CER1

Chr 9

cerberus 1, DAN family BMP antagonist

Also known as: DAND4

The protein is a cytokine that inhibits bone morphogenetic protein (BMP) signaling and regulates Nodal signaling during embryonic development, particularly in anterior neural induction and somite formation. Mutations cause autosomal recessive neural tube defects including spina bifida and anencephaly. This gene is not highly constrained against loss-of-function variants, consistent with a recessive inheritance pattern.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 1.80
Clinical SummaryCER1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
109 unique Pathogenic / Likely Pathogenic· 44 VUS of 160 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.80LOEUF
pLI 0.000
Z-score -0.15
OE 1.06 (0.601.80)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-1.64Z-score
OE missense 1.38 (1.231.55)
203 obs / 147.1 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.06 (0.601.80)
00.351.4
Missense OE1.38 (1.231.55)
00.61.4
Synonymous OE1.26
01.21.6
LoF obs/exp: 7 / 6.6Missense obs/exp: 203 / 147.1Syn Z: -1.55
DN
0.6744th %ile
GOF
0.3987th %ile
LOF
0.4136th %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

160 submitted variants in ClinVar

Classification Summary

Pathogenic102
Likely Pathogenic7
VUS44
Likely Benign5
102
Pathogenic
7
Likely Pathogenic
44
VUS
5
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
102
0
102
Likely Pathogenic
0
0
7
0
7
VUS
0
40
4
0
44
Likely Benign
0
4
0
1
5
Benign
0
0
0
0
0
Total0441131158

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

View in ClinVar →

Protein Context — Lollipop Plot

CER1 · 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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