NDNF

protein-coding

neuron derived neurotrophic factor

Gene summary

Predicted to enable heparin binding activity. Involved in several processes, including cellular response to hypoxia; negative regulation of apoptotic process; and nitric oxide mediated signal transduction. Located in extracellular region. Is active in obsolete extracellular space. Implicated in hypogonadotropic hypogonadism. [provided by Alliance of Genome Resources, Jun 2026]

Previous symbols:
  • C4orf31

MANE transcript

NM_024574.4

Inheritance

AD

ClinVar variants

P:6U:62B:5

Top phenotype

Hypogonadotropic hypogonadism 25 with anosmia

gnomAD constraint

pLI —, LoF o/e 0.22

Max pathogenic AF

—

Genomic locus

chr4:121,035,613-121,073,021

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~37.4 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hypogonadotropic hypogonadism 25 with anosmiaMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0030010

Submitter: PanelApp Australia

hypogonadotropic hypogonadism 25 with anosmiaSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0030010

Submitter: G2P

hypogonadotropic hypogonadism 25 with anosmiaSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0030010

Submitter: Labcorp Genetics (formerly Invitae)

Kallmann syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018800

Submitter: Orphanet

Clinical Genomic Database (CGD)

Hypogonadotropic hypogonadism 25 with anosmiaAD

Manifestation: Endocrine; Genitourinary; Neurologic

Intervention: Endocrine

Rationale: In Hypogonadotropic hypogonadism, surveillance in adolescence related to sexual maturation is indicated, as is monitoring of bone mineral density in order to allow early detection and treatment of disease; In order to induce and maintain secondary sex characteristics, gradually increasing doses of gonadal steroids (females: estrogen/progestin; males: testosterone/hCG) can be beneficial; Related to fertility, endocrinologic therapy (females: recombinant hCG or pulsatile GnRH therapy; males: hCG/HMG/recombinant FSH or pulsatile GnRH therapy) may be effective, though IVF may be required

Refs: 20301509; 31883645Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to NDNF variants in ClinVar

5 Conditions Cataloged
not specifiedTotal: 60
Hypogonadotropic hypogonadism 25 with anosmiaTotal: 9
not providedTotal: 2
NDNF-related conditionTotal: 1
See casesTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_024574.4. 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
3
clinvar
1
clinvar
4
missense
58
clinvar
4
clinvar
62
nonsense
2
clinvar
1
clinvar
3
start loss
0
frameshift
1
clinvar
2
clinvar
1
clinvar
4
splice donor/acceptor (+/-2bp)
0
Total33625073

Highest pathogenic variant AF is 0.0000034203983

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 25 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_024574.4RefSeqNP_078850.33MANE Select
ENST00000379692.9EnsemblENSP00000369014.43MANE Select
ENST00000511408.1EnsemblENSP00000426723.13Standard
ENST00000515757.5EnsemblENSP00000423352.13Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
ndnfDanio rerio

Structure: neurocranium

Quality: morphology

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • angiogenesis
  • neuron migration
  • response to ischemia
  • nitric oxide mediated signal transduction
  • positive regulation of cell-substrate adhesion

Molecular Function

  • glycosaminoglycan binding
  • heparin binding

Cellular Component

  • extracellular region
  • extracellular matrix

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000379692
Coding exons
3
Length
37409
Individuals with no LoFs
125725
Homozygous LoFs
0
Heterozygous LoFs
9
Defined
125734
p
0.0000358
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.4832752980.9210.00001533731
Missense (PolyPhen)6078.360.76569957
Synonymous-0.1041191181.010.000006301103
Loss of Function3.04417.90.2248.22e-7250

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000130.00012rare
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian0.0000540.000054rare
Finnish00.0absent
European (Non-Finnish)0.0000440.000044rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Promotes matrix assembly and cell adhesiveness (By similarity). Promotes neuron migration, growth and survival as well as neurite outgrowth (PubMed:20969804). Promotes endothelial cell survival, vessel formation and plays an important role in the process of revascularization through NOS3-dependent mechanisms (PubMed:24706764). {ECO:0000250|UniProtKB:Q8C119, ECO:0000269|PubMed:20969804, ECO:0000269|PubMed:24706764}.;

Recessive Scores

pRec
0.110

Intolerance Scores

RVIS EVS
-0.67
RVIS percentile EVS
15.86

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.114

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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