CausalSentinel

Protein Dossier — HNF4A (Hepatocyte nuclear factor 4-alpha)

MR feasibility tier: A — Published pQTL-MR estimates exist for this protein (retrieved below - not computed here).

1. Published MR estimates (retrieved, not computed)

Outcome beta se p method nSNP cis/trans coloc
Weight 0.0345 0.00957 3.08e-04 Wald ratio 1 trans NA
Body mass index (BMI) 0.0348 0.0108 0.00133 Wald ratio 1 trans NA
Non-cancer illness code self-reported: mania or bipolar disorder or manic depression 0.389 0.148 0.00854 Wald ratio 1 trans NA
Diagnoses - main ICD10: R55 Syncope and collapse 0.197 0.0955 0.0392 Wald ratio 1 trans NA
Diagnoses - main ICD10: Z09 Follow-up examination after treatment for conditions other than malignant neoplasms -0.233 0.113 0.0392 Wald ratio 1 trans NA
Potassium in urine 0.0222 0.011 0.0432 Wald ratio 1 trans NA
Thalamus volume -64.9 34.5 0.0599 Wald ratio 1 trans NA
Diagnoses - main ICD10: C61 Malignant neoplasm of prostate -0.34 0.196 0.0823 Wald ratio 1 trans NA
Non-cancer illness code self-reported: diverticular disease or diverticulitis 0.15 0.089 0.0927 Wald ratio 1 trans NA
Cancer code self-reported: prostate cancer -0.296 0.177 0.0948 Wald ratio 1 trans NA
Creatinine (enzymatic) in urine 0.0166 0.0104 0.109 Wald ratio 1 trans NA
Non-cancer illness code self-reported: depression 0.0667 0.0419 0.111 Wald ratio 1 trans NA
…and 61 more outcomes (see JSON)              

2. pQTL instrument availability (Tier-B probe)

No prot-* pQTL GWAS dataset found for this protein (matched by UniProt accession and symbol).

3. GWAS Catalog results — traits with signal at this locus

673 association rows across 372 traits (644 genome-wide significant rows). Associations are loci, not causal claims; the mapped gene at a locus is not necessarily the effector gene.

Trait best p lead SNP n assoc study MR status
High density lipoprotein cholesterol levels 1e-268 rs1800961 15 GCST90239649 no MR -> candidate analysis
high density lipoprotein cholesterol (HDLC, mean, inv-norm t 3e-236 rs1800961 4 GCST90475352 no MR -> candidate analysis
high density lipoprotein cholesterol (HDLC, minimm, inv-norm 1e-211 rs1800961 3 GCST90475356 no MR -> candidate analysis
high density lipoprotein cholesterol (HDLC, maximum, inv-nor 1e-208 rs1800961 3 GCST90475348 no MR -> candidate analysis
High-density lipoprotein levels 9e-190 rs1800961 1 GCST90662894 no MR -> candidate analysis
Apolipoprotein A1 levels 2e-152 rs1800961 6 GCST010241 no MR -> candidate analysis
Apolipoprotein A levels (UKB data field 30630) 7e-142 rs1800961 1 GCST90468061 no MR -> candidate analysis
HDL cholesterol levels 1e-140 rs1800961 10 GCST010242 no MR -> candidate analysis
Concentration of HDL particles 2e-134 rs1800961 3 GCST90501116 no MR -> candidate analysis
Haematocrit percentage (UKB data field 30030) 2e-134 rs1800961 1 GCST90468073 no MR -> candidate analysis
Total concentration of lipoprotein particles 2e-123 rs1800961 3 GCST90501280 no MR -> candidate analysis
Cholesterol in Medium HDL 4e-117 rs1800961 2 GCST90501182 no MR -> candidate analysis
…and 360 more traits (see JSON)          

4. Phenome map — where this gene is a genetic locus, vs. where MR exists

Top diseases by Open Targets association (of 1631 total). Associations are loci, not causal claims. The causal-status column is a four-state triage per pair: established (curated) = a curated clinical assertion exists (ClinGen/G2P/GEL/Orphanet/ClinVar — any validity level, MR adds little); exploratory rare-variant signal = ExWAS burden evidence without curation — a candidate NEW gene-disease relationship; common-variant locus = GWAS signal, classic pQTL-MR territory; multi-layer = burden+GWAS together, an allelic-series candidate (the strongest causal setup). Burden estimand is carrier-vs-noncarrier, not per-SD MR.

Disease genetic assoc. burden (ExWAS) causal status MR status
MODY 0.894 established (curated) no MR -> candidate analysis
type 2 diabetes mellitus 0.831 0.57 established (curated) no MR -> candidate analysis
renal cysts and diabetes syndrome 0.846 established (curated) no MR -> candidate analysis
maturity-onset diabetes of the young 0.928 established (curated) no MR -> candidate analysis
monogenic diabetes 0.964 established (curated) no MR -> candidate analysis
diabetes mellitus 0.826 0.644 multi-layer: burden+GWAS (allelic-series candidate) no MR -> candidate analysis
cholelithiasis 0.853 common-variant locus no MR -> candidate analysis
gallstones 0.78 common-variant locus no MR -> candidate analysis
Intrahepatic cholestasis of pregnancy 0.745 common-variant locus no MR -> candidate analysis
Cholecystitis 0.745 common-variant locus no MR -> candidate analysis
hyperinsulinism due to HNF4A deficiency 0.596 established (curated) no MR -> candidate analysis
metabolic syndrome 0.685 common-variant locus no MR -> candidate analysis
alcohol drinking 0.685 common-variant locus no MR -> candidate analysis
Hyperinsulinemia 0.657 established (curated) no MR -> candidate analysis
metabolic dysfunction-associated steatotic liver disease 0.548 common-variant locus no MR -> candidate analysis

Of the 15 rows above, 15 have no MR estimate in this resource. Across all retrieved diseases for this gene: 1 exploratory rare-variant signal(s), 1 multi-layer (allelic-series candidate) pair(s). Final triage still belongs to a statistical geneticist.

5. Downstream annotation (druggability & safety preview)

Layer Result
ChEMBL druggability 1 known modulators (Hepatocyte nuclear factor 4-alpha)
gnomAD constraint pLI=1, LOEUF=0.441 — LoF-INTOLERANT
GWAS Catalog 69 unique SNPs / 138 rows
ClinVar 788 records; 6 pathogenic in sample of 30
PharmGKB/ClinPGx 7 clinical annotations across 5 drugs

Caveats declared by the tools

Sources

Provenance