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GeneE
10 sources retrieved Β· Most recent: April 2026 Β· Index updated 15 days ago
β“˜GeneE is for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment.
TREX1
three prime repair exonuclease 1
Chromosome 3 Β· 3p21.31
NCBI Gene: 11277Ensembl: ENSG00000213689.14HGNC: HGNC:12269UniProt: Q5TZT0
148PubMed Papers
24Diseases
0Drugs
77Pathogenic Variants
RESEARCH IMPACT
Variant-Rich
CLINICAL
OMIM Disease Gene
DATA QUALITY
βœ“ Experimental GO Evidenceβœ“ Swiss-Prot Reviewed
cytosolMutLalpha complex bindingnegative regulation of innate immune responsenegative regulation of cGAS/STING signaling pathwayAicardi-Goutieres syndrome 1retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestationssystemic lupus erythematosuschilblain lupus 1
✦AI Summary

TREX1 (three prime repair exonuclease 1) is a major cellular 3'-to-5' DNA exonuclease that prevents autoimmunity by degrading cytosolic DNA species that would otherwise trigger innate immune responses 1. The protein functions as a critical negative regulator of the cGAS-STING pathway by metabolizing DNA fragments from endogenous retroelements and degrading cytosolic DNA that accumulates from damaged cellular organelles 23. TREX1's mechanism involves its localization to the endoplasmic reticulum membrane, which directs it to ruptured micronuclei where it degrades micronuclear DNA to limit cGAS activation and subsequent type I interferon production 4. Loss-of-function mutations in TREX1 cause Aicardi-Goutières syndrome, a severe inflammatory disease characterized by excessive type I interferon signaling, encephalopathy, and basal ganglia calcification 51. The clinical significance extends beyond rare genetic diseases, as TREX1 dysfunction contributes to systemic lupus erythematosus and other autoimmune conditions 1. Interestingly, TREX1 inactivation in cancer contexts can enhance antitumor immunity by unleashing STING-interferon signaling, suggesting therapeutic potential for cancer immunotherapy 6. The protein also participates in DNA repair processes and can be regulated by p53, which promotes TREX1 degradation to activate immune responses 3.

Sources cited
1
TREX1 mutations cause Aicardi-Goutières syndrome with excessive type I interferon signaling and severe neurological manifestations
PMID: 25604658
2
AGS is caused by mutations in TREX1 and other genes leading to accumulation of self-nucleic acids and type I interferon overproduction
PMID: 37515439
3
TREX1 deficiency leads to abnormally activated STING signaling and systemic inflammation
PMID: 39558862
4
p53 promotes TREX1 degradation leading to cytosolic DNA accumulation and cGAS/STING pathway activation
PMID: 36638783
5
cGAS-STING pathway activation by cytosolic DNA leads to type I interferon production in inflammatory diseases
PMID: 35127372
6
TREX1 inactivation in cancer cells unleashes STING-IFN signaling and enhances antitumor immunity
PMID: 38227896
7
TREX1 overexpression prevents cytosolic DNA accumulation and interferon gene upregulation
PMID: 38754421
Disease Associationsβ“˜24
Aicardi-Goutieres syndrome 1Open Targets
0.83Strong
retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestationsOpen Targets
0.80Strong
systemic lupus erythematosusOpen Targets
0.78Strong
chilblain lupus 1Open Targets
0.76Strong
Cerebroretinal vasculopathyOpen Targets
0.71Strong
Aicardi-Goutières syndromeOpen Targets
0.71Strong
HERNS syndromeOpen Targets
0.71Strong
Hereditary vascular retinopathyOpen Targets
0.71Strong
Retinal vasculopathy and cerebral leukodystrophyOpen Targets
0.67Moderate
chilblain lupusOpen Targets
0.61Moderate
Aicardi-Goutieres syndromeOpen Targets
0.53Moderate
Intellectual disabilityOpen Targets
0.46Moderate
TREX1-related type 1 interferonopathyOpen Targets
0.46Moderate
type 1 interferonopathyOpen Targets
0.46Moderate
genetic disorderOpen Targets
0.41Moderate
familial chilblain lupusOpen Targets
0.37Weak
retinopathyOpen Targets
0.37Weak
NephropathyOpen Targets
0.37Weak
kidney diseaseOpen Targets
0.37Weak
SeizureOpen Targets
0.37Weak
Aicardi-Goutieres syndrome 1UniProt
Chilblain lupus 1UniProt
Systemic lupus erythematosusUniProt
Vasculopathy, retinal, with cerebral leukoencephalopathy and systemic manifestationsUniProt
Pathogenic Variants77
NM_033629.6(TREX1):c.294dup (p.Cys99fs)Pathogenic
Aicardi-Goutieres syndrome 1|Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1|not provided|Chilblain lupus 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1
β˜…β˜…β˜†β˜†2026β†’ Residue 99
NM_033629.6(TREX1):c.341G>A (p.Arg114His)Pathogenic
Aicardi-Goutieres syndrome 1|Systemic lupus erythematosus, susceptibility to|not provided|Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1|Inborn genetic diseases|Chilblain lupus 1;Inborn genetic diseases;Aicardi-Goutieres syndrome 1|TREX1-related disorder|Chilblain lupus 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1|Adult onset neurodegenerative disorder
β˜…β˜…β˜†β˜†2026β†’ Residue 114
NM_033629.6(TREX1):c.868_885del (p.Pro290_Ala295del)Pathogenic
Aicardi-Goutieres syndrome 1|Aicardi-Goutieres syndrome 1;Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|Aicardi-Goutieres syndrome 1;Chilblain lupus 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|not provided|TREX1-related disorder|Aicardi Goutieres syndrome|Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations
β˜…β˜…β˜†β˜†2026β†’ Residue 290
NM_033629.6(TREX1):c.500del (p.Ser167fs)Pathogenic
Aicardi-Goutieres syndrome 1|not provided|Aicardi-Goutieres syndrome 1;Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|Aicardi-Goutieres syndrome 1;Chilblain lupus 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations
β˜…β˜…β˜†β˜†2026β†’ Residue 167
NM_033629.6(TREX1):c.144del (p.Thr49fs)Pathogenic
not provided|Aicardi-Goutieres syndrome 1;Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|TREX1-related disorder
β˜…β˜…β˜†β˜†2026β†’ Residue 49
NM_033629.6(TREX1):c.416del (p.Ala139fs)Pathogenic
Aicardi-Goutieres syndrome 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1|not provided|Aicardi-Goutieres syndrome 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1;Cerebral arteriopathy with subcortical infarcts and leukoencephalopathy
β˜…β˜…β˜†β˜†2025β†’ Residue 139
NM_033629.6(TREX1):c.490C>T (p.Arg164Ter)Pathogenic
Aicardi-Goutieres syndrome 1|not provided|Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1|TREX1-related disorder
β˜…β˜…β˜†β˜†2025β†’ Residue 164
NM_033629.6(TREX1):c.703dup (p.Val235fs)Pathogenic
Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|not provided|Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1;Aicardi-Goutieres syndrome 1
β˜…β˜…β˜†β˜†2025β†’ Residue 235
NM_033629.6(TREX1):c.58dup (p.Glu20fs)Pathogenic
Aicardi-Goutieres syndrome 1|Aicardi-Goutieres syndrome 1;Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|TREX1-related disorder|not provided
β˜…β˜…β˜†β˜†2025β†’ Residue 20
NM_033629.6(TREX1):c.243_246del (p.Ser82fs)Pathogenic
Aicardi-Goutieres syndrome 1
β˜…β˜…β˜†β˜†2025β†’ Residue 82
NM_033629.6(TREX1):c.393_408dup (p.Glu137fs)Likely pathogenic
Aicardi-Goutieres syndrome 1|not provided
β˜…β˜…β˜†β˜†2025β†’ Residue 137
NM_033629.6(TREX1):c.144dup (p.Thr49fs)Pathogenic
not provided|Aicardi-Goutieres syndrome 1|Aicardi-Goutieres syndrome 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1|Aicardi-Goutieres syndrome 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1|TREX1-related disorder
β˜…β˜…β˜†β˜†2025β†’ Residue 49
NM_033629.6(TREX1):c.621_622del (p.Ile207fs)Pathogenic
Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1
β˜…β˜…β˜†β˜†2025β†’ Residue 207
NM_033629.6(TREX1):c.599_601dup (p.Asp200dup)Likely pathogenic
Aicardi-Goutieres syndrome 1|Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1|not provided|Chilblain lupus 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1
β˜…β˜…β˜†β˜†2025β†’ Residue 200
NM_033629.6(TREX1):c.236_243dup (p.Ser82fs)Pathogenic
Aicardi-Goutieres syndrome 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1|Aicardi-Goutieres syndrome 1|Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|Aicardi-Goutieres syndrome 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Systemic lupus erythematosus;Chilblain lupus 1|TREX1-related disorder|not provided
β˜…β˜…β˜†β˜†2025β†’ Residue 82
NM_033629.6(TREX1):c.52G>A (p.Asp18Asn)Pathogenic
Aicardi-Goutieres syndrome 1, autosomal dominant|Aicardi-Goutieres syndrome 1|not provided|Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1|Chilblain lupus
β˜…β˜…β˜†β˜†2025β†’ Residue 18
NM_033629.6(TREX1):c.635del (p.Pro212fs)Pathogenic
TREX1-related disorder|Aicardi-Goutieres syndrome 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1|not provided
β˜…β˜…β˜†β˜†2024β†’ Residue 212
NM_033629.6(TREX1):c.123_125dup (p.Cys42Ter)Pathogenic
Aicardi-Goutieres syndrome 1;Chilblain lupus 1;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations|Aicardi-Goutieres syndrome 1|not provided
β˜…β˜…β˜†β˜†2024β†’ Residue 42
NM_033629.6(TREX1):c.375dup (p.Gly126fs)Likely pathogenic
Chilblain lupus|not provided|Chilblain lupus 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Aicardi-Goutieres syndrome 1
β˜…β˜…β˜†β˜†2024β†’ Residue 126
NM_033629.6(TREX1):c.152_153del (p.Gln51fs)Pathogenic
not provided|Aicardi-Goutieres syndrome 1;Systemic lupus erythematosus;Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations;Chilblain lupus 1
β˜…β˜…β˜†β˜†2024β†’ Residue 51
View on ClinVar β†—
Related Genes
STING1Protein interaction99%SAMHD1Protein interaction97%IRF3Protein interaction89%RNASEH2BProtein interaction80%RNASEH2CProtein interaction77%RNASEH2AProtein interaction69%
Tissue Expression4 tissues
Ovary
0%
Liver
0%
Bone Marrow
0%
Lung
0%
Gene Interaction Network
Click a node to explore
TREX1STING1SAMHD1IRF3RNASEH2BRNASEH2CRNASEH2A
PROTEIN STRUCTURE
Preparing viewer…
PDB7TQO Β· 1.25 Γ… Β· X-ray
View on RCSB β†—
Constraintβ“˜
LOEUFβ“˜
1.26LoF Tolerant
pLIβ“˜
0.00Tolerant
Observed/Expected LoF0.76 [0.48–1.26]
RankingsWhere TREX1 stands among ~20K protein-coding genes
  • #3,074of 20,598
    Most Researched148 Β· top quartile
  • #957of 5,498
    Most Pathogenic Variants77 Β· top quartile
  • #13,338of 17,882
    Most Constrained (LOEUF)1.26
Genes detectedTREX1
Sources retrieved10 papers
Response timeβ€”
πŸ“„ Sources
10β–Ό
1
Ginkgetin Alleviates Inflammation and Senescence by Targeting STING.
PMID: 39558862
Adv Sci (Weinh) Β· 2025
1.00
2
Aicardi-Goutières syndrome: A monogenic type I interferonopathy.
PMID: 37515439
Scand J Immunol Β· 2023
0.90
3
p53 engages the cGAS/STING cytosolic DNA sensing pathway for tumor suppression.
PMID: 36638783
Mol Cell Β· 2023
0.80
4
The cGAS-STING signaling in cardiovascular and metabolic diseases: Future novel target option for pharmacotherapy.
PMID: 35127372
Acta Pharm Sin B Β· 2022
0.70
5
Characterization of human disease phenotypes associated with mutations in TREX1, RNASEH2A, RNASEH2B, RNASEH2C, SAMHD1, ADAR, and IFIH1.
PMID: 25604658
Am J Med Genet A Β· 2015
0.60