CD3D
gene geneOn this page
Also known as CD3DELTACD3-DELTA
Summary
CD3D (CD3 delta subunit of T-cell receptor complex, HGNC:1673) is a protein-coding gene on chromosome 11q23.3, encoding T-cell surface glycoprotein CD3 delta chain (P04234). Part of the TCR-CD3 complex present on T-lymphocyte cell surface that plays an essential role in adaptive immune response.
The protein encoded by this gene is part of the T-cell receptor/CD3 complex (TCR/CD3 complex) and is involved in T-cell development and signal transduction. The encoded membrane protein represents the delta subunit of the CD3 complex, and along with four other CD3 subunits, binds either TCR alpha/beta or TCR gamma/delta to form the TCR/CD3 complex on the surface of T-cells. Defects in this gene are a cause of severe combined immunodeficiency autosomal recessive T-cell-negative/B-cell-positive/NK-cell-positive (SCIDBNK). Two transcript variants encoding different isoforms have been found for this gene. Other variants may also exist, but the full-length natures of their transcripts has yet to be defined.
Source: NCBI Gene 915 — RefSeq curated summary.
At a glance
- Gene–disease (curated): immunodeficiency 19 (Definitive, ClinGen) — +1 more curated relationship
- GWAS associations: 1
- Clinical variants (ClinVar): 232 total — 11 pathogenic, 5 likely-pathogenic
- GTEx eGene: eQTL in 3 tissues, sQTL in 1 (q < 0.05)
- Phenotypes (HPO): 33
- Drug target: yes — 16 via a complex or family
- Approved drugs acting on a complex or family including it: 10 — Blinatumomab, Catumaxomab, Elranatamab, +7 more (T cell surface glycoprotein CD3)
- Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity unscored
- Constraint (gnomAD): pLI 0.00 (LoF-tolerant), LOEUF 1.32 (unconstrained)
- MANE Select transcript:
NM_000732 - Interaction hub: 2,972 STRING partners (top 2% of genes corpus-wide)
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:1673 |
| Approved symbol | CD3D |
| Name | CD3 delta subunit of T-cell receptor complex |
| Location | 11q23.3 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | CD3DELTA, CD3-DELTA |
| Ensembl gene | ENSG00000167286 |
| Ensembl biotype | protein_coding |
| OMIM | 186790 |
| Entrez | 915 |
Gene structure
Transcript identifiers
Ensembl transcripts: 11 — 4 protein_coding, 4 retained_intron, 2 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined
MANE Select: ENST00000300692
Transcript support level (Ensembl TSL; 1 = fully mRNA-supported): TSL 1: 2, TSL 2: 3
ENST00000300692, ENST00000392884, ENST00000526561, ENST00000529594, ENST00000534687, ENST00000695666, ENST00000695667, ENST00000695668, ENST00001102243, ENST00001102244, ENST00001140190
RefSeq mRNA: 2 — MANE Select: NM_000732
NM_000732, NM_001040651
CCDS: CCDS41724, CCDS8394
Canonical transcript exons
ENST00000300692 — 5 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001111779 | 118339775 | 118339906 |
| ENSE00002189483 | 118339075 | 118339227 |
| ENSE00003619361 | 118339451 | 118339494 |
| ENSE00003964668 | 118340375 | 118340593 |
| ENSE00004796421 | 118342553 | 118342705 |
Expression profiles
Bgee: expression breadth ubiquitous, 221 present calls, max score 99.39.
FANTOM5 (CAGE): breadth broad, TPM avg 18.6406 / max 1352.3661, expressed in 289 samples.
Highest expression (Bgee): thymus, granulocyte, lymph node, vermiform appendix, blood.
Genetic regulation across tissues (GTEx eQTL / sQTL)
CD3D is an eGene in GTEx v10 — its expression is genetically regulated (eQTL) in 3 tissues and its splicing (sQTL) in 1 (q < 0.05). Strongest associations first; slope = normalized effect of the lead variant’s alternative allele.
4 significant tissue × QTL associations:
| Tissue | QTL | q-value | Slope | Lead variant |
|---|---|---|---|---|
| Brain Caudate basal ganglia | eqtl | 1.3e-02 | +0.36 | 11:117472677:G:A |
| Skin Sun Exposed Lower leg | sqtl | 2.1e-02 | -0.26 | 11:118035991:G:A |
| Pancreas | eqtl | 2.6e-02 | +1.06 | 11:118870939:C:G |
| Cells EBV-transformed lymphocytes | eqtl | 3.4e-02 | +0.50 | 11:119124615:T:C |
FANTOM5 promoters
6 alternative TSS:
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 122601 | 8.0280 | 196 |
| 122600 | 5.8575 | 224 |
| 122602 | 4.1248 | 139 |
| 206460 | 0.2873 | 102 |
| 122604 | 0.2490 | 64 |
| 122603 | 0.0941 | 38 |
Top tissues by expression
showing 100 of 285 tissues by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| thymus | UBERON:0002370 | 99.39 | gold quality |
| granulocyte | CL:0000094 | 98.67 | gold quality |
| lymph node | UBERON:0000029 | 97.71 | gold quality |
| vermiform appendix | UBERON:0001154 | 96.45 | gold quality |
| blood | UBERON:0000178 | 95.33 | gold quality |
| spleen | UBERON:0002106 | 93.94 | gold quality |
| epithelium of nasopharynx | UBERON:0001951 | 93.55 | gold quality |
| caecum | UBERON:0001153 | 93.50 | gold quality |
| male germ line stem cell (sensu Vertebrata) in testis | CL:0000089 ∩ UBERON:0000473 | 92.15 | gold quality |
| ileal mucosa | UBERON:0000331 | 90.83 | gold quality |
| bone marrow | UBERON:0002371 | 90.64 | gold quality |
| superficial temporal artery | UBERON:0001614 | 89.71 | gold quality |
| bone marrow cell | CL:0002092 | 89.48 | gold quality |
| tonsil | UBERON:0002372 | 89.01 | gold quality |
| rectum | UBERON:0001052 | 88.72 | gold quality |
| jejunal mucosa | UBERON:0000399 | 88.61 | gold quality |
| small intestine Peyer’s patch | UBERON:0003454 | 87.62 | gold quality |
| gall bladder | UBERON:0002110 | 86.89 | gold quality |
| mucosa of transverse colon | UBERON:0004991 | 86.78 | gold quality |
| palpebral conjunctiva | UBERON:0001812 | 86.40 | gold quality |
| colonic epithelium | UBERON:0000397 | 85.91 | gold quality |
| small intestine | UBERON:0002108 | 85.83 | gold quality |
| periodontal ligament | UBERON:0008266 | 85.69 | gold quality |
| duodenum | UBERON:0002114 | 84.55 | gold quality |
| amniotic fluid | UBERON:0000173 | 84.37 | gold quality |
| nasal cavity epithelium | UBERON:0005384 | 84.17 | gold quality |
| buccal mucosa cell | CL:0002336 | 83.30 | gold quality |
| trabecular bone tissue | UBERON:0002483 | 82.80 | gold quality |
| pylorus | UBERON:0001166 | 82.56 | gold quality |
| oral cavity | UBERON:0000167 | 82.03 | gold quality |
| jejunum | UBERON:0002115 | 81.12 | gold quality |
| colonic mucosa | UBERON:0000317 | 80.93 | gold quality |
| mucosa of sigmoid colon | UBERON:0004993 | 79.68 | gold quality |
| nasal cavity mucosa | UBERON:0001826 | 79.64 | gold quality |
| cervix epithelium | UBERON:0004801 | 79.41 | gold quality |
| upper lobe of left lung | UBERON:0008952 | 78.93 | gold quality |
| mammalian vulva | UBERON:0000997 | 78.46 | gold quality |
| upper lobe of lung | UBERON:0008948 | 78.10 | gold quality |
| decidua | UBERON:0002450 | 77.85 | gold quality |
| trachea | UBERON:0003126 | 77.59 | gold quality |
| calcaneal tendon | UBERON:0003701 | 77.49 | gold quality |
| bronchus | UBERON:0002185 | 77.31 | gold quality |
| epithelium of bronchus | UBERON:0002031 | 77.11 | gold quality |
| parietal pleura | UBERON:0002400 | 76.91 | gold quality |
| lung | UBERON:0002048 | 76.59 | gold quality |
| skeletal muscle tissue of rectus abdominis | UBERON:0004511 | 76.40 | silver quality |
| urinary bladder | UBERON:0001255 | 76.28 | gold quality |
| intestine | UBERON:0000160 | 76.23 | gold quality |
| cardia of stomach | UBERON:0001162 | 76.18 | gold quality |
| mammary duct | UBERON:0001765 | 76.00 | gold quality |
| pleura | UBERON:0000977 | 75.99 | gold quality |
| body of stomach | UBERON:0001161 | 75.93 | gold quality |
| transverse colon | UBERON:0001157 | 75.92 | gold quality |
| fundus of stomach | UBERON:0001160 | 75.87 | gold quality |
| olfactory segment of nasal mucosa | UBERON:0005386 | 75.83 | gold quality |
| cervix squamous epithelium | UBERON:0006922 | 75.80 | silver quality |
| epithelium of mammary gland | UBERON:0003244 | 75.61 | gold quality |
| right uterine tube | UBERON:0001302 | 75.46 | gold quality |
| bronchial epithelial cell | CL:0002328 | 75.35 | gold quality |
| esophagus squamous epithelium | UBERON:0006920 | 74.76 | gold quality |
| stomach | UBERON:0000945 | 74.65 | gold quality |
| epithelial cell of pancreas | CL:0000083 | 74.60 | silver quality |
| right coronary artery | UBERON:0001625 | 74.52 | gold quality |
| oviduct epithelium | UBERON:0004804 | 74.46 | gold quality |
| superior surface of tongue | UBERON:0007371 | 74.42 | gold quality |
| peritoneum | UBERON:0002358 | 74.16 | gold quality |
| omental fat pad | UBERON:0010414 | 74.16 | gold quality |
| epithelium of esophagus | UBERON:0001976 | 74.14 | silver quality |
| adipose tissue of abdominal region | UBERON:0007808 | 74.08 | gold quality |
| mucosa of paranasal sinus | UBERON:0005030 | 73.98 | silver quality |
| lower esophagus mucosa | UBERON:0035834 | 73.87 | gold quality |
| right lung | UBERON:0002167 | 73.76 | gold quality |
| mucosa of urinary bladder | UBERON:0001259 | 73.51 | gold quality |
| pharyngeal mucosa | UBERON:0000355 | 73.49 | gold quality |
| large intestine | UBERON:0000059 | 73.46 | gold quality |
| triceps brachii | UBERON:0001509 | 73.44 | gold quality |
| smooth muscle tissue | UBERON:0001135 | 73.29 | gold quality |
| squamous epithelium | UBERON:0006914 | 73.25 | silver quality |
| vena cava | UBERON:0004087 | 73.06 | silver quality |
| skin of hip | UBERON:0001554 | 73.02 | gold quality |
| fallopian tube | UBERON:0003889 | 72.98 | gold quality |
| biceps brachii | UBERON:0001507 | 72.88 | silver quality |
| gluteal muscle | UBERON:0002000 | 72.79 | gold quality |
| visceral pleura | UBERON:0002401 | 72.79 | gold quality |
| colon | UBERON:0001155 | 72.75 | gold quality |
| tendon | UBERON:0000043 | 72.72 | gold quality |
| esophagus mucosa | UBERON:0002469 | 72.68 | gold quality |
| upper leg skin | UBERON:0004262 | 72.48 | gold quality |
| vagina | UBERON:0000996 | 72.32 | gold quality |
| gingiva | UBERON:0001828 | 72.15 | silver quality |
| thoracic mammary gland | UBERON:0005200 | 71.84 | gold quality |
| mammary gland | UBERON:0001911 | 71.82 | gold quality |
| penis | UBERON:0000989 | 71.77 | gold quality |
| nipple | UBERON:0002030 | 71.62 | gold quality |
| uterine cervix | UBERON:0000002 | 71.42 | gold quality |
| liver | UBERON:0002107 | 71.16 | gold quality |
| endothelial cell | CL:0000115 | 71.06 | silver quality |
| tongue | UBERON:0001723 | 70.81 | gold quality |
| gingival epithelium | UBERON:0001949 | 70.65 | silver quality |
| lower lobe of lung | UBERON:0008949 | 70.51 | silver quality |
Single-cell (SCXA)
Detected in 47 experiment(s), a significant marker in 38.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-GEOD-139324 | yes | 2905.58 |
| E-MTAB-8410 | yes | 2084.80 |
| E-GEOD-111727 | yes | 1958.14 |
| E-MTAB-6653 | yes | 1727.63 |
| E-HCAD-1 | yes | 1612.25 |
| E-MTAB-6308 | yes | 1323.92 |
| E-MTAB-9906 | yes | 1318.37 |
| E-HCAD-15 | yes | 1262.78 |
| E-MTAB-8322 | yes | 1241.33 |
| E-MTAB-8221 | yes | 1201.05 |
| E-HCAD-4 | yes | 1163.17 |
| E-CURD-46 | yes | 1128.20 |
| E-MTAB-10042 | yes | 1108.02 |
| E-HCAD-36 | yes | 1075.20 |
| E-CURD-122 | yes | 1061.87 |
HPA expression
RNA tissue specificity: Tissue enriched
showing 60 of 72 HPA tissues / cells by nTPM:
| Tissue / cell | Axis | nTPM | Protein (IHC) |
|---|---|---|---|
| Thymus | tissue | 809.4 | medium |
| Lymph node | tissue | 184.8 | not detected |
| Tonsil | tissue | 139.6 | medium |
| Appendix | tissue | 63.9 | not detected |
| Spleen | tissue | 50.5 | not detected |
| Bone marrow | tissue | 24.6 | not detected |
| Urinary bladder | tissue | 23.6 | not detected |
| Small intestine | tissue | 23.4 | low |
| Stomach 1 | tissue | 20.7 | low |
| Rectum | tissue | 18.2 | not detected |
| Lung | tissue | 17.9 | not detected |
| Duodenum | tissue | 17.8 | not detected |
| Colon | tissue | 15.9 | not detected |
| Gallbladder | tissue | 13.1 | not detected |
| Breast | tissue | 8.6 | not detected |
| Salivary gland | tissue | 6.9 | not detected |
| Olfactory bulb | tissue | 6.9 | |
| Liver | tissue | 6.8 | not detected |
| Esophagus | tissue | 6.3 | not detected |
| Cerebral cortex | tissue | 5.6 | not detected |
| Occipital cortex | tissue | 5.6 | |
| Cerebellum | tissue | 5.4 | not detected |
| Insular cortex | tissue | 5.4 | |
| Epididymis | tissue | 5.1 | not detected |
| Prostate | tissue | 5.0 | not detected |
| Temporal cortex | tissue | 5.0 | |
| Cervix | tissue | 4.9 | not detected |
| Retrosplenial cortex | tissue | 4.9 | |
| Amygdala | tissue | 4.8 | |
| Corpus callosum | tissue | 4.8 | |
| Retrosplenial and cingulate cortex | tissue | 4.8 | |
| Basal ganglia | tissue | 4.7 | not detected |
| Hippocampal formation | tissue | 4.6 | |
| Entorhinal cortex | tissue | 4.6 | |
| Prefrontal cortex | tissue | 4.5 | |
| Vagina | tissue | 4.4 | not detected |
| Spinal cord | tissue | 4.4 | |
| Somatosensory cortex | tissue | 4.3 | |
| Periaqueductal gray | tissue | 4.2 | |
| Ventral forebrain | tissue | 4.1 | |
| Motor cortex | tissue | 3.9 | |
| Fallopian tube | tissue | 3.9 | not detected |
| Septum | tissue | 3.9 | |
| Putamen | tissue | 3.8 | |
| Substantia nigra | tissue | 3.8 | |
| Medulla oblongata | tissue | 3.7 | |
| Hypothalamus | tissue | 3.7 | |
| Adipose tissue | tissue | 3.6 | not detected |
| Smooth muscle | tissue | 3.2 | not detected |
| Thalamus | tissue | 3.2 | |
| Skin 1 | tissue | 3.1 | not detected |
| Midbrain | tissue | 3.1 | |
| Superior colliculi | tissue | 3.0 | |
| Heart muscle | tissue | 2.9 | not detected |
| Endometrium 1 | tissue | 2.9 | not detected |
| Seminal vesicle | tissue | 2.8 | not detected |
| Adrenal gland | tissue | 2.8 | not detected |
| Pons | tissue | 2.7 | |
| Ovary | tissue | 2.5 | not detected |
| Thyroid gland | tissue | 2.5 | not detected |
Brain sub-regions (HPA Brain Atlas): detected in 114; highest nTPM — White matter (4.8), Dorsal spinal cord (4.4), Ventral hippocampus (4.2), Subiculum (3.9), Ventral spinal cord (3.8).
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): CREB1, ELF1, ELF2, ETS1, IKZF1, YY1
Functional genomics
gnomAD constraint: pLI 1.94e-07, LOEUF 1.32, missense Z 0.449 — population loss-of-function intolerance (pLI ≥ 0.9 = LoF-intolerant; lower LOEUF = more constrained). gnomAD
Regional missense constraint (gnomAD RMC): no regional variation along ENST00000300692 — one region, missense o/e 0.97.
ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity Not yet evaluated (unscored). ClinGen Gene Dosage Map
Literature-anchored findings (GeneRIF, showing 30)
- CD3 epsilon undergoes a conformational change after dimerization with CD3 gamma or CD3 delta (PMID:12410792)
- defect in CD3delta gene in severe combined immunodeficiency is characterized by the absence of T cells but normal B cells (PMID:14602880)
- crystal structure at 1.9-A resolution of a complex between a CD3-epsilon/delta ectodomain heterodimer and a single-chain fragment of the UCHT1 antibody (PMID:15534202)
- SCID is caused by a CD3D deficiency. (PMID:15546002)
- a single, membrane-distal YxxO motif in CD3delta could mediate approximately 75% of receptor internalization, whereas its removal only reduced internalization by approximately 20% (PMID:15778375)
- A human CD3 transgene that encodes full length CD3delta and a truncated but functional form of CD3epsilon restored the defective preTCR function in not only CD3epsilon- but CD3gamma- and CD3gammadelta-deficient mice as well. (PMID:16412509)
- CD3delta and CD3gamma play a different role in humans and mice in pre-TCR and TCR function during alphabeta T-cell development (PMID:16888097)
- analysis of TCRalpha-CD3deltaepsilon and TCRbeta-CD3gammaepsilon dimers and the role of the membrane-proximal tetracysteine motif (PMID:17023417)
- The CD3 delta immune recognition receptor cytoplasmic domain binds to acidic and mixed phospholipid vesicles with a binding strength that correlates with the protein net charge and the presence of clustered basic amino acid residues. (PMID:17176095)
- In CD3gamma-deficient patients there can be substitution of CD3gamma by the CD3delta chain and which can then support gammadelta T cell development. (PMID:17923503)
- Enumeration of NK cells and of T lymphocytes expressing TCR alpha/beta in human body effusions is not helpful in attempting to distinguish between benign and malignant effusions. (PMID:18803280)
- Stage-dependent molecular changes in Notch signaling that are critical for normal human T-cell development. (PMID:19056690)
- Data show CD3 epsilon pairs with CD3 gamma or with CD3 delta, forming CD3 epsilon gamma and CD3 epsilon delta heterodimers, which provide insight into our understanding of the molecular assembly of the CD3 molecular complex. (PMID:19724882)
- When compared with other human T cell subsets, T cell receptor/CD3-activated Vgamma9Vdelta2-expressing T cells display an unusually delayed and sustained intracellular calcium mobilization, dramatically quickened and shortened on costimulation by NKG2D. (PMID:20511557)
- Protein sequence comparison indicates that the CD3elta and CD3gamma subunits evolved with highly homologous heterodimeric interfaces and membrane proximal segments for efficient and specific signaling transfer when paired with CD3epsilon. (PMID:20660709)
- Data show that the expression pattern of the four CD3 chains was epsilon>zeta>delta>gamma in peripheral blood mononuclear cells from MM, while a gamma>epsilon>zeta>delta expression pattern was found in healthy controls. (PMID:21669053)
- Study characterized the expression pattern of CD3-gamma, -delta, -epsilon and -zeta chain genes from placenta, which contributes to further understanding of the features of T-cell immune status in placenta. (PMID:21669059)
- A combination of trastuzumab antibody and phosphoantigen-stimulated gammadelta T-lymphocytes increases the efficacy of trastuzumab alone against HER-2-positive breast carcinoma cell lines in vivo and mammary carcinoma xenografts in mice. (PMID:21670311)
- report 2 unrelated cases of SCID with a selective block in alphabeta but not in gammadelta T cell development, associated with a new splicing mutation in the CD3D gene (PMID:21926461)
- A transgenic T cell receptor gammadelta-low expressing subset of T cells accumulates in mouse ear keratinocytes after IL-23 injections. (PMID:21984702)
- Altered expression of the TCR signaling related genes CD3 and FcepsilonRIgamma in patients with aplastic anemia. (PMID:22401598)
- The surface TCR expression of primary alphabeta and gammadelta T cells from healthy donors carrying a single null or leaky mutation in CD3G (gamma+/-) or CD3D (delta+/-, delta+/leaky) with that of normal controls, were compared. (PMID:23336327)
- Two cases of SCID with CD3delta gene mutation in Mexican Mennonite infants are described. (PMID:24288697)
- analysis of the molecular organization of the TCR-CD3 complex (PMID:25422432)
- The docking site for CD3 subunits on the T Cell receptor beta chain has been identified by solution NMR. (PMID:26109064)
- A FOXP3(+)CD3(+)CD56(+)-expressed T-cell population with immunosuppressive function and reduced patient survival has been identified in cancer tissues of human hepatocellular carcinoma. (PMID:26437631)
- PCR and transcriptome analysis suggest that the genes CD3D and PKRCQ together can be used as a model for differentiating between B-cell and T-cell acute lymphoblastic leukemia. (PMID:27494091)
- we demonstrate that the incorporation of a 2A self-processing peptide derived from foot-and-mouth disease virus conveying co-translational cleavage into a two-chain anti-CD3 x anti-CEA diabody gene enables near-equimolar expression of diabody chains 1 and 2, and thus increases the final amount of assembled diabody. (PMID:28075428)
- Comprehensive analysis reveals a prognostic and therapeutic biomarker CD3D in the breast carcinoma microenvironment. (PMID:33350431)
- Hypomethylation of CD3D promoter induces immune cell infiltration and supports malignant phenotypes in uveal melanoma. (PMID:37651092)
Cross-species orthologs
2 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| mus_musculus | Cd3d | ENSMUSG00000032094 |
| rattus_norvegicus | Cd3d | ENSRNOG00000015994 |
Paralogs (2): CD3G (ENSG00000160654), CD3E (ENSG00000198851)
Mouse-model phenotypes
Observed phenotypes of the mouse ortholog (MGI:88331) from MGI (Alliance of Genome Resources) — knockout/mutant phenotypes, ranked by annotation count. 3 distinct phenotype terms.
| Mouse phenotype (MP) | Records |
|---|---|
| arrested T cell differentiation | 1 |
| decreased CD4-positive, alpha-beta T cell number | 1 |
| decreased CD8-positive, alpha-beta T cell number | 1 |
Additional cross-species homologs
Sequence homologs in species beyond Ensembl Compara’s model organisms, by Diamond local protein alignment (% sequence identity; best hit per species). Lower-identity rows are more distant homologs. The matched accessions’ gene symbols aren’t in biobtree yet, so each row shows the UniProt accession.
| Organism | UniProt | Identity | Method |
|---|---|---|---|
| Macaca fascicularis | Q95LI8 | 94.2% | Diamond |
| Ovis aries | P18439 | 87.7% | Diamond |
| Bos taurus | Q28074 | 87.7% | Diamond |
| Sus scrofa | Q5PXD3 | 72.9% | Diamond |
| Gallus gallus | Q98910 | 42.3% | Diamond |
Genomic neighbors (locus context)
Genes flanking this one on the chromosome (NCBI/Entrez gene neighborhood). Positional context only — some neighbors share regulatory elements (bidirectional promoters, antisense/overlapping transcripts), but chromosomal adjacency is not itself a functional relationship (see Interactions for that).
| Symbol | Type | Entrez |
|---|---|---|
| TTC36-AS1 | ncRNA | 101929089 |
| ATP5MG | protein-coding | 10632 |
| TTC36 | protein-coding | 143941 |
| KMT2A | protein-coding | 4297 |
| CD3G | protein-coding | 917 |
| UBE4A | protein-coding | 9354 |
| JAML | protein-coding | 120425 |
| MPZL3 | protein-coding | 196264 |
| CD3E | protein-coding | 916 |
| MPZL2 | protein-coding | 10205 |
Protein
Protein identifiers
T-cell surface glycoprotein CD3 delta chain — P04234 (reviewed: P04234)
Alternative names: T-cell receptor T3 delta chain
All UniProt accessions (3): B0YIY4, E9PMT5, P04234
UniProt curated annotations — full annotation on UniProt →
Function. Part of the TCR-CD3 complex present on T-lymphocyte cell surface that plays an essential role in adaptive immune response. When antigen presenting cells (APCs) activate T-cell receptor (TCR), TCR-mediated signals are transmitted across the cell membrane by the CD3 chains CD3D, CD3E, CD3G and CD247/CD3Z. All CD3 chains contain immunoreceptor tyrosine-based activation motifs (ITAMs) in their cytoplasmic domain. Upon TCR engagement, these motifs become phosphorylated by Src family protein tyrosine kinases LCK and FYN, resulting in the activation of downstream signaling pathways. In addition of this role of signal transduction in T-cell activation, CD3D plays an essential role in thymocyte differentiation. Indeed, participates in correct intracellular TCR-CD3 complex assembly and surface expression. In absence of a functional TCR-CD3 complex, thymocytes are unable to differentiate properly. Interacts with CD4 and CD8 and thus serves to establish a functional link between the TCR and coreceptors CD4 and CD8, which is needed for activation and positive selection of CD4 or CD8 T-cells.
Subunit / interactions. The TCR-CD3 complex is composed of a CD3D-CD3E and a CD3G-CD3E heterodimers that preferentially associate with TCRalpha and TCRbeta, respectively, to form TCRalpha-CD3E-CD3G and TCRbeta/CD3G-CD3E trimers. In turn, the hexamer interacts with CD247/CD3Z homodimer to form the TCR-CD3 complex. Alternatively, TCRalpha and TCRbeta can be replaced by TCRgamma and TCRdelta. Interacts with coreceptors CD4 and CD8.
Subcellular location. Cell membrane.
Tissue specificity. CD3D is mostly present on T-lymphocytes with its TCR-CD3 partners. Present also in fetal NK-cells.
Post-translational modifications. Phosphorylated on Tyr residues after T-cell receptor triggering by LCK in association with CD4/CD8.
Disease relevance. Immunodeficiency 19, severe combined (IMD19) [MIM:615617] An autosomal recessive form of severe combined immunodeficiency characterized by onset in early infancy of recurrent bacterial, viral, and fungal infections. Patients usually have chronic diarrhea, recurrent respiratory infections, and failure to thrive. Immunologic work-up shows a T-cell negative, B-cell positive, NK-cell positive phenotype. The disease is caused by variants affecting the gene represented in this entry.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| P04234-1 | 1 | yes |
| P04234-2 | 2 |
RefSeq proteins (2): NP_000723, NP_001035741 (=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR003110 | Phos_immunorcpt_sig_ITAM | Repeat |
| IPR013783 | Ig-like_fold | Homologous_superfamily |
| IPR015484 | CD3_esu/gsu/dsu | Family |
| IPR032052 | Ig_4 | Domain |
| IPR036179 | Ig-like_dom_sf | Homologous_superfamily |
Pfam: PF02189, PF16680
UniProt features (27 total): strand 9, helix 5, topological domain 2, modified residue 2, glycosylation site 2, signal peptide 1, chain 1, disulfide bond 1, splice variant 1, sequence variant 1, transmembrane region 1, domain 1
Structure
Experimental structures (PDB)
showing 30 of 31 structures by resolution:
| PDB | Title | Method | Resolution (Å) |
|---|---|---|---|
| 1XIW | Crystal structure of human CD3-e/d dimer in complex with a UCHT1 single-chain antibody … | X-RAY DIFFRACTION | 1.9 |
| 8ES8 | CryoEM structure of PN45545 TCR-CD3 in complex with HLA-A2 MAGEA4 (230-239) | ELECTRON MICROSCOPY | 2.65 |
| 7FJE | Cryo-EM structure of a membrane protein(LL) | ELECTRON MICROSCOPY | 3 |
| 9CI8 | T cell receptor complex | ELECTRON MICROSCOPY | 3.01 |
| 8ES7 | CryoEM structure of PN45545 TCR-CD3 complex | ELECTRON MICROSCOPY | 3.04 |
| 7PHR | Structure of a fully assembled T-cell receptor engaging a tumor-associated peptide-MHC I | ELECTRON MICROSCOPY | 3.08 |
| 9JY1 | delta epsilon/delta epsilon Fab-TCR tetramer | ELECTRON MICROSCOPY | 3.08 |
| 7FJF | Cryo-EM structure of a membrane protein(CS) | ELECTRON MICROSCOPY | 3.1 |
| 8TW6 | TCR in nanodisc ND-II | ELECTRON MICROSCOPY | 3.1 |
| 9IRU | Cryo-em structure of TCR-4B1 complex | ELECTRON MICROSCOPY | 3.14 |
| 9IRS | Cryo-EM structure of the TCR-OKT3 complex | ELECTRON MICROSCOPY | 3.18 |
| 7FJD | Cryo-EM structure of a membrane protein(WT) | ELECTRON MICROSCOPY | 3.2 |
| 9JY2 | Fab-CD3-delta epsilon-TCR complex | ELECTRON MICROSCOPY | 3.24 |
| 8ES9 | CryoEM structure of PN45428 TCR-CD3 in complex with HLA-A2 MAGEA4 | ELECTRON MICROSCOPY | 3.25 |
| 9CQ4 | G115 gamma delta TCR/CD3 complex bound by OKT3 Fab | ELECTRON MICROSCOPY | 3.27 |
| 9JY4 | gamma epsilon/gamma epsilon Fab-TCR tetramer | ELECTRON MICROSCOPY | 3.29 |
| 8TW4 | TCR in nanodisc ND-I | ELECTRON MICROSCOPY | 3.3 |
| 9BBC | TCR GDN detergent micelle | ELECTRON MICROSCOPY | 3.3 |
| 9JXZ | V gamma9 V delta2 TCR and CD3 complex | ELECTRON MICROSCOPY | 3.31 |
| 9JY3 | delta epsilon/gamma epsilon Fab-TCR tetramer | ELECTRON MICROSCOPY | 3.35 |
| 9CIA | T cell receptor complex | ELECTRON MICROSCOPY | 3.39 |
| 8JC0 | V gamma9 V delta2 TCR and CD3 complex in LMNG | ELECTRON MICROSCOPY | 3.4 |
| 8ZA6 | Cryo-EM structure of the gdTCR-CD3 complex | ELECTRON MICROSCOPY | 3.43 |
| 9C3E | TCR - CD3 complex bound to HLA | ELECTRON MICROSCOPY | 3.5 |
| 9JY0 | Fab-CD3-gamma epsilon-TCR complex | ELECTRON MICROSCOPY | 3.69 |
| 6JXR | Structure of human T cell receptor-CD3 complex | ELECTRON MICROSCOPY | 3.7 |
| 8WY0 | T cell receptor delta 2 gamma 9 with F283A, F290A, and F291A | ELECTRON MICROSCOPY | 3.8 |
| 8WYI | T cell receptor delta 2 gamma 9 with TCRD TM domain chimera of TRAC | ELECTRON MICROSCOPY | 3.9 |
| 8WXE | Vgamma5Vdelta1 EH TCR-CD3 complex | ELECTRON MICROSCOPY | 4 |
| 8YC0 | T cell receptor V delta2 V gamma9 in GDN | ELECTRON MICROSCOPY | 4.12 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P04234-F1 | 77.57 | 0.39 |
Antibody-complex structures (SAbDab)
7 antibodies co-crystallized with this protein: 1XIW, 9CIA, 9CQ4, 9JY0, 9JY1, 9JY2, BLONTUVETMAB
Human Protein Atlas
Protein class: CD markers, Predicted membrane proteins, Predicted intracellular proteins, Disease related genes, FDA approved drug targets, Biotech drugs, Human disease related genes, Primary immunodeficiency
Protein evidence: Evidence at protein level
Subcellular location (HPA, imaging): endoplasmic reticulum; vesicles
Antibody reliability (HPA): IH enhanced · IF uncertain
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 (2)
| Type | Positions |
|---|---|
| Phosphotyrosine | 149, 160 |
Disulfide bonds (1)
| Type | Positions |
|---|---|
| Disulfide bond | 37–73 |
Glycosylation sites (2)
| Type | Positions |
|---|---|
| N-linked (glcnac…) asparagine | 38, 74 |
Function
Pathways and Gene Ontology
Reactome pathways
8 curated (TAS) of 14; 0 disease pathways. Curated-first; evidence = TAS (manually curated) vs IEA (electronic inference).
14 pathways:
| ID | Pathway | Evidence |
|---|---|---|
| R-HSA-8856825 | Cargo recognition for clathrin-mediated endocytosis | curated |
| R-HSA-8856828 | Clathrin-mediated endocytosis | curated |
| R-HSA-389948 | Co-inhibition by PD-1 | curated |
| R-HSA-202424 | Downstream TCR signaling | curated |
| R-HSA-202433 | Generation of second messenger molecules | curated |
| R-HSA-198933 | Immunoregulatory interactions between a Lymphoid and a non-Lymphoid cell | curated |
| R-HSA-202427 | Phosphorylation of CD3 and TCR zeta chains | curated |
| R-HSA-202430 | Translocation of ZAP-70 to Immunological synapse | curated |
| R-HSA-1280218 | Adaptive Immune System | — |
| R-HSA-168256 | Immune System | — |
| R-HSA-199991 | Membrane Trafficking | — |
| R-HSA-388841 | Regulation of T cell activation by CD28 family | — |
| R-HSA-202403 | TCR signaling | — |
| R-HSA-5653656 | Vesicle-mediated transport | — |
MSigDB gene sets: 363 (showing top):
VERHAAK_AML_WITH_NPM1_MUTATED_DN, WALLACE_PROSTATE_CANCER_RACE_UP, MODULE_169, REACTOME_ADAPTIVE_IMMUNE_SYSTEM, BIOCARTA_TCRA_PATHWAY, GOBP_THYMIC_T_CELL_SELECTION, MODULE_45, MODULE_64, GOBP_ANTIGEN_RECEPTOR_MEDIATED_SIGNALING_PATHWAY, GOCC_CELL_SURFACE, REACTOME_MEMBRANE_TRAFFICKING, WIELAND_UP_BY_HBV_INFECTION, HERNANDEZ_ABERRANT_MITOSIS_BY_DOCETACEL_2NM_UP, HERNANDEZ_MITOTIC_ARREST_BY_DOCETAXEL_2_UP, MODULE_118
GO Biological Process (6): adaptive immune response (GO:0002250), cell surface receptor signaling pathway (GO:0007166), positive thymic T cell selection (GO:0045059), alpha-beta T cell activation (GO:0046631), T cell receptor signaling pathway (GO:0050852), immune system process (GO:0002376)
GO Molecular Function (4): transmembrane signaling receptor activity (GO:0004888), identical protein binding (GO:0042802), protein binding (GO:0005515), MHC class II receptor activity (GO:0032395)
GO Cellular Component (7): cytoplasm (GO:0005737), plasma membrane (GO:0005886), external side of plasma membrane (GO:0009897), clathrin-coated endocytic vesicle membrane (GO:0030669), T cell receptor complex (GO:0042101), alpha-beta T cell receptor complex (GO:0042105), membrane (GO:0016020)
Reactome top-level categories
7 top-level categories:
| Category | Pathways |
|---|---|
| TCR signaling | 4 |
| Adaptive Immune System | 3 |
| Regulation of T cell activation by CD28 family | 1 |
| Clathrin-mediated endocytosis | 1 |
| Membrane Trafficking | 1 |
| Immune System | 1 |
| Vesicle-mediated transport | 1 |
GO top-level categories
25 GO namespaces:
| Category | Terms |
|---|---|
| cellular anatomical structure | 2 |
| immune response | 1 |
| signal transduction | 1 |
| positive T cell selection | 1 |
| thymic T cell selection | 1 |
| T cell activation | 1 |
| antigen receptor-mediated signaling pathway | 1 |
| biological_process | 1 |
| signaling receptor activity | 1 |
| protein binding | 1 |
| binding | 1 |
| transmembrane signaling receptor activity | 1 |
| MHC class II protein binding | 1 |
| immune receptor activity | 1 |
| intracellular anatomical structure | 1 |
| membrane | 1 |
| cell periphery | 1 |
| plasma membrane | 1 |
| cell surface | 1 |
| side of membrane | 1 |
| clathrin-coated vesicle membrane | 1 |
| endocytic vesicle membrane | 1 |
| clathrin-coated endocytic vesicle | 1 |
| plasma membrane signaling receptor complex | 1 |
| T cell receptor complex | 1 |
Experimentally-supported GO annotations
GO terms backed by direct experimental evidence (ECO experimental codes) — 5 of 17 annotations. The rest are phylogenetic / computational / electronic (IEA).
5 experimentally-supported GO terms:
| GO term | NS | Evidence |
|---|---|---|
| T cell receptor signaling pathway | BP | direct assay |
| T cell receptor complex | CC | direct assay |
| alpha-beta T cell receptor complex | CC | direct assay |
| plasma membrane | CC | direct assay |
| identical protein binding | MF | direct assay |
Protein interactions and networks
STRING
showing 15 of 2,972 interactions by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| CD3D | CD3E | P07766 | 974 |
| CD3D | CD247 | P20963 | 870 |
| CD3D | CD79A | P11912 | 836 |
| CD3D | MS4A1 | P08984 | 836 |
| CD3D | NKG7 | Q16617 | 816 |
| CD3D | CD3G | P09693 | 810 |
| CD3D | HMBS | P08396 | 756 |
| CD3D | MS4A2 | Q01362 | 751 |
| CD3D | E9PD41 | E9PD41 | 737 |
| CD3D | THY1 | P04216 | 732 |
| CD3D | ZAP70 | P43403 | 708 |
| CD3D | CD8A | P01732 | 700 |
| CD3D | LCK | P06239 | 700 |
| CD3D | UBXN4 | Q92575 | 690 |
| CD3D | PTPRC | P08575 | 677 |
IntAct
Human interaction partners of CD3D in IntAct, one row per partner (best MIscore; records = supporting IntAct interaction records).
9 partners by confidence:
| Partner | Interaction type | MIscore | Records |
|---|---|---|---|
| SGTB | physical association | 0.560 | 3 |
| CANX | proximity | 0.480 | 1 |
| AMFR | physical association | 0.400 | 1 |
| FYN | physical association | 0.400 | 1 |
| NR3C1 | physical association | 0.400 | 1 |
| CD3E | association | 0.350 | 1 |
| CLGN | association | 0.350 | 1 |
| ITGB8 | association | 0.350 | 1 |
| TAP2 | association | 0.350 | 1 |
BioGRID (88 interactions; top human partners by supporting records): CANX (Co-localization; 3 records), SYVN1 (Affinity Capture-Western; 3 records), AMFR (Affinity Capture-Western; 2 records), CD8A (FRET; 2 records), VCP (Affinity Capture-Western; 2 records), ZAP70 (Affinity Capture-Western; 2 records), ABCB6 (Affinity Capture-MS), ACAD10 (Affinity Capture-MS), ADCK2 (Affinity Capture-MS), ALG11 (Affinity Capture-MS), ATP12A (Affinity Capture-MS), ATP7A (Affinity Capture-MS), ATP8B2 (Affinity Capture-MS), B3GALNT2 (Affinity Capture-MS), BCKDHB (Affinity Capture-MS)
SIGNOR signaling
4 signaling interactions:
| A | Effect | B | Mechanism |
|---|---|---|---|
| CD3D | “form complex” | CD3 | binding |
| TRIM13 | “down-regulates quantity by destabilization” | CD3D | polyubiquitination |
| AMFR | “down-regulates quantity by destabilization” | CD3D | polyubiquitination |
| LCK | “up-regulates activity” | CD3D | phosphorylation |
Protein complexes (CORUM) (2)
Experimentally-characterized complexes this protein is a subunit of (★ = the complex contains a known drug target).
2 complexes by size:
| Complex | Subunits | Members |
|---|---|---|
| ★ TCR-CD3 complex | 6 | CD247, CD3D, CD3E, CD3G, TRA, TRB |
| ★ CD3-LAG3-TCR complex | 6 | CD3D, CD3E, CD3G, LAG3, TRA, TRB |
Disease & clinical
Genetic variants
Variant evidence for CD3D: 232 ClinVar records (16 pathogenic / likely pathogenic); 1 GWAS association. Per-variant detail is on Sugi Variant.
ClinVar
232 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 11 |
| Likely pathogenic | 5 |
| Uncertain significance | 84 |
| Likely benign | 107 |
| Benign | 12 |
Top pathogenic / likely-pathogenic (15)
Showing the 15 best-reviewed of 16 pathogenic / likely-pathogenic ClinVar records, ranked by ClinVar review status (expert panel → multiple submitters → single submitter), then by number of submitting labs.
| Variant ID | HGVS | Classification | Review | Submitters |
|---|---|---|---|---|
| 12747 | NM_000732.6(CD3D):c.202C>T (p.Arg68Ter) | Pathogenic | criteria provided, multiple submitters, no conflicts | 7 |
| 12748 | NM_000732.6(CD3D):c.279C>A (p.Cys93Ter) | Pathogenic | criteria provided, multiple submitters, no conflicts | 3 |
| 1468778 | NM_000732.6(CD3D):c.407-2A>G | Likely pathogenic | criteria provided, multiple submitters, no conflicts | 2 |
| 643120 | NM_000732.6(CD3D):c.128G>A (p.Trp43Ter) | Pathogenic | criteria provided, single submitter | 1 |
| 1075708 | NM_000732.6(CD3D):c.51_52del (p.Gln18fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2691273 | NM_000732.6(CD3D):c.107del (p.Asn36fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2697867 | NM_000732.6(CD3D):c.9_10del (p.His3fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2754021 | NM_000732.6(CD3D):c.237C>G (p.Tyr79Ter) | Pathogenic | criteria provided, single submitter | 1 |
| 2766936 | NM_000732.6(CD3D):c.15del (p.Leu7fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2772341 | NM_000732.6(CD3D):c.40_41dup (p.Leu15fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2869561 | NM_000732.6(CD3D):c.271C>T (p.Arg91Ter) | Pathogenic | criteria provided, single submitter | 1 |
| 1508408 | NM_000732.6(CD3D):c.407-1G>A | Likely pathogenic | criteria provided, single submitter | 1 |
| 2759883 | NM_000732.6(CD3D):c.274+2T>C | Likely pathogenic | criteria provided, single submitter | 1 |
| 2810710 | NM_000732.6(CD3D):c.406+1G>T | Likely pathogenic | criteria provided, single submitter | 1 |
| 3599120 | NM_000732.6(CD3D):c.450+1G>A | Likely pathogenic | criteria provided, single submitter | 1 |
Per-variant reference — Sugi Variant
Explore CD3D’s pathogenic and likely-pathogenic variants individually — each with its ClinVar classification and conditions, applied ACMG criteria (ClinGen expert panel, where curated), the calibrated in-silico predictors (AlphaMissense, REVEL, SaProt, conservation), gnomAD frequency, and the predictor-disagreement QC signal — on Sugi Variant.
SpliceAI
Top 10 splice-impact sites by Δscore (adjacent positions with the same effect merged into one range; 35 predictions of 330):
| Position(s) | Effect | Δscore | Sites |
|---|---|---|---|
| 11:118339228–118339229 | acceptor_loss | 1.0000 | 2 |
| 11:118339449–118339450 | donor_loss | 1.0000 | 5 |
| 11:118339495 | acceptor_loss | 1.0000 | |
| 11:118339773–118339774 | donor_loss | 1.0000 | 4 |
| 11:118339788–118339789 | donor_gain | 1.0000 | 2 |
| 11:118339820 | donor_gain | 1.0000 | |
| 11:118339907–118339908 | acceptor_loss | 1.0000 | 6 |
| 11:118342551–118342552 | donor_loss | 1.0000 | 5 |
| 11:118339228–118339229 | acceptor_loss | 0.9900 | 4 |
| 11:118339495–118339496 | acceptor_loss | 0.9900 | 5 |
AlphaMissense
176 missense substitutions predicted likely pathogenic (of 1,098 scored), across 61 residues. Top 20 hotspot residues, ranked by the number of likely-pathogenic substitutions (of those reachable by a single-nucleotide change), then by mean score:
| Residue | Likely-pathogenic substitutions | Mean am_pathogenicity | Max am_pathogenicity |
|---|---|---|---|
| D66 | 8 | 0.783 | 0.863 |
| C73 | 7 | 0.920 | 0.975 |
| C37 | 7 | 0.911 | 0.951 |
| C93 | 7 | 0.896 | 0.950 |
| C96 | 7 | 0.873 | 0.912 |
| P67 | 6 | 0.823 | 0.896 |
| Y71 | 5 | 0.878 | 0.968 |
| G61 | 5 | 0.825 | 0.906 |
| G69 | 5 | 0.810 | 0.886 |
| F125 | 5 | 0.792 | 0.867 |
| Y160 | 5 | 0.708 | 0.804 |
| Y149 | 5 | 0.675 | 0.757 |
| D111 | 5 | 0.635 | 0.721 |
| S161 | 4 | 0.745 | 0.796 |
| G121 | 3 | 0.929 | 0.941 |
| L118 | 3 | 0.879 | 0.938 |
| L117 | 3 | 0.812 | 0.889 |
| F22 | 3 | 0.800 | 0.800 |
| L60 | 3 | 0.796 | 0.842 |
| M92 | 3 | 0.782 | 0.782 |
HPA cancer prognostics
RNA cancer specificity: Low cancer specificity
Human Protein Atlas survival analysis — favorable = higher expression predicts better survival.
2 prognostic cancer types:
| Cancer | Prognostic | p-value |
|---|---|---|
| Head and Neck Squamous Cell Carcinoma (TCGA) | favorable | 0.000109 |
| Breast Invasive Carcinoma (TCGA) | favorable | 0.000336 |
Disease associations
OMIM: gene MIM:186790 | disease phenotypes: MIM:615617
GenCC curated gene-disease
2 curated gene-disease records:
| Disease | Classification | Inheritance | Records |
|---|---|---|---|
| immunodeficiency 19 | Strong | Autosomal recessive | |
| T-B+ severe combined immunodeficiency due to CD3delta/CD3epsilon/CD3zeta | Supportive | Autosomal recessive |
ClinGen Gene-Disease Validity
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
1 validity classifications:
| Disease | Classification | Inheritance |
|---|---|---|
| immunodeficiency 19 | Definitive | AR |
Genomics England panels (PanelApp)
Clinical diagnostic gene panels including this gene (2 panels, 2 green/diagnostic-grade). Confidence: green = diagnostic, amber = moderate.
2 panels:
| Panel | Rating |
|---|---|
| COVID-19 research | green |
| Primary immunodeficiency or monogenic inflammatory bowel disease | green |
Mondo (3): immunodeficiency 19 (MONDO:0014280), severe combined immunodeficiency (MONDO:0015974), T-B+ severe combined immunodeficiency due to CD3delta/CD3epsilon/CD3zeta (MONDO:0015703)
Orphanet (1): Severe combined immunodeficiency (Orphanet:183660)
HPO phenotypes
33 phenotypes (HPO-id order):
| HPO | Term |
|---|---|
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000388 | Otitis media |
| HP:0000403 | Recurrent otitis media |
| HP:0001019 | Erythroderma |
| HP:0001433 | Hepatosplenomegaly |
| HP:0001508 | Failure to thrive |
| HP:0001880 | Increased total eosinophil count |
| HP:0001888 | Decreased total lymphocyte count |
| HP:0001945 | Fever |
| HP:0002014 | Diarrhea |
| HP:0002028 | Chronic diarrhea |
| HP:0002039 | Anorexia |
| HP:0002090 | Pneumonia |
| HP:0002205 | Recurrent respiratory infections |
| HP:0002719 | Recurrent infections |
| HP:0002722 | Recurrent abscess formation |
| HP:0002846 | Abnormal B cell morphology |
| HP:0003460 | Chronic decreased circulating IgA concentration |
| HP:0003593 | Infantile onset |
| HP:0004315 | Decreased circulating IgG concentration |
| HP:0004385 | Protracted diarrhea |
| HP:0004430 | Severe combined immunodeficiency |
| HP:0005353 | Recurrent herpes |
| HP:0005401 | Recurrent Candida infection |
| HP:0005403 | Decreased total T cell count |
| HP:0006532 | Recurrent pneumonia |
| HP:0008866 | Failure to thrive secondary to recurrent infections |
| HP:0009098 | Recurrent oral thrush |
| HP:0010702 | Increased circulating immunoglobulin concentration |
| HP:0012115 | Hepatitis |
| HP:0012176 | Abnormal natural killer cell morphology |
| HP:0031381 | Decreased mitogen-induced T-cell proliferation |
| HP:0031691 | Severe viral infection |
GWAS associations
1 associations:
| Study | Trait | p-value |
|---|---|---|
| GCST007096_147 | Pulse pressure | 3e-8 |
EFO canonical traits (from GWAS)
1 canonical traits:
| EFO ID | Trait name |
|---|---|
| EFO:0005763 | pulse pressure measurement |
MeSH disease descriptors
1 disease descriptors:
| Descriptor | Name | Tree numbers |
|---|---|---|
| D016511 | Severe Combined Immunodeficiency | C16.320.798.750; C16.614.815; C18.452.284.800; C20.673.795.750 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL2364168 (PROTEIN COMPLEX)
Drugs acting on a complex or family that includes this protein
Curated ChEMBL mechanism-of-action drugs whose target is a protein complex or family of ≤10 members that includes CD3D — the drug acts on the assembly or class, not necessarily on this subunit alone.
16 drugs via a complex or family:
| Drug | Target (ChEMBL) | Members | Max phase |
|---|---|---|---|
| BLINATUMOMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| CATUMAXOMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| ELRANATAMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| EPCORITAMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| GLOFITAMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| MOSUNETUZUMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| MUROMONAB-CD3 | T cell surface glycoprotein CD3 | 3 | 4 |
| TALQUETAMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| TARLATAMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| TECLISTAMAB | T cell surface glycoprotein CD3 | 3 | 4 |
| ODRONEXTAMAB | T cell surface glycoprotein CD3 | 3 | 3 |
| FLOTETUZUMAB | T cell surface glycoprotein CD3 | 3 | 2 |
| FORALUMAB | T cell surface glycoprotein CD3 | 3 | 2 |
| SOLITOMAB | T cell surface glycoprotein CD3 | 3 | 2 |
| FBT-A05 | T cell surface glycoprotein CD3 | 3 | 1 |
| IMC-GP100 | T cell surface glycoprotein CD3 | 3 | — |
PharmGKB: 1 entry (CPIC guideline: no)
CTD chemical–gene interactions
28 total (human), top 28 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Benzo(a)pyrene | increases expression | 4 |
| Aflatoxin B1 | affects expression, increases expression, increases methylation | 4 |
| (+)-JQ1 compound | decreases expression | 3 |
| Phenylmercuric Acetate | affects cotreatment, increases expression | 2 |
| Valproic Acid | decreases methylation, increases expression | 2 |
| CGP 52608 | affects binding, increases reaction | 1 |
| 4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamide | increases expression, affects cotreatment | 1 |
| dorsomorphin | affects cotreatment, increases expression | 1 |
| nabiximols | increases expression | 1 |
| Acetaminophen | increases expression | 1 |
| Benzene | increases expression | 1 |
| Cadmium | decreases expression | 1 |
| Calcifediol | increases reaction, decreases reaction, affects binding, affects cotreatment, increases expression | 1 |
| Calcitriol | decreases reaction, affects binding, affects cotreatment, increases expression, increases reaction (+1 more) | 1 |
| Diuron | decreases expression | 1 |
| Hydroxychloroquine | affects cotreatment, decreases expression | 1 |
| Ketoconazole | increases expression, increases reaction, increases abundance, affects binding, affects cotreatment (+1 more) | 1 |
| Methamphetamine | affects reaction, increases expression | 1 |
| Methotrexate | decreases expression, affects cotreatment | 1 |
| N-Nitrosopyrrolidine | increases expression | 1 |
| Nickel | increases expression | 1 |
| Quercetin | increases expression | 1 |
| Sulfasalazine | affects cotreatment, decreases expression | 1 |
| Dronabinol | increases methylation | 1 |
| Tretinoin | decreases expression | 1 |
| Isotretinoin | increases expression | 1 |
| Antirheumatic Agents | decreases expression | 1 |
| Copper Sulfate | increases expression | 1 |
Cellosaurus cell lines
5 cell lines: 3 cancer cell line, 1 transformed cell line, 1 spontaneously immortalized cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_E4AD | Genomeditech HEK-293 H_CD3 | Transformed cell line | Female |
| CVCL_E4IL | Genomeditech CHO-K1 H_CD3 | Spontaneously immortalized cell line | Female |
| CVCL_E8IP | Jurkat-NFAT-Luc2-CD3D-CD3E-KO-1C4 | Cancer cell line | Male |
| CVCL_E8IQ | Jurkat-NFAT-Luc2-CD3D-CD3E-KO-2A3 | Cancer cell line | Male |
| CVCL_E8IY | Jurkat-NFAT-Luc2-CD3D-KO-1B1 | Cancer cell line | Male |
Clinical trials (associated diseases)
Via MONDO — disease-level, not drug-specific.
44 trials:
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00220766 | Phase 3 | COMPLETED | Rapid Infusion of Immune Globulin Intravenous (Human) In Primary Immunodeficiency Patients |
| NCT01420627 | Phase 3 | COMPLETED | EZN-2279 in Patients With ADA-SCID |
| NCT06940570 | Phase 3 | SUSPENDED | Methadone as an Alternative Treatment for Children Underdoing HSCT |
| NCT00000603 | Phase 2 | COMPLETED | Cord Blood Stem Cell Transplantation Study (COBLT) |
| NCT00794508 | Phase 2 | COMPLETED | MND-ADA Transduction of CD34+ Cells From Children With ADA-SCID |
| NCT01182675 | Phase 2 | TERMINATED | Hematopoietic Stem Cell Transplantation (HSCT) for Children With SCID Utilizing Alemtuzumab, Plerixafor & Filgrastim |
| NCT01529827 | Phase 2 | COMPLETED | Fludarabine Phosphate, Melphalan, and Low-Dose Total-Body Irradiation Followed by Donor Peripheral Blood Stem Cell Transplant in Treating Patients With Hematologic Malignancies |
| NCT01821781 | Phase 2 | ACTIVE_NOT_RECRUITING | Immune Disorder HSCT Protocol |
| NCT02177760 | Phase 2 | WITHDRAWN | Sirolimus Prophylaxis for aGVHD in TME SCID |
| NCT03619551 | Phase 2 | ACTIVE_NOT_RECRUITING | Conditioning SCID Infants Diagnosed Early |
| NCT00008450 | Phase 1 | COMPLETED | Total-Body Irradiation Followed By Cyclosporine and Mycophenolate Mofetil in Treating Patients With Severe Combined Immunodeficiency Undergoing Donor Bone Marrow Transplant |
| NCT00028236 | Phase 1 | COMPLETED | Stem Cell Gene Therapy to Treat X-Linked Severe Combined Immunodeficiency (XSCID) |
| NCT00152100 | Phase 1 | COMPLETED | Transplantation of Hematopoietic Cells in Children With Severe Combined Immunodeficiency Syndrome |
| NCT02860559 | Phase 1 | UNKNOWN | Safety and Early Efficacy Study of TBX-1400 in Patients With Severe Combined Immunodeficiency |
| NCT01019876 | Phase 2/3 | COMPLETED | Risk-Adapted Allogeneic Stem Cell Transplantation For Mixed Donor Chimerism In Patients With Non-Malignant Diseases |
| NCT00228852 | Phase 1/2 | COMPLETED | IMM 0212: Busulfan With Fludarabine and Antithymocyte Globulin as Preparative Therapy for Hematopoietic Stem Cell Transplant for the Treatment of Severe Congenital T-Cell Immunodeficiency |
| NCT00579137 | Phase 1/2 | TERMINATED | Allogeneic SCT Of Pts With SCID And Other Primary Immunodeficiency Disorders |
| NCT01129544 | Phase 1/2 | COMPLETED | Gene Transfer for Severe Combined Immunodeficiency, X-linked (SCID-X1) Using a Self-inactivating (SIN) Gammaretroviral Vector |
| NCT01852370 | Phase 1/2 | ENROLLING_BY_INVITATION | Sequential Cadaveric Lung and Bone Marrow Transplant for Immune Deficiency Diseases |
| NCT02127892 | Phase 1/2 | TERMINATED | SCID Bu/Flu/ATG Study With T Cell Depletion |
| NCT02963064 | Phase 1/2 | TERMINATED | JSP191 Antibody Targeting Conditioning in SCID Patients |
| NCT03513328 | Phase 1/2 | COMPLETED | Conditioning Regimen for Allogeneic Hematopoietic Stem-Cell Transplantation |
| NCT03538899 | Phase 1/2 | RECRUITING | Autologous Gene Therapy for Artemis-Deficient SCID |
| NCT03597594 | Phase 1/2 | ACTIVE_NOT_RECRUITING | Haplocompatible Transplant Using TCRα/β Depletion Followed by CD45RA-Depleted Donor Lymphocyte Infusions for Severe Combined Immunodeficiency (SCID) |
| NCT00001255 | Not specified | COMPLETED | Gene Transfer Therapy for Severe Combined Immunodeficieny Disease (SCID) Due to Adenosine Deaminase (ADA) Deficiency: A Natural History Study |
| NCT00006054 | Not specified | TERMINATED | Allogeneic Bone Marrow Transplantation in Patients With Primary Immunodeficiencies |
| NCT00006335 | Not specified | COMPLETED | Influences on Female Adolescents’ Decisions Regarding Testing for Carrier Status of XSCID |
| NCT00055172 | Not specified | RECRUITING | Genetic Basis of Immunodeficiency |
| NCT00695279 | Not specified | COMPLETED | Long Term Follow Up Of Patients Who Have Received Gene Therapy Or Gene Marked Products |
| NCT00845416 | Not specified | COMPLETED | Newborn Screening for Severe Combined Immunodeficiency (SCID) in a High-Risk Population |
| NCT01186913 | Not specified | ENROLLING_BY_INVITATION | Natural History Study of SCID Disorders |
| NCT01346150 | Not specified | UNKNOWN | Patients Treated for SCID (1968-Present) |
| NCT01652092 | Not specified | ACTIVE_NOT_RECRUITING | Allogeneic Hematopoietic Stem Cell Transplant for Patients With Primary Immune Deficiencies |
| NCT01953016 | Not specified | COMPLETED | Participation in a Research Registry for Immune Disorders |
| NCT02231983 | Not specified | UNKNOWN | Clinical Characteristics and Genetic Profiles of Severe Combined Immunodeficiency in China |
| NCT02590328 | Not specified | COMPLETED | Neonatal Screening of Severe Combined Immunodeficiencies |
| NCT04049084 | Not specified | ENROLLING_BY_INVITATION | An Observational LTFU Study for Patients Previously Treated With Autologous ex Vivo Gene Therapy for ADA-SCID |
| NCT04172181 | Not specified | UNKNOWN | Multi-center Clinical Study of Cord Blood Stem Cell Transplantation for SCID |
| NCT04246840 | Not specified | COMPLETED | Study Through Imaging of Visceral Lymphoid Organs in Patients With SCID Who Have Recieved Bone Marrow Allograft |
| NCT04331483 | Not specified | WITHDRAWN | A Study to Assess a Physical Activity Program in Children, Adolescents and Young Adults Requiring Hematopoietic Stem Cell Allografts |
| NCT05298930 | Not specified | COMPLETED | Feasibility Study to Assess an Adapted Physical Activity Program in Children, Adolescents and Young Adults Requiring Hematopoietic Stem Cell Transplantation |
| NCT05651113 | Not specified | RECRUITING | The Experience of Screening for SCID |
| NCT06659588 | Not specified | RECRUITING | Study of Populations at Risk of Developing Chronic Hepatitis Linked to Chronic Enteric Virus Infection in Patients With Primary Immunodeficiency and Secondary Humoral Deficiency |
| NCT06731036 | Not specified | AVAILABLE | Expanded Access to CD34+ Selection Utilizing Miltenyi CliniMACS Prodigy® for Patients Receiving Peripheral Blood Stem Cell Transplantations and Stem Cell Boosts |
Related Atlas pages
- Associated diseases: immunodeficiency 19, T-B+ severe combined immunodeficiency due to CD3delta/CD3epsilon/CD3zeta
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): combined immunodeficiency due to CD3gamma deficiency, immunodeficiency 104, immunodeficiency 19, severe combined immunodeficiency, T-B+ severe combined immunodeficiency due to CD3delta/CD3epsilon/CD3zeta