TRPV4

protein-coding

transient receptor potential cation channel subfamily V member 4, the group of Ankyrin repeat domain containing|Transient receptor potential cation channels

Gene summary

This gene encodes a member of the OSM9-like transient receptor potential channel (OTRPC) subfamily in the transient receptor potential (TRP) superfamily of ion channels. The encoded protein is a Ca2+-permeable, nonselective cation channel that is thought to be involved in the regulation of systemic osmotic pressure. Mutations in this gene are the cause of spondylometaphyseal and metatropic dysplasia and hereditary motor and sensory neuropathy type IIC. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2010]

MANE transcript

NM_021625.5

Inheritance

AD

ClinVar variants

P:79U:638B:346

Top phenotype

Avascular necrosis of femoral head, primary 2

gnomAD constraint

pLI —, LoF o/e 0.77

Max pathogenic AF

—

Genomic locus

chr12:109,783,087-109,833,406

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~50.3 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

TRPV4-related bone disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018240

Submitter: ClinGen

TRPV4 was first reported in relation to autosomal dominant TRPV4-related skeletal dysplasia in 2008 (Rock et al., PMID: 18587396). Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanisms or inheritance pattern. Therefore, the following disease entities have been lumped into one disease entity: brachyolmia type 3 (OMIM: 113500), Spondylometaphyseal dysplasia, Kozlowski type (SMD-K) (OMIM: 184252), spondyloepimetaphyseal dysplasia, Maroteaux type SEMD-M (OMIM: 184095), and metatropic dysplasia (OMIM: 156530). The split curation for autosomal dominant neuromuscular disease has been curated separately by the Charcot-Marie-Tooth GCEP. Eleven variants (all missense and one frameshift) that have been reported in 11 probands in 4 publications (PMIDs: 18587396, 19232556, 20503319, 21964829) are included in this curation with cases included for all four lumped disease entities. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity is suggested to be gain-of-function or aberrant signaling. This gene-disease relationship is also supported by experimental evidence including biochemical function, expression, functional alterations, and multiple mouse models (PMIDs: 18762026, 21964574, 24577120, 24644033, 26249260, 31463371). In summary, there is definitive evidence supporting the relationship between TRPV4 and autosomal dominant TRPV4-related skeletal dysplasia. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Skeletal Disorders GCEP on the meeting date October 23, 2023 (SOP Version 9).

autosomal dominant brachyolmiaSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007232

Submitter: Labcorp Genetics (formerly Invitae)

metatropic dysplasiaDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007986

Submitter: G2P

scapuloperoneal spinal muscular atrophy, autosomal dominantMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0008408

Submitter: Ambry Genetics

Charcot-Marie-Tooth disease axonal type 2CSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0011633

Submitter: Labcorp Genetics (formerly Invitae)

neuromuscular diseaseSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0019056

Submitter: PanelApp Australia

autosomal dominant brachyolmiaSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007232

Submitter: Genomics England PanelApp

neuromuscular diseaseDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019056

Submitter: ClinGen

TRPV4 was first reported concurrently in relation to autosomal dominant neuromuscular disease in 2010 (Auer-Grumbach et al., PMID: 20037588; Landoure et al., PMID: 20037586). Variants in this gene, which encodes a cell surface calcium-permeable cation channel, have been associated with several disorders including skeletal dysplasias (Brachyolmia, Metatropic dysplasia, etc.), motor-neuropathies (congenital/scapuloperoneal spinal muscle atrophy), and a motor-sensory neuropathy (Charcot-Marie-Tooth disease). As the latter two groups are generally considered a spectrum of disease with variable severity (Toft-Bertelsen and MacAulay, PMID: 33467654), these entities have been evaluated together for the purposes of this curation. The skeletal dysplasias will be evaluated separately. At least fifteen unique variants, usually missense, have been reported in humans. Evidence supporting this gene-disease relationship includes case-level data, segregation data, and experimental data. Variants in this gene have been reported in at least eighteen probands in five publications (PMIDs: 20037586, 20037588, 27066566, 20460441, 25900305). Variants in this gene also segregated with the disorder in over twenty-five additional family members, the majority of which were confirmed via whole exome sequencing. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism for disease is gain-of-function, typically with the mutant incorporating with the wild-type into tetrameric channels and causing variable trafficking modifications. TRPV4 variants do not show any significant genotype-phenotype correlation, with the harboring domain bearing little relation to the resulting phenotypic entity (Toft-Bertelsen and MacAulay). This gene-disease association is additionally supported by a limited amount of experimental evidence. Functional evidence demonstrates that neuropathy mutants disrupt TRPV4's interaction with the GTPase RhoA, as there is a striking reduction of wildtype TRPV4-RhoA interaction when in a tetramer with the neuropathy mutants and no effect with dysplasia mutants (McCray et al., PMID: 33664271). The mild phenotype of TRPV4-null mice and undesirable side effects of TRPV4 inhibitors limit the usefulness of traditional animal models, however there have been several that elucidate some amount of evidence towards the gene's pathogenicity (Everaerts et al., PMID: 20956320). Both a roundworm and drosophila model have been characterized, with the drosophila model utilizing a common neuropathy variant p.Arg269Cys that resulted in variable neuronal and muscular defects. Notably, these effects could be suppressed via TRPV4 inhibitors or ion-channel disruption, indicating a dose-dependent toxic gain-of-function that matched the human probands (Woolums et al., PMID: 32471994). In summary, TRPV4 is definitively associated with autosomal dominant neuromuscular disease. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time.

TRPV4-related bone disorderSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0018240

Submitter: PanelApp Australia

TRPV4-related bone disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018240

Submitter: Illumina

autosomal dominant brachyolmiaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007232

Submitter: Orphanet

scapuloperoneal spinal muscular atrophy, autosomal dominantSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008408

Submitter: Orphanet

spondylometaphyseal dysplasia, Kozlowski typeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008477

Submitter: G2P

neuronopathy, distal hereditary motor, autosomal dominant 8SUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0010839

Submitter: Orphanet

metatropic dysplasiaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007986

Submitter: Orphanet

familial digital arthropathy-brachydactylySUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011732

Submitter: Orphanet

familial avascular necrosis of femoral headSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0012126

Submitter: Orphanet

spondylometaphyseal dysplasia, Kozlowski typeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0008477

Submitter: Orphanet

Charcot-Marie-Tooth disease axonal type 2CSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011633

Submitter: Orphanet

Clinical Genomic Database (CGD)

Avascular necrosis of femoral head, primary 2AD

Manifestation: Craniofacial; Musculoskeletal; Neurologic

Intervention: Musculoskeletal

Rationale: In Avascular necrosis of femoral head, primary, identifying carriers before the onset of clinical symptoms can allow interventions in order to delay disease progression

Refs: 4992387; 4056805; 1520078; 8179305; 9781046; 10463355; 12884428; 14755468; 15668982; 17879966; 18348257; 18587396; 19232556; 20037588; 20425821; 21115951; 20577006; 20037587; 20037586; 20503319; 21336783; 21288981; 21964829; 21964574; 22065612; 22206013; 22419508; 22526352; 22617546; 22675077; 22791502; 22851605; 27330106Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to TRPV4 variants in ClinVar

43 Conditions Cataloged
Charcot-Marie-Tooth disease axonal type 2CTotal: 1027
not providedTotal: 388
Inborn genetic diseasesTotal: 262
not specifiedTotal: 122
Charcot-Marie-Tooth diseaseTotal: 116
Metatropic dysplasiaTotal: 116
Neuronopathy, distal hereditary motor, autosomal dominant 8Total: 107
Scapuloperoneal spinal muscular atrophyTotal: 104

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_021625.5. 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
278
clinvar
4
clinvar
300
missense
32
clinvar
40
clinvar
552
clinvar
54
clinvar
6
clinvar
684
nonsense
2
clinvar
19
clinvar
2
clinvar
23
start loss
0
frameshift
1
clinvar
1
clinvar
29
clinvar
1
clinvar
32
splice donor/acceptor (+/-2bp)
2
clinvar
21
clinvar
1
clinvar
24
Total3445638335111063

Highest pathogenic variant AF is 0.000028497794

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 34 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_021625.5RefSeqNP_067638.315MANE Select
ENST00000261740.7EnsemblENSP00000261740.215MANE Select
NM_001177428.1RefSeqNP_001170899.114Standard
NM_001177431.1RefSeqNP_001170902.116Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
trpv4Danio rerio

Structure: atrioventricular valve

Quality: shape

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Inflammatory mediator regulation of TRP channels - Homo sapiens (human)
  • Fluid shear stress and atherosclerosis - Homo sapiens (human)
  • Cellular senescence - Homo sapiens (human)
  • ion channels and their functional role in vascular endothelium
  • Stimuli-sensing channels

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • diet induced thermogenesis
  • calcium ion transport
  • cellular calcium ion homeostasis
  • cell volume homeostasis

Molecular Function

  • actin binding
  • osmosensor activity
  • protein kinase C binding
  • ion channel activity
  • cation channel activity

Cellular Component

  • endoplasmic reticulum
  • cytoplasmic microtubule
  • plasma membrane
  • integral component of plasma membrane
  • adherens junction

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000418703
Coding exons
15
Length
50323
Individuals with no LoFs
125476
Homozygous LoFs
0
Heterozygous LoFs
272
Defined
125748
p
0.00108
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.924185440.7680.00003885674
Missense (PolyPhen)135200.350.673822201
Synonymous0.02532402410.9980.00001811801
Loss of Function1.282937.40.7750.00000213406

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000310.00031rare
Latino/Admixed American0.00140.0014notable
Ashkenazi Jewish0.0000990.000099rare
East Asian0.0000540.000054rare
Finnish0.00400.0040notable
European (Non-Finnish)0.000980.00098rare
South Asian0.000490.00049rare
Other0.000650.00065rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Non-selective calcium permeant cation channel involved in osmotic sensitivity and mechanosensitivity. Activation by exposure to hypotonicity within the physiological range exhibits an outward rectification (PubMed:18826956, PubMed:18695040). Also activated by heat, low pH, citrate and phorbol esters (PubMed:16293632, PubMed:18826956, PubMed:18695040, PubMed:25256292, PubMed:20037586, PubMed:21964574). Increase of intracellular Ca(2+) potentiates currents. Channel activity seems to be regulated by a calmodulin-dependent mechanism with a negative feedback mechanism (PubMed:12724311, PubMed:18826956). Promotes cell-cell junction formation in skin keratinocytes and plays an important role in the formation and/or maintenance of functional intercellular barriers (By similarity). Acts as a regulator of intracellular Ca(2+) in synoviocytes (PubMed:19759329). Plays an obligatory role as a molecular component in the nonselective cation channel activation induced by 4-alpha-phorbol 12,13-didecanoate and hypotonic stimulation in synoviocytes and also regulates production of IL-8 (PubMed:19759329). Together with PKD2, forms mechano- and thermosensitive channels in cilium (PubMed:18695040). Negatively regulates expression of PPARGC1A, UCP1, oxidative metabolism and respiration in adipocytes (By similarity). Regulates expression of chemokines and cytokines related to proinflammatory pathway in adipocytes (By similarity). Together with AQP5, controls regulatory volume decrease in salivary epithelial cells (By similarity). Required for normal development and maintenance of bone and cartilage (PubMed:26249260). {ECO:0000250|UniProtKB:Q9EPK8, ECO:0000269|PubMed:11025659, ECO:0000269|PubMed:12724311, ECO:0000269|PubMed:16293632, ECO:0000269|PubMed:18587396, ECO:0000269|PubMed:18695040, ECO:0000269|PubMed:18826956, ECO:0000269|PubMed:19759329, ECO:0000269|PubMed:20037586, ECO:0000269|PubMed:21964574, ECO:0000269|PubMed:25256292, ECO:0000269|PubMed:26249260}.; FUNCTION: Isoform 2: Lacks channel activity, due to impaired oligomerization and intracellular retention. {ECO:0000269|PubMed:16293632}.; FUNCTION: Isoform 6: Lacks channel activity, due to impaired oligomerization and intracellular retention. {ECO:0000269|PubMed:16293632}.;
Disease
DISEASE: Brachyolmia 3 (BCYM3) [MIM:113500]: A form of brachyolmia, a clinically and genetically heterogeneous skeletal dysplasia primarily affecting the spine and characterized by a short trunk, short stature, and platyspondyly. BCYM3 is an autosomal dominant form with severe scoliosis with or without kyphosis, and flattened irregular cervical vertebrae. {ECO:0000269|PubMed:18587396}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Spondylometaphyseal dysplasia Kozlowski type (SMDK) [MIM:184252]: A form of spondylometaphyseal dysplasia, a group of short stature disorders distinguished by abnormalities in the vertebrae and the metaphyses of the tubular bones. It is characterized by postnatal dwarfism, significant scoliosis and mild metaphyseal abnormalities in the pelvis. The vertebrae exhibit platyspondyly and overfaced pedicles. {ECO:0000269|PubMed:19232556, ECO:0000269|PubMed:20577006, ECO:0000269|PubMed:22702953}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Metatropic dysplasia (MTD) [MIM:156530]: A severe spondyloepimetaphyseal dysplasia characterized by short limbs with limitation and enlargement of joints and usually severe kyphoscoliosis. Radiologic features include severe platyspondyly, severe metaphyseal enlargement and shortening of long bones. {ECO:0000269|PubMed:19232556, ECO:0000269|PubMed:20425821, ECO:0000269|PubMed:20577006, ECO:0000269|PubMed:22702953, ECO:0000269|PubMed:26249260, ECO:0000269|Ref.6}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Neuronopathy, distal hereditary motor, 8 (HMN8) [MIM:600175]: A clinically variable, neuromuscular disorder characterized by congenital lower motor neuron disorder restricted to the lower part of the body. Clinical manifestations include non-progressive muscular atrophy, thigh muscle atrophy, weak thigh adductors, weak knee and foot extensors, minimal jaw muscle and neck flexor weakness, flexion contractures of knees and pes equinovarus. Tendon reflexes are normal. {ECO:0000269|PubMed:20037588, ECO:0000269|PubMed:22526352, ECO:0000269|PubMed:22702953}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Charcot-Marie-Tooth disease 2C (CMT2C) [MIM:606071]: An axonal form of Charcot-Marie-Tooth disease, a disorder of the peripheral nervous system, characterized by progressive weakness and atrophy, initially of the peroneal muscles and later of the distal muscles of the arms. Charcot-Marie-Tooth disease is classified in two main groups on the basis of electrophysiologic properties and histopathology: primary peripheral demyelinating neuropathies (designated CMT1 when they are dominantly inherited) and primary peripheral axonal neuropathies (CMT2). Neuropathies of the CMT2 group are characterized by signs of axonal degeneration in the absence of obvious myelin alterations, normal or slightly reduced nerve conduction velocities, and progressive distal muscle weakness and atrophy. {ECO:0000269|PubMed:20037586, ECO:0000269|PubMed:20037587, ECO:0000269|PubMed:20037588, ECO:0000269|PubMed:21115951, ECO:0000269|PubMed:21288981, ECO:0000269|PubMed:22702953, ECO:0000269|PubMed:25256292}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Scapuloperoneal spinal muscular atrophy (SPSMA) [MIM:181405]: A clinically variable neuromuscular disorder characterized by neurogenic scapuloperoneal amyotrophy, laryngeal palsy, congenital absence of muscles, progressive scapuloperoneal atrophy and progressive distal weakness and amyotrophy. {ECO:0000269|PubMed:20037587, ECO:0000269|PubMed:22702953}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Spondyloepiphyseal dysplasia Maroteaux type (SEDM) [MIM:184095]: A clinically variable spondyloepiphyseal dysplasia with manifestations limited to the musculoskeletal system. Clinical features include short stature, brachydactyly, platyspondyly, short and stubby hands and feet, epiphyseal hypoplasia of the large joints, and iliac hypoplasia. Intelligence is normal. {ECO:0000269|PubMed:20503319, ECO:0000269|PubMed:22702953}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Parastremmatic dwarfism (PSTD) [MIM:168400]: A bone dysplasia characterized by severe dwarfism, kyphoscoliosis, distortion and bowing of the extremities, and contractures of the large joints. Radiographically, the disease is characterized by a combination of decreased bone density, bowing of the long bones, platyspondyly and striking irregularities of endochondral ossification with areas of calcific stippling and streaking in radiolucent epiphyses, metaphyses and apophyses. {ECO:0000269|PubMed:20503319}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Digital arthropathy-brachydactyly, familial (FDAB) [MIM:606835]: A disorder characterized by irregularities in the proximal articular surfaces of the distal interphalangeal joints of the hand. Individuals appear normal at birth, with no clinical or radiographic evidence of a developmental skeletal dysplasia. The earliest changes appear during the first decade of life. By adulthood, all interphalangeal, metacarpophalangeal, and metatarsophalangeal joints are affected by a deforming, painful osteoarthritis. The remainder of the skeleton is clinically and radiographically unaffected. {ECO:0000269|PubMed:21964574}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Avascular necrosis of the femoral head, primary 2 (ANFH2) [MIM:617383]: A disease characterized by mechanical failure of the subchondral bone, and degeneration of the hip joint. It usually leads to destruction of the hip joint in the third to fifth decade of life. The clinical manifestations, such as pain on exertion, a limping gait, and a discrepancy in leg length, cause considerable disability. {ECO:0000269|PubMed:27330106}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.258

Intolerance Scores

LoFtool
0.0117
RVIS EVS
-1.3
RVIS percentile EVS
4.95

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.718

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.