SPATA4

Chr 4

spermatogenesis associated 4

Also known as: CFAP178, FAP178, SPEF1B, TSARG2

The protein is predicted to bind microtubules and regulate cytoskeleton organization, and may play a role in apoptosis regulation. Mutations cause primary ciliary dyskinesia with or without situs inversus in an autosomal recessive inheritance pattern. This gene shows minimal constraint against loss-of-function variants.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
2
Pubs (1 yr)
75
P/LP submissions
0%
P/LP missense
1.51
LOEUF
Multiple*
Mechanism· predicted
Clinical SummarySPATA4
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
75 unique Pathogenic / Likely Pathogenic· 50 VUS of 134 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.51LOEUF
pLI 0.000
Z-score 0.11
OE 0.97 (0.641.51)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.32Z-score
OE missense 1.07 (0.941.22)
171 obs / 159.7 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.97 (0.641.51)
00.351.4
Missense OE1.07 (0.941.22)
00.61.4
Synonymous OE0.80
01.21.6
LoF obs/exp: 14 / 14.5Missense obs/exp: 171 / 159.7Syn Z: 1.22
DN
0.6744th %ile
GOF
0.6541th %ile
LOF
0.3260th %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

134 submitted variants in ClinVar

Classification Summary

Pathogenic73
Likely Pathogenic2
VUS50
Likely Benign4
73
Pathogenic
2
Likely Pathogenic
50
VUS
4
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
73
0
73
Likely Pathogenic
0
0
2
0
2
VUS
0
45
5
0
50
Likely Benign
0
3
0
1
4
Benign
0
0
0
0
0
Total048801129

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

View in ClinVar →

Protein Context — Lollipop Plot

SPATA4 · 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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