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NF1 gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

NF1 gene

The NF1 gene provides instructions for making the protein neurofibromin, which acts as a tumor suppressor to regulate cell growth and division.

Normal Function

The NF1 gene provides instructions for making a protein called neurofibromin. This protein is produced in many types of cells, including nerve cells and specialized cells called oligodendrocytes and Schwann cells that surround nerves. These specialized cells form myelin sheaths, which are the fatty coverings that insulate and protect certain nerve cells.

Neurofibromin acts as a tumor suppressor protein. Tumor suppressors normally prevent cells from growing and dividing too rapidly or in an uncontrolled way. This protein appears to prevent cell overgrowth by turning off another protein (called ras) that stimulates cell growth and division. Other potential functions for neurofibromin are under investigation.

Health Conditions Related to Genetic Changes

Neurofibromatosis type 1

More than 1,000 NF1 mutations that cause neurofibromatosis type 1 have been identified. Most of these mutations are unique to a particular family. Many NF1 mutations result in the production of an extremely short version of neurofibromin. This shortened protein cannot perform its normal job of inhibiting cell division. When mutations occur in both copies of the NF1 gene in Schwann cells, the resulting loss of neurofibromin allows noncancerous tumors called neurofibromas to form. Research indicates that the formation of neurofibromas requires the interaction of Schwann cells with other cells, including mast cells, which are normally involved in wound healing and tissue repair.

Cholangiocarcinoma

MedlinePlus Genetics provides information about Cholangiocarcinoma.

Lung cancer

MedlinePlus Genetics provides information about Lung cancer.

Cancers

In rare cases, inactivation of one copy of the NF1 gene in each cell increases the risk of developing juvenile myelomonocytic leukemia (JMML). This is a cancer of blood-forming tissue that usually occurs in children younger than 2. This condition causes the bone marrow to make an excessive number of immature white blood cells that cannot carry out their normal infection-fighting functions. These abnormal cells can build up in the blood and bone marrow, leaving less room for healthy white blood cells, red blood cells, and platelets. Children affected by this disorder may experience fatigue, fever, and easy bleeding or bruising.

Other Names for This Gene

  • Neurofibromatosis Type 1 Protein
  • Neurofibromatosis-related protein NF-1
  • neurofibromin 1 (neurofibromatosis, von Recklinghausen disease, Watson disease)
  • NF1 GRP
  • NF1 Protein
  • NF1-GAP-Related Protein
  • NF1_HUMAN

Genomic Location

The NF1 gene is found on chromosome 17.

Frequently Asked Questions

NF1 carriers have a higher incidence of optic pathway glioma, pheochromocytoma, malignant peripheral nerve sheath tumors, and, less commonly, brain tumors or breast cancer. Annual ophthalmologic exams, regular blood pressure checks, and age‑appropriate cancer screening (e.g., breast MRI after age 25) are advised. Discuss individualized surveillance with a genetics or oncology specialist.===
Look for café‑au‑lait spots (≥5 mm in pre‑pubertal children or ≥15 mm in adults), axillary or inguinal freckling, Lisch nodules on the iris, or a first‑degree relative with NF1. Early detection allows monitoring for optic pathway gliomas and learning difficulties.
Baseline MRI of the brain and spine is recommended, followed by periodic imaging every 1–2 years or sooner if symptoms develop. Ultrasound can assess superficial cutaneous neurofibromas, while CT is reserved for evaluating bone involvement. Biopsy is considered if a lesion shows rapid growth, pain, or neurological deficits.
Surgery is considered for symptomatic lesions that cause pain, functional impairment, or cosmetic concern, or if there is suspicion of malignant transformation. Risks include nerve injury, scarring, and recurrence. Multidisciplinary teams (neurosurgery, plastic surgery, dermatology) plan the procedure to minimize deficits.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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