ERMARD

protein-coding

ER membrane associated RNA degradation

Gene summary

The protein encoded by this gene contains 2 transmembrane domains near the C-terminus and is localized in the endoplasmic reticulum. Knockout of this gene in developing rat brain showed that it may be involved in neuronal migration. Mutations in this gene are associated with periventricular nodular heterotopia-6 (PVNH6). Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Dec 2013]

Previous symbols:
  • C6orf70

MANE transcript

NM_018341.3

Inheritance

AD

ClinVar variants

P:4U:183B:96

Top phenotype

Periventricular nodular heterotopia 6

gnomAD constraint

pLI —, LoF o/e 0.75

Max pathogenic AF

—

Genomic locus

chr6:169,751,622-169,781,600

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~30.0 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

periventricular nodular heterotopiaLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0020341

Submitter: ClinGen

*ERMARD *variants were first reported in connection with autosomal dominant periventricular nodular heterotopia in 2013 (Conti et al., 2013 PMID: 24056535). Affected individuals are characterized by strabismus, delayed psychomotor development, seizures, delayed speech, hypsarrhythmia, and periventricular nodular heterotopia(PNH). The presumed mechanism of pathogenicity is loss of function. One de novo missense mutation from one publication has been included in this curation (Conti et al., 2013 PMID: 24056535). Variant pathogenicity is supported by reduction of the mutant protein in comparison with wild-type. Immunocytochemistry reveals that, while in cells transfected with wild-type construct C6orf70 was distributed in a puncta-like pattern, transfection with the mutant construct generated a predominantly dispersed pattern of staining, suggesting that this mutation also alters the subcellular distribution of Ermard proteins. Statistical analysis revealed a significant switching from puncta-like to diffuse pattern of staining due to this variant. An additional proband submitted in ClinVar harboring a frameshift variant with PNH was included in this curation (SCV002012038.1, 3 Billion Internal data). A total of 1.1 genetic evidence points was reached. This gene disease relationship is also supported by expression and rescue in a non-human model organism (PMID: 24056535). Conti et al., 2013 also identified 12 patients exhibiting abnormal brain development with periventricular nodular heterotopia, harbouring partially overlapping deletions of different extent in 6q25-qter and sharing a common 1.2 Mb minimal critical deletion in 6q27. Although these patients present with PNH, they were not included in this curation due to the multigene deletion. In summary, there is limited evidence to support this gene-disease relationship. Although more evidence is needed to support a causal role, no convincing evidence has emerged that contradicts the gene-disease relationship. This classification was approved by the ClinGen Brain Malformations expert panel on May 28th, 2024 (SOP Version 10).

periventricular nodular heterotopia 6LIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0014240

Submitter: Labcorp Genetics (formerly Invitae)

periventricular nodular heterotopia 6LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014240

Submitter: G2P

periventricular nodular heterotopia 6LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014240

Submitter: Ambry Genetics

periventricular nodular heterotopia 6LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014240

Submitter: Ambry Genetics

periventricular nodular heterotopia 6LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014240

Submitter: PanelApp Australia

periventricular nodular heterotopiaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0020341

Submitter: Orphanet

Clinical Genomic Database (CGD)

Periventricular nodular heterotopia 6AD

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: 24056535Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ERMARD variants in ClinVar

5 Conditions Cataloged
not providedTotal: 219
not specifiedTotal: 176
ERMARD-related disorderTotal: 30
Periventricular nodular heterotopia 6Total: 27
See casesTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_018341.3. 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
3
clinvar
52
clinvar
2
clinvar
57
missense
1
clinvar
157
clinvar
36
clinvar
4
clinvar
198
nonsense
1
clinvar
2
clinvar
3
start loss
0
frameshift
12
clinvar
2
clinvar
14
splice donor/acceptor (+/-2bp)
2
clinvar
9
clinvar
11
Total13183906283

Highest pathogenic variant AF is 0.0000061564983

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 58 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_018341.3RefSeqNP_060811.118MANE Select
ENST00000366773.8EnsemblENSP00000355735.318MANE Select
NM_001278531.2RefSeqNP_001265460.118Standard
NM_001278532.2RefSeqNP_001265461.115Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • multicellular organism development
  • biological_process

Molecular Function

  • molecular_function

Cellular Component

  • endoplasmic reticulum membrane
  • integral component of membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000366773
Coding exons
18
Length
29963
Individuals with no LoFs
125370
Homozygous LoFs
1
Heterozygous LoFs
377
Defined
125748
p
0.00150
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.3203843671.050.00002034410
Missense (PolyPhen)96101.710.94391268
Synonymous-0.3981451391.040.000008001298
Loss of Function1.442938.60.7500.00000199464

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000920.00092rare
Latino/Admixed American0.00300.0030notable
Ashkenazi Jewish00.0absent
East Asian0.00120.0011notable
Finnish0.000230.00023rare
European (Non-Finnish)0.00170.0017notable
South Asian0.00120.0012notable
Other0.00160.0016notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: May play a role in neuronal migration during embryonic development. {ECO:0000269|PubMed:24056535}.;
Disease
DISEASE: Periventricular nodular heterotopia 6 (PVNH6) [MIM:615544]: A form of periventricular nodular heterotopia, a disorder resulting from a defect in the pattern of neuronal migration in which ectopic collections of neurons lie along the lateral ventricles of the brain or just beneath, contiguously or in isolated patches. PVNH6 results in delayed psychomotor development, delayed speech, strabismus, and onset of seizures with hypsarrhythmia in early infancy. {ECO:0000269|PubMed:24056535}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.0933

Intolerance Scores

RVIS EVS
1.43
RVIS percentile EVS
94.99

Essentials

Essential (CRISPR)
N
Essential (gene trap)
N

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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