CLCN6

Chr 1AD

Cl-/H+ antiporter 6

Also known as: CLC-6, CONRIBA

The protein functions as a voltage-gated chloride/proton antiporter that contributes to acidification of late endosome lumens. Mutations cause Neuronal ceroid lipofuscinosis 7, an autosomal recessive lysosomal storage disorder characterized by progressive neurodegeneration with seizures, vision loss, and cognitive decline typically beginning in late infancy to early childhood. The gene shows moderate constraint against loss-of-function variants, indicating intolerance to complete protein loss.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismADLOEUF 0.611 OMIM phenotype
Clinical SummaryCLCN6
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Gene-Disease Validity (ClinGen)
neurodegeneration, childhood-onset, with hypotonia, respiratory insufficiency, and brain imaging abnormalities · ADModerate

Moderate evidence — consider for supplementary testing

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.61LOEUF
pLI 0.000
Z-score 3.78
OE 0.42 (0.300.61)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
1.59Z-score
OE missense 0.81 (0.750.87)
439 obs / 543.5 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.42 (0.300.61)
00.351.4
Missense OE0.81 (0.750.87)
00.61.4
Synonymous OE1.08
01.21.6
LoF obs/exp: 21 / 49.7Missense obs/exp: 439 / 543.5Syn Z: -0.89
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongCLCN6-related developmental disorderOTHERAD
DN
0.76top 25%
GOF
0.75top 25%
LOF
0.2385th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). The Badonyi & Marsh model scores dominant-negative highest among its predictions, but genomic evidence (constraint, ClinVar variant spectrum, and literature) most strongly supports gain-of-function. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median · 1 literature citation
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.

Literature Evidence

GOFA Recurrent Gain-of-Function Mutation in CLCN6, Encoding the ClC-6 Cl -/H +-Exchanger, Causes Early-Onset NeurodegenerationPMID:33217309

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CLCN6 · 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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