HESX1 Gene: Homeobox Expressed in ES Cells 1

Key regulator of forebrain and pituitary development; mutations linked to septo-optic dysplasia and combined pituitary hormone deficiency.

Gene Information Card

Symbol HESX1
Full Name Homeobox Expressed in ES Cells 1
Gene Type Protein-coding
Chromosomal Location 3p14.3
NCBI Gene ID 8820 ncbi.nlm.nih.gov/gene/8820
Ensembl ID ENSG00000163666
UniProt ID Q9UBX0
OMIM ID 601802
HGNC ID 4877
Aliases ANF, CPHD5, RPX, HESX1/RPX

Description

HESX1 encodes a homeobox-containing transcription factor essential for the development of the forebrain, eyes, and pituitary gland. It acts as a transcriptional repressor during early embryogenesis, regulating the formation of the anterior neural plate and Rathke's pouch. Loss-of-function mutations cause septo-optic dysplasia (SOD) and combined pituitary hormone deficiency (CPHD).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Septo-optic dysplasia (SOD) Loss-of-function mutations impair forebrain and pituitary development, leading to optic nerve hypoplasia, midline brain defects, and pituitary hypoplasia. ClinVar, OMIM
Combined pituitary hormone deficiency (CPHD) Homozygous or compound heterozygous mutations disrupt pituitary organogenesis, resulting in deficiencies of GH, TSH, ACTH, and gonadotropins. ClinVar, OMIM
Isolated growth hormone deficiency (IGHD) Rare missense variants may partially impair HESX1 function, leading to isolated GH deficiency without other pituitary hormone deficits. ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Pituitary gland 12.5 Medium
Brain (cerebral cortex) 8.2 Low
Eye (retina) 6.0 Low
Testis 3.1 Low
Thyroid 2.0 Not detected
Cell Line Expression
Cell Line nTPM Notes
SH-SY5Y (neuroblastoma) 15.3 Neuronal lineage
NT2/D1 (embryonal carcinoma) 10.8 Stem cell model
HeLa (cervical carcinoma) 2.1 Low expression
MCF7 (breast carcinoma) 1.5 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.449G>A (p.Arg150Gln) Missense Rare (SOD) Loss of DNA-binding and transcriptional repression
c.306C>A (p.Tyr102*) Nonsense Rare (CPHD) Premature truncation, loss of function
c.1A>G (p.Met1?) Start loss Rare (SOD) No protein translation
c.218_219del (p.Leu73Argfs*12) Frameshift Rare (CPHD) Frameshift, loss of function
Mutation functional classification

Loss of Function (LOF)

Most HESX1 mutations are loss-of-function, leading to haploinsufficiency or complete loss of transcriptional repressor activity, causing SOD or CPHD.

Gain of Function (GOF)

No gain-of-function mutations reported.

Dominant Negative (DN)

Some missense mutations (e.g., p.Arg150Gln) may exert dominant-negative effects by interfering with wild-type HESX1 function in heterozygous carriers.

Pathways

• Pituitary development and organogenesis
• Forebrain patterning (Shh signaling)
• Wnt signaling modulation

Protein Summary

HESX1 is a 185-amino-acid homeodomain transcription factor that localizes to the nucleus. It binds DNA via its homeodomain and represses target genes by recruiting co-repressors such as TLE1. The protein is critical for early forebrain and pituitary development. Mutations disrupt its repressor function, leading to congenital hypopituitarism and midline brain defects.

Related Products

Product name Cat.No. Species Gene ID
HESX1 Knockout HEK293 Cell Line EDJ-KQ3186 Human 8820 Details Get a Quote
HESX1 Knockout A-549 Cell Line EDJ-KQ24622 Human 8820 Details Get a Quote
HESX1 Knockout HCT 116 Cell Line EDJ-KQ24623 Human 8820 Details Get a Quote
HESX1 Knockout HeLa Cell Line EDJ-KQ24624 Human 8820 Details Get a Quote
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