CYP4V2

Chr 4

cytochrome P450 family 4 subfamily V member 2

Also known as: BCD, CYP4AH1

CYP4V2 encodes a cytochrome P450 monooxygenase that catalyzes omega-hydroxylation of polyunsaturated fatty acids including docosahexaenoate (DHA) and eicosapentaenoate (EPA), contributing to retinal fatty acid homeostasis. Mutations cause Bietti crystalline corneoretinal dystrophy, an autosomal recessive condition affecting the eyes with characteristic crystalline deposits in the cornea and retina. The gene shows very low constraint against loss-of-function variants (pLI near zero), consistent with its recessive inheritance pattern.

ResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismLOEUF 1.03
Clinical SummaryCYP4V2
🧬
Gene-Disease Validity (ClinGen)
Bietti crystalline corneoretinal dystrophy · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
💊
Clinical Trials
3 active or recruiting trials — potential therapeutic options may be available
Some data sources returned errors (1)

omim: TypeError: fetch failed

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 1.42
OE 0.70 (0.491.03)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.12Z-score
OE missense 1.02 (0.931.12)
305 obs / 299.1 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.70 (0.491.03)
00.351.4
Missense OE1.02 (0.931.12)
00.61.4
Synonymous OE0.89
01.21.6
LoF obs/exp: 19 / 27.0Missense obs/exp: 305 / 299.1Syn Z: 0.92
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveCYP4V2-related Bietti crystalline corneoretinal dystrophyLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.75top 25%
GOF
0.6443th %ile
LOF
0.2873th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

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

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CYP4V2 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
Open Research Assistant →