EP300E1A binding protein p300
Autism Reports / Total Reports
8 / 28Rare Variants / Common Variants
58 / 0Aliases
EP300, RP1-85F18.1, KAT3B, RSTS2, p300Associated Syndromes
Rubinstein-Taybi syndrome-2Chromosome Band
22q13.2Associated Disorders
DD/NDD, ID, ASDGenetic Category
Rare Single Gene Mutation, SyndromicRelevance to Autism
Heterozygous variants in the EP300 gene are responsible for Rubinstein-Taybi syndrome 2 (OMIM 613684), a multiple congenital anomaly syndrome characterized by intellectual disability, postnatal growth deficiency, microcephaly, broad thumbs and halluces, and dysmorphic facial features (Roelfsema et al., 2005; Zimmermann et al., 2007; Foley et al., 2009). A patient with a de novo EP300 frameshift variant and a clinical diagnosis of Rubinstein-Taybi syndrome 2 also presented with autism (Wincent et al., 2015). A report describing nine new cases with Rubinstein-Taybi syndrome type 2 identified three cases with a diagnosis of autism spectrum disorder (Hamilton et al., 2016). Phenotypic characterization of 52 patients with Rubinstein-Taybi syndrome 2, 42 of whom were previously unpublished, found that 12 out of 49 cases (25%) presented with autism or autistic behavior (Fergelot et al., 2016). A de novo frameshift variant in EP300 and a de novo damaging missense variant in EP300 were identified in ASD probands from the Autism Sequencing Consortium and the Simons Simplex Collection, respectively (De Rubeis et al., 2014; Iossifov et al., 2014). Additional de novo loss-of-function and missense variants in the EP300 gene were reported in ASD probands from the Autism Sequencing Consortium, the MSSNG cohort, and the SPARK cohort in Zhou et al., 2022; a two-stage analysis of rare de novo and inherited coding variants in 42,607 ASD cases, including 35,130 new cases from the SPARK cohort, in the same report identified EP300 as a gene reaching exome-wide significance (P < 2.5E-06).De novo loss-of-function variants in EP300 have also been identified in individuals from the Deciphering Developmental Disorders study (Fitzgerald et al., 2015).
Molecular Function
This gene encodes the adenovirus E1A-associated cellular p300 transcriptional co-activator protein. It functions as a histone acetyltransferase that regulates transcription via chromatin remodeling and is important in the processes of cell proliferation and differentiation. It mediates cAMP-gene regulation by binding specifically to phosphorylated CREB protein. This gene has also been identified as a co-activator of HIF1A (hypoxia-inducible factor 1 alpha), and thus plays a role in the stimulation of hypoxia-induced genes such as VEGF. Defects in this gene are a cause of Rubinstein-Taybi syndrome and may also play a role in epithelial cancer.
External Links
SFARI Genomic Platforms
Reports related to EP300 (28 Reports)
# | Type | Title | Author, Year | Autism Report | Associated Disorders |
---|---|---|---|---|---|
1 | Highly Cited | Genetic heterogeneity in Rubinstein-Taybi syndrome: mutations in both the CBP and EP300 genes cause disease | Roelfsema JH , et al. (2005) | No | - |
2 | Support | Confirmation of EP300 gene mutations as a rare cause of Rubinstein-Taybi syndrome | Zimmermann N , et al. (2007) | No | - |
3 | Support | Further case of Rubinstein-Taybi syndrome due to a deletion in EP300 | Foley P , et al. (2009) | No | - |
4 | Primary | Rare deletions at the neurexin 3 locus in autism spectrum disorder | Vaags AK , et al. (2012) | Yes | - |
5 | Support | Synaptic, transcriptional and chromatin genes disrupted in autism | De Rubeis S , et al. (2014) | Yes | - |
6 | Support | The contribution of de novo coding mutations to autism spectrum disorder | Iossifov I et al. (2014) | Yes | - |
7 | Support | Large-scale discovery of novel genetic causes of developmental disorders | Deciphering Developmental Disorders Study (2014) | No | Microcephaly, growth retardation |
8 | Recent Recommendation | Low load for disruptive mutations in autism genes and their biased transmission | Iossifov I , et al. (2015) | Yes | - |
9 | Support | CREBBP and EP300 mutational spectrum and clinical presentations in a cohort of Swedish patients with Rubinstein-Taybi syndrome | Wincent J , et al. (2016) | No | ID, ASD |
10 | Support | Identification of Intellectual Disability Genes in Female Patients with a Skewed X-Inactivation Pattern | Fieremans N , et al. (2016) | No | - |
11 | Recent Recommendation | Rubinstein-Taybi syndrome type 2: report of nine new cases that extend the phenotypic and genotypic spectrum | Hamilton MJ , et al. (2016) | No | ID, ASD |
12 | Support | Meta-analysis of 2,104 trios provides support for 10 new genes for intellectual disability | Lelieveld SH et al. (2016) | No | - |
13 | Support | Phenotype and genotype in 52 patients with Rubinstein-Taybi syndrome caused by EP300 mutations | Fergelot P , et al. (2016) | No | - |
14 | Support | Contribution of rare inherited and de novo variants in 2,871 congenital heart disease probands | Jin SC , et al. (2017) | No | Neurodevelopmental disorders (NDD) |
15 | Support | Further delineation of an entity caused by CREBBP and EP300 mutations but not resembling Rubinstein-Taybi syndrome | Menke LA , et al. (2018) | No | DD, ID, ASD |
16 | Support | Rubinstein-Taybi 2 associated to novel EP300 mutations: deepening the clinical and genetic spectrum | Lpez M , et al. (2018) | No | - |
17 | Support | Variant recurrence in neurodevelopmental disorders: the use of publicly available genomic data identifies clinically relevant pathogenic missense variants | Lecoquierre F , et al. (2019) | No | - |
18 | Support | - | Hiraide T et al. (2021) | No | - |
19 | Support | - | Woodbury-Smith M et al. (2022) | Yes | - |
20 | Support | - | Brea-Fernández AJ et al. (2022) | No | - |
21 | Recent Recommendation | - | Zhou X et al. (2022) | Yes | - |
22 | Support | - | Bai Z et al. (2023) | No | - |
23 | Support | - | Miyake N et al. (2023) | Yes | - |
24 | Support | - | Spataro N et al. (2023) | No | ADHD, learning disability, autistic features, ster |
25 | Support | - | Zhang Y et al. (2023) | Yes | DD, ID |
26 | Support | - | Amerh S Alqahtani et al. (2023) | No | - |
27 | Support | - | Alistair T Pagnamenta et al. (2024) | No | - |
28 | Support | - | Axel Schmidt et al. (2024) | No | - |
Rare Variants (58)
Status | Allele Change | Residue Change | Variant Type | Inheritance Pattern | Parental Transmission | Family Type | PubMed ID | Author, Year |
---|---|---|---|---|---|---|---|---|
- | - | copy_number_loss | Unknown | - | - | 29506490 | Lpez M , et al. (2018) | |
c.3728+5G>C | - | splice_site_variant | De novo | - | - | 29506490 | Lpez M , et al. (2018) | |
- | - | inversion | De novo | - | Simplex | 38776926 | Alistair T Pagnamenta et al. (2024) | |
c.5743C>T | p.Gln1915Ter | stop_gained | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.3163C>T | p.Arg1055Ter | stop_gained | Unknown | - | - | 29506490 | Lpez M , et al. (2018) | |
c.4242T>G | p.Tyr1414Ter | stop_gained | De novo | - | - | 37035742 | Zhang Y et al. (2023) | |
c.658A>T | p.Thr220Ser | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.4172+2dup | - | frameshift_variant | De novo | - | - | 25363760 | De Rubeis S , et al. (2014) | |
c.1790C>G | p.Pro597Arg | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.1949C>G | p.Thr650Ser | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.3199C>T | p.Arg1067Cys | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.4412T>G | p.Leu1471Arg | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.5813C>T | p.Thr1938Met | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.6552A>C | p.Arg2184Ser | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.1833T>G | p.Tyr611Ter | stop_gained | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.1876C>T | p.Arg626Ter | stop_gained | De novo | - | - | 27479843 | Lelieveld SH et al. (2016) | |
c.1443G>A | p.Pro481%3D | synonymous_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.4511T>G | p.Phe1504Cys | missense_variant | De novo | - | - | 29506490 | Lpez M , et al. (2018) | |
c.4066C>T | p.Arg1356Ter | stop_gained | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.3857A>G | p.Asn1286Ser | missense_variant | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.4783T>G | p.Phe1595Val | missense_variant | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.5471A>C | p.Gln1824Pro | missense_variant | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.7111T>A | p.Ser2371Thr | missense_variant | De novo | - | - | 39039281 | Axel Schmidt et al. (2024) | |
c.7168G>A | p.Ala2390Thr | missense_variant | De novo | - | Simplex | 35982159 | Zhou X et al. (2022) | |
c.607C>T | p.Gln203Ter | stop_gained | De novo | - | - | 35322241 | Brea-Fernández AJ et al. (2022) | |
c.5492_5494del | p.Arg1831del | inframe_deletion | De novo | - | - | 29460469 | Menke LA , et al. (2018) | |
c.5636del | p.Pro1879LeufsTer27 | frameshift_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.6175del | p.Arg2059GlyfsTer75 | frameshift_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.3912del | p.Arg1305ValfsTer2 | frameshift_variant | De novo | - | - | 28991257 | Jin SC , et al. (2017) | |
c.70_71del | p.Ser24GlyfsTer14 | frameshift_variant | De novo | - | - | 29506490 | Lpez M , et al. (2018) | |
c.4783T>G | p.Phe1595Val | missense_variant | De novo | - | Simplex | 36973392 | Miyake N et al. (2023) | |
c.3857A>G | p.Asn1286Ser | missense_variant | De novo | - | Simplex | 33644862 | Hiraide T et al. (2021) | |
c.4879C>T | p.Arg1627Trp | missense_variant | De novo | - | Simplex | 25363768 | Iossifov I et al. (2014) | |
c.2367T>C | p.Ala789%3D | synonymous_variant | Unknown | - | - | 35205252 | Woodbury-Smith M et al. (2022) | |
c.3358_3360del | p.Asp1120del | inframe_deletion | De novo | - | Simplex | 35982159 | Zhou X et al. (2022) | |
c.6245del | p.Gln2082ArgfsTer26 | frameshift_variant | De novo | - | - | 36980980 | Spataro N et al. (2023) | |
c.2421dup | p.Pro808AlafsTer4 | frameshift_variant | De novo | - | Simplex | 36797748 | Bai Z et al. (2023) | |
c.108_111del | p.Phe37ThrfsTer10 | frameshift_variant | De novo | - | - | 36980980 | Spataro N et al. (2023) | |
c.3661del | p.Gln1221SerfsTer6 | frameshift_variant | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.5873del | p.Pro1958ArgfsTer2 | frameshift_variant | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.3905dup | p.Glu1303ArgfsTer6 | frameshift_variant | Unknown | - | - | 39039281 | Axel Schmidt et al. (2024) | |
c.4954_4957dup | p.Cys1653TyrfsTer21 | frameshift_variant | De novo | - | - | 29506490 | Lpez M , et al. (2018) | |
c.104_107del | p.Ser35TyrfsTer12 | frameshift_variant | De novo | - | - | 27465822 | Hamilton MJ , et al. (2016) | |
c.631G>A | p.Gly211Ser | missense_variant | Familial | Paternal | Simplex | 22209245 | Vaags AK , et al. (2012) | |
c.4705_4706del | p.Phe1569LeufsTer19 | frameshift_variant | De novo | - | - | 26788536 | Wincent J , et al. (2016) | |
c.6574_6585del | p.Gln2192_Gln2195del | inframe_deletion | Unknown | - | - | 27159028 | Fieremans N , et al. (2016) | |
c.1269_1273del | p.Arg424SerfsTer16 | frameshift_variant | De novo | - | Simplex | 35982159 | Zhou X et al. (2022) | |
c.6627_6638del | p.Asn2209_Gln2213delinsLys | inframe_deletion | De novo | - | - | 29506490 | Lpez M , et al. (2018) | |
c.3671+5G>A | - | splice_site_variant | De novo | - | - | 25533962 | Deciphering Developmental Disorders Study (2014) | |
TCAGAGAGCAGC>TC | - | frameshift_variant | De novo | - | - | 25533962 | Deciphering Developmental Disorders Study (2014) | |
c.659_662del | p.Thr220SerfsTer16 | frameshift_variant | De novo | - | Simplex | 27465822 | Hamilton MJ , et al. (2016) | |
c.4783T>G | p.Phe1595Val | missense_variant | Familial | Paternal | Simplex | 31036916 | Lecoquierre F , et al. (2019) | |
c.5581C>T | p.Gln1861Ter | stop_gained | De novo | - | Simplex | 25533962 | Deciphering Developmental Disorders Study (2014) | |
c.5824A>T | p.Met1942Leu | missense_variant | Familial | Paternal | Multi-generational | 26788536 | Wincent J , et al. (2016) | |
c.3139_3140del | p.Lys1047AspfsTer41 | frameshift_variant | Unknown | - | Multiplex | 37799141 | Amerh S Alqahtani et al. (2023) | |
c.7222_7223del | p.Gln2408GlufsTer39 | frameshift_variant | Familial | Maternal | Multi-generational | 29506490 | Lpez M , et al. (2018) | |
c.3661del | p.Gln1221SerfsTer6 | frameshift_variant | De novo | - | Simplex | 25533962 | Deciphering Developmental Disorders Study (2014) | |
c.4912dup | p.His1638ProfsTer35 | frameshift_variant | De novo | - | Simplex | 25533962 | Deciphering Developmental Disorders Study (2014) |
Common Variants
No common variants reported.
SFARI Gene score
High Confidence, Syndromic
Score Delta: Score remained at 1S
criteria met
See SFARI Gene'scoring criteriaWe considered a rigorous statistical comparison between cases and controls, yielding genome-wide statistical significance, with independent replication, to be the strongest possible evidence for a gene. These criteria were relaxed slightly for category 2.
The syndromic category includes mutations that are associated with a substantial degree of increased risk and consistently linked to additional characteristics not required for an ASD diagnosis. If there is independent evidence implicating a gene in idiopathic ASD, it will be listed as "#S" (e.g., 2S, 3S, etc.). If there is no such independent evidence, the gene will be listed simply as "S."
1/1/2021
Score remained at 1
Description
Heterozygous variants in the EP300 gene are responsible for Rubinstein-Taybi syndrome 2 (OMIM 613684), a multiple congenital anomaly syndrome characterized by intellectual disability, postnatal growth deficiency, microcephaly, broad thumbs and halluces, and dysmorphic facial features (Roelfsema et al., 2005; Zimmermann et al., 2007; Foley et al., 2009). A patient with a de novo EP300 frameshift variant and a clinical diagnosis of Rubinstein-Taybi syndrome 2 also presented with autism (Wincent et al., 2015). A report describing nine new cases with Rubinstein-Taybi syndrome type 2 identified three cases with a diagnosis of autism spectrum disorder (Hamilton et al., 2016). Phenotypic characterization of 52 patients with Rubinstein-Taybi syndrome 2, 42 of whom were previously unpublished, found that 12 out of 49 cases (25%) presented with autism or autistic behavior (Fergelot et al., 2016). A de novo frameshift variant in EP300 and a de novo damaging missense variant in EP300 were identified in ASD probands from the Autism Sequencing Consortium and the Simons Simplex Collection, respectively (De Rubeis et al., 2014; Iossifov et al., 2014). De novo loss-of-function variants in EP300 have also been identified in individuals from the Deciphering Developmental Disorders study (Fitzgerald et al., 2015).
10/1/2019
Decreased from 4S to 1
New Scoring Scheme
Description
Heterozygous variants in the EP300 gene are responsible for Rubinstein-Taybi syndrome 2 (OMIM 613684), a multiple congenital anomaly syndrome characterized by intellectual disability, postnatal growth deficiency, microcephaly, broad thumbs and halluces, and dysmorphic facial features (Roelfsema et al., 2005; Zimmermann et al., 2007; Foley et al., 2009). A patient with a de novo EP300 frameshift variant and a clinical diagnosis of Rubinstein-Taybi syndrome 2 also presented with autism (Wincent et al., 2015). A report describing nine new cases with Rubinstein-Taybi syndrome type 2 identified three cases with a diagnosis of autism spectrum disorder (Hamilton et al., 2016). Phenotypic characterization of 52 patients with Rubinstein-Taybi syndrome 2, 42 of whom were previously unpublished, found that 12 out of 49 cases (25%) presented with autism or autistic behavior (Fergelot et al., 2016). A de novo frameshift variant in EP300 and a de novo damaging missense variant in EP300 were identified in ASD probands from the Autism Sequencing Consortium and the Simons Simplex Collection, respectively (De Rubeis et al., 2014; Iossifov et al., 2014). De novo loss-of-function variants in EP300 have also been identified in individuals from the Deciphering Developmental Disorders study (Fitzgerald et al., 2015).
Reports Added
[New Scoring Scheme]7/1/2019
Decreased from 4S to 4S
Description
Heterozygous variants in the EP300 gene are responsible for Rubinstein-Taybi syndrome 2 (OMIM 613684), a multiple congenital anomaly syndrome characterized by intellectual disability, postnatal growth deficiency, microcephaly, broad thumbs and halluces, and dysmorphic facial features (Roelfsema et al., 2005; Zimmermann et al., 2007; Foley et al., 2009). A patient with a de novo EP300 frameshift variant and a clinical diagnosis of Rubinstein-Taybi syndrome 2 also presented with autism (Wincent et al., 2015). A report describing nine new cases with Rubinstein-Taybi syndrome type 2 identified three cases with a diagnosis of autism spectrum disorder (Hamilton et al., 2016). Phenotypic characterization of 52 patients with Rubinstein-Taybi syndrome 2, 42 of whom were previously unpublished, found that 12 out of 49 cases (25%) presented with autism or autistic behavior (Fergelot et al., 2016). A de novo frameshift variant in EP300 and a de novo damaging missense variant in EP300 were identified in ASD probands from the Autism Sequencing Consortium and the Simons Simplex Collection, respectively (De Rubeis et al., 2014; Iossifov et al., 2014). De novo loss-of-function variants in EP300 have also been identified in individuals from the Deciphering Developmental Disorders study (Fitzgerald et al., 2015).
10/1/2017
Decreased from 4S to 4S
Description
Heterozygous variants in the EP300 gene are responsible for Rubinstein-Taybi syndrome 2 (OMIM 613684), a multiple congenital anomaly syndrome characterized by intellectual disability, postnatal growth deficiency, microcephaly, broad thumbs and halluces, and dysmorphic facial features (Roelfsema et al., 2005; Zimmermann et al., 2007; Foley et al., 2009). A patient with a de novo EP300 frameshift variant and a clinical diagnosis of Rubinstein-Taybi syndrome 2 also presented with autism (Wincent et al., 2015). A report describing nine new cases with Rubinstein-Taybi syndrome type 2 identified three cases with a diagnosis of autism spectrum disorder (Hamilton et al., 2016). Phenotypic characterization of 52 patients with Rubinstein-Taybi syndrome 2, 42 of whom were previously unpublished, found that 12 out of 49 cases (25%) presented with autism or autistic behavior (Fergelot et al., 2016). A de novo frameshift variant in EP300 and a de novo damaging missense variant in EP300 were identified in ASD probands from the Autism Sequencing Consortium and the Simons Simplex Collection, respectively (De Rubeis et al., 2014; Iossifov et al., 2014). De novo loss-of-function variants in EP300 have also been identified in individuals from the Deciphering Developmental Disorders study (Fitzgerald et al., 2015).
10/1/2016
Decreased from 4S to 4S
Description
Heterozygous variants in the EP300 gene are responsible for Rubinstein-Taybi syndrome 2 (OMIM 613684), a multiple congenital anomaly syndrome characterized by intellectual disability, postnatal growth deficiency, microcephaly, broad thumbs and halluces, and dysmorphic facial features (Roelfsema et al., 2005; Zimmermann et al., 2007; Foley et al., 2009). A patient with a de novo EP300 frameshift variant and a clinical diagnosis of Rubinstein-Taybi syndrome 2 also presented with autism (Wincent et al., 2015). A report describing nine new cases with Rubinstein-Taybi syndrome type 2 identified three cases with a diagnosis of autism spectrum disorder (Hamilton et al., 2016). Phenotypic characterization of 52 patients with Rubinstein-Taybi syndrome 2, 42 of whom were previously unpublished, found that 12 out of 49 cases (25%) presented with autism or autistic behavior (Fergelot et al., 2016). A de novo frameshift variant in EP300 and a de novo damaging missense variant in EP300 were identified in ASD probands from the Autism Sequencing Consortium and the Simons Simplex Collection, respectively (De Rubeis et al., 2014; Iossifov et al., 2014). De novo loss-of-function variants in EP300 have also been identified in individuals from the Deciphering Developmental Disorders study (Fitzgerald et al., 2015).
7/1/2016
Increased from to 4S
Description
Heterozygous variants in the EP300 gene are responsible for Rubinstein-Taybi syndrome 2 (OMIM 613684), a multiple congenital anomaly syndrome characterized by intellectual disability, postnatal growth deficiency, microcephaly, broad thumbs and halluces, and dysmorphic facial features (Roelfsema et al., 2005; Zimmermann et al., 2007; Foley et al., 2009). A patient with a de novo EP300 frameshift variant and a clinical diagnosis of Rubinstein-Taybi syndrome 2 also presented with autism (Wincent et al., 2015). A report describing nine new cases with Rubinstein-Taybi syndrome type 2 identified three cases with a diagnosis of autism spectrum disorder (Hamilton et al., 2016). A de novo frameshift variant in EP300 and a de novo damaging missense variant in EP300 were identified in ASD probands from the Autism Sequencing Consortium and the Simons Simplex Collection, respectively (De Rubeis et al., 2014; Iossifov et al., 2014). De novo loss-of-function variants in EP300 have also been identified in individuals from the Deciphering Developmental Disorders study (Fitzgerald et al., 2015).
Reports Added
[Rubinstein-Taybi syndrome type 2: report of nine new cases that extend the phenotypic and genotypic spectrum.2016] [Genetic heterogeneity in Rubinstein-Taybi syndrome: mutations in both the CBP and EP300 genes cause disease.2005] [Confirmation of EP300 gene mutations as a rare cause of Rubinstein-Taybi syndrome.2007] [Further case of Rubinstein-Taybi syndrome due to a deletion in EP300.2009] [Meta-analysis of 2,104 trios provides support for 10 new genes for intellectual disability2016]Krishnan Probability Score
Score 0.56512301512648
Ranking 1256/25841 scored genes
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ExAC Score
Score 0.99999999999948
Ranking 38/18225 scored genes
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Iossifov Probability Score
Score 0.958
Ranking 75/239 scored genes
[Show Scoring Methodology]
Sanders TADA Score
Score 0.44926919010066
Ranking 351/18665 scored genes
[Show Scoring Methodology]
Larsen Cumulative Evidence Score
Score 0
Ranking 443/461 scored genes
[Show Scoring Methodology]
Interactome
- Protein Binding
- DNA Binding
- RNA Binding
- Protein Modification
- Direct Regulation
- ASD-Linked Genes
Interaction Table
Interactor Symbol | Interactor Name | Interactor Organism | Interactor Type | Entrez ID | Uniprot ID |
---|---|---|---|---|---|
STAT6 | signal transducer and activator of transcription 6, interleukin-4 induced | Human | Protein Binding | 6778 | P42226 |