Neurofibromin (NF1) is a large multidomain tumor suppressor protein of 2839 amino acids that functions as a negative regulator of the RAS-MAPK signaling pathway. The protein contains a central GTPase-activating protein (GAP) related domain (GRD, residues 1251-1482) that stimulates the intrinsic GTPase activity of RAS proteins, accelerating their conversion from active GTP-bound to inactive GDP-bound states. This Ras-GAP activity is the primary mechanism by which neurofibromin acts as a tumor suppressor. The protein also contains a SEC14/CRAL-TRIO lipid-binding domain (residues 1580-1738) that binds glycerophospholipids, particularly phosphatidylethanolamine and phosphatidylcholine with monounsaturated fatty acids, and an adjacent PH-like domain. Loss-of-function mutations cause neurofibromatosis type 1 (NF1), characterized by cafe-au-lait spots, neurofibromas, and increased cancer risk. Neurofibromin also regulates cAMP/PKA signaling in neurons and modulates cytoskeletal organization through effects on Rho/ROCK pathways.
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.
| Disorder | Relationship | Where the gene appears |
|---|---|---|
| Embryonal Rhabdomyosarcoma | risk factor germline | |
| Glomus Tumor | susceptibility germline |
mechanism: Constitutive Mitogenic Pathway Activation; NF1 Biallelic Inactivation
|
| Neurofibromatosis | causative |
mechanism: Germline Tumor Suppressor Inactivation (First Hit); Neurofibromin Loss and RAS-MAPK Hyperactivation
subtype: NF1
scoped to subtype: NF1
|
| Neurofibromatosis-Noonan Syndrome | causative |
mechanism: Neurofibromin RAS-GAP Loss
|
| Ocular Melanoma | somatic driver somatic |
mechanism: UV-Associated BRAF/NRAS/NF1 Driver Activation
subtype: Conjunctival Melanoma
scoped to subtype: Conjunctival Melanoma
|
| Pilocytic Astrocytoma | risk factor germline and somatic |
mechanism: Constitutive MAPK Cascade Activation
|
| Congenital Renal Artery Stenosis |
untyped
Syndromic or nonsyndromic renovascular hypertension / midaortic syndrome risk gene
|
|
| Cutaneous Melanoma |
untyped
Somatic loss of function
|
|
| Glioblastoma, IDH-Wildtype |
untyped
Somatic Mutation
|
|
| Juvenile Myelomonocytic Leukemia |
untyped
Germline predisposition with acquired biallelic inactivation
|
scoped to subtype: NF1-associated
|
| Malignant Peripheral Nerve Sheath Tumor |
untyped
Germline predisposition with biallelic tumor-suppressor loss
somatic
|
mechanism: NF1 Biallelic Inactivation
|
| Neurofibroma |
untyped
Germline predisposition with biallelic tumor-suppressor loss
|
mechanism: Biallelic NF1 Inactivation in Schwann Cell Lineage
|
| Neurofibromatosis Type 1 |
untyped
Germline Loss-of-Function Mutations
|
mechanism: Malignant Peripheral Nerve Sheath Tumor Progression; NF1 Tumor Suppressor Loss
|
| NF1 Microdeletion Syndrome |
untyped
Whole-gene deletion (contiguous gene deletion)
|
mechanism: Recurrent 17q11.2 Type-1 Contiguous Gene Deletion; Three-Dimensional Chromatin Reorganization (Position Effect)
|
| Pheochromocytoma and Paraganglioma |
untyped
Germline Loss-of-Function Mutations
|
|
| Legius Syndrome | no genetic record |
mechanism: Impaired Neurofibromin Recruitment to Activated RAS
|
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 disease | MOI | Classification | dismech entry |
|---|---|---|---|
| neurofibromatosis type 1 MONDO:0018975 | AD | Definitive 2019-03-05 |
Neurofibromatosis
causative
Neurofibromatosis Type 1
untyped
|
Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.