ABCG8

gene
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Also known as GBD4

Summary

ABCG8 (ATP binding cassette subfamily G member 8, HGNC:13887) is a protein-coding gene on chromosome 2p21, encoding ATP-binding cassette sub-family G member 8 (Q9H221). ABCG5 and ABCG8 form an obligate heterodimer that mediates Mg(2+)- and ATP-dependent sterol transport across the cell membrane.

The protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the White subfamily. The protein encoded by this gene functions to exclude non-cholesterol sterol entry at the intestinal level, promote excretion of cholesterol and sterols into bile, and to facilitate transport of sterols back into the intestinal lumen. It is expressed in a tissue-specific manner in the liver, intestine, and gallbladder. This gene is tandemly arrayed on chromosome 2, in a head-to-head orientation with family member ABCG5. Mutations in this gene may contribute to sterol accumulation and atherosclerosis, and have been observed in patients with sitosterolemia.

Source: NCBI Gene 64241 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): sitosterolemia (Definitive, ClinGen) — +1 more curated relationship
  • GWAS associations: 61
  • Clinical variants (ClinVar): 957 total — 33 pathogenic, 22 likely-pathogenic
  • Phenotypes (HPO): 62
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity no evidence
  • MANE Select transcript: NM_022437

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:13887
Approved symbolABCG8
NameATP binding cassette subfamily G member 8
Location2p21
Locus typegene with protein product
StatusApproved
AliasesGBD4
Ensembl geneENSG00000143921
Ensembl biotypeprotein_coding
OMIM605460
Entrez64241

Gene structure

Transcript identifiers

Ensembl transcripts: 14 — 13 protein_coding, 1 retained_intron

ENST00000272286, ENST00000643284, ENST00000644611, ENST00000881892, ENST00000881893, ENST00000881894, ENST00000881895, ENST00000881896, ENST00000881897, ENST00000881898, ENST00000881899, ENST00000881900, ENST00000881901, ENST00000881902

RefSeq mRNA: 2 — MANE Select: NM_022437 NM_001357321, NM_022437

CCDS: CCDS1815

Canonical transcript exons

ENST00000272286 — 13 exons

ExonStartEnd
ENSE000009626764384615543846311
ENSE000009626774385158443851822
ENSE000009626784385235443852486
ENSE000009626794385259943852868
ENSE000009626804387197643872138
ENSE000009626814387222343872306
ENSE000009626824387378743873986
ENSE000009626834387440743874483
ENSE000009626844387514643875413
ENSE000009626854387756143877688
ENSE000012001814384450743844608
ENSE000019215944387777643882988
ENSE000038201494383897143839116

Expression profiles

Bgee: expression breadth broad, 66 present calls, max score 91.15.

FANTOM5 (CAGE): breadth tissue_specific, TPM avg 0.5397 / max 225.1722, expressed in 20 samples.

FANTOM5 promoters (1 alternative TSS)

Promoter IDTPM avgSamples expressed
199880.539720

Top tissues by expression

224 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
right lobe of liverUBERON:000111491.15gold quality
liverUBERON:000210786.49gold quality
jejunal mucosaUBERON:000039984.98gold quality
duodenumUBERON:000211480.97gold quality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047374.30gold quality
secondary oocyteCL:000065571.83gold quality
small intestineUBERON:000210866.86gold quality
oocyteCL:000002365.52gold quality
jejunumUBERON:000211565.02gold quality
small intestine Peyer’s patchUBERON:000345464.35gold quality
gall bladderUBERON:000211059.62gold quality
prefrontal cortexUBERON:000045158.39gold quality
skeletal muscle tissue of biceps brachiiUBERON:000450258.34gold quality
frontal cortexUBERON:000187053.30gold quality
Brodmann (1909) area 9UBERON:001354052.85gold quality
right frontal lobeUBERON:000281052.65gold quality
sural nerveUBERON:001548852.15gold quality
neocortexUBERON:000195052.13gold quality
dorsolateral prefrontal cortexUBERON:000983451.47gold quality
anterior cingulate cortexUBERON:000983550.93gold quality
cerebral cortexUBERON:000095649.26gold quality
stromal cell of endometriumCL:000225548.13gold quality
intestineUBERON:000016047.17gold quality
primary visual cortexUBERON:000243647.16gold quality
biceps brachiiUBERON:000150746.65gold quality
mucosa of transverse colonUBERON:000499146.35gold quality
hypothalamusUBERON:000189846.26gold quality
nucleus accumbensUBERON:000188246.19gold quality
colonic epitheliumUBERON:000039745.80gold quality
occipital lobeUBERON:000202145.70gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3yes5.19

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): GATA4, GATA6, HNF4A, NR1H2, NR1H3, NR5A2, SREBF2

miRNA regulators (miRDB)

25 targeting ABCG8, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-118499.9968.191458
HSA-MIR-651-3P99.9473.485177
HSA-MIR-311999.9271.342390
HSA-MIR-368699.9070.532432
HSA-MIR-153-5P99.8973.866317
HSA-MIR-370-5P99.7866.81706
HSA-MIR-1212499.6869.172700
HSA-MIR-570099.6469.882280
HSA-MIR-466399.6265.33957
HSA-MIR-6727-3P99.4965.921333
HSA-MIR-4786-3P99.3668.351390
HSA-MIR-7158-5P99.2567.95796
HSA-MIR-544B99.1867.411632
HSA-MIR-432499.0470.141569
HSA-MIR-511-5P98.9770.942268
HSA-MIR-4742-3P98.7369.821803
HSA-MIR-425298.4566.37987
HSA-MIR-7843-3P98.3167.94803
HSA-MIR-4769-3P97.9568.171002
HSA-MIR-6817-5P97.9567.861026
HSA-MIR-1914-5P97.8366.21807
HSA-MIR-1227-3P97.3666.94834
HSA-MIR-4793-5P96.8865.90872
HSA-MIR-4423-5P95.2464.42454
HSA-MIR-6781-5P94.6159.49155

Functional genomics

ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • mutations in ATP-binding cassette proteins G5 (ABCG5) and G8 (ABCG8) causing sitosterolemia (PMID:11668628)
  • Common DNA sequence polymorphisms in the ABCG8 gene contribute to heritable variation in the plasma concentrations of the plant sterols campesterol and sitosterol. (PMID:11893785)
  • In a sitosterolemia patient a novel heterozygous mutation has been found in exon 5 of ABCG8 (c.584T>A; Leu195Gln). (PMID:12124998)
  • several potential regulatory elements were found for the ABCG5 and ABCG8 genes, and the intergenic region was found to act as a bidirectional promoter (PMID:12150943)
  • Role of ABCG5 and ABCG8 in cholesterol secretion and absorption (PMID:12208868)
  • ABCG5 and ABCG8 function as obligate heterodimers to promote sterol excretion into bile (PMID:14504269)
  • in patients with hypercholesterolemia, the ABCG8 D19H variant is associated with greater LDLC-lowering response to atorvastatin therapy (PMID:14703505)
  • Genetic variations in the ABCG8 gene may play a role in the genetic determination of plasma cholesterol levels and could possibly influence the gender-specific response of plasma cholesterol levels after dietary changes. (PMID:15311998)
  • ABCGG5 and ABCG8 are required to modulate biliary cholesterol secretion in response to cholate and diosgenin. (PMID:15611112)
  • MDR2 expression is required for ABCG5- and ABCG8-mediated biliary sterol secretion. Inactivation of MDR2 markedly attenuated the reduction in fractional sterol absorption associated with ABCG5, ABCG8 overexpression (PMID:15930516)
  • Two genes, ABCG5 and ABCG8, compose the sitosterolemia locus, and complete mutation in either, but not both, results in disease. (PMID:16472606)
  • In diabetic patients statin therapy is associated wiwth increased mRNA. (PMID:16518588)
  • Purified ABCG5 and ABCG8 had very low ATPase activities, suggesting that the hetero-dimer is the catalytically active species, and likely the active species in vivo. (PMID:16893193)
  • Polymorphisms at the half-transporter ABCG5 and ABCG8 genes affect blood cholesterol concentrations in prepubertal children by influencing dietary responsiveness. (PMID:16980816)
  • biochemical and functional characterization of the ABCG5/ABCG8 proteins and their possible involvement in steroid hormone transport or regulation. (PMID:17055487)
  • Increased NPC1L1 and lower ABCG5 abd ABCG8 may lead to increased cholesterol and sitosterol in chylomicron particles in diabetic patients. (PMID:17102949)
  • Cooperative interaction between HNF4A and GATA4 and GATA6 regulates ABCG5 and ABCG8. (PMID:17403900)
  • These findings indicate that the T400K polymorphism in ABCG8 may be associated with the incidence of gallstone disease in males. (PMID:17612515)
  • The results of the genetic study taken together indicate that in gallstone-susceptible carriers of the ABCG8 19H allele, cholesterol cholelithiasis is secondary to increased hepatobiliary cholesterol secretion. (PMID:17626266)
  • An association scan of >500,000 SNPs in individuals with gallstones and controls was performed; a follow-up study of the 235 most significant SNPs in affected individuals and controls replicated the disease association of SNP A-1791411 in ABCG8. (PMID:17632509)
  • results indicate that ABCG5/G8, unlike ABCA1, together with bile acids should participate in sterol efflux on the apical surface of Caco-2 cells. (PMID:17690481)
  • Single nucleotide polymorphisms in ABCG8 are associated with changes in cholesterol metabolism during weight loss (PMID:17827468)
  • Upregulation of ABCG5/ABCG8 in gallstone patients, possibly mediated by increased liver X receptor alpha, may contribute to the cholesterol supersaturation of bile, a prerequisite for gallstone formation. (PMID:18007013)
  • Carriers of ABCG5 604Q or ABCG8 D19H polymorphisms have an increased risk of gallstone disease independent of age, sex and body mass index. (PMID:18457353)
  • links between polymorphisms of ABC G8A (ABCG8) transporter gene to hypercholesterolemia and to gallstone disease risk (Review) (PMID:18522623)
  • Coexistence of higher insulin resistance and hypercholesterolemia for carriers of the aspartate-19-histidine polymorphism may result in a greater risk of cardiovascular disease. (PMID:18581044)
  • No common polymorphisms in ABCG8, ABCG5, or NPC1L1 were demonstrated between the 3 top responders and the non-respondersto plant sterol intervention. (PMID:18641716)
  • Results describe the association between ABCG5/G8 and NPC1L1 genotype single nucleotide polymorphisms with sterol absorption and corresponding plasma concentrations. (PMID:18850127)
  • Genetic variation in the ABCG8 gene may influence the burden of atherosclerosis in familial hypercholesteremia. (PMID:18977479)
  • ABCG5/G8 genetic variants modulate HDL-C concentrations, leading to an HDL-C-lowering effect and thereby a potential increased risk for atherosclerosis only in smokers. (PMID:19005228)
  • In Chilean patients, the ABCG5 1950C>G polymorphism, but not the ABCG8 251A>G polymorphism, was found to be associated with hypercholesterolemia. (PMID:19012522)
  • The DH genotype and the H allele of the ABCG8 D19H polymorphism are associated with Gallbladder cancer susceptibility. (PMID:19018975)
  • Most Asian phytosterolemia patients possess mutations in the ABCG5 gene. The site of the novel mutation was completely different from previous reports. No other mutation was found in the ABCG5 and ABCG8 genes. (PMID:19111681)
  • To examine the molecular mechanisms of the regulated trafficking of ABCG5 and ABCG8, the subcellular localizations of chimeric proteins, fused with ABCG1 or ABCG2, were analyzed. (PMID:19270375)
  • Insulin resistance elevates ABCG8 and increases susceptibility to cholesterol gallstones (PMID:19306529)
  • The effects of ABCG5/G8 polymorphisms on HDL-cholesterol concentrations depend on ABCA1 genetic variants. (PMID:19692220)
  • For the ABCG8 gene, the rs4148211 polymorphism was associated with higher plasma total cholesterol and LDLcholesterol concentrations in the total population. (PMID:20170916)
  • Genetic variations at ABCG5/G8 genes modulate plasma lipids concentrations in patients with familial hypercholesterolemia (PMID:20172523)
  • Bile acids may promote an active conformation of purified ABCG5/G8 either by global stabilization of the transporter or by binding to a specific site on ABCG5/G8. (PMID:20210363)
  • strong association of sequence variants of HMGCR, SREBF1 and ABCG8 genes with the reduction of LDL-C after statin treatment in a Chinese population (PMID:20235787)

Cross-species orthologs

14 orthologs

OrganismSymbolGene ID
danio_rerioabcg8ENSDARG00000063059
mus_musculusAbcg8ENSMUSG00000024254
rattus_norvegicusAbcg8ENSRNOG00000005420
drosophila_melanogasterstFBGN0003515
drosophila_melanogasterwFBGN0003996
drosophila_melanogasterAtetFBGN0020762
drosophila_melanogasterCG4822FBGN0031220
drosophila_melanogasterCG31689FBGN0031449
drosophila_melanogasterCG9663FBGN0031516
drosophila_melanogasterCG31121FBGN0051121
drosophila_melanogasterCG32091FBGN0052091
caenorhabditis_elegansWBGENE00006522
caenorhabditis_elegansWBGENE00015479
caenorhabditis_elegansWBGENE00017179

Paralogs (4): ABCG2 (ENSG00000118777), ABCG5 (ENSG00000138075), ABCG1 (ENSG00000160179), ABCG4 (ENSG00000172350)

Protein

Protein identifiers

ATP-binding cassette sub-family G member 8Q9H221 (reviewed: Q9H221)

Alternative names: Sterolin-2

All UniProt accessions (2): Q9H221, A0A2R8Y6M1

UniProt curated annotations — full annotation on UniProt →

Function. ABCG5 and ABCG8 form an obligate heterodimer that mediates Mg(2+)- and ATP-dependent sterol transport across the cell membrane. Plays an essential role in the selective transport of the dietary cholesterol in and out of the enterocytes and in the selective sterol excretion by the liver into bile. Required for normal sterol homeostasis. The heterodimer with ABCG5 has ATPase activity.

Subunit / interactions. Heterodimer with ABCG8.

Subcellular location. Cell membrane. Apical cell membrane.

Tissue specificity. Predominantly expressed in the liver. Low expression levels in the small intestine and colon. Very low levels in other tissues, including brain, heart and spleen.

Post-translational modifications. N-glycosylated.

Disease relevance. Gallbladder disease 4 (GBD4) [MIM:611465] One of the major digestive diseases. Gallstones composed of cholesterol (cholelithiasis) are the common manifestations in western countries. Most people with gallstones, however, remain asymptomatic through their lifetimes. Disease susceptibility may be associated with variants affecting the gene represented in this entry. Sitosterolemia 1 (STSL1) [MIM:210250] A form of sitosterolemia, an autosomal recessive metabolic disorder characterized by unregulated intestinal absorption of cholesterol, phytosterols and shellfish sterols, and decreased biliary excretion of dietary sterols into bile. Patients have hypercholesterolemia, very high levels of plant sterols in the plasma, and frequently develop tendon and tuberous xanthomas, accelerated atherosclerosis and premature coronary artery disease. The disease is caused by variants affecting the gene represented in this entry.

Activity regulation. The ATPase activity of the heterodimer is stimulated by cholate. Taurocholate, glycocholate, taurochenodeoxycholate, glycochenodeoxycholate and taurodeoxycholate also stimulate ATPase activity, but to a lower degree. Glycodeoxycholate has no significant effect on ATPase activity. ATPase activity is inhibited by vanadate and by berillium fluoride.

Domain organisation. A functional Walker motif (consensus sequence G-X-X-G-X-G-K-[ST]-T) is expected to bind ATP. The essential Lys in this region is not conserved in ABCG8 (G-S-S-G-C-R-A-S) and is not required for transport activity mediated by the heterodimer with ABCG5.

Miscellaneous. Minor form detected in approximately 10% of the cDNA clones.

Similarity. Belongs to the ABC transporter superfamily. ABCG family. Eye pigment precursor importer (TC 3.A.1.204) subfamily.

Isoforms (2)

UniProt IDNamesCanonical?
Q9H221-11yes
Q9H221-22

RefSeq proteins (2): NP_001344250, NP_071882* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR003439ABC_transporter-like_ATP-bdDomain
IPR013525ABC2_TMDomain
IPR017871ABC_transporter-like_CSConserved_site
IPR027417P-loop_NTPaseHomologous_superfamily
IPR043926ABCG_domDomain
IPR050352ABCG_transportersFamily

Pfam: PF00005, PF01061, PF19055

Catalyzed reactions (Rhea), 2 shown:

  • cholesterol(in) + ATP + H2O = cholesterol(out) + ADP + phosphate + H(+) (RHEA:39051)
  • sitosterol(in) + ATP + H2O = sitosterol(out) + ADP + phosphate + H(+) (RHEA:39103)

UniProt features (89 total): helix 24, sequence variant 21, strand 17, topological domain 7, transmembrane region 6, turn 6, domain 2, chain 1, region of interest 1, compositionally biased region 1, glycosylation site 1, splice variant 1, mutagenesis site 1

Structure

Experimental structures (PDB)

8 structures.

PDBMethodResolution (Å)
7R89ELECTRON MICROSCOPY2.6
7R8AELECTRON MICROSCOPY2.9
7R8BELECTRON MICROSCOPY3.1
7JR7ELECTRON MICROSCOPY3.3
7R87ELECTRON MICROSCOPY3.4
7R88ELECTRON MICROSCOPY3.5
5DO7X-RAY DIFFRACTION3.93
8CUBX-RAY DIFFRACTION4.05

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q9H221-F180.940.39

Antibody-complex structures (SAbDab): 67JR7, 7R87, 7R88, 7R89, 7R8A, 7R8B

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Glycosylation sites (1): 619

Mutagenesis-validated functional residues (1):

PositionPhenotype
216loss of atpase activity.

Function

Pathways and Gene Ontology

Reactome pathways

12 pathways

IDPathway
R-HSA-1369062ABC transporters in lipid homeostasis
R-HSA-5679090Defective ABCG8 causes GBD4 and sitosterolemia
R-HSA-5679096Defective ABCG5 causes sitosterolemia
R-HSA-9029569NR1H3 & NR1H2 regulate gene expression linked to cholesterol transport and efflux
R-HSA-162582Signal Transduction
R-HSA-1643685Disease
R-HSA-382551Transport of small molecules
R-HSA-382556ABC-family protein mediated transport
R-HSA-5619084ABC transporter disorders
R-HSA-5619115Disorders of transmembrane transporters
R-HSA-9006931Signaling by Nuclear Receptors
R-HSA-9024446NR1H2 and NR1H3-mediated signaling

MSigDB gene sets: 234 (showing top): GOBP_ACYLGLYCEROL_HOMEOSTASIS, GOBP_DIGESTION, GOBP_STEROL_HOMEOSTASIS, GOBP_LIPID_DIGESTION, KEGG_ABC_TRANSPORTERS, GOBP_ORGANIC_HYDROXY_COMPOUND_TRANSPORT, GOBP_ORGANOPHOSPHATE_ESTER_TRANSPORT, GOBP_LIPID_HOMEOSTASIS, GOBP_CHOLESTEROL_EFFLUX, GOBP_NEGATIVE_REGULATION_OF_MULTICELLULAR_ORGANISMAL_PROCESS, GATA3_01, AAAGACA_MIR511, GOBP_DIGESTIVE_SYSTEM_PROCESS, GATA1_04, GOBP_REGULATION_OF_DIGESTIVE_SYSTEM_PROCESS

GO Biological Process (15): response to nutrient (GO:0007584), response to xenobiotic stimulus (GO:0009410), negative regulation of intestinal phytosterol absorption (GO:0010949), response to muscle activity (GO:0014850), phospholipid transport (GO:0015914), sterol transport (GO:0015918), intestinal cholesterol absorption (GO:0030299), cholesterol efflux (GO:0033344), cholesterol homeostasis (GO:0042632), negative regulation of intestinal cholesterol absorption (GO:0045796), transmembrane transport (GO:0055085), triglyceride homeostasis (GO:0070328), lipid transport (GO:0006869), response to nutrient levels (GO:0031667), sterol homeostasis (GO:0055092)

GO Molecular Function (9): ATP binding (GO:0005524), ATP hydrolysis activity (GO:0016887), ATPase-coupled transmembrane transporter activity (GO:0042626), metal ion binding (GO:0046872), protein heterodimerization activity (GO:0046982), cholesterol transfer activity (GO:0120020), ABC-type transporter activity (GO:0140359), protein binding (GO:0005515), protein dimerization activity (GO:0046983)

GO Cellular Component (5): plasma membrane (GO:0005886), apical plasma membrane (GO:0016324), ATP-binding cassette (ABC) transporter complex (GO:0043190), signaling receptor complex (GO:0043235), membrane (GO:0016020)

Reactome top-level categories

Rollup of top-8 pathways:

CategoryPathways
ABC transporter disorders2
ABC-family protein mediated transport1
NR1H2 and NR1H3-mediated signaling1
Transport of small molecules1
Disorders of transmembrane transporters1
Disease1
Signal Transduction1
Signaling by Nuclear Receptors1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
response to chemical2
negative regulation of intestinal lipid absorption2
lipid transport2
transport2
ATP-dependent activity2
response to nutrient levels1
intestinal phytosterol absorption1
response to activity1
organophosphate ester transport1
organic hydroxy compound transport1
lipid digestion1
intestinal lipid absorption1
cholesterol transport1
sterol homeostasis1
intestinal cholesterol absorption1
regulation of intestinal cholesterol absorption1
cellular process1
acylglycerol homeostasis1
lipid localization1
response to stimulus1
lipid homeostasis1
adenyl ribonucleotide binding1
purine ribonucleoside triphosphate binding1
ribonucleoside triphosphate phosphatase activity1
primary active transmembrane transporter activity1
ATP hydrolysis activity1
cation binding1
protein dimerization activity1
cholesterol binding1
sterol transfer activity1
ATPase-coupled transmembrane transporter activity1
binding1
protein binding1
membrane1
cell periphery1
apical part of cell1
plasma membrane region1
ATPase dependent transmembrane transport complex1
plasma membrane protein complex1
protein-containing complex1

Protein interactions and networks

STRING

1883 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
ABCG8ABCG5Q9H222988
ABCG8SREBF2Q12772913
ABCG8XPR1Q9UBH6901
ABCG8NPC1L1Q9UHC9878
ABCG8CYP7A1P22680863
ABCG8NR1H3Q13133832
ABCG8CYP7B1O75881805
ABCG8NR1H4Q96RI1805
ABCG8NR1H2P55055803
ABCG8HMGCRP04035794
ABCG8SREBF1P36956772
ABCG8SCARB1Q8WTV0681
ABCG8APOBP04114679
ABCG8LDLRAP1Q5SW96674
ABCG8PCSK9Q8NBP7668

IntAct

14 interactions, top by confidence:

ABTypeScore
MESDABCG8psi-mi:“MI:0915”(physical association)0.560
ABCG5ABCG8psi-mi:“MI:0915”(physical association)0.400
ABCG8AKT2psi-mi:“MI:0915”(physical association)0.370
LMNB1ABCG8psi-mi:“MI:0915”(physical association)0.370
ABCG8NUPR1psi-mi:“MI:0915”(physical association)0.370
ABCG8ANGpsi-mi:“MI:0915”(physical association)0.370
NR4A1ABCG8psi-mi:“MI:0915”(physical association)0.370
ABCG8AGPAT2psi-mi:“MI:0915”(physical association)0.370
MAL2ABCG8psi-mi:“MI:0915”(physical association)0.370
ABCG8TSPAN3psi-mi:“MI:0914”(association)0.350
ABCG8MESDpsi-mi:“MI:0915”(physical association)0.000

BioGRID (23): TSPAN3 (Affinity Capture-MS), PTPRD (Affinity Capture-MS), CD320 (Affinity Capture-MS), NOTCH3 (Affinity Capture-MS), TMEM184B (Affinity Capture-MS), ABCG8 (Two-hybrid), ABCG8 (Affinity Capture-Western), CD320 (Affinity Capture-MS), NOTCH3 (Affinity Capture-MS), PTPRD (Affinity Capture-MS), TSPAN3 (Affinity Capture-MS), GATAD2B (Cross-Linking-MS (XL-MS)), ABCG8 (Co-fractionation), ABCG8 (Co-fractionation), ABCG8 (Co-fractionation)

ESM2 similar proteins: A0A0G2K1Q8, B2RX12, E9PU17, E9PX95, F1MWM0, O00329, O15438, O35600, O75899, O88563, O88871, O94911, O95477, P41233, P55205, P58428, P78363, Q09427, Q09428, Q09429, Q2NKY8, Q5BJS0, Q5R607, Q5ZI74, Q6TL19, Q7L2E3, Q7TNJ2, Q80T41, Q84M24, Q8CF82, Q8IUA7, Q8K440, Q8K441, Q8K442, Q8K448, Q8K449, Q8LPK0, Q8N139, Q8NCL4, Q8R420

Diamond homologs: A0A059J0G5, A0A0M3R8G1, A0A0M4FLW6, A0A1L9WQK0, A0A1U8QKX8, A0A1U8QT10, A0A1V0QSE4, A0A1V1GB10, A0A1Y0BRF0, A0A2H1A768, A0A2U8U2K9, A0A481WQK1, A0A4P8GG95, A0A8K1AW53, A1C8C8, A1CFM0, A9YWR6, B6HV31, B6RAL1, B8NDS8, B9G5Y5, D3GE74, D4AYW0, E9RBG1, F2PLH2, F2RSQ6, F2SG60, F2SHL1, G3JF11, I1RL06, J9VME1, J9VPA2, M2UCE5, O42690, O65934, O74208, O74676, P25371, P32568, P33302

SIGNOR signaling

2 interactions.

AEffectBMechanism
SREBF2“down-regulates quantity by repression”ABCG8“transcriptional regulation”
HNF4A“down-regulates quantity by repression”ABCG8“transcriptional regulation”

Disease & clinical

Clinical variants and AI predictions

ClinVar

957 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic33
Likely pathogenic22
Uncertain significance464
Likely benign262
Benign61

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1441157NM_022437.3(ABCG8):c.1476T>A (p.Tyr492Ter)Pathogenic
1447169NM_022437.3(ABCG8):c.647del (p.Gly216fs)Pathogenic
1698995NM_022437.3(ABCG8):c.1752G>A (p.Trp584Ter)Pathogenic
1705270NM_022437.3(ABCG8):c.1938_1939delinsT (p.Val647fs)Pathogenic
1983599NM_022437.3(ABCG8):c.562-1G>CPathogenic
2076036NM_022437.3(ABCG8):c.490C>T (p.Arg164Ter)Pathogenic
2117818NM_022437.3(ABCG8):c.687G>A (p.Trp229Ter)Pathogenic
2416955NM_022437.3(ABCG8):c.386C>A (p.Ser129Ter)Pathogenic
2439032NM_022437.3(ABCG8):c.1756+2T>APathogenic
2733772NM_022437.3(ABCG8):c.361C>T (p.Arg121Ter)Pathogenic
2810730NM_022437.3(ABCG8):c.196G>T (p.Glu66Ter)Pathogenic
2815554NM_022437.3(ABCG8):c.1405_1406del (p.Ser469fs)Pathogenic
2821437NM_022437.3(ABCG8):c.1288del (p.Thr430fs)Pathogenic
3247570NC_000002.11:g.(?44078703)(44080027_?)delPathogenic
3716703NM_022437.3(ABCG8):c.1418C>A (p.Ser473Ter)Pathogenic
3720322NM_022437.3(ABCG8):c.1214G>A (p.Arg405His)Pathogenic
3721979NM_022437.3(ABCG8):c.111C>G (p.Tyr37Ter)Pathogenic
39520NM_022437.3(ABCG8):c.320C>G (p.Ser107Ter)Pathogenic
4613346NM_022437.3(ABCG8):c.1533C>A (p.Tyr511Ter)Pathogenic
4705536NM_022437.3(ABCG8):c.161_162delinsGA (p.Tyr54Ter)Pathogenic
4706185NM_022437.3(ABCG8):c.280A>T (p.Lys94Ter)Pathogenic
4713119NM_022437.3(ABCG8):c.1719del (p.Gly575fs)Pathogenic
4733548NM_022437.3(ABCG8):c.1272dup (p.Cys425fs)Pathogenic
4770931NM_022437.3(ABCG8):c.1126del (p.Ser376fs)Pathogenic
4848608NC_000002.11:g.(?44066109)(44110128_?)delPathogenic
4973NM_022437.3(ABCG8):c.1787T>G (p.Leu596Arg)Pathogenic
4974NM_022437.3(ABCG8):c.691C>A (p.Pro231Thr)Pathogenic
499942NM_022437.3(ABCG8):c.64-2A>GPathogenic
500779NM_022437.3(ABCG8):c.120C>A (p.Tyr40Ter)Pathogenic
546173NM_022437.3(ABCG8):c.965-1G>CPathogenic

SpliceAI

2417 predictions. Top by Δscore:

VariantEffectΔscore
2:43839114:TCGG:Tdonor_loss1.0000
2:43839117:G:GGdonor_gain1.0000
2:43839118:T:Gdonor_loss1.0000
2:43839121:G:GGdonor_gain1.0000
2:43851821:GG:Gdonor_gain1.0000
2:43851822:GG:Gdonor_gain1.0000
2:43852592:T:Aacceptor_gain1.0000
2:43852865:TATGG:Tdonor_loss1.0000
2:43852866:ATGGT:Adonor_loss1.0000
2:43852867:TGGTG:Tdonor_loss1.0000
2:43852868:GGTGA:Gdonor_loss1.0000
2:43852869:G:GGdonor_gain1.0000
2:43852869:GTGAG:Gdonor_loss1.0000
2:43852870:T:Adonor_loss1.0000
2:43852871:GAG:Gdonor_loss1.0000
2:43873784:A:AGacceptor_gain1.0000
2:43873784:AAGTC:Aacceptor_gain1.0000
2:43873785:A:AGacceptor_gain1.0000
2:43873786:G:GGacceptor_gain1.0000
2:43873786:GT:Gacceptor_gain1.0000
2:43873786:GTC:Gacceptor_gain1.0000
2:43873983:AAAT:Adonor_gain1.0000
2:43873984:AAT:Adonor_gain1.0000
2:43873984:AATG:Adonor_loss1.0000
2:43873985:AT:Adonor_gain1.0000
2:43873986:TG:Tdonor_loss1.0000
2:43873987:G:GGdonor_gain1.0000
2:43873987:GTG:Gdonor_loss1.0000
2:43873988:T:Adonor_loss1.0000
2:43874402:TTTA:Tacceptor_loss1.0000

AlphaMissense

4420 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
2:43852781:T:GY293D0.985
2:43852646:G:CA248P0.984
2:43852680:C:AA259D0.980
2:43852656:T:CL251P0.978
2:43852637:A:CS245R0.976
2:43852639:C:AS245R0.976
2:43852639:C:GS245R0.976
2:43875383:T:CF576L0.972
2:43875385:C:AF576L0.972
2:43875385:C:GF576L0.972
2:43846294:C:AA102D0.970
2:43852462:G:TG224W0.969
2:43852463:G:AG224E0.969
2:43852815:T:CF304S0.969
2:43844583:T:CL47P0.968
2:43873932:T:CF453L0.966
2:43873934:C:AF453L0.966
2:43873934:C:GF453L0.966
2:43852382:T:AL197H0.964
2:43852865:T:GY321D0.963
2:43877608:G:AG602R0.963
2:43877608:G:CG602R0.963
2:43844589:T:AV49D0.962
2:43852852:T:AN316K0.962
2:43852852:T:GN316K0.962
2:43852376:T:CL195P0.961
2:43852472:T:CL227P0.961
2:43852635:A:TD244V0.961
2:43844598:T:CL52P0.960
2:43852692:G:CR263P0.960

dbSNP variants (sampled 300 via entrez): RS1000032187 (2:43861603 C>T), RS1000039012 (2:43873393 C>A,T), RS1000105206 (2:43861787 T>A), RS1000133433 (2:43861980 G>C), RS1000193100 (2:43879964 C>T), RS1000195436 (2:43849370 G>A), RS1000232498 (2:43856093 ACTAT>A), RS1000284789 (2:43856332 C>A,T), RS1000291485 (2:43844563 C>A,G), RS1000304138 (2:43865999 A>G), RS1000343728 (2:43871074 C>G,T), RS1000417444 (2:43871206 A>C,G,T), RS1000456024 (2:43847334 T>A), RS1000533856 (2:43878999 C>A,G,T), RS1000613547 (2:43875236 C>A)

Disease associations

OMIM: gene MIM:605460 | disease phenotypes: MIM:210250, MIM:611465, MIM:215250

GenCC curated gene-disease

DiseaseClassificationInheritance
sitosterolemiaDefinitiveAutosomal recessive
sitosterolemia 1DefinitiveAutosomal recessive

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
sitosterolemiaDefinitiveAR

Mondo (4): sitosterolemia 1 (MONDO:0020747), gallbladder disease 4 (MONDO:1010151), sitosterolemia (MONDO:0008863), thrombocytopenia (MONDO:0002049)

Orphanet (2): Sitosterolemia (Orphanet:2882), Mediterranean macrothrombocytopenia (Orphanet:101022)

HPO phenotypes

62 total (30 of 62 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000799Renal steatosis
HP:0000822Hypertension
HP:0000991Xanthomatosis
HP:0001081Cholelithiasis
HP:0001084Corneal arcus
HP:0001114Xanthelasma
HP:0001138Optic neuropathy
HP:0001369Arthritis
HP:0001397Hepatic steatosis
HP:0001645Sudden cardiac death
HP:0001650Aortic valve stenosis
HP:0001653Mitral regurgitation
HP:0001658Myocardial infarction
HP:0001677Coronary artery atherosclerosis
HP:0001681Angina pectoris
HP:0001744Splenomegaly
HP:0001873Thrombocytopenia
HP:0001878Hemolytic anemia
HP:0001892Abnormal bleeding
HP:0001902Giant platelets
HP:0001903Anemia
HP:0001920Renal artery stenosis
HP:0001923Reticulocytosis
HP:0002027Abdominal pain
HP:0002094Dyspnea
HP:0002829Arthralgia
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0003077Hyperlipidemia
HP:0003124Hypercholesterolemia

GWAS associations

61 associations (top):

StudyTraitp-value
GCST000055_1Gallstone disease1.000000e-14
GCST000287_5LDL cholesterol2.000000e-20
GCST000533_53Lipid metabolism phenotypes2.000000e-08
GCST000694_1Phytosterol levels6.000000e-25
GCST000694_2Phytosterol levels2.000000e-50
GCST000759_27LDL cholesterol2.000000e-47
GCST000760_6Cholesterol, total4.000000e-45
GCST002042_2LDL cholesterol1.000000e-09
GCST002221_5Cholesterol, total3.000000e-73
GCST002896_41Cholesterol, total6.000000e-33
GCST002898_35LDL cholesterol2.000000e-35
GCST003679_3C-reactive protein levels or LDL-cholesterol levels (pleiotropy)9.000000e-33
GCST003725_1Gallstone disease5.000000e-31
GCST003725_3Gallstone disease2.000000e-75
GCST004209_5Cholesterol, total2.000000e-11
GCST004787_46Coronary artery disease (myocardial infarction, percutaneous transluminal coronary angioplasty, coronary artery bypass grafting, angina or chromic ischemic heart disease)6.000000e-10
GCST005194_42Coronary artery disease5.000000e-17
GCST005195_129Coronary artery disease2.000000e-18
GCST005196_202Coronary artery disease6.000000e-19
GCST006612_50LDL cholesterol6.000000e-94
GCST006614_15Total cholesterol levels1.000000e-72
GCST007050_2Gallstone disease3.000000e-08
GCST007209_22Gallstone disease0.000000e+00
GCST007364_1Gallstone disease9.000000e-06
GCST007924_12Medication use (antithrombotic agents)7.000000e-09
GCST007931_43Medication use (HMG CoA reductase inhibitors)2.000000e-10
GCST007931_85Medication use (HMG CoA reductase inhibitors)9.000000e-48
GCST008077_45LDL cholesterol levels1.000000e-09
GCST008077_51LDL cholesterol levels5.000000e-31
GCST008077_6LDL cholesterol levels3.000000e-19

EFO canonical traits (11, from GWAS)

EFO IDTrait name
EFO:0004611low density lipoprotein cholesterol measurement
EFO:0004529lipid measurement
EFO:0004862phytosterol measurement
EFO:0004574total cholesterol measurement
EFO:0004458C-reactive protein measurement
EFO:0009925Antithrombotic agent use measurement
EFO:0009932HMG CoA reductase inhibitor use measurement
EFO:0004329alcohol drinking
EFO:0004615apolipoprotein B measurement
EFO:0009749age at first sexual intercourse measurement
EFO:0004736aspartate aminotransferase measurement

MeSH disease descriptors (2)

DescriptorNameTree numbers
D013921ThrombocytopeniaC15.378.140.855; C15.378.243.937
C537345Sitosterolemia (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB clinical annotations

1 annotations.

VariantTypeLevelDrugsPhenotypes
rs11887534Efficacy3atorvastatinCoronary Artery Disease;Hypercholesterolemia

PharmGKB variants

1 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs11887534ABCG5, ABCG830.251atorvastatin

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: transporter — ABCG subfamily

CTD chemical–gene interactions

59 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Cyclosporinedecreases expression, affects cotreatment4
Benzo(a)pyrenedecreases methylation, decreases expression3
Tetrachlorodibenzodioxinaffects cotreatment, decreases expression, increases expression3
alisol B 23-acetatedecreases reaction, increases expression2
Resveratrolaffects cotreatment, decreases expression2
Acetaminophendecreases expression, affects cotreatment2
Chenodeoxycholic Acidincreases expression, affects cotreatment, decreases expression2
Rotenoneaffects cotreatment, decreases expression2
Valproic Acidaffects methylation, decreases expression, decreases methylation2
Aflatoxin B1affects expression, decreases expression, decreases methylation2
aristolochic acid Iincreases expression1
aminomethylphosphonic acid (AMPA)decreases expression1
7-ketocholesterolaffects cotreatment, decreases expression1
methyleugenoldecreases expression1
6-hydroxy-5-((p- sulfophenyl)azo)-2-naphthalenesulfonic acid disodium saltaffects cotreatment, decreases expression1
3-DOXYLANDROSTANOLaffects binding, increases activity1
sodium arsenitedecreases expression1
perfluorooctanoic aciddecreases expression1
pregna-4,17-diene-3,16-dionedecreases reaction, increases expression1
beta-hexachlorocyclohexaneincreases expression1
nefazodoneaffects cotreatment, decreases expression1
perfluorooctane sulfonic aciddecreases expression1
perfluoro-n-nonanoic aciddecreases expression1
2,4,6-trimethyl-N-((3’-(methylsulfonyl)-4-biphenylyl)methyl)-N-((5-(trifluoromethyl)-2-furanyl)methyl)benzenesulfonamideincreases expression, decreases reaction1
Dasatinibincreases expression, increases phosphorylation, decreases reaction1
Atazanavir Sulfateaffects cotreatment, decreases expression1
Leflunomidedecreases expression1
Glyphosatedecreases expression1
Androstenedioneaffects binding, increases activity1
Chlorpromazineaffects expression, affects cotreatment1

Clinical trials (associated diseases)

279 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT01822262PHASE4UNKNOWNContrastive Study for Minimally Invasive Cholecystolithotomy With Gallbladder Reservation and Laparoscopic Cholecystectomy
NCT02472509PHASE4TERMINATEDThe Role of Ursodeoxycholic Acid in Treatment of Gallstones in Hemolytic Disorders
NCT00039858PHASE4COMPLETEDEvaluation of Argatroban Injection in Pediatric Patients Requiring Anticoagulant Alternatives to Heparin
NCT00239733PHASE4TERMINATEDAnti-D for Treating Thrombocytopenia in Adults Infected With Hepatitis C Virus With or Without HIV Co-Infection
NCT00907478PHASE4COMPLETEDStudy on Bone Marrow Morphology in Adults Receiving Romiplostim for Treatment of Thrombocytopenia Associated With Immune Thrombocytopenia Purpura (ITP)
NCT01727401PHASE4TERMINATEDThromboprophylaxis of Venous Thromboembolism in Acutely-ill Medical Inpatients With Thrombocytopenia
NCT02032134PHASE4TERMINATEDProtocol for the Infusion of Buffy Coat-derived Cryopreserved Platelets in Patients With Severe Thrombocytopenia
NCT02267993PHASE4COMPLETEDEfficacy and Safety of rhTPO for the Treatment of Thrombocytopenia After Chemotherapy in AML Patients
NCT03633019PHASE4UNKNOWNHigh-dose Use of rhTPO in CIT Patients
NCT03688191PHASE4UNKNOWNStudy of Sirolimus in CTD-TP in China
NCT04906083PHASE4UNKNOWNAvatrombopag in Patients With End-stage Liver Disease and Thrombocytopenia
NCT05217719PHASE4UNKNOWNEffects of Recombinant Human Thrombopoietin on Platelet Levels in ICU Patients
NCT05255003PHASE4RECRUITINGSTrategies for Anticoagulation in Patients With thRombocytopenia and Cancer-associated Thrombosis
NCT05382013PHASE4UNKNOWNEfficacy and Safety of Avatrombopag for Treating TCP in HBV-ACLF Patients Receiving ALSS Treatment
NCT05944458PHASE4COMPLETEDEfficacy of Intravenous N-Acetylcysteine in Preventing Linezolid-Induced Thrombocytopenia in Critically Ill Patients
NCT06562738PHASE4RECRUITINGClinical Study on Efficacy and Safety of Hetrombopag in the Preoperative Patients of Thrombocytopenia
NCT00037791PHASE3COMPLETEDSafety and Efficacy of (PN-152,243)/PN-196,444 in the Prevention of Thrombocytopenia
NCT00039910PHASE3COMPLETEDSafety and Efficacy of (PN-152,243)/PN-196,444 in the Prevention of Thrombocytopenia
NCT00073580PHASE3COMPLETEDAngiomax in Patients With HIT/HITTS Type II Undergoing Off-Pump Coronary Artery Bypass Grafting (CABG) (CHOOSE)
NCT00102323PHASE3COMPLETEDAMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Refractory to Splenectomy
NCT00102336PHASE3COMPLETEDAMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Prior to Splenectomy
NCT00116688PHASE3COMPLETEDOpen Label Extension Study of Romiplostim (AMG 531) in Thrombocytopenic Patients With Immune (Idiopathic) Thrombocytopenic Purpura (ITP)
NCT00128713PHASE3COMPLETEDOptimal Platelet Dose Strategy for Management of Thrombocytopenia
NCT00151866PHASE3COMPLETEDEfficacy of Transfusions With Platelets Stored in Platelet Additive Solution II Versus Plasma
NCT00261924PHASE3COMPLETEDEfficacy and Safety Study of Platelets Treated for Pathogen Inactivation and Stored for Up to Seven Days
NCT00415532PHASE3COMPLETEDRomiplostim (AMG 531) Versus Medical Standard of Care for Immune (Idiopathic) Thrombocytopenic Purpura
NCT00420914PHASE3TERMINATEDStrategies for Transfusion of Platelets (SToP)
NCT00501345PHASE3TERMINATEDAspirin in Patients With Myocardial Infarction and Thrombocytopenia
NCT00508820PHASE3COMPLETEDAn Open Label Study of Romiplostim in Adult Thrombocytopenic Subjects With ITP
NCT00678587PHASE3TERMINATEDEltrombopag To Reduce The Need For Platelet Transfusion In Subjects With Chronic Liver Disease And Thrombocytopenia Undergoing Elective Invasive Procedures
NCT01438840PHASE3COMPLETEDEfficacy and Safety of Oral E5501 Plus Standard of Care for the Treatment of Thrombocytopenia in Adults With Chronic Immune Thrombocytopenia (Amendment 02)
NCT01444417PHASE3COMPLETEDSafety and Efficacy Study of Romiplostim to Treat Immune Thrombocytopenia (ITP) in Pediatric Patients
NCT01805648PHASE3UNKNOWNEfficacy and Safety Study of Maintenance Treatment With rhTPO in Thrombocytopenic Subjects With ITP
NCT02244658PHASE3UNKNOWNRecombinant Human Thrombopoietin (rhTPO) in Management of Chemotherapy-induced Thrombocytopenia in Acute Myelocytic Leukemia
NCT02389621PHASE3COMPLETEDSafety and Efficacy Study of Lusutrombopag for Thrombocytopenia in Patients With Chronic Liver Disease Undergoing Elective Invasive Procedures
NCT02444728PHASE3TERMINATEDCyclophosphamide and Hydroxychloroquine for Thrombocytopenia in SLE
NCT02487563PHASE3COMPLETEDProspective Study of Patients With Thrombocytopenia Following HSCT
NCT02578901PHASE3COMPLETEDAmerican Trial Using Tranexamic Acid in Thrombocytopenia
NCT03326843PHASE3TERMINATEDAvatrombopag for the Treatment of Thrombocytopenia in Adults Scheduled for a Surgical Procedure
NCT03515096PHASE3COMPLETEDEltrombopag vs. rhTPO to Increase Platelet Level After HSCT