CNTFR

Chr 9

ciliary neurotrophic factor receptor

The ciliary neurotrophic factor receptor (CNTFR) encodes the ligand-specific alpha subunit of a tripartite cytokine receptor that binds ciliary neurotrophic factor and mediates neuronal survival, differentiation, and gene expression. This gene is highly constrained against loss-of-function variants (pLI 0.96, LOEUF 0.34) and mutations cause ciliary neurotrophic factor receptor deficiency, an autosomal recessive disorder affecting the nervous system. The condition involves impaired neuronal signaling pathways critical for motor neuron survival and muscle function.

GeneReviewsOMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.34
Clinical SummaryCNTFR
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.96). One damaged copy is likely sufficient to cause disease.
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ClinVar Variants
71 unique Pathogenic / Likely Pathogenic· 53 VUS of 127 total submissions
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GeneReview available — CNTFR
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.34LOEUF
pLI 0.955
Z-score 3.56
OE 0.11 (0.040.34)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
1.60Z-score
OE missense 0.71 (0.620.80)
166 obs / 235.0 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.11 (0.040.34)
00.351.4
Missense OE0.71 (0.620.80)
00.61.4
Synonymous OE0.94
01.21.6
LoF obs/exp: 2 / 18.6Missense obs/exp: 166 / 235.0Syn Z: 0.44
DN
0.4884th %ile
GOF
0.6833th %ile
LOF
0.54top 25%

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

LOFLOEUF 0.34
GOFprediction 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. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

127 submitted variants in ClinVar

Classification Summary

Pathogenic63
Likely Pathogenic8
VUS53
Likely Benign2
63
Pathogenic
8
Likely Pathogenic
53
VUS
2
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
63
0
63
Likely Pathogenic
0
0
8
0
8
VUS
0
43
10
0
53
Likely Benign
0
2
0
0
2
Benign
0
0
0
0
0
Total045810126

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

View in ClinVar →

Protein Context — Lollipop Plot

CNTFR · 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.

Search ClinicalTrials.gov →
Clinical Literature
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