CLCA4

Chr 1

chloride channel accessory 4

Also known as: CaCC, CaCC2

The protein encoded by CLCA4 mediates calcium-activated chloride conductance and belongs to a family of calcium-sensitive chloride conductance proteins. This gene is extremely intolerant to loss-of-function variants (pLI near 1), but mutations causing human disease have not been established. CLCA4 maps to chromosome 1p31-p22 along with other family members and shows tissue-specific expression patterns.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
4
Pubs (1 yr)
13
P/LP submissions
0%
P/LP missense
1.03
LOEUF
DN
Mechanism· predicted
Clinical SummaryCLCA4
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
13 unique Pathogenic / Likely Pathogenic· 120 VUS of 152 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.03LOEUF
pLI 0.000
Z-score 1.41
OE 0.75 (0.551.03)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.23Z-score
OE missense 0.97 (0.901.05)
468 obs / 482.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.75 (0.551.03)
00.351.4
Missense OE0.97 (0.901.05)
00.61.4
Synonymous OE0.99
01.21.6
LoF obs/exp: 27 / 36.1Missense obs/exp: 468 / 482.3Syn Z: 0.12
DN
0.6358th %ile
GOF
0.5269th %ile
LOF
0.2775th %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

152 submitted variants in ClinVar

Classification Summary

Pathogenic11
Likely Pathogenic2
VUS120
Likely Benign15
Benign2
Conflicting1
11
Pathogenic
2
Likely Pathogenic
120
VUS
15
Likely Benign
2
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
11
0
11
Likely Pathogenic
0
0
2
0
2
VUS
0
117
3
0
120
Likely Benign
1
11
0
3
15
Benign
0
1
0
1
2
Conflicting
1
Total1129164151

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

View in ClinVar →

Protein Context — Lollipop Plot

CLCA4 · 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
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