CCDC188

Chr 22

coiled-coil domain containing 188

The CCDC188 protein is predicted to be located in cellular membranes, though its specific function remains unclear. Mutations in this gene cause autosomal recessive neurodevelopmental disorders characterized by intellectual disability, developmental delay, and neurological abnormalities. The gene shows tolerance to loss-of-function variation, which is consistent with the recessive inheritance pattern observed in affected families.

ResearchSummary from RefSeq
MultiplemechanismLOEUF 1.16
Clinical SummaryCCDC188
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
177 unique Pathogenic / Likely Pathogenic· 7 VUS of 185 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.16LOEUF
pLI 0.000
Z-score 1.08
OE 0.72 (0.461.16)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.93Z-score
OE missense 0.80 (0.700.92)
143 obs / 177.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.72 (0.461.16)
00.351.4
Missense OE0.80 (0.700.92)
00.61.4
Synonymous OE0.91
01.21.6
LoF obs/exp: 12 / 16.7Missense obs/exp: 143 / 177.7Syn Z: 0.60
DN
0.6551th %ile
GOF
0.6541th %ile
LOF
0.4529th %ile

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

GOFprediction above median
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

185 submitted variants in ClinVar

Classification Summary

Pathogenic177
VUS7
177
Pathogenic
7
VUS

Curated Variants Distribution

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

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
177
Likely Pathogenic
0
VUS
7
Likely Benign
0
Benign
0
Total184

Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

CCDC188 · 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.

Search ClinicalTrials.gov →
Clinical Literature
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