Normal function · from ai-gene-review (Q9BTV4, commit 79fe13b38970) · AI-generated, not KB evidence

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.

TMEM43 functions as a tetraspanin-like membrane organizer at the inner nuclear membrane, maintaining nuclear envelope structure by organizing protein complexes including emerin, lamins, and SUN2. This is the primary biological function.
molecular function: identical protein binding · directly involved in: nuclear membrane organization · locations: nuclear inner membrane
TMEM43 binds lamins (A-type and B-type) which is required for its retention at the inner nuclear membrane.
molecular function: lamin binding · locations: nuclear inner membrane
In the knowledge base · computed from kb/ at build time

Disorders

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.

DisorderRelationshipWhere 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
ClinGen gene–disease validity · snapshot 2026-10-03 · matched to entries by MONDO

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 diseaseMOIClassificationdismech 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.