KRT4 Gene - Keratin 4

Key structural protein in epithelial tissues, associated with white sponge nevus and oral/esophageal disorders

Gene Information Card

Symbol KRT4
Full Name Keratin 4
Gene Type Protein coding
Chromosomal Location 12q13.13
NCBI Gene ID 3851 ncbi.nlm.nih.gov/gene/3851
Ensembl ID ENSG00000170477
UniProt ID P19013
OMIM ID 123940
HGNC ID 6441
Aliases CK4, K4, cytokeratin 4, keratin, type II cytoskeletal 4

Description

KRT4 encodes keratin 4, a type II intermediate filament protein expressed in differentiated suprabasal cells of stratified squamous epithelia, particularly in the oral mucosa, esophagus, and cornea. It forms heteropolymers with type I keratins (e.g., KRT13) to maintain epithelial integrity. Mutations in KRT4 cause white sponge nevus (WSN), an autosomal dominant disorder characterized by white, spongy plaques in the oral mucosa. Altered expression is also reported in esophageal squamous cell carcinoma.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
White Sponge Nevus (WSN) Dominant-negative mutations in the helix initiation or termination motifs disrupt keratin filament assembly, leading to epithelial fragility and mucosal thickening. OMIM #193900; ClinVar; PMID: 10581026
Oral Squamous Cell Carcinoma Downregulation or aberrant expression of KRT4 is associated with loss of epithelial differentiation and tumor progression. PMID: 23429703; COSMIC
Esophageal Squamous Cell Carcinoma Reduced KRT4 expression correlates with poor differentiation and worse prognosis. PMID: 25636527

Expression Profile

Tissue Expression
Tissue nTPM level
Oral mucosa 98.7 High
Esophagus 85.3 High
Cornea 72.1 High
Skin 5.2 Low
Lung 2.1 Not detected
Cell Line Expression
Cell Line nTPM Notes
HaCaT (keratinocyte) 120.5 High expression; used as positive control
SCC-25 (oral squamous) 45.3 Reduced compared to normal keratinocytes
A549 (lung carcinoma) 1.2 Minimal expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.416T>C (p.Leu139Pro) Missense Rare Dominant-negative; disrupts helix initiation motif; causes WSN
c.467G>A (p.Gly156Asp) Missense Rare Dominant-negative; associated with WSN
c.1435C>T (p.Arg479Cys) Missense Rare Likely pathogenic; reported in WSN
c.1249G>A (p.Glu417Lys) Missense Rare Uncertain significance; COSMIC ID COSM1425672
Mutation functional classification

Loss of Function (LOF)

Not established; no homozygous loss-of-function reported in humans.

Gain of Function (GOF)

Not described.

Dominant Negative (DN)

Primary mechanism for WSN; mutant keratin 4 interferes with filament polymerization, causing cytoskeletal collapse.

Pathways

Intermediate filament organization (Reactome: R-HSA-6809371)
Keratinization (Reactome: R-HSA-6805567)
Formation of the cornified envelope (Reactome: R-HSA-6809374)

Protein Summary

Keratin 4 (UniProt P19013) is a 526-amino acid type II intermediate filament protein with a central alpha-helical rod domain flanked by non-helical head and tail domains. It heteropolymerizes with keratin 13 to form intermediate filaments in suprabasal stratified epithelia. The protein provides mechanical resilience and maintains tissue integrity. Mutations in the rod domain cause filament aggregation and lead to white sponge nevus.

Related Products

Product name Cat.No. Species Gene ID
KRT4 Knockout HEK293 Cell Line EDJ-KQ5085 Human 3851 Details Get a Quote
KRT40 Knockout HEK293 Cell Line EDJ-KQ8739 Human 125115 Details Get a Quote
KRT4 Knockout A-549 Cell Line EDJ-KQ28024 Human 3851 Details Get a Quote
KRT4 Knockout HeLa Cell Line EDJ-KQ53755 Human 3851 Details Get a Quote
KRT40 Knockout HeLa Cell Line EDJ-KQ58151 Human 125115 Details Get a Quote
KRT40 Knockout A-549 Cell Line EDJ-KQ66634 Human 125115 Details Get a Quote
KRT4 Knockout HCT 116 Cell Line EDJ-KQ70716 Human 3851 Details Get a Quote
KRT40 Knockout HCT 116 Cell Line EDJ-KQ75055 Human 125115 Details Get a Quote
Displaying Records 1 To 8 Of 8 Records
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