RELA

protein-coding

RELA proto-oncogene, NF-kB subunit, the group of IPT domain containing|NF-kappa B complex subunits

Gene summary

NF-kappa-B is a ubiquitous transcription factor involved in several biological processes. It is held in the cytoplasm in an inactive state by specific inhibitors. Upon degradation of the inhibitor, NF-kappa-B moves to the nucleus and activates transcription of specific genes. NF-kappa-B is composed of NFKB1 or NFKB2 bound to either REL, RELA, or RELB. The most abundant form of NF-kappa-B is NFKB1 complexed with the product of this gene, RELA. Four transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2011]

Previous symbols:
  • NFKB3

MANE transcript

NM_021975.4

Inheritance

AD

ClinVar variants

P:47U:224B:150

Top phenotype

Autoinflammatory disease, familial, Behcet-like 3

gnomAD constraint

pLI —, LoF o/e 0.04

Max pathogenic AF

—

Genomic locus

chr11:65,653,599-65,663,090

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~9.5 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

combined immunodeficiency due to RELA haploinsufficiencyDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0035694

Submitter: ClinGen

*RELA* was first reported in relation to autosomal dominant combined immunodeficiency due to *RELA* haploinsufficiency in 2017 (Badran YR, et al., 2017, PMID: 28600438). *RELA* encodes RelA/p65 which is a key component of the canonical pathway of NFκB, and associates with p50/NFκB1for nuclear translocation and cytokine gene transcription. Signaling through the NF-κB pathway is important for maintaining self-tolerance and regulation of the immune response. *RELA* haploinsufficiency results in impaired NF-κB activation downstream of TLR and TNF stimulation, followed by impaired up-regulation of antiapoptotic genes and increased stromal cell apoptosis. This disorder is characterized predominantly by chronic mucocutaneous ulceration; however, the clinical phenotype broadens to include Behçet’s syndrome and irritable bowel disease. Genetic evidence was included in this curation from four probands in four publications (PMIDs: 28600438, 32969189, 29305315, 35412596). The four reported variants include splice site, frameshift, and nonsense. Experimentally, this gene-disease relationship is supported by its function in the activation of NF-κB-dependent transcription and to prevent apoptosis (PMID: 12881425), which is altered in in HEK293T cells transfected with mutant *RELA* (PMID: 32969189) and in patients, resulting in increased TNF-induced stromal cell death (PMID: 28600438). Defective activation of NF-κB-dependent transcription was rescued in patient cells with expression of WT *RELA* (PMID: 28600438). Furthermore, a Rela+/− mouse model recapitulated the defective NF-κB-dependent transcription and cutaneous ulceration observed in patients (PMID: 28600438). In summary, there is Definitive evidence to support this gene-disease relationship. This has been repeatedly demonstrated in both research and the clinical diagnostic setting and has been upheld over time.

autoinflammatory disease, familial, Behcet-like-3STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0032659

Submitter: Labcorp Genetics (formerly Invitae)

autoinflammatory disease, familial, Behcet-like-3STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0032659

Submitter: PanelApp Australia

autoinflammatory disease, familial, Behcet-like-3LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0032659

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Autoinflammatory disease, familial, Behcet-like 3AD

Manifestation: Allergy/Immunology/Infectious

Intervention: Allergy/Immunology/Infectious

Rationale: Individuals can have chronic mucocutaneous ulcerations, and medical management (with a tumor necrosis factor inhibitor) has been described as beneficial

Refs: 28600438Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to RELA variants in ClinVar

8 Conditions Cataloged
not providedTotal: 487
not specifiedTotal: 95
Autoinflammatory disease, familial, Behcet-like-3Total: 21
RELA-related disorderTotal: 19
Primary immunodeficiency or monogenic inflammatory bowel diseaseTotal: 2
Childhood-onset schizophreniaTotal: 1
Autoinflammatory syndrome, familial, Behcet-like 1Total: 1
Mucocutaneous ulcerationTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_021975.4. 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
3
clinvar
137
clinvar
4
clinvar
144
missense
1
clinvar
212
clinvar
9
clinvar
222
nonsense
12
clinvar
8
clinvar
1
clinvar
21
start loss
1
clinvar
1
frameshift
17
clinvar
5
clinvar
4
clinvar
26
splice donor/acceptor (+/-2bp)
1
clinvar
3
clinvar
3
clinvar
7
Total30172241464421

Highest pathogenic variant AF is 0.000006569439

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 46 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_021975.4RefSeqNP_068810.311MANE Select
ENST00000406246.8EnsemblENSP00000384273.311MANE Select
NM_001145138.2RefSeqNP_001138610.111Standard
NM_001243984.2RefSeqNP_001230913.111Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
relaDanio rerio

Structure: whole organism

Quality: viability

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • PI3K-Akt signaling pathway - Homo sapiens (human)
  • Chronic myeloid leukemia - Homo sapiens (human)
  • Relaxin signaling pathway - Homo sapiens (human)
  • Adipocytokine signaling pathway - Homo sapiens (human)
  • T cell receptor signaling pathway - Homo sapiens (human)

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • liver development
  • hair follicle development
  • stimulatory C-type lectin receptor signaling pathway
  • acetaldehyde metabolic process

Molecular Function

  • RNA polymerase II regulatory region sequence-specific DNA binding
  • RNA polymerase II proximal promoter sequence-specific DNA binding
  • RNA polymerase II distal enhancer sequence-specific DNA binding
  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • DNA-binding transcription repressor activity, RNA polymerase II-specific

Cellular Component

  • nuclear chromatin
  • nucleus
  • nucleoplasm
  • transcription factor complex
  • nucleolus

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000406246
Coding exons
11
Length
9499
Individuals with no LoFs
125293
Homozygous LoFs
0
Heterozygous LoFs
5
Defined
125298
p
0.0000200
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.452083340.6230.00002083514
Missense (PolyPhen)41127.770.32091334
Synonymous-0.8331451331.090.000007741176
Loss of Function4.56126.20.03820.00000163261

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.0000320.000029rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish0.0000490.000046rare
European (Non-Finnish)0.0000280.000026rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: NF-kappa-B is a pleiotropic transcription factor present in almost all cell types and is the endpoint of a series of signal transduction events that are initiated by a vast array of stimuli related to many biological processes such as inflammation, immunity, differentiation, cell growth, tumorigenesis and apoptosis. NF-kappa-B is a homo- or heterodimeric complex formed by the Rel-like domain-containing proteins RELA/p65, RELB, NFKB1/p105, NFKB1/p50, REL and NFKB2/p52. The heterodimeric RELA- NFKB1 complex appears to be most abundant one. The dimers bind at kappa-B sites in the DNA of their target genes and the individual dimers have distinct preferences for different kappa-B sites that they can bind with distinguishable affinity and specificity. Different dimer combinations act as transcriptional activators or repressors, respectively. The NF-kappa-B heterodimeric RELA-NFKB1 and RELA-REL complexes, for instance, function as transcriptional activators. NF-kappa-B is controlled by various mechanisms of post-translational modification and subcellular compartmentalization as well as by interactions with other cofactors or corepressors. NF-kappa-B complexes are held in the cytoplasm in an inactive state complexed with members of the NF- kappa-B inhibitor (I-kappa-B) family. In a conventional activation pathway, I-kappa-B is phosphorylated by I-kappa-B kinases (IKKs) in response to different activators, subsequently degraded thus liberating the active NF-kappa-B complex which translocates to the nucleus. The inhibitory effect of I-kappa-B on NF-kappa-B through retention in the cytoplasm is exerted primarily through the interaction with RELA. RELA shows a weak DNA-binding site which could contribute directly to DNA binding in the NF-kappa-B complex. Beside its activity as a direct transcriptional activator, it is also able to modulate promoters accessibility to transcription factors and thereby indirectly regulate gene expression. Associates with chromatin at the NF-kappa-B promoter region via association with DDX1. Essential for cytokine gene expression in T-cells (PubMed:15790681). The NF-kappa-B homodimeric RELA-RELA complex appears to be involved in invasin- mediated activation of IL-8 expression. {ECO:0000269|PubMed:10928981, ECO:0000269|PubMed:12748188, ECO:0000269|PubMed:15790681, ECO:0000269|PubMed:17000776, ECO:0000269|PubMed:17620405, ECO:0000269|PubMed:19058135, ECO:0000269|PubMed:19103749, ECO:0000269|PubMed:20547752}.;
Disease
DISEASE: Note=A chromosomal aberration involving C11orf95 is found in more than two-thirds of supratentorial ependymomas. Translocation with C11orf95 produces a C11orf95-RELA fusion protein. C11orf95-RELA translocations are potent oncogenes that probably transform neural stem cells by driving an aberrant NF- kappa-B transcription program (PubMed:24553141). {ECO:0000269|PubMed:24553141}.;

Recessive Scores

pRec
0.754

Intolerance Scores

LoFtool
0.248
RVIS EVS
-0.69
RVIS percentile EVS
15.12

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
1.00

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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