F8 (Coagulation Factor VIII)

Essential clotting factor; mutations cause Hemophilia A

Gene Information Card

Symbol F8
Full Name Coagulation Factor VIII
Gene Type protein-coding
Chromosomal Location Xq28
NCBI Gene ID 2157 ncbi.nlm.nih.gov/gene/2157
Ensembl ID ENSG00000185010
UniProt ID P00451
OMIM ID 300841
HGNC ID 3546
Aliases F8C, HEMA, FVIII

Description

The F8 gene encodes coagulation factor VIII, a critical glycoprotein in the intrinsic blood coagulation cascade. Factor VIII circulates in plasma bound to von Willebrand factor and is activated by thrombin. Deficiency or dysfunction of factor VIII causes Hemophilia A, an X-linked recessive bleeding disorder. The gene spans approximately 186 kb and contains 26 exons.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Hemophilia A Loss-of-function mutations in F8 lead to deficient or dysfunctional factor VIII, impairing intrinsic coagulation pathway and causing prolonged bleeding. ClinVar, OMIM
Thrombosis (rare gain-of-function) Specific missense mutations (e.g., p.Arg602Gln) can increase factor VIII activity, predisposing to venous thromboembolism. OMIM, literature

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 0.2 Low
Blood 0.1 Low
Spleen 0.1 Low
Cell Line Expression
Cell Line nTPM Notes
HepG2 0.1 Hepatocyte cell line; low endogenous expression
K562 0.0 No detectable expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
Intron 22 inversion Structural variant ~45% of severe Hemophilia A Complete loss of factor VIII function
Intron 1 inversion Structural variant ~5% of severe Hemophilia A Complete loss of factor VIII function
c.2167G>A (p.Val723Met) Missense Common mild/moderate Reduced factor VIII activity
Mutation functional classification

Loss of Function (LOF)

Majority of Hemophilia A mutations (nonsense, frameshift, large deletions, inversions) cause complete or partial loss of factor VIII activity.

Gain of Function (GOF)

Rare missense variants (e.g., p.Arg602Gln) increase factor VIII activity and are associated with thrombotic risk.

Dominant Negative (DN)

Not described for F8; disease is X-linked recessive.

Pathways

• Intrinsic pathway of coagulation (Reactome: R-HSA-140837)
• Formation of Fibrin Clot (Clotting Cascade) (KEGG: hsa04610)

Protein Summary

Factor VIII is a large multidomain glycoprotein (2332 amino acids) synthesized primarily in hepatocytes and endothelial cells. It circulates as a heterodimer bound to von Willebrand factor. Upon proteolytic activation by thrombin, it dissociates and acts as a cofactor for factor IXa in the tenase complex, accelerating factor X activation. Deficiency leads to Hemophilia A, while excess activity can contribute to thrombosis.

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