple Congenital Anomalies-Hypotonia-Seizures Syndrome
A group of GPI anchor defects (PIGN, PIGA, PIGT, PIGQ and related genes) with low muscle tone, seizures, developmental delay and congenital anomalies.
- 3 GenCC submitters rate it definitive or strong
- Disorders of GPI Anchor Biosynthesis
A group of inherited conditions caused by variants in the PIG, PGAP and related genes needed to make and attach the GPI anchor, typically causing developmental delay, low muscle tone and epilepsy.
- 3 GenCC submitters rate it definitive or strong
Broader groupings
Congenital Disorders of Glycosylation
- Congenital Disorders of Glycosylation (CDG)
One of 98 genes linked to it
A large group of inherited conditions in which sugar chains (glycans) are not correctly built or attached to proteins and lipids, often affecting the brain, liver, blood clotting, growth and many other body systems. Most are autosomal recessive, but some are X-linked or autosomal dominant.
- 3 GenCC submitters rate it definitive or strong
Epilepsy (Full Panel)
- Epilepsy
One of 171 genes linked to it
A brain disorder characterized by episodes of abnormally increased neuronal discharge resulting in transient episodes of sensory or motor neurological dysfunction, or psychic dysfunction. These episodes may or may not be associated with loss of consciousness or convulsions.
- 3 GenCC submitters rate it definitive or strong
Inheritance
- X-linked recessive
- The change is on the X chromosome, so one copy affects males, who have one X, while females with one are usually carriers. A carrier mother passes it on to each child with a one-in-two chance.
How PIGA 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 3.6 kb of the gene's 16.1 kb; 1,455 of those bases code for the protein.
How a genome test reads PIGA
22
positions in PIGA where ClinVar classes a change as pathogenic or likely pathogenic
8 of them (36%) fall in regions short reads find hard.
- Segmental duplications (8 sites)Copies of at least 1 kb sharing at least 90% identity with another part of the genome (paralogues, pseudogenes); reads may align to the wrong copy.
A whole genome covers all 16.1 kb of PIGA, introns included, not only the 3.6 kb of exons.
Genes linked to the same conditions
- PIGNphosphatidylinositol glycan anchor biosynthesis class NShares 3 conditions
- PIGQphosphatidylinositol glycan anchor biosynthesis class QShares 3 conditions
- PIGTphosphatidylinositol glycan anchor biosynthesis class TShares 3 conditions
- ALG13ALG13 UDP-N-acetylglucosaminyltransferase subunitShares 2 conditions
- ATP6AP2ATPase H+ transporting accessory protein 2Shares 2 conditions
- CADcarbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotaseShares 2 conditions
- KCTD7potassium channel tetramerization domain containing 7Shares 2 conditions
- NUS1NUS1 dehydrodolichyl diphosphate synthase subunitShares 2 conditions
- PGAP2post-GPI attachment to proteins 2Shares 2 conditions
- PGAP3post-GPI attachment to proteins phospholipase 3Shares 2 conditions
- PIGBphosphatidylinositol glycan anchor biosynthesis class BShares 2 conditions
- PIGGphosphatidylinositol glycan anchor biosynthesis class G (EMM blood group)Shares 2 conditions
Traits linked to PIGA
The Human Phenotype Ontology lists these as features of the rare conditions PIGA can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Abnormal cerebral white matter morphology
- Absent septum pellucidum
- Absent speech development
- Absent/small cerebral white matter
- Aplasia/Hypoplasia of the corpus callosum
- Arrhinencephaly
- Autism
- Babinski sign
Show 64 more traits
- Brisk reflexes
- Cerebral white matter hypoplasia
- CNS hypomyelination
- Decrease in size of the outer layer of the brain due to loss of brain cells
- Degeneration of cerebellum
- Degeneration of cerebrum
- Diffuse leukoencephalopathy
- Dystonia
- EEG with burst suppression
- EEG with generalized polyspikes
- Encephalopathy
- Epilepsy
- Epileptic encephalopathy
- Exaggerated startle response
- Febrile seizure (within the age range of 3 months to 6 years)
- Focal clonic seizure
- Focal seizure with eyelid myoclonia
- Generalized myoclonic seizure
- Generalized tonic seizure
- Generalized-onset seizure
- Gliosis
- Global developmental delay
- Grand mal seizures
- Grasp reflex
- Head titubation
- Hypsarrhythmia
- Inability to walk
- Increased reflexes
- Instability or lack of coordination of central trunk muscles
- IQ between 34 and 49
- IQ less than 20
- Jerking
- Loss of brain cells
- Loss of developmental milestones
- Motor delay
- Neuronal loss in the cerebral cortex
- Paralysis of all four limbs
- Poor eye contact
- Postural tremor
- Profound global developmental delay
- Repeated seizures without recovery between them
- Small cerebellum
- Underdevelopment of part of brain called corpus callosum
- Ventriculomegaly
- Widened subarachnoid space
- Cognitive impairment
- Infantile spasms
- Multifocal epileptiform discharges
- Neurodevelopmental delay
- Abnormality of the nervous system
- Bilateral tonic-clonic seizure with focal onset
- Focal emotional seizure with laughing
- Focal hemiclonic seizure
- Focal impaired awareness seizure
- Headache
- Lateral ventricle dilatation
- Myoclonic seizure
- Olfactory lobe absence
- Abnormal corpus callosum morphology
- Ataxia
- Delayed myelination
- Epileptic spasm
- Lethargy
- Abnormal pons morphology
Abnormality of head or neck
- Abnormality of the area between the eyebrows
- Abnormality of the brow of the face
- Abnormality of the face
- Abnormality of the philtrum
- Absence of adult teeth
- Asymmetry of the posterior head
- Broad forehead
- Broad head shape
Show 37 more traits
- Broad opening between the eyelids
- Coarse facial features
- Decreased facial expression
- Decreased size of tooth
- Decreased volume of lip
- Delayed eruption of teeth
- Development of small head that was not present at birth
- Facial asymmetry
- Failure of development of all teeth
- Flat back of skull
- High frontal hairline
- High, narrow palate
- Increased size of gum ridge
- Redundant neck skin
- Round face
- Short opening between the eyelids
- Thickened skin folds of neck
- Widely spaced teeth
- Abnormally small head
- Depressed nasal bridge
- Downturned corners of mouth
- Gum enlargement
- High palate
- Metopic synostosis
- Narrow mouth
- Nasal tip, upturned
- Prominent back of the head
- Short neck
- Upward slanting of the opening between the eyelids
- Wide fontanelles
- Yellowing of the whites of the eyes
- Zygomatic flattening
- Pierre-Robin sequence
- Big calvaria
- Increased head circumference
- Little lower jaw
- Triangular mouth
Laboratory abnormality
- Abnormal circulating iron concentration
- Abnormal liver iron concentration
- Decreased circulating hepcidin concentration
- Elevated circulating iron concentration
- Elevated serum ferritin
- Elevated transferrin saturation
- Fatty infiltration of liver
- Fluid retention
Show 16 more traits
- Increased CSF glutamate concentration
- Increased iron concentration in liver
- Elevated alkaline phosphatase
- Hemoglobin in urine
- Decreased circulating haptoglobin concentration
- Decreased circulating iron concentration
- Hemosiderinuria
- Increased blood urea nitrogen
- Increased circulating lactate dehydrogenase concentration
- Microvesicular hepatic steatosis
- Unconjugated hyperbilirubinemia
- High urine protein levels
- Glucose in urine
- Renal Fanconi syndrome
- Hydrops fetalis
- Paroxysmal nocturnal hemoglobinuria
Abnormality of the eye
- Abnormal macular morphology
- Abnormal visual fixation
- Abnormality of eye movement
- Breakdown of light-sensitive cells in back of eye
- Cerebral visual impairment
- Close sighted
- Drooping of both upper eyelids
- Moderate visual impairment
Show 3 more traits
Abnormality of the genitourinary system
- Hydronephrosis
- Testicular degeneration
- Vesicoureteral reflux
- Chronic kidney disease
- Duplicated collecting system
- Acute kidney injury
- Difficulty getting a full erection
- Hypospadias
Show 3 more traits
Abnormality of limbs
- Abnormal feet structure
- Deep palm line
- Short finger
- Tapered finger
- Broad palm
- Elbow flexion contracture
- Hip contracture
- Inability to straighten knee
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.). PIGA gene: phosphatidylinositol glycan anchor biosynthesis class A. Retrieved 17 October 2026, from https://dantelabs.com/genes/piga
Dante Labs. PIGA gene: phosphatidylinositol glycan anchor biosynthesis class A [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/piga
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