Affinage

CNTN4

Contactin-4 · UniProt Q8IWV2

Length
1026 aa
Mass
113.5 kDa
Annotated
2026-06-09
27 papers in source corpus 8 papers cited in narrative 8 extracted findings
Cross-family judge vs UniProt: Affinage preferred faithfulness: 6/6 claims corpus-supported (100%)

Mechanistic narrative

Synthesis pass · prose summary of the discoveries below

CNTN4 (BIG-2) is a GPI-anchored, Ig- and fibronectin type III (FnIII)-domain cell adhesion molecule that promotes axon growth and synaptic connectivity in the developing nervous system (PMID:8586965, PMID:34415325). As a substrate, recombinant CNTN4 directly promotes neurite outgrowth, and in vivo it acts as an axon guidance cue: loss of CNTN4 causes olfactory sensory neurons expressing a given odorant receptor to mistarget to multiple ectopic glomeruli, disrupting odor-map formation (PMID:8586965, PMID:18367085). Beyond wiring, CNTN4 shapes synapse structure and function — it promotes dendritic spine formation and excitatory synapse number in cortical neurons, and its loss reduces CA1 hippocampal LTP, alters dendritic arborization and spine density, and produces gene-dose-dependent behavioral changes (PMID:33542194, PMID:34415325). Spine-promoting activity requires intact signal peptide, FnIII, and GPI domains, and autism-associated CNTN4 variants fail to rescue spine density and neural activity, tying these domains to neurodevelopmental disease risk (PMID:34415325). CNTN4 also modulates the brain-region-specific surface expression of glutamate (GluA1, GluA2, GluN1) and GABA-A (α1) receptors (PMID:29970989), and it forms a functional complex with amyloid precursor protein (APP) that controls neurite/neural elongation in cortical neurodevelopment (PMID:38745463). A non-neuronal role is documented in which CNTN4 acts as a direct target of miR-148a-3p in macrophage inflammatory signaling (PMID:36544657).

Mechanistic history

Synthesis pass · year-by-year structured walk · 8 steps
  1. 1995 Medium

    Established CNTN4 as a GPI-anchored adhesion molecule with a direct, intrinsic capacity to drive axon growth, defining its baseline molecular activity.

    Evidence Molecular cloning, domain analysis, and in vitro neurite outgrowth assays using recombinant BIG-2 as a substrate

    PMID:8586965

    Open questions at the time
    • No in vivo confirmation of the outgrowth-promoting role
    • Binding partner mediating outgrowth not identified
    • Domain requirements not yet dissected
  2. 1997 Low

    Showed that alternative splicing yields a GPI-anchorless isoform (BIG-2A) restricted to mature chemosensory neuroepithelia, raising the possibility of splice-variant-specific functions.

    Evidence cDNA cloning and in situ hybridization in adult and developing mice

    PMID:9221934

    Open questions at the time
    • Expression localization only; no functional manipulation of the isoform
    • Functional distinction between GPI-anchored and anchorless forms untested
    • Single lab, no orthogonal validation
  3. 2008 High

    Demonstrated in vivo that CNTN4 is required for olfactory sensory axon convergence onto correct glomeruli, establishing it as a bona fide axon guidance molecule for odor-map formation.

    Evidence BIG-2 knockout mouse with olfactory axon tracing and glomerular mapping

    PMID:18367085

    Open questions at the time
    • Molecular guidance partners/receptors not identified
    • Whether guidance uses the same domains as in vitro outgrowth unknown
  4. 2018 Medium

    Revealed that CNTN4 modulates surface availability of excitatory and inhibitory neurotransmitter receptors in a brain-region-specific manner, extending its role from wiring to synaptic receptor regulation.

    Evidence Surface biotinylation and western blotting for glutamate and GABA-A receptor subunits across brain regions in Cntn4-/- mice

    PMID:29970989

    Open questions at the time
    • Mechanism linking CNTN4 to receptor surface trafficking unknown
    • Direct physical interaction with receptors not shown
    • Single lab
  5. 2021 High

    Connected CNTN4 to hippocampal synaptic plasticity and behavior, showing its loss impairs CA1 LTP, alters dendritic morphology/spine density, and produces gene-dose-dependent fear-memory changes.

    Evidence Hippocampal slice electrophysiology, neuroanatomy, and fear-conditioning behavior in Cntn4 KO mice

    PMID:33542194

    Open questions at the time
    • Molecular pathway from CNTN4 to LTP not resolved
    • Cell-autonomous vs circuit-level contributions not separated
  6. 2021 High

    Mapped CNTN4's spine-promoting activity to specific domains and linked autism-associated variants to functional loss, providing a structure-function basis for disease risk.

    Evidence Domain-deletion mutant rescue, spine counting, electrophysiology, and analysis of autism-linked variants in cortical neurons

    PMID:34415325

    Open questions at the time
    • Binding partner engaged by FnIII domains for spine formation not identified
    • Single lab
  7. 2024 Medium

    Identified APP as a CNTN4 binding partner and showed the CNTN4-APP complex is required for neural elongation, providing a molecular partner for CNTN4's developmental morphology functions.

    Evidence Mass spectrometry interaction screen plus single and double CNTN4/APP knockout human cell lines with neural elongation assays

    PMID:38745463

    Open questions at the time
    • Structural basis and stoichiometry of the CNTN4-APP interaction unknown
    • Whether APP mediates the olfactory guidance or synaptic phenotypes not tested
    • Single lab
  8. 2022 Medium

    Documented a non-neuronal regulatory context in which CNTN4 is a direct miR-148a-3p target controlling macrophage apoptosis and inflammatory cytokine output.

    Evidence Dual-luciferase 3'UTR reporter, qRT-PCR, flow cytometry, and ELISA in oxLDL-treated THP-1 macrophages

    PMID:36544657

    Open questions at the time
    • Mechanism by which CNTN4 influences macrophage inflammation unknown
    • Relevance to CNTN4's neuronal functions unclear
    • Single lab, non-neuronal model

Open questions

Synthesis pass · forward-looking unresolved questions
  • The receptors/ligands through which CNTN4 transduces axon guidance, receptor-surface regulation, and synaptic plasticity signals remain largely undefined beyond the APP interaction.
  • No guidance receptor identified for olfactory axon targeting
  • Mechanistic link between CNTN4 and glutamate/GABA receptor trafficking unresolved
  • Downstream signaling effectors of spine formation unknown

Mechanism profile

Synthesis pass · controlled-vocabulary classification · explore literature graph →
Molecular activity
GO:0060089 molecular transducer activity 2 GO:0098631 cell adhesion mediator activity 1
Localization
GO:0005886 plasma membrane 2
Pathway
R-HSA-1266738 Developmental Biology 3 R-HSA-112316 Neuronal System 2
Partners
APP

Evidence

Reading pass · 8 per-paper findings extracted from the source corpus
Year Finding Method Journal Conf PMIDs
1995 BIG-2 (CNTN4) is a GPI-anchored cell adhesion molecule with six Ig-like domains and four fibronectin type III-like repeats; recombinant BIG-2 protein promotes neurite outgrowth when used as a substrate for neurons in vitro, establishing its direct role in axon growth. Molecular cloning, domain analysis, in vitro neurite outgrowth assay using recombinant protein as substrate Journal of neurobiology Medium 8586965
1997 Alternative splicing of the BIG-2 (CNTN4) gene produces a truncated isoform (BIG-2A) that lacks the GPI-anchoring domain and is specifically expressed in mature sensory cells of the vomeronasal neuroepithelium and olfactory neuroepithelium, suggesting splice-variant-specific roles in chemosensory tissue organization. cDNA cloning, sequence analysis, in situ hybridization in adult and developing mice Brain research. Molecular brain research Low 9221934
2008 BIG-2/CNTN4 is required for convergence of olfactory sensory neuron axons onto topographically fixed glomeruli in the olfactory bulb; in BIG-2-deficient mice, neurons expressing a given odorant receptor innervate multiple glomeruli at ectopic locations, demonstrating CNTN4 functions as an axon guidance molecule for odor map formation. BIG-2 knockout mouse model, immunohistochemistry, olfactory axon tracing, glomerular mapping Neuron High 18367085
2018 In Cntn4-/- mice, cell-surface levels of glutamate receptor subunits (GluA1, GluA2, GluN1) are altered in a brain-region-specific manner (reduced in cortex/hippocampus, increased in striatum), and surface GABA-A receptor (α1 subunit) levels are downregulated in several brain regions, demonstrating CNTN4 modulates excitatory and inhibitory synaptic receptor surface expression. Biotinylation assay and western blotting for surface receptor subunits in Cntn4-/- mice across multiple brain regions Frontiers in molecular neuroscience Medium 29970989
2021 Cntn4 KO mice display reduced CA1 hippocampal synaptic potentiation (LTP) and abnormal dendritic arborization and spine density of CA1 neurons; behaviorally, Cntn4-deficient mice show increased contextual fear conditioning in a gene-dose-dependent manner, placing CNTN4 in a pathway controlling hippocampal synaptic plasticity and fear memory. Cntn4 KO mouse model, hippocampal slice electrophysiology (LTP), neuroanatomical analysis of dendritic morphology, behavioral fear conditioning Translational psychiatry High 33542194
2021 CNTN4 promotes dendritic spine formation and excitatory synapse number in cortical neurons; truncated proteins lacking the signal peptide, FnIII domains, or GPI domain cannot rescue spine density deficits, demonstrating that CNTN4 regulates spine density through a mechanism dependent on FnIII domains; autism-associated variants of CNTN4 also fail to rescue spine density and neural activity. Cntn4 disruption in cortical neurons, domain-deletion mutant rescue experiments, dendritic spine counting, electrophysiological measurement of neural activity, analysis of autism-linked variants Human molecular genetics High 34415325
2022 miR-148a-3p directly targets the 3′UTR of CNTN4 mRNA (validated by dual-luciferase reporter assay), reducing CNTN4 expression in oxLDL-treated THP-1 macrophages and thereby inhibiting apoptosis and pro-inflammatory cytokine (IL-6, TNF-α) production, identifying CNTN4 as a functional downstream target of miR-148a-3p in macrophage inflammatory signaling. Dual-luciferase reporter assay, qRT-PCR, flow cytometry, ELISA in THP-1 macrophage model Annals of translational medicine Medium 36544657
2024 Mass spectrometry identified amyloid precursor protein (APP) as a binding partner of CNTN4; knockout of CNTN4 and/or APP in human cells revealed that CNTN4–APP interaction controls neural elongation, and loss of either protein reduces neurite outgrowth, demonstrating a functional CNTN4–APP complex in cortical neurodevelopment. Mass spectrometry interaction screen, CNTN4/APP single and double knockout human cell lines, neural elongation/morphology assays Open biology Medium 38745463

Source papers

Stage 0 corpus · 27 papers · ranked by NIH iCite citations
Year Title Journal Citations PMID
1995 Overlapping and differential expression of BIG-2, BIG-1, TAG-1, and F3: four members of an axon-associated cell adhesion molecule subgroup of the immunoglobulin superfamily. Journal of neurobiology 142 8586965
2004 Disruption of contactin 4 (CNTN4) results in developmental delay and other features of 3p deletion syndrome. American journal of human genetics 133 15106122
2008 BIG-2 mediates olfactory axon convergence to target glomeruli. Neuron 131 18367085
2006 FISH and array-CGH analysis of a complex chromosome 3 aberration suggests that loss of CNTN4 and CRBN contributes to mental retardation in 3pter deletions. American journal of medical genetics. Part A 59 17036314
2018 Pregnancies during and after trastuzumab and/or lapatinib in patients with human epidermal growth factor receptor 2-positive early breast cancer: Analysis from the NeoALTTO (BIG 1-06) and ALTTO (BIG 2-06) trials. Cancer 58 30335191
2014 Central pathology laboratory review of HER2 and ER in early breast cancer: an ALTTO trial [BIG 2-06/NCCTG N063D (Alliance)] ring study. Breast cancer research and treatment 56 24395109
2019 Dissecting the effect of hormone receptor status in patients with HER2-positive early breast cancer: exploratory analysis from the ALTTO (BIG 2-06) randomized clinical trial. Breast cancer research and treatment 37 31134488
2021 Cntn4, a risk gene for neuropsychiatric disorders, modulates hippocampal synaptic plasticity and behavior. Translational psychiatry 36 33542194
2018 Heterogeneity of Cell Surface Glutamate and GABA Receptor Expression in Shank and CNTN4 Autism Mouse Models. Frontiers in molecular neuroscience 30 29970989
2021 Body Mass Index and Weight Change in Patients With HER2-Positive Early Breast Cancer: Exploratory Analysis of the ALTTO BIG 2-06 Trial. Journal of the National Comprehensive Cancer Network : JNCCN 22 33401235
2002 A novel splice variant of the cell adhesion molecule contactin 4 ( CNTN4) is mainly expressed in human brain. Journal of human genetics 21 12202991
2003 Cloning and characterization of the human neural cell adhesion molecule, CNTN4 (alias BIG-2). Cytogenetic and genome research 20 14571131
2021 Updated results from the international phase III ALTTO trial (BIG 2-06/Alliance N063D). European journal of cancer (Oxford, England : 1990) 17 33765513
2017 p-STAT3 in luminal breast cancer: Integrated RNA-protein pooled analysis and results from the BIG 2-98 phase III trial. International journal of oncology 17 29207087
2016 Limited impact of Cntn4 mutation on autism-related traits in developing and adult C57BL/6J mice. Journal of neurodevelopmental disorders 16 26958094
2016 GWAS and transcriptional analysis prioritize ITPR1 and CNTN4 for a serum uric acid 3p26 QTL in Mexican Americans. BMC genomics 16 27039371
2015 Combined Whole Methylome and Genomewide Association Study Implicates CNTN4 in Alcohol Use. Alcoholism, clinical and experimental research 16 26146898
2019 Intragenic CNTN4 copy number variants associated with a spectrum of neurobehavioral phenotypes. European journal of medical genetics 15 31422286
2022 MiR-148a-3p attenuates apoptosis and inflammation by targeting CNTN4 in atherosclerosis. Annals of translational medicine 11 36544657
1997 A novel splice variant of the cell adhesion molecule BIG-2 is expressed in the olfactory and vomeronasal neuroepithelia. Brain research. Molecular brain research 11 9221934
2021 The autism risk gene CNTN4 modulates dendritic spine formation. Human molecular genetics 9 34415325
2024 CNTN4 modulates neural elongation through interplay with APP. Open biology 7 38745463
2007 The CNTN4 c.4256C>T mutation is rare in Japanese with inherited spinocerebellar ataxia. Journal of the neurological sciences 7 17915252
2011 Nanomechanics of Ig-like domains of human contactin (BIG-2). Journal of molecular modeling 6 21445711
2022 Effect of the Minor C Allele of CNTN4 rs2619566 on Medial Hypothalamic Connectivity in Early-Stage Patients of Chinese Han Ancestry with Sporadic Amyotrophic Lateral Sclerosis. Neuropsychiatric disease and treatment 3 35250268
2024 Final analysis of the ALTTO trial: adjuvant trastuzumab in sequence or in combination with lapatinib in patients with HER2-positive early breast cancer [BIG 2-06/NCCTG N063D (Alliance)]. ESMO open 2 39418883
2025 Cntn4 Gene Deficiency Promotes Autism-Like Phenotypes Associated with Gut Microbiota Perturbations and Gut-Brain Axis Metabolomic Alterations in Mice. Molecular neurobiology 1 41326871

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