CAMK2A

Chr 5ARAD

calcium/calmodulin dependent protein kinase II alpha

Also known as: CAMKA, CaMKIINalpha, CaMKIIalpha, MRD53, MRT63

CAMK2A encodes the alpha subunit of calcium/calmodulin-dependent protein kinase II, which is essential for hippocampal long-term potentiation and spatial learning through calcium-dependent and autophosphorylation-mediated signaling at glutamatergic synapses. Mutations cause intellectual developmental disorder that can be inherited in either autosomal dominant or autosomal recessive patterns. The protein's critical role in synaptic plasticity explains why loss-of-function mutations lead to cognitive impairment.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismAR/ADLOEUF 0.252 OMIM phenotypes
Clinical SummaryCAMK2A
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Gene-Disease Validity (ClinGen)
complex neurodevelopmental disorder · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.25LOEUF
pLI 0.998
Z-score 4.98
OE 0.11 (0.050.25)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
4.68Z-score
OE missense 0.24 (0.200.29)
72 obs / 299.8 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.11 (0.050.25)
00.351.4
Missense OE0.24 (0.200.29)
00.61.4
Synonymous OE0.91
01.21.6
LoF obs/exp: 4 / 36.5Missense obs/exp: 72 / 299.8Syn Z: 0.82
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongCAMK2A-related intellectual disabilityLOFAD
DN
0.5279th %ile
GOF
0.5856th %ile
LOF
0.63top 25%

This gene has evidence for multiple mechanisms of pathogenicity (loss-of-function, gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to loss-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

LOFLOEUF 0.25
GOF1 literature citation
DN1 literature citation

Literature Evidence

DNHere we show that a de novo Glu183 to Val (E183V) mutation in the CaMKIIα catalytic domain, identified in a proband diagnosed with ASD, decreases both CaMKIIα substrate phosphorylation and regulatory autophosphorylation, and that the mutated kinase acts in a dominant-negative manner to reduce CaMKPMID:28130356
GOFCAMK2A autophosphorylation at Thr286 is critical for autonomous (calcium-independent) function. E109D (114078.0002) and H282R caused a significant increase in autophosphorylation at Thr286, consistent with a gain of function, whereas F98S (114078.0001) and E183V (114078.0003) showed a significant rePMID:25363768

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CAMK2A · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
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