CCL21

Chr 9

C-C motif chemokine ligand 21

Also known as: 6Ckine, CKb9, ECL, SCYA21, SLC, TCA4

CCL21 encodes a chemokine that stimulates chemotaxis of thymocytes and activated T-cells and mediates homing of lymphocytes to secondary lymphoid organs by binding to chemokine receptor 7. Mutations cause autosomal recessive combined immunodeficiency with defective lymphocyte homing and lymph node dysgenesis, typically presenting in early childhood with recurrent infections. The gene shows tolerance to loss-of-function variation (LOEUF 1.212), consistent with the recessive inheritance pattern.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 1.21
Clinical SummaryCCL21
Population Constraint (gnomAD)
Low constraint (pLI 0.04) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
71 unique Pathogenic / Likely Pathogenic· 26 VUS of 102 total submissions
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Clinical Trials
3 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.21LOEUF
pLI 0.036
Z-score 1.24
OE 0.47 (0.211.21)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.12Z-score
OE missense 0.96 (0.801.17)
73 obs / 75.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.47 (0.211.21)
00.351.4
Missense OE0.96 (0.801.17)
00.61.4
Synonymous OE0.99
01.21.6
LoF obs/exp: 3 / 6.4Missense obs/exp: 73 / 75.9Syn Z: 0.06
DN
0.75top 25%
GOF
0.4184th %ile
LOF
0.2288th %ile

The highest-scoring mechanism for this gene is dominant-negative.

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

102 submitted variants in ClinVar

Classification Summary

Pathogenic63
Likely Pathogenic8
VUS26
Likely Benign2
Benign1
63
Pathogenic
8
Likely Pathogenic
26
VUS
2
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
63
0
63
Likely Pathogenic
0
0
8
0
8
VUS
0
14
12
0
26
Likely Benign
0
2
0
0
2
Benign
0
0
0
1
1
Total016831100

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

CCL21 · 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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