ELP4

Chr 11AD

elongator acetyltransferase complex subunit 4

Also known as: AN, AN2, C11orf19, PAX6NEB, PAXNEB, dJ68P15A.1, hELP4

This gene encodes a component of the six subunit elongator complex, a histone acetyltransferase complex that associates directly with RNA polymerase II during transcriptional elongation. The human gene can partially complement sensitivity phenotypes of yeast ELP4 deletion mutants. This gene has also been associated with Rolandic epilepsy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2013]

Primary Disease Associations & Inheritance

?Aniridia 2MIM #617141
AD
0
Active trials
0
Pathogenic / LP
0
ClinVar variants
2
Pubs (1 yr)
-0.3
Missense Z
1.03
LOEUF
Clinical SummaryELP4
🧬
Gene-Disease Validity (ClinGen)
ocular dysgenesis caused by defects in PAX6 regulation · ADModerate

Moderate evidence — consider for supplementary testing

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📖
GeneReview available — ELP4
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
1.03LOEUF
pLI 0.000
Z-score 1.46
OE 0.66 (0.431.03)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.30Z-score
OE missense 1.06 (0.951.18)
242 obs / 229.2 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.66 (0.431.03)
00.351.4
Missense OE1.06 (0.951.18)
00.61.4
Synonymous OE1.06
01.21.6
LoF obs/exp: 14 / 21.3Missense obs/exp: 242 / 229.2Syn Z: -0.46
DN
DN
0.7327th %ile
GOF
0.3788th %ile
LOF
0.3552th %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

0 submitted variants in ClinVar

ELP4 · protein map & ClinVar variants

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

Gene2Phenotype Curations

ELP4-related aniridia

strong
ADLoss Of FunctionAbsent Gene Product
Eye
G2P ↗

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Landmark / reviewRecent case evidence
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC