FOXC1 Gene: Forkhead Box C1

Key regulator of ocular, cardiovascular, and craniofacial development; associated with Axenfeld-Rieger syndrome and glaucoma

Gene Information Card

Symbol FOXC1
Full Name Forkhead Box C1
Gene Type Protein coding
Chromosomal Location 6p25.3
NCBI Gene ID 2296 ncbi.nlm.nih.gov/gene/2296
Ensembl ID ENSG00000054598
UniProt ID Q12948
OMIM ID 601090
HGNC ID 3800
Aliases FKHL7, FREAC3, IHG1, IRID1, RIEG3

Description

FOXC1 encodes a member of the forkhead family of transcription factors, characterized by a distinct forkhead DNA-binding domain. The protein regulates the expression of genes involved in embryonic development, particularly of the eye, heart, and craniofacial structures. FOXC1 is essential for the formation of the anterior segment of the eye and the development of the cardiac outflow tract. Mutations in FOXC1 cause Axenfeld-Rieger syndrome type 3 and are associated with primary congenital glaucoma and other anterior segment dysgenesis disorders.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Axenfeld-Rieger syndrome type 3 Haploinsufficiency due to loss-of-function mutations disrupts anterior segment development OMIM #602482; ClinVar
Primary congenital glaucoma Missense or nonsense mutations impair FOXC1 transcriptional activity, leading to trabecular meshwork dysgenesis OMIM #231300; ClinVar
Anterior segment dysgenesis Dominant-negative or loss-of-function mutations alter cell migration and differentiation in the developing eye OMIM #107250; ClinVar
Cardiac outflow tract malformations FOXC1 regulates genes involved in neural crest cell migration; mutations cause conotruncal defects OMIM #601090; PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Eye (retina, cornea, lens) 12.5 High
Heart 8.3 Medium
Brain (cerebellum) 6.1 Medium
Lung 4.7 Low
Kidney 3.2 Low
Cell Line Expression
Cell Line nTPM Notes
ARPE-19 (retinal pigment epithelium) 15.2 High expression
H9 (embryonic stem cells) 9.8 Moderate expression
HeLa (cervical carcinoma) 2.1 Low expression
HepG2 (hepatocellular carcinoma) 1.5 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.255C>A (p.Tyr85*) Nonsense Rare Loss of function; truncation of forkhead domain
c.349G>A (p.Gly117Arg) Missense Rare Impaired DNA binding; dominant-negative effect
c.402_403insC (p.Leu135Profs*24) Frameshift Rare Loss of function; premature termination
c.500T>C (p.Leu167Pro) Missense Rare Reduced transactivation activity
Mutation functional classification

Loss of Function (LOF)

Nonsense, frameshift, and some missense mutations that reduce or abolish DNA binding and transcriptional activation; associated with Axenfeld-Rieger syndrome and glaucoma.

Gain of Function (GOF)

Not commonly reported; most pathogenic FOXC1 mutations are loss-of-function or dominant-negative.

Dominant Negative (DN)

Missense mutations in the forkhead domain (e.g., p.Gly117Arg) that retain dimerization but impair DNA binding, interfering with wild-type FOXC1 function.

Pathways

• Developmental Biology (Reactome: R-HSA-1266738)
• Transcriptional regulation by FOXC1 (Reactome: R-HSA-9616222)
• Anterior segment development (KEGG: hsa04350 – TGF-beta signaling pathway
• indirect)

Protein Summary

FOXC1 is a 553-amino acid transcription factor containing a highly conserved forkhead DNA-binding domain (residues 82–176). It binds to the consensus sequence 5'-RYMAAYA-3' and regulates target genes involved in cell proliferation, migration, and differentiation during embryogenesis. The protein localizes to the nucleus and can act as both an activator and repressor of transcription. Post-translational modifications include phosphorylation, which modulates its activity. FOXC1 is critical for ocular anterior segment formation, and its dysregulation leads to developmental glaucoma and craniofacial anomalies.

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