Previous symbols: WND.
ATP7B (ATPase copper transporting beta) is named by 2 disorder entries.
ai-gene-review gives ATP7B's core molecular function as P-type monovalent copper transporter activity, acting in cellular detoxification of copper ion; copper ion export; copper ion transport; and intracellular copper ion homeostasis, at the cytoplasmic vesicle; and trans-Golgi network membrane. The upstream review is being updated; this summary reflects the pinned ingest.
Wilson Disease types ATP7B as causative, with germline variants, and ClinGen rates the pair definitive. The gene sits on 3 pathophysiology nodes there, beginning with ATP7B Copper-Trafficking Defect and including Impaired Biliary Copper Excretion and Impaired Ceruloplasmin Loading.
The KB mechanism nodes and the ai-gene-review core functions share copper ion transport by exact GO identifier; the Wilson Disease nodes also mark the review's core molecular function, the P-type copper transporter activity, as decreased.
Liver Cirrhosis types ATP7B as a risk factor rather than a cause: Wilson disease is one of several routes to cirrhosis.
Underlined values are claims re-computed from the knowledge base each time this page is built. The tables below are the source of truth.
ATP7B (copper-transporting ATPase 2) is a P1B-type ATPase (EC 7.2.2.8) predominantly expressed in hepatocytes. It has two main physiological roles: (1) biosynthetic copper delivery to cuproenzymes (particularly ceruloplasmin) at the trans-Golgi network, and (2) biliary copper excretion via copper-responsive vesicular trafficking. Under basal copper conditions, ATP7B resides in the TGN where it loads copper into the secretory pathway. When intracellular copper rises, ATP7B traffics to pericanalicular vesicles that sequester excess copper and subsequently undergo exocytosis to excrete copper into bile. This vesicular sequestration mechanism (not direct plasma membrane transport) is the primary route for biliary copper elimination. ATP7B contains six N-terminal heavy metal-associated (HMA) domains, each with a GMXCXXC copper-binding motif, eight transmembrane domains with a conserved CPC motif essential for transport, and cytoplasmic nucleotide-binding and phosphorylation domains. The copper chaperone ATOX1 delivers copper to ATP7B and stimulates its catalytic activity. Loss-of-function mutations cause Wilson disease (MIM:277900), an autosomal recessive disorder of hepatic copper accumulation leading to liver cirrhosis and neurological damage.
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 |
|---|---|---|
| Liver Cirrhosis | risk factor germline | |
| Wilson Disease |
causative
germline
CLINGEN: definitive
|
mechanism: ATP7B Copper-Trafficking Defect; Impaired Biliary Copper Excretion; Impaired Ceruloplasmin Loading
discussion: (unnamed)
|
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 |
|---|---|---|---|
| Wilson disease MONDO:0010200 | AR | Definitive 2019-03-27 |
Wilson Disease
causative
|
Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.