STX11

protein-coding

syntaxin 11, the group of Syntaxins

Gene summary

This gene encodes a member of the syntaxin family. Syntaxins have been implicated in the targeting and fusion of intracellular transport vesicles. This family member may regulate protein transport among late endosomes and the trans-Golgi network. Mutations in this gene have been associated with familial hemophagocytic lymphohistiocytosis. [provided by RefSeq, Jul 2008]

MANE transcript

NM_003764.4

Inheritance

AR

ClinVar variants

P:30U:138B:152

Top phenotype

Hemophagocytic lymphohistiocytosis, familial, 4

gnomAD constraint

pLI —, LoF o/e 0.7

Max pathogenic AF

—

Genomic locus

chr6:144,150,487-144,191,939

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~41.5 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hereditary hemophagocytic lymphohistiocytosisSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0015541

Submitter: Orphanet

familial hemophagocytic lymphohistiocytosis 4STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0011336

Submitter: PanelApp Australia

familial hemophagocytic lymphohistiocytosis 4DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0011336

Submitter: ClinGen

STX11 was first reported in relation to autosomal recessive familial hemophagocytic lymphohistiocytosis 4 (FHL4) in 2005 (zur Stadt U et al., 2005, PMID: 15703195). FHL is characterized by episodes of severe and overwhelming systemic immune activation which is often lethal in the absence of appropriate treatment and subsequent allogeneic hematopoietic cell transplantation (HCT). Typical features include fever, splenomegaly, cytopenias, hypertriglyceridemia, hypofibrinogenemia, hyperferritinemia, elevated levels of soluble IL-2 receptor, decreased or absent NK cell function, and hemophagocytosis observed on pathologic inspection of bone marrow or other tissues. Patients with defects in syntaxin 11 result in severely compromised NK degranulation and cytotoxicity. STX11 is expressed in many tissues, but with regard to the immune system, Syntaxin 11 is necessary for normal NK cell and CD8+T cell cytotoxic granule exocytosis and has been implicated in being involved in neutrophil granule exocytosis as well. The exact molecular mechanism of STX11 is not clear. This curation includes 11 variants (including in-frame deletions, missense, nonsense, and frameshift) found in 10 probands from two publications (PMIDs: 20486178, 16582076, 24459464, 26709266, 21298754, 19967551, 31207086 and 31770233). Additional cases are available in the literature however the maximum score for genetic evidence has been reached. A role in disease is supported by increased expression of STX11 in NK cells and CD8+ T cells, as well as in NK92 cells (PMID:17525286). Functional alteration in the patient's cells also showed how a mutation resulted in a complete loss of STX11 function (PMID: 20486178). A Stx11−/− mouse model demonstrated the phenotypes associated with FHL4 and exhibited a defective degranulation and cytotoxic activity of lymphocytes in vitro, confirming the critical role of this SNARE protein in cytotoxic granule exocytosis. Recuse of the phenotype was also seen in this same mouse model (PMID:23160464). In summary, STX11 is definitively associated with autosomal recessive FHL4. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time.

familial hemophagocytic lymphohistiocytosis 4STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0011336

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Hemophagocytic lymphohistiocytosis, familial, 4AR

Manifestation: Allergy/Immunology/Infectious; Neurologic; Oncologic

Intervention: Allergy/Immunology/Infectious; Oncologic

Rationale: Antibiotics or antiviral agents can be beneficial to treat/prevent infections that can trigger an exaggerated inflammatory response. Chemo/immunotherapy can be beneficial; HSCT has been described

Comments: Some individuals have been described as having remission without treatment; It has been suggested that variants may also confer risk for other malignancies.

Refs: 15703195; 16278825; 16582076; 24459464; 32374962Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to STX11 variants in ClinVar

7 Conditions Cataloged
Familial hemophagocytic lymphohistiocytosis 4Total: 295
Inborn genetic diseasesTotal: 39
not providedTotal: 37
not specifiedTotal: 21
Autoinflammatory syndromeTotal: 10
STX11-related disorderTotal: 9
Familial hemophagocytic lymphohistiocytosisTotal: 4

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003764.4. 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
141
clinvar
141
missense
1
clinvar
138
clinvar
10
clinvar
1
clinvar
150
nonsense
6
clinvar
6
clinvar
12
start loss
0
frameshift
6
clinvar
11
clinvar
17
splice donor/acceptor (+/-2bp)
0
Total13171381511320

Highest pathogenic variant AF is 0.000010963815

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 45 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003764.4RefSeqNP_003755.21MANE Select
ENST00000367568.5EnsemblENSP00000356540.41MANE Select
ENST00000698355.1EnsemblENSP00000513678.11Standard
ENST00000698355.2EnsemblENSP00000513678.11Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • SNARE interactions in vesicular transport - Homo sapiens (human)
  • Nicotine Pathway (Dopaminergic Neuron), Pharmacodynamics

Biological Process

  • intracellular protein transport
  • exocytosis
  • vesicle fusion
  • synaptic vesicle fusion to presynaptic active zone membrane
  • vesicle docking

Molecular Function

  • SNARE binding
  • SNAP receptor activity
  • protein binding

Cellular Component

  • Golgi apparatus
  • plasma membrane
  • synaptic vesicle
  • endomembrane system
  • integral component of membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000367568
Coding exons
1
Length
37845
Individuals with no LoFs
125723
Homozygous LoFs
0
Heterozygous LoFs
21
Defined
125744
p
0.0000835
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.1312112061.030.00001771884
Missense (PolyPhen)7178.5020.90444658
Synonymous0.1509697.90.9810.00000968559
Loss of Function0.80668.540.7024.64e-787

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000430.00043rare
Ashkenazi Jewish00.0absent
East Asian0.000110.00011rare
Finnish00.0absent
European (Non-Finnish)0.0000180.000018rare
South Asian0.0000650.000065rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: SNARE that acts to regulate protein transport between late endosomes and the trans-Golgi network.;
Disease
DISEASE: Familial hemophagocytic lymphohistiocytosis 4 (FHL4) [MIM:603552]: A rare disorder characterized by immune dysregulation with hypercytokinemia, defective function of natural killer cell, and massive infiltration of several organs by activated lymphocytes and macrophages. The clinical features of the disease include fever, hepatosplenomegaly, cytopenia, and less frequently neurological abnormalities ranging from irritability and hypotonia to seizures, cranial nerve deficits and ataxia. {ECO:0000269|PubMed:15703195}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.183

Intolerance Scores

LoFtool
0.438
RVIS EVS
0.64
RVIS percentile EVS
83.98

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.539

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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