ANXA4

protein-coding

annexin A4, the group of Annexins

Gene summary

Annexin IV (ANX4) belongs to the annexin family of calcium-dependent phospholipid binding proteins. Although their functions are still not clearly defined, several members of the annexin family have been implicated in membrane-related events along exocytotic and endocytotic pathways. ANX4 has 45 to 59% identity with other members of its family and shares a similar size and exon-intron organization. Isolated from human placenta, ANX4 encodes a protein that has possible interactions with ATP, and has in vitro anticoagulant activity and also inhibits phospholipase A2 activity. ANX4 is almost exclusively expressed in epithelial cells. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2016]

Previous symbols:
  • ANX4

MANE transcript

NM_001153.5

Inheritance

—

ClinVar variants

U:53B:6

Top phenotype

—

gnomAD constraint

pLI —, LoF o/e 0.67

Max pathogenic AF

—

Genomic locus

chr2:69,644,425-69,827,112

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~182.7 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

No GenCC data available for this gene.

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ANXA4 variants in ClinVar

2 Conditions Cataloged
not specifiedTotal: 42
not providedTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001153.5. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
1
clinvar
1
clinvar
2
clinvar
4
missense
41
clinvar
3
clinvar
44
nonsense
0
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
11
clinvar
11
Total00534259
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 123 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001153.5RefSeqNP_001144.112MANE Select
ENST00000394295.6EnsemblENSP00000377833.412MANE Select
NM_001320698.2RefSeqNP_001307627.112Standard
NM_001320700.2RefSeqNP_001307629.112Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
anxa4Danio rerio

Structure: liver

Quality: increased process quality

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Prostaglandin Synthesis and Regulation
  • EGFR1

Biological Process

  • regulation of transcription by RNA polymerase II
  • signal transduction
  • Notch signaling pathway
  • epithelial cell differentiation
  • negative regulation of NF-kappaB transcription factor activity

Molecular Function

  • phospholipase inhibitor activity
  • calcium ion binding
  • protein binding
  • calcium-dependent phospholipid binding
  • heparin binding

Cellular Component

  • nucleus
  • cytoplasm
  • cytosol
  • plasma membrane
  • cell surface

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000394295
Coding exons
12
Length
182040
Individuals with no LoFs
125668
Homozygous LoFs
0
Heterozygous LoFs
79
Defined
125747
p
0.000314
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.8551601930.8270.00001142093
Missense (PolyPhen)6081.8440.73311898
Synonymous0.6176874.80.9090.00000468608
Loss of Function1.501623.90.6690.00000152243

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American0.000550.00055rare
Ashkenazi Jewish00.0absent
East Asian0.000270.00027rare
Finnish00.0absent
European (Non-Finnish)0.000250.00025rare
South Asian0.000750.00075rare
Other0.000330.00033rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Calcium/phospholipid-binding protein which promotes membrane fusion and is involved in exocytosis. {ECO:0000250}.;

Recessive Scores

pRec
0.196

Intolerance Scores

LoFtool
0.873
RVIS EVS
0.66
RVIS percentile EVS
84.55

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.819

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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