Information on SPINK5

Basic details

Alt. symbols: VAKTI | LEKTI | LETKI | NETS | NS | FLJ21544 | FLJ97536 | FLJ97596 | FLJ99794 | DKFZp686K19184

Approved name: serine peptidase inhibitor Kazal type 5
Alt. names: serine protease inhibitor, Kazal type 5 | lymphoepithelial Kazal-type-related inhibitor

Location: 5q32: 148025683 - 148137382 (+)
Gene type: protein_coding, 10 transcripts.

Scores: LoFtool: 0.997000 | pLI: 0.00000000 | LOEUF: 0.930

HGNC: 15464

NCBI: 11005, RefSeq: NG_009633.1

Ensembl: ENSG00000133710.17

LRG_110 | Status: public

OMIM: 605010

Expression | ProteinAtlas

Normal function

The SPINK5 gene provides instructions for making a protein called LEKT1. LEKT1 is a type of serine peptidase inhibitor. Serine peptidase inhibitors control the activity of enzymes called serine peptidases, which break down other proteins. LEKT1 is found in the skin and in the thymus, which is a gland located behind the breastbone that plays an important role in the immune system by producing white blood cells called lymphocytes. LEKT1 controls the activity of certain serine peptidases in the outer layer of skin (the epidermis), especially the tough outer surface known as the stratum corneum, which provides a sturdy barrier between the body and its environment. Serine peptidase enzymes are involved in normal skin shedding by helping to break the connections between cells of the stratum corneum. LEKT1 is also involved in normal hair growth, the development of lymphocytes in the thymus, and the control of peptidases that trigger immune system function.

Dysfunction and disease

At least 40 SPINK5 gene mutations have been identified associated with Netherton syndrome [MIM:256500]. This is a genetic disorder manifesting with skin and hair abnormalities and a high risk of allergies, asthma, and eczema. The majority of pathogenic mutations in SPINK5 are nonsense, frameshift, or splice-affecting mutations that result in no protein or in a LEKT1 protein that is unable to control serine peptidase activity. To date, only one missense mutation has been reported as pathogenic (p .Thr808Ile). The lack of LEKT1 function allows the serine peptidases to be abnormally active and break down too many proteins in the stratum corneum. As a result, excessive skin shedding takes place, and the stratum corneum is unusually thin and breaks down easily, resulting in the skin abnormalities that occur in Netherton syndrome. Loss of LEKT1 function also results in abnormal hair growth. The immune dysfunction that leads to allergies, asthma, and eczema in individuals with Netherton syndrome likely arises from a lack of LEKT1 control of peptidases involved in the triggering of immune system function. Excessive activation of the immune system caused by invasion of microbes in the abnormal skin is also thought to be involved. [Load More]

[Reviewed by Andrés Caballero-Oteyza on ]

Associated conditions

Acronym Condition's_name MOI Mode_of_actionwww icon OMIM_ID No.cases
NS Netherton syndrome ARdict. icon Loss of Function 256500www icon 3 (3 fams)

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

Transcripts of SPINK5

Name ENSEMBL_ID LRG_ID CCDS_ID MANE Transcript.type Exons Canonical CDS_length REFSEQ_ID
201 ENST00000256084.8 1 CCDS43382 Select protein_coding 33 Yes 3651 NM_006846
202 ENST00000359874.7 CCDS47300 protein_coding 34 No 3656 NM_001127698
203 ENST00000398454.5 CCDS47301 protein_coding 28 No 2915 NM_001127699

Published variants

Found 0 variants

Var.name Exon/Intron cDNA_pos. CDS_change Prot.change Var.type Var.class. Patients

Please mind that full curation (inclusion of all published variants) of this gene has not been completed yet. 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 SPINK5

ID Year Title Journal PMID Variants

Phenotypic & functional assays available?

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