FANCA
protein-codingFA complementation group A, the group of FA core complex|FA complementation groups
Gene summary
The Fanconi anemia complementation group (FANC) currently includes FANCA, FANCB, FANCC, FANCD1 (also called BRCA2), FANCD2, FANCE, FANCF, FANCG, FANCI, FANCJ (also called BRIP1), FANCL, FANCM and FANCN (also called PALB2). The previously defined group FANCH is the same as FANCA. Fanconi anemia is a genetically heterogeneous recessive disorder characterized by cytogenetic instability, hypersensitivity to DNA crosslinking agents, increased chromosomal breakage, and defective DNA repair. The members of the Fanconi anemia complementation group do not share sequence similarity; they are related by their assembly into a common nuclear protein complex. This gene encodes the protein for complementation group A. Alternative splicing results in multiple transcript variants encoding different isoforms. Mutations in this gene are the most common cause of Fanconi anemia. [provided by RefSeq, Jul 2008]
- FACA
- FANCH
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~90.3 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: Myriad Women's Health
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: G2P
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: Laboratory for Molecular Medicine
This gene-disease relationship has undergone rapid assessment. Classifications are based on preliminary review of gene-disease validity during analysis of genomic sequencing results.
Inheritance Pattern: AR
Disease ID:MONDO:0019391
Submitter: Orphanet
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: Ambry Genetics
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: ClinGen
There is abundant evidence published associating the FANCA gene with Fanconi anemia complementation group A, since the gene-disease relationship was first proposed by Fanconi Anaemia/Breast Cancer Consortium (1996). Multiple case level studies have been performed with FA patients that have variants in the FANCA gene. Eight of the FA proteins (FANCA, FANCB, FANCC, FANCE, FANCF, FANCG, FANCL, and FANCM) are part of a nuclear multiprotein core complex which triggers activating monoubiquitination of the FANCD2 in the FA/BRCA DNA repair pathway. Multiple Fanca deficient mouse models have been established to show consistent phenotypes with FA patients including growth retardation, microphthalmia, craniofacial malformations, and hypogonadism. All of these types of evidence are consistent with a definitive relationship between the FANCA gene and Fanconi anemia complementation group A.
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: PanelApp Australia
Inheritance Pattern: AR
Disease ID:MONDO:0009215
Submitter: Natera
Clinical Genomic Database (CGD)
Manifestation: Audiologic/Otolaryngologic; Allergy/Immunology/Infectious; Cardiovascular; Dermatologic; Gastrointestinal; Hematologic; Musculoskeletal; Neurologic; Oncologic; Ophthalmologic; Renal
Intervention: Allergy/Immunology/Infectious; Cardiovascular; Hematologic; Oncologic
Rationale: Specific treatments can help manifestations (eg, oral androgens for blood counts; G-CSF for neutrophil count); HSCT can be curative, but solid tumor risk may remain; Surveillance for complications such as bone marrow failure is recommended; Fanconi anemia can involve congenital cardiac (and other) anomalies, and awareness may allow early management
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to FANCA variants in ClinVar
ClinVar Variants & Pathogenicity by Type
Statistics based on transcript NM_000135.4. 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.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 5 | 2 | 43 | 1354 | 6 | 1410 |
| missense | 32 | 79 | 2508 | 229 | 4 | 2852 |
| nonsense | 127 | 108 | 5 | 240 | ||
| start loss | 4 | 6 | 10 | |||
| frameshift | 211 | 158 | 10 | 379 | ||
| splice donor/acceptor (+/-2bp) | 83 | 168 | 18 | 1 | 270 | |
| Total | 462 | 521 | 2584 | 1584 | 10 | 5161 |
Highest pathogenic variant AF is 0.00012729385
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_000126.2 | 43 | MANE Select | |
| Ensembl | ENSP00000373952.3 | 43 | MANE Select | |
| RefSeq | NP_001018122.1 | 11 | Standard | |
| RefSeq | NP_001273096.1 | 43 | Standard |
Gene Ontology (GO) Annotations & Pathways
Biological processes, molecular functions, cellular components and pathways
Pathways ConsensusPathDB
- Fanconi anemia pathway - Homo sapiens (human)
- Fanconi Anemia Pathway
- DNA Repair
- role of brca1 brca2 and atr in cancer susceptibility
- brca1 dependent ub ligase activity
Biological Process
- DNA repair
- male meiotic nuclear division
- male gonad development
- female gonad development
- interstrand cross-link repair
Molecular Function
- protein binding
Cellular Component
- nucleus
- nucleoplasm
- cytoplasm
- Fanconi anaemia nuclear complex
gnomAD Constraint
Source:
- Gene type
- protein_coding
- Transcript type
- protein_coding
- Transcript
- ENST00000389301
- Coding exons
- 43
- Length
- 79109
- Individuals with no LoFs
- 125478
- Homozygous LoFs
- 0
- Heterozygous LoFs
- 270
- Defined
- 125748
- p
- 0.00107
| Z-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | -5.41 | 1202 | 777 | 1.55 | 0.0000482 | 9398 |
| Missense (PolyPhen) | 41 | 31.281 | 1.3107 | 289 | ||
| Synonymous | -8.03 | 506 | 322 | 1.57 | 0.0000218 | 2907 |
| Loss of Function | -1.29 | 96 | 83.3 | 1.15 | 0.00000424 | 952 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0.0014 | 0.0014 | notable |
| Latino/Admixed American | 0.00098 | 0.00098 | rare |
| Ashkenazi Jewish | 0.000099 | 0.000099 | rare |
| East Asian | 0.0015 | 0.0015 | notable |
| Finnish | 0.00019 | 0.00018 | rare |
| European (Non-Finnish) | 0.0013 | 0.0013 | notable |
| South Asian | 0.0011 | 0.0011 | notable |
| Other | 0.00049 | 0.00049 | rare |
dbNSFP Gene Annotations
Source:
- Function
- FUNCTION: DNA repair protein that may operate in a postreplication repair or a cell cycle checkpoint function. May be involved in interstrand DNA cross-link repair and in the maintenance of normal chromosome stability.;
- Disease
- DISEASE: Fanconi anemia, complementation group A (FANCA) [MIM:227650]: A disorder affecting all bone marrow elements and resulting in anemia, leukopenia and thrombopenia. It is associated with cardiac, renal and limb malformations, dermal pigmentary changes, and a predisposition to the development of malignancies. At the cellular level it is associated with hypersensitivity to DNA-damaging agents, chromosomal instability (increased chromosome breakage) and defective DNA repair. {ECO:0000269|PubMed:10094191, ECO:0000269|PubMed:10210316, ECO:0000269|PubMed:10521298, ECO:0000269|PubMed:10807541, ECO:0000269|PubMed:11091222, ECO:0000269|PubMed:17924555, ECO:0000269|PubMed:9371798, ECO:0000269|PubMed:9399890, ECO:0000269|PubMed:9929978}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Recessive Scores
- pRec
- 0.243
Intolerance Scores
- LoFtool
- 0.0821
- RVIS EVS
- -0.1
- RVIS percentile EVS
- 45.67
Essentials
- Essential (CRISPR)
- E
- Essential (CRISPR2)
- S
- Essential (gene trap)
- N
- Indispensability pred.
- E
- Indispensability score
- 0.985
Gene Damage Prediction
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |