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Center for Computational Systems Medicine
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Kinase Fusion Gene Summary

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Kinase Fusion Gene Sample Information

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Kinase Fusion ORF Analysis

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Kinase Fusion Amino Acid Sequences

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Multiple Sequence Alignment of All Fusion Protein Isoforms

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Kinase Fusion Protein Functional Features

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Kinase Fusion Protein Structures

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Comparison of Fusion Protein Isoforms

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Comparison of Fusion Protein Sequences/Structures with Known Sequences/Structures from PDB

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pLDDT Scores and Difference Analysis of pLDDT Scores Between the Active Sites (Best) and Non-Active Sites.

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Ramachandran Plot of Kinase Fusion Protein Structure

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Potential Active Site Information

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Virtual Screening Results

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Kinase-Substrate Information

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Related Drugs with This Kinase Fusion Protein

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Related Disease with This Kinase Fusion Protein

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Clinical Trials of the Found Drugs/Small Molecules

Kinase Fusion Gene:PASK_BOK

Kinase Fusion Protein Summary

check button Kinase Fusion gene summary
Kinase Fusion partner gene informationKinase Fusion gene name: PASK_BOK
KinaseFusionDB ID: KFG4509
FusionGDB2.0 ID: KFG4509
HgeneTgene
Gene symbol

PASK

BOK

Gene ID

27347

666

Gene nameserine/threonine kinase 39BCL2 family apoptosis regulator BOK
SynonymsDCHT|PASK|SPAKBCL2L9|BOKL
Cytomap

2q24.3

2q37.3

Type of geneprotein-codingprotein-coding
DescriptionSTE20/SPS1-related proline-alanine-rich protein kinaseSTE20/SPS1 homologSte20-like protein kinaseproline-alanine-rich STE20-related kinaseserine threonine kinase 39 (STE20/SPS1 homolog, yeast)serine/threonine-protein kinase 39small intestine SPAK-libcl-2-related ovarian killer proteinBCL2 related ovarian killerBOK, BCL2 family apoptosis regulatorbcl-2-like protein 9bcl2-L-9hBOK
Modification date2024041120240411
UniProtAcc

Q9UEW8

Q9UMX3

Ensembl transtripts involved in fusion geneENST idsENST00000234040, ENST00000358649, 
ENST00000403638, ENST00000405260, 
ENST00000475666, ENST00000539818, 
ENST00000544142, 
ENST00000318407, 
Context (manual curation of fusion genes in KinaseFusionDB)

PubMed: PASK [Title/Abstract] AND BOK [Title/Abstract] AND fusion [Title/Abstract]

Most frequent breakpoint (based on all fusion genes of FusionGDB 2.0)PASK(242079936)-BOK(242509540), # samples:3
check button Gene ontology of each fusion partner gene with evidence of Inferred from Direct Assay (IDA) from Entrez
PartnerGeneGO IDGO termPubMed ID
HgenePASK

GO:0006884

cell volume homeostasis

36318922

HgenePASK

GO:0007165

signal transduction

24393035

HgenePASK

GO:0018105

peptidyl-serine phosphorylation

24393035

HgenePASK

GO:0018107

peptidyl-threonine phosphorylation

24393035

HgenePASK

GO:0035556

intracellular signal transduction

24393035

HgenePASK

GO:0070294

renal sodium ion absorption

18270262

HgenePASK

GO:0071474

cellular hyperosmotic response

36318922

HgenePASK

GO:0071476

cellular hypotonic response

24393035

HgenePASK

GO:1901017

negative regulation of potassium ion transmembrane transporter activity

24393035

HgenePASK

GO:1901380

negative regulation of potassium ion transmembrane transport

24393035

HgenePASK

GO:1905408

negative regulation of creatine transmembrane transporter activity

25531585

HgenePASK

GO:2000650

negative regulation of sodium ion transmembrane transporter activity

25531585

TgeneBOK

GO:0001836

release of cytochrome c from mitochondria

27505430

TgeneBOK

GO:0006915

apoptotic process

15102863

TgeneBOK

GO:0043065

positive regulation of apoptotic process

16302269|27505430

TgeneBOK

GO:1901382

regulation of chorionic trophoblast cell proliferation

19942931


check buttonKinase Fusion gene breakpoints across PASK (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 buttonKinase Fusion gene breakpoints across BOK (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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Kinase Fusion Gene Sample Information

check buttonKinase Fusion gene information.
check button Kinase Fusion gene information from four resources (ChiTars 5.0, ChimerDB 4.0, COSMIC, and CCLE)
* All genome coordinats were lifted-over on hg19.
* Click on the break point to see the gene structure around the break point region using the UCSC Genome Browser.
SourceSampleHgeneHchrHbpTgeneTchrTbp
ChimerDB4TCGA-55-6985-01APASKchr2

242079936

BOKchr2

242509540



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Kinase Fusion ORF Analysis


check buttonKinase Fusion information from ORFfinder translation from full-length transcript sequence from KinaseFusionDB.
HenstTenstHgeneHchrHbpTgeneTchrTbpSeq length
(transcript)
Seq length
(amino acids)

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Kinase Fusion Amino Acid Sequences


check button For individual full-length fusion transcript sequence from KinaseFusionDB, we ran ORFfinder and chose the longest ORF among the all predicted ones.
>Henst_Tenst_Hgene_Hchr_Hbp_Tgene_Tchr_Tbp_length(fusion AA)_AAseq

Multiple Sequence Alignment of All Fusion Protein Isoforms



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Kinase Fusion Protein Functional Features


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/chr2:242079936/chr2:242509540)
- 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 buttonMain function of each fusion partner protein. (from UniProt)
HgeneTgene
PASK

Q9UEW8

BOK

Q9UMX3

FUNCTION: Effector serine/threonine-protein kinase component of the WNK-SPAK/OSR1 kinase cascade, which is involved in various processes, such as ion transport, response to hypertonic stress and blood pressure (PubMed:16669787, PubMed:18270262, PubMed:21321328, PubMed:34289367). Specifically recognizes and binds proteins with a RFXV motif (PubMed:16669787, PubMed:21321328). Acts downstream of WNK kinases (WNK1, WNK2, WNK3 or WNK4): following activation by WNK kinases, catalyzes phosphorylation of ion cotransporters, such as SLC12A1/NKCC2, SLC12A2/NKCC1, SLC12A3/NCC, SLC12A5/KCC2 or SLC12A6/KCC3, regulating their activity (PubMed:21321328). Mediates regulatory volume increase in response to hyperosmotic stress by catalyzing phosphorylation of ion cotransporters SLC12A1/NKCC2, SLC12A2/NKCC1 and SLC12A6/KCC3 downstream of WNK1 and WNK3 kinases (PubMed:12740379, PubMed:16669787, PubMed:21321328). Phosphorylation of Na-K-Cl cotransporters SLC12A2/NKCC1 and SLC12A2/NKCC1 promote their activation and ion influx; simultaneously, phosphorylation of K-Cl cotransporters SLC12A5/KCC2 and SLC12A6/KCC3 inhibit their activity, blocking ion efflux (PubMed:16669787, PubMed:19665974, PubMed:21321328). Acts as a regulator of NaCl reabsorption in the distal nephron by mediating phosphorylation and activation of the thiazide-sensitive Na-Cl cotransporter SLC12A3/NCC in distal convoluted tubule cells of kidney downstream of WNK4 (PubMed:18270262). Mediates the inhibition of SLC4A4, SLC26A6 as well as CFTR activities (By similarity). Phosphorylates RELT (By similarity). {ECO:0000250|UniProtKB:Q9Z1W9, ECO:0000269|PubMed:12740379, ECO:0000269|PubMed:16669787, ECO:0000269|PubMed:18270262, ECO:0000269|PubMed:19665974, ECO:0000269|PubMed:21321328, ECO:0000269|PubMed:34289367}.FUNCTION: [Isoform 1]: Apoptosis regulator that functions through different apoptotic signaling pathways (PubMed:27076518, PubMed:15102863, PubMed:20673843). Plays a roles as pro-apoptotic protein that positively regulates intrinsic apoptotic process in a BAX- and BAK1-dependent manner or in a BAX- and BAK1-independent manner (PubMed:27076518, PubMed:15102863). In response to endoplasmic reticulum stress promotes mitochondrial apoptosis through downstream BAX/BAK1 activation and positive regulation of PERK-mediated unfolded protein response (By similarity). Activates apoptosis independently of heterodimerization with survival-promoting BCL2 and BCL2L1 through induction of mitochondrial outer membrane permeabilization, in a BAX- and BAK1-independent manner, in response to inhibition of ERAD-proteasome degradation system, resulting in cytochrome c release (PubMed:27076518). In response to DNA damage, mediates intrinsic apoptotic process in a TP53-dependent manner (PubMed:15102863). Plays a role in granulosa cell apoptosis by CASP3 activation (PubMed:20673843). Plays a roles as anti-apoptotic protein during neuronal apoptotic process, by negatively regulating poly ADP-ribose polymerase-dependent cell death through regulation of neuronal calcium homeostasis and mitochondrial bioenergetics in response to NMDA excitation (By similarity). In addition to its role in apoptosis, may regulate trophoblast cell proliferation during the early stages of placental development, by acting on G1/S transition through regulation of CCNE1 expression (PubMed:19942931). May also play a role as an inducer of autophagy by disrupting interaction between MCL1 and BECN1 (PubMed:24113155). {ECO:0000250|UniProtKB:O35425, ECO:0000269|PubMed:15102863, ECO:0000269|PubMed:19942931, ECO:0000269|PubMed:20673843, ECO:0000269|PubMed:24113155, ECO:0000269|PubMed:27076518}.; FUNCTION: [Isoform 2]: Pro-apoptotic molecule exerting its function through the mitochondrial pathway. {ECO:0000269|PubMed:15775999}.

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, 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.

check button - Retained domain in the 5'-partner of fusion protein (protein functional feature from UniProt).
PartnerHgeneeneHbpTgeneeneTbpENSTBPexonTotalExonProtein feature lociBPlociTotalLenFeatureNote


check button - Retained domain in the 3'-partner of fusion protein (protein functional feature from UniProt).
PartnerHgeneeneHbpTgeneeneTbpENSTBPexonTotalExonProtein feature lociBPlociTotalLenFeatureNote


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Kinase-Substrate Information of PASK_BOK


check button Phosphorylation target of the kinase
(phosphosite, 03-17-2024)
KinaseKinase UniProt AccKinase speciesSubstrateSubstrate UniProt AccSubstrate phosphorylated residuesSubstrate phosphorylated sites (+/-7AA)Domain
PASKQ96RG2humanPASKQ96RG2T1165LFYtFCGtIEYCAPEPkinase
PASKQ96RG2humanPASKQ96RG2T1161ERGKLFYtFCGtIEYPkinase
PASKQ96RG2humanEEF1A1P68104T432AVRDMrQtVAVGVIkGTP_EFTU_D3
PASKQ96RG2humanPASKQ96RG2T307VGRARDGtTFPLSLk
PASKQ96RG2humanWDR5P61964S49AGHTkAVsSVKFsPNWD40


check button Biological Network Integration of This Kinase and Substrates
(GeneMANIA website)

check button Enriched GO biological processes of the phosphorylation target genes of the kinase
KinaseGOIDGO termP.adjust
PASKIDDescription0.00e+00
PASKGO:0043255regulation of carbohydrate biosynthetic process8.89e-03
PASKGO:0006109regulation of carbohydrate metabolic process1.23e-02
PASKGO:0016051carbohydrate biosynthetic process1.23e-02
PASKGO:0044829positive regulation by host of viral genome replication1.97e-02
PASKGO:0070874negative regulation of glycogen metabolic process1.97e-02
PASKGO:0051569regulation of histone H3-K4 methylation1.97e-02
PASKGO:0051571positive regulation of histone H3-K4 methylation1.97e-02
PASKGO:1900095regulation of dosage compensation by inactivation of X chromosome1.97e-02
PASKGO:0061684chaperone-mediated autophagy1.97e-02
PASKGO:0031062positive regulation of histone methylation1.97e-02
PASKGO:0031060regulation of histone methylation1.97e-02
PASKGO:0051568histone H3-K4 methylation1.97e-02
PASKGO:0044794positive regulation by host of viral process1.97e-02
PASKGO:0045722positive regulation of gluconeogenesis1.97e-02
PASKGO:0090043regulation of tubulin deacetylation1.97e-02
PASKGO:0090042tubulin deacetylation1.97e-02
PASKGO:0043576regulation of respiratory gaseous exchange1.97e-02
PASKGO:0044827modulation by host of viral genome replication1.97e-02
PASKGO:0005979regulation of glycogen biosynthetic process1.97e-02
PASKGO:0009048dosage compensation by inactivation of X chromosome1.97e-02
PASKGO:0010962regulation of glucan biosynthetic process1.97e-02
PASKGO:0007549dosage compensation1.97e-02
PASKGO:0034968histone lysine methylation1.97e-02
PASKGO:0090311regulation of protein deacetylation1.97e-02
PASKGO:0016571histone methylation1.97e-02
PASKGO:0045815transcription initiation-coupled chromatin remodeling1.97e-02
PASKGO:0070873regulation of glycogen metabolic process1.97e-02
PASKGO:0032885regulation of polysaccharide biosynthetic process1.97e-02
PASKGO:0043550regulation of lipid kinase activity1.97e-02
PASKGO:0031056regulation of histone modification1.97e-02
PASKGO:0071364cellular response to epidermal growth factor stimulus1.97e-02
PASKGO:0010907positive regulation of glucose metabolic process1.97e-02
PASKGO:0005978glycogen biosynthetic process1.97e-02
PASKGO:0009250glucan biosynthetic process1.97e-02
PASKGO:0032881regulation of polysaccharide metabolic process1.97e-02
PASKGO:0070849response to epidermal growth factor1.97e-02
PASKGO:1902275regulation of chromatin organization2.02e-02
PASKGO:0044788modulation by host of viral process2.02e-02
PASKGO:0006111regulation of gluconeogenesis2.04e-02
PASKGO:0018022peptidyl-lysine methylation2.04e-02
PASKGO:0045912negative regulation of carbohydrate metabolic process2.10e-02
PASKGO:0006476protein deacetylation2.12e-02
PASKGO:0000271polysaccharide biosynthetic process2.34e-02
PASKGO:0035601protein deacylation2.34e-02
PASKGO:0006414translational elongation2.34e-02
PASKGO:0098732macromolecule deacylation2.34e-02
PASKGO:0007585respiratory gaseous exchange by respiratory system2.35e-02
PASKGO:0005977glycogen metabolic process2.35e-02
PASKGO:0044042glucan metabolic process2.35e-02

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Related Drugs to PASK_BOK


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

check button Distribution of the number of studies mentioning PASK-BOK and kinase inhibitors the PubMed Abstract (04-01-2024)

Fusion gene - drug pair 1Fusion gene - drug pair 2PMIDPublication dateDOIStudy title

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Related Diseases to PASK_BOK


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

check button Related diseases from the literature mentioned this fusion gene and drug.
(PubMed, 04-01-2024)
MeSH IDMeSH term

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


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Clinical Trials of the Found Drugs/Small Molecules


check button Statistics of the Clinical Trials of the Found Kinase Inibitors from clinicaltrials.gov (06-17-2024)

check button Clinical Trials from clinicaltrials.gov (06-17-2024)

Fusion GeneKinase InhibitorNCT IDStudy StatusPhasesDisease# EnrolmentDate