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HNF4A

Chr 20q13.12

hepatocyte nuclear factor 4 alpha

Aliases:
NR2A1, HNF4
MANE:
ENST00000316673.9

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Congenital hyperinsulinism

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • DDG2P

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Diabetes with additional phenotypes suggestive of a monogenic aetiology

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Familial diabetes

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Fetal anomalies

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Monogenic diabetes

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Nephrocalcinosis or nephrolithiasis

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Renal tubulopathies

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted

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Disease associations (Open Targets)

  • MODY

    0.82
  • type 2 diabetes mellitus

    0.76
  • renal cysts and diabetes syndrome

    0.74
  • maturity-onset diabetes of the young

    0.69
  • monogenic diabetes

    0.68
  • diabetes mellitus

    0.64
  • cholelithiasis

    0.52
  • gallstones

    0.48
  • Intrahepatic cholestasis of pregnancy

    0.47
  • gastrointestinal disease

    0.46

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

Protein function (UniProt)

Hepatocyte nuclear factor 4-alpha

Transcriptional regulator which controls the expression of hepatic genes during the transition of endodermal cells to hepatic progenitor cells, facilitating the recruitment of RNA pol II to the promoters of target genes (PubMed:30597922). Activates the transcription of CYP2C38 (By similarity). Represses the CLOCK-BMAL1 transcriptional activity and is essential for circadian rhythm maintenance and period regulation in the liver and colon cells (PubMed:30530698)

Curated MONDO disease pages that list HNF4A 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.