KDF1

protein-coding

keratinocyte differentiation factor 1

Gene summary

Predicted to be involved in several processes, including positive regulation of epidermal cell differentiation; regulation of epidermal cell division; and skin epidermis development. Predicted to act upstream of or within several processes, including keratinocyte development; negative regulation of keratinocyte proliferation; and protein stabilization. Predicted to be located in cytoplasm. Predicted to be active in cell junction. Implicated in ectodermal dysplasia 12. [provided by Alliance of Genome Resources, Jul 2025]

Previous symbols:
  • C1orf172

MANE transcript

NM_152365.3

Inheritance

AD

ClinVar variants

P:6U:91B:30

Top phenotype

Ectodermal dysplasia 12, hypohidrotic/hair/tooth/nail type

gnomAD constraint

pLI —, LoF o/e 0.27

Max pathogenic AF

—

Genomic locus

chr1:26,949,562-26,960,468

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~10.9 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

autosomal dominant hypohidrotic ectodermal dysplasiaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0015884

Submitter: Orphanet

ectodermal dysplasia 12, hypohidrotic/hair/tooth/nail typeMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0015024

Submitter: Ambry Genetics

ectodermal dysplasia 12, hypohidrotic/hair/tooth/nail typeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0015024

Submitter: Labcorp Genetics (formerly Invitae)

ectodermal dysplasia 12, hypohidrotic/hair/tooth/nail typeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0015024

Submitter: ClinGen

KDF1 was first reported in relation to AD KDF1-related tooth agenesis with or without ectodermal dysplasia in 2017 (Shamseldin et al., PMID: 27838789). KDF1-related tooth agenesis with or without ectodermal dysplasia is characterized by tooth agenesis; however some patients may also display variable ectodermal dysplasia. 8 unique missense variants that have been reported in 8 probands in 8 publications (PMIDs: 27838789, 30384154, 30977908, 35641834, 36293320, 37144643, 38501196, 40554824) are included in this curation. The mechanism of pathogenicity is thought to be gain of function. This gene-disease relationship is also supported by animal models, expression studies, protein-protein interactions, functional alteration in patient cells, and biochemical function (PMIDs: 24075906, 30384154, 32239614, 36293320, 36831017). In summary, there is definitive evidence supporting the relationship between KDF1 and AD KDF1-related tooth agenesis with or without ectodermal dysplasia. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Craniofacial Malformations GCEP on the meeting date March 20th, 2025 (SOP Version 11).

Clinical Genomic Database (CGD)

Ectodermal dysplasia 12, hypohidrotic/hair/tooth/nail typeAD

Manifestation: Craniofacial; Dental; Dermatologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision making, and avoidance of unnecessary testing

Refs: 27838789Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to KDF1 variants in ClinVar

7 Conditions Cataloged
Inborn genetic diseasesTotal: 81
not providedTotal: 45
KDF1-related disorderTotal: 10
not specifiedTotal: 8
Ectodermal dysplasia 12, hypohidrotic/hair/tooth/nail typeTotal: 5
HypodontiaTotal: 2
See casesTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_152365.3. 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
16
clinvar
2
clinvar
19
missense
3
clinvar
3
clinvar
90
clinvar
8
clinvar
4
clinvar
108
nonsense
0
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
0
Total3391246127
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 23 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_152365.3RefSeqNP_689578.23MANE Select
ENST00000320567.6EnsemblENSP00000319179.53MANE Select
ENST00000866899.1EnsemblENSP00000536958.13Standard
ENST00000866900.1EnsemblENSP00000536959.13Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • keratinocyte development
  • regulation of epidermal cell division
  • negative regulation of keratinocyte proliferation
  • morphogenesis of embryonic epithelium
  • positive regulation of epidermal cell differentiation

Cellular Component

  • nucleoplasm
  • cytoplasm
  • cell cortex
  • cell junction
  • cell leading edge

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000320567
Coding exons
3
Length
10845
Individuals with no LoFs
125735
Homozygous LoFs
0
Heterozygous LoFs
6
Defined
125741
p
0.0000239
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.8972252660.8450.00001742553
Missense (PolyPhen)86121.880.705631201
Synonymous0.1251021040.9840.00000606857
Loss of Function2.58414.60.2739.62e-7142

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000650.000062rare
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000450.000044rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Plays a role in the regulation of the epidermis formation during early development. Required both as an inhibitor of basal cell proliferation and a promoter of differentiation of basal progenitor cell progeny (By similarity). {ECO:0000250|UniProtKB:A2A9F4}.;
Disease
DISEASE: Ectodermal dysplasia 12, hypohidrotic/hair/tooth/nail type (ECTD12) [MIM:617337]: A form of ectodermal dysplasia, a disorder due to abnormal development of two or more ectodermal structures. ECTD12 is an autosomal dominant, hypohidrotic form characterized by sparse hair (atrichosis or hypotrichosis), abnormal or missing teeth, and the inability to sweat due to defective development of sweat glands. {ECO:0000269|PubMed:27838789}. Note=The disease may be caused by mutations affecting the gene represented in this entry.;

Intolerance Scores

RVIS EVS
-0.07
RVIS percentile EVS
48.78

Essentials

Essential (gene trap)
N
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