GJB4

protein-coding

gap junction protein beta 4, the group of Gap junction proteins

Gene summary

This gene encodes a transmembrane connexin protein that is a component of gap junctions. Mutations in this gene have been associated with erythrokeratodermia variabilis, progressive symmetric erythrokeratoderma and hearing impairment. [provided by RefSeq, Dec 2009]

MANE transcript

NM_153212.3

Inheritance

AD, AR

ClinVar variants

P:9U:84B:40

Top phenotype

Erythrokeratodermia variabilis et progressiva 2

gnomAD constraint

pLI —, LoF o/e 0.91

Max pathogenic AF

—

Genomic locus

chr1:34,759,740-34,762,327

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~2.6 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

erythrokeratodermia variabilis et progressiva 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0033012

Submitter: PanelApp Australia

erythrokeratodermia variabilis et progressiva 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0033012

Submitter: Labcorp Genetics (formerly Invitae)

erythrokeratodermia variabilis et progressiva 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0033012

Submitter: Genomics England PanelApp

erythrokeratodermia variabilis et progressiva 2LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0033012

Submitter: Ambry Genetics

erythrokeratodermia variabilisSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0017851

Submitter: Orphanet

Clinical Genomic Database (CGD)

Erythrokeratodermia variabilis et progressiva 2AD

Manifestation: Dermatologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 148984; 11017804; 12648223; 19291775; 21564177; 22266302; 23037955Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to GJB4 variants in ClinVar

9 Conditions Cataloged
not providedTotal: 71
Inborn genetic diseasesTotal: 58
Erythrokeratodermia variabilis et progressiva 2Total: 21
not specifiedTotal: 13
GJB4-related disorderTotal: 12
Autosomal recessive nonsyndromic hearing loss 1ATotal: 1
Ichthyosis and erythrokeratodermaTotal: 1
Autosomal dominant nonsyndromic hearing loss 3ATotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_153212.3. 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
17
clinvar
6
clinvar
24
missense
4
clinvar
4
clinvar
79
clinvar
10
clinvar
4
clinvar
101
nonsense
1
clinvar
1
clinvar
2
clinvar
4
start loss
1
clinvar
1
frameshift
2
clinvar
1
clinvar
3
splice donor/acceptor (+/-2bp)
0
Total45843010133

Highest pathogenic variant AF is 0.00018090487

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 5 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_153212.3RefSeqNP_694944.11MANE Select
ENST00000339480.3EnsemblENSP00000345868.11MANE Select
ENST00000919353.1EnsemblENSP00000589412.11Standard
ENST00001140235.1EnsemblENSP00000808228.11Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Calcium Regulation in the Cardiac Cell

Biological Process

  • cell communication
  • sensory perception of smell
  • olfactory behavior

Cellular Component

  • nucleus
  • nucleolus
  • connexin complex
  • integral component of membrane
  • cell junction

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000339480
Coding exons
1
Length
3984
Individuals with no LoFs
116232
Homozygous LoFs
200
Heterozygous LoFs
9316
Defined
125748
p
0.0386
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.6371931701.140.00001251720
Missense (PolyPhen)7964.6481.222722
Synonymous-1.579476.51.230.00000583558
Loss of Function0.19555.490.9102.44e-767

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0960.064notable
Latino/Admixed American0.0190.018notable
Ashkenazi Jewish0.0180.018notable
East Asian0.000440.00044rare
Finnish0.0550.056notable
European (Non-Finnish)0.0490.049notable
South Asian0.0320.031notable
Other0.0380.036notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: One gap junction consists of a cluster of closely packed pairs of transmembrane channels, the connexons, through which materials of low MW diffuse from one cell to a neighboring cell.;
Disease
DISEASE: Erythrokeratodermia variabilis et progressiva 2 (EKVP2) [MIM:617524]: A form of erythrokeratodermia variabilis et progressiva, a genodermatosis characterized by the coexistence of two independent skin lesions: transient erythema and hyperkeratosis that is usually localized but occasionally occurs in its generalized form. Clinical presentation varies significantly within a family and from one family to another. Palmoplantar keratoderma is present in around 50% of cases. {ECO:0000269|PubMed:11017804, ECO:0000269|PubMed:12648223, ECO:0000269|PubMed:19291775}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.111

Intolerance Scores

LoFtool
0.141
RVIS EVS
0.64
RVIS percentile EVS
84.1

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.224

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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