CNNM4 (cyclin and CBS domain divalent metal cation transport mediator 4) is a multi-pass plasma-membrane protein of the CNNM/ACDP family. The dog protein (796 aa) has a signal peptide, an N-terminal extracellular immunoglobulin-like domain, the four-helix CNNM transmembrane domain, a cytoplasmic pair of CBS domains that binds MgATP, and a C-terminal cyclic nucleotide-binding homology domain. In mammals CNNM4 sits at the basolateral membrane of intestinal epithelial cells and enamel-forming ameloblasts, where it extrudes Mg2+ from the cell in exchange for extracellular Na+. This basolateral efflux is the exit step of transcellular magnesium absorption, so CNNM4 is needed for systemic magnesium balance and for enamel formation. MgATP binding to the CBS pair organises the full-length protein into a dimer-of-dimers assembly, and CNNM4 also associates with the TRPM7 channel and stimulates divalent-cation entry through it. In humans, biallelic loss-of-function variants cause Jalili syndrome (cone-rod dystrophy with amelogenesis imperfecta). No functional study of the dog protein itself has been reported; its function is inferred from its placement in the CNNM4 subfamily and 93% identity to human CNNM4.
Summary: PAINT node PTN000248898 assigns plasma-membrane activity across the CNNM family, seeded by experimental annotations of fly uex, mouse Cnnm1/2/4, human CNNM2/CNNM4 and worm homologs. The dog protein is inside this clade (PTHR12064:SF26) and has the signal peptide and four predicted transmembrane helices of the family.
Reason: The target is inside the clade that inherited the location, and nothing in its sequence suggests divergence (the transmembrane domain is intact; 93% identity to human CNNM4). Mammalian CNNM4 extrudes Mg2+ across the plasma membrane and localizes to the basolateral surface of epithelia.
Summary: Eukaryote-level PAINT node PTN008532859 (mouse Cnnm4, human CNNM2, worm and zebrafish CNNMs). CNNM4-knockout mice develop hypomagnesemia from defective intestinal Mg2+ absorption.
Reason: Magnesium homeostasis is a core, family-wide process and the dog protein is a CNNM4-subfamily member with all functional domains. CNNM4 directly performs the basolateral Mg2+ efflux step, so this is participation and not only necessity.
In this study, we generated CNNM4-knockout mice; these mice showed defects in amelogenesis and intestinal Mg2+ absorption.
GO:0015081 sodium ion transmembrane transporter activity
IBA GO_REF:0000033
MODIFY
Summary: PAINT node PTN002635769 (Euteleostomi, seeded by mouse Cnnm4) propagates sodium transporter activity together with magnesium transporter activity. In CNNM4-expressing cells, Mg2+ extrusion requires extracellular Na+ and is accompanied by Na+ entry, and the human CNNM4 structure is described as promoting Mg2+/Na+ exchange.
Reason: The sodium movement is real but is the counter-ion arm of a coupled Mg2+/Na+ exchange, not independent sodium transport. The more precise coupled term, GO:0061768 magnesium:sodium antiporter activity, captures both IBA MF rows from this node and matches the human CNNM4 review. The node is CNNM4-specific and the target is in the same subfamily (SF26), so transfer of the coupled activity is warranted.
Propagation Review
Root cause:TERM SCOPING PROBLEM
Failure modes:GRANULARITY MISMATCH
Sources checked:
PANTHER:PTN002635769SUPPORTS TRANSFER
Euteleostomi CNNM4-subfamily node; the dog target (PTHR12064:SF26) descends from it. The function transfers; only the term granularity is refined.
MGI:MGI:2151060SUPPORTS TRANSFER
Mouse Cnnm4, the sole seed; experimental Mg2+ extrusion with Na+ dependence.
In the absence of extracellular Na+, Mg2+ depletion did not induce Mg2+ extrusion (Phase 3), but restoration of Na+ instantaneously caused Mg2+ extrusion (Phase 4).
the outward-facing state, thereby promoting Mg2+/Na+ exchange.
GO:0015095 magnesium ion transmembrane transporter activity
IBA GO_REF:0000033
MODIFY
Summary: Same CNNM4-specific PAINT node (PTN002635769, seeded by mouse Cnnm4). CNNM4 extrudes Mg2+ from cells in a Na+-dependent manner.
Reason: Correct but less specific than the evidence supports: CNNM4 moves Mg2+ out of the cell in exchange for Na+. GO:0061768 magnesium:sodium antiporter activity is the specific descendant and is the replacement used for the sodium-transporter row as well.
Propagation Review
Root cause:TERM SCOPING PROBLEM
Failure modes:GRANULARITY MISMATCH
Sources checked:
PANTHER:PTN002635769SUPPORTS TRANSFER
Euteleostomi CNNM4-subfamily node; the dog target (PTHR12064:SF26) descends from it. The function transfers; only the term granularity is refined.
MGI:MGI:2151060SUPPORTS TRANSFER
Mouse Cnnm4, the sole seed; experimental Mg2+ extrusion with Na+ dependence.
As shown in Figure 4D, Mg2+ depletion from the extracellular medium induced not only the decrease of intracellular Mg2+ but also the increase of intracellular Na+.
Reason: Correct and inherited; the gene also carries GO:1903830 magnesium ion transmembrane transport, which is the more specific process, so this broad term is consistent with it rather than a competing claim.
Functional analyses at the molecular and organismal levels revealed a common role for CNNM4 in mediating transcellular Mg2+ transport by basolateral Mg2+ extrusion.
Summary: Combined electronic annotation (human CNNM4 ortholog, UniProt SubCell mapping, PANTHER). Agrees with the IBA row for the same term.
Reason: Consistent with the IBA plasma-membrane row and with mammalian CNNM4 localization; the more specific basolateral location is annotated separately for polarized epithelia.
Functional analyses at the molecular and organismal levels revealed a common role for CNNM4 in mediating transcellular Mg2+ transport by basolateral Mg2+ extrusion.
Summary: UniRule assignment of the generic membrane term. True (four predicted transmembrane helices) but much less specific than the plasma-membrane location the gene already carries.
Reason: Correct but general. The specific supported location, GO:0005886 plasma membrane, is already annotated to this gene by IBA and IEA.
Summary: PANTHER/UniRule assignment of the generic transporter term (PAINT node PTN000248941 lineage). True but non-specific.
Reason: Correct but general; the specific supported activity is Mg2+/Na+ exchange (GO:0061768 magnesium:sodium antiporter activity), the same replacement proposed for the IBA transporter rows.
Summary: Logical inference from the sodium transporter activity row. CNNM4-expressing cells take up Na+ while extruding Mg2+.
Reason: Na+ entry is the counter-ion arm of CNNM4 Mg2+/Na+ exchange, performed by CNNM4 itself, so the process holds even though the MF is refined to the antiporter term.
As shown in Figure 4A, HEK293 cells transfected with CNNM4-FLAG contained more sodium and less magnesium in comparison to control vector-transfected cells, consistent with the occurrence of Mg2+ extrusion.
Summary: Logical inference from the generic transporter activity row. True but non-specific.
Reason: Correct but general. The specific supported processes, GO:1903830 magnesium ion transmembrane transport and GO:0035725 sodium ion transmembrane transport, are both already annotated to this gene.
As shown in Figure 4D, Mg2+ depletion from the extracellular medium induced not only the decrease of intracellular Mg2+ but also the increase of intracellular Na+.
Functional analyses at the molecular and organismal levels revealed a common role for CNNM4 in mediating transcellular Mg2+ transport by basolateral Mg2+ extrusion.
GO:0015081 sodium ion transmembrane transporter activity
IEA GO_REF:0000120
MODIFY
Summary: Combined electronic transfer from mouse Cnnm4 (Q69ZF7) and PANTHER; same claim as the IBA row for this term.
Reason: Same refinement as the IBA row; Na+ movement is coupled to Mg2+ efflux.
In the absence of extracellular Na+, Mg2+ depletion did not induce Mg2+ extrusion (Phase 3), but restoration of Na+ instantaneously caused Mg2+ extrusion (Phase 4).
GO:0015095 magnesium ion transmembrane transporter activity
IEA GO_REF:0000120
MODIFY
Summary: Combined electronic transfer from mouse Cnnm4 (Q69ZF7) and PANTHER; same claim as the IBA row for this term.
Summary: Ensembl Compara transfer from mouse Cnnm4 (Q69ZF7). Endogenous mouse CNNM4 is at the basolateral membrane of intestinal epithelia and ameloblasts, and human CNNM4 expressed in polarized MDCK (dog kidney) cells is also basolateral.
Reason: Ortholog transfer within the CNNM4 subfamily of a location that underlies the vectorial transport function. This is the location in polarized epithelia; it does not exclude plasma-membrane localization in non-polarized cells.
Summary: Ensembl Compara transfer from human CNNM4. The human source annotation rests on metal-toxicity assays; the cation CNNM4 is known to handle is Mg2+, and CNNM4 efflux directly lowers intracellular Mg2+.
Reason: Correct but general. CNNM4-dependent efflux lowers intracellular Mg2+, so the specific descendant GO:0010961 intracellular magnesium ion homeostasis is supported (it is_a GO:0030003 and GO:0010960, the latter already annotated). Other cations are not established as CNNM4 substrates.
As shown in Figure 4D, Mg2+ depletion from the extracellular medium induced not only the decrease of intracellular Mg2+ but also the increase of intracellular Na+.
Summary: Ensembl Compara transfer from human CNNM4. Full-length human CNNM4 forms an MgATP-dependent asymmetric tetramer, and CNNM4 associates with TRPM7.
Reason: True (homo-oligomer; TRPM7 association) but no specific GO complex term exists for either assembly, so the broad term is as precise as available. Kept as non-core.
These structures reveal that CNNM4 does not assemble as a simple symmetric dimer but forms an asymmetric tetramer organized as a dimer-of-dimers.
Core Functions
CNNM4 exchanges intracellular Mg2+ for extracellular Na+ across the basolateral plasma membrane of polarized epithelia (intestine, ameloblasts), providing the exit step of transcellular magnesium absorption and supporting systemic and intracellular Mg2+ balance. MgATP binding to the CBS pair organises the full-length protein into an asymmetric dimer-of-dimers. For the dog protein this is inferred from CNNM4-subfamily placement (PTHR12064:SF26, PAINT node PTN002635769) and 93% identity to human CNNM4.
In the absence of extracellular Na+, Mg2+ depletion did not induce Mg2+ extrusion (Phase 3), but restoration of Na+ instantaneously caused Mg2+ extrusion (Phase 4).
Q: GO:0061768 magnesium:sodium antiporter activity is written as Na+(in) + Mg2+(out) = Na+(out) + Mg2+(in), whereas CNNM4 extrudes Mg2+ and takes up Na+. Should the definition be direction-neutral, or is a separate export-direction term needed?
Q: Does the ~21-residue C-terminal insertion in the dog CNNM4 gene model correspond to an alternative exon present in other carnivores, and does it affect the CNBH domain?
Q: Should the TRPM7-stimulating (ion channel regulator) activity shown for human CNNM4 be propagated phylogenetically to CNNM4 orthologs?
External Prediction Reviews
These computational predictions are reviewed separately from the GOA annotation set used for this review. The assessments below are from this project and do not constitute official GO annotations or endorsement by GO/UniProt. They are not included in the existing annotation review above.
ProtNLM2 emitted three GO predictions for dog CNNM4, all broad terms that are correct for a CNNM4-subfamily Mg2+/Na+ exchanger at the basolateral plasma membrane. Each is less specific than existing supported annotations (basolateral plasma membrane, magnesium ion transmembrane transporter activity, magnesium ion transport), so all three are LSP.
LSP β Less precise than existing annotation Review score: 2/2
Prediction method: ProtNLM2 Β· Version: UniProt 2024_06 pilot
Review rationale: The target is placed in the CNNM4 subfamily (PANTHER PTHR12064:SF26) and has a signal peptide, four predicted transmembrane helices within the CNNM transmembrane domain, and a cytoplasmic CBS domain, the architecture of a multi-pass plasma-membrane transporter. Mouse CNNM4 localizes to the basolateral membrane of intestinal epithelia and ameloblasts (PMID:24339795), and endogenous CNNM4 in Madin-Darby canine kidney cells is basolateral (PMID:25449265), which is direct evidence in the dog. Plasma membrane is already annotated to the target, and the more specific basolateral plasma membrane (GO:0016323, is_a descendant of GO:0005886 per OLS4) is an existing annotation that the gene review accepts. The prediction is correct but less specific than that supported annotation.
Supporting Evidence:
file:CANLF/A0A8I3PI07/A0A8I3PI07-uniprot.txt: "DR PANTHER; PTHR12064:SF26; METAL TRANSPORTER CNNM4; 1. ... FT SIGNAL 1..37 ... FT TRANSMEM 182..206 ... FT /note="CNNM transmembrane" ... FT /note="CBS""
PMID:24339795: "CNNM4 localizes to the basolateral membrane"
PMID:25449265: "We first confirmed the basolateral localization of both endogenous and ectopically expressed CNNM4 in Madin-Darby Canine Kidney cells"
LSP β Less precise than existing annotation Review score: 2/2
Prediction method: ProtNLM2 Β· Version: UniProt 2024_06 pilot
Review rationale: The target belongs to the CNNM4 subfamily (PTHR12064:SF26) and carries the CNNM transmembrane and CBS domains. Mouse CNNM4 extrudes Mg2+ from cells in a Na+-dependent manner, mediating transcellular Mg2+ transport (PMID:24339795), and structural work on human CNNM4 describes Mg2+/Na+ exchange (PMID:42497866); the dog protein is in the same subfamily, so the activity transfers by phylogenetic inference rather than direct observation. Generic transmembrane transporter activity is true but uninformative: the target already carries magnesium ion transmembrane transporter activity (GO:0015095, a descendant of GO:0022857 per OLS4) and sodium ion transmembrane transporter activity, and the gene review refines these to magnesium:sodium antiporter activity. The prediction is therefore less precise than existing supported annotations.
Supporting Evidence:
file:CANLF/A0A8I3PI07/A0A8I3PI07-uniprot.txt: "DR PANTHER; PTHR12064:SF26; METAL TRANSPORTER CNNM4; 1. ... FT SIGNAL 1..37 ... FT TRANSMEM 182..206 ... FT /note="CNNM transmembrane" ... FT /note="CBS""
PMID:24339795: "Functional analyses at the molecular and organismal levels revealed a common role for CNNM4 in mediating transcellular Mg2+ transport by basolateral Mg2+ extrusion."
PMID:24339795: "In the absence of extracellular Na+, Mg2+ depletion did not induce Mg2+ extrusion (Phase 3), but restoration of Na+ instantaneously caused Mg2+ extrusion (Phase 4)."
PMID:42497866: "the outward-facing state, thereby promoting Mg2+/Na+ exchange."
LSP β Less precise than existing annotation Review score: 2/2
Prediction method: ProtNLM2 Β· Version: UniProt 2024_06 pilot
Review rationale: CNNM4 mediates basolateral Mg2+ extrusion coupled to Na+ in mouse epithelia (PMID:24339795), and the dog target inherits this function through its CNNM4 subfamily placement (PTHR12064:SF26) and conserved transmembrane and CBS domain architecture. Monoatomic ion transport is not itself annotated, but the target already carries magnesium ion transport (GO:0015693), magnesium ion transmembrane transport and sodium ion transmembrane transport, which the gene review accepts; OLS4 confirms GO:0015693 is a descendant of GO:0006811 via metal ion and monoatomic cation transport. The prediction is correct but discards the established ion specificity, so it is less precise than existing annotations.
Supporting Evidence:
file:CANLF/A0A8I3PI07/A0A8I3PI07-uniprot.txt: "DR PANTHER; PTHR12064:SF26; METAL TRANSPORTER CNNM4; 1. ... FT SIGNAL 1..37 ... FT TRANSMEM 182..206 ... FT /note="CNNM transmembrane" ... FT /note="CBS""
PMID:24339795: "Functional analyses at the molecular and organismal levels revealed a common role for CNNM4 in mediating transcellular Mg2+ transport by basolateral Mg2+ extrusion."
PMID:24339795: "In the absence of extracellular Na+, Mg2+ depletion did not induce Mg2+ extrusion (Phase 3), but restoration of Na+ instantaneously caused Mg2+ extrusion (Phase 4)."