STAT6

protein-coding

signal transducer and activator of transcription 6, the group of SH2 domain containing

Gene summary

The protein encoded by this gene is a member of the STAT family of transcription factors. In response to cytokines and growth factors, STAT family members are phosphorylated by the receptor associated kinases, and then form homo- or heterodimers that translocate to the cell nucleus where they act as transcription activators. This protein plays a central role in exerting IL4 mediated biological responses. It is found to induce the expression of BCL2L1/BCL-X(L), which is responsible for the anti-apoptotic activity of IL4. Knockout studies in mice suggested the roles of this gene in differentiation of T helper 2 (Th2) cells, expression of cell surface markers, and class switch of immunoglobulins. Alternative splicing results in multiple transcript variants.[provided by RefSeq, May 2010]

MANE transcript

NM_003153.5

Inheritance

AD

ClinVar variants

P:6U:121B:14

Top phenotype

Hyper-IgE syndrome 6, autosomal dominant, with recurrent infections

gnomAD constraint

pLI —, LoF o/e 0.16

Max pathogenic AF

—

Genomic locus

chr12:57,095,408-57,132,139

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~36.7 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hyper-IgE syndrome 6, autosomal dominant, with recurrent infectionsSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0957807

Submitter: PanelApp Australia

hyper-IgE syndrome 6, autosomal dominant, with recurrent infectionsSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0957807

Submitter: ClinGen

*STAT6* was first reported in relation to autosomal dominant hyper-IgE syndrome 6 in 2023 (Suratannon N, et al., 2023, PMID: 36216080). This is an immunologic disorder characterized by early-childhood onset of severe refractory atopic dermatitis, IgE-mediated food and drug allergies, asthma, and eosinophilic esophagitis. Laboratory studies show increased serum IgE levels and eosinophilia. Additional features may include allergic rhinitis, recurrent secondary infections (bacterial, viral, fungal), and short stature. It is caused by caused by heterozygous gain of function mutations; 11 missense variants reported in 12 probands in 3 publications (PMIDs: 36216080, 36884218, 36758835). This gene-disease relationship is further supported by experimental evidence including its biochemical function in mediating the effects of IL4 (PMID: 8085155), a key cytokine necessary for type 2 differentiation of CD4+ T cells (TH2) and B cells, cell proliferation, and class switching to IgE. Functional alteration in patient cells confirmed a significant increase of TH2 lymphocytes and increased IL-4 production, while transcriptomic changes were found in D419G-transducted cells (PMID: 36884218). A protein interaction with STAT3 (definitively related to hyper-IgE syndrome 1) has been reported (PMID: 20211142). In addition, a gain of function mouse model shares a number of key features of the allergic diathesis, including elevated serum IgE and chronic atopic dermatitis (PMID: 12646608). In summary, there is strong evidence to support the relationship between *STAT6* and autosomal dominant hyper-IgE syndrome 6. Three years must elapse from the first proposal of the assertion to reach a definitive classification without any valid contradictory evidence. We will re-evaluate this gene-disease relationship at that time to determine if an upgraded classification of definitive is warranted.

Clinical Genomic Database (CGD)

Hyper-IgE syndrome 6, autosomal dominant, with recurrent infectionsAD

Manifestation: Allergy/Immunology/Infectious; Cardiovascular; Gastrointestinal; Musculoskeletal; Pulmonary

Intervention: Allergy/Immunology/Infectious

Rationale: The condition can manifest with multisystem immunologic features, incluidng frequent infections, and medical management (eg, with IL4 inhibitors or JAK inhibitors) as well as early and aggressive treatment of infections, may be beneficial; Individuals have been described with anaphylactic allergic reactions, and awareness may allow identification and triggers and avoidance and prompt management of allergic reactions; The condition can involve cerebrovascular anomalies, and early identification may improve outcomes;

Refs: 36758835; 36884218; 37316763Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to STAT6 variants in ClinVar

4 Conditions Cataloged
Inborn genetic diseasesTotal: 86
not providedTotal: 28
Hyper-IgE syndrome 6, autosomal dominant, with recurrent infectionsTotal: 11
STAT6-related conditionTotal: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003153.5. 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
6
clinvar
1
clinvar
9
missense
5
clinvar
1
clinvar
110
clinvar
6
clinvar
1
clinvar
123
nonsense
3
clinvar
3
start loss
1
clinvar
1
frameshift
0
splice donor/acceptor (+/-2bp)
5
clinvar
5
Total51121122141
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 94 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003153.5RefSeqNP_003144.321MANE Select
ENST00000300134.8EnsemblENSP00000300134.321MANE Select
NM_001178078.2RefSeqNP_001171549.121Standard
NM_001178079.2RefSeqNP_001171550.121Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Jak-STAT signaling pathway - Homo sapiens (human)
  • Inflammatory bowel disease (IBD) - Homo sapiens (human)
  • Necroptosis - Homo sapiens (human)
  • Th17 cell differentiation - Homo sapiens (human)
  • Th1 and Th2 cell differentiation - Homo sapiens (human)

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • T-helper 1 cell lineage commitment
  • negative regulation of type 2 immune response
  • regulation of transcription by RNA polymerase II
  • signal transduction

Molecular Function

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

Cellular Component

  • nuclear chromatin
  • nucleoplasm
  • cytosol
  • nuclear membrane
  • membrane raft

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000300134
Coding exons
21
Length
36732
Individuals with no LoFs
125736
Homozygous LoFs
0
Heterozygous LoFs
12
Defined
125748
p
0.0000477
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.413364860.6920.00002715516
Missense (PolyPhen)93198.980.467392347
Synonymous0.2041901940.9810.00001061715
Loss of Function5.41848.70.1640.00000261499

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian0.0000540.000054rare
Finnish0.0000930.000092rare
European (Non-Finnish)0.0000620.000062rare
South Asian0.0000650.000065rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Carries out a dual function: signal transduction and activation of transcription. Involved in IL4/interleukin-4- and IL3/interleukin-3-mediated signaling. {ECO:0000269|PubMed:17210636}.;

Recessive Scores

pRec
0.752

Intolerance Scores

LoFtool
0.0386
RVIS EVS
-0.69
RVIS percentile EVS
15.27

Essentials

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

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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