CFH Gene - Complement Factor H

Key regulator of the alternative complement pathway, associated with age-related macular degeneration and atypical hemolytic uremic syndrome

Gene Information Card

Symbol CFH
Full Name Complement Factor H
Gene Type Protein coding
Chromosomal Location 1q31.3
NCBI Gene ID 3075 ncbi.nlm.nih.gov/gene/3075
Ensembl ID ENSG00000000971
UniProt ID P08603
OMIM ID 134370
HGNC ID 4883
Aliases AHUS1, AMBP1, CFHL3, FH, FHL1, HF, HF1, HF2, HUS

Description

The CFH gene encodes complement factor H, a soluble glycoprotein that regulates the alternative complement pathway. Factor H binds to C3b, accelerates the decay of the C3 convertase (C3bBb), and acts as a cofactor for factor I-mediated cleavage of C3b. It is essential for protecting host cells from complement-mediated damage. Mutations and polymorphisms in CFH are strongly associated with age-related macular degeneration (AMD) and atypical hemolytic uremic syndrome (aHUS).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Age-related macular degeneration (AMD) Polymorphisms (e.g., Y402H) reduce factor H binding to C-reactive protein and glycosaminoglycans, leading to uncontrolled complement activation on retinal pigment epithelium. NCBI Gene, OMIM, ClinVar
Atypical hemolytic uremic syndrome (aHUS) Loss-of-function mutations impair factor H's ability to regulate complement on endothelial surfaces, resulting in thrombotic microangiopathy. NCBI Gene, OMIM, ClinVar
C3 glomerulopathy (C3G) Deficiency or dysfunction of factor H leads to uncontrolled C3 activation and deposition in glomeruli. NCBI Gene, OMIM
Hemolytic uremic syndrome, atypical, susceptibility to Heterozygous mutations in CFH predispose to aHUS. ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 100.0 High
Plasma N/A High (secreted)
Kidney 10.0 Medium
Retina 5.0 Low
Brain 3.0 Low
Cell Line Expression
Cell Line nTPM Notes
HepG2 (liver) 100.0 High expression
ARPE-19 (retinal pigment epithelium) 5.0 Low expression
HEK293 (embryonic kidney) 8.0 Moderate expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1204C>T (p.Arg402His) SNP (rs1061170) ~30% in European populations Reduced binding to C-reactive protein and heparin; risk factor for AMD
c.3572C>T (p.Ser1191Leu) Missense Rare Associated with aHUS; impairs C3b binding and cofactor activity
c.2850G>T (p.Trp950Cys) Missense Rare Causes aHUS; disrupts C-terminal domain function
c.94C>T (p.Arg32*) Nonsense Rare Complete loss of function; associated with C3 glomerulopathy
Mutation functional classification

Loss of Function (LOF)

Nonsense and missense mutations (e.g., p.Trp950Cys, p.Arg32*) impair C3b binding, cofactor activity, or secretion, leading to aHUS or C3G.

Gain of Function (GOF)

Not described for CFH.

Dominant Negative (DN)

Heterozygous missense mutations (e.g., p.Ser1191Leu) can interfere with wild-type factor H function, contributing to aHUS.

Pathways

Complement and coagulation cascades (KEGG: hsa04610)
Alternative complement pathway (Reactome: R-HSA-173736)
Regulation of complement cascade (Reactome: R-HSA-977606)

Protein Summary

Complement factor H is a 155 kDa glycoprotein composed of 20 short consensus repeats (SCRs) also known as complement control protein (CCP) modules. It is primarily synthesized in the liver and circulates in plasma. Factor H binds to C3b and host cell surfaces via sialic acid and glycosaminoglycans, preventing complement activation on self-tissues. Its C-terminal domains (SCRs 19-20) are critical for surface recognition, while N-terminal domains (SCRs 1-4) mediate cofactor and decay-accelerating activities. Mutations in the C-terminal region are common in aHUS, while the Y402H polymorphism in SCR 7 is a major risk factor for AMD.

Related Products

Product name Cat.No. Species Gene ID
CFHR4 Knockout HEK293 Cell Line EDJ-KQ3499 Human 10877 Details Get a Quote
CFHR2 Knockout HEK293 Cell Line EDJ-KQ4859 Human 3080 Details Get a Quote
CFHR5 Knockout HEK293 Cell Line EDJ-KQ8908 Human 81494 Details Get a Quote
CFH Knockout HEK293 Cell Line EDJ-KQ50344 Human 3075 Details Get a Quote
CFHR1 Knockout HEK293 Cell Line EDJ-KQ50345 Human 3078 Details Get a Quote
CFHR3 Knockout HEK293 Cell Line EDJ-KQ51013 Human 10878 Details Get a Quote
CFH Knockout HeLa Cell Line EDJ-KQ53510 Human 3075 Details Get a Quote
CFHR1 Knockout HeLa Cell Line EDJ-KQ53511 Human 3078 Details Get a Quote
CFHR2 Knockout HeLa Cell Line EDJ-KQ53512 Human 3080 Details Get a Quote
CFHR4 Knockout HeLa Cell Line EDJ-KQ55509 Human 10877 Details Get a Quote
CFHR3 Knockout HeLa Cell Line EDJ-KQ55510 Human 10878 Details Get a Quote
CFHR5 Knockout HeLa Cell Line EDJ-KQ57390 Human 81494 Details Get a Quote
CFH Knockout A-549 Cell Line EDJ-KQ61979 Human 3075 Details Get a Quote
CFHR1 Knockout A-549 Cell Line EDJ-KQ61980 Human 3078 Details Get a Quote
CFHR2 Knockout A-549 Cell Line EDJ-KQ61981 Human 3080 Details Get a Quote
Displaying Records 1 To 15 Of 28 Records
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