Gene
ABCB4
ATP binding cassette subfamily B member 4
- HGNC 45↗(opens in a new tab)
- Ensembl gene ENSG00000005471↗(opens in a new tab)
- NCBI Gene 5244↗(opens in a new tab)
Summary
- Cytogenetic location
- 7q21.12
- Coordinates
- Chromosome 7: 87,401,696–87,475,680 (GRCh38)
- Exons
- 28 exons across 74 kb
- Protein
- 1,279 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- MDR2, PFIC-3, GBD1
- Previous symbols
- PGY3, MDR3
- MANE Select transcript
- ENST00000649586.2NM_000443.4
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Familial Intrahepatic Cholestasis
- Autosomal recessive
An instance of intrahepatic cholestasis that is caused by an inherited modification of the individual's genome.
- ClinGen rates the link definitive
- 3 GenCC submitters rate it definitive or strong
Low phospholipid-associated cholelithiasis
- Gallbladder Disease 1
A rare genetic hepatic disease characterized by low biliary phospholipid concentration with symptomatic and recurring cholelithiasis which develops before the age of 40 years.
- 3 GenCC submitters rate it definitive or strong
- Cholelithiasis
The presence of crystallized deposits forming in the gallbladder or biliary tree, primarily composed of cholesterol, bilirubin, and bile.
- 3 GenCC submitters rate it definitive or strong
Inheritance
- Autosomal recessive
- It takes a changed copy from each parent. With one, you are a carrier and usually unaffected; when both parents are carriers, each child has a one-in-four chance of inheriting two.
How ABCB4 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 4.3 kb of the gene's 74 kb; 3,840 of those bases code for the protein.
How a genome test reads ABCB4
215
positions in ABCB4 where ClinVar classes a change as pathogenic or likely pathogenic
6 of them (2.8%) fall in regions short reads find hard.
- Low mappability (6 sites)Regions where 100 bp or 250 bp reads cannot be placed uniquely.
A whole genome covers all 74 kb of ABCB4, introns included, not only the 4.3 kb of exons.
Genes linked to the same conditions
- ABCB11ATP binding cassette subfamily B member 11Shares 1 condition
- ATP8B1ATPase phospholipid transporting 8B1Shares 1 condition
- KIF12kinesin family member 12Shares 1 condition
- MYO5Bmyosin VBShares 1 condition
- NR1H4nuclear receptor subfamily 1 group H member 4Shares 1 condition
- PSKH1protein serine kinase H1Shares 1 condition
- TJP2tight junction protein 2Shares 1 condition
- USP53ubiquitin specific peptidase 53Shares 1 condition
- ZFYVE19zinc finger FYVE-type containing 19Shares 1 condition
Traits linked to ABCB4
The Human Phenotype Ontology lists these as features of the rare conditions ABCB4 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the digestive system
- Bile duct proliferation
- Cholesterol gallstones
- Diarrhea
- Enlarged liver
- Gallstones
- Jaundice
- Portal fibrosis
- Portal inflammation
Show 19 more traits
- Scar tissue replaces healthy tissue in the liver
- Slowed or blocked flow of bile from liver
- Abdominal colic
- Impaired release of bile from liver
- Abnormality of the digestive system
- Accumulation of fluid in the abdomen
- Bile duct inflammation
- Biliary tract obstruction
- Gallbladder inflammation
- Hepatocellular carcinoma
- Liver cancer
- Pancreatic inflammation
- Abdominal pain
- Abnormality of the pancreas
- Biliary cirrhosis
- Liver abscess
- Sclerosing cholangitis
- Hepatic fibrosis
- Malabsorption
Laboratory abnormality
- Elevated gamma-glutamyltransferase level
- High liver enzymes
- Increased serum bile acid concentration
- Elevated alkaline phosphatase
- Elevated serum cholesterol
- High blood bilirubin levels
- Diabetes mellitus
- Abnormal liver function tests during pregnancy
Show 1 more trait
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). ABCB4 gene: ATP binding cassette subfamily B member 4. Retrieved 16 October 2026, from https://dantelabs.com/genes/abcb4
Dante Labs. ABCB4 gene: ATP binding cassette subfamily B member 4 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/abcb4
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