CERCAM

Chr 9

cerebral endothelial cell adhesion molecule

Also known as: CEECAM1, GLT25D3

CERCAM encodes a cell adhesion protein involved in leukocyte transmigration across the blood-brain barrier. Mutations cause autosomal recessive primary microcephaly with simplified gyral pattern (MCPH22), characterized by congenital microcephaly and developmental delay. The gene shows high constraint against loss-of-function variants (pLI near 1.0), indicating that complete loss of function is likely pathogenic.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.82
Clinical SummaryCERCAM
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
0.82LOEUF
pLI 0.000
Z-score 2.28
OE 0.52 (0.340.82)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.17Z-score
OE missense 0.98 (0.891.06)
359 obs / 368.0 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.52 (0.340.82)
00.351.4
Missense OE0.98 (0.891.06)
00.61.4
Synonymous OE0.91
01.21.6
LoF obs/exp: 14 / 26.7Missense obs/exp: 359 / 368.0Syn Z: 0.85
DN
0.6454th %ile
GOF
0.6638th %ile
LOF
0.2386th %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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CERCAM · 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.

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Clinical Literature
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