Information on FCN3

Basic details

Alt. symbols: FCNH | HAKA1

Approved name: ficolin 3
Alt. names: ficolin (collagen/fibrinogen domain-containing) 3 (Hakata antigen), ficolin (collagen/fibrinogen domain containing) 3 | Hakata antigen

Location: 1p36.11: 27369110 - 27374824 (-)
Gene type: protein_coding, 6 transcripts.

Scores: LoFtool: 0.600000 | pLI: 0.01725134 | LOEUF: 0.896

HGNC: 3625

NCBI: 8547, RefSeq: NG_016279.1

Ensembl: ENSG00000142748.14

LRG_171 | Status: public

OMIM: 604973

Expression | ProteinAtlas

Normal function

The FCN3 gene encodes ficolin-3, a multimeric lectin protein that plays an important role in innate immunity through the activation of the lectin complement pathway. Ficolins are a group of proteins that are made of of a cysteine-rich domain (where monomers bind to each other), a collagen-like domain and a fibrinogen-like domain. Ficolin-3 is a is a thermolabile beta-2-macroglycoprotein found in all human serum that has affinity with GalNAc, GlcNAc, D-fucose, as mono/oligosaccharide and lipopolysaccharides from S.typhimurium and S.minnesota. The protein can activate the complement system through the lectin pathway, in association with MASPs and sMAP, thereby aiding in host defense against pathogens. According to RNA expression data (HPA, GTEx and FANTOM5 datasets) FCN3 is mainly expressed in the lungs and, with a less extend, in the liver. However, protein expression analysis shows that, besides the lungs and liver, ficolin-3 is also found in various organs in the body, but primarily in the brain, the endocrine glands, and the gastrointestinal tract. Ficolin-3 was initially known as H-ficolin or the Hakata antigen, because it was initially found as an autoantigen in sera from patients with systemic lupus erythematosus who lived in the city of Hakata.

Dysfunction and disease

Ficolin 3 deficiency (FCN3D) [MIM: 613860]: An autosomal recessive disorder characterized by immunodeficiency, recurrent infections, brain abscesses and recurrent warts on the fingers. Affected individuals have normal levels of lymphocytes, normal T-cell responses, and normal antibodies, but a selective deficient antibody response to pneumococcal polysaccharide vaccine (PMID: 19535802). To date, the only variant that has ever been linked to disease susceptibility in FCN3 is the c.349delC / p.Leu 117Serfs*65, which is found in the literature as g.1637delC. According to gnomAD populations, this polymorphism has an allele frequency of ~1.6-1.8%, being present in heterozygosity in 3.14-3.6% of control individuals, and in homozygosity in 0.042-0.046% of individuals. Heterozygous carriers have reduced serum levels of ficolin-3 and are healthy, but homozygous individuals lack ficolin-3 in serum. This has been associated with immunodeficiency in 1 individual (Munthe-Fog et al., 2009), and with necrotising enterocolitis in 2 premature neonates (Schlapbach et al., 2011). Michalski and colleagues also reported 3 cases (one adult and two infants) with diverse clinical presentations carrying this homozygous variant (Michalski et al. 2012, Michalski et al. 2015). Michaski et al. (2012) also observed that both pre-term deliveries and low birthweight were significantly associated with low H-ficolin concentrations in serum but not with heterozygosity for the g.1637delC frameshift mutation. The role of ficolin-3 serum levels was also evaluated in patients with leprosy (Andrade et al., 2017), and the authors suggested that those polymorphisms in FCN3 that cooperate to increase ficolin-3 concentration in serum, might contribute to leprosy susceptibility. [Load More]

[Reviewed by Laura Crisponi on 2022-03-21 09:10:26]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
FCN3ID Immunodeficiency due to Ficolin 3 deficiency ARdict. icon 613860www 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 FCN3

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
201 ENST00000270879.9 1 CCDS300 Select protein_coding 8 Yes 1032 NM_003665
202 ENST00000354982.2 CCDS301 protein_coding 7 No 997 NM_173452

Published variants

Found 1 variants

Var.name Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients
L117* EX5 355 c.349del p.Leu117SerfsTer65 frameshift_variant Risk allele 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 -
-Cryptic splicing-Unreported or not recorded in our DB.
-Uniparental disomy-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 FCN3

ID Year Title Journal PMID Variants
204 2009 Immunodeficiency Associated with FCN3 Mutation and Ficolin-3... N. Engl. J. Med. 19535802 1
205 2011 Congenital H-ficolin deficiency in premature infants with se... Gut 20971976 1
206 2012 H-ficolin (ficolin-3) concentrations and FCN3 gene polymorph... Immunobiol. 22226667 1
207 2015 Primary Ficolin-3 deficiency – Is it associated with increas... Immunobiol. 25662573 1
208 2017 Association of a new FCN3 haplotype with high ficolin-3 leve... PLoS Negl. Trop. Dis. 28241035 1

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