Information on CFH

Basic details

Alt. symbols: HF | HF1 | HF2 | HUS | FHL1 | ARMS1 | ARMD4

Approved name: complement factor H
Alt. names: H factor 1 (complement) | beta-1H, H factor 2 (complement), age-related maculopathy susceptibility 1

Location: 1q31.3: 196651754 - 196752476 (+)
Gene type: protein_coding, 39 transcripts.

Scores: LoFtool: 0.358000 | pLI: 0.99963097 | LOEUF: 0.324

HGNC: 4883

NCBI: 3075, RefSeq: NG_007259.1

Ensembl: ENSG00000000971.17

LRG_47 | Status: public

OMIM: 134370

Expression | ProteinAtlas

Normal function

The gene encodes the complement factor H (CFH), originally known as beta-1H globulin, which is a serum glycoprotein that regulates the function of the alternative complement pathway in fluid phase and on cellular surfaces. Together with other proteins, CFH protects healthy cells by preventing the complement system to be activated when is no needed.

Dysfunction and disease

Mono- or biallelic mutations in CFH have been associated with autosomal dominant or autosomal recessive complement factor H deficiency (MIM:609814) or susceptibility to atypical hemolytic uremic syndrome (OMIM:2235400), but also with age-related macular degeneration [MIM:610698], or basal laminar drusen [MIM:126700]. [Load More]

[Reviewed by Andrés Caballero-Oteyza on 2020-07-09 12:13:57]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
aHUS1 Hemolytic uremic syndrome, atypical, 1 AD/ARdict. icon 235400www icon 0 (0 fams)
CFHD Complement factor H deficiency AD/ARdict. icon 609814www icon 0 (0 fams)
BLD Basal laminar drusen ADdict. icon 126700www icon 0 (0 fams)

Please mind that full curation (inclusion of all published patients) of this gene has not started yet. Please contact us if you want to volunteer.

Transcripts of CFH

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
202 ENST00000367429.9 1 CCDS1385 Select protein_coding 22 Yes 3962 NM_000186
206 ENST00000630130.2 CCDS53452 protein_coding 10 No 1658 NM_001014975

Published variants

Found 2 variants

Var.name Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients
Q950H EX18 2925 c.2850G>T p.Gln950His missense_variant Likely Benign 0
T956M EX18 2942 c.2867C>T p.Thr956Met missense_variant Likely Benign 0

Please mind that full curation (inclusion of all published variants) of this gene has not started yet. Please contact us if you want to volunteer.

Diagnostic pitfalls & paradigms

Considerations to take into account when analyzing this gene

Year Paradigm ⓘ PMID Notes
- Regions of Homology - NM_000186.3: EX10 (90-98%); NM_000186.3: EX20-22 (90-98%); NM_000186.3: EX8-9 (90-98%)
2013Uniparental disomy23870792Authors reported a 8-mo-old infant with aHUS carrying a homozygous CFH mutation (c.2880delT, p.Phe960fs) inherited via paternal uniparental isodisomy of chromosome 1.
-Cryptic splicing-Unreported or not recorded in our DB.
-Mosaicism-Unreported or not recorded in our DB.
-Incomplete penetrance-Unreported or not recorded in our DB.
-Di-/oligo-genic inheritance-Unreported or not recorded in our DB.
-Somatic reversion-Unreported or not recorded in our DB.

References linked to variants in CFH

ID Year Title Journal PMID Variants
232 2003 Complement factor H mutations and gene polymorphisms in haem... Hum. Mol. Genet. 14583443 1
233 2010 Mutations in alternative pathway complement proteins in Amer... Hum. Mut. 20513133 1
234 2012 A Novel C3 Mutation Causing Increased Formation of the C3 Co... jimmunol 22250080 1
235 2015 Functional characterization of two novel non-synonymous alte... Mol. Immunol. 25733390 1
415 2001 Clustering of missense mutations in the C-terminal region of... Am. J. Hum. Genet. 11170895 1
416 2011 Proliferative glomerulonephritis secondary to dysfunction of... CJASN 21415311 1
417 2012 Causes of alternative pathway dysregulation in dense deposit... CJASN 22223606 1
418 2012 Eculizumab for dense deposit disease and C3 glomerulonephrit... CJASN 22403278 1
419 2013 Maternal coding variants in complement receptor 1 and sponta... Hum. Gen. 23591632 1
420 2015 Analysis of rare variants in the CFH gene in patients with t... Mol. Vision 25814826 1
421 2017 Serological and genetic complement alterations in infection-... Ped. Nephrol. 27718086 1
422 2018 Genetic testing of complement and coagulation pathways in pa... Mod. Pathol. 29148534 1
423 2018 Diseases of complement dysregulation—an overview... Sem. Immunopathol. 29327071 1

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