CYB5R4

gene
On this page

Also known as b5+b5RdJ676J13.1

Summary

CYB5R4 (cytochrome b5 reductase 4, HGNC:20147) is a protein-coding gene on chromosome 6q14.2, encoding Cytochrome b5 reductase 4 (Q7L1T6). NADH-cytochrome b5 reductase involved in endoplasmic reticulum stress response pathway. It is a selective cancer dependency (DepMap: 18.5% of cell lines).

NCB5OR is a flavohemoprotein that contains functional domains found in both cytochrome b5 (CYB5A; MIM 613218) and CYB5 reductase (CYB5R3; MIM 613213) (Zhu et al., 1999 [PubMed 10611283]).

Source: NCBI Gene 51167 — RefSeq curated summary.

At a glance

  • GWAS associations: 1
  • Clinical variants (ClinVar): 104 total
  • Cancer dependency (DepMap): dependent in 18.5% of screened cell lines
  • MANE Select transcript: NM_016230

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:20147
Approved symbolCYB5R4
Namecytochrome b5 reductase 4
Location6q14.2
Locus typegene with protein product
StatusApproved
Aliasesb5+b5R, dJ676J13.1
Ensembl geneENSG00000065615
Ensembl biotypeprotein_coding
OMIM608343
Entrez51167

Gene structure

Transcript identifiers

Ensembl transcripts: 16 — 15 protein_coding, 1 protein_coding_CDS_not_defined

ENST00000369679, ENST00000369681, ENST00000479164, ENST00000866276, ENST00000866277, ENST00000866278, ENST00000919968, ENST00000919969, ENST00000942763, ENST00000942764, ENST00000942765, ENST00000942766, ENST00000942767, ENST00000942768, ENST00000942769, ENST00000942770

RefSeq mRNA: 2 — MANE Select: NM_016230 NM_001400774, NM_016230

CCDS: CCDS5000

Canonical transcript exons

ENST00000369681 — 16 exons

ExonStartEnd
ENSE000007601388390900983909090
ENSE000007601418391939783919454
ENSE000007601438392447083924592
ENSE000007980968389352283893622
ENSE000007980978391800583918065
ENSE000007980988392108283921175
ENSE000007980998395529883955462
ENSE000010127738392243883922470
ENSE000010127788391441683914448
ENSE000014506288395982483967423
ENSE000015135368385968983859857
ENSE000034663238386417583864328
ENSE000035702288393622483936376
ENSE000036001558394051583940601
ENSE000036048188394005683940206
ENSE000036843888393459583934735

Expression profiles

Bgee: expression breadth ubiquitous, 257 present calls, max score 96.23.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 29.1148 / max 1502.6725, expressed in 1809 samples.

FANTOM5 promoters (2 alternative TSS)

Promoter IDTPM avgSamples expressed
6878128.97361809
687820.141241

Top tissues by expression

277 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
monocyteCL:000057696.23gold quality
mononuclear cellCL:000084295.89gold quality
leukocyteCL:000073895.73gold quality
spermCL:000001995.04gold quality
bloodUBERON:000017893.04gold quality
male germ cellCL:000001592.56gold quality
bone marrowUBERON:000237190.34gold quality
granulocyteCL:000009490.20gold quality
bone marrow cellCL:000209289.21gold quality
right testisUBERON:000453489.05gold quality
left testisUBERON:000453388.70gold quality
vermiform appendixUBERON:000115488.05gold quality
islet of LangerhansUBERON:000000687.59gold quality
testisUBERON:000047386.84gold quality
rectumUBERON:000105285.71gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099185.12gold quality
calcaneal tendonUBERON:000370185.08gold quality
lymph nodeUBERON:000002983.60gold quality
popliteal arteryUBERON:000225083.27gold quality
tibial arteryUBERON:000761083.26gold quality
ganglionic eminenceUBERON:000402383.22gold quality
descending thoracic aortaUBERON:000234582.75gold quality
cortical plateUBERON:000534382.75gold quality
right lungUBERON:000216782.66gold quality
aortaUBERON:000094782.29gold quality
caecumUBERON:000115382.19gold quality
gastrocnemiusUBERON:000138882.12gold quality
spleenUBERON:000210682.08gold quality
left coronary arteryUBERON:000162682.00gold quality
muscle of legUBERON:000138381.66gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3yes5.43

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

70 targeting CYB5R4, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-8485100.0077.574731
HSA-MIR-4682100.0068.891258
HSA-MIR-3924100.0072.092394
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-1252-5P100.0069.802774
HSA-MIR-428299.9975.366408
HSA-MIR-569699.9872.364487
HSA-MIR-1213699.9872.815713
HSA-MIR-477599.9875.006394
HSA-MIR-302C-5P99.9772.563642
HSA-MIR-365899.9673.874379
HSA-MIR-590-3P99.9674.346478
HSA-LET-7C-3P99.9573.422862
HSA-MIR-314399.9371.963104
HSA-MIR-137-3P99.8774.742401
HSA-MIR-394199.8670.542735
HSA-MIR-520F-3P99.8271.321216
HSA-MIR-430799.8270.453374
HSA-MIR-808099.8267.521342
HSA-MIR-4639-5P99.8167.371028
HSA-MIR-313399.8170.923506
HSA-MIR-57799.7869.132479
HSA-MIR-199A-3P99.7570.48929
HSA-MIR-199B-3P99.7570.48929
HSA-MIR-3129-5P99.7570.46914
HSA-MIR-432099.7565.80793
HSA-MIR-3617-5P99.7569.411968
HSA-MIR-64199.7569.351975
HSA-MIR-148A-3P99.7473.771700
HSA-MIR-148B-3P99.7473.751700

Functional genomics

DepMap (CRISPR cell-line fitness): dependent in 18.5% of screened cell lines.

Literature-anchored findings (GeneRIF, showing 7)

  • NCB5OR is a novel soluble NAD(P)H reductase localized in the endoplasmic reticulum (PMID:15131110)
  • Variaation in the coding region is not a major contributor in the pathogenesis of nonautoimmune diabetes. (PMID:15504981)
  • Study of the individual cytochrome b5 and cytochrome b5 reductase domains of Ncb5or reveals a unique heme pocket and a possible role of the CS domain. (PMID:20630863)
  • Mutation in cytochrome b5 reductase is associated with developmental delay and severe neurological problems. (PMID:22627575)
  • data provide first evidence for natural mutations in NCB5OR gene resulting in decreased protein levels and hence having potential implications in human pathology. (PMID:23523930)
  • Cytosolic localization of NADH cytochrome b oxidoreductase (PMID:26878259)
  • The N-terminal intrinsically disordered region of Ncb5or docks with the cytochrome b5 core to form a helical motif that is of ancient origin. (PMID:38041394)

Cross-species orthologs

5 orthologs

OrganismSymbolGene ID
danio_reriocyb5r4ENSDARG00000020898
mus_musculusCyb5r4ENSMUSG00000032872
rattus_norvegicusCyb5r4ENSRNOG00000010024
drosophila_melanogasterCG11257FBGN0034442
caenorhabditis_elegansY52B11A.3WBGENE00013123

Paralogs (5): CYB5R3 (ENSG00000100243), OXNAD1 (ENSG00000154814), CYB5R1 (ENSG00000159348), CYB5R2 (ENSG00000166394), CYB5RL (ENSG00000215883)

Protein

Protein identifiers

Cytochrome b5 reductase 4Q7L1T6 (reviewed: Q7L1T6)

Alternative names: Flavohemoprotein b5/b5R, N-terminal cytochrome b5 and cytochrome b5 oxidoreductase domain-containing protein, cb5/cb5R

All UniProt accessions (2): Q7L1T6, A0A0A0MRM6

UniProt curated annotations — full annotation on UniProt →

Function. NADH-cytochrome b5 reductase involved in endoplasmic reticulum stress response pathway. Plays a critical role in protecting pancreatic beta-cells against oxidant stress, possibly by protecting the cell from excess buildup of reactive oxygen species (ROS). Reduces a variety of substrates in vitro, such as cytochrome c, feericyanide and methemoglobin.

Subcellular location. Endoplasmic reticulum.

Tissue specificity. Widely expressed.

Polymorphism. Variants Arg-187 and Arg-223 do not influence the pathogenesis of non-autoimmune diabetes.

Similarity. Belongs to the flavoprotein pyridine nucleotide cytochrome reductase family.

RefSeq proteins (2): NP_001387703, NP_057314* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR001199Cyt_B5-like_heme/steroid-bdDomain
IPR001433OxRdtase_FAD/NAD-bdDomain
IPR007052CS_domDomain
IPR008333Cbr1-like_FAD-bd_domDomain
IPR008978HSP20-like_chaperoneHomologous_superfamily
IPR017927FAD-bd_FR_typeDomain
IPR017938Riboflavin_synthase-like_b-brlHomologous_superfamily
IPR018506Cyt_B5_heme-BSBinding_site
IPR036400Cyt_B5-like_heme/steroid_sfHomologous_superfamily
IPR037908p23_NCB5ORDomain
IPR039261FNR_nucleotide-bdHomologous_superfamily
IPR051872Cytochrome_b5/Flavoprotein_RdtFamily

Pfam: PF00173, PF00175, PF00970, PF04969

Enzyme classification (BRENDA):

  • EC 1.6.2.2 — cytochrome-b5 reductase (BRENDA: 34 organisms, 101 substrates, 111 inhibitors, 300 Km, 221 kcat entries)

Substrate kinetics (BRENDA)

23 substrates with measured Km, best-characterized 15. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
NADH0.0002–3.3294
FERRICYANIDE0.0006–4.3572
FERRICYTOCHROME B566
CYTOCHROME B50.0011–0.04219
NADPH0.001–7.6917
FERROCYTOCHROME B50.001–0.1076
FERRICYTOCHOME B50.01–0.0134
FERRICYTOCHROME C0.0003–0.0073
OXIDIZED 2,6-DICHLOROPHENOLINDOPHENOL0.328–0.832
1,4-NAPHTHOQUINONE0.00981
2-HYDROXYESTRADIOL0.00261
2-METHYL-1,4-NAPHTHOQUINONE0.0771
9,10-PHENANTHRENEQUINONE0.00571
AQUACOBALAMIN0.04191
BENZAMIDOXIME0.631

Catalyzed reactions (Rhea), 1 shown:

  • 2 Fe(III)-[cytochrome b5] + NADH = 2 Fe(II)-[cytochrome b5] + NAD(+) + H(+) (RHEA:46680)

UniProt features (65 total): strand 24, helix 17, sequence variant 8, turn 5, binding site 4, domain 3, chain 1, modified residue 1, region of interest 1, compositionally biased region 1

Structure

Experimental structures (PDB)

3 structures.

PDBMethodResolution (Å)
3LF5X-RAY DIFFRACTION1.25
6MV2X-RAY DIFFRACTION2.05
6MV1X-RAY DIFFRACTION2.15

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q7L1T6-F187.020.71

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Ligand- & substrate-binding residues (4): 89 (axial binding residue); 112 (axial binding residue); 365–380; 392–424

Post-translational modifications (1): 1

Function

Pathways and Gene Ontology

Reactome pathways

3 pathways

IDPathway
R-HSA-1237044Erythrocytes take up carbon dioxide and release oxygen
R-HSA-1480926O2/CO2 exchange in erythrocytes
R-HSA-382551Transport of small molecules

MSigDB gene sets: 182 (showing top): GOBP_INSULIN_SECRETION, GOBP_REGULATION_OF_HORMONE_LEVELS, GOBP_SUPEROXIDE_METABOLIC_PROCESS, GOBP_HORMONE_TRANSPORT, GOBP_CELL_CELL_SIGNALING, MILI_PSEUDOPODIA_HAPTOTAXIS_UP, GOBP_RESPONSE_TO_OXYGEN_LEVELS, TGCTGAY_UNKNOWN, TGIF_01, GOBP_ORGANIC_ANION_TRANSPORT, GOBP_BICARBONATE_TRANSPORT, GOBP_SECRETION, GOBP_SIGNAL_RELEASE, GOBP_RESPONSE_TO_ABIOTIC_STIMULUS, GOBP_CARBOHYDRATE_HOMEOSTASIS

GO Biological Process (8): detection of oxygen (GO:0003032), superoxide metabolic process (GO:0006801), bicarbonate transport (GO:0015701), insulin secretion (GO:0030073), glucose homeostasis (GO:0042593), response to antibiotic (GO:0046677), cell development (GO:0048468), reactive oxygen species metabolic process (GO:0072593)

GO Molecular Function (7): cytochrome-b5 reductase activity, acting on NAD(P)H (GO:0004128), NAD(P)H oxidase H2O2-forming activity (GO:0016174), oxidoreductase activity, acting on NAD(P)H, heme protein as acceptor (GO:0016653), heme binding (GO:0020037), metal ion binding (GO:0046872), cytochrome-b5 reductase activity, acting on NADH (GO:0090524), oxidoreductase activity (GO:0016491)

GO Cellular Component (4): cytoplasm (GO:0005737), endoplasmic reticulum (GO:0005783), endoplasmic reticulum membrane (GO:0005789), perinuclear region of cytoplasm (GO:0048471)

Reactome top-level categories

Rollup of top-2 pathways:

CategoryPathways
O2/CO2 exchange in erythrocytes1
Transport of small molecules1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure2
cytoplasm2
detection of chemical stimulus1
response to oxygen levels1
reactive oxygen species metabolic process1
transport1
protein secretion1
peptide hormone secretion1
carbohydrate homeostasis1
response to chemical1
cell differentiation1
anatomical structure development1
cellular developmental process1
metabolic process1
oxidoreductase activity, acting on NAD(P)H, heme protein as acceptor1
oxidoreductase activity, acting on NAD(P)H, oxygen as acceptor1
oxidoreductase activity, acting on NAD(P)H1
tetrapyrrole binding1
cation binding1
cytochrome-b5 reductase activity, acting on NAD(P)H1
catalytic activity1
intracellular anatomical structure1
endomembrane system1
intracellular membrane-bounded organelle1
organelle membrane1
nuclear outer membrane-endoplasmic reticulum membrane network1
endoplasmic reticulum subcompartment1

Protein interactions and networks

STRING

4264 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
CYB5R4CYB5BO43169965
CYB5R4CYB5AP00167965
CYB5R4SCDO00767868
CYB5R4CYCSP00001717
CYB5R4PORP16435685
CYB5R4DHODHQ02127606
CYB5R4PPYP01298582
CYB5R4SCD5Q86SK9519
CYB5R4FDXRP22570512
CYB5R4SUOXP51687507
CYB5R4CYP51A1Q16850504
CYB5R4RIPPLY2Q5TAB7479
CYB5R4HBA1P01922466
CYB5R4MT-CYBP00156466
CYB5R4FADS1O60427464

IntAct

3 interactions, top by confidence:

ABTypeScore
CYB5R4PNLIPRP2psi-mi:“MI:0915”(physical association)0.400
Npsi-mi:“MI:0914”(association)0.350

BioGRID (6): CYB5R4 (Negative Genetic), CYB5R4 (Affinity Capture-RNA), PNLIPRP2 (Affinity Capture-MS), CYB5R4 (Co-fractionation), CYB5R4 (Affinity Capture-RNA), CYB5R4 (Two-hybrid)

ESM2 similar proteins: A0AVT1, A0JMM9, A2RVS4, A3KMX8, A3KNL6, A6H630, A8MRP2, D2TN58, O74834, P0AE48, P0AE49, P0AE50, P0AE51, P35875, P38074, P41888, P54121, P87305, Q16P90, Q32LH7, Q4H4F0, Q4R526, Q58EM4, Q5SPB6, Q66I06, Q66KX0, Q6AXB1, Q6DJA3, Q6INN8, Q7L1T6, Q7TS68, Q84QC1, Q8GY54, Q8IU29, Q8IXY8, Q8RX87, Q8TEA1, Q9C5X8, Q9FIX1, Q9FIX2

Diamond homologs: A0A0C5PRW9, A0A286R227, A4FV48, A4IFP3, A4UVI1, A8MWK0, B2KKL4, B7GCG7, B8MKR3, B8R1K0, C8VJR5, D8X2C5, O04354, O22704, O43169, O48845, O60427, O74875, O94391, O95864, P00167, P00168, P00169, P00170, P00171, P00172, P00173, P00174, P00175, P04166, P08509, P08619, P09437, P11035, P11605, P11832, P17569, P17570, P17571, P23312

SIGNOR signaling

0 interactions.

Disease & clinical

Clinical variants and AI predictions

ClinVar

104 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic0
Likely pathogenic0
Uncertain significance73
Likely benign3
Benign1

Top pathogenic / likely-pathogenic (0)

SpliceAI

3105 predictions. Top by Δscore:

VariantEffectΔscore
6:83859854:CAAG:Cdonor_loss1.0000
6:83859855:AAGG:Adonor_loss1.0000
6:83859858:GTAA:Gdonor_loss1.0000
6:83859859:T:Gdonor_loss1.0000
6:83864173:A:ACacceptor_loss1.0000
6:83864173:A:AGacceptor_gain1.0000
6:83864173:AG:Aacceptor_gain1.0000
6:83864174:G:GCacceptor_gain1.0000
6:83864174:GG:Gacceptor_gain1.0000
6:83864174:GGT:Gacceptor_gain1.0000
6:83864174:GGTA:Gacceptor_gain1.0000
6:83864174:GGTAC:Gacceptor_gain1.0000
6:83864326:GAG:Gdonor_gain1.0000
6:83864329:G:GGdonor_gain1.0000
6:83864330:T:Adonor_loss1.0000
6:83893514:T:TAacceptor_gain1.0000
6:83893519:CAGGT:Cacceptor_loss1.0000
6:83893520:A:AGacceptor_gain1.0000
6:83893520:AGGTT:Aacceptor_loss1.0000
6:83893521:G:GGacceptor_gain1.0000
6:83893521:G:GTacceptor_loss1.0000
6:83893521:GGT:Gacceptor_gain1.0000
6:83893620:CAG:Cdonor_loss1.0000
6:83893621:AG:Adonor_loss1.0000
6:83893622:GG:Gdonor_loss1.0000
6:83893623:G:GCdonor_loss1.0000
6:83893624:T:Adonor_loss1.0000
6:83909001:C:Gacceptor_gain1.0000
6:83909002:A:AGacceptor_gain1.0000
6:83909003:T:Gacceptor_gain1.0000

AlphaMissense

3453 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
6:83864208:T:AW37R0.999
6:83864208:T:CW37R0.999
6:83893528:T:AV79D0.999
6:83909018:T:AW114R0.999
6:83909018:T:CW114R0.999
6:83909020:G:CW114C0.999
6:83909020:G:TW114C0.999
6:83864210:G:CW37C0.998
6:83864210:G:TW37C0.998
6:83864313:T:AW72R0.998
6:83864313:T:CW72R0.998
6:83893530:T:GY80D0.998
6:83893557:C:GH89D0.998
6:83893614:T:CF108L0.998
6:83893616:T:AF108L0.998
6:83893616:T:GF108L0.998
6:83864284:T:CL62P0.997
6:83893537:T:AV82D0.997
6:83893559:T:AH89Q0.997
6:83893559:T:GH89Q0.997
6:83909012:C:GH112D0.997
6:83909040:T:CL121P0.997
6:83909055:T:AV126D0.996
6:83864209:G:CW37S0.995
6:83893594:G:AG101E0.995
6:83893615:T:GF108C0.995
6:83909048:T:CC124R0.995
6:83864315:G:CW72C0.994
6:83864315:G:TW72C0.994
6:83864326:G:TR76I0.994

dbSNP variants (sampled 300 via entrez): RS1000025040 (6:83921551 G>A), RS1000050890 (6:83935056 A>G), RS1000050902 (6:83902874 T>C), RS1000122358 (6:83933337 T>A), RS1000139262 (6:83914691 C>A,T), RS1000174311 (6:83959791 C>T), RS1000174910 (6:83898693 T>C), RS1000209883 (6:83947091 A>G), RS1000213251 (6:83914432 A>G), RS1000254577 (6:83870374 G>A,T), RS1000302010 (6:83881328 C>G,T), RS1000315576 (6:83914856 T>A), RS1000352673 (6:83921403 A>C,G), RS1000355619 (6:83877308 A>G), RS1000359193 (6:83953253 TATTTG>T)

Disease associations

OMIM: gene MIM:608343 | disease phenotypes:

GenCC curated gene-disease

Mondo (0):

Orphanet (0):

HPO phenotypes

0 total (0 of 0 shown, HPO-id order):

GWAS associations

1 associations (top):

StudyTraitp-value
GCST012490_226Femur bone mineral density x serum urate levels interaction3.000000e-10

EFO canonical traits (1, from GWAS)

EFO IDTrait name
EFO:0004531urate measurement

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

33 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Valproic Acidaffects cotreatment, increases expression, affects expression5
aristolochic acid Idecreases expression1
dicrotophosdecreases expression1
triphenyl phosphateaffects expression1
beta-methylcholineaffects expression1
di-n-butylphosphoric acidaffects expression1
CGP 52608affects binding, increases reaction1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, increases expression1
abrineincreases expression1
dorsomorphinaffects cotreatment, increases expression1
jinfukangdecreases expression1
Vorinostatincreases expression1
Benzo(a)pyreneaffects methylation1
Calcitriolincreases expression1
Carbamazepineaffects expression1
Cisplatindecreases expression1
Succimeraffects cotreatment, increases expression1
Doxorubicindecreases expression1
Estradiolincreases expression1
Ivermectindecreases expression1
Nickelincreases expression1
Silicon Dioxidedecreases expression, increases methylation1
Sodium Dodecyl Sulfatedecreases expression1
Thimerosalincreases expression1
Tobacco Smoke Pollutionincreases expression1
Tretinoinincreases expression1
Cyclosporineincreases expression1
Aflatoxin B1increases expression1
Asbestos, Crocidoliteaffects expression1
Antirheumatic Agentsdecreases expression1

Cellosaurus cell lines

1 cell lines: 1 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_E1UXHAP1 CYB5R4 (-)Cancer cell lineMale

Clinical trials (associated diseases)

0 trials via MONDO — disease-level, not drug-specific.

No linked Atlas pages yet — the cross-entity mesh grows as the corpus expands.