C9ORF43

Chr 9

chromosome 9 open reading frame 43

This protein functions as a mitochondrial ribosomal protein involved in mitochondrial protein synthesis. Mutations cause autosomal recessive combined oxidative phosphorylation deficiency 35, characterized by severe early-onset neurological deterioration, developmental delay, and multi-organ dysfunction. The gene shows minimal constraint against loss-of-function variants, which is consistent with the recessive inheritance pattern observed in affected patients.

LOEUF 1.05
Clinical SummaryC9ORF43
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
28 unique Pathogenic / Likely Pathogenic· 8 VUS of 51 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.05LOEUF
pLI 0.000
Z-score 1.33
OE 0.73 (0.511.05)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.17Z-score
OE missense 0.97 (0.871.08)
243 obs / 250.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.73 (0.511.05)
00.351.4
Missense OE0.97 (0.871.08)
00.61.4
Synonymous OE1.10
01.21.6
LoF obs/exp: 20 / 27.5Missense obs/exp: 243 / 250.7Syn Z: -0.76

ClinVar Variant Classifications

51 submitted variants in ClinVar

Classification Summary

Pathogenic25
Likely Pathogenic3
VUS8
Likely Benign1
25
Pathogenic
3
Likely Pathogenic
8
VUS
1
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories· variant type breakdown unavailable

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
25
Likely Pathogenic
3
VUS
8
Likely Benign
1
Benign
0
Total37

Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

C9ORF43 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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