CHEK2

protein-coding

checkpoint kinase 2

Gene summary

In response to DNA damage and replication blocks, cell cycle progression is halted through the control of critical cell cycle regulators. The protein encoded by this gene is a cell cycle checkpoint regulator and putative tumor suppressor. It contains a forkhead-associated protein interaction domain essential for activation in response to DNA damage and is rapidly phosphorylated in response to replication blocks and DNA damage. When activated, the encoded protein is known to inhibit CDC25C phosphatase, preventing entry into mitosis, and has been shown to stabilize the tumor suppressor protein p53, leading to cell cycle arrest in G1. In addition, this protein interacts with and phosphorylates BRCA1, allowing BRCA1 to restore survival after DNA damage. Mutations in this gene have been linked with Li-Fraumeni syndrome, a highly penetrant familial cancer phenotype usually associated with inherited mutations in TP53. Also, mutations in this gene are thought to confer a predisposition to sarcomas, breast cancer, and brain tumors. This nuclear protein is a member of the CDS1 subfamily of serine/threonine protein kinases. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2012]

Previous symbols:
  • RAD53

MANE transcript

NM_007194.4

Inheritance

AD, AR

ClinVar variants

P:1135U:1905B:650

Top phenotype

Tumor predisposition syndrome 4

gnomAD constraint

pLI —, LoF o/e 1.15

Max pathogenic AF

—

Genomic locus

chr22:28,687,743-28,742,422

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~54.7 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

CHEK2-related cancer predispositionDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0700271

Submitter: Ambry Genetics

familial ovarian cancerNO_KNOWN

Inheritance Pattern: AD

Disease ID:MONDO:0016248

Submitter: ClinGen

CHEK2 gene encodes for the CHK2 serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks, through the ATM-CHK2-p53 DNA damage response pathway. CHEK2 has been separately curated as definitive associated with “CHEK2-related cancer predisposition” (MONDO:0700271) - Autosomal dominant inheritance, linked to Breast Cancer and Prostate Cancer. This curation focuses on refuting the association with familial ovarian cancer given that the same cancer panels are often used for assessing individuals with breast or ovarian cancer. Given the frequency of CHEK2 variants and the cancer phenotype the curation focuses only on case-control studies for scoring genetic evidence. Several variants (mostly missense, nonsense and frameshift) that have been evaluated in case-control studies by aggregate variant analyses or single variant analyses are included in this curation. This gene-disease relationship has been studied in at least 5 case-control studies at the aggregate variant level. One large case-control published in 2016 from the The Ovarian Cancer Association Consortium (PMID 31406321 - with more than 14 thousand cases and 23 thousand controls) did not identify a significant association of pathogenic missense variants in CHEK2 and ovarian cancer. Likewise, two large case-control studies from commercial laboratories did not find significant association of pathogenic variants in CHEK2 with ovarian cancer (PMID: 31406321, 36136322). While case control studies did not support the gene-disease association, there is experimental evidence showing that CHEK2 plays an important role in DNA Damage Response, and other genes in this pathway (such as ATM) are known ovarian cancer predisposing genes (0.5 point, PMID: 10673500). In summary, given the lack of significant association in several large ovarian cancer case-control studies to date, the evidence supporting the relationship between CHEK2 and autosomal dominant hereditary ovarian carcinoma has been refuted and no valid evidence remains to support the claim. This gene-disease pair was originally evaluated as disputed by the Breast/Ovarian Cancer GCEP in 2016. This re-curation was approved by the ClinGen Hereditary Cancer GCEP on 09/27/2024 (SOP Version 10).

CHEK2-related cancer predispositionDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0700271

Submitter: ClinGen

CHEK2 gene encodes for the CHK2 serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks, through the ATM-CHK2-p53 DNA damage response pathway. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanism(s) and inheritance pattern for Breast Cancer and Prostate Cancer, which were lumped into the disease entity “CHEK2-related cancer predisposition” (MONDO:0700271) - Autosomal dominant inheritance. The split curation for Ovarian Carcinoma (refuted) has been curated separately. CHEK2 results in low to moderate penetrance for cancer, for which multiple published studies study different cancer types, ranging from single case reports to large case-control analyses[SP1] . In addition to breast and prostate cancer, there is limited evidence for renal, pancreatic, thyroid and gastric carcinoma, for which larger studies are needed (PMID 37490054). The common truncating CHEK2 variant (c.1100del) has been demonstrated to convey colorectal cancer (PMID: 12690581) . Given the frequency of CHEK2 variants and the cancer phenotype the curation focuses only on breast and prostate cancer case-control studies for scoring genetic evidence. 8 variants (missense, nonsense and frameshift) evaluated in case-control studies by aggregate variant analyses or single variant analyses are included in this curation (PMIDs 27595995, 33471974, 33471991). More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity is reported to be loss of function. The gene-disease relationship is also supported by experimental evidence (animal models, expression studies and in vitro functional assays) (PMIDs: 12094328, 20434834, 19805189, 34903604). In summary, there is definitive evidence supporting the relationship between CHEK2 and autosomal dominant CHEK2-related cancer predisposition. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This re-curation was approved by the ClinGen Hereditary Cancer GCEP on 09/27/2024 (SOP Version 10).

hereditary breast carcinomaSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0016419

Submitter: Labcorp Genetics (formerly Invitae)

acute myeloid leukemiaMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0018874

Submitter: Genomics England PanelApp

Li-Fraumeni syndrome 2DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0012233

Submitter: G2P

hereditary nonpolyposis colon cancerLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0018630

Submitter: ClinGen

Clinical Genomic Database (CGD)

Tumor predisposition syndrome 4AD/AR

Manifestation: Oncologic

Intervention: Oncologic

Rationale: Surveillance for neoplasms (eg, breast cancer screening with MRI) may allow preventive measures (eg, with tamoxifen chemoprevention in the case of breast cancer) and early treatment, resulting in improved outcome of malignancies

Comments: Variants may be associated with susceptibility to a number of different cancer types

Refs: 10617473; 11719428; 11479205; 11967536; 12094328; 12533788; 12690581; 15122511; 15492928; 15087378; 15466005; 15239132; 16257342; 12690581; 17085682; 16551709; 16835864; 18178638; 22058428; 22114986; 21787115; 22006311; 21807500; 22201027; 22072393; 21956126Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to CHEK2 variants in ClinVar

67 Conditions Cataloged
Familial cancer of breastTotal: 3583
Hereditary cancer-predisposing syndromeTotal: 2687
not providedTotal: 810
not specifiedTotal: 421
CHEK2-related cancer predispositionTotal: 273
Bone osteosarcomaTotal: 138
Hereditary breast ovarian cancer syndromeTotal: 133
CHEK2-related disorderTotal: 107

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_007194.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
2
clinvar
2
clinvar
10
clinvar
529
clinvar
53
clinvar
596
missense
18
clinvar
43
clinvar
1836
clinvar
65
clinvar
2
clinvar
1964
nonsense
139
clinvar
49
clinvar
7
clinvar
195
start loss
7
clinvar
5
clinvar
12
frameshift
535
clinvar
137
clinvar
33
clinvar
1
clinvar
706
splice donor/acceptor (+/-2bp)
11
clinvar
192
clinvar
14
clinvar
217
Total7054301905594563690

Highest pathogenic variant AF is 0.002761904

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 110 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_007194.4RefSeqNP_009125.114MANE Select
ENST00000404276.6EnsemblENSP00000385747.114MANE Select
NM_001005735.3RefSeqNP_001005735.115Standard
NM_001257387.3RefSeqNP_001244316.111Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Cell cycle - Homo sapiens (human)
  • p53 signaling pathway - Homo sapiens (human)
  • HTLV-I infection - Homo sapiens (human)
  • Cellular senescence - Homo sapiens (human)
  • Busulfan Pathway, Pharmacodynamics

Biological Process

  • DNA damage checkpoint
  • G2/M transition of mitotic cell cycle
  • replicative cell aging
  • positive regulation of protein phosphorylation
  • double-strand break repair

Molecular Function

  • protein serine/threonine kinase activity
  • protein binding
  • ATP binding
  • kinase activity
  • protein kinase binding

Cellular Component

  • chromosome, telomeric region
  • nucleus
  • nucleoplasm
  • cytoplasm
  • Golgi apparatus

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000382580
Coding exons
15
Length
54680
Individuals with no LoFs
125047
Homozygous LoFs
0
Heterozygous LoFs
701
Defined
125748
p
0.00279
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.4503273051.070.00001613793
Missense (PolyPhen)128107.91.18631383
Synonymous1.14951100.8620.000005641129
Loss of Function-0.7553429.61.150.00000140394

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000710.00068rare
Latino/Admixed American0.000710.00069rare
Ashkenazi Jewish0.00180.0018notable
East Asian0.000390.00038rare
Finnish0.00990.0099notable
European (Non-Finnish)0.00330.0033notable
South Asian0.00140.0014notable
Other0.00230.0023notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks. May also negatively regulate cell cycle progression during unperturbed cell cycles. Following activation, phosphorylates numerous effectors preferentially at the consensus sequence [L-X- R-X-X-S/T]. Regulates cell cycle checkpoint arrest through phosphorylation of CDC25A, CDC25B and CDC25C, inhibiting their activity. Inhibition of CDC25 phosphatase activity leads to increased inhibitory tyrosine phosphorylation of CDK-cyclin complexes and blocks cell cycle progression. May also phosphorylate NEK6 which is involved in G2/M cell cycle arrest. Regulates DNA repair through phosphorylation of BRCA2, enhancing the association of RAD51 with chromatin which promotes DNA repair by homologous recombination. Also stimulates the transcription of genes involved in DNA repair (including BRCA2) through the phosphorylation and activation of the transcription factor FOXM1. Regulates apoptosis through the phosphorylation of p53/TP53, MDM4 and PML. Phosphorylation of p53/TP53 at 'Ser-20' by CHEK2 may alleviate inhibition by MDM2, leading to accumulation of active p53/TP53. Phosphorylation of MDM4 may also reduce degradation of p53/TP53. Also controls the transcription of pro-apoptotic genes through phosphorylation of the transcription factor E2F1. Tumor suppressor, it may also have a DNA damage-independent function in mitotic spindle assembly by phosphorylating BRCA1. Its absence may be a cause of the chromosomal instability observed in some cancer cells. Promotes the CCAR2-SIRT1 association and is required for CCAR2-mediated SIRT1 inhibition (PubMed:25361978). {ECO:0000250|UniProtKB:Q9Z265, ECO:0000269|PubMed:10097108, ECO:0000269|PubMed:10724175, ECO:0000269|PubMed:11298456, ECO:0000269|PubMed:12402044, ECO:0000269|PubMed:12607004, ECO:0000269|PubMed:12717439, ECO:0000269|PubMed:12810724, ECO:0000269|PubMed:16163388, ECO:0000269|PubMed:17101782, ECO:0000269|PubMed:17380128, ECO:0000269|PubMed:17715138, ECO:0000269|PubMed:18317453, ECO:0000269|PubMed:18644861, ECO:0000269|PubMed:18728393, ECO:0000269|PubMed:20364141, ECO:0000269|PubMed:25361978, ECO:0000269|PubMed:25619829, ECO:0000269|PubMed:9836640, ECO:0000269|PubMed:9889122}.;
Disease
DISEASE: Li-Fraumeni syndrome 2 (LFS2) [MIM:609265]: A highly penetrant familial cancer syndrome that in its classic form is defined by the existence of a proband affected by a sarcoma before 45 years with a first degree relative affected by any tumor before 45 years and another first degree relative with any tumor before 45 years or a sarcoma at any age. Other clinical definitions for LFS have been proposed (PubMed:8118819 and PubMed:8718514) and called Li-Fraumeni like syndrome (LFL). In these families affected relatives develop a diverse set of malignancies at unusually early ages. Four types of cancers account for 80% of tumors occurring in TP53 germline mutation carriers: breast cancers, soft tissue and bone sarcomas, brain tumors (astrocytomas) and adrenocortical carcinomas. Less frequent tumors include choroid plexus carcinoma or papilloma before the age of 15, rhabdomyosarcoma before the age of 5, leukemia, Wilms tumor, malignant phyllodes tumor, colorectal and gastric cancers. {ECO:0000269|PubMed:11719428}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Prostate cancer (PC) [MIM:176807]: A malignancy originating in tissues of the prostate. Most prostate cancers are adenocarcinomas that develop in the acini of the prostatic ducts. Other rare histopathologic types of prostate cancer that occur in approximately 5% of patients include small cell carcinoma, mucinous carcinoma, prostatic ductal carcinoma, transitional cell carcinoma, squamous cell carcinoma, basal cell carcinoma, adenoid cystic carcinoma (basaloid), signet-ring cell carcinoma and neuroendocrine carcinoma. {ECO:0000269|PubMed:12533788}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry.; DISEASE: Osteogenic sarcoma (OSRC) [MIM:259500]: A sarcoma originating in bone-forming cells, affecting the ends of long bones. Note=The gene represented in this entry may be involved in disease pathogenesis.; DISEASE: Breast cancer (BC) [MIM:114480]: A common malignancy originating from breast epithelial tissue. Breast neoplasms can be distinguished by their histologic pattern. Invasive ductal carcinoma is by far the most common type. Breast cancer is etiologically and genetically heterogeneous. Important genetic factors have been indicated by familial occurrence and bilateral involvement. Mutations at more than one locus can be involved in different families or even in the same case. {ECO:0000269|PubMed:12094328, ECO:0000269|PubMed:21618645, ECO:0000269|PubMed:25619829}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry. {ECO:0000269|PubMed:12094328}.;

Recessive Scores

pRec
0.656

Intolerance Scores

LoFtool
0.356
RVIS EVS
-0.13
RVIS percentile EVS
43.91

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.977

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.