COG4

Chr 16ARAD

component of oligomeric golgi complex 4

Also known as: CDG2J, COD1, SWILS

COG4 encodes a component of the conserved oligomeric Golgi complex that is required for normal Golgi function and facilitates SNARE-pin assembly and Golgi-to-ER retrograde transport. Mutations cause congenital disorder of glycosylation type IIj and Saul-Wilson syndrome, inherited in both autosomal recessive and autosomal dominant patterns. This gene is highly constrained against loss-of-function variants (LOEUF 0.713), indicating that complete protein loss is typically incompatible with normal development.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
MultiplemechanismAR/ADLOEUF 0.712 OMIM phenotypes
Clinical SummaryCOG4
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Gene-Disease Validity (ClinGen)
COG4-congenital disorder of glycosylation · ARModerate

Moderate evidence — consider for supplementary testing

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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GeneReview available — COG4
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.71LOEUF
pLI 0.000
Z-score 3.05
OE 0.49 (0.350.71)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
-0.28Z-score
OE missense 1.04 (0.961.12)
454 obs / 437.4 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.49 (0.350.71)
00.351.4
Missense OE1.04 (0.961.12)
00.61.4
Synonymous OE1.10
01.21.6
LoF obs/exp: 21 / 42.4Missense obs/exp: 454 / 437.4Syn Z: -1.01
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongCOG4-related Saul Wilson syndromeGOFAD
definitiveCOG4-related congenital disorder of glycosylationLOFAR
DN
0.6454th %ile
GOF
0.6834th %ile
LOF
0.2971th %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 · 1 literature citation
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.

Literature Evidence

GOFThe UDN recruited twelve new patients with Saul-Wilson syndrome and confirmed that this disease is caused by the same recurrent monoallelic variant in COG4 (p.Gly516Arg), likely producing a gain of function.PMID:32477883

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

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

COG4 · 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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