FOXP2

Chr 7AD

forkhead box P2

Also known as: CAGH44, SPCH1, TNRC10

This gene encodes a member of the forkhead/winged-helix (FOX) family of transcription factors. It is expressed in fetal and adult brain as well as in several other organs such as the lung and gut. The protein product contains a FOX DNA-binding domain and a large polyglutamine tract and is an evolutionarily conserved transcription factor, which may bind directly to approximately 300 to 400 gene promoters in the human genome to regulate the expression of a variety of genes. This gene is required for proper development of speech and language regions of the brain during embryogenesis, and may be involved in a variety of biological pathways and cascades that may ultimately influence language development. Mutations in this gene cause speech-language disorder 1 (SPCH1), also known as autosomal dominant speech and language disorder with orofacial dyspraxia. Multiple alternative transcripts encoding different isoforms have been identified in this gene.[provided by RefSeq, Feb 2010]

Primary Disease Associations & Inheritance

Speech-language disorder-1MIM #602081
AD
0
Active trials
56
Pathogenic / LP
287
ClinVar variants
64
Pubs (1 yr)
1.9
Missense Z
0.22
LOEUF· LoF intolerant
Clinical SummaryFOXP2
🧬
Gene-Disease Validity (ClinGen)
specific language disorder · 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 1.00). One damaged copy is likely sufficient to cause disease.
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ClinVar Variants
56 Pathogenic / Likely Pathogenic· 151 VUS of 287 total submissions
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GeneReview available — FOXP2
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.22LOEUF
pLI 1.000
Z-score 6.06
OE 0.11 (0.060.22)
Highly constrained

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

Missense Constraint
1.90Z-score
OE missense 0.73 (0.660.80)
276 obs / 380.0 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.11 (0.060.22)
00.351.4
Missense OE0.73 (0.660.80)
00.61.4
Synonymous OE1.11
01.21.6
LoF obs/exp: 6 / 54.1Missense obs/exp: 276 / 380.0Syn Z: -0.99
LOF
DN
0.3793th %ile
GOF
0.4085th %ile
LOF
0.82top 5%

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

LOFprediction above median · 1 literature citation · 25% of P/LP variants are LoF · LOEUF 0.22

Literature Evidence

LOFPhenotype of FOXP2 haploinsufficiency in a mother and son.PMID:22106036

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

287 submitted variants in ClinVar

Classification Summary

Pathogenic38
Likely Pathogenic18
VUS151
Likely Benign48
Benign27
Conflicting5
38
Pathogenic
18
Likely Pathogenic
151
VUS
48
Likely Benign
27
Benign
5
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
11
1
26
0
38
Likely Pathogenic
3
5
10
0
18
VUS
5
109
33
4
151
Likely Benign
0
10
9
29
48
Benign
0
1
25
1
27
Conflicting
5
Total1912610334287

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

View in ClinVar →

FOXP2 · protein map & ClinVar variants

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

Gene2Phenotype Curations

FOXP2-related speech-language disorder

strong
ADLoss Of FunctionAbsent Gene Product
Dev. Disorders
G2P ↗

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Landmark / reviewRecent case evidence