Skip navigation

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

URL of this page:

FAM126A gene

family with sequence similarity 126 member A

Normal Function

The FAM126A gene provides instructions for making a protein called hyccin, which is active (expressed) throughout the nervous system. Researchers believe that hyccin is involved in the formation of myelin, which is the covering that protects nerves and promotes the efficient transmission of nerve impulses. Hyccin is also active in the lens of the eye, the heart, and the kidneys; however, the protein's function in these tissues is unclear.

Health Conditions Related to Genetic Changes

Hypomyelination and congenital cataract

At least four mutations in the FAM126A gene have been found to cause hypomyelination and congenital cataract. Most mutations delete a large portion of the gene or create a premature stop signal in the instructions for making hyccin. These mutations prevent the production of any functional protein. One FAM126A gene mutation allows some protein to be produced. This mutation replaces the protein building block (amino acid) leucine with the amino acid proline at position 53 in the hyccin protein (written as Leu53Pro or L53P). People with the Leu53Pro mutation tend to have milder symptoms than those with mutations that prevent the production of any protein.

Any disruption in the production of hyccin impairs its role in the formation of myelin, leading to neurological problems such as intellectual disability and walking difficulties. It is unclear how a lack of hyccin causes a clouding of the lens (cataract) in both eyes that is typically present from birth in affected individuals. The neurological problems and cataracts are the characteristic features seen in people with hypomyelination and congenital cataract.

More About This Health Condition

Other Names for This Gene

  • family with sequence similarity 126, member A
  • HCC
  • HLD5
  • HYCC1
  • hyccin

Additional Information & Resources

Tests Listed in the Genetic Testing Registry

Scientific Articles on PubMed

Catalog of Genes and Diseases from OMIM

Gene and Variant Databases


  • Biancheri R, Zara F, Bruno C, Rossi A, Bordo L, Gazzerro E, Sotgia F, Pedemonte M, Scapolan S, Bado M, Uziel G, Bugiani M, Lamba LD, Costa V, Schenone A, Rozemuller AJ, Tortori-Donati P, Lisanti MP, van der Knaap MS, Minetti C. Phenotypic characterization of hypomyelination and congenital cataract. Ann Neurol. 2007 Aug;62(2):121-7. doi: 10.1002/ana.21175. Citation on PubMed
  • Rossi A, Biancheri R, Zara F, Bruno C, Uziel G, van der Knaap MS, Minetti C, Tortori-Donati P. Hypomyelination and congenital cataract: neuroimaging features of a novel inherited white matter disorder. AJNR Am J Neuroradiol. 2008 Feb;29(2):301-5. doi: 10.3174/ajnr.A0792. Epub 2007 Nov 1. Citation on PubMed
  • Ugur SA, Tolun A. A deletion in DRCTNNB1A associated with hypomyelination and juvenile onset cataract. Eur J Hum Genet. 2008 Feb;16(2):261-4. doi: 10.1038/sj.ejhg.5201935. Epub 2007 Oct 10. Citation on PubMed
  • Zara F, Biancheri R, Bruno C, Bordo L, Assereto S, Gazzerro E, Sotgia F, Wang XB, Gianotti S, Stringara S, Pedemonte M, Uziel G, Rossi A, Schenone A, Tortori-Donati P, van der Knaap MS, Lisanti MP, Minetti C. Deficiency of hyccin, a newly identified membrane protein, causes hypomyelination and congenital cataract. Nat Genet. 2006 Oct;38(10):1111-3. doi: 10.1038/ng1870. Epub 2006 Sep 3. Citation on PubMed

The information on this site should not be used as a substitute for professional medical care or advice. Contact a health care provider if you have questions about your health.