ST3GAL4

Chr 11

ST3 beta-galactoside alpha-2,3-sialyltransferase 4

Also known as: CGS23, NANTA3, SAT3, SIAT4, SIAT4C, ST-4, ST3GalA.2, ST3GalIV

The protein is a beta-galactoside alpha2-3 sialyltransferase that catalyzes terminal sialylation of glycoproteins and glycolipids, playing essential roles in hemostasis through von Willebrand factor sialylation, leukocyte adhesion through selectin-mediated interactions, and ganglioside biosynthesis in peripheral nerve myelin. Mutations cause autosomal recessive intellectual disability with bleeding diathesis, seizures, and neutrophil dysfunction. The gene shows low constraint to loss-of-function mutations, consistent with recessive inheritance patterns.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
19
Pubs (1 yr)
65
P/LP submissions
0%
P/LP missense
0.61
LOEUF
Mechanism
Clinical SummaryST3GAL4
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.31) despite low pLI — interpret in context.
📋
ClinVar Variants
65 unique Pathogenic / Likely Pathogenic· 45 VUS of 133 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.61LOEUF
pLI 0.040
Z-score 2.83
OE 0.31 (0.170.61)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
1.58Z-score
OE missense 0.69 (0.600.79)
143 obs / 207.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.31 (0.170.61)
00.351.4
Missense OE0.69 (0.600.79)
00.61.4
Synonymous OE0.88
01.21.6
LoF obs/exp: 6 / 19.5Missense obs/exp: 143 / 207.1Syn Z: 0.86

ClinVar Variant Classifications

133 submitted variants in ClinVar

Classification Summary

Pathogenic63
Likely Pathogenic2
VUS45
Likely Benign3
Benign3
63
Pathogenic
2
Likely Pathogenic
45
VUS
3
Likely Benign
3
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
63
0
63
Likely Pathogenic
0
0
2
0
2
VUS
0
40
5
0
45
Likely Benign
0
3
0
0
3
Benign
0
0
0
3
3
Total043703116

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

View in ClinVar →

Protein Context — Lollipop Plot

ST3GAL4 · 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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