LY96

gene
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Also known as MD-2

Summary

LY96 (lymphocyte antigen 96, HGNC:17156) is a protein-coding gene on chromosome 8q21.11, encoding Lymphocyte antigen 96 (Q9Y6Y9). Binds bacterial lipopolysaccharide (LPS).

This gene encodes a protein which associates with toll-like receptor 4 on the cell surface and confers responsiveness to lipopolysaccyaride (LPS), thus providing a link between the receptor and LPS signaling. Studies of the mouse ortholog suggest that this gene may be involved in endotoxin neutralization. Alternative splicing results in multiple transcript variants encoding different isoforms.

Source: NCBI Gene 23643 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): inborn error of immunity (Limited, GenCC)
  • GWAS associations: 4
  • Clinical variants (ClinVar): 21 total — 1 pathogenic
  • Druggable target: yes
  • MANE Select transcript: NM_015364

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:17156
Approved symbolLY96
Namelymphocyte antigen 96
Location8q21.11
Locus typegene with protein product
StatusApproved
AliasesMD-2
Ensembl geneENSG00000154589
Ensembl biotypeprotein_coding
OMIM605243
Entrez23643

Gene structure

Transcript identifiers

Ensembl transcripts: 3 — 3 protein_coding

ENST00000284818, ENST00000518893, ENST00000962532

RefSeq mRNA: 2 — MANE Select: NM_015364 NM_001195797, NM_015364

CCDS: CCDS56540, CCDS6216

Canonical transcript exons

ENST00000284818 — 5 exons

ExonStartEnd
ENSE000010167347402678974026841
ENSE000010167367401000174010129
ENSE000010167377400479674004885
ENSE000012443067399139273991554
ENSE000021217767402895674029079

Expression profiles

Bgee: expression breadth ubiquitous, 252 present calls, max score 97.94.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 24.7551 / max 844.9121, expressed in 1270 samples.

FANTOM5 promoters (3 alternative TSS)

Promoter IDTPM avgSamples expressed
8939422.85651260
893961.4543473
893950.4443186

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
monocyteCL:000057697.94gold quality
mononuclear cellCL:000084297.89gold quality
leukocyteCL:000073897.83gold quality
periodontal ligamentUBERON:000826696.64gold quality
granulocyteCL:000009495.54gold quality
spleenUBERON:000210695.53gold quality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047393.40gold quality
vermiform appendixUBERON:000115492.69gold quality
lymph nodeUBERON:000002992.41gold quality
gall bladderUBERON:000211092.35gold quality
deciduaUBERON:000245092.11gold quality
trabecular bone tissueUBERON:000248391.45gold quality
pericardiumUBERON:000240791.36gold quality
omental fat padUBERON:001041490.31gold quality
superficial temporal arteryUBERON:000161490.28gold quality
peritoneumUBERON:000235890.28gold quality
right coronary arteryUBERON:000162590.27gold quality
adipose tissue of abdominal regionUBERON:000780889.96gold quality
bone marrowUBERON:000237188.81gold quality
bloodUBERON:000017888.78gold quality
descending thoracic aortaUBERON:000234588.76gold quality
lower lobe of lungUBERON:000894987.81gold quality
right lungUBERON:000216787.67gold quality
stromal cell of endometriumCL:000225587.45gold quality
layer of synovial tissueUBERON:000761687.43gold quality
thoracic aortaUBERON:000151587.42gold quality
ascending aortaUBERON:000149687.37gold quality
left coronary arteryUBERON:000162687.31gold quality
calcaneal tendonUBERON:000370187.24gold quality
upper lobe of lungUBERON:000894887.05gold quality

Single-cell (SCXA)

Detected in 15 experiment(s), a significant marker in 15.

ExperimentMarker?Max mean expression
E-GEOD-81383yes231.81
E-MTAB-6701yes86.40
E-CURD-88yes85.50
E-HCAD-1yes83.96
E-HCAD-10yes54.08
E-MTAB-8410yes50.14
E-HCAD-4yes39.23
E-CURD-46yes33.52
E-MTAB-10553yes29.64
E-MTAB-10287yes23.08
E-HCAD-9yes21.62
E-HCAD-11yes18.81
E-CURD-112yes18.06
E-ANND-3yes13.91
E-MTAB-6678yes11.21

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): CEBPB, CREB5, ELK1, HAND1, IRF6, NFKB, RELA, SPI1, STAT1, TXK

Literature-anchored findings (GeneRIF, showing 40)

  • Expression of accessory molecule MD-2 is downregulated in intestinal epithelial cells by a mechanism which limits dysregulated immune signaling and activation of proinflammatory genes in response to bacterial lipopolysaccharide. (PMID:11466383)
  • MD-2 can confer on mouse Toll-like receptor 4 (TLR4) responsiveness to lipid A but not to lipid IVa, thus influencing the fine specificity of TLR4. (PMID:11717200)
  • expression regulated by immune-mediated signals in intestinal epithelial cells (PMID:11923281)
  • Lipopolysaccharide rapidly traffics to and from the Golgi apparatus with the toll-like receptor 4-MD-2-CD14 complex (PMID:12324469)
  • innate immune recognition of LTA via LBP, CD14, and TLR-2 represents an important mechanism in the pathogenesis of systemic complications in the course of infectious diseases brought about by Gram-positive pathogens. while TLR-4 and MD-2 are not involved. (PMID:12594207)
  • Disulfide bonds are involved in the assembly and fuction of this protein. (PMID:12642668)
  • TLR4 is able to undergo multiple glycosylations without MD-2 but that the specific glycosylation essential for cell surface expression requires the presence of MD-2. (PMID:12738639)
  • data support the hypothesis that lipopolysaccharide binding protein can inhibit cell responses to lipopolysaccharide(LPS) by inhibiting LPS transfer from membrane CD14 to the Toll-like receptor 4-MD-2 signaling receptor (PMID:12754215)
  • MD-2 binds to lipopolysaccharide, leading to Toll-like receptor-4 aggregation and signal transduction (PMID:12960171)
  • Two functional domains exist in MD-2, one responsible for Toll-like receptor 4-binding and another that mediates the interaction with the agonist (lipopolysaccharide). (PMID:14607928)
  • a rare A –> G substitution at position 103, Thr 35 to Ala, results in a reduced lipopolysaccharide-induced signaling. (PMID:15057266)
  • MD-2 basic amino acid clusters are involved in cellular lipopolysaccharide recognition (PMID:15111623)
  • The regulation of MD-2 expression in airway epithelia and pulmonary macrophages may serve as a means to modify endotoxin responsiveness in the airway. (PMID:15121639)
  • MD-2 is an important mediator of organ inflammation during sepsis. (PMID:15328161)
  • Results show that the N-terminal region of toll-like receptor 4 is essential for association with MD-2, which is required for the cell surface expression and hence the responsiveness to lipopolysaccharide. (PMID:15337750)
  • The extracellular toll-like receptor 4 (TLR4)domain-MD-2 complex is capable of binding lipopolysaccharide (LPS) and attenuating LPS-induced NF-kappa B activation and IL-8 secretion in wild-type TLR4-expressing cells. (PMID:15557191)
  • These results clearly demonstrate that the amino-terminal TLR4 region of Glu(24)-Pro(34) is critical for MD-2 binding and LPS signaling. (PMID:15694388)
  • MD-2 is the primary molecular site of lipopolysaccharide(LPS)-dependent antagonism of Escherichia coli LPS at the Toll-like receptor 4 signaling complex (PMID:16177092)
  • The lipopolysaccharide-binding function characteristic of MD-2 enables effective host responses to pathogens. (PMID:16275943)
  • A PRotein Associated with Tlr4 (PRAT4B), regulates cell surface expression of TLR4. PRAT4B has a signal peptide followed by a mature peptide. PRAT4B is associated with the hypoglycosylated, immature form of TLR4 but not with MD-2 or TLR2. (PMID:16338228)
  • endoplasmic reticulum-associated MD-2 expression in inflammatory bowel disease may be altered by ileal protease in inflammation, leading to impaired lipopolysaccharide recognition and hyporesponsiveness through MD-2 proteolysis in epithelial cell (PMID:16547263)
  • SP-A bound to sTLR4 and MD-2 in a Ca2+-dependent manner, and involved the carbohydrate recognition domain (CRD) in the binding. SP-A avidly bound to the deglycosylated forms of sTLR4 and MD-2, suggesting a protein/protein interaction. (PMID:16754682)
  • New insights are provided into the importance of stoichiometry among the components of the TLR4/MD-2/CD14 complex; transfected MD-2 at high input levels often used in the literature suppresses lipopolysaccharide-induced signaling. (PMID:16785528)
  • The structural pattern recognized by MD-2 is defined by the hydrophobic patch and a pair of separated negative charges. (PMID:16940155)
  • Human conjunctival epithelial cells lack LPS responsiveness due to deficient expression of MD2. (PMID:17093906)
  • Butyrate dowregulates TLR4 mRNA without affecting MD-2 mRNA level in HT-29 cells. (PMID:17404865)
  • MD-2 interacts with lipid A of endotoxins [lipopolysaccharide (LPS) or lipooligosaccharide (LOS)] to activate human toll-like receptor (TLR) 4 (PMID:17545685)
  • crystal structures of MD-2 and its complex with tetra-acylated lipid A core of LPS were determined at 2.0 and 2.2 angstrom resolutions, respectively; these structures suggest that MD-2 plays a principal role in endotoxin recognition (PMID:17569869)
  • The MD-2/-1625 polymorphism is an important functional variant. (PMID:17592304)
  • Based on structural analysis and mutagenesis experiments on MD-2 and TLR4, we propose a model of TLR4-MD-2 dimerization induced by LPS. (PMID:17803912)
  • Transfer of endotoxin from MD-2 to extracellular soluble CD14 reduces activation of cells expressing TLR4 without MD-2. (PMID:17934216)
  • TLR4/MD-2 complex is responsible for recognition of Rhodococcus spheroides lipopolysaccharide as an agonist in human cells. (PMID:17956942)
  • These findings strongly suggest that the structural properties of (endotoxin) E.MD-2, not E alone, determine agonist or antagonist effects on TLR4. (PMID:17977838)
  • ERK and JNK pathways are involved in PMA-mediated MD-2 gene expression during HL-60 cell differentiation. (PMID:18181766)
  • Results show that LPS responsiveness increased more than 100-fold when intestinal epithelial cells were transfected with MD-2 alone. (PMID:18215718)
  • MD-2 expression in human antral and corpus gastric mucosa is significantly increased during H. pylori infection (PMID:18251133)
  • This study demonstrates the increase of both circulating polymeric and functional monomeric sMD-2 during endotoxemia and sepsis, and evidence is provided that the endothelium is involved in this process. (PMID:18384879)
  • cells that express TLR4 without MD-2 and whose response to LPS depends on ectopically produced MD-2 were most affected by expression of the G56R variant of MD-2. (PMID:18424732)
  • the monomeric form of sMD-2 is the active species both for reaction with endotoxin.CD14 and Toll-like receptor 4 (TLR4), as needed for potent endotoxin-induced TLR4 activation (PMID:18519568)
  • Oxidized phospholipid inhibition of toll-like receptor (TLR) signaling is restricted to TLR2 and TLR4: roles for CD14, LPS-binding protein, and MD2 as targets for specificity of inhibition. (PMID:18559343)

Cross-species orthologs

2 orthologs

OrganismSymbolGene ID
mus_musculusLy96ENSMUSG00000025779
rattus_norvegicusLy96ENSRNOG00000067966

Protein

Protein identifiers

Lymphocyte antigen 96Q9Y6Y9 (reviewed: Q9Y6Y9)

Alternative names: ESOP-1, Protein MD-2

All UniProt accessions (1): Q9Y6Y9

UniProt curated annotations — full annotation on UniProt →

Function. Binds bacterial lipopolysaccharide (LPS). Cooperates with TLR4 in the innate immune response to bacterial lipopolysaccharide (LPS), and with TLR2 in the response to cell wall components from Gram-positive and Gram-negative bacteria. Enhances TLR4-dependent activation of NF-kappa-B. Cells expressing both LY96 and TLR4, but not TLR4 alone, respond to LPS.

Subunit / interactions. Heterogeneous homomer formed from homodimers; disulfide-linked. Belongs to the lipopolysaccharide (LPS) receptor, a multi-protein complex containing at least CD14, LY96 and TLR4. Binds to the extracellular domains of TLR2 and TLR4. Ligand binding induces interaction with TLR4 and oligomerization of the complex.

Subcellular location. Secreted. Extracellular space.

Post-translational modifications. N-glycosylated; high-mannose.

Isoforms (2)

UniProt IDNamesCanonical?
Q9Y6Y9-11yes
Q9Y6Y9-22

RefSeq proteins (2): NP_001182726, NP_056179* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR003172ML_domDomain
IPR014756Ig_E-setHomologous_superfamily
IPR039217LY96Family

Pfam: PF02221

UniProt features (25 total): strand 11, disulfide bond 3, sequence variant 2, glycosylation site 2, signal peptide 1, chain 1, mutagenesis site 1, region of interest 1, helix 1, turn 1, splice variant 1

Structure

Experimental structures (PDB)

9 structures.

PDBMethodResolution (Å)
2E56X-RAY DIFFRACTION2
2E59X-RAY DIFFRACTION2.21
8WO1ELECTRON MICROSCOPY2.24
4G8AX-RAY DIFFRACTION2.4
2Z65X-RAY DIFFRACTION2.7
9J03ELECTRON MICROSCOPY2.7
8WTAELECTRON MICROSCOPY2.9
3FXIX-RAY DIFFRACTION3.1
3ULAX-RAY DIFFRACTION3.6

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q9Y6Y9-F187.740.67

Functional residue map

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

Disulfide bonds (3): 25–51, 37–148, 95–105

Glycosylation sites (2): 26, 114

Mutagenesis-validated functional residues (1):

PositionPhenotype
95abolishes lps-response.

Function

Pathways and Gene Ontology

Reactome pathways

43 pathways

IDPathway
R-HSA-1236974ER-Phagosome pathway
R-HSA-140534Caspase activation via Death Receptors in the presence of ligand
R-HSA-166016Toll Like Receptor 4 (TLR4) Cascade
R-HSA-166058MyD88:MAL(TIRAP) cascade initiated on plasma membrane
R-HSA-166166MyD88-independent TLR4 cascade
R-HSA-2562578TRIF-mediated programmed cell death
R-HSA-5602498MyD88 deficiency (TLR2/4)
R-HSA-5603041IRAK4 deficiency (TLR2/4)
R-HSA-5686938Regulation of TLR by endogenous ligand
R-HSA-936964Activation of IRF3, IRF7 mediated by TBK1, IKKε (IKBKE)
R-HSA-937041IKK complex recruitment mediated by RIP1
R-HSA-937072TRAF6-mediated induction of TAK1 complex within TLR4 complex
R-HSA-9707616Heme signaling
R-HSA-975163IRAK2 mediated activation of TAK1 complex upon TLR7/8 or 9 stimulation
R-HSA-9820960Respiratory syncytial virus (RSV) attachment and entry
R-HSA-9824878Regulation of TBK1, IKKε (IKBKE)-mediated activation of IRF3, IRF7
R-HSA-9833110RSV-host interactions
R-HSA-9918481Dengue Virus-Host Interactions
R-HSA-109581Apoptosis
R-HSA-1236975Antigen processing-Cross presentation
R-HSA-1280218Adaptive Immune System
R-HSA-1643685Disease
R-HSA-168138Toll Like Receptor 9 (TLR9) Cascade
R-HSA-168179Toll Like Receptor TLR1:TLR2 Cascade
R-HSA-168181Toll Like Receptor 7/8 (TLR7/8) Cascade
R-HSA-168188Toll Like Receptor TLR6:TLR2 Cascade
R-HSA-168249Innate Immune System
R-HSA-168256Immune System
R-HSA-168898Toll-like Receptor Cascades
R-HSA-181438Toll Like Receptor 2 (TLR2) Cascade

MSigDB gene sets: 282 (showing top): REACTOME_TRAF6_MEDIATED_INDUCTION_OF_TAK1_COMPLEX_WITHIN_TLR4_COMPLEX, REACTOME_IKK_COMPLEX_RECRUITMENT_MEDIATED_BY_RIP1, DAVIES_MULTIPLE_MYELOMA_VS_MGUS_DN, WALLACE_PROSTATE_CANCER_RACE_UP, REACTOME_INNATE_IMMUNE_SYSTEM, MCLACHLAN_DENTAL_CARIES_UP, REACTOME_ADAPTIVE_IMMUNE_SYSTEM, GOBP_INFLAMMATORY_RESPONSE, GOBP_CELLULAR_RESPONSE_TO_LIPID, REACTOME_CLASS_I_MHC_MEDIATED_ANTIGEN_PROCESSING_PRESENTATION, GOBP_CELLULAR_RESPONSE_TO_BIOTIC_STIMULUS, MODULE_45, GOBP_POSITIVE_REGULATION_OF_CYTOKINE_PRODUCTION, RIZKI_TUMOR_INVASIVENESS_3D_DN, GOBP_CELLULAR_RESPONSE_TO_OXYGEN_CONTAINING_COMPOUND

GO Biological Process (14): toll-like receptor signaling pathway (GO:0002224), inflammatory response (GO:0006954), cellular defense response (GO:0006968), cell surface receptor signaling pathway (GO:0007166), positive regulation of lipopolysaccharide-mediated signaling pathway (GO:0031666), response to lipopolysaccharide (GO:0032496), detection of lipopolysaccharide (GO:0032497), positive regulation of tumor necrosis factor production (GO:0032760), toll-like receptor 4 signaling pathway (GO:0034142), innate immune response (GO:0045087), cellular response to lipopolysaccharide (GO:0071222), pattern recognition receptor signaling pathway (GO:0002221), immune system process (GO:0002376), lipopolysaccharide-mediated signaling pathway (GO:0031663)

GO Molecular Function (5): lipopolysaccharide binding (GO:0001530), lipopolysaccharide immune receptor activity (GO:0001875), coreceptor activity (GO:0015026), Toll-like receptor 4 binding (GO:0035662), protein binding (GO:0005515)

GO Cellular Component (5): extracellular region (GO:0005576), plasma membrane (GO:0005886), endosome membrane (GO:0010008), signaling receptor complex (GO:0043235), lipopolysaccharide receptor complex (GO:0046696)

Reactome top-level categories

Rollup of top-15 pathways:

CategoryPathways
TRIF (TICAM1)-mediated TLR4 signaling4
Toll-like Receptor Cascades2
Toll Like Receptor 4 (TLR4) Cascade2
Diseases associated with the TLR signaling cascade2
Respiratory Syncytial Virus Infection Pathway2
Antigen processing-Cross presentation1
Caspase activation via extrinsic apoptotic signalling pathway1
Toll Like Receptor TLR1:TLR2 Cascade1
Toll Like Receptor TLR6:TLR2 Cascade1
Cellular responses to stress1
TRAF6 mediated induction of NFkB and MAP kinases upon TLR7/8 or 9 activation1
Activation of IRF3, IRF7 mediated by TBK1, IKKε (IKBKE)1
Dengue Virus Infection1
Programmed Cell Death1
Class I MHC mediated antigen processing & presentation1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
defense response2
lipopolysaccharide-mediated signaling pathway2
response to lipopolysaccharide2
pattern recognition receptor signaling pathway1
signal transduction1
positive regulation of response to biotic stimulus1
positive regulation of signal transduction1
regulation of lipopolysaccharide-mediated signaling pathway1
positive regulation of response to external stimulus1
response to molecule of bacterial origin1
response to lipid1
response to oxygen-containing compound1
detection of molecule of bacterial origin1
tumor necrosis factor production1
regulation of tumor necrosis factor production1
positive regulation of tumor necrosis factor superfamily cytokine production1
cell surface toll-like receptor signaling pathway1
immune response1
defense response to symbiont1
cellular response to molecule of bacterial origin1
cellular response to lipid1
cellular response to oxygen-containing compound1
innate immune response-activating signaling pathway1
biological_process1
cell surface receptor signaling pathway1
cellular response to lipopolysaccharide1
lipid binding1
carbohydrate derivative binding1
lipopolysaccharide binding1
pattern recognition receptor activity1
signaling receptor activity1
Toll-like receptor binding1
binding1
cellular anatomical structure1
membrane1
cell periphery1
endosome1
cytoplasmic vesicle membrane1
bounding membrane of organelle1
protein-containing complex1

Protein interactions and networks

STRING

1972 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
LY96TLR4O00206999
LY96TLR2O60603992
LY96MYD88P78397992
LY96LY86O95711989
LY96LBPP18428960
LY96CD44P16070960
LY96HMGB1P09429917
LY96GHITMQ9H3K2910
LY96TLR1Q15399883
LY96CNPY3Q9BT09878
LY96TLR5O60602863
LY96CD180Q99467861
LY96IRAK1P51617855
LY96CNPY4Q8N129828
LY96TIRAPP58753815
LY96TRAF6Q9Y4K3815

IntAct

26 interactions, top by confidence:

ABTypeScore
TLR4LY96psi-mi:“MI:0915”(physical association)0.820
LY96TLR4psi-mi:“MI:0407”(direct interaction)0.820
TLR4LY96psi-mi:“MI:0407”(direct interaction)0.820
LY96TLR4psi-mi:“MI:0915”(physical association)0.740
TLR4LY96psi-mi:“MI:0915”(physical association)0.740
TLR4HMGB1psi-mi:“MI:0915”(physical association)0.600
LCN2LY96psi-mi:“MI:0915”(physical association)0.560
MESDLY96psi-mi:“MI:0915”(physical association)0.560
LY96psi-mi:“MI:0407”(direct interaction)0.440
TLR4Hmgb1psi-mi:“MI:0915”(physical association)0.400
LY96psi-mi:“MI:0915”(physical association)0.400
DERP2LY96psi-mi:“MI:0915”(physical association)0.400
LY96LY86psi-mi:“MI:0915”(physical association)0.400
LY96MLH1psi-mi:“MI:0915”(physical association)0.370
LY96SMARCB1psi-mi:“MI:0915”(physical association)0.370
CDKN2CLY96psi-mi:“MI:0915”(physical association)0.370
LY96LCN2psi-mi:“MI:0915”(physical association)0.000
LY96MESDpsi-mi:“MI:0915”(physical association)0.000

BioGRID (9): LY96 (Two-hybrid), LY96 (Two-hybrid), LY96 (Two-hybrid), LY96 (Two-hybrid), TLR4 (Affinity Capture-Western), LY96 (Affinity Capture-Western), LY96 (Affinity Capture-Western), LY96 (Reconstituted Complex), LY96 (Two-hybrid)

ESM2 similar proteins: A0A1S4GYH9, A0A1S4HDQ2, A0NAZ8, A0NBD9, A1EA99, B0FHH8, B0WS18, B4GJ61, B4KG03, G3CJS0, O17271, O18016, O55159, O88188, O95711, P16422, P20797, P34174, P49273, P49278, P58754, P58755, Q00855, Q09276, Q17077, Q17078, Q17FF6, Q1WER1, Q26456, Q27042, Q29JT7, Q3T0L5, Q45KX2, Q5F381, Q6FNB1, Q6PQK2, Q7PZ66, Q8WPC2, Q90890, Q93796

Diamond homologs: P58754, P58755, Q9JHF9, Q9Y6Y9

SIGNOR signaling

2 interactions.

AEffectBMechanism
CREB5“down-regulates quantity by repression”LY96“transcriptional regulation”
LY96“up-regulates activity”HMGB1binding

Disease & clinical

Clinical variants and AI predictions

ClinVar

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

ClassificationCount (floor)
Pathogenic1
Likely pathogenic0
Uncertain significance11
Likely benign2
Benign0

Top pathogenic / likely-pathogenic (1)

Variant IDHGVSClassification
1456580NC_000008.10:g.(?74890971)(74903809_?)delPathogenic

SpliceAI

740 predictions. Top by Δscore:

VariantEffectΔscore
8:74009995:TTAAA:Tacceptor_loss1.0000
8:74009997:AAAG:Aacceptor_gain1.0000
8:74009999:A:AGacceptor_gain1.0000
8:74010000:G:GGacceptor_gain1.0000
8:74010000:GGGA:Gacceptor_gain1.0000
8:74010125:GGGAG:Gdonor_gain1.0000
8:74010126:GGAG:Gdonor_gain1.0000
8:74010126:GGAGG:Gdonor_gain1.0000
8:74010127:GAG:Gdonor_gain1.0000
8:74010127:GAGG:Gdonor_gain1.0000
8:74010128:AG:Adonor_gain1.0000
8:74010128:AGG:Adonor_loss1.0000
8:74010129:GG:Gdonor_gain1.0000
8:74010129:GGTA:Gdonor_loss1.0000
8:74010130:G:Cdonor_loss1.0000
8:74010130:G:GGdonor_gain1.0000
8:74010131:T:Gdonor_loss1.0000
8:74009997:A:AGacceptor_gain0.9900
8:74009998:A:Gacceptor_gain0.9900
8:74009998:AAG:Aacceptor_gain0.9900
8:74009999:AG:Aacceptor_gain0.9900
8:74010000:GG:Gacceptor_gain0.9900
8:74010035:T:Gacceptor_gain0.9900
8:74010037:T:Gacceptor_gain0.9900
8:74010127:G:Tdonor_gain0.9900
8:74026787:A:AGacceptor_gain0.9900
8:74026788:G:GGacceptor_gain0.9900
8:74008520:A:Tdonor_gain0.9800
8:74009997:AAAGG:Aacceptor_gain0.9800
8:74009999:AGG:Aacceptor_gain0.9800

AlphaMissense

1050 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
8:74010081:T:AC95S0.987
8:74010082:G:CC95S0.987
8:74010081:T:CC95R0.984
8:74010111:T:AC105S0.982
8:74010112:G:CC105S0.982
8:74028980:G:CA137P0.980
8:74010111:T:CC105R0.977
8:73991515:T:AC25S0.975
8:73991516:G:CC25S0.975
8:74010112:G:AC105Y0.975
8:74029015:C:GC148W0.974
8:74010082:G:AC95Y0.973
8:73991515:T:CC25R0.971
8:74010083:C:GC95W0.971
8:74010067:G:CR90P0.964
8:74028968:T:CC133R0.964
8:74028981:C:AA137D0.963
8:74010113:C:GC105W0.962
8:74029014:G:AC148Y0.962
8:74029013:T:CC148R0.960
8:74028962:T:GY131D0.959
8:73991516:G:AC25Y0.958
8:74010125:G:CK109N0.955
8:74010125:G:TK109N0.955
8:73991551:T:AC37S0.949
8:73991552:G:CC37S0.949
8:73991517:C:GC25W0.948
8:74004834:T:CC51R0.947
8:74010112:G:TC105F0.947
8:73991552:G:AC37Y0.946

dbSNP variants (sampled 300 via entrez): RS1000003109 (8:74030296 T>C), RS1000035964 (8:74024718 T>A,C), RS1000057015 (8:74024286 G>A), RS1000060019 (8:74063638 A>C,G), RS1000082970 (8:74036049 G>A), RS1000095633 (8:74018011 A>G,T), RS1000109375 (8:73994668 G>A), RS1000197099 (8:73999093 C>T), RS1000215450 (8:74027193 G>A), RS1000218194 (8:74066746 G>A), RS1000240057 (8:74058629 C>T), RS1000253710 (8:74040709 T>G), RS1000284791 (8:74040439 T>C), RS1000351738 (8:74052850 T>C), RS1000365249 (8:74078452 A>C,G)

Disease associations

OMIM: gene MIM:605243 | disease phenotypes: MIM:614052, MIM:214400

GenCC curated gene-disease

DiseaseClassificationInheritance
inborn error of immunityLimitedAutosomal recessive

Mondo (3): mitochondrial complex V (ATP synthase) deficiency, nuclear type 2 (MONDO:0013546), Charcot-Marie-Tooth disease type 4A (MONDO:0008961), inborn error of immunity (MONDO:0003778)

Orphanet (2): TMEM70-related mitochondrial encephalo-cardio-myopathy (Orphanet:1194), Charcot-Marie-Tooth disease type 4A (Orphanet:99948)

HPO phenotypes

0 total (0 of 0 shown, HPO-id order):

GWAS associations

4 associations (top):

StudyTraitp-value
GCST002482_3Carotid plaque burden (smoking interaction)5.000000e-06
GCST002975_2Postoperative atrial fibrillation in coronary artery bypass grafting surgery4.000000e-06
GCST008477_29Emphysema annual change measurement in smokers (adjusted lung density)3.000000e-06
GCST90013406_36Liver enzyme levels (alkaline phosphatase)8.000000e-11

EFO canonical traits (3, from GWAS)

EFO IDTrait name
EFO:0006501carotid plaque build
EFO:0007626emphysema imaging measurement
EFO:0004533alkaline phosphatase measurement

MeSH disease descriptors (3)

DescriptorNameTree numbers
D007153Immunologic Deficiency SyndromesC20.673
C535419Charcot-Marie-Tooth disease, Type 4A (supp.)
C567528Encephalocardiomyopathy, Mitochondrial, Neonatal, Due To Atp Synthase Deficiency (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (4): CHEMBL2375202 (SINGLE PROTEIN), CHEMBL3038512 (PROTEIN COMPLEX), CHEMBL3038513 (PROTEIN COMPLEX), CHEMBL4106126 (PROTEIN-PROTEIN INTERACTION)

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

PharmGKB clinical annotations

1 annotations.

VariantTypeLevelDrugsPhenotypes
rs11465996Efficacy3Tumor necrosis factor alpha (TNF-alpha) inhibitorsPsoriasis

PharmGKB variants

2 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs11465996LY9633.251Tumor necrosis factor alpha (TNF-alpha) inhibitors
rs11466004LY960.000

GtoPdb / IUPHAR curated pharmacology

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

Target class: other protein — Lymphocyte antigens

Most potent curated ligand interactions (1 total), top 1:

LigandActionAffinityParameter
L6H21Inhibition4.48pKd

ChEMBL bioactivities

14 potent at pChembl≥5 of 25 total, top 14 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
6.75Kd180nMCHEMBL5084731
6.70IC50200nMCHEMBL4072822
6.24Kd570nMCHEMBL5076109
6.19Kd650nMCHEMBL4125910
6.16IC50700nMCHEMBL4081306
5.52Kd3000nMCHEMBL4100044
5.50Kd3200nMCHEMBL5075055
5.44Kd3600nMCHEMBL3601750
5.38IC504220nMCHEMBL4176576
5.24IC505700nMCHEMBL4105554
5.22Kd5950nMCHEMBL4125967
5.17IC506830nMCHEMBL4164940
5.04IC509080nMCHEMBL4162528
5.00IC501e+04nMCHEMBL4093531

PubChem BioAssay actives

14 with measured affinity, of 209 total; 14 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
disodium;[(2R,3R,4R,5S,6R)-6-(hydroxymethyl)-3-(tetradecanoylamino)-4,5-di(tetradecanoyloxy)oxan-2-yl] phosphate1809155: Binding affinity to NTA sensor chip immobilized recombinant human TLR4/MD2 assessed as dissociation constant by surface plasmon resonance analysiskd0.1800uM
2-[4-[[5,11,17,23-tetratert-butyl-26,27,28-tris[4-(diaminomethylideneamino)butoxy]-25-pentacyclo[19.3.1.13,7.19,13.115,19]octacosa-1(24),3,5,7(28),9,11,13(27),15(26),16,18,21(25),22-dodecaenyl]oxy]butyl]guanidine;tetrahydrochloride1447912: Binding affinity to CD14/MD2 (unknown origin) expressed in HEK-Blue cells co-expressing TLR4 assessed as inhibition of LPS-induced TLR4 signaling preincubated for 30 mins followed by LPS stimulation measured after overnight incubation by secreted embryonic alkaline phosphatase reporter gene assayic500.2000uM
disodium;[(2R,3R,4R,5S,6R)-3-(dodecanoylamino)-4,5-di(dodecanoyloxy)-6-(hydroxymethyl)oxan-2-yl] phosphate1809155: Binding affinity to NTA sensor chip immobilized recombinant human TLR4/MD2 assessed as dissociation constant by surface plasmon resonance analysiskd0.5700uM
(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-amino-3-phenylpropanoyl]amino]-3-hydroxypropanoyl]amino]-3-hydroxypropanoyl]amino]pentanedioic acid1494170: Binding affinity to human MD-2 (17 to 160 residues) assessed as reduction in MD-2 binding to human HMGB1 after 7 mins by SPR assaykd0.6500uM
2-[11,17,23-tris(diaminomethylideneamino)-25,26,27-tripropoxy-5-pentacyclo[19.3.1.13,7.19,13.115,19]octacosa-1(25),3(28),4,6,9(27),10,12,15,17,19(26),21,23-dodecaenyl]guanidine;tetrahydrochloride1447912: Binding affinity to CD14/MD2 (unknown origin) expressed in HEK-Blue cells co-expressing TLR4 assessed as inhibition of LPS-induced TLR4 signaling preincubated for 30 mins followed by LPS stimulation measured after overnight incubation by secreted embryonic alkaline phosphatase reporter gene assayic500.7000uM
[(2R,3S,4R,5R,6R)-2-(hydroxymethyl)-3,6-diphosphonooxy-5-(tetradecanoylamino)oxan-4-yl] tetradecanoate1455594: Binding to C-terminal His6-tagged human MD2 expressed in Pichia pastoris GS115 by surface plasmon resonance assaykd3.0000uM
[(3E)-2-hydroxy-3-[[4-(trifluoromethyl)phenyl]methylidene]cyclohexen-1-yl]-phenylmethanone1832927: Binding affinity to MD2 (unknown origin) assessed as dissociation constant by spectrofluorimetric analysiskd3.2000uM
[(3E)-2-hydroxy-3-[(2,3,4-trimethoxyphenyl)methylidene]cyclohexen-1-yl]-phenylmethanone1832927: Binding affinity to MD2 (unknown origin) assessed as dissociation constant by spectrofluorimetric analysiskd3.6000uM
(1E,4E)-1-(3-bromo-4-hydroxyphenyl)-5-(2-methoxyphenyl)penta-1,4-dien-3-one1501517: Displacement of bis-ANS to recombinant human MD2 after 5 mins by fluorescence assayic504.2200uM
2-[11,17,23-tris(diaminomethylideneamino)-25,26,27-trihexoxy-5-pentacyclo[19.3.1.13,7.19,13.115,19]octacosa-1(25),3(28),4,6,9(27),10,12,15,17,19(26),21,23-dodecaenyl]guanidine;tetrahydrochloride1447912: Binding affinity to CD14/MD2 (unknown origin) expressed in HEK-Blue cells co-expressing TLR4 assessed as inhibition of LPS-induced TLR4 signaling preincubated for 30 mins followed by LPS stimulation measured after overnight incubation by secreted embryonic alkaline phosphatase reporter gene assayic505.7000uM
(3S)-3-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-aminopropanoyl]amino]-4-methylsulfanylbutanoyl]amino]propanoyl]amino]-4-methylpentanoyl]amino]-4-[[(2R)-1-[[(2S)-1-[[(2S)-5-carbamimidamido-1-[[(2S)-1-[[2-[[(2S)-1-[[(2S)-5-carbamimidamido-1-[[(2S)-1-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-(carboxymethylamino)-3-hydroxy-1-oxopropan-2-yl]amino]-3-hydroxy-1-oxopropan-2-yl]amino]-1-oxo-3-sulfanylpropan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-4-methylsulfanyl-1-oxobutan-2-yl]amino]-1-oxopentan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-2-oxoethyl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-1-oxo-3-sulfanylpropan-2-yl]amino]-4-oxobutanoic acid1494169: Binding affinity to recombinant human 10His-tagged TLR4 (24 to 631 residues)/recombinant human 10His-tagged MD2 (17 to 160 residues) after 5 mins by SPR assaykd5.9500uM
(1E,4E)-1-(3-bromo-4-hydroxyphenyl)-5-(2,3-dimethoxyphenyl)penta-1,4-dien-3-one1501517: Displacement of bis-ANS to recombinant human MD2 after 5 mins by fluorescence assayic506.8300uM
(1E,4E)-1-(2-bromophenyl)-5-(2-methoxyphenyl)penta-1,4-dien-3-one1501517: Displacement of bis-ANS to recombinant human MD2 after 5 mins by fluorescence assayic509.0800uM
2-[3-[[5,11,17,23-tetratert-butyl-26,27,28-tris[3-(diaminomethylideneamino)propoxy]-25-pentacyclo[19.3.1.13,7.19,13.115,19]octacosa-1(24),3,5,7(28),9,11,13(27),15(26),16,18,21(25),22-dodecaenyl]oxy]propyl]guanidine;tetrahydrochloride1447912: Binding affinity to CD14/MD2 (unknown origin) expressed in HEK-Blue cells co-expressing TLR4 assessed as inhibition of LPS-induced TLR4 signaling preincubated for 30 mins followed by LPS stimulation measured after overnight incubation by secreted embryonic alkaline phosphatase reporter gene assayic5010.0000uM

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
Benzo(a)pyreneincreases expression, increases methylation, affects methylation6
Cyclosporineincreases expression, affects cotreatment6
bisphenol Adecreases methylation, increases expression, affects binding, affects cotreatment4
Lipopolysaccharidesaffects binding, decreases reaction, increases expression, decreases response to substance, increases reaction (+1 more)4
sodium arseniteincreases expression3
Arsenic Trioxideaffects cotreatment, increases expression3
Acetaminophendecreases expression, affects cotreatment3
Silicon Dioxideincreases expression3
Aflatoxin B1affects expression, increases expression3
1-(3,4-dihydroxyphenyl)-3-(2-methoxyphenyl)prop-2-en-1-oneaffects binding, decreases reaction, increases reaction2
Vehicle Emissionsaffects cotreatment, increases expression, affects expression, increases reaction2
Formaldehydeincreases expression2
Paraquatincreases expression2
tert-Butylhydroperoxideincreases phosphorylation, increases reaction, increases expression, increases secretion, affects binding (+4 more)2
Particulate Matterdecreases expression, increases abundance, affects expression, increases reaction2
Asian ginsengdecreases expression, decreases reaction1
methyleugenolincreases expression1
triphenyl phosphateaffects expression1
propionaldehydeincreases expression1
sodium arsenateincreases abundance, increases expression1
tris(2-butoxyethyl) phosphateaffects expression1
beta-lapachoneincreases expression1
arseniteincreases reaction, affects binding1
sodium bichromatedecreases expression1
tris(1,3-dichloro-2-propyl)phosphateincreases expression1
cobaltous chlorideaffects binding, increases activity1
butyraldehydeincreases expression1
nickel chlorideaffects binding, increases activity1
zinc chromateincreases abundance, increases expression1
tobacco tardecreases expression1

ChEMBL screening assays

87 unique, capped per target: 86 binding, 1 admet

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL3789071BindingBinding affinity to recombinant human MD2 (17 to 160 residues) expressed in Escherichia coli BL21(DE3) cells assessed as chi-square value by surface plasmon resonance analysisDiscovery of a New Inhibitor of Myeloid Differentiation 2 from Cinnamamide Derivatives with Anti-Inflammatory Activity in Sepsis and Acute Lung Injury. — J Med Chem
CHEMBL3373551ADMETActivation of TLR4/MD2 (unknown origin) expressed in HEK293 cells co-expressing CD14 assessed as induction of MyD88-dependent NF-kappaB activity after 24 hrs by NF-kappaB SEAP reporter gene assayCharacterization of TRIF selectivity in the AGP class of lipid A mimetics: role of secondary lipid chains. — Bioorg Med Chem Lett

Cellosaurus cell lines

11 cell lines: 6 transformed cell line, 5 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_D7ADLeeporter HeLa TLR4/IL-8 luciferaseCancer cell lineFemale
CVCL_E2QRTHP-1 TLR4-CD14 NFkappaB-eGFPCancer cell lineMale
CVCL_E6V0Genomeditech HEK-293 H_TLR4 ReporterTransformed cell lineFemale
CVCL_E8FETHP1-Dual MD2-CD14-TLR4Cancer cell lineMale
CVCL_E8FFTHP1-Dual MD2-CD14 KO-TLR4Cancer cell lineMale
CVCL_IM82HEK-Blue hTLR4Transformed cell lineFemale
CVCL_IM95HEK-Blue hMD2-CD14Transformed cell lineFemale
CVCL_VI45HEK-TLR4-YFP/MD-2Transformed cell lineFemale
CVCL_X584THP1-XBlue-MD2-CD14Cancer cell lineMale
CVCL_Y384293/hMD2-CD14Transformed cell lineFemale

Clinical trials (associated diseases)

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

TrialPhaseStatusTitle
NCT03677557PHASE4UNKNOWNSafety, Tolerability, Patient Satisfaction and Cost of 16.5% Subcutaneous Immunoglobulin (Cutaquig®) Treatment
NCT00001646PHASE3COMPLETEDVoriconazole vs. Amphotericin B in the Treatment of Invasive Aspergillosis
NCT00220766PHASE3COMPLETEDRapid Infusion of Immune Globulin Intravenous (Human) In Primary Immunodeficiency Patients
NCT00468273PHASE3COMPLETEDA Clinical Study of Intravenous Immunoglobulin
NCT00811174PHASE3TERMINATEDEfficacy, Safety and Kinetics Study of Octagam 10% in Primary Immunodeficiency Diseases
NCT01012323PHASE3COMPLETEDA Study of NewGam, Human Immunoglobulin 10%, in Patients With Primary Immunodeficiency Diseases
NCT01313507PHASE3COMPLETEDHigh Infusion Rate Study of Immunoglobulin Intravenous (Human) 10% (NewGam)
NCT01406470PHASE3COMPLETEDPhase 3 Study of Immune Globulin Intravenous (Human)IVIG-SN™ in Subjects With Primary Immunodeficiency
NCT02783482PHASE3COMPLETEDStudy of Immune Globulin Intravenous (Human) GC5107 in Subjects With Primary Humoral Immunodeficiency
NCT02810444PHASE3COMPLETEDStudy to Investigate Efficacy, Safety and Pharmacokinetics of BT595 in Subjects With PID
NCT03961009PHASE3COMPLETEDClinical Assessment of Pharmacokinetics, Efficacy, and Safety of 10% IVIg in PID Patients
NCT04842643PHASE3COMPLETEDAn Extension Study of TAK-664 for Japanese People With Primary Immunodeficiency Disease
NCT04944979PHASE3ACTIVE_NOT_RECRUITINGClinical Assessment of Pharmacokinetics, Efficacy, and Safety of 10% IVIg in Pediatric PID Patients (KIDCARES10)
NCT06089122PHASE3UNKNOWNEfficacy, Safety, and Pharmacokinetics of Shu Yang IVIG
NCT06150833PHASE3UNKNOWNEfficacy and Safety and Pharmacokinetics of Boya IVIG
NCT07346859PHASE3RECRUITINGStudy of BP-SCIG 20% in Patients With Primary Immunodeficiency (PID)
NCT00001438PHASE2COMPLETEDA Pilot Study of the Combination of Retinoic Acid and Interferon-Alpha2a for the Treatment of Lymphoproliferative Disorders in Children With Immunodeficiency Syndromes
NCT00176865PHASE2COMPLETEDStem Cell Transplant for Immunologic or Histiocytic Disorders
NCT00389324PHASE2COMPLETEDA Trial of the Pharmacokinetics, Safety, and Tolerability of Subcutaneous Gamunex® in Primary Immunodeficiency
NCT00598481PHASE2COMPLETEDADA Gene Transfer Into Hematopoietic Stem/Progenitor Cells for the Treatment of ADA-SCID
NCT01856582PHASE2TERMINATEDCD34+ Stem Cell Infusion to Augment Graft Function
NCT06199427PHASE2RECRUITINGPTCy and and Ruxolitinib for GVHD Prophylaxis After HSCT With Thymoglobulin in Conditioning Regimen in Patients With Inborn Errors of Immunity
NCT00001158Not specifiedCOMPLETEDStudies of the Immune Response in Normal Subjects and Patients With Disorders of the Immune System
NCT00001336Not specifiedCOMPLETEDIn Vitro Studies of Immunological and Stem Cell Function in Peripheral Blood Mononuclear Cells in Patients
NCT00001788Not specifiedTERMINATEDGenetic Basis of Primary Immunodeficiencies
NCT00006054Not specifiedTERMINATEDAllogeneic Bone Marrow Transplantation in Patients With Primary Immunodeficiencies
NCT00006131Not specifiedCOMPLETEDRandomized Study of Two Doses of Oral Valacyclovir in Immunocompromised Patients With Uncomplicated Herpes Zoster
NCT01150240Not specifiedUNKNOWNClinical and Laboratory Online Patient- and Research Database for Primary Immunodeficiencies in Switzerland
NCT01727895Not specifiedCOMPLETEDEffects of Orally Administered Beta-glucan on Leukocyte Function in Humans
NCT02176239Not specifiedCOMPLETEDMonitoring of 5% Treatment Naïve Intravenous Immunoglobulin (IVIg) Primary Immunodeficiency Disease (PIDD) Patients Using the CareExchange® System: A Pilot Study Using 5% Gammaplex® IVIg in the Home Setting
NCT02417740Not specifiedRECRUITINGNatural History of Noncirrhotic Portal Hypertension
NCT02554630Not specifiedCOMPLETEDNovel Mechanisms and Approaches to Treat Neonatal Sepsis
NCT02630082Not specifiedCOMPLETEDFeasibility of Measuring Immune Resp, Activation in Foreskin/Mucosa in HIV-, Uncircumcised High-HIV-risk MSM, Lima Peru
NCT02735824Not specifiedRECRUITINGGenetic Study of Immunodeficiency: Search for New Genetic Causes for Primary Immunodeficiencies
NCT03252548Not specifiedUNKNOWNPediatric Primary Immunodeficiency Disease (PID) in China
NCT03478670Not specifiedENROLLING_BY_INVITATIONStrimvelis Registry Study to Follow-up Patients With Adenosine Deaminase Severe Combined Immunodeficiency (ADA-SCID)
NCT03835312Not specifiedRECRUITINGSequential Transplantation of UCBSCs and Islet Cells in Children and Adolescents With Monogenic Immunodeficiency T1DM
NCT03920735Not specifiedUNKNOWNRetrospective Non-interventional Analysis of Opportunistic Infections in Immunocompromised and Frail Patients
NCT04798677Not specifiedCOMPLETEDEfficacy and Tolerability of ABBC1 in Volunteers Receiving the Influenza or Covid-19 Vaccine
NCT05236764Not specifiedACTIVE_NOT_RECRUITINGHaploidentical Hematopoietic Cell Transplantation Using TCR Alpha/Beta and CD19 Depletion