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Center for Computational Systems Medicine
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Fusion Gene Summary

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Fusion Gene Breakpoints

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Tumorigenic MoA (Mechanism of Action) Scenarios of Fusion Geness

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Fusion Genomic Features

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Fusion Gene ORF Annotations

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Fusion Protein Retained/Non-Retained Functional Features

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Fusion Transcript Sequences

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Fusion Protein Sequences

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Personalized Fusion Protein Sequences

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Fusion Gene Expressed Samples

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Related Drugs

Fusion gene:APOE_RELB (FusionGDB2 ID:HG348TG5971)

Fusion Gene Summary for APOE_RELB

check button Fusion gene summary
Fusion gene informationFusion gene name: APOE_RELB
Fusion gene ID: hg348tg5971
HgeneTgene
Gene symbol

APOE

RELB

Gene ID

348

5971

Gene nameapolipoprotein ERELB proto-oncogene, NF-kB subunit
SynonymsAD2|APO-E|ApoE4|LDLCQ5|LPGI-REL|IMD53|IREL|REL-B
Cytomap

19q13.32

19q13.32

Type of geneprotein-codingprotein-coding
Descriptionapolipoprotein Eapolipoprotein E3transcription factor RelBv-rel avian reticuloendotheliosis viral oncogene homolog B (nuclear factor of kappa light polypeptide gene enhancer in B-cells 3)v-rel reticuloendotheliosis viral oncogene homolog B, nuclear factor of kappa light polypeptide gen
Modification date2024041620240411
UniProtAcc

P02649

.
Ensembl transtripts involved in fusion gene
Fusion gene scores* DoF score* DoF score (Degree of Frequency) = # partners X # break points X # disease types
9 X 3 X 6=162
* DoF score (Degree of Frequency) = # partners X # break points X # disease types
5 X 14 X 8=560
# samples 1113
** MAII score** MAII score (Major Active Isofusion Index) = log2(# samples/DoF score*10)
log2(11/162*10)=-0.558490289359965
possibly effective Gene in Pan-Cancer Fusion Genes (peGinPCFGs).
DoF>8 and MAII<0
** MAII score (Major Active Isofusion Index) = log2(# samples/DoF score*10)
log2(13/560*10)=-2.10691520391651
possibly effective Gene in Pan-Cancer Fusion Genes (peGinPCFGs).
DoF>8 and MAII<0
Context

PubMed: APOE [Title/Abstract] AND RELB [Title/Abstract] AND fusion [Title/Abstract]

Most frequent breakpoint


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Fusion Gene Breakpoints for APOE_RELB


check button RNA-seq based exon junction arranged fusion gene breakpoints from 8 resources (TCGA, CCLE, cBioPortal, GenBank, ChimerDB, ChimerKB, ChildHoodFusions, and GTEx). For the expressed sample information, go to Fusion Gene Sample section.
HgeneHchrHbpTgeneTchrTbp
APOEchr1945411209RELBchr1945411209


check button DNA-seq based exon junction arranged fusion gene breakpoints from dbVar. For the expressed sample information, go to Fusion Gene Sample section.
HgeneHchrHbpTgeneTchrTbpSV type


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Tumorigenic MoA (Mechanism of Action) Scenarios of Fusion Genes for APOE_RELB


check button To generate these tumorigenic scenario annotations, we implemented a deduction-first, retrieval-later computational framework. The pipeline first applies rule-guided reasoning across ten core mechanistic categories (M1–M10) derived from fusion gene biology to infer candidate mechanisms, tumorigenic scenarios, targeting points, and targeting backgrounds. To ensure empirical accountability, a governed Python workflow retrieves literature candidates via NCBI E-utilities and Europe PMC using tiered searches. Using JSON Schema-constrained LLM evidence judges (GPT-5.6 Luna and Terra), retrieved articles are evaluated for specificity and confidence without de novo PMID generation. This produces two distinct versions: a strict version restricted to high- or medium-confidence fusion-specific evidence, and an extended version incorporating broader gene-, pathway-, and contextual evidence.
* We have 10 tumorigenic mechanism categories of fusion genes as shown below.
Constitutively Active Kinases, Catalytic Domain Dysregulation, & Transmembrane Ligand FusionsAberrant Chimeric Transcription Factor / Fusion Transcription Factor ActivityEpigenetic Reprogramming / Histone Modifier DysregulationChromatin Remodeling DysregulationCondensate-Driven Transcriptional Rewiring / LLPPromoter / Enhancer HijackingDominant-Negative AntagonismCell Cycle / Checkpoint Bypass / RNA Processing DysregulationSubcellular Mislocalization / Spatial DysregulationNuclear Body / Sub-organellar Architecture Disruption & Differentiation Blockade

* Strict version: Restricted to high- or medium-confidence fusion-specific evidence.
Fusion Gene NameMechanism CategoryMechanism PubMedTumorigenic ScenariosTumorigenic Scenario PubMedTargeting PointsTargeting PubMedMechanism BackgroundMechanism Background PubMed

* Extended version: Includes all strict-level fusion evidence plus broader gene-, pathway-, and low-confidence contextual evidence.
Fusion Gene NameMechanism CategoryMechanism PubMedTumorigenic ScenariosTumorigenic Scenario PubMedTargeting PointsTargeting PubMedMechanism BackgroundMechanism Background PubMed

check buttonMain function of each fusion partner protein. (from UniProt)
HgeneTgene
APOE

P02649

.

check button Gene ontology of each fusion partner gene with evidence of Inferred from Direct Assay (IDA) from Entrez
PartnerGeneGO IDGO termPubMed ID
HgeneAPOE

GO:0001937

negative regulation of endothelial cell proliferation

9685360

HgeneAPOE

GO:0006641

triglyceride metabolic process

9649566

HgeneAPOE

GO:0006898

receptor-mediated endocytosis

1917954

HgeneAPOE

GO:0007186

G protein-coupled receptor signaling pathway

16443932

HgeneAPOE

GO:0008203

cholesterol metabolic process

9649566

HgeneAPOE

GO:0010544

negative regulation of platelet activation

8995232

HgeneAPOE

GO:0010875

positive regulation of cholesterol efflux

12042316|14754908

HgeneAPOE

GO:0010976

positive regulation of neuron projection development

7592957|23845000

HgeneAPOE

GO:0010977

negative regulation of neuron projection development

7592957

HgeneAPOE

GO:0015909

long-chain fatty acid transport

24345162

HgeneAPOE

GO:0017038

protein import

24446231

HgeneAPOE

GO:0030195

negative regulation of blood coagulation

8995232

HgeneAPOE

GO:0031175

neuron projection development

8939961

HgeneAPOE

GO:0032489

regulation of Cdc42 protein signal transduction

16443932

HgeneAPOE

GO:0032805

positive regulation of low-density lipoprotein particle receptor catabolic process

15950758

HgeneAPOE

GO:0033344

cholesterol efflux

11162594|16443932|23620513

HgeneAPOE

GO:0033700

phospholipid efflux

11162594

HgeneAPOE

GO:0034372

very-low-density lipoprotein particle remodeling

15654758

HgeneAPOE

GO:0034380

high-density lipoprotein particle assembly

14754908|17305370

HgeneAPOE

GO:0034382

chylomicron remnant clearance

1911868|7683668

HgeneAPOE

GO:0034384

high-density lipoprotein particle clearance

210175

HgeneAPOE

GO:0034447

very-low-density lipoprotein particle clearance

1917954|2762297|7683668

HgeneAPOE

GO:0038060

nitric oxide-cGMP-mediated signaling

8995232

HgeneAPOE

GO:0042158

lipoprotein biosynthetic process

23620513

HgeneAPOE

GO:0042632

cholesterol homeostasis

9649566

HgeneAPOE

GO:0042982

amyloid precursor protein metabolic process

21593558

HgeneAPOE

GO:0043254

regulation of protein-containing complex assembly

25207746

HgeneAPOE

GO:0043407

negative regulation of MAP kinase activity

9685360

HgeneAPOE

GO:0043537

negative regulation of blood vessel endothelial cell migration

9685360

HgeneAPOE

GO:0043691

reverse cholesterol transport

8127890

HgeneAPOE

GO:0045429

positive regulation of nitric oxide biosynthetic process

8995232

HgeneAPOE

GO:0045541

negative regulation of cholesterol biosynthetic process

1917954

HgeneAPOE

GO:0045807

positive regulation of endocytosis

7683668|8300609

HgeneAPOE

GO:0046889

positive regulation of lipid biosynthetic process

12042316

HgeneAPOE

GO:0051044

positive regulation of membrane protein ectodomain proteolysis

15950758

HgeneAPOE

GO:0055089

fatty acid homeostasis

24345162

HgeneAPOE

GO:0060999

positive regulation of dendritic spine development

24328732

HgeneAPOE

GO:0071831

intermediate-density lipoprotein particle clearance

1917954

HgeneAPOE

GO:0090090

negative regulation of canonical Wnt signaling pathway

16805831

HgeneAPOE

GO:0090205

positive regulation of cholesterol metabolic process

15654758

HgeneAPOE

GO:0097113

AMPA glutamate receptor clustering

24328732

HgeneAPOE

GO:0097114

NMDA glutamate receptor clustering

24328732

HgeneAPOE

GO:1900221

regulation of amyloid-beta clearance

24446231

HgeneAPOE

GO:1900272

negative regulation of long-term synaptic potentiation

16273551

HgeneAPOE

GO:1902430

negative regulation of amyloid-beta formation

24154541

HgeneAPOE

GO:1902952

positive regulation of dendritic spine maintenance

24328732

HgeneAPOE

GO:1902991

regulation of amyloid precursor protein catabolic process

28164773

HgeneAPOE

GO:1902995

positive regulation of phospholipid efflux

12042316

HgeneAPOE

GO:1903002

positive regulation of lipid transport across blood-brain barrier

24345162

HgeneAPOE

GO:1905860

positive regulation of heparan sulfate proteoglycan binding

8300609

HgeneAPOE

GO:1905890

regulation of cellular response to very-low-density lipoprotein particle stimulus

7592957

HgeneAPOE

GO:1905906

regulation of amyloid fibril formation

25207746

HgeneAPOE

GO:1905920

positive regulation of CoA-transferase activity

15654758


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Fusion Genomic Features for APOE_RELB


check buttonFusionAI prediction of the potential fusion gene breakpoint based on the pre-mature RNA sequence context (+/- 5kb of individual partner genes, total 20kb length sequence) of In-frame fusion genes. FusionAI is a fusion gene breakpoint classifier based on convolutional neural network by comparing the fusion positive and negative sequence context of ~ 20K fusion gene data. From here, we can have the relative potentency of the 20K genomic sequence how individual sequnce will be likely used as the gene fusion breakpoints.
HgeneHchrHbpHstrandTgeneTchrTbpTstrand1-pp (fusion gene breakpoint)


check buttonFusionAI prediction of the potential fusion gene breakpoint based on the pre-mature RNA sequence context (+/- 5kb of individual partner genes, total 20kb length sequence) of 5UTR-3CSD fusion genes (N-truncated cases).
HgeneHchrHbpHstrandTgeneTchrTbpTstrand1-pp (fusion gene breakpoint)

check buttonFusionAI prediction of the potential fusion gene breakpoint based on the pre-mature RNA sequence context (+/- 5kb of individual partner genes, total 20kb length sequence) of 5CDS-3UTR fusion genes (C-truncated cases).
HgeneHchrHbpHstrandTgeneTchrTbpTstrand1-pp (fusion gene breakpoint)

check buttonDistribution of six genomic regulatory feature tracks across a ±5 kb window centered on the fusion breakpoints. We input the breakpoint sequences into AlphaGenome and obtained predicted genome tracks at single-base-pair resolution for each modality by running a single forward pass over the reference sequence. Specifically, for each breakpoint, AlphaGenome processed and returned predicted track data across diverse modalities, which were then averaged across all tracks within each output type and visualized across the ±5 kb window. The left panel shows the 5'-gene breakpoint ±5 kb area, and the right panel shows the 3'-gene breakpoint area, with tracks grouped by category: chromatin accessibility (DNase-seq, ATAC-seq), active transcription (RNA-seq, CAGE), and chromatin binding (ChIP-Histone, ChIP-TF).

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Fusion Gene ORF Annotations for APOE_RELB

check button Open reading frame (ORF) analsis of fusion genes based on Ensembl gene isoform structure.
* Click on the break point to see the gene structure around the break point region using the UCSC Genome Browser.
ORFHenstTenstHgeneHchrHbpHstrandTgeneTchrTbpTstrand

check buttonORFfinder Result Based On The Fusion Transcript Sequences of the In-frame Fusion Genes.
HenstTenstHgeneHchrHbpTgeneTchrTbpSeq length
(transcript)
Seq length
(peptide)

check buttonORFfinder Result Based On The Fusion Transcript Sequences of the 5UTR-3CDS Fusion Genes for N-Truncated Protein Search.
HenstTenstHgeneHchrHbpTgeneTchrTbpSeq length
(transcript)
Seq length
(peptide)

check buttonORFfinder Result Based On The Fusion Transcript Sequences of the 5CDS-3UTR Fusion Genes for C-Truncated Protein Search.
HenstTenstHgeneHchrHbpTgeneTchrTbpSeq length
(transcript)
Seq length
(peptide)

check buttonDeepORF Prediction of The Coding Potential Based on The Fusion Transcript Sequence of In-frame Fusion Genes. DeepORF is a Coding Potential Classifier Based on Convolutional Neural Network by Comparing the Real Ribo-seq Data. If the No-coding Score < 0.5 and Coding Score > 0.5, Then The In-frame Fusion Transcript is Predicted as Being Likely Translated.
HenstTenstHgeneHchrHbpTgeneTchrTbpNo-coding scoreCoding score

check buttonDeepORF Prediction of The Coding Potential Based on The Fusion Transcript Sequence of 5UTR-3CDS Fusion Genes (Potential N-Truncated Proteins).
HenstTenstHgeneHchrHbpTgeneTchrTbpNo-coding scoreCoding score

check buttonDeepORF Prediction of The Coding Potential Based on The Fusion Transcript Sequence of 5CDS-3UTR Fusion Genes (Potential C-Truncated Proteins).
HenstTenstHgeneHchrHbpTgeneTchrTbpNo-coding scoreCoding score

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Fusion Protein Retained/Non-Retained Functional Features for APOE_RELB

check buttonProtein Level Annotation from FGviewer
* Retention analysis result of each fusion partner protein across 39 protein features of UniProt such as six molecule processing features, 13 region features, four site features, six amino acid modification features, two natural variation features, five experimental info features, and 3 secondary structure features. Here, because of limited space for viewing, we only show the protein feature retention information belong to the 13 regional features. All retention annotation result can be downloaded at download page. Minus value of BPloci means that the break pointn is located before the CDS.
fgviewer annotation
- In-frame and retained protein feature among the 13 regional features (visualization across fusion protein length).
No matching images found for ${hg}_${tg}.

- In-frame and retained protein feature among the 13 regional features (texts).
PartnerGeneHbpTbpENSTStrandBPexonTotalExonProtein feature loci*BPlociTotalLenProtein featureProtein feature note

- In-frame and not-retained protein feature among the 13 regional features.
PartnerGeneHbpTbpENSTStrandBPexonTotalExonProtein feature loci*BPlociTotalLenProtein featureProtein feature note


check button - Retained PPIs in in-frame fusion.
PartnerHgeneHbpTgeneTbpENSTUniProtStrandBPexonTotalExonProtein feature loci*BPlociTotalLenStill interaction with


check button - Lost PPIs in in-frame fusion.
PartnerHgeneHbpTgeneTbpENSTUniProtStrandBPexonTotalExonProtein feature loci*BPlociTotalLenInteraction lost with


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Fusion Transcript Sequence for APOE_RELB

check button In-frame Fusion Transcript Sequences.

check button N-Truncated Transcript (5UTR-3CDS) Sequences

check button C-Truncated Transcript (5CDS-3UTR) Sequences

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Fusion Protein Sequence for APOE_RELB

check button In-frame Fusion Protein Sequences.

check button N-Truncated Protein (5UTR-3CDS) Sequences

check button C-Truncated Protein (5CDS-3UTR) Sequences

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Personalized Fusion Protein Sequence for APOE_RELB


check button TCGA Kinase/DNA-binding Domain Mutated Fusion Protein Sequences
NumGene GroupDomain LociFusion Protein IDFusion Gene NamePartnerMutated Residue in WT ProteinSeq. LengthMutated Residue in Fusion Protein

check button CCLE Kinase/DNA-binding Domain Mutated Fusion Protein Sequences

NumGene GroupDomain LociFusion Protein IDFusion Gene NamePartnerMutated Residue in WT ProteinSeq. LengthMutated Residue in Fusion Protein

check button TCGA All Mutated Fusion Protein Sequences


Fusion Protein IDSample IDMutated PartnerAAchange in WTSeq. LengthAAchange in Fusion

check button CCLE All Mutated Fusion Protein Sequences


Fusion Protein IDSample IDMutated PartnerAAchange in WTSeq. LengthAAchange in Fusion

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Fusion Gene Exprssed Samples for APOE_RELB


check buttonRNA-seq based fusion gene expressed samples.
SourceStudyDiseaseSampleHgeneHchrHbpHstrandTgeneTchrTbpTstrand
ChimerDBLUADTCGA-55-A493-01AAPOE

chr19

45411209+RELB

chr19

45411209

+

check buttonDNA-seq based fusion gene expressed samples.
SourceStudyDiseaseSampleHgeneHchrHbpHstrandTgeneTchrTbpTstrandSV type


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Related Drugs for APOE_RELB


check button PubMed Abstract Search With ['A-B' AND 'drug'], ['A::B' AND 'drug']
* For more details on the Studied, Reported, Approved Drugs targeting this fusion gene, Go to FusionPub.
PMIDFusion Gene NameDrugStudy Title

check button Drugs targeting genes involved in this fusion gene.
(DrugBank Version 5.1.8 2021-05-08)
PartnerGeneUniProtAccDrugBank IDDrug nameDrug activityDrug typeDrug status
HgeneAPOEP02649DB14548Zinc sulfate, unspecified formAntagonistSmall moleculeApproved|Experimental
HgeneAPOEP02649DB01593ZincSmall moleculeApproved|Investigational
HgeneAPOEP02649DB09130CopperSmall moleculeApproved|Investigational
HgeneAPOEP02649DB14487Zinc acetateSmall moleculeApproved|Investigational
HgeneAPOEP02649DB14533Zinc chlorideAntagonistSmall moleculeApproved|Investigational