FOXJ1

Chr 17AD

forkhead box J1

Also known as: CILD43, FKHL13, HFH-4, HFH4

FOXJ1 encodes a forkhead transcription factor that specifically activates genes required for motile cilia formation and assembly. Mutations cause primary ciliary dyskinesia with autosomal dominant inheritance, affecting respiratory function and potentially other ciliated tissues. The gene is highly constrained against loss-of-function variants (pLI 0.97, LOEUF 0.28), indicating mutations are likely to have significant clinical consequences.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismADLOEUF 0.281 OMIM phenotype
Clinical SummaryFOXJ1
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Gene-Disease Validity (ClinGen)
ciliary dyskinesia, primary, 43 · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.97). One damaged copy is likely sufficient to cause disease.
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GeneReview available — FOXJ1
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.28LOEUF
pLI 0.969
Z-score 3.04
OE 0.00 (0.000.28)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
0.70Z-score
OE missense 0.87 (0.780.98)
202 obs / 232.0 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.00 (0.000.28)
00.351.4
Missense OE0.87 (0.780.98)
00.61.4
Synonymous OE0.87
01.21.6
LoF obs/exp: 0 / 10.8Missense obs/exp: 202 / 232.0Syn Z: 1.07
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongFOXJ1-related motile ciliopathy with hydrocephalus and randomization of left/right body asymmetryLOFAD
DN
0.4289th %ile
GOF
0.4875th %ile
LOF
0.69top 10%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · 1 literature citation · LOEUF 0.28

Literature Evidence

LOFRNA analysis of cells derived from 2 patients showed haploinsufficiency for the FOXJ1 transcript, as well as reduced expression of other target genes involved in ciliogenesis, including DNAH5 (603335), DNAH11 (603339), and CCDC151 (615956).PMID:31630787

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

FOXJ1 · 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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Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗