GNB4 encodes Gβ4, a guanine nucleotide-binding protein β-subunit that positively facilitates G-protein-coupled receptor signaling, demonstrated for bradykinin-induced GPCR signaling in peripheral nerve, where Gβ4 localizes to axons and Schwann cells (PMID:23434117). Disease-associated missense mutations (p.Gly53Asp, p.Lys89Glu) impair this signaling activity, and pathogenic variants cluster spatially within the WD40 repeat region required for Gβ function, providing a structural rationale for loss of function that underlies dominant intermediate Charcot-Marie-Tooth disease (PMID:23434117, PMID:41164122). Beyond its canonical signaling role, GNB4 expression is regulated in disease contexts: it is epigenetically upregulated in gastric cancer when H. pylori-driven NF-κB induces TET1, which demethylates the GNB4 promoter, and the resulting elevated GNB4 activates Hippo-YAP1 oncogenic signaling (PMID:37016382), while it is repressed by miR-133b during osteoblast differentiation (PMID:33687637).