TM4SF20

protein-coding

transmembrane 4 L six family member 20

Gene summary

The protein encoded by this gene is a member of the four-transmembrane L6 superfamily. Members of this family function in various cellular processes including cell proliferation, motility, and adhesion via their interactions with integrins. In human brain tissue, this gene is expressed at high levels in the parietal lobe, occipital lobe, hippocampus, pons, white matter, corpus callosum, and cerebellum. Knockout of the homologous gene in mouse results in a neurobehavioral phenotype with suggested enhanced motor coordination. A deletion mutation in the human gene is associated with specific language impairment-5. [provided by RefSeq, Jul 2016]

MANE transcript

NM_024795.4

Inheritance

AD

ClinVar variants

P:1U:71B:28

Top phenotype

Specific language impairment 5

gnomAD constraint

pLI —, LoF o/e 0.86

Max pathogenic AF

—

Genomic locus

chr2:227,362,038-227,381,995

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~20.0 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

specific language impairment 5LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014184

Submitter: G2P

specific language impairment 5LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014184

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Specific language impairment 5AD

Manifestation: Neurologic

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: 23810381Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to TM4SF20 variants in ClinVar

4 Conditions Cataloged
not providedTotal: 70
not specifiedTotal: 44
TM4SF20-related disorderTotal: 7
Specific language impairment 5Total: 5

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_024795.4. 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
14
clinvar
3
clinvar
17
missense
63
clinvar
8
clinvar
3
clinvar
74
nonsense
2
clinvar
2
start loss
0
frameshift
3
clinvar
3
splice donor/acceptor (+/-2bp)
1
clinvar
3
clinvar
4
Total1071226100
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 5 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_024795.4RefSeqNP_079071.24MANE Select
ENST00000304568.4EnsemblENSP00000303028.34MANE Select
ENST00000449706.1EnsemblENSP00000416565.11Standard
ENST00001096449.1EnsemblENSP00000766255.13Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • negative regulation of proteolysis

Cellular Component

  • endoplasmic reticulum membrane
  • plasma membrane
  • focal adhesion
  • integral component of membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000304568
Coding exons
4
Length
19840
Individuals with no LoFs
125719
Homozygous LoFs
0
Heterozygous LoFs
28
Defined
125747
p
0.000111
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.3961311191.100.000005501501
Missense (PolyPhen)4946.2271.06572
Synonymous0.3064345.60.9420.00000244449
Loss of Function0.34066.970.8612.94e-790

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000620.000062rare
Latino/Admixed American00.0absent
Ashkenazi Jewish0.000310.00030rare
East Asian0.0000550.000054rare
Finnish00.0absent
European (Non-Finnish)0.000180.00018rare
South Asian0.0000650.000065rare
Other0.000160.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Polytopic transmembrane protein that inhibits regulated intramembrane proteolysis (RIP) of CREB3L1, inhibiting its activation and the induction of collagen synthesis (PubMed:25310401, PubMed:27499293). In response to ceramide, which alters TM4SF20 membrane topology, stimulates RIP activation of CREB3L1 (PubMed:27499293). Ceramide reverses the direction through which transmembrane helices are translocated into the endoplasmic reticulum membrane during translation of TM4SF20, this mechanism is called 'regulated alternative translocation' (RAT) and regulates the function of the transmembrane protein (PubMed:27499293). {ECO:0000269|PubMed:25310401, ECO:0000269|PubMed:27499293}.;
Disease
DISEASE: Specific language impairment 5 (SLI5) [MIM:615432]: A disorder characterized by a delay in early speech acquisition. It is usually associated with cerebral white matter abnormalities on brain MRI. Some individuals may show disorders in communication, consistent with autism spectrum disorder, or global developmental delay, although others ultimately show normal cognitive function. Penetrance is incomplete and expressivity is variable. {ECO:0000269|PubMed:23810381}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.0835

Intolerance Scores

LoFtool
0.824
RVIS EVS
0.71
RVIS percentile EVS
85.53

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.231

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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