SEMA4A

protein-coding

semaphorin 4A, the group of Semaphorins

Gene summary

This gene encodes a member of the semaphorin family of soluble and transmembrane proteins. Semaphorins are involved in numerous functions, including axon guidance, morphogenesis, carcinogenesis, and immunomodulation. The encoded protein is a single-pass type I membrane protein containing an immunoglobulin-like C2-type domain, a PSI domain and a sema domain. It inhibits axonal extension by providing local signals to specify territories inaccessible for growing axons. It is an activator of T-cell-mediated immunity and suppresses vascular endothelial growth factor (VEGF)-mediated endothelial cell migration and proliferation in vitro and angiogenesis in vivo. Mutations in this gene are associated with retinal degenerative diseases including retinitis pigmentosa type 35 (RP35) and cone-rod dystrophy type 10 (CORD10). Multiple alternatively spliced transcript variants encoding different isoforms have been identified.[provided by RefSeq, Sep 2010]

Previous symbols:
  • SEMAB

MANE transcript

NM_022367.4

Inheritance

AR, AD

ClinVar variants

P:15U:410B:175

Top phenotype

Cone-rod dystrophy 10; Retinitis pigmentosa 35

gnomAD constraint

pLI —, LoF o/e 0.41

Max pathogenic AF

—

Genomic locus

chr1:156,147,366-156,177,752

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~30.4 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

cone-rod dystrophy 10LIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0012464

Submitter: Labcorp Genetics (formerly Invitae)

retinitis pigmentosa 35LIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0012463

Submitter: Labcorp Genetics (formerly Invitae)

inherited retinal dystrophyMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0019118

Submitter: PanelApp Australia

familial colorectal cancer type XSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018604

Submitter: Orphanet

cone-rod dystrophySUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0015993

Submitter: Orphanet

retinitis pigmentosaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019200

Submitter: Orphanet

Lynch syndromeNO_KNOWN

Inheritance Pattern: AD

Disease ID:MONDO:0005835

Submitter: ClinGen

*SEMA4* encodes Semaphorin 4A, a single-pass type I membrane protein involved in axon guidance, morphogenesis, carcinogenesis, and immunomodulation. Although there is no disease associated with SEMA4 in OMIM, there was an early assertion of association with Lynch syndrome (Schulz et al. PMID: 25307848). This curation will focus on this disorder. In 2014, Schulz and co-workers first proposed the association of germline SEMA4 variants in autosomal dominant Lynch syndrome by reporting a missense variant (splice site and missense) in a family with Lynch syndrome. This study also found that this variant is associated with colorectal cancer by a case-control analysis. However, in 2016, Kinnersley et al reported a well-powered study showing no statistical significance between this variant and colorectal cancer. The pedigree from the family with colorectal cancer also showed incomplete segregation. Hence Kinnersley et al concluded that there is an issue of type 1 error in Schulz et al. paper. Considering the lack of substantial association in genetic and experimental studies, the Hereditary Cancer GCEP has disputed this gene-disease association. More evidence is needed to either support or entirely refute the role SEMA4A plays in autosomal dominant Lynch syndrome. This gene-disease pair was originally evaluated as limited by the Colon Cancer GCEP on 11/13/2017. This re-curation was approved by the ClinGen Hereditary Cancer GCEP on 3/22/2024 (SOP Version 10).

retinitis pigmentosa 35LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0012463

Submitter: G2P

Clinical Genomic Database (CGD)

Cone-rod dystrophy 10; Retinitis pigmentosa 35AR

Manifestation: 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: 16199541Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SEMA4A variants in ClinVar

12 Conditions Cataloged
not providedTotal: 633
not specifiedTotal: 174
Cone-rod dystrophy 10Total: 66
Retinitis pigmentosa 35Total: 43
Retinitis pigmentosaTotal: 38
Retinal dystrophyTotal: 37
SEMA4A-related disorderTotal: 21
Optic atrophyTotal: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_022367.4. 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
5
clinvar
150
clinvar
155
missense
1
clinvar
2
clinvar
372
clinvar
23
clinvar
2
clinvar
400
nonsense
1
clinvar
1
clinvar
9
clinvar
11
start loss
1
clinvar
1
frameshift
1
clinvar
4
clinvar
16
clinvar
21
splice donor/acceptor (+/-2bp)
4
clinvar
8
clinvar
12
Total3124101732600

Highest pathogenic variant AF is 0.000016731423

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 62 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_022367.4RefSeqNP_071762.214MANE Select
ENST00000368285.8EnsemblENSP00000357268.314MANE Select
NM_001193300.2RefSeqNP_001180229.114Standard
NM_001193301.2RefSeqNP_001180230.114Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
sema4aaDanio rerio

Structure: retinal outer plexiform layer

Quality: morphology

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Axon guidance - Homo sapiens (human)
  • Angiogenesis overview
  • Developmental Biology
  • Other semaphorin interactions
  • Semaphorin interactions

Biological Process

  • angiogenesis
  • neural crest cell migration
  • axonogenesis
  • regulation of cell shape
  • regulation of endothelial cell migration

Molecular Function

  • protein binding
  • semaphorin receptor binding
  • neuropilin binding
  • chemorepellent activity

Cellular Component

  • extracellular space
  • nucleus
  • cytosol
  • plasma membrane
  • integral component of plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000368285
Coding exons
14
Length
30387
Individuals with no LoFs
125683
Homozygous LoFs
0
Heterozygous LoFs
65
Defined
125748
p
0.000258
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.2234124250.9700.00002454921
Missense (PolyPhen)111130.640.849671603
Synonymous0.3881731800.9630.00001021595
Loss of Function3.191434.10.4100.00000185373

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000250.00025rare
Latino/Admixed American0.000290.00029rare
Ashkenazi Jewish0.000300.00020rare
East Asian0.000270.00027rare
Finnish0.0000460.000046rare
European (Non-Finnish)0.000230.00023rare
South Asian0.000530.00052rare
Other0.000160.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Cell surface receptor for PLXNB1, PLXNB2, PLXNB3 and PLXND1 that plays an important role in cell-cell signaling. Plays a role in priming antigen-specific T-cells, promotes differentiation of Th1 T-helper cells, and thereby contributes to adaptive immunity. Promotes phosphorylation of TIMD2. Inhibits angiogenesis. Promotes axon growth cone collapse. Inhibits axonal extension by providing local signals to specify territories inaccessible for growing axons (By similarity). {ECO:0000250|UniProtKB:Q62178}.;
Disease
DISEASE: Retinitis pigmentosa 35 (RP35) [MIM:610282]: A retinal dystrophy belonging to the group of pigmentary retinopathies. Retinitis pigmentosa is characterized by retinal pigment deposits visible on fundus examination and primary loss of rod photoreceptor cells followed by secondary loss of cone photoreceptors. Patients typically have night vision blindness and loss of midperipheral visual field. As their condition progresses, they lose their far peripheral visual field and eventually central vision as well. {ECO:0000269|PubMed:16199541, ECO:0000269|PubMed:22956603}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Cone-rod dystrophy 10 (CORD10) [MIM:610283]: An inherited retinal dystrophy characterized by retinal pigment deposits visible on fundus examination, predominantly in the macular region, and initial loss of cone photoreceptors followed by rod degeneration. This leads to decreased visual acuity and sensitivity in the central visual field, followed by loss of peripheral vision. Severe loss of vision occurs earlier than in retinitis pigmentosa, due to cone photoreceptors degenerating at a higher rate than rod photoreceptors. {ECO:0000269|PubMed:16199541}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.127

Intolerance Scores

LoFtool
0.895
RVIS EVS
0.02
RVIS percentile EVS
55.76

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.739

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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