TEK

Chr 9AD

TEK receptor tyrosine kinase

Also known as: CD202B, GLC3E, TIE-2, TIE2, VMCM, VMCM1

This gene encodes a receptor that belongs to the protein tyrosine kinase Tie2 family. The encoded protein possesses a unique extracellular region that contains two immunoglobulin-like domains, three epidermal growth factor (EGF)-like domains and three fibronectin type III repeats. The ligand angiopoietin-1 binds to this receptor and mediates a signaling pathway that functions in embryonic vascular development. Mutations in this gene are associated with inherited venous malformations of the skin and mucous membranes. Alternative splicing results in multiple transcript variants. Additional alternatively spliced transcript variants of this gene have been described, but their full-length nature is not known. [provided by RefSeq, Feb 2014]

Primary Disease Associations & Inheritance

Glaucoma 3, primary congenital, EMIM #617272
AD
Venous malformations, multiple cutaneous and mucosalMIM #600195
AD
UniProtDominantly inherited venous malformations
578
ClinVar variants
54
Pathogenic / LP
1.00
pLI score· haploinsufficient
1
Active trials
Clinical SummaryTEK
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
📋
ClinVar Variants
54 Pathogenic / Likely Pathogenic· 172 VUS of 578 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

LoF intolerant — likely haploinsufficient
LoF Constraint?LOEUF (Loss-of-function Observed/Expected Upper bound Fraction) is the upper bound of the 90% CI for LoF OE — the preferred gnomAD v4 metric. Lower = more intolerant to LoF. LOEUF < 0.35 = highly constrained.
0.18LOEUF
pLI 1.000
Z-score 6.49
OE 0.09 (0.040.18)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint?Missense Z-score: standard deviations fewer missense variants observed vs. expected. Z > 3.09 (p < 0.001) = gene does not tolerate missense variation. OE missense < 0.6 is also considered constrained.
1.35Z-score
OE missense 0.84 (0.780.91)
501 obs / 593.5 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?Shaded band = 90% confidence interval. Vertical tick = point estimate. Grey threshold line = gnomAD constraint cutoff for that variant class.
LoF OE?Ratio of observed to expected LoF variants. Upper CI bound (LOEUF) ≤ 0.35 = strong LoF constraint signal.0.09 (0.040.18)
00.351.4
Missense OE?Ratio of observed to expected missense variants. OE ≤ 0.6 = fewer missense variants than expected by chance.0.84 (0.780.91)
00.61.4
Synonymous OE?Control metric — synonymous variants are largely neutral and expected near OE = 1.0. Significant deviation may indicate annotation issues.1.28
01.21.6
LoF obs/exp: 5 / 58.6Missense obs/exp: 501 / 593.5Syn Z: -3.20

ClinVar Variant Classifications

578 submitted variants in ClinVar

Classification Summary

Pathogenic23
Likely Pathogenic31
VUS172
Likely Benign46
Benign8
Conflicting2
23
Pathogenic
31
Likely Pathogenic
172
VUS
46
Likely Benign
8
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
2
4
17
0
23
Likely Pathogenic
17
3
11
0
31
VUS
1
156
14
1
172
Likely Benign
0
11
13
22
46
Benign
0
2
4
2
8
Conflicting
2
Total201765925282

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

View in ClinVar →

Protein Context — Lollipop Plot

TEK · protein map & ClinVar variants

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

Gene2Phenotype Curations

TEK-related venous malformations, multiple cutaneous and mucosal

definitive
ADGain Of FunctionAltered Gene Product Structure
Dev. DisordersSkin
G2P ↗
missense variantinframe deletioninframe insertion

TEK-related primary congenital glaucoma

definitive
ADLoss Of FunctionAbsent Gene Product
Eye
G2P ↗

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

OMIM — Genotype-Phenotype Relationships

1 OMIM entry

Glaucoma 3, primary congenital, E

MIM #617272

Molecular basis of disorder known

Autosomal dominant

Venous malformations, multiple cutaneous and mucosal

MIM #600195

Molecular basis of disorder known

Autosomal dominant
Clinical Literature
Landmark / reviewRecent case evidence