On this page
⚠ Educational content only Not medical or genetic advice. Speak with a healthcare provider or genetic counsellor before acting on anything here.

PPP2R5D

protein phosphatase 2 regulatory subunit B'delta

The PPP2R5D gene provides instructions for the B56-delta protein, a crucial regulatory subunit of the protein phosphatase 2A (PP2A) enzyme, predominantly active in the brain. The PPP2R5D gene encodes the B56-delta protein, a regulatory subunit for the protein phosphatase 2A (PP2A) enzyme.

Chromosome 6p21.1 Autosomal dominant HGNC:9312 Tier C
PPP2R5D 6p21.1 p arm q arm 6

PPP2R5D is located on the short (p) arm of chromosome 6, at band 6p21.1. Arm ratio per GRCh38 - banding schematic.

Explore chromosome 6 in the library →

Overview

The PPP2R5D gene, or protein phosphatase 2 regulatory subunit B'delta, plays a critical role in cellular regulation. It provides the genetic blueprint for a protein known as B56-delta, which is an essential component of the protein phosphatase 2A (PP2A) enzyme.

This enzyme complex is involved in dephosphorylation, a process that removes phosphate groups from proteins. Dephosphorylation is fundamental for controlling protein activity, influencing various cellular processes, including cell growth and gene regulation. The B56-delta subunit specifically directs PP2A to target particular proteins, thereby governing the enzyme's function.

What the gene does

The PPP2R5D gene directs the synthesis of the B56-delta protein, which functions as a B subunit within the protein phosphatase 2A (PP2A) enzyme complex. The primary role of PP2A is dephosphorylation, where it removes phosphate groups from other proteins. This biochemical modification is crucial for modulating protein activity, effectively switching them on or off.

The B56-delta subunit is pivotal because it dictates the specificity of the PP2A enzyme, determining which proteins become dephosphorylated and regulating the overall enzymatic activity. PP2A enzymes containing the B56-delta protein are predominantly found in the brain. Here, they are thought to regulate signalling pathways that are integral to the normal development and operational capacity of nerve cells, known as neurons.

Video: Genetics 101

Chromosome location

The PPP2R5D gene is situated on chromosome 6, specifically at band 6p21.1. This precise location on the short arm of chromosome 6 helps define its genomic context.

Protein structure

The B56-delta protein, encoded by the PPP2R5D gene, consists of 602 amino acids. Its structural features include a disordered region spanning amino acids 1-96, which contains eight approximate tandem repeats of Q-P within amino acids 37-52. Specifically, individual repeat motifs are found at amino acids 37-38 (1), 39-40 (2), 41-42 (3), 43-44 (4), 45-46 (5), 47-48 (6; approximate), 49-50 (7; approximate), and 51-52 (8). Additionally, the protein features a class I SH3-binding motif at amino acids 523-530 and a nuclear localisation signal between amino acids 548-565.

Domain map · 602 amino acids
1 (37–38)2 (39–40)3 (41–42)4 (43–44)5 (45–46)6; approximate (47–48)SH3-binding; class I (523–530)Nuclear localization signal (548–565)137–38SH3-binding; class I523–530Nuclear localization s548–5651~301602
Repeat - repeating structural motif
Motif - short conserved sequence
🧬 Explore 3D structure on AlphaFold
UniProt:Q14738Length:602 aaStructure:AlphaFold

Key variants

Variants within the PPP2R5D gene can lead to alterations in the B56-delta protein, impacting its ability to regulate the PP2A enzyme. These genetic changes can range from single amino acid substitutions to other types of pathogenic variants, all of which may disrupt the normal function of the protein. The clinical consequences of such variants are typically inherited in an autosomal dominant manner.

645
Total variants catalogued in ClinVar
View all on ClinVar →
28 Pathogenic / Likely pathogenic 288 Uncertain significance 301 Benign / Likely benign 28 Conflicting or other

Sample of pathogenic variants

10 pathogenic / likely-pathogenic variants from ClinVar, ranked by review status (expert-panel-reviewed first). This is a sample; recurrent founder variants in a specific population may not appear here - see the full ClinVar listing via the link above.

Variant (HGVS) Protein change Classification Evidence Associated condition
c.1258G>A
single nucleotide variant
p.Glu420Lys Pathogenic ★★☆☆ Inborn genetic diseases
c.589G>A
single nucleotide variant
p.Glu197Lys Pathogenic/Likely pathogenic ★★☆☆ PPP2R5D-related disorder
c.592G>A
single nucleotide variant
p.Glu198Lys Pathogenic ★★☆☆ Houge-Janssens syndrome 1
c.598G>A
single nucleotide variant
p.Glu200Lys Pathogenic/Likely pathogenic ★★☆☆ Houge-Janssens syndrome 1
c.602C>G
single nucleotide variant
p.Pro201Arg Pathogenic ★★☆☆ Houge-Janssens syndrome 1
c.619T>A
single nucleotide variant
p.Trp207Arg Pathogenic ★★☆☆ Houge-Janssens syndrome 1
c.619T>C
single nucleotide variant
p.Trp207Arg Pathogenic/Likely pathogenic ★★☆☆ Genetic developmental and epileptic encephalopathy
c.621G>C
single nucleotide variant
p.Trp207Cys Pathogenic/Likely pathogenic ★★☆☆ Houge-Janssens syndrome 1
c.621G>T
single nucleotide variant
p.Trp207Cys Pathogenic ★★☆☆ not provided
c.625C>T
single nucleotide variant
p.His209Tyr Pathogenic/Likely pathogenic ★★☆☆ Houge-Janssens syndrome 1

Evidence stars indicate ClinVar review status. Individual variant interpretation should always be performed by a qualified clinical laboratory - many variants remain classified as Variants of Uncertain Significance (VUS) pending more research.

Associated conditions

Pathogenic variants in the PPP2R5D gene are associated with intellectual disability, often presenting with moderate to severe severity. Individuals may also experience weak muscle tone, medically termed hypotonia, and delayed development in speech and walking. These conditions are collectively referred to as PPP2R5D-related intellectual disability.

No disease links recorded for this gene in our reference set.

Inheritance pattern

Conditions caused by pathogenic PPP2R5D variants typically follow autosomal dominant inheritance.

♀ Affected parent 1 altered copy ♂ Unaffected parent 2 typical copies Affected Unaffected Unaffected Affected Affected Carrier Unaffected Circles = females · Squares = males

Each child has a 50% chance of inheriting the pathogenic variant, regardless of sex.

UK clinical status

In the UK, the PPP2R5D gene is recognised on several NHS Genomic Medicine Service national test directories, indicating its clinical significance. It is listed on the DDG2P panel, and specific panels for Dystonia, chorea or related movement disorder (adult onset), Foetal anomalies (R21), Hydrocephalus (R86), and Intellectual disability.

Frequently asked questions

What is the primary function of the PPP2R5D gene?

The PPP2R5D gene provides instructions for making the B56-delta protein, which is a regulatory component of the PP2A enzyme. This enzyme removes phosphate groups from other proteins, influencing their activity and controlling various cellular processes, particularly in the brain.

What health conditions are associated with variants in the PPP2R5D gene?

Variants in the PPP2R5D gene are associated with PPP2R5D-related intellectual disability, which can manifest as moderate to severe intellectual disability, weak muscle tone (hypotonia), and delays in speech and walking development.

How is PPP2R5D-related intellectual disability inherited?

PPP2R5D-related intellectual disability is typically inherited in an autosomal dominant manner, meaning only one altered copy of the gene in each cell is sufficient to cause the condition.

References

  1. Shang L, Henderson LB, Cho MT. De novo missense variants in PPP2R5D are associated with intellectual disability, macrocephaly, hypotonia, and autism. Neurogenetics. 2016. PMID: 26576547
  2. Loveday C, Tatton-Brown K, Clarke M. Mutations in the PP2A regulatory subunit B family genes PPP2R5B, PPP2R5C and PPP2R5D cause human overgrowth. Human molecular genetics. 2015. PMID: 25972378
  3. Yu UY, Yoo BC, Ahn JH. Regulatory B Subunits of Protein Phosphatase 2A Are Involved in Site-specific Regulation of Tau Protein Phosphorylation. The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology. 2014. PMID: 24757378
  4. Janssens V, Goris J. Protein phosphatase 2A: a highly regulated family of serine/threonine phosphatases implicated in cell growth and signalling. The Biochemical journal. 2001. PMID: 11171037
Educational content. This page is not medical or genetic advice, is not individually reviewed by a clinician for each reader, and should not replace a consultation with a qualified healthcare professional or genetic counsellor. If you are considering genetic testing or acting on a test result, book a consultation.
Data sources Last updated 27 September 2026. Content compiled from HGNC · MedlinePlus Genetics · ClinGen · Genomics England PanelApp · NHS National Genomic Test Directory · ClinVar · UniProt · AlphaFold .