CHEK2
protein-codingcheckpoint 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]
- RAD53
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~54.7 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: AD
Disease ID:MONDO:0700271
Submitter: Ambry Genetics
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).
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).
Inheritance Pattern: AD
Disease ID:MONDO:0016419
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: AD
Disease ID:MONDO:0018874
Submitter: Genomics England PanelApp
Inheritance Pattern: AD
Disease ID:MONDO:0012233
Submitter: G2P
Inheritance Pattern: Unknown
Disease ID:MONDO:0018630
Submitter: ClinGen
Clinical Genomic Database (CGD)
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
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to CHEK2 variants in ClinVar
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.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 2 | 2 | 10 | 529 | 53 | 596 |
| missense | 18 | 43 | 1836 | 65 | 2 | 1964 |
| nonsense | 139 | 49 | 7 | 195 | ||
| start loss | 7 | 5 | 12 | |||
| frameshift | 535 | 137 | 33 | 1 | 706 | |
| splice donor/acceptor (+/-2bp) | 11 | 192 | 14 | 217 | ||
| Total | 705 | 430 | 1905 | 594 | 56 | 3690 |
Highest pathogenic variant AF is 0.002761904
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_009125.1 | 14 | MANE Select | |
| Ensembl | ENSP00000385747.1 | 14 | MANE Select | |
| RefSeq | NP_001005735.1 | 15 | Standard | |
| RefSeq | NP_001244316.1 | 11 | Standard |
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:
- 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-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | -0.450 | 327 | 305 | 1.07 | 0.0000161 | 3793 |
| Missense (PolyPhen) | 128 | 107.9 | 1.1863 | 1383 | ||
| Synonymous | 1.14 | 95 | 110 | 0.862 | 0.00000564 | 1129 |
| Loss of Function | -0.755 | 34 | 29.6 | 1.15 | 0.00000140 | 394 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0.00071 | 0.00068 | rare |
| Latino/Admixed American | 0.00071 | 0.00069 | rare |
| Ashkenazi Jewish | 0.0018 | 0.0018 | notable |
| East Asian | 0.00039 | 0.00038 | rare |
| Finnish | 0.0099 | 0.0099 | notable |
| European (Non-Finnish) | 0.0033 | 0.0033 | notable |
| South Asian | 0.0014 | 0.0014 | notable |
| Other | 0.0023 | 0.0023 | notable |
dbNSFP Gene Annotations
Source:
- 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
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |