ALX4 Gene: Aristaless-Like Homeobox 4

Key regulator of craniofacial and limb development; mutations linked to parietal foramina and frontonasal dysplasia.

Gene Information Card

Symbol ALX4
Full Name Aristaless-like homeobox 4
Gene Type Protein-coding
Chromosomal Location 11p11.2
NCBI Gene ID 60529 ncbi.nlm.nih.gov/gene/60529
Ensembl ID ENSG00000152818
UniProt ID Q9H161
OMIM ID 605422
HGNC ID 400
Aliases FND3, PFM2, KIAA1788

Description

ALX4 encodes a paired-class homeodomain transcription factor essential for craniofacial, limb, and skeletal development. It regulates mesenchymal cell proliferation and differentiation during embryogenesis. Loss-of-function mutations cause parietal foramina 2 (PFM2) and frontonasal dysplasia 3 (FND3). The protein binds DNA via its homeodomain and interacts with other transcription factors to control target gene expression.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Parietal foramina 2 (PFM2) Loss-of-function mutations in ALX4 impair osteoblast differentiation, leading to defective ossification of parietal bones. OMIM #609597; ClinVar; multiple familial cases reported.
Frontonasal dysplasia 3 (FND3) Biallelic loss-of-function mutations disrupt craniofacial patterning, causing hypertelorism, cleft lip/palate, and nasal defects. OMIM #613456; ClinVar; homozygous/compound heterozygous variants.
Potocki-Shaffer syndrome (contiguous gene deletion) Heterozygous deletion of 11p11.2 including ALX4 and EXT2 leads to parietal foramina, multiple exostoses, and intellectual disability. OMIM #601224; ClinVar; large deletions confirmed.

Expression Profile

Tissue Expression
Tissue nTPM level
Skin 0.2 Not detected
Bone marrow 0.1 Not detected
Brain (cerebellum) 0.0 Not detected
Heart 0.0 Not detected
Kidney 0.0 Not detected
Cell Line Expression
Cell Line nTPM Notes
HUVEC (umbilical vein endothelial) 0.0 No expression
HeLa (cervical carcinoma) 0.0 No expression
K562 (leukemia) 0.0 No expression
MCF7 (breast carcinoma) 0.0 No expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.226C>T (p.Arg76*) Nonsense Rare (found in PFM2 families) Loss-of-function; premature stop codon truncates homeodomain.
c.296_297delAG (p.Glu99Valfs*10) Frameshift Rare (FND3) Loss-of-function; frameshift leads to nonsense-mediated decay.
c.467G>A (p.Arg156His) Missense Rare (PFM2) Loss-of-function; disrupts DNA-binding affinity.
c.1A>G (p.Met1?) Start loss Rare (FND3) Loss-of-function; abolishes translation initiation.
Mutation functional classification

Loss of Function (LOF)

Majority of ALX4 mutations are loss-of-function (nonsense, frameshift, start loss, missense in homeodomain), leading to haploinsufficiency (PFM2) or biallelic deficiency (FND3).

Gain of Function (GOF)

No gain-of-function mutations reported in ALX4.

Dominant Negative (DN)

No dominant-negative mechanisms described for ALX4.

Gene Ontology (GO)

• DNA-binding transcription factor activity (GO:0003700) • RNA polymerase II cis-regulatory region sequence-specific DNA binding (GO:0000978)
• homeodomain binding (GO:0045329) • regulation of transcription by RNA polymerase II (GO:0006357)
• anterior/posterior pattern specification (GO:0009952) • skeletal system development (GO:0001501)
• craniofacial development (GO:0060322) • limb development (GO:0060173)

Pathways

Hedgehog signaling pathway (Reactome R-HSA-5358351)
Transcriptional regulation by RUNX2 (Reactome R-HSA-8939243)
Osteoblast differentiation (KEGG hsa04350)

Protein Summary

ALX4 is a 401-amino acid homeodomain transcription factor (UniProt Q9H161) expressed primarily in developing mesenchyme of the craniofacial region, limbs, and somites. The protein contains a paired-class homeodomain (residues 131-190) that mediates sequence-specific DNA binding. ALX4 functions as a transcriptional repressor or activator depending on context, and it interacts with MSX1, MSX2, and DLX5 to regulate bone and cartilage formation. In adults, expression is very low or absent in most tissues.

Related Products

Product name Cat.No. Species Gene ID
ALX4 Knockout HEK293 Cell Line EDJ-KQ12158 Human 60529 Details Get a Quote
ALX4 Knockout HeLa Cell Line EDJ-KQ56984 Human 60529 Details Get a Quote
ALX4 Knockout A-549 Cell Line EDJ-KQ65486 Human 60529 Details Get a Quote
ALX4 Knockout HCT 116 Cell Line EDJ-KQ73924 Human 60529 Details Get a Quote
Displaying Records 1 To 4 Of 4 Records
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