Previous symbols: ARVD5. Aliases: MGC3222, DKFZp586G1919, LUMA.
TMEM43 (also known as LUMA) encodes a highly conserved integral inner nuclear membrane protein with four transmembrane domains. The protein functions primarily as a structural/adapter component at the inner nuclear membrane (INM), where it interacts with emerin, lamins A/C, and SUN2 to maintain nuclear envelope integrity and contribute to mechanotransduction through LINC complex associations. TMEM43 is required for retaining emerin at the INM. Beyond the nuclear envelope, TMEM43 also localizes to the ER membrane and, in cardiomyocytes, to intercalated discs. In cochlear glia-like supporting cells, it contributes to passive conductance current through gap junction interactions with connexins (Cx26/Cx30). Pathogenic variants cause arrhythmogenic right ventricular cardiomyopathy type 5 (ARVD5, notably p.S358L), Emery-Dreifuss muscular dystrophy type 7 (EDMD7), and autosomal dominant auditory neuropathy (AUNA3). The protein also plays roles in NF-kappa-B signaling downstream of EGFR and modulates innate immune signaling through the cGAS-STING pathway via interaction with RNF26.
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 |
|---|---|---|
| arrhythmogenic right ventricular cardiomyopathy | unknown germline | |
| Emery-Dreifuss Muscular Dystrophy | causative |
mechanism: Nuclear Envelope and LINC Complex Dysfunction
subtype: EDMD7
scoped to subtype: EDMD7
|
| Auditory Neuropathy |
untyped
Causative
|
mechanism: TMEM43-Associated Gap Junction Dysfunction
subtype: AUNA3
scoped to subtype: AUNA3
|
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 |
|---|---|---|---|
| arrhythmogenic right ventricular dysplasia 5 MONDO:0011459 | AD | Definitive 2018-10-26 |
no dismech entry |
Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.