Gene
HNF1A
HNF1 homeobox A
- HGNC 11621↗(opens in a new tab)
- Ensembl gene ENSG00000135100↗(opens in a new tab)
- NCBI Gene 6927↗(opens in a new tab)
Summary
- Cytogenetic location
- 12q24.31
- Coordinates
- Chromosome 12: 120,978,543–121,002,512 (GRCh38)
- Exons
- 10 exons across 24 kb
- Protein
- 631 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- HNF1, LFB1, HNF1α
- Previous symbols
- MODY3, TCF1
- MANE Select transcript
- ENST00000257555.11NM_000545.8
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Diabetes Mellitus
A metabolic disorder characterized by abnormally high blood sugar levels due to diminished production of insulin or insulin resistance/desensitization.
- ClinGen rates the link definitive
- 4 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
What knowing changes
Teplizumab (Tzield) for stage 2 presymptomatic T1D (FDA approved 2022); insulin replacement at clinical T1D onset; TrialNet autoantibody screening for high-risk relatives; closed-loop insulin delivery systems
Maturity-Onset Diabetes Of The Young
- Autosomal dominant
MODY (maturity-onset diabetes of the young) is a rare, familial, clinically and genetically heterogeneous form of diabetes characterized by young age of onset (generally 10-45 years of age) with maintenance of endogenous insulin production, lack of pancreatic beta-cell autoimmunity, absence of obesity and insulin resistance and extra-pancreatic manifestations in some subtypes.
- 3 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
What knowing changes
GCK-MODY: no treatment needed; HNF1A/HNF4A-MODY: low-dose sulfonylureas; HNF1B-MODY: insulin + renal monitoring; T2D polygenic: lifestyle modification, metformin, GLP-1 agonists, SGLT2 inhibitors based on comorbidity profile
Inheritance
- Autosomal dominant
- One changed copy, from either parent, is enough. A parent who has one passes it on to each child with a one-in-two chance.
How HNF1A is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
- Variants with a page
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 3.4 kb of the gene's 24 kb; 1,896 of those bases code for the protein.
How a genome test reads HNF1A
246
positions in HNF1A where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 24 kb of HNF1A, introns included, not only the 3.4 kb of exons.
Variants with a page (245)
The HNF1A variants with a page here, most review stars first. Each page describes ClinVar's public record of the variant, never a result.
| Variant | HGVS c. | Exon or intron | Position (GRCh38) | ClinVar classification | Review status |
|---|---|---|---|---|---|
| A15Gfs*15 | c.42_51delinsTG | Exon 1 | 120,978,810 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A116T | c.346G>A | Exon 2 | 120,988,852 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A116V | c.347C>T | Exon 2 | 120,988,853 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A209E | c.626C>A | Exon 3 | 120,993,619 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A209Sfs*11 | c.620dup | Exon 3 | 120,993,609 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A239T | c.715G>A | Exon 4 | 120,994,165 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A276D | c.827C>A | Exon 4 | 120,994,277 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A276G | c.827C>G | Exon 4 | 120,994,277 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A406V | c.1217C>T | Exon 6 | 120,996,650 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A501T | c.1501G>A | Exon 7 | 120,997,665 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
Genes linked to the same conditions
- ABCC8ATP binding cassette subfamily C member 8Shares 2 conditions
- APPL1adaptor protein, phosphotyrosine interacting with PH domain and leucine zipper 1Shares 2 conditions
- CELcarboxyl ester lipaseShares 2 conditions
- GCKglucokinaseShares 2 conditions
- HNF1BHNF1 homeobox BShares 2 conditions
- HNF4Ahepatocyte nuclear factor 4 alphaShares 2 conditions
- INSinsulinShares 2 conditions
- KCNJ11potassium inwardly rectifying channel subfamily J member 11Shares 2 conditions
- KLF11KLF transcription factor 11Shares 2 conditions
- NEUROD1neuronal differentiation 1Shares 2 conditions
- PDX1pancreatic and duodenal homeobox 1Shares 2 conditions
- AKT2AKT serine/threonine kinase 2Shares 1 condition
Traits linked to HNF1A
The Human Phenotype Ontology lists these as features of the rare conditions HNF1A can cause. Each trait's page lists the other genes linked to it.
Laboratory abnormality
- Decreased circulating 1,5 anhydroglucitol concentration
- Decreased circulating free fatty acid level
- Elevated circulating C-peptide concentration
- Hyperinsulinemic hypoglycemia
- Low blood sugar in newborn
- Abnormal circulating C-peptide concentration
- Abnormal oral glucose tolerance
- Glucose in urine
Show 17 more traits
- Glucose intolerance
- High blood sugar
- Hyperinsulinemia
- Hypoglycemic seizures
- Hypoketotic hypoglycemia
- Low blood sugar after a meal
- Low blood sugar when fasting
- Maturity-onset diabetes of the young
- Insulin resistant diabetes
- Ketotic hypoglycemia
- Transient neonatal diabetes mellitus
- Body fails to respond to insulin
- Diabetes mellitus
- Diabetic ketoacidosis
- Ketoacidosis
- Noninsulin-dependent diabetes
- Type 1 diabetes
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). HNF1A gene: HNF1 homeobox A. Retrieved 16 October 2026, from https://dantelabs.com/genes/hnf1a
Dante Labs. HNF1A gene: HNF1 homeobox A [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/hnf1a
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