COMMD6

Chr 13

COMM domain containing 6

Also known as: Acrg

COMMD6 encodes a scaffold protein essential for the commander complex that regulates endosomal recycling of transmembrane cargos and inhibits NF-kappa-B activation. Mutations cause autosomal recessive neurodevelopmental disorder with hypotonia, seizures, and brain abnormalities, with onset in infancy or early childhood. The gene shows moderate tolerance to loss-of-function variants, consistent with recessive inheritance patterns.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 0.99
Clinical SummaryCOMMD6
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.31) despite low pLI — interpret in context.
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ClinVar Variants
69 unique Pathogenic / Likely Pathogenic· 15 VUS of 102 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.99LOEUF
pLI 0.172
Z-score 1.60
OE 0.31 (0.130.99)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
-0.69Z-score
OE missense 1.27 (1.041.56)
65 obs / 51.2 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.31 (0.130.99)
00.351.4
Missense OE1.27 (1.041.56)
00.61.4
Synonymous OE1.21
01.21.6
LoF obs/exp: 2 / 6.3Missense obs/exp: 65 / 51.2Syn Z: -0.74
DN
0.6259th %ile
GOF
0.3986th %ile
LOF
0.2775th %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

102 submitted variants in ClinVar

Classification Summary

Pathogenic69
VUS15
69
Pathogenic
15
VUS

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories· variant type breakdown unavailable

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
69
Likely Pathogenic
0
VUS
15
Likely Benign
0
Benign
0
Total84

Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

COMMD6 · 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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