CCN3

Chr 8

cellular communication network factor 3

Also known as: IBP-9, IGFBP-9, IGFBP9, NOV, NOVh

CCN3 encodes a secreted cysteine-rich protein that regulates cellular processes including proliferation, differentiation, and survival by binding to integrins and membrane receptors, and plays essential roles in hematopoietic stem cell function, angiogenesis, and bone development. Mutations in CCN3 cause autosomal dominant elbow-knee synostosis, a skeletal malformation syndrome affecting joint development. The gene shows low constraint to loss-of-function variants, suggesting tolerance to such mutations.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
19
Pubs (1 yr)
55
P/LP submissions
0%
P/LP missense
0.81
LOEUF
DN
Mechanism· predicted
Clinical SummaryCCN3
Population Constraint (gnomAD)
Low constraint (pLI 0.01) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
55 unique Pathogenic / Likely Pathogenic· 48 VUS of 114 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.81LOEUF
pLI 0.007
Z-score 2.10
OE 0.41 (0.220.81)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.23Z-score
OE missense 0.95 (0.851.07)
192 obs / 201.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.41 (0.220.81)
00.351.4
Missense OE0.95 (0.851.07)
00.61.4
Synonymous OE1.06
01.21.6
LoF obs/exp: 6 / 14.7Missense obs/exp: 192 / 201.3Syn Z: -0.38
DN
0.6356th %ile
GOF
0.5170th %ile
LOF
0.3356th %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

114 submitted variants in ClinVar

Classification Summary

Pathogenic55
VUS48
Likely Benign3
Benign1
Conflicting1
55
Pathogenic
48
VUS
3
Likely Benign
1
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
55
0
55
Likely Pathogenic
0
0
0
0
0
VUS
0
40
8
0
48
Likely Benign
0
2
1
0
3
Benign
0
1
0
0
1
Conflicting
1
Total043640108

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

View in ClinVar →

Protein Context — Lollipop Plot

CCN3 · protein map & ClinVar variants

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

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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Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗