BLNK

gene
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Also known as SLP65Ly57SLP-65BLNK-sBASHbca

Summary

BLNK (B cell linker, HGNC:14211) is a protein-coding gene on chromosome 10q24.1, encoding B-cell linker protein (Q8WV28). Functions as a central linker protein, downstream of the B-cell receptor (BCR), bridging the SYK kinase to a multitude of signaling pathways and regulating biological outcomes of B-cell function and development.

This gene encodes a cytoplasmic linker or adaptor protein that plays a critical role in B cell development. This protein bridges B cell receptor-associated kinase activation with downstream signaling pathways, thereby affecting various biological functions. The phosphorylation of five tyrosine residues is necessary for this protein to nucleate distinct signaling effectors following B cell receptor activation. Mutations in this gene cause hypoglobulinemia and absent B cells, a disease in which the pro- to pre-B-cell transition is developmentally blocked. Deficiency in this protein has also been shown in some cases of pre-B acute lymphoblastic leukemia. Alternatively spliced transcript variants have been found for this gene.

Source: NCBI Gene 29760 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): agammaglobulinemia 4, autosomal recessive (Definitive, ClinGen) — +1 more curated relationship
  • GWAS associations: 1
  • Clinical variants (ClinVar): 405 total — 9 pathogenic, 8 likely-pathogenic
  • Phenotypes (HPO): 40
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity no evidence
  • MANE Select transcript: NM_013314

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:14211
Approved symbolBLNK
NameB cell linker
Location10q24.1
Locus typegene with protein product
StatusApproved
AliasesSLP65, Ly57, SLP-65, BLNK-s, BASH, bca
Ensembl geneENSG00000095585
Ensembl biotypeprotein_coding
OMIM604515
Entrez29760

Gene structure

Transcript identifiers

Ensembl transcripts: 28 — 12 protein_coding, 11 nonsense_mediated_decay, 5 retained_intron

ENST00000224337, ENST00000371176, ENST00000413476, ENST00000427367, ENST00000467799, ENST00000468252, ENST00000472763, ENST00000485193, ENST00000495266, ENST00000696248, ENST00000696253, ENST00000696255, ENST00000696257, ENST00000696513, ENST00000696514, ENST00000696515, ENST00000696516, ENST00000696517, ENST00000696518, ENST00000696519, ENST00000696521, ENST00000696522, ENST00000696523, ENST00000696524, ENST00000696525, ENST00000896451, ENST00000896452, ENST00000896453

RefSeq mRNA: 5 — MANE Select: NM_013314 NM_001114094, NM_001258440, NM_001258441, NM_001258442, NM_013314

CCDS: CCDS44464, CCDS58091, CCDS73171, CCDS7446, CCDS91311

Canonical transcript exons

ENST00000224337 — 17 exons

ExonStartEnd
ENSE000000001789627135296271569
ENSE000000001799618917196192092
ENSE000024301029619690896197063
ENSE000025104849620007596200158
ENSE000025323539622741096227566
ENSE000028397779624698496247049
ENSE000029100759624273596242784
ENSE000029752859623079496230834
ENSE000034637649620983896209907
ENSE000035082619621532196215389
ENSE000035216109620787296207899
ENSE000035292649620405796204088
ENSE000035464189622382696223989
ENSE000035815779620701196207053
ENSE000036282259620098296201058
ENSE000036796549621665396216734
ENSE000036871459620453296204616

Expression profiles

Bgee: expression breadth ubiquitous, 257 present calls, max score 97.01.

FANTOM5 (CAGE): breadth broad, TPM avg 8.8011 / max 1459.0018, expressed in 601 samples.

FANTOM5 promoters (6 alternative TSS)

Promoter IDTPM avgSamples expressed
1108434.3200516
1108443.9283522
1108420.3793144
1108410.088244
1108450.080535
1108460.00491

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
tongue squamous epitheliumUBERON:000691997.01gold quality
oral cavityUBERON:000016796.04gold quality
corpus epididymisUBERON:000435995.77gold quality
spleenUBERON:000210695.74gold quality
jejunal mucosaUBERON:000039995.60gold quality
esophagus squamous epitheliumUBERON:000692095.44gold quality
lower esophagus mucosaUBERON:003583495.03gold quality
epithelium of esophagusUBERON:000197694.86gold quality
duodenumUBERON:000211494.24gold quality
epithelium of nasopharynxUBERON:000195194.10gold quality
nasopharynxUBERON:000172894.08gold quality
squamous epitheliumUBERON:000691494.07gold quality
esophagus mucosaUBERON:000246993.43gold quality
vermiform appendixUBERON:000115492.95gold quality
pharyngeal mucosaUBERON:000035592.83gold quality
cervix squamous epitheliumUBERON:000692292.79gold quality
lymph nodeUBERON:000002992.42gold quality
right lobe of liverUBERON:000111492.24gold quality
gingivaUBERON:000182891.90gold quality
ileal mucosaUBERON:000033191.20gold quality
cervix epitheliumUBERON:000480191.15gold quality
tonsilUBERON:000237290.72gold quality
pancreatic ductal cellCL:000207990.56gold quality
gingival epitheliumUBERON:000194990.56gold quality
rectumUBERON:000105290.36gold quality
liverUBERON:000210790.25gold quality
cauda epididymisUBERON:000436089.87gold quality
mucosa of sigmoid colonUBERON:000499389.75gold quality
metanephros cortexUBERON:001053389.75gold quality
caecumUBERON:000115389.60gold quality

Single-cell (SCXA)

Detected in 12 experiment(s), a significant marker in 12.

ExperimentMarker?Max mean expression
E-CURD-6yes961.98
E-GEOD-76312yes487.15
E-CURD-122yes92.26
E-CURD-112yes45.46
E-ANND-3yes22.36
E-HCAD-10yes20.08
E-MTAB-9067yes18.01
E-MTAB-6701yes14.93
E-MTAB-8498yes13.48
E-MTAB-9801yes7.42
E-MTAB-6678yes6.50
E-CURD-88yes3.89

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

1 targets.

TargetRegulation
LAPTM5Activation

Upstream regulators (CollecTRI, top): PAX5, SPI1, SPIB

miRNA regulators (miRDB)

26 targeting BLNK, 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-450A-1-3P100.0069.331837
HSA-MIR-371B-5P99.9975.344759
HSA-MIR-373-5P99.9875.364753
HSA-MIR-616-5P99.9875.584775
HSA-MIR-314899.9775.066478
HSA-MIR-6744-5P99.9366.82748
HSA-MIR-612499.8769.783551
HSA-MIR-6739-5P99.8067.872806
HSA-MIR-3913-5P99.7867.26968
HSA-MIR-6733-5P99.7467.942759
HSA-MIR-442899.7366.411733
HSA-MIR-315399.5567.592337
HSA-MIR-312299.5066.33821
HSA-MIR-513C-5P99.5068.421730
HSA-MIR-514B-5P99.5068.191766
HSA-MIR-1213299.4768.901341
HSA-MIR-103A-1-5P99.3967.781545
HSA-MIR-103A-2-5P99.3967.721577
HSA-MIR-302A-5P99.3968.211913
HSA-MIR-488-5P99.2868.12821
HSA-MIR-4742-5P98.8968.411542
HSA-MIR-1139998.7165.69869
HSA-MIR-124397.0765.44719
HSA-MIR-365A-5P94.9163.72471
HSA-MIR-365B-5P94.9163.79470
HSA-MIR-5681B94.8269.30514

Functional genomics

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

Literature-anchored findings (GeneRIF, showing 20)

  • 16 of the 34 childhood pre-B acute lymphoblastic leukaemia samples that were tested showed a complete loss or drastic reduction of SLP-65 expression (PMID:12761551)
  • Identifies BLNK as a potential target for the protein-tyrosine phosphatase SHP-1. (PMID:15588985)
  • The BLNK protein is present in the majority of mediastinal B cell lymphomas. (PMID:15744341)
  • In B cells SLP-65 exists in a 180 kDa complex as well as in monomeric form. (PMID:16356554)
  • V(H) gene rearrangement represents a frequent feature in B-lymphoid malignancy, which can be attributed to SLP65 deficiency in many cases. (PMID:16636677)
  • Syk is required to link phosphorylated SLP-65 to Ca(2+) mobilization. (PMID:17681949)
  • Plasmacytoid dendritic cells express a signalosome consisting of Lyn, Syk, Btk, Slp65 (Blnk) and PLCgamma2. Triggering CD303 leads to tyrosine phosphorylation of Syk, Slp65, PLCgamma2 & cytoskeletal proteins. (PMID:18022864)
  • BLNK prevents aneuploidy by inhibiting cytokinesis. (PMID:19018766)
  • BLNK recruits active H-Ras to the BCR complex, which is essential for sustained surface expression of BCR in the form of the cap and for the signal leading to functional ERK activation (PMID:19218240)
  • Data show that SLP-65 phosphorylation acts upstream for signal initiation and also downstream during selective processing of the B cell receptor signal. (PMID:19372136)
  • Live cell imaging and co-immunoprecipitation experiments confirmed that both SLP65 and CIN85 are both required for the onset and progression phases of B-cell antigen receptor signal transduction. (PMID:21822214)
  • up-regulation of BLNK is associated with RUNX1 mutations in cytogenetically normal acute myeloid leukemia. (PMID:22689681)
  • early Ca(2+) fluxing provides feed-forward signal amplification by promoting anchoring of the PLCgamma2 C2 domain to phospho-SLP65. (PMID:24166973)
  • vesicular signaling scaffolds are required for B cell activation indicates that vesicles may deliver preassembled signaling cargo to sites of BCR activation. (PMID:25140054)
  • Prognostic value of B-cell linker protein in colorectal cancer. (PMID:31980295)
  • Further delineation of primary B cell immunodeficiency caused by novel variants of the BLNK gene in two Chinese patients. (PMID:32194234)
  • Involvement of Blnk and Foxo1 in tumor suppression in BCRABL1transformed proB cells. (PMID:33416167)
  • Silencing BLNK protects against interleukin-1beta-induced chondrocyte injury through the NF-kappaB signaling pathway. (PMID:34521030)
  • C/EBPbeta induces B-cell acute lymphoblastic leukemia and cooperates with BLNK mutations. (PMID:34653294)
  • ErbB2/Her2-dependent downregulation of a cell death-promoting protein BLNK in breast cancer cells is required for 3D breast tumor growth. (PMID:35933456)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_rerioblnkENSDARG00000042722
danio_reriosi:dkeyp-117b11.1ENSDARG00000090607
mus_musculusBlnkENSMUSG00000061132
rattus_norvegicusBlnkENSRNOG00000013967

Paralogs (3): LCP2 (ENSG00000043462), CLNK (ENSG00000109684), SH2D6 (ENSG00000152292)

Protein

Protein identifiers

B-cell linker proteinQ8WV28 (reviewed: Q8WV28)

Alternative names: B-cell adapter containing a SH2 domain protein, B-cell adapter containing a Src homology 2 domain protein, Cytoplasmic adapter protein, Src homology 2 domain-containing leukocyte protein of 65 kDa

All UniProt accessions (15): Q8WV28, A0A8Q3SIR3, A0A8Q3SIW1, A0A8Q3SJD7, A0A8Q3WLC3, A0A8Q3WLC4, A0A8Q3WLN9, A0A8U0WPF8, K7EKR2, Q2MD42, Q2MD46, Q2MD47, Q2MD51, Q2MD54, Q2MD59

UniProt curated annotations — full annotation on UniProt →

Function. Functions as a central linker protein, downstream of the B-cell receptor (BCR), bridging the SYK kinase to a multitude of signaling pathways and regulating biological outcomes of B-cell function and development. Plays a role in the activation of ERK/EPHB2, MAP kinase p38 and JNK. Modulates AP1 activation. Important for the activation of NF-kappa-B and NFAT. Plays an important role in BCR-mediated PLCG1 and PLCG2 activation and Ca(2+) mobilization and is required for trafficking of the BCR to late endosomes. However, does not seem to be required for pre-BCR-mediated activation of MAP kinase and phosphatidyl-inositol 3 (PI3) kinase signaling. May be required for the RAC1-JNK pathway. Plays a critical role in orchestrating the pro-B cell to pre-B cell transition. May play an important role in BCR-induced B-cell apoptosis.

Subunit / interactions. Associates with PLCG1, VAV1 and NCK1 in a B-cell antigen receptor-dependent fashion. Interacts with VAV3, PLCG2 and GRB2. Interacts through its SH2 domain with CD79A. Interacts (via SH2 domain) with SYK; phosphorylated and activated by SYK. Interacts (via SH2 domain) with SCIMP; this interaction is dependent on phosphorylation of SCIMP ‘Tyr-131’.

Subcellular location. Cytoplasm. Cell membrane.

Tissue specificity. Expressed in B-cell lineage and fibroblast cell lines (at protein level). Highest levels of expression in the spleen, with lower levels in the liver, kidney, pancreas, small intestines and colon.

Post-translational modifications. Following BCR activation, phosphorylated on tyrosine residues by SYK and LYN. When phosphorylated, serves as a scaffold to assemble downstream targets of antigen activation, including PLCG1, VAV1, GRB2 and NCK1. Phosphorylation of Tyr-84, Tyr-178 and Tyr-189 facilitates PLCG1 binding. Phosphorylation of Tyr-96 facilitates BTK binding. Phosphorylation of Tyr-72 facilitates VAV1 and NCK1 binding. Phosphorylation is required for both Ca(2+) and MAPK signaling pathways.

Disease relevance. Agammaglobulinemia 4, autosomal recessive (AGM4) [MIM:613502] A primary immunodeficiency characterized by profoundly low or absent serum antibodies and low or absent circulating B-cells due to an early block of B-cell development. Affected individuals develop severe infections in the first years of life. The disease is caused by variants affecting the gene represented in this entry.

Isoforms (3)

UniProt IDNamesCanonical?
Q8WV28-11yes
Q8WV28-22
Q8WV28-33

RefSeq proteins (5): NP_001107566, NP_001245369, NP_001245370, NP_001245371, NP_037446* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000980SH2Domain
IPR036860SH2_dom_sfHomologous_superfamily
IPR051751Immunoreceptor_sig_adaptersFamily

Pfam: PF00017

UniProt features (21 total): compositionally biased region 6, modified residue 5, mutagenesis site 4, splice variant 2, chain 1, domain 1, region of interest 1, sequence conflict 1

Structure

Experimental structures (PDB)

1 structures.

PDBMethodResolution (Å)
6YLUX-RAY DIFFRACTION1.88

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q8WV28-F164.460.23

Functional residue map

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

Post-translational modifications (5): 84, 96, 178, 189, 72

Mutagenesis-validated functional residues (4):

PositionPhenotype
72significant phosphorylation reduction; when associated with f-84; f-96 and f-178.
84significant phosphorylation reduction; when associated with f-72; f-96 and f-178.
96significant phosphorylation reduction; when associated with f-72; f-84 and f-178.
178significant phosphorylation reduction; when associated with f-72; f-84 and f-96.

Function

Pathways and Gene Ontology

Reactome pathways

13 pathways

IDPathway
R-HSA-912631Regulation of signaling by CBL
R-HSA-9679191Potential therapeutics for SARS
R-HSA-983695Antigen activates B Cell Receptor (BCR) leading to generation of second messengers
R-HSA-1280215Cytokine Signaling in Immune system
R-HSA-1280218Adaptive Immune System
R-HSA-1643685Disease
R-HSA-168256Immune System
R-HSA-449147Signaling by Interleukins
R-HSA-512988Interleukin-3, Interleukin-5 and GM-CSF signaling
R-HSA-5663205Infectious disease
R-HSA-9679506SARS-CoV Infections
R-HSA-9824446Viral Infection Pathways
R-HSA-983705Signaling by the B Cell Receptor (BCR)

MSigDB gene sets: 400 (showing top): PID_BCR_5PATHWAY, GSE45365_HEALTHY_VS_MCMV_INFECTION_CD8_TCELL_IFNAR_KO_DN, VERHAAK_AML_WITH_NPM1_MUTATED_DN, ZHAN_MULTIPLE_MYELOMA_PR_DN, MCLACHLAN_DENTAL_CARIES_UP, REACTOME_ADAPTIVE_IMMUNE_SYSTEM, REACTOME_CYTOKINE_SIGNALING_IN_IMMUNE_SYSTEM, GOBP_INFLAMMATORY_RESPONSE, GOBP_B_CELL_ACTIVATION, BROWNE_HCMV_INFECTION_8HR_UP, GOBP_ANTIGEN_RECEPTOR_MEDIATED_SIGNALING_PATHWAY, MONNIER_POSTRADIATION_TUMOR_ESCAPE_UP, CAIRO_HEPATOBLASTOMA_CLASSES_DN, BORLAK_LIVER_CANCER_EGF_UP, GOBP_REGULATION_OF_IMMUNE_RESPONSE

GO Biological Process (8): inflammatory response (GO:0006954), humoral immune response (GO:0006959), cell surface receptor protein tyrosine kinase signaling pathway (GO:0007169), positive regulation of gene expression (GO:0010628), B cell differentiation (GO:0030183), intracellular signal transduction (GO:0035556), B cell receptor signaling pathway (GO:0050853), B cell activation (GO:0042113)

GO Molecular Function (10): transmembrane receptor protein tyrosine kinase adaptor activity (GO:0005068), lipid binding (GO:0008289), enzyme binding (GO:0019899), protein kinase binding (GO:0019901), signaling adaptor activity (GO:0035591), SH2 domain binding (GO:0042169), phospholipase binding (GO:0043274), molecular condensate scaffold activity (GO:0140693), protein tyrosine kinase binding (GO:1990782), protein binding (GO:0005515)

GO Cellular Component (4): cytoplasm (GO:0005737), cytosol (GO:0005829), plasma membrane (GO:0005886), membrane (GO:0016020)

Reactome top-level categories

Rollup of top-10 pathways:

CategoryPathways
Immune System2
Interleukin-3, Interleukin-5 and GM-CSF signaling1
SARS-CoV Infections1
Signaling by the B Cell Receptor (BCR)1
Cytokine Signaling in Immune system1
Signaling by Interleukins1
Disease1
Viral Infection Pathways1
Infectious disease1
Adaptive Immune System1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure3
intracellular anatomical structure2
binding2
protein-macromolecule adaptor activity2
defense response1
immune response1
enzyme-linked receptor protein signaling pathway1
gene expression1
regulation of gene expression1
positive regulation of macromolecule biosynthetic process1
lymphocyte differentiation1
B cell activation1
signal transduction1
antigen receptor-mediated signaling pathway1
lymphocyte activation1
cell surface receptor protein tyrosine kinase signaling pathway1
signaling receptor complex adaptor activity1
receptor tyrosine kinase binding1
protein binding1
kinase binding1
protein domain specific binding1
enzyme binding1
protein kinase binding1
cytoplasm1
membrane1
cell periphery1

Protein interactions and networks

STRING

1372 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
BLNKPLCG2P16885998
BLNKSYKP43405998
BLNKBTKQ06187998
BLNKCD79AP11912991
BLNKVAV1P15498991
BLNKLYNP07948986
BLNKGRB2P29354972
BLNKSH3KBP1Q96B97930
BLNKCD79BP40259925
BLNKCD19P15391910
BLNKLCP2Q13094905
BLNKZAP70P43403900
BLNKCD5P06127848
BLNKLATO43561841
BLNKIGLL1P15814815

IntAct

31 interactions, top by confidence:

ABTypeScore
GRB2BLNKpsi-mi:“MI:0915”(physical association)0.740
GRB2BLNKpsi-mi:“MI:0407”(direct interaction)0.740
BLNKGRB2psi-mi:“MI:0407”(direct interaction)0.740
BTKBLNKpsi-mi:“MI:0407”(direct interaction)0.670
BLNKBTKpsi-mi:“MI:0915”(physical association)0.670
BLNKGrap2psi-mi:“MI:0915”(physical association)0.610
BLNKGrap2psi-mi:“MI:0407”(direct interaction)0.610
BLNKpsi-mi:“MI:0915”(physical association)0.560
SCIMPCSKpsi-mi:“MI:0914”(association)0.500
SCIMPLYNpsi-mi:“MI:0914”(association)0.500
CD2APBLNKpsi-mi:“MI:0915”(physical association)0.500
BLNKpsi-mi:“MI:0914”(association)0.460
BLNKSH3KBP1psi-mi:“MI:0407”(direct interaction)0.440
BLNKERBB2psi-mi:“MI:0407”(direct interaction)0.440
BLNKARpsi-mi:“MI:0407”(direct interaction)0.440
BLNKGAB1psi-mi:“MI:0407”(direct interaction)0.440
BLNKKITpsi-mi:“MI:0407”(direct interaction)0.440
Sh3kbp1BLNKpsi-mi:“MI:0915”(physical association)0.400
BLNKSYKpsi-mi:“MI:0915”(physical association)0.400
Grb2BLNKpsi-mi:“MI:0915”(physical association)0.400
BLNKEBNA2psi-mi:“MI:0915”(physical association)0.370
SCIMPGRB2psi-mi:“MI:0914”(association)0.350
BLNKPLCG2psi-mi:“MI:0914”(association)0.350
BLNKCAPZA1psi-mi:“MI:0914”(association)0.350
NCK1BLNKpsi-mi:“MI:2364”(proximity)0.270

BioGRID (72): BLNK (Co-localization), BLNK (Affinity Capture-RNA), NCK1 (Affinity Capture-Western), VAV1 (Affinity Capture-Western), GRB2 (Affinity Capture-Western), MAP4K1 (Reconstituted Complex), MAP4K1 (Affinity Capture-Western), BLNK (Two-hybrid), SH3KBP1 (Affinity Capture-Western), BLNK (Affinity Capture-Western), GRB2 (Reconstituted Complex), CD79A (Reconstituted Complex), BLNK (Affinity Capture-Western), BLNK (Reconstituted Complex), BLNK (Reconstituted Complex)

ESM2 similar proteins: A1X283, A2AAY5, A5D7F8, A5GFW5, A6ND36, D3ZIE4, D3ZUI5, E2RP94, M0R4F8, O15117, O35601, O54967, O75128, O89032, Q04584, Q06649, Q07912, Q13094, Q13625, Q15942, Q17R10, Q17R13, Q1LYG0, Q32LQ1, Q3TC93, Q3UH68, Q498M5, Q4KM52, Q5DTU0, Q5JV73, Q5NBX1, Q5TCZ1, Q5U2X5, Q62523, Q6IQ23, Q6TXD4, Q80TI1, Q8BI17, Q8BZI0, Q8CG79

Diamond homologs: P24604, P42680, P97504, Q4KM52, Q60787, Q7Z4S9, Q7Z7G1, Q8WV28, Q9D413, Q9QUN3, Q9QZE2, Q9YGC1, P08487, P10686, P19174, Q13094, Q62077, A6QLK6, P23727, P26450, P27986, P35235, P41499, Q06124, Q5R685, Q63787, Q90687, P16885, O00459, O08908, O46404, P23726, P29349, P53356, Q24708, Q63788, Q63789, Q64143, Q92569, Q9CX99

SIGNOR signaling

6 interactions.

AEffectBMechanism
SH2B1“down-regulates activity”BLNKdephosphorylation
SYKup-regulatesBLNKphosphorylation
PTPRG“up-regulates activity”BLNKdephosphorylation

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 19 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
Antigen activates B Cell Receptor (BCR) leading to generation of second messengers7178.4×7e-13
FCERI mediated Ca+2 mobilization5127.5×3e-08
Signaling by the B Cell Receptor (BCR)5123.6×3e-08
FCGR3A-mediated phagocytosis566.9×4e-07
Potential therapeutics for SARS648.9×9e-08
Constitutive Signaling by Aberrant PI3K in Cancer545.3×2e-06
PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling534.6×5e-06
PIP3 activates AKT signaling523.9×2e-05

GO biological processes:

GO termPartnersFoldFDR
B cell receptor signaling pathway5133.8×1e-07
positive regulation of MAPK cascade632.2×1e-06
intracellular signal transduction717.8×3e-06

Disease & clinical

Clinical variants and AI predictions

ClinVar

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

ClassificationCount (floor)
Pathogenic9
Likely pathogenic8
Uncertain significance143
Likely benign178
Benign46

Top pathogenic / likely-pathogenic (17)

Variant IDHGVSClassification
1072783NM_013314.4(BLNK):c.1195C>T (p.Arg399Ter)Pathogenic
1075117NM_013314.4(BLNK):c.1031del (p.Lys344fs)Pathogenic
2090455NM_013314.4(BLNK):c.26del (p.Val9fs)Pathogenic
3661859NM_013314.4(BLNK):c.252C>A (p.Tyr84Ter)Pathogenic
3729465NC_000010.11:g.96201059delPathogenic
4845848NM_013314.4(BLNK):c.676+1G>APathogenic
538835NC_000010.11:g.96242785delPathogenic
5507NM_013314.4(BLNK):c.47+3A>TPathogenic
831064NC_000010.11:g.(?96271332)(96271418_?)delPathogenic
1348172NM_013314.4(BLNK):c.113+2T>GLikely pathogenic
2630855NM_013314.4(BLNK):c.264del (p.Glu89fs)Likely pathogenic
2860444NM_013314.4(BLNK):c.747-2A>GLikely pathogenic
3065608NM_013314.4(BLNK):c.145C>T (p.Arg49Ter)Likely pathogenic
3347419NM_013314.4(BLNK):c.426G>A (p.Trp142Ter)Likely pathogenic
3768783NM_013314.4(BLNK):c.902+2T>CLikely pathogenic
4075317NM_013314.4(BLNK):c.289G>T (p.Glu97Ter)Likely pathogenic
976234NM_013314.4(BLNK):c.746+1G>ALikely pathogenic

SpliceAI

2601 predictions. Top by Δscore:

VariantEffectΔscore
10:96200155:CTTC:Cacceptor_gain1.0000
10:96200157:TCCTG:Tacceptor_loss1.0000
10:96200159:C:CAacceptor_loss1.0000
10:96200159:C:CCacceptor_gain1.0000
10:96200160:T:Aacceptor_loss1.0000
10:96204526:TCTTA:Tdonor_loss1.0000
10:96204527:CTTAC:Cdonor_loss1.0000
10:96204528:TTACT:Tdonor_loss1.0000
10:96204529:TA:Tdonor_loss1.0000
10:96204530:A:ACdonor_gain1.0000
10:96204530:ACT:Adonor_loss1.0000
10:96204531:C:CTdonor_gain1.0000
10:96204531:CT:Cdonor_gain1.0000
10:96204531:CTT:Cdonor_gain1.0000
10:96204533:T:TAdonor_gain1.0000
10:96204617:C:CCacceptor_gain1.0000
10:96204624:A:Tacceptor_gain1.0000
10:96207007:TTA:Tdonor_loss1.0000
10:96207008:TA:Tdonor_loss1.0000
10:96207053:TC:Tacceptor_loss1.0000
10:96207054:C:CCacceptor_gain1.0000
10:96207054:CT:Cacceptor_loss1.0000
10:96207055:T:Cacceptor_loss1.0000
10:96207056:A:ACacceptor_gain1.0000
10:96207056:A:Cacceptor_gain1.0000
10:96207058:G:Cacceptor_gain1.0000
10:96207866:A:Cdonor_gain1.0000
10:96207868:TTACT:Tdonor_loss1.0000
10:96207869:TACT:Tdonor_loss1.0000
10:96207870:A:ACdonor_gain1.0000

AlphaMissense

2974 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
10:96192037:A:GL436P1.000
10:96196963:C:GR399P1.000
10:96197005:A:GL385P1.000
10:96197044:C:GR372P1.000
10:96197050:A:GL370P1.000
10:96191998:A:GL449P0.999
10:96191998:A:TL449Q0.999
10:96192037:A:TL436H0.999
10:96192043:A:GL434S0.999
10:96192059:G:CH429D0.999
10:96192079:A:TV422D0.999
10:96192087:A:CF419L0.999
10:96192087:A:TF419L0.999
10:96192089:A:GF419L0.999
10:96196930:C:AG410V0.999
10:96196930:C:TG410D0.999
10:96196931:C:GG410R0.999
10:96196933:A:GL409S0.999
10:96196936:G:TA408D0.999
10:96196937:C:GA408P0.999
10:96196940:A:CY407D0.999
10:96196964:G:CR399G0.999
10:96196966:A:TV398E0.999
10:96196974:A:CN395K0.999
10:96196974:A:TN395K0.999
10:96196979:A:CY394D0.999
10:96197005:A:TL385Q0.999
10:96197037:G:CS374R0.999
10:96197037:G:TS374R0.999
10:96197039:T:GS374R0.999

dbSNP variants (sampled 300 via entrez): RS1000004813 (10:96269463 G>A), RS1000067540 (10:96260081 G>A), RS1000112047 (10:96218562 T>A,C), RS1000179225 (10:96266433 T>C), RS1000207837 (10:96266746 G>C,T), RS1000242119 (10:96224955 C>T), RS1000331014 (10:96273178 A>G), RS1000403046 (10:96273558 T>C), RS1000487115 (10:96236916 G>A,C), RS1000526349 (10:96218908 T>C), RS1000702250 (10:96199908 C>T), RS1000724464 (10:96243564 C>T), RS1000767266 (10:96249852 C>T), RS1000884772 (10:96207373 T>C), RS1000887554 (10:96213667 G>A)

Disease associations

OMIM: gene MIM:604515 | disease phenotypes: MIM:613502

GenCC curated gene-disease

DiseaseClassificationInheritance
agammaglobulinemia 4, autosomal recessiveStrongAutosomal recessive
autosomal agammaglobulinemiaSupportiveAutosomal dominant

ClinGen Gene-Disease Validity (1)

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

DiseaseClassificationInheritance
agammaglobulinemia 4, autosomal recessiveDefinitiveAR

Mondo (2): agammaglobulinemia 4, autosomal recessive (MONDO:0013289), autosomal agammaglobulinemia (MONDO:0011096)

Orphanet (0):

HPO phenotypes

40 total (30 of 40 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000218High palate
HP:0000246Sinusitis
HP:0000286Epicanthus
HP:0000316Hypertelorism
HP:0000377Abnormal pinna morphology
HP:0000389Chronic otitis media
HP:0000403Recurrent otitis media
HP:0000509Conjunctivitis
HP:0000988Skin rash
HP:0001287Meningitis
HP:0001369Arthritis
HP:0001508Failure to thrive
HP:0001581Recurrent skin infections
HP:0001875Decreased total neutrophil count
HP:0001944Dehydration
HP:0001945Fever
HP:0002014Diarrhea
HP:0002024Malabsorption
HP:0002110Bronchiectasis
HP:0002205Recurrent respiratory infections
HP:0002243Protein-losing enteropathy
HP:0002718Recurrent bacterial infections
HP:0002719Recurrent infections
HP:0002720Decreased circulating IgA concentration
HP:0002721Immunodeficiency
HP:0002754Osteomyelitis
HP:0002843Abnormal T cell morphology
HP:0002850Decreased circulating total IgM
HP:0003593Infantile onset

GWAS associations

1 associations (top):

StudyTraitp-value
GCST90002397_545Mean spheric corpuscular volume7.000000e-11

MeSH disease descriptors (1)

DescriptorNameTree numbers
C538056Agammaglobulinemia, non-Bruton type (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

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

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
Estradiolaffects expression, affects cotreatment, decreases expression, increases expression7
Aflatoxin B1affects expression, decreases methylation, increases expression3
sodium arsenitedecreases expression, increases abundance, increases expression2
Resveratroldecreases expression, affects cotreatment2
Acetaminophendecreases expression2
Benzo(a)pyreneaffects expression, decreases methylation2
Lipopolysaccharidesdecreases expression, decreases reaction, affects cotreatment2
Tetrachlorodibenzodioxinaffects cotreatment, increases expression, decreases expression2
sotorasibaffects cotreatment, increases expression1
Asian ginsengaffects cotreatment, increases expression1
triphenyl phosphateaffects expression1
bisphenol Adecreases expression1
afimoxifenedecreases expression, decreases reaction1
2,3-bis(3’-hydroxybenzyl)butyrolactoneaffects cotreatment, decreases expression1
S-(1,2-dichlorovinyl)cysteinedecreases expression, decreases reaction1
2-palmitoylglycerolincreases expression1
nutlin 3affects cotreatment, increases expression1
2-(1H-indazol-4-yl)-6-(4-methanesulfonylpiperazin-1-ylmethyl)-4-morpholin-4-ylthieno(3,2-d)pyrimidineincreases expression, increases response to substance1
jinfukangaffects cotreatment, increases expression1
trametinibaffects cotreatment, increases expression1
NVP-BKM120affects cotreatment, increases expression1
Air Pollutantsdecreases expression1
Arsenicincreases abundance, decreases expression1
Vehicle Emissionsdecreases expression1
Camptothecinincreases expression1
Cisplatinaffects cotreatment, increases expression1
Coumestrolaffects cotreatment, decreases expression1
Dactinomycinaffects cotreatment, increases expression1
Dietary Carbohydratesincreases expression1
Diethylhexyl Phthalateaffects cotreatment, increases expression1

Clinical trials (associated diseases)

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