CHD8

Chr 14AD

chromodomain helicase DNA binding protein 8

Also known as: AUTS18, HELSNF1, IDDAM

This gene encodes a chromodomain-helicase-DNA binding protein that regulates transcription, promotes cell proliferation, and controls RNA synthesis through epigenetic remodeling. Loss-of-function mutations cause autosomal dominant intellectual developmental disorder with autism and macrocephaly. The protein's critical role in transcriptional regulation explains how haploinsufficiency leads to the neurodevelopmental phenotype.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
LOFmechanismADLOEUF 0.081 OMIM phenotype
Clinical SummaryCHD8
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Gene-Disease Validity (ClinGen)
complex neurodevelopmental disorder · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
2 active or recruiting trials — potential therapeutic options may be available
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GeneReview available — CHD8
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.08LOEUF
pLI 1.000
Z-score 10.12
OE 0.04 (0.020.08)
Highly constrained

Among the most LoF-intolerant genes (~top 3%)

Missense Constraint
5.95Z-score
OE missense 0.56 (0.530.59)
806 obs / 1441.3 exp
Constrained

Extremely missense-constrained (top ~0.01%)

Observed / Expected Ratios
LoF OE0.04 (0.020.08)
00.351.4
Missense OE0.56 (0.530.59)
00.61.4
Synonymous OE0.94
01.21.6
LoF obs/exp: 5 / 129.0Missense obs/exp: 806 / 1441.3Syn Z: 1.03
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongCHD8-related autismLOFAD
DN
0.3097th %ile
GOF
0.2895th %ile
LOF
0.79top 5%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · 1 literature citation · LOEUF 0.08

Literature Evidence

LOFOur study shows that haploinsufficiency of CHD8 is associated with a distinctive OGID syndrome with pronounced autistic traits and supports a sex-dependent penetrance of CHD8 PTVs in humans.PMID:31001818

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CHD8 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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