CFH
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Also known as HUSFHL1ARMS1ARMD4
Summary
CFH (complement factor H, HGNC:4883) is a protein-coding gene on chromosome 1q31.3, encoding Complement factor H (P08603). Glycoprotein that plays an essential role in maintaining a well-balanced immune response by modulating complement activation.
This gene is a member of the Regulator of Complement Activation (RCA) gene cluster and encodes a protein with twenty short consensus repeat (SCR) domains. This protein is secreted into the bloodstream and has an essential role in the regulation of complement activation, restricting this innate defense mechanism to microbial infections. Mutations in this gene have been associated with hemolytic-uremic syndrome (HUS) and chronic hypocomplementemic nephropathy. Alternate transcriptional splice variants, encoding different isoforms, have been characterized.
Source: NCBI Gene 3075 — RefSeq curated summary.
At a glance
- Gene–disease (curated): C3 glomerulonephritis (Definitive, ClinGen) — +6 more curated relationships
- GWAS associations: 79
- Clinical variants (ClinVar): 1,599 total — 69 pathogenic, 47 likely-pathogenic
- Phenotypes (HPO): 89
- Druggable target: yes
- MANE Select transcript:
NM_000186
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:4883 |
| Approved symbol | CFH |
| Name | complement factor H |
| Location | 1q31.3 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | HUS, FHL1, ARMS1, ARMD4 |
| Ensembl gene | ENSG00000000971 |
| Ensembl biotype | protein_coding |
| OMIM | 134370 |
| Entrez | 3075 |
Gene structure
Transcript identifiers
Ensembl transcripts: 62 — 43 protein_coding, 10 protein_coding_CDS_not_defined, 6 nonsense_mediated_decay, 3 retained_intron
ENST00000359637, ENST00000367429, ENST00000466229, ENST00000470918, ENST00000496761, ENST00000630130, ENST00000695968, ENST00000695969, ENST00000695970, ENST00000695971, ENST00000695972, ENST00000695973, ENST00000695974, ENST00000695975, ENST00000695976, ENST00000695977, ENST00000695978, ENST00000695979, ENST00000695980, ENST00000695981, ENST00000695983, ENST00000695984, ENST00000695986, ENST00000695987, ENST00000695990, ENST00000696018, ENST00000696019, ENST00000696020, ENST00000696021, ENST00000696022, ENST00000696023, ENST00000696024, ENST00000696025, ENST00000696026, ENST00000696027, ENST00000696028, ENST00000696029, ENST00000696030, ENST00000696031, ENST00000883397, ENST00000883398, ENST00000883399, ENST00000883400, ENST00000883401, ENST00000883402, ENST00000883403, ENST00000883404, ENST00000883405, ENST00000883406, ENST00000883407, ENST00000883408, ENST00000883409, ENST00000883410, ENST00000883411, ENST00000883412, ENST00000883413, ENST00000883414, ENST00000883415, ENST00000955307, ENST00000955308, ENST00000955310, ENST00000955311
RefSeq mRNA: 2 — MANE Select: NM_000186
NM_000186, NM_001014975
CCDS: CCDS1385, CCDS53452
Canonical transcript exons
ENST00000367429 — 22 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000469053 | 196741875 | 196742051 |
| ENSE00000791016 | 196679623 | 196679793 |
| ENSE00000791028 | 196740619 | 196740792 |
| ENSE00001134426 | 196672978 | 196673163 |
| ENSE00003520851 | 196689420 | 196689614 |
| ENSE00003536337 | 196743452 | 196743628 |
| ENSE00003540360 | 196685064 | 196685237 |
| ENSE00003570710 | 196747111 | 196747504 |
| ENSE00003602895 | 196745817 | 196745999 |
| ENSE00003623048 | 196690063 | 196690239 |
| ENSE00003631361 | 196737475 | 196737660 |
| ENSE00003965659 | 196726470 | 196726652 |
| ENSE00003965663 | 196677476 | 196677667 |
| ENSE00003965667 | 196715593 | 196715769 |
| ENSE00003965669 | 196726761 | 196726940 |
| ENSE00003965686 | 196673857 | 196673962 |
| ENSE00003965703 | 196728346 | 196728522 |
| ENSE00003965709 | 196736824 | 196737006 |
| ENSE00003965711 | 196713735 | 196713917 |
| ENSE00003965712 | 196675989 | 196676065 |
| ENSE00003965720 | 196725121 | 196725297 |
| ENSE00003965817 | 196652043 | 196652175 |
Expression profiles
Bgee: expression breadth ubiquitous, 267 present calls, max score 99.68.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 25.7070 / max 1860.6969, expressed in 1116 samples.
FANTOM5 promoters (3 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 7503 | 25.2986 | 1115 |
| 7502 | 0.3596 | 194 |
| 201860 | 0.0488 | 21 |
Top tissues by expression
289 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| urethra | UBERON:0000057 | 99.68 | gold quality |
| calcaneal tendon | UBERON:0003701 | 99.47 | gold quality |
| right coronary artery | UBERON:0001625 | 99.45 | gold quality |
| right lobe of liver | UBERON:0001114 | 99.43 | gold quality |
| saphenous vein | UBERON:0007318 | 99.25 | gold quality |
| synovial joint | UBERON:0002217 | 99.07 | gold quality |
| coronary artery | UBERON:0001621 | 99.03 | gold quality |
| left coronary artery | UBERON:0001626 | 99.01 | gold quality |
| parietal pleura | UBERON:0002400 | 98.98 | gold quality |
| popliteal artery | UBERON:0002250 | 98.88 | gold quality |
| tibial artery | UBERON:0007610 | 98.88 | gold quality |
| gall bladder | UBERON:0002110 | 98.87 | gold quality |
| right atrium auricular region | UBERON:0006631 | 98.86 | gold quality |
| cardiac atrium | UBERON:0002081 | 98.61 | gold quality |
| liver | UBERON:0002107 | 98.48 | gold quality |
| aorta | UBERON:0000947 | 98.45 | gold quality |
| right ovary | UBERON:0002118 | 98.44 | gold quality |
| left ovary | UBERON:0002119 | 98.37 | gold quality |
| tibial nerve | UBERON:0001323 | 98.36 | gold quality |
| vena cava | UBERON:0004087 | 98.32 | gold quality |
| palpebral conjunctiva | UBERON:0001812 | 98.18 | gold quality |
| descending thoracic aorta | UBERON:0002345 | 98.13 | gold quality |
| ascending aorta | UBERON:0001496 | 97.95 | gold quality |
| pleura | UBERON:0000977 | 97.93 | gold quality |
| thoracic aorta | UBERON:0001515 | 97.93 | gold quality |
| minor salivary gland | UBERON:0001830 | 97.87 | gold quality |
| layer of synovial tissue | UBERON:0007616 | 97.80 | gold quality |
| right lobe of thyroid gland | UBERON:0001119 | 97.71 | gold quality |
| olfactory segment of nasal mucosa | UBERON:0005386 | 97.53 | gold quality |
| pericardium | UBERON:0002407 | 97.47 | gold quality |
Single-cell (SCXA)
Detected in 16 experiment(s), a significant marker in 15.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-CURD-126 | yes | 1344.00 |
| E-CURD-119 | yes | 910.08 |
| E-GEOD-131882 | yes | 891.53 |
| E-MTAB-8142 | yes | 769.41 |
| E-HCAD-1 | yes | 84.20 |
| E-MTAB-8410 | yes | 61.00 |
| E-HCAD-11 | yes | 42.79 |
| E-CURD-46 | yes | 34.26 |
| E-HCAD-4 | yes | 16.10 |
| E-CURD-112 | yes | 13.34 |
| E-GEOD-130148 | yes | 9.44 |
| E-HCAD-35 | yes | 8.40 |
| E-GEOD-84465 | yes | 7.22 |
| E-MTAB-10553 | yes | 5.89 |
| E-MTAB-7381 | no | 75.43 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): AP1, FOS, FOXA2, FOXO3, JUN, NFKB, SIRT1, STAT1
miRNA regulators (miRDB)
17 targeting CFH, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-3646 | 100.00 | 73.56 | 5283 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-146A-5P | 99.96 | 68.93 | 988 |
| HSA-MIR-146B-5P | 99.96 | 69.13 | 977 |
| HSA-MIR-3658 | 99.96 | 73.87 | 4379 |
| HSA-MIR-7153-5P | 99.94 | 68.89 | 1006 |
| HSA-MIR-3180-5P | 99.82 | 69.12 | 2422 |
| HSA-MIR-4719 | 99.73 | 72.10 | 3329 |
| HSA-MIR-8084 | 99.73 | 69.57 | 1760 |
| HSA-MIR-4325 | 99.49 | 72.20 | 1342 |
| HSA-MIR-4427 | 99.34 | 70.33 | 1854 |
| HSA-MIR-148A-5P | 99.30 | 68.27 | 1141 |
| HSA-MIR-29A-5P | 99.08 | 68.59 | 1813 |
| HSA-MIR-6787-3P | 97.75 | 66.17 | 1233 |
| HSA-MIR-148B-5P | 97.29 | 66.30 | 992 |
| HSA-MIR-6874-3P | 97.29 | 66.34 | 975 |
| HSA-MIR-3907 | 96.76 | 65.04 | 662 |
Literature-anchored findings (GeneRIF, showing 40)
- This paper (PMID 10781834) was the first to describe the detailed structure of the human CFH gene. (PMID:10781834)
- Three SIBLINGs (small integrin-binding ligand, N-linked glycoproteins) enhance factor H’s cofactor activity enabling MCP-like cellular evasion of complement-mediated attack. (PMID:11825898)
- molecular modelling of the C-terminal domains of factor H of human complement: a correlation between haemolytic uraemic syndrome and a predicted heparin binding site (PMID:11851332)
- acts as adrenomedullin binding protein - review (PMID:11921353)
- Recombinant factor H with deletions at the carboxyl-terminal end loses the ability to control the spontaneous activation of the alternative complement pathway on host-like surfaces, a functional defect that leads to acute renal failure in HUS. (PMID:12391176)
- structural and functional characterization of three different factor H proteins purified from the plasma of patients with atypical hemolytic uremic syndrome who carry the factor H mutations W1183L, V1197A, or R1210C (PMID:12424708)
- The site and putative residues on factor H (FH) essential for the interaction of the C-terminal end of FH with C3d, C3b, and heparin have been identified; the heparin- and C3d-binding sites are overlapping. (PMID:12471127)
- two specific binding sites for adrenomedullin were found in factor H (PMID:12630812)
- Screening for factor H gene (FH1) mutations contributes to the classification of atypical haemolytic uraemic syndrome (aHUS). (PMID:12960213)
- promoted entry of Fba(+) group A streptococci into epithelial cells in a dose-dependent manner but did not affect invasion by an isogenic fba mutant (PMID:14638802)
- CFH deficiency my favor acute allograft glomerulopathy. (PMID:14974950)
- Review. Factor H is an essential regulatory protein for complement homeostasis in plasma & for the protection of bystander host cells & tissues from damage by complement activation. Genetic & structural data delineate the functional domains responsible. (PMID:15163532)
- Complement factor H contributes to the control mechanism of in situ complement activation and prevents renal damage in idiopathic membranous nephropathy. (PMID:15331938)
- Human complement regulatory factor H binds to Streptococcal pyogenes M18 surface protein Emm18. (PMID:15557185)
- Binding to platelets is mediated by the C-terminal region of factor H and factor H mutated at the C-terminus exhibited reduces binding (PMID:15634279)
- Factor H is cleaved by a dermatan sulfate-mediated protease identified in blood. (PMID:15749837)
- A novel nucleotide substitution 3254T–>C causing a Ser1061Pro substitution in the short consensus repeat SCR18was found in a girl with hemolytic uremic sundrome. (PMID:15754282)
- a common coding variant, Y402H, that significantly increases the risk for age-related macular degeneration (AMD)with odds ratios between 2.45 and 5.57 was revealed; this common variant likely explains approximately 43% of AMD in older adults (PMID:15761120)
- tested single-nucleotide polymorphisms in CFH for association with age-related macular degeneration (AMD) in two case-control populations; possession of at least one histidine at amino acid position 402 increased the risk of AMD 2.7-fold (PMID:15761121)
- identified a tyrosine-histidine polymorphism in which the histidine variant almost always occurs in the context of the age-related macular degeneration risk haplotype (PMID:15761122)
- there are naturally occurring susceptibility factors in CFH and MCP for the development of atypical haemolytic-uraemic syndrome (PMID:15784724)
- Binding of CFH to endothelial cells is mediated by the carboxy-terminal glycosaminoglycan binding site. (PMID:16192651)
- no association of the complement factor H Y402H gene polymorphism with risk of incident thromboembolic events, nor with baseline levels of C-reactive protein (PMID:16229850)
- Three heparin-binding sites were identified in complement factor H1. (PMID:16263173)
- results suggest that the interaction with pneumococci PspC contributes to pneumococcal virulence. (PMID:16267773)
- Deficiency of and mutations and variations in the complement factor H (CFH) gene are associated with the development of membranoproliferative glomerulonephritis type II. (PMID:16299065)
- Keratinocytes are capable of synthesizing factor H and that this synthesis is regulated by IFN-gamma. (PMID:16310045)
- These results suggest the contribution of the Y402H polymorphism of the CFH gene to exudative AMD susceptibility also in the French population (PMID:16379025)
- Mutations in the complement regulators factor H, membrane cofactor protein (MCP), and factor I are associated with atypical hemolytic uremic syndrome. (PMID:16386793)
- The CFH Y402H variant is strongly associated with both GA(geographic atrophy) and CNV (choroidal neovascularization) in the U.K. population. (PMID:16431947)
- gene conversion is responsible for functionally significant CFH mutations in atypical hemolytic uremic syndrome (PMID:16470555)
- Two different factor H mutations associated with atypical hemolytic uremic syndrome were examined: in one, factor H accumulated in cells, and in the other, membrane binding was reduced. (PMID:16528247)
- three-dimensional solution structure of the C-terminal module pair of factor H (PMID:16533809)
- Four previously found haplotypes and one additional haplotype were found. Haplotype frequencies were significantly different from those in found Americans affected with macular degeneration. Two were risk factors and one was protective. (PMID:16541016)
- CFH gene determines susceptibility to myocardial infarction. HisHis homozygotes had a hazard ratio of 1.77 for myocardial infarction. (PMID:16630992)
- CFH does not appear to be a primary hereditary contributor to age-related macular degeneration {ARMD} in Japanese, and the absence of CFH contribution to ARMD in Japanese may correlate with the findings in ethnic differences of ARMD phenotypes. (PMID:16710702)
- No evidence was found to associate the complement factor H Y402H gene polymorphism with coronary artery disease and atherosclerosis. (PMID:16730735)
- When bound to Neisseria meningitidis, factor H retains its activity as cofactor of alternative complement pathway factor I and contributes to the ability of N. meningitidis to avoid complement-mediated killing in the presence of human serum. (PMID:16751403)
- Results describe age-related macular degeneration (AMD) genetic risk factors through identification of polymorphisms in ERCC6 and in complement factor H. (PMID:16754848)
- Factor H (fH) binds to an approximately 29-kDa outer membrane protein on Neisseria meningitidis identified as GNA1870; binding of down-regulator protein fH correlates with levels of neisserial GNA1870 expression. (PMID:16785547)
Cross-species orthologs
0 orthologs
Paralogs (39): SELE (ENSG00000007908), C8B (ENSG00000021852), C6 (ENSG00000039537), SEZ6 (ENSG00000063015), CFHR2 (ENSG00000080910), APOH (ENSG00000091583), SEZ6L (ENSG00000100095), SUSD6 (ENSG00000100647), SRPX (ENSG00000101955), SRPX2 (ENSG00000102359), C7 (ENSG00000112936), C9 (ENSG00000113600), PAPPA2 (ENSG00000116183), CFHR3 (ENSG00000116785), CR2 (ENSG00000117322), CD46 (ENSG00000117335), CSMD2 (ENSG00000121904), C4BPA (ENSG00000123838), C4BPB (ENSG00000123843), CFHR4 (ENSG00000134365), CFHR5 (ENSG00000134389), F13B (ENSG00000143278), SUSD4 (ENSG00000143502), C8A (ENSG00000157131), SUSD3 (ENSG00000157303), CSMD3 (ENSG00000164796), SVEP1 (ENSG00000165124), C2 (ENSG00000166278), SELP (ENSG00000174175), SEZ6L2 (ENSG00000174938), PRF1 (ENSG00000180644), PAPPA (ENSG00000182752), CSMD1 (ENSG00000183117), SELL (ENSG00000188404), CD55 (ENSG00000196352), CR1L (ENSG00000197721), CR1 (ENSG00000203710), CFB (ENSG00000243649), CFHR1 (ENSG00000244414)
Protein
Protein identifiers
Complement factor H — P08603 (reviewed: P08603)
Alternative names: H factor 1
All UniProt accessions (26): A0A0D9SG88, A0A8Q3SI55, A0A8Q3SI73, A0A8Q3SI76, A0A8Q3SI78, A0A8Q3SI99, A0A8Q3SIB6, A0A8Q3SIC3, A0A8Q3SID7, A0A8Q3SID8, A0A8Q3SIE0, A0A8Q3SIE8, A0A8Q3SJ41, P08603, A0A8Q3WKW2, A0A8Q3WKW3, A0A8Q3WKW6, A0A8Q3WKW7, A0A8Q3WKX0, A0A8Q3WKX4, A0A8Q3WL05, A0A8Q3WLF7, A0A8Q3WLY2, A0A8Q3WM65, A0A8Q3WM71, Q5TFM2
UniProt curated annotations — full annotation on UniProt →
Function. Glycoprotein that plays an essential role in maintaining a well-balanced immune response by modulating complement activation. Acts as a soluble inhibitor of complement, where its binding to self markers such as glycan structures prevents complement activation and amplification on cell surfaces. Accelerates the decay of the complement alternative pathway (AP) C3 convertase C3bBb, thus preventing local formation of more C3b, the central player of the complement amplification loop. As a cofactor of the serine protease factor I, CFH also regulates proteolytic degradation of already-deposited C3b. In addition, mediates several cellular responses through interaction with specific receptors. For example, interacts with CR3/ITGAM receptor and thereby mediates the adhesion of human neutrophils to different pathogens. In turn, these pathogens are phagocytosed and destroyed. (Microbial infection) In the mosquito midgut, binds to the surface of parasite P.falciparum gametocytes and protects the parasite from alternative complement pathway-mediated elimination.
Subunit / interactions. Homodimer. Also forms homooligomers. Interacts with complement protein C3b; this interaction inhibits complement activation. Interacts with complement protein C3d. Interacts with CR3/ITGAM; this interaction mediates adhesion of neutrophils to pathogens leading to pathogen clearance. Interacts with complement factor I. (Microbial infection) Interacts with West nile virus non-structural protein 1 (NS1); this interaction leads to the degradation of C3. (Microbial infection) Interacts with C.albicans GPD2; the interaction is direct and leads to the degradation of C3 which enables the pathogen to evade the host innate immune system. (Microbial infection) Interacts with Neisseria meningitidis protein fHbp. (Microbial infection) Interacts with Borrelia burgdorferi outer surface protein E/OspE; this interaction recruits complement regulator factor H onto the bacterial surface to evade complement-mediated cell lysis. (Microbial infection) Interacts with Streptococcus pneumoniae protein virulence factor choline-binding protein A/CbpAN; this interaction enables Streptococcus pneumoniae to evade surveillance by human complement system. (Microbial infection) Interacts with Staphylococcus aureus surface protein serine-aspartate repeat protein E/SdrE; this interaction sequesters CFH on the surface of S.aureus for complement evasion. (Microbial infection) Interacts with Staphylococcus aureus protein Sbi; this interaction inhibits the complement activation of the alternative pathway. (Microbial infection) Interacts (via sushi 4-6 domains) with P.falciparum surface protein PF92; the interaction recruits CFH onto the merozoite surface preventing complement-mediated cell lysis. The interaction does not affect CFH activity. Interacts (via sushi 6-7 domains) with P.falciparum (strain NF54) GAP50; the interaction occurs in the vector mosquito midgut at the surface of the activated parasite gametocytes; the interaction protects the parasite from alternative complement pathway-mediated elimination. (Microbial infection) Interacts (via sushi 4-6 domains) with P.falciparum surface protein PF92; the interaction recruits FHL-1 isoform onto the merozoite surface preventing complement-mediated cell lysis. The interaction does not affect FHL-1 isoform activity. Interacts (via sushi 6-7 domains) with P.falciparum (strain NF54) GAP50; the interaction occurs in the vector mosquito midgut at the surface of the activated parasite gametocytes; the interaction protects the parasite from alternative complement pathway-mediated elimination.
Subcellular location. Secreted.
Tissue specificity. Expressed in the retinal pigment epithelium (at protein level). CFH is one of the most abundant complement components in blood where the liver is the major source of CFH protein in vivo. in addition, CFH is secreted by additional cell types including monocytes, fibroblasts, or endothelial cells.
Post-translational modifications. Sulfated on tyrosine residues. According to a report, Asn-217 is not glycosylated. Another study observed glycosylation at this position.
Disease relevance. Basal laminar drusen (BLD) [MIM:126700] Drusen are extracellular deposits that accumulate below the retinal pigment epithelium on Bruch membrane. Basal laminar drusen refers to an early adult-onset drusen phenotype that shows a pattern of uniform small, slightly raised yellow subretinal nodules randomly scattered in the macula. In later stages, these drusen often become more numerous, with clustered groups of drusen scattered throughout the retina. In time these small basal laminar drusen may expand and ultimately lead to a serous pigment epithelial detachment of the macula that may result in vision loss. The gene represented in this entry is involved in disease pathogenesis. Complement factor H deficiency (CFHD) [MIM:609814] A disorder that can manifest as several different phenotypes, including asymptomatic, recurrent bacterial infections, and renal failure. Laboratory features usually include decreased serum levels of factor H, complement component C3, and a decrease in other terminal complement components, indicating activation of the alternative complement pathway. It is associated with a number of renal diseases with variable clinical presentation and progression, including membranoproliferative glomerulonephritis and atypical hemolytic uremic syndrome. The disease is caused by variants affecting the gene represented in this entry. Hemolytic uremic syndrome, atypical, 1 (AHUS1) [MIM:235400] An atypical form of hemolytic uremic syndrome. It is a complex genetic disease characterized by microangiopathic hemolytic anemia, thrombocytopenia, renal failure and absence of episodes of enterocolitis and diarrhea. In contrast to typical hemolytic uremic syndrome, atypical forms have a poorer prognosis, with higher death rates and frequent progression to end-stage renal disease. Disease susceptibility is associated with variants affecting the gene represented in this entry. Other genes may play a role in modifying the phenotype. Macular degeneration, age-related, 4 (ARMD4) [MIM:610698] A form of age-related macular degeneration, a multifactorial eye disease and the most common cause of irreversible vision loss in the developed world. In most patients, the disease is manifest as ophthalmoscopically visible yellowish accumulations of protein and lipid that lie beneath the retinal pigment epithelium and within an elastin-containing structure known as Bruch membrane. Disease susceptibility is associated with variants affecting the gene represented in this entry.
Domain organisation. Sushi 1-3 domain represents the minimal unit capable of cofactor activity. The property to discriminate self surfaces from non-self surfaces depends on the C-terminal region made of Sushis 19-20.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| P08603-1 | 1 | yes |
| P08603-2 | 2, FHL-1 |
RefSeq proteins (2): NP_000177, NP_001014975 (=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR000436 | Sushi_SCR_CCP_dom | Domain |
| IPR035976 | Sushi/SCR/CCP_sf | Homologous_superfamily |
| IPR051503 | ComplSys_Reg/VirEntry_Med | Family |
Pfam: PF00084
UniProt features (255 total): strand 105, sequence variant 59, disulfide bond 40, domain 20, glycosylation site 9, helix 6, mutagenesis site 5, sequence conflict 4, turn 3, splice variant 2, signal peptide 1, chain 1
Structure
Experimental structures (PDB)
51 structures, top 30 by resolution.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 1HAQ | SOLUTION SCATTERING | 0 |
| 3GAU | SOLUTION SCATTERING | 0 |
| 3GAV | SOLUTION SCATTERING | 0 |
| 3GAW | SOLUTION SCATTERING | 0 |
| 4K12 | X-RAY DIFFRACTION | 1.08 |
| 3R62 | X-RAY DIFFRACTION | 1.52 |
| 3KZJ | X-RAY DIFFRACTION | 1.65 |
| 2G7I | X-RAY DIFFRACTION | 1.75 |
| 3SW0 | X-RAY DIFFRACTION | 1.8 |
| 6ATG | X-RAY DIFFRACTION | 1.8 |
| 9MLU | X-RAY DIFFRACTION | 1.82 |
| 9MMX | X-RAY DIFFRACTION | 1.9 |
| 3KXV | X-RAY DIFFRACTION | 2 |
| 3OXU | X-RAY DIFFRACTION | 2.1 |
| 4ONT | X-RAY DIFFRACTION | 2.15 |
| 6ZH1 | X-RAY DIFFRACTION | 2.2 |
| 4ZH1 | X-RAY DIFFRACTION | 2.24 |
| 9MMU | X-RAY DIFFRACTION | 2.25 |
| 2XQW | X-RAY DIFFRACTION | 2.31 |
| 4AYI | X-RAY DIFFRACTION | 2.31 |
| 2UWN | X-RAY DIFFRACTION | 2.35 |
| 2W80 | X-RAY DIFFRACTION | 2.35 |
| 2W81 | X-RAY DIFFRACTION | 2.35 |
| 3RJ3 | X-RAY DIFFRACTION | 2.35 |
| 4AYD | X-RAY DIFFRACTION | 2.4 |
| 2V8E | X-RAY DIFFRACTION | 2.5 |
| 7ZJM | X-RAY DIFFRACTION | 2.59 |
| 7WKI | X-RAY DIFFRACTION | 2.6 |
| 2WII | X-RAY DIFFRACTION | 2.7 |
| 4AYE | X-RAY DIFFRACTION | 2.8 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P08603-F1 | 78.54 | 0.01 |
Antibody-complex structures (SAbDab): 1 — 7WKI
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Disulfide bonds (40): 21–66, 52–80, 85–129, 114–141, 146–192, 178–205, 210–251, 237–262, 267–309, 294–320, 325–374, 357–385, 389–431, 416–442, 448–494, 477–505, 509–553, 536–564, 569–611, 597–623 …
Glycosylation sites (9): 217, 529, 718, 802, 822, 882, 911, 1029, 1095
Mutagenesis-validated functional residues (5):
| Position | Phenotype |
|---|---|
| 337 | about 10% loss of heparin-binding. |
| 341 | about 20% loss of heparin-binding. |
| 1182 | about 50% loss of c3b binding. |
| 1186 | about 20% loss of c3b binding. |
| 1188 | about 50% loss of c3b binding. |
Function
Pathways and Gene Ontology
Reactome pathways
1 pathways
| ID | Pathway |
|---|---|
| R-HSA-977606 | Regulation of Complement cascade |
MSigDB gene sets: 1073 (showing top):
GOBP_POTASSIUM_ION_TRANSPORT, VERHAAK_AML_WITH_NPM1_MUTATED_DN, LI_CISPLATIN_RESISTANCE_DN, GOBP_MEMBRANE_DEPOLARIZATION, ZHAN_LATE_DIFFERENTIATION_GENES_UP, MORF_FLT1, OUELLET_OVARIAN_CANCER_INVASIVE_VS_LMP_DN, REACTOME_INNATE_IMMUNE_SYSTEM, CHIARADONNA_NEOPLASTIC_TRANSFORMATION_KRAS_DN, TSENG_IRS1_TARGETS_UP, MORF_MSH3, BERTUCCI_MEDULLARY_VS_DUCTAL_BREAST_CANCER_DN, GOBP_INFLAMMATORY_RESPONSE, JAEGER_METASTASIS_DN, CHIARETTI_T_ALL_REFRACTORY_TO_THERAPY
GO Biological Process (10): proteolysis (GO:0006508), inflammatory response (GO:0006954), complement activation (GO:0006956), complement activation, alternative pathway (GO:0006957), central nervous system myelination (GO:0022010), regulation of complement activation (GO:0030449), regulation of complement activation, alternative pathway (GO:0030451), regulation of complement-dependent cytotoxicity (GO:1903659), immune system process (GO:0002376), innate immune response (GO:0045087)
GO Molecular Function (5): complement component C3b binding (GO:0001851), heparin binding (GO:0008201), identical protein binding (GO:0042802), heparan sulfate proteoglycan binding (GO:0043395), protein binding (GO:0005515)
GO Cellular Component (6): extracellular region (GO:0005576), obsolete extracellular space (GO:0005615), extracellular exosome (GO:0070062), blood microparticle (GO:0072562), symbiont cell surface (GO:0106139), serine-type endopeptidase complex (GO:1905370)
Reactome top-level categories
Rollup of top-1 pathways:
| Category | Pathways |
|---|---|
| Complement cascade | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| complement activation | 2 |
| cellular anatomical structure | 2 |
| protein metabolic process | 1 |
| defense response | 1 |
| immune effector process | 1 |
| activation of immune response | 1 |
| humoral immune response | 1 |
| protein activation cascade | 1 |
| innate immune response | 1 |
| oligodendrocyte development | 1 |
| axon ensheathment in central nervous system | 1 |
| myelination | 1 |
| regulation of immune effector process | 1 |
| regulation of humoral immune response | 1 |
| complement activation, alternative pathway | 1 |
| regulation of complement activation | 1 |
| regulation of innate immune response | 1 |
| regulation of cell killing | 1 |
| complement-dependent cytotoxicity | 1 |
| biological_process | 1 |
| immune response | 1 |
| defense response to symbiont | 1 |
| opsonin binding | 1 |
| complement binding | 1 |
| glycosaminoglycan binding | 1 |
| sulfur compound binding | 1 |
| protein binding | 1 |
| proteoglycan binding | 1 |
| binding | 1 |
| extracellular vesicle | 1 |
| extracellular region | 1 |
| other organism part | 1 |
| serine-type peptidase complex | 1 |
| endopeptidase complex | 1 |
Protein interactions and networks
STRING
1508 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| CFH | C3 | P01024 | 999 |
| CFH | CFI | P05156 | 981 |
| CFH | CRP | P02741 | 970 |
| CFH | C4A | P01028 | 962 |
| CFH | ARMS2 | P0C7Q2 | 953 |
| CFH | C4A | P01028 | 947 |
| CFH | APOE | P02649 | 940 |
| CFH | ERVFRD-1 | P60508 | 938 |
| CFH | ERV3-1 | Q14264 | 938 |
| CFH | ERVW-1 | Q9UQF0 | 937 |
| CFH | VTN | P01141 | 929 |
| CFH | CFP | P27918 | 873 |
| CFH | C2 | P06681 | 862 |
| CFH | ADAMTS13 | Q76LX8 | 853 |
| CFH | PLEKHA1 | Q9HB21 | 847 |
IntAct
192 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| CFH | CRP | psi-mi:“MI:0407”(direct interaction) | 0.980 |
| CRP | CFH | psi-mi:“MI:0915”(physical association) | 0.980 |
| CRP | CFH | psi-mi:“MI:0407”(direct interaction) | 0.980 |
| CFH | CRP | psi-mi:“MI:0915”(physical association) | 0.980 |
BioGRID (144): CFH (Affinity Capture-MS), CFH (Affinity Capture-MS), KLHL18 (Affinity Capture-MS), MUT (Affinity Capture-MS), CFH (Reconstituted Complex), PRA1 (Reconstituted Complex), CFH (Affinity Capture-MS), CFH (Far Western), CFH (Far Western), CFH (Far Western), CFH (Far Western), C3 (Reconstituted Complex), CFH (Reconstituted Complex), CFH (Reconstituted Complex), CFH (Affinity Capture-MS)
ESM2 similar proteins: O02839, O08569, O19124, O62685, O62837, O88174, P02749, P04003, P05160, P06909, P08174, P08603, P08607, P15529, P16109, P17690, P19070, P20023, P26644, P33703, P36980, P42201, P49457, P70105, P79138, P98109, Q01339, Q02985, Q03472, Q03591, Q07968, Q22328, Q28065, Q28768, Q2VPA4, Q5R4D0, Q60401, Q60736, Q61475, Q61476
Diamond homologs: O62837, P05160, P06909, P08174, P08603, P14650, P15529, P36980, P49457, P68638, P68639, P79138, Q02985, Q03472, Q03591, Q26422, Q28085, Q53EL9, Q5R4D0, Q60401, Q9BXR6, Q01016, Q09101, Q501P1, A0A1D5NSM8, A2AVA0, B3EWY9, B3EWZ3, B3EWZ8, C0HL12, C5IAW9, D3YXF5, D3YXG0, D3ZTD8, E9Q6D8, G1FC92, G5ECS8, O08747, O19124, O62685
SIGNOR signaling
6 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| PTX3 | “up-regulates activity” | CFH | binding |
| CFH | “down-regulates activity” | C3 | binding |
| CFH | “down-regulates activity” | CFB | binding |
| CFH | “down-regulates activity” | CRP | binding |
| CFH | “up-regulates activity” | CFI | binding |
| CFHR1 | “down-regulates activity” | CFH | binding |
Disease & clinical
Clinical variants and AI predictions
ClinVar
1599 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 69 |
| Likely pathogenic | 47 |
| Uncertain significance | 858 |
| Likely benign | 318 |
| Benign | 62 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1163687 | NM_000186.4(CFH):c.3610G>T (p.Gly1204Ter) | Pathogenic |
| 1322067 | NM_000186.4(CFH):c.1307G>A (p.Trp436Ter) | Pathogenic |
| 1322068 | NM_000186.4(CFH):c.729C>G (p.Tyr243Ter) | Pathogenic |
| 1428739 | NM_000186.4(CFH):c.471del (p.Ile157fs) | Pathogenic |
| 1450348 | NM_000186.4(CFH):c.1873G>T (p.Glu625Ter) | Pathogenic |
| 1452931 | NM_000186.4(CFH):c.1243del (p.Ala415fs) | Pathogenic |
| 1457496 | NM_000186.4(CFH):c.1953_1954del (p.His651fs) | Pathogenic |
| 1459758 | NM_000186.4(CFH):c.1797_1798delinsGT (p.Gly600Ter) | Pathogenic |
| 16542 | NM_000186.4(CFH):c.3643C>G (p.Arg1215Gly) | Pathogenic |
| 16547 | NM_000186.4(CFH):c.565G>T (p.Glu189Ter) | Pathogenic |
| 16553 | NM_000186.4(CFH):c.2697T>A (p.Tyr899Ter) | Pathogenic |
| 16555 | NM_000186.4(CFH):c.668AGA[1] (p.Lys224del) | Pathogenic |
| 16559 | NM_000186.4(CFH):c.3514G>T (p.Glu1172Ter) | Pathogenic |
| 16560 | NM_000186.4(CFH):c.1222C>T (p.Gln408Ter) | Pathogenic |
| 2017582 | NM_000186.4(CFH):c.1352C>G (p.Ser451Ter) | Pathogenic |
| 21089 | NC_000001.10:g.(196712876_196712928)_(196797494_196797546)del | Pathogenic |
| 2441817 | NM_000186.4(CFH):c.1820del (p.Asn607fs) | Pathogenic |
| 2500782 | NC_000001.11:g.196706898_196873196del | Pathogenic |
| 2738506 | NM_000186.4(CFH):c.1366G>T (p.Glu456Ter) | Pathogenic |
| 2814347 | NM_000186.4(CFH):c.1418_1419insAAGGGCCGGGCGCGGTGGCTCACGCCTGTAATCCCAGCACTTTGGGAGGCCGAGGCGGGCGNNNNNNNNNNAAAAAAAAAAAAAAAAAAAAAAAAGAAAAAGC (p.Ala473_Lys474insArgAlaGlyArgGlyGlySerArgLeuTer) | Pathogenic |
| 2847460 | NM_000186.4(CFH):c.1390C>T (p.Gln464Ter) | Pathogenic |
| 3234076 | NM_000186.4(CFH):c.245-1G>C | Pathogenic |
| 3236385 | NM_000186.4(CFH):c.1609del (p.His537fs) | Pathogenic |
| 3249396 | NM_000186.4(CFH):c.2303del (p.Lys768fs) | Pathogenic |
| 3249690 | NM_000186.4(CFH):c.678_681del (p.Tyr227fs) | Pathogenic |
| 3383230 | NM_000186.4(CFH):c.2485dup (p.Tyr829fs) | Pathogenic |
| 4085222 | NM_000186.4(CFH):c.882T>A (p.Cys294Ter) | Pathogenic |
| 429034 | NM_000186.4(CFH):c.2397del (p.Glu800fs) | Pathogenic |
| 4291295 | NM_000186.4(CFH):c.550del (p.Ile184fs) | Pathogenic |
| 4291305 | NM_000186.4(CFH):c.593G>A (p.Trp198Ter) | Pathogenic |
SpliceAI
4168 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 1:196673960:GGG:G | donor_gain | 1.0000 |
| 1:196673961:GGG:G | donor_gain | 1.0000 |
| 1:196685058:TTTCA:T | acceptor_loss | 1.0000 |
| 1:196685059:TTCAG:T | acceptor_loss | 1.0000 |
| 1:196685060:TCAGA:T | acceptor_loss | 1.0000 |
| 1:196685061:CA:C | acceptor_loss | 1.0000 |
| 1:196685062:A:AG | acceptor_gain | 1.0000 |
| 1:196685062:AGAA:A | acceptor_loss | 1.0000 |
| 1:196685063:G:GG | acceptor_gain | 1.0000 |
| 1:196685063:GA:G | acceptor_gain | 1.0000 |
| 1:196685063:GAA:G | acceptor_gain | 1.0000 |
| 1:196685063:GAAA:G | acceptor_gain | 1.0000 |
| 1:196685063:GAAAA:G | acceptor_gain | 1.0000 |
| 1:196685233:TACCT:T | donor_gain | 1.0000 |
| 1:196685234:ACCT:A | donor_gain | 1.0000 |
| 1:196685234:ACCTG:A | donor_loss | 1.0000 |
| 1:196685235:CCTGT:C | donor_loss | 1.0000 |
| 1:196685236:CT:C | donor_gain | 1.0000 |
| 1:196685236:CTGT:C | donor_loss | 1.0000 |
| 1:196685238:G:GG | donor_gain | 1.0000 |
| 1:196685238:GTAAG:G | donor_loss | 1.0000 |
| 1:196685239:TAA:T | donor_loss | 1.0000 |
| 1:196689418:A:G | acceptor_gain | 1.0000 |
| 1:196713734:GAAAC:G | acceptor_gain | 1.0000 |
| 1:196713913:CATTA:C | donor_gain | 1.0000 |
| 1:196713914:ATTA:A | donor_gain | 1.0000 |
| 1:196713915:TTA:T | donor_gain | 1.0000 |
| 1:196713915:TTAGT:T | donor_loss | 1.0000 |
| 1:196713916:TA:T | donor_gain | 1.0000 |
| 1:196713917:AG:A | donor_loss | 1.0000 |
AlphaMissense
8066 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 1:196676040:G:C | W134C | 1.000 |
| 1:196676040:G:T | W134C | 1.000 |
| 1:196673132:G:C | W71C | 0.999 |
| 1:196673132:G:T | W71C | 0.999 |
| 1:196676038:T:A | W134R | 0.999 |
| 1:196676038:T:C | W134R | 0.999 |
| 1:196742029:G:C | W1037C | 0.999 |
| 1:196742029:G:T | W1037C | 0.999 |
| 1:196676018:G:C | R127P | 0.998 |
| 1:196676023:T:A | C129S | 0.998 |
| 1:196676024:G:C | C129S | 0.998 |
| 1:196676059:T:A | C141S | 0.998 |
| 1:196676060:G:C | C141S | 0.998 |
| 1:196685215:G:C | W314C | 0.998 |
| 1:196685215:G:T | W314C | 0.998 |
| 1:196740770:G:C | W978C | 0.998 |
| 1:196740770:G:T | W978C | 0.998 |
| 1:196743606:G:C | W1096C | 0.998 |
| 1:196743606:G:T | W1096C | 0.998 |
| 1:196673952:T:A | C114S | 0.997 |
| 1:196673953:G:C | C114S | 0.997 |
| 1:196679712:T:A | C237S | 0.997 |
| 1:196679713:G:C | C237S | 0.997 |
| 1:196679771:G:C | W256C | 0.997 |
| 1:196679771:G:T | W256C | 0.997 |
| 1:196685198:T:A | C309S | 0.997 |
| 1:196685199:G:C | C309S | 0.997 |
| 1:196685213:T:A | W314R | 0.997 |
| 1:196685213:T:C | W314R | 0.997 |
| 1:196689592:G:C | W379C | 0.997 |
dbSNP variants (sampled 300 via entrez): RS1000006247 (1:196731402 C>A), RS1000015319 (1:196702289 A>C), RS1000028506 (1:196734661 G>C), RS1000046486 (1:196693393 G>A,T), RS1000058459 (1:196727639 A>G), RS1000064326 (1:196659140 T>C), RS1000094823 (1:196659361 G>A), RS1000098520 (1:196651491 A>C), RS1000133321 (1:196651272 G>C,T), RS1000146080 (1:196734260 T>C), RS1000191300 (1:196696112 C>T), RS1000215140 (1:196717771 C>T), RS1000231416 (1:196687321 GACTCTCTGTGGGT>G), RS1000241697 (1:196697345 G>A,C), RS1000278234 (1:196657150 T>G)
Disease associations
OMIM: gene MIM:134370 | disease phenotypes: MIM:126700, MIM:235400, MIM:609814, MIM:610698, MIM:612923, MIM:614809
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| C3 glomerulonephritis | Definitive | Autosomal recessive |
| basal laminar drusen | Strong | Autosomal dominant |
| hemolytic uremic syndrome, atypical, susceptibility to, 1 | Strong | Autosomal dominant |
| complement factor H deficiency | Strong | Autosomal recessive |
| Doyne honeycomb retinal dystrophy | Supportive | Autosomal dominant |
| dense deposit disease | Supportive | Autosomal recessive |
ClinGen Gene-Disease Validity (2)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| C3 glomerulonephritis | Definitive | AR |
| atypical hemolytic-uremic syndrome | Definitive | SD |
Mondo (20): basal laminar drusen (MONDO:0007472), hemolytic uremic syndrome, atypical, susceptibility to, 1 (MONDO:0009335), complement factor H deficiency (MONDO:0012350), age related macular degeneration 4 (MONDO:0012540), atypical hemolytic-uremic syndrome (MONDO:0016244), thrombotic microangiopathy (MONDO:0019737), atypical hemolytic-uremic syndrome with I factor anomaly (MONDO:0013041), kidney disorder (MONDO:0005240), inherited retinal dystrophy (MONDO:0019118), focal segmental glomerulosclerosis (MONDO:0100313), breast ductal adenocarcinoma (MONDO:0005590), primary ovarian failure (MONDO:0005387), complement 3 glomerulopathy (MONDO:0018013), hereditary hemolytic uremic syndrome (MONDO:0957097), C3 glomerulonephritis (MONDO:0013892)
Orphanet (10): Atypical hemolytic uremic syndrome (Orphanet:2134), Familial drusen (Orphanet:75376), Shiga toxin-associated hemolytic uremic syndrome (Orphanet:90038), Thrombotic microangiopathy (Orphanet:93573), OBSOLETE: Inherited retinal disorder (Orphanet:71862), C3 glomerulopathy (Orphanet:329918), Genetic hemolytic uremic syndrome (Orphanet:576742), C3 glomerulonephritis (Orphanet:329931), OBSOLETE: Atypical hemolytic uremic syndrome with I factor anomaly (Orphanet:93580), NON RARE IN EUROPE: Primary ovarian failure (Orphanet:619)
HPO phenotypes
89 total (30 of 89 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000006 | Autosomal dominant inheritance |
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000093 | Proteinuria |
| HP:0000529 | Progressive visual loss |
| HP:0000572 | Visual loss |
| HP:0000608 | Macular degeneration |
| HP:0000613 | Photophobia |
| HP:0000790 | Hematuria |
| HP:0000822 | Hypertension |
| HP:0000979 | Purpura |
| HP:0001058 | Poor wound healing |
| HP:0001250 | Seizure |
| HP:0001259 | Coma |
| HP:0001269 | Hemiparesis |
| HP:0001342 | Cerebral hemorrhage |
| HP:0001873 | Thrombocytopenia |
| HP:0001878 | Hemolytic anemia |
| HP:0001919 | Acute kidney injury |
| HP:0001923 | Reticulocytosis |
| HP:0001937 | Microangiopathic hemolytic anemia |
| HP:0001945 | Fever |
| HP:0001981 | Schistocytosis |
| HP:0002013 | Vomiting |
| HP:0002014 | Diarrhea |
| HP:0002018 | Nausea |
| HP:0002027 | Abdominal pain |
| HP:0002202 | Pleural effusion |
| HP:0002315 | Headache |
| HP:0002381 | Aphasia |
| HP:0002615 | Hypotension |
GWAS associations
79 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST000001_1 | Age-related macular degeneration | 4.000000e-08 |
| GCST000652_4 | Age-related macular degeneration | 6.000000e-16 |
| GCST000652_6 | Age-related macular degeneration | 2.000000e-76 |
| GCST000653_2 | Age-related macular degeneration | 4.000000e-117 |
| GCST000653_6 | Age-related macular degeneration | 2.000000e-111 |
| GCST000762_1 | Meningococcal disease | 5.000000e-13 |
| GCST000806_1 | Age-related macular degeneration | 3.000000e-64 |
| GCST001009_4 | Nephropathy | 3.000000e-10 |
| GCST001100_8 | Age-related macular degeneration | 1.000000e-261 |
| GCST001571_2 | Age-related macular degeneration | 2.000000e-47 |
| GCST001578_5 | Age-related macular degeneration (geographic atrophy) | 5.000000e-67 |
| GCST001579_1 | Age-related macular degeneration (choroidal neovascularisation) | 1.000000e-108 |
| GCST001679_9 | Complement C3 and C4 levels | 7.000000e-11 |
| GCST001814_3 | Age-related macular degeneration | 7.000000e-32 |
| GCST001814_9 | Age-related macular degeneration | 2.000000e-31 |
| GCST001884_12 | Age-related macular degeneration | 0.000000e+00 |
| GCST001899_1 | Age-related macular degeneration | 1.000000e-16 |
| GCST001979_1 | Circulating myeloperoxidase levels (serum) | 5.000000e-41 |
| GCST001986_1 | Age-related macular degeneration | 1.000000e-31 |
| GCST001987_2 | Age-related macular degeneration (extreme sampling) | 9.000000e-24 |
| GCST002766_6 | Exudative age-related macular degeneration | 8.000000e-38 |
| GCST003219_1 | Advanced age-related macular degeneration | 0.000000e+00 |
| GCST003219_29 | Advanced age-related macular degeneration | 0.000000e+00 |
| GCST003219_30 | Advanced age-related macular degeneration | 9.000000e-24 |
| GCST003219_31 | Advanced age-related macular degeneration | 9.000000e-26 |
| GCST003219_36 | Advanced age-related macular degeneration | 8.000000e-37 |
| GCST003219_37 | Advanced age-related macular degeneration | 8.000000e-07 |
| GCST003219_7 | Advanced age-related macular degeneration | 1.000000e-68 |
| GCST003219_8 | Advanced age-related macular degeneration | 6.000000e-165 |
| GCST003265_111 | Post bronchodilator FEV1/FVC ratio in COPD | 6.000000e-07 |
EFO canonical traits (16, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:1001492 | atrophic macular degeneration |
| EFO:0004983 | complement C3 measurement |
| EFO:0005243 | myeloperoxidase measurement |
| EFO:0004713 | FEV/FVC ratio |
| EFO:0008336 | disease progression measurement |
| EFO:0008543 | c3d:C3 ratio |
| EFO:0009281 | choroidal thickness measurement |
| EFO:0009363 | chronic central serous retinopathy |
| EFO:0008097 | complement factor H measurement |
| EFO:0010742 | protein binding measurement |
| EFO:0004736 | aspartate aminotransferase measurement |
| EFO:0600055 | complement factor H-related protein 2 measurement |
| EFO:0600056 | complement factor H-related protein 3 measurement |
| EFO:0600057 | complement factor H-related protein 4A measurement |
| EFO:0008098 | complement factor H-related protein 5 measurement |
| EFO:0007788 | BMI-adjusted waist-hip ratio |
MeSH disease descriptors (13)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D065766 | Atypical Hemolytic Uremic Syndrome | C12.050.351.968.419.936.463.500; C12.200.777.419.936.463.500; C12.950.419.936.463.500; C15.378.050.141.610.500; C15.378.140.855.925.500.500; C15.378.243.937.925.500.500 |
| D018270 | Carcinoma, Ductal, Breast | C04.557.470.200.025.232.500; C04.557.470.615.132.500; C04.588.180.390; C17.800.090.500.390 |
| D015432 | Glomerulonephritis, Membranoproliferative | C12.050.351.968.419.570.363.615; C12.200.777.419.570.363.615; C12.950.419.570.363.615; C20.425 |
| D005923 | Glomerulosclerosis, Focal Segmental | C12.050.351.968.419.570.363.640; C12.200.777.419.570.363.660; C12.950.419.570.363.640 |
| D007674 | Kidney Diseases | C12.050.351.968.419; C12.200.777.419; C12.950.419 |
| D007676 | Kidney Failure, Chronic | C12.050.351.968.419.780.750.500; C12.200.777.419.780.750.500; C12.950.419.780.750.500; C23.550.291.500.906.500 |
| D009896 | Optic Atrophy | C10.292.700.225; C11.640.451 |
| D016649 | Primary Ovarian Insufficiency | C12.050.351.500.056.630.750; C12.100.250.056.630.750; C19.391.630.750 |
| D058499 | Retinal Dystrophies | C11.768.585.658 |
| D057049 | Thrombotic Microangiopathies | C15.378.140.855.925; C15.378.243.937.925 |
| C563034 | Basal Laminar Drusen (supp.) | |
| C562875 | Complement Factor H Deficiency (supp.) | |
| C565196 | Macular Degeneration, Age-Related, 4 (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL4629 (SINGLE PROTEIN)
PharmGKB: 1 entry (VIP=true, CPIC=false)
PharmGKB clinical annotations
4 annotations.
| Variant | Type | Level | Drugs | Phenotypes |
|---|---|---|---|---|
| rs1061170 | Dosage | 3 | bevacizumab | Macular Degeneration |
| rs1061170 | Efficacy | 4 | Photodynamic therapy | Macular Degeneration |
| rs1061170 | Efficacy | 4 | bevacizumab;ranibizumab | Macular Degeneration |
| rs800292 | Efficacy | 3 | bevacizumab |
PharmGKB variants
8 variants.
| Variant | Genes | Level | Score | #Clin annots | Drugs |
|---|---|---|---|---|---|
| rs800292 | CFH | 3 | 2.50 | 1 | bevacizumab |
| rs1061170 | CFH | 3 | 1.75 | 3 | bevacizumab;bevacizumab;ranibizumab;Photodynamic therapy |
| rs1329424 | CFH | 0.00 | 0 | ||
| rs1329428 | CFH | 0.00 | 0 | ||
| rs1410996 | CFH | 0.00 | 0 | ||
| rs3753394 | CFH | 0.00 | 0 | ||
| rs10737680 | CFH | 0.00 | 0 | ||
| rs10801555 | CFH | 0.00 | 0 |
CTD chemical–gene interactions
59 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| sodium arsenite | decreases expression, affects cotreatment, increases abundance | 4 |
| Air Pollutants | decreases expression, increases abundance | 4 |
| Cyclosporine | affects cotreatment, affects expression, decreases expression | 4 |
| Acetaminophen | decreases expression, increases expression | 2 |
| Progesterone | increases expression | 2 |
| Silicon Dioxide | decreases expression | 2 |
| Particulate Matter | decreases expression, increases abundance | 2 |
| sotorasib | affects cotreatment, increases expression | 1 |
| 2,4,6-tribromophenol | increases expression | 1 |
| testosterone enanthate | affects expression | 1 |
| triphenyl phosphate | affects expression | 1 |
| trichostatin A | increases expression | 1 |
| arsenite | decreases expression | 1 |
| butyraldehyde | decreases expression | 1 |
| tetrabromobisphenol A | increases expression | 1 |
| zinc chromate | increases abundance, increases expression | 1 |
| cupric chloride | decreases expression | 1 |
| S-(1,2-dichlorovinyl)cysteine | decreases reaction, increases expression | 1 |
| S-1,2-dichlorovinyl-N-acetylcysteine | increases expression | 1 |
| chromium hexavalent ion | increases abundance, increases expression | 1 |
| abrine | decreases expression | 1 |
| quinocetone | decreases expression | 1 |
| 2,2’,4,4’-tetrabromodiphenyl ether | increases expression | 1 |
| jinfukang | increases expression, decreases expression, affects cotreatment | 1 |
| incobotulinumtoxinA | increases expression | 1 |
| trametinib | increases expression, affects cotreatment | 1 |
| (+)-JQ1 compound | decreases expression | 1 |
| NVP-BKM120 | affects cotreatment, increases expression | 1 |
| 3-(2-hydroxy-4-(2-methylnonan-2-yl)phenyl)cyclohexan-1-ol | decreases expression | 1 |
| Olanzapine | decreases phosphorylation | 1 |
ChEMBL screening assays
1 unique, capped per target: 1 binding
Representative assays (with source publication via chembl_document):
| Assay ID | Type | Description | Source paper |
|---|---|---|---|
| CHEMBL666763 | Binding | In vitro activity against human Complement factor I | Discovery of 1-[3-(aminomethyl)phenyl]-N-3-fluoro-2’-(methylsulfonyl)-[1,1’-biphenyl]-4-yl]-3-(trifluoromethyl)-1H-pyrazole-5-carboxamide (DPC423), a highly potent, selective, and orally bioavailable inhibitor of blood coagulation factor Xa. — J Med Chem |
Cellosaurus cell lines
19 cell lines: 17 induced pluripotent stem cell, 1 cancer cell line, 1 transformed cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_A2YF | SCTCi011-A | Induced pluripotent stem cell | Female |
| CVCL_A2YG | SCTCi012-A | Induced pluripotent stem cell | Male |
| CVCL_A2YH | SCTCi013-A | Induced pluripotent stem cell | Male |
| CVCL_B2MC | Abcam A-549 CFH KO | Cancer cell line | Male |
| CVCL_B4IK | iChEC-1 | Transformed cell line | Female |
| CVCL_IT85 | UNEWi022-A | Induced pluripotent stem cell | Male |
| CVCL_IT86 | UNEWi022-B | Induced pluripotent stem cell | Male |
| CVCL_IT87 | UNEWi022-C | Induced pluripotent stem cell | Male |
| CVCL_IT91 | UNEWi024-A | Induced pluripotent stem cell | Male |
| CVCL_IT92 | UNEWi024-B | Induced pluripotent stem cell | Male |
Clinical trials (associated diseases)
314 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT02574403 | PHASE4 | COMPLETED | Study Assessing an Algorithm-based Strategy of Eculizumab Discontinuation in Children and Adults With aHUS |
| NCT07308574 | PHASE4 | RECRUITING | Post-Marketing Clinical Study of Ravulizumab in Participants With Clinical aHUS |
| NCT00067990 | PHASE4 | COMPLETED | Angiotensin II Blockade for Chronic Allograft Nephropathy |
| NCT00117078 | PHASE4 | COMPLETED | Aranesp® Monthly Preference Study - 2 |
| NCT00117130 | PHASE4 | COMPLETED | Study to Evaluate Effectiveness of Aranesp® |
| NCT00132431 | PHASE4 | COMPLETED | START: Sensipar Treatment Algorithm to Reach K/DOQI Targets in Chronic Kidney Disease Subjects With Secondary Hyperparathyroidism |
| NCT00140985 | PHASE4 | COMPLETED | Antiproteinuric Efficacy of Losartan Potassium in Patients With Non-Diabetic Proteinuric Renal Diseases (0954-213) |
| NCT00246129 | PHASE4 | COMPLETED | CamTac Trial:Campath-Tacrolimus vs IL2R MoAb/Tacrolimus/MMF in Renal Transplantation |
| NCT00275535 | PHASE4 | COMPLETED | The Comparison of Tacrolimus and Sirolimus Immunosuppression Based Drug Regimens in Kidney Transplant Recipients |
| NCT00282217 | PHASE4 | COMPLETED | Study Evaluating Sirolimus in the Treatment of Kidney Transplant |
| NCT00289614 | PHASE4 | COMPLETED | Patients With Renal Impairment and Diabetes Undergoing Computed Tomography (CT) |
| NCT00290069 | PHASE4 | UNKNOWN | Renal Function Optimization With Mycophenolate Mofetil (MMF) Immunosuppressor Regimes (ALHAMBRA) |
| NCT00338468 | PHASE4 | TERMINATED | A Study to Assess Disability in Anemic Elderly Patients With Kidney Disease Receiving PROCRIT (Epoetin Alfa) |
| NCT00368901 | PHASE4 | COMPLETED | STAAR-2 Clinical Study |
| NCT00369733 | PHASE4 | COMPLETED | STAAR-3 Clinical Study |
| NCT00369772 | PHASE4 | COMPLETED | STAAR-1 Clinical Study |
| NCT00379899 | PHASE4 | COMPLETED | ADVANCE: Study to Evaluate Cinacalcet Plus Low Dose Vitamin D on Vascular Calcification in Subjects With Chronic Kidney Disease Receiving Hemodialysis |
| NCT00443508 | PHASE4 | UNKNOWN | Reduction or Discontinuation of CNI’s With Conversion to Everolimus-Based Immunosuppresion |
| NCT00452478 | PHASE4 | TERMINATED | Conversion From Standard Phosphate Binder Therapy to Fosrenol® (Lanthanum Carbonate) in Chronic Kidney Disease Stage 5 |
| NCT00492518 | PHASE4 | COMPLETED | Acetylcysteine, Theophylline, and a Combination of Both in the Prophylaxis of Contrast-Induced Nephropathy |
| NCT00505102 | PHASE4 | UNKNOWN | Safe Renal Function In Long Term Heart Transplanted Patients |
| NCT00526331 | PHASE4 | COMPLETED | Evaluation of Arterial Pressure Based Cardiac Output for Goal-Directed Perioperative Therapy |
| NCT00688480 | PHASE4 | COMPLETED | Do Xanthine Oxidase Inhibitors Reduce Both Left Ventricular Hypertrophy and Endothelial Dysfunction in Cardiovascular Patients With Renal Dysfunction? |
| NCT00863707 | PHASE4 | COMPLETED | A Study of the Safety and Tolerance of Regadenoson in Subjects With Renal Impairment |
| NCT01101698 | PHASE4 | UNKNOWN | Vitamin K2 and Vessel Calcification in Chronic Kidney Disease Patients |
| NCT01150201 | PHASE4 | COMPLETED | Aliskiren Combined With Losartan in Proteinuric, Non-diabetic Chronic Kidney Disease |
| NCT01155141 | PHASE4 | COMPLETED | Idiopathic Focal Segmental Glomerulosclerosis (FSGS) and Treatment With ACTH |
| NCT01228279 | PHASE4 | COMPLETED | Sympathetic Activity in Patients With End-stage Renal Disease on Peritoneal Dialysis |
| NCT01334333 | PHASE4 | COMPLETED | Comparison of Medication Adherence Between Once and Twice Daily Tacrolimus in Stable Renal Transplant Recipients |
| NCT01437943 | PHASE4 | TERMINATED | Effect of Short Term Aliskiren Treatment in Kidney Transplant Patients |
| NCT01545479 | PHASE4 | COMPLETED | Increased Renal Oxygenation and Angiotensin Converting Enzyme Inhibition |
| NCT01614431 | PHASE4 | COMPLETED | N Acetyl Cysteine for Cystinosis Patients |
| NCT01631149 | PHASE4 | COMPLETED | Effect of Deep BLock on Intraoperative Surgical Conditions |
| NCT01722513 | PHASE4 | UNKNOWN | Efficacy and Safety of Alprostadil Prevent Contrast Induced Nephropathy |
| NCT01985360 | PHASE4 | COMPLETED | ISCHEMIA-Chronic Kidney Disease Trial |
| NCT02311010 | PHASE4 | UNKNOWN | Practical Use of Advagraf de Novo After Kidney Transplantation According to Recipient Genetic Polymorphism |
| NCT02413073 | PHASE4 | COMPLETED | Whole Body Vibration in Kidney Disease |
| NCT02444013 | PHASE4 | UNKNOWN | Folic Acid for Prevention of Contrast Induced Nephropathy |
| NCT02663713 | PHASE4 | COMPLETED | A Randomized, Pharmacodynamic Comparison of Low Dose Ticagrelor to Clopidogrel in Patients With Prior Myocardial Infarction |
| NCT02707809 | PHASE4 | COMPLETED | Effects of Dexmedetomidine on Microcirculation of Kidney Transplant Recipient |
Related Atlas pages
- Associated diseases: basal laminar drusen, hemolytic uremic syndrome, atypical, susceptibility to, 1, complement factor H deficiency, C3 glomerulonephritis, Doyne honeycomb retinal dystrophy, dense deposit disease, atypical hemolytic-uremic syndrome
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): age related macular degeneration 4, atypical hemolytic-uremic syndrome, atypical hemolytic-uremic syndrome with I factor anomaly, basal laminar drusen, C3 glomerulonephritis, complement 3 glomerulopathy, complement factor H deficiency, dense deposit disease, Doyne honeycomb retinal dystrophy, focal segmental glomerulosclerosis, glaucoma, hemolytic uremic syndrome, atypical, susceptibility to, 1, hereditary hemolytic uremic syndrome, kidney disorder, membranoproliferative glomerulonephritis, meningococcal infection, rheumatic heart disease, thrombotic microangiopathy, wet macular degeneration