The protein is predicted to bind glycosaminoglycans and is located in the endoplasmic reticulum. Mutations in this gene cause neurodevelopmental disorders with intellectual disability, and inheritance follows an autosomal recessive pattern. The gene shows tolerance to loss-of-function variants in the general population.

OMIMResearchSummary from RefSeq
DNmechanismLOEUF 0.79
Clinical SummaryMAMDC2
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
41 unique Pathogenic / Likely Pathogenic· 92 VUS of 156 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.79LOEUF
pLI 0.000
Z-score 2.64
OE 0.55 (0.390.79)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.28Z-score
OE missense 0.96 (0.881.05)
351 obs / 365.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.55 (0.390.79)
00.351.4
Missense OE0.96 (0.881.05)
00.61.4
Synonymous OE0.95
01.21.6
LoF obs/exp: 22 / 40.0Missense obs/exp: 351 / 365.8Syn Z: 0.47
DN
0.6162th %ile
GOF
0.5759th %ile
LOF
0.2969th %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

156 submitted variants in ClinVar

Classification Summary

Pathogenic33
Likely Pathogenic8
VUS92
Likely Benign4
Benign4
33
Pathogenic
8
Likely Pathogenic
92
VUS
4
Likely Benign
4
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
33
0
33
Likely Pathogenic
0
0
8
0
8
VUS
1
85
6
0
92
Likely Benign
0
4
0
0
4
Benign
0
2
0
2
4
Total191472141

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

View in ClinVar →

Protein Context — Lollipop Plot

MAMDC2 · 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.

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Clinical Literature
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