Curated summary · agent-written · kb/genes/curated/hgnc_5024.md
All 14 claims checked against the KB draft

HNF4A across dismech

HNF4A (hepatocyte nuclear factor 4 alpha) is named by 5 disorder entries.

Typed records

Three entries type HNF4A as causative, Congenital Isolated Hyperinsulinism; Diabetes mellitus; and Hyperinsulinemic Hypoglycemia, all with germline variants (Congenital Isolated Hyperinsulinism; Diabetes mellitus; and Hyperinsulinemic Hypoglycemia). The gene sits on HNF4A-Dependent Fetal and Neonatal Beta-Cell Dysregulation in Congenital Isolated Hyperinsulinism and on Transcription Factor Dysregulation of the Beta-Cell Secretory Program in Hyperinsulinemic Hypoglycemia, where it shares the node with HNF1A. In Diabetes mellitus the record is scoped to the monogenic diabetes subtype, for which ClinGen rates the gene definitive; ClinGen classifies HNF4A for 1 disease.

Untyped records

Two entries carry HNF4A with no relationship type: Fanconi Renotubular Syndrome; and Ulcerative Colitis. Fanconi Renotubular Syndrome places HNF4A on Proximal tubular transport and energy-metabolism defect.

Normal function versus the KB nodes

The KB annotates HNF4A nodes with establishment of endothelial intestinal barrier; insulin secretion; oxidative phosphorylation; regulation of insulin secretion; and renal absorption, all downstream physiological processes. HNF4A is a nuclear-receptor transcription factor; both hyperinsulinism nodes bind DNA-binding transcription activator activity as decreased. The ai-gene-review layer pinned in the ingest lists 0 core-function terms for HNF4A, so the layers share 0 GO terms. An upstream review centred on nuclear receptor (DNA-binding transcription factor) activity is being completed.

Underlined values are claims re-computed from the knowledge base each time this page is built. The tables below are the source of truth.

In the knowledge base · computed from kb/ at build time

Disorders

Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.

DisorderRelationshipWhere the gene appears
Congenital Isolated Hyperinsulinism causative germline
mechanism: HNF4A-Dependent Fetal and Neonatal Beta-Cell Dysregulation
subtype: HNF4A/HNF1A-HI
scoped to subtype: HNF4A/HNF1A-HI
Diabetes mellitus causative germline
CLINGEN: definitive (monogenic diabetes)
mechanism: Monogenic Beta-Cell Dysfunction
subtype: maturity-onset diabetes of the young type 1
scoped to subtype: monogenic diabetes
Hyperinsulinemic Hypoglycemia causative germline
mechanism: Transcription Factor Dysregulation of the Beta-Cell Secretory Program
Fanconi Renotubular Syndrome untyped
Causative
mechanism: Proximal tubular transport and energy-metabolism defect
subtype: FRTS4
Ulcerative Colitis untyped
Risk Factor
mechanism: Epithelial Barrier Dysfunction
ClinGen gene–disease validity · snapshot 2026-10-03 · matched to entries by MONDO

An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.

ClinGen diseaseMOIClassificationdismech entry
monogenic diabetes MONDO:0015967 AD Definitive
2019-02-27

Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.