PCMTD2

Chr 20

protein-L-isoaspartate (D-aspartate) O-methyltransferase domain containing 2

Also known as: C20orf36

The protein is predicted to function as a protein-L-isoaspartate O-methyltransferase involved in protein modification and may also act as a substrate recognition component of an E3 ubiquitin ligase complex that targets proteins for degradation. Mutations cause autosomal recessive developmental and epileptic encephalopathy with onset in infancy, characterized by severe intellectual disability, seizures, and progressive neurodegeneration. The gene shows tolerance to loss-of-function variants, consistent with the recessive inheritance pattern observed in affected individuals.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.78
Clinical SummaryPCMTD2
Population Constraint (gnomAD)
Low constraint (pLI 0.01) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.78LOEUF
pLI 0.008
Z-score 2.18
OE 0.40 (0.220.78)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
1.52Z-score
OE missense 0.71 (0.620.81)
151 obs / 213.5 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.40 (0.220.78)
00.351.4
Missense OE0.71 (0.620.81)
00.61.4
Synonymous OE0.90
01.21.6
LoF obs/exp: 6 / 15.2Missense obs/exp: 151 / 213.5Syn Z: 0.68
DN
0.6358th %ile
GOF
0.6344th %ile
LOF
0.3067th %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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

PCMTD2 · 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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