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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:CD44-EXT2

Fusion Gene and Fusion Protein Summary

check button Fusion gene summary
Fusion partner gene informationFusion gene name: CD44-EXT2
FusionPDB ID: 14513
FusionGDB2.0 ID: 14513
HgeneTgene
Gene symbol

CD44

EXT2

Gene ID

960

2132

Gene nameCD44 molecule (Indian blood group)exostosin glycosyltransferase 2
SynonymsCDW44|CSPG8|ECMR-III|HCELL|HUTCH-I|IN|LHR|MC56|MDU2|MDU3|MIC4|Pgp1SOTV|SSMS
Cytomap

11p13

11p11.2

Type of geneprotein-codingprotein-coding
DescriptionCD44 antigenGP90 lymphocyte homing/adhesion receptorHermes antigenIndian blood group antigencell surface glycoprotein CD44chondroitin sulfate proteoglycan 8epicanextracellular matrix receptor IIIhematopoietic cell E- and L-selectin ligandheparan exostosin-2N-acetylglucosaminyl-proteoglycan 4-beta-glucuronosyltransferaseglucuronosyl-N-acetylglucosaminyl-proteoglycan/N-acetylglucosaminyl-proteoglycan 4-alpha-N-acetylglucosaminyltransferasemultiple exostoses protein 2multiple exostosis 2putativ
Modification date2020032920200313
UniProtAcc

P16070

Main function of 5'-partner protein: FUNCTION: Cell-surface receptor that plays a role in cell-cell interactions, cell adhesion and migration, helping them to sense and respond to changes in the tissue microenvironment (PubMed:16541107, PubMed:19703720, PubMed:22726066). Participates thereby in a wide variety of cellular functions including the activation, recirculation and homing of T-lymphocytes, hematopoiesis, inflammation and response to bacterial infection (PubMed:7528188). Engages, through its ectodomain, extracellular matrix components such as hyaluronan/HA, collagen, growth factors, cytokines or proteases and serves as a platform for signal transduction by assembling, via its cytoplasmic domain, protein complexes containing receptor kinases and membrane proteases (PubMed:18757307, PubMed:23589287). Such effectors include PKN2, the RhoGTPases RAC1 and RHOA, Rho-kinases and phospholipase C that coordinate signaling pathways promoting calcium mobilization and actin-mediated cytoskeleton reorganization essential for cell migration and adhesion (PubMed:15123640). {ECO:0000269|PubMed:15123640, ECO:0000269|PubMed:16541107, ECO:0000269|PubMed:18757307, ECO:0000269|PubMed:19703720, ECO:0000269|PubMed:22726066, ECO:0000269|PubMed:23589287, ECO:0000269|PubMed:7528188}.

Q93063

Main function of 5'-partner protein: FUNCTION: Glycosyltransferase required for the biosynthesis of heparan-sulfate. The EXT1/EXT2 complex possesses substantially higher glycosyltransferase activity than EXT1 or EXT2 alone. Appears to be a tumor suppressor. Required for the exosomal release of SDCBP, CD63 and syndecan (PubMed:22660413). {ECO:0000269|PubMed:22660413}.
Ensembl transtripts involved in fusion geneENST idsENST00000263398, ENST00000278386, 
ENST00000352818, ENST00000360158, 
ENST00000415148, ENST00000428726, 
ENST00000433354, ENST00000433892, 
ENST00000434472, ENST00000437706, 
ENST00000449691, ENST00000526025, 
ENST00000526669, ENST00000528922, 
ENST00000529186, ENST00000343631, 
ENST00000533608, ENST00000358681, 
ENST00000395673, 
Fusion gene scores for assessment (based on all fusion genes of FusionGDB 2.0)* DoF score24 X 25 X 12=72008 X 8 X 4=256
# samples 368
** MAII scorelog2(36/7200*10)=-4.32192809488736
possibly effective Gene in Pan-Cancer Fusion Genes (peGinPCFGs).
DoF>8 and MAII<0
log2(8/256*10)=-1.67807190511264
possibly effective Gene in Pan-Cancer Fusion Genes (peGinPCFGs).
DoF>8 and MAII<0
Fusion gene context

PubMed: CD44 [Title/Abstract] AND EXT2 [Title/Abstract] AND fusion [Title/Abstract]

Fusion neoantigen context

PubMed: CD44 [Title/Abstract] AND EXT2 [Title/Abstract] AND neoantigen [Title/Abstract]

Most frequent breakpoint (based on all fusion genes of FusionGDB 2.0)CD44(35160917)-EXT2(44265699), # samples:3
Anticipated loss of major functional domain due to fusion event.CD44-EXT2 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.
CD44-EXT2 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.
CD44-EXT2 seems lost the major protein functional domain in Hgene partner, which is a cell metabolism gene due to the frame-shifted ORF.
CD44-EXT2 seems lost the major protein functional domain in Hgene partner, which is a tumor suppressor due to the frame-shifted ORF.
CD44-EXT2 seems lost the major protein functional domain in Tgene partner, which is a cell metabolism gene due to the frame-shifted ORF.
CD44-EXT2 seems lost the major protein functional domain in Tgene partner, which is a CGC due to the frame-shifted ORF.
CD44-EXT2 seems lost the major protein functional domain in Tgene partner, which is a tumor suppressor 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
HgeneCD44

GO:0007155

cell adhesion

19703720

HgeneCD44

GO:0016477

cell migration

22726066

HgeneCD44

GO:0030214

hyaluronan catabolic process

17170110

HgeneCD44

GO:0033138

positive regulation of peptidyl-serine phosphorylation

17045821

HgeneCD44

GO:0042110

T cell activation

7528188

HgeneCD44

GO:0043518

negative regulation of DNA damage response, signal transduction by p53 class mediator

17045821

HgeneCD44

GO:0044344

cellular response to fibroblast growth factor stimulus

19577615

HgeneCD44

GO:0050731

positive regulation of peptidyl-tyrosine phosphorylation

17045821

HgeneCD44

GO:0070374

positive regulation of ERK1 and ERK2 cascade

17045821

HgeneCD44

GO:1902166

negative regulation of intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator

17045821

TgeneEXT2

GO:0006024

glycosaminoglycan biosynthetic process

12907669

TgeneEXT2

GO:0033692

cellular polysaccharide biosynthetic process

12907669



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/chr11:35160917/chr11:44265699)
- 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 CD44 (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 EXT2 (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)
ENST00000263398CD44chr1135160917+ENST00000358681EXT2chr1144265699+128450121485154
ENST00000263398CD44chr1135160917+ENST00000395673EXT2chr1144265699+178250121485154
ENST00000526025CD44chr1135160917+ENST00000358681EXT2chr1144265699+12724899473154
ENST00000526025CD44chr1135160917+ENST00000395673EXT2chr1144265699+17704899473154
ENST00000449691CD44chr1135160917+ENST00000358681EXT2chr1144265699+9842013800127
ENST00000449691CD44chr1135160917+ENST00000395673EXT2chr1144265699+14822013800127
ENST00000360158CD44chr1135160917+ENST00000358681EXT2chr1144265699+9842013800127
ENST00000360158CD44chr1135160917+ENST00000395673EXT2chr1144265699+14822013800127
ENST00000415148CD44chr1135160917+ENST00000358681EXT2chr1144265699+9842013800127
ENST00000415148CD44chr1135160917+ENST00000395673EXT2chr1144265699+14822013800127
ENST00000437706CD44chr1135160917+ENST00000358681EXT2chr1144265699+9842013800127
ENST00000437706CD44chr1135160917+ENST00000395673EXT2chr1144265699+14822013800127
ENST00000433354CD44chr1135160917+ENST00000358681EXT2chr1144265699+9842013800127
ENST00000433354CD44chr1135160917+ENST00000395673EXT2chr1144265699+14822013800127
ENST00000428726CD44chr1135160917+ENST00000358681EXT2chr1144265699+9731903691123
ENST00000428726CD44chr1135160917+ENST00000395673EXT2chr1144265699+14711903691123
ENST00000526669CD44chr1135160917+ENST00000358681EXT2chr1144265699+9721893680123
ENST00000526669CD44chr1135160917+ENST00000395673EXT2chr1144265699+14701893680123
ENST00000433892CD44chr1135160917+ENST00000358681EXT2chr1144265699+9661833620121
ENST00000433892CD44chr1135160917+ENST00000395673EXT2chr1144265699+14641833620121
ENST00000278386CD44chr1135160917+ENST00000358681EXT2chr1144265699+86885264188
ENST00000278386CD44chr1135160917+ENST00000395673EXT2chr1144265699+136685264188
ENST00000434472CD44chr1135160917+ENST00000358681EXT2chr1144265699+86178257086
ENST00000434472CD44chr1135160917+ENST00000395673EXT2chr1144265699+135978257086
ENST00000352818CD44chr1135160917+ENST00000358681EXT2chr1144265699+85067246182
ENST00000352818CD44chr1135160917+ENST00000395673EXT2chr1144265699+134867246182

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
ENST00000263398ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.88027860.11972134
ENST00000263398ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.953264240.046735715
ENST00000526025ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.69420720.30579284
ENST00000526025ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.761829440.2381706
ENST00000449691ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.743095160.2569048
ENST00000449691ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.76691050.23308952
ENST00000360158ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.743095160.2569048
ENST00000360158ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.76691050.23308952
ENST00000415148ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.743095160.2569048
ENST00000415148ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.76691050.23308952
ENST00000437706ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.743095160.2569048
ENST00000437706ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.76691050.23308952
ENST00000433354ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.743095160.2569048
ENST00000433354ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.76691050.23308952
ENST00000428726ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.81648630.18351373
ENST00000428726ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.78881710.21118283
ENST00000526669ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.81727390.18272607
ENST00000526669ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.80691120.19308889
ENST00000433892ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.82139840.17860162
ENST00000433892ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.809697150.19030288
ENST00000278386ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.8586450.14135493
ENST00000278386ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.82902070.17097937
ENST00000434472ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.827886640.17211333
ENST00000434472ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.74553920.2544608
ENST00000352818ENST00000358681CD44chr1135160917+EXT2chr1144265699+0.889499660.11050034
ENST00000352818ENST00000395673CD44chr1135160917+EXT2chr1144265699+0.909825270.09017473

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 CD44-EXT2

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

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Potential FusionNeoAntigen Information of CD44-EXT2 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.

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)

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Potential FusionNeoAntigen Information of CD44-EXT2 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.

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)

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Fusion breakpoint peptide structures of CD44-EXT2

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.

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Filtering FusionNeoAntigens Through Checking the Interaction with HLAs in 3D of CD44-EXT2

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

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Vaccine Design for the FusionNeoAntigens of CD44-EXT2

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

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

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Information of the samples that have these potential fusion neoantigens of CD44-EXT2

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

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Potential target of CAR-T therapy development for CD44-EXT2

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 CD44-EXT2

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 CD44-EXT2

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