Information on IL6ST

Basic details

Alt. symbols: GP130 | CD130 | sGP130

Approved name: interleukin 6 cytokine family signal transducer
Alt. names: interleukin 6 signal transducer (gp130, oncostatin M receptor) | gp130, oncostatin M receptor, Interleukin-6 receptor subunit beta

Location: 5q11.2: 55935095 - 55995022 (-)
Gene type: protein_coding, 25 transcripts.

Scores: LoFtool: 0.442000 | pLI: 0.99784278 | LOEUF: 0.228

HGNC: 6021

NCBI: 3572, RefSeq: .0

Ensembl: ENSG00000134352.21

LRG_ | Status: none

OMIM: 600694

Expression | ProteinAtlas

Normal function

This gene encodes the glycoprotein 130 (GP130), a transmembrane protein forms part of many cytokine receptor complexes. The receptor systems for IL6, LIF, OSM, CNTF, IL11, CTF1 and BSF3 can all utilize IL6ST for initiating signal transmission. Binding of IL6 to IL6R induces IL6ST homodimerization and formation of a high-affinity receptor complex that activates intracellular JAK-MAPK and JAK-STAT3 signaling pathways via phosphorylation of IL6ST tyrosine residues (PMID: 19915009, 2261637, 23294003). In mouse and human cells, GP130 also triggers STAT3-independent activation of YAP and Notch, transcriptional regulators that control tissue growth and regeneration (PMID: 25731159). GP130 also associates with the related tyrosine kinases SRC and YES, which are activated on receptor engagement to phosphorylate YAP and induce its stabilization and nuclear translocation. This signaling module is strongly activated upon mucosal injury to promote healing and maintain barrier function. Knockout mouse models have also found an important role for GP130 in the control of bone homeostasis, with distinct effects from downstream signaling via the STAT and MAPK pathways (PMID: 14755335).

Dysfunction and disease

Both monoallelic and biallelic mutations in IL6ST have been associated with autosomal dominant (AD) and autosomal recessive (AR) forms of hyper-IgE syndrome (HIES) [OMIM: 618523]. Schwerd et al. (2017) reported the first simplex case with the identification of a homozygous missense (p.N404Y) mutation in a daughter of consanguineous south Asian parents who presented with recurrent infections, eczema, bronchiectasis, and skeletal abnormalities including craniosynostosis and progressive scoliosis, as well as immunophenotyping notable for elevated IgE levels (maximum >5,000 IU/ml), peripheral eosinophilia, defective B cell memory, and impaired acute-phase responses (PMID: 28747427). Shahin et al. (2019) then identified another homozygous missense (p.P498L) mutation in a son of consanguineous Turkish parents with recurrent otitis media, bilateral keratitis, recurrent and often complicated respiratory infections, as well as severe atopies and significant musculoskeletal anomalies including scaphocephaly, progressive thoracolumbar scoliosis and destructive arthropathy (PMID: 30309848). The authors found that this variant abrogated GP130 signaling in response to IL-6 and IL-27 in PBMCs and IL-6 and IL-11 in fibroblasts. They further showed that loss of IL-6 signaling led to aberrant development of CCR6-expressing memory CD4+ and CD8+ T cells. Finally, they showed that P498L led to more severe loss of IL-27 responses, and consequently more dramatic loss of Th1 polarization, compared to N404Y. Chen et al. (2021), reported an 8-year-old boy of mixed ethnic origin who was compound heterozygous for the following mutations in the IL6ST gene: p.A517P and a splice site mutation resulting in exon skipping null variant p.G484_P518delinsR. The boy presented a typical clinical presentation of AR-HIES. The authors discuss the 3 cases reported so far with AR-HIES due to mutations in IL6ST (HIES4B). All 3 patients presented with a similar phenotype characteriyed by high IgE level, recurrent bacterial infections, skeletal abnormalities and retained teeth. Two carry homozygous variants p.Asn404Tyr and p.Pro498Leu, and one carries compound heterozygous for p.Ala517Pro and the exon skipping null variant p.Gly484_Pro518delinsArg. Functional studies on the missense variants showed that they disrupt the GP130 dimeric interaction with the IL6 and IL11 receptor complex, but not the trimeric LIF receptor complex (GP130, LIF and LIFR) (PMID: 33771552). While homozygous missense variants in IL6ST present with a partial cytokine defect (complete loss of IL6 and IL11, a partial to severe loss of IL27 and OSM, partial loss to normal LIF signaling) and phenotype of HIES4B, complete loss of function variants in IL6ST cause an expanded form of Stuve Wiedemann syndrome (PMID: 31914175). Chen et al. (2020) have also identified recurrent homozygous loss-of-function (LOF) variants (p.R281X and c.1699+4A>G) associated with a lethal Stüve-Wiedemann–like skeletal phenotype characterized by skeletal dysplasia and neonatal lung dysfunction with additional syndromic features such as congenital thrombocytopenia, eczematoid dermatitis, renal abnormalities, and defective acute-phase responses. The two identified variants are associated with complete loss of GP130-dependent IL-6, IL-11, IL-27, OSM, and LIF signaling (PMID: 31914175). More recently, monoallelic dominant-negative mutations in IL6ST have been reported to underlie a novel form of AD-HIES (PMID: 32207811). Beziat et [Load More]

[Reviewed by Laura Crisponi on 2022-07-08 08:55:41]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
HIES4B Hyper-IgE recurrent infection syndrome 4B ARdict. icon Loss of Function 618523www icon 3 (3 fams)
HIES4A Hyper-IgE recurrent infection syndrome 4A ADdict. icon Negative Dominance 619752www icon 22 (12 fams)
STWS2 Stuve-Wiedemann syndrome 2 ARdict. icon Loss of Function 619751www icon 7 (3 fams)
IMD94 Immunodeficiency 94 ADdict. icon Gain of Function 619750www icon 1 (1 fams)
CRSDA2 Craniosynostosis and dental anomalies 2 ARdict. icon Loss of Function - 1 (1 fams)

Transcripts of IL6ST

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
205 ENST00000381294.8 CCDS54856 protein_coding 14 No 2574 NM_001190981
212 ENST00000522633.2 CCDS47209 protein_coding 13 No 1878 NM_175767
206 ENST00000381298.7 CCDS3971 Select protein_coding 17 Yes 9027 NM_002184
214 ENST00000698638.1 protein_coding No NM_001364277,NM_001364278,NM_001364279
220 ENST00000698644.1 protein_coding No NM_001364276
222 ENST00000698646.1 protein_coding No NM_001364275

Published variants

Found 22 variants

Var.name Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients
G913Rfs*10 EX17 3019-3020 c.2736dup p.Gly913ArgfsTer10 frameshift_variant Pathogenic 0
E899* EX17 2977-2978 c.2694dup p.Glu899Ter frameshift_variant Pathogenic 0
S789* EX17 2649 c.2366C>G p.Ser789Ter stop_gained Pathogenic 0
R768* EX17 2585 c.2302A>T p.Arg768Ter stop_gained Pathogenic 1
T761Ffs*47 EX17 2563-2564 c.2277_2280dup p.Thr761PhefsTer47 frameshift_variant Pathogenic 4
Y759* EX17 2560 c.2277T>G p.Tyr759Ter stop_gained Pathogenic 1
S754* EX17 2544 c.2261C>A p.Ser754Ter stop_gained Pathogenic 3
S742Ffs*2 EX17 2506-2507 c.2224dup p.Ser742PhefsTer2 frameshift_variant Pathogenic 1
C733* EX17 2482 c.2199C>A p.Cys733Ter stop_gained Pathogenic 1
S731Vfs*8 EX17 2473-2474 c.2190dup p.Ser731ValfsTer8 frameshift_variant Pathogenic 7
I719Nfs*2 EX17 2437-2438 c.2155dup p.Ile719AsnfsTer2 frameshift_variant Pathogenic 3
L708* EX17 2404 c.2121del p.Leu708Ter frameshift_variant Pathogenic 1
EX13+4A>G IN13 c.1699+4A>G EX13-skipping ALTERS SPLICING! Pathogenic 2
T555Ifs*3 EX13 1947-1951 c.1664_1668del p.Thr555IlefsTer3 frameshift_variant Pathogenic 0
EX12+3A>C IN12 c.1552+3A>C p.(Gly484_Pro518delinsArg) ALTERS SPLICING! Pathogenic 1
A517P EX12 1832 c.1549G>C p.Ala517Pro missense_variant Pathogenic 1
P498L EX12 1776 c.1493C>T p.Pro498Leu missense_variant Pathogenic 1
N404Y EX10 1493 c.1210A>T p.Asn404Tyr missense_variant Pathogenic 1
E316* EX8 1229 c.946G>T p.Glu316Ter stop_gained Pathogenic 0
R281Q EX8 1125 c.842G>A p.Arg281Gln missense_variant Pathogenic 1
R281* EX8 1124 c.841C>T p.Arg281Ter stop_gained Pathogenic 5
S187_Y190del EX6 843-854 c.560_571del p.Ser187_Tyr190del inframe_deletion Pathogenic 1

Diagnostic pitfalls & paradigms

Considerations to take into account when analyzing this gene

Year Paradigm ⓘ PMID Notes
- Regions of Homology - Exon 16 (90-98%)
2021Mosaicism33517393[somatic] Materna-Kiryluk et al. reported a patient with a novel syndrome of neonatal onset immunodeficiency with autoinflammation and dysmorphic features associated with a constitutive mosaic de novo variant p.Tyr186_Tyr190del in the IL6ST gene found by exome sequencing. The variant is associated with constitutive hyperphosphorylation of Tyr705 in STAT3, which is indicative of IL6-independent activation of GP130.
-Cryptic splicing-Unreported or not recorded in our DB.
-Uniparental disomy-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 IL6ST

ID Year Title Journal PMID Variants
645 2021 Mosaic IL6ST variant inducing constitutive GP130 cytokine re... Hum. Mol. Genet. 33517393 1
671 2019 Selective loss of function variants in IL6ST cause Hyper-IgE... Haematol. J. 30309848 1
672 2021 Functional and structural analysis of cytokine-selective IL6... JACI 33771552 4
673 2017 A biallelic mutation in IL6ST encoding the GP130 co-receptor... JEM 28747427 1
674 2020 Absence of GP130 cytokine receptor signaling causes extended... JEM 31914175 2
679 2020 Dominant-negative mutations in human IL6ST underlie hyper-Ig... JEM 32207811 12
801 2020 A variant in IL6ST with a selective IL-11 signaling defect i... Bone res. 32566365 1
1129 2023 New Dominant-Negative IL6ST Variants Expand the Immunologica... JoCI 37273120 3
1154 2024 An Indian Family with Autosomal Dominant Hyper-IgE Syndrome ... JoCI 38578568 1

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