FOXD4

Chr 9

forkhead box D4

Also known as: FKHL9, FOXD4A, FREAC-5, FREAC5

FOXD4 encodes a forkhead transcription factor that regulates metabolism, cell proliferation, and gene expression during development. Mutations cause a complex phenotype characterized by dilated cardiomyopathy, obsessive-compulsive disorders, and suicidality with autosomal dominant inheritance. The gene is not highly constrained against loss-of-function variants, suggesting tolerance to protein-truncating mutations.

OMIMResearchSummary from RefSeq
DNmechanismLOEUF 1.90
Clinical SummaryFOXD4
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
1.90LOEUF
pLI 0.000
Z-score -0.63
OE 1.29 (0.711.90)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-4.07Z-score
OE missense 1.74 (1.601.88)
418 obs / 240.4 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.29 (0.711.90)
00.351.4
Missense OE1.74 (1.601.88)
00.61.4
Synonymous OE1.59
01.21.6
LoF obs/exp: 7 / 5.4Missense obs/exp: 418 / 240.4Syn Z: -4.84
DN
0.6744th %ile
GOF
0.5955th %ile
LOF
0.4528th %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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

FOXD4 · 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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