CHAT

Chr 10

choline O-acetyltransferase

Also known as: CHOACTASE, CMS1A, CMS1A2, CMS6

This gene encodes an enzyme which catalyzes the biosynthesis of the neurotransmitter acetylcholine. This gene product is a characteristic feature of cholinergic neurons, and changes in these neurons may explain some of the symptoms of Alzheimer's disease. Polymorphisms in this gene have been associated with Alzheimer's disease and mild cognitive impairment. Mutations in this gene are associated with congenital myasthenic syndrome associated with episodic apnea. Multiple transcript variants encoding different isoforms have been found for this gene, and some of these variants have been shown to encode more than one isoform. [provided by RefSeq, May 2010]

GeneReviewsResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

UniProtMyasthenic syndrome, congenital, 6, presynaptic

Clinical highlights

Gene-disease validity (ClinGen)
congenital myasthenic syndrome 6 · ARDefinitivesufficient evidence for diagnostic panels
6
Active trials
1517
Pubs (1 yr)
P/LP submissions
P/LP missense
0.88
LOEUF
DN
Mechanism· predicted
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Some data sources returned errors (1)

omim: Error: OMIM fetch failed: 429

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?
0.88LOEUF
pLI 0.000
Z-score 2.11
OE 0.62 (0.440.88)
Tolerant

Typical tolerance to LoF variation

Missense Constraint?
0.30Z-score
OE missense 0.96 (0.891.04)
414 obs / 431.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?
LoF OE?0.62 (0.440.88)
00.351.4
Missense OE?0.96 (0.891.04)
00.61.4
Synonymous OE?1.13
01.21.6
LoF obs/exp: 22 / 35.6Missense obs/exp: 414 / 431.3Syn Z: -1.44

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CHAT · 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

Open Angle Glaucoma (OAG)NAION( Non-arteritic Anterior Ischemic Optic Neuropathy)

Evaluating ER-100 for Safety in People With Glaucoma or Non-Arteritic Anterior Ischemic Optic Neuropathy (Optic Nerve Conditions)

RECRUITING
NCT07290244Phase PHASE1Life Biosciences Inc.Started 2026-03-02
ER-100 epigenetic therapy
Gene Mutation-Related CancerGenetic Predisposition

Genetic Information Assistant in Telegenetics

RECRUITING
NCT06089421Phase NAUniversity of VirginiaStarted 2025-04-01
Genetic Information AssistantTelegenetics with UVA genetic counselor
CTNNB1 Neurodevelopmental Syndrome

Gene Replacement Therapy for Treatment of Paediatric Patients With CTNNB1 Neurodevelopmental Syndrome

RECRUITING
NCT07270549Phase PHASE1, PHASE2CTNNB1 FoundationStarted 2025-11-01
Urbagen gene addition therapySirolimusMethylprednisolone (Corticosteroid)
16P11.2 Deletion Syndrome16p11.2 Duplications1Q21.1 Deletion

Online Study of People Who Have Genetic Changes and Features of Autism: Simons Searchlight

RECRUITING
NCT01238250Simons SearchlightStarted 2010-10
CTNNB1 Neurodevelopmental Syndrome

CTNNB1 Neurodevelopmental Syndrome - Natural History Study

RECRUITING
NCT07167732University Medical Centre LjubljanaStarted 2024-06-14
A General Medical and Neurological AssessmentWorld Health Organisation (WHO) Motor MilestonesBurke-Fahn-Marsden Dystonia Rating Scale
Autism

A Strength-Based Employment Maintenance Program for Individuals on the Autism Spectrum

RECRUITING
NCT06255925Phase NAKessler FoundationStarted 2023-01-01
KF-STRIDE® Into Work!