RUNX1

protein-coding

RUNX family transcription factor 1, the group of Runt-related transcription factors

Gene summary

Core binding factor (CBF) is a heterodimeric transcription factor that binds to the core element of many enhancers and promoters. The protein encoded by this gene represents the alpha subunit of CBF and is thought to be involved in the development of normal hematopoiesis. Chromosomal translocations involving this gene are well-documented and have been associated with several types of leukemia. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Previous symbols:
  • AML1
  • CBFA2

MANE transcript

NM_001754.5

Inheritance

AD

ClinVar variants

P:247U:846B:423

Top phenotype

Platelet disorder, familial, with associated myeloid malignancy

gnomAD constraint

pLI —, LoF o/e 0.19

Max pathogenic AF

—

Genomic locus

chr21:34,787,801-36,004,667

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~1,216.9 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100083

Submitter: Ambry Genetics

hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100083

Submitter: G2P

hereditary thrombocytopenia and hematologic cancer predisposition syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011071

Submitter: Orphanet

hereditary thrombocytopenia and hematologic cancer predisposition syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011071

Submitter: ClinGen

There has been sufficient amount of evidence published associating the RUNX1 gene with familial platelet disorder with associated myeloid malignancy (FPDMM) since the gene-disease relationship was first proposed by Song et al. (1999). Plenty of case level studies have been performed with FPDMM patients that have variants in the RUNX1 gene. RUNX1 has a primary role in the development of all hematopoietic cell types and RUNX1 is shown to express in hematopoietic lineages and peripheral lymphocytes. CBFB, the beta subunit forming the same transcriptional complex, is also associated with somatic acute myeloid leukemia. Megakaryocyte colony formation decreased in patient cells and targeted correction of RUNX1 rescue megakaryopoietic defects. Thrombocytopenia and megakaryocytic maturation arrest are reported in induced RUNX1 knockout mice. All of these evidences suggest a definitive relationship between the RUNX1 gene and familial platelet disorder with associated myeloid malignancy (FPDMM).

hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0100083

Submitter: Genomics England PanelApp

acute myeloid leukemiaSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0018874

Submitter: Genomics England PanelApp

hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0100083

Submitter: PanelApp Australia

hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0100083

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Platelet disorder, familial, with associated myeloid malignancyAD

Manifestation: Hematologic; Oncologic

Intervention: Hematologic; Oncologic

Rationale: Individuals can have thrombocytopenia and bleeding episodes (eg, associated with surgical procedures), and awareness may allow preventive measures as well as prompt treatment; There is a reported increased risk of malignancy (such as acute myelogenous leukemia), and awareness may allow surveillance measures enabling early detection and management, which may be beneficial; BMT has been reported

Refs: 10508512; 11830488; 18478040; 19357396; 19387465; 20846103; 22571758Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to RUNX1 variants in ClinVar

24 Conditions Cataloged
Hereditary thrombocytopenia and hematologic cancer predisposition syndromeTotal: 1427
Hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1Total: 1296
Inborn genetic diseasesTotal: 862
not providedTotal: 231
Acute myeloid leukemiaTotal: 128
RUNX1-related disorderTotal: 53
not specifiedTotal: 49
Hereditary cancer-predisposing syndromeTotal: 44

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001754.5. 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
14
clinvar
370
clinvar
13
clinvar
397
missense
11
clinvar
40
clinvar
799
clinvar
25
clinvar
14
clinvar
889
nonsense
24
clinvar
11
clinvar
5
clinvar
40
start loss
3
clinvar
3
frameshift
85
clinvar
57
clinvar
10
clinvar
152
splice donor/acceptor (+/-2bp)
8
clinvar
11
clinvar
15
clinvar
1
clinvar
35
Total128119846395281516

Highest pathogenic variant AF is 0.000006572116

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 34 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001754.5RefSeqNP_001745.28MANE Select
ENST00000675419.1EnsemblENSP00000501943.18MANE Select
NM_001001890.3RefSeqNP_001001890.16Standard
NM_001122607.2RefSeqNP_001116079.15Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
runx1Danio rerio

Structure: neutrophil progenitor cell

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Chronic myeloid leukemia - Homo sapiens (human)
  • Tight junction - Homo sapiens (human)
  • Acute myeloid leukemia - Homo sapiens (human)
  • Th17 cell differentiation - Homo sapiens (human)
  • Pathways in cancer - Homo sapiens (human)

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • regulation of cytokine-mediated signaling pathway
  • negative regulation of gene expression
  • hemopoiesis
  • regulation of Wnt signaling pathway

Molecular Function

  • RNA polymerase II regulatory region sequence-specific DNA binding
  • RNA polymerase II proximal promoter sequence-specific DNA binding
  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • DNA-binding transcription activator activity, RNA polymerase II-specific
  • protein binding

Cellular Component

  • nucleus
  • nucleoplasm
  • cytosol
  • core-binding factor complex
  • intracellular membrane-bounded organelle

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000300305
Coding exons
8
Length
1216868
Individuals with no LoFs
125741
Homozygous LoFs
0
Heterozygous LoFs
7
Defined
125748
p
0.0000278
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.002183180.6850.00002013057
Missense (PolyPhen)70123.490.566861203
Synonymous2.561081480.7320.00001091026
Loss of Function3.42420.90.1920.00000118203

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000530.000044rare
South Asian0.0000670.000065rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Forms the heterodimeric complex core-binding factor (CBF) with CBFB. RUNX members modulate the transcription of their target genes through recognizing the core consensus binding sequence 5'-TGTGGT-3', or very rarely, 5'-TGCGGT-3', within their regulatory regions via their runt domain, while CBFB is a non-DNA- binding regulatory subunit that allosterically enhances the sequence-specific DNA-binding capacity of RUNX. The heterodimers bind to the core site of a number of enhancers and promoters, including murine leukemia virus, polyomavirus enhancer, T-cell receptor enhancers, LCK, IL3 and GM-CSF promoters (Probable). Essential for the development of normal hematopoiesis (PubMed:17431401). Acts synergistically with ELF4 to transactivate the IL-3 promoter and with ELF2 to transactivate the BLK promoter (PubMed:10207087, PubMed:14970218). Inhibits KAT6B-dependent transcriptional activation (By similarity). Involved in lineage commitment of immature T cell precursors. CBF complexes repress ZBTB7B transcription factor during cytotoxic (CD8+) T cell development. They bind to RUNX-binding sequence within the ZBTB7B locus acting as transcriptional silencer and allowing for cytotoxic T cell differentiation. CBF complexes binding to the transcriptional silencer is essential for recruitment of nuclear protein complexes that catalyze epigenetic modifications to establish epigenetic ZBTB7B silencing (By similarity). Controls the anergy and suppressive function of regulatory T-cells (Treg) by associating with FOXP3. Activates the expression of IL2 and IFNG and down-regulates the expression of TNFRSF18, IL2RA and CTLA4, in conventional T-cells (PubMed:17377532). Positively regulates the expression of RORC in T-helper 17 cells (By similarity). {ECO:0000250|UniProtKB:Q03347, ECO:0000269|PubMed:10207087, ECO:0000269|PubMed:11965546, ECO:0000269|PubMed:14970218, ECO:0000269|PubMed:17377532, ECO:0000269|PubMed:17431401, ECO:0000305}.; FUNCTION: Isoform AML-1L interferes with the transactivation activity of RUNX1. {ECO:0000269|PubMed:9199349}.;
Disease
DISEASE: Note=A chromosomal aberration involving RUNX1/AML1 is a cause of M2 type acute myeloid leukemia (AML-M2). Translocation t(8;21)(q22;q22) with RUNX1T1.; DISEASE: Note=A chromosomal aberration involving RUNX1/AML1 is a cause of therapy-related myelodysplastic syndrome (T-MDS). Translocation t(3;21)(q26;q22) with EAP or MECOM.; DISEASE: Note=A chromosomal aberration involving RUNX1/AML1 is a cause of chronic myelogenous leukemia (CML). Translocation t(3;21)(q26;q22) with EAP or MECOM.; DISEASE: Note=A chromosomal aberration involving RUNX1/AML1 is found in childhood acute lymphoblastic leukemia (ALL). Translocation t(12;21)(p13;q22) with TEL. The translocation fuses the 3'-end of TEL to the alternate 5'-exon of AML-1H.; DISEASE: Note=A chromosomal aberration involving RUNX1 is found in acute leukemia. Translocation t(11,21)(q13;q22) that forms a MACROD1-RUNX1 fusion protein.; DISEASE: Familial platelet disorder with associated myeloid malignancy (FPDMM) [MIM:601399]: Autosomal dominant disease characterized by qualitative and quantitative platelet defects, and propensity to develop acute myelogenous leukemia. {ECO:0000269|PubMed:10508512}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Note=A chromosomal aberration involving RUNX1/AML1 is found in therapy-related myeloid malignancies. Translocation t(16;21)(q24;q22) that forms a RUNX1-CBFA2T3 fusion protein.; DISEASE: Note=A chromosomal aberration involving RUNX1/AML1 is a cause of chronic myelomonocytic leukemia. Inversion inv(21)(q21;q22) with USP16.; DISEASE: Note=A chromosomal aberration involving RUNX1/AML1 is found in acute myeloid leukemia. Translocation t(20;21)(q11;q22) with CBFA2T2. {ECO:0000269|PubMed:20520637}.;

Recessive Scores

pRec
0.725

Intolerance Scores

LoFtool
0.146
RVIS EVS
-0.23
RVIS percentile EVS
37.11

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
N
Essential (gene trap)
K
Indispensability pred.
E
Indispensability score
0.858

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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