FB2026_02 , released June 18, 2026
Human Disease Model Report: tuberous sclerosis 2
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General Information
Name
tuberous sclerosis 2
FlyBase ID
FBhh0000225
Disease Ontology Term
Parent Disease
Overview

This report describes tuberous sclerosis 2 (TSC2); TSC2 exhibits autosomal dominant inheritance. The human gene implicated in this disease is TSC2 (also called tuberin), which acts in a complex with TSC1. The tuberous sclerosis complex (TSC) regulates the activity of mTOR complex 1 and thus has a key role in the regulation of cell growth and proliferation. There is a single fly ortholog of TSC2, gig, for which classical alleles, RNAi-targeting constructs and an allele caused by insertional mutagenesis have been generated.

A UAS construct of a wild-type human Hsap\TSC2 gene has been introduced into flies, but has not been characterized.

Animals homozygous for loss-of-function alleles of Dmel\gig die before the end of larval stage; neuroanatomy defects are observed in larvae. Effects upon cell growth have been assayed using somatic clones. Extensive genetic and physical interactions for Dmel\gig have been described; see below and in the gene report for gig.

Using Drosophila cell lines that are wild-type, deficient for TSC1 (Dmel\Tsc1) or deficient for TSC2 (Dmel\gig), synthetic lethal/semi-lethal interaction screens have been conducted to identify gene targets that preferentially reduce growth in TSC-deficient cells. Using high-throughput RNAi screens, Drosophila orthologs of putative targets of FDA-approved drugs were among the genes targeted. Introduction of a variable dose analysis paradigm has allowed more sensitive screens. Based on analyses of the resulting networks of interactions, several candidate drugs have been identified and have been tested further in Drosophila and mammalian cells deficient for either TSC1 or TSC2.

See also the human disease model reports for tuberous sclerosis 1 (FBhh0000224) and tuberous sclerosis complex (FBhh0000198).

[updated Sep. 2018 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: tuberous sclerosis complex
Symptoms and phenotype

Tuberous sclerosis complex (TSC) is a rare, multi-system genetic disease that causes benign tumors to grow in the brain and on other vital organs such as the kidneys, heart, eyes, lungs, and skin. It usually affects the central nervous system and results in a combination of symptoms including seizures, developmental delay, behavioral problems, skin abnormalities, and kidney disease. Many TSC patients show evidence of the disorder in the first year of life. However, clinical features can be subtle initially, and many signs and symptoms take years to develop. [from NINDS, NINDS Tuberous Sclerosis Information Page, 2016.3.22].

Tuberous sclerosis is a rare genetic multisystem disorder that is typically apparent shortly after birth. The disorder may be characterized by seizures; mental retardation; distinctive skin lesions; and hamartomas (benign, tumor-like nodules) of the brain, retina, heart, kidneys, lungs, or other tissues or organs. In addition, many affected individuals may have cyst-like areas within certain skeletal regions, particularly the phalanges. Characteristic skin lesions include sharply defined areas of hypopigmentation that may develop during infancy and relatively small reddish nodules that may appear on the cheeks and nose beginning at approximately age four. These reddish lesions eventually enlarge, coalesce, and develop a wart-like appearance (sebaceous adenomas). Additional skin lesions may also develop, including cafe-au-lait spots; fibromas (benign, fibrous nodules) arising around or beneath the nails; or shagreen patches (rough, elevated, "knobby" lesions) on the lower back. [from NORD, Tuberous Sclerosis, 2016.3.17]

Specific Disease Summary: tuberous sclerosis 2
OMIM report

[TUBEROUS SCLEROSIS 2; TSC2](https://omim.org/entry/613254)

Human gene(s) implicated

[INTERFERON, GAMMA; IFNG](https://omim.org/entry/147570)

[TSC COMPLEX SUBUNIT 2; TSC2](https://omim.org/entry/191092)

Symptoms and phenotype

Tuberous sclerosis complex (TSC) is a multisystem disorder characterized by hamartomas in multiple organ systems, including the brain, skin, heart, kidneys, and lung. Central nervous system manifestations include epilepsy, learning difficulties, behavioral problems, and autism. Renal lesions, usually angiomyolipomas, can cause clinical problems secondary to hemorrhage or by compression and replacement of healthy renal tissue, which can cause renal failure. Patients can also develop renal cysts and renal-cell carcinomas. Pulmonary lymphangioleiomyomatosis can develop in the lungs. Skin lesions include melanotic macules, facial angiofibromas, and patches of connective tissue nevi. There is a wide clinical spectrum, and some patients may have minimal symptoms with no neurologic disability. Patients with tuberous sclerosis 2 generally have more severe disease than patients with tuberous sclerosis 1.

See the description for tuberous sclerosis complex.

[from MIM:191100, 2016.3.17]

Genetics

Tuberous sclerosis complex has an autosomal dominant pattern of inheritance. [from MIM:613254, 2016.3.18]

Cellular phenotype and pathology
Molecular information

The TSC1 and TSC2 genes encode hamartin and tuberin, respectively. They physically interact and function as tumor suppressors.

In complex with TSC1, TSC2 inhibits the nutrient-mediated or growth factor-stimulated phosphorylation of S6K1 and EIF4EBP1 by negatively regulating mTORC1 signaling. It acts as a GTPase-activating protein (GAP) for the small GTPase RHEB, a direct activator of the protein kinase activity of mTORC1. It may also play a role in microtubule-mediated protein transport. TSC2 also stimulates the intrinsic GTPase activity of the Ras-related proteins RAP1A and RAB5. [from UniProt, (TSC2_HUMAN), 2016.3.18]

The TSC2 gene product is believed to be a tumor suppressor that is able to stimulate specific GTPases. The protein associates with hamartin in a cytosolic complex, possibly acting as a chaperone for hamartin [from Gene Cards, TSC2, 2016.3.18]

External links
Disease synonyms
TSC2
Ortholog Information
Human gene(s) in FlyBase
Human gene (HGNC)
D. melanogaster ortholog (based on DIOPT)
Comments on ortholog(s)

One to one: 1 human to 1 Drosophila.

Other mammalian ortholog(s) used
    D. melanogaster Gene Information (1)
    Gene Snapshot
    gigas (gig) encodes a tumour suppressor protein that, together with with the product of Tsc1, controls cellular growth via antagonizing insulin and TOR signalling pathways. [Date last reviewed: 2019-03-07]
    Cellular component (GO)
    Gene Groups / Pathways
    Comments on ortholog(s)

    Ortholog of human TSC2 (1 Drosophila to 1 human). Dmel\gig shares 31% identity and 48% similarity with human TSC2.

    Orthologs and Alignments from DRSC
    DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
    Other Genes Used: Viral, Bacterial, Synthetic (0)
      Summary of Physical Interactions (197 groups)
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      References
      anti tag coimmunoprecipitation, Identification by mass spectrometry, peptide massfingerprinting
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      enzymatic study, autoradiography, anti tag coimmunoprecipitation, peptide massfingerprinting
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      anti tag coimmunoprecipitation, peptide massfingerprinting, anti bait coimmunoprecipitation, western blot, anti tag western blot, Identification by mass spectrometry, pull down, autoradiography
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      Alleles Reported to Model Human Disease (Disease Ontology) (3 alleles)
      Alleles Representing Disease-Implicated Variants
      Genetic Tools, Stocks and Reagents
      References (24)