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CREBBP

CREB binding protein, the group of Bromodomain containing|Lysine acetyltransferases|Zinc fingers ZZ-type

Basic information

Region (hg38): 16:3725053-3880713

Previous symbols: [ "RSTS" ]

Links

ENSG00000005339NCBI:1387OMIM:600140HGNC:2348Uniprot:Q92793AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • Rubinstein-Taybi syndrome (Definitive), mode of inheritance: AD
  • Rubinstein-Taybi syndrome due to CREBBP mutations (Definitive), mode of inheritance: AD
  • Rubinstein-Taybi syndrome due to CREBBP mutations (Strong), mode of inheritance: AD
  • Menke-Hennekam syndrome 1 (Strong), mode of inheritance: AD
  • Rubinstein-Taybi syndrome due to CREBBP mutations (Definitive), mode of inheritance: AD
  • Menke-Hennekam syndrome 1 (Strong), mode of inheritance: AD
  • Rubinstein-Taybi syndrome (Definitive), mode of inheritance: AD

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Rubinstein-Taybi syndrome; Menke-Hennekam syndrome 1ADAllergy/Immunology/Infectious; Audiologic/Otolaryngologic; Hematologic; Cardiovascular; Oncologic; OphthalmologicRubinstein-Taybi syndrome can include a risk of frequent infections (especially respiratory infections), and prophylaxis and early and aggressive treatment of infections may be beneficial; There may be increased risk of malignancy, and awareness may allow early detection and treatment of oncologic processes; Due to the possibility of cardiovascular anomalies (including arrhythmia), surveillance may be beneficial; Surveillance for certain types of ophthalmologic manifestations (eg, glaucoma) may be beneficial in order to allow prompt treatment; Menke-Hennekam syndrome can include frequent infections, and prophylaxis and early and aggressive treatment of infections may be beneficial; Early recognition and treatment of hearing impairment may improve outcomes, including speech and language developmentAllergy/Immunology/Infectious; Audiologic/Otolaryngologic; Cardiovascular; Craniofacial; Musculoskeletal; Neurologic ; Oncologic; Ophthalmologic13983033; 7137629; 7747773; 7630403; 10573006; 15706485; 16913274; 18792986; 19852432; 20301699; 20717166; 20949605; 21085895; 21189944; 22426292; 23432975; 27311832; 29460469; 30737887

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the CREBBP gene.

  • Rubinstein-Taybi syndrome (899 variants)
  • not provided (652 variants)
  • Inborn genetic diseases (309 variants)
  • Rubinstein-Taybi syndrome due to CREBBP mutations (240 variants)
  • not specified (127 variants)
  • CREBBP-related condition (77 variants)
  • Menke-Hennekam syndrome 1;Rubinstein-Taybi syndrome due to CREBBP mutations (61 variants)
  • Rubinstein-Taybi syndrome due to CREBBP mutations;Menke-Hennekam syndrome 1 (43 variants)
  • Menke-Hennekam syndrome 1 (28 variants)
  • Intellectual disability (10 variants)
  • See cases (8 variants)
  • Tip-toe gait (6 variants)
  • Neurodevelopmental disorder (2 variants)
  • CREBBP-Related Disorders (2 variants)
  • - (2 variants)
  • Abnormal cerebral morphology (1 variants)
  • Transitional cell carcinoma of the bladder (1 variants)
  • Global developmental delay (1 variants)
  • Neoplasm of uterine cervix (1 variants)
  • Glioblastoma (1 variants)
  • Hepatocellular carcinoma (1 variants)
  • Hirschsprung disease, susceptibility to, 1 (1 variants)
  • Abnormality of the nervous system (1 variants)
  • Rare genetic intellectual disability (1 variants)
  • Marfanoid habitus and intellectual disability (1 variants)
  • Thumb deformity;Glaucoma (1 variants)
  • Neoplasm of the large intestine (1 variants)
  • Dilated cardiomyopathy 1R;Hypertrophic cardiomyopathy 11;Atrial septal defect 5;Left ventricular noncompaction 4 (1 variants)
  • Menke-Hennekam syndrome (1 variants)
  • 10 conditions (1 variants)
  • Intellectual disability;Seizure (1 variants)
  • Gastric adenocarcinoma (1 variants)
  • Corpus callosum, agenesis of (1 variants)
  • Squamous cell carcinoma of the head and neck (1 variants)
  • 6 conditions (1 variants)
  • Scoliosis;Global developmental delay (1 variants)
  • Squamous cell lung carcinoma (1 variants)
  • Medulloblastoma (1 variants)
  • Kabuki-like syndrome (1 variants)
  • Adenoid cystic carcinoma (1 variants)
  • Malignant melanoma of skin (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the CREBBP gene is commonly pathogenic or not.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

Variant type Pathogenic Likely pathogenic VUS Likely benign Benign Sum
synonymous
15
clinvar
301
clinvar
46
clinvar
362
missense
22
clinvar
65
clinvar
539
clinvar
98
clinvar
37
clinvar
761
nonsense
66
clinvar
6
clinvar
3
clinvar
75
start loss
1
clinvar
1
frameshift
98
clinvar
15
clinvar
2
clinvar
115
inframe indel
1
clinvar
8
clinvar
31
clinvar
8
clinvar
48
splice donor/acceptor (+/-2bp)
19
clinvar
16
clinvar
1
clinvar
36
splice region
2
2
19
35
2
60
non coding
1
clinvar
5
clinvar
122
clinvar
47
clinvar
175
Total 207 111 596 529 130

Highest pathogenic variant AF is 0.00000657

Variants in CREBBP

This is a list of pathogenic ClinVar variants found in the CREBBP region.

You can filter this list by clicking the number of variants in the Variants pathogenicity by type table.

Position Type Phenotype Significance ClinVar
16-3726789-T-C Uncertain significance (Nov 09, 2023)2440542
16-3727471-AAACGGAAAAAAAAGAACCCCCCCCACCCCCCCGCCAAAAAAAAACCAAAGAGAGAGACCAGATATTTAAATCAACTGGTTTTTAACAAAAAAATATATTCTTTGTATTGTTTCTTTAAACATCAATCCACCCTTCCATGGCTCGGAAGTCGCAGTTCCATCTAGGAATAAAAAGAACCTAGATGCCTGGATTTTCAGTACAAAAGGTCCAAGAACATGAAAGGGAAAAGGTGATGCTCTCACAATGCTACAAGCCCTCCACAAACTTCTCTAGCGTGTCCCCCGTGGTGTCCCCGACCAGGGACAGTTCGCTGGA-G Rubinstein-Taybi syndrome due to CREBBP mutations Likely pathogenic (Sep 18, 2017)522462
16-3727689-GA-G Benign (Mar 03, 2015)1292986
16-3727692-A-AG Benign (Mar 03, 2015)1268812
16-3727696-A-G Benign (Mar 03, 2015)1230148
16-3727721-C-T Rubinstein-Taybi syndrome Benign (Sep 19, 2023)2144842
16-3727733-A-G Inborn genetic diseases Likely benign (Jan 06, 2020)1758278
16-3727736-C-A Rubinstein-Taybi syndrome due to CREBBP mutations Uncertain significance (May 03, 2018)592092
16-3727745-C-T not specified • Rubinstein-Taybi syndrome • Inborn genetic diseases • CREBBP-related disorder Benign/Likely benign (Apr 01, 2024)166960
16-3727745-C-CGTGTCCCCCGTG Rubinstein-Taybi syndrome Uncertain significance (Feb 14, 2023)2820012
16-3727747-T-C Rubinstein-Taybi syndrome Uncertain significance (Jan 01, 2023)2825802
16-3727754-C-T not specified • Rubinstein-Taybi syndrome • CREBBP-related disorder Likely benign (Jan 29, 2024)158401
16-3727755-G-A Rubinstein-Taybi syndrome Likely benign (Oct 14, 2023)2848185
16-3727757-G-T Likely benign (Jun 14, 2018)749933
16-3727765-C-G Uncertain significance (-)1210051
16-3727766-G-A Rubinstein-Taybi syndrome • CREBBP-related disorder Benign/Likely benign (Aug 08, 2022)1980627
16-3727770-A-T Inborn genetic diseases Uncertain significance (Dec 28, 2023)1806520
16-3727775-C-A Rubinstein-Taybi syndrome • CREBBP-related disorder Likely benign (Jan 02, 2024)1205034
16-3727781-G-C Rubinstein-Taybi syndrome Uncertain significance (Dec 26, 2023)2863456
16-3727790-C-T Rubinstein-Taybi syndrome Likely benign (Dec 18, 2023)2141461
16-3727791-G-A Rubinstein-Taybi syndrome • CREBBP-related disorder Benign/Likely benign (Jan 03, 2024)2066079
16-3727792-C-T Rubinstein-Taybi syndrome • Inborn genetic diseases Benign/Likely benign (Feb 22, 2023)2169145
16-3727796-C-T Menke-Hennekam syndrome 1 Uncertain significance (Dec 13, 2019)1030789
16-3727802-G-A Rubinstein-Taybi syndrome Likely benign (Feb 04, 2017)458205
16-3727804-G-A Rubinstein-Taybi syndrome Uncertain significance (Sep 28, 2022)2148603

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
CREBBPprotein_codingprotein_codingENST00000262367 31155673
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
1.001.51e-171257200281257480.000111
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense3.9010051.42e+30.7090.000089615988
Missense in Polyphen127226.430.560892771
Synonymous-4.847145671.260.00004014824
Loss of Function9.8331180.02530.000006791208

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.002910.00159
Ashkenazi Jewish0.000.00
East Asian0.000.00
Finnish0.000.00
European (Non-Finnish)0.00001770.0000176
Middle Eastern0.000.00
South Asian0.000.00
Other0.000.00

dbNSFP

Source: dbNSFP

Function
FUNCTION: Acetylates histones, giving a specific tag for transcriptional activation. Also acetylates non-histone proteins, like NCOA3 and FOXO1. Binds specifically to phosphorylated CREB and enhances its transcriptional activity toward cAMP-responsive genes. Acts as a coactivator of ALX1. Acts as a circadian transcriptional coactivator which enhances the activity of the circadian transcriptional activators: NPAS2-ARNTL/BMAL1 and CLOCK- ARNTL/BMAL1 heterodimers. Acetylates PCNA; acetylation promotes removal of chromatin-bound PCNA and its degradation during nucleotide excision repair (NER) (PubMed:24939902). Functions as a transcriptional coactivator for SMAD4 in the TGF-beta signaling pathway (PubMed:25514493). {ECO:0000269|PubMed:11154691, ECO:0000269|PubMed:12738767, ECO:0000269|PubMed:12929931, ECO:0000269|PubMed:14645221, ECO:0000269|PubMed:24939902, ECO:0000269|PubMed:25514493, ECO:0000269|PubMed:9707565}.;
Disease
DISEASE: Note=Chromosomal aberrations involving CREBBP may be a cause of acute myeloid leukemias. Translocation t(8;16)(p11;p13) with KAT6A; translocation t(11;16)(q23;p13.3) with KMT2A/MLL1; translocation t(10;16)(q22;p13) with KAT6B. KAT6A-CREBBP may induce leukemia by inhibiting RUNX1-mediated transcription.; DISEASE: Rubinstein-Taybi syndrome 1 (RSTS1) [MIM:180849]: A disorder characterized by craniofacial abnormalities, postnatal growth deficiency, broad thumbs, broad big toes, mental retardation and a propensity for development of malignancies. {ECO:0000269|PubMed:11331617, ECO:0000269|PubMed:12114483, ECO:0000269|PubMed:12566391, ECO:0000269|PubMed:15706485, ECO:0000269|PubMed:20684013, ECO:0000269|PubMed:24616510, ECO:0000269|PubMed:25388907}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Note=De novo missense mutations in the last part of exon 30 or beginning of exon 31 are associated with growth retardation, craniofacial dysmorphism and additional Rubinstein-Taybi-like features. No patients have broad thumbs. Patients have intellectual disability of variable severity, a marked speech delay, short stature and microcephaly. Main facial characteristics include short palpebral fissures, telecanthi, depressed nasal ridge, short nose, anteverted nares, short columella and long philtrum. {ECO:0000269|PubMed:27311832}.;
Pathway
Kaposi,s sarcoma-associated herpesvirus infection - Homo sapiens (human);TGF-beta signaling pathway - Homo sapiens (human);Renal cell carcinoma - Homo sapiens (human);Long-term potentiation - Homo sapiens (human);Adherens junction - Homo sapiens (human);Cell cycle - Homo sapiens (human);HIF-1 signaling pathway - Homo sapiens (human);Jak-STAT signaling pathway - Homo sapiens (human);Influenza A - Homo sapiens (human);Huntington,s disease - Homo sapiens (human);FoxO signaling pathway - Homo sapiens (human);HTLV-I infection - Homo sapiens (human);Glucagon signaling pathway - Homo sapiens (human);Thyroid hormone signaling pathway - Homo sapiens (human);Prostate cancer - Homo sapiens (human);cAMP signaling pathway - Homo sapiens (human);Tuberculosis - Homo sapiens (human);MicroRNAs in cancer - Homo sapiens (human);Pathways in cancer - Homo sapiens (human);Viral carcinogenesis - Homo sapiens (human);Hepatitis B - Homo sapiens (human);Wnt signaling pathway - Homo sapiens (human);Notch signaling pathway - Homo sapiens (human);Epstein-Barr virus infection - Homo sapiens (human);Melanogenesis - Homo sapiens (human);Human papillomavirus infection - Homo sapiens (human);Herpes simplex infection - Homo sapiens (human);Glucocorticoid Pathway (Peripheral Tissue), Pharmacodynamics;Androgen receptor signaling pathway;Angiogenesis;TNF alpha Signaling Pathway;Notch Signaling Pathway;Initiation of transcription and translation elongation at the HIV-1 LTR;IL-6 signaling pathway;Pathways Affected in Adenoid Cystic Carcinoma;Hematopoietic Stem Cell Gene Regulation by GABP alpha-beta Complex;TGF-beta Signaling Pathway;miRNA regulation of prostate cancer signaling pathways;Wnt Signaling Pathway and Pluripotency;Pathways in clear cell renal cell carcinoma;Ebola Virus Pathway on Host;Ebola Virus Pathway on Host;Type 2 papillary renal cell carcinoma;Notch Signaling Pathway;TGF-beta Receptor Signaling;Sudden Infant Death Syndrome (SIDS) Susceptibility Pathways;Developmental Biology;Disease;RUNX3 regulates NOTCH signaling;Signaling by WNT;Signal Transduction;Gene expression (Transcription);Transcriptional regulation by RUNX3;Attenuation phase;HSF1-dependent transactivation;mechanism of gene regulation by peroxisome proliferators via ppara;wnt signaling pathway;il-7 signal transduction;pelp1 modulation of estrogen receptor activity;acetylation and deacetylation of rela in nucleus;the information processing pathway at the ifn beta enhancer;transcription regulation by methyltransferase of carm1;activation of csk by camp-dependent protein kinase inhibits signaling through the t cell receptor;nfat and hypertrophy of the heart ;nfkb activation by nontypeable hemophilus influenzae;multi-step regulation of transcription by pitx2;carm1 and regulation of the estrogen receptor;Generic Transcription Pathway;Prolactin;Regulation of lipid metabolism by Peroxisome proliferator-activated receptor alpha (PPARalpha);Metabolism of lipids;IL12 signaling mediated by STAT4;Cellular responses to stress;TRAF6 mediated IRF7 activation;DDX58/IFIH1-mediated induction of interferon-alpha/beta;LRR FLII-interacting protein 1 (LRRFIP1) activates type I IFN production;TP53 Regulates Transcription of Cell Death Genes;CD209 (DC-SIGN) signaling;C-type lectin receptors (CLRs);RNA Polymerase II Transcription;Chromatin modifying enzymes;Notch-HLH transcription pathway;TCR;Notch;HIF-2-alpha transcription factor network;Hedgehog;Innate Immune System;Immune System;Metabolism;NICD traffics to nucleus;Transcriptional regulation of white adipocyte differentiation;TRAF3-dependent IRF activation pathway;Pre-NOTCH Transcription and Translation;Pre-NOTCH Expression and Processing;Signaling by NOTCH1;NOTCH3 Intracellular Domain Regulates Transcription;Signaling by NOTCH3;Signaling by NOTCH;TGF-beta super family signaling pathway canonical;TP53 Regulates Transcription of Genes Involved in Cytochrome C Release;HATs acetylate histones;regulation of transcriptional activity by pml;Cellular responses to external stimuli;TGF_beta_Receptor;inhibition of huntingtons disease neurodegeneration by histone deacetylase inhibitors;tgf beta signaling pathway;Glucocorticoid receptor regulatory network;Signaling events mediated by TCPTP;LIF signaling;FOXA1 transcription factor network;Cellular response to heat stress;Posttranslational regulation of adherens junction stability and dissassembly;Signaling by Nuclear Receptors;Chromatin organization;C-MYB transcription factor network;Activation of the TFAP2 (AP-2) family of transcription factors;Transcriptional Regulation by TP53;IFN-gamma pathway;Direct p53 effectors;IL4;Transcriptional regulation by the AP-2 (TFAP2) family of transcription factors;Estrogen-dependent gene expression;RUNX1 regulates transcription of genes involved in differentiation of myeloid cells;IL6;TNFalpha;Constitutive Signaling by NOTCH1 PEST Domain Mutants;Signaling by NOTCH1 PEST Domain Mutants in Cancer;Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants;Signaling by NOTCH1 HD+PEST Domain Mutants in Cancer;Signaling by NOTCH1 in Cancer;Cytosolic sensors of pathogen-associated DNA ;BMP2 signaling TGF-beta MV;BMP signaling Dro;ESR-mediated signaling;Wnt Canonical;Notch-mediated HES/HEY network;Transcriptional regulation by RUNX1;Diseases of signal transduction;Validated targets of C-MYC transcriptional activation;Retinoic acid receptors-mediated signaling;Formation of the beta-catenin:TCF transactivating complex;TCF dependent signaling in response to WNT;HIF-1-alpha transcription factor network;Regulation of Androgen receptor activity;Signaling events mediated by Stem cell factor receptor (c-Kit);Signaling events mediated by HDAC Class III;FOXM1 transcription factor network;FoxO family signaling;Role of Calcineurin-dependent NFAT signaling in lymphocytes;Wnt Mammals;NOTCH1 Intracellular Domain Regulates Transcription;Regulation of retinoblastoma protein;Signaling events mediated by HDAC Class I;Hedgehog signaling events mediated by Gli proteins;Regulation of nuclear SMAD2/3 signaling;Presenilin action in Notch and Wnt signaling;E2F transcription factor network;p53 pathway (Consensus)

Recessive Scores

pRec
0.551

Intolerance Scores

loftool
0.00110
rvis_EVS
-2.1
rvis_percentile_EVS
1.54

Haploinsufficiency Scores

pHI
1.00
hipred
Y
hipred_score
0.783
ghis
0.601

Essentials

essential_gene_CRISPR
E
essential_gene_CRISPR2
S
essential_gene_gene_trap
E
gene_indispensability_pred
E
gene_indispensability_score
1.00

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Crebbp
Phenotype
homeostasis/metabolism phenotype; cellular phenotype; craniofacial phenotype; adipose tissue phenotype (the observable morphological and physiological characteristics of mammalian fat tissue that are manifested through development and lifespan); endocrine/exocrine gland phenotype; growth/size/body region phenotype; integument phenotype (the observable morphological and physiological characteristics of the skin and its associated structures, such as the hair, nails, sweat glands, sebaceous glands and other secretory glands that are manifested through development and lifespan); respiratory system phenotype; embryo phenotype; skeleton phenotype; immune system phenotype; digestive/alimentary phenotype; limbs/digits/tail phenotype; nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan); neoplasm; cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan); hematopoietic system phenotype; normal phenotype; mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span); behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); liver/biliary system phenotype;

Gene ontology

Biological process
negative regulation of transcription by RNA polymerase II;response to hypoxia;stimulatory C-type lectin receptor signaling pathway;regulation of transcription, DNA-templated;transcription initiation from RNA polymerase II promoter;protein acetylation;signal transduction;Notch signaling pathway;positive regulation of transcription of Notch receptor target;regulation of smoothened signaling pathway;viral process;histone acetylation;N-terminal peptidyl-lysine acetylation;regulation of lipid metabolic process;positive regulation of transforming growth factor beta receptor signaling pathway;protein destabilization;positive regulation of type I interferon production;cellular response to UV;homeostatic process;embryonic digit morphogenesis;regulation of apoptotic process;regulation of myeloid cell differentiation;positive regulation of Notch signaling pathway;positive regulation of transcription, DNA-templated;positive regulation of transcription by RNA polymerase II;rhythmic process;regulation of transcription from RNA polymerase II promoter in response to hypoxia;protein-containing complex assembly;regulation of cellular response to heat;beta-catenin-TCF complex assembly
Cellular component
histone acetyltransferase complex;nuclear chromatin;nucleus;nucleoplasm;cytoplasm;nuclear body
Molecular function
proximal promoter sequence-specific DNA binding;RNA polymerase II transcription factor binding;RNA polymerase II activating transcription factor binding;p53 binding;chromatin binding;damaged DNA binding;transcription coactivator activity;transcription corepressor activity;histone acetyltransferase activity;protein binding;transcription factor binding;zinc ion binding;acetyltransferase activity;peptide N-acetyltransferase activity;MRF binding