Normal function · from ai-gene-review (Q9H251, commit 79fe13b38970) · AI-generated, not KB evidence

CDH23 encodes cadherin-23, a large calcium-dependent adhesion protein with multiple splice isoforms. In sensory hair cells, its extracellular region contributes to the upper part of stereociliary tip links and its cytoplasmic tail binds harmonin, supporting hair-bundle organization and mechanotransduction. CDH23 can also form homophilic adhesive contacts; experiments in human epithelial cell lines link its expression to cell aggregation and migration behavior. Pathogenic variants cause nonsyndromic hearing loss or Usher syndrome with auditory, vestibular and retinal involvement.

Mediates extracellular cadherin interactions in stereociliary links and homophilic cell contacts, supporting hair-bundle cohesion, mechanotransduction and cell adhesion.
molecular function: cadherin binding · directly involved in: sensory perception of sound · locations: stereocilium; plasma membrane
Binds the PDZ2 domain of harmonin through the cytoplasmic tail, helping anchor CDH23 assemblies to the sensory hair-cell cytoskeleton.
molecular function: PDZ domain binding · locations: stereocilium
In the knowledge base · computed from kb/ at build time

Disorders

Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.

DisorderRelationshipWhere the gene appears
CDH23-associated pituitary adenoma 5 risk factor germline unknown
mechanism: Germline CDH23 variant association; Predicted impaired CDH23-mediated cell adhesion
Usher Syndrome Type 1 causative
mechanism: Hair Bundle Cohesion and Tip-Link Tension Failure; Photoreceptor Calyceal Process Network Disruption; Upper Tip-Link Density Complex Disruption
subtype: USH1D; USH1DF
scoped to subtype: USH1D
Semicircular Canal Dehiscence Syndrome untyped
Risk Factor
ClinGen gene–disease validity · snapshot 2026-10-03 · matched to entries by MONDO

An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.

ClinGen diseaseMOIClassificationdismech entry
nonsyndromic genetic hearing loss MONDO:0019497 AR Definitive
2018-05-22
no dismech entry

Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.