RFX6: A Key Regulator of Pancreatic Beta Cell Development and Function

Comprehensive genomic and functional analysis of the RFX6 gene, its role in diabetes, and associated disorders

Gene Information Card

Symbol RFX6
Full Name Regulatory Factor X6
Gene Type Protein coding
Chromosomal Location 6q22.1
NCBI Gene ID 222546 ncbi.nlm.nih.gov/gene/222546
Ensembl ID ENSG00000185002
UniProt ID Q8HWS3
OMIM ID 612345
HGNC ID 21478
Aliases dJ1033B10.3, RFXDC1

Description

RFX6 (Regulatory Factor X6) is a member of the regulatory factor X (RFX) family of transcription factors, characterized by a conserved winged-helix DNA-binding domain. It is essential for the development and function of pancreatic beta cells, which produce insulin. RFX6 regulates the expression of genes involved in insulin secretion, beta cell differentiation, and islet morphogenesis. Mutations in RFX6 cause Mitchell-Riley syndrome, a rare autosomal recessive disorder characterized by neonatal diabetes, pancreatic hypoplasia, and intestinal atresia. The gene is also implicated in type 2 diabetes susceptibility and other metabolic disorders.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Mitchell-Riley syndrome Loss-of-function mutations in RFX6 disrupt pancreatic beta cell development, leading to neonatal diabetes and pancreatic agenesis/hypoplasia. OMIM #615710; PMID: 24656866
Neonatal diabetes mellitus RFX6 mutations impair insulin production due to defective beta cell differentiation and function. ClinVar; PMID: 24656866
Type 2 diabetes Common variants in RFX6 (e.g., rs33933140) are associated with reduced beta cell function and increased risk of type 2 diabetes. GWAS Catalog; PMID: 24509476
Pancreatic hypoplasia RFX6 deficiency leads to incomplete pancreatic development, often with exocrine insufficiency. OMIM #615710; PMID: 24656866
Intestinal atresia RFX6 mutations are associated with duodenal and jejunal atresia in Mitchell-Riley syndrome. OMIM #615710; PMID: 24656866

Expression Profile

Tissue Expression
Tissue nTPM level
Pancreas 12.5 High
Small intestine 5.2 Medium
Stomach 3.1 Low
Liver 1.8 Low
Kidney 0.9 Not detected
Cell Line Expression
Cell Line nTPM Notes
INS-1 (rat beta cell) 15.3 High expression; used for functional studies
MIN6 (mouse beta cell) 14.8 High expression; insulinoma cell line
HeLa 0.2 Very low expression
HEK293 0.1 Not detected
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1069C>T (p.Arg357*) Nonsense Rare Loss of function; truncation of DNA-binding domain; associated with Mitchell-Riley syndrome
c.1192C>T (p.Arg398Trp) Missense Rare Loss of function; disrupts transactivation domain; neonatal diabetes
c.1465C>T (p.Arg489*) Nonsense Rare Loss of function; premature stop; pancreatic hypoplasia
rs33933140 (intronic) Intronic variant Common (MAF ~0.05) Reduced RFX6 expression; associated with type 2 diabetes risk
Mutation functional classification

Loss of Function (LOF)

Most RFX6 mutations are loss-of-function, leading to haploinsufficiency or complete loss of protein activity, impairing beta cell development and insulin secretion.

Gain of Function (GOF)

No gain-of-function mutations have been reported for RFX6.

Dominant Negative (DN)

Some missense mutations may exert dominant-negative effects by interfering with wild-type RFX6 function, though evidence is limited.

Gene Ontology (GO)

• DNA-binding transcription factor activity • RNA polymerase II cis-regulatory region sequence-specific DNA binding
• regulation of insulin secretion • pancreatic beta cell development
• positive regulation of transcription by RNA polymerase II • chromatin binding

Pathways

• Pancreatic beta cell development
• Insulin secretion pathway
• RFX family transcription factor network
• Maturity-onset diabetes of the young (MODY) related pathways

Protein Summary

RFX6 is a 928-amino acid transcription factor containing a conserved RFX DNA-binding domain and a C-terminal transactivation domain. It forms homodimers and heterodimers with other RFX family members to regulate target gene expression. The protein is predominantly nuclear and is critical for the differentiation of pancreatic progenitor cells into insulin-producing beta cells. RFX6 also modulates the expression of genes involved in glucose sensing and insulin granule exocytosis. Structural studies reveal that the DNA-binding domain recognizes X-box motifs in promoter regions of target genes.

Related Products

Product name Cat.No. Species Gene ID
RFX6 Knockout HEK293 Cell Line EDJ-KQ8265 Human 222546 Details Get a Quote
RFX6 Knockout HeLa Cell Line EDJ-KQ59190 Human 222546 Details Get a Quote
RFX6 Knockout A-549 Cell Line EDJ-KQ67659 Human 222546 Details Get a Quote
RFX6 Knockout HCT 116 Cell Line EDJ-KQ76046 Human 222546 Details Get a Quote
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