CFD

protein-coding

complement factor D, the group of Granule associated serine proteases of immune defence|Complement system activation components

Gene summary

This gene encodes a member of the S1, or chymotrypsin, family of serine peptidases. This protease catalyzes the cleavage of factor B, the rate-limiting step of the alternative pathway of complement activation. This protein also functions as an adipokine, a cell signaling protein secreted by adipocytes, which regulates insulin secretion in mice. Mutations in this gene underlie complement factor D deficiency, which is associated with recurrent bacterial meningitis infections in human patients. Alternative splicing of this gene results in multiple transcript variants. At least one of these variants encodes a preproprotein that is proteolytically processed to generate the mature protease. [provided by RefSeq, Nov 2015]

Previous symbols:
  • DF
  • PFD

MANE transcript

NM_001928.4

Inheritance

AR

ClinVar variants

P:16U:162B:96

Top phenotype

Complement factor D deficiency

gnomAD constraint

pLI —, LoF o/e 0.97

Max pathogenic AF

—

Genomic locus

chr19:859,453-867,884

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~8.4 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

recurrent Neisseria infections due to factor D deficiencySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013487

Submitter: Labcorp Genetics (formerly Invitae)

recurrent Neisseria infections due to factor D deficiencyLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0013487

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Complement factor D deficiencyAR

Manifestation: Allergy/Immunology/Infectious

Intervention: Allergy/Immunology/Infectious

Rationale: Individuals may manifest with increased susceptibility to bacterial infections (especially Neisseria), and antiinfectious prophylaxis and early and aggressive treatment of infections may be beneficial

Refs: 11457876; 16527897Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to CFD variants in ClinVar

4 Conditions Cataloged
not providedTotal: 276
not specifiedTotal: 101
Recurrent Neisseria infections due to factor D deficiencyTotal: 12
CFD-related disorderTotal: 10

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001928.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
1
clinvar
88
clinvar
1
clinvar
90
missense
157
clinvar
6
clinvar
1
clinvar
164
nonsense
5
clinvar
5
start loss
0
frameshift
1
clinvar
3
clinvar
3
clinvar
7
splice donor/acceptor (+/-2bp)
7
clinvar
1
clinvar
8
Total610162942274

Highest pathogenic variant AF is 0.0000505139

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 17 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001928.4RefSeqNP_001919.25MANE Select
ENST00000327726.11EnsemblENSP00000332139.45MANE Select
NM_001317335.2RefSeqNP_001304264.15Standard
ENST00000592860.3EnsemblENSP00000468253.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Complement and coagulation cascades - Homo sapiens (human)
  • Staphylococcus aureus infection - Homo sapiens (human)
  • Adipogenesis
  • Human Complement System
  • Dengue-2 Interactions with Complement and Coagulation Cascades

Biological Process

  • platelet degranulation
  • proteolysis
  • complement activation
  • complement activation, alternative pathway
  • neutrophil degranulation

Molecular Function

  • serine-type endopeptidase activity
  • serine-type peptidase activity

Cellular Component

  • extracellular region
  • platelet alpha granule lumen
  • secretory granule lumen
  • extracellular exosome
  • ficolin-1-rich granule lumen

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000327726
Coding exons
5
Length
4001
Individuals with no LoFs
119325
Homozygous LoFs
0
Heterozygous LoFs
9
Defined
119334
p
0.0000377
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.6251931701.130.00001031544
Missense (PolyPhen)7165.4951.0841651
Synonymous-0.5608477.71.080.00000465547
Loss of Function0.089288.280.9673.55e-789

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000900.000085rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Factor D cleaves factor B when the latter is complexed with factor C3b, activating the C3bbb complex, which then becomes the C3 convertase of the alternate pathway. Its function is homologous to that of C1s in the classical pathway.;
Disease
DISEASE: Complement factor D deficiency (CFDD) [MIM:613912]: An immunologic disorder characterized by increased susceptibility to bacterial infections, particularly Neisseria infections, due to a defect in the alternative complement pathway. {ECO:0000269|PubMed:16527897}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.500

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
H
Indispensability pred.
E
Indispensability score
0.782

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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