CD28 is the prototypic T cell co-stimulatory receptor (signal 2) that synergizes with TCR engagement (signal 1) to enable full T cell activation. It is a ~44 kDa disulfide-linked homodimer of the immunoglobulin superfamily, containing an extracellular IgV-type domain with a conserved MYPPPY motif that mediates binding to its ligands CD80 (B7-1) and CD86 (B7-2) on antigen-presenting cells. CD28 is expressed on nearly all human CD4+ T cells and a substantial fraction of CD8+ T cells. Upon ligation, the cytoplasmic tail recruits signaling molecules via three key motifs: YMNM (binds PI3K p85 subunit and GRB2), PRRP (recruits ITK leading to PLCgamma1 and SLP-76/GADS engagement), and PYAP (binds Lck and assembles PKC-theta at the synapse). These converge on NF-kB, AP-1, and NFAT transcriptional programs and mTOR-dependent metabolic reprogramming to drive IL-2 production, T cell survival, proliferation, and effector differentiation. The inhibitory receptor CTLA-4 competes for the same B7 ligands with higher affinity, providing a critical negative regulatory checkpoint. Inherited CD28 deficiency causes susceptibility to HPV-related verrucosis (IMD123). CD28 localizes to the immune synapse at the T cell-APC interface, where it accelerates Lck recruitment to TCR microclusters and lowers the TCR activation threshold.
Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.
| Disorder | Relationship | Where the gene appears |
|---|---|---|
| Celiac Disease | susceptibility | |
| Immunodeficiency 123 With HPV-related Verrucosis | causative |
mechanism: Biallelic CD28 Loss of Function
|
| Ankylosing Spondylitis |
untyped
GWAS
|
|
| Asthma |
untyped
GWAS
|
|
| Crohn Disease |
untyped
GWAS
|
|
| Multiple Sclerosis |
untyped
GWAS
|
mechanism: Th1/Th17-Mediated Neuroinflammation
|
| Psoriasis |
untyped
GWAS
|
|
| Rheumatoid Arthritis |
untyped
GWAS
|
mechanism: Autoimmune Response
|
| Ulcerative Colitis |
untyped
GWAS
|
mechanism: Dysregulated Immune Response
|
An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.
| ClinGen disease | MOI | Classification | dismech entry |
|---|---|---|---|
| immunodeficiency 123 with HPV-related verrucosis MONDO:0971177 | AR | Moderate 2024-10-29 |
Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.