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Center for Computational Systems Medicine
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Fusion Gene and Fusion Protein Summary

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Fusion Amino Acid Sequences (multiple BPs and multiple gene isoforms)

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Fusion Protein Breakpoint Sequences - (for the Screening of the FusionNeoAntigens)

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Potential FusionNeoAntigens in HLA I - (netMHCpan v4.1 + deepHLApan v1.1)

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Potential FusionNeoAntigens in HLA II - (netMHCIIpan v4.1)

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Fusion Breakpoint 14 AA Peptide Structure - (RoseTTAFold)

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Filtering FusionNeoAntigens Through Checking the Interaction with HLAs in 3D - (Glide)

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Vaccine Design for the FusionNeoAntigens (RNA/protein sequences)

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Potential target of CAR-T therapy development

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Information on the samples that have these potential fusion neoantigens

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Fusion Protein Targeting Drugs - (Manual Curation)

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Fusion Protein Related diseases - (Manual Curation)

Fusion Protein:ZNF430-KCNIP4

Fusion Gene and Fusion Protein Summary

check button Fusion gene summary
Fusion partner gene informationFusion gene name: ZNF430-KCNIP4
FusionPDB ID: 102082
FusionGDB2.0 ID: 102082
HgeneTgene
Gene symbol

ZNF430

KCNIP4

Gene ID

80264

80333

Gene namezinc finger protein 430potassium voltage-gated channel interacting protein 4
Synonyms-CALP|KCHIP4
Cytomap

19p12

4p15.31-p15.2

Type of geneprotein-codingprotein-coding
Descriptionzinc finger protein 430Kv channel-interacting protein 4Kv channel interacting protein 4a-type potassium channel modulatory protein 4calsenilin-like protein
Modification date2020031320200313
UniProtAcc.

Q6PIL6

Main function of 5'-partner protein: FUNCTION: Regulatory subunit of Kv4/D (Shal)-type voltage-gated rapidly inactivating A-type potassium channels. Modulates KCND2 channel density, inactivation kinetics and rate of recovery from inactivation in a calcium-dependent and isoform-specific manner (PubMed:11847232, PubMed:18957440, PubMed:23576435). Modulates KCND3/Kv4.3 currents (PubMed:23576435). Isoform 4 does not increase KCND2 expression at the cell membrane (PubMed:18957440). Isoform 4 retains KCND3 in the endoplasmic reticulum and negatively regulates its expression at the cell membrane. {ECO:0000250|UniProtKB:Q6PHZ8, ECO:0000269|PubMed:11847232, ECO:0000269|PubMed:18957440, ECO:0000269|PubMed:23576435}.
Ensembl transtripts involved in fusion geneENST idsENST00000261560, ENST00000595401, 
ENST00000599548, 
ENST00000359001, 
ENST00000382149, ENST00000509207, 
ENST00000382148, ENST00000382150, 
ENST00000382152, ENST00000447367, 
Fusion gene scores for assessment (based on all fusion genes of FusionGDB 2.0)* DoF score6 X 2 X 5=6018 X 13 X 9=2106
# samples 619
** MAII scorelog2(6/60*10)=0log2(19/2106*10)=-3.47043411269477
possibly effective Gene in Pan-Cancer Fusion Genes (peGinPCFGs).
DoF>8 and MAII<0
Fusion gene context

PubMed: ZNF430 [Title/Abstract] AND KCNIP4 [Title/Abstract] AND fusion [Title/Abstract]

Fusion neoantigen context

PubMed: ZNF430 [Title/Abstract] AND KCNIP4 [Title/Abstract] AND neoantigen [Title/Abstract]

Most frequent breakpoint (based on all fusion genes of FusionGDB 2.0)ZNF430(21216990)-KCNIP4(20852290), # samples:2
Anticipated loss of major functional domain due to fusion event.ZNF430-KCNIP4 seems lost the major protein functional domain in Hgene partner, which is a CGC by not retaining the major functional domain in the partially deleted in-frame ORF.
ZNF430-KCNIP4 seems lost the major protein functional domain in Hgene partner, which is a CGC by not retaining the major functional domain in the partially deleted in-frame ORF.
ZNF430-KCNIP4 seems lost the major protein functional domain in Hgene partner, which is a essential gene by not retaining the major functional domain in the partially deleted in-frame ORF.
ZNF430-KCNIP4 seems lost the major protein functional domain in Hgene partner, which is a essential gene by not retaining the major functional domain in the partially deleted in-frame ORF.
ZNF430-KCNIP4 seems lost the major protein functional domain in Hgene partner, which is a transcription factor due to the frame-shifted ORF.
ZNF430-KCNIP4 seems lost the major protein functional domain in Tgene partner, which is a essential gene due to the frame-shifted ORF.
* DoF score (Degree of Frequency) = # partners X # break points X # cancer types
** MAII score (Major Active Isofusion Index) = log2(# samples/DoF score*10)

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


check button Four levels of functional features of fusion genes
Go to FGviewer search page for the most frequent breakpoint (https://ccsmweb.uth.edu/FGviewer/chr19:21216990/chr4:20852290)
- FGviewer provides the online visualization of the retention search of the protein functional features across DNA, RNA, protein, and pathological levels.
- How to search
1. Put your fusion gene symbol.
2. Press the tab key until there will be shown the breakpoint information filled.
4. Go down and press 'Search' tab twice.
4. Go down to have the hyperlink of the search result.
5. Click the hyperlink.
6. See the FGviewer result for your fusion gene.
FGviewer

check buttonRetention analysis results 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, are available here.

check buttonFusion gene breakpoints across ZNF430 (5'-gene)
* Click on the image to open the UCSC genome browser with custom track showing this image in a new window.
all structure

check buttonFusion gene breakpoints across KCNIP4 (3'-gene)
* Click on the image to open the UCSC genome browser with custom track showing this image in a new window.
all structure


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Fusion Amino Acid Sequences


check buttonFusion information from ORFfinder translation from full-length transcript sequence from FusionPDB.
HenstTenstHgeneHchrHbpHstrandTgeneTchrTbpTstrandSeq length
(transcript)
BP loci
(transcript)
Predicted start
(transcript)
Predicted stop
(transcript)
Seq length
(amino acids)
ENST00000261560ZNF430chr1921216990+ENST00000382148KCNIP4chr420852290-25595031811092303
ENST00000261560ZNF430chr1921216990+ENST00000447367KCNIP4chr420852290-19695031811092303
ENST00000261560ZNF430chr1921216990+ENST00000382150KCNIP4chr420852290-19655031811092303
ENST00000261560ZNF430chr1921216990+ENST00000382152KCNIP4chr420852290-19395031811092303
ENST00000599548ZNF430chr1921216990+ENST00000382148KCNIP4chr420852290-25454891671078303
ENST00000599548ZNF430chr1921216990+ENST00000447367KCNIP4chr420852290-19554891671078303
ENST00000599548ZNF430chr1921216990+ENST00000382150KCNIP4chr420852290-19514891671078303
ENST00000599548ZNF430chr1921216990+ENST00000382152KCNIP4chr420852290-19254891671078303

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.
HenstTenstHgeneHchrHbpHstrandTgeneTchrTbpTstrandNo-coding scoreCoding score
ENST00000261560ENST00000382148ZNF430chr1921216990+KCNIP4chr420852290-0.0005894420.9994105
ENST00000261560ENST00000447367ZNF430chr1921216990+KCNIP4chr420852290-0.0005417380.99945825
ENST00000261560ENST00000382150ZNF430chr1921216990+KCNIP4chr420852290-0.0005384440.9994616
ENST00000261560ENST00000382152ZNF430chr1921216990+KCNIP4chr420852290-0.000541140.99945885
ENST00000599548ENST00000382148ZNF430chr1921216990+KCNIP4chr420852290-0.0006284080.9993716
ENST00000599548ENST00000447367ZNF430chr1921216990+KCNIP4chr420852290-0.0005735230.9994265
ENST00000599548ENST00000382150ZNF430chr1921216990+KCNIP4chr420852290-0.0005643140.9994357
ENST00000599548ENST00000382152ZNF430chr1921216990+KCNIP4chr420852290-0.0005704460.9994295

check button Predicted full-length fusion amino acid sequences. For individual full-length fusion transcript sequence from FusionPDB, we ran ORFfinder and chose the longest ORF among all the predicted ones.

Get the fusion protein sequences from here.

Fusion protein sequence information is available in the fasta format.
>FusionGDB ID_FusionGDB isoform ID_FGname_Hgene_Hchr_Hbp_Henst_Tgene_Tchr_Tbp_Tenst_length(fusion AA) seq_BP

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Fusion Protein Breakpoint Sequences for ZNF430-KCNIP4

check button +/-13 AA sequence from the breakpoints of the fusion protein sequences.
HgeneHchrHbpTgeneTchrTbpLength(fusion protein)BP in fusion proteinPeptide
ZNF430chr1921216990KCNIP4chr420852290489107WNMKRHAMVDQPPDSVEDELEMATVR
ZNF430chr1921216990KCNIP4chr420852290503107WNMKRHAMVDQPPDSVEDELEMATVR

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Potential FusionNeoAntigen Information of ZNF430-KCNIP4 in HLA I

check button Multiple sequence alignments of the potential FusionNeoAntigens per fusion breakpoints. If the MSA is empty, then it means that there were predicted fusion neoantigens in this fusion breakpoint, but those predicted fusion neoantigens were not across the breakpoint, which is not fusion-specific.
ZNF430-KCNIP4_21216990_20852290.msa

check button Potential FusionNeoAntigen Information
* We used NetMHCpan v4.1 (%rank<0.5) and deepHLApan v1.1 (immunogenic score>0.5)
Fusion geneHchrHbpTgeneTchrTbpHLA IFusionNeoAntigen peptideBinding scoreImmunogenic scoreNeoantigen start (at BP 13)Neoantigen end (at BP 13)
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:20MVDQPPDSV0.95450.6864716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:21MVDQPPDSV0.94420.78716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:60MVDQPPDSV0.93620.6915716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:35MVDQPPDSV0.92790.6797716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:38MVDQPPDSV0.9250.8188716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:27MVDQPPDSV0.76960.7431716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:13MVDQPPDSV0.71610.8204716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:19MVDQPPDSV0.48680.6469716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:22AMVDQPPDSV0.99650.6057616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:27AMVDQPPDSV0.99550.7258616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:24AMVDQPPDSV0.99470.6386616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:67AMVDQPPDSV0.99470.6386616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:30AMVDQPPDSV0.99470.6386616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:60AMVDQPPDSV0.99450.6574616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:11AMVDQPPDSV0.99420.6466616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:13AMVDQPPDSV0.99360.8152616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:21AMVDQPPDSV0.99330.7389616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:04AMVDQPPDSV0.98480.8259616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:38AMVDQPPDSV0.97770.8259616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:19AMVDQPPDSV0.97350.6074616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:29AMVDQPPDSV0.94380.6393616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:35AMVDQPPDSV0.92920.6429616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:20AMVDQPPDSV0.91810.6496616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-B35:03QPPDSVEDEL0.65030.96171020
ZNF430-KCNIP4chr1921216990chr420852290503HLA-B35:02QPPDSVEDEL0.41560.98661020
ZNF430-KCNIP4chr1921216990chr420852290503HLA-B35:04QPPDSVEDEL0.41560.98661020
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C05:09MVDQPPDSV0.99990.9826716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C04:10MVDQPPDSV0.99980.9754716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C04:07MVDQPPDSV0.99970.98716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C08:15MVDQPPDSV0.99960.9872716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C04:06MVDQPPDSV0.99480.9716716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C08:04MVDQPPDSV0.94580.9849716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C08:13MVDQPPDSV0.94580.9849716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C04:14MVDQPPDSV0.94270.9817716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:07MVDQPPDSV0.93280.7264716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:05MVDQPPDSV0.89780.6835716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C08:03MVDQPPDSV0.87510.992716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:05AMVDQPPDSV0.99480.5769616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:01AMVDQPPDSV0.99470.6386616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-B39:10QPPDSVEDEL0.5070.95361020
ZNF430-KCNIP4chr1921216990chr420852290503HLA-B35:12QPPDSVEDEL0.41560.98661020
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C04:03MVDQPPDSV0.99990.9815716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C05:01MVDQPPDSV0.99990.9826716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C18:01MVDQPPDSV0.99980.9805716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C04:01MVDQPPDSV0.99970.98716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C01:03MVDQPPDSV0.99970.9763716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C08:02MVDQPPDSV0.99960.9872716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C04:04MVDQPPDSV0.98280.9686716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A68:02MVDQPPDSV0.97530.841716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C03:06MVDQPPDSV0.96680.9918716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A69:01MVDQPPDSV0.9550.8293716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:06MVDQPPDSV0.94420.78716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:14MVDQPPDSV0.94350.7537716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C17:01MVDQPPDSV0.89410.9767716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C08:01MVDQPPDSV0.87510.992716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-C07:04MVDQPPDSV0.21430.9419716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-B07:13MVDQPPDSV0.16190.8485716
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:03AMVDQPPDSV0.99680.8149616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:14AMVDQPPDSV0.99350.6777616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-A02:06AMVDQPPDSV0.99330.7389616
ZNF430-KCNIP4chr1921216990chr420852290503HLA-B35:09QPPDSVEDEL0.41560.98661020

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Potential FusionNeoAntigen Information of ZNF430-KCNIP4 in HLA II

check button Multiple sequence alignments of the potential FusionNeoAntigens per fusion breakpoints. If the MSA is empty, then it means that there were predicted fusion neoantigens in this fusion breakpoint, but those predicted fusion neoantigens were not across the breakpoint, which is not fusion-specific.
ZNF430-KCNIP4_21216990_20852290.msa

check button Potential FusionNeoAntigen Information
* We used NetMHCIIpan v4.1 (%rank<0.5).
Fusion geneHchrHbpTgeneTchrTbpHLA IIFusionNeoAntigen peptideNeoantigen start (at BP 13)Neoantigen end (at BP 13)
ZNF430-KCNIP4chr1921216990chr420852290503DRB4-0101RHAMVDQPPDSVEDE419
ZNF430-KCNIP4chr1921216990chr420852290503DRB4-0103RHAMVDQPPDSVEDE419
ZNF430-KCNIP4chr1921216990chr420852290503DRB4-0104RHAMVDQPPDSVEDE419
ZNF430-KCNIP4chr1921216990chr420852290503DRB4-0104KRHAMVDQPPDSVED318
ZNF430-KCNIP4chr1921216990chr420852290503DRB4-0106RHAMVDQPPDSVEDE419
ZNF430-KCNIP4chr1921216990chr420852290503DRB4-0107RHAMVDQPPDSVEDE419
ZNF430-KCNIP4chr1921216990chr420852290503DRB4-0108RHAMVDQPPDSVEDE419

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Fusion breakpoint peptide structures of ZNF430-KCNIP4

check button3D structures of the fusion breakpoint peptide of 14AA sequence that have potential fusion neoantigens
* The minimum length of the amino acid sequence in RoseTTAFold is 14AA. Here, we predicted the 14AA fusion protein breakpoint sequence not the fusion neoantigen peptide, which is shorter than 14 AA.
File nameBPseqHgeneTgeneHchrHbpTchrTbpAAlen
440AMVDQPPDSVEDELZNF430KCNIP4chr1921216990chr420852290503

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Filtering FusionNeoAntigens Through Checking the Interaction with HLAs in 3D of ZNF430-KCNIP4

check buttonVirtual screening between 25 HLAs (from PDB) and FusionNeoAntigens
* We used Glide to predict the interaction between HLAs and neoantigens.
HLA allelePDB IDFile nameBPseqDocking scoreGlide score
HLA-B14:023BVN440AMVDQPPDSVEDEL-7.9962-8.1096
HLA-B14:023BVN440AMVDQPPDSVEDEL-5.70842-6.74372
HLA-B52:013W39440AMVDQPPDSVEDEL-6.83737-6.95077
HLA-B52:013W39440AMVDQPPDSVEDEL-4.4836-5.5189
HLA-A11:014UQ2440AMVDQPPDSVEDEL-10.0067-10.1201
HLA-A11:014UQ2440AMVDQPPDSVEDEL-9.03915-10.0745
HLA-A24:025HGA440AMVDQPPDSVEDEL-6.56204-6.67544
HLA-A24:025HGA440AMVDQPPDSVEDEL-5.42271-6.45801
HLA-B44:053DX8440AMVDQPPDSVEDEL-7.85648-8.89178
HLA-B44:053DX8440AMVDQPPDSVEDEL-5.3978-5.5112
HLA-A02:016TDR440AMVDQPPDSVEDEL-3.37154-4.40684

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Vaccine Design for the FusionNeoAntigens of ZNF430-KCNIP4

check button mRNA and peptide sequences of FusionNeoAntigens that have potential interaction with HLA-Is.
Fusion geneHchrHbpTchrTbpStart in +/-13AAEnd in +/-13AAFusionNeoAntigen peptide sequenceFusionNeoAntigen RNA sequence
ZNF430-KCNIP4chr1921216990chr4208522901020QPPDSVEDELAACCCCCAGACAGCGTGGAAGATGAACTGG
ZNF430-KCNIP4chr1921216990chr420852290616AMVDQPPDSVCGATGGTAGATCAACCCCCAGACAGCGTGG
ZNF430-KCNIP4chr1921216990chr420852290716MVDQPPDSVTGGTAGATCAACCCCCAGACAGCGTGG

check button mRNA and peptide sequences of FusionNeoAntigens that have potential interaction with HLA-IIs.
Fusion geneHchrHbpTchrTbpStart in +/-13AAEnd in +/-13AAFusionNeoAntigen peptideFusionNEoAntigen RNA sequence
ZNF430-KCNIP4chr1921216990chr420852290318KRHAMVDQPPDSVEDAGAGACATGCGATGGTAGATCAACCCCCAGACAGCGTGGAAGATG
ZNF430-KCNIP4chr1921216990chr420852290419RHAMVDQPPDSVEDEGACATGCGATGGTAGATCAACCCCCAGACAGCGTGGAAGATGAAC

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Information of the samples that have these potential fusion neoantigens of ZNF430-KCNIP4

check button These samples were reported as having these fusion breakpoints. For individual breakpoints, we checked the open reading frames considering multiple gene isoforms and chose the in-frame fusion genes only. Then, we made fusion protein sequences and predicted the fusion neoantigens. These fusion-positive samples may have these potential fusion neoantigens.
Cancer typeFusion geneHchrHbpHenstTchrTbpTenstSample
BLCAZNF430-KCNIP4chr1921216990ENST00000261560chr420852290ENST00000382148TCGA-GV-A3JZ-01A

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Potential target of CAR-T therapy development for ZNF430-KCNIP4

check button Predicted 3D structure. We used RoseTTAFold.

check buttonRetention 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, to provide the retention of the transmembrane domain, we only show the protein feature retention information of those transmembrane features


* Minus value of BPloci means that the break point is located before the CDS.
- In-frame and retained 'Transmembrane'.
PartnerGeneHbpTbpENSTStrandBPexonTotalExonProtein feature loci*BPlociTotalLenProtein featureProtein feature note

check button Subcellular localization prediction of the transmembrane domain retained fusion proteins
* We used DeepLoc 1.0. The order of the X-axis of the barplot is as follows: Entry_ID, Localization, Type, Nucleus, Cytoplasm, Extracellular, Mitochondrion, Cell_membrane, Endoplasmic_reticulum, Plastid, Golgi.apparatus, Lysosome.Vacuole, Peroxisome. Y-axis is the output score of DeepLoc. Clicking the image will open a new tab with a large image.
HgeneHchrHbpHenstTgeneTchrTbpTenstDeepLoc result

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Related Drugs to ZNF430-KCNIP4

check button Drugs used for this fusion-positive patient.
(Manual curation of PubMed, 04-30-2022 + MyCancerGenome)
HgeneTgeneDrugSourcePMID

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Related Diseases to ZNF430-KCNIP4

check button Diseases that have this fusion gene.
(Manual curation of PubMed, 04-30-2022 + MyCancerGenome)
HgeneTgeneDiseaseSourcePMID

check button Diseases associated with fusion partners.
(DisGeNet 4.0)
PartnerGeneDisease IDDisease name# pubmedsSource