Gene
FBXL4
F-box and leucine rich repeat protein 4
- HGNC 13601↗(opens in a new tab)
- Ensembl gene ENSG00000112234↗(opens in a new tab)
- NCBI Gene 26235↗(opens in a new tab)
Summary
- Cytogenetic location
- 6q16.1-q16.2
- Coordinates
- Chromosome 6: 98,868,535–98,947,946 (GRCh38)
- Exons
- 10 exons across 79.4 kb
- Protein
- 621 amino acids
- Also known as
- FBL4, FBL5
- MANE Select transcript
- ENST00000369244.7NM_001278716.2
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Read FBXL4, and the rest of your genome, with one test.
From $449Free shipping · Results in 6–8 weeks
Get my Genome TestCurated reports relevant to this gene
Primary Mitochondrial Disease
- Mitochondrial DNA Depletion Syndrome
Caused by variants in nuclear genes such as POLG, TWNK, TK2, DGUOK, MPV17, RRM2B and SUCLA2, which reduce the amount of mitochondrial DNA and can cause muscle, liver or brain disease.
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Knowing is directly actionable: valproate must be avoided in POLG disease because of the risk of fatal liver failure, and TK2 deficiency has a nucleoside therapy.
Broader groupings
Leigh Syndrome
One of 69 genes linked to it
A progressive neurological disease defined by specific neuropathological features associating brainstem and basal ganglia lesions.
- ClinGen rates the link definitive
- 1 GenCC submitter rates it definitive or strong
How FBXL4 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 8.1 kb of the gene's 79.4 kb; 1,866 of those bases code for the protein.
How a genome test reads FBXL4
72
positions in FBXL4 where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 79.4 kb of FBXL4, introns included, not only the 8.1 kb of exons.
Genes linked to the same conditions
- OPA1OPA1 mitochondrial dynamin like GTPaseShares 2 conditions
- SUCLA2succinate-CoA ligase ADP-forming subunit betaShares 2 conditions
- SUCLG1succinate-CoA ligase GDP/ADP-forming subunit alphaShares 2 conditions
- AFG3L2AFG3 like matrix AAA peptidase subunit 2Shares 1 condition
- AGKacylglycerol kinaseShares 1 condition
- AIFM1apoptosis inducing factor mitochondria associated 1Shares 1 condition
- ATP5MKATP synthase membrane subunit kShares 1 condition
- BTDbiotinidaseShares 1 condition
- COX10cytochrome c oxidase assembly factor heme A:farnesyltransferase COX10Shares 1 condition
- DGUOKdeoxyguanosine kinaseShares 1 condition
- DLATdihydrolipoamide S-acetyltransferaseShares 1 condition
- DLDdihydrolipoamide dehydrogenaseShares 1 condition
Traits linked to FBXL4
The Human Phenotype Ontology lists these as features of the rare conditions FBXL4 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Babinski sign
- CNS hypomyelination
- Encephalopathy
- Generalized brain degeneration
- Hyperactive movements
- Increased reflexes
- Leukodystrophy
- More grooves in brain
Show 19 more traits
- Small cerebellum
- Too much cerebrospinal fluid in the brain
- Global developmental delay
- Degeneration of cerebrum
- Elevated brain lactate level by MRS
- Epilepsy
- Ventriculomegaly
- Ataxia
- Bilateral tonic-clonic seizure with generalized onset
- Choreoathetosis
- Degeneration of cerebellum
- Delayed CNS myelination
- Dystonia
- Focal impaired awareness seizure
- Periventricular cysts
- Thin corpus callosum
- Infantile spasms
- Severe global developmental delay
- Underdevelopment of part of brain called corpus callosum
Abnormality of the cardiovascular system
- Patent ductus arteriosus
- Abnormal heart rate
- An opening in the wall separating the top two chambers of the heart
- Enlarged and thickened heart muscle
- Increased blood pressure in blood vessels of lungs
- Left ventricular hypertrophy
- Patent foramen ovale
- Right ventricular hypertrophy
Show 2 more traits
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.). FBXL4 gene: F-box and leucine rich repeat protein 4. Retrieved 17 October 2026, from https://dantelabs.com/genes/fbxl4
Dante Labs. FBXL4 gene: F-box and leucine rich repeat protein 4 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/fbxl4
One test. A lifetime of answers.
From $449Free shipping · Results in 6–8 weeks