LAT

protein-coding

linker for activation of T cells

Gene summary

The protein encoded by this gene is phosphorylated by ZAP-70/Syk protein tyrosine kinases following activation of the T-cell antigen receptor (TCR) signal transduction pathway. This transmembrane protein localizes to lipid rafts and acts as a docking site for SH2 domain-containing proteins. Upon phosphorylation, this protein recruits multiple adaptor proteins and downstream signaling molecules into multimolecular signaling complexes located near the site of TCR engagement. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]

MANE transcript

NM_001014987.2

Inheritance

AR

ClinVar variants

P:8U:73B:58

Top phenotype

Immunodeficiency 52

gnomAD constraint

pLI —, LoF o/e 0.35

Max pathogenic AF

—

Genomic locus

chr16:28,984,826-28,990,784

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~6.0 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

severe combined immunodeficiency due to LAT deficiencyDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0044721

Submitter: ClinGen

LAT was first reported in relation to autosomal recessive severe combined immunodeficiency due to LAT deficiency in 2016 (Keller et al., PMID: 27242165). Affected individuals have T-B+NK+ severe combined immunodeficiency (SCID), lymphadenopathy (with distorted architecture and absent germinal centers), hypogammaglobulinemia, and autoimmune hematologic conditions leading to failure to thrive, severe recurrent infections and splenomegaly. Most affected individuals require bone marrow transplant for survival. Three frameshift variants that have been reported in three probands in three publications (PMIDs: 27242165, 27522155, 37516813) are included in this curation. Variants in this gene segregated with disease in 4 additional family members. Heterozygous family members did not have symptoms and had normal LAT function, indicating there is no haploinsufficiency effect. The mechanism of pathogenicity is known to be loss of function. This gene-disease association is also supported by mouse model, protein interactions, expression studies, biochemical function, functional alteration, and rescue studies in cell culture models (PMIDs: 9489702, 10204488, 27522155, 9846483, 10360968). LAT is expressed in T cells, NK cells, and mast cells, but not in B cells or monocytes. When LAT was co-expressed with Lck, Fyn, Syk and ZAP-70 in COS cells, Syc and ZAP-70 showed increased activity toward LAT where Lck and Fyn showed negligible activity. In addition, LAT binds to PLC-γ1, Grb2, and PI3K. Overexpression of LAT mutants blocked TCR-mediated AP-1 and NF-AT transcriptional activity (PMID: 9489702). In vitro expression studies showed disrupted downstream signaling, failure of CD69 upregulation and absence of calcium flux induction upon stimulation, as well as absence of downstream tyrosine phosphorylation (PMID: 27522155). LAT -/- mice had absent T cells, normal B cells. Thymocyte numbers were 10-20 fold lower than in LAT het and LAT WT mice. LAT -/- thymocytes fail to develop beyond the DN CD25+CD44- stage, and there were no mature alpha beta T cells in the lymph nodes and spleens of these mice (PMID: 10204488). Two cell culture models with significantly reduced LAT expression (ANJ3 and J.CaM2) showed rescue of TCR signaling after re-expression of LAT (PMID: 9846483, 10360968). This gene-disease pair was originally evaluated by the SCID-CID GCEP on 5/10/2022. It was reevaluated on 9/18/2025. As a result of this reevaluation, the classification changed from strong to definitive with the addition of new case-level genetic evidence (PMID: 37516813).

severe combined immunodeficiency due to LAT deficiencySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0044721

Submitter: PanelApp Australia

severe combined immunodeficiency due to LAT deficiencySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0044721

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Immunodeficiency 52AR

Manifestation: Allergy/Immunology/Infectious

Intervention: Allergy/Immunology/Infectious

Rationale: Antiinfectious prophylaxis and early and aggressive treatment of infections may be beneficial; HSCT has been described

Refs: 27242165; 27522155Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to LAT variants in ClinVar

5 Conditions Cataloged
not providedTotal: 196
not specifiedTotal: 54
Severe combined immunodeficiency due to LAT deficiencyTotal: 5
LAT-related disorderTotal: 4
LAT-related disordersTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001014987.2. 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
53
clinvar
55
missense
67
clinvar
5
clinvar
72
nonsense
2
clinvar
2
clinvar
4
start loss
0
frameshift
5
clinvar
1
clinvar
6
splice donor/acceptor (+/-2bp)
2
clinvar
2
Total7173580139

Highest pathogenic variant AF is 0.000002478533

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 19 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001014987.2RefSeqNP_001014987.111MANE Select
ENST00000395456.7EnsemblENSP00000378841.311MANE Select
NM_001014988.2RefSeqNP_001014988.111Standard
NM_001014989.2RefSeqNP_001014989.212Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • T cell receptor signaling pathway - Homo sapiens (human)
  • Fc epsilon RI signaling pathway - Homo sapiens (human)
  • Fc gamma R-mediated phagocytosis - Homo sapiens (human)
  • Th17 cell differentiation - Homo sapiens (human)
  • Th1 and Th2 cell differentiation - Homo sapiens (human)

Biological Process

  • MAPK cascade
  • adaptive immune response
  • lymphocyte homeostasis
  • inflammatory response
  • immune response

Molecular Function

  • SH3/SH2 adaptor activity
  • Ras guanyl-nucleotide exchange factor activity
  • protein binding
  • protein kinase binding

Cellular Component

  • immunological synapse
  • Golgi apparatus
  • plasma membrane
  • cell-cell junction
  • COP9 signalosome

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000395461
Coding exons
12
Length
5958
Individuals with no LoFs
125725
Homozygous LoFs
0
Heterozygous LoFs
15
Defined
125740
p
0.0000596
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.6281431660.8630.00001001712
Missense (PolyPhen)3045.5990.65791494
Synonymous0.1596869.70.9760.00000467546
Loss of Function2.68719.90.3510.00000112202

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000120.00012rare
Ashkenazi Jewish0.000210.00020rare
East Asian0.000220.00022rare
Finnish00.0absent
European (Non-Finnish)0.0000260.000026rare
South Asian0.0000650.000065rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Required for TCR (T-cell antigen receptor)- and pre-TCR- mediated signaling, both in mature T-cells and during their development. Involved in FCGR3 (low affinity immunoglobulin gamma Fc region receptor III)-mediated signaling in natural killer cells and FCER1 (high affinity immunoglobulin epsilon receptor)-mediated signaling in mast cells. Couples activation of these receptors and their associated kinases with distal intracellular events such as mobilization of intracellular calcium stores, PKC activation, MAPK activation or cytoskeletal reorganization through the recruitment of PLCG1, GRB2, GRAP2, and other signaling molecules. {ECO:0000269|PubMed:10072481}.;
Disease
DISEASE: Immunodeficiency 52 (IMD52) [MIM:617514]: An autosomal recessive primary immunodeficiency characterized by T-cell abnormalities, resulting in severe combined immunodeficiency, autoimmune disease, progressive lymphopenia and hypogammaglobulinemia, and lymphoproliferation with splenomegaly. Patients develop severe recurrent infections from infancy. {ECO:0000269|PubMed:27242165, ECO:0000269|PubMed:27522155}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Intolerance Scores

LoFtool
0.0956
RVIS EVS
-0.54
RVIS percentile EVS
20.54

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.383

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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