RUNX1 Gene: Structure, Function, and Clinical Significance

A master hematopoietic transcription factor implicated in leukemia and inherited platelet disorders

Gene Information Card

Symbol RUNX1
Full Name RUNX1 (runt-related transcription factor 1)
Gene Type Protein-coding
Chromosomal Location 21q22.12
NCBI Gene ID 861 ncbi.nlm.nih.gov/gene/861
Ensembl ID ENSG00000159216
UniProt ID Q01196
OMIM ID 153618
HGNC ID 10471
Aliases AML1, CBFA2, PEBP2aB, AML1-EVI-1

Description

The RUNX1 gene encodes the alpha subunit of the core binding factor (CBF) transcription factor complex. It is essential for definitive hematopoiesis, regulating the differentiation of hematopoietic stem cells into mature blood cells. RUNX1 functions as a sequence-specific DNA-binding protein that recruits co-activators or co-repressors to control gene expression. Chromosomal translocations involving RUNX1, such as t(8;21) and t(12;21), are common in acute leukemias. Germline mutations cause familial platelet disorder with associated myeloid malignancy (FPD/AML), and somatic mutations are frequent in various myeloid neoplasms.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Acute Myeloid Leukemia (AML) Chromosomal translocations (e.g., t(8;21)) create fusion proteins (RUNX1-RUNX1T1) that act as aberrant transcriptional repressors, blocking hematopoietic differentiation. Somatic mutations can also disrupt RUNX1 function. COSMIC, ClinVar, PMID: 15659725
Familial Platelet Disorder with Associated Myeloid Malignancy (FPD/AML) Germline loss-of-function mutations in RUNX1 cause haploinsufficiency or dominant-negative effects, leading to thrombocytopenia, platelet dysfunction, and increased risk of AML/MDS. OMIM #601399, ClinVar
Myelodysplastic Syndromes (MDS) Somatic mutations or deletions of RUNX1 are found in MDS, contributing to dysplastic hematopoiesis and progression to AML. COSMIC, PMID: 21467544
Acute Lymphoblastic Leukemia (ALL) The t(12;21) translocation (ETV6-RUNX1) is the most common genetic alteration in pediatric ALL, leading to a pre-leukemic clone. COSMIC, PMID: 10655503

Expression Profile

Tissue Expression
Tissue nTPM level
Bone Marrow High High
Spleen Medium Medium
Thymus Medium Medium
Lymph Node Medium Medium
Blood Medium Medium
Other tissues Low Low
Cell Line Expression
Cell Line nTPM Notes
K-562 (CML) High Leukemia cell line
HL-60 (PML) Medium Promyelocytic leukemia
MOLT-4 (ALL) Medium T-cell leukemia
A549 (Lung) Low Non-hematopoietic
HeLa (Cervical) Low Non-hematopoietic
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
Missense ~20% Loss of DNA binding or transactivation
Nonsense ~15% Truncated protein, loss of function
Frameshift ~30% Premature stop, loss of function
Chromosomal translocation Common in AML/ALL Fusion proteins (e.g., RUNX1-RUNX1T1, ETV6-RUNX1)
Deletion ~10% Haploinsufficiency
Mutation functional classification

Loss of Function (LOF)

Most RUNX1 mutations result in loss of function, either through haploinsufficiency or dominant-negative effects, impairing hematopoietic differentiation.

Gain of Function (GOF)

Rare; some missense mutations may alter DNA-binding specificity or protein interactions, but gain-of-function is not typical.

Dominant Negative (DN)

Certain missense mutations in the RUNT domain produce proteins that bind DNA but fail to transactivate, interfering with wild-type RUNX1 function.

Gene Ontology (GO)

• DNA-binding transcription factor activity • RNA polymerase II cis-regulatory region sequence-specific DNA binding
• Protein heterodimerization activity • Regulation of transcription by RNA polymerase II
• Hematopoietic stem cell differentiation • Cell differentiation
• Negative regulation of cell population proliferation

Pathways

Hematopoietic stem cell differentiation
RUNX1 regulation of megakaryocyte development
Core binding factor (CBF) complex signaling
Notch signaling (cross-talk)
TGF-beta signaling (cross-talk)

Protein Summary

The RUNX1 protein (also known as AML1) is a 480-amino acid transcription factor containing a conserved RUNT domain responsible for DNA binding and heterodimerization with CBFB. It regulates the expression of genes critical for hematopoiesis, including cytokines, growth factors, and cell cycle regulators. Post-translational modifications such as phosphorylation and acetylation modulate its activity. RUNX1 is essential for the emergence of definitive hematopoietic stem cells and for the maturation of megakaryocytes and lymphocytes. Dysregulation of RUNX1 is a hallmark of several leukemias.

Related Products

Product name Cat.No. Species Gene ID
RUNX1 Knockout HEK293 Cell Line EDJ-KQ2234 Human 861 Details Get a Quote
RUNX1T1 Knockout HEK293 Cell Line EDJ-KQ3204 Human 862 Details Get a Quote
RUNX1 Knockout A-549 Cell Line EDJ-KQ23891 Human 861 Details Get a Quote
RUNX1 Knockout HCT 116 Cell Line EDJ-KQ23893 Human 861 Details Get a Quote
RUNX1 Knockout HeLa Cell Line EDJ-KQ23894 Human 861 Details Get a Quote
RUNX1T1 Knockout HeLa Cell Line EDJ-KQ52794 Human 862 Details Get a Quote
RUNX1T1 Knockout A-549 Cell Line EDJ-KQ61265 Human 862 Details Get a Quote
RUNX1T1 Knockout HCT 116 Cell Line EDJ-KQ69760 Human 862 Details Get a Quote
RUNX1 Knockout 786-O Cell Line EDC90779 Human 861 Details Get a Quote
RUNX1 Knockout 769-P Cell Line EDC90780 Human 861 Details Get a Quote
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