TNFRSF4 (OX40) Gene: Role in T-Cell Immunity and Disease

A comprehensive biomedical overview of TNFRSF4, encoding the OX40 receptor, including gene structure, expression, disease associations, and functional implications.

Gene Information Card

Symbol TNFRSF4
Full Name TNF receptor superfamily member 4
Gene Type protein-coding
Chromosomal Location 1p36.33
NCBI Gene ID 7293 ncbi.nlm.nih.gov/gene/7293
Ensembl ID ENSG00000186827
UniProt ID P43489
OMIM ID 600315
HGNC ID 11918
Aliases OX40, CD134, TXGP1L, ACT35

Description

TNFRSF4 encodes OX40, a member of the tumor necrosis factor receptor superfamily. OX40 is a transmembrane receptor primarily expressed on activated T cells, including CD4+ and CD8+ T cells, as well as regulatory T cells (Tregs). Its ligand, OX40L (TNFSF4), is expressed on antigen-presenting cells. Engagement of OX40 provides co-stimulatory signals that enhance T-cell proliferation, survival, cytokine production, and memory formation. TNFRSF4 plays a critical role in immune responses, and its dysregulation is implicated in autoimmune diseases, infectious diseases, and cancer. The gene is also a target for cancer immunotherapy and immunomodulatory therapies.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Immunodeficiency 16 Loss-of-function mutations in TNFRSF4 impair OX40 signaling, leading to defective T-cell responses and increased susceptibility to infections, particularly with human herpesvirus 8 (HHV-8) and other pathogens. ClinVar (Pathogenic variants); OMIM #615593
Autoimmune lymphoproliferative syndrome (ALPS) Some TNFRSF4 variants may contribute to dysregulated T-cell survival and apoptosis, though direct causality is not fully established. ClinVar (Uncertain significance); OMIM #601859
Cancer (various) OX40 expression on tumor-infiltrating lymphocytes is associated with improved prognosis in some cancers; OX40 agonists are being explored as immunotherapeutic agents. COSMIC (somatic mutations); PubMed (clinical trials)
Inflammatory diseases (e.g., rheumatoid arthritis, inflammatory bowel disease) OX40-OX40L interaction promotes pro-inflammatory T-cell responses, contributing to chronic inflammation. PubMed (association studies); OMIM (susceptibility loci)

Expression Profile

Tissue Expression
Tissue nTPM level
Lymph node 5.2 Medium
Spleen 4.8 Medium
Thymus 3.1 Low
Blood 2.5 Low
Bone marrow 1.9 Low
Lung 0.8 Not detected
Liver 0.3 Not detected
Cell Line Expression
Cell Line nTPM Notes
Jurkat (T-cell leukemia) 12.5 High expression; activated T-cell model
Ramos (B-cell lymphoma) 1.2 Low expression; B-cell line
K562 (chronic myeloid leukemia) 0.5 Not detected
HeLa (cervical carcinoma) 0.2 Not detected
A549 (lung carcinoma) 0.1 Not detected
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.340C>T (p.Arg114*) Nonsense Rare Loss of function; truncated protein
c.499G>A (p.Gly167Arg) Missense Rare Loss of function; impaired ligand binding
c.631C>T (p.Arg211Cys) Missense Rare Uncertain; possible dominant-negative effect
c.782A>G (p.Asn261Ser) Missense Rare Gain of function; enhanced signaling (reported in some cancers)
Mutation functional classification

Loss of Function (LOF)

Nonsense and missense mutations that disrupt the extracellular domain or transmembrane region, leading to reduced OX40 expression or impaired ligand binding, resulting in defective T-cell co-stimulation.

Gain of Function (GOF)

Missense mutations that enhance receptor signaling or oligomerization, potentially promoting excessive T-cell activation and contributing to autoimmunity or tumor immune evasion.

Dominant Negative (DN)

Mutations that produce a truncated receptor capable of forming non-functional heterodimers with wild-type OX40, thereby inhibiting normal signaling.

Gene Ontology (GO)

• receptor activity • tumor necrosis factor-activated receptor activity
• protein binding • signal transduction
• immune response • T cell costimulation
• regulation of cytokine production • apoptotic process
• positive regulation of NF-kappaB transcription factor activity

Pathways

• TNF receptor superfamily signaling
• NF-kappaB signaling pathway
• T cell receptor signaling pathway
• Cytokine-cytokine receptor interaction
• OX40 signaling pathway (Reactome)

Protein Summary

The OX40 protein (UniProt P43489) is a 277-amino-acid type I transmembrane glycoprotein. It consists of an extracellular domain with cysteine-rich repeats characteristic of the TNFR superfamily, a single transmembrane helix, and a cytoplasmic tail containing TRAF-binding motifs. Upon binding to OX40L, OX40 recruits TRAF2 and TRAF5, leading to activation of NF-kappaB, PI3K/AKT, and MAPK pathways. This promotes T-cell survival, proliferation, and effector function. OX40 is expressed on activated T cells and Tregs, where it modulates suppressive activity. The protein is a key target for agonistic antibodies in cancer immunotherapy and for antagonistic agents in autoimmune disease treatment.

Related Products

Product name Cat.No. Species Gene ID
TNFRSF4 Knockout HEK293 Cell Line EDJ-KQ17691 Human 7293 Details Get a Quote
TNFRSF4 Knockout HeLa Cell Line EDJ-KQ54710 Human 7293 Details Get a Quote
TNFRSF4 Knockout A-549 Cell Line EDJ-KQ63200 Human 7293 Details Get a Quote
TNFRSF4 Knockout HCT 116 Cell Line EDJ-KQ71668 Human 7293 Details Get a Quote
TNFRSF4 Overexpression HEK293 Stable Cell Line EDJ-GQ101 Human 7293 Details Get a Quote
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