FLNC

Chr 7AD

filamin C

Also known as: ABP-280, ABP280A, ABPA, ABPL, ARVC15, CMD1PP, CMH26, FLN2

Filamin C is a muscle-specific actin-crosslinking protein that plays a central role in sarcomere assembly and organization at the Z lines in muscle cells. Mutations cause autosomal dominant cardiac conditions including arrhythmogenic right ventricular dysplasia, hypertrophic cardiomyopathy, restrictive cardiomyopathy, and skeletal muscle disorders including distal and myofibrillar myopathies. The gene is highly constrained against loss-of-function variation, indicating that maintaining proper protein levels is critical for normal muscle function.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismADLOEUF 0.256 OMIM phenotypes
Clinical SummaryFLNC
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Gene-Disease Validity (ClinGen)
myofibrillar myopathy · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
2 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.25LOEUF
pLI 1.000
Z-score 7.96
OE 0.17 (0.120.25)
Highly constrained

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

Missense Constraint
2.79Z-score
OE missense 0.81 (0.770.85)
1369 obs / 1691.8 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.17 (0.120.25)
00.351.4
Missense OE0.81 (0.770.85)
00.61.4
Synonymous OE1.03
01.21.6
LoF obs/exp: 18 / 106.7Missense obs/exp: 1369 / 1691.8Syn Z: -0.68
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveFLNC-related myofibrillar myopathyOTHERAD
definitiveFLNC-related dilated cardiomyopathyLOFAD
DN
0.4983th %ile
GOF
0.6053th %ile
LOF
0.62top 25%

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

LOF1 literature citation · LOEUF 0.25
DN1 literature citation

Literature Evidence

DNDominant-negative effects of a novel mutation in the filamin myopathyPMID:21135393
LOFWe conclude that filamin C is a dosage-sensitive gene and that FLNC haploinsufficiency can cause a specific type of myopathy in humans.PMID:22131542

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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

FLNC · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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