FOXE1 Gene

Forkhead Box E1: A Key Transcription Factor in Thyroid Development and Cleft Palate

Gene Information Card

Symbol FOXE1
Full Name Forkhead Box E1
Gene Type Protein coding
Chromosomal Location 9q22.33
NCBI Gene ID 2304 ncbi.nlm.nih.gov/gene/2304
Ensembl ID ENSG00000178919
UniProt ID O00358
OMIM ID 602617
HGNC ID 3806
Aliases TITF2, FKHL15, TTF-2, TTF2

Description

FOXE1 (Forkhead Box E1) encodes a transcription factor belonging to the forkhead/winged-helix family. It is essential for thyroid morphogenesis, migration, and function, as well as for palate development. FOXE1 binds to DNA via a forkhead domain and regulates expression of thyroid-specific genes such as thyroglobulin (TG) and thyroid peroxidase (TPO). Mutations in FOXE1 cause Bamforth-Lazarus syndrome, characterized by congenital hypothyroidism due to thyroid agenesis or dysgenesis, cleft palate, and spiky hair. FOXE1 is also implicated in susceptibility to thyroid cancer and orofacial clefts.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Bamforth-Lazarus syndrome (congenital hypothyroidism, cleft palate, spiky hair) Loss-of-function mutations in FOXE1 disrupt thyroid development and palate fusion, leading to agenesis or dysgenesis of the thyroid gland and cleft palate. OMIM #241850; ClinVar; multiple case reports
Thyroid dysgenesis FOXE1 mutations impair thyroid gland migration and differentiation, resulting in ectopic or absent thyroid tissue. OMIM #218700; NCBI GeneReviews
Cleft palate (nonsyndromic) FOXE1 variants alter transcriptional regulation of palatal fusion genes, increasing risk of isolated cleft palate. GWAS studies; ClinVar
Thyroid cancer (papillary) FOXE1 polymorphisms (e.g., rs965513) are associated with increased risk of papillary thyroid carcinoma. COSMIC; NCBI PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Thyroid gland 12.5 High
Salivary gland 5.2 Medium
Esophagus 3.8 Medium
Skin 2.1 Low
Lung 1.0 Low
Cell Line Expression
Cell Line nTPM Notes
Thyroid follicular epithelial cells 15.0 Primary expression site
Nthy-ori 3-1 (thyroid cell line) 8.4 Model for thyroid function
HeLa 0.5 Low expression
HEK293 0.3 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.251C>T (p.Ala84Val) Missense Rare Loss of DNA-binding activity; associated with Bamforth-Lazarus syndrome
c.307C>T (p.Arg103Ter) Nonsense Rare Premature truncation; loss of function; thyroid agenesis
c.559C>T (p.Arg187Trp) Missense Rare Impaired transcriptional activation; cleft palate phenotype
rs965513 (intergenic near FOXE1) SNP Common (allele frequency ~0.3) Risk allele for papillary thyroid carcinoma
Mutation functional classification

Loss of Function (LOF)

FOXE1 loss-of-function mutations (e.g., p.Ala84Val, p.Arg103Ter) impair DNA binding or protein stability, leading to reduced transcription of thyroid-specific genes, resulting in thyroid dysgenesis and Bamforth-Lazarus syndrome.

Gain of Function (GOF)

No well-characterized gain-of-function mutations reported in FOXE1. Overexpression in thyroid cancer may contribute to tumor progression but is not classified as a mutation-driven gain-of-function.

Dominant Negative (DN)

Dominant-negative effects have not been clearly demonstrated for FOXE1 mutations; the disorder follows autosomal recessive inheritance, suggesting haploinsufficiency or complete loss of function.

Pathways

Thyroid hormone synthesis (Reactome: R-HSA-209968)
Developmental biology (Reactome: R-HSA-1266738)
Transcriptional regulation by FOXE1 (Reactome: R-HSA-9619483)

Protein Summary

FOXE1 (Forkhead Box E1) is a 367-amino acid transcription factor with a conserved forkhead DNA-binding domain. It localizes to the nucleus and binds to DNA sequences containing the core motif 5'-A(A/T)TRTT(G/T)-3'. FOXE1 is critical for thyroid gland development, regulating genes such as TG, TPO, and TSHR. It also plays a role in palate formation and hair follicle development. The protein interacts with other transcription factors (e.g., PAX8, NKX2-1) to coordinate thyroid organogenesis. Post-translational modifications include phosphorylation, which may modulate its activity.

Related Products

Product name Cat.No. Species Gene ID
FOXE1 Knockout HEK293 Cell Line EDJ-KQ4611 Human 2304 Details Get a Quote
FOXE1 Knockout A-549 Cell Line EDJ-KQ27284 Human 2304 Details Get a Quote
FOXE1 Knockout HeLa Cell Line EDJ-KQ27285 Human 2304 Details Get a Quote
FOXE1 Knockout HCT 116 Cell Line EDJ-KQ70213 Human 2304 Details Get a Quote
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