CLDN16

protein-coding

claudin 16, the group of Claudins

Gene summary

Tight junctions represent one mode of cell-to-cell adhesion in epithelial or endothelial cell sheets, forming continuous seals around cells and serving as a physical barrier to prevent solutes and water from passing freely through the paracellular space. These junctions are comprised of sets of continuous networking strands in the outwardly facing cytoplasmic leaflet, with complementary grooves in the inwardly facing extracytoplasmic leaflet. The protein encoded by this gene, a member of the claudin family, is an integral membrane protein and a component of tight junction strands. It is found primarily in the kidneys, specifically in the thick ascending limb of Henle, where it acts as either an intercellular pore or ion concentration sensor to regulate the paracellular resorption of magnesium ions. Defects in this gene are a cause of primary hypomagnesemia, which is characterized by massive renal magnesium wasting with hypomagnesemia and hypercalciuria, resulting in nephrocalcinosis and renal failure. This gene and the CLDN1 gene are clustered on chromosome 3q28. [provided by RefSeq, Jun 2010]

MANE transcript

NM_006580.4

Inheritance

AR

ClinVar variants

P:52U:73B:34

Top phenotype

Hypomagnesemia 3, renal

gnomAD constraint

pLI —, LoF o/e 0.36

Max pathogenic AF

—

Genomic locus

chr3:190,322,541-190,412,138

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~89.6 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

renal hypomagnesemia 3STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009550

Submitter: Labcorp Genetics (formerly Invitae)

renal hypomagnesemia 3DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009550

Submitter: ClinGen

The *CLDN16* gene is located on chromosome 3 at 3q28. *CLDN16* encodes the renal tight junction protein claudin-16 which participates in the paracellular reabsorption of calcium and magnesium in the thick ascending limb of the loop of Henle (PMID: 18003771). *CLDN16* was first reported in relation to autosomal recessive renal hypomagnesemia, type 3 (OMIM: 248250) in 1999 (Simon et al., PMID: 10390358). The preferred disease name suggested for this disorder is 'autosomal recessive renal hypomagnesemia with hypercalciuria and nephrocalcinosis - *CLDN16*'. This progressive renal tubular disorder is characterized by excessive urinary losses of calcium and magnesium (PMID: 26613020). The mechanism of pathogenicity is known to be loss of function. 13 variants (9 missense, 1 start-loss, 1 splice, 1 deletion and 1 nonsense) have been reported in nine probands in four publications (PMID: 10390358, 11518780, 18003771, 32869508) and are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. This gene-disease relationship is also supported by expression, biochemical function, protein-protein interactions, and an animal model (PMID: 17442678, 10390358, 18188451). A total of 3.5/6 pts. for experimental evidence was reached In summary, there is definitive evidence supporting the relationship between *CLDN16* and autosomal recessive renal hypomagnesemia, type 3 (OMIM: 248250). This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time.

renal hypomagnesemia 3SUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009550

Submitter: Orphanet

Clinical Genomic Database (CGD)

Hypomagnesemia 3, renalAR

Manifestation: Renal

Intervention: Renal

Rationale: Presentation can include hypocalcemic/hypomagnesemic seizures, and early diagnosis and magnesium therapy can be beneficial; Renal transplantation is frequently necessary

Comments: Some individuals have a self-limiting form of disease

Refs: 668721; 7637271; 9579153; 10390358; 10878661; 14628289; 16501001; 20607983; 21669885; 21848011; 22422540Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to CLDN16 variants in ClinVar

10 Conditions Cataloged
Primary hypomagnesemiaTotal: 105
not providedTotal: 92
Inborn genetic diseasesTotal: 20
CLDN16-related disorderTotal: 4
not specifiedTotal: 2
Renal hypomagnesemia 5 with ocular involvementTotal: 1
HYPERCALCIURIA, CHILDHOOD, SELF-LIMITINGTotal: 1
Kidney stoneTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_006580.4. 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
2
clinvar
30
clinvar
32
missense
14
clinvar
18
clinvar
64
clinvar
2
clinvar
2
clinvar
100
nonsense
5
clinvar
3
clinvar
1
clinvar
9
start loss
1
clinvar
2
clinvar
1
clinvar
4
frameshift
3
clinvar
3
clinvar
1
clinvar
7
splice donor/acceptor (+/-2bp)
3
clinvar
4
clinvar
7
Total232973322159

Highest pathogenic variant AF is 0.00006381692

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 35 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_006580.4RefSeqNP_006571.25MANE Select
ENST00000264734.3EnsemblENSP00000264734.35MANE Select
NM_001378492.1RefSeqNP_001365421.15Standard
NM_001378493.1RefSeqNP_001365422.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Cell adhesion molecules (CAMs) - Homo sapiens (human)
  • Tight junction - Homo sapiens (human)
  • Hepatitis C - Homo sapiens (human)
  • Leukocyte transendothelial migration - Homo sapiens (human)
  • EMT transition in Colorectal Cancer

Biological Process

  • cellular metal ion homeostasis
  • excretion
  • calcium-independent cell-cell adhesion via plasma membrane cell-adhesion molecules
  • magnesium ion transmembrane transport

Molecular Function

  • structural molecule activity
  • protein binding
  • magnesium ion transmembrane transporter activity
  • identical protein binding

Cellular Component

  • plasma membrane
  • bicellular tight junction
  • integral component of membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000264734
Coding exons
5
Length
89603
Individuals with no LoFs
125738
Homozygous LoFs
0
Heterozygous LoFs
10
Defined
125748
p
0.0000398
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.07681731701.020.000009621957
Missense (PolyPhen)5458.510.92293693
Synonymous-1.257966.11.200.00000410626
Loss of Function2.21513.90.3607.51e-7160

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000530.000053rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Plays a major role in tight junction-specific obliteration of the intercellular space, through calcium- independent cell-adhesion activity. Involved in paracellular magnesium reabsorption. Required for a selective paracellular conductance. May form, alone or in partnership with other constituents, an intercellular pore permitting paracellular passage of magnesium and calcium ions down their electrochemical gradients. Alternatively, it could be a sensor of magnesium concentration that could alter paracellular permeability mediated by other factors.;

Recessive Scores

pRec
0.194

Intolerance Scores

LoFtool
0.145
RVIS EVS
-0.14
RVIS percentile EVS
43.57

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.265

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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