Gene
TBX1
T-box transcription factor 1
- HGNC 11592↗(opens in a new tab)
- Ensembl gene ENSG00000184058↗(opens in a new tab)
- NCBI Gene 6899↗(opens in a new tab)
Summary
- Cytogenetic location
- 22q11.21
- Coordinates
- Chromosome 22: 19,760,778–19,767,334 (GRCh38)
- Exons
- 7 exons across 6.6 kb
- Protein
- 504 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- CATCH22
- Previous symbols
- VCF
- MANE Select transcript
- ENST00000649276.2NM_001379200.1
- 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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Get my Genome TestCurated reports relevant to this gene
22q11.2 Deletion Syndrome
- 22q11.2 deletion syndrome (DiGeorge / velocardiofacial syndrome)Autosomal dominant
A deletion of about 1.5 to 3 million bases on chromosome 22, including the TBX1 gene, that can cause congenital heart disease, low T-cell numbers, low calcium, palate differences and an increased risk of psychiatric conditions including schizophrenia.
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Established guidelines recommend calcium, immune, cardiac and mental-health monitoring, and each child of a carrier has a 50% chance of inheriting the deletion.
Broader groupings
Other Inborn Errors of Immunity
- Immunodeficiency Disease
One of 170 genes linked to it
Disease in which there is a deficiency or defect in the mechanisms of immunity, either cellular or humoral.
- 2 GenCC submitters rate it definitive or strong
What knowing changes
HSCT for SCID and severe PIDs; immunoglobulin replacement (IVIG/SCIG) for antibody deficiencies; leniolisib (Joenja, FDA 2023) for APDS; gene therapy for ADA-SCID; abatacept for CTLA4/LRBA deficiency; prophylactic antibiotics; G-CSF for CGD
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 TBX1 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
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 2 kb of the gene's 6.6 kb; 1,515 of those bases code for the protein.
How a genome test reads TBX1
34
positions in TBX1 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 6.6 kb of TBX1, introns included, not only the 2 kb of exons.
Genes linked to the same conditions
- ADAadenosine deaminaseShares 1 condition
- AICDAactivation induced cytidine deaminaseShares 1 condition
- AK2adenylate kinase 2Shares 1 condition
- ARPC1Bactin related protein 2/3 complex subunit 1BShares 1 condition
- ARPC5actin related protein 2/3 complex subunit 5Shares 1 condition
- ATMATM serine/threonine kinaseShares 1 condition
- ATP6AP1ATPase H+ transporting accessory protein 1Shares 1 condition
- B2Mbeta-2-microglobulinShares 1 condition
- BACH2BACH transcriptional regulator 2Shares 1 condition
- BCL10BCL10 immune signaling adaptorShares 1 condition
- BCL11BBCL11 transcription factor BShares 1 condition
- BLNKB cell linkerShares 1 condition
Traits linked to TBX1
The Human Phenotype Ontology lists these as features of the rare conditions TBX1 can cause. Each trait's page lists the other genes linked to it.
Abnormality of head or neck
- Velopharyngeal incompetence
- Abnormal facial shape
- Abnormal of nasal shape
- Broad forehead
- Bulbous nose
- Cleft palate
- Corners of eye widely separated
- Eye folds
Show 45 more traits
- Flattening of the skull base
- Prominent nasal bridge
- Upward slanting of the opening between the eyelids
- Wide nasal bridge
- Abnormal dentition
- Abnormality of the eyelid
- Abnormality of the skull
- Decreased volume of lip
- Dental cavities
- Downward slanting of the opening between the eyelids
- Flat nose
- Flattened bony protrusion above eyes
- High forehead
- Long face
- Long philtrum
- Long, narrow head
- Midface retrusion
- Narrow face
- Pit in front of the ear
- Short neck
- Submucous cleft hard palate
- Zygomatic flattening
- Abnormal tooth enamel
- Abnormally small head
- Blockage of the rear opening of the nasal cavity
- Drooling
- Little lower jaw
- Multiple suture craniosynostosis
- Narrow mouth
- Recurrent sinus disease
- Retinal arteriolar tortuosity
- Short philtrum
- Smooth philtrum
- Tall shaped head
- Wide nose
- Bifid uvula
- High palate
- High, narrow palate
- Narrow eyelid opening
- Narrow opening between the eyelids
- Open mouth
- Pierre-Robin sequence
- Receding chin
- Short opening between the eyelids
- Underdeveloped tissue around nostril
Abnormality of the cardiovascular system
- Abnormal aortic arch morphology
- Abnormal cardiovascular system morphology
- Abnormal pulmonary valve morphology
- An opening in the wall separating the top two chambers of the heart
- Hole in heart wall separating two lower heart chambers
- Small thymus
- Tetralogy of Fallot
- Truncus arteriosus
Show 19 more traits
- Abnormality of the tonsils
- Abnormal aortic valve morphology
- Absent/small thymus
- Double aortic arch
- Hypertensive crisis
- Increased spleen size
- Interrupted aortic arch
- Patent ductus arteriosus
- Pulmonary artery atresia
- Transposition of the great arteries
- Tricuspid atresia
- Underdeveloped left heart
- Varicose veins
- Abnormality of the thymus
- Complete atrioventricular canal defect
- Double outlet right ventricle
- Narrowing of aorta
- Retinal vascular tortuosity
- Right aortic arch with mirror image branching
Abnormality of the nervous system
- Difficulty finding words
- Intellectual disability
- Abnormal speech pattern
- Anxiety
- Attention deficit
- Delayed speech and language development
- Epilepsy
- Global developmental delay
Show 18 more traits
- Intellectual disability, mild
- Meningocele
- Specific learning disability
- Arrhinencephaly
- Autism
- Behavioral abnormality
- Bipolar disorder
- Depression
- Obsessive compulsive behavior
- Parkinsonism
- Repetitive movements
- Schizophrenia
- Split spine
- Too much cerebrospinal fluid in the brain
- Weakness of one side of body
- Aggressive behavior
- Can't control feelings
- Paranoia
Abnormality of limbs
- Curvature of little finger
- Short fingers or toes
- Long slender fingers
- Club feet
- Dislocated kneecap
- Duplication of bones of the toes
- Extra finger
- Talipes
Show 3 more traits
Abnormality of the ear
- Conductive deafness
- Low-set ears
- Chronic infections of the middle ear
- Hearing impairment
- Overfolded ears
- Recurrent middle ear infection
- Small earlobe
- Earlobe crease
Show 2 more traits
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.). TBX1 gene: T-box transcription factor 1. Retrieved 16 October 2026, from https://dantelabs.com/genes/tbx1
Dante Labs. TBX1 gene: T-box transcription factor 1 [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/tbx1
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