FLCN

folliculin, the group of DENN domain containing

Basic information

Region (hg38): 17:17212212-17237188

Links

ENSG00000154803NCBI:201163OMIM:607273HGNC:27310Uniprot:Q8NFG4AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • Birt-Hogg-Dube syndrome (Strong), mode of inheritance: AD
  • renal carcinoma (Strong), mode of inheritance: AD
  • familial spontaneous pneumothorax (Strong), mode of inheritance: AD
  • Birt-Hogg-Dube syndrome (Strong), mode of inheritance: AD
  • familial spontaneous pneumothorax (Moderate), mode of inheritance: AD
  • Birt-Hogg-Dube syndrome 1 (Definitive), mode of inheritance: AD
  • familial spontaneous pneumothorax (Supportive), mode of inheritance: AD
  • Birt-Hogg-Dube syndrome (Supportive), mode of inheritance: AD
  • colorectal cancer (Limited), mode of inheritance: AD
  • Birt-Hogg-Dube syndrome 1 (Definitive), mode of inheritance: AD
  • Birt-Hogg-Dube syndrome (Definitive), mode of inheritance: AD

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Birt-Hogg-Dube syndrome 1; Pneumothorax, primary spontaneousADOncologic; PulmonaryIndividuals are at risk for a number of types of neoplasms, and surveillance and early diagnosis/treatment may be beneficial; Some individuals may demonstrate isolated pneumothorax, but may be at elevated risk for malignancies; Affected individuals commonly have recurrent pneumothoraces, and early pleurodesis may beneficial)Dermatologic; Oncologic; Pulmonary596896; 10522666; 11533913; 12471204; 12204536; 15657874; 15852235; 17496196; 18505456; 18234728; 19320655; 20413710; 20618353; 22146830; 23264078; 23414156; 23542717; 23715758; 23846428; 23995526

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the FLCN gene.

  • Birt-Hogg-Dube_syndrome (1915 variants)
  • Hereditary_cancer-predisposing_syndrome (1503 variants)
  • Birt-Hogg-Dube_syndrome_1 (608 variants)
  • not_provided (456 variants)
  • Familial_spontaneous_pneumothorax (228 variants)
  • Nonpapillary_renal_cell_carcinoma (192 variants)
  • Colorectal_cancer (187 variants)
  • not_specified (167 variants)
  • FLCN-related_disorder (112 variants)
  • 17p11.2_microduplication_syndrome (97 variants)
  • Ovarian_cancer (12 variants)
  • Carcinoma_of_colon (8 variants)
  • Hereditary_breast_ovarian_cancer_syndrome (2 variants)
  • Spontaneous_pneumothorax (1 variants)
  • See_cases (1 variants)
  • Multiple_monogenic_benign_skin_tumours (1 variants)
  • Hypoparathyroidism (1 variants)
  • Chromophobe_renal_cell_carcinoma (1 variants)
  • Exstrophy-epispadias_complex (1 variants)
  • Hereditary_renal_cancer (1 variants)
  • Pilocytic_astrocytoma (1 variants)
  • Hepatoblastoma (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the FLCN gene is commonly pathogenic or not. These statistics are base on transcript: NM_000144997.7. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
5
clinvar
1
clinvar
7
clinvar
541
clinvar
28
clinvar
582
missense
18
clinvar
16
clinvar
1010
clinvar
135
clinvar
5
clinvar
1184
nonsense
73
clinvar
10
clinvar
3
clinvar
86
start loss
3
3
6
frameshift
203
clinvar
37
clinvar
3
clinvar
1
clinvar
244
splice donor/acceptor (+/-2bp)
23
clinvar
41
clinvar
2
clinvar
1
clinvar
67
Total 325 108 1025 678 33

Highest pathogenic variant AF is 0.0000688434

Loading clinvar variants...

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
FLCNprotein_codingprotein_codingENST00000285071 1124977
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
0.7890.2111257230251257480.0000994
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense1.132933530.8310.00002453818
Missense in Polyphen5081.8570.61082910
Synonymous-0.9171631491.100.00001141132
Loss of Function3.94527.10.1840.00000135293

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.00002900.0000290
Ashkenazi Jewish0.000.00
East Asian0.0002720.000272
Finnish0.000.00
European (Non-Finnish)0.0001230.000123
Middle Eastern0.0002720.000272
South Asian0.0001310.000131
Other0.0001630.000163

dbNSFP

Source: dbNSFP

Function
FUNCTION: May be a tumor suppressor. May be involved in energy and/or nutrient sensing through the AMPK and mTOR signaling pathways. May regulate phosphorylation of RPS6KB1. {ECO:0000269|PubMed:12204536, ECO:0000269|PubMed:17028174, ECO:0000269|PubMed:18663353}.;
Disease
DISEASE: Birt-Hogg-Dube syndrome (BHD) [MIM:135150]: A rare autosomal dominant genodermatosis characterized by hair follicle hamartomas (fibrofolliculomas), kidney tumors, and spontaneous pneumothorax. Fibrofolliculomas are part of the triad of Birt- Hogg-Dube syndrome skin lesions that also includes trichodiscomas and acrochordons. Onset of this dermatologic condition is invariably in adulthood. Birt-Hogg-Dube syndrome is associated with a variety of histologic types of renal tumors, including chromophobe renal cell carcinoma (RCC), benign renal oncocytoma, clear-cell RCC and papillary type I RCC. Multiple lipomas, angiolipomas, and parathyroid adenomas are also seen in Birt-Hogg- Dube syndrome patients. {ECO:0000269|PubMed:12204536, ECO:0000269|PubMed:15852235, ECO:0000269|PubMed:18234728, ECO:0000269|PubMed:19785621}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Primary spontaneous pneumothorax (PSP) [MIM:173600]: Condition in which air is present in the pleural space in the absence of a precipitating event, such as trauma or lung disease. This results in secondary collapse of the lung, either partially or completely, and some degree of hypoxia. PSP is relatively common, with an incidence between 7.4-18/100'000 for men and 1.2- 6/100'000 for women and a dose-dependent, increased risk among smokers. Most cases are sporadic, typically occurring in tall, thin men aged 10-30 years and generally while at rest. Familial PSP is rarer and usually is inherited as an autosomal dominant condition with reduced penetrance, although X-linked recessive and autosomal recessive inheritance have also been suggested. {ECO:0000269|PubMed:15657874, ECO:0000269|PubMed:18505456, ECO:0000269|PubMed:18579543}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Renal cell carcinoma (RCC) [MIM:144700]: Renal cell carcinoma is a heterogeneous group of sporadic or hereditary carcinoma derived from cells of the proximal renal tubular epithelium. It is subclassified into clear cell renal carcinoma (non-papillary carcinoma), papillary renal cell carcinoma, chromophobe renal cell carcinoma, collecting duct carcinoma with medullary carcinoma of the kidney, and unclassified renal cell carcinoma. Clear cell renal cell carcinoma is the most common subtype. {ECO:0000269|PubMed:18794106}. Note=The gene represented in this entry may be involved in disease pathogenesis.;
Pathway
mTOR signaling pathway - Homo sapiens (human);Renal cell carcinoma - Homo sapiens (human) (Consensus)

Recessive Scores

pRec
0.172

Intolerance Scores

loftool
0.0936
rvis_EVS
-0.2
rvis_percentile_EVS
39.17

Haploinsufficiency Scores

pHI
0.216
hipred
Y
hipred_score
0.647
ghis
0.614

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
S
essential_gene_gene_trap
N
gene_indispensability_pred
N
gene_indispensability_score
0.276

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Flcn
Phenotype
renal/urinary system phenotype; immune system phenotype; neoplasm; hematopoietic system phenotype; cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan); mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span); embryo phenotype; homeostasis/metabolism phenotype; cellular phenotype; growth/size/body region phenotype;

Zebrafish Information Network

Gene name
flcn
Affected structure
post-vent region
Phenotype tag
abnormal
Phenotype quality
bent

Gene ontology

Biological process
negative regulation of transcription by RNA polymerase II;in utero embryonic development;regulation of protein phosphorylation;positive regulation of protein phosphorylation;cell-cell junction assembly;positive regulation of autophagy;negative regulation of gene expression;negative regulation of mitochondrion organization;hemopoiesis;negative regulation of cell growth;negative regulation of cell migration;positive regulation of transforming growth factor beta receptor signaling pathway;TOR signaling;regulation of TOR signaling;negative regulation of TOR signaling;positive regulation of TOR signaling;regulation of cytokinesis;negative regulation of Rho protein signal transduction;regulation of histone acetylation;positive regulation of apoptotic process;positive regulation of cell adhesion;positive regulation of transcription by RNA polymerase II;negative regulation of protein kinase B signaling;negative regulation of ERK1 and ERK2 cascade;energy homeostasis;negative regulation of cold-induced thermogenesis;negative regulation of protein localization to nucleus;negative regulation of cell proliferation involved in kidney development;regulation of pro-B cell differentiation;negative regulation of ATP biosynthetic process
Cellular component
nucleus;cytoplasm;lysosome;cytosol;plasma membrane;cilium;midbody;cell-cell contact zone
Molecular function
guanyl-nucleotide exchange factor activity;protein binding;protein-containing complex binding