Previous symbols: DFNA6, DFNA14, DFNA38. Aliases: DIDMOAD, WFS.
Wolframin (WFS1) is a multi-pass transmembrane glycoprotein primarily localized to the endoplasmic reticulum (ER) membrane and mitochondria-associated ER membranes (MAMs). The protein plays essential roles in ER calcium homeostasis by positively modulating ER Ca2+ levels through increasing the rate of Ca2+ uptake [PMID:16989814]. WFS1 also functions as a negative regulator of ER stress signaling, particularly by suppressing ATF6alpha-mediated unfolded protein response through stabilization of the E3 ubiquitin ligase HRD1 and promotion of ATF6alpha proteasomal degradation [PMID:20160352]. Additionally, WFS1 interacts with and stabilizes V-ATPase subunit ATP6V1A and Na+/K+-ATPase beta1 subunit (ATP1B1), regulating their expression and stability [PMID:23035048, PMID:17947299]. Mutations in WFS1 cause Wolfram syndrome (DIDMOAD - diabetes insipidus, diabetes mellitus, optic atrophy, deafness), characterized by progressive beta-cell loss and neurodegeneration due to dysregulated ER stress and calcium homeostasis.
Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.
| Disorder | Relationship | Where the gene appears |
|---|---|---|
| WFS1-Related Disorder | causative germline unknown |
mechanism: Heterozygous Non-Inactivating WFS1 Variant in Exon 8
subtype: Classic WFS1-SD; DFNA6/14/38; Neonatal Diabetes-Deafness-Cataract; Wolfram-like Syndrome
|
| Wolfram Syndrome | causative germline |
mechanism: Loss of Wolframin at the Endoplasmic Reticulum Membrane
subtype: WS1
scoped to subtype: WS1
|
| Diabetes mellitus |
untyped
Causative
|
mechanism: Monogenic Beta-Cell Dysfunction
scoped to subtype: monogenic diabetes
|
An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.
| ClinGen disease | MOI | Classification | dismech entry |
|---|---|---|---|
| Wolfram-like syndrome MONDO:0013673 | AD | Definitive 2024-06-25 |
WFS1-Related Disorder
causative
|
| Wolfram syndrome MONDO:0018105 | AR | Definitive 2018-04-17 |
Wolfram Syndrome
causative
|
| nonsyndromic genetic hearing loss MONDO:0019497 | AD | Definitive 2024-06-25 |
no dismech entry |
Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.