CIDEA

Chr 18

cell death inducing DFFA like effector a

Also known as: CIDE-A

The protein is a lipid transferase that promotes lipid droplet fusion and enlargement, restricting lipolysis and favoring lipid storage in adipose tissue. Mutations cause multisystem lipodystrophy with severe insulin resistance, and the gene shows autosomal recessive inheritance. Loss-of-function tolerance metrics indicate the gene tolerates heterozygous loss well, consistent with the recessive inheritance pattern.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
39
Pubs (1 yr)
92
P/LP submissions
0%
P/LP missense
1.71
LOEUF
DN
Mechanism· predicted
Clinical SummaryCIDEA
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
88 unique Pathogenic / Likely Pathogenic· 53 VUS of 148 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.71LOEUF
pLI 0.000
Z-score 0.01
OE 1.00 (0.581.71)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.24Z-score
OE missense 1.06 (0.921.21)
153 obs / 145.0 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.00 (0.581.71)
00.351.4
Missense OE1.06 (0.921.21)
00.61.4
Synonymous OE0.92
01.21.6
LoF obs/exp: 8 / 8.0Missense obs/exp: 153 / 145.0Syn Z: 0.48
DN
0.6743th %ile
GOF
0.6150th %ile
LOF
0.4136th %ile

The highest-scoring mechanism for this gene is dominant-negative.

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

148 submitted variants in ClinVar

Classification Summary

Pathogenic86
Likely Pathogenic2
VUS53
Likely Benign1
Benign1
86
Pathogenic
2
Likely Pathogenic
53
VUS
1
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
86
0
86
Likely Pathogenic
0
0
2
0
2
VUS
0
40
13
0
53
Likely Benign
0
1
0
0
1
Benign
0
1
0
0
1
Total0421010143

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

CIDEA · 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

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗