FNIP1

protein-coding

folliculin interacting protein 1, the group of DENN domain containing

Gene summary

This gene encodes a protein that binds to the tumor suppressor protein folliculin and to AMP-activated protein kinase (AMPK). The encoded protein participates in the regulation of cellular metabolism and nutrient sensing by modulating the AMPK and target of rapamycin signaling pathways. This gene has a closely related paralog that encodes a protein with similar binding activities. Both related proteins also associate with the molecular chaperone heat shock protein-90 (Hsp90) and negatively regulate its ATPase activity and facilitate its association with folliculin. [provided by RefSeq, Jul 2017]

MANE transcript

NM_133372.3

Inheritance

AR

ClinVar variants

P:24U:196B:164

Top phenotype

Immunodeficiency 93 and hypertrophic cardiomyopath

gnomAD constraint

pLI —, LoF o/e 0.14

Max pathogenic AF

—

Genomic locus

chr5:131,641,714-131,797,017

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~155.3 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

immunodeficiency 93 and hypertrophic cardiomyopathySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0030528

Submitter: Labcorp Genetics (formerly Invitae)

immunodeficiency 93 and hypertrophic cardiomyopathySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0030528

Submitter: PanelApp Australia

FNIP1-associated syndromeDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0100432

Submitter: ClinGen

*FNIP1* was first reported in relation to autosomal recessive *FNIP1*-associated syndrome in 2020 (Niehues T, et al., 2020, PMID: 32181500). Folliculin interacting protein 1 (*FNIP1*) encodes the FNIP1 protein, a regulator of adenosine monophosphate-activated protein (AMPK) and mammalian target of rapamycin (mTOR) cellular pathways. FNIP1 controls B cell development through regulation of mitochondrial autophagy (reviewed in PMID: 39013219). FNIP1 deficiency is associated with a syndromic disease that includes B cell immunodeficiency and cardiomyopathy. The latter is related to the important role of FNIP1 in controlling skeletal muscle functional angiogenesis, which is required for muscle revascularization during ischemia (PMID: 37932296). Seven variants (missense, nonsense, frameshift, and splice site) have been reported in seven probands, and one additional family member, in four publications (PMIDs: 32181500, 32905580, 37522988, 39537849). This gene-disease association is supported by its function in nutrient/energy sensing (PMID: 17028174), which is altered in patient cells (PMID: 32905580). Additionally, mouse models recapitulate the block at the pre-B-cell stage and dysregulation of metabolic regulators (PMIDs: 22608497, 22709692) as well as some key features of the disease (PMID: 27303042). In summary, there is definitive evidence to support the relationship between *FNIP1* and autosomal recessive *FNIP1*-associated syndrome. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This gene-disease pair was originally evaluated by the Antibody Deficiencies GCEP on November, 16 2021. It was reevaluated on November 22, 2024. As a result of this reevaluation, the classification changed from Strong to Definitive due to the replication of this gene-disease relationship over time and two additional case reports (PMIDs: 37522988, 39537849).

Clinical Genomic Database (CGD)

Immunodeficiency 93 and hypertrophic cardiomyopathAR

Manifestation: Allergy/Immunology/Infectious; Cardiovascular

Intervention: Allergy/Immunology/Infectious; Cardiovascular

Rationale: Antiinfectious prophylaxis and early and aggressive treatment of infections may be beneficial; The condition can involve structural and other cardiovascular anoamalies, and awareness may allow early diagnosis and management

Refs: 32181500; 32905580Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to FNIP1 variants in ClinVar

6 Conditions Cataloged
not providedTotal: 372
Inborn genetic diseasesTotal: 111
not specifiedTotal: 20
Immunodeficiency 93 and hypertrophic cardiomyopathyTotal: 7
FNIP1-related disorderTotal: 5
Wolff-Parkinson-White patternTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_133372.3. 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
138
clinvar
9
clinvar
148
missense
1
clinvar
1
clinvar
189
clinvar
14
clinvar
3
clinvar
208
nonsense
7
clinvar
1
clinvar
8
start loss
0
frameshift
12
clinvar
1
clinvar
13
splice donor/acceptor (+/-2bp)
1
clinvar
2
clinvar
4
clinvar
7
Total21319615212384

Highest pathogenic variant AF is 0.000004796939

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 21 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_133372.3RefSeqNP_588613.318MANE Select
ENST00000510461.6EnsemblENSP00000421985.118MANE Select
NM_001008738.3RefSeqNP_001008738.317Standard
NM_001346113.2RefSeqNP_001333042.213Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • mTOR signaling pathway - Homo sapiens (human)

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • regulation of protein phosphorylation
  • positive regulation of protein phosphorylation
  • immature B cell differentiation
  • positive regulation of B cell apoptotic process

Molecular Function

  • guanyl-nucleotide exchange factor activity
  • protein binding
  • ATPase inhibitor activity
  • chaperone binding

Cellular Component

  • cytoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000510461
Coding exons
18
Length
155304
Individuals with no LoFs
125733
Homozygous LoFs
0
Heterozygous LoFs
14
Defined
125747
p
0.0000557
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.354496130.7330.00003127731
Missense (PolyPhen)229356.490.642374334
Synonymous0.7911952100.9310.00001022156
Loss of Function6.05857.60.1390.00000339676

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000190.00018rare
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish0.000190.00018rare
European (Non-Finnish)0.0000450.000044rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Acts as a co-chaperone of HSP90AA1. Inhibits the ATPase activity of HSP90AA1 leading to reduction in its chaperone activity. Facilitates the binding of client protein FLCN to HSP90AA1. Competes with the activating co-chaperone AHSA1 for binding to HSP90AA1, thereby providing a reciprocal regulatory mechanism for chaperoning of client proteins (PubMed:27353360). May be involved in energy and/or nutrient sensing through the AMPK and mTOR signaling pathways (PubMed:17028174). May regulate phosphorylation of RPS6KB1 (PubMed:18663353). {ECO:0000269|PubMed:17028174, ECO:0000269|PubMed:18663353, ECO:0000269|PubMed:27353360}.;

Intolerance Scores

LoFtool
0.431
RVIS EVS
-0.57
RVIS percentile EVS
19.01

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.867

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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