KLRK1

Chr 12

killer cell lectin like receptor K1

Also known as: CD314, D12S2489E, KLR, NKG2-D, NKG2D

The protein functions as an activating receptor on natural killer (NK) cells and CD8+ T cells that recognizes stress-induced ligands on tumor cells and virus-infected cells, triggering cytotoxic immune responses and TNF expression. Mutations in this gene cause immunodeficiency with severe reduction in NK- and T-cell function and susceptibility to viral infections, following autosomal recessive inheritance. The gene shows low constraint to loss-of-function variation, consistent with the recessive inheritance pattern observed in affected patients.

Summary from RefSeq, UniProt
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1
Active trials
20
Pubs (1 yr)
38
P/LP submissions
P/LP missense
1.80
LOEUF
DN
Mechanism· predicted
Clinical SummaryKLRK1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
38 unique Pathogenic / Likely Pathogenic· 5 VUS of 45 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
1.80LOEUF
pLI 0.000
Z-score -0.91
OE 1.26 (0.871.80)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.63Z-score
OE missense 0.83 (0.700.99)
94 obs / 112.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE1.26 (0.871.80)
00.351.4
Missense OE0.83 (0.700.99)
00.61.4
Synonymous OE1.03
01.21.6
LoF obs/exp: 18 / 14.3Missense obs/exp: 94 / 112.9Syn Z: -0.15
DN
0.6649th %ile
GOF
0.6149th %ile
LOF
0.3551th %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

45 submitted variants in ClinVar

Classification Summary

Pathogenic36
Likely Pathogenic2
VUS5
Likely Benign1
Benign1
36
Pathogenic
2
Likely Pathogenic
5
VUS
1
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories· variant type breakdown unavailable

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
36
Likely Pathogenic
2
VUS
5
Likely Benign
1
Benign
1
Total45

Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

KLRK1 · 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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