Gene
HCN4
hyperpolarization activated cyclic nucleotide gated potassium channel 4
- HGNC 16882↗(opens in a new tab)
- Ensembl gene ENSG00000138622↗(opens in a new tab)
- NCBI Gene 10021↗(opens in a new tab)
Summary
- Cytogenetic location
- 15q24.1
- Coordinates
- Chromosome 15: 73,319,859–73,368,958 (GRCh38)
- Exons
- 8 exons across 49.1 kb
- Protein
- 1,203 amino acids
- MANE Select transcript
- ENST00000261917.4NM_005477.3
- 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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Progressive Cardiac Conduction Disease & Sick Sinus Syndrome
- Familial Sick Sinus Syndrome
An inherited dysfunction of the heart's natural pacemaker, caused by changes in genes such as HCN4, SCN5A and MYH6, that causes slow or irregular heart rhythms.
- ClinGen rates the link definitive
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Knowing about it supports monitoring for slow heart rhythms and a pacemaker if symptoms develop.
How HCN4 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
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 6.9 kb of the gene's 49.1 kb; 3,612 of those bases code for the protein.
How a genome test reads HCN4
14
positions in HCN4 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 49.1 kb of HCN4, introns included, not only the 6.9 kb of exons.
Genes linked to the same conditions
Traits linked to HCN4
The Human Phenotype Ontology lists these as features of the rare conditions HCN4 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the cardiovascular system
- Chronotropic incompetence
- Complete right bundle branch block
- First degree atrioventricular block
- Heart stops beating
- Paroxysmal atrial fibrillation
- Polymorphic ventricular tachycardia
- Sick sinus syndrome
- Sinus bradycardia
Show 19 more traits
- Slow heartbeats
- ST segment elevation
- T-wave inversion
- Torsade de pointes
- Ventricular bigeminy
- Ventricular fibrillation
- Ventricular tachycardia
- Fainting spell
- Left ventricular noncompaction
- Mitral valve prolapse
- Aortic regurgitation
- Elevated heart rate
- Left ventricular hypertrophy
- Paroxysmal ventricular tachycardia
- Prolonged QTc interval
- Supraventricular tachycardia
- Trifascicular block
- Ventricular arrhythmia
- Quivering upper heart chambers resulting in irregular heartbeat
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.). HCN4 gene: hyperpolarization activated cyclic nucleotide gated potassium channel 4. Retrieved 16 October 2026, from https://dantelabs.com/genes/hcn4
Dante Labs. HCN4 gene: hyperpolarization activated cyclic nucleotide gated potassium channel 4 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/hcn4
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