nih-gov/www.ncbi.nlm.nih.gov/omim/605219

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Entry
- *605219 - DIRECT IAP-BINDING PROTEIN WITH LOW pI; DIABLO
- OMIM
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<span class="h4">*605219</span>
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<strong>Table of Contents</strong>
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<li role="presentation">
<a href="#title"><strong>Title</strong></a>
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<li role="presentation">
<a href="#geneMap"><strong>Gene-Phenotype Relationships</strong></a>
</li>
<li role="presentation">
<a href="#text"><strong>Text</strong></a>
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<li role="presentation" style="margin-left: 1em">
<a href="#description">Description</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#cloning">Cloning and Expression</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#geneStructure">Gene Structure</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#mapping">Mapping</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#geneFunction">Gene Function</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#biochemicalFeatures">Biochemical Features</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#molecularGenetics">Molecular Genetics</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#animalModel">Animal Model</a>
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<li role="presentation">
<a href="#allelicVariants"><strong>Allelic Variants</strong></a>
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<a href="#references"><strong>References</strong></a>
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<a href="#contributors"><strong>Contributors</strong></a>
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<li role="presentation">
<a href="#creationDate"><strong>Creation Date</strong></a>
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<a href="#mimGenomeLinksFold" id="mimGenomeLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimGenomeLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> Genome
</a>
</span>
</span>
</div>
<div id="mimGenomeLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel" aria-labelledby="genome">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ensembl.org/Homo_sapiens/Location/View?db=core;g=ENSG00000184047;t=ENST00000464942" class="mim-tip-hint" title="Genome databases for vertebrates and other eukaryotic species." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/genome/gdv/browser/gene/?id=56616" class="mim-tip-hint" title="Detailed views of the complete genomes of selected organisms from vertebrates to protozoa." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Genome Viewer', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Genome Viewer</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&hgFind=omimGeneAcc&position=605219" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">UCSC Genome Browser</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimDna">
<span class="panel-title">
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<span id="mimDnaLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> DNA
</a>
</span>
</span>
</div>
<div id="mimDnaLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ensembl.org/Homo_sapiens/Transcript/Sequence_cDNA?db=core;g=ENSG00000184047;t=ENST00000464942" class="mim-tip-hint" title="Transcript-based views for coding and noncoding DNA." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl (MANE Select)</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/nuccore/NM_001278302,NM_001278303,NM_001278304,NM_001278342,NM_001371333,NM_019887,NM_138930" class="mim-tip-hint" title="A collection of genome, gene, and transcript sequence data from several sources, including GenBank, RefSeq." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI RefSeq', 'domain': 'ncbi.nlm.nih'})">NCBI RefSeq</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/nuccore/NM_001371333" class="mim-tip-hint" title="A collection of genome, gene, and transcript sequence data from several sources, including GenBank, RefSeq." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI RefSeq (MANE)', 'domain': 'ncbi.nlm.nih'})">NCBI RefSeq (MANE Select)</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&hgFind=omimGeneAcc&position=605219" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">UCSC Genome Browser</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimProtein">
<span class="panel-title">
<span class="small">
<a href="#mimProteinLinksFold" id="mimProteinLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimProteinLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> Protein
</a>
</span>
</span>
</div>
<div id="mimProteinLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://hprd.org/summary?hprd_id=05560&isoform_id=05560_1&isoform_name=Isoform_1" class="mim-tip-hint" title="The Human Protein Reference Database; manually extracted and visually depicted information on human proteins." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HPRD', 'domain': 'hprd.org'})">HPRD</a></div>
<div><a href="https://www.proteinatlas.org/search/DIABLO" class="mim-tip-hint" title="The Human Protein Atlas contains information for a large majority of all human protein-coding genes regarding the expression and localization of the corresponding proteins based on both RNA and protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HumanProteinAtlas', 'domain': 'proteinatlas.org'})">Human Protein Atlas</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/protein/9454219,9845297,10437144,10719654,13325198,15080297,16553714,18203316,21070978,36939035,62896887,63101932,119618717,119618718,119618719,119618720,119618721,119618722,189055013,193785537,417381518,507588244,508083035,508083041,508083043,957951388,957951391,1700046250" class="mim-tip-hint" title="NCBI protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Protein', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Protein</a></div>
<div><a href="https://www.uniprot.org/uniprotkb/Q9NR28" class="mim-tip-hint" title="Comprehensive protein sequence and functional information, including supporting data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UniProt', 'domain': 'uniprot.org'})">UniProt</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimGeneInfo">
<span class="panel-title">
<span class="small">
<a href="#mimGeneInfoLinksFold" id="mimGeneInfoLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
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<div id="mimGeneInfoLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Gene Info</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimGeneInfoLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="http://biogps.org/#goto=genereport&id=56616" class="mim-tip-hint" title="The Gene Portal Hub; customizable portal of gene and protein function information." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'BioGPS', 'domain': 'biogps.org'})">BioGPS</a></div>
<div><a href="https://www.ensembl.org/Homo_sapiens/Gene/Summary?db=core;g=ENSG00000184047;t=ENST00000464942" class="mim-tip-hint" title="Orthologs, paralogs, regulatory regions, and splice variants." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl</a></div>
<div><a href="https://www.genecards.org/cgi-bin/carddisp.pl?gene=DIABLO" class="mim-tip-hint" title="The Human Genome Compendium; web-based cards integrating automatically mined information on human genes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneCards', 'domain': 'genecards.org'})">GeneCards</a></div>
<div><a href="http://amigo.geneontology.org/amigo/search/annotation?q=DIABLO" class="mim-tip-hint" title="Terms, defined using controlled vocabulary, representing gene product properties (biologic process, cellular component, molecular function) across species." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneOntology', 'domain': 'amigo.geneontology.org'})">Gene Ontology</a></div>
<div><a href="https://www.genome.jp/dbget-bin/www_bget?hsa+56616" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<dd><a href="http://v1.marrvel.org/search/gene/DIABLO" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></dd>
<dd><a href="https://monarchinitiative.org/NCBIGene:56616" class="mim-tip-hint" title="Monarch Initiative." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Monarch', 'domain': 'monarchinitiative.org'})">Monarch</a></dd>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/56616" class="mim-tip-hint" title="Gene-specific map, sequence, expression, structure, function, citation, and homology data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Gene', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Gene</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgGene?db=hg38&hgg_chrom=chr12&hgg_gene=ENST00000464942.7&hgg_start=122207662&hgg_end=122227456&hgg_type=knownGene" class="mim-tip-hint" title="UCSC Genome Bioinformatics; gene-specific structure and function information with links to other databases." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC', 'domain': 'genome.ucsc.edu'})">UCSC</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimClinicalResources">
<span class="panel-title">
<span class="small">
<a href="#mimClinicalResourcesLinksFold" id="mimClinicalResourcesLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimClinicalResourcesLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Clinical Resources</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimClinicalResourcesLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel" aria-labelledby="clinicalResources">
<div class="panel-body small mim-panel-body">
<div><a href="https://search.clinicalgenome.org/kb/genes/HGNC:21528" class="mim-tip-hint" title="A ClinGen curated resource of ratings for the strength of evidence supporting or refuting the clinical validity of the claim(s) that variation in a particular gene causes disease." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinGen Validity', 'domain': 'search.clinicalgenome.org'})">ClinGen Validity</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gtr/all/tests/?term=605219[mim]" class="mim-tip-hint" title="Genetic Testing Registry." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GTR', 'domain': 'ncbi.nlm.nih.gov'})">GTR</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimVariation">
<span class="panel-title">
<span class="small">
<a href="#mimVariationLinksFold" id="mimVariationLinksToggle" class=" mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimVariationLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9660;</span> Variation
</a>
</span>
</span>
</div>
<div id="mimVariationLinksFold" class="panel-collapse collapse in mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ncbi.nlm.nih.gov/clinvar?term=605219[MIM]" class="mim-tip-hint" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a></div>
<div><a href="https://gnomad.broadinstitute.org/gene/ENSG00000184047" class="mim-tip-hint" title="The Genome Aggregation Database (gnomAD), Broad Institute." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'gnomAD', 'domain': 'gnomad.broadinstitute.org'})">gnomAD</a></div>
<div><a href="https://www.ebi.ac.uk/gwas/search?query=DIABLO" class="mim-tip-hint" title="GWAS Catalog; NHGRI-EBI Catalog of published genome-wide association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Catalog', 'domain': 'gwascatalog.org'})">GWAS Catalog&nbsp;</a></div>
<div><a href="https://www.gwascentral.org/search?q=DIABLO" class="mim-tip-hint" title="GWAS Central; summary level genotype-to-phenotype information from genetic association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Central', 'domain': 'gwascentral.org'})">GWAS Central&nbsp;</a></div>
<div><a href="http://www.hgmd.cf.ac.uk/ac/gene.php?gene=DIABLO" class="mim-tip-hint" title="Human Gene Mutation Database; published mutations causing or associated with human inherited disease; disease-associated/functional polymorphisms." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGMD', 'domain': 'hgmd.cf.ac.uk'})">HGMD</a></div>
<div><a href="https://evs.gs.washington.edu/EVS/PopStatsServlet?searchBy=Gene+Hugo&target=DIABLO&upstreamSize=0&downstreamSize=0&x=0&y=0" class="mim-tip-hint" title="National Heart, Lung, and Blood Institute Exome Variant Server." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NHLBI EVS', 'domain': 'evs.gs.washington.edu'})">NHLBI EVS</a></div>
<div><a href="https://www.pharmgkb.org/gene/PA134945044" class="mim-tip-hint" title="Pharmacogenomics Knowledge Base; curated and annotated information regarding the effects of human genetic variations on drug response." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PharmGKB', 'domain': 'pharmgkb.org'})">PharmGKB</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimAnimalModels">
<span class="panel-title">
<span class="small">
<a href="#mimAnimalModelsLinksFold" id="mimAnimalModelsLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimAnimalModelsLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Animal Models</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimAnimalModelsLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.alliancegenome.org/gene/HGNC:21528" class="mim-tip-hint" title="Search Across Species; explore model organism and human comparative genomics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Alliance Genome', 'domain': 'alliancegenome.org'})">Alliance Genome</a></div>
<div><a href="https://www.mousephenotype.org/data/genes/MGI:1913843" class="mim-tip-hint" title="International Mouse Phenotyping Consortium." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'IMPC', 'domain': 'knockoutmouse.org'})">IMPC</a></div>
<div><a href="http://v1.marrvel.org/search/gene/DIABLO#HomologGenesPanel" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></div>
<div><a href="http://www.informatics.jax.org/marker/MGI:1913843" class="mim-tip-hint" title="Mouse Genome Informatics; international database resource for the laboratory mouse, including integrated genetic, genomic, and biological data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MGI Mouse Gene', 'domain': 'informatics.jax.org'})">MGI Mouse Gene</a></div>
<div><a href="https://www.mmrrc.org/catalog/StrainCatalogSearchForm.php?search_query=" class="mim-tip-hint" title="Mutant Mouse Resource & Research Centers." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MMRRC', 'domain': 'mmrrc.org'})">MMRRC</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/56616/ortholog/" class="mim-tip-hint" title="Orthologous genes at NCBI." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Orthologs', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Orthologs</a></div>
<div><a href="https://www.orthodb.org/?ncbi=56616" class="mim-tip-hint" title="Hierarchical catalogue of orthologs." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrthoDB', 'domain': 'orthodb.org'})">OrthoDB</a></div>
<div><a href="https://zfin.org/ZDB-GENE-040426-1303" class="mim-tip-hint" title="The Zebrafish Model Organism Database." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ZFin', 'domain': 'zfin.org'})">ZFin</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimCellularPathways">
<span class="panel-title">
<span class="small">
<a href="#mimCellularPathwaysLinksFold" id="mimCellularPathwaysLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimCellularPathwaysLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Cellular Pathways</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimCellularPathwaysLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.genome.jp/dbget-bin/get_linkdb?-t+pathway+hsa:56616" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<div><a href="https://reactome.org/content/query?q=DIABLO&species=Homo+sapiens&types=Reaction&types=Pathway&cluster=true" class="definition" title="Protein-specific information in the context of relevant cellular pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {{'name': 'Reactome', 'domain': 'reactome.org'}})">Reactome</a></div>
</div>
</div>
</div>
</div>
</div>
</div>
<span>
<span class="mim-tip-bottom" qtip_title="<strong>Looking for this gene or this phenotype in other resources?</strong>" qtip_text="Select a related resource from the dropdown menu and click for a targeted link to information directly relevant.">
&nbsp;
</span>
</span>
</div>
<div class="col-lg-8 col-lg-pull-2 col-md-8 col-md-pull-2 col-sm-8 col-sm-pull-2 col-xs-12">
<div>
<a id="title" class="mim-anchor"></a>
<div>
<a id="number" class="mim-anchor"></a>
<div class="text-right">
&nbsp;
</div>
<div>
<span class="h3">
<span class="mim-font mim-tip-hint" title="Gene description">
<span class="text-danger"><strong>*</strong></span>
605219
</span>
</span>
</div>
</div>
<div>
<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
DIRECT IAP-BINDING PROTEIN WITH LOW pI; DIABLO
</span>
</h3>
</div>
<div>
<br />
</div>
<div>
<a id="alternativeTitles" class="mim-anchor"></a>
<div>
<p>
<span class="mim-font">
<em>Alternative titles; symbols</em>
</span>
</p>
</div>
<div>
<h4>
<span class="mim-font">
SECOND MITOCHONDRIA-DERIVED ACTIVATOR OF CASPASE; SMAC
</span>
</h4>
</div>
</div>
<div>
<br />
</div>
</div>
<div>
<a id="approvedGeneSymbols" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong><em>HGNC Approved Gene Symbol: <a href="https://www.genenames.org/tools/search/#!/genes?query=DIABLO" class="mim-tip-hint" title="HUGO Gene Nomenclature Committee." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGNC', 'domain': 'genenames.org'})">DIABLO</a></em></strong>
</span>
</p>
</div>
<div>
<a id="cytogeneticLocation" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong>
<em>
Cytogenetic location: <a href="/geneMap/12/906?start=-3&limit=10&highlight=906">12q24.31</a>
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : <a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&position=chr12:122207662-122227456&dgv=pack&knownGene=pack&omimGene=pack" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">12:122,207,662-122,227,456</a> </span>
</em>
</strong>
<a href="https://www.ncbi.nlm.nih.gov/" target="_blank" class="small"> (from NCBI) </a>
</span>
</p>
</div>
<div>
<br />
</div>
<div>
<a id="geneMap" class="mim-anchor"></a>
<div style="margin-bottom: 10px;">
<span class="h4 mim-font">
<strong>Gene-Phenotype Relationships</strong>
</span>
</div>
<div>
<table class="table table-bordered table-condensed table-hover small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="1">
<span class="mim-font">
<a href="/geneMap/12/906?start=-3&limit=10&highlight=906">
12q24.31
</a>
</span>
</td>
<td>
<span class="mim-font">
Deafness, autosomal dominant 64
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/614152"> 614152 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known">3</abbr>
</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div class="btn-group">
<button type="button" class="btn btn-success dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
PheneGene Graphics <span class="caret"></span>
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<li><a href="/graph/linear/605219" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Linear'})"> Linear </a></li>
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<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
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<a id="text" class="mim-anchor"></a>
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<span class="mim-tip-floating" qtip_title="<strong>Looking For More References?</strong>" qtip_text="Click the 'reference plus' icon &lt;span class='glyphicon glyphicon-plus-sign'&gt;&lt;/span&gt at the end of each OMIM text paragraph to see more references related to the content of the preceding paragraph.">
<strong>TEXT</strong>
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<a id="description" class="mim-anchor"></a>
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<strong>Description</strong>
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<p>Caspase activation is a key regulatory step for apoptosis. Cytochrome c (<a href="/entry/123970">123970</a>) released from the mitochondrial intermembrane space triggers 1 major caspase activation cascade. Upon its release to the cytosol, cytochrome c binds to APAF1 (<a href="/entry/602233">602233</a>) in the presence of dATP or ATP. The cytochrome c/APAF1 complex then recruits procaspase-9 (CASP9; <a href="/entry/602234">602234</a>), inducing its autoactivation and leading to the activation of downstream caspases. Proteins of the BCL2 (see <a href="/entry/603167">603167</a>) and inhibitor-of-apoptosis, or IAP (see API3; <a href="/entry/300079">300079</a>), families are major regulators of the cytochrome c/APAF1/CASP9 pathway. SMAC promotes caspase activation in this pathway.</p>
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<a id="cloning" class="mim-anchor"></a>
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<strong>Cloning and Expression</strong>
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<p><a href="#4" class="mim-tip-reference" title="Du, C., Fang, M., Li, Y., Li, L., Wang, X. &lt;strong&gt;Smac, a mitochondrial protein that promotes cytochrome c-dependent caspase activation by eliminating IAP inhibition.&lt;/strong&gt; Cell 102: 33-42, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10929711/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10929711&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/s0092-8674(00)00008-8&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10929711">Du et al. (2000)</a> identified and purified a protein, which they termed SMAC (second mitochondria-derived activator of caspase), that promotes caspase activation in the cytochrome c/APAF1/CASP9 pathway. By microsequence analysis, searching an EST database, and screening a HeLa cell cDNA library, they isolated a cDNA encoding SMAC. The predicted SMAC polypeptide contains 239 amino acids. Northern blot analysis detected a 1.5-kb SMAC transcript in all tissues tested, with highest expression in adult testis, high expression in heart, liver, kidney, spleen, prostate, and ovary, and low expression in brain, lung, thymus, and peripheral blood leukocytes. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10929711" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#3" class="mim-tip-reference" title="Cheng, J., Zhu, Y., He, S., Lu, Y., Chen, J., Han, B., Petrillo, M., Wrzeszczynski, K. O., Yang, S., Dai, P., Zhai, S., Han, D., Zhang, M. Q., Li, W., Liu, X., Li, H., Chen, Z. Y., Yuan, H. &lt;strong&gt;Functional mutation of SMAC/DIABLO, encoding a mitochondrial proapoptotic protein, causes human progressive hearing loss DFNA64.&lt;/strong&gt; Am. J. Hum. Genet. 89: 56-66, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21722859/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21722859&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=21722859[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.ajhg.2011.05.027&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21722859">Cheng et al. (2011)</a> noted that the N-terminal 55 residues serve as a mitochondrial-targeting sequence, which is removed after the Diablo protein is imported into mitochondria intermembrane space. They found broad expression of DIABLO in human embryonic tissue at 17 weeks' gestation. The highest expression was in the testis, adrenal gland, and ears, with moderate expression in the brain, eyes, liver, kidney, lung, and spinal cord. Low expression was seen in the spleen. In the developing mouse cochlea, Diablo was significantly upregulated in hair cells from E18.5 to P0, but was subsequently downregulated. The extended distribution of Diablo at different stages of development in the mouse inner ear and the particular enrichment in hair cells suggested that Diablo functions in the development and homeostasis of the inner ear and in hair cells in particular. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21722859" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="geneStructure" class="mim-anchor"></a>
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<strong>Gene Structure</strong>
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<p><a href="#3" class="mim-tip-reference" title="Cheng, J., Zhu, Y., He, S., Lu, Y., Chen, J., Han, B., Petrillo, M., Wrzeszczynski, K. O., Yang, S., Dai, P., Zhai, S., Han, D., Zhang, M. Q., Li, W., Liu, X., Li, H., Chen, Z. Y., Yuan, H. &lt;strong&gt;Functional mutation of SMAC/DIABLO, encoding a mitochondrial proapoptotic protein, causes human progressive hearing loss DFNA64.&lt;/strong&gt; Am. J. Hum. Genet. 89: 56-66, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21722859/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21722859&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=21722859[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.ajhg.2011.05.027&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21722859">Cheng et al. (2011)</a> noted that the DIABLO gene contains 7 exons. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21722859" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="mapping" class="mim-anchor"></a>
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<strong>Mapping</strong>
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<p><a href="#8" class="mim-tip-reference" title="Scott, A. F. &lt;strong&gt;Personal Communication.&lt;/strong&gt; Baltimore, Md. 8/18/2000."None>Scott (2000)</a> mapped the DIABLO gene to chromosome 12 based on sequence similarity between the DIABLO sequence (GenBank <a href="https://www.ncbi.nlm.nih.gov/search/all/?term=AF262240" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'GENBANK\', \'domain\': \'ncbi.nlm.nih.gov\'})">AF262240</a>) and the chromosome 12 clone RP11-512M8 (GenBank <a href="https://www.ncbi.nlm.nih.gov/search/all/?term=AC048338" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'GENBANK\', \'domain\': \'ncbi.nlm.nih.gov\'})">AC048338</a>).</p><p><a href="#3" class="mim-tip-reference" title="Cheng, J., Zhu, Y., He, S., Lu, Y., Chen, J., Han, B., Petrillo, M., Wrzeszczynski, K. O., Yang, S., Dai, P., Zhai, S., Han, D., Zhang, M. Q., Li, W., Liu, X., Li, H., Chen, Z. Y., Yuan, H. &lt;strong&gt;Functional mutation of SMAC/DIABLO, encoding a mitochondrial proapoptotic protein, causes human progressive hearing loss DFNA64.&lt;/strong&gt; Am. J. Hum. Genet. 89: 56-66, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21722859/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21722859&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=21722859[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.ajhg.2011.05.027&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21722859">Cheng et al. (2011)</a> noted that the DIABLO gene maps to chromosome 12q24.31. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21722859" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="geneFunction" class="mim-anchor"></a>
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<strong>Gene Function</strong>
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<p><a href="#4" class="mim-tip-reference" title="Du, C., Fang, M., Li, Y., Li, L., Wang, X. &lt;strong&gt;Smac, a mitochondrial protein that promotes cytochrome c-dependent caspase activation by eliminating IAP inhibition.&lt;/strong&gt; Cell 102: 33-42, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10929711/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10929711&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/s0092-8674(00)00008-8&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10929711">Du et al. (2000)</a> showed that SMAC promotes CASP9 activation by binding to IAPs and removing their inhibitory activity. SMAC is normally a mitochondrial protein, but it is released into the cytosol when cells undergo apoptosis. Mitochondrial import and cleavage of its signal peptide are required for SMAC to gain its apoptotic activity. Overexpression of SMAC increases cell sensitivity to apoptotic stimuli. SMAC was the second mitochondrial protein identified (the first being cytochrome c) that promotes apoptosis by activating caspases. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10929711" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#10" class="mim-tip-reference" title="Verhagen, A. M., Ekert, P. G., Pakusch, M., Silke, J., Connolly, L. M., Reid, G. E., Moritz, R. L., Simpson, R. J., Vaux, D. L. &lt;strong&gt;Identification of DIABLO, a mammalian protein that promotes apoptosis by binding to and antagonizing IAP proteins.&lt;/strong&gt; Cell 102: 43-53, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10929712/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10929712&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/s0092-8674(00)00009-x&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10929712">Verhagen et al. (2000)</a> identified the murine homolog of SMAC, which they called DIABLO (direct IAP-binding protein with low pI). They showed that DIABLO can bind mammalian IAP homolog A (MIHA, or API3) and can also interact with MIHB (API1; <a href="/entry/601712">601712</a>), MIHC (API2; <a href="/entry/601721">601721</a>), and OpIAP, the baculoviral IAP. Immunoprecipitation and Western blot analysis indicated that the N-terminally processed, IAP-interacting form of DIABLO is concentrated in membrane fractions in healthy cells but is released into the MIHA-containing cytosolic fractions upon ultraviolet (UV) irradiation. Since transfection of cells with DIABLO was able to counter the protection afforded by MIHA against UV irradiation, the authors suggested that DIABLO may promote apoptosis by binding to IAPs and preventing them from inhibiting caspases. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10929712" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#2" class="mim-tip-reference" title="Chai, J., Du, C., Wu, J.-W., Kyin, S., Wang, X., Shi, Y. &lt;strong&gt;Structural and biochemical basis of apoptotic activation by Smac/DIABLO.&lt;/strong&gt; Nature 406: 855-862, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10972280/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10972280&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35022514&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10972280">Chai et al. (2000)</a> showed that SMAC/DIABLO promotes not only the proteolytic activation of procaspase-3, but also the enzymatic activity of mature caspase-3, both of which depend upon its ability to interact physically with IAPs. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10972280" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>Nonsteroidal antiinflammatory drugs (NSAIDs) can prevent colonic tumor progression in both experimental animals and humans. <a href="#5" class="mim-tip-reference" title="Kohli, M., Yu, J., Seaman, C., Bardelli, A., Kinzler, K. W., Vogelstein, B., Lengauer, C., Zhang, L. &lt;strong&gt;SMAC/Diablo-dependent apoptosis induced by nonsteroidal antiinflammatory drugs (NSAIDs) in colon cancer cells.&lt;/strong&gt; Proc. Nat. Acad. Sci. 101: 16897-16902, 2004.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15557007/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15557007&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=15557007[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1073/pnas.0403405101&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="15557007">Kohli et al. (2004)</a> found that NSAID-induced apoptosis in a human colorectal cancer cell line was accompanied by release of SMAC from mitochondria into the cytosol. When SMAC was disrupted by homologous recombination and RNA interference, the NSAID-induced apoptosis was abrogated. SMAC release was dependent on BAX (<a href="/entry/600040">600040</a>), since SMAC release was not found in BAX knockout cells. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=15557007" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#1" class="mim-tip-reference" title="Burri, L., Strahm, Y., Hawkins, C. J., Gentle, I. E., Puryer, M. A., Verhagen, A., Callus, B., Vaux, D., Lithgow, T. &lt;strong&gt;Mature DIABLO/Smac is produced by the IMP protease complex on the mitochondrial inner membrane.&lt;/strong&gt; Molec. Biol. Cell 16: 2926-2933, 2005.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/15814844/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;15814844&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=15814844[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1091/mbc.e04-12-1086&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="15814844">Burri et al. (2005)</a> identified mouse Imp1 (IMMP1L; <a href="/entry/612323">612323</a>) and Imp2 (IMMP2L; <a href="/entry/605977">605977</a>) as the catalytic subunits of the mitochondrial inner membrane peptidase (IMP) complex. Imp1 and Imp2 activated Diablo by removing its presequence, resulting in sequestration of Diablo in the intermembrane space prior to activation by an apoptotic signal. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=15814844" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p><a href="#2" class="mim-tip-reference" title="Chai, J., Du, C., Wu, J.-W., Kyin, S., Wang, X., Shi, Y. &lt;strong&gt;Structural and biochemical basis of apoptotic activation by Smac/DIABLO.&lt;/strong&gt; Nature 406: 855-862, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10972280/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10972280&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35022514&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10972280">Chai et al. (2000)</a> determined the crystal structure of SMAC/DIABLO at 2.2-angstrom resolution, which revealed that it homodimerizes through an extensive hydrophobic interface. Missense mutations inactivating this dimeric interface significantly compromised the function of SMAC/DIABLO. The N-terminal amino acids of SMAC/DIABLO are indispensable for its function, and a 7-residue peptide derived from the N terminus promotes procaspase-3 activation in vitro. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10972280" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>To understand the structural basis of molecular recognition between SMAC and the IAPs, <a href="#6" class="mim-tip-reference" title="Liu, Z., Sun, C., Olejniczak, E. T., Meadows, R. P., Betz, S. F., Oost, T., Herrmann, J., Wu, J. C., Fesik, S. W. &lt;strong&gt;Structural basis for binding of Smac/DIABLO to the XIAP BIR3 domain.&lt;/strong&gt; Nature 408: 1004-1008, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11140637/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11140637&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35050006&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11140637">Liu et al. (2000)</a> determined the solution structure of the BIR3 domain of XIAP (<a href="/entry/300079">300079</a>) complexed with a functionally active 9-residue peptide derived from the N terminus of SMAC. <a href="#11" class="mim-tip-reference" title="Wu, G., Chai, J., Suber, T. L., Wu, J.-W., Du, C., Wang, X., Shi, Y. &lt;strong&gt;Structural basis of IAP recognition by Smac/DIABLO.&lt;/strong&gt; Nature 408: 1008-1012, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11140638/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11140638&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35050012&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11140638">Wu et al. (2000)</a> performed the same experiment. They found that the N-terminal 4 residues (ala-val-pro-ile) in SMAC/DIABLO recognize a surface groove on BIR3, with the first residue ala binding a hydrophobic pocket and making 5 hydrogen bonds to neighboring residues on BIR3. These observations provided a structural explanation for the roles of the SMAC N terminus as well as for the conserved N-terminal sequences in the Drosophila proteins Hid/Grim/Reaper. In conjunction with other observations, <a href="#11" class="mim-tip-reference" title="Wu, G., Chai, J., Suber, T. L., Wu, J.-W., Du, C., Wang, X., Shi, Y. &lt;strong&gt;Structural basis of IAP recognition by Smac/DIABLO.&lt;/strong&gt; Nature 408: 1008-1012, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11140638/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11140638&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35050012&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11140638">Wu et al. (2000)</a> concluded that their results reveal how SMAC may relieve IAP inhibition of caspase-9 activity. In addition to explaining a number of biologic observations, both <a href="#6" class="mim-tip-reference" title="Liu, Z., Sun, C., Olejniczak, E. T., Meadows, R. P., Betz, S. F., Oost, T., Herrmann, J., Wu, J. C., Fesik, S. W. &lt;strong&gt;Structural basis for binding of Smac/DIABLO to the XIAP BIR3 domain.&lt;/strong&gt; Nature 408: 1004-1008, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11140637/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11140637&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35050006&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11140637">Liu et al. (2000)</a> and <a href="#11" class="mim-tip-reference" title="Wu, G., Chai, J., Suber, T. L., Wu, J.-W., Du, C., Wang, X., Shi, Y. &lt;strong&gt;Structural basis of IAP recognition by Smac/DIABLO.&lt;/strong&gt; Nature 408: 1008-1012, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11140638/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11140638&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35050012&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11140638">Wu et al. (2000)</a> suggested that their structural analyses identified potential targets for drug screening that may be used for the treatment of cancers that overexpress IAPs. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=11140638+11140637" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>XIAP interacts with caspase-9 and inhibits its activity, whereas SMAC (also known as DIABLO) relieves this inhibition through interaction with XIAP. <a href="#9" class="mim-tip-reference" title="Srinivasula, S. M., Hegde, R., Saleh, A., Datta, P., Shiozaki, E., Chai, J., Lee, R.-A., Robbins, P. D., Fernandes-Alnemri, T., Shi, Y., Alnemri, E. S. &lt;strong&gt;A conserved XIAP-interaction motif in caspase-9 and Smac/DIABLO regulates caspase activity and apoptosis.&lt;/strong&gt; Nature 410: 112-116, 2001. Note: Erratum: Nature 114: 1081 only, 2001.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11242052/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11242052&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35065125&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11242052">Srinivasula et al. (2001)</a> demonstrated that XIAP associates with the active caspase-9-APAF1 holoenzyme complex through binding to the amino terminus of the linker peptide on the small subunit of caspase-9, which becomes exposed after proteolytic processing of procaspase-9 at asp315. Supporting this observation, point mutations that abrogate the proteolytic processing but not the catalytic activity of caspase-9, or deletion of the linker peptide, prevented caspase-9 association with XIAP and its concomitant inhibition. <a href="#9" class="mim-tip-reference" title="Srinivasula, S. M., Hegde, R., Saleh, A., Datta, P., Shiozaki, E., Chai, J., Lee, R.-A., Robbins, P. D., Fernandes-Alnemri, T., Shi, Y., Alnemri, E. S. &lt;strong&gt;A conserved XIAP-interaction motif in caspase-9 and Smac/DIABLO regulates caspase activity and apoptosis.&lt;/strong&gt; Nature 410: 112-116, 2001. Note: Erratum: Nature 114: 1081 only, 2001.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11242052/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11242052&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35065125&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11242052">Srinivasula et al. (2001)</a> noted that the N-terminal 4 residues of caspase-9 linker peptide share significant homology with the N-terminal tetrapeptide in mature SMAC and in the Drosophila proteins Hid/Grim/Reaper, defining a conserved class of IAP-binding motifs. Consistent with this finding, binding of the caspase-9 linker peptide and SMAC to the BIR3 domain of XIAP is mutually exclusive, suggesting that SMAC potentiates caspase-9 activity by disrupting the interaction of the linker peptide of caspase-9 with BIR3. <a href="#9" class="mim-tip-reference" title="Srinivasula, S. M., Hegde, R., Saleh, A., Datta, P., Shiozaki, E., Chai, J., Lee, R.-A., Robbins, P. D., Fernandes-Alnemri, T., Shi, Y., Alnemri, E. S. &lt;strong&gt;A conserved XIAP-interaction motif in caspase-9 and Smac/DIABLO regulates caspase activity and apoptosis.&lt;/strong&gt; Nature 410: 112-116, 2001. Note: Erratum: Nature 114: 1081 only, 2001.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11242052/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11242052&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1038/35065125&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11242052">Srinivasula et al. (2001)</a> concluded that their studies reveal a mechanism in which binding to the BIR3 domain of XIAP by 2 conserved peptides, one from SMAC and the other from caspase-9, has opposing effects on caspase activity and apoptosis. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11242052" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p>In affected members of a large Chinese family with young-adult onset of autosomal dominant nonsyndromic deafness-64 (DFNA64; <a href="/entry/614152">614152</a>), <a href="#3" class="mim-tip-reference" title="Cheng, J., Zhu, Y., He, S., Lu, Y., Chen, J., Han, B., Petrillo, M., Wrzeszczynski, K. O., Yang, S., Dai, P., Zhai, S., Han, D., Zhang, M. Q., Li, W., Liu, X., Li, H., Chen, Z. Y., Yuan, H. &lt;strong&gt;Functional mutation of SMAC/DIABLO, encoding a mitochondrial proapoptotic protein, causes human progressive hearing loss DFNA64.&lt;/strong&gt; Am. J. Hum. Genet. 89: 56-66, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21722859/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21722859&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=21722859[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.ajhg.2011.05.027&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21722859">Cheng et al. (2011)</a> identified a heterozygous mutation in the DIABLO gene (S126L; <a href="#0001">605219.0001</a>). In vitro functional expression studies in E. coli and HeLa cells showed that the mutant protein did not increase apoptotic activity compared to wildtype. However, transfection of HeLa cells with the mutant protein enhanced the degradation of mutant and wildtype DIABLO via heterodimerization. Cells expressing the mutant protein showed increased susceptibility to calcium-induced loss of mitochondrial potential compared to wildtype, indicating increased sensitivity to mitochondrial stress and suggestive of mitochondrial dysfunction. A decrease in wildtype protein did not yield similar findings, suggesting that the existence of mutant DIABLO leads to activation of a degradation machinery for constant clearance of aberrant proteins. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21722859" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p><a href="#7" class="mim-tip-reference" title="Okada, H., Suh, W.-K., Jin, J., Woo, M., Du, C., Elia, A., Duncan, G. S., Wakeham, A., Itie, A., Lowe, S. W., Wang, X., Mak, T. W. &lt;strong&gt;Generation and characterization of Smac/DIABLO-deficient mice.&lt;/strong&gt; Molec. Cell. Biol. 22: 3509-3517, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11971981/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11971981&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=11971981[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1128/MCB.22.10.3509-3517.2002&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11971981">Okada et al. (2002)</a> generated Diablo-deficient mice by homologous recombination. Western blot analysis confirmed the null mutation. The mice were fertile and appeared grossly normal at more than 1 year of age, and histologic analysis failed to detect any abnormalities. In vitro analysis indicated an inhibition of procaspase-3 (CASP3; <a href="/entry/600636">600636</a>) cleavage in Diablo -/- cell lysates, but all types of Diablo -/- cells tested responded normally to a number of apoptotic stimuli. Fas (<a href="/entry/134637">134637</a>)-mediated apoptosis in liver was also normal in vivo in these mice. The authors concluded that a redundant molecule, possibly Omi (HTRA2; <a href="/entry/606441">606441</a>), or molecules are capable of compensating for the loss of Diablo function. Alternatively, they suggested that Diablo may only regulate programmed cell death in specific situations or tissues not yet identified. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11971981" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>ALLELIC VARIANTS (<a href="/help/faq#1_4"></strong>
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<strong>1 Selected Example</a>):</strong>
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<a href="/allelicVariants/605219" class="btn btn-default" role="button"> Table View </a>
&nbsp;&nbsp;<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=605219[MIM]" class="btn btn-default mim-tip-hint" role="button" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a>
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<strong>.0001&nbsp;DEAFNESS, AUTOSOMAL DOMINANT 64</strong>
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DIABLO, SER126LEU
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs387906893 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs387906893;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs387906893" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs387906893" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000023402 OR RCV000522513" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000023402, RCV000522513" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000023402...</a>
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<p>In affected members of a large Chinese family with young-adult onset of autosomal dominant nonsyndromic deafness-64 (DFNA64; <a href="/entry/614152">614152</a>), <a href="#3" class="mim-tip-reference" title="Cheng, J., Zhu, Y., He, S., Lu, Y., Chen, J., Han, B., Petrillo, M., Wrzeszczynski, K. O., Yang, S., Dai, P., Zhai, S., Han, D., Zhang, M. Q., Li, W., Liu, X., Li, H., Chen, Z. Y., Yuan, H. &lt;strong&gt;Functional mutation of SMAC/DIABLO, encoding a mitochondrial proapoptotic protein, causes human progressive hearing loss DFNA64.&lt;/strong&gt; Am. J. Hum. Genet. 89: 56-66, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21722859/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21722859&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=21722859[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1016/j.ajhg.2011.05.027&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21722859">Cheng et al. (2011)</a> identified a heterozygous 377C-T transition in exon 5 of the DIABLO gene, resulting in a ser126-to-leu (S126L) substitution in a highly conserved residue. The S126L mutation corresponds to a ser71-to-leu (S71L) mutation in the mature protein. The mutation was not found in 1,000 Chinese control chromosomes. In vitro functional expression studies in E. coli and HeLa cells showed that the mutant protein did not increase apoptotic activity compared to wildtype. However, transfection of HeLa cells with the mutant protein enhanced the degradation of mutant and wildtype DIABLO via heterodimerization. Cells expressing the mutant protein showed increased susceptibility to calcium-induced loss of mitochondrial potential compared to wildtype, indicating increased sensitivity to mitochondrial stress and suggestive of mitochondrial dysfunction. A decrease in wildtype protein did not yield similar findings, suggesting that the existence of mutant DIABLO leads to activation of a degradation machinery for constant clearance of aberrant proteins. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21722859" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>REFERENCES</strong>
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</h4>
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<a id="1" class="mim-anchor"></a>
<a id="Burri2005" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Burri, L., Strahm, Y., Hawkins, C. J., Gentle, I. E., Puryer, M. A., Verhagen, A., Callus, B., Vaux, D., Lithgow, T.
<strong>Mature DIABLO/Smac is produced by the IMP protease complex on the mitochondrial inner membrane.</strong>
Molec. Biol. Cell 16: 2926-2933, 2005.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/15814844/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">15814844</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=15814844[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=15814844" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1091/mbc.e04-12-1086" target="_blank">Full Text</a>]
</p>
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<li>
<a id="2" class="mim-anchor"></a>
<a id="Chai2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Chai, J., Du, C., Wu, J.-W., Kyin, S., Wang, X., Shi, Y.
<strong>Structural and biochemical basis of apoptotic activation by Smac/DIABLO.</strong>
Nature 406: 855-862, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/10972280/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">10972280</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10972280" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/35022514" target="_blank">Full Text</a>]
</p>
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<li>
<a id="3" class="mim-anchor"></a>
<a id="Cheng2011" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Cheng, J., Zhu, Y., He, S., Lu, Y., Chen, J., Han, B., Petrillo, M., Wrzeszczynski, K. O., Yang, S., Dai, P., Zhai, S., Han, D., Zhang, M. Q., Li, W., Liu, X., Li, H., Chen, Z. Y., Yuan, H.
<strong>Functional mutation of SMAC/DIABLO, encoding a mitochondrial proapoptotic protein, causes human progressive hearing loss DFNA64.</strong>
Am. J. Hum. Genet. 89: 56-66, 2011.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/21722859/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">21722859</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=21722859[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21722859" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/j.ajhg.2011.05.027" target="_blank">Full Text</a>]
</p>
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<a id="4" class="mim-anchor"></a>
<a id="Du2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Du, C., Fang, M., Li, Y., Li, L., Wang, X.
<strong>Smac, a mitochondrial protein that promotes cytochrome c-dependent caspase activation by eliminating IAP inhibition.</strong>
Cell 102: 33-42, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/10929711/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">10929711</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10929711" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/s0092-8674(00)00008-8" target="_blank">Full Text</a>]
</p>
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<a id="5" class="mim-anchor"></a>
<a id="Kohli2004" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Kohli, M., Yu, J., Seaman, C., Bardelli, A., Kinzler, K. W., Vogelstein, B., Lengauer, C., Zhang, L.
<strong>SMAC/Diablo-dependent apoptosis induced by nonsteroidal antiinflammatory drugs (NSAIDs) in colon cancer cells.</strong>
Proc. Nat. Acad. Sci. 101: 16897-16902, 2004.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/15557007/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">15557007</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=15557007[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=15557007" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1073/pnas.0403405101" target="_blank">Full Text</a>]
</p>
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<a id="6" class="mim-anchor"></a>
<a id="Liu2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Liu, Z., Sun, C., Olejniczak, E. T., Meadows, R. P., Betz, S. F., Oost, T., Herrmann, J., Wu, J. C., Fesik, S. W.
<strong>Structural basis for binding of Smac/DIABLO to the XIAP BIR3 domain.</strong>
Nature 408: 1004-1008, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11140637/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11140637</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11140637" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/35050006" target="_blank">Full Text</a>]
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<a id="Okada2002" class="mim-anchor"></a>
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<p class="mim-text-font">
Okada, H., Suh, W.-K., Jin, J., Woo, M., Du, C., Elia, A., Duncan, G. S., Wakeham, A., Itie, A., Lowe, S. W., Wang, X., Mak, T. W.
<strong>Generation and characterization of Smac/DIABLO-deficient mice.</strong>
Molec. Cell. Biol. 22: 3509-3517, 2002.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11971981/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11971981</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=11971981[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11971981" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1128/MCB.22.10.3509-3517.2002" target="_blank">Full Text</a>]
</p>
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<a id="8" class="mim-anchor"></a>
<a id="Scott2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Scott, A. F.
<strong>Personal Communication.</strong>
Baltimore, Md. 8/18/2000.
</p>
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<a id="9" class="mim-anchor"></a>
<a id="Srinivasula2001" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Srinivasula, S. M., Hegde, R., Saleh, A., Datta, P., Shiozaki, E., Chai, J., Lee, R.-A., Robbins, P. D., Fernandes-Alnemri, T., Shi, Y., Alnemri, E. S.
<strong>A conserved XIAP-interaction motif in caspase-9 and Smac/DIABLO regulates caspase activity and apoptosis.</strong>
Nature 410: 112-116, 2001. Note: Erratum: Nature 114: 1081 only, 2001.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11242052/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11242052</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11242052" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/35065125" target="_blank">Full Text</a>]
</p>
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<a id="10" class="mim-anchor"></a>
<a id="Verhagen2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Verhagen, A. M., Ekert, P. G., Pakusch, M., Silke, J., Connolly, L. M., Reid, G. E., Moritz, R. L., Simpson, R. J., Vaux, D. L.
<strong>Identification of DIABLO, a mammalian protein that promotes apoptosis by binding to and antagonizing IAP proteins.</strong>
Cell 102: 43-53, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/10929712/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">10929712</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10929712" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1016/s0092-8674(00)00009-x" target="_blank">Full Text</a>]
</p>
</div>
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<a id="11" class="mim-anchor"></a>
<a id="Wu2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Wu, G., Chai, J., Suber, T. L., Wu, J.-W., Du, C., Wang, X., Shi, Y.
<strong>Structural basis of IAP recognition by Smac/DIABLO.</strong>
Nature 408: 1008-1012, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11140638/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11140638</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11140638" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1038/35050012" target="_blank">Full Text</a>]
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<a href="#mimCollapseContributors" role="button" data-toggle="collapse"> Contributors: </a>
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<span class="mim-text-font">
Cassandra L. Kniffin - updated : 8/8/2011
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<span class="mim-text-font">
Patricia A. Hartz - updated : 9/18/2008<br>Patricia A. Hartz - updated : 2/16/2005<br>Paul J. Converse - updated : 5/29/2002<br>Ada Hamosh - updated : 12/23/2000<br>Ada Hamosh - updated : 8/31/2000<br>Matthew B. Gross - updated : 8/18/2000
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Creation Date:
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<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
Stylianos E. Antonarakis : 8/18/2000
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<a href="#mimCollapseEditHistory" role="button" data-toggle="collapse"> Edit History: </a>
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terry : 04/04/2013
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<span class="mim-text-font">
wwang : 8/23/2011<br>ckniffin : 8/8/2011<br>mgross : 9/26/2008<br>terry : 9/18/2008<br>wwang : 2/22/2007<br>alopez : 1/16/2007<br>mgross : 2/16/2005<br>mgross : 5/29/2002<br>alopez : 2/28/2001<br>carol : 12/23/2000<br>mgross : 9/1/2000<br>terry : 8/31/2000<br>mgross : 8/21/2000<br>carol : 8/18/2000<br>mgross : 8/18/2000
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<strong>*</strong> 605219
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<span class="mim-font">
DIRECT IAP-BINDING PROTEIN WITH LOW pI; DIABLO
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<em>Alternative titles; symbols</em>
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SECOND MITOCHONDRIA-DERIVED ACTIVATOR OF CASPASE; SMAC
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<strong><em>HGNC Approved Gene Symbol: DIABLO</em></strong>
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<strong>
<em>
Cytogenetic location: 12q24.31
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : 12:122,207,662-122,227,456 </span>
</em>
</strong>
<span class="small">(from NCBI)</span>
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<strong>Gene-Phenotype Relationships</strong>
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Location
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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12q24.31
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Deafness, autosomal dominant 64
</span>
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<td>
<span class="mim-font">
614152
</span>
</td>
<td>
<span class="mim-font">
Autosomal dominant
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</td>
<td>
<span class="mim-font">
3
</span>
</td>
</tr>
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<span class="mim-font">
<strong>TEXT</strong>
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<strong>Description</strong>
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<p>Caspase activation is a key regulatory step for apoptosis. Cytochrome c (123970) released from the mitochondrial intermembrane space triggers 1 major caspase activation cascade. Upon its release to the cytosol, cytochrome c binds to APAF1 (602233) in the presence of dATP or ATP. The cytochrome c/APAF1 complex then recruits procaspase-9 (CASP9; 602234), inducing its autoactivation and leading to the activation of downstream caspases. Proteins of the BCL2 (see 603167) and inhibitor-of-apoptosis, or IAP (see API3; 300079), families are major regulators of the cytochrome c/APAF1/CASP9 pathway. SMAC promotes caspase activation in this pathway.</p>
</span>
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<span class="mim-font">
<strong>Cloning and Expression</strong>
</span>
</h4>
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<span class="mim-text-font">
<p>Du et al. (2000) identified and purified a protein, which they termed SMAC (second mitochondria-derived activator of caspase), that promotes caspase activation in the cytochrome c/APAF1/CASP9 pathway. By microsequence analysis, searching an EST database, and screening a HeLa cell cDNA library, they isolated a cDNA encoding SMAC. The predicted SMAC polypeptide contains 239 amino acids. Northern blot analysis detected a 1.5-kb SMAC transcript in all tissues tested, with highest expression in adult testis, high expression in heart, liver, kidney, spleen, prostate, and ovary, and low expression in brain, lung, thymus, and peripheral blood leukocytes. </p><p>Cheng et al. (2011) noted that the N-terminal 55 residues serve as a mitochondrial-targeting sequence, which is removed after the Diablo protein is imported into mitochondria intermembrane space. They found broad expression of DIABLO in human embryonic tissue at 17 weeks' gestation. The highest expression was in the testis, adrenal gland, and ears, with moderate expression in the brain, eyes, liver, kidney, lung, and spinal cord. Low expression was seen in the spleen. In the developing mouse cochlea, Diablo was significantly upregulated in hair cells from E18.5 to P0, but was subsequently downregulated. The extended distribution of Diablo at different stages of development in the mouse inner ear and the particular enrichment in hair cells suggested that Diablo functions in the development and homeostasis of the inner ear and in hair cells in particular. </p>
</span>
<div>
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<h4>
<span class="mim-font">
<strong>Gene Structure</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Cheng et al. (2011) noted that the DIABLO gene contains 7 exons. </p>
</span>
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<br />
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<h4>
<span class="mim-font">
<strong>Mapping</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Scott (2000) mapped the DIABLO gene to chromosome 12 based on sequence similarity between the DIABLO sequence (GenBank AF262240) and the chromosome 12 clone RP11-512M8 (GenBank AC048338).</p><p>Cheng et al. (2011) noted that the DIABLO gene maps to chromosome 12q24.31. </p>
</span>
<div>
<br />
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<h4>
<span class="mim-font">
<strong>Gene Function</strong>
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<span class="mim-text-font">
<p>Du et al. (2000) showed that SMAC promotes CASP9 activation by binding to IAPs and removing their inhibitory activity. SMAC is normally a mitochondrial protein, but it is released into the cytosol when cells undergo apoptosis. Mitochondrial import and cleavage of its signal peptide are required for SMAC to gain its apoptotic activity. Overexpression of SMAC increases cell sensitivity to apoptotic stimuli. SMAC was the second mitochondrial protein identified (the first being cytochrome c) that promotes apoptosis by activating caspases. </p><p>Verhagen et al. (2000) identified the murine homolog of SMAC, which they called DIABLO (direct IAP-binding protein with low pI). They showed that DIABLO can bind mammalian IAP homolog A (MIHA, or API3) and can also interact with MIHB (API1; 601712), MIHC (API2; 601721), and OpIAP, the baculoviral IAP. Immunoprecipitation and Western blot analysis indicated that the N-terminally processed, IAP-interacting form of DIABLO is concentrated in membrane fractions in healthy cells but is released into the MIHA-containing cytosolic fractions upon ultraviolet (UV) irradiation. Since transfection of cells with DIABLO was able to counter the protection afforded by MIHA against UV irradiation, the authors suggested that DIABLO may promote apoptosis by binding to IAPs and preventing them from inhibiting caspases. </p><p>Chai et al. (2000) showed that SMAC/DIABLO promotes not only the proteolytic activation of procaspase-3, but also the enzymatic activity of mature caspase-3, both of which depend upon its ability to interact physically with IAPs. </p><p>Nonsteroidal antiinflammatory drugs (NSAIDs) can prevent colonic tumor progression in both experimental animals and humans. Kohli et al. (2004) found that NSAID-induced apoptosis in a human colorectal cancer cell line was accompanied by release of SMAC from mitochondria into the cytosol. When SMAC was disrupted by homologous recombination and RNA interference, the NSAID-induced apoptosis was abrogated. SMAC release was dependent on BAX (600040), since SMAC release was not found in BAX knockout cells. </p><p>Burri et al. (2005) identified mouse Imp1 (IMMP1L; 612323) and Imp2 (IMMP2L; 605977) as the catalytic subunits of the mitochondrial inner membrane peptidase (IMP) complex. Imp1 and Imp2 activated Diablo by removing its presequence, resulting in sequestration of Diablo in the intermembrane space prior to activation by an apoptotic signal. </p>
</span>
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<h4>
<span class="mim-font">
<strong>Biochemical Features</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Chai et al. (2000) determined the crystal structure of SMAC/DIABLO at 2.2-angstrom resolution, which revealed that it homodimerizes through an extensive hydrophobic interface. Missense mutations inactivating this dimeric interface significantly compromised the function of SMAC/DIABLO. The N-terminal amino acids of SMAC/DIABLO are indispensable for its function, and a 7-residue peptide derived from the N terminus promotes procaspase-3 activation in vitro. </p><p>To understand the structural basis of molecular recognition between SMAC and the IAPs, Liu et al. (2000) determined the solution structure of the BIR3 domain of XIAP (300079) complexed with a functionally active 9-residue peptide derived from the N terminus of SMAC. Wu et al. (2000) performed the same experiment. They found that the N-terminal 4 residues (ala-val-pro-ile) in SMAC/DIABLO recognize a surface groove on BIR3, with the first residue ala binding a hydrophobic pocket and making 5 hydrogen bonds to neighboring residues on BIR3. These observations provided a structural explanation for the roles of the SMAC N terminus as well as for the conserved N-terminal sequences in the Drosophila proteins Hid/Grim/Reaper. In conjunction with other observations, Wu et al. (2000) concluded that their results reveal how SMAC may relieve IAP inhibition of caspase-9 activity. In addition to explaining a number of biologic observations, both Liu et al. (2000) and Wu et al. (2000) suggested that their structural analyses identified potential targets for drug screening that may be used for the treatment of cancers that overexpress IAPs. </p><p>XIAP interacts with caspase-9 and inhibits its activity, whereas SMAC (also known as DIABLO) relieves this inhibition through interaction with XIAP. Srinivasula et al. (2001) demonstrated that XIAP associates with the active caspase-9-APAF1 holoenzyme complex through binding to the amino terminus of the linker peptide on the small subunit of caspase-9, which becomes exposed after proteolytic processing of procaspase-9 at asp315. Supporting this observation, point mutations that abrogate the proteolytic processing but not the catalytic activity of caspase-9, or deletion of the linker peptide, prevented caspase-9 association with XIAP and its concomitant inhibition. Srinivasula et al. (2001) noted that the N-terminal 4 residues of caspase-9 linker peptide share significant homology with the N-terminal tetrapeptide in mature SMAC and in the Drosophila proteins Hid/Grim/Reaper, defining a conserved class of IAP-binding motifs. Consistent with this finding, binding of the caspase-9 linker peptide and SMAC to the BIR3 domain of XIAP is mutually exclusive, suggesting that SMAC potentiates caspase-9 activity by disrupting the interaction of the linker peptide of caspase-9 with BIR3. Srinivasula et al. (2001) concluded that their studies reveal a mechanism in which binding to the BIR3 domain of XIAP by 2 conserved peptides, one from SMAC and the other from caspase-9, has opposing effects on caspase activity and apoptosis. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Molecular Genetics</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>In affected members of a large Chinese family with young-adult onset of autosomal dominant nonsyndromic deafness-64 (DFNA64; 614152), Cheng et al. (2011) identified a heterozygous mutation in the DIABLO gene (S126L; 605219.0001). In vitro functional expression studies in E. coli and HeLa cells showed that the mutant protein did not increase apoptotic activity compared to wildtype. However, transfection of HeLa cells with the mutant protein enhanced the degradation of mutant and wildtype DIABLO via heterodimerization. Cells expressing the mutant protein showed increased susceptibility to calcium-induced loss of mitochondrial potential compared to wildtype, indicating increased sensitivity to mitochondrial stress and suggestive of mitochondrial dysfunction. A decrease in wildtype protein did not yield similar findings, suggesting that the existence of mutant DIABLO leads to activation of a degradation machinery for constant clearance of aberrant proteins. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Animal Model</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Okada et al. (2002) generated Diablo-deficient mice by homologous recombination. Western blot analysis confirmed the null mutation. The mice were fertile and appeared grossly normal at more than 1 year of age, and histologic analysis failed to detect any abnormalities. In vitro analysis indicated an inhibition of procaspase-3 (CASP3; 600636) cleavage in Diablo -/- cell lysates, but all types of Diablo -/- cells tested responded normally to a number of apoptotic stimuli. Fas (134637)-mediated apoptosis in liver was also normal in vivo in these mice. The authors concluded that a redundant molecule, possibly Omi (HTRA2; 606441), or molecules are capable of compensating for the loss of Diablo function. Alternatively, they suggested that Diablo may only regulate programmed cell death in specific situations or tissues not yet identified. </p>
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>ALLELIC VARIANTS</strong>
</span>
<strong>1 Selected Example):</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0001 &nbsp; DEAFNESS, AUTOSOMAL DOMINANT 64</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
DIABLO, SER126LEU
<br />
SNP: rs387906893,
ClinVar: RCV000023402, RCV000522513
</span>
</div>
<div>
<span class="mim-text-font">
<p>In affected members of a large Chinese family with young-adult onset of autosomal dominant nonsyndromic deafness-64 (DFNA64; 614152), Cheng et al. (2011) identified a heterozygous 377C-T transition in exon 5 of the DIABLO gene, resulting in a ser126-to-leu (S126L) substitution in a highly conserved residue. The S126L mutation corresponds to a ser71-to-leu (S71L) mutation in the mature protein. The mutation was not found in 1,000 Chinese control chromosomes. In vitro functional expression studies in E. coli and HeLa cells showed that the mutant protein did not increase apoptotic activity compared to wildtype. However, transfection of HeLa cells with the mutant protein enhanced the degradation of mutant and wildtype DIABLO via heterodimerization. Cells expressing the mutant protein showed increased susceptibility to calcium-induced loss of mitochondrial potential compared to wildtype, indicating increased sensitivity to mitochondrial stress and suggestive of mitochondrial dysfunction. A decrease in wildtype protein did not yield similar findings, suggesting that the existence of mutant DIABLO leads to activation of a degradation machinery for constant clearance of aberrant proteins. </p>
</span>
</div>
<div>
<br />
</div>
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>REFERENCES</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<ol>
<li>
<p class="mim-text-font">
Burri, L., Strahm, Y., Hawkins, C. J., Gentle, I. E., Puryer, M. A., Verhagen, A., Callus, B., Vaux, D., Lithgow, T.
<strong>Mature DIABLO/Smac is produced by the IMP protease complex on the mitochondrial inner membrane.</strong>
Molec. Biol. Cell 16: 2926-2933, 2005.
[PubMed: 15814844]
[Full Text: https://doi.org/10.1091/mbc.e04-12-1086]
</p>
</li>
<li>
<p class="mim-text-font">
Chai, J., Du, C., Wu, J.-W., Kyin, S., Wang, X., Shi, Y.
<strong>Structural and biochemical basis of apoptotic activation by Smac/DIABLO.</strong>
Nature 406: 855-862, 2000.
[PubMed: 10972280]
[Full Text: https://doi.org/10.1038/35022514]
</p>
</li>
<li>
<p class="mim-text-font">
Cheng, J., Zhu, Y., He, S., Lu, Y., Chen, J., Han, B., Petrillo, M., Wrzeszczynski, K. O., Yang, S., Dai, P., Zhai, S., Han, D., Zhang, M. Q., Li, W., Liu, X., Li, H., Chen, Z. Y., Yuan, H.
<strong>Functional mutation of SMAC/DIABLO, encoding a mitochondrial proapoptotic protein, causes human progressive hearing loss DFNA64.</strong>
Am. J. Hum. Genet. 89: 56-66, 2011.
[PubMed: 21722859]
[Full Text: https://doi.org/10.1016/j.ajhg.2011.05.027]
</p>
</li>
<li>
<p class="mim-text-font">
Du, C., Fang, M., Li, Y., Li, L., Wang, X.
<strong>Smac, a mitochondrial protein that promotes cytochrome c-dependent caspase activation by eliminating IAP inhibition.</strong>
Cell 102: 33-42, 2000.
[PubMed: 10929711]
[Full Text: https://doi.org/10.1016/s0092-8674(00)00008-8]
</p>
</li>
<li>
<p class="mim-text-font">
Kohli, M., Yu, J., Seaman, C., Bardelli, A., Kinzler, K. W., Vogelstein, B., Lengauer, C., Zhang, L.
<strong>SMAC/Diablo-dependent apoptosis induced by nonsteroidal antiinflammatory drugs (NSAIDs) in colon cancer cells.</strong>
Proc. Nat. Acad. Sci. 101: 16897-16902, 2004.
[PubMed: 15557007]
[Full Text: https://doi.org/10.1073/pnas.0403405101]
</p>
</li>
<li>
<p class="mim-text-font">
Liu, Z., Sun, C., Olejniczak, E. T., Meadows, R. P., Betz, S. F., Oost, T., Herrmann, J., Wu, J. C., Fesik, S. W.
<strong>Structural basis for binding of Smac/DIABLO to the XIAP BIR3 domain.</strong>
Nature 408: 1004-1008, 2000.
[PubMed: 11140637]
[Full Text: https://doi.org/10.1038/35050006]
</p>
</li>
<li>
<p class="mim-text-font">
Okada, H., Suh, W.-K., Jin, J., Woo, M., Du, C., Elia, A., Duncan, G. S., Wakeham, A., Itie, A., Lowe, S. W., Wang, X., Mak, T. W.
<strong>Generation and characterization of Smac/DIABLO-deficient mice.</strong>
Molec. Cell. Biol. 22: 3509-3517, 2002.
[PubMed: 11971981]
[Full Text: https://doi.org/10.1128/MCB.22.10.3509-3517.2002]
</p>
</li>
<li>
<p class="mim-text-font">
Scott, A. F.
<strong>Personal Communication.</strong>
Baltimore, Md. 8/18/2000.
</p>
</li>
<li>
<p class="mim-text-font">
Srinivasula, S. M., Hegde, R., Saleh, A., Datta, P., Shiozaki, E., Chai, J., Lee, R.-A., Robbins, P. D., Fernandes-Alnemri, T., Shi, Y., Alnemri, E. S.
<strong>A conserved XIAP-interaction motif in caspase-9 and Smac/DIABLO regulates caspase activity and apoptosis.</strong>
Nature 410: 112-116, 2001. Note: Erratum: Nature 114: 1081 only, 2001.
[PubMed: 11242052]
[Full Text: https://doi.org/10.1038/35065125]
</p>
</li>
<li>
<p class="mim-text-font">
Verhagen, A. M., Ekert, P. G., Pakusch, M., Silke, J., Connolly, L. M., Reid, G. E., Moritz, R. L., Simpson, R. J., Vaux, D. L.
<strong>Identification of DIABLO, a mammalian protein that promotes apoptosis by binding to and antagonizing IAP proteins.</strong>
Cell 102: 43-53, 2000.
[PubMed: 10929712]
[Full Text: https://doi.org/10.1016/s0092-8674(00)00009-x]
</p>
</li>
<li>
<p class="mim-text-font">
Wu, G., Chai, J., Suber, T. L., Wu, J.-W., Du, C., Wang, X., Shi, Y.
<strong>Structural basis of IAP recognition by Smac/DIABLO.</strong>
Nature 408: 1008-1012, 2000.
[PubMed: 11140638]
[Full Text: https://doi.org/10.1038/35050012]
</p>
</li>
</ol>
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Cassandra L. Kniffin - updated : 8/8/2011<br>Patricia A. Hartz - updated : 9/18/2008<br>Patricia A. Hartz - updated : 2/16/2005<br>Paul J. Converse - updated : 5/29/2002<br>Ada Hamosh - updated : 12/23/2000<br>Ada Hamosh - updated : 8/31/2000<br>Matthew B. Gross - updated : 8/18/2000
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Stylianos E. Antonarakis : 8/18/2000
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