PCDH19

protocadherin 19, the group of Non-clustered protocadherins

Basic information

Region (hg38): X:100291644-100410273

Previous symbols: [ "EFMR" ]

Links

ENSG00000165194NCBI:57526OMIM:300460HGNC:14270Uniprot:Q8TAB3AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • developmental and epileptic encephalopathy, 9 (Definitive), mode of inheritance: XL
  • Dravet syndrome (Supportive), mode of inheritance: AD
  • developmental and epileptic encephalopathy, 9 (Supportive), mode of inheritance: Unknown
  • developmental and epileptic encephalopathy, 9 (Definitive), mode of inheritance: XL
  • developmental and epileptic encephalopathy, 9 (Strong), mode of inheritance: XL
  • X-linked complex neurodevelopmental disorder (Definitive), mode of inheritance: XL

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Epileptic encephalopathy, early infantile, 9XLGeneralGenetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testingNeurologic18469813; 19214208; 19752159; 20830798; 20713952; 21519002; 21777234; 22050978; 22267240; 22633638; 22848613; 22949144
As with other conditions involving seizures, optimal seizure control is beneficial, and awareness of genetic causes may help with medication selection

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the PCDH19 gene.

  • Developmental and epileptic encephalopathy, 9 (221 variants)
  • not provided (67 variants)
  • Inborn genetic diseases (13 variants)
  • Seizure (7 variants)
  • Focal-onset seizure (1 variants)
  • Epilepsy (1 variants)
  • 11 conditions (1 variants)
  • Neurodevelopmental delay (1 variants)
  • Complex febrile seizure (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the PCDH19 gene is commonly pathogenic or not.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

Variant type Pathogenic Likely pathogenic VUS Likely benign Benign Sum
synonymous
7
clinvar
266
clinvar
3
clinvar
276
missense
34
clinvar
64
clinvar
475
clinvar
19
clinvar
1
clinvar
593
nonsense
73
clinvar
10
clinvar
1
clinvar
84
start loss
1
clinvar
1
frameshift
156
clinvar
15
clinvar
7
clinvar
178
inframe indel
2
clinvar
2
clinvar
17
clinvar
1
clinvar
22
splice donor/acceptor (+/-2bp)
8
clinvar
4
clinvar
1
clinvar
13
splice region
1
4
5
10
non coding
1
clinvar
23
clinvar
7
clinvar
31
Total 274 95 509 308 12

Variants in PCDH19

This is a list of pathogenic ClinVar variants found in the PCDH19 region.

You can filter this list by clicking the number of variants in the Variants pathogenicity by type table.

Position Type Phenotype Significance ClinVar
X-100296269-A-G not specified Benign (May 22, 2014)138595
X-100296285-C-G Developmental and epileptic encephalopathy, 9 Uncertain significance (Jul 12, 2022)956366
X-100296285-C-T not specified • Developmental and epileptic encephalopathy, 9 • Inborn genetic diseases Conflicting classifications of pathogenicity (Oct 22, 2023)206288
X-100296285-CG-C Developmental and epileptic encephalopathy, 9 Uncertain significance (Jan 13, 2022)1366048
X-100296287-A-G Developmental and epileptic encephalopathy, 9 • Inborn genetic diseases Uncertain significance (Jun 20, 2023)590086
X-100296286-G-GAT Developmental and epileptic encephalopathy, 9 Uncertain significance (Jun 16, 2021)1006245
X-100296287-A-ATATCCT Developmental and epileptic encephalopathy, 9 Uncertain significance (Dec 05, 2022)955455
X-100296292-C-G Uncertain significance (Nov 14, 2022)2502081
X-100296293-T-C Uncertain significance (Jan 21, 2020)1315318
X-100296300-G-A Developmental and epileptic encephalopathy, 9 Uncertain significance (Dec 24, 2021)852688
X-100296302-T-C Developmental and epileptic encephalopathy, 9 Uncertain significance (Jun 13, 2022)2178913
X-100296303-T-C Developmental and epileptic encephalopathy, 9 Uncertain significance (Apr 18, 2024)972572
X-100296308-C-T Developmental and epileptic encephalopathy, 9 Uncertain significance (Jul 18, 2023)2794897
X-100296309-C-T not specified • Developmental and epileptic encephalopathy, 9 • PCDH19-related disorder Likely benign (Jan 14, 2023)206287
X-100296312-G-A Developmental and epileptic encephalopathy, 9 • not specified • Inborn genetic diseases • PCDH19-related disorder Benign/Likely benign (Jan 17, 2024)465305
X-100296318-CTT-C Developmental and epileptic encephalopathy, 9 Uncertain significance (Oct 04, 2023)804048
X-100296319-T-C not specified • Developmental and epileptic encephalopathy, 9 Conflicting classifications of pathogenicity (Nov 10, 2022)436167
X-100296324-T-G not specified • Developmental and epileptic encephalopathy, 9 • Inborn genetic diseases • PCDH19-related disorder Benign (Jan 26, 2024)198129
X-100296326-C-T Developmental and epileptic encephalopathy, 9 Uncertain significance (Nov 08, 2022)431843
X-100296331-T-C Developmental and epileptic encephalopathy, 9 Likely benign (Dec 27, 2023)1635447
X-100296340-A-C Developmental and epileptic encephalopathy, 9 Uncertain significance (Jan 31, 2020)1025541
X-100296345-G-A Developmental and epileptic encephalopathy, 9 Uncertain significance (Jan 17, 2024)533855
X-100296354-C-G Developmental and epileptic encephalopathy, 9 Uncertain significance (Mar 06, 2020)575844
X-100296357-G-A not specified Uncertain significance (Dec 20, 2017)1336438
X-100296360-T-G Developmental and epileptic encephalopathy, 9 Uncertain significance (Nov 24, 2022)3017162

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
PCDH19protein_codingprotein_codingENST00000373034 6118630
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
1.000.000250124794131247980.0000160
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense2.593364990.6730.00004227525
Missense in Polyphen95201.520.471422998
Synonymous-0.2252222181.020.00001952390
Loss of Function4.51023.70.000.00000178381

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.000.00
Ashkenazi Jewish0.000.00
East Asian0.00007380.0000556
Finnish0.000.00
European (Non-Finnish)0.00002560.0000177
Middle Eastern0.00007380.0000556
South Asian0.000.00
Other0.0002250.000165

dbNSFP

Source: dbNSFP

Function
FUNCTION: Potential calcium-dependent cell-adhesion protein.;
Disease
DISEASE: Epileptic encephalopathy, early infantile, 9 (EIEE9) [MIM:300088]: A condition characterized by seizure with onset in infancy or early childhood, cognitive impairment, and delayed development of variable severity in some patients. Additional features include autistic signs and psychosis. The disorder is sex-limited, with the phenotype being restricted to females. {ECO:0000269|PubMed:18469813, ECO:0000269|PubMed:19214208, ECO:0000269|PubMed:19752159, ECO:0000269|PubMed:20713952, ECO:0000269|PubMed:20830798, ECO:0000269|PubMed:21053371, ECO:0000269|PubMed:21480887, ECO:0000269|PubMed:21519002, ECO:0000269|PubMed:22050978, ECO:0000269|PubMed:22267240, ECO:0000269|PubMed:25818041, ECO:0000269|PubMed:26993267}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.111

Intolerance Scores

loftool
0.0992
rvis_EVS
-0.89
rvis_percentile_EVS
10.43

Haploinsufficiency Scores

pHI
0.380
hipred
Y
hipred_score
0.809
ghis
0.572

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
N
gene_indispensability_score
0.296

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Pcdh19
Phenotype
cellular phenotype; nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan);

Zebrafish Information Network

Gene name
pcdh19
Affected structure
ethmoid cartilage
Phenotype tag
abnormal
Phenotype quality
decreased size

Gene ontology

Biological process
cell adhesion;homophilic cell adhesion via plasma membrane adhesion molecules;brain development
Cellular component
integral component of plasma membrane
Molecular function
calcium ion binding