KRTAP1-4

Chr 17

keratin associated protein 1-4

Also known as: KAP1.4, KRTAP1.4

The protein forms an interfilamentous matrix in hair cortex by cross-linking with hair keratins through extensive disulfide bonds, creating a rigid and resistant hair shaft structure. Mutations in KRTAP1-4 cause hair shaft abnormalities through a dominant-negative mechanism. The inheritance pattern is autosomal dominant.

Summary from RefSeq, UniProt, Mechanism
0
Active trials
0
Pubs (1 yr)
7
P/LP submissions
P/LP missense
1.41
LOEUF
DN
Mechanism· predicted
Clinical SummaryKRTAP1-4
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.32) despite low pLI — interpret in context.
📋
ClinVar Variants
7 unique Pathogenic / Likely Pathogenic· 1 VUS of 10 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.41LOEUF
pLI 0.231
Z-score 1.13
OE 0.32 (0.111.41)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.44Z-score
OE missense 1.15 (0.961.38)
80 obs / 69.6 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.32 (0.111.41)
00.351.4
Missense OE1.15 (0.961.38)
00.61.4
Synonymous OE1.12
01.21.6
LoF obs/exp: 1 / 3.2Missense obs/exp: 80 / 69.6Syn Z: -0.50
DN
0.87top 5%
GOF
0.78top 25%
LOF
0.2970th %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

10 submitted variants in ClinVar

Classification Summary

Pathogenic7
VUS1
Likely Benign2
7
Pathogenic
1
VUS
2
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories· variant type breakdown unavailable

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
7
Likely Pathogenic
0
VUS
1
Likely Benign
2
Benign
0
Total10

Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

KRTAP1-4 · 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 →