MFSD8

Chr 4AR

major facilitator superfamily domain containing 8

Also known as: CCMD, CLN7, SLC74A1

The encoded protein functions as an outward-rectifying chloride channel that maintains endolysosomal chloride homeostasis, regulates lysosomal calcium content by activating TRPML1 channels, and contributes to progressive acidification from endosome to lysosome. Mutations cause neuronal ceroid lipofuscinosis type 7 (variant late infantile-onset) and macular dystrophy with central cone involvement through an autosomal recessive inheritance pattern. Disease results from loss-of-function mutations that disrupt endolysosomal membrane function and ion homeostasis.

OMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
LOFmechanismARLOEUF 1.072 OMIM phenotypes
Clinical SummaryMFSD8
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Gene-Disease Validity (ClinGen)
neuronal ceroid lipofuscinosis · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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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

Tolerant — LoF & missense variants common in population
LoF Constraint
1.07LOEUF
pLI 0.000
Z-score 1.27
OE 0.75 (0.531.07)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.11Z-score
OE missense 0.98 (0.891.08)
275 obs / 280.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.75 (0.531.07)
00.351.4
Missense OE0.98 (0.891.08)
00.61.4
Synonymous OE1.00
01.21.6
LoF obs/exp: 22 / 29.5Missense obs/exp: 275 / 280.4Syn Z: -0.02
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveMFSD8-related neuronal ceroid-lipofuscinosisLOFAR
Mechanism Note (expert annotation)
LOF

Lysosomal membrane transporter. Biallelic LOF causes CLN7 (variant late-infantile neuronal ceroid lipofuscinosis). This is an autosomal recessive LOF gene.

References:PMID:17564974

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.7229th %ile
GOF
0.6149th %ile
LOF
0.2874th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

MFSD8 · 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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