CERS1

Chr 19AR

ceramide synthase 1

Also known as: EPM8, LAG1, LASS1, UOG1

The ceramide synthase enzyme catalyzes the synthesis of C18 ceramide from acyl-CoA and sphingoid bases, playing a critical role in cerebellar development and Purkinje cell function in the brain. Autosomal recessive mutations cause progressive myoclonic epilepsy type 8, a neurodegenerative disorder involving seizures and dementia. This gene shows moderate constraint against loss-of-function variants (LOEUF 0.692), reflecting its importance in neuronal function.

OMIMResearchSummary from RefSeq, OMIM, UniProt
MultiplemechanismARLOEUF 0.691 OMIM phenotype
Clinical SummaryCERS1
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Gene-Disease Validity (ClinGen)
progressive myoclonus epilepsy · ARModerate

Moderate evidence — consider for supplementary testing

Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.30) despite low pLI — interpret in context.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.69LOEUF
pLI 0.097
Z-score 2.35
OE 0.30 (0.150.69)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.82Z-score
OE missense 0.82 (0.710.95)
137 obs / 166.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.30 (0.150.69)
00.351.4
Missense OE0.82 (0.710.95)
00.61.4
Synonymous OE1.03
01.21.6
LoF obs/exp: 4 / 13.2Missense obs/exp: 137 / 166.6Syn Z: -0.19
DN
0.6840th %ile
GOF
0.6639th %ile
LOF
0.3162th %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

CERS1 · 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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