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Any COACH syndrome in which the cause of the disease is a mutation in the CC2D2A gene.
Features include always present findings: Cerebellar vermis hypoplasia, Strabismus, Liver scarring (fibrosis) (hepatic fibrosis), and Agenesis of corpus callosum and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 3 | Liver scarring (fibrosis) (hepatic fibrosis), Congenital hepatic fibrosis, Elevated circulating hepatic transaminase concentration |
CC2D2A encodes coiled-coil and C2 domain containing 2A (1,620 aa). Component of the tectonic-like complex, a complex localized at the transition zone of primary cilia and acting as a barrier that prevents diffusion of transmembrane proteins between the cilia and plasma membranes. Highest expression in Artery Tibial (16.4 TPM) and Colon Sigmoid (15.6 TPM).
COACH syndrome 2 is associated with mutations in the CC2D2A gene on chromosome 4.
The CC2D2A protein participates in Anchoring of the basal body to the plasma membrane pathway.
CC2D2A is classified as a druggable target with score 0.0.
Genetic testing for CC2D2A is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 18 always present features.
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 6:53 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Common questions about COACH syndrome 2
Brain and nerves |
3 |
Global developmental delay, Hydrocephalus, Intellectual disability |
Eyes | 2 | Strabismus, Oculomotor apraxia |
Kidneys and urinary system | 2 | Hyperechogenic kidneys, Elevated creatinine (kidney function marker) (elevated circulating creatinine concentration) |
Lab test results | 2 | Elevated circulating hepatic transaminase concentration, Elevated creatinine (kidney function marker) (elevated circulating creatinine concentration) |
Heart and blood vessels | 1 | Hypertension |
Pregnancy and birth | 1 | Congenital hepatic fibrosis |
Age of onset: infancy, at birth.