FOXB2

Chr 9

forkhead box B2

Also known as: FKH4, bA159H20.4

The protein is a transcription factor that binds DNA and regulates gene expression through RNA polymerase II. Mutations in FOXB2 cause autosomal recessive intellectual disability with distinctive facial features and developmental delays. The gene shows minimal constraint against loss-of-function variants in the general population.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.52
Clinical SummaryFOXB2
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.52LOEUF
pLI 0.000
Z-score 0.49
OE 0.82 (0.461.52)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.30Z-score
OE missense 0.95 (0.851.05)
229 obs / 242.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.82 (0.461.52)
00.351.4
Missense OE0.95 (0.851.05)
00.61.4
Synonymous OE1.04
01.21.6
LoF obs/exp: 7 / 8.6Missense obs/exp: 229 / 242.2Syn Z: -0.34
DN
0.6550th %ile
GOF
0.4875th %ile
LOF
0.65top 25%

This gene has evidence for multiple mechanisms of pathogenicity (dominant-negative and loss-of-function). Both the Badonyi & Marsh prediction and the broader genomic evidence point to dominant-negative as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

DNprediction above median
LOFprediction 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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

FOXB2 · 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.

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Clinical Literature
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Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC