KCNA4

protein-coding

potassium voltage-gated channel subfamily A member 4, the group of Potassium voltage-gated channels

Gene summary

Potassium channels represent the most complex class of voltage-gated ion channels from both functional and structural standpoints. Their diverse functions include regulating neurotransmitter release, heart rate, insulin secretion, neuronal excitability, epithelial electrolyte transport, smooth muscle contraction, and cell volume. Four sequence-related potassium channel genes - shaker, shaw, shab, and shal - have been identified in Drosophila, and each has been shown to have human homolog(s). This gene encodes a member of the potassium channel, voltage-gated, shaker-related subfamily. This member contains six membrane-spanning domains with a shaker-type repeat in the fourth segment. It belongs to the A-type potassium current class, the members of which may be important in the regulation of the fast repolarizing phase of action potentials in heart and thus may influence the duration of cardiac action potential.[provided by RefSeq, Mar 2011]

Previous symbols:
  • KCNA4L

MANE transcript

NM_002233.4

Inheritance

AR

ClinVar variants

U:73B:7

Top phenotype

Microcephaly, cataracts, impaired intellectual development, and dystonia with abnormal striatum

gnomAD constraint

pLI —, LoF o/e 0.06

Max pathogenic AF

—

Genomic locus

chr11:30,009,730-30,017,030

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~7.3 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

microcephaly, cataracts, impaired intellectual development, and dystonia with abnormal striatumLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0032656

Submitter: Ambry Genetics

microcephaly, cataracts, impaired intellectual development, and dystonia with abnormal striatumLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0032656

Submitter: Labcorp Genetics (formerly Invitae)

microcephaly, cataracts, impaired intellectual development, and dystonia with abnormal striatumLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0032656

Submitter: G2P

Clinical Genomic Database (CGD)

Microcephaly, cataracts, impaired intellectual development, and dystonia with abnormal striatumAR

Manifestation: Neurologic; Ophthalmologic

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: 23181898; 27582084Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to KCNA4 variants in ClinVar

3 Conditions Cataloged
not specifiedTotal: 70
not providedTotal: 7
Microcephaly, cataracts, impaired intellectual development, and dystonia with abnormal striatumTotal: 4

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_002233.4. 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
6
clinvar
6
missense
72
clinvar
1
clinvar
73
nonsense
0
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
0
Total00737080
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 9 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_002233.4RefSeqNP_002224.11MANE Select
ENST00000328224.7EnsemblENSP00000328511.61MANE Select
ENST00000953053.1EnsemblENSP00000623112.11Standard
ENST00000953053.2EnsemblENSP00000623112.11Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Cortisol synthesis and secretion - Homo sapiens (human)
  • Cushing,s syndrome - Homo sapiens (human)
  • Neuronal System
  • Voltage gated Potassium channels
  • Potassium Channels

Biological Process

  • potassium ion transport
  • regulation of ion transmembrane transport
  • protein homooligomerization
  • potassium ion transmembrane transport

Molecular Function

  • voltage-gated potassium channel activity
  • delayed rectifier potassium channel activity
  • protein binding
  • potassium ion binding

Cellular Component

  • plasma membrane
  • integral component of plasma membrane
  • voltage-gated potassium channel complex
  • integral component of membrane
  • axon

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000328224
Coding exons
1
Length
7283
Individuals with no LoFs
124625
Homozygous LoFs
0
Heterozygous LoFs
3
Defined
124628
p
0.0000120
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.032673780.7070.00002124310
Missense (PolyPhen)71163.440.43441862
Synonymous-1.551681441.160.000007631294
Loss of Function3.58116.90.05938.82e-7222

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000650.000065rare
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.00000880.0000088rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Voltage-gated potassium channel that mediates transmembrane potassium transport in excitable membranes. Forms tetrameric potassium-selective channels through which potassium ions pass in accordance with their electrochemical gradient. The channel alternates between opened and closed conformations in response to the voltage difference across the membrane (PubMed:19912772, PubMed:8495559). Can form functional homotetrameric channels and heterotetrameric channels that contain variable proportions of KCNA1, KCNA2, KCNA4, KCNA5, and possibly other family members as well; channel properties depend on the type of alpha subunits that are part of the channel (PubMed:8495559). Channel properties are modulated by cytoplasmic beta subunits that regulate the subcellular location of the alpha subunits and promote rapid inactivation. In vivo, membranes probably contain a mixture of heteromeric potassium channel complexes, making it difficult to assign currents observed in intact tissues to any particular potassium channel family member. Homotetrameric KCNA4 forms a potassium channel that opens in response to membrane depolarization, followed by rapid spontaneous channel closure (PubMed:19912772, PubMed:8495559). Likewise, a heterotetrameric channel formed by KCNA1 and KCNA4 shows rapid inactivation (PubMed:17156368). {ECO:0000269|PubMed:17156368, ECO:0000269|PubMed:19912772, ECO:0000269|PubMed:8495559}.;

Recessive Scores

pRec
0.150

Intolerance Scores

RVIS EVS
-0.54
RVIS percentile EVS
20.54

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.774

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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