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.

SFARI Gene score
3S

Suggestive Evidence, Syndromic

3

Suggestive Evidence

See all Category 3 Genes

The 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
3S

Initial score established: 3S

Krishnan Probability Score

Score 0.5658270634754

Ranking 1230/25841 scored genes


[Show Scoring Methodology]
Krishnan and colleagues generated probability scores genome-wide by using a machine learning approach on a human brain-specific gene network. The method was first presented in Nat Neurosci 19, 1454-1462 (2016), and scores for more than 25,000 RefSeq genes can be accessed in column G of supplementary table 3 (see: http://www.nature.com/neuro/journal/v19/n11/extref/nn.4353-S5.xlsx). A searchable browser, with the ability to view networks of associated ASD risk genes, can be found at asd.princeton.edu.
ExAC Score

Score 0.99999999838535

Ranking 110/18225 scored genes


[Show Scoring Methodology]
The Exome Aggregation Consortium (ExAC) is a summary database of 60,706 exomes that has been widely used to estimate 'constraint' on mutation for individual genes. It was introduced by Lek et al. Nature 536, 285-291 (2016), and the ExAC browser can be found at exac.broadinstitute.org. The pLI score was developed as measure of intolerance to loss-of- function mutation. A pLI > 0.9 is generally viewed as highly constrained, and thus any loss-of- function mutations in autism in such a gene would be more likely to confer risk. For a full list of pLI scores see: ftp://ftp.broadinstitute.org/pub/ExAC_release/release0.3.1/functional_gene_constraint/fordist_cle aned_exac_nonTCGA_z_pli_rec_null_data.txt
Sanders TADA Score

Score 0.94440872530124

Ranking 16064/18665 scored genes


[Show Scoring Methodology]
The TADA score ('Transmission and De novo Association') was introduced by He et al. PLoS Genet 9(8):e1003671 (2013), and is a statistic that integrates evidence from both de novo and transmitted mutations. It forms the basis for the claim of 65 individual genes being strongly associated with autism risk at a false discovery rate of 0.1 (Sanders et al. Neuron 87, 1215-1233 (2015)). The calculated TADA score for 18,665 RefSeq genes can be found in column P of Supplementary Table 6 in the Sanders et al. paper (the column headed 'tadaFdrAscSscExomeSscAgpSmallDel'), which represents a combined analysis of exome data and small de novo deletions (see www.cell.com/cms/attachment/2038545319/2052606711/mmc7.xlsx).
Zhang D Score

Score 0.019038916665057

Ranking 8106/20870 scored genes


[Show Scoring Methodology]
The DAMAGES score (disease-associated mutation analysis using gene expression signatures), or D score, was developed to combine evidence from de novo loss-of- function mutation with evidence from cell-type- specific gene expression in the mouse brain (specifically translational profiles of 24 specific mouse CNS cell types isolated from 6 different brain regions). Genes with positive D scores are more likely to be associated with autism risk, with higher-confidence genes having higher D scores. This statistic was first presented by Zhang & Shen (Hum Mutat 38, 204- 215 (2017), and D scores for more than 20,000 RefSeq genes can be found in column M in supplementary table 2 from that paper.
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