SLC27A4

Chr 9AR

solute carrier family 27 member 4

Also known as: ACSVL4, FATP4, IPS

This gene encodes a fatty acid transport protein that facilitates the transport of long-chain fatty acids across cell membranes and functions as an acyl-CoA ligase, serving as the principal fatty acid transporter in small intestinal enterocytes and playing a role in epidermal barrier formation. Mutations cause ichthyosis prematurity syndrome, which affects the skin and occurs in the neonatal period as suggested by the name. The condition follows autosomal recessive inheritance.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 0.701 OMIM phenotype
Clinical SummarySLC27A4
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
30 unique Pathogenic / Likely Pathogenic· 87 VUS of 300 total submissions
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GeneReview available — SLC27A4
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.70LOEUF
pLI 0.000
Z-score 2.76
OE 0.43 (0.280.70)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.23Z-score
OE missense 0.97 (0.891.05)
400 obs / 413.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.43 (0.280.70)
00.351.4
Missense OE0.97 (0.891.05)
00.61.4
Synonymous OE1.08
01.21.6
LoF obs/exp: 12 / 27.7Missense obs/exp: 400 / 413.3Syn Z: -0.79
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveSLC27A4-related ichthyosis prematurity syndromeLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.7132th %ile
GOF
0.6736th %ile
LOF
0.3162th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

300 submitted variants in ClinVar

Classification Summary

Pathogenic18
Likely Pathogenic12
VUS87
Likely Benign169
Benign1
18
Pathogenic
12
Likely Pathogenic
87
VUS
169
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
10
0
8
0
18
Likely Pathogenic
9
2
1
0
12
VUS
1
82
4
0
87
Likely Benign
0
3
65
101
169
Benign
0
0
1
0
1
Total208779101287

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

View in ClinVar →

Protein Context — Lollipop Plot

SLC27A4 · 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.

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Clinical Literature
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