CTLA4
Cytotoxic T-lymphocyte protein 4
Also known as: CD, CD152, CELIAC3, CTLA-4, CTLA4_HUMAN, GSE, IDDM12
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P16410
- Gene
- CTLA4
- Ensembl
- ENSG00000163599
- Chromosome
- 2
- Canonical length
- 223 aa
- Protein class
- CD markers, Disease related genes, FDA approved drug targets, Human disease related genes, Predicted intracellular proteins, Predicted membrane proteins
- Quaternary structure
- Homodimer
OverviewNCBI Gene
This gene is a member of the immunoglobulin superfamily and encodes a protein which transmits an inhibitory signal to T cells. The protein contains a V domain, a transmembrane domain, and a cytoplasmic tail. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. The membrane-bound isoform functions as a homodimer interconnected by a disulfide bond, while the soluble isoform functions as a monomer. Mutations in this gene have been associated with insulin-dependent diabetes mellitus, Graves disease, Hashimoto thyroiditis, celiac disease, systemic lupus erythematosus, thyroid-associated orbitopathy, and other autoimmune diseases. [provided by RefSeq, Jul 2008]
Canonical amino-acid sequenceUniProt
223 residues, UniProt reviewed canonical sequence.
>P16410|CTLA4
1 MACLGFQRHK AQLNLATRTW PCTLLFFLLF IPVFCKAMHV AQPAVVLASS RGIASFVCEY
61 ASPGKATEVR VTVLRQADSQ VTEVCAATYM MGNELTFLDD SICTGTSSGN QVNLTIQGLR
121 AMDTGLYICK VELMYPPPYY LGIGNGTQIY VIDPEPCPDS DFLLWILAAV SSGLFFYSFL
181 LTAVSLSKML KKRSPLTTGV YVKMPPTEPE CEKQFQPYFI PINLocalizationUniProt · AlphaFold · HPA
Whether an antibody against CTLA4 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
- Cell surface
- Secreted
- No
- Transmembrane segments
- 1
- Mean surface accessibility (rSASA)
- 0.46
- Highest tissue expression
- 35 nTPM
Expression across tissuesHPA
Tissue
- lymph node: 35 nTPM
- appendix: 18 nTPM
- tonsil: 16 nTPM
- thymus: 9.5 nTPM
- bone marrow: 5.8 nTPM
- small intestine: 5.7 nTPM
Single-cell type
- t-cells: 87 nCPM
- oocytes: 9.2 nCPM
- cdc: 7.1 nCPM
- undifferentiated spermatogonia: 6.3 nCPM
- lymphatic endothelial cells: 4.3 nCPM
- macrophages: 4 nCPM
Immune cell
- T-reg: 43 nTPM
- memory CD4 T-cell: 5.9 nTPM
- naive CD4 T-cell: 1.4 nTPM
- memory CD8 T-cell: 0.7 nTPM
- total PBMC: 0.6 nTPM
- gdT-cell: 0.5 nTPM
Brain region
- medulla oblongata: 2.2 nTPM
- pons: 1.8 nTPM
- midbrain: 1 nTPM
- choroid plexus: 0.8 nTPM
- spinal cord: 0.8 nTPM
- hypothalamus: 0.7 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about CTLA4.
Disease | AllUniProt
Conditions CTLA4 is implicated in, by any mechanism.
- Systemic lupus erythematosus (SLE) MIM:152700
- Type 1 diabetes mellitus 12 (T1D12) MIM:601388
- Celiac disease 3 (CELIAC3) MIM:609755
- Immune dysregulation with autoimmunity, immunodeficiency, and lymphoproliferation (IDAIL) MIM:616100
Disease | GeneticClinVar
63 pathogenic / likely-pathogenic of 301 ClinVar records.
Conditions with pathogenic or likely-pathogenic variants.
- Autoimmune lymphoproliferative syndrome due to CTLA4 haploinsufficiency
- Type 1 diabetes mellitus 12
- Celiac disease, susceptibility to, 3
- Systemic lupus erythematosus
- Hashimoto thyroiditis
Disease | ImmuneIEDB
Conditions an epitope on CTLA4 was assayed in.
- rheumatoid arthritis B cell
ReferencesPubMed · IEDB
Publications for CTLA4 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
22 publications
- CTLA-4: a negative regulator of autoimmune disease.
1996 · J Exp Med · RCR 5.8 · 318 citations - Best practices in the management of thyroid dysfunction induced by immune checkpoint inhibitors.
2025 · Eur Thyroid J · RCR 5.4 · 16 citations - CTLA-4 controls follicular helper T-cell differentiation by regulating the strength of CD28 engagement.
2015 · Proc Natl Acad Sci U S A · RCR 3.9 · 153 citations - Autoantibodies to T cell costimulatory molecules in systemic autoimmune diseases.
1999 · J Immunol · RCR 1.5 · 63 citations - Diversity of antigen-specific responses induced in vivo with CTLA-4 blockade in prostate cancer patients.
2012 · J Immunol · RCR 1.3 · 62 citations
Show 17 more
- Combination of CTL-associated antigen-4 blockade and depletion of CD25 regulatory T cells enhance tumour immunity of dendritic cell-based vaccine in a mouse model of colon cancer.
2010 · Scand J Immunol · RCR 1.1 · 56 citations - Anti-CTLA-4 antibody treatment triggers determinant spreading and enhances murine myasthenia gravis.
2001 · J Immunol · RCR 1.1 · 61 citations - CTLA-4 downregulates epitope spreading and mediates remission in relapsing experimental autoimmune encephalomyelitis.
2000 · J Neuroimmunol · RCR 0.8 · 45 citations - An open-label, multiple ascending dose study of the anti-CTLA-4 antibody ipilimumab in viremic HIV patients.
2018 · PLoS One · RCR 0.7 · 23 citations - A Commotion in the Skin: Developing Melanoma Immunotherapies.
2022 · J Invest Dermatol · RCR 0.5 · 8 citations - Autoimmunity-mediated antitumor immunity: tumor as an immunoprivileged self.
2012 · Eur J Immunol · RCR 0.5 · 26 citations - Dendritic cell-directed CTLA-4 engagement during pancreatic beta cell antigen presentation delays type 1 diabetes.
2010 · J Immunol · RCR 0.4 · 17 citations - Cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) blockade enhances incidence and severity of experimental autoimmune neuritis in resistant mice.
2001 · J Neuroimmunol · RCR 0.4 · 19 citations - Immunization with DNA topoisomerase I induces autoimmune responses but not scleroderma-like pathologies in mice.
2007 · J Rheumatol · RCR 0.4 · 15 citations - Co-inhibitory Receptor Signaling in T-Cell-Mediated Autoimmune Glomerulonephritis.
2020 · Front Med (Lausanne) · RCR 0.3 · 7 citations - Inhibitory signal override increases susceptibility to mercury-induced autoimmunity.
2003 · J Immunol · RCR 0.2 · 11 citations - Autoantibodies against T-Cell costimulatory molecules are produced in canine autoimmune diseases.
2003 · J Immunother · RCR 0.2 · 5 citations - Pembrolizumab-caused polyradiculoneuropathy as an immune-related adverse event.
2021 · Neuropathology · RCR 0.2 · 3 citations - [What's new in internal medecine?].
2016 · Ann Dermatol Venereol - [Endocrine consequences of immune checkpoint inhibitors].
2019 · Rev Med Liege - MPO-ANCA positive glomerulonephritis during PD-1 inhibitor combined with anti-CTLA4 antibody in lung cancer.
2024 · J Chemother - Reduction of solid tumors by senescent cell immunization.
2025 · J Transl Med · 2 citations
Reference: B cellIEDB
1 publication
- Disordered Antigens and Epitope Overlap Between Anti-Citrullinated Protein Antibodies and Rheumatoid Factor in Rheumatoid Arthritis.
2020 · Arthritis Rheumatol · RCR 1.7 · 30 citations
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)
- 0.33
- gnomAD pLI
- 0.94
- gnomAD missense Z
- 1.69
- DepMap mean gene effect
- -0.05
- DepMap dependency class
- none
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 3% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
OntologyGO
Biological processes
- adaptive immune response
- B cell receptor signaling pathway
- DNA damage response
- immune response
- negative regulation of B cell proliferation
- negative regulation of regulatory T cell differentiation
- negative regulation of T cell activation
- negative regulation of T cell proliferation
- negative regulation of T cell receptor signaling pathway
- positive regulation of apoptotic process
- T cell receptor signaling pathway
Molecular functions
Cellular components
Protein domainsUniProt · Pfam · InterPro
KeywordsUniProt
InteractionsUniProt · HPA
Protein binding partners of CTLA4 in the human serome: UniProt-annotated complex subunits plus reported interactors. Each links to its own Seroatlas record.
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads CTLA4 as an antibody target. Whether an autoantibody or antibody against CTLA4 could matter depends on whether native CTLA4 is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
CTLA4 is annotated at the cell surface, where native CTLA4 is exposed to circulating antibodies and is a prime autoantibody target that could block, deplete, or overstimulate it.
Source-annotated serology context
The source annotations explicitly mention antibody, autoantibody, autoantigen, or autoimmune context. This is biological context, not study-specific reactivity.
- Mutations in this gene have been associated with insulin-dependent diabetes mellitus, Graves disease, Hashimoto thyroiditis, celiac disease, systemic lupus erythematosus, thyroid-associated orbitopathy, and other autoimmune diseases.
Loading the interactive Seroatlas protein explorer...