NFIA

Chr 1AD

nuclear factor I A

Also known as: BRMUTD, C1DELp32p31, CTF, DEL1P32P31, NF-I/A, NF1-A, NFI-A, NFI-L

This gene encodes a transcription factor that recognizes and binds specific palindromic DNA sequences in viral and cellular promoters to activate transcription and replication. Mutations cause brain malformations with or without urinary tract defects with autosomal dominant inheritance. The gene is highly constrained against loss-of-function variants (pLI 1.0, LOEUF 0.20), indicating that haploinsufficiency is likely not tolerated in the general population.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismADLOEUF 0.201 OMIM phenotype
Clinical SummaryNFIA
🧬
Gene-Disease Validity (ClinGen)
brain malformations with or without urinary tract defects · 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.
💊
Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint
0.20LOEUF
pLI 1.000
Z-score 4.85
OE 0.06 (0.030.20)
Highly constrained

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

Missense Constraint
3.23Z-score
OE missense 0.49 (0.430.56)
158 obs / 320.9 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.06 (0.030.20)
00.351.4
Missense OE0.49 (0.430.56)
00.61.4
Synonymous OE1.01
01.21.6
LoF obs/exp: 2 / 31.2Missense obs/exp: 158 / 320.9Syn Z: -0.11
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongNFIA-related macrocephaly with intellectual disabilityLOFAD
DN
0.3196th %ile
GOF
0.3293th %ile
LOF
0.87top 5%

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

LOFprediction above median · 1 literature citation · LOEUF 0.20

Literature Evidence

LOFWe describe five individuals who share phenotypically related CNS malformations and in some cases urinary tract defects, and also haploinsufficiency for the NFIA transcription factor gene due to chromosomal translocation or deletion.PMID:17530927

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

NFIA · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
Open Research Assistant →