DCHS2

Chr 4

dachsous cadherin-related 2

Also known as: CDH27, CDHJ, CDHR7, PCDH23, PCDHJ

This gene encodes a large calcium-dependent cell-adhesion protein containing multiple cadherin domains that functions in cell adhesion. Mutations cause Van Maldergem syndrome, a rare autosomal recessive disorder characterized by intellectual disability, distinctive facial features, and limb malformations. The gene shows no significant constraint against loss-of-function variants in the general population.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
5
Pubs (1 yr)
29
P/LP submissions
0%
P/LP missense
1.02
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryDCHS2
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
29 unique Pathogenic / Likely Pathogenic· 149 VUS of 332 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.02LOEUF
pLI 0.000
Z-score 1.34
OE 0.85 (0.711.02)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.50Z-score
OE missense 1.04 (0.991.08)
1563 obs / 1508.6 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.85 (0.711.02)
00.351.4
Missense OE1.04 (0.991.08)
00.61.4
Synonymous OE1.06
01.21.6
LoF obs/exp: 79 / 92.9Missense obs/exp: 1563 / 1508.6Syn Z: -1.05
DN
0.6842th %ile
GOF
0.6834th %ile
LOF
0.4332th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
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

332 submitted variants in ClinVar

Classification Summary

Pathogenic25
Likely Pathogenic4
VUS149
Likely Benign39
Benign84
25
Pathogenic
4
Likely Pathogenic
149
VUS
39
Likely Benign
84
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
25
0
25
Likely Pathogenic
0
0
4
0
4
VUS
2
95
52
0
149
Likely Benign
0
22
8
9
39
Benign
2
46
6
30
84
Total41639539301

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

View in ClinVar →

Protein Context — Lollipop Plot

DCHS2 · 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.

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Clinical Literature
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