NKX2-2
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Also known as NKX2.2
Summary
NKX2-2 (NK2 homeobox 2, HGNC:7835) is a protein-coding gene on chromosome 20p11.22, encoding Homeobox protein Nkx-2.2 (O95096). Transcriptional activator involved in the development of insulin-producting beta cells in the endocrine pancreas.
The protein encoded by this gene contains a homeobox domain and may be involved in the morphogenesis of the central nervous system. This gene is found on chromosome 20 near NKX2-4, and these two genes appear to be duplicated on chromosome 14 in the form of TITF1 and NKX2-8. The encoded protein is likely to be a nuclear transcription factor.
Source: NCBI Gene 4821 — RefSeq curated summary.
At a glance
- Gene–disease (curated): neonatal diabetes mellitus (Strong, GenCC) — +1 more curated relationship
- GWAS associations: 7
- Clinical variants (ClinVar): 55 total — 1 pathogenic, 1 likely-pathogenic
- Transcription factor: yes — 29 downstream targets (CollecTRI)
- MANE Select transcript:
NM_002509
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:7835 |
| Approved symbol | NKX2-2 |
| Name | NK2 homeobox 2 |
| Location | 20p11.22 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | NKX2.2 |
| Ensembl gene | ENSG00000125820 |
| Ensembl biotype | protein_coding |
| OMIM | 604612 |
| Entrez | 4821 |
Gene structure
Transcript identifiers
Ensembl transcripts: 1 — 1 protein_coding
ENST00000377142
RefSeq mRNA: 2 — MANE Select: NM_002509
NM_001424412, NM_002509
CCDS: CCDS13145
Canonical transcript exons
ENST00000377142 — 2 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001472897 | 21511017 | 21512485 |
| ENSE00001472902 | 21513411 | 21514064 |
Expression profiles
Bgee: expression breadth broad, 100 present calls, max score 96.40.
FANTOM5 (CAGE): breadth tissue_specific, TPM avg 1.1019 / max 181.3458, expressed in 153 samples.
FANTOM5 promoters (5 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 186611 | 0.5492 | 129 |
| 186610 | 0.3805 | 101 |
| 186609 | 0.1319 | 61 |
| 186608 | 0.0357 | 25 |
| 186607 | 0.0046 | 2 |
Top tissues by expression
281 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| inferior vagus X ganglion | UBERON:0005363 | 96.40 | gold quality |
| subthalamic nucleus | UBERON:0001906 | 92.94 | gold quality |
| medulla oblongata | UBERON:0001896 | 92.59 | gold quality |
| superior vestibular nucleus | UBERON:0007227 | 92.14 | gold quality |
| ventral tegmental area | UBERON:0002691 | 90.95 | gold quality |
| inferior olivary complex | UBERON:0002127 | 90.92 | gold quality |
| spinal cord | UBERON:0002240 | 90.73 | gold quality |
| C1 segment of cervical spinal cord | UBERON:0006469 | 90.34 | gold quality |
| lateral globus pallidus | UBERON:0002476 | 89.70 | gold quality |
| substantia nigra pars reticulata | UBERON:0001966 | 89.47 | gold quality |
| globus pallidus | UBERON:0001875 | 87.25 | gold quality |
| pons | UBERON:0000988 | 87.24 | gold quality |
| substantia nigra pars compacta | UBERON:0001965 | 86.47 | gold quality |
| dorsal plus ventral thalamus | UBERON:0001897 | 86.31 | gold quality |
| medial globus pallidus | UBERON:0002477 | 86.08 | gold quality |
| dorsal motor nucleus of vagus nerve | UBERON:0002870 | 85.23 | gold quality |
| midbrain | UBERON:0001891 | 84.46 | gold quality |
| cranial nerve II | UBERON:0000941 | 83.70 | gold quality |
| substantia nigra | UBERON:0002038 | 83.64 | gold quality |
| type B pancreatic cell | CL:0000169 | 81.16 | gold quality |
| parietal lobe | UBERON:0001872 | 81.11 | gold quality |
| islet of Langerhans | UBERON:0000006 | 80.83 | gold quality |
| CA1 field of hippocampus | UBERON:0003881 | 80.83 | gold quality |
| postcentral gyrus | UBERON:0002581 | 80.69 | gold quality |
| hypothalamus | UBERON:0001898 | 79.93 | gold quality |
| Ammon’s horn | UBERON:0001954 | 78.87 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 78.20 | gold quality |
| middle frontal gyrus | UBERON:0002702 | 77.90 | gold quality |
| amygdala | UBERON:0001876 | 77.88 | gold quality |
| temporal lobe | UBERON:0001871 | 76.18 | gold quality |
Single-cell (SCXA)
Detected in 4 experiment(s), a significant marker in 4.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-8894 | yes | 425.60 |
| E-GEOD-83139 | yes | 8.47 |
| E-ANND-3 | yes | 8.16 |
| E-GEOD-125970 | yes | 7.63 |
Regulation
Is transcription factor: yes
Downstream targets (CollecTRI)
29 targets.
| Target | Regulation |
|---|---|
| AKT1 | |
| ARX | |
| CCND2 | |
| CD52 | Unknown |
| CDKN1B | |
| ERMN | Activation |
| GAST | |
| GHRL | |
| INS | Unknown |
| LMX1A | |
| LMX1B | |
| MAFA | |
| MBP | |
| NKX2-2 | |
| NKX6-1 | Activation |
| NPPA | Activation |
| PAX1 | |
| PI3 | |
| PLP1 | Activation |
| PPY | |
| PRKCG | |
| RAB34 | |
| REG3A | |
| SHH | |
| SIRT2 | |
| SLIT1 | Activation |
| SST | |
| SULF1 | Activation |
| TRIB3 |
JASPAR motifs
| Motif | Name | Family |
|---|---|---|
| MA1645.1 | NKX2-2 | NK |
| MA1645.2 | NKX2-2 | NK |
JASPAR matrix evidence (PMIDs): PMID:18585359
Upstream regulators (CollecTRI, top): CTNNB1, FOXA1, FOXA2, GLI2, ISL1, NEUROG3, NKX2-2, PAX1, SHH, SOX10
Literature-anchored findings (GeneRIF, showing 22)
- Functional analysis revealed that NKX2.2 is an EWS/FLI-regulated gene that is necessary for oncogenic transformation in Ewing’s sarcoma. (PMID:16697960)
- EWS/FLI mediates transcriptional repression via NKX2.2 during oncogenic transformation in Ewing’s sarcoma (PMID:18414662)
- NKX2.2 functions in immature endocrine cells to control neuroendocrine differentiation in normal intestine and is expressed in most neuroendocrine tumors of the gut (PMID:18987169)
- several genes that are known to be regulated by DNA methylation were up-regulated dramatically by integrin alpha6beta4 expression, including S100A4, FST, PDLIM4, CAPG, and Nkx2.2. (PMID:19011242)
- expression may assist in the determination of the primary tumor site in patients with neuroendocrine tumor metastases of unknown origin: negative would suggest a bronchopulmonary primary, whereas positive would suggest a gastrointestinal primary (PMID:20599218)
- NKX2-1, NKX2-2, and MEF2C define oncogenic pathways in T cell acute lymphoblastic leukemia (T-ALL). (PMID:21481790)
- The NKX2-2 can induce desired neuronal lineages from most expressing neural progenitor cells by a mechanism resembling developmental binary cell-fate switching. (PMID:21624811)
- NKX2.2 is a valuable marker for Ewing sarcoma, with a sensitivity of 93% and a specificity of 89%, and aids in the differential diagnosis of small round cell tumors. (PMID:22446943)
- NKX2-2 and MNX1 are etiological genes for neonatal diabetes. (PMID:24411943)
- Our study suggests that CGT expression is controlled by balanced expression of the negative modulator OLIG2 and positive regulator Nkx2.2, providing new insights into how expression of GalCer is tightly regulated in cell-type- and stage-specific manners. (PMID:24821492)
- lentiviral overexpression of transcription factors ASCL1, SOX10, and NKX2.2 in NPCs was sufficient to induce Sox10 enhancer activity, OPC mRNA, and protein expression consistent with OPC fate (PMID:24982138)
- NKX2-2 positivity was defined as moderate-to-strong nuclear immunoreactivity in at least 5% of cells (PMID:26847175)
- nuclear import of Nkx2-2 is mediated not only by the classical import pathway but also directly by imp beta1 or imp 13 (PMID:27956177)
- NKX2.2 is a useful and very sensitive marker for Ewing sarcoma (PMID:28616785)
- The Utility of NKX2.2 and TLE1 Immunohistochemistry in the Differentiation of Ewing Sarcoma and Synovial Sarcoma. (PMID:28800015)
- NKX2.2 demonstrated moderate or strong nuclear positivity in 91.2% of the tumors (PMID:28864350)
- Nkx-2.2 homedomain protein NKX2.2 (NKX2.2) had high sensitivity (100%) and moderate specificity (85%) for the diagnosis of Ewing sarcoma (ES) in cytologic material. (PMID:30376220)
- Study found that activation of Gli2 transcription factor induces the expression of Nkx2.2. inducing Ewing-like sarcomas. (PMID:30683671)
- Reversible expansion of pancreatic islet progenitors derived from human induced pluripotent stem cells. (PMID:32065490)
- Rapid induction of gliogenesis in OLIG2 and NKX2.2-expressing progenitors-derived spheroids. (PMID:32716131)
- Does PAX7 and NKX2.2 immunoreactivity in Ewing sarcoma have prognostic significance? (PMID:34985580)
- A novel stop-loss mutation in NKX2-2 gene as a cause of neonatal diabetes mellitus: molecular characterization and structural analysis. (PMID:37821536)
Cross-species orthologs
10 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | nkx2.2a | ENSDARG00000053298 |
| mus_musculus | Nkx2-2 | ENSMUSG00000027434 |
| rattus_norvegicus | Nkx2-2 | ENSRNOG00000012728 |
| drosophila_melanogaster | NK7.1 | FBGN0024321 |
| drosophila_melanogaster | HGTX | FBGN0040318 |
| drosophila_melanogaster | scro | FBGN0287186 |
| caenorhabditis_elegans | ceh-9 | WBGENE00000434 |
| caenorhabditis_elegans | WBGENE00000447 | |
| caenorhabditis_elegans | WBGENE00000450 | |
| caenorhabditis_elegans | WBGENE00000584 |
Paralogs (13): NKX3-2 (ENSG00000109705), NKX2-3 (ENSG00000119919), NKX2-4 (ENSG00000125816), NKX2-8 (ENSG00000136327), NKX2-1 (ENSG00000136352), NKX6-2 (ENSG00000148826), NKX6-1 (ENSG00000163623), NKX6-3 (ENSG00000165066), NKX3-1 (ENSG00000167034), NKX2-6 (ENSG00000180053), NKX2-5 (ENSG00000183072), NKX1-2 (ENSG00000229544), NKX1-1 (ENSG00000235608)
Protein
Protein identifiers
Homeobox protein Nkx-2.2 — O95096 (reviewed: O95096)
Alternative names: Homeobox protein NK-2 homolog B
All UniProt accessions (1): O95096
UniProt curated annotations — full annotation on UniProt →
Function. Transcriptional activator involved in the development of insulin-producting beta cells in the endocrine pancreas. May also be involved in specifying diencephalic neuromeric boundaries, and in controlling the expression of genes that play a role in axonal guidance. Binds to elements within the NEUROD1 promoter.
Subunit / interactions. Interacts with OLIG2.
Subcellular location. Nucleus.
Domain organisation. The homeodomain is essential for interaction with OLIG2.
Similarity. Belongs to the NK-2 homeobox family.
RefSeq proteins (2): NP_001411341, NP_002500* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR001356 | HD | Domain |
| IPR009057 | Homeodomain-like_sf | Homologous_superfamily |
| IPR017970 | Homeobox_CS | Conserved_site |
| IPR020479 | HD_metazoa | Domain |
| IPR050394 | Homeobox_NK-like | Family |
Pfam: PF00046
UniProt features (5 total): region of interest 2, chain 1, DNA-binding region 1, compositionally biased region 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-O95096-F1 | 64.62 | 0.23 |
Function
Pathways and Gene Ontology
Reactome pathways
2 pathways
| ID | Pathway |
|---|---|
| R-HSA-210745 | Regulation of gene expression in beta cells |
| R-HSA-210746 | Regulation of gene expression in endocrine-committed (NEUROG3+) progenitor cells |
MSigDB gene sets: 265 (showing top):
GOBP_SPINAL_CORD_DEVELOPMENT, RNGTGGGC_UNKNOWN, RRAGTTGT_UNKNOWN, GOBP_EPITHELIUM_DEVELOPMENT, GOBP_NEGATIVE_REGULATION_OF_NEURON_DIFFERENTIATION, BENPORATH_ES_WITH_H3K27ME3, WWTAAGGC_UNKNOWN, GOBP_EPITHELIAL_CELL_DEVELOPMENT, GOBP_POSITIVE_REGULATION_OF_NEURON_DIFFERENTIATION, ASTON_MAJOR_DEPRESSIVE_DISORDER_DN, GOBP_POSITIVE_REGULATION_OF_GLIAL_CELL_DIFFERENTIATION, GOBP_TYPE_B_PANCREATIC_CELL_DEVELOPMENT, GOBP_GLIAL_CELL_DEVELOPMENT, TATTATA_MIR374, GOBP_NEUROGENESIS
GO Biological Process (34): type B pancreatic cell development (GO:0003323), pancreatic A cell fate commitment (GO:0003326), type B pancreatic cell fate commitment (GO:0003327), pancreatic PP cell fate commitment (GO:0003329), regulation of transcription by RNA polymerase II (GO:0006357), smoothened signaling pathway (GO:0007224), brain development (GO:0007420), response to glucose (GO:0009749), positive regulation of gene expression (GO:0010628), oligodendrocyte development (GO:0014003), spinal cord motor neuron differentiation (GO:0021522), spinal cord oligodendrocyte cell fate specification (GO:0021530), optic nerve development (GO:0021554), cell differentiation (GO:0030154), positive regulation of epithelial cell differentiation (GO:0030858), response to progesterone (GO:0032570), negative regulation of neuron differentiation (GO:0045665), positive regulation of neuron differentiation (GO:0045666), digestive tract development (GO:0048565), neuron fate specification (GO:0048665), astrocyte differentiation (GO:0048708), positive regulation of oligodendrocyte differentiation (GO:0048714), ventral spinal cord interneuron fate determination (GO:0060580), neuroendocrine cell differentiation (GO:0061101), type B pancreatic cell differentiation (GO:0003309), regulation of DNA-templated transcription (GO:0006355), nervous system development (GO:0007399), spinal cord oligodendrocyte cell differentiation (GO:0021529), central nervous system neuron differentiation (GO:0021953), neuron differentiation (GO:0030182), endocrine pancreas development (GO:0031018), positive regulation of transcription by RNA polymerase II (GO:0045944), cell development (GO:0048468), oligodendrocyte differentiation (GO:0048709)
GO Molecular Function (8): RNA polymerase II cis-regulatory region sequence-specific DNA binding (GO:0000978), DNA-binding transcription factor activity, RNA polymerase II-specific (GO:0000981), cis-regulatory region sequence-specific DNA binding (GO:0000987), DNA-binding transcription activator activity, RNA polymerase II-specific (GO:0001228), DNA binding (GO:0003677), DNA-binding transcription factor activity (GO:0003700), protein binding (GO:0005515), sequence-specific DNA binding (GO:0043565)
GO Cellular Component (3): chromatin (GO:0000785), nucleus (GO:0005634), nucleoplasm (GO:0005654)
Reactome top-level categories
Rollup of top-1 pathways:
| Category | Pathways |
|---|---|
| Regulation of beta-cell development | 2 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| epithelial cell fate commitment | 3 |
| RNA polymerase II transcription regulatory region sequence-specific DNA binding | 3 |
| type B pancreatic cell differentiation | 2 |
| regulation of DNA-templated transcription | 2 |
| positive regulation of cell differentiation | 2 |
| neuron differentiation | 2 |
| regulation of neuron differentiation | 2 |
| transcription cis-regulatory region binding | 2 |
| cellular anatomical structure | 2 |
| epithelial cell development | 1 |
| pancreatic A cell differentiation | 1 |
| pancreatic PP cell differentiation | 1 |
| transcription by RNA polymerase II | 1 |
| cell surface receptor signaling pathway | 1 |
| central nervous system development | 1 |
| animal organ development | 1 |
| head development | 1 |
| response to hexose | 1 |
| gene expression | 1 |
| regulation of gene expression | 1 |
| positive regulation of macromolecule biosynthetic process | 1 |
| glial cell development | 1 |
| oligodendrocyte differentiation | 1 |
| cell differentiation in spinal cord | 1 |
| ventral spinal cord development | 1 |
| central nervous system neuron differentiation | 1 |
| spinal cord oligodendrocyte cell differentiation | 1 |
| oligodendrocyte cell fate specification | 1 |
| cranial nerve development | 1 |
| cellular developmental process | 1 |
| epithelial cell differentiation | 1 |
| regulation of epithelial cell differentiation | 1 |
| response to steroid hormone | 1 |
| response to ketone | 1 |
| negative regulation of cell differentiation | 1 |
| tube development | 1 |
| digestive system development | 1 |
| cell fate specification | 1 |
| neuron fate commitment | 1 |
| cis-regulatory region sequence-specific DNA binding | 1 |
Protein interactions and networks
STRING
1644 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| NKX2-2 | TLE3 | Q04726 | 972 |
| NKX2-2 | LMX1B | O60663 | 895 |
| NKX2-2 | PAX4 | O43316 | 885 |
| NKX2-2 | ISL1 | P20663 | 876 |
| NKX2-2 | HDAC1 | Q13547 | 873 |
| NKX2-2 | PAX6 | P26367 | 868 |
| NKX2-2 | DNMT3A | Q9Y6K1 | 865 |
| NKX2-2 | OLIG2 | Q13516 | 856 |
| NKX2-2 | ASCL1 | P50553 | 851 |
| NKX2-2 | FOXA2 | Q9Y261 | 847 |
| NKX2-2 | SHH | Q15465 | 821 |
| NKX2-2 | NEUROG3 | Q9Y4Z2 | 807 |
| NKX2-2 | OLIG1 | Q8TAK6 | 790 |
| NKX2-2 | NEUROD1 | Q13562 | 778 |
| NKX2-2 | LMX1A | Q8TE12 | 754 |
IntAct
19 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| NKX2-2 | Dlg4 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| NKX2-2 | psi-mi:“MI:0915”(physical association) | 0.370 | |
| IFNL1 | NKX2-2 | psi-mi:“MI:0915”(physical association) | 0.370 |
| IL15 | NKX2-2 | psi-mi:“MI:0915”(physical association) | 0.370 |
| IL17B | NKX2-2 | psi-mi:“MI:0915”(physical association) | 0.370 |
| XCL2 | NKX2-2 | psi-mi:“MI:0915”(physical association) | 0.370 |
| AKT1 | NKX2-2 | psi-mi:“MI:2364”(proximity) | 0.270 |
| FBXW7 | NKX2-2 | psi-mi:“MI:2364”(proximity) | 0.270 |
| SMAD4 | NKX2-2 | psi-mi:“MI:2364”(proximity) | 0.270 |
| NKX2-2 | SMARCA4 | psi-mi:“MI:2364”(proximity) | 0.270 |
| SMARCA4 | NKX2-2 | psi-mi:“MI:2364”(proximity) | 0.270 |
BioGRID (7): NKX2-2 (Affinity Capture-MS), NKX2-2 (Negative Genetic), NKX2-2 (Affinity Capture-MS), NKX2-2 (Proximity Label-MS), NKX2-2 (Affinity Capture-Western), SIN3A (Affinity Capture-Western), HDAC1 (Affinity Capture-Western)
ESM2 similar proteins: A0A8V0YY16, A0JPN1, A7MB54, A8MTJ6, O35762, O42115, O57601, O88181, O95096, P09065, P23683, P28356, P31311, P31315, P32443, P39020, P42581, P42586, P43697, P48031, P49640, P50222, P50476, P52951, P52954, P52955, P78426, P81067, P81068, P97334, Q14549, Q14774, Q1KKY1, Q1XID0, Q2NKI2, Q2VL76, Q2VL80, Q4V5A3, Q5SQQ9, Q60554
Diamond homologs: A1YF16, A1YG93, A2RU54, A2T764, A6NCS4, A6NHT5, G5EE18, O02786, O15522, O17319, O35767, O43763, O57601, O70218, O70584, O93590, O95096, P13297, P22711, P22808, P22809, P23410, P23441, P28360, P28361, P28362, P35548, P35993, P40764, P41936, P42581, P42582, P42583, P42584, P42586, P42587, P43687, P43688, P43697, P43698
SIGNOR signaling
1 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| NKX2-2 | “up-regulates quantity by expression” | ERMN | “transcriptional regulation” |
Disease & clinical
Clinical variants and AI predictions
ClinVar
55 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 1 |
| Likely pathogenic | 1 |
| Uncertain significance | 13 |
| Likely benign | 29 |
| Benign | 7 |
Top pathogenic / likely-pathogenic (2)
| Variant ID | HGVS | Classification |
|---|---|---|
| 3068495 | NC_000020.10:g.20158646_24080787del | Pathogenic |
| 2736955 | NM_002509.4(NKX2-2):c.356del (p.Pro119fs) | Likely pathogenic |
SpliceAI
239 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 20:21512482:TGCA:T | acceptor_gain | 1.0000 |
| 20:21512483:GCA:G | acceptor_gain | 1.0000 |
| 20:21512484:CAC:C | acceptor_gain | 1.0000 |
| 20:21512486:C:CC | acceptor_gain | 1.0000 |
| 20:21513406:CTT:C | donor_loss | 1.0000 |
| 20:21513407:TTA:T | donor_loss | 1.0000 |
| 20:21513408:TA:T | donor_loss | 1.0000 |
| 20:21513409:A:AC | donor_gain | 1.0000 |
| 20:21513409:ACGGG:A | donor_loss | 1.0000 |
| 20:21513410:C:CG | donor_gain | 1.0000 |
| 20:21513410:CG:C | donor_gain | 1.0000 |
| 20:21513410:CGGG:C | donor_gain | 1.0000 |
| 20:21512481:GTGCA:G | acceptor_gain | 0.9900 |
| 20:21512484:CA:C | acceptor_gain | 0.9900 |
| 20:21513410:CGG:C | donor_gain | 0.9900 |
| 20:21513410:CGGGA:C | donor_gain | 0.9900 |
| 20:21513421:AAGGC:A | donor_gain | 0.9900 |
| 20:21512480:CG:C | acceptor_gain | 0.9700 |
| 20:21513403:CTACT:C | donor_loss | 0.9600 |
| 20:21513404:TACTT:T | donor_loss | 0.9600 |
| 20:21513405:ACTTA:A | donor_loss | 0.9600 |
| 20:21513880:AGTG:A | donor_gain | 0.9300 |
| 20:21512482:TGCAC:T | acceptor_gain | 0.9200 |
| 20:21512483:GCACT:G | acceptor_gain | 0.9200 |
| 20:21512484:CACT:C | acceptor_gain | 0.9200 |
| 20:21512485:AC:A | acceptor_gain | 0.9200 |
| 20:21512486:CTG:C | acceptor_gain | 0.9200 |
| 20:21512487:T:A | acceptor_gain | 0.9200 |
| 20:21513405:A:AC | donor_gain | 0.9200 |
| 20:21513406:C:CC | donor_gain | 0.9200 |
AlphaMissense
1755 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 20:21512119:A:T | V209D | 1.000 |
| 20:21512122:A:G | L208S | 1.000 |
| 20:21512125:A:T | V207D | 1.000 |
| 20:21512131:A:T | V205E | 1.000 |
| 20:21512191:C:G | R185P | 1.000 |
| 20:21512192:G:A | R185C | 1.000 |
| 20:21512192:G:T | R185S | 1.000 |
| 20:21512193:C:A | K184N | 1.000 |
| 20:21512193:C:G | K184N | 1.000 |
| 20:21512194:T:A | K184M | 1.000 |
| 20:21512195:T:C | K184E | 1.000 |
| 20:21512199:C:A | K182N | 1.000 |
| 20:21512199:C:G | K182N | 1.000 |
| 20:21512200:T:A | K182M | 1.000 |
| 20:21512200:T:G | K182T | 1.000 |
| 20:21512201:T:C | K182E | 1.000 |
| 20:21512201:T:G | K182Q | 1.000 |
| 20:21512203:T:C | Y181C | 1.000 |
| 20:21512203:T:G | Y181S | 1.000 |
| 20:21512204:A:C | Y181D | 1.000 |
| 20:21512204:A:G | Y181H | 1.000 |
| 20:21512204:A:T | Y181N | 1.000 |
| 20:21512206:C:A | R180L | 1.000 |
| 20:21512206:C:G | R180P | 1.000 |
| 20:21512206:C:T | R180H | 1.000 |
| 20:21512207:G:A | R180C | 1.000 |
| 20:21512207:G:C | R180G | 1.000 |
| 20:21512207:G:T | R180S | 1.000 |
| 20:21512208:G:C | H179Q | 1.000 |
| 20:21512208:G:T | H179Q | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000266593 (20:21512181 G>A,C,T), RS1000495673 (20:21512602 C>A,G), RS1001452826 (20:21522407 G>A,T), RS1001541483 (20:21522486 C>A,T), RS1001587248 (20:21522179 T>C), RS1001631134 (20:21516759 C>T), RS1001704039 (20:21511360 C>T), RS1001838509 (20:21521301 T>A), RS1002257842 (20:21516004 T>C), RS1002474317 (20:21521890 ACC>A,AC,ACCC), RS1002600105 (20:21513763 TTGGGGGGAGGGAC>T), RS1002812603 (20:21518909 C>G), RS1002873428 (20:21514173 AG>A), RS1002925525 (20:21513950 G>A), RS1003151386 (20:21519284 G>A)
Disease associations
OMIM: gene MIM:604612 | disease phenotypes: MIM:256450
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| neonatal diabetes mellitus | Strong | Autosomal recessive |
| monogenic diabetes | Strong | Autosomal recessive |
Mondo (3): hyperinsulinemic hypoglycemia, familial, 1 (MONDO:0009734), neonatal diabetes mellitus (MONDO:0016391), monogenic diabetes (MONDO:0015967)
Orphanet (2): Autosomal dominant hyperinsulinism due to SUR1 deficiency (Orphanet:276575), Diazoxide-resistant focal hyperinsulinism due to SUR1 deficiency (Orphanet:276598)
HPO phenotypes
0 total (0 of 0 shown, HPO-id order):
GWAS associations
7 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST002479_15 | Lupus nephritis in systemic lupus erythematosus | 5.000000e-06 |
| GCST006467_2 | Ewing sarcoma | 4.000000e-16 |
| GCST007556_21 | Autism spectrum disorder | 3.000000e-07 |
| GCST007576_266 | Chronotype | 3.000000e-09 |
| GCST007748_2 | Hyperglycemia in higher physical activity | 4.000000e-08 |
| GCST009379_292 | Type 2 diabetes | 1.000000e-08 |
| GCST010002_63 | Refractive error | 3.000000e-09 |
EFO canonical traits (1, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0008328 | chronotype measurement |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
11 total (human), top 11 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Benzo(a)pyrene | affects methylation, increases methylation | 2 |
| arsenite | increases methylation | 1 |
| benzo(e)pyrene | increases methylation | 1 |
| S-(1,2-dichlorovinyl)cysteine | decreases reaction, increases expression | 1 |
| (+)-JQ1 compound | decreases expression | 1 |
| Carmustine | decreases expression | 1 |
| Diazinon | increases methylation | 1 |
| Lipopolysaccharides | increases expression, decreases reaction | 1 |
| Methapyrilene | increases methylation | 1 |
| Tretinoin | affects cotreatment, increases expression | 1 |
| Aflatoxin B1 | increases methylation | 1 |
Cellosaurus cell lines
3 cell lines: 3 embryonic stem cell
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_A4Q3 | SEES3-1V human NKX2-2, clone1 | Embryonic stem cell | Male |
| CVCL_A4Q4 | SEES3-1V human NKX2-2, clone2 | Embryonic stem cell | Male |
| CVCL_A4Q5 | SEES3-1V human NKX2-2, clone3 | Embryonic stem cell | Male |
Clinical trials (associated diseases)
9 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT06976658 | PHASE2 | RECRUITING | Glucokinase Activator in Monogenic Diabetes |
| NCT01795144 | PHASE1 | COMPLETED | Incretin Regulation of Insulin Secretion in Monogenic Diabetes |
| NCT04409795 | PHASE2/PHASE3 | COMPLETED | Oral Hypoglycemic Therapy for Monogenic Variant Carriers of the Joslin Medalist Study |
| NCT03988764 | Not specified | RECRUITING | Monogenic Diabetes Misdiagnosed as Type 1 |
| NCT05586594 | Not specified | NOT_YET_RECRUITING | Identifying Maturity-onset Diabetes of the Young in Emirati Patients |
| NCT06478121 | Not specified | RECRUITING | Understanding Beta Cell Disorders Through the Study of Rare Genotypes (ENDURE) |
| NCT06746610 | Not specified | RECRUITING | Screening and Molecular Diagnosis-based Individualized Precision Management of Monogenic Diabetes |
| NCT07492004 | Not specified | RECRUITING | China Monogenic Diabetes Registry |
| NCT07564518 | Not specified | NOT_YET_RECRUITING | Application of FreeStyle Libre 2 for Evaluating Glycemic Variability Characteristics in Patients With Extreme Glucose Metabolism Phenotypes |
Related Atlas pages
- Associated diseases: neonatal diabetes mellitus, monogenic diabetes
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): Ewing sarcoma, hyperinsulinemic hypoglycemia, familial, 1, lupus nephritis, monogenic diabetes, neonatal diabetes mellitus