C9orf72

protein-coding

C9orf72-SMCR8 complex subunit, the group of DENN domain containing|SWC tripartite complex

Gene summary

The protein encoded by this gene plays an important role in the regulation of endosomal trafficking, and has been shown to interact with Rab proteins that are involved in autophagy and endocytic transport. Expansion of a GGGGCC repeat from 2-22 copies to 700-1600 copies in the intronic sequence between alternate 5' exons in transcripts from this gene is associated with 9p-linked ALS (amyotrophic lateral sclerosis) and FTD (frontotemporal dementia) (PMID: 21944778, 21944779). Studies suggest that hexanucleotide expansions could result in the selective stabilization of repeat-containing pre-mRNA, and the accumulation of insoluble dipeptide repeat protein aggregates that could be pathogenic in FTD-ALS patients (PMID: 23393093). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2016]

MANE transcript

NM_018325.5

Inheritance

AD

ClinVar variants

U:28B:13

Top phenotype

Frontotemporal dementia and/or amyotrophic lateral sclerosis 1

gnomAD constraint

pLI —, LoF o/e 0.58

Max pathogenic AF

—

Genomic locus

chr9:27,535,640-27,573,866

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~38.2 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

frontotemporal dementia and/or amyotrophic lateral sclerosis 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007105

Submitter: ClinGen

C9orf72 was first reported in relation to autosomal dominant frontotemporal dementia and/or amyotrophic lateral sclerosis 1 in 2011 (PMID: 21944779, 21944778). Evidence supporting the gene-disease relationship includes case-level data, segregation data, case-control data and experimental data. Five variants (short tandem repeat expansions, missense and splice site) that have been reported in 8 probands in 7 publications (PMIDs: 21944778, 21944779, 22154785, 27790088, 26742954, 23597494, 27595458) are included in this curation. A GGGGCC hexanucleotide repeat expansion has been found to segregate with disease in at least 22 additional family members and is overrepresented in affected individuals in 9 independent case-control cohorts included here (PMID: 21944778, 21944779, 2215478, 22418734, 22300876, 23284068, 23254636, 23597494). More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity is currently unknown, however evidence supports 3 potential mechanisms, including RNA-based toxicity of the transcribed repeat; protein-based toxicity via translation of the expanded RNA to form dipeptide repeat proteins; and haploinsufficiency (PMID: 21944779, 24129584, 23393093, 25731823). This gene-disease association is also supported by expression studies, functional alteration assays and animal models. (PMIDs: 24166615, 24559645, 22366792, 27334615, 25977373, 27112499). More experimental evidence is available in the literature, but the maximum score for experimental evidence (6 pts.) has been reached. In summary, C9orf72 is definitively associated with autosomal dominant frontotemporal dementia and/or amyotrophic lateral sclerosis. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen ALS Gene Curation Expert Panel on the meeting date 26/08/2021 (SOP Version 8).

frontotemporal dementia and/or amyotrophic lateral sclerosis 1MODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0007105

Submitter: Ambry Genetics

progressive myoclonus epilepsyLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0020074

Submitter: Ambry Genetics

frontotemporal dementia and/or amyotrophic lateral sclerosis 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007105

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Frontotemporal dementia and/or amyotrophic lateral sclerosis 1AD

Manifestation: Neurologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 21944778; 21944779; 23551834; 23597494; 24027057Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to C9orf72 variants in ClinVar

4 Conditions Cataloged
Frontotemporal dementia and/or amyotrophic lateral sclerosis 1Total: 26
not specifiedTotal: 17
not providedTotal: 7
C9orf72-related disorderTotal: 6

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_018325.5. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
5
clinvar
6
clinvar
4
clinvar
15
missense
17
clinvar
3
clinvar
20
nonsense
2
clinvar
2
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
4
clinvar
4
Total00289441
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 50 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_018325.5RefSeqNP_060795.110MANE Select
ENST00000380003.8EnsemblENSP00000369339.310MANE Select
NM_001256054.3RefSeqNP_001242983.110Standard
NM_145005.7RefSeqNP_659442.24Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
zgc:100846Danio rerio

Structure: motor neuron

Quality: branchiness

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Mesodermal Commitment Pathway

Biological Process

  • negative regulation of protein phosphorylation
  • endocytosis
  • autophagy
  • regulation of autophagy
  • positive regulation of macroautophagy

Molecular Function

  • protein binding
  • Rab guanyl-nucleotide exchange factor activity
  • Rab GTPase binding

Cellular Component

  • P-body
  • extracellular space
  • nucleus
  • cytoplasm
  • lysosome

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000380003
Coding exons
10
Length
27321
Individuals with no LoFs
125717
Homozygous LoFs
0
Heterozygous LoFs
28
Defined
125745
p
0.000111
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.2442402510.9570.00001223150
Missense (PolyPhen)8490.7940.925171100
Synonymous-1.2010287.71.160.00000435925
Loss of Function1.821322.30.5840.00000110288

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000130.00012rare
Latino/Admixed American0.000120.00012rare
Ashkenazi Jewish00.0absent
East Asian0.000160.00016rare
Finnish00.0absent
European (Non-Finnish)0.000120.00012rare
South Asian0.000140.00013rare
Other0.000160.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Component of the C9orf72-SMCR8 complex, a complex that has guanine nucleotide exchange factor (GEF) activity and regulates autophagy (PubMed:27193190, PubMed:27103069, PubMed:27617292, PubMed:28195531). In the complex, C9orf72 and SMCR8 probably constitute the catalytic subunits that promote the exchange of GDP to GTP, converting inactive GDP-bound RAB8A and RAB39B into their active GTP-bound form, thereby promoting autophagosome maturation (PubMed:27103069). The C9orf72-SMCR8 complex also acts as a regulator of autophagy initiation by interacting with the ATG1/ULK1 kinase complex and modulating its protein kinase activity (PubMed:27617292). Positively regulates initiation of autophagy by regulating the RAB1A-dependent trafficking of the ATG1/ULK1 kinase complex to the phagophore which leads to autophagosome formation (PubMed:27334615). Acts as a regulator of mTORC1 signaling by promoting phosphorylation of mTORC1 substrates (PubMed:27559131). Plays a role in endosomal trafficking (PubMed:24549040). May be involved in regulating the maturation of phagosomes to lysosomes (By similarity). Regulates actin dynamics in motor neurons by inhibiting the GTP-binding activity of ARF6, leading to ARF6 inactivation (PubMed:27723745). This reduces the activity of the LIMK1 and LIMK2 kinases which are responsible for phosphorylation and inactivation of cofilin, leading to cofilin activation (PubMed:27723745). Positively regulates axon extension and axon growth cone size in spinal motor neurons (PubMed:27723745). Plays a role within the hematopoietic system in restricting inflammation and the development of autoimmunity (By similarity). {ECO:0000250|UniProtKB:Q6DFW0, ECO:0000269|PubMed:24549040, ECO:0000269|PubMed:27103069, ECO:0000269|PubMed:27193190, ECO:0000269|PubMed:27334615, ECO:0000269|PubMed:27559131, ECO:0000269|PubMed:27617292, ECO:0000269|PubMed:27723745, ECO:0000269|PubMed:28195531}.; FUNCTION: Isoform 2: Does not play a role in regulation of stress granule assembly in response to cellular stress. {ECO:0000269|PubMed:27037575}.;

Intolerance Scores

LoFtool
0.770
RVIS EVS
-0.56
RVIS percentile EVS
19.54

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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