CDH19

Chr 18

cadherin 19

Also known as: CDH7, CDH7L2

The CDH19 protein is a calcium-dependent cell adhesion glycoprotein that mediates homophilic cell-cell adhesion and contributes to cell sorting during development. Mutations cause autosomal recessive intellectual disability with seizures and language delay. The gene shows minimal constraint against loss-of-function variants, consistent with its recessive inheritance pattern.

Summary from RefSeq, UniProt
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0
Active trials
4
Pubs (1 yr)
0
P/LP submissions
P/LP missense
1.12
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryCDH19
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.12LOEUF
pLI 0.000
Z-score 1.03
OE 0.80 (0.581.12)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.71Z-score
OE missense 1.10 (1.021.19)
450 obs / 409.7 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.80 (0.581.12)
00.351.4
Missense OE1.10 (1.021.19)
00.61.4
Synonymous OE1.16
01.21.6
LoF obs/exp: 25 / 31.2Missense obs/exp: 450 / 409.7Syn Z: -1.56
DN
0.74top 25%
GOF
0.6931th %ile
LOF
0.3356th %ile

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

DNprediction above median
GOFprediction 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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CDH19 · 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.

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Clinical Literature
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