ITGB2

Chr 21AR

integrin subunit beta 2

Also known as: CD18, LAD, LCAMB, LFA-1, MAC-1, MF17, MFI7

The ITGB2 protein forms integrin heterodimers that function as cell surface receptors mediating leukocyte adhesion, transmigration, and immune cell interactions with various ligands including ICAM proteins and complement fragments. Mutations cause leukocyte adhesion deficiency, an autosomal recessive primary immunodeficiency affecting the immune system's ability to mount effective responses to infections. The gene is highly intolerant to loss-of-function variants, reflecting its critical role in immune function.

Summary from RefSeq, OMIM, UniProt
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Primary Disease Associations & Inheritance

Leukocyte adhesion deficiencyMIM #116920
AR
1
Active trials
134
Pubs (1 yr)
69
P/LP submissions
2%
P/LP missense
0.99
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryITGB2
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
62 unique Pathogenic / Likely Pathogenic· 153 VUS of 500 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.99LOEUF
pLI 0.000
Z-score 1.60
OE 0.72 (0.530.99)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.77Z-score
OE missense 0.90 (0.830.98)
446 obs / 494.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.72 (0.530.99)
00.351.4
Missense OE0.90 (0.830.98)
00.61.4
Synonymous OE1.16
01.21.6
LoF obs/exp: 28 / 38.8Missense obs/exp: 446 / 494.2Syn Z: -1.83
DN
0.6840th %ile
GOF
0.6931th %ile
LOF
0.2968th %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

500 submitted variants in ClinVar

Classification Summary

Pathogenic49
Likely Pathogenic13
VUS153
Likely Benign255
Benign6
Conflicting3
49
Pathogenic
13
Likely Pathogenic
153
VUS
255
Likely Benign
6
Benign
3
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
16
1
32
0
49
Likely Pathogenic
9
0
4
0
13
VUS
1
138
12
2
153
Likely Benign
0
0
123
132
255
Benign
0
0
5
1
6
Conflicting
3
Total26139176135479

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

View in ClinVar →

Protein Context — Lollipop Plot

ITGB2 · protein map & ClinVar variants

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

Clinical Literature
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