ALB Gene (Albumin): Function, Mutations, and Associated Diseases

Explore the ALB gene, its role in plasma protein synthesis, clinical significance, expression patterns, and related disorders.

Gene Information Card

Symbol ALB
Full Name Albumin
Gene Type Protein coding
Chromosomal Location 4q13.3
NCBI Gene ID 213 ncbi.nlm.nih.gov/gene/213
Ensembl ID ENSG00000163631
UniProt ID P02768
OMIM ID 103600
HGNC ID 399
Aliases HSA, PRO0883, albumin

Description

The ALB gene encodes albumin, the most abundant protein in human blood plasma. Albumin is a soluble, monomeric protein synthesized primarily by the liver. It plays a critical role in maintaining colloidal osmotic pressure, transporting various molecules (including hormones, fatty acids, bilirubin, and drugs), and serving as a major antioxidant and pH buffer. Mutations in this gene can lead to conditions such as analbuminemia and familial dysalbuminemic hyperthyroxinemia.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Analbuminemia Loss-of-function mutations in the ALB gene lead to a near absence of serum albumin. This is a rare autosomal recessive disorder characterized by very low albumin levels, often with mild symptoms like fatigue and edema, but can be asymptomatic due to compensatory mechanisms. OMIM: 103600; ClinVar; PubMed
Familial Dysalbuminemic Hyperthyroxinemia (FDH) Specific missense mutations (e.g., R218H, R218P) in the ALB gene cause albumin to have an increased affinity for thyroxine (T4). This results in elevated total serum T4 levels but normal free T4 and normal thyroid function, leading to a benign biochemical abnormality. OMIM: 103600; ClinVar; PubMed
Hyperthyroxinemia due to ALB mutations Other mutations can alter albumin's binding affinity for thyroid hormones, leading to abnormal thyroid function test results without clinical thyroid disease. ClinVar; PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Liver High Liver-specific expression
Plasma High Secreted protein, most abundant in plasma
Kidney Low Expression is minimal; filtered and reabsorbed
Other Tissues Not detected Primarily expressed in the liver
Cell Line Expression
Cell Line nTPM Notes
HepG2 (Liver cancer cell line) High Hepatocellular carcinoma cell line that produces albumin
Hep3B (Liver cancer cell line) High Hepatocellular carcinoma cell line that produces albumin
Other cell lines Low/Not detected Non-hepatic cell lines generally do not express ALB
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1A>T (p.Met1?) Loss-of-function Rare Disrupts translation initiation, leading to analbuminemia
c.228_229del (p.Lys77Asnfs*23) Frameshift Rare Premature stop codon, leading to analbuminemia
c.653A>G (p.Asp218Gly) Missense Rare Alters thyroxine binding affinity, causing FDH
c.653A>C (p.Asp218Ala) Missense Rare Alters thyroxine binding affinity, causing FDH
Mutation functional classification

Loss of Function (LOF)

Loss-of-function mutations, such as frameshift or nonsense mutations, result in reduced or absent albumin production, leading to analbuminemia.

Gain of Function (GOF)

Gain-of-function mutations are not typical for ALB. However, missense mutations that increase binding affinity for ligands like thyroxine can be considered a form of functional alteration, leading to FDH.

Dominant Negative (DN)

Dominant-negative effects are not commonly described for ALB mutations. The disorder analbuminemia is autosomal recessive, while FDH is autosomal dominant due to the altered protein's effect on hormone binding.

Pathways

Complement and coagulation cascades
Platelet activation
signaling and aggregation
Hemostasis
Plasma lipoprotein clearance
Transport of small molecules

Protein Summary

Albumin is a 66.5 kDa protein consisting of 585 amino acids. It is synthesized as preproalbumin, which is cleaved to proalbumin and then to mature albumin. The protein has a heart-shaped structure with three homologous domains, each containing two subdomains. It contains 17 disulfide bonds and one free cysteine residue (Cys34), which is important for its antioxidant properties. Albumin binds and transports a wide variety of endogenous and exogenous ligands, including fatty acids, bilirubin, metal ions, hormones, and drugs. Its primary function is to maintain plasma oncotic pressure, which is crucial for fluid distribution between the intravascular and extravascular compartments.

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Displaying Records 1 To 15 Of 33 Records
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