EIF4A2

Chr 3ADAR

eukaryotic translation initiation factor 4A2

Also known as: BM-010, DDX2B, EIF4A, EIF4F, NEDHSS, eIF-4A-II, eIF4A-II

EIF4A2 encodes an ATP-dependent RNA helicase that unwinds secondary structures in the 5'-untranslated regions of mRNAs to facilitate ribosome binding and translation initiation. Mutations cause neurodevelopmental disorder with hypotonia and speech delay, with or without seizures, inherited in either autosomal dominant or autosomal recessive patterns. The gene is highly constrained against loss-of-function variation (pLI 0.998, LOEUF 0.205), indicating that complete loss of protein function is likely not tolerated.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismAD/ARLOEUF 0.201 OMIM phenotype
Clinical SummaryEIF4A2
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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GeneReview available — EIF4A2
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.20LOEUF
pLI 0.998
Z-score 4.26
OE 0.04 (0.010.20)
Highly constrained

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

Missense Constraint
3.89Z-score
OE missense 0.27 (0.220.33)
60 obs / 224.1 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.04 (0.010.20)
00.351.4
Missense OE0.27 (0.220.33)
00.61.4
Synonymous OE1.36
01.21.6
LoF obs/exp: 1 / 23.1Missense obs/exp: 60 / 224.1Syn Z: -2.41
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
limitedEIF4A2-related neurodevelopmental disorderOTHERAR
moderateEIF4A2-related neurodevelopmental disorder with hypotonia and epilepsyOTHERAD
DN
0.4487th %ile
GOF
0.4085th %ile
LOF
0.67top 25%

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

LOFprediction above median · LOEUF 0.20

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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

EIF4A2 · 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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Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC