CHCHD10
Chr 22ADcoiled-coil-helix-coiled-coil-helix domain containing 10
Also known as: C22orf16, FTDALS2, IMMD, MIX17A, N27C7-4, SMAJ
The protein is enriched at mitochondrial cristae junctions in the intermembrane space and maintains mitochondrial organization and cristae structure. Autosomal dominant mutations cause frontotemporal dementia and/or amyotrophic lateral sclerosis-2, isolated mitochondrial myopathy, and Jokela-type spinal muscular atrophy. The pathogenic mechanism appears to be dominant-negative, where mutant proteins interfere with normal mitochondrial function.
Definitive — sufficient evidence for diagnostic panels
2 total gene-disease associations curated
Population Genetics & Constraint
gnomAD v4 — loss-of-function & missense intolerance
Highly tolerant — LoF variants common in population
Mild missense constraint
This gene has evidence for multiple mechanisms of pathogenicity (dominant-negative, gain-of-function and loss-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.
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.
Literature Evidence
Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.
ClinVar Variant Classifications
0 submitted variants in ClinVar
Protein Context — Lollipop Plot
CHCHD10 · protein map & ClinVar variants
Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.
3D Protein StructureAlphaFold
External Resources
Links to major genomics databases and tools
Clinical Trials
Active and recruiting trials from ClinicalTrials.gov
Personalized Antisense Oligonucleotide for a Single Participant With CHCHD10 ALS
ACTIVE NOT RECRUITINGNeurofilament Light Chain And Voice Acoustic Analyses In Dementia Diagnosis
RECRUITINGPersonalized Antisense Oligonucleotide Therapy for A Single Participant With CHCHD10 ALS
ACTIVE NOT RECRUITINGPersonalized Antisense Oligonucleotide for Participants With CHCHD10 ALS
ENROLLING BY INVITATIONPersonalized Antisense Oligonucleotide Therapy for A Single Patient With CHCHD10 ALS (nL18576)
NOT YET RECRUITINGExternal Resources
Links to major genomics databases and tools