Information on FOXN1

Basic details

Alt. symbols: WHN | RONU | FKHL20

Approved name: forkhead box N1
Alt. names: winged-helix nude, Rowett nude

Location: 17q11.2: 28506243 - 28538900 (+)
Gene type: protein_coding, 3 transcripts.

Scores: LoFtool: 0.059200 | pLI: 0.96949755 | LOEUF: 0.349

HGNC: 12765

NCBI: 8456, RefSeq: NG_007260.1

Ensembl: ENSG00000109101.8

LRG_61 | Status: public

OMIM: 600838

Expression | ProteinAtlas

Normal function

FOXN1 is a transcription factor that plays a crucial role in the development and function of the thymus, but also for the normal development of the skin, hair and nails. Therefore, FOXN1 regulates the expression of genes involved in thymus development and T cell maturation and selection, but also in the formation of hair follicles and the growth of fingernails and toenails. FOXN1 regulates the differentiation of thymic epithelial cells, ensuring their proper function in supporting T cell maturation. It helps create a specialized microenvironment within the thymus, where T cells can undergo positive and negative selection. This process ensures that T cells with functional and non-self-reactive receptors are allowed to mature and survive, while those with dysfunctional or self-reactive receptors are eliminated. FOXN1's own expression is differentially regulated during organogenesis. It forms multimolecular nuclear aggregates with other molecules, and it uses its C-terminal sequence to regulate the diffusion velocity within these aggregates and to modulate the binding to proximal gene regulatory regions to exert its transcriptional activity (PMID:34860543).

Dysfunction and disease

Biallelic or monoallelic mutations in the FOXN1 gene can lead to an overlapping spectrum of phenotypes that can include T-cell lymphopenia, severe combined immunodeficiency due to thymic aplasia, nail dystrophy and alopecia (nude phenotype). Lack or dysfunction of FOXN1 protein prevents the formation of the thymus and thereby impairs T cell development, maturation and function. As a result, people with complete FOXN1 deficiency develop recurrent serious infections starting early in life. Loss of the FOXN1 protein also prevents the formation of hair follicles, leading to alopecia, and to malformations of the fingernails and toenails (nail dystrophy). Abnormalities of the central nervous system have also been reported in a few patients; however, it is not yet known whether CNS abnormalities are a common feature of this condition and how a lack of FOXN1 might contribute to this phenotype. C-terminus mutations seem to alter FOXN1's capacity to form multimolecular nuclear aggregates and to modulate binding to proximal gene regulatory regions. This type of transcriptionally inactive mutants act in a dominant negative manner over the WT-FOXN1 causing athymia and severe lymphopenia in heterozygotes (PMID:34860543). [Load More]

[Reviewed by Andrés Caballero-Oteyza on 2024-06-11 08:46:28]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
TLIND T-cell lymphopenia with or without nail dystrophy, AD ADdict. icon Haploinsufficiency 618806www icon 71 (62 fams)
TIDAND T-cell immunodeficiency, congenital alopecia, and nail dystrophy ARdict. icon Loss of Function 601705www icon 16 (12 fams)
TIDTA T-cell immunodeficiency with thymic aplasia ARdict. icon Loss of Function 242700www icon 3 (3 fams)

Transcripts of FOXN1

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
203 ENST00000579795.6 CCDS11232 Select protein_coding 9 Yes 3521 NM_001369369
201 ENST00000226247.2 1 CCDS11232 protein_coding 8 No 3436 NM_003593
202 ENST00000577936.2 protein_coding 9 No 562 XM_054317551

Published variants

Found 43 variants

Var.name Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients
C82* EX3 356 c.246C>A p.Cys82Ter stop_gained Likely Pathogenic 1
R114* EX3 450 c.340C>T p.Arg114Ter stop_gained Likely Pathogenic 2
E169K EX3 615 c.505G>A p.Glu169Lys missense_variant Pathogenic 1
S188Afs*114 EX3 672 c.562del p.Ser188AlafsTer114 frameshift_variant Pathogenic 1
P242S EX5 834 c.724C>T p.Pro242Ser missense_variant Likely Benign 1
R255* EX5 873 c.763C>T p.Arg255Ter stop_gained Pathogenic 25
P272T EX5 924 c.814C>A p.Pro272Thr missense_variant Pathogenic 1
V294I EX6 990 c.880G>A p.Val294Ile missense_variant Pathogenic 2
E303Sfs*247 EX6 1017 c.907del p.Glu303SerfsTer247 frameshift_variant Pathogenic 1
D313Hfs*169 EX7 1041-1042 c.933_936dup p.Asp313HisfsTer169 frameshift_variant Pathogenic 1
R320W EX7 1068 c.958C>T p.Arg320Trp missense_variant Pathogenic 3
H321N EX7 1071 c.961C>A p.His321Asn missense_variant Pathogenic 1
H321R EX7 1072 c.962A>G p.His321Arg missense_variant Pathogenic 1
L325P EX7 1084 c.974T>C p.Leu325Pro missense_variant Pathogenic 1
C328R EX7 1092 c.982T>C p.Cys328Arg missense_variant Likely Benign 1
G337Efs*213 EX7 1119 c.1010del p.Gly337GlufsTer213 frameshift_variant Pathogenic 1
P350L EX7 1159 c.1049C>T p.Pro350Leu missense_variant Likely Pathogenic 1
E359K EX7 1185 c.1075G>A p.Glu359Lys missense_variant Benign 1
W363Mfs*118 EX7 1196-1197 c.1086dup p.Trp363MetfsTer118 frameshift_variant Pathogenic 1
W363_P368delinsC EX7 1199-1213 c.1089_1103del p.Trp363_Pro368delinsCys inframe_deletion Pathogenic 1
EX7+5G>C IN7 c.1135+5G>C splice_donor_5th_base_variant Pathogenic 1
E390Kfs*160 EX8 1278 c.1168del p.Glu390LysfsTer160 frameshift_variant Pathogenic 2
P402Cfs*148 EX8 1311 c.1205del p.Pro402LeufsTer148 frameshift_variant Pathogenic 1
P401Afs*144 EX8 1311-1326 c.1201_1216del p.Pro401AlafsTer144 frameshift_variant Pathogenic 12
L404Cfs*146 EX8 1316 c.1206del p.Leu404CysfsTer146 frameshift_variant Pathogenic 1
L426Tfs*123 EX8 1380-1383 c.1275_1278del p.Leu426ThrfsTer123 frameshift_variant Likely Pathogenic 1
P430S EX8 1398 c.1288C>T p.Pro430Ser missense_variant Benign 1
I433Ffs*117 EX8 1403 c.1296del p.Ile433PhefsTer117 frameshift_variant Pathogenic 1
L439Cfs*111 EX8 1425 c.1315del p.Leu439CysfsTer111 frameshift_variant Pathogenic 2
L439Rfs*111 EX8 1426 c.1316del p.Leu439ArgfsTer111 frameshift_variant Pathogenic 1
Y455Cfs*94 EX8 1473-1476 c.1364_1367del p.Tyr455CysfsTer94 frameshift_variant Pathogenic 1
Y455* EX8 1475 c.1365C>G p.Tyr455Ter stop_gained Pathogenic 0
H457Pfs*93 EX8 1480 c.1370del p.His457ProfsTer93 frameshift_variant Pathogenic 3
P465Rfs*82 EX8 1500-1511 c.1392_1401del p.Pro465ArgfsTer82 frameshift_variant Pathogenic 5
P473Hfs*77 EX8 1526 c.1418del p.Pro473HisfsTer77 frameshift_variant Pathogenic 2
Q474* EX8 1530 c.1420C>T p.Gln474Ter stop_gained Pathogenic 1
Q489Rfs*61 EX8 1570 c.1465del p.Gln489ArgfsTer61 frameshift_variant Pathogenic 3
G523R EX8 1677 c.1567G>A p.Gly523Arg missense_variant Benign 1
T527* EX8 1688-1689 c.1579_1580del p.Thr527Ter frameshift_variant Pathogenic 1
L529Wfs*21 EX8 1694 c.1585del p.Leu529TrpfsTer21 frameshift_variant Pathogenic 1
G543E EX9 1738 c.1628G>A p.Gly543Glu missense_variant Benign 1
K550* EX9 1758 c.1648A>T p.Lys550Ter stop_gained Pathogenic 0
Y617Cfs*157 EX9 1956-1960 c.1850_1854del p.Tyr617CysfsTer157 frameshift_variant Pathogenic 1

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 FOXN1

ID Year Title Journal PMID Variants
737 2005 Nail dystrophy associated with a heterozygous mutation of th... Arch. Dermatol. 15897400 1
738 2011 First use of thymus transplantation therapy for FOXN1 defici... Blood 20978268 2
739 2014 A novel mutation in FOXN1 resulting in SCID: a case report a... Clin. Immunol. 25173801 1
740 2017 FOXN1 Italian founder mutation in Indian family: Implication... Gene 28636882 1
741 2019 A Novel FOXN1 Variant Is Identified in Two Siblings with Nud... JoCI 30903456 1
742 2022 Fatal and Unresponsive Cytomegalovirus Infection in a New Ho... JoCI 35064468 1
743 2011 FOXN1 mutation abrogates prenatal T-cell development in huma... J. Med. Genet 21507891 1
744 2010 Brain alteration in a Nude/SCID fetus carrying FOXN1 homozyg... J. Neurol. Sci. 20864124 1
745 1999 Exposing the human nude phenotype... Nature 10206641 1
746 2019 Heterozygous FOXN1 Variants Cause Low TRECs and Severe T Cel... Am. J. Hum. Genet. 31447097 20
747 2019 FOXN1 compound heterozygous mutations cause selective thymic... J. Clin. Investig. 31566583 12
752 2008 FOXN1 homozygous mutation associated with anencephaly and se... Clin. Gen. 18339010 1
753 2021 Expanding the Nude SCID/CID Phenotype Associated with FOXN1 ... JoCI 33464451 9
1141 2023 Comprehensive phenotypic analysis of diverse FOXN1 variants... JACI 37419334 13
1143 2021 FOXN1 forms higher-order nuclear condensates displaced by mu... Sci. Adv. 34860543 4
1146 2012 [Post-thymus transplant vitiligo in a child with Foxn1 defic... Ann. Dermatol. Venereol. 22721479 1
1147 2019 Epstein-Barr virus associated with high-grade B-cell lymphom... BMJ Case Rep. 31151968 1
1148 2017 FOXN1 deficient nude severe combined immunodeficiency... Orph. J. Rare. Dis. 28077132 3
1149 2012 Human FOXN1-deficiency is associated with alphabeta double-n... Plos one 22590644 1

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