KRTAP10-4

Chr 21

keratin associated protein 10-4

Also known as: KAP10.4, KAP18-4, KRTAP10.4, KRTAP18-4, KRTAP18.4

The encoded keratin-associated protein forms disulfide bonds with hair keratins to create the rigid structural matrix of hair shafts. Mutations in this gene are associated with autosomal recessive woolly hair, a condition characterized by tightly curled, fine hair texture present from birth. This gene shows low constraint against loss-of-function variants, consistent with its role in a non-life-threatening hair structure disorder.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
0
Pubs (1 yr)
93
P/LP submissions
0%
P/LP missense
1.74
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryKRTAP10-4
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
88 unique Pathogenic / Likely Pathogenic· 99 VUS of 206 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.74LOEUF
pLI 0.000
Z-score -0.65
OE 1.19 (0.811.74)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-1.38Z-score
OE missense 1.26 (1.141.39)
279 obs / 221.3 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.19 (0.811.74)
00.351.4
Missense OE1.26 (1.141.39)
00.61.4
Synonymous OE1.05
01.21.6
LoF obs/exp: 17 / 14.3Missense obs/exp: 279 / 221.3Syn Z: -0.38
DN
0.87top 5%
GOF
0.88top 5%
LOF
0.3843th %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

206 submitted variants in ClinVar

Classification Summary

Pathogenic84
Likely Pathogenic4
VUS99
Likely Benign17
Benign1
Conflicting1
84
Pathogenic
4
Likely Pathogenic
99
VUS
17
Likely Benign
1
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
84
0
84
Likely Pathogenic
0
0
4
0
4
VUS
0
79
20
0
99
Likely Benign
0
7
0
10
17
Benign
0
1
0
0
1
Conflicting
1
Total08710810206

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

View in ClinVar →

Protein Context — Lollipop Plot

KRTAP10-4 · 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 →
Clinical Literature
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Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC

No open access results found