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Center for Computational Systems Medicine
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Protein Summary

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AS Summary

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Protein Functional Features

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Gene Isoform Structures and Expression Levels

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Protein Structures

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pLDDT Score Distribution

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Ramachandran Plot of Protein Structures

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Potential Active Site Information

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Protein Structure and Feature Comparision

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Protein-Protein Interaction

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Related Drugs

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Related Diseases

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Clinically Important Variants

Protein:LILRB1

Protein Summary

check button Gene summary
Gene name: LILRB1
ASpdb.0 ID: 10859
Gene
Gene symbol

LILRB1

Gene ID

10859

Gene nameleukocyte immunoglobulin like receptor B1
SynonymsCD85J|ILT-2|ILT2|LIR-1|LIR1|MIR-7|MIR7|PIR-B|PIRB
Cytomap

19q13.42

Type of geneprotein-coding
Descriptionleukocyte immunoglobulin-like receptor subfamily B member 1CD85 antigen-like family member JIg-like transcript 2immunoglobulin heavy chain variable regionleucocyte Ig-like receptor B1leukocyte immunoglobulin-like receptor, subfamily B (with TM and IT
Modification date20240411
UniProtAcc

Q8NHL6


check button Gene ontology of this gene with evidence of Inferred from Direct Assay (IDA) from Entrez
PartnerGeneGO IDGO termPubMed ID
GeneLILRB1

GO:0001540

amyloid-beta binding

24052308

GeneLILRB1

GO:0001915

negative regulation of T cell mediated cytotoxicity

21213105

GeneLILRB1

GO:0002230

positive regulation of defense response to virus by host

18398485

GeneLILRB1

GO:0002309

T cell proliferation involved in immune response

18094328

GeneLILRB1

GO:0002719

negative regulation of cytokine production involved in immune response

18094328

GeneLILRB1

GO:0002774

Fc receptor mediated inhibitory signaling pathway

9842885

GeneLILRB1

GO:0005737

cytoplasm

15585844

GeneLILRB1

GO:0007165

signal transduction

18802077

GeneLILRB1

GO:0009615

response to virus

9285411|17869268|18094328

GeneLILRB1

GO:0009897

external side of plasma membrane

9285411|15585844|17869268|18094328|18684926|21233315|21551166

GeneLILRB1

GO:0010628

positive regulation of gene expression

18094328

GeneLILRB1

GO:0014063

negative regulation of serotonin secretion

11907092

GeneLILRB1

GO:0023025

MHC class Ib protein complex binding

17056715|28636952

GeneLILRB1

GO:0023029

MHC class Ib protein binding

11169396

GeneLILRB1

GO:0030107

HLA-A specific inhibitory MHC class I receptor activity

18684926

GeneLILRB1

GO:0030109

HLA-B specific inhibitory MHC class I receptor activity

11907092

GeneLILRB1

GO:0032393

MHC class I receptor activity

9285411|9842885|17869268|18094328|18398485|18802077|21213105|21233315

GeneLILRB1

GO:0032394

MHC class Ib receptor activity

24453251

GeneLILRB1

GO:0032688

negative regulation of interferon-beta production

21213105

GeneLILRB1

GO:0032689

negative regulation of type II interferon production

17869268|18684926

GeneLILRB1

GO:0032693

negative regulation of interleukin-10 production

18094328

GeneLILRB1

GO:0032695

negative regulation of interleukin-12 production

18094328

GeneLILRB1

GO:0032720

negative regulation of tumor necrosis factor production

18684926

GeneLILRB1

GO:0032729

positive regulation of type II interferon production

11907092|15585844

GeneLILRB1

GO:0032945

negative regulation of mononuclear cell proliferation

21551166

GeneLILRB1

GO:0042130

negative regulation of T cell proliferation

15585844

GeneLILRB1

GO:0042169

SH2 domain binding

11907092

GeneLILRB1

GO:0042288

MHC class I protein binding

9842885|18094328|18802077|21213105

GeneLILRB1

GO:0043065

positive regulation of apoptotic process

21551166

GeneLILRB1

GO:0045786

negative regulation of cell cycle

21551166

GeneLILRB1

GO:0045806

negative regulation of endocytosis

18094328

GeneLILRB1

GO:0045953

negative regulation of natural killer cell mediated cytotoxicity

12874224|18398485

GeneLILRB1

GO:0046636

negative regulation of alpha-beta T cell activation

21213105

GeneLILRB1

GO:0051607

defense response to virus

15585844

GeneLILRB1

GO:0051926

negative regulation of calcium ion transport

9842885

GeneLILRB1

GO:0060907

positive regulation of macrophage cytokine production

19304799

GeneLILRB1

GO:0071635

negative regulation of transforming growth factor beta production

18094328

GeneLILRB1

GO:2000669

negative regulation of dendritic cell apoptotic process

18094328

GeneLILRB1

GO:2001186

negative regulation of CD8-positive, alpha-beta T cell activation

21213105

GeneLILRB1

GO:2001189

negative regulation of T cell activation via T cell receptor contact with antigen bound to MHC molecule on antigen presenting cell

18094328

GeneLILRB1

GO:2001193

positive regulation of gamma-delta T cell activation involved in immune response

21233315

GeneLILRB1

GO:2001205

negative regulation of osteoclast development

18802077



AS Summary

check button Information of the canonical protein with experimentally identified structure from PDB (2023).
UniProt AccFile namePDB IDMethodResolutionChainStartEnd
Q8NHL6-1Q8NHL6-1_6zdx_B.pdb6ZDXX-ray3.0B25420

check button ASpdb's canonical and alternatively spliced isoform information.
accession_idgene_namecanonical_idalternative_idcanonical_lengthalternative_lengthcanonical_startcanonical_endtypeoriginalSEQvariationSEQalternative_startalternative_end
Q8NHL6LILRB1Q8NHL6-1Q8NHL6-2650651437437SubstitutionSSA437438
Q8NHL6LILRB1Q8NHL6-1Q8NHL6-3650652437437SubstitutionSSA437438
Q8NHL6LILRB1Q8NHL6-1Q8NHL6-3650652550550SubstitutionRRQ551552
Q8NHL6LILRB1Q8NHL6-1Q8NHL6-4650651550550SubstitutionRRQ550551
Q8NHL6LILRB1Q8NHL6-1Q8NHL6-5650456437437SubstitutionSSA437438
Q8NHL6LILRB1Q8NHL6-1Q8NHL6-5650456455455SubstitutionLE456456
Q8NHL6LILRB1Q8NHL6-1Q8NHL6-5650456456650Deletionnonenone456456

check buttonMultiple sequence alignment of our canonical and alternatively spliced LILRB1

check button Matched gene isoform IDs with Ensembl and RefSeq of our canonical and alternative spliced genes of LILRB1
UniProt-idENSGENSTENSP
Q8NHL6-1ENSG00000277807.5ENST00000618055.4ENSP00000480365.1
Q8NHL6-2ENSG00000277807.5ENST00000618681.4ENSP00000479753.1
Q8NHL6-3ENSG00000277807.5ENST00000612636.4ENSP00000479887.1
Q8NHL6-4ENSG00000277807.5ENST00000617686.4ENSP00000478282.1

UniProt-idNM IDNP ID

check buttonAmino acid sequences of our canonical and alternatively spliced LILRB1
accession_idProtein sequence
Q8NHL6-1MTPILTVLICLGLSLGPRTHVQAGHLPKPTLWAEPGSVITQGSPVTLRCQGGQETQEYRLYREKKTALWITRIPQELVKKGQFPIPSITW
EHAGRYRCYYGSDTAGRSESSDPLELVVTGAYIKPTLSAQPSPVVNSGGNVILQCDSQVAFDGFSLCKEGEDEHPQCLNSQPHARGSSRA
IFSVGPVSPSRRWWYRCYAYDSNSPYEWSLPSDLLELLVLGVSKKPSLSVQPGPIVAPEETLTLQCGSDAGYNRFVLYKDGERDFLQLAG
AQPQAGLSQANFTLGPVSRSYGGQYRCYGAHNLSSEWSAPSDPLDILIAGQFYDRVSLSVQPGPTVASGENVTLLCQSQGWMQTFLLTKE
GAADDPWRLRSTYQSQKYQAEFPMGPVTSAHAGTYRCYGSQSSKPYLLTHPSDPLELVVSGPSGGPSSPTTGPTSTSGPEDQPLTPTGSD
PQSGLGRHLGVVIGILVAVILLLLLLLLLFLILRHRRQGKHWTSTQRKADFQHPAGAVGPEPTDRGLQWRSSPAADAQEENLYAAVKHTQ
PEDGVEMDTRSPHDEDPQAVTYAEVKHSRPRREMASPPSPLSGEFLDTKDRQAEEDRQMDTEAAASEAPQDVTYAQLHSLTLRREATEPP
Q8NHL6-2MTPILTVLICLGLSLGPRTHVQAGHLPKPTLWAEPGSVITQGSPVTLRCQGGQETQEYRLYREKKTALWITRIPQELVKKGQFPIPSITW
EHAGRYRCYYGSDTAGRSESSDPLELVVTGAYIKPTLSAQPSPVVNSGGNVILQCDSQVAFDGFSLCKEGEDEHPQCLNSQPHARGSSRA
IFSVGPVSPSRRWWYRCYAYDSNSPYEWSLPSDLLELLVLGVSKKPSLSVQPGPIVAPEETLTLQCGSDAGYNRFVLYKDGERDFLQLAG
AQPQAGLSQANFTLGPVSRSYGGQYRCYGAHNLSSEWSAPSDPLDILIAGQFYDRVSLSVQPGPTVASGENVTLLCQSQGWMQTFLLTKE
GAADDPWRLRSTYQSQKYQAEFPMGPVTSAHAGTYRCYGSQSSKPYLLTHPSDPLELVVSGPSGGPSSPTTGPTSTSAGPEDQPLTPTGS
DPQSGLGRHLGVVIGILVAVILLLLLLLLLFLILRHRRQGKHWTSTQRKADFQHPAGAVGPEPTDRGLQWRSSPAADAQEENLYAAVKHT
QPEDGVEMDTRSPHDEDPQAVTYAEVKHSRPRREMASPPSPLSGEFLDTKDRQAEEDRQMDTEAAASEAPQDVTYAQLHSLTLRREATEP
Q8NHL6-3MTPILTVLICLGLSLGPRTHVQAGHLPKPTLWAEPGSVITQGSPVTLRCQGGQETQEYRLYREKKTALWITRIPQELVKKGQFPIPSITW
EHAGRYRCYYGSDTAGRSESSDPLELVVTGAYIKPTLSAQPSPVVNSGGNVILQCDSQVAFDGFSLCKEGEDEHPQCLNSQPHARGSSRA
IFSVGPVSPSRRWWYRCYAYDSNSPYEWSLPSDLLELLVLGVSKKPSLSVQPGPIVAPEETLTLQCGSDAGYNRFVLYKDGERDFLQLAG
AQPQAGLSQANFTLGPVSRSYGGQYRCYGAHNLSSEWSAPSDPLDILIAGQFYDRVSLSVQPGPTVASGENVTLLCQSQGWMQTFLLTKE
GAADDPWRLRSTYQSQKYQAEFPMGPVTSAHAGTYRCYGSQSSKPYLLTHPSDPLELVVSGPSGGPSSPTTGPTSTSAGPEDQPLTPTGS
DPQSGLGRHLGVVIGILVAVILLLLLLLLLFLILRHRRQGKHWTSTQRKADFQHPAGAVGPEPTDRGLQWRSSPAADAQEENLYAAVKHT
QPEDGVEMDTRQSPHDEDPQAVTYAEVKHSRPRREMASPPSPLSGEFLDTKDRQAEEDRQMDTEAAASEAPQDVTYAQLHSLTLRREATE
Q8NHL6-4MTPILTVLICLGLSLGPRTHVQAGHLPKPTLWAEPGSVITQGSPVTLRCQGGQETQEYRLYREKKTALWITRIPQELVKKGQFPIPSITW
EHAGRYRCYYGSDTAGRSESSDPLELVVTGAYIKPTLSAQPSPVVNSGGNVILQCDSQVAFDGFSLCKEGEDEHPQCLNSQPHARGSSRA
IFSVGPVSPSRRWWYRCYAYDSNSPYEWSLPSDLLELLVLGVSKKPSLSVQPGPIVAPEETLTLQCGSDAGYNRFVLYKDGERDFLQLAG
AQPQAGLSQANFTLGPVSRSYGGQYRCYGAHNLSSEWSAPSDPLDILIAGQFYDRVSLSVQPGPTVASGENVTLLCQSQGWMQTFLLTKE
GAADDPWRLRSTYQSQKYQAEFPMGPVTSAHAGTYRCYGSQSSKPYLLTHPSDPLELVVSGPSGGPSSPTTGPTSTSGPEDQPLTPTGSD
PQSGLGRHLGVVIGILVAVILLLLLLLLLFLILRHRRQGKHWTSTQRKADFQHPAGAVGPEPTDRGLQWRSSPAADAQEENLYAAVKHTQ
PEDGVEMDTRQSPHDEDPQAVTYAEVKHSRPRREMASPPSPLSGEFLDTKDRQAEEDRQMDTEAAASEAPQDVTYAQLHSLTLRREATEP
Q8NHL6-5MTPILTVLICLGLSLGPRTHVQAGHLPKPTLWAEPGSVITQGSPVTLRCQGGQETQEYRLYREKKTALWITRIPQELVKKGQFPIPSITW
EHAGRYRCYYGSDTAGRSESSDPLELVVTGAYIKPTLSAQPSPVVNSGGNVILQCDSQVAFDGFSLCKEGEDEHPQCLNSQPHARGSSRA
IFSVGPVSPSRRWWYRCYAYDSNSPYEWSLPSDLLELLVLGVSKKPSLSVQPGPIVAPEETLTLQCGSDAGYNRFVLYKDGERDFLQLAG
AQPQAGLSQANFTLGPVSRSYGGQYRCYGAHNLSSEWSAPSDPLDILIAGQFYDRVSLSVQPGPTVASGENVTLLCQSQGWMQTFLLTKE
GAADDPWRLRSTYQSQKYQAEFPMGPVTSAHAGTYRCYGSQSSKPYLLTHPSDPLELVVSGPSGGPSSPTTGPTSTSAGPEDQPLTPTGS

Protein Functional Features

check buttonMain function of this protein. (from UniProt)
LILRB1 (go to UniProt):Q8NHL6

check buttonRetention analysis result of 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.
- Retained protein feature among the 13 regional features.
Accession_idSubsectionStartEndFuncitonal featureSplicing information
Q8NHL6Topological domain24461Note=Extracellular;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Substitution;Start=437;End=437
Q8NHL6Topological domain24461Note=Extracellular;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Substitution;Start=437;End=437
Q8NHL6Topological domain24461Note=Extracellular;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Substitution;Start=437;End=437
Q8NHL6Topological domain24461Note=Extracellular;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Substitution;Start=455;End=455
Q8NHL6Topological domain24461Note=Extracellular;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Deletion;Start=456;End=650
Q8NHL6Transmembrane462482Note=Helical;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Deletion;Start=456;End=650
Q8NHL6Topological domain483650Note=Cytoplasmic;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Substitution;Start=550;End=550
Q8NHL6Topological domain483650Note=Cytoplasmic;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Substitution;Start=550;End=550
Q8NHL6Topological domain483650Note=Cytoplasmic;Ontology_term=ECO:0000255;evidence=ECO:0000255Type=Deletion;Start=456;End=650
Q8NHL6Region415451Note=Disordered;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Substitution;Start=437;End=437
Q8NHL6Region415451Note=Disordered;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Substitution;Start=437;End=437
Q8NHL6Region415451Note=Disordered;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Substitution;Start=437;End=437
Q8NHL6Region491524Note=Disordered;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Deletion;Start=456;End=650
Q8NHL6Region563650Note=Disordered;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Deletion;Start=456;End=650
Q8NHL6Motif531536Note=ITIM motif 1Type=Deletion;Start=456;End=650
Q8NHL6Motif560565Note=ITIM motif 2Type=Deletion;Start=456;End=650
Q8NHL6Motif612617Note=ITIM motif 3Type=Deletion;Start=456;End=650
Q8NHL6Motif642647Note=ITIM motif 4Type=Deletion;Start=456;End=650
Q8NHL6Compositional bias423451Note=Polar residues;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Substitution;Start=437;End=437
Q8NHL6Compositional bias423451Note=Polar residues;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Substitution;Start=437;End=437
Q8NHL6Compositional bias423451Note=Polar residues;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Substitution;Start=437;End=437
Q8NHL6Compositional bias587602Note=Basic and acidic residues;Ontology_term=ECO:0000256;evidence=ECO:0000256|SAM:MobiDB-liteType=Deletion;Start=456;End=650


Gene Isoform Structures and Expression Levels for LILRB1

check buttonGene structures of our canonical and alternative spliced genes of LILRB1
* Click on the image to open the UCSC genome browser with custom track showing this image in a new window.
gene isoform structure of LILRB1

check button Expression levels of gene isoforms across GTEx.
gtex expression

check button Expression levels of gene isoforms across TCGA.
tcga expression


Protein Structures

check button PDB and CIF files of the predicted protein structures
* Here we show the 3D structure of the proteins using Mol*. AlphaFold produces a per-residue confidence score (pLDDT) between 0 and 100. Model confidence is shown from the pLDDT values per residue. pLDDT corresponds to the model’s prediction of its score on the local Distance Difference Test. It is a measure of local accuracy (from AlphfaFold website). To color code individual residues, we transformed individual PDB files into CIF format.
3D view using mol* of Q8NHL6-1
3D view using mol* of Q8NHL6-2
3D view using mol* of Q8NHL6-3
3D view using mol* of Q8NHL6-4
3D view using mol* of Q8NHL6-5


pLDDT Score Distribution

check button pLDDT score distribution of the predicted protein structures from AlphaFold2
* AlphaFold produces a per-residue confidence score (pLDDT) between 0 and 100.
pLDDT distribution across the protein length of Q8NHL6-1
all structure
pLDDT distribution across the protein length of Q8NHL6-2
all structure
pLDDT distribution across the protein length of Q8NHL6-3
all structure
pLDDT distribution across the protein length of Q8NHL6-4
all structure
pLDDT distribution across the protein length of Q8NHL6-5
all structure


Ramachandran Plot of Protein Structures


check button Ramachandran plot of the torsional angles - phi (φ)and psi (ψ) - of the residues (amino acids) contained in this protein peptide.
Ramachandran plot of Q8NHL6-1
all structure
Ramachandran plot of Q8NHL6-3
all structure
Ramachandran plot of Q8NHL6-5
all structure

Potential Active Site Information


check button The potential binding sites of these proteins were identified using SiteMap, a module of the Schrodinger suite.
UniProt-idSite scoreSizeD scoreVolumeExposureEnclosureContactPhobicPhilicBalanceDon/AccResidues
Q8NHL6-11.0021481.027521.360.6170.6910.8810.5351.0070.5320.91123,124,125,126,127,147,148,149,196,212,213,214,21
5,216,257,258,259,262,263,264,265,266,267,284,290,
291,295,579,580,581
Q8NHL6-21.0293091.058982.6950.5060.7180.9440.7190.960.7490.586123,124,125,126,127,146,147,148,149,194,196,212,21
3,214,215,216,218,254,256,257,258,259,262,263,264,
265,266,267,268,269,282,283,284,290,291,295,615,61
6,617,618,619,620,621,623,624
Q8NHL6-31.0212661.043738.4790.5570.7180.9280.6061.0050.6030.649123,124,125,126,127,128,129,133,146,147,148,149,21
2,213,214,215,216,256,257,258,259,262,263,264,265,
266,267,268,281,282,283,284,285,290,291,295,615,61
6,617,618,619,620,621,622,623,624
Q8NHL6-41.0512611.093721.6720.5480.7220.9350.9170.8591.0670.844123,124,125,126,127,133,146,147,148,149,212,213,21
4,215,216,256,257,258,259,262,263,264,265,266,267,
268,281,282,283,284,290,291,295,613,615,616,617,61
8,619,620,622
Q8NHL6-50.9961351.032490.1470.6660.6610.8580.3990.9360.4261.30332,33,35,36,37,38,39,40,114,115,117,152,153,155,15
7,159,160,163,164,165,166,167,169,170,171,172,173,
196,198,200,202,205,206,208

Protein Structure and Feature Comparision


check button Protein Structure Comparision Using Template Modeling Scores (TM-score).
all structure

check button Protein Structure Comparision Visualization with mol*. between Canonical predicted structure (AF2)(orange) vs Canonical validated structure (PDB)(green)
3D view using mol* of Q8NHL6-1_Q8NHL6-1_6zdx_B.pdb

check button Protein Structure Comparision Visualization with mol*. between Canonical validated structure (PDB)(orange) vs Alternative predicted structure (AF2)(green)
3D view using mol* of Q8NHL6-1_6zdx_B_Q8NHL6-2.pdb
3D view using mol* of Q8NHL6-1_6zdx_B_Q8NHL6-3.pdb
3D view using mol* of Q8NHL6-1_6zdx_B_Q8NHL6-4.pdb
3D view using mol* of Q8NHL6-1_6zdx_B_Q8NHL6-5.pdb

check button Protein Structure Comparision Visualization with mol*. between Canonical predicted structure (AF2)(orange) vs Alternative predicted structure (AF2)(green)
3D view using mol* of Q8NHL6-1_Q8NHL6-2.pdb
3D view using mol* of Q8NHL6-1_Q8NHL6-3.pdb
3D view using mol* of Q8NHL6-1_Q8NHL6-4.pdb
3D view using mol* of Q8NHL6-1_Q8NHL6-5.pdb

check button Protein Feature Comparison of the protein sequendary structures among the protiens.
./stats/secondary_structure/figure/Q8NHL6-1_vs_Q8NHL6-2.png
all structure<
./stats/secondary_structure/figure/Q8NHL6-1_vs_Q8NHL6-3.png
all structure<
./stats/secondary_structure/figure/Q8NHL6-1_vs_Q8NHL6-4.png
all structure<
./stats/secondary_structure/figure/Q8NHL6-1_vs_Q8NHL6-5.png
all structure<

check button Protein Feature Comparison of the relative accessible surface area (ASA) among the protiens.
./stats/relative_asa/Q8NHL6-1_vs_Q8NHL6-2.png
all structure<
./stats/relative_asa/Q8NHL6-1_vs_Q8NHL6-3.png
all structure<
./stats/relative_asa/Q8NHL6-1_vs_Q8NHL6-4.png
all structure<
./stats/relative_asa/Q8NHL6-1_vs_Q8NHL6-5.png
all structure<


Protein-Protein Interaction


check button Interactors from UniProt.
Accession_idSubsectionStartEndFuncitonal featureSplicing information


check button Interactors from STRING.
Gene nameInteractors


Related Drugs to LILRB1


check button Drugs targeting this gene/protein.
(DrugBank)
UniProt accessionGene nameDrugBank IDDrug nameDrug groupActions

Related Diseases to LILRB1


check button Previous studies relating to the alternative splicing of LILRB1 and disease information from the MeSH term (PubMed)
GenePMIDTitleAbstractMeSH IDMeSH term


Clinically important variants in LILRB1


check button (ClinVar, 04/20/2024)
accession_iduniprot_idgene_nameTypeVariantClinical_significance