To date, nine different mutations have been identified in the
HSF4 gene (
Table). Five
HSF4 mutations (A19D, R73H, I86V, L114P, R119C) reside within the highly conserved helix-turn-helix DNA binding domain and functional analysis of these five mutations revealed that these mutant proteins exhibit compromised HSE-mediated DNA binding.
12 Functional analysis of an additional
HSF4 mutation (R175P) residing within the HSF4 trimerization domain revealed compromised trimerization and consequently compromised HSE-mediated DNA binding.
12 The functional analysis of
HSF4 missense mutations has highlighted the necessity of DNA binding and trimerization domains for the normal functionality of HSF4. However, three additional
HSF4 mutations were identified in families with autosomal recessive congenital cataracts.
3 –5 Specifically, a 5 base pair (bp) deletion (
HSF4 c.595_599delGGGCC) was identified in a small consanguineous family where affected family members presented cataracts at birth without any other ocular or systemic abnormalities.
3 The
HSF4 c.1213C>T mutation was identified in a large consanguineous family, where affected family members presented cataracts at birth or early on in infancy without any additional ocular or systemic abnormalities.
4 Finally, the
HSF4 c.1327+4A>G mutation was identified in a large consanguineous family, where affected members similarly exhibited total cataracts present at birth associated with nystagmus, although no other ocular or systematic abnormalities were identified.
5 These three uncharacterized
HSF4 mutations are predicted to encode putative truncated HSF4 proteins with missing C-terminal ends. The mechanism underlying the way in which a loss of the C-terminal domain affects HSF4 function has never been investigated.