POU3F4는 발달 중인 배아에서 [8]신경관과 시상하부의 방실 및 초안핵의 패턴화에 관여한다.또한 발육 중에 [9]내이를 둘러싼 페리오틱 뼈의 간엽에도 POU3F4가 발현된다."녹아웃" 마우스 모델은 POU3F4 유전자에 대한 변화가 상위 반고리관에서 이러한 간엽 세포 분화를 방해한다는 것을 보여주었다.생쥐에서 관찰된 기형은 X-연결 비신드롬성 난청(DFN-3)[10]을 가진 인간의 기형과 유사했다.
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^Sobol SE, Teng X, Crenshaw E, III. Brn4/Pou3f4 녹아웃 생쥐의 상위 반고리관에서의 비정상적인 중간 분화.Arch Otolaryngol 머리 목 수술. 2005;131 (1):41-45.
^de Kok YJ, van der Maarel SM, Bitner-Glindzicz M, Huber I, Monaco AP, Malcolm S, Pembrey ME, Ropers HH, Cremers FP (Feb 1995). "Association between X-linked mixed deafness and mutations in the POU domain gene POU3F4". Science. 267 (5198): 685–8. Bibcode:1995Sci...267..685D. doi:10.1126/science.7839145. hdl:2066/21211. PMID7839145.
^Li J, Cheng J, Lu Y, Lu Y, Chen A, Sun Y, Kang D, Zhang X, Dai P, Han D, Yuan H (Dec 2010). "Identification of a novel mutation in POU3F4 for prenatal diagnosis in a Chinese family with X-linked nonsyndromic hearing loss". Journal of Genetics and Genomics = Yi Chuan Xue Bao. 37 (12): 787–93. doi:10.1016/S1673-8527(09)60096-5. PMID21193157.
^Choi BY, Kim DH, Chung T, Chang M, Kim EH, Kim AR, Seok J, Chang SO, Bok J, Kim D, Oh SH, Park WY (Feb 2013). "Destabilization and mislocalization of POU3F4 by C-terminal frameshift truncation and extension mutation". Human Mutation. 34 (2): 309–16. doi:10.1002/humu.22232. PMID23076972.
^Gong WX, Gong RZ, Zhao B (Oct 2014). "HRCT and MRI findings in X-linked non-syndromic deafness patients with a POU3F4 mutation". International Journal of Pediatric Otorhinolaryngology. 78 (10): 1756–62. doi:10.1016/j.ijporl.2014.08.013. PMID25175280.
de Kok YJ, Cremers CW, Ropers HH, Cremers FP (1997). "The molecular basis of X-linked deafness type 3 (DFN3) in two sporadic cases: identification of a somatic mosaicism for a POU3F4 missense mutation". Human Mutation. 10 (3): 207–11. doi:10.1002/(SICI)1098-1004(1997)10:3<207::AID-HUMU5>3.0.CO;2-F. PMID9298820.
Phippard D, Heydemann A, Lechner M, Lu L, Lee D, Kyin T, Crenshaw EB (Jun 1998). "Changes in the subcellular localization of the Brn4 gene product precede mesenchymal remodeling of the otic capsule". Hearing Research. 120 (1–2): 77–85. doi:10.1016/S0378-5955(98)00059-8. PMID9667433.
Hagiwara H, Tamagawa Y, Kitamura K, Kodera K (Oct 1998). "A new mutation in the POU3F4 gene in a Japanese family with X-linked mixed deafness (DFN3)". The Laryngoscope. 108 (10): 1544–7. doi:10.1097/00005537-199810000-00022. PMID9778298.
Xia AP, Kikuchi T, Minowa O, Katori Y, Oshima T, Noda T, Ikeda K (Apr 2002). "Late-onset hearing loss in a mouse model of DFN3 non-syndromic deafness: morphologic and immunohistochemical analyses". Hearing Research. 166 (1–2): 150–8. doi:10.1016/S0378-5955(02)00309-X. PMID12062767.