CBR4

Chr 4

carbonyl reductase 4

Also known as: SDR45C1

CBR4 encodes the beta-subunit of the 3-ketoacyl-[acyl carrier protein] reductase complex, which catalyzes NADPH-dependent reduction of 3-oxoacyl-[ACP] to (3R)-hydroxyacyl-[ACP] as part of mitochondrial fatty acid biosynthesis. The gene is not highly constrained against loss-of-function variants, and no established human diseases have been reported from CBR4 mutations to date.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
5
Pubs (1 yr)
8
P/LP submissions
0%
P/LP missense
1.70
LOEUF
DN
Mechanism· predicted
Clinical SummaryCBR4
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
8 unique Pathogenic / Likely Pathogenic· 340 VUS of 500 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.70LOEUF
pLI 0.000
Z-score 0.05
OE 0.98 (0.571.70)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.08Z-score
OE missense 0.98 (0.841.14)
120 obs / 122.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.98 (0.571.70)
00.351.4
Missense OE0.98 (0.841.14)
00.61.4
Synonymous OE0.97
01.21.6
LoF obs/exp: 8 / 8.1Missense obs/exp: 120 / 122.4Syn Z: 0.14
DN
0.73top 25%
GOF
0.4875th %ile
LOF
0.3259th %ile

The highest-scoring mechanism for this gene is dominant-negative.

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

500 submitted variants in ClinVar

Classification Summary

Pathogenic7
Likely Pathogenic1
VUS340
Likely Benign131
Benign1
7
Pathogenic
1
Likely Pathogenic
340
VUS
131
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
7
0
7
Likely Pathogenic
0
0
1
0
1
VUS
10
320
9
1
340
Likely Benign
0
5
15
111
131
Benign
0
0
1
0
1
Total1032533112480

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

CBR4 · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 1 results · since 2015Search PubMed ↗