Hyper-IgE recurrent infection syndrome 1, autosomal dominant: genes and variants
Hyper-IgE recurrent infection syndrome 1, autosomal dominant is linked to 3 analyzed proteins (STAT3, IL6R and DOCK8). 65 DNA variants are known to cause it; 266 more are uncertain, and 3 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Also known as: Hyper-IgE recurrent infection syndrome 3, autosomal recessive; hyper-IgE recurrent infection syndrome 5, autosomal recessive
Genes linked to Hyper-IgE recurrent infection syndrome 1, autosomal dominant
STAT3: Signal transducer and activator of transcription 3
It translates cytokine and growth-factor signals into transcriptional programs governing immune regulation, survival, proliferation, and tissue repair. Dominant-negative variants cause hyper-IgE syndrome, while activating germline variants cause early autoimmunity and lymphoproliferation and somatic activation contributes to cancer.
65 disease-causing and 177 uncertain variants in STAT3 are linked to Hyper-IgE recurrent infection syndrome 1, autosomal dominant.
IL6R: Interleukin-6 receptor subunit alpha
It binds IL-6 and signals through gp130 either from the cell surface or as a soluble receptor, allowing both classical and trans-signaling. Genetic and pharmacologic reduction of IL-6 receptor signaling lowers inflammatory activity and is therapeutically useful in several immune-mediated diseases.
0 disease-causing and 3 uncertain variants in IL6R are linked to Hyper-IgE recurrent infection syndrome 1, autosomal dominant.
DOCK8: Dedicator of cytokinesis protein 8
It coordinates actin remodeling and signaling required for migration, survival, and immune synapse formation in lymphocytes. Biallelic loss-of-function variants cause DOCK8 deficiency, a combined immunodeficiency characterized by severe viral infections, allergy, eczema, and malignancy risk.
0 disease-causing and 86 uncertain variants in DOCK8 are linked to Hyper-IgE recurrent infection syndrome 1, autosomal dominant.
Weakly linked (only a few uncertain records): ITGB3.
Where Hyper-IgE recurrent infection syndrome 1, autosomal dominant variants cluster
- STAT3 SH2 (positions 580–670): 22 of 65 disease-causing changes, 2.9× more than its size predicts.
Known disease-causing variants in Hyper-IgE recurrent infection syndrome 1, autosomal dominant
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| STAT3 R382W | 382 | Disease-causing (★★) | |
| STAT3 R382Q | 382 | Disease-causing (★★) | |
| STAT3 F621L | 621 | SH2 | Disease-causing (★★) |
| STAT3 V637M | 637 | SH2 | Disease-causing (★★) |
| STAT3 L706P | 706 | Disease-causing (★★) | |
| STAT3 I711V | 711 | Disease-causing (★★) | |
| STAT3 R278C | 278 | Disease-causing (★★) | |
| STAT3 T389A | 389 | Disease-causing (★★) | |
| STAT3 G421R | 421 | Disease-causing (★★) | |
| STAT3 R423Q | 423 | Disease-causing (★★) | |
| STAT3 N466S | 466 | Disease-causing (★★) | |
| STAT3 N466T | 466 | Disease-causing (★★) | |
| STAT3 Y657C | 657 | SH2 | Disease-causing (★★) |
| STAT3 I659N | 659 | SH2 | Disease-causing (★★) |
| STAT3 M660T | 660 | SH2 | Disease-causing (★★) |
| STAT3 K709E | 709 | Disease-causing (★★) | |
| STAT3 P715L | 715 | Disease-causing (★★) | |
| STAT3 R152W | 152 | Essential for nuclear import | Disease-causing (★★) |
| STAT3 H332Y | 332 | Disease-causing (★★) | |
| STAT3 R335W | 335 | Disease-causing (★★) | |
| STAT3 E415K | 415 | Disease-causing (★★) | |
| STAT3 E594K | 594 | SH2 | Disease-causing (★★) |
| STAT3 T716M | 716 | Disease-causing (★★) | |
| STAT3 L673P | 673 | Disease-causing (★★) | |
| STAT3 P695L | 695 | Disease-causing (★★) | |
| STAT3 M329K | 329 | Disease-causing (★) | |
| STAT3 R382P | 382 | Disease-causing (★) | |
| STAT3 F621V | 621 | SH2 | Disease-causing (★) |
| STAT3 S636F | 636 | SH2 | Disease-causing (★) |
| STAT3 S636Y | 636 | SH2 | Disease-causing (★) |
| STAT3 V637L | 637 | SH2 | Disease-causing (★) |
| STAT3 P639A | 639 | SH2 | Disease-causing (★) |
| STAT3 P639T | 639 | SH2 | Disease-causing (★) |
| STAT3 Y705H | 705 | Disease-causing (★) | |
| STAT3 I711S | 711 | Disease-causing (★) | |
| STAT3 T714I | 714 | Disease-causing (★) | |
| STAT3 T714K | 714 | Disease-causing (★) | |
| STAT3 T620S | 620 | SH2 | Disease-causing (★) |
| STAT3 P639L | 639 | SH2 | Disease-causing (★) |
| STAT3 Y705C | 705 | Disease-causing (★) | |
| STAT3 L706M | 706 | Disease-causing (★) | |
| STAT3 R278H | 278 | Disease-causing (★) | |
| STAT3 M394T | 394 | Disease-causing (★) | |
| STAT3 M394I | 394 | Disease-causing (★) | |
| STAT3 H437Q | 437 | Disease-causing (★) | |
| STAT3 T600S | 600 | SH2 | Disease-causing (★) |
| STAT3 T622I | 622 | SH2 | Disease-causing (★) |
| STAT3 K642E | 642 | SH2 | Disease-causing (★) |
| STAT3 Y672C | 672 | Disease-causing (★) | |
| STAT3 T708S | 708 | Disease-causing (★) | |
| STAT3 C712R | 712 | Disease-causing (★) | |
| STAT3 H437Y | 437 | Disease-causing (★) | |
| STAT3 V713L | 713 | Disease-causing (★) | |
| STAT3 R103W | 103 | Disease-causing (★) | |
| STAT3 L287F | 287 | Disease-causing (★) | |
| STAT3 H410Y | 410 | Disease-causing (★) | |
| STAT3 N567D | 567 | Disease-causing (★) | |
| STAT3 L645Q | 645 | SH2 | Disease-causing (★) |
| STAT3 R382L | 382 | Disease-causing | |
| STAT3 T620A | 620 | SH2 | Disease-causing |
Showing 60 of 65.
Uncertain variants in Hyper-IgE recurrent infection syndrome 1, autosomal dominant that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| STAT3 G618R | 618 | SH2 | Conflicting reports (★) | +7: 5 other pathogenic changes within 3 positions; G618D at the same position is pathogenic; seen in 0 of gnomAD DNA copies; REVEL 0.903 |
| STAT3 R335Q | 335 | Conflicting reports (★) | +7: 2 other pathogenic changes within 3 positions; R335W at the same position is pathogenic; seen in 4.1e-06 of gnomAD DNA copies; REVEL 0.818 | |
| STAT3 G421E | 421 | Uncertain (★) | +6: 2 other pathogenic changes within 3 positions; G421R at the same position is pathogenic; seen in 6.8e-07 of gnomAD DNA copies; REVEL 0.700 |
Which prediction tools work for Hyper-IgE recurrent infection syndrome 1, autosomal dominant
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- AlphaMissense: 97 out of 100
- MetaLR: 91 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- REVEL: 90 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CATVariant: 89 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CADD: 86 out of 100
- MutPred2: 83 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- SIFT: 80 out of 100
- PolyPhen-2: 75 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- phyloP: 69 out of 100
- EVE: 64 out of 100
Same protein, different disease
- STAT3-related early-onset multisystem autoimmune disease is also caused by STAT3 variants; they fall partly in the same places as the Hyper-IgE recurrent infection syndrome 1, autosomal dominant variants (21 disease-causing).
Diseases related to Hyper-IgE recurrent infection syndrome 1, autosomal dominant
- Inherited Immunodeficiency Diseases, also linked to DOCK8 and STAT3
- STAT3 gain of function, also linked to STAT3
- Severe combined immunodeficiency disease, also linked to DOCK8
- STAT3-related early-onset multisystem autoimmune disease, also linked to STAT3
- Hyper-IgE syndrome 6, autosomal dominant, with recurrent infections, also linked to STAT3
- Combined immunodeficiency due to DOCK8 deficiency, also linked to DOCK8
Frequently asked questions
Which genes are linked to Hyper-IgE recurrent infection syndrome 1, autosomal dominant?
In CATVariant, Hyper-IgE recurrent infection syndrome 1, autosomal dominant is linked to 3 analyzed proteins: STAT3 (Signal transducer and activator of transcription 3), IL6R (Interleukin-6 receptor subunit alpha) and DOCK8 (Dedicator of cytokinesis protein 8).
How many genetic variants are linked to Hyper-IgE recurrent infection syndrome 1, autosomal dominant?
366 variants: 65 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 266 are of uncertain significance or have conflicting reports.
Which uncertain variants in Hyper-IgE recurrent infection syndrome 1, autosomal dominant look disease-causing?
3 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example STAT3 G618R, STAT3 R335Q and STAT3 G421E. These are leads for expert review, not diagnoses.
Which variant effect predictor works best for Hyper-IgE recurrent infection syndrome 1, autosomal dominant?
Among tools not trained on clinical labels, AlphaMissense separates this disease's known disease-causing variants from harmless ones best (AUROC 0.97, based on 48 disease-causing and 31 harmless variants).
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
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