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CFI

Chr 4q25

complement factor I

Aliases:
FI, C3b-INA, C3bINA, KAF
MANE:
ENST00000394634.7

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Atypical haemolytic uraemic syndrome

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • COVID-19 research

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Membranoproliferative glomerulonephritis including C3 glomerulopathy

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Primary immunodeficiency or monogenic inflammatory bowel disease

    BIALLELIC, autosomal or pseudoautosomal
  • Unexplained kidney failure in young people

    BOTH monoallelic and biallelic, autosomal or pseudoautosomal
  • Fetal anomalies

    BIALLELIC, autosomal or pseudoautosomal
  • Retinal disorders

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted

Disease associations (Open Targets)

  • complement factor I deficiency

    0.80
  • atypical hemolytic-uremic syndrome with I factor anomaly

    0.80
  • age-related macular degeneration

    0.74
  • atypical hemolytic-uremic syndrome

    0.64
  • macular degeneration

    0.57
  • retinal disorder

    0.56
  • degeneration of macula and posterior pole

    0.51
  • COVID-19

    0.48
  • complement 3 glomerulopathy

    0.48
  • complement deficiency

    0.46

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

Complement factor I

Trypsin-like serine protease that plays an essential role in regulating the immune response by controlling all complement pathways. Inhibits these pathways by cleaving three peptide bonds in the alpha-chain of C3b and two bonds in the alpha-chain of C4b thereby inactivating these proteins (PubMed:17320177, PubMed:7360115). Essential cofactors for these reactions include factor H and C4BP in the fluid phase and membrane cofactor protein/CD46 and CR1 on cell surfaces (PubMed:12055245, PubMed:2141838, PubMed:9605165). The presence of these cofactors on healthy cells allows degradation of deposited C3b by CFI in order to prevent undesired complement activation, while in apoptotic cells or microbes, the absence of such cofactors leads to C3b-mediated complement activation and subsequent opsonization (PubMed:28671664)

Curated MONDO disease pages that list CFI among their top associated genes.

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.