On this page
⚠ Educational content only Not medical or genetic advice. Speak with a healthcare provider or genetic counsellor before acting on anything here.

EIF2B4

eukaryotic translation initiation factor 2B subunit delta

The EIF2B4 gene provides instructions for a subunit of the eIF2B protein, which is crucial for regulating protein synthesis in cells and is associated with certain neurological conditions. EIF2B4 codes for the delta subunit of the eukaryotic translation initiation factor 2B (eIF2B) protein.

Chromosome 2p23.3 Various HGNC:3260 Tier C
EIF2B4 2p23.3 p arm q arm 2

EIF2B4 is located on the short (p) arm of chromosome 2, at band 2p23.3. Arm ratio per GRCh38 - banding schematic.

Explore chromosome 2 in the library →

Available at Jeen Health

Clinical tests that include this

Overview

The EIF2B4 gene, also known as eukaryotic translation initiation factor 2B subunit delta, contains the genetic blueprint for a component of the eIF2B protein complex. This complex is fundamental for the intricate process of protein synthesis, ensuring cells can produce the necessary proteins to function correctly and adapt to various physiological conditions.

Proper regulation of protein production is essential for cellular health and development. The eIF2B protein helps manage this by initiating protein synthesis and adjusting its rate based on the cell's requirements, such as during growth or stress responses.

What the gene does

The EIF2B4 gene directs the production of the delta subunit, one of five components that form the eIF2B protein. This multi-subunit protein complex is a key regulator of protein synthesis, specifically by interacting with another protein called eIF2, which initiates the protein-building process.

Under normal conditions, eIF2B facilitates protein synthesis by helping to recycle GTP molecules, which are essential energy carriers for the initiation factor. However, under certain cellular stresses, eIF2B can slow down protein synthesis by binding tightly to eIF2, making eIF2B inactive and preventing GTP recycling. This dynamic regulation ensures that cells can adjust protein production levels to cope with changing environments, such as rapid cell division or periods of rest.

Video: Genetics 101

Chromosome location

The EIF2B4 gene is located on chromosome 2, specifically at position 2p23.3. This chromosomal address indicates its precise place within the human genome, where it carries the instructions for making the delta subunit of the eIF2B protein.

Protein structure

The EIF2B4 gene encodes a protein comprising 523 amino acids. A notable feature of this protein is a Disordered region spanning amino acids 1-147. Additionally, a specific region from amino acids 170-179 May bind the chemical integrated stress response (ISR) inhibitor ISRIB, suggesting potential pharmacological interactions.

Domain map · 523 amino acids
May bind the chemical integrated stress response (ISR) inhibitor ISRIB (170–179)May bind the chemical 170–1791~262523
Region - functional region
🧬 Explore 3D structure on AlphaFold
UniProt:Q9UI10Length:523 aaStructure:AlphaFold

Key variants

Genetic variations within the EIF2B4 gene can alter the protein's function, potentially leading to health implications. These changes, known as variants, can range from single nucleotide changes to larger alterations within the gene sequence. Research into these variants helps to understand their impact on the eIF2B protein and its role in cellular processes.

The table below shows the top 9 pathogenic or likely-pathogenic variants currently classified in ClinVar for EIF2B4.
View all on ClinVar →

Sample of pathogenic variants

9 pathogenic / likely-pathogenic variants from ClinVar, ranked by review status (expert-panel-reviewed first). This is a sample; recurrent founder variants in a specific population may not appear here - see the full ClinVar listing via the link above.

Variant (HGVS) Protein change Classification Evidence Associated condition
c.104_108del
Deletion
p.Glu35fs Pathogenic ★☆☆☆ not provided
c.325del
Deletion
p.Glu109fs Pathogenic ★☆☆☆ not provided
c.481A>T
single nucleotide variant
p.Lys161Ter Pathogenic ★☆☆☆ not provided
c.508C>T
single nucleotide variant
p.Arg170Ter Pathogenic ★☆☆☆ not provided
c.625C>T
single nucleotide variant
p.Arg209Ter Pathogenic ★☆☆☆ not provided
c.637C>T
single nucleotide variant
p.Gln213Ter Pathogenic ★☆☆☆ not provided
c.84dup
Duplication
p.Arg29fs Pathogenic ★☆☆☆ not provided
c.620T>C
single nucleotide variant
p.Met207Thr Pathogenic - Leukoencephalopathy with vanishing white matter 4
c.683C>T
single nucleotide variant
p.Ala228Val Pathogenic - Leukoencephalopathy with vanishing white matter 4

Evidence stars indicate ClinVar review status. Individual variant interpretation should always be performed by a qualified clinical laboratory - many variants remain classified as Variants of Uncertain Significance (VUS) pending more research.

Associated conditions

Variations in the EIF2B4 gene have been associated with Leukoencephalopathy with vanishing white matter. This condition affects the brain's white matter, which is crucial for nerve signal transmission. Some affected individuals, particularly females, may also experience ovarian failure, a presentation known as ovarioleukodystrophy. These conditions typically arise when variants lead to a partial reduction in the eIF2B protein's function.

No disease links recorded for this gene in our reference set.

UK clinical status

The EIF2B4 gene is included in several NHS Genomic Medicine Service national testing panels, reflecting its clinical significance within the UK. It is part of panels for conditions such as Ataxia and cerebellar anomalies - childhood onset, Early onset or syndromic epilepsy, Hereditary ataxia (both general and adult onset), Inherited white matter disorders, Leukodystrophy, adult onset, Neurodegenerative disorders, adult onset, and White matter disorders and cerebral calcification - childhood onset. It is also listed within the Developmental Disorders Gene Panel (DDG2P).

Frequently asked questions

What is the primary function of the EIF2B4 gene?

The EIF2B4 gene provides instructions for the delta subunit of the eIF2B protein, which is essential for regulating protein synthesis, the process by which cells make proteins. It helps manage the rate of protein production based on cellular needs.

What health conditions are associated with EIF2B4 gene variants?

Variants in the EIF2B4 gene are primarily associated with Leukoencephalopathy with vanishing white matter. Some individuals, especially females, may also experience ovarioleukodystrophy, a variant of the disorder involving ovarian failure.

How does EIF2B4 relate to protein synthesis?

EIF2B4 is part of the eIF2B protein, which interacts with the eIF2 protein to initiate and regulate protein synthesis. It helps recycle energy molecules (GTP) for protein initiation and can slow down protein production under certain cellular stress conditions.

References

  1. Fogli A, Boespflug-Tanguy O. The large spectrum of eIF2B-related diseases. Biochemical Society transactions. 2006. PMID: 16246171
  2. Scheper GC, Proud CG, van der Knaap MS. Defective translation initiation causes vanishing of cerebral white matter. Trends in molecular medicine. 2006. PMID: 16545608
  3. Pronk JC, van Kollenburg B, Scheper GC. Vanishing white matter disease: a review with focus on its genetics. Mental retardation and developmental disabilities research reviews. 2006. PMID: 16807905
  4. van Kollenburg B, van Dijk J, Garbern J. Glia-specific activation of all pathways of the unfolded protein response in vanishing white matter disease. Journal of neuropathology and experimental neurology. 2006. PMID: 16825957
  5. Scali O, Di Perri C, Federico A. The spectrum of mutations for the diagnosis of vanishing white matter disease. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. 2006. PMID: 16998732
  6. Dietrich J, Lacagnina M, Gass D. EIF2B5 mutations compromise GFAP+ astrocyte generation in vanishing white matter leukodystrophy. Nature medicine. 2005. PMID: 15723074
  7. van der Voorn JP, van Kollenburg B, Bertrand G. The unfolded protein response in vanishing white matter disease. Journal of neuropathology and experimental neurology. 2005. PMID: 16141786
  8. Pavitt GD. eIF2B, a mediator of general and gene-specific translational control. Biochemical Society transactions. 2005. PMID: 16246152
  9. Fogli A, Schiffmann R, Hugendubler L. Decreased guanine nucleotide exchange factor activity in eIF2B-mutated patients. European journal of human genetics : EJHG. 2004. PMID: 15054402
  10. Li W, Wang X, Van Der Knaap MS. Mutations linked to leukoencephalopathy with vanishing white matter impair the function of the eukaryotic initiation factor 2B complex in diverse ways. Molecular and cellular biology. 2004. PMID: 15060152
Educational content. This page is not medical or genetic advice, is not individually reviewed by a clinician for each reader, and should not replace a consultation with a qualified healthcare professional or genetic counsellor. If you are considering genetic testing or acting on a test result, book a consultation.
Data sources Last updated 13 September 2026. Content compiled from HGNC · MedlinePlus Genetics · ClinGen · Genomics England PanelApp · NHS National Genomic Test Directory · ClinVar · UniProt · AlphaFold .