PPP4R1

Chr 18

protein phosphatase 4 regulatory subunit 1

Also known as: MEG1, PP4(Rmeg), PP4R1

This protein serves as a regulatory subunit of serine/threonine-protein phosphatase 4 (PP4) and regulates HDAC3 dephosphorylation and TNF-induced NF-kappa-B signaling pathways. Mutations cause autosomal recessive intellectual disability with microcephaly and growth retardation. The gene is highly constrained against loss-of-function variants (pLI = 1.0, LOEUF = 0.24), indicating intolerance to protein-disrupting mutations.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
0
Pubs (1 yr)
104
P/LP submissions
0%
P/LP missense
0.24
LOEUF· LoF intol.
LOF
Mechanism· predicted
Clinical SummaryPPP4R1
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
📋
ClinVar Variants
99 unique Pathogenic / Likely Pathogenic· 135 VUS of 261 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.24LOEUF
pLI 1.000
Z-score 5.68
OE 0.12 (0.070.24)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
2.04Z-score
OE missense 0.75 (0.690.81)
382 obs / 511.9 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.12 (0.070.24)
00.351.4
Missense OE0.75 (0.690.81)
00.61.4
Synonymous OE0.90
01.21.6
LoF obs/exp: 6 / 48.8Missense obs/exp: 382 / 511.9Syn Z: 1.03
DN
0.4884th %ile
GOF
0.4283th %ile
LOF
0.65top 25%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · LOEUF 0.24

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

261 submitted variants in ClinVar

Classification Summary

Pathogenic97
Likely Pathogenic2
VUS135
Likely Benign2
97
Pathogenic
2
Likely Pathogenic
135
VUS
2
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
97
0
97
Likely Pathogenic
0
0
2
0
2
VUS
0
123
12
0
135
Likely Benign
0
2
0
0
2
Benign
0
0
0
0
0
Total01251110236

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

View in ClinVar →

Protein Context — Lollipop Plot

PPP4R1 · 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.

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Clinical Literature
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