Hereditary factor XI deficiency disease: genes and variants
Hereditary factor XI deficiency disease is linked to 1 analyzed protein (F11). 48 DNA variants are known to cause it; 52 more are uncertain, and 1 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Genes linked to Hereditary factor XI deficiency disease
F11: Coagulation factor XI
Its activated form amplifies thrombin generation through the intrinsic coagulation pathway. Deficiency causes hemophilia C with variable bleeding, while reduced factor XI activity is associated with lower thrombosis risk and is being explored as a safer anticoagulation target.
48 disease-causing and 52 uncertain variants in F11 are linked to Hereditary factor XI deficiency disease.
Where Hereditary factor XI deficiency disease variants cluster
- F11 Apple 4 (positions 291–374): 12 of 48 disease-causing changes, 1.9× more than its size predicts.
Known disease-causing variants in Hereditary factor XI deficiency disease
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| F11 G418V | 418 | Peptidase S1 | Disease-causing (★★★★) |
| F11 A430V | 430 | Peptidase S1 | Disease-causing (★★) |
| F11 A430S | 430 | Peptidase S1 | Disease-causing (★★) |
| F11 A430T | 430 | Peptidase S1 | Disease-causing (★★) |
| F11 R326C | 326 | Apple 4 | Disease-causing (★★) |
| F11 R326H | 326 | Apple 4 | Disease-causing (★★) |
| F11 C416Y | 416 | Peptidase S1 | Disease-causing (★★) |
| F11 G573E | 573 | Peptidase S1 | Disease-causing (★★) |
| F11 S575L | 575 | Peptidase S1 | Disease-causing (★★) |
| F11 G591D | 591 | Peptidase S1 | Disease-causing (★★) |
| F11 T593M | 593 | Peptidase S1 | Disease-causing (★★) |
| F11 S594R | 594 | Peptidase S1 | Disease-causing (★★) |
| F11 M1I | 1 | Disease-causing (★★) | |
| F11 G368E | 368 | Apple 4 | Disease-causing (★★) |
| F11 G368R | 368 | Apple 4 | Disease-causing (★★) |
| F11 T150M | 150 | Apple 2 | Disease-causing (★★) |
| F11 T322I | 322 | Apple 4 | Disease-causing (★★) |
| F11 G354R | 354 | Apple 4 | Disease-causing (★★) |
| F11 A109T | 109 | Disease-causing (★★) | |
| F11 C230S | 230 | Apple 3 | Disease-causing (★★) |
| F11 F301L | 301 | Apple 4 | Disease-causing (★★) |
| F11 P400L | 400 | Peptidase S1 | Disease-causing (★★) |
| F11 G478R | 478 | Peptidase S1 | Disease-causing (★★) |
| F11 C500W | 500 | Peptidase S1 | Disease-causing (★★) |
| F11 V516M | 516 | Peptidase S1 | Disease-causing (★★) |
| F11 P206S | 206 | Apple 3 | Disease-causing (★★) |
| F11 D222Y | 222 | Apple 3 | Disease-causing (★★) |
| F11 S243F | 243 | Apple 3 | Disease-causing (★★) |
| F11 E315K | 315 | Apple 4 | Disease-causing (★★) |
| F11 E341K | 341 | Apple 4 | Disease-causing (★★) |
| F11 R396C | 396 | Peptidase S1 | Disease-causing (★★) |
| F11 V403M | 403 | Peptidase S1 | Disease-causing (★★) |
| F11 K536N | 536 | Peptidase S1 | Disease-causing (★★) |
| F11 P538L | 538 | Peptidase S1 | Disease-causing (★★) |
| F11 E597K | 597 | Peptidase S1 | Disease-causing (★★) |
| F11 M120T | 120 | Apple 2 | Disease-causing (★) |
| F11 C374R | 374 | Apple 4 | Disease-causing (★) |
| F11 H53Y | 53 | Apple 1 | Disease-causing (★) |
| F11 L373S | 373 | Apple 4 | Disease-causing (★) |
| F11 V611M | 611 | Peptidase S1 | Disease-causing (★) |
| F11 Y614D | 614 | Peptidase S1 | Disease-causing (★) |
| F11 K101R | 101 | Apple 1 | Disease-causing (★) |
| F11 H145P | 145 | Apple 2 | Disease-causing (★) |
| F11 M1K | 1 | Disease-causing | |
| F11 V325F | 325 | Apple 4 | Disease-causing |
| F11 W587S | 587 | Peptidase S1 | Disease-causing |
| F11 F460V | 460 | Peptidase S1 | Disease-causing |
| F11 T493I | 493 | Peptidase S1 | Disease-causing |
Uncertain variants in Hereditary factor XI deficiency disease that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| F11 G591A | 591 | Peptidase S1 | Uncertain (★) | +6: 3 other pathogenic changes within 3 positions; G591D at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.97 |
Which prediction tools work for Hereditary factor XI deficiency disease
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- SIFT: 86 out of 100
Same protein, different disease
- Plasma factor XI deficiency is also caused by F11 variants; they fall partly in the same places as the Hereditary factor XI deficiency disease variants (34 disease-causing).
Diseases related to Hereditary factor XI deficiency disease
- Plasma factor XI deficiency, also linked to F11
Frequently asked questions
Which genes are linked to Hereditary factor XI deficiency disease?
In CATVariant, Hereditary factor XI deficiency disease is linked to 1 analyzed protein: F11 (Coagulation factor XI).
How many genetic variants are linked to Hereditary factor XI deficiency disease?
104 variants: 48 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 52 are of uncertain significance or have conflicting reports.
Which uncertain variants in Hereditary factor XI deficiency disease look disease-causing?
1 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example F11 G591A. These are leads for expert review, not diagnoses.
Which variant effect predictor works best for Hereditary factor XI deficiency disease?
Among tools not trained on clinical labels, SIFT separates this disease's known disease-causing variants from harmless ones best (AUROC 0.85, based on 43 disease-causing and 8 harmless variants).
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
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