The nuclear protein encoded by this gene is a member of theregulatory factor X (RFX) family oftranscription factors. Studies in mice suggest that this gene is specifically required for the differentiation ofislet cells for the production ofinsulin, but not for the differentiation ofpancreatic polypeptide-producing cells. It regulates the transcription factors involved inbeta-cell maturation and function, thus, restricting the expression of the beta-cell differentiation and specification genes.
Mutations in this gene are associated withMitchell-Riley syndrome, which is characterized by neonatal diabetes with pancreatichypoplasia, duodenal and jejunalatresia, and gall bladder agenesis.[5]
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