FBH1

Chr 10AD

F-box DNA helicase 1

Also known as: FBXO18, Fbx18, hFBH1

This protein functions as a 3'-5' DNA helicase that maintains genome stability by regulating DNA replication fork processing and homologous recombination, and also serves as a component of an E3 ubiquitin ligase complex. Mutations cause autosomal dominant early-onset epilepsy with or without developmental delay, neurodevelopmental disorder with speech impairment and dysmorphic features, or hypocalciuric hypercalcemia. The gene is highly constrained against loss-of-function variants (LOEUF 0.479), indicating that such variants are likely pathogenic.

OMIMResearchSummary from RefSeq, OMIM, UniProt
ADLOEUF 0.483 OMIM phenotypes
Clinical SummaryFBH1
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.32) despite low pLI — interpret in context.
📋
ClinVar Variants
26 unique Pathogenic / Likely Pathogenic· 155 VUS of 231 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.48LOEUF
pLI 0.000
Z-score 4.69
OE 0.32 (0.220.48)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
2.82Z-score
OE missense 0.69 (0.640.75)
453 obs / 656.4 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.32 (0.220.48)
00.351.4
Missense OE0.69 (0.640.75)
00.61.4
Synonymous OE0.96
01.21.6
LoF obs/exp: 18 / 55.8Missense obs/exp: 453 / 656.4Syn Z: 0.49

ClinVar Variant Classifications

231 submitted variants in ClinVar

Classification Summary

Pathogenic24
Likely Pathogenic2
VUS155
Likely Benign8
Benign1
24
Pathogenic
2
Likely Pathogenic
155
VUS
8
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
24
0
24
Likely Pathogenic
0
0
2
0
2
VUS
0
143
12
0
155
Likely Benign
0
8
0
0
8
Benign
0
0
1
0
1
Total0151390190

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

View in ClinVar →

Protein Context — Lollipop Plot

FBH1 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC