Back to Gene
TP63 gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

TP63 gene

The TP63 gene provides instructions for the p63 protein, a transcription factor essential for the development of skin, hair, teeth, and nails.

Normal Function

The TP63 gene provides instructions for making a protein called tumor protein p63 (also known simply as p63). The p63 protein functions as a transcription factor, which means it attaches (binds) to certain regions of DNA and controls the activity of particular genes. The p63 protein helps regulate numerous cell activities, including cell growth and division (proliferation), cell maintenance, differentiation, cell adhesion, and apoptosis.

The p63 protein plays a critical role in early development. It is especially important for the normal development of ectodermal structures, such as the skin, hair, teeth, and nails. Studies suggest that it also plays essential roles in the development of the limbs, facial features, urinary system, and other organs and tissues.

Health Conditions Related to Genetic Changes

Ankyloblepharon-ectodermal defects-cleft lip/palate syndrome

At least 40 mutations in the TP63 gene have been identified in people with ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome. This condition is a form of ectodermal dysplasia, a group of disorders characterized by abnormal development of the skin, hair, nails, teeth, and sweat glands. Other characteristic features include partial or complete fusion of the upper and lower eyelids and a cleft lip or palate.

Other disorders

Mutations in the TP63 gene cause several additional ectodermal dysplasias, including:

  • Ectrodactyly, ectodermal dysplasia, clefting (EEC) syndrome
  • Acro-dermato-ungual-lacrimal-tooth (ADULT) syndrome
  • Limb-mammary syndrome (LMS)
  • Split hand/foot malformation type 4 (SHFM4)

The TP63 gene mutations responsible for these conditions occur in various regions of the gene and affect the function of the p63 protein in different ways, such as "gain-of-function" or "dominant-negative" mutations. These changes alter the ability of p63 to interact with other proteins or turn target genes on and off, disrupting normal ectodermal development.

Frequently Asked Questions

Key features suggesting a TP63-related ectodermal dysplasia often involve abnormalities in structures derived from the ectoderm. These can include sparse or absent hair, missing or abnormally shaped teeth, thin or brittle nails, and problems with sweat gland function (leading to heat intolerance). Other specific signs might include a cleft lip or palate, fusion of the eyelids (ankyloblepharon), or malformations of the hands and feet, such as split hand/foot malformation.
While there is no cure for the underlying genetic cause, treatments for TP63-related ectodermal dysplasias focus on managing symptoms and improving quality of life. This can include dental prosthetics or implants for missing teeth, specialized skin care to prevent dryness and infection, wigs for hair loss, and surgical interventions for cleft lip/palate or limb malformations. Management of heat intolerance may involve strategies to stay cool and hydrated.
Managing TP63-related ectodermal dysplasias often requires a multidisciplinary team due to the wide range of affected body systems. This team may include a geneticist, dermatologist, dentist or orthodontist, ophthalmologist, plastic surgeon (especially for cleft lip/palate), audiologist, and possibly an ENT specialist or urologist, depending on the specific symptoms and complications.
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.

Meyahealth

Ⓒ 2026. All rights reserved by MEYA