Human Gene Module / Chromosome 5 / OTULIN

OTULINOTU deubiquitinase with linear linkage specificity

SFARI Gene Score
3
Suggestive Evidence Criteria 3.1
Autism Reports / Total Reports
4 / 6
Rare Variants / Common Variants
5 / 0
Aliases
-
Associated Syndromes
-
Chromosome Band
5p15.2
Associated Disorders
-
Relevance to Autism

TADA analysis of >15,000 Latin American individuals from the GALA Consortium (including 4,717 participants with an ASD diagnosis) in Avila et al., 2026 identified OTULIN as one of 35 genes reaching genome-wide significance (FDR < 0.05); the two Admixed American (AMR) individuals with ASD included in this analysis were SPARK probands with de novo missense variants with MPC scores > 2. Additional de novo variants in OTULIN have been reported in ASD probands from the Simons Simplex Collection and the mAGRE cohort (Krupp et al., 2017; Zhou et al., 2022; Cirnigliaro et al., 2023).

Molecular Function

This gene encodes a member of the peptidase C65 family of ubiquitin isopeptidases. Members of this family remove ubiquitin from proteins. The encoded enzyme specifically recognizes and removes M1(Met1)-linked, or linear, ubiquitin chains from protein substrates. Linear ubiquitin chains are known to regulate the NF-kappa B signaling pathway in the context of immunity and inflammation. OTULIN has been shown to regulate tau expression and RNA metabolism in neurons (Tangavelou et al., 2025), and experimentally reducing linear ubiquitination axis activity by OTULIN overexpression in neonatal mice resulted in persistent synaptic immaturity and adult cognitive deficits due to increased GluN2A degradation (Chu et al., 2026).

SFARI Genomic Platforms
Reports related to OTULIN (6 Reports)
# Type Title Author, Year Autism Report Associated Disorders
1 Support Exonic Mosaic Mutations Contribute Risk for Autism Spectrum Disorder Krupp DR , et al. (2017) Yes -
2 Support - Zhou X et al. (2022) Yes -
3 Support - Cirnigliaro M et al. (2023) Yes -
4 Support - Chu, Yuanyuan et al. (2026) No -
5 Support - Tangavelou, Karthikeyan et al. (2025) No -
6 Primary - Natividad Avila, Marina et al. (2026) Yes -
Rare Variants   (5)
Status Allele Change Residue Change Variant Type Inheritance Pattern Parental Transmission Family Type PubMed ID Author, Year
c.67C>G p.Arg23Gly missense_variant De novo - Simplex 35982159 Zhou X et al. (2022)
c.1038G>T p.Val346= synonymous_variant De novo - Simplex 28867142 Krupp DR , et al. (2017)
c.916C>T p.Arg306Trp missense_variant De novo - Multiplex 37506195 Cirnigliaro M et al. (2023)
c.857T>G p.Leu286Arg missense_variant De novo - Simplex 41912808 Natividad Avila, Marina et al. (2026)
c.857T>G p.Leu286Arg missense_variant De novo - Multiplex 41912808 Natividad Avila, Marina et al. (2026)
Common Variants  

No common variants reported.

SFARI Gene score
3

Suggestive Evidence

3

Suggestive Evidence

See all Category 3 Genes

The literature is replete with relatively small studies of candidate genes, using either common or rare variant approaches, which do not reach the criteria set out for categories 1 and 2. Genes that had two such lines of supporting evidence were placed in category 3, and those with one line of evidence were placed in category 4. Some additional lines of "accessory evidence" (indicated as "acc" in the score cards) could also boost a gene from category 4 to 3.

4/1/2026
3

Initial score established: 3

Sanders TADA Score

Score 0.91699203795141

Ranking 8574/18665 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).
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