LMO2

Chr 11

LIM domain only 2

Also known as: LMO-2, RBTN2, RBTNL1, RHOM2, TTG2

LMO2 encodes a cysteine-rich LIM domain protein that acts with TAL1/SCL to regulate red blood cell development and maintains erythroid precursors in an immature state. Mutations cause acute T-cell leukemia, typically presenting in childhood. The gene shows autosomal inheritance patterns and has reduced constraint to loss-of-function variants.

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

Leukemia, acute T-cellMIM #180385
2
Active trials
37
Pubs (1 yr)
18
P/LP submissions
0%
P/LP missense
1.03
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryLMO2
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.33) despite low pLI — interpret in context.
📋
ClinVar Variants
18 unique Pathogenic / Likely Pathogenic· 43 VUS of 65 total submissions
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Clinical Trials
2 active or recruiting trials — potential therapeutic options may be available
📖
GeneReview available — LMO2
Authoritative clinical overview · Recommended first read
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.03LOEUF
pLI 0.159
Z-score 1.54
OE 0.33 (0.131.03)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
1.34Z-score
OE missense 0.62 (0.500.76)
60 obs / 97.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.33 (0.131.03)
00.351.4
Missense OE0.62 (0.500.76)
00.61.4
Synonymous OE0.93
01.21.6
LoF obs/exp: 2 / 6.1Missense obs/exp: 60 / 97.3Syn Z: 0.37
DN
0.6452th %ile
GOF
0.75top 25%
LOF
0.4037th %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

65 submitted variants in ClinVar

Classification Summary

Pathogenic18
VUS43
Likely Benign1
Benign1
18
Pathogenic
43
VUS
1
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
18
0
18
Likely Pathogenic
0
0
0
0
0
VUS
0
39
4
0
43
Likely Benign
0
1
0
0
1
Benign
0
0
0
1
1
Total04022163

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

View in ClinVar →

Protein Context — Lollipop Plot

LMO2 · 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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