CHD4chromodomain helicase DNA binding protein 4
Autism Reports / Total Reports
6 / 8Rare Variants / Common Variants
41 / 0Aliases
-Associated Syndromes
Sifrim-Hitz-Weiss syndrome, Sifrim-Hitz-Weiss syndrome, DD, IDChromosome Band
12p13.31Associated 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.
External Links
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.
SFARI Gene score
Suggestive Evidence, Syndromic


criteria met
See SFARI Gene'scoring criteriaThe literature is replete with relatively small studies of candidate genes, using either common or rare variant approaches, which do not reach the criteria set out for categories 1 and 2. Genes that had two such lines of supporting evidence were placed in category 3, and those with one line of evidence were placed in category 4. Some additional lines of "accessory evidence" (indicated as "acc" in the score cards) could also boost a gene from category 4 to 3.
The syndromic category includes mutations that are associated with a substantial degree of increased risk and consistently linked to additional characteristics not required for an ASD diagnosis. If there is independent evidence implicating a gene in idiopathic ASD, it will be listed as "#S" (e.g., 2S, 3S, etc.). If there is no such independent evidence, the gene will be listed simply as "S."
4/1/2025
Initial score established: 3S
Krishnan Probability Score
Score 0.5658270634754
Ranking 1230/25841 scored genes
[Show Scoring Methodology]
ExAC Score
Score 0.99999999838535
Ranking 110/18225 scored genes
[Show Scoring Methodology]
Sanders TADA Score
Score 0.94440872530124
Ranking 16064/18665 scored genes
[Show Scoring Methodology]
Zhang D Score
Score 0.019038916665057
Ranking 8106/20870 scored genes
[Show Scoring Methodology]