KLRC4

Chr 12

killer cell lectin like receptor C4

Also known as: NKG2-F, NKG2F

KLRC4 encodes a C-type lectin receptor expressed on natural killer (NK) cells that recognizes MHC class I HLA-E molecules and regulates NK cell-mediated immune responses. The gene shows low constraint to loss-of-function variation (pLI 0.006, LOEUF 1.46), and no Mendelian diseases have been definitively associated with KLRC4 mutations. KLRC4 variants are not established causes of pediatric neurological disorders at this time.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
3
Pubs (1 yr)
38
P/LP submissions
0%
P/LP missense
1.46
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryKLRC4
Population Constraint (gnomAD)
Low constraint (pLI 0.01) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
38 unique Pathogenic / Likely Pathogenic· 19 VUS of 58 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.46LOEUF
pLI 0.006
Z-score 0.81
OE 0.65 (0.321.46)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.51Z-score
OE missense 0.84 (0.691.03)
66 obs / 78.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.65 (0.321.46)
00.351.4
Missense OE0.84 (0.691.03)
00.61.4
Synonymous OE1.24
01.21.6
LoF obs/exp: 4 / 6.2Missense obs/exp: 66 / 78.7Syn Z: -0.98
DN
0.84top 10%
GOF
0.84top 5%
LOF
0.1299th %ile

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

DNprediction above median
GOFprediction 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

58 submitted variants in ClinVar

Classification Summary

Pathogenic36
Likely Pathogenic2
VUS19
Benign1
36
Pathogenic
2
Likely Pathogenic
19
VUS
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
36
0
36
Likely Pathogenic
0
0
2
0
2
VUS
0
17
2
0
19
Likely Benign
0
0
0
0
0
Benign
0
1
0
0
1
Total01840058

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

View in ClinVar →

Protein Context — Lollipop Plot

KLRC4 · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC