PLEKHG2

Chr 19AR

pleckstrin homology and RhoGEF domain containing G2

Also known as: ARHGEF42, CLG, CTB-60E11.4, LDAMD

The protein functions as a guanine nucleotide exchange factor that activates CDC42 and RAC1 GTPases, regulating actin polymerization in cellular processes. Biallelic mutations cause autosomal recessive leukodystrophy with acquired microcephaly and variable dystonia. The gene is highly constrained against loss-of-function variants (LOEUF 0.611), consistent with severe clinical consequences when both copies are disrupted.

OMIMResearchSummary from RefSeq, OMIM, UniProt
MultiplemechanismARLOEUF 0.611 OMIM phenotype
Clinical SummaryPLEKHG2
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — 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
0.61LOEUF
pLI 0.000
Z-score 3.94
OE 0.44 (0.320.61)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.80Z-score
OE missense 0.92 (0.860.98)
736 obs / 799.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.44 (0.320.61)
00.351.4
Missense OE0.92 (0.860.98)
00.61.4
Synonymous OE0.94
01.21.6
LoF obs/exp: 25 / 57.2Missense obs/exp: 736 / 799.7Syn Z: 0.89
DN
0.6261th %ile
GOF
0.74top 25%
LOF
0.3550th %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

PLEKHG2 · 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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