SPI1

protein-coding

Spi-1 proto-oncogene, the group of ETS transcription factor family

Gene summary

This gene encodes an ETS-domain transcription factor that activates gene expression during myeloid and B-lymphoid cell development. The nuclear protein binds to a purine-rich sequence known as the PU-box found near the promoters of target genes, and regulates their expression in coordination with other transcription factors and cofactors. The protein can also regulate alternative splicing of target genes. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

MANE transcript

NM_003120.3

Inheritance

AD

ClinVar variants

P:24U:37B:98

Top phenotype

Agammaglobulinemia 10, autosomal dominan

gnomAD constraint

pLI —, LoF o/e 0

Max pathogenic AF

—

Genomic locus

chr11:47,354,860-47,409,369

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~54.5 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

agammaglobulinemia 10, autosomal dominantSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0030529

Submitter: PanelApp Australia

agammaglobulinemia 10, autosomal dominantDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0030529

Submitter: ClinGen

The relationship between *SPI1* and Agammaglobulinemia 10, an autosomal dominant disorder, was evaluated using the ClinGen Clinical Validity Framework. *SPI1* encodes an ETS-domain transcription factor (PU.1). PU.1 is a key transcriptional regulator required in the development of multiple hematopoietic lineages. The phenotype associated with agammaglobulinemia 10 due to *SPI1* variants is characterized by early childhood onset of recurrent viral and bacterial infections affecting various organ systems, sinopulmonary infections with encapsulated bacteria, absent or low B cells and hypo or agammaglobulinemia. (Le Coz et al, 2021; PMID: 33951726). SPI1 was first reported in relation to autosomal dominant agammaglobulinemia in 2021 (Le Coz et al, 2021; PMID: 33951726). Evidence supporting this gene-disease relationship includes case-level data and experimental data. Summary of Case Level Data (10.5 points): There have been 8 unrelated patients from 3 publication with germline, heterozygous variants in *SPI1* (PMIDs: 33951726, 38500873, 39052144). The 7 variants reported included 2 frameshift variants, 3 nonsense variants and 2 missense variants. Segregation analysis performed on 4 of the individuals revealed that the variant was de novo in all 4 of these probands (PMID: 33951726). The mechanism of disease is expected to be haploinsufficiency. Functional studies in patient cells and in-vitro cultures of mutant-transfected cells suggest that the variant impacts include the decay mRNA transcripts, destabilization of the PU.1 protein, interferance with PU.1 nuclear localization and / or alteratrion of PU.1 ETS domain-DNA binding. (PMID: 33951726) Summary of experimental data (3 points): This gene-disease relationship is supported by its biochemical function (PMID: 15469848) and expression in B cells (PMID: 2180582), as well as both cell culture and mouse model evidence. Adoptive transfer of hematopoietic stem and progenitor cells (HSPCs) from a patient’s unaffected sibling normalised PU.1 expression and resolved B cell and cDC deficiencies (PMID: 33951726). A cell culture model using CRISPR/Cas9 to edit the SPI1 locus in human HSPCs showed that myeloid and B cells were not tolerant to frameshift edits (PMID: 33951726). Germline homozygous *SPI1* knock-out mice were embryonically lethal with testing of embryos showing elimination of B lineage progenitors (PMID: 8079170). Conditionally knocked out mice were found to partially recapitulate the cellular phenotype seen in humans demonstrating a deficiency of cDC cells (PMID: 30611612). In summary, there is definitive evidence supporting the relationship between *SPI1* and autosomal dominant Agammaglobulinemia 10. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This gene-disease pair was originally evaluated by the Antibody Deficiencies GCEP on August, 16 2022. It was reevaluated on December 12, 2024. As a result of this reevaluation, the classification changed from Strong to Definitive due to the replication of this gene-disease relationship over time and two additional case reports (PMIDs: 38500873, 39052144). A recent analysis was performed of 134 *SPI1* variants in agammaglobulinemia patients, expanding the genotype-phenotype correlation of this disease (PMID: 39854693).

agammaglobulinemia 10, autosomal dominantSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0030529

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Agammaglobulinemia 10, autosomal dominanAD

Manifestation: Allergy/Immunology/Infectious

Intervention: Allergy/Immunology/Infectious

Rationale: The condition may include early-onset, recurrent infections, and early diagnoses may enable management (eg, with IVIG and an altered vaccination regimen), and early and aggressive treatment of infections; HSCT has been described

Refs: 33951726Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SPI1 variants in ClinVar

6 Conditions Cataloged
AgammaglobulinemiaTotal: 130
not specifiedTotal: 33
not providedTotal: 12
Agammaglobulinemia 10, autosomal dominantTotal: 11
PU.1-mutated agammaglobulinemiaTotal: 6
SPI1-related conditionTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003120.3. 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
1
clinvar
3
clinvar
1
clinvar
5
missense
4
clinvar
3
clinvar
33
clinvar
94
clinvar
134
nonsense
7
clinvar
1
clinvar
1
clinvar
9
start loss
0
frameshift
8
clinvar
2
clinvar
10
splice donor/acceptor (+/-2bp)
1
clinvar
1
Total20437395159
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 18 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003120.3RefSeqNP_003111.25MANE Select
ENST00000378538.8EnsemblENSP00000367799.45MANE Select
NM_001080547.2RefSeqNP_001074016.15Standard
ENST00000227163.8EnsemblENSP00000227163.45Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
spi1bDanio rerio

Structure: neutrophil

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Acute myeloid leukemia - Homo sapiens (human)
  • HTLV-I infection - Homo sapiens (human)
  • Pathways in cancer - Homo sapiens (human)
  • Transcriptional misregulation in cancer - Homo sapiens (human)
  • Osteoclast differentiation - Homo sapiens (human)

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • lymphoid progenitor cell differentiation
  • regulation of transcription by RNA polymerase II
  • lymphocyte differentiation
  • cell differentiation

Molecular Function

  • 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
  • RNA polymerase II transcription factor binding
  • DNA-binding transcription repressor activity, RNA polymerase II-specific

Cellular Component

  • nuclear chromatin
  • nucleus
  • nucleoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000227163
Coding exons
5
Length
23717
Individuals with no LoFs
0
Homozygous LoFs
0
Heterozygous LoFs
0
Defined
0
p
0.00
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.35751580.4740.000008821782
Missense (PolyPhen)1661.8510.25868678
Synonymous-0.2197572.61.030.00000474496
Loss of Function3.24012.30.005.24e-7145

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Binds to the PU-box, a purine-rich DNA sequence (5'- GAGGAA-3') that can act as a lymphoid-specific enhancer. This protein is a transcriptional activator that may be specifically involved in the differentiation or activation of macrophages or B- cells. Also binds RNA and may modulate pre-mRNA splicing (By similarity). {ECO:0000250}.;

Recessive Scores

pRec
0.668

Intolerance Scores

LoFtool
0.464
RVIS EVS
-0.16
RVIS percentile EVS
41.25

Essentials

Essential (CRISPR)
E
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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