KCNC4

Chr 1

potassium voltage-gated channel subfamily C member 4

Also known as: C1orf30, HKSHIIIC, KSHIIIC, KV3.4

The protein is a voltage-gated potassium channel that opens in response to membrane voltage changes and displays rapid activation and inactivation kinetics, which is important for neuronal excitability. Mutations cause progressive sensorineural hearing loss and cerebellar ataxia, inherited in an autosomal dominant pattern. This gene is not highly constrained against loss-of-function variants, and a GeneReviews entry is available for detailed clinical guidance.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.73
Clinical SummaryKCNC4
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
0.73LOEUF
pLI 0.004
Z-score 2.40
OE 0.39 (0.220.73)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
2.06Z-score
OE missense 0.72 (0.650.79)
302 obs / 421.1 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.39 (0.220.73)
00.351.4
Missense OE0.72 (0.650.79)
00.61.4
Synonymous OE1.03
01.21.6
LoF obs/exp: 7 / 18.0Missense obs/exp: 302 / 421.1Syn Z: -0.36
DN
0.81top 10%
GOF
0.88top 5%
LOF
0.2679th %ile

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

GOFprediction above median
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

KCNC4 · 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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