APOH
Beta-2-glycoprotein 1
Also known as: APOH_HUMAN, B2G1, BG
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P02749
- Gene
- APOH
- Ensembl
- ENSG00000091583
- Chromosome
- 17
- Canonical length
- 345 aa
- Protein class
- Candidate cardiovascular disease genes, Plasma proteins, Predicted intracellular proteins, Predicted secreted proteins
- Subcellular location
- Golgi apparatus
- Secretome location
- Secreted to blood
OverviewNCBI Gene
Apolipoprotein H, also known as beta-2-glycoprotein I, is a component of circulating plasma lipoproteins. It has been implicated in a variety of physiologic pathways including lipoprotein metabolism, coagulation, hemostasis, and the production of antiphospholipid autoantibodies. APOH may be a required cofactor for anionic phospholipid binding by the antiphospholipid autoantibodies found in sera of many patients with lupus and primary antiphospholipid syndrome (APS). The anti-beta (2) glycoprotein I antibodies from APS patients, mediate inhibition of activated protein C which has anticoagulant properties. Because beta-2-GPI is the main autoantigen in patients with APS, the disruption of this pathway by autoantibodies may be an important mechanism for thrombosis in patients with APS.[provided by RefSeq, Dec 2019]
Canonical amino-acid sequenceUniProt
345 residues, UniProt reviewed canonical sequence.
>P02749|APOH
1 MISPVLILFS SFLCHVAIAG RTCPKPDDLP FSTVVPLKTF YEPGEEITYS CKPGYVSRGG
61 MRKFICPLTG LWPINTLKCT PRVCPFAGIL ENGAVRYTTF EYPNTISFSC NTGFYLNGAD
121 SAKCTEEGKW SPELPVCAPI ICPPPSIPTF ATLRVYKPSA GNNSLYRDTA VFECLPQHAM
181 FGNDTITCTT HGNWTKLPEC REVKCPFPSR PDNGFVNYPA KPTLYYKDKA TFGCHDGYSL
241 DGPEEIECTK LGNWSAMPSC KASCKVPVKK ATVVYQGERV KIQEKFKNGM LHGDKVSFFC
301 KNKEKKCSYT EDAQCIDGTI EVPKCFKEHS SLAFWKTDAS DVKPCLocalizationUniProt · AlphaFold · HPA
Whether an antibody against APOH can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.
- Antibody reachability
- Secreted
- Secreted
- Yes
- Transmembrane segments
- 0
- Mean surface accessibility (rSASA)
- 0.35
- Highest tissue expression
- 16,782 nTPM
Expression across tissuesHPA
Tissue
- liver: 16,782 nTPM
- kidney: 30 nTPM
- pancreas: 10 nTPM
- lung: 5.3 nTPM
- spleen: 3.6 nTPM
- stomach: 3.5 nTPM
Single-cell type
- hepatocytes: 9,196 nCPM
- pancreatic islet cells: 166 nCPM
- cholangiocytes: 160 nCPM
- kupffer cells: 113 nCPM
- hepatic stellate cells: 58 nCPM
- epididymal efferent duct absorptive cells: 42 nCPM
Immune cell
- basophil: 0.2 nTPM
- classical monocyte: 0.2 nTPM
- gdT-cell: 0.2 nTPM
- naive B-cell: 0.2 nTPM
- eosinophil: 0.1 nTPM
- MAIT T-cell: 0.1 nTPM
Brain region
- choroid plexus: 1.4 nTPM
- cerebral cortex: 1.3 nTPM
- medulla oblongata: 1.3 nTPM
- hippocampal formation: 1.2 nTPM
- hypothalamus: 1.2 nTPM
- spinal cord: 1.2 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about APOH.
Disease | ImmuneIEDB
Conditions an epitope on APOH was assayed in.
- systemic scleroderma B cell
- antiphospholipid syndrome B and T cell
- rheumatoid arthritis B cell
- endocarditis B cell
- rheumatic myocarditis B cell
- cardiovascular system disease B cell
Disease | AutoantibodyPubMed
Conditions in which antibodies against APOH are reported. Each links to that disease's full target list.
- Antiphospholipid Syndrome 730
- Thrombosis 255
- Lupus Erythematosus, Systemic 218
- Abortion, Habitual 51
- Venous Thrombosis 42
- COVID-19 27
- Thrombocytopenia 26
- Atherosclerosis 24
- Stroke 21
- Abortion, Spontaneous 20
- Arthritis, Rheumatoid 16
- Pre-Eclampsia 16
- Lupus Nephritis 14
- Myocardial Infarction 13
- Scleroderma, Systemic 13
- Hypertension 10
- Kidney Diseases 8
- Kidney Failure, Chronic 8
- Lupus Vasculitis, Central Nervous System 8
- Sjogren's Syndrome 8
Showing 20 of 81 — disease pages carrying at least 10 antigens.
ReferencesPubMed · IEDB
Publications for APOH from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.
Reference: AutoantibodyPubMed
1,254 publications
- The 2023 ACR/EULAR Antiphospholipid Syndrome Classification Criteria.
2023 · Arthritis Rheumatol · RCR 66.2 · 371 citations - 2023 ACR/EULAR antiphospholipid syndrome classification criteria.
2023 · Ann Rheum Dis · RCR 53.8 · 321 citations - An update on laboratory detection and interpretation of antiphospholipid antibodies for diagnosis of antiphospholipid syndrome: guidance from the ISTH-SSC Subcommittee on Lupus Anticoagulant/Antiphospholipid Antibodies.
2025 · J Thromb Haemost · RCR 27.6 · 66 citations - Prothrombotic autoantibodies in serum from patients hospitalized with COVID-19.
2020 · Sci Transl Med · RCR 22.4 · 482 citations - Antiphospholipid syndrome.
2018 · Nat Rev Dis Primers · RCR 14.6 · 295 citations
Show 20 more of 1,254 total
- Epidemiology of antiphospholipid syndrome: macro- and microvascular manifestations.
2024 · Rheumatology (Oxford) · RCR 14.3 · 52 citations - Association of anti-beta 2 glycoprotein I antibodies with lupus-type circulating anticoagulant and thrombosis in systemic lupus erythematosus.
1992 · Am J Med · RCR 13.7 · 314 citations - The Epidemiology of Antiphospholipid Syndrome: A Population-Based Study.
2019 · Arthritis Rheumatol · RCR 13 · 220 citations - Evidence-based recommendations for the prevention and long-term management of thrombosis in antiphospholipid antibody-positive patients: report of a task force at the 13th International Congress on antiphospholipid antibodies.
2011 · Lupus · RCR 12.1 · 349 citations - Complement activity and complement regulatory gene mutations are associated with thrombosis in APS and CAPS.
2020 · Blood · RCR 11.3 · 185 citations - "Anticardiolipin" autoantibodies recognize beta 2-glycoprotein I in the absence of phospholipid. Importance of Ag density and bivalent binding.
1995 · J Immunol · RCR 10.9 · 316 citations - Aspirin or heparin or both for improving pregnancy outcomes in women with persistent antiphospholipid antibodies and recurrent pregnancy loss.
2020 · Cochrane Database Syst Rev · RCR 9.6 · 128 citations - Antiphospholipid syndrome.
2020 · Best Pract Res Clin Rheumatol · RCR 9.3 · 136 citations - Lupus anticoagulant is the strongest risk factor for both venous and arterial thrombosis in patients with systemic lupus erythematosus. Comparison between different assays for the detection of antiphospholipid antibodies.
1996 · Thromb Haemost · RCR 9 · 241 citations - Lupus anticoagulant activity is frequently dependent on the presence of beta 2-glycoprotein I.
1992 · Thromb Haemost · RCR 8.9 · 209 citations - Lupus anticoagulant activity of autoimmune antiphospholipid antibodies is dependent upon beta 2-glycoprotein I.
1992 · J Clin Invest · RCR 8.2 · 207 citations - Endothelial cells as target for antiphospholipid antibodies. Human polyclonal and monoclonal anti-beta 2-glycoprotein I antibodies react in vitro with endothelial cells through adherent beta 2-glycoprotein I and induce endothelial activation.
1997 · Arthritis Rheum · RCR 7.9 · 257 citations - Diagnosis and classification of the antiphospholipid syndrome.
2014 · J Autoimmun · RCR 7.6 · 189 citations - Diagnosing antiphospholipid syndrome: 'extra-criteria' manifestations and technical advances.
2017 · Nat Rev Rheumatol · RCR 7.6 · 152 citations - Development of an ELISA for autoantibodies to prothrombin showing their prevalence in patients with lupus anticoagulants.
1995 · Thromb Haemost · RCR 7.3 · 191 citations - Antiphospholipid antibodies in patients with COVID-19: A relevant observation?
2020 · J Thromb Haemost · RCR 7.2 · 139 citations - Anti beta 2 glycoprotein I antibodies: detection and association with thrombosis.
1995 · Br J Haematol · RCR 7.2 · 172 citations - Antiphospholipid Antibodies in Critically Ill Patients With COVID-19.
2020 · Arthritis Rheumatol · RCR 7.1 · 134 citations - Semiquantitative interpretation of anticardiolipin and antiβ2glycoprotein I antibodies measured with various analytical platforms: Communication from the ISTH SSC Subcommittee on Lupus Anticoagulant/Antiphospholipid Antibodies.
2022 · J Thromb Haemost · RCR 7 · 63 citations - The association between circulating antibodies against domain I of beta2-glycoprotein I and thrombosis: an international multicenter study.
2009 · J Thromb Haemost · RCR 7 · 230 citations
Reference: B cellIEDB
7 publications
- Disordered Antigens and Epitope Overlap Between Anti-Citrullinated Protein Antibodies and Rheumatoid Factor in Rheumatoid Arthritis.
2020 · Arthritis Rheumatol · RCR 1.7 · 30 citations - Prevalence and clinical correlations of antibodies against six beta2-glycoprotein-I-related peptides in the antiphospholipid syndrome.
2003 · J Clin Immunol · RCR 1.5 · 54 citations - Patients with atherosclerotic syndrome, negative in anti-cardiolipin assays, make IgA autoantibodies that preferentially target domain 4 of beta2-GPI.
2006 · J Autoimmun · RCR 1.4 · 55 citations - Computational analysis of high-density peptide microarray data with application from systemic sclerosis to multiple sclerosis.
2012 · Autoimmun Rev · RCR 1 · 35 citations - The prevalence of coeliac disease antibodies in patients with the antiphospholipid syndrome.
2003 · Lupus · RCR 0.8 · 25 citations
Show 2 more
- Overlapping humoral autoimmunity links rheumatic fever and the antiphospholipid syndrome.
2006 · Rheumatology (Oxford) · RCR 0.7 · 26 citations - Libman-Sacks endocarditis associated with antiphospholipid syndrome and infection.
2004 · Thromb Res · RCR 0.7 · 25 citations
Reference: T cellIEDB
1 publication
Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. IEDB — curated epitope assays from the Immune Epitope Database (Vita et al., Nucleic Acids Research 2019). Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.
Genetic constraint and essentialitygnomAD · DepMap
Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.
- gnomAD LOEUF (loss-of-function intolerance)
- 1.66
- gnomAD pLI
- 0
- gnomAD missense Z
- 0.28
- DepMap mean gene effect
- -0.08
- DepMap dependency class
- selective
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 2% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
OntologyGO
Biological processes
- blood coagulation, intrinsic pathway
- chylomicron remodeling
- negative regulation of angiogenesis
- negative regulation of blood coagulation
- negative regulation of endothelial cell migration
- negative regulation of endothelial cell proliferation
- negative regulation of fibrinolysis
- negative regulation of myeloid cell apoptotic process
- negative regulation of smooth muscle cell apoptotic process
- plasminogen activation
- positive regulation of blood coagulation
- regulation of fibrinolysis
- triglyceride transport
- very-low-density lipoprotein particle remodeling
- positive regulation of triglyceride metabolic process
Molecular functions
- heparin binding
- identical protein binding
- lipase binding
- lipid binding
- lipoprotein lipase activator activity
- phospholipid binding
Cellular components
Protein domainsUniProt · Pfam · InterPro
- Sushi/SCR/CCP domain
- Sushi/SCR/CCP superfamily
- Sushi repeat (SCR repeat)
- Beta-2-glycoprotein-1 fifth domain
- Beta-2-glycoprotein-1 fifth domain
KeywordsUniProt
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads APOH as an antibody target. Whether an autoantibody or antibody against APOH could matter depends on whether native APOH is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
APOH is annotated as secreted, so native APOH circulates and is directly accessible to antibodies. Secreted and cell-surface proteins are the autoantibody targets most likely to act like drugs, blocking or depleting the native protein.
Source-annotated serology context
The source annotations explicitly mention antibody, autoantibody, autoantigen, or autoimmune context. This is biological context, not study-specific reactivity.
- It has been implicated in a variety of physiologic pathways including lipoprotein metabolism, coagulation, hemostasis, and the production of antiphospholipid autoantibodies.
- APOH may be a required cofactor for anionic phospholipid binding by the antiphospholipid autoantibodies found in sera of many patients with lupus and primary antiphospholipid syndrome (APS).
- Because beta-2-GPI is the main autoantigen in patients with APS, the disruption of this pathway by autoantibodies may be an important mechanism for thrombosis in patients with APS.[provided by RefSeq, Dec 2019]
- The anti-beta (2) glycoprotein I antibodies from APS patients, mediate inhibition of activated protein C which has anticoagulant properties.
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