GUF1

Chr 4AR

GTP binding elongation factor GUF1

Also known as: DEE40, EF-4, EF4, EIEE40

GUF1 encodes a mitochondrial GTPase that promotes protein synthesis by ensuring translation fidelity through catalyzing backward translocation of tRNAs on improperly positioned ribosomes. Mutations cause developmental and epileptic encephalopathy 40 with early infantile onset through autosomal recessive inheritance. The gene is extremely intolerant to loss-of-function variants, indicating it is essential for normal cellular function.

OMIMResearchSummary from RefSeq, OMIM, UniProt
DNmechanismARLOEUF 1.141 OMIM phenotype
Clinical SummaryGUF1
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
1.14LOEUF
pLI 0.000
Z-score 0.90
OE 0.84 (0.631.14)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.15Z-score
OE missense 0.98 (0.891.07)
325 obs / 332.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.84 (0.631.14)
00.351.4
Missense OE0.98 (0.891.07)
00.61.4
Synonymous OE0.97
01.21.6
LoF obs/exp: 30 / 35.8Missense obs/exp: 325 / 332.8Syn Z: 0.22
DN
0.6745th %ile
GOF
0.6149th %ile
LOF
0.4135th %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

Protein Context — Lollipop Plot

GUF1 · 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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