DSC1

Chr 18

desmocollin 1

Also known as: CDHF1, DG2/DG3

Desmocollin-1 is a calcium-dependent adhesive glycoprotein that forms desmosome cell-cell junctions in epithelial cells, maintaining epidermal barrier function and normal hair follicle morphology. Mutations cause autosomal recessive striate palmoplantar keratoderma with woolly hair and cardiomyopathy, affecting the skin and cardiac systems. This gene is extremely tolerant to loss-of-function variants (pLI near zero), suggesting the pathogenic variants likely act through other mechanisms.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
9
Pubs (1 yr)
6
P/LP submissions
0%
P/LP missense
0.95
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryDSC1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
6 unique Pathogenic / Likely Pathogenic· 87 VUS of 100 total submissions
📖
GeneReview available — DSC1
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.95LOEUF
pLI 0.000
Z-score 1.84
OE 0.70 (0.530.95)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
-0.10Z-score
OE missense 1.01 (0.941.09)
488 obs / 482.1 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.70 (0.530.95)
00.351.4
Missense OE1.01 (0.941.09)
00.61.4
Synonymous OE1.09
01.21.6
LoF obs/exp: 31 / 44.2Missense obs/exp: 488 / 482.1Syn Z: -0.91
DN
0.74top 25%
GOF
0.7126th %ile
LOF
0.3261th %ile

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

DNprediction above median
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.

ClinVar Variant Classifications

100 submitted variants in ClinVar

Classification Summary

Pathogenic5
Likely Pathogenic1
VUS87
5
Pathogenic
1
Likely Pathogenic
87
VUS

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
5
0
5
Likely Pathogenic
0
0
1
0
1
VUS
0
87
0
0
87
Likely Benign
0
0
0
0
0
Benign
0
0
0
0
0
Total0876093

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

View in ClinVar →

Protein Context — Lollipop Plot

DSC1 · 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 ↗