RUNX1
protein-codingRUNX 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]
- AML1
- CBFA2
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~1,216.9 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: AD
Disease ID:MONDO:0100083
Submitter: Ambry Genetics
Inheritance Pattern: AD
Disease ID:MONDO:0100083
Submitter: G2P
Inheritance Pattern: AD
Disease ID:MONDO:0011071
Submitter: Orphanet
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).
Inheritance Pattern: AD
Disease ID:MONDO:0100083
Submitter: Genomics England PanelApp
Inheritance Pattern: AD
Disease ID:MONDO:0018874
Submitter: Genomics England PanelApp
Inheritance Pattern: AD
Disease ID:MONDO:0100083
Submitter: PanelApp Australia
Inheritance Pattern: AD
Disease ID:MONDO:0100083
Submitter: Labcorp Genetics (formerly Invitae)
Clinical Genomic Database (CGD)
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
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to RUNX1 variants in ClinVar
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.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 14 | 370 | 13 | 397 | ||
| missense | 11 | 40 | 799 | 25 | 14 | 889 |
| nonsense | 24 | 11 | 5 | 40 | ||
| start loss | 3 | 3 | ||||
| frameshift | 85 | 57 | 10 | 152 | ||
| splice donor/acceptor (+/-2bp) | 8 | 11 | 15 | 1 | 35 | |
| Total | 128 | 119 | 846 | 395 | 28 | 1516 |
Highest pathogenic variant AF is 0.000006572116
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_001745.2 | 8 | MANE Select | |
| Ensembl | ENSP00000501943.1 | 8 | MANE Select | |
| RefSeq | NP_001001890.1 | 6 | Standard | |
| RefSeq | NP_001116079.1 | 5 | Standard |
Model Organisms & Knockout Phenotypes
Observed phenotypic effects in mouse and zebrafish models
| Gene / Model | Organism | Observed Phenotype |
|---|---|---|
| runx1 | Danio 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:
- 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-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | 2.00 | 218 | 318 | 0.685 | 0.0000201 | 3057 |
| Missense (PolyPhen) | 70 | 123.49 | 0.56686 | 1203 | ||
| Synonymous | 2.56 | 108 | 148 | 0.732 | 0.0000109 | 1026 |
| Loss of Function | 3.42 | 4 | 20.9 | 0.192 | 0.00000118 | 203 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0 | 0.0 | absent |
| Latino/Admixed American | 0 | 0.0 | absent |
| Ashkenazi Jewish | 0 | 0.0 | absent |
| East Asian | 0 | 0.0 | absent |
| Finnish | 0 | 0.0 | absent |
| European (Non-Finnish) | 0.000053 | 0.000044 | rare |
| South Asian | 0.000067 | 0.000065 | rare |
| Other | 0 | 0.0 | absent |
dbNSFP Gene Annotations
Source:
- 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
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |