Gene
TWIST1
twist family bHLH transcription factor 1
- HGNC 12428↗(opens in a new tab)
- Ensembl gene ENSG00000122691↗(opens in a new tab)
- NCBI Gene 7291↗(opens in a new tab)
Summary
- Cytogenetic location
- 7p21.1
- Coordinates
- Chromosome 7: 19,115,468–19,117,636 (GRCh38)
- Exons
- 2 exons across 2.2 kb
- Protein
- 202 amino acids
- Also known as
- SCS, H-twist, BPES2, bHLHa38, CRS1
- Previous symbols
- ACS3, BPES3, TWIST, CRS
- MANE Select transcript
- ENST00000242261.6NM_000474.4
- 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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Syndromic Craniosynostosis
Conditions combining early skull suture closure with other features, including Apert, Crouzon, Pfeiffer, Muenke and Saethre-Chotzen syndromes, caused by genes such as FGFR2, FGFR3, FGFR1, TWIST1, TCF12 and ERF.
- ClinGen rates the link definitive
- 6 GenCC submitters rate it definitive or strong
What knowing changes
Early diagnosis allows timely surgery and monitoring of head growth, vision and hearing; milder forms such as Muenke syndrome can go unrecognised in adults, which is relevant to family planning.
How TWIST1 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 1.6 kb of the gene's 2.2 kb; 609 of those bases code for the protein.
How a genome test reads TWIST1
66
positions in TWIST1 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 2.2 kb of TWIST1, introns included, not only the 1.6 kb of exons.
Genes linked to the same conditions
- CYP26B1cytochrome P450 family 26 subfamily B member 1Shares 1 condition
- ERFETS2 repressor factorShares 1 condition
- FGFR1fibroblast growth factor receptor 1Shares 1 condition
- FGFR2fibroblast growth factor receptor 2Shares 1 condition
- FGFR3fibroblast growth factor receptor 3Shares 1 condition
- IFT122intraflagellar transport 122Shares 1 condition
- IFT43intraflagellar transport 43Shares 1 condition
- IFT52intraflagellar transport 52Shares 1 condition
- IL11RAinterleukin 11 receptor subunit alphaShares 1 condition
- KAT6Alysine acetyltransferase 6AShares 1 condition
- MEGF8multiple EGF like domains 8Shares 1 condition
- MSX2msh homeobox 2Shares 1 condition
Traits linked to TWIST1
The Human Phenotype Ontology lists these as features of the rare conditions TWIST1 can cause. Each trait's page lists the other genes linked to it.
Abnormality of head or neck
- Broad nasal tip
- Cleft upper eyelid
- Deformity of the skull
- Downward slanting of the opening between the eyelids
- Prominent metopic ridge
- Abnormality of the skull
- Broad forehead
- Broad head shape
Show 56 more traits
- Coronal craniosynostosis
- Facial asymmetry
- High forehead
- Long, narrow head
- Asymmetry of the posterior head
- Beaked nose
- Blockage of the rear opening of the nasal cavity
- Broad neck
- Central cleft palate
- Decreased width of the skull
- Delayed cranial suture closure
- Depressed nasal bridge
- Early closure of midline skull joint
- Eyelid spasm
- Flat back of skull
- Flattened bony protrusion above eyes
- Frontal bossing
- High palate
- Little lower jaw
- Low frontal hairline
- Low hanging columella
- Midface retrusion
- Narrow mouth
- Narrow palate
- Narrowing of the tear duct
- Open bite
- Pansynostosis
- Prominent back of the head
- Prominent forehead
- Prominent nasal bridge
- Right unicoronal synostosis
- Short columella
- Short philtrum
- Underdeveloped tissue around nostril
- Velopharyngeal incompetence
- Wide nasal bridge
- Wider-than-typical soft spot of skull
- Widow's peak
- Bifid uvula
- Cleft palate
- Decreased size of maxilla
- Eye folds
- Holes in parietal bones
- Abnormal nasolacrimal system morphology
- Cleft of chin
- Decreased depth of eye sockets
- Flat face
- Flat forehead
- Lambdoidal craniosynostosis
- Long nose
- Narrow nose
- Oxycephaly
- Scaphocephaly
- Skull asymmetry
- Tall shaped head
- Zygomatic flattening
Abnormality of limbs
- Broad big toe
- Bunion
- Duplication of the outermost bone of big toe
- Curvature of little finger
- Finger syndactyly
- 2-5 finger cutaneous syndactyly
- Bilateral single transverse palmar creases
- Broad thumb
Show 16 more traits
- Club foot on both sides
- Long fingers
- Short fingers or toes
- Short outermost finger bone
- Webbed 2nd-5th toes
- Webbed index through ring fingers
- Broad toe
- Finger-like thumb
- Fused forearm bones
- Fused long bones of hand
- Proximal radio-ulnar synostosis
- Absent 1st long bone of foot
- Fused toes
- Notched outermost bone of the index finger
- Notched outermost bone of the middle finger
- Webbed fingers or toes
Abnormality of the nervous system
- Global developmental delay
- Delayed speech and language development
- Rise in pressure inside skull
- Small cerebellum
- Epilepsy
- Headache
- Intellectual disability
- IQ between 34 and 49
Show 2 more traits
Abnormality of the eye
- Drooping of both upper eyelids
- Wide-set eyes
- Bulging eye
- Cross-eyed
- Drooping upper eyelid
- Abnormally close eyes
- Lazy eye
- Optic atrophy
Show 1 more trait
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.). TWIST1 gene: twist family bHLH transcription factor 1. Retrieved 17 October 2026, from https://dantelabs.com/genes/twist1
Dante Labs. TWIST1 gene: twist family bHLH transcription factor 1 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/twist1
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