IRS4

protein-coding

insulin receptor substrate 4

Gene summary

IRS4 encodes the insulin receptor substrate 4, a cytoplasmic protein that contains many potential tyrosine and serine/threonine phosphorylation sites. Tyrosine-phosphorylated IRS4 protein has been shown to associate with cytoplasmic signalling molecules that contain SH2 domains. The IRS4 protein is phosphorylated by the insulin receptor tyrosine kinase upon receptor stimulation.. [provided by RefSeq, Jul 2008]

MANE transcript

NM_001379150.1

Inheritance

XL

ClinVar variants

P:4U:136B:33

Top phenotype

Hypothyroidism, congenital, nongoitrous, 9

gnomAD constraint

pLI —, LoF o/e 0.2

Max pathogenic AF

—

Genomic locus

chrX:108,719,946-108,736,563

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~16.6 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hypothyroidism, congenital, nongoitrous, 9STRONG

Inheritance Pattern: XL

Disease ID:MONDO:0026732

Submitter: Labcorp Genetics (formerly Invitae)

hypothyroidism, congenital, nongoitrous, 9LIMITED

Inheritance Pattern: XL

Disease ID:MONDO:0026732

Submitter: Ambry Genetics

hypothyroidism, congenital, nongoitrous, 9STRONG

Inheritance Pattern: XL

Disease ID:MONDO:0026732

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Hypothyroidism, congenital, nongoitrous, 9XL

Manifestation: Endocrine

Intervention: Endocrine

Rationale: The condition can manifest with early clinical signs, of hypothyroidism, and treatment with thyroid hormone replacement has been reported

Refs: 30061370Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to IRS4 variants in ClinVar

5 Conditions Cataloged
not specifiedTotal: 143
not providedTotal: 33
Hypothyroidism, congenital, nongoitrous, 9Total: 6
IRS4-related disorderTotal: 4
IRS4-related disordersTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001379150.1. 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
13
clinvar
2
clinvar
15
missense
134
clinvar
15
clinvar
3
clinvar
152
nonsense
2
clinvar
2
start loss
0
frameshift
1
clinvar
1
clinvar
2
clinvar
4
splice donor/acceptor (+/-2bp)
0
Total13136285173

Highest pathogenic variant AF is 0.000039785722

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 6 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001379150.1RefSeqNP_001366079.12MANE Select
ENST00000372129.4EnsemblENSP00000361202.32MANE Select
NM_001440817.1RefSeqNP_001427746.13Standard
NM_003604.2RefSeqNP_003595.11Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Regulation of lipolysis in adipocytes - Homo sapiens (human)
  • Adipocytokine signaling pathway - Homo sapiens (human)
  • Type II diabetes mellitus - Homo sapiens (human)
  • Longevity regulating pathway - multiple species - Homo sapiens (human)
  • Autophagy - animal - Homo sapiens (human)

Biological Process

  • signal transduction
  • insulin receptor signaling pathway
  • positive regulation of signal transduction

Molecular Function

  • SH3/SH2 adaptor activity
  • insulin receptor binding
  • protein binding
  • phosphatidylinositol 3-kinase binding

Cellular Component

  • cytosol
  • plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000372129
Coding exons
1
Length
3940
Individuals with no LoFs
0
Homozygous LoFs
0
Heterozygous LoFs
0
Defined
0
p
0.00
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.08934854910.9890.00003518088
Missense (PolyPhen)6698.2410.671821618
Synonymous-3.562621981.320.00001462738
Loss of Function3.64524.40.2050.00000190429

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Acts as an interface between multiple growth factor receptors possessing tyrosine kinase activity, such as insulin receptor, IGF1R and FGFR1, and a complex network of intracellular signaling molecules containing SH2 domains. Involved in the IGF1R mitogenic signaling pathway. Promotes the AKT1 signaling pathway and BAD phosphorylation during insulin stimulation without activation of RPS6KB1 or the inhibition of apoptosis. Interaction with GRB2 enhances insulin-stimulated mitogen-activated protein kinase activity. May be involved in nonreceptor tyrosine kinase signaling in myoblasts. Plays a pivotal role in the proliferation/differentiation of hepatoblastoma cell through EPHB2 activation upon IGF1 stimulation. May play a role in the signal transduction in response to insulin and to a lesser extent in response to IL4 and GH on mitogenesis. Plays a role in growth, reproduction and glucose homeostasis. May act as negative regulators of the IGF1 signaling pathway by suppressing the function of IRS1 and IRS2. {ECO:0000269|PubMed:10531310, ECO:0000269|PubMed:10594015, ECO:0000269|PubMed:12639902, ECO:0000269|PubMed:17408801, ECO:0000269|PubMed:9553137}.;

Recessive Scores

pRec
0.209

Intolerance Scores

LoFtool
0.163
RVIS EVS
0.54
RVIS percentile EVS
81.07

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.914

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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