CATSPER4

Chr 1

cation channel sperm associated 4

The CATSPER4 protein is a pore-forming subunit of the CatSper complex, a sperm-specific voltage-gated calcium channel essential for sperm hyperactivation, acrosome reaction, and chemotaxis during fertilization. Mutations in CATSPER4 cause male infertility with asthenozoospermia (reduced sperm motility), inherited in an autosomal recessive pattern. This gene is not constrained against loss-of-function variants and is not associated with pediatric neurological disorders.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.12
Clinical SummaryCATSPER4
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.12LOEUF
pLI 0.000
Z-score 1.08
OE 0.77 (0.531.12)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.37Z-score
OE missense 0.94 (0.851.04)
263 obs / 280.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.77 (0.531.12)
00.351.4
Missense OE0.94 (0.851.04)
00.61.4
Synonymous OE0.99
01.21.6
LoF obs/exp: 19 / 24.8Missense obs/exp: 263 / 280.6Syn Z: 0.11
DN
0.76top 25%
GOF
0.83top 10%
LOF
0.2386th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CATSPER4 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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