Human Gene Module / Chromosome 12 / CHD4

CHD4chromodomain helicase DNA binding protein 4

SFARI Gene Score
3S
Suggestive Evidence, Syndromic Criteria 3.1, Syndromic
Autism Reports / Total Reports
6 / 8
Rare Variants / Common Variants
41 / 0
Aliases
-
Associated Syndromes
Sifrim-Hitz-Weiss syndrome, Sifrim-Hitz-Weiss syndrome, DD, ID
Chromosome Band
12p13.31
Associated Disorders
-
Relevance to Autism

Karimi et al., 2025 performed DNA methylation analysis studies on a cohort of individuals with Sifrim-Hitz-Weiss syndrome and found a recognizable episignature in individuals with pathogenic CHD4 missense variants within the ATP helicase domain; conversely, individuals with truncating CHD4 variants exhibited a different episignature and phenotype with a higher rate of autism spectrum disorder (6/7 individuals with truncating variants vs. 1/20 with missense variants). De novo and inherited loss-of-function variants and damaging de novo missense variants in CHD4 have also been reported in ASD probands from the Simons Simplex Collection, the SPARK cohort, the Autism Sequencing Consortium, the Autism Simplex Collection, and the iHART cohort (Iossifov et al., 2014; Stessman et al., 2017; Ruzzo et al., 2019; Zhou et al., 2022; Fu et al., 2022). Larrigan et al., 2023 demonstrated that telecephalon-specific conditional knockout of Chd4 in mice resulted in increased repetitive behaviors, a phenotype that was more apparent in female animals.

Molecular Function

The product of this gene belongs to the SNF2/RAD54 helicase family. It represents the main component of the nucleosome remodeling and deacetylase complex and plays an important role in epigenetic transcriptional repression. Heterozygous mutations in the CHD4 gene are responsible for Sifrim-Hitz-Weiss syndrome (OMIM 617159), an autosomal dominant intellectual developmental disorder with variable congenital defects affecting other systems, including cardiac, skeletal, and urogenital.

SFARI Genomic Platforms
Reports related to CHD4 (8 Reports)
# Type Title Author, Year Autism Report Associated Disorders
1 Support The contribution of de novo coding mutations to autism spectrum disorder Iossifov I et al. (2014) Yes -
2 Support Targeted sequencing identifies 91 neurodevelopmental-disorder risk genes with autism and developmental-disability biases Stessman HA , et al. (2017) Yes DD, ID
3 Support Inherited and De Novo Genetic Risk for Autism Impacts Shared Networks Ruzzo EK , et al. (2019) Yes -
4 Support Large-Scale Exome Sequencing Study Implicates Both Developmental and Functional Changes in the Neurobiology of Autism Satterstrom FK et al. (2020) Yes -
5 Support - Zhou X et al. (2022) Yes -
6 Support - Fu JM et al. (2022) Yes -
7 Support - Sarah Larrigan et al. (2023) No -
8 Primary - Karim Karimi et al. (2025) No ASD, ADHD, epilepsy/seizures
Rare Variants   (41)
Status Allele Change Residue Change Variant Type Inheritance Pattern Parental Transmission Family Type PubMed ID Author, Year
c.2642A>G p.Asn881Ser missense_variant De novo - - 35982160 Fu JM et al. (2022)
c.214A>T p.Lys72Ter stop_gained Unknown - - 39824190 Karim Karimi et al. (2025)
c.1671G>A p.Trp557Ter stop_gained De novo - - 39824190 Karim Karimi et al. (2025)
c.284G>A p.Arg95His missense_variant Unknown - - 28191889 Stessman HA , et al. (2017)
c.1810C>T p.Arg604Cys missense_variant Unknown - - 28191889 Stessman HA , et al. (2017)
c.1342C>T p.His448Tyr missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.2860A>G p.Met954Val missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.2861T>C p.Met954Thr missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.2975G>A p.Arg992Gln missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3203G>A p.Arg1068His missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3280G>A p.Glu1094Lys missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3283C>T p.Arg1095Cys missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3326T>C p.Ile1109Thr missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3338A>T p.Asn1113Ile missense_variant Unknown - - 39824190 Karim Karimi et al. (2025)
c.3380G>A p.Arg1127Gln missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3401A>G p.Asn1134Ser missense_variant Unknown - - 39824190 Karim Karimi et al. (2025)
c.3403C>G p.Leu1135Val missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3653T>C p.Ile1218Thr missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3739A>G p.Ile1247Val missense_variant De novo - - 39824190 Karim Karimi et al. (2025)
c.3938A>G p.Tyr1313Cys missense_variant Unknown - - 39824190 Karim Karimi et al. (2025)
c.4217G>A p.Arg1406His missense_variant Unknown - - 39824190 Karim Karimi et al. (2025)
c.3748G>A p.Asp1250Asn missense_variant De novo - Simplex 35982159 Zhou X et al. (2022)
c.4821C>G p.Val1607= synonymous_variant De novo - Simplex 35982159 Zhou X et al. (2022)
c.895G>T p.Gly299Ter stop_gained Familial Maternal - 39824190 Karim Karimi et al. (2025)
c.5179G>T p.Glu1727Ter stop_gained De novo - Simplex 28191889 Stessman HA , et al. (2017)
c.1876C>T p.Arg626Ter stop_gained Familial Maternal - 39824190 Karim Karimi et al. (2025)
c.2612T>C p.Ile871Thr missense_variant De novo - Simplex 25363768 Iossifov I et al. (2014)
C>T p.? splice_site_variant Familial Paternal Simplex 28191889 Stessman HA , et al. (2017)
c.5172G>A p.Lys1724= synonymous_variant De novo - Simplex 25363768 Iossifov I et al. (2014)
c.100+4A>G p.? splice_region_variant De novo - Simplex 31981491 Satterstrom FK et al. (2020)
c.131C>G p.Ser44Ter stop_gained Familial Maternal Multiplex 31398340 Ruzzo EK , et al. (2019)
c.1486C>G p.Pro496Ala missense_variant Familial Paternal - 39824190 Karim Karimi et al. (2025)
c.2903C>T p.Ser968Phe missense_variant Familial Paternal - 39824190 Karim Karimi et al. (2025)
c.2986G>A p.Ala996Thr missense_variant Familial Maternal - 39824190 Karim Karimi et al. (2025)
c.3518G>A p.Arg1173Gln missense_variant Familial Paternal - 39824190 Karim Karimi et al. (2025)
c.3862C>T p.Arg1288Trp missense_variant Familial Maternal - 39824190 Karim Karimi et al. (2025)
c.4989G>C p.Lys1663Asn missense_variant Familial Maternal - 39824190 Karim Karimi et al. (2025)
c.5624T>C p.Ile1875Thr missense_variant Familial Paternal - 39824190 Karim Karimi et al. (2025)
c.3234dup p.Leu1079AlafsTer11 frameshift_variant Unknown - - 39824190 Karim Karimi et al. (2025)
c.1714C>T p.Arg572Ter stop_gained Familial Maternal Multiplex 39824190 Karim Karimi et al. (2025)
c.1442del p.Pro481GlnfsTer18 frameshift_variant Familial Paternal - 39824190 Karim Karimi et al. (2025)
Common Variants  

No common variants reported.

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