The protein encodes fibulin-2, an extracellular matrix protein that binds fibronectin and other ligands in a calcium-dependent manner and mediates interactions between fibrillin-1 and elastin. Mutations cause syndromic thoracic aortic aneurysms and dissections with skeletal abnormalities following autosomal dominant inheritance. This gene is highly constrained against loss-of-function variants, suggesting such mutations are likely pathogenic when they occur.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 0.52
Clinical SummaryFBLN2
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Gene-Disease Validity (ClinGen)
congenital heart disease · ADLimited

Limited evidence — not for standalone diagnostic reporting

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
22 unique Pathogenic / Likely Pathogenic· 231 VUS of 288 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.52LOEUF
pLI 0.000
Z-score 4.38
OE 0.35 (0.250.52)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
0.77Z-score
OE missense 0.92 (0.870.98)
705 obs / 764.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.35 (0.250.52)
00.351.4
Missense OE0.92 (0.870.98)
00.61.4
Synonymous OE0.96
01.21.6
LoF obs/exp: 19 / 53.6Missense obs/exp: 705 / 764.6Syn Z: 0.62
DN
0.6161th %ile
GOF
0.5464th %ile
LOF
0.3357th %ile

The highest-scoring mechanism for this gene is dominant-negative.

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

288 submitted variants in ClinVar

Classification Summary

Pathogenic22
VUS231
Likely Benign9
Benign8
22
Pathogenic
231
VUS
9
Likely Benign
8
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
22
0
22
Likely Pathogenic
0
0
0
0
0
VUS
0
229
2
0
231
Likely Benign
0
6
0
3
9
Benign
0
3
0
5
8
Total0238248270

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

FBLN2 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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