Human Gene Module / Chromosome X / DLG3

DLG3discs large MAGUK scaffold protein 3

SFARI Gene Score
2
Strong Candidate Criteria 2.1
Autism Reports / Total Reports
7 / 16
Rare Variants / Common Variants
30 / 0
Aliases
-
Associated Syndromes
-
Chromosome Band
Xq13.1
Associated Disorders
-
Relevance to Autism

Maternally-inherited hemizygous variants in the DLG3 gene have been identified in male ASD probands from ancestrally diverse cohorts, including ASD cohorts from China, Bulgaria, and most recently Turkey (Hu et al., 2022; Gogate et al., 2024; Belenska-Todorova et al., 2025; Eser et al., 2026), while de novo variants in this gene were previously reported in ASD probands from the SPARK and MSSNG cohorts (Zhou et al., 2022). Two of the seven males with X-linked epilepsy resulting from maternally-inherited hemizygous DLG3 missense variants described in He et al., 2024 were reported to also present with ASD. More recently, Malbos et al., 2025 described 17 novel individuals with 16 different DLG3 variants (10 with pathogenic loss-of-function and 6 variants of uncertain significance) and found that ASD was present in 1/10 individuals with a loss-of-function variant and 3/7 individuals with a variant of uncertain significance. The protein encoded by the DLG3 gene (often referred to as SAP102) has been shown to interact with proteins encoded by other ASD candidate genes, including GRIN2B (Muller et al., 1996), APC (Makino et al., 1997), SYNGAP1 (Kim et al., 1998), DLG4 (Masuko et al., 1999), ERBB4 (Garcia et al., 2000), and NBEA (Lauks et al., 2012).

Molecular Function

This gene encodes a member of the membrane-associated guanylate kinase protein family. The encoded protein may play a role in clustering of NMDA receptors at excitatory synapses. It may also negatively regulate cell proliferation through interaction with the C-terminal region of the adenomatosis polyposis coli tumor suppressor protein. Mutations in this gene have been associated with X-linked cognitive disability (X-linked intellectual developmental disorder-90, OMIM 300850).

SFARI Genomic Platforms
Reports related to DLG3 (16 Reports)
# Type Title Author, Year Autism Report Associated Disorders
1 Support - N Masuko et al. (1999) No -
2 Support - R A Garcia et al. (2000) No -
3 Support - Juliane Lauks et al. (2012) No -
4 Support - Hu C et al. (2022) Yes -
5 Support - Zhou X et al. (2022) Yes -
6 Support - Yun-Yan He et al. (2024) No ASD, ADHD, DD, ID
7 Support - Stella-Amrei Kunde et al. (2024) No -
8 Support - Ashlesha Gogate et al. (2024) Yes -
9 Support - Lyudmila Belenska-Todorova et al. (2025) Yes -
10 Support - Ceren Alavanda et al. () Yes -
11 Recent Recommendation - Marlène Malbos et al. (2025) No ASD, ADHD, epilepsy/seizures
12 Primary - Metin Eser et al. (2025) Yes -
13 Support - Wang, Lulu et al. (2026) Yes -
14 Support - B M Müller et al. (1996) No -
15 Support - Makino K , et al. (1997) No -
16 Support SynGAP: a synaptic RasGAP that associates with the PSD-95/SAP90 protein family Kim JH , et al. (1998) No -
Rare Variants   (30)
Status Allele Change Residue Change Variant Type Inheritance Pattern Parental Transmission Family Type PubMed ID Author, Year
- - copy_number_loss De novo - - 40983642 Marlène Malbos et al. (2025)
- - copy_number_loss Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.70C>T p.Arg24Cys missense_variant Unknown - - 42036727 Wang, Lulu et al. (2026)
c.1302+5G>A - splice_site_variant De novo - - 40983642 Marlène Malbos et al. (2025)
c.1988G>A p.Arg663Gln missense_variant Familial Maternal - 35741772 Hu C et al. (2022)
c.1129G>A p.Glu377Lys missense_variant De novo - Multiplex 35982159 Zhou X et al. (2022)
c.1185C>T p.Gly395= synonymous_variant De novo - Multiplex 35982159 Zhou X et al. (2022)
c.691A>T p.Lys231Ter stop_gained Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.703+4C>A - splice_region_variant Familial Maternal Simplex 41420732 Metin Eser et al. (2025)
c.2266C>T p.Arg756Ter stop_gained Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.2371G>T p.Glu791Ter stop_gained Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.840+4A>G - splice_region_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.18C>G p.His6Gln missense_variant Familial Maternal Simplex 38249294 Yun-Yan He et al. (2024)
c.859C>T p.Gln287Ter stop_gained Familial Maternal Multiplex 40881055 Ceren Alavanda et al. ()
c.128G>T p.Gly43Val missense_variant Familial Maternal Simplex 38249294 Yun-Yan He et al. (2024)
c.463C>T p.Pro155Ser missense_variant Familial Maternal Simplex 38249294 Yun-Yan He et al. (2024)
c.593G>A p.Arg198Gln missense_variant Familial Maternal Simplex 38249294 Yun-Yan He et al. (2024)
c.1415G>A p.Arg472His missense_variant Familial Maternal Simplex 38249294 Yun-Yan He et al. (2024)
c.1998T>A p.Asn666Lys missense_variant Familial Maternal Simplex 38249294 Yun-Yan He et al. (2024)
c.1153C>T p.Arg385Cys missense_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.1472C>G p.Ser491Cys missense_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.1462dup p.Ser488LysfsTer13 frameshift_variant De novo - - 40983642 Marlène Malbos et al. (2025)
c.131dup p.Asn45GlnfsTer44 frameshift_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.1654C>T p.His552Tyr missense_variant Familial Maternal Multiplex 39632905 Ashlesha Gogate et al. (2024)
c.1015dup p.Ser339LysfsTer3 frameshift_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.1981C>T p.Arg661Trp missense_variant Familial Maternal Multiplex 40983642 Marlène Malbos et al. (2025)
c.1721G>A p.Arg574Gln missense_variant Familial Maternal - 40558542 Lyudmila Belenska-Todorova et al. (2025)
c.1619_1628del p.Asp540GlyfsTer7 frameshift_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.1349_1350del p.Ala450GlyfsTer18 frameshift_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
c.2348-42_2348-4delinsAAGAGGAAAACAAAATTATTACTGTATACAG - intron_variant Familial Maternal - 40983642 Marlène Malbos et al. (2025)
Common Variants  

No common variants reported.

SFARI Gene score
2

Strong Candidate

2

Strong Candidate

See all Category 2 Genes

We considered a rigorous statistical comparison between cases and controls, yielding genome-wide statistical significance, with independent replication, to be the strongest possible evidence for a gene. These criteria were relaxed slightly for category 2.

4/1/2026
2

Initial score established: 2

Krishnan Probability Score

Score 0.6017796635738

Ranking 388/25841 scored genes


[Show Scoring Methodology]
Krishnan and colleagues generated probability scores genome-wide by using a machine learning approach on a human brain-specific gene network. The method was first presented in Nat Neurosci 19, 1454-1462 (2016), and scores for more than 25,000 RefSeq genes can be accessed in column G of supplementary table 3 (see: http://www.nature.com/neuro/journal/v19/n11/extref/nn.4353-S5.xlsx). A searchable browser, with the ability to view networks of associated ASD risk genes, can be found at asd.princeton.edu.
ExAC Score

Score 0.99954446450801

Ranking 919/18225 scored genes


[Show Scoring Methodology]
The Exome Aggregation Consortium (ExAC) is a summary database of 60,706 exomes that has been widely used to estimate 'constraint' on mutation for individual genes. It was introduced by Lek et al. Nature 536, 285-291 (2016), and the ExAC browser can be found at exac.broadinstitute.org. The pLI score was developed as measure of intolerance to loss-of- function mutation. A pLI > 0.9 is generally viewed as highly constrained, and thus any loss-of- function mutations in autism in such a gene would be more likely to confer risk. For a full list of pLI scores see: ftp://ftp.broadinstitute.org/pub/ExAC_release/release0.3.1/functional_gene_constraint/fordist_cle aned_exac_nonTCGA_z_pli_rec_null_data.txt
Sanders TADA Score

Score 0.93740535169917

Ranking 13514/18665 scored genes


[Show Scoring Methodology]
The TADA score ('Transmission and De novo Association') was introduced by He et al. PLoS Genet 9(8):e1003671 (2013), and is a statistic that integrates evidence from both de novo and transmitted mutations. It forms the basis for the claim of 65 individual genes being strongly associated with autism risk at a false discovery rate of 0.1 (Sanders et al. Neuron 87, 1215-1233 (2015)). The calculated TADA score for 18,665 RefSeq genes can be found in column P of Supplementary Table 6 in the Sanders et al. paper (the column headed 'tadaFdrAscSscExomeSscAgpSmallDel'), which represents a combined analysis of exome data and small de novo deletions (see www.cell.com/cms/attachment/2038545319/2052606711/mmc7.xlsx).
Zhang D Score

Score 0.5909927221541

Ranking 109/20870 scored genes


[Show Scoring Methodology]
The DAMAGES score (disease-associated mutation analysis using gene expression signatures), or D score, was developed to combine evidence from de novo loss-of- function mutation with evidence from cell-type- specific gene expression in the mouse brain (specifically translational profiles of 24 specific mouse CNS cell types isolated from 6 different brain regions). Genes with positive D scores are more likely to be associated with autism risk, with higher-confidence genes having higher D scores. This statistic was first presented by Zhang & Shen (Hum Mutat 38, 204- 215 (2017), and D scores for more than 20,000 RefSeq genes can be found in column M in supplementary table 2 from that paper.
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