Gene
PRPS1
phosphoribosyl pyrophosphate synthetase 1
- HGNC 9462↗(opens in a new tab)
- Ensembl gene ENSG00000147224↗(opens in a new tab)
- NCBI Gene 5631↗(opens in a new tab)
Summary
- Cytogenetic location
- Xq22.3
- Coordinates
- Chromosome X: 107,628,510–107,651,026 (GRCh38)
- Exons
- 7 exons across 22.5 kb
- Protein
- 318 amino acids
- Inheritance
- X-linked recessive
- Also known as
- CMTX5, DFNX1, PRS-I, PPRibP
- Previous symbols
- DFN2
- MANE Select transcript
- ENST00000372435.10NM_002764.4
- 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
Purine & Pyrimidine Metabolism Disorders
- Phosphoribosylpyrophosphate Synthetase SuperactivityX-linked recessive
Caused by variants in PRPS1, which increase uric acid production and can cause early gout and kidney stones, sometimes with hearing loss.
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Knowing allows allopurinol treatment to control uric acid.
Broader groupings
Charcot-Marie-Tooth Disease
One of 62 genes linked to it
A group of inherited peripheral neuropathies causing progressive weakness and wasting of the distal muscles and loss of sensation, mainly in the feet and hands.
- 1 GenCC submitter rates it definitive or strong
What knowing changes
Genetic counseling, subtype-specific monitoring, physical therapy, orthotics, neurotoxic drug avoidance, gene-specific clinical trials, surveillance for associated features
Hearing Loss and Deafness
- Nonsyndromic Genetic Hearing Loss
One of 97 genes linked to it
Inherited hearing loss without other medical features, including the common recessive forms caused by GJB2, OTOF, SLC26A4, STRC and many other genes, as well as dominant, X-linked and mitochondrial forms.
- 1 GenCC submitter rates it definitive or strong
What knowing changes
Knowing the genetic cause can guide hearing support and cochlear implant decisions, gene-therapy trial eligibility (for example OTOF) and family counselling.
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 PRPS1 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 2.1 kb of the gene's 22.5 kb; 957 of those bases code for the protein.
How a genome test reads PRPS1
17
positions in PRPS1 where ClinVar classes a change as pathogenic or likely pathogenic
1 of them (5.9%) falls in a region short reads find hard.
- Segmental duplications (1 site)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 22.5 kb of PRPS1, introns included, not only the 2.1 kb of exons.
Genes linked to the same conditions
- AIFM1apoptosis inducing factor mitochondria associated 1Shares 2 conditions
- AARS1alanyl-tRNA synthetase 1Shares 1 condition
- ACTG1actin gamma 1Shares 1 condition
- AFG2BAAA ATPase AFG2BShares 1 condition
- ATP11AATPase phospholipid transporting 11AShares 1 condition
- ATP1A1ATPase Na+/K+ transporting subunit alpha 1Shares 1 condition
- ATP2B2ATPase plasma membrane Ca2+ transporting 2Shares 1 condition
- CABP2calcium binding protein 2Shares 1 condition
- CADM3cell adhesion molecule 3Shares 1 condition
- CD164CD164 moleculeShares 1 condition
- CDC14Acell division cycle 14AShares 1 condition
- CDH23cadherin related 23Shares 1 condition
Traits linked to PRPS1
The Human Phenotype Ontology lists these as features of the rare conditions PRPS1 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Global developmental delay
- Peripheral axonal neuropathy
- Peripheral neuropathy
- Abnormal nerve conduction velocity
- Abnormality of somatosensory evoked potentials
- Absent reflexes
- Damage to nerves that sense feeling
- Decreased motor nerve conduction velocity
Show 36 more traits
- Inability to speak
- IQ less than 20
- Neurodevelopmental abnormality
- Severe demyelination of the white matter
- Abnormality of the nervous system
- Ataxia
- Delayed myelination
- EEG with focal epileptiform discharges
- Grand mal seizures
- Hyperactive deep tendon reflexes
- Impaired pain sensation
- Intellectual disability
- Intellectual disability, mild
- IQ between 34 and 49
- Motor delay
- Paralysis of all four limbs
- Profound global developmental delay
- Spinal cord dorsal column hypomyelination
- Underdevelopment of part of brain called corpus callosum
- Abnormal gait
- Babinski sign
- Central sleep apnea
- Clonus
- Decreased sensation in extremities
- Difficulty articulating speech
- Excessive daytime sleepiness
- Increased reflexes
- Language impairment
- Motor polyneuropathy
- Partial paralysis of legs
- Tremor
- Absent speech development
- Epilepsy
- Onion bulb formation
- Peripheral nerve disease
- Segmental peripheral demyelination/remyelination
Abnormality of the eye
- Abnormally close eyes
- Close sighted
- Cross-eyed
- Drooping upper eyelid
- Farsightedness
- Glaucoma
- Progressive loss of vision
- Blindness
Show 15 more traits
- Optic atrophy
- Visual impairment
- Absent/small optic nerve
- Breakdown of light-sensitive cells in back of eye
- Deeply set eye
- Involuntary, rapid, rhythmic eye movements
- Macular pseudocoloboma
- Optic disc pallor
- Outward facing eye ball
- Slow pupillary light response
- Undetectable visual evoked potentials
- Wide-set eyes
- Rod-cone dystrophy
- Abnormality of the eye
- Visual loss
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.). PRPS1 gene: phosphoribosyl pyrophosphate synthetase 1. Retrieved 16 October 2026, from https://dantelabs.com/genes/prps1
Dante Labs. PRPS1 gene: phosphoribosyl pyrophosphate synthetase 1 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/prps1
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