CYP4B1

Chr 1

cytochrome P450 family 4 subfamily B member 1

Also known as: CYPIVB1, P-450HP

The protein is a cytochrome P450 monooxygenase that localizes to the endoplasmic reticulum and oxidizes steroids, fatty acids, and xenobiotics as part of an NADPH-dependent electron transport pathway. This gene is highly constrained against loss-of-function variants, but no human diseases have been definitively associated with CYP4B1 mutations despite the protein's metabolic functions. The inheritance pattern for any potential disorders would likely be autosomal recessive given the gene's constraint profile.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.10
Clinical SummaryCYP4B1
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
1.10LOEUF
pLI 0.000
Z-score 1.19
OE 0.74 (0.511.10)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.21Z-score
OE missense 1.03 (0.941.14)
312 obs / 301.8 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.74 (0.511.10)
00.351.4
Missense OE1.03 (0.941.14)
00.61.4
Synonymous OE1.05
01.21.6
LoF obs/exp: 18 / 24.3Missense obs/exp: 312 / 301.8Syn Z: -0.40
DN
0.75top 25%
GOF
0.6639th %ile
LOF
0.2581th %ile

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

DNprediction above median
GOFprediction 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

CYP4B1 · 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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