DEFB1

Chr 8

defensin beta 1

Also known as: BD1, DEFB-1, DEFB101, HBD1

The DEFB1 protein is an antimicrobial peptide that provides bactericidal activity and helps protect epithelial surfaces from microbial colonization, while also functioning as a ligand for chemokine receptor CCR6. Mutations in this gene have been implicated in cystic fibrosis pathogenesis, though the specific inheritance pattern and clinical manifestations of primary DEFB1 deficiency require further characterization. This gene shows moderate tolerance to loss-of-function variants (LOEUF 1.689), suggesting some functional redundancy in antimicrobial defense pathways.

Summary from RefSeq, UniProt
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1
Active trials
22
Pubs (1 yr)
106
P/LP submissions
0%
P/LP missense
1.69
LOEUF
DN
Mechanism· predicted
Clinical SummaryDEFB1
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.00) despite low pLI — interpret in context.
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ClinVar Variants
105 unique Pathogenic / Likely Pathogenic· 32 VUS of 148 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available
📖
GeneReview available — DEFB1
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.69LOEUF
pLI 0.406
Z-score 0.98
OE 0.00 (0.001.69)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-2.99Z-score
OE missense 2.44 (1.751.99)
83 obs / 34.0 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.00 (0.001.69)
00.351.4
Missense OE2.44 (1.751.99)
00.61.4
Synonymous OE2.13
01.21.6
LoF obs/exp: 0 / 1.1Missense obs/exp: 83 / 34.0Syn Z: -3.22
DN
0.6648th %ile
GOF
0.4480th %ile
LOF
0.2679th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

148 submitted variants in ClinVar

Classification Summary

Pathogenic101
Likely Pathogenic4
VUS32
Likely Benign2
Benign4
101
Pathogenic
4
Likely Pathogenic
32
VUS
2
Likely Benign
4
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
101
0
101
Likely Pathogenic
0
0
4
0
4
VUS
0
21
11
0
32
Likely Benign
0
1
1
0
2
Benign
0
0
3
1
4
Total0221201143

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

DEFB1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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