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SYNE4

spectrin repeat containing nuclear envelope family member 4

Chromosome 19q13.12 HGNC:26703 Tier C
SYNE4 19q13.12 p arm q arm 19

SYNE4 is located on the long (q) arm of chromosome 19, at band 19q13.12. Arm ratio per GRCh38 - banding schematic.

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Overview

SYNE4 (spectrin repeat containing nuclear envelope family member 4) is a gene located on chromosome 19 that encodes a member of the nesprin protein family. Nesprins are a group of proteins embedded in the nuclear envelope, the double-membrane structure that surrounds the genetic material within the nucleus of cells.

The SYNE4 protein is thought to contribute to the mechanical stability and spatial organisation of the nucleus, although detailed functional studies remain limited compared to other members of the nesprin family. Understanding SYNE4's role may provide insights into how cells maintain nuclear architecture and respond to mechanical stresses.

What the gene does

The SYNE4 protein is believed to participate in anchoring the nucleus within the cell and maintaining its structural integrity. Members of the nesprin family typically form connections between the nuclear envelope and the cytoskeleton, the network of protein filaments that provides structural support throughout the cell.

These protein linkages are thought to enable the nucleus to withstand mechanical forces and maintain its position within the cell. The spectrin repeat motifs that characterise nesprin family members generally contribute to protein flexibility and allow for protein-protein interactions. Research suggests that nuclear envelope proteins play important roles in various cellular processes, including gene regulation and cell division, although the specific contributions of SYNE4 to these processes have not been fully characterised.

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Chromosome location

SYNE4 is located on the long arm of chromosome 19 at position 19q13.12. This chromosomal region contains numerous genes involved in diverse biological processes. The precise number of exons and the complete genomic structure of SYNE4 have not been extensively documented in current genomic databases, reflecting the ongoing characterisation of this gene.

Protein structure

Domain architecture has not been experimentally characterised in detail for this protein. Current structural annotations indicate that SYNE4 contains spectrin repeat motifs, which are typically elongated structures that provide flexibility and mediate interactions with other proteins. The overall organisation of functional domains within the SYNE4 protein awaits further biochemical and structural investigation.

Domain map · 404 amino acids
KASH (347-404)KASH347-4041~202404
Domain - independent functional unit
🧬 Explore 3D structure on AlphaFold
UniProt:Q8N205Length:404 aaStructure:AlphaFold

Key variants

Genetic variants in SYNE4 have been catalogued in population databases and clinical variant repositories. The functional impact of most SYNE4 variants remains uncertain, as large-scale genotype-phenotype studies for this gene are limited. As with other genes, variants may range from benign polymorphisms that do not affect protein function to potentially pathogenic changes that could disrupt normal cellular processes.

The table below shows the top 10 pathogenic or likely-pathogenic variants currently classified in ClinVar for SYNE4.
View all on ClinVar →

Sample of pathogenic variants

10 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.121_122dup
Microsatellite
p.Ser41fs Pathogenic/Likely pathogenic ★★☆☆ SYNE4-related disorder
c.129-1G>T
single nucleotide variant
- Pathogenic ★★☆☆ not provided
c.253_259dup
Duplication
p.Ala87fs Pathogenic/Likely pathogenic ★★☆☆ SYNE4-related disorder
c.336C>A
single nucleotide variant
p.Cys112Ter Pathogenic ★★☆☆ Autosomal recessive nonsyndromic hearing loss 76
c.442C>T
single nucleotide variant
p.Arg148Ter Pathogenic/Likely pathogenic ★★☆☆ SYNE4-related disorder
c.662_666del
Deletion
p.Glu221fs Pathogenic/Likely pathogenic ★★☆☆ Autosomal recessive nonsyndromic hearing loss 76
c.702del
Deletion
p.Trp236fs Pathogenic/Likely pathogenic ★★☆☆ not provided
c.889C>T
single nucleotide variant
p.Arg297Ter Pathogenic ★★☆☆ Nonsyndromic genetic hearing loss
c.96dup
Duplication
p.Val33fs Pathogenic/Likely pathogenic ★★☆☆ Autosomal recessive nonsyndromic hearing loss 76
c.972+1G>A
single nucleotide variant
- Pathogenic/Likely pathogenic ★★☆☆ Autosomal recessive nonsyndromic hearing loss 76

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

Currently, no specific inherited conditions have been definitively linked to pathogenic variants in SYNE4 in major clinical genetics databases. The gene is not included in routine clinical genetic screening panels for known hereditary disorders. As research into nuclear envelope biology continues, future studies may clarify whether SYNE4 variants contribute to disease phenotypes.

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

UK clinical status

Green-listed
High evidence · clinically actionable in NHS testing
Included in NHS GMS signed-off panels

Sources: NHS GMS PanelApp · Genomics England PanelApp · NHS National Genomic Test Directory

Frequently asked questions

What does the SYNE4 gene do?

SYNE4 encodes a protein that is part of the nuclear envelope, the membrane system surrounding the cell nucleus. The protein is thought to help maintain the structural framework and positioning of the nucleus within cells, though its precise biological role is still being investigated.

Are there any conditions associated with SYNE4?

Currently, no specific inherited conditions have been definitively linked to pathogenic variants in SYNE4. The gene is not included in routine clinical genetic testing panels for known hereditary disorders at this time.

How does SYNE4 relate to other nesprin family genes?

SYNE4 is a member of the spectrin repeat-containing nuclear envelope family, which includes SYNE1, SYNE2, and SYNE3. These related genes encode proteins that perform similar structural roles at the nuclear envelope, connecting the nucleus to the cell's internal scaffolding.

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 17 April 2026. Content compiled from HGNC · ClinGen · Genomics England PanelApp · NHS National Genomic Test Directory · ClinVar · UniProt · AlphaFold .