Gene
GATA4
GATA binding protein 4
- HGNC 4173↗(opens in a new tab)
- Ensembl gene ENSG00000136574↗(opens in a new tab)
- NCBI Gene 2626↗(opens in a new tab)
Summary
- Cytogenetic location
- 8p23.1
- Coordinates
- Chromosome 8: 11,704,202–11,760,002 (GRCh38)
- Exons
- 7 exons across 55.8 kb
- Protein
- 443 amino acids
- Inheritance
- Autosomal dominant
- MANE Select transcript
- ENST00000532059.6NM_001308093.3
- 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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Get my Genome TestCurated reports relevant to this gene
46,XY Differences of Sex Development and Gonadal Dysgenesis
- 46,XY differences of sex development
Conditions in people with XY chromosomes in which gonadal or genital development is atypical, caused by variants in genes such as SRD5A2, HSD17B3, NR5A1, MAP3K1, DHH, WT1, CYP11A1 and LHCGR.
- 1 GenCC submitter rates it definitive or strong
What knowing changes
Diagnosis informs hormone treatment, fertility counselling and, where dysgenetic gonads carry Y material, assessment of gonadal tumour risk.
Diabetes Mellitus
A metabolic disorder characterized by abnormally high blood sugar levels due to diminished production of insulin or insulin resistance/desensitization.
- 1 GenCC submitter rates it definitive or strong
What knowing changes
Teplizumab (Tzield) for stage 2 presymptomatic T1D (FDA approved 2022); insulin replacement at clinical T1D onset; TrialNet autoantibody screening for high-risk relatives; closed-loop insulin delivery systems
Inherited Congenital Heart Defects
- GATA4-Related Congenital Heart DiseaseAutosomal dominant
Congenital heart defects caused by changes in GATA4, sometimes with an underdeveloped pancreas or diabetes.
- ClinGen rates the link definitive
- 4 GenCC submitters rate it definitive or strong
- Pancreatic Hypoplasia, Diabetes and Congenital Heart Disease SyndromeAutosomal dominant
A condition, usually caused by changes in GATA6, that combines an underdeveloped pancreas, diabetes and congenital heart defects.
- 1 GenCC submitter rates it definitive or strong
- Atrial Septal Defect
A hole between the upper chambers of the heart; inherited forms are caused by genes such as NKX2-5, GATA4, TBX20, MYH6 and ACTC1, and NKX2-5 forms also carry a risk of progressive heart block.
- 2 GenCC submitters rate it definitive or strong
What knowing changes
Knowing about it supports heart imaging and, for NKX2-5, regular ECG checks.
Neonatal Diabetes Mellitus
Diabetes diagnosed in the first months of life, either permanent or transient, caused by single-gene defects in insulin production or secretion.
- 1 GenCC submitter rates it definitive or strong
What knowing changes
Most people with KCNJ11 or ABCC8 neonatal diabetes can switch from insulin injections to sulfonylurea tablets, often with better glucose control.
Inheritance
- Autosomal dominant
- One changed copy, from either parent, is enough. A parent who has one passes it on to each child with a one-in-two chance.
How GATA4 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 3.4 kb of the gene's 55.8 kb; 1,332 of those bases code for the protein.
How a genome test reads GATA4
27
positions in GATA4 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 55.8 kb of GATA4, introns included, not only the 3.4 kb of exons.
Genes linked to the same conditions
- GATA6GATA binding protein 6Shares 4 conditions
- ABCC8ATP binding cassette subfamily C member 8Shares 2 conditions
- BSCL2BSCL2 lipid droplet biogenesis associated, seipinShares 2 conditions
- EIF2B1eukaryotic translation initiation factor 2B subunit alphaShares 2 conditions
- GCKglucokinaseShares 2 conditions
- GLIS3GLIS family zinc finger 3Shares 2 conditions
- HNF1BHNF1 homeobox BShares 2 conditions
- IL2RAinterleukin 2 receptor subunit alphaShares 2 conditions
- INSinsulinShares 2 conditions
- KCNJ11potassium inwardly rectifying channel subfamily J member 11Shares 2 conditions
- MNX1motor neuron and pancreas homeobox 1Shares 2 conditions
- NEUROD1neuronal differentiation 1Shares 2 conditions
Traits linked to GATA4
The Human Phenotype Ontology lists these as features of the rare conditions GATA4 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the cardiovascular system
- An opening in the wall separating the top two chambers of the heart
- Left-to-right shunt
- Abnormal cardiac septum morphology
- Abnormal cardiovascular system morphology
- Fainting spell
- Hole in center of heart
- Hole in heart wall separating two lower heart chambers
- Narrowing of lung artery
Show 33 more traits
- Palpitations
- Quivering upper heart chambers resulting in irregular heartbeat
- Right atrial enlargement
- Systolic heart murmur
- Tetralogy of Fallot
- Abnormal aortic morphology
- Abnormal heart rate
- Abnormal left ventricular function
- Abnormal mitral valve morphology
- Atrial flutter
- Bundle branch block
- Cardiac failure
- Enlarged and thickened heart muscle
- First degree atrioventricular block
- Heart attack
- Increased blood pressure in blood vessels of lungs
- Mitral regurgitation
- Narrowing of pulmonic valve
- Patent ductus arteriosus
- Right ventricular dilatation
- ST segment depression
- Supraventricular arrhythmia
- Supraventricular tachycardia
- Transposition of the great arteries
- Tricuspid regurgitation
- Underdeveloped left heart
- Aortic regurgitation
- Heart tip and four chambers point towards right side of body
- Increased pulmonary vascular resistance
- Mini stroke
- Right ventricular failure
- Stroke
- Primum atrial septal defect
Abnormality of the genitourinary system
- Undescended testes
- Abnormal internal genitalia
- Abnormal labia morphology
- Abnormal scrotum morphology
- Abnormal sex determination
- Abnormal vagina morphology
- Absent sperm in semen
- Ambiguous external genitalia
Show 23 more traits
- Decreased fertility in females
- Decreased testicular size
- Enlarged clitoris
- Female external genitalia in individual with 46,XY karyotype
- Gonadal dysgenesis
- Hypospadias
- Male infertility
- Primary amenorrhea
- Short penis
- Streak ovary
- Underdeveloped penis
- Underdeveloped vagina
- Urogenital sinus anomaly
- Vanishing testis
- Corpus cavernosum hypoplasia
- Gonadoblastoma
- Microphallus
- Perineal hypospadias
- Ovarian gonadoblastoma
- Testicular gonadoblastoma
- Nephroblastoma
- Nephrotic syndrome
- Dysplastic testis
Abnormality of the endocrine system
- Decreased serum estradiol
- Decreased serum testosterone level
- Elevated circulating follicle stimulating hormone level
- Elevated circulating luteinizing hormone level
- Hypergonadotropic hypogonadism
- Increased circulating gonadotropin level
- Delayed puberty
- Absence of secondary sex characteristics
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.). GATA4 gene: GATA binding protein 4. Retrieved 17 October 2026, from https://dantelabs.com/genes/gata4
Dante Labs. GATA4 gene: GATA binding protein 4 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/gata4
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