ADORA2B

Chr 17

adenosine A2b receptor

ADORA2B encodes a G protein-coupled receptor that binds adenosine and activates adenylyl cyclase signaling. Mutations cause autosomal recessive developmental and epileptic encephalopathy with developmental delay, seizures, and brain abnormalities. The gene shows low constraint against loss-of-function variants, consistent with a recessive inheritance pattern.

OMIMResearchSummary from UniProt
MultiplemechanismLOEUF 1.49
Clinical SummaryADORA2B
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available
Some data sources returned errors (1)

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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.49LOEUF
pLI 0.000
Z-score 0.49
OE 0.83 (0.491.49)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.06Z-score
OE missense 1.01 (0.901.14)
182 obs / 179.9 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.83 (0.491.49)
00.351.4
Missense OE1.01 (0.901.14)
00.61.4
Synonymous OE0.94
01.21.6
LoF obs/exp: 8 / 9.6Missense obs/exp: 182 / 179.9Syn Z: 0.43
DN
0.7131th %ile
GOF
0.82top 10%
LOF
0.2775th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ADORA2B · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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