PDE10A

Chr 6ARAD

phosphodiesterase 10A

Also known as: ADSD2, HSPDE10A, IOLOD, PDE10A19

This enzyme hydrolyzes cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) to regulate intracellular signaling, with higher affinity and efficiency for cAMP. Mutations cause infantile-onset limb and orofacial dyskinesia or autosomal dominant striatal degeneration, following either autosomal recessive or autosomal dominant inheritance patterns. The protein is essential for normal neurological function, as evidenced by its very high intolerance to loss-of-function variants.

OMIMResearchSummary from RefSeq, OMIM, UniProt
MultiplemechanismAR/ADLOEUF 0.212 OMIM phenotypes
Clinical SummaryPDE10A
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
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.21LOEUF
pLI 1.000
Z-score 5.51
OE 0.09 (0.040.21)
Highly constrained

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

Missense Constraint
3.76Z-score
OE missense 0.50 (0.450.56)
222 obs / 445.1 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.09 (0.040.21)
00.351.4
Missense OE0.50 (0.450.56)
00.61.4
Synonymous OE0.97
01.21.6
LoF obs/exp: 4 / 43.0Missense obs/exp: 222 / 445.1Syn Z: 0.26
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongPDE10A-related childhood-onset chorea with bilateral striatal lesionsOTHERAD
DN
0.5378th %ile
GOF
0.6541th %ile
LOF
0.56top 25%

This gene has evidence for multiple mechanisms of pathogenicity (loss-of-function and gain-of-function). The Badonyi & Marsh model scores gain-of-function highest among its predictions, but genomic evidence (constraint, ClinVar variant spectrum, and literature) most strongly supports loss-of-function (haploinsufficiency). Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

LOFLOEUF 0.21
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. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

PDE10A · 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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