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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:INSR-EIF6

Fusion Gene and Fusion Protein Summary

check button Fusion gene summary
Fusion partner gene informationFusion gene name: INSR-EIF6
FusionPDB ID: 39896
FusionGDB2.0 ID: 39896
HgeneTgene
Gene symbol

INSR

EIF6

Gene ID

3643

3692

Gene nameinsulin receptoreukaryotic translation initiation factor 6
SynonymsCD220|HHF5CAB|EIF3A|ITGB4BP|b(2)gcn|eIF-6|p27(BBP)|p27BBP
Cytomap

19p13.2

20q11.22

Type of geneprotein-codingprotein-coding
Descriptioninsulin receptorIReukaryotic translation initiation factor 6B4 integrin interactoreukaryotic translation initiation factor 3Ap27 beta-4 integrin-binding protein
Modification date2020031320200313
UniProtAcc

P06213

Main function of 5'-partner protein: FUNCTION: Receptor tyrosine kinase which mediates the pleiotropic actions of insulin. Binding of insulin leads to phosphorylation of several intracellular substrates, including, insulin receptor substrates (IRS1, 2, 3, 4), SHC, GAB1, CBL and other signaling intermediates. Each of these phosphorylated proteins serve as docking proteins for other signaling proteins that contain Src-homology-2 domains (SH2 domain) that specifically recognize different phosphotyrosine residues, including the p85 regulatory subunit of PI3K and SHP2. Phosphorylation of IRSs proteins lead to the activation of two main signaling pathways: the PI3K-AKT/PKB pathway, which is responsible for most of the metabolic actions of insulin, and the Ras-MAPK pathway, which regulates expression of some genes and cooperates with the PI3K pathway to control cell growth and differentiation. Binding of the SH2 domains of PI3K to phosphotyrosines on IRS1 leads to the activation of PI3K and the generation of phosphatidylinositol-(3, 4, 5)-triphosphate (PIP3), a lipid second messenger, which activates several PIP3-dependent serine/threonine kinases, such as PDPK1 and subsequently AKT/PKB. The net effect of this pathway is to produce a translocation of the glucose transporter SLC2A4/GLUT4 from cytoplasmic vesicles to the cell membrane to facilitate glucose transport. Moreover, upon insulin stimulation, activated AKT/PKB is responsible for: anti-apoptotic effect of insulin by inducing phosphorylation of BAD; regulates the expression of gluconeogenic and lipogenic enzymes by controlling the activity of the winged helix or forkhead (FOX) class of transcription factors. Another pathway regulated by PI3K-AKT/PKB activation is mTORC1 signaling pathway which regulates cell growth and metabolism and integrates signals from insulin. AKT mediates insulin-stimulated protein synthesis by phosphorylating TSC2 thereby activating mTORC1 pathway. The Ras/RAF/MAP2K/MAPK pathway is mainly involved in mediating cell growth, survival and cellular differentiation of insulin. Phosphorylated IRS1 recruits GRB2/SOS complex, which triggers the activation of the Ras/RAF/MAP2K/MAPK pathway. In addition to binding insulin, the insulin receptor can bind insulin-like growth factors (IGFI and IGFII). Isoform Short has a higher affinity for IGFII binding. When present in a hybrid receptor with IGF1R, binds IGF1. PubMed:12138094 shows that hybrid receptors composed of IGF1R and INSR isoform Long are activated with a high affinity by IGF1, with low affinity by IGF2 and not significantly activated by insulin, and that hybrid receptors composed of IGF1R and INSR isoform Short are activated by IGF1, IGF2 and insulin. In contrast, PubMed:16831875 shows that hybrid receptors composed of IGF1R and INSR isoform Long and hybrid receptors composed of IGF1R and INSR isoform Short have similar binding characteristics, both bind IGF1 and have a low affinity for insulin. In adipocytes, inhibits lipolysis (By similarity). {ECO:0000250|UniProtKB:P15208, ECO:0000269|PubMed:12138094, ECO:0000269|PubMed:16314505, ECO:0000269|PubMed:16831875, ECO:0000269|PubMed:8257688, ECO:0000269|PubMed:8276809, ECO:0000269|PubMed:8452530, ECO:0000269|PubMed:9428692}.

P56537

Main function of 5'-partner protein: FUNCTION: Binds to the 60S ribosomal subunit and prevents its association with the 40S ribosomal subunit to form the 80S initiation complex in the cytoplasm. Behaves as a stimulatory translation initiation factor downstream insulin/growth factors. Is also involved in ribosome biogenesis. Associates with pre-60S subunits in the nucleus and is involved in its nuclear export. Cytoplasmic release of TIF6 from 60S subunits and nuclear relocalization is promoted by a RACK1 (RACK1)-dependent protein kinase C activity (PubMed:10085284, PubMed:14654845, PubMed:21536732). In tissues responsive to insulin, controls fatty acid synthesis and glycolysis by exerting translational control of adipogenic transcription factors such as CEBPB, CEBPD and ATF4 that have G/C rich or uORF in their 5'UTR. Required for ROS-dependent megakaryocyte maturation and platelets formation, controls the expression of mitochondrial respiratory chain genes involved in reactive oxygen species (ROS) synthesis (By similarity). Involved in miRNA-mediated gene silencing by the RNA-induced silencing complex (RISC). Required for both miRNA-mediated translational repression and miRNA-mediated cleavage of complementary mRNAs by RISC (PubMed:17507929). Modulates cell cycle progression and global translation of pre-B cells, its activation seems to be rate-limiting in tumorigenesis and tumor growth (By similarity). {ECO:0000255|HAMAP-Rule:MF_03132, ECO:0000269|PubMed:10085284, ECO:0000269|PubMed:14654845, ECO:0000269|PubMed:17507929, ECO:0000269|PubMed:21536732}.
Ensembl transtripts involved in fusion geneENST idsENST00000302850, ENST00000341500, 
ENST00000374443, ENST00000374450, 
ENST00000462894, ENST00000374436, 
Fusion gene scores for assessment (based on all fusion genes of FusionGDB 2.0)* DoF score11 X 11 X 6=7266 X 7 X 3=126
# samples 158
** MAII scorelog2(15/726*10)=-2.27500704749987
possibly effective Gene in Pan-Cancer Fusion Genes (peGinPCFGs).
DoF>8 and MAII<0
log2(8/126*10)=-0.655351828612554
possibly effective Gene in Pan-Cancer Fusion Genes (peGinPCFGs).
DoF>8 and MAII<0
Fusion gene context

PubMed: INSR [Title/Abstract] AND EIF6 [Title/Abstract] AND fusion [Title/Abstract]

Fusion neoantigen context

PubMed: INSR [Title/Abstract] AND EIF6 [Title/Abstract] AND neoantigen [Title/Abstract]

Most frequent breakpoint (based on all fusion genes of FusionGDB 2.0)INSR(7267356)-EIF6(33868632), # samples:2
Anticipated loss of major functional domain due to fusion event.INSR-EIF6 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.
INSR-EIF6 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.
INSR-EIF6 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.
INSR-EIF6 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.
* 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
HgeneINSR

GO:0001934

positive regulation of protein phosphorylation

7556070

HgeneINSR

GO:0002092

positive regulation of receptor internalization

25401701

HgeneINSR

GO:0007186

G protein-coupled receptor signaling pathway

9092559

HgeneINSR

GO:0008284

positive regulation of cell proliferation

17925406

HgeneINSR

GO:0008286

insulin receptor signaling pathway

6849137|8440175|20455999

HgeneINSR

GO:0018108

peptidyl-tyrosine phosphorylation

8496180

HgeneINSR

GO:0032148

activation of protein kinase B activity

7556070

HgeneINSR

GO:0032869

cellular response to insulin stimulus

8440175

HgeneINSR

GO:0043410

positive regulation of MAPK cascade

20455999

HgeneINSR

GO:0045725

positive regulation of glycogen biosynthetic process

17925406

HgeneINSR

GO:0046326

positive regulation of glucose import

3518947

HgeneINSR

GO:0046777

protein autophosphorylation

6849137|8496180

HgeneINSR

GO:0060267

positive regulation of respiratory burst

9092559



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/chr19:7267356/chr20:33868632)
- 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 INSR (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 EIF6 (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)
ENST00000341500INSRchr197267356-ENST00000374436EIF6chr2033868632-1523692401236398
ENST00000302850INSRchr197267356-ENST00000374436EIF6chr2033868632-16267951431339398
ENST00000341500INSRchr197267355-ENST00000374436EIF6chr2033868632-1523692401236398
ENST00000302850INSRchr197267355-ENST00000374436EIF6chr2033868632-16267951431339398

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
ENST00000341500ENST00000374436INSRchr197267356-EIF6chr2033868632-0.0015110020.998489
ENST00000302850ENST00000374436INSRchr197267356-EIF6chr2033868632-0.0015935030.99840647
ENST00000341500ENST00000374436INSRchr197267355-EIF6chr2033868632-0.0015110020.998489
ENST00000302850ENST00000374436INSRchr197267355-EIF6chr2033868632-0.0015935030.99840647

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 INSR-EIF6

check button +/-13 AA sequence from the breakpoints of the fusion protein sequences.
HgeneHchrHbpTgeneTchrTbpLength(fusion protein)BP in fusion proteinPeptide
INSRchr197267355EIF6chr2033868632692217FVERCWTHSHCQKGNRHGLLVPNNTT
INSRchr197267355EIF6chr2033868632795217FVERCWTHSHCQKGNRHGLLVPNNTT
INSRchr197267356EIF6chr2033868632692217FVERCWTHSHCQKGNRHGLLVPNNTT
INSRchr197267356EIF6chr2033868632795217FVERCWTHSHCQKGNRHGLLVPNNTT

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Potential FusionNeoAntigen Information of INSR-EIF6 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.
INSR-EIF6_7267355_33868632.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)
INSR-EIF6chr197267355chr2033868632795HLA-C15:02KGNRHGLLV0.98350.84251221

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Potential FusionNeoAntigen Information of INSR-EIF6 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 INSR-EIF6

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
9392THSHCQKGNRHGLLINSREIF6chr197267355chr2033868632795

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Filtering FusionNeoAntigens Through Checking the Interaction with HLAs in 3D of INSR-EIF6

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-B14:023BVN9392THSHCQKGNRHGLL-8.1958-8.6763
HLA-B14:023BVN9392THSHCQKGNRHGLL-6.20934-6.80504
HLA-B14:023BVN9392THSHCQKGNRHGLL-5.00344-6.58274
HLA-B14:023BVN9392THSHCQKGNRHGLL-4.8074-5.2879
HLA-B14:023BVN9392THSHCQKGNRHGLL-4.5478-5.8034
HLA-B14:023BVN9392THSHCQKGNRHGLL-4.23208-5.48768
HLA-B14:023BVN9392THSHCQKGNRHGLL-3.83252-4.42822
HLA-B14:023BVN9392THSHCQKGNRHGLL-3.00078-4.58008
HLA-B52:013W399392THSHCQKGNRHGLL-7.11233-7.59283
HLA-B52:013W399392THSHCQKGNRHGLL-7.06873-7.54923
HLA-B52:013W399392THSHCQKGNRHGLL-6.22369-6.81939
HLA-B52:013W399392THSHCQKGNRHGLL-5.80954-6.40524
HLA-B52:013W399392THSHCQKGNRHGLL-5.59364-6.84924
HLA-B52:013W399392THSHCQKGNRHGLL-4.93033-6.18593
HLA-B52:013W399392THSHCQKGNRHGLL-3.17517-4.75447
HLA-B52:013W399392THSHCQKGNRHGLL-1.82542-3.40472
HLA-A11:014UQ29392THSHCQKGNRHGLL-5.6569-7.2362
HLA-A24:025HGA9392THSHCQKGNRHGLL-7.23792-7.71842
HLA-A24:025HGA9392THSHCQKGNRHGLL-7.11178-7.59228
HLA-A24:025HGA9392THSHCQKGNRHGLL-5.7154-6.3111
HLA-A24:025HGA9392THSHCQKGNRHGLL-5.56975-6.16545
HLA-A24:025HGA9392THSHCQKGNRHGLL-5.34508-6.60068
HLA-A24:025HGA9392THSHCQKGNRHGLL-4.69558-5.95118
HLA-A24:025HGA9392THSHCQKGNRHGLL-4.45973-6.03903
HLA-A24:025HGA9392THSHCQKGNRHGLL-4.07587-5.65517
HLA-B27:056PYJ9392THSHCQKGNRHGLL-4.4566-4.9371
HLA-B27:056PYJ9392THSHCQKGNRHGLL10000.610000
HLA-B44:053DX89392THSHCQKGNRHGLL-6.66157-7.14207
HLA-B44:053DX89392THSHCQKGNRHGLL-6.35076-6.94646
HLA-B44:053DX89392THSHCQKGNRHGLL-5.87777-6.47347
HLA-B44:053DX89392THSHCQKGNRHGLL-5.72429-6.20479
HLA-B44:053DX89392THSHCQKGNRHGLL-3.85164-5.43094
HLA-B44:053DX89392THSHCQKGNRHGLL-3.62968-5.20898
HLA-B44:053DX89392THSHCQKGNRHGLL-3.02034-4.27594
HLA-B44:053DX89392THSHCQKGNRHGLL-2.95631-4.21191
HLA-A02:016TDR9392THSHCQKGNRHGLL-3.67553-4.15603

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Vaccine Design for the FusionNeoAntigens of INSR-EIF6

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
INSR-EIF6chr197267355chr20338686321221KGNRHGLLVAAGGGAACAGGCACGGTCTCCTGGTAC

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 INSR-EIF6

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
OVINSR-EIF6chr197267355ENST00000302850chr2033868632ENST00000374436TCGA-04-1356

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Potential target of CAR-T therapy development for INSR-EIF6

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 INSR-EIF6

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 INSR-EIF6

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