Gene
PITX2
paired like homeodomain 2
- HGNC 9005↗(opens in a new tab)
- Ensembl gene ENSG00000164093↗(opens in a new tab)
- NCBI Gene 5308↗(opens in a new tab)
Summary
- Cytogenetic location
- 4q25
- Coordinates
- Chromosome 4: 110,617,423–110,623,077 (GRCh38)
- Exons
- 3 exons across 5.7 kb
- Protein
- 324 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- IGDS, RS, Brx1, Otlx2, ARP1
- Previous symbols
- IRID2, IHG2, RIEG, RIEG1, RGS
- MANE Select transcript
- ENST00000644743.1NM_000325.6
- 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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Anterior Segment Dysgenesis, Axenfeld-Rieger Syndrome & Aniridia
- Axenfeld-Rieger SyndromeAutosomal dominant
A dominant condition caused by changes in PITX2 or FOXC1, affecting the iris and drainage angle and sometimes the teeth, face and navel.
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Lifelong glaucoma surveillance is recommended, as about half of affected people develop glaucoma.
- Anterior Segment Dysgenesis
A group of developmental conditions of the front of the eye, including Peters anomaly, caused by changes in genes such as FOXC1, PITX3, FOXE3, CYP1B1 and CPAMD8.
- ClinGen rates the link definitive
- 3 GenCC submitters rate it definitive or strong
What knowing changes
There is a high lifetime risk of glaucoma, so regular eye-pressure monitoring is recommended.
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 PITX2 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 2.3 kb of the gene's 5.7 kb; 975 of those bases code for the protein.
How a genome test reads PITX2
52
positions in PITX2 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 5.7 kb of PITX2, introns included, not only the 2.3 kb of exons.
Genes linked to the same conditions
- FOXC1forkhead box C1Shares 2 conditions
- CPAMD8C3 and PZP like alpha-2-macroglobulin domain containing 8Shares 1 condition
- FOXE3forkhead box E3Shares 1 condition
- ITPR1inositol 1,4,5-trisphosphate receptor type 1Shares 1 condition
- PAX6paired box 6Shares 1 condition
- PITX3paired like homeodomain 3Shares 1 condition
- PXDNperoxidasinShares 1 condition
Traits linked to PITX2
The Human Phenotype Ontology lists these as features of the rare conditions PITX2 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the eye
- Displaced pupil
- Peters anomaly
- Posterior embryotoxon
- Underdeveloped iris
- Abnormal anterior chamber morphology
- Absent/small iris
- Anterior synechiae of the anterior chamber
- Central opacification of the cornea
Show 20 more traits
- Glaucoma
- Hypoplastic iris stroma
- Light eye color
- Opacification of the corneal stroma
- Subcapsular cataract
- Thinning of Descemet membrane
- Developmental glaucoma
- Wide-set eyes
- Cross-eyed
- Involuntary, rapid, rhythmic eye movements
- Abnormal cornea morphology
- Abnormal corneal limbus morphology
- Abnormally prominent line of Schwalbe
- Absent iris
- Cornea of eye less than 10mm in diameter
- Corneal astigmatism
- Enlarged cornea
- Lazy eye
- Multiple pupils
- Rieger anomaly
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.). PITX2 gene: paired like homeodomain 2. Retrieved 16 October 2026, from https://dantelabs.com/genes/pitx2
Dante Labs. PITX2 gene: paired like homeodomain 2 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/pitx2
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