HTR4: 5-Hydroxytryptamine Receptor 4

Serotonin Receptor 4 – Gene, Function, and Clinical Significance

Gene Information Card

Symbol HTR4
Full Name 5-hydroxytryptamine receptor 4
Gene Type protein-coding
Chromosomal Location 5q32
NCBI Gene ID 3360 ncbi.nlm.nih.gov/gene/3360
Ensembl ID ENSG00000164270
UniProt ID Q13639
OMIM ID 602164
HGNC ID 5299
Aliases 5-HT4, 5-HT4R, HTR4A, HTR4B

Description

The HTR4 gene encodes the 5-hydroxytryptamine receptor 4 (5-HT4), a G protein-coupled receptor for serotonin. It is involved in neurotransmission, gastrointestinal motility, and cardiac function. Alternative splicing generates multiple isoforms with distinct tissue distributions and signaling properties.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Irritable Bowel Syndrome (IBS) Altered 5-HT4 signaling affects gut motility and secretion; receptor agonists used therapeutically. ClinVar, OMIM
Alzheimer Disease HTR4 polymorphisms associated with cognitive decline; receptor modulation may influence amyloid pathology. NCBI Gene, OMIM
Gastroesophageal Reflux Disease (GERD) 5-HT4 agonists enhance lower esophageal sphincter tone and accelerate gastric emptying. ClinVar
Cardiac Arrhythmia 5-HT4 activation in atrial myocytes can trigger tachyarrhythmias; rare variants linked to atrial fibrillation. OMIM, ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Brain (cortex) 5.2 Medium
Stomach 8.1 High
Small intestine 7.6 High
Colon 6.9 High
Heart (atrium) 3.4 Low
Liver 0.8 Not detected
Cell Line Expression
Cell Line nTPM Notes
SH-SY5Y (neuroblastoma) 4.5 Neuronal model
Caco-2 (colorectal) 6.2 Intestinal epithelial model
HepG2 (hepatocellular) 0.5 Low expression
HEK293 (embryonic kidney) 1.2 Low endogenous expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.116C>T (p.Pro39Leu) Missense 0.01% Reduced receptor activity in vitro
c.452G>A (p.Arg151His) Missense 0.005% Altered ligand binding
c.788_789del (p.Leu263fs) Frameshift <0.001% Loss of function
Mutation functional classification

Loss of Function (LOF)

Frameshift and nonsense variants (e.g., p.Leu263fs) lead to truncated, non-functional receptor.

Gain of Function (GOF)

Not well documented; some missense variants may increase constitutive activity.

Dominant Negative (DN)

Not reported for HTR4.

Gene Ontology (GO)

• G protein-coupled receptor activity • serotonin binding
• serotonin receptor activity • adenylate cyclase activation
• positive regulation of cAMP-mediated signaling • synaptic transmission
• serotonergic • regulation of gastrointestinal motility
• positive regulation of heart rate

Pathways

Serotonin receptor signaling (KEGG: hsa04726)
GPCR downstream signaling (Reactome: R-HSA-388396)
cAMP signaling pathway (KEGG: hsa04024)

Protein Summary

The 5-HT4 receptor is a 387-amino acid (canonical isoform) GPCR that couples primarily to Gs, stimulating adenylate cyclase and increasing intracellular cAMP. It is expressed in the brain, gastrointestinal tract, and heart. The receptor modulates neurotransmitter release, smooth muscle contraction, and cardiac chronotropy. Multiple splice variants (HTR4A, HTR4B, etc.) differ in the C-terminal tail, affecting desensitization and trafficking.

Related Products

Product name Cat.No. Species Gene ID
HTR4 Knockout HEK293 Cell Line EDJ-KQ1557 Human 3360 Details Get a Quote
HTR4 Knockout A-549 Cell Line EDJ-KQ18370 Human 3360 Details Get a Quote
HTR4 Knockout HeLa Cell Line EDJ-KQ53595 Human 3360 Details Get a Quote
HTR4 Knockout HCT 116 Cell Line EDJ-KQ70545 Human 3360 Details Get a Quote
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