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TWNK

Chr 10q24.31

twinkle mtDNA helicase

Aliases:
PEO, PEO1, TWINKLE, FLJ21832, TWINL
MANE:
ENST00000311916.8

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Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Ataxia and cerebellar anomalies - narrow panel

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Hereditary ataxia

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Hereditary ataxia with onset in adulthood

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Hereditary neuropathy or pain disorder

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Inherited white matter disorders

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Likely inborn error of metabolism

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Mitochondrial disorders

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Mitochondrial DNA maintenance disorder

    BOTH monoallelic and biallelic (but BIALLELIC mutations cause a more SEVERE disease form), autosomal or pseudoautosomal

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Disease associations (Open Targets)

  • progressive external ophthalmoplegia with mitochondrial DNA deletions, autosomal dominant 3

    0.82
  • mitochondrial DNA depletion syndrome 7 (hepatocerebral type)

    0.82
  • Perrault syndrome 5

    0.81
  • Perrault syndrome

    0.65
  • mitochondrial disease

    0.51
  • mitochondrial DNA depletion syndrome

    0.51
  • autosomal dominant progressive external ophthalmoplegia

    0.37
  • Perrault syndrome 2

    0.37
  • progressive external ophthalmoplegia with mitochondrial DNA deletions

    0.37
  • Perrault syndrome 1

    0.37

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

Twinkle mtDNA helicase

Mitochondrial helicase involved in mtDNA replication and repair (PubMed:12975372, PubMed:15167897, PubMed:17324440, PubMed:18039713, PubMed:18971204, PubMed:25824949, PubMed:26887820, PubMed:27226550). Might have a role in mtDNA repair (PubMed:27226550). Has DNA strand separation activity needed to form a processive replication fork for leading strand synthesis which is catalyzed by the formation of a replisome complex with POLG and mtSDB (PubMed:12975372, PubMed:15167897, PubMed:18039713, PubMed:22383523, PubMed:26887820, PubMed:27226550). Preferentially unwinds DNA substrates with pre-existing 5'-and 3'- single-stranded tails but is also active on a 5'- flap substrate (PubMed:12975372, PubMed:15167897, PubMed:18039713, PubMed:22383523, PubMed:26887820, PubMed:27226550). Can dissociate the invading strand of immobile or mobile D-loop DNA structures irrespective of the single strand polarity of the third strand (PubMed:27226550). In addition to its DNA strand separation activity, also has DNA strand annealing, DNA strand-exchange and DNA branch migration activities (PubMed:22383523, PubMed:26887820, PubMed:27226550)

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.