Normal function · from ai-gene-review (P10747, commit 79fe13b38970) · AI-generated, not KB evidence

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.

CD28 is the prototypic T cell coreceptor. It cooperates with the TCR by binding B7 ligands (CD80/CD86) on APCs to provide signal 2 for T cell activation. This is the single most precise molecular function term for CD28.
In the knowledge base · computed from kb/ at build time

Disorders

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.

DisorderRelationshipWhere 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
ClinGen gene–disease validity · snapshot 2026-10-03 · matched to entries by MONDO

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 diseaseMOIClassificationdismech 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.