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PGAP3

post-GPI attachment to proteins phospholipase 3

Chromosome 17q12 HGNC:23719 Tier C
PGAP3 17q12 p arm q arm 17

PGAP3 is located on the long (q) arm of chromosome 17, at band 17q12. Arm ratio per GRCh38 - banding schematic.

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Clinical tests that include this

Overview

PGAP3 encodes post-GPI attachment to proteins phospholipase 3, an enzyme that participates in the biosynthesis and maturation of GPI anchors. These anchors are complex glycolipid structures that attach more than 150 different proteins to the cell membrane in humans, enabling proteins to function at the cell surface without spanning the membrane themselves.

GPI-anchored proteins play diverse roles in immunity, neuronal function, embryonic development, and blood cell biology. The PGAP3 enzyme specifically acts after the GPI anchor has been attached to a protein, trimming fatty acid chains to create the mature anchor form. Genetic changes affecting PGAP3 function can disrupt this maturation process, potentially altering the stability and activity of numerous cell-surface proteins.

What the gene does

The PGAP3 protein functions as a phospholipase that removes specific fatty acid chains from the inositol component of GPI anchors shortly after these anchors are attached to newly synthesised proteins. This fatty acid remodelling is thought to occur in the endoplasmic reticulum and represents one of several post-attachment modification steps required to produce fully mature GPI anchors.

By trimming particular lipid moieties, PGAP3 helps determine the final lipid composition of GPI anchors, which in turn influences how anchored proteins are sorted within the cell and transported to the plasma membrane. The enzyme works alongside other GPI-remodelling proteins in a sequential pathway. Although the precise substrate specificity and reaction mechanism remain areas of ongoing research, PGAP3 is considered essential for generating GPI structures that can properly localise anchored proteins to lipid rafts and other specialised membrane domains. Disruption of this remodelling step may compromise the surface expression or function of GPI-anchored proteins across multiple cell types.

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Chromosome location

PGAP3 is located on the long arm of chromosome 17 at position 17q12. This chromosomal region contains numerous genes involved in diverse cellular processes. The specific number of exons and precise gene structure for PGAP3 have not been extensively characterised in publicly available genomic databases, reflecting the gene's relatively recent functional annotation.

Protein structure

Domain architecture has not been experimentally characterised in detail for this protein.

Key variants

Genetic variants in PGAP3 include missense changes, deletions, and other alterations that may affect enzyme activity or protein stability. Because the gene encodes an enzyme with a specialised biochemical function, changes that reduce phospholipase activity could impair GPI anchor remodelling. The functional impact of individual variants depends on their location within the coding sequence and their effect on the enzyme's catalytic activity or cellular localisation.

The table below shows the top 10 pathogenic or likely-pathogenic variants currently classified in ClinVar for PGAP3.
View all on ClinVar →

Sample of pathogenic variants

10 pathogenic / likely-pathogenic variants from ClinVar, ranked by review status (expert-panel-reviewed first). This is a sample; recurrent founder variants in a specific population may not appear here - see the full ClinVar listing via the link above.

Variant (HGVS) Protein change Classification Evidence Associated condition
c.109G>T
single nucleotide variant
p.Glu37Ter Pathogenic ★★☆☆ Inborn genetic diseases
c.265C>T
single nucleotide variant
p.Gln89Ter Pathogenic ★★☆☆ Hyperphosphatasia with intellectual disability syndrome 4
c.320C>T
single nucleotide variant
p.Ser107Leu Pathogenic/Likely pathogenic ★★☆☆ PGAP3-related disorder
c.452dup
Duplication
p.Trp152fs Pathogenic ★★☆☆ Hyperphosphatasia with intellectual disability syndrome 4
c.558-10G>A
single nucleotide variant
- Pathogenic/Likely pathogenic ★★☆☆ Hyperphosphatasia with intellectual disability syndrome 4
c.639C>G
single nucleotide variant
p.Tyr213Ter Pathogenic/Likely pathogenic ★★☆☆ not provided
c.694+1G>A
single nucleotide variant
- Pathogenic ★★☆☆ Hyperphosphatasia with intellectual disability syndrome 4
c.827C>T
single nucleotide variant
p.Pro276Leu Pathogenic/Likely pathogenic ★★☆☆ PGAP3-related disorder
c.850C>T
single nucleotide variant
p.His284Tyr Pathogenic/Likely pathogenic ★★☆☆ Hyperphosphatasia with intellectual disability syndrome 4
c.851A>G
single nucleotide variant
p.His284Arg Pathogenic/Likely pathogenic ★★☆☆ Hyperphosphatasia with intellectual disability syndrome 4

Evidence stars indicate ClinVar review status. Individual variant interpretation should always be performed by a qualified clinical laboratory - many variants remain classified as Variants of Uncertain Significance (VUS) pending more research.

Associated conditions

Currently, no inherited conditions have been definitively associated with pathogenic variants in PGAP3 in major clinical databases. Research into the GPI anchor biosynthesis pathway continues, and future studies may identify specific disorders linked to PGAP3 dysfunction. GPI anchor defects in related genes have been associated with a spectrum of developmental and neurological phenotypes, suggesting that PGAP3 variants could theoretically contribute to similar clinical presentations if loss of function were to occur.

No disease links recorded for this gene in our reference set.

UK clinical status

Frequently asked questions

What is a GPI anchor?

A GPI anchor is a glycolipid structure that attaches certain proteins to the outer surface of cell membranes. It allows proteins to be displayed at the cell surface without requiring the protein itself to span the membrane, and influences protein localisation and signalling.

How does PGAP3 differ from other GPI-related genes?

PGAP3 functions specifically to remodel GPI anchors after they have been attached to proteins, trimming fatty acid chains to produce the mature anchor form. Other GPI genes are involved in earlier assembly steps or different post-attachment modifications.

Is PGAP3 testing available on the NHS?

PGAP3 is not currently included in NHS Genomic Medicine Service gene panels, reflecting the limited clinical evidence linking variants in this gene to diagnosed inherited conditions at present.

Educational content. This page is not medical or genetic advice, is not individually reviewed by a clinician for each reader, and should not replace a consultation with a qualified healthcare professional or genetic counsellor. If you are considering genetic testing or acting on a test result, book a consultation.
Data sources Last updated 17 April 2026. Content compiled from HGNC · ClinGen · Genomics England PanelApp · NHS National Genomic Test Directory · ClinVar · UniProt · AlphaFold .