CELF4

Chr 18

CUGBP Elav-like family member 4

Also known as: BRUNOL4, CELF-4

This protein regulates pre-mRNA alternative splicing and may also be involved in mRNA editing and translation through its three RNA recognition motif domains. Loss-of-function mutations in CELF4 cause neurodevelopmental disorders with an autosomal dominant inheritance pattern. The gene is highly intolerant to loss-of-function variants, indicating that haploinsufficiency is the likely pathogenic mechanism.

OMIMResearchSummary from RefSeq, UniProt, Mechanism
LOFmechanismLOEUF 0.23
Clinical SummaryCELF4
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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ClinVar Variants
48 unique Pathogenic / Likely Pathogenic· 85 VUS of 168 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.23LOEUF
pLI 0.998
Z-score 4.48
OE 0.07 (0.030.23)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
3.16Z-score
OE missense 0.50 (0.440.57)
157 obs / 314.9 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.07 (0.030.23)
00.351.4
Missense OE0.50 (0.440.57)
00.61.4
Synonymous OE0.88
01.21.6
LoF obs/exp: 2 / 27.2Missense obs/exp: 157 / 314.9Syn Z: 1.05
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
moderateCELF4-related neurodevelopmental disorder with overgrowthLOFAD
DN
0.4090th %ile
GOF
0.3788th %ile
LOF
0.79top 5%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · LOEUF 0.23

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

168 submitted variants in ClinVar

Classification Summary

Pathogenic45
Likely Pathogenic3
VUS85
Likely Benign21
Benign6
Conflicting2
45
Pathogenic
3
Likely Pathogenic
85
VUS
21
Likely Benign
6
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
45
0
45
Likely Pathogenic
0
0
3
0
3
VUS
14
60
11
0
85
Likely Benign
0
8
4
9
21
Benign
0
1
2
3
6
Conflicting
2
Total14696512162

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

View in ClinVar →

Protein Context — Lollipop Plot

CELF4 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
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