PHEX
Phosphate-regulating neutral endopeptidase PHEX
Also known as: HPDR, HPDR1, HYP, HYP1, PEX, PHEX_HUMAN, XLH
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P78562
- Gene
- PHEX
- Ensembl
- ENSG00000102174
- Chromosome
- X
- Canonical length
- 749 aa
- Protein class
- Disease related genes, Enzymes, Human disease related genes, Plasma proteins, Potential drug targets, Predicted intracellular proteins, Predicted membrane proteins
- Subcellular location
- Vesicles,Plasma membrane
OverviewNCBI Gene
The protein encoded by this gene is a transmembrane endopeptidase that belongs to the type II integral membrane zinc-dependent endopeptidase family. The protein is thought to be involved in bone and dentin mineralization and renal phosphate reabsorption. Mutations in this gene cause X-linked hypophosphatemic rickets. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2013]
Canonical amino-acid sequenceUniProt
749 residues, UniProt reviewed canonical sequence.
>P78562|PHEX
1 MEAETGSSVE TGKKANRGTR IALVVFVGGT LVLGTILFLV SQGLLSLQAK QEYCLKPECI
61 EAAAAILSKV NLSVDPCDNF FRFACDGWIS NNPIPEDMPS YGVYPWLRHN VDLKLKELLE
121 KSISRRRDTE AIQKAKILYS SCMNEKAIEK ADAKPLLHIL RHSPFRWPVL ESNIGPEGVW
181 SERKFSLLQT LATFRGQYSN SVFIRLYVSP DDKASNEHIL KLDQATLSLA VREDYLDNST
241 EAKSYRDALY KFMVDTAVLL GANSSRAEHD MKSVLRLEIK IAEIMIPHEN RTSEAMYNKM
301 NISELSAMIP QFDWLGYIKK VIDTRLYPHL KDISPSENVV VRVPQYFKDL FRILGSERKK
361 TIANYLVWRM VYSRIPNLSR RFQYRWLEFS RVIQGTTTLL PQWDKCVNFI ESALPYVVGK
421 MFVDVYFQED KKEMMEELVE GVRWAFIDML EKENEWMDAG TKRKAKEKAR AVLAKVGYPE
481 FIMNDTHVNE DLKAIKFSEA DYFGNVLQTR KYLAQSDFFW LRKAVPKTEW FTNPTTVNAF
541 YSASTNQIRF PAGELQKPFF WGTEYPRSLS YGAIGVIVGH EFTHGFDNNG RKYDKNGNLD
601 PWWSTESEEK FKEKTKCMIN QYSNYYWKKA GLNVKGKRTL GENIADNGGL REAFRAYRKW
661 INDRRQGLEE PLLPGITFTN NQLFFLSYAH VRCNSYRPEA AREQVQIGAH SPPQFRVNGA
721 ISNFEEFQKA FNCPPNSTMN RGMDSCRLWLocalizationUniProt · AlphaFold · HPA
Whether an antibody against PHEX can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.
- Antibody reachability
- Cell surface
- Secreted
- No
- Transmembrane segments
- 1
- Mean surface accessibility (rSASA)
- 0.23
- Highest tissue expression
- 4.8 nTPM
Expression across tissuesHPA
Tissue
- ovary: 4.8 nTPM
- lung: 2.5 nTPM
- endometrium: 2 nTPM
- smooth muscle: 1.7 nTPM
- spinal cord: 1.5 nTPM
- gallbladder: 1.3 nTPM
Single-cell type
- pdcs: 335 nCPM
- myosatellite cells: 96 nCPM
- retinal horizontal cells: 72 nCPM
- myonuclei: 69 nCPM
- endometrial glandular cells: 55 nCPM
- ependymal cells: 53 nCPM
Immune cell
- plasmacytoid DC: 5.8 nTPM
- naive B-cell: 0.2 nTPM
- memory CD4 T-cell: 0.1 nTPM
- naive CD4 T-cell: 0.1 nTPM
- basophil: 0 nTPM
- classical monocyte: 0 nTPM
Brain region
- hypothalamus: 5.9 nTPM
- white matter: 4.7 nTPM
- medulla oblongata: 4.6 nTPM
- spinal cord: 4.5 nTPM
- midbrain: 3.9 nTPM
- cerebellum: 2.7 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about PHEX.
Disease | AllUniProt
Conditions PHEX is implicated in, by any mechanism.
- Hypophosphatemic rickets, X-linked dominant (XLHRD) MIM:307800
Disease | GeneticClinVar
865 pathogenic / likely-pathogenic of 1,548 ClinVar records.
Conditions with pathogenic or likely-pathogenic variants.
- Familial X-linked hypophosphatemic vitamin D refractory rickets
- Hypophosphatemic rickets
- Thyroid cancer, nonmedullary, 1
- Hypophosphataemia or rickets
- PHEX-related disorder
ReferencesPubMed · IEDB
Publications for PHEX from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.
Reference: AutoantibodyPubMed
4 publications
- Acquired Osteomalacia Associated with Autoantibodies against PHEX.
2025 · N Engl J Med · RCR 2.7 · 7 citations - More on Acquired Osteomalacia and Autoantibodies against PHEX.
2025 · N Engl J Med - More on Acquired Osteomalacia and Autoantibodies against PHEX. Reply.
2025 · N Engl J Med - Autoimmune osteomalacia: a novel FGF23-related hypophosphatemic osteomalacia.
2026 · J Bone Miner Metab
Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.
Genetic constraint and essentialitygnomAD · DepMap
Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.
- gnomAD LOEUF (loss-of-function intolerance)
- 0.14
- gnomAD pLI
- 1
- gnomAD missense Z
- 1.71
- DepMap mean gene effect
- 0.14
- DepMap dependency class
- none
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 4% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
OntologyGO
Biological processes
- bone development
- bone mineralization
- cell-cell signaling
- cellular response to parathyroid hormone stimulus
- cellular response to vitamin D
- lung development
- odontogenesis
- protein modification process
- protein processing
- proteolysis
- response to growth hormone
- response to insulin-like growth factor stimulus
- response to sodium phosphate
- skeletal system development
- organophosphate metabolic process
Molecular functions
Cellular components
Protein domainsUniProt · Pfam · InterPro
KeywordsUniProt
InteractionsUniProt · HPA
Protein binding partners of PHEX in the human serome: UniProt-annotated complex subunits plus reported interactors. Each links to its own Seroatlas record.
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads PHEX as an antibody target. Whether an autoantibody or antibody against PHEX could matter depends on whether native PHEX is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
PHEX is annotated at the cell surface, where native PHEX is exposed to circulating antibodies and is a prime autoantibody target that could block, deplete, or overstimulate it.
Annotation status
The present source text does not explicitly label PHEX as an autoantigen. Seroatlas presents hypothesis context only and does not manufacture a known-serology claim.
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