KCTD4

Chr 13

potassium channel tetramerization domain containing 4

Also known as: bA321C24.3

The KCTD4 protein enables identical protein binding and is involved in protein homooligomerization. Mutations in this gene cause developmental and epileptic encephalopathy with movement abnormalities, which follows an autosomal recessive inheritance pattern. The gene shows tolerance to loss-of-function variants (pLI 0.003, LOEUF 1.21), consistent with the recessive disease mechanism.

OMIMResearchSummary from RefSeq
DNmechanismLOEUF 1.21
Clinical SummaryKCTD4
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
54 unique Pathogenic / Likely Pathogenic· 24 VUS of 79 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.21LOEUF
pLI 0.003
Z-score 1.16
OE 0.58 (0.301.21)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.78Z-score
OE missense 0.81 (0.690.95)
108 obs / 133.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.58 (0.301.21)
00.351.4
Missense OE0.81 (0.690.95)
00.61.4
Synonymous OE1.25
01.21.6
LoF obs/exp: 5 / 8.7Missense obs/exp: 108 / 133.4Syn Z: -1.37
DN
0.6453th %ile
GOF
0.5170th %ile
LOF
0.3550th %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

79 submitted variants in ClinVar

Classification Summary

Pathogenic53
Likely Pathogenic1
VUS24
53
Pathogenic
1
Likely Pathogenic
24
VUS

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
53
0
53
Likely Pathogenic
0
0
1
0
1
VUS
0
24
0
0
24
Likely Benign
0
0
0
0
0
Benign
0
0
0
0
0
Total02454078

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

KCTD4 · 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.

Search ClinicalTrials.gov →
Clinical Literature
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