SCARB2
gene geneOn this page
Also known as HLGP85LIMPIISR-BIILIMP-2
Summary
SCARB2 (scavenger receptor class B member 2, HGNC:1665) is a protein-coding gene on chromosome 4q21.1, encoding Lysosome membrane protein 2 (Q14108). Acts as a lysosomal receptor for glucosylceramidase (GBA1) targeting.
The protein encoded by this gene is a type III glycoprotein that is located primarily in limiting membranes of lysosomes and endosomes. Earlier studies in mice and rat suggested that this protein may participate in membrane transportation and the reorganization of endosomal/lysosomal compartment. The protein deficiency in mice was reported to impair cell membrane transport processes and cause pelvic junction obstruction, deafness, and peripheral neuropathy. Further studies in human showed that this protein is a ubiquitously expressed protein and that it is involved in the pathogenesis of HFMD (hand, foot, and mouth disease) caused by enterovirus-71 and possibly by coxsackievirus A16. Mutations in this gene caused an autosomal recessive progressive myoclonic epilepsy-4 (EPM4), also known as action myoclonus-renal failure syndrome (AMRF). Alternatively spliced transcript variants encoding different isoforms have been found for this gene.
Source: NCBI Gene 950 — RefSeq curated summary.
At a glance
- Gene–disease (curated): progressive myoclonus epilepsy (Definitive, ClinGen) — +2 more curated relationships
- GWAS associations: 10
- Clinical variants (ClinVar): 563 total — 21 pathogenic, 15 likely-pathogenic (top 6% of genes corpus-wide)
- GTEx eGene: eQTL in 35 tissues, sQTL in 6 (q < 0.05)
- Phenotypes (HPO): 82
- Dosage sensitivity (ClinGen): haploinsufficiency no evidence, triplosensitivity no evidence
- Constraint (gnomAD): pLI 0.00 (LoF-tolerant), LOEUF 0.68 (unconstrained)
- MANE Select transcript:
NM_005506 - Interaction hub: 4,860 STRING partners (top 1% of genes corpus-wide)
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:1665 |
| Approved symbol | SCARB2 |
| Name | scavenger receptor class B member 2 |
| Location | 4q21.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | HLGP85, LIMPII, SR-BII, LIMP-2 |
| Ensembl gene | ENSG00000138760 |
| Ensembl biotype | protein_coding |
| OMIM | 602257 |
| Entrez | 950 |
Gene structure
Transcript identifiers
Ensembl transcripts: 38 — 16 protein_coding, 11 retained_intron, 9 nonsense_mediated_decay, 2 protein_coding_CDS_not_defined
MANE Select: ENST00000264896
Transcript support level (Ensembl TSL; 1 = fully mRNA-supported): TSL 1: 1, TSL 2: 7, TSL 4: 2, TSL 5: 16
ENST00000264896, ENST00000452464, ENST00000502908, ENST00000509994, ENST00000511129, ENST00000638175, ENST00000638295, ENST00000638372, ENST00000638409, ENST00000638567, ENST00000638603, ENST00000638663, ENST00000638680, ENST00000638843, ENST00000639145, ENST00000639300, ENST00000639324, ENST00000639715, ENST00000639738, ENST00000640076, ENST00000640341, ENST00000640634, ENST00000640640, ENST00000640880, ENST00000640900, ENST00000640916, ENST00000640957, ENST00000682785, ENST00000862442, ENST00000862443, ENST00000862444, ENST00000862445, ENST00000921155, ENST00001004723, ENST00001012270, ENST00001012272, ENST00001106266, ENST00001139015
RefSeq mRNA: 2 — MANE Select: NM_005506
NM_001204255, NM_005506
CCDS: CCDS3577, CCDS56335
Canonical transcript exons
ENST00000264896 — 12 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000725188 | 76179517 | 76179705 |
| ENSE00000725195 | 76180954 | 76181101 |
| ENSE00000725202 | 76195707 | 76195864 |
| ENSE00000800847 | 76174144 | 76174313 |
| ENSE00000800848 | 76169867 | 76169985 |
| ENSE00000800849 | 76168403 | 76168476 |
| ENSE00000800850 | 76166250 | 76166301 |
| ENSE00000800851 | 76163225 | 76163383 |
| ENSE00001077893 | 76176437 | 76176528 |
| ENSE00001077894 | 76175791 | 76175910 |
| ENSE00001278458 | 76158737 | 76161751 |
| ENSE00003803172 | 76213427 | 76213824 |
Expression profiles
Bgee: expression breadth ubiquitous, 298 present calls, max score 99.61.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 96.4160 / max 554.2903, expressed in 1818 samples.
Highest expression (Bgee): inferior vagus X ganglion, subthalamic nucleus, germinal epithelium of ovary, superior vestibular nucleus, lateral globus pallidus.
Genetic regulation across tissues (GTEx eQTL / sQTL)
SCARB2 is an eGene in GTEx v10 — its expression is genetically regulated (eQTL) in 35 tissues and its splicing (sQTL) in 6 (q < 0.05). Strongest associations first; slope = normalized effect of the lead variant’s alternative allele.
showing 20 of 41 significant tissue × QTL associations:
| Tissue | QTL | q-value | Slope | Lead variant |
|---|---|---|---|---|
| Skin Sun Exposed Lower leg | sqtl | 5.0e-45 | -0.79 | 4:76233712:C:T |
| Skin Not Sun Exposed Suprapubic | sqtl | 7.3e-45 | -0.84 | 4:76234438:C:T |
| Cells Cultured fibroblasts | eqtl | 4.4e-27 | +0.37 | 4:76175453:G:T |
| Skin Sun Exposed Lower leg | eqtl | 2.0e-23 | +0.23 | 4:76234438:C:T |
| Skin Not Sun Exposed Suprapubic | eqtl | 1.6e-22 | +0.25 | 4:76234438:C:T |
| Brain Spinal cord cervical c-1 | eqtl | 9.8e-22 | +0.35 | 4:76200193:A:G |
| Artery Aorta | eqtl | 4.5e-19 | +0.33 | 4:76193998:G:A |
| Esophagus Mucosa | sqtl | 1.6e-17 | +1.16 | 4:76227060:C:A |
| Minor Salivary Gland | sqtl | 2.2e-14 | +1.49 | 4:76233986:T:C |
| Testis | eqtl | 1.3e-10 | +0.14 | 4:76297904:G:T |
| Heart Atrial Appendage | eqtl | 1.4e-10 | -0.22 | 4:76189879:C:T |
| Whole Blood | eqtl | 8.2e-09 | +0.18 | 4:76210141:G:A |
| Nerve Tibial | sqtl | 2.5e-08 | +0.47 | 4:76179915:T:C |
| Cells EBV-transformed lymphocytes | eqtl | 1.4e-07 | +0.97 | 4:76213864:T:G |
| Heart Left Ventricle | eqtl | 2.2e-07 | -0.16 | 4:76206873:A:G |
| Esophagus Mucosa | eqtl | 3.6e-07 | +0.18 | 4:76149137:G:A |
| Pancreas | eqtl | 1.1e-06 | -0.32 | 4:76251292:C:T |
| Colon Transverse | eqtl | 2.4e-06 | -0.31 | 4:76240146:C:T |
| Brain Nucleus accumbens basal ganglia | eqtl | 4.3e-06 | +0.15 | 4:76178508:A:C |
| Brain Putamen basal ganglia | eqtl | 5.2e-06 | +0.15 | 4:76149137:G:A |
FANTOM5 promoters
10 alternative TSS:
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 52653 | 44.6128 | 1813 |
| 52648 | 23.1673 | 1749 |
| 52655 | 17.7450 | 1757 |
| 52647 | 5.7308 | 1465 |
| 52649 | 1.8545 | 1074 |
| 52654 | 1.3197 | 867 |
| 52650 | 0.8589 | 329 |
| 52651 | 0.6372 | 246 |
| 52657 | 0.4401 | 221 |
| 203248 | 0.0497 | 21 |
Top tissues by expression
showing 100 of 302 tissues by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| inferior vagus X ganglion | UBERON:0005363 | 99.61 | gold quality |
| subthalamic nucleus | UBERON:0001906 | 99.53 | gold quality |
| germinal epithelium of ovary | UBERON:0001304 | 99.42 | gold quality |
| superior vestibular nucleus | UBERON:0007227 | 99.42 | gold quality |
| lateral globus pallidus | UBERON:0002476 | 99.41 | gold quality |
| pons | UBERON:0000988 | 99.37 | gold quality |
| substantia nigra pars reticulata | UBERON:0001966 | 99.37 | gold quality |
| substantia nigra pars compacta | UBERON:0001965 | 99.30 | gold quality |
| mammary duct | UBERON:0001765 | 99.28 | gold quality |
| trigeminal ganglion | UBERON:0001675 | 99.27 | gold quality |
| middle temporal gyrus | UBERON:0002771 | 99.26 | gold quality |
| corpus callosum | UBERON:0002336 | 99.25 | gold quality |
| endothelial cell | CL:0000115 | 99.23 | gold quality |
| stromal cell of endometrium | CL:0002255 | 99.06 | gold quality |
| cardia of stomach | UBERON:0001162 | 99.03 | gold quality |
| urethra | UBERON:0000057 | 99.00 | gold quality |
| ventral tegmental area | UBERON:0002691 | 98.99 | gold quality |
| lower lobe of lung | UBERON:0008949 | 98.97 | gold quality |
| pylorus | UBERON:0001166 | 98.83 | gold quality |
| lateral nuclear group of thalamus | UBERON:0002736 | 98.83 | gold quality |
| corpus epididymis | UBERON:0004359 | 98.83 | gold quality |
| pericardium | UBERON:0002407 | 98.78 | gold quality |
| islet of Langerhans | UBERON:0000006 | 98.74 | gold quality |
| renal medulla | UBERON:0000362 | 98.74 | gold quality |
| cortical plate | UBERON:0005343 | 98.69 | gold quality |
| visceral pleura | UBERON:0002401 | 98.66 | gold quality |
| parotid gland | UBERON:0001831 | 98.61 | gold quality |
| synovial joint | UBERON:0002217 | 98.56 | gold quality |
| skin of hip | UBERON:0001554 | 98.53 | gold quality |
| parietal lobe | UBERON:0001872 | 98.43 | gold quality |
| saphenous vein | UBERON:0007318 | 98.40 | gold quality |
| Brodmann (1909) area 23 | UBERON:0013554 | 98.40 | gold quality |
| pigmented layer of retina | UBERON:0001782 | 98.39 | gold quality |
| retina | UBERON:0000966 | 98.37 | gold quality |
| seminal vesicle | UBERON:0000998 | 98.36 | gold quality |
| ganglionic eminence | UBERON:0004023 | 98.33 | gold quality |
| dorsal root ganglion | UBERON:0000044 | 98.32 | gold quality |
| colonic epithelium | UBERON:0000397 | 98.31 | gold quality |
| postcentral gyrus | UBERON:0002581 | 98.30 | gold quality |
| mucosa of sigmoid colon | UBERON:0004993 | 98.30 | gold quality |
| upper leg skin | UBERON:0004262 | 98.26 | gold quality |
| endometrium | UBERON:0001295 | 98.25 | gold quality |
| superficial temporal artery | UBERON:0001614 | 98.25 | gold quality |
| colonic mucosa | UBERON:0000317 | 98.19 | gold quality |
| caput epididymis | UBERON:0004358 | 98.08 | gold quality |
| parietal pleura | UBERON:0002400 | 98.07 | gold quality |
| C1 segment of cervical spinal cord | UBERON:0006469 | 98.07 | gold quality |
| entorhinal cortex | UBERON:0002728 | 98.04 | gold quality |
| globus pallidus | UBERON:0001875 | 98.00 | gold quality |
| gall bladder | UBERON:0002110 | 97.98 | gold quality |
| vena cava | UBERON:0004087 | 97.87 | gold quality |
| epithelium of mammary gland | UBERON:0003244 | 97.84 | gold quality |
| rectum | UBERON:0001052 | 97.83 | gold quality |
| mammary gland | UBERON:0001911 | 97.83 | gold quality |
| thoracic mammary gland | UBERON:0005200 | 97.82 | gold quality |
| epithelium of nasopharynx | UBERON:0001951 | 97.81 | gold quality |
| cauda epididymis | UBERON:0004360 | 97.81 | gold quality |
| nasopharynx | UBERON:0001728 | 97.79 | gold quality |
| spinal cord | UBERON:0002240 | 97.79 | gold quality |
| penis | UBERON:0000989 | 97.72 | gold quality |
| pleura | UBERON:0000977 | 97.67 | gold quality |
| mammalian vulva | UBERON:0000997 | 97.66 | gold quality |
| medial globus pallidus | UBERON:0002477 | 97.62 | gold quality |
| jejunum | UBERON:0002115 | 97.60 | gold quality |
| ventricular zone | UBERON:0003053 | 97.58 | gold quality |
| nipple | UBERON:0002030 | 97.52 | gold quality |
| skeletal muscle tissue of biceps brachii | UBERON:0004502 | 97.51 | gold quality |
| mucosa of paranasal sinus | UBERON:0005030 | 97.50 | gold quality |
| adult organism | UBERON:0007023 | 97.50 | gold quality |
| pharyngeal mucosa | UBERON:0000355 | 97.42 | gold quality |
| gingival epithelium | UBERON:0001949 | 97.42 | gold quality |
| body of tongue | UBERON:0011876 | 97.42 | gold quality |
| right lung | UBERON:0002167 | 97.37 | gold quality |
| upper lobe of lung | UBERON:0008948 | 97.37 | gold quality |
| dorsal plus ventral thalamus | UBERON:0001897 | 97.36 | gold quality |
| superior frontal gyrus | UBERON:0002661 | 97.36 | gold quality |
| adrenal tissue | UBERON:0018303 | 97.35 | gold quality |
| calcaneal tendon | UBERON:0003701 | 97.34 | gold quality |
| jejunal mucosa | UBERON:0000399 | 97.30 | gold quality |
| upper lobe of left lung | UBERON:0008952 | 97.25 | gold quality |
| tibia | UBERON:0000979 | 97.22 | gold quality |
| gingiva | UBERON:0001828 | 97.22 | gold quality |
| biceps brachii | UBERON:0001507 | 97.16 | gold quality |
| right coronary artery | UBERON:0001625 | 97.11 | gold quality |
| skeletal muscle tissue of rectus abdominis | UBERON:0004511 | 97.11 | gold quality |
| descending thoracic aorta | UBERON:0002345 | 97.03 | gold quality |
| bronchial epithelial cell | CL:0002328 | 97.02 | gold quality |
| endocervix | UBERON:0000458 | 96.98 | gold quality |
| pancreas | UBERON:0001264 | 96.94 | gold quality |
| superior surface of tongue | UBERON:0007371 | 96.87 | gold quality |
| gastrocnemius | UBERON:0001388 | 96.84 | gold quality |
| body of pancreas | UBERON:0001150 | 96.83 | gold quality |
| saliva-secreting gland | UBERON:0001044 | 96.78 | gold quality |
| ovary | UBERON:0000992 | 96.75 | gold quality |
| coronary artery | UBERON:0001621 | 96.75 | gold quality |
| muscle of leg | UBERON:0001383 | 96.74 | gold quality |
| occipital lobe | UBERON:0002021 | 96.73 | gold quality |
| primary visual cortex | UBERON:0002436 | 96.70 | gold quality |
| oral cavity | UBERON:0000167 | 96.69 | gold quality |
| thoracic aorta | UBERON:0001515 | 96.68 | gold quality |
Single-cell (SCXA)
Detected in 3 experiment(s), a significant marker in 2.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-HCAD-13 | yes | 13.28 |
| E-CURD-112 | no | 3.15 |
| E-ANND-3 | no | 0.00 |
HPA expression
RNA tissue specificity: Low tissue specificity
showing 60 of 80 HPA tissues / cells by nTPM:
| Tissue / cell | Axis | nTPM | Protein (IHC) |
|---|---|---|---|
| Spinal cord | tissue | 373.1 | |
| Medulla oblongata | tissue | 293.0 | |
| Substantia nigra | tissue | 279.0 | |
| Midbrain | tissue | 273.4 | |
| Thalamus | tissue | 262.5 | |
| Corpus callosum | tissue | 261.2 | |
| Pons | tissue | 258.0 | |
| Superior colliculi | tissue | 240.5 | |
| Hypothalamus | tissue | 230.2 | |
| Periaqueductal gray | tissue | 228.4 | |
| Cerebral cortex | tissue | 207.0 | high |
| Somatosensory cortex | tissue | 207.0 | |
| Occipital cortex | tissue | 201.1 | |
| Motor cortex | tissue | 195.0 | |
| Hippocampal formation | tissue | 191.2 | |
| Prefrontal cortex | tissue | 186.1 | |
| Septum | tissue | 186.1 | |
| Temporal cortex | tissue | 182.6 | |
| Entorhinal cortex | tissue | 182.0 | |
| Putamen | tissue | 176.1 | |
| Ventral forebrain | tissue | 176.0 | |
| Amygdala | tissue | 171.7 | |
| Retrosplenial and cingulate cortex | tissue | 171.6 | |
| Retrosplenial cortex | tissue | 169.9 | |
| Insular cortex | tissue | 166.8 | |
| Basal ganglia | tissue | 135.8 | high |
| Olfactory bulb | tissue | 127.6 | |
| Locus coeruleus | tissue | 101.0 | |
| Nucleus accumbens | tissue | 91.1 | |
| Cerebellum | tissue | 84.8 | high |
| Hippocampus | tissue | 75.5 | high |
| Caudate putamen | tissue | 74.3 | |
| Salivary gland | tissue | 72.1 | high |
| Liver | tissue | 67.1 | high |
| Prostate | tissue | 65.4 | high |
| Choroid plexus | tissue | 64.8 | |
| Frontal cortex | tissue | 64.2 | |
| Postcentral gyrus | tissue | 64.0 | |
| Lung | tissue | 63.4 | high |
| Placenta | tissue | 62.0 | high |
| Tongue | tissue | 59.9 | |
| Ovary | tissue | 56.1 | medium |
| Pancreas | tissue | 55.3 | high |
| Epididymis | tissue | 55.2 | high |
| Colon | tissue | 53.3 | high |
| Thyroid gland | tissue | 53.3 | high |
| Urinary bladder | tissue | 52.8 | high |
| Stomach 1 | tissue | 51.7 | high |
| Gallbladder | tissue | 51.2 | high |
| Breast | tissue | 51.0 | not detected |
| Adipose tissue | tissue | 50.8 | medium |
| Heart muscle | tissue | 50.1 | high |
| Seminal vesicle | tissue | 49.7 | high |
| Parathyroid gland | tissue | 48.9 | |
| Cervix | tissue | 46.4 | low |
| Skeletal muscle | tissue | 45.7 | low |
| Rectum | tissue | 44.6 | high |
| Retina | tissue | 44.3 | |
| Spleen | tissue | 42.8 | high |
| Small intestine | tissue | 42.0 | high |
Brain sub-regions (HPA Brain Atlas): detected in 192; highest nTPM — Ventral spinal cord (373.1), Dorsal spinal cord (317.2), White matter (261.2), Lateral funiculus (white matter) (212.4), Parieto-temporal junction (white matter) (208.1).
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): PPARD, SPI1, STAT2
miRNA regulators (miRDB)
Targeting SCARB2 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific).
showing 30 of 109 miRNAs:
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-340-5P | 100.00 | 72.50 | 4437 |
| HSA-MIR-3613-3P | 100.00 | 76.36 | 7965 |
| HSA-MIR-5193 | 100.00 | 67.26 | 1744 |
| HSA-MIR-7110-3P | 100.00 | 73.18 | 2486 |
| HSA-MIR-548C-3P | 99.99 | 74.01 | 7587 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-371B-5P | 99.99 | 75.34 | 4759 |
| HSA-MIR-511-3P | 99.99 | 68.85 | 1467 |
| HSA-MIR-373-5P | 99.98 | 75.36 | 4753 |
| HSA-MIR-616-5P | 99.98 | 75.58 | 4775 |
| HSA-MIR-4775 | 99.98 | 75.00 | 6394 |
| HSA-MIR-590-3P | 99.96 | 74.34 | 6478 |
| HSA-MIR-6778-3P | 99.96 | 67.29 | 2693 |
| HSA-MIR-6755-5P | 99.95 | 65.59 | 464 |
| HSA-MIR-545-3P | 99.95 | 70.74 | 2783 |
| HSA-MIR-144-3P | 99.94 | 73.98 | 2698 |
| HSA-MIR-3682-5P | 99.93 | 67.97 | 1163 |
| HSA-MIR-450B-5P | 99.92 | 71.48 | 3175 |
| HSA-MIR-219A-5P | 99.91 | 73.36 | 735 |
| HSA-MIR-3529-3P | 99.90 | 73.55 | 3045 |
| HSA-MIR-380-3P | 99.89 | 70.18 | 1978 |
| HSA-MIR-4782-3P | 99.88 | 73.31 | 735 |
| HSA-MIR-6766-3P | 99.88 | 73.38 | 732 |
| HSA-MIR-548D-3P | 99.87 | 70.67 | 4362 |
| HSA-MIR-548BB-3P | 99.86 | 70.58 | 4354 |
| HSA-MIR-4698 | 99.84 | 71.41 | 4303 |
| HSA-MIR-548AC | 99.84 | 70.77 | 4351 |
| HSA-MIR-548H-3P | 99.84 | 70.80 | 4349 |
| HSA-MIR-548Z | 99.84 | 70.80 | 4349 |
| HSA-MIR-4307 | 99.82 | 70.45 | 3374 |
Functional genomics
gnomAD constraint: pLI 0.00286, LOEUF 0.683, missense Z 1.64 — population loss-of-function intolerance (pLI ≥ 0.9 = LoF-intolerant; lower LOEUF = more constrained). gnomAD
Regional missense constraint (gnomAD RMC): no regional variation along ENST00000264896 — one region, missense o/e 0.84.
ClinGen dosage: haploinsufficiency 0 (no evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map
Literature-anchored findings (GeneRIF, showing 40)
- Functional analysis of the mouse homolog (PMID:12620969)
- Several putative signalling motifs identified in the C-terminus of human SR-BII, which are absent from SR-BI, interact with signalling molecules to mobilize stored cholesteryl esters and/or promote the efflux of intracellular free cholesterol. (PMID:14570588)
- High density lipoprotein endocytosis by scavenger receptor SR-BII is clathrin-dependent and requires a carboxyl-terminal dileucine motif. (PMID:16368683)
- Residues favoring AP3 binding introduced into a protein that is transported via the PM such as the invariant chain can re-route such protein into direct sorting to late endosomal/lysosomal structures. (PMID:16542748)
- Scavenger receptors SR-BI and SR-BII localized mainly to the ganglion cell layer and photoreceptor outer segments; in the latter they appear to be associated with microtubules. (PMID:17110915)
- HCV soluble E2 can interact with human SR-BI and SR-BII (PMID:17215280)
- Regulation of alternative splicing of liver scavenger receptor class B gene by estrogen. (PMID:17673517)
- SCARB2/Limp2 has pleiotropic effects that may be relevant to understanding the pathogenesis of other forms of glomerulosclerosis or collapse and myoclonic epilepsies. (PMID:18308289)
- Scavenger receptor B2 is a cellular receptor for enterovirus 71. (PMID:19543282)
- Study of SCARB2 mutations finds unsolved cases of progressive myoclonus epilepsy without renal impairment, especially those resembling Unverricht-Lundborg disease. (PMID:19847901)
- Action Myoclonus-Renal Failure Syndrome-causing mutations within LIMP-2 affect the binding to beta-glucocerebrosidase. (PMID:19933215)
- smooth muscle cells and macrophages expressing scavenger receptor BI/II in different stages of atherosclerosis (PMID:20032583)
- L929 cells expressing chimeras that carried amino acids 142 to 204 from the human sequence were susceptible to enterovirus 71, while chimeras that carried the mouse sequence in this region were not. (PMID:21389126)
- Two sisters are described with action myoclonus-renal failure (AMRF) syndrome resulting from a mutation in the SCARB2 gene. (PMID:21782476)
- Sequencing of SCARB2 genomic and cDNA identified a heterozygous, maternally inherited novel mutation (SCARB2 ) (PMID:21796727)
- We showed that just four genes, G3BP2, SCARB2, CSNK1A1 and SPRR2B, can classify patients as presence of lymph node metastasis negative or positive, with 80.0% accuracy. (PMID:21985131)
- in rare cases heterozygous SCARB2 mutations may be associated with demyelinating polyneuropathy features. (PMID:22032306)
- This study demonistrated that patients with SCARB2 mutations showed the clinical and neurophysiologic phenotype of progressive myoclonus epilepsy , extending the spectrum reported in the typical action myoclonus renal failure syndrome. (PMID:22050460)
- The residues between 144 and 151 are critical for SCARB2 binding to VP1 of EV71 and seven residues from the human receptor could convert murine SCARB2, an otherwise inefficient receptor, to an efficient receptor for EV71 viral infection. (PMID:22219187)
- This study supported a genetic contribution of the SCARB2 locus to PD; future studies in larger cohorts are necessary to verify this finding. (PMID:22223122)
- Results show that EV71 binds to SCARB2 and triggers a clathrin- and dynamin-dependent endocytosis for its entry. (PMID:22272359)
- Coxsackievirus A infection is via celluar virus receptor SCARB2. (PMID:22438546)
- Our data do not support the association of SNP rs6812193 with PD in Han Chinese of mainland China. (PMID:22465138)
- H171 residue in LIMP-2 is necessary for LIMP-2 and beta-glucocerebrosidase binding (PMID:22537104)
- Lysosomal storage disorders are associated with deficiencies of alternative lysosomal receptors LIMPII and sortilin and/or of their cargos. (Review) (PMID:22884962)
- These results indicated that SCARB2 is capable of viral binding, viral internalization, and viral uncoating and that the low infection efficiency of L-PSGL1 cells is due to the inability of PSGL1 to induce viral uncoating. (PMID:23302872)
- study of two Japanese siblings with late-onset progressive myoclonus epilepsy without renal failure having a novel homozygous SCARB2 mutation (PMID:23325613)
- identified no novel exonic variants in SCARB2 but confirmed the association between SNP rs6812193 and Parkinson’s disease. (PMID:23408458)
- Human SCARB2-transgenic mice are a useful model for assessing anti-EV71 medications. (PMID:23451246)
- SCARB2 is implicated in the lysosomal pathway recently associated with Parkinson disease (PD) pathogenesis. The rs6812193 polymorphism doesn’t increase susceptibility to PD in the Greek population. (PMID:23473716)
- Results suggest that this hSCARB2 transgenic mouse could represent a useful animal model for the study of enterovirus 71 (EV71) infection. (PMID:23959904)
- Mutations in LIMP-2, the specific receptor for glucocerebrosidase that is missing in Gaucher disease patients, substantially contribute to the pathology and heterogeneity of the disease. (Review) (PMID:24389070)
- A novel SCARB2 mutation was indicated by reduced Beta-glucocerebrosidase activity in progressive myoclonus epilepsy. (PMID:24485911)
- a novel mutation in SCARB2 as a cause of progressive myoclonus epilepsy in China (PMID:24620919)
- SNCA and SCARB2 loci are also associated with dementia with Lewy bodies, after a study-wise Bonferroni correction, although these have a different association profile than the associations reported for the same loci in Parkinson’s. (PMID:24973356)
- Data indicate that scavenger receptor SCARB2 triggers uncoating of human enterovirus 71 (EV71) under low pH conditions. (PMID:24986489)
- SCARB2 and PSGL-1 in human gastrointestinal tract, lung, and brain tissues correlated with the distribution of pathological changes seen in EV71 infection. (PMID:24997419)
- The LIMP-2/SCARB2 binding sequences for enterovirus 71 and GCase are not similar, indicating that LIMP-2/SCARB2 may have multiple or overlapping binding sites with differing specificities. (PMID:25202012)
- In LIMP-2-deficient brains a significant reduction in GC activity led to lipid storage, disturbed autophagic/lysosomal function, and alpha-synuclein accumulation. (PMID:25316793)
- Disease-causing cathepsin-F mutants fail to cleave LIMP-2. Our findings provide evidence that LIMP-2 represents an in vivo substrate of cathepsin-F with relevance for understanding the pathophysiology of type-B-Kufs-disease. (PMID:25576872)
Cross-species orthologs
12 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | scarb2c | ENSDARG00000089844 |
| mus_musculus | Scarb2 | ENSMUSG00000029426 |
| rattus_norvegicus | Scarb2 | ENSRNOG00000002225 |
| drosophila_melanogaster | ninaD | FBGN0002939 |
| drosophila_melanogaster | crq | FBGN0015924 |
| drosophila_melanogaster | santa-maria | FBGN0025697 |
| drosophila_melanogaster | pes | FBGN0031969 |
| drosophila_melanogaster | CG7227 | FBGN0031970 |
| drosophila_melanogaster | CG31741 | FBGN0051741 |
| caenorhabditis_elegans | WBGENE00013039 | |
| caenorhabditis_elegans | WBGENE00013578 | |
| caenorhabditis_elegans | WBGENE00015389 |
Paralogs (2): SCARB1 (ENSG00000073060), CD36 (ENSG00000135218)
Mouse-model phenotypes
Observed phenotypes of the mouse ortholog (MGI:1196458) from MGI (Alliance of Genome Resources) — knockout/mutant phenotypes, ranked by annotation count. 64 distinct phenotype terms.
| Mouse phenotype (MP) | Records |
|---|---|
| abnormal stria vascularis morphology | 2 |
| premature death | 2 |
| cochlear ganglion degeneration | 2 |
| abnormal nervous system morphology | 2 |
| stria vascularis degeneration | 2 |
| abnormal strial marginal cell morphology | 2 |
| abnormal auditory brainstem response | 2 |
| increased leukocyte cell number | 1 |
| increased neutrophil cell number | 1 |
| decreased monocyte cell number | 1 |
| hydronephrosis | 1 |
| abnormal ureter morphology | 1 |
| enlarged lymph nodes | 1 |
| tremors | 1 |
| paralysis | 1 |
| demyelination | 1 |
| abnormal phrenic nerve morphology | 1 |
| abnormal Schwann cell morphology | 1 |
| decreased body weight | 1 |
| distended abdomen | 1 |
| polydipsia | 1 |
| limb grasping | 1 |
| polyuria | 1 |
| deafness | 1 |
| neurodegeneration | 1 |
+39 more (showing top 25).
Additional cross-species homologs
Sequence homologs in species beyond Ensembl Compara’s model organisms, by Diamond local protein alignment (% sequence identity; best hit per species). Lower-identity rows are more distant homologs. The matched accessions’ gene symbols aren’t in biobtree yet, so each row shows the UniProt accession.
| Organism | UniProt | Identity | Method |
|---|---|---|---|
| Mesocricetus auratus | P70110 | 92.4% | Diamond |
| Cricetulus griseus | Q60417 | 89.0% | Diamond |
| Bos taurus | O18824 | 88.4% | Diamond |
| Sus scrofa | Q8SQC1 | 88.4% | Diamond |
| Dictyostelium discoideum | Q55FQ9 | 49.0% | Diamond |
Genomic neighbors (locus context)
Genes flanking this one on the chromosome (NCBI/Entrez gene neighborhood). Positional context only — some neighbors share regulatory elements (bidirectional promoters, antisense/overlapping transcripts), but chromosomal adjacency is not itself a functional relationship (see Interactions for that).
| Symbol | Type | Entrez |
|---|---|---|
| FAM47E-STBD1 | protein-coding | 100631383 |
| NUP54-DT | ncRNA | 124900718 |
| CCDC158 | protein-coding | 339965 |
| NUP54 | protein-coding | 53371 |
| STBD1 | protein-coding | 8987 |
| FAM47E | protein-coding | 100129583 |
| ART3 | protein-coding | 419 |
| CXCL11 | protein-coding | 6373 |
| SDAD1-AS1 | ncRNA | 101928809 |
| CXCL10 | protein-coding | 3627 |
| CXCL9 | protein-coding | 4283 |
| SDAD1 | protein-coding | 55153 |
Protein
Protein identifiers
Lysosome membrane protein 2 — Q14108 (reviewed: Q14108)
Alternative names: 85 kDa lysosomal membrane sialoglycoprotein, CD36 antigen-like 2, Lysosome membrane protein II, Scavenger receptor class B member 2
All UniProt accessions (14): A0A1W2PNX7, A0A1W2PPU6, A0A1W2PPX5, A0A1W2PPX6, A0A1W2PQB7, A0A1W2PQL5, A0A1W2PQR6, A0A1W2PRF6, A0A1W2PRS1, A0A1W2PS43, A0A1W2PS70, A0A1W2PSE4, D6RDG0, Q14108
UniProt curated annotations — full annotation on UniProt →
Function. Acts as a lysosomal receptor for glucosylceramidase (GBA1) targeting. (Microbial infection) Acts as a receptor for enterovirus 71.
Subunit / interactions. Interacts with GBA1. (Microbial infection) Interacts with enterovirus 71 capsid proteins VP1 and VP2.
Subcellular location. Lysosome membrane.
Disease relevance. Epilepsy, progressive myoclonic 4, with or without renal failure (EPM4) [MIM:254900] A form of progressive myoclonic epilepsy, a clinically and genetically heterogeneous group of disorders defined by the combination of action and reflex myoclonus, other types of epileptic seizures, and progressive neurodegeneration and neurocognitive impairment. EPM4 is an autosomal recessive form associated with renal failure in some cases. Cognitive function is preserved. The disease is caused by variants affecting the gene represented in this entry. Genetic variants in SCARB2 can act as modifier of the phenotypic expression and severity of Gaucher disease.
Similarity. Belongs to the CD36 family.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| Q14108-1 | 1 | yes |
| Q14108-2 | 2 |
RefSeq proteins (2): NP_001191184, NP_005497* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR002159 | CD36_fam | Family |
| IPR005429 | LimpII | Family |
Pfam: PF01130
UniProt features (76 total): strand 21, helix 18, glycosylation site 10, mutagenesis site 7, turn 7, topological domain 3, disulfide bond 2, transmembrane region 2, sequence variant 2, chain 1, splice variant 1, sequence conflict 1, region of interest 1
Structure
Experimental structures (PDB)
10 structures by resolution:
| PDB | Title | Method | Resolution (Å) |
|---|---|---|---|
| 4Q4F | Crystal structure of LIMP-2 (space group C2) | X-RAY DIFFRACTION | 2.8 |
| 4Q4B | Crystal structure of LIMP-2 (space group C2221) | X-RAY DIFFRACTION | 2.82 |
| 4TW2 | Crystal Structure of SCARB2 in Neural Condition (pH7.5) | X-RAY DIFFRACTION | 2.89 |
| 4F7B | Structure of the lysosomal domain of limp-2 | X-RAY DIFFRACTION | 3 |
| 5UPH | Lipids bound lysosomal integral membrane protein 2 | X-RAY DIFFRACTION | 3 |
| 4TVZ | Crystal Structure of SCARB2 in Neural Condition (pH7.5) | X-RAY DIFFRACTION | 3.01 |
| 6I2K | Structure of EV71 complexed with its receptor SCARB2 | ELECTRON MICROSCOPY | 3.4 |
| 5XBM | Structure of SCARB2-JL2 complex | X-RAY DIFFRACTION | 3.5 |
| 4TW0 | Crystal Structure of SCARB2 in Acidic Condition (pH4.8) | X-RAY DIFFRACTION | 3.65 |
| 9FJF | Lysosomal transporting complex of beta-glucocerebrosidase (GCase) and lysosomal integral … | ELECTRON MICROSCOPY | 3.7 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q14108-F1 | 93.01 | 0.82 |
Antibody-complex structures (SAbDab)
2 antibodies co-crystallized with this protein: 5XBM, 9FJF
Human Protein Atlas
Protein class: Transporters, Predicted membrane proteins, Disease related genes, Potential drug targets, Human disease related genes, Epilepsy
Protein evidence: Evidence at protein level
Subcellular location (HPA, imaging): cytosol
Antibody reliability (HPA): IH supported · IF approved
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 (2)
| Type | Positions |
|---|---|
| Disulfide bond | 274–329, 312–318 |
Glycosylation sites (10)
| Type | Positions |
|---|---|
| N-linked (glcnac…) asparagine | 206, 224, 249, 304, 325, 412, 430, 45, 68, 105 |
Mutagenesis-validated functional residues (7)
| Position | Phenotype |
|---|---|
| 475 | prevents the targeting of the protein to lysosomes. |
| 475 | some loss in the efficiency of targeting of the protein to lysosomes. |
| 476 | does not prevent the targeting of the protein to lysosomes completely. |
| 476 | prevents the targeting of the protein to lysosomes. |
| 476 | normal targeting of the protein to lysosomes. |
| 477 | normal targeting of the protein to lysosomes. |
| 478 | normal targeting of the protein to lysosomes. |
Function
Pathways and Gene Ontology
Reactome pathways
2 curated (TAS) of 4; 0 disease pathways. Curated-first; evidence = TAS (manually curated) vs IEA (electronic inference).
4 pathways:
| ID | Pathway | Evidence |
|---|---|---|
| R-HSA-8856825 | Cargo recognition for clathrin-mediated endocytosis | curated |
| R-HSA-8856828 | Clathrin-mediated endocytosis | curated |
| R-HSA-199991 | Membrane Trafficking | — |
| R-HSA-5653656 | Vesicle-mediated transport | — |
MSigDB gene sets: 512 (showing top):
GOBP_CERAMIDE_CATABOLIC_PROCESS, GOBP_LYSOSOMAL_TRANSPORT, GCM_PTPRD, GOBP_ENDOSOME_ORGANIZATION, GOBP_VACUOLE_ORGANIZATION, GOBP_INTRACELLULAR_PROTEIN_TRANSPORT, GOCC_VACUOLAR_MEMBRANE, GOBP_VESICLE_ORGANIZATION, GCM_ZNF198, ASTON_MAJOR_DEPRESSIVE_DISORDER_DN, GAUSSMANN_MLL_AF4_FUSION_TARGETS_A_DN, GOBP_PROTEIN_TARGETING, GOBP_CARBOHYDRATE_DERIVATIVE_CATABOLIC_PROCESS, GOBP_VACUOLAR_TRANSPORT, KEGG_LYSOSOME
GO Biological Process (12): protein targeting to lysosome (GO:0006622), receptor-mediated endocytosis (GO:0006898), autophagy (GO:0006914), positive regulation of neuron projection development (GO:0010976), aminophospholipid transport (GO:0015917), regulation of carbohydrate catabolic process (GO:0043470), regulation of endosome organization (GO:1904978), regulation of lysosome organization (GO:1905671), regulation of glucosylceramide catabolic process (GO:2000752), vesicle-mediated transport (GO:0016192), glycolipid catabolic process (GO:0019377), symbiont entry into host cell (GO:0046718)
GO Molecular Function (11): virus receptor activity (GO:0001618), phosphatidylserine binding (GO:0001786), transmembrane signaling receptor activity (GO:0004888), scavenger receptor activity (GO:0005044), cholesterol binding (GO:0015485), enzyme binding (GO:0019899), phosphatidylcholine binding (GO:0031210), cargo receptor activity (GO:0038024), protein homodimerization activity (GO:0042803), protein-folding chaperone binding (GO:0051087), protein binding (GO:0005515)
GO Cellular Component (13): Golgi membrane (GO:0000139), lysosomal membrane (GO:0005765), endoplasmic reticulum membrane (GO:0005789), plasma membrane (GO:0005886), focal adhesion (GO:0005925), endosome membrane (GO:0010008), membrane (GO:0016020), endocytic vesicle membrane (GO:0030666), clathrin-coated endocytic vesicle membrane (GO:0030669), late endosome membrane (GO:0031902), lysosomal lumen (GO:0043202), extracellular exosome (GO:0070062), lysosome (GO:0005764)
Reactome top-level categories
3 top-level categories:
| Category | Pathways |
|---|---|
| Clathrin-mediated endocytosis | 1 |
| Membrane Trafficking | 1 |
| Vesicle-mediated transport | 1 |
GO top-level categories
showing 60 of 68 GO namespaces:
| Category | Terms |
|---|---|
| bounding membrane of organelle | 3 |
| vesicle-mediated transport | 2 |
| phospholipid binding | 2 |
| protein binding | 2 |
| lysosome | 2 |
| cytoplasmic vesicle membrane | 2 |
| protein targeting to vacuole | 1 |
| lysosomal transport | 1 |
| protein localization to lysosome | 1 |
| endocytosis | 1 |
| catabolic process | 1 |
| transmembrane transport | 1 |
| process utilizing autophagic mechanism | 1 |
| regulation of neuron projection development | 1 |
| neuron projection development | 1 |
| positive regulation of cell projection organization | 1 |
| phospholipid transport | 1 |
| nitrogen compound transport | 1 |
| regulation of carbohydrate metabolic process | 1 |
| regulation of catabolic process | 1 |
| carbohydrate catabolic process | 1 |
| endosome organization | 1 |
| regulation of organelle organization | 1 |
| lysosome organization | 1 |
| regulation of vacuole organization | 1 |
| glucosylceramide catabolic process | 1 |
| regulation of lipid catabolic process | 1 |
| transport | 1 |
| cellular process | 1 |
| glycolipid metabolic process | 1 |
| lipid catabolic process | 1 |
| carbohydrate derivative catabolic process | 1 |
| viral life cycle | 1 |
| symbiont entry into host | 1 |
| symbiont entry into host cell | 1 |
| exogenous protein binding | 1 |
| anion binding | 1 |
| modified amino acid binding | 1 |
| signaling receptor activity | 1 |
| cargo receptor activity | 1 |
| sterol binding | 1 |
| alcohol binding | 1 |
| cation binding | 1 |
| quaternary ammonium group binding | 1 |
| molecular_function | 1 |
| molecular adaptor activity | 1 |
| identical protein binding | 1 |
| protein dimerization activity | 1 |
| binding | 1 |
| Golgi apparatus | 1 |
| lytic vacuole membrane | 1 |
| organelle membrane | 1 |
| nuclear outer membrane-endoplasmic reticulum membrane network | 1 |
| endoplasmic reticulum subcompartment | 1 |
| membrane | 1 |
| cell periphery | 1 |
| cell-substrate junction | 1 |
| endosome | 1 |
| cellular anatomical structure | 1 |
| endocytic vesicle | 1 |
Experimentally-supported GO annotations
GO terms backed by direct experimental evidence (ECO experimental codes) — 9 of 36 annotations. The rest are phylogenetic / computational / electronic (IEA).
9 experimentally-supported GO terms:
| GO term | NS | Evidence |
|---|---|---|
| protein targeting to lysosome | BP | mutant phenotype |
| regulation of carbohydrate catabolic process | BP | mutant phenotype |
| extracellular exosome | CC | high-throughput assay |
| focal adhesion | CC | high-throughput assay |
| lysosomal membrane | CC | high-throughput assay |
| membrane | CC | high-throughput assay |
| cargo receptor activity | MF | mutant phenotype |
| enzyme binding | MF | physical interaction |
| protein homodimerization activity | MF | physical interaction |
Protein interactions and networks
STRING
showing 15 of 4,860 interactions by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| SCARB2 | PPARA | Q07869 | 856 |
| SCARB2 | PPARG | P37231 | 852 |
| SCARB2 | LDLR | P01130 | 829 |
| SCARB2 | LPL | P06858 | 806 |
| SCARB2 | DGAT1 | O75907 | 804 |
| SCARB2 | ABCA1 | O95477 | 803 |
| SCARB2 | TLR2 | O60603 | 794 |
| SCARB2 | GYPA | P02724 | 778 |
| SCARB2 | THBS1 | P07996 | 767 |
| SCARB2 | ADIPOQ | Q15848 | 751 |
| SCARB2 | PPARD | Q03181 | 748 |
| SCARB2 | SREBF1 | P36956 | 741 |
| SCARB2 | FABP4 | P15090 | 740 |
| SCARB2 | SCARF1 | Q14162 | 731 |
| SCARB2 | CLEC7A | Q9BXN2 | 731 |
IntAct
Human interaction partners of SCARB2 in IntAct, one row per partner (best MIscore; records = supporting IntAct interaction records).
13 partners by confidence:
| Partner | Interaction type | MIscore | Records |
|---|---|---|---|
| RHCG | physical association | 0.590 | 2 |
| CLDN19 | physical association | 0.560 | 3 |
| ERGIC3 | physical association | 0.560 | 3 |
| GPR37L1 | physical association | 0.560 | 3 |
| GPX8 | physical association | 0.560 | 3 |
| HIBADH | physical association | 0.560 | 3 |
| LAPTM4B | physical association | 0.560 | 3 |
| CLGN | association | 0.530 | 1 |
| CYP26B1 | association | 0.350 | 1 |
| EIF2AK2 | association | 0.350 | 1 |
| PLEKHG3 | association | 0.350 | 1 |
| SGCE | association | 0.350 | 1 |
| SPAG9 | association | 0.350 | 1 |
BioGRID (225 interactions; top human partners by supporting records): GBA (Affinity Capture-MS; 3 records), PTPRK (Affinity Capture-MS; 3 records), NONO (Affinity Capture-MS; 2 records), PRPF8 (Affinity Capture-MS; 2 records), RAB27B (Affinity Capture-MS; 2 records), RHCG (Affinity Capture-MS; 2 records), SPAG9 (Affinity Capture-MS; 2 records), TPST1 (Affinity Capture-Western; 2 records), TPST2 (Affinity Capture-Western; 2 records), VAMP3 (Affinity Capture-MS; 2 records), ABCD3 (Affinity Capture-MS), ACTBL2 (Affinity Capture-MS), ACTL6A (Affinity Capture-MS), ACTR1A (Affinity Capture-MS), ACTR2 (Affinity Capture-MS)
Protein complexes (CORUM) (4)
Experimentally-characterized complexes this protein is a subunit of (★ = the complex contains a known drug target).
4 complexes by size:
| Complex | Subunits | Members |
|---|---|---|
| GBA1-GRN-HSPA1A-SCARB2 complex | 4 | GBA1, GRN, HSPA1A, SCARB2 |
| ★ GBA1-IGF2R-SCARB2 complex | 3 | GBA1, IGF2R, SCARB2 |
| ★ IGF2R-SCARB2 complex | 2 | SCARB2, IGF2R |
| GBA1-SCARB2 complex | 2 | SCARB2, GBA1 |
Disease & clinical
Genetic variants
Variant evidence for SCARB2: 563 ClinVar records (36 pathogenic / likely pathogenic); 10 GWAS associations. Per-variant detail is on Sugi Variant.
ClinVar
563 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 21 |
| Likely pathogenic | 15 |
| Uncertain significance | 227 |
| Likely benign | 194 |
| Benign | 52 |
Top pathogenic / likely-pathogenic (15)
Showing the 15 best-reviewed of 36 pathogenic / likely-pathogenic ClinVar records, ranked by ClinVar review status (expert panel → multiple submitters → single submitter), then by number of submitting labs.
| Variant ID | HGVS | Classification | Review | Submitters |
|---|---|---|---|---|
| 7377 | NM_005506.4(SCARB2):c.434_435dup (p.Trp146fs) | Pathogenic | criteria provided, multiple submitters, no conflicts | 9 |
| 7378 | NM_005506.4(SCARB2):c.862C>T (p.Gln288Ter) | Pathogenic | criteria provided, multiple submitters, no conflicts | 6 |
| 268146 | NM_005506.4(SCARB2):c.1270C>T (p.Arg424Ter) | Pathogenic | criteria provided, multiple submitters, no conflicts | 4 |
| 268139 | NM_005506.4(SCARB2):c.704+1G>A | Pathogenic | criteria provided, multiple submitters, no conflicts | 3 |
| 971806 | NM_005506.4(SCARB2):c.956del (p.Leu319fs) | Pathogenic | criteria provided, multiple submitters, no conflicts | 2 |
| 268138 | NM_005506.4(SCARB2):c.666_670del (p.Tyr222_Asn224delinsTer) | Pathogenic | criteria provided, single submitter | 2 |
| 268142 | NM_005506.4(SCARB2):c.1016dup (p.His341fs) | Pathogenic | criteria provided, single submitter | 2 |
| 807488 | NM_005506.4(SCARB2):c.134del (p.Asn45fs) | Pathogenic | criteria provided, single submitter | 2 |
| 206723 | NM_005506.4(SCARB2):c.1337del (p.Gly446fs) | Pathogenic | criteria provided, single submitter | 1 |
| 1441270 | NM_005506.4(SCARB2):c.850del (p.Tyr284fs) | Pathogenic | criteria provided, single submitter | 1 |
| 1457513 | NM_005506.4(SCARB2):c.638_639del (p.Tyr213fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2005737 | NM_005506.4(SCARB2):c.1260_1261dup (p.Thr421fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2781498 | NM_005506.4(SCARB2):c.226del (p.Leu76fs) | Pathogenic | criteria provided, single submitter | 1 |
| 2846431 | NM_005506.4(SCARB2):c.1030C>T (p.Gln344Ter) | Pathogenic | criteria provided, single submitter | 1 |
| 4292546 | NM_005506.4(SCARB2):c.994+1G>T | Pathogenic | criteria provided, single submitter | 1 |
Per-variant reference — Sugi Variant
Explore SCARB2’s pathogenic and likely-pathogenic variants individually — each with its ClinVar classification and conditions, applied ACMG criteria (ClinGen expert panel, where curated), the calibrated in-silico predictors (AlphaMissense, REVEL, SaProt, conservation), gnomAD frequency, and the predictor-disagreement QC signal — on Sugi Variant.
SpliceAI
Top 10 splice-impact sites by Δscore (adjacent positions with the same effect merged into one range; 31 predictions of 859):
| Position(s) | Effect | Δscore | Sites |
|---|---|---|---|
| 4:76161752 | acceptor_gain | 1.0000 | |
| 4:76161752–76161753 | acceptor_loss | 1.0000 | 4 |
| 4:76161761 | acceptor_gain | 1.0000 | |
| 4:76169862 | donor_loss | 1.0000 | |
| 4:76169865–76169866 | donor_loss | 1.0000 | 5 |
| 4:76180952–76180953 | donor_loss | 1.0000 | 5 |
| 4:76181102 | acceptor_gain | 1.0000 | |
| 4:76181102–76181103 | acceptor_loss | 1.0000 | 5 |
| 4:76195705–76195706 | donor_loss | 1.0000 | 3 |
| 4:76195865–76195866 | acceptor_loss | 1.0000 | 5 |
AlphaMissense
901 missense substitutions predicted likely pathogenic (of 3,168 scored), across 277 residues. Top 20 hotspot residues, ranked by the number of likely-pathogenic substitutions (of those reachable by a single-nucleotide change), then by mean score:
| Residue | Likely-pathogenic substitutions | Mean am_pathogenicity | Max am_pathogenicity |
|---|---|---|---|
| N206 | 8 | 0.885 | 0.957 |
| D182 | 8 | 0.870 | 0.946 |
| H341 | 8 | 0.846 | 0.940 |
| F199 | 8 | 0.843 | 0.976 |
| F168 | 8 | 0.830 | 0.954 |
| H363 | 8 | 0.765 | 0.948 |
| D131 | 8 | 0.763 | 0.827 |
| C329 | 7 | 0.985 | 0.994 |
| C312 | 7 | 0.983 | 0.991 |
| C274 | 7 | 0.978 | 0.989 |
| F311 | 7 | 0.974 | 0.994 |
| F269 | 7 | 0.970 | 0.991 |
| C318 | 7 | 0.966 | 0.984 |
| F342 | 7 | 0.965 | 0.977 |
| W231 | 7 | 0.963 | 0.985 |
| W178 | 7 | 0.960 | 0.989 |
| F67 | 7 | 0.953 | 0.966 |
| W53 | 7 | 0.951 | 0.994 |
| W240 | 7 | 0.946 | 0.992 |
| Q384 | 7 | 0.926 | 0.985 |
HPA cancer prognostics
RNA cancer specificity: Low cancer specificity
Human Protein Atlas survival analysis — favorable = higher expression predicts better survival.
3 prognostic cancer types:
| Cancer | Prognostic | p-value |
|---|---|---|
| Kidney Renal Clear Cell Carcinoma (TCGA) | favorable | 5.86e-07 |
| Lung Adenocarcinoma (validation) | unfavorable | 0.000624 |
| Cervical Squamous Cell Carcinoma and Endocervical Adenocarcinoma (TCGA) | unfavorable | 0.000825 |
Disease associations
OMIM: gene MIM:602257 | disease phenotypes: MIM:254900, MIM:254800
GenCC curated gene-disease
3 curated gene-disease records:
| Disease | Classification | Inheritance | Records |
|---|---|---|---|
| action myoclonus-renal failure syndrome | Definitive | Autosomal recessive | 4 |
| progressive myoclonus epilepsy | Strong | Autosomal recessive | |
| Unverricht-Lundborg syndrome | Supportive | Autosomal recessive |
ClinGen Gene-Disease Validity
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
1 validity classifications:
| Disease | Classification | Inheritance |
|---|---|---|
| progressive myoclonus epilepsy | Definitive | AR |
Genomics England panels (PanelApp)
Clinical diagnostic gene panels including this gene (8 panels, 7 green/diagnostic-grade). Confidence: green = diagnostic, amber = moderate.
8 panels:
| Panel | Rating |
|---|---|
| Early onset or syndromic epilepsy | green |
| Hereditary neuropathy or pain disorder | green |
| Paediatric disorders | green |
| Proteinuric renal disease | green |
| Unexplained death in infancy and sudden unexplained death in childhood | green |
| Unexplained kidney failure in young people | green |
| Unexplained young onset end-stage renal disease | green |
| Hereditary neuropathy | amber |
Mondo (3): action myoclonus-renal failure syndrome (MONDO:0009699), progressive myoclonus epilepsy (MONDO:0020074), Unverricht-Lundborg syndrome (MONDO:0009698)
Orphanet (3): Action myoclonus-renal failure syndrome (Orphanet:163696), Progressive myoclonic epilepsy type 1 (Orphanet:308), Progressive myoclonic epilepsy (Orphanet:98261)
HPO phenotypes
showing 60 of 82 phenotypes (HPO-id order):
| HPO | Term |
|---|---|
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000083 | Renal insufficiency |
| HP:0000093 | Proteinuria |
| HP:0000097 | Focal segmental glomerulosclerosis |
| HP:0000100 | Nephrotic syndrome |
| HP:0000112 | Nephropathy |
| HP:0000225 | Gingival bleeding |
| HP:0000716 | Depression |
| HP:0000726 | Dementia |
| HP:0000790 | Hematuria |
| HP:0000823 | Delayed puberty |
| HP:0000938 | Osteopenia |
| HP:0000939 | Osteoporosis |
| HP:0000969 | Edema |
| HP:0000978 | Bruising susceptibility |
| HP:0000992 | Cutaneous photosensitivity |
| HP:0001081 | Cholelithiasis |
| HP:0001249 | Intellectual disability |
| HP:0001251 | Ataxia |
| HP:0001260 | Dysarthria |
| HP:0001268 | Mental deterioration |
| HP:0001272 | Cerebellar atrophy |
| HP:0001300 | Parkinsonism |
| HP:0001336 | Myoclonus |
| HP:0001394 | Cirrhosis |
| HP:0001399 | Hepatic failure |
| HP:0001409 | Portal hypertension |
| HP:0001433 | Hepatosplenomegaly |
| HP:0001510 | Growth delay |
| HP:0001541 | Ascites |
| HP:0001744 | Splenomegaly |
| HP:0001873 | Thrombocytopenia |
| HP:0001876 | Pancytopenia |
| HP:0001882 | Decreased total leukocyte count |
| HP:0001892 | Abnormal bleeding |
| HP:0001895 | Normochromic anemia |
| HP:0001903 | Anemia |
| HP:0001928 | Abnormality of coagulation |
| HP:0001971 | Hypersplenism |
| HP:0002015 | Dysphagia |
| HP:0002027 | Abdominal pain |
| HP:0002039 | Anorexia |
| HP:0002066 | Gait ataxia |
| HP:0002070 | Limb ataxia |
| HP:0002080 | Intention tremor |
| HP:0002092 | Pulmonary arterial hypertension |
| HP:0002174 | Postural tremor |
| HP:0002176 | Spinal cord compression |
| HP:0002197 | Generalized-onset seizure |
| HP:0002202 | Pleural effusion |
| HP:0002240 | Hepatomegaly |
| HP:0002317 | Unsteady gait |
| HP:0002345 | Action tremor |
| HP:0002392 | EEG with polyspike wave complexes |
| HP:0002653 | Bone pain |
| HP:0002750 | Delayed skeletal maturation |
| HP:0002756 | Pathologic fracture |
| HP:0002758 | Osteoarthritis |
| HP:0002797 | Osteolysis |
| HP:0002953 | Vertebral compression fracture |
GWAS associations
10 associations:
| Study | Trait | p-value |
|---|---|---|
| GCST007876_20 | Estimated glomerular filtration rate | 2e-72 |
| GCST002544_18 | Parkinson’s disease | 3e-11 |
| GCST001126_1 | Parkinson’s disease | 8e-10 |
| GCST009325_26 | Parkinson’s disease or first degree relation to individual with Parkinson’s disease | 1e-9 |
| GCST002783_484 | Body mass index | 5e-9 |
| GCST002783_81 | Body mass index | 8e-9 |
| GCST004495_10 | BMI (adjusted for smoking behaviour) | 2e-7 |
| GCST007009_4 | Hippocampal volume | 3e-7 |
| GCST002783_8 | Body mass index | 2e-6 |
| GCST004497_14 | Body mass index (joint analysis main effects and smoking interaction) | 2e-6 |
EFO canonical traits (from GWAS)
3 canonical traits:
| EFO ID | Trait name |
|---|---|
| EFO:0004340 | body mass index |
| EFO:0004318 | smoking behavior |
| EFO:0005035 | hippocampal volume |
MeSH disease descriptors
2 disease descriptors:
| Descriptor | Name | Tree numbers |
|---|---|---|
| D020191 | Myoclonic Epilepsies, Progressive | C10.228.140.490.375.130.650; C10.228.140.490.493.063.650 |
| D020194 | Unverricht-Lundborg Syndrome | C10.228.140.490.375.130.650.900; C10.228.140.490.493.063.650.900; C10.574.500.875; C16.320.400.940 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (CPIC guideline: no)
CTD chemical–gene interactions
65 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| bisphenol A | decreases expression, increases expression | 3 |
| Valproic Acid | decreases methylation, increases expression | 3 |
| 2,2’,4,4’-tetrabromodiphenyl ether | increases expression | 2 |
| Cisplatin | affects expression, increases expression | 2 |
| aristolochic acid I | decreases expression | 1 |
| bisphenol F | increases expression | 1 |
| 2,4,6-tribromophenol | increases expression | 1 |
| alpha-pinene | affects cotreatment, increases oxidation, increases abundance | 1 |
| nobiletin | decreases expression, decreases reaction | 1 |
| sodium arsenate | decreases expression, decreases reaction | 1 |
| decabromobiphenyl ether | increases expression | 1 |
| beta-lapachone | decreases expression | 1 |
| sodium arsenite | decreases expression | 1 |
| tetrabromobisphenol A | increases expression | 1 |
| 2,3-bis(3’-hydroxybenzyl)butyrolactone | affects cotreatment, decreases expression | 1 |
| 4-aminophenylarsenoxide | decreases reaction, affects binding | 1 |
| methacrylaldehyde | affects cotreatment, increases oxidation, increases abundance | 1 |
| di-n-butylphosphoric acid | affects expression | 1 |
| yessotoxin | increases expression | 1 |
| 2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-one | affects expression, affects reaction | 1 |
| CGP 52608 | increases reaction, affects binding | 1 |
| U 0126 | affects expression, affects reaction | 1 |
| corosolic acid | increases expression | 1 |
| K 7174 | increases expression | 1 |
| 4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamide | affects cotreatment, increases expression | 1 |
| nutlin 3 | affects cotreatment, increases expression | 1 |
| ICG 001 | increases expression | 1 |
| bisphenol B | increases expression | 1 |
| abrine | decreases expression | 1 |
| pentabrominated diphenyl ether 100 | increases expression | 1 |
Cellosaurus cell lines
8 cell lines: 6 cancer cell line, 1 transformed cell line, 1 spontaneously immortalized cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_A5HZ | 293-SCARB2 | Transformed cell line | Female |
| CVCL_A5IA | RD-SCARB2 | Cancer cell line | Female |
| CVCL_A5IB | Vero-SCARB2 | Spontaneously immortalized cell line | Female |
| CVCL_B9BE | Abcam MCF-7 SCARB2 KO | Cancer cell line | Female |
| CVCL_D1U9 | Abcam U-87MG SCARB2 KO | Cancer cell line | Male |
| CVCL_D5FI | HeLa::TMEM192-3xHA SCARB2 partial KO | Cancer cell line | Female |
| CVCL_E0N7 | Ubigene HeLa SCARB2 KO | Cancer cell line | Female |
| CVCL_E0ZN | Ubigene NCI-H1299 SCARB2 KO | Cancer cell line | Male |
Clinical trials (associated diseases)
Via MONDO — disease-level, not drug-specific.
showing 60 of 95 trials:
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01129557 | Phase 4 | TERMINATED | Aldosterone Breakthrough During Diovan, Tekturna, and Combination Therapy in Patients With Proteinuric Kidney Disease |
| NCT02399462 | Phase 4 | WITHDRAWN | Acthar for Treatment of Post-transplant FSGS |
| NCT02585804 | Phase 4 | COMPLETED | Treating to Reduce Albuminuria and Normalize Hemodynamic Function in Focal ScLerosis With dApagliflozin Trial Effects |
| NCT02633046 | Phase 4 | COMPLETED | Acthar for Treatment-Resistant or Treatment-Intolerant Proteinuria |
| NCT07219121 | Phase 4 | ACTIVE_NOT_RECRUITING | Sparsentan in Posttransplant Immunoglobulin A Nephropathy or Focal Segmental Glomerulosclerosis |
| NCT03490487 | Phase 4 | UNKNOWN | Electroclinical Effect of Steroid in Patients With Benign Childhood Epilepsy With Centrotemporal Spikes |
| NCT04610879 | Phase 4 | TERMINATED | Changing Agendas on Sleep, Treatment and Learning in Epilepsy |
| NCT00357669 | Phase 3 | COMPLETED | Brivaracetam as add-on Treatment of Unverricht-Lundborg Disease in Adolescents and Adults |
| NCT00368251 | Phase 3 | COMPLETED | Brivaracetam as add-on Treatment of Unverricht-Lundborg Disease (ULD) in Adolescents and Adults |
| NCT03351569 | Phase 3 | UNKNOWN | Intravenous Immunoglobulin for Unverricht-Lundborg Disease. |
| NCT01164098 | Phase 3 | TERMINATED | Rituximab to Prevent Recurrence of Proteinuria |
| NCT02683889 | Phase 3 | COMPLETED | Use of Acthar in Patients With FSGS That Will be Undergoing Renal Transplantation |
| NCT03298698 | Phase 3 | UNKNOWN | Efficacy of Rituximab in Comparison to Continued Corticosteroid Treatment in Idiopathic Nephrotic Syndrome |
| NCT03493685 | Phase 3 | COMPLETED | Study of Sparsentan in Patients With Primary Focal Segmental Glomerulosclerosis (FSGS) |
| NCT05183646 | Phase 3 | RECRUITING | A Study of the Efficacy and Safety of DMX-200 in Patients With FSGS Who Are Receiving an ARB |
| NCT07220083 | Phase 3 | RECRUITING | A Study to Find Out if BI 764198 Helps Adults and Adolescents With a Kidney Condition Called Focal Segmental Glomerulosclerosis (FSGS) |
| NCT00639119 | Phase 2 | UNKNOWN | Effect of Ropinirole Hydrochloride in Progressive Myoclonic Epilepsy of Unverricht-Lundborg Type |
| NCT00550342 | Phase 2 | WITHDRAWN | Rituximab Treatment of Focal Segmental Glomerulosclerosis |
| NCT00814255 | Phase 2 | COMPLETED | Novel Therapies for Resistant FSGS (FONTII): Phase II Clinical Trial |
| NCT01613118 | Phase 2 | COMPLETED | Randomized, Double-Blind, Safety and Efficacy Study of RE-021 (Sparsentan) in Focal Segmental Glomerulosclerosis |
| NCT02592798 | Phase 2 | COMPLETED | Pilot Study to Evaluate the Safety and Efficacy of Abatacept in Adults and Children 6 Years and Older With Excessive Loss of Protein in the Urine Due to Either Focal Segmental Glomerulosclerosis (FSGS) or Minimal Change Disease (MCD) |
| NCT03366337 | Phase 2 | COMPLETED | A Phase 2 Trial of the Safety and Efficacy of Bardoxolone Methyl in Patients With Rare Chronic Kidney Diseases - PHOENIX |
| NCT03448692 | Phase 2 | TERMINATED | A Study to Evaluate PF-06730512 in Adults With Focal Segmental Glomerulosclerosis (FSGS) |
| NCT03536754 | Phase 2 | COMPLETED | A Study of CCX140-B in Subjects With FSGS |
| NCT03598036 | Phase 2 | TERMINATED | Dose-Exploration Evaluating the Efficacy and Safety of Voclosporin in Subjects With Focal Segmental Glomerulosclerosis |
| NCT03649152 | Phase 2 | COMPLETED | Safety and Effectiveness of Propagermanium in Focal Segmental Glomerulosclerosis Participants Receiving Irbesartan |
| NCT03703908 | Phase 2 | TERMINATED | A Study of CCX140-B in Subjects With Primary FSGS and Nephrotic Syndrome |
| NCT04009668 | Phase 2 | COMPLETED | Tumor Necrosis Factor Inhibition in Focal Segmental Glomerulosclerosis and Treatment Resistant Minimal Change Disease |
| NCT04573920 | Phase 2 | ACTIVE_NOT_RECRUITING | Atrasentan in Patients With Proteinuric Glomerular Diseases |
| NCT05003986 | Phase 2 | RECRUITING | Study of Sparsentan Treatment in Pediatrics With Proteinuric Glomerular Diseases |
| NCT05267262 | Phase 2 | COMPLETED | Study to Evaluate R3R01 in Patients With Alport Syndrome and Patients With Focal Segmental Glomerulosclerosis |
| NCT05441826 | Phase 2 | TERMINATED | Efficacy and Safety of VB119 in Subjects With Minimal Change Disease (MCD) and Focal Segmental Glomerulosclerosis (FSGS) |
| NCT06500702 | Phase 2 | RECRUITING | A Study to Evaluate the Efficacy and Safety of Frexalimab, Brivekimig, or Rilzabrutinib in Participants Aged 16 to 75 Years With Primary Focal Segmental Glomerulosclerosis or Minimal Change Disease |
| NCT06664814 | Phase 2 | RECRUITING | An Open-Label Phase 2 Study of N-Acetyl-D-Mannosamine (ManNAc) in Subjects With Podocyte Diseases |
| NCT06983028 | Phase 2 | RECRUITING | Atacicept in Multiple Glomerular Diseases |
| NCT07268638 | Phase 2 | RECRUITING | A Study of Praliciguat in Participants With Focal Segmental Glomerulosclerosis (FSGS) |
| NCT07614477 | Phase 2 | RECRUITING | Evaluate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of EVER001 in Participants With Selected Proteinuric Glomerular Diseases |
| NCT00464321 | Phase 1 | COMPLETED | Safety Study of GC1008 in Patients With Focal Segmental Glomerulosclerosis (FSGS) of Single Doses of GC1008 in Patients With Treatment Resistant Idiopathic FSGS |
| NCT00782561 | Phase 1 | TERMINATED | Safety and Pharmacokinetics of FG-3019 in Adolescents and Adults With Focal Segmental Glomerulosclerosis (FSGS) |
| NCT00816478 | Phase 1 | TERMINATED | Effect of Oral Galactose on Focal Segmental Glomerulosclerosis (FSGS) Permeability Factor |
| NCT00816504 | Phase 1 | WITHDRAWN | Effect of Galactose on Permeblity Factor in Patients With FSGS and CKD Stage 5 |
| NCT02382874 | Phase 1 | UNKNOWN | Allogenic AD-MSC Transplantation in Idiopathic Nephrotic Syndrome (Focal Segmental Glomerulosclerosis) |
| NCT02693366 | Phase 1 | COMPLETED | Stem Cell Therapy for Patients With Focal Segmental Glomerulosclerosis |
| NCT05942625 | Phase 1 | RECRUITING | A First in Human Study to Evaluate Safety, Tolerability, Pharmacology of HS-10390 in Healthy Subjects |
| NCT05955872 | Phase 1 | COMPLETED | A Study Evaluating the Relative Bioavailability and Food Effect of a Tablet Formulation of VX-147 |
| NCT06529796 | Phase 1 | COMPLETED | Evaluation of the Pharmacokinetics and Safety of Inaxaplin in Participants With Mild or Moderate Hepatic Impairment |
| NCT07267026 | Phase 1 | RECRUITING | A Study to Evaluate the Safety, Tolerability and PK of SK-09 |
| NCT06593951 | Not specified | RECRUITING | Registry and Natural History Study for Progressive Myoclonus Epilepsy Type 1 (EPM1) |
| NCT06923241 | Not specified | COMPLETED | Nutri-score Labelling in a UK Restaurant Setting: a Randomised Control Trial |
| NCT02896270 | Phase 2/3 | UNKNOWN | Valproic Acid for Idiopathic Nephrotic Syndrome |
| NCT07213960 | Phase 2/3 | RECRUITING | A Sequential Phase 2/3 Study of APL2 in Patients With Focal Segmental Glomerulosclerosis |
| NCT07499700 | Phase 2/3 | RECRUITING | A Clinical Study of BAT4406F Injection in Patients With Minimal Change Disease/Focal Segmental Glomerulosclerosis |
| NCT00007475 | Phase 1/2 | COMPLETED | Permeability Factor in Focal Segmental Glomerulosclerosis |
| NCT05508009 | Phase 1/2 | RECRUITING | Early Trial of Allogeneic Hematopoietic Stem Cell Transplantation for Patients Who Will Receive a Kidney Transplant From the Same Donor |
| NCT06090227 | Phase 1/2 | RECRUITING | AMPK-activation by Metformin in FSGS: AMP-FSGS |
| NCT03763643 | Early Phase 1 | COMPLETED | PRI-VENT FSGS: Preemptive Rituximab to Prevent Recurrent Focal Segmental Glomerulosclerosis Post-Transplant |
| NCT00001393 | Not specified | COMPLETED | Genetic Markers for Focal Segmental Glomerulosclerosis |
| NCT00255398 | Not specified | COMPLETED | Kidney Disease Biomarkers |
| NCT00801463 | Not specified | COMPLETED | Prednisone Plus Tripterygium Wilfordii Treatment of Adult Patients With Idiopathic Focal Segmental Glomerulosclerosis |
| NCT00883636 | Not specified | TERMINATED | Cardiomyopathy in Steroid-resistant Nephrotic Syndrome: Impact of Focal Segmental Glomerulosclerosis |
Related Atlas pages
- Associated diseases: action myoclonus-renal failure syndrome, Unverricht-Lundborg syndrome, progressive myoclonus epilepsy
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): action myoclonus-renal failure syndrome, focal segmental glomerulosclerosis, progressive myoclonus epilepsy, self-limited epilepsy with centrotemporal spikes, Unverricht-Lundborg syndrome