SATB2

gene
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Also known as KIAA1034FLJ21474

Summary

SATB2 (SATB homeobox 2, HGNC:21637) is a protein-coding gene on chromosome 2q33.1, encoding DNA-binding protein SATB2 (Q9UPW6). Binds to DNA, at nuclear matrix- or scaffold-associated regions. It is haploinsufficient (ClinGen: sufficient evidence).

This gene encodes a DNA binding protein that specifically binds nuclear matrix attachment regions. The encoded protein is involved in transcription regulation and chromatin remodeling. Defects in this gene are associated with isolated cleft palate and cognitive disability. Alternate splicing results in multiple transcript variants that encode the same protein.

Source: NCBI Gene 23314 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): SATB2 associated disorder (Definitive, ClinGen) — +1 more curated relationship
  • GWAS associations: 30
  • Clinical variants (ClinVar): 765 total — 121 pathogenic, 59 likely-pathogenic
  • Phenotypes (HPO): 151
  • Druggable target: yes
  • Dosage sensitivity (ClinGen): haploinsufficiency sufficient evidence, triplosensitivity no evidence
  • Transcription factor: yes — 34 downstream targets (CollecTRI)
  • MANE Select transcript: NM_001172509

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:21637
Approved symbolSATB2
NameSATB homeobox 2
Location2q33.1
Locus typegene with protein product
StatusApproved
AliasesKIAA1034, FLJ21474
Ensembl geneENSG00000119042
Ensembl biotypeprotein_coding
OMIM608148
Entrez23314

Gene structure

Transcript identifiers

Ensembl transcripts: 36 — 27 protein_coding, 5 protein_coding_CDS_not_defined, 3 retained_intron, 1 nonsense_mediated_decay

ENST00000260926, ENST00000417098, ENST00000428695, ENST00000440919, ENST00000443023, ENST00000457245, ENST00000463386, ENST00000473517, ENST00000483346, ENST00000484124, ENST00000700191, ENST00000700192, ENST00000700193, ENST00000700194, ENST00000700207, ENST00000700208, ENST00000700209, ENST00000700210, ENST00000908772, ENST00000908773, ENST00000908774, ENST00000908775, ENST00000908776, ENST00000908777, ENST00000908778, ENST00000908779, ENST00000908780, ENST00000908781, ENST00000908782, ENST00000930191, ENST00000930192, ENST00000962919, ENST00000962920, ENST00000962921, ENST00000962922, ENST00000962923

RefSeq mRNA: 3 — MANE Select: NM_001172509 NM_001172509, NM_001172517, NM_015265

CCDS: CCDS2327

Canonical transcript exons

ENST00000417098 — 11 exons

ExonStartEnd
ENSE00000934543199308760199308957
ENSE00000934547199328698199328910
ENSE00000934548199348701199349173
ENSE00000934553199368605199368707
ENSE00000964856199433338199433514
ENSE00001740075199457339199457939
ENSE00002264469199455869199456096
ENSE00003480091199381694199381820
ENSE00003496880199323803199323958
ENSE00003639980199380364199380487
ENSE00003845966199269505199272672

Expression profiles

Bgee: expression breadth ubiquitous, 235 present calls, max score 99.11.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 17.1411 / max 919.4028, expressed in 1205 samples.

FANTOM5 promoters (20 alternative TSS)

Promoter IDTPM avgSamples expressed
331296.3025740
331344.6661994
331251.3406210
331220.8638190
331310.7958118
331260.7759209
331410.4270119
331300.4034112
331120.3735125
331320.3015161

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
periodontal ligamentUBERON:000826699.11gold quality
cortical plateUBERON:000534398.05gold quality
mucosa of sigmoid colonUBERON:000499397.72gold quality
colonic mucosaUBERON:000031797.49gold quality
tibiaUBERON:000097993.94gold quality
rectumUBERON:000105293.89gold quality
ileal mucosaUBERON:000033193.74gold quality
mucosa of transverse colonUBERON:000499192.69gold quality
middle temporal gyrusUBERON:000277192.32gold quality
Brodmann (1909) area 46UBERON:000648392.16gold quality
superior frontal gyrusUBERON:000266191.95gold quality
postcentral gyrusUBERON:000258191.79gold quality
orbitofrontal cortexUBERON:000416791.53gold quality
parietal lobeUBERON:000187290.92gold quality
Brodmann (1909) area 23UBERON:001355490.10gold quality
colonic epitheliumUBERON:000039790.04gold quality
ganglionic eminenceUBERON:000402389.04gold quality
choroid plexus epitheliumUBERON:000391188.14gold quality
Brodmann (1909) area 10UBERON:001354187.92gold quality
prefrontal cortexUBERON:000045186.44gold quality
primary visual cortexUBERON:000243686.28gold quality
dorsolateral prefrontal cortexUBERON:000983486.09gold quality
frontal lobeUBERON:001652585.96gold quality
frontal cortexUBERON:000187085.95gold quality
transverse colonUBERON:000115785.87gold quality
occipital lobeUBERON:000202185.79gold quality
Brodmann (1909) area 9UBERON:001354085.07gold quality
frontal poleUBERON:000279584.99gold quality
calcaneal tendonUBERON:000370184.97gold quality
neocortexUBERON:000195084.86gold quality

Single-cell (SCXA)

Detected in 5 experiment(s), a significant marker in 4.

ExperimentMarker?Max mean expression
E-HCAD-35yes96.79
E-HCAD-25yes89.73
E-CURD-112yes18.34
E-ANND-3yes9.67
E-ENAD-17no385.21

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

34 targets.

TargetRegulation
AXIN2Repression
BCL11BRepression
BCL2Activation
CD24Activation
CD44Activation
CDH1Repression
CDH2Activation
CHATActivation
CNTF
DCCActivation
HBE1
HBG1Activation
HOXA2Repression
IGHMActivation
KAT2B
LEF1Activation
MEIS2Repression
MYCActivation
NANOGActivation
NR4A2Repression
PERPRepression
POU5F1Activation
PROM1Repression
SATB2
SKI
SLC18A3Activation
SNAI1Activation
SNAI2Activation
SP7Activation
SPTA1

Upstream regulators (CollecTRI, top): SATB2, SMAD1, SMAD5, SP7

miRNA regulators (miRDB)

227 targeting SATB2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-5011-5P100.0083.465820
HSA-MIR-1277-5P100.0073.955056
HSA-MIR-8485100.0077.574731
HSA-MIR-190A-3P100.0080.355520
HSA-MIR-4476100.0068.182030
HSA-MIR-6876-5P100.0067.682126
HSA-MIR-4682100.0068.891258
HSA-MIR-656-3P100.0072.152788
HSA-MIR-4668-3P100.0068.742635
HSA-MIR-34A-5P99.9971.211784
HSA-MIR-449A99.9971.051776
HSA-MIR-371B-5P99.9975.344759
HSA-MIR-513B-5P99.9969.962150
HSA-MIR-33A-5P99.9968.621055
HSA-MIR-33B-5P99.9968.581062
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-4789-3P99.9970.752484
HSA-MIR-118499.9968.191458
HSA-MIR-548AW99.9972.573559
HSA-MIR-373-5P99.9875.364753
HSA-MIR-616-5P99.9875.584775
HSA-MIR-569699.9872.364487
HSA-MIR-27A-3P99.9872.132955
HSA-MIR-27B-3P99.9872.132955
HSA-MIR-998599.9872.112939
HSA-MIR-103A-3P99.9869.141595
HSA-MIR-10799.9869.141595
HSA-MIR-1213699.9872.815713
HSA-MIR-25-3P99.9874.601817

Functional genomics

ClinGen dosage: haploinsufficiency 3 (sufficient evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • SATB2 is identified as the cleft palate gene on chromosome pair 2 which undergoes translocation. (PMID:12915443)
  • results suggest that deletion of SATB2 is responsible for several of the clinical features associated with 2q32q33 microdeletion syndrome (PMID:19668335)
  • SATB2 is upregulated in advanced HNSCC tumors and forms a stable complex with DeltaNp63alpha. (PMID:20829881)
  • this report provides further evidence that the SATB2 gene is the critical gene in this microdeletion syndrome. (PMID:21343628)
  • SATB2 in combination with cytokeratin 20 identifies over 95% of all colorectal carcinomas. (PMID:21677534)
  • SATB2 as the first p63 binding partner that differentially influences AEC and EEC p63 mutant proteins (PMID:21965674)
  • SATB2 may play a crucial role in protecting against oxidative stress-induced osteoblast apoptosis. (PMID:22570222)
  • SATB2 might involve in the development and progression of laryngeal squamous cell carcinoma. (PMID:22815795)
  • results establish SATB2 as a novel gamma-globin gene regulator and provide a glimpse of the differential and cooperative roles of SATB family proteins in modulating clustered genes transcription (PMID:22825848)
  • SATB2 is a marker of osteoblastic differentiation in benign and malignant mesenchymal tumours. (PMID:23701429)
  • These findings indicate that SATB2 activates UPF3B expression through binding to its promoter. (PMID:23925499)
  • SATB2 immunostaining could potentially be a useful adjunct for assisting in the differential diagnosis of both benign and malignant osteogenic tumors and for colorectal adenocarcinomas (PMID:24316906)
  • SATB2 and SOX9 may be acting together via complex cis-regulation to coordinate the growth of the developing jaw. (PMID:24363063)
  • Ectopic expression of SATB2 by transiently transfected with pCAG-SATB2 vector encoding the entire SATB2 coding sequence could reverse the effects of miR-31 on CRC tumorigenesis and progression. (PMID:24386467)
  • This contemporary review provides an exploration of the molecular characteristics and function of SATB2; including its expression and cytokine regulation, its involvement in human disease, and its potential roles in skeletogenesis. (PMID:24411565)
  • Data suggest that combined tumor expression of SATB2 (special AT-rich sequence binding protein 2) and CDH17 (cadherin-17) may be used as diagnostic biomarkers in subjects with medullary carcinoma of the large intestine (colon; cecum). (PMID:24437456)
  • knockdown of SATB2 attenuated miR-31’s osteogenic effects in mesenchymal stem cells (PMID:24565840)
  • research showed that miR-182 could directly target the 3’untranslated region (3’UTR) of SATB2 mRNA and subsequently repress both the mRNA and protein expressions of SATB2, which we identified in previous studies as a CRC metastasis-associated protein (PMID:24884732)
  • We here report on a girl with intellectual disability, nearly absent speech and suspected hypodontia who was shown to carry an intragenic SATB2 tandem duplication hypothesized to lead to haploinsufficiency of SATB2. (PMID:25118029)
  • The application of SATB2 to manipulate stem cells for the reconstruction of bone defects might represent a new approach. (PMID:25200657)
  • SATB2 as a novel regulator of Osteosarcoma invasion, in part via effects on EPLIN and the cytoskeleton. (PMID:25220418)
  • Intragenic duplication–a novel causative mechanism for SATB2-associated syndrome. (PMID:25251319)
  • Immunohistochemical expression of SATB1 and SATB2 was analysed in tissue microarrays with primary tumours and a subset of paired lymph node metastases from 175 patients operated with pancreaticoduodenectomy for periampullary adenocarcinoma. (PMID:25323550)
  • SATB2 action is mediated by palladin inhibition and the SATB2/palladin pathway is associated with invadopodia formation in colorectal cancer cells. (PMID:25523619)
  • This review will discuss the four major findings regarding SATB1/2 in colorectal cancer studies.[review] (PMID:25543122)
  • Low SATB2 expression is associated with colorectal cancer. (PMID:25662172)
  • our data suggest that SATB2 plays an important role in esophageal squamous cell carcinoma progression, and that decreased expression of SATB2 in tumor tissues could be used as a prognostic marker for patients with esophageal squamous cell carcinoma. (PMID:25755730)
  • We provide supporting evidence that analysis for deletions or point mutations in SATB2 should be considered in children with intellectual disability and severely impaired speech, cleft or high palate, teeth abnormalities, and osteopenia. (PMID:25885067)
  • Reduced SATB2 dosage leads to mRNA and microRNA expression patterns and DNA methylation patterns more characteristic of differentiating than proliferating neural stem cells. This balance change may underlie neurodevelopmental disorders. (PMID:25966365)
  • We found that IGFBP6 and SATB2 were significantly down-regulated in HIV-infected CEM*174 cells and 3 different cohorts of HIV/AIDS patients while their promoters were predominantly hyper-methylated compared with normal controls. (PMID:26039376)
  • data suggest that SATB2 functions as a tumor suppressor in the development and progression of clear cell renal cell carcinoma (PMID:26097552)
  • SATB2 is a sensitive marker for hindgut well-differentiated neuroendocrine tumors though it is not entirely specific. (PMID:26261600)
  • Overexpression of SATB2 repressed the expression of extracellular signal-regulated kinase 5 (ERK5), and activation of ERK5 restored the SATB2-induced inhibition of proliferation and migration in gastric cancer. (PMID:26508023)
  • SATB2 is frequently expressed in appendiceal mucinous neoplasms. In the context of a mucinous neoplasm involving the ovary, any SATB2 positivity should raise the possibility of appendiceal origin. (PMID:26542609)
  • Ovarian tumors with mucinous or endometrioid features that express SATB2 are unlikely to be of primary ovarian origin and more likely to be of colorectal/appendiceal origin. (PMID:26551622)
  • Low expression of SATB2 is associated with colorectal cancer. (PMID:26701851)
  • SATB2 regulates the mitosis of cell cycle and affects G1 cell cycle via interaction with CDK2. (PMID:26714749)
  • SATB2 expression increased anchorage-independent growth and cell migration in human bronchial epithelial cells (PMID:26780400)
  • Data suggest that MIRN-33a-5p is highly induced by TNFa and BMP-2 in bone marrow stromal cells; anti-osteogenic TNFa down-regulates SATB2 expression indirectly; pro-osteogenic BMP-2 up-regulates SATB2 expression directly. (PMID:26785690)
  • Case Reports: cutaneous osteoblastic osteosarcomas positive for SATB2. (PMID:27043339)

Cross-species orthologs

5 orthologs

OrganismSymbolGene ID
danio_reriosatb2ENSDARG00000061885
mus_musculusSatb2ENSMUSG00000038331
rattus_norvegicusSatb2ENSRNOG00000010188
drosophila_melanogasterdveFBGN0020307
caenorhabditis_elegansWBGENE00022861

Paralogs (1): SATB1 (ENSG00000182568)

Protein

Protein identifiers

DNA-binding protein SATB2Q9UPW6 (reviewed: Q9UPW6)

Alternative names: Special AT-rich sequence-binding protein 2

All UniProt accessions (5): Q9UPW6, A0A8V8TPF3, A0A8V8TR16, C9JR56, F8WCV6

UniProt curated annotations — full annotation on UniProt →

Function. Binds to DNA, at nuclear matrix- or scaffold-associated regions. Thought to recognize the sugar-phosphate structure of double-stranded DNA. Transcription factor controlling nuclear gene expression, by binding to matrix attachment regions (MARs) of DNA and inducing a local chromatin-loop remodeling. Acts as a docking site for several chromatin remodeling enzymes and also by recruiting corepressors (HDACs) or coactivators (HATs) directly to promoters and enhancers. Required for the initiation of the upper-layer neurons (UL1) specific genetic program and for the inactivation of deep-layer neurons (DL) and UL2 specific genes, probably by modulating BCL11B expression. Repressor of Ctip2 and regulatory determinant of corticocortical connections in the developing cerebral cortex. May play an important role in palate formation. Acts as a molecular node in a transcriptional network regulating skeletal development and osteoblast differentiation.

Subunit / interactions. Interacts with ATF4 and RUNX2; resulting in enhanced DNA binding and transactivation by these transcription factors. Interacts with PIAS1.

Subcellular location. Nucleus matrix.

Tissue specificity. High expression in adult brain, moderate expression in fetal brain, and weak expression in adult liver, kidney, and spinal cord and in select brain regions, including amygdala, corpus callosum, caudate nucleus, and hippocampus.

Post-translational modifications. Sumoylated by PIAS1. Sumoylation promotes nuclear localization, but represses transcription factor activity.

Disease relevance. Chromosomal aberrations involving SATB2 are found in isolated cleft palate. Translocation t(2;7); translocation t(2;11). Cleft palate isolated (CPI) [MIM:119540] A congenital fissure of the soft and/or hard palate, due to faulty fusion. Isolated cleft palate is not associated with cleft lips. Some patients may manifest other craniofacial dysmorphic features, intellectual disability, and osteoporosis. The disease may be caused by variants affecting the gene represented in this entry. A chromosomal aberration involving SATB2 is found in a patient with classical features of Toriello-Carey syndrome. Translocation t(2;14)(q33;q22).

Similarity. Belongs to the CUT homeobox family.

Isoforms (2)

UniProt IDNamesCanonical?
Q9UPW6-11yes
Q9UPW6-22

RefSeq proteins (3): NP_001165980, NP_001165988, NP_056080 (=MANE)

Domains & families (InterPro)

IDNameType
IPR001356HDDomain
IPR003350CUT_domDomain
IPR009057Homeodomain-like_sfHomologous_superfamily
IPR010982Lambda_DNA-bd_dom_sfHomologous_superfamily
IPR032355CUTLDomain
IPR032392ULDDomain
IPR038216SATB_CUTL_sfHomologous_superfamily
IPR038224SATB_ULD_sfHomologous_superfamily
IPR039673SATB1/SATB2Family

Pfam: PF00046, PF02376, PF16534, PF16557

UniProt features (46 total): helix 13, cross-link 8, compositionally biased region 5, modified residue 5, region of interest 4, DNA-binding region 3, domain 2, mutagenesis site 2, chain 1, splice variant 1, sequence variant 1, turn 1

Structure

Experimental structures (PDB)

3 structures.

PDBMethodResolution (Å)
1WI3SOLUTION NMR
1WIZSOLUTION NMR
2CSFSOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q9UPW6-F166.870.30

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 (13): 20, 39, 454, 467, 594, 24, 30, 161, 233, 350, 350, 475, 724

Mutagenesis-validated functional residues (2):

PositionPhenotype
233reduced sumoylation, impaired nuclear localization, but enhanced transcription factor activity.
350reduced sumoylation, impaired nuclear localization, but enhanced transcription factor activity.

Function

Pathways and Gene Ontology

Reactome pathways

11 pathways

IDPathway
R-HSA-4551638SUMOylation of chromatin organization proteins
R-HSA-8940973RUNX2 regulates osteoblast differentiation
R-HSA-212436Generic Transcription Pathway
R-HSA-2990846SUMOylation
R-HSA-3108232SUMO E3 ligases SUMOylate target proteins
R-HSA-392499Metabolism of proteins
R-HSA-597592Post-translational protein modification
R-HSA-73857RNA Polymerase II Transcription
R-HSA-74160Gene expression (Transcription)
R-HSA-8878166Transcriptional regulation by RUNX2
R-HSA-8941326RUNX2 regulates bone development

MSigDB gene sets: 594 (showing top): RNGTGGGC_UNKNOWN, AGGAAGC_MIR5163P, GOBP_EMBRYO_DEVELOPMENT_ENDING_IN_BIRTH_OR_EGG_HATCHING, BENPORATH_ES_WITH_H3K27ME3, GOBP_CARTILAGE_DEVELOPMENT, GOBP_SKELETAL_SYSTEM_DEVELOPMENT, TGCTGCT_MIR15A_MIR16_MIR15B_MIR195_MIR424_MIR497, GOBP_EMBRYONIC_SKELETAL_SYSTEM_DEVELOPMENT, GOBP_EMBRYONIC_SKELETAL_SYSTEM_MORPHOGENESIS, BOYAULT_LIVER_CANCER_SUBCLASS_G2, GOBP_OSTEOBLAST_DIFFERENTIATION, GOBP_NEUROGENESIS, HNF1_Q6, FOXO4_01, USF_C

GO Biological Process (12): negative regulation of transcription by RNA polymerase II (GO:0000122), neuron migration (GO:0001764), osteoblast development (GO:0002076), chromatin remodeling (GO:0006338), regulation of transcription by RNA polymerase II (GO:0006357), embryonic pattern specification (GO:0009880), positive regulation of transcription by RNA polymerase II (GO:0045944), embryonic skeletal system morphogenesis (GO:0048704), cartilage development (GO:0051216), roof of mouth development (GO:0060021), chromatin organization (GO:0006325), regulation of gene expression (GO:0010468)

GO Molecular Function (10): RNA polymerase II transcription regulatory region sequence-specific DNA binding (GO:0000977), RNA polymerase II cis-regulatory region sequence-specific DNA binding (GO:0000978), DNA-binding transcription factor activity, RNA polymerase II-specific (GO:0000981), DNA-binding transcription activator activity, RNA polymerase II-specific (GO:0001228), chromatin binding (GO:0003682), histone deacetylase binding (GO:0042826), DNA binding (GO:0003677), DNA-binding transcription factor activity (GO:0003700), protein binding (GO:0005515), sequence-specific DNA binding (GO:0043565)

GO Cellular Component (7): histone deacetylase complex (GO:0000118), chromatin (GO:0000785), nucleoplasm (GO:0005654), transcription regulator complex (GO:0005667), nuclear matrix (GO:0016363), nucleus (GO:0005634), nuclear lumen (GO:0031981)

Reactome top-level categories

Rollup of top-9 pathways:

CategoryPathways
SUMO E3 ligases SUMOylate target proteins1
RUNX2 regulates bone development1
RNA Polymerase II Transcription1
Post-translational protein modification1
SUMOylation1
Metabolism of proteins1
Gene expression (Transcription)1
Generic Transcription Pathway1
Transcriptional regulation by RUNX21

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
regulation of transcription by RNA polymerase II3
transcription by RNA polymerase II3
RNA polymerase II transcription regulatory region sequence-specific DNA binding3
cellular anatomical structure3
regulation of DNA-templated transcription2
transcription cis-regulatory region binding2
binding2
nuclear lumen2
negative regulation of DNA-templated transcription1
cell migration1
generation of neurons1
osteoblast differentiation1
cell development1
chromatin organization1
pattern specification process1
embryo development1
positive regulation of DNA-templated transcription1
embryonic organ morphogenesis1
skeletal system morphogenesis1
embryonic skeletal system development1
skeletal system development1
animal organ development1
connective tissue development1
anatomical structure development1
cellular component organization1
gene expression1
regulation of macromolecule biosynthetic process1
cis-regulatory region sequence-specific DNA binding1
chromatin1
DNA-binding transcription factor activity1
DNA-binding transcription factor activity, RNA polymerase II-specific1
DNA-binding transcription activator activity1
positive regulation of transcription by RNA polymerase II1
enzyme binding1
nucleic acid binding1
transcription regulator activity1
DNA binding1
nucleoplasm1
nuclear protein-containing complex1
catalytic complex1

Protein interactions and networks

STRING

1870 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
SATB2TBR1Q16650891
SATB2BCL11BQ9C0K0843
SATB2CUX1P39880753
SATB2FEZF2Q8TBJ5747
SATB2PAX6P26367731
SATB2MSX1P28360715
SATB2NEUROD6Q96NK8712
SATB2EOMESO95936703
SATB2GTF3C3Q9Y5Q9695
SATB2SOX5P35711695
SATB2FOXG1P55315694
SATB2CUX2O14529692
SATB2LHX8Q68G74686
SATB2HOXA2O43364683
SATB2ATF4P18848676

IntAct

167 interactions, top by confidence:

ABTypeScore
FOXP1FOXP2psi-mi:“MI:0914”(association)0.910
PLK1SPAG9psi-mi:“MI:0914”(association)0.790
NFICNFIBpsi-mi:“MI:2364”(proximity)0.690
QPRTPIK3C2Apsi-mi:“MI:0914”(association)0.640
MORF4L2YEATS4psi-mi:“MI:0914”(association)0.640
SATB2SATB1psi-mi:“MI:0914”(association)0.640
JUNNFATC1psi-mi:“MI:0914”(association)0.610
DPY30AKAP8psi-mi:“MI:0914”(association)0.610
SATB2RAB3IL1psi-mi:“MI:0915”(physical association)0.560
RAB3IL1SATB2psi-mi:“MI:0915”(physical association)0.560
POLR2J3SATB2psi-mi:“MI:0915”(physical association)0.560
SATB2TP63psi-mi:“MI:0915”(physical association)0.560
TP63SATB2psi-mi:“MI:0915”(physical association)0.560
TP63SATB2psi-mi:“MI:0403”(colocalization)0.560
FOXP3FOXP2psi-mi:“MI:0914”(association)0.530
MAGEA10POTEFpsi-mi:“MI:0914”(association)0.530
HSFY1POTEFpsi-mi:“MI:0914”(association)0.530
ETV7NFIBpsi-mi:“MI:2364”(proximity)0.470
SATB2TP63psi-mi:“MI:0915”(physical association)0.460
SATB2TP63psi-mi:“MI:0403”(colocalization)0.460
TP63SATB2psi-mi:“MI:0915”(physical association)0.400
SATB2psi-mi:“MI:0915”(physical association)0.370

BioGRID (217): SATB2 (Two-hybrid), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS), SATB2 (Affinity Capture-MS)

ESM2 similar proteins: A0JNA8, A2AFR3, A2AWP8, F1LXF1, O15034, O94844, O94967, O95267, P11274, P28028, Q01826, Q08BT5, Q14161, Q14CM0, Q15139, Q3UGM2, Q3UHE1, Q4R4I0, Q5R5M3, Q5VUG0, Q5XIS9, Q60611, Q62101, Q66H91, Q68FF6, Q6NZQ4, Q6PAJ1, Q6PB44, Q6ZW49, Q6ZWH5, Q80U28, Q8BWW9, Q8BZ03, Q8CGF6, Q8TCU6, Q8VDD9, Q8VI24, Q96GD3, Q9BZ71, Q9BZL6

Diamond homologs: Q01826, Q60611, Q86MI0, Q8VI24, Q9UPW6

SIGNOR signaling

9 interactions.

AEffectBMechanism
SATB2“up-regulates quantity by expression”UPF3B“transcriptional regulation”
SATB2“down-regulates activity”TP63binding
SATB2“down-regulates quantity”NR4A2“transcriptional regulation”
SATB2“down-regulates quantity”BCL11B“transcriptional regulation”
PIAS1“down-regulates activity”SATB2sumoylation
SATB2“up-regulates quantity”IGHM“transcriptional regulation”
SMAD1“up-regulates quantity”SATB2“transcriptional regulation”
SMAD5“up-regulates quantity”SATB2“transcriptional regulation”

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 191 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
Regulation of gene expression in beta cells521.8×3e-04
Deactivation of the beta-catenin transactivating complex815.7×9e-06
Gastrulation715.3×5e-05
Differentiation of naive CD4+ T cells to T helper 2 cells (Th2 cells)89.8×2e-04
TCF dependent signaling in response to WNT87.9×5e-04
Signaling by WNT76.6×4e-03

GO biological processes:

GO termPartnersFoldFDR
urogenital system development527.1×9e-05
neuron fate specification519.2×4e-04
anatomical structure morphogenesis2015.2×9e-16
somitogenesis612.3×7e-04
positive regulation of miRNA transcription711.1×3e-04
inner ear morphogenesis69.9×2e-03
negative regulation of neuron differentiation68.9×3e-03
odontogenesis of dentin-containing tooth58.2×1e-02

Disease & clinical

Clinical variants and AI predictions

ClinVar

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

ClassificationCount (floor)
Pathogenic121
Likely pathogenic59
Uncertain significance180
Likely benign272
Benign65

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1032667NM_001172509.2(SATB2):c.1135C>T (p.Gln379Ter)Pathogenic
1076235NC_000002.11:g.(?200136914)(200320780_?)delPathogenic
1181946NM_001172509.2(SATB2):c.1196G>T (p.Arg399Leu)Pathogenic
1203038NM_001172509.2(SATB2):c.509G>A (p.Trp170Ter)Pathogenic
1308668NM_001172509.2(SATB2):c.1153del (p.Val385fs)Pathogenic
1320122NM_001172509.2(SATB2):c.150del (p.Val51fs)Pathogenic
1323551NM_001172509.2(SATB2):c.1705dup (p.Gln569fs)Pathogenic
1341312GRCh37/hg19 2q33.1(chr2:200245985-200406185)x1Pathogenic
1373974NM_001172509.2(SATB2):c.554del (p.Glu185fs)Pathogenic
1411669NM_001172509.2(SATB2):c.588_595del (p.Leu197fs)Pathogenic
1453296NM_001172509.2(SATB2):c.346+2T>APathogenic
1453490NM_001172509.2(SATB2):c.282_289dup (p.Val97fs)Pathogenic
1457171NM_001172509.2(SATB2):c.346+1G>APathogenic
1526096NM_001172509.2(SATB2):c.1166G>T (p.Arg389Leu)Pathogenic
1526942GRCh37/hg19 2q33.1(chr2:200165950-200205229)Pathogenic
1776300NM_001172509.2(SATB2):c.1606G>T (p.Glu536Ter)Pathogenic
1805641NM_001172509.2(SATB2):c.728C>G (p.Ser243Ter)Pathogenic
1805643NM_001172509.2(SATB2):c.581_584del (p.Glu194fs)Pathogenic
1809701NM_001172509.2(SATB2):c.344_346+1dupPathogenic
1809703NM_001172509.2(SATB2):c.138del (p.Arg46fs)Pathogenic
1809704NM_001172509.2(SATB2):c.622dup (p.Ser208fs)Pathogenic
208673NM_001172509.2(SATB2):c.847C>T (p.Arg283Ter)Pathogenic
217315NC_000002.12:g.(199364049_199364051)_(199399060_199399062)dupPathogenic
218098NM_001172509.1(SATB2):c.170_346dupPathogenic
2203243NM_001172509.2(SATB2):c.1204G>A (p.Glu402Lys)Pathogenic
224131NM_001172509.2(SATB2):c.1131_1132del (p.Ser378fs)Pathogenic
235893NM_001172509.2(SATB2):c.1495A>T (p.Lys499Ter)Pathogenic
2426107NC_000002.11:g.(?200173463)(200320760_?)delPathogenic
2430097NM_001172509.2(SATB2):c.1166G>C (p.Arg389Pro)Pathogenic
2442371NM_001172509.2(SATB2):c.1249del (p.Ala417fs)Pathogenic

SpliceAI

3181 predictions. Top by Δscore:

VariantEffectΔscore
2:199308755:CTGA:Cdonor_loss1.0000
2:199308756:TGACC:Tdonor_loss1.0000
2:199308757:GACCT:Gdonor_loss1.0000
2:199308758:ACCTG:Adonor_loss1.0000
2:199308759:CCTGC:Cdonor_loss1.0000
2:199308956:CC:Cacceptor_gain1.0000
2:199308957:CC:Cacceptor_gain1.0000
2:199323798:CTCA:Cdonor_loss1.0000
2:199323799:TCAC:Tdonor_loss1.0000
2:199323800:CA:Cdonor_loss1.0000
2:199323802:C:Adonor_loss1.0000
2:199323802:CCTGA:Cdonor_gain1.0000
2:199323964:A:Tacceptor_gain1.0000
2:199328692:TCTCA:Tdonor_loss1.0000
2:199328693:CTCAC:Cdonor_loss1.0000
2:199328694:TCAC:Tdonor_loss1.0000
2:199328695:CACC:Cdonor_loss1.0000
2:199328696:A:ACdonor_gain1.0000
2:199328696:A:Tdonor_loss1.0000
2:199328697:C:CAdonor_loss1.0000
2:199328697:C:CCdonor_gain1.0000
2:199328906:AATCC:Aacceptor_gain1.0000
2:199328907:ATCC:Aacceptor_gain1.0000
2:199328908:TCC:Tacceptor_gain1.0000
2:199328909:CCC:Cacceptor_gain1.0000
2:199328910:CCTGA:Cacceptor_gain1.0000
2:199328915:T:Cacceptor_gain1.0000
2:199328915:T:TCacceptor_gain1.0000
2:199328919:A:ACacceptor_gain1.0000
2:199348695:TTGTA:Tdonor_loss1.0000

AlphaMissense

0 scored. Top likely-pathogenic:

dbSNP variants (sampled 300 via entrez): RS1000007433 (2:199443061 G>A), RS1000013942 (2:199396575 C>G), RS1000014770 (2:199408271 C>T), RS1000065357 (2:199367120 T>A,C,G), RS1000072931 (2:199401245 G>A), RS1000095659 (2:199353137 C>A,G), RS1000119256 (2:199397925 C>A,T), RS1000132585 (2:199356745 T>C), RS1000149582 (2:199454663 T>C), RS1000164074 (2:199449615 G>A), RS1000176301 (2:199342996 A>T), RS1000185169 (2:199401446 G>A), RS1000214133 (2:199435243 T>C), RS1000218547 (2:199402921 C>T), RS1000235487 (2:199335524 C>T)

Disease associations

OMIM: gene MIM:608148 | disease phenotypes: MIM:612313, MIM:119540

GenCC curated gene-disease

DiseaseClassificationInheritance
chromosome 2q32-q33 deletion syndromeDefinitiveAutosomal dominant
SATB2 associated disorderDefinitiveAutosomal dominant

ClinGen Gene-Disease Validity (1)

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

DiseaseClassificationInheritance
SATB2 associated disorderDefinitiveAD

Mondo (7): chromosome 2q32-q33 deletion syndrome (MONDO:0012864), SATB2 associated disorder (MONDO:0100147), neurodevelopmental disorder (MONDO:0700092), intellectual disability (MONDO:0001071), cleft palate (MONDO:0016064), dystonic disorder (MONDO:0003441), isolated cleft palate (MONDO:0007336)

Orphanet (5): 2q32q33 deletion syndrome (Orphanet:251019), SATB2-associated syndrome (Orphanet:576278), Cleft palate (Orphanet:2014), SATB2-associated syndrome due to a pathogenic variant (Orphanet:576283), NON RARE IN EUROPE: Unexplained intellectual disability (Orphanet:319658)

HPO phenotypes

151 total (30 of 151 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000023Inguinal hernia
HP:0000028Cryptorchidism
HP:0000054Micropenis
HP:0000160Narrow mouth
HP:0000164Abnormality of the dentition
HP:0000175Cleft palate
HP:0000193Bifid uvula
HP:0000201Pierre-Robin sequence
HP:0000212Gingival overgrowth
HP:0000218High palate
HP:0000219Thin upper lip vermilion
HP:0000233Thin vermilion border
HP:0000248Brachycephaly
HP:0000252Microcephaly
HP:0000256Macrocephaly
HP:0000272Malar flattening
HP:0000275Narrow face
HP:0000276Long face
HP:0000297Facial hypotonia
HP:0000319Smooth philtrum
HP:0000322Short philtrum
HP:0000324Facial asymmetry
HP:0000337Broad forehead
HP:0000343Long philtrum
HP:0000347Micrognathia
HP:0000348High forehead
HP:0000356Abnormality of the outer ear
HP:0000358Posteriorly rotated ears
HP:0000369Low-set ears

GWAS associations

30 associations (top):

StudyTraitp-value
GCST000624_2Ulcerative colitis5.000000e-06
GCST000636_2Brain cytoarchitecture2.000000e-06
GCST002052_3Insomnia6.000000e-06
GCST002137_5Waist circumference6.000000e-06
GCST002539_42Schizophrenia8.000000e-09
GCST002541_43Menarche (age at onset)6.000000e-11
GCST002541_44Menarche (age at onset)3.000000e-18
GCST002541_45Menarche (age at onset)8.000000e-20
GCST002806_2Type 2 diabetes9.000000e-07
GCST003740_12Barrett’s esophagus or Esophageal adenocarcinoma2.000000e-08
GCST003773_12Loneliness (multivariate analysis)5.000000e-06
GCST003989_12Chin dimples7.000000e-20
GCST003993_39Menarche (age at onset)1.000000e-09
GCST004521_284Autism spectrum disorder or schizophrenia5.000000e-08
GCST004946_150Schizophrenia9.000000e-10
GCST005867_15Menarche (age at onset)5.000000e-11
GCST006803_86Schizophrenia5.000000e-12
GCST006979_78Heel bone mineral density1.000000e-20
GCST007201_310Schizophrenia6.000000e-07
GCST007201_35Schizophrenia3.000000e-10
GCST007429_68Lung function (FVC)4.000000e-18
GCST007432_6FEV12.000000e-14
GCST007843_4Rheumatoid arthritis3.000000e-09
GCST007856_56Colorectal cancer or advanced adenoma1.000000e-09
GCST008839_78Height7.000000e-18
GCST010145_14Cerebrospinal fluid immune biomarker levels2.000000e-08
GCST011534_5Sun-seeking behavior4.000000e-08
GCST011616_26Cortical volume2.000000e-10
GCST90000025_861Appendicular lean mass5.000000e-12
GCST90011900_135Serum alkaline phosphatase levels9.000000e-24

EFO canonical traits (11, from GWAS)

EFO IDTrait name
EFO:0006913prefrontal cortex cytoarchtiectural measurement
EFO:0007876insomnia measurement
EFO:0004703age at menarche
EFO:0007865loneliness measurement
EFO:0009270heel bone mineral density
EFO:0004312vital capacity
EFO:0004314forced expiratory volume
EFO:0008191obsolete_interleukin 8 measurement
EFO:0010729sun exposure measurement
EFO:0004980appendicular lean mass
EFO:0004533alkaline phosphatase measurement

MeSH disease descriptors (5)

DescriptorNameTree numbers
D002972Cleft PalateC05.500.460.185; C05.660.207.540.460.185; C07.320.440.185; C07.465.525.185; C07.650.500.460.185; C07.650.525.185; C16.131.621.207.540.460.185; C16.131.850.500.460.185; C16.131.850.525.185
D020821Dystonic DisordersC10.228.662.300
D008607Intellectual DisabilityC10.597.606.360; C23.888.592.604.646; F01.700.687; F03.625.539
D065886Neurodevelopmental DisordersF03.625
C567350Chromosome 2q32-Q33 Deletion Syndrome (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL5725029 (SINGLE PROTEIN)

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

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
Valproic Acidaffects cotreatment, increases expression, affects expression, increases methylation8
Benzo(a)pyrenedecreases expression, increases expression, increases methylation4
sodium arseniteaffects methylation, decreases reaction, increases expression, increases response to substance3
Tetrachlorodibenzodioxindecreases expression, increases expression3
Aflatoxin B1affects expression, decreases methylation, increases methylation3
mercuric bromidedecreases expression, affects cotreatment2
Cadmiumdecreases expression, increases abundance, increases expression2
Estradiolaffects expression, affects binding, increases expression2
p-Chloromercuribenzoic Acidaffects cotreatment, decreases expression2
aristolochic acid Idecreases expression1
FR900359increases phosphorylation1
TAK-243decreases sumoylation1
dicrotophosincreases expression1
triphenyl phosphateaffects expression1
2-methyl-4-isothiazolin-3-oneincreases expression1
trichostatin Aincreases expression1
arseniteaffects binding, decreases reaction1
mono-(2-ethylhexyl)phthalateincreases expression1
butyraldehydedecreases expression1
potassium chromate(VI)increases expression1
nickel sulfateincreases expression1
beta-glycerophosphoric acidaffects cotreatment, increases expression, decreases reaction1
CGP 52608affects binding, increases reaction1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideincreases expression, affects cotreatment, decreases expression1
ICG 001decreases expression1
dorsomorphindecreases expression, increases expression, affects cotreatment1
jinfukangaffects cotreatment, decreases expression1
Temozolomidedecreases expression1
Sunitinibincreases expression1
Arsenic Trioxidedecreases expression1

ChEMBL screening assays

6 unique, capped per target: 6 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL5697289BindingInhibition of SATB2 (unknown origin) assessed as fold change at 10 uM incubated for 1 hr by colloidal coomassie staining based LC-MS/MS analysisInhibition of BET recruitment to chromatin as an effective treatment for MLL-fusion leukaemia. — Nature

Cellosaurus cell lines

1 cell lines: 1 cancer cell line

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

CellosaurusNameCategorySex
CVCL_TK05HAP1 SATB2 (-)Cancer cell lineMale

Clinical trials (associated diseases)

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

TrialPhaseStatusTitle
NCT04586348PHASE4UNKNOWNPrenatal Iodine Supplementation and Early Childhood Neurodevelopment
NCT04873115PHASE4UNKNOWNDouble-blind, Placebo-controlled, Randomized Clinical Trial Comparing the Efficacy and Safety of Sialanar Plus orAl rehabiLitation Against Placebo Plus Oral Rehabilitation for chIldren and Adolescents With seVere Sialorrhoea and Neurodisabilties,
NCT05657860PHASE4COMPLETEDGuanfacine Extended Release for the Reduction of Aggression and Self-injurious Behavior Associated With Prader-Willi Syndrome
NCT05744479PHASE4RECRUITINGMetformin for Antipsychotic-induced Weight Gain in Adults With Intellectual Disability
NCT06107829PHASE4WITHDRAWNValbenazine Treatment of Tardive Dyskinesia in Adults With Intellectual/Developmental Disabilities
NCT06997198PHASE4NOT_YET_RECRUITINGDeutetrabenazine Treatment for Tardive Dyskinesia in Intellectual/Developmental Disabilities
NCT02559102PHASE3COMPLETEDDexmedetomidine Sedation Versus General Anaesthesia for Inguinal Hernia Surgery in Infants
NCT02757079PHASE3COMPLETEDStudy of the Efficacy and Safety of NPC-15 for Sleep Disorders of Children With Neurodevelopmental Disorders
NCT06915480PHASE3RECRUITINGReducing Missed Appointments
NCT07377032PHASE3RECRUITINGTAP-GRIN: Interventional Study on Patients With GRIN-related Neurodevelopmental Disorders
NCT02270736PHASE3COMPLETEDClinical Study to Investigate the Efficacy and Safety of NT 201 Compared to Placebo in the Treatment of Chronic Troublesome Drooling Associated With Neurological Disorders and/or Intellectual Disability
NCT02909959PHASE2COMPLETEDSulforaphane for the Treatment of Young Men With Autism Spectrum Disorder
NCT06081348PHASE2RECRUITINGSertraline vs. Placebo in the Treatment of Anxiety in Children and AdoLescents With NeurodevelopMental Disorders
NCT06352372PHASE2COMPLETEDSafety and Efficacy of tPBM for Epileptiform Activity in Autism
NCT02304302PHASE2COMPLETEDDown Syndrome Memantine Follow-up Study
NCT03862950PHASE2COMPLETEDA Trial of Metformin in Individuals With Fragile X Syndrome (Met)
NCT04529226PHASE2UNKNOWNStudy to Compare Clozapine vs Treatment as Usual in People With Intellectual Disability & Treatment-resistant Psychosis
NCT04821856PHASE2COMPLETEDEvaluation of the Effectiveness of Cannabidiol in Treating Severe Behavioural Problems in Children and Adolescents With Intellectual Disability
NCT00503191PHASE1COMPLETEDNeuroModulation Technique Treatment of Autism
NCT04475848PHASE1COMPLETEDA Study to Investigate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Food Effect of RO6953958 in Healthy Participants
NCT06300398PHASE1COMPLETEDIAMA-6 Oral Dose Study in Healthy Adults
NCT05273320PHASE1COMPLETEDClinical Trial of Nabilone for Aggression in Adults With Intellectual and Developmental Disabilities
NCT05301361PHASE1ENROLLING_BY_INVITATIONSensitivity of the NIH Toolbox to Stimulant Treatment in Intellectual Disabilities
NCT06016764PHASE1COMPLETEDUse of MRI and cTBS for Catatonia in Autism
NCT06586827PHASE1COMPLETEDImpact of Competency-Based Training and Technical Assistance Employment Outcomes of Individuals With ID/DD
NCT07531940PHASE1NOT_YET_RECRUITINGEscalating Doses of Memantine in Down Syndrome (MEDS-123)
NCT01783041PHASE2/PHASE3COMPLETEDEffect of Early L-Carnitine Supplementation on Neurodevelopmental Outcomes in Very Preterm Infants
NCT05767385PHASE2/PHASE3RECRUITINGFetal Cerebrovascular Autoregulation in Congenital Heart Disease and Association With Neonatal Neurobehavior
NCT05675098EARLY_PHASE1NOT_YET_RECRUITINGCentral Nervous System Stimulants and Physical Function in Children With Cerebral Palsy
NCT00783783Not specifiedCOMPLETEDCYP2D6 Pharmacogenetics in Risperidone-Treated Children
NCT01778504Not specifiedRECRUITINGStudying Childhood-onset Behavioral, Psychiatric, and Developmental Disorders
NCT01850784Not specifiedUNKNOWNHigh Energy Formula Feeding in Infants With Congenital Heart Disease
NCT01922791Not specifiedCOMPLETEDNutrition and Pregnancy Intervention Study
NCT01942525Not specifiedUNKNOWNInfluence of Intrauterine Growth Restriction on Amplitude-integrated EEG in Preterm Infants
NCT02003170Not specifiedCOMPLETEDEtiology and Early Diagnosis of Neurodevelopmental Disorders
NCT02118649Not specifiedACTIVE_NOT_RECRUITINGEnhancing Behavior and Brain Response to Visual Targets Using a Computer Game
NCT02557191Not specifiedTERMINATEDBiomarkers, Neurodevelopment and Preterm Infants
NCT02690675Not specifiedCOMPLETEDIron Supplement Effect on Child Development
NCT02694003Not specifiedCOMPLETEDBetter Nights, Better Days for Children With Neurodevelopment Disorders
NCT02792894Not specifiedCOMPLETEDFamily Networks (FaNs) for Children With Developmental Disorders and Delays