TGFBR2

protein-coding

transforming growth factor beta receptor 2, the group of Type 2 receptor serine/threonine kinases

Gene summary

The protein encoded by this gene is a transmembrane protein that has a protein kinase domain, forms a heterodimeric complex with TGF-beta receptor type-1, and binds TGF-beta. This receptor/ligand complex phosphorylates proteins, which then enter the nucleus and regulate the transcription of genes related to cell proliferation, cell cycle arrest, wound healing, immunosuppression, and tumorigenesis. Mutations in this gene have been associated with Marfan Syndrome, Loeys-Deitz Aortic Aneurysm Syndrome, and the development of various types of tumors. Alternatively spliced transcript variants encoding different isoforms have been characterized. [provided by RefSeq, Aug 2017]

Previous symbols:
  • MFS2

MANE transcript

NM_003242.6

Inheritance

AD

ClinVar variants

P:169U:598B:340

Top phenotype

Loeys-Dietz syndrome, type 2

gnomAD constraint

pLI —, LoF o/e 0.26

Max pathogenic AF

—

Genomic locus

chr3:30,606,478-30,694,249

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~87.8 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Loeys-Dietz syndrome 2DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0012427

Submitter: ClinGen

TGFBR2 has been described in relation to autosomal dominant Loeys-Dietz syndrome type II as early as 2005 by Loeys et al. (PMID: 15731757). Loeys –Dietz syndrome type II is characterized by “the triad of arterial tortuosity and aneurysms, hypertelorism, and bifid uvula or cleft palate” (PMID: 16928994). At least 17 unique variants have been reported in humans. Evidence supporting this gene-disease relationship includes case-level, segregation and experimental data. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. In summary, TGFBR2 is definitively associated with autosomal dominant Loeys-Dietz syndrome type II. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time. This classification was approved by the ClinGen General GCEP on 11/25/2020. (SOP Version 8)

Loeys-Dietz syndrome 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0012427

Submitter: Genomics England PanelApp

Loeys-Dietz syndrome 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0012427

Submitter: Labcorp Genetics (formerly Invitae)

Loeys-Dietz syndrome 2DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0012427

Submitter: G2P

Loeys-Dietz syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018954

Submitter: Orphanet

familial thoracic aortic aneurysm and aortic dissectionSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019625

Submitter: Orphanet

Clinical Genomic Database (CGD)

Loeys-Dietz syndrome, type 2AD

Manifestation: Cardiovascular; Craniofacial; Dermatologic; Musculoskeletal; Obstetric

Intervention: Cardiovascular; Obstetric

Rationale: Medical management to decrease risk of vascular events is warranted, including avoidance of certain types of activities such as contact sports; Specific surveillance for surgical considerations related to issues such as aneurysms and cervical spine instability, other issues include subacute bacterial endocarditis prophylaxis with dental work; Precautions during pregnancy may be warranted due to the potential of complications including uterine rupture

Comments: An increased risk of colorectal cancer has been reported

Refs: 15235604; 16027248; 15731757; 16928994; 16251899; 19006214; 19542084; 19996017; 24344637Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to TGFBR2 variants in ClinVar

28 Conditions Cataloged
Familial thoracic aortic aneurysm and aortic dissectionTotal: 1039
Loeys-Dietz syndrome 2Total: 396
not providedTotal: 282
not specifiedTotal: 107
Diabetic retinopathyTotal: 79
Malignant tumor of esophagusTotal: 49
Colorectal cancer, hereditary nonpolyposis, type 6Total: 47
TGFBR2-related disorderTotal: 40

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003242.6. 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
2
clinvar
299
clinvar
5
clinvar
307
missense
42
clinvar
99
clinvar
552
clinvar
34
clinvar
1
clinvar
728
nonsense
4
clinvar
6
clinvar
16
clinvar
1
clinvar
27
start loss
1
clinvar
1
frameshift
2
clinvar
5
clinvar
23
clinvar
30
splice donor/acceptor (+/-2bp)
2
clinvar
8
clinvar
4
clinvar
14
Total5111859833461107

Highest pathogenic variant AF is 0.000018712972

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 36 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003242.6RefSeqNP_003233.47MANE Select
ENST00000295754.10EnsemblENSP00000295754.57MANE Select
NM_001024847.3RefSeqNP_001020018.18Standard
NM_001407126.1RefSeqNP_001394055.19Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
tgfbr2bDanio rerio

Structure: hematopoietic multipotent progenitor cell

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Chronic myeloid leukemia - Homo sapiens (human)
  • Gastric cancer - Homo sapiens (human)
  • Relaxin signaling pathway - Homo sapiens (human)
  • TGF-beta signaling pathway - Homo sapiens (human)
  • Adherens junction - Homo sapiens (human)

Biological Process

  • blood vessel development
  • branching involved in blood vessel morphogenesis
  • vasculogenesis
  • response to hypoxia
  • in utero embryonic development

Molecular Function

  • transmembrane receptor protein serine/threonine kinase activity
  • transforming growth factor beta-activated receptor activity
  • transforming growth factor beta receptor activity, type II
  • protein binding
  • ATP binding

Cellular Component

  • cytosol
  • plasma membrane
  • integral component of plasma membrane
  • caveola
  • external side of plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000359013
Coding exons
8
Length
87641
Individuals with no LoFs
125736
Homozygous LoFs
0
Heterozygous LoFs
11
Defined
125747
p
0.0000437
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.242153300.6520.00001903939
Missense (PolyPhen)51113.560.449091387
Synonymous-0.5981401311.070.000007931118
Loss of Function3.26622.80.2630.00000114281

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American00.0absent
Ashkenazi Jewish0.0000990.000099rare
East Asian0.000110.00011rare
Finnish00.0absent
European (Non-Finnish)0.0000440.000044rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Transmembrane serine/threonine kinase forming with the TGF-beta type I serine/threonine kinase receptor, TGFBR1, the non- promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3. Transduces the TGFB1, TGFB2 and TGFB3 signal from the cell surface to the cytoplasm and is thus regulating a plethora of physiological and pathological processes including cell cycle arrest in epithelial and hematopoietic cells, control of mesenchymal cell proliferation and differentiation, wound healing, extracellular matrix production, immunosuppression and carcinogenesis. The formation of the receptor complex composed of 2 TGFBR1 and 2 TGFBR2 molecules symmetrically bound to the cytokine dimer results in the phosphorylation and the activation of TGFRB1 by the constitutively active TGFBR2. Activated TGFBR1 phosphorylates SMAD2 which dissociates from the receptor and interacts with SMAD4. The SMAD2-SMAD4 complex is subsequently translocated to the nucleus where it modulates the transcription of the TGF-beta-regulated genes. This constitutes the canonical SMAD-dependent TGF-beta signaling cascade. Also involved in non- canonical, SMAD-independent TGF-beta signaling pathways. {ECO:0000269|PubMed:7774578}.;
Disease
DISEASE: Hereditary non-polyposis colorectal cancer 6 (HNPCC6) [MIM:614331]: An autosomal dominant disease associated with marked increase in cancer susceptibility. It is characterized by a familial predisposition to early-onset colorectal carcinoma (CRC) and extra-colonic tumors of the gastrointestinal, urological and female reproductive tracts. HNPCC is reported to be the most common form of inherited colorectal cancer in the Western world. Clinically, HNPCC is often divided into two subgroups. Type I is characterized by hereditary predisposition to colorectal cancer, a young age of onset, and carcinoma observed in the proximal colon. Type II is characterized by increased risk for cancers in certain tissues such as the uterus, ovary, breast, stomach, small intestine, skin, and larynx in addition to the colon. Diagnosis of classical HNPCC is based on the Amsterdam criteria: 3 or more relatives affected by colorectal cancer, one a first degree relative of the other two; 2 or more generation affected; 1 or more colorectal cancers presenting before 50 years of age; exclusion of hereditary polyposis syndromes. The term 'suspected HNPCC' or 'incomplete HNPCC' can be used to describe families who do not or only partially fulfill the Amsterdam criteria, but in whom a genetic basis for colon cancer is strongly suspected. {ECO:0000269|PubMed:9590282}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Esophageal cancer (ESCR) [MIM:133239]: A malignancy of the esophagus. The most common types are esophageal squamous cell carcinoma and adenocarcinoma. Cancer of the esophagus remains a devastating disease because it is usually not detected until it has progressed to an advanced incurable stage. {ECO:0000269|PubMed:10789724}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Loeys-Dietz syndrome 2 (LDS2) [MIM:610168]: An aortic aneurysm syndrome with widespread systemic involvement, characterized by arterial tortuosity and aneurysms, hypertelorism, and bifid uvula or cleft palate. Physical findings include prominent joint laxity, easy bruising, wide and atrophic scars, velvety and translucent skin with easily visible veins, spontaneous rupture of the spleen or bowel, and catastrophic complications of pregnancy, including rupture of the gravid uterus and the arteries, either during pregnancy or in the immediate postpartum period. Some patients have craniosynostosis, exotropy, micrognathia and retrognathia, structural brain abnormalities, and intellectual deficit. {ECO:0000269|PubMed:15235604, ECO:0000269|PubMed:15731757, ECO:0000269|PubMed:16027248, ECO:0000269|PubMed:16251899, ECO:0000269|PubMed:19533785, ECO:0000269|PubMed:19883511, ECO:0000269|PubMed:20101701, ECO:0000269|PubMed:20358619, ECO:0000269|PubMed:21949523, ECO:0000269|PubMed:22113417}. Note=The disease is caused by mutations affecting the gene represented in this entry. TGFBR2 mutations Cys-460 and His-460 have been reported to be associated with thoracic aortic aneurysms and dissection (TAAD). This phenotype, also known as thoracic aortic aneurysms type 3 (AAT3), is distinguised from LDS2 by having aneurysms restricted to thoracic aorta. As individuals carrying these mutations also exhibit descending aortic disease and aneurysms of other arteries (PubMed:16027248), they have been considered as LDS2 by the OMIM resource. {ECO:0000269|PubMed:16027248}.;

Recessive Scores

pRec
0.814

Intolerance Scores

LoFtool
0.0601
RVIS EVS
-0.05
RVIS percentile EVS
50.34

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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