Information on ICOS

Alt. symbols: AILIM | CD278

Approved name: inducible T cell costimulator
Alt. names: inducible T-cell costimulator | activation-inducible lymphocyte immunomediatory molecule

Location: 2q33.2: 203936763 - 203961577 (+)
Gene type: protein_coding, 2 transcripts.

Scores: LoFtool: 0.428000 | pLI: 0.05200923 | LOEUF: 0.905

HGNC: 5351

NCBI: 29851, RefSeq: NG_011586.1

Ensembl: ENSG00000163600.13

LRG_65 | Status: public

OMIM: 604558

Expression | ProteinAtlas

Gene Ontology (GO)
  • Molecular function:
  • Cell component:
  • Biological process: T cell costimulation [GO:0031295]; cell-cell adhesion [GO:0098609]; T cell tolerance induction [GO:0002517]
Normal function

ICOS encodes the inducible T-cell costimulator protein, a receptor found on the surface of T cells. ICOS plays an important role in the production of both type 1 and type 2 cytokines by recently activated T cells. The corresponding ligand is encoded by the ICOSLG gene. The T cell-specific cell surface receptors CD28 and CTLA4 are important regulators of the immune system. CD28 potently enhances T-cell functions necessary for an effective antigen-specific immune response, and CTLA4 counterbalances the CD28-mediated signals and thus prevents an otherwise overstimulation of the lymphoid system with possible consequent autoimmunity (Hutloff et al., 1999).

Dysfunction and disease

Biallelic loss-of-function mutations in ICOS cause a type of common variable immunodeficiency (CVID) known as CVID1 [MIM:607594] [Load More]

[Reviewed by Andrés Caballero-Oteyza on ]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
CVID1 Immunodeficiency, common variable, 1 ARdict. icon Loss of Function 607594www icon 18 (9 fams)

Please mind that curation (inclusion of all reported patients) of this gene has not been completed. It is currently ongoing.

Transcripts of ICOS

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
201 ENST00000316386.11 1 CCDS2363 Select protein_coding 5 Yes 2630 NM_012092

Published variants

Found 6 variants

Var.name ⓘ Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients
EX2_3DEL EX2-3 111-553 c.59_501del p.? CNV Pathogenic 10
M30X EX2 142 c.90del p.Met30Ilefs*27 frameshift_variant Pathogenic 3
L96SfsX20 EX2 330-331 c.285dup p.Leu96Serfs*20 frameshift_variant Pathogenic 1
S93X EX2 331 c.279del p.Leu96Tyrfs*26 frameshift_variant Pathogenic 2
FCNL108-111X EX2 375-384 c.323_332del p.Phe108Tyrfs*11 frameshift_variant Pathogenic 2
V151L EX3 503 c.451G>C p.Val151Leu missense_variant Likely Benign 0

Please mind that curation (inclusion of all reported gene variants) has not been completed. It is currently ongoing.

Diagnostic pitfalls & paradigms

Considerations to take into account when analyzing this gene

Year Paradigm ⓘ PMID Notes
- Regions of Homology -
-Cryptic splicing-Unreported or not recorded in our DB.
-Uniparental disomy-Unreported or not recorded in our DB.
-Mosaicism-Unreported or not recorded in our DB.
-Incomplete penetrance-Unreported or not recorded in our DB.
-Di-/oligo-genic inheritance-Unreported or not recorded in our DB.
-Somatic reversion-Unreported or not recorded in our DB.

References linked to variants in ICOS

Please mind that curation (inclusion of all relevant literature) has not been completed. It is currently ongoing.

ID Year Title Journal PMID Variants
19 2003 Homozygous loss of ICOS is associated with adult-onset commo... Nat. Immun. 12577056 1
20 2004 ICOS deficiency in patients with common variable immunodefic... Clin. Immunol. 15507387 1
23 2015 A novel mutation in ICOS presenting as hypogammaglobulinemia... JACI 25678089 1
24 2015 A Novel 10 bp Frameshift Deletion in Exon 2 of ICOS Causes a... JoCI 26399252 1
25 2009 Impaired CD4 and CD8 effector function and decreased memory ... jimmunol 19380800 1
280 2019 Clinical implications of systematic phenotyping and exome se... Genet. Med. 29921932 1
281 2020 Expanding Clinical Phenotype and Novel Insights into the Pat... JoCI 31858365 1
537 2022 Copy Number Analysis in a Large Cohort Suggestive of Inborn ... JoCI 35486341 1
869 2021 Molecular diagnosis of childhood immune dysregulation, polye... JACI 33864888 1
1155 2023 Identification of novel NFKB1 and ICOS frameshift variants i... Clin. Exp. Immunol. 36571238 1
1513 2018 Cytotoxic T-Lymphocyte-Associated Protein 4 Haploinsufficien... Front. Immunol. 30087679 2
1514 2018 A de novo monoallelic CTLA-4 deletion causing pediatric onse... Clin. Immunol. 30326257 1
1515 2020 Successful hematopoietic stem cell transplantation for compl... Clin. Immunol. 32927079 1

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