Thrombophilia, X-linked, due to factor 9 defect: genes and variants
Thrombophilia, X-linked, due to factor 9 defect is linked to 1 analyzed protein (F9). 62 DNA variants are known to cause it; 31 more are uncertain, and 3 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Genes linked to Thrombophilia, X-linked, due to factor 9 defect
F9: Coagulation factor IX
Its activated form combines with factor VIIIa to efficiently activate factor X during coagulation. Pathogenic loss-of-function variants cause X-linked hemophilia B, with bleeding severity determined largely by residual factor IX activity.
62 disease-causing and 31 uncertain variants in F9 are linked to Thrombophilia, X-linked, due to factor 9 defect.
Where Thrombophilia, X-linked, due to factor 9 defect variants cluster
- F9 EGF-like 1 (positions 93–129): 10 of 62 disease-causing changes, 2.0× more than its size predicts.
Known disease-causing variants in Thrombophilia, X-linked, due to factor 9 defect
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| F9 R43Q | 43 | Disease-causing (★★★★) | |
| F9 R191C | 191 | Disease-causing (★★★★) | |
| F9 G122E | 122 | EGF-like 1 | Disease-causing (★★) |
| F9 P101A | 101 | EGF-like 1 | Disease-causing (★★) |
| F9 R379G | 379 | Peptidase S1 | Disease-causing (★★) |
| F9 G50D | 50 | Gla | Disease-causing (★★) |
| F9 G160E | 160 | EGF-like 2 | Disease-causing (★★) |
| F9 R226W | 226 | Disease-causing (★★) | |
| F9 R226G | 226 | Disease-causing (★★) | |
| F9 R226L | 226 | Disease-causing (★★) | |
| F9 R379Q | 379 | Peptidase S1 | Disease-causing (★★) |
| F9 R43L | 43 | Disease-causing (★★) | |
| F9 I443T | 443 | Peptidase S1 | Disease-causing (★★) |
| F9 T84I | 84 | Gla | Disease-causing (★★) |
| F9 Y115C | 115 | EGF-like 1 | Disease-causing (★★) |
| F9 C252Y | 252 | Peptidase S1 | Disease-causing (★★) |
| F9 I316T | 316 | Peptidase S1 | Disease-causing (★★) |
| F9 V353A | 353 | Peptidase S1 | Disease-causing (★★) |
| F9 N392D | 392 | Peptidase S1 | Disease-causing (★★) |
| F9 F55I | 55 | Gla | Disease-causing (★★) |
| F9 T342A | 342 | Peptidase S1 | Disease-causing (★★) |
| F9 G50S | 50 | Gla | Disease-causing (★) |
| F9 P101Q | 101 | EGF-like 1 | Disease-causing (★) |
| F9 G122R | 122 | EGF-like 1 | Disease-causing (★) |
| F9 G50A | 50 | Gla | Disease-causing (★) |
| F9 G160R | 160 | EGF-like 2 | Disease-causing (★) |
| F9 G432A | 432 | Peptidase S1 | Disease-causing (★) |
| F9 G432S | 432 | Peptidase S1 | Disease-causing (★) |
| F9 G94R | 94 | EGF-like 1 | Disease-causing (★) |
| F9 R379L | 379 | Peptidase S1 | Disease-causing (★) |
| F9 A397V | 397 | Peptidase S1 | Disease-causing (★) |
| F9 C119Y | 119 | EGF-like 1 | Disease-causing (★) |
| F9 Y161C | 161 | EGF-like 2 | Disease-causing (★) |
| F9 C382R | 382 | Peptidase S1 | Disease-causing (★) |
| F9 L383H | 383 | Peptidase S1 | Disease-causing (★) |
| F9 M394I | 394 | Peptidase S1 | Disease-causing (★) |
| F9 F395I | 395 | Peptidase S1 | Disease-causing (★) |
| F9 C396Y | 396 | Peptidase S1 | Disease-causing (★) |
| F9 F123S | 123 | EGF-like 1 | Disease-causing (★) |
| F9 W431C | 431 | Peptidase S1 | Disease-causing (★) |
| F9 N48D | 48 | Gla | Disease-causing (★) |
| F9 C64Y | 64 | Gla | Disease-causing (★) |
| F9 E79V | 79 | Gla | Disease-causing (★) |
| F9 C178R | 178 | Disease-causing (★) | |
| F9 W240G | 240 | Peptidase S1 | Disease-causing (★) |
| F9 A266T | 266 | Peptidase S1 | Disease-causing (★) |
| F9 G280D | 280 | Peptidase S1 | Disease-causing (★) |
| F9 D315G | 315 | Peptidase S1 | Disease-causing (★) |
| F9 S354R | 354 | Peptidase S1 | Disease-causing (★) |
| F9 C407S | 407 | Peptidase S1 | Disease-causing (★) |
| F9 S411G | 411 | Peptidase S1 | Disease-causing (★) |
| F9 L20S | 20 | Disease-causing (★) | |
| F9 G105V | 105 | EGF-like 1 | Disease-causing (★) |
| F9 C128R | 128 | EGF-like 1 | Disease-causing (★) |
| F9 N138H | 138 | EGF-like 2 | Disease-causing (★) |
| F9 R294L | 294 | Peptidase S1 | Disease-causing (★) |
| F9 F360S | 360 | Peptidase S1 | Disease-causing (★) |
| F9 F424L | 424 | Peptidase S1 | Disease-causing (★) |
| F9 C28R | 28 | Disease-causing (★) | |
| F9 A279P | 279 | Peptidase S1 | Disease-causing (★) |
Showing 60 of 62.
Uncertain variants in Thrombophilia, X-linked, due to factor 9 defect that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| F9 W431L | 431 | Peptidase S1 | Uncertain (★) | +6: 3 other pathogenic changes within 3 positions; W431C at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.84 |
| F9 A279T | 279 | Peptidase S1 | Uncertain (★) | +6: 2 other pathogenic changes within 3 positions; A279P at the same position is pathogenic; seen in 1.9e-06 of gnomAD DNA copies; REVEL 0.765 |
| F9 L383P | 383 | Peptidase S1 | Uncertain (★★) | +6: 3 other pathogenic changes within 3 positions; L383H at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.93 |
Which prediction tools work for Thrombophilia, X-linked, due to factor 9 defect
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- phyloP: 93 out of 100
- CATVariant: 92 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- PolyPhen-2: 92 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CADD: 90 out of 100
- REVEL: 86 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- MetaLR: 83 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- SIFT: 82 out of 100
Same protein, different disease
- Hereditary factor IX deficiency disease is also caused by F9 variants; they fall in the same places as the Thrombophilia, X-linked, due to factor 9 defect variants (157 disease-causing).
Diseases related to Thrombophilia, X-linked, due to factor 9 defect
- Hereditary factor VIII deficiency disease, also linked to F9
- Hereditary factor IX deficiency disease, also linked to F9
- Warfarin sensitivity, X-linked, also linked to F9
Frequently asked questions
Which genes are linked to Thrombophilia, X-linked, due to factor 9 defect?
In CATVariant, Thrombophilia, X-linked, due to factor 9 defect is linked to 1 analyzed protein: F9 (Coagulation factor IX).
How many genetic variants are linked to Thrombophilia, X-linked, due to factor 9 defect?
136 variants: 62 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 31 are of uncertain significance or have conflicting reports.
Which uncertain variants in Thrombophilia, X-linked, due to factor 9 defect look disease-causing?
3 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example F9 W431L, F9 A279T and F9 L383P. These are leads for expert review, not diagnoses.
Which variant effect predictor works best for Thrombophilia, X-linked, due to factor 9 defect?
Among tools not trained on clinical labels, phyloP separates this disease's known disease-causing variants from harmless ones best (AUROC 0.93, based on 14 disease-causing and 21 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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