Annotations: 6CKB

Domain Annotation: SCOP2 Classification SCOP2 Database Homepage

Chains	Type	Family Name	Domain Identifier	Family Identifier	Provenance Source (Version)
A	SCOP2B Superfamily	vWA-like	8042676	3000832	SCOP2B (2022-06-29)
A	SCOP2B Superfamily	Plexin repeat-like	8042732	3000415	SCOP2B (2022-06-29)
A	SCOP2B Superfamily	Integrin domains	8055552	3002062	SCOP2B (2022-06-29)
A	SCOP2B Superfamily	Integrin domains	8055552	3002062	SCOP2B (2022-06-29)
B	SCOP2B Superfamily	Integrin domains	8055552	3002062	SCOP2B (2022-06-29)
B	SCOP2B Superfamily	vWA-like	8042676	3000832	SCOP2B (2022-06-29)
B	SCOP2B Superfamily	Plexin repeat-like	8042732	3000415	SCOP2B (2022-06-29)
B	SCOP2B Superfamily	Integrin domains	8055552	3002062	SCOP2B (2022-06-29)

Domain Annotation: ECOD Classification ECOD Database Homepage

Chains	Family Name	Domain Identifier	Architecture	Possible Homology	Homology	Topology	Family	Provenance Source (Version)
A	F_UNCLASSIFIED	e6ckbA3	A: beta sandwiches	X: Immunoglobulin-like beta-sandwich	H: Immunoglobulin-related	T: Immunoglobulin/Fibronectin type III/E set domains/PapD-like	F: F_UNCLASSIFIED	ECOD (1.6)
A	PF00092	e6ckbA4	A: a/b three-layered sandwiches	X: HAD domain-like	H: HAD domain-related	T: vWA-like	F: PF00092	ECOD (1.6)
A	PF17205	e6ckbA1	A: few secondary structure elements	X: Trefoil/Plexin domain-like (From Topology)	H: Trefoil/Plexin domain-like (From Topology)	T: Trefoil/Plexin domain-like	F: PF17205	ECOD (1.6)
A	PF07974	e6ckbA2	A: few secondary structure elements	X: EGF-like	H: EGF-related	T: EGF/Laminin	F: PF07974	ECOD (1.6)
A	PF18372	e6ckbA5	A: few secondary structure elements	X: EGF-like	H: EGF-related	T: EGF/Laminin	F: PF18372	ECOD (1.6)
B	F_UNCLASSIFIED	e6ckbB5	A: beta sandwiches	X: Immunoglobulin-like beta-sandwich	H: Immunoglobulin-related	T: Immunoglobulin/Fibronectin type III/E set domains/PapD-like	F: F_UNCLASSIFIED	ECOD (1.6)
B	PF00092	e6ckbB3	A: a/b three-layered sandwiches	X: HAD domain-like	H: HAD domain-related	T: vWA-like	F: PF00092	ECOD (1.6)
B	PF17205	e6ckbB2	A: few secondary structure elements	X: Trefoil/Plexin domain-like (From Topology)	H: Trefoil/Plexin domain-like (From Topology)	T: Trefoil/Plexin domain-like	F: PF17205	ECOD (1.6)
B	PF07974	e6ckbB4	A: few secondary structure elements	X: EGF-like	H: EGF-related	T: EGF/Laminin	F: PF07974	ECOD (1.6)
B	PF18372	e6ckbB1	A: few secondary structure elements	X: EGF-like	H: EGF-related	T: EGF/Laminin	F: PF18372	ECOD (1.6)

Protein Family Annotation Pfam Database Homepage

Chains	Accession	Name	Description	Comments	Source
A, B	PF18372	Integrin beta epidermal growth factor like domain 1 (I-EGF_1)	Integrin beta epidermal growth factor like domain 1	This is the I-EGF 1 domain found in several integrin betas such as integrin beta 1-7. Structural analysis reveal an epidermal growth factor-like (I-EGF) domains 1 and 2 [1]. EGF1 lacks one disulfide (C2-C4) relative to the integrin EGF 2, 3, and 4 do ...	This is the I-EGF 1 domain found in several integrin betas such as integrin beta 1-7. Structural analysis reveal an epidermal growth factor-like (I-EGF) domains 1 and 2 [1]. EGF1 lacks one disulfide (C2-C4) relative to the integrin EGF 2, 3, and 4 domains, this allows the C-terminal end of EGF1 to flex remarkably relative to its N-terminal end [14].	Domain
A, B	PF00092	von Willebrand factor type A domain (VWA)	von Willebrand factor type A domain	-	Domain
A, B	PF00362	Integrin beta chain VWA domain (Integrin_beta)	Integrin beta chain VWA domain	Integrins have been found in animals and their homologues have also been found in cyanobacteria, probably due to horizontal gene transfer [1]. This domain corresponds to the integrin beta VWA domain.	Domain
A, B	PF17205	Integrin plexin domain (PSI_integrin)	Integrin plexin domain	This short disulphide rich domain is found at the N-terminus of integrin beta chains.	Domain

Gene Ontology: Gene Product Annotation Gene Ontology Database Homepage

Chains	Polymer	Molecular Function	Biological Process	Cellular Component
A, B	Chimera protein of Integrin beta-3 and Integrin alpha-L	cell adhesion molecule binding protein binding binding ICAM-3 receptor activity molecular transducer activity transmembrane signaling receptor activity signaling receptor activity protein-containing complex binding integrin binding signaling receptor binding cation binding ion binding metal ion binding small molecule binding cell adhesion molecule binding protein binding binding ICAM-3 receptor activity molecular transducer activity transmembrane signaling receptor activity signaling receptor activity protein-containing complex binding integrin binding signaling receptor binding cation binding ion binding metal ion binding small molecule binding platelet-derived growth factor receptor binding growth factor receptor binding fibrinogen binding enzyme binding protease binding cytokine receptor binding vascular endothelial growth factor receptor binding vascular endothelial growth factor receptor 2 binding coreceptor activity isomerase activity intramolecular oxidoreductase activity catalytic activity, acting on a protein intramolecular oxidoreductase activity, transposing S-S bonds catalytic activity protein disulfide isomerase activity fibronectin binding identical protein binding virus receptor activity exogenous protein binding extracellular matrix binding kinase binding protein kinase C binding protein kinase binding	cell adhesion cell-matrix adhesion cell-substrate adhesion cellular process T cell extravasation lymphocyte migration memory T cell extravasation leukocyte migration immune system process mononuclear cell migration cellular extravasation cell migration cell motility T cell migration cell adhesion cell-matrix adhesion cell-substrate adhesion cellular process T cell extravasation lymphocyte migration memory T cell extravasation leukocyte migration immune system process mononuclear cell migration cellular extravasation cell migration cell motility T cell migration localization import into cell transport phagocytosis endocytosis establishment of localization vesicle-mediated transport cellular response to stimulus regulation of biological process integrin-mediated signaling pathway regulation of cellular process cell surface receptor signaling pathway response to stimulus signaling biological regulation cell communication signal transduction heterophilic cell-cell adhesion via plasma membrane cell adhesion molecules cell-cell adhesion cell-cell adhesion via plasma-membrane adhesion molecules cell adhesion mediated by integrin leukocyte cell-cell adhesion defense response response to stress inflammatory response protein localization cellular localization receptor clustering cellular macromolecule localization macromolecule localization localization within membrane protein localization to membrane multicellular organismal process immune response cell activation lymphocyte activation cell activation involved in immune response leukocyte activation immune effector process T cell activation via T cell receptor contact with antigen bound to MHC molecule on antigen presenting cell T cell activation involved in immune response T cell activation leukocyte activation involved in immune response lymphocyte activation involved in immune response cellular response to nitrogen compound response to organic substance response to endogenous stimulus response to organonitrogen compound response to peptide hormone cellular response to peptide hormone stimulus response to oxygen-containing compound response to nitrogen compound cellular response to oxygen-containing compound cellular response to endogenous stimulus cellular response to chemical stimulus cellular response to organonitrogen compound response to hormone response to chemical cellular response to organic substance cellular response to insulin-like growth factor stimulus cellular response to hormone stimulus regulation of cell-substrate adhesion positive regulation of cell adhesion regulation of cell adhesion positive regulation of biological process positive regulation of cell-matrix adhesion positive regulation of cell-substrate adhesion regulation of cell-matrix adhesion positive regulation of cellular process regulation of localization negative regulation of lipid transport regulation of transport organic substance transport negative regulation of biological process lipid localization lipid transport negative regulation of transport regulation of lipid transport negative regulation of lipid localization regulation of lipid localization substrate adhesion-dependent cell spreading positive regulation of substrate adhesion-dependent cell spreading regulation of substrate adhesion-dependent cell spreading positive regulation of locomotion regulation of cell motility positive regulation of smooth muscle cell migration regulation of smooth muscle cell migration positive regulation of cell migration smooth muscle cell migration muscle cell migration regulation of locomotion positive regulation of cell motility regulation of cell migration locomotion platelet-derived growth factor receptor signaling pathway cell surface receptor protein tyrosine kinase signaling pathway enzyme-linked receptor protein signaling pathway regulation of body fluid levels wound healing hemostasis blood coagulation coagulation regulation of biological quality response to wounding platelet activation cell population proliferation positive regulation of cell population proliferation positive regulation of osteoblast proliferation osteoblast proliferation regulation of cell population proliferation regulation of osteoblast proliferation developmental process epithelium development morphogenesis of an epithelium epiboly involved in wound healing tissue development morphogenesis of an epithelial sheet wound healing, spreading of epidermal cells tissue morphogenesis anatomical structure morphogenesis anatomical structure development epiboly wound healing, spreading of cells chemotaxis negative chemotaxis taxis response to external stimulus regulation of smooth muscle cell proliferation smooth muscle cell proliferation positive regulation of smooth muscle cell proliferation muscle cell proliferation regulation of postsynaptic neurotransmitter receptor diffusion trapping protein-containing complex localization neurotransmitter receptor diffusion trapping regulation of postsynaptic membrane neurotransmitter receptor levels regulation of cellular localization receptor diffusion trapping receptor localization to synapse postsynaptic neurotransmitter receptor diffusion trapping regulation of receptor localization to synapse cellular response to xenobiotic stimulus response to xenobiotic stimulus lipoprotein metabolic process negative regulation of cellular metabolic process regulation of primary metabolic process organic substance metabolic process negative regulation of cellular process regulation of lipoprotein metabolic process protein metabolic process negative regulation of protein metabolic process negative regulation of macromolecule metabolic process negative regulation of lipoprotein metabolic process organonitrogen compound metabolic process regulation of protein metabolic process cellular metabolic process negative regulation of metabolic process primary metabolic process regulation of cellular metabolic process regulation of macromolecule metabolic process metabolic process macromolecule metabolic process regulation of metabolic process biological process involved in interspecies interaction between organisms symbiont entry into host cell viral process symbiont entry into host viral life cycle biological process involved in interaction with host biological process involved in symbiotic interaction apoptotic cell clearance multicellular organism development tube development positive regulation of cell communication positive regulation of signal transduction regulation of signal transduction intracellular signal transduction positive regulation of response to stimulus positive regulation of ERK1 and ERK2 cascade regulation of intracellular signal transduction intracellular signaling cassette regulation of signaling positive regulation of MAPK cascade positive regulation of intracellular signal transduction regulation of MAPK cascade regulation of response to stimulus MAPK cascade regulation of cell communication ERK1 and ERK2 cascade regulation of ERK1 and ERK2 cascade positive regulation of signaling monoamine transport nitrogen compound transport serotonin uptake organic hydroxy compound transport establishment of localization in cell neurotransmitter reuptake regulation of neurotransmitter uptake regulation of neurotransmitter transport regulation of serotonin uptake serotonin transport neurotransmitter transport neurotransmitter uptake trophoblast cell migration multi-multicellular organism process regulation of trophoblast cell migration reproductive process ameboidal-type cell migration female pregnancy embryo implantation multi-organism reproductive process regulation of cytoskeleton organization regulation of cellular component organization regulation of actin filament-based process actin cytoskeleton organization regulation of organelle organization cellular component organization organelle organization regulation of actin cytoskeleton organization actin filament-based process cellular component organization or biogenesis cytoskeleton organization response to activity cellular biosynthetic process protein maturation blood coagulation, fibrin clot formation organic substance biosynthetic process protein activation cascade gene expression macromolecule biosynthetic process biosynthetic process extracellular matrix organization regulation of extracellular matrix organization extracellular structure organization external encapsulating structure organization cellular component biogenesis cell junction organization cellular component assembly cell junction assembly cell-substrate junction assembly cell-substrate junction organization response to mechanical stimulus response to abiotic stimulus cellular response to mechanical stimulus cellular response to abiotic stimulus cellular response to external stimulus cellular response to environmental stimulus regulation of protein localization formation of primary germ layer mesodermal cell differentiation cellular developmental process mesoderm morphogenesis embryonic morphogenesis embryo development gastrulation cell differentiation anatomical structure formation involved in morphogenesis mesoderm formation mesoderm development negative regulation of endothelial cell apoptotic process regulation of epithelial cell apoptotic process negative regulation of programmed cell death regulation of apoptotic process regulation of programmed cell death cell death epithelial cell apoptotic process negative regulation of apoptotic process negative regulation of epithelial cell apoptotic process endothelial cell apoptotic process apoptotic process programmed cell death regulation of endothelial cell apoptotic process endothelial cell proliferation positive regulation of epithelial cell proliferation regulation of endothelial cell proliferation positive regulation of endothelial cell proliferation regulation of epithelial cell proliferation epithelial cell proliferation maintenance of synapse structure postsynapse organization cellular component maintenance cell junction maintenance maintenance of postsynaptic specialization structure postsynaptic density organization synapse organization postsynaptic specialization organization regulation of protein modification process positive regulation of phosphorylation regulation of protein phosphorylation positive regulation of protein metabolic process positive regulation of cellular metabolic process peptidyl-tyrosine modification positive regulation of phosphate metabolic process positive regulation of metabolic process positive regulation of peptidyl-tyrosine phosphorylation positive regulation of protein modification process regulation of phosphate metabolic process peptidyl-amino acid modification phosphate-containing compound metabolic process positive regulation of macromolecule metabolic process protein modification process phosphorus metabolic process positive regulation of protein phosphorylation protein phosphorylation positive regulation of phosphorus metabolic process phosphorylation regulation of peptidyl-tyrosine phosphorylation macromolecule modification regulation of phosphorylation regulation of phosphorus metabolic process peptidyl-tyrosine phosphorylation positive regulation of macromolecule biosynthetic process positive regulation of biosynthetic process regulation of biosynthetic process regulation of cellular biosynthetic process regulation of gene expression positive regulation of gene expression regulation of macromolecule biosynthetic process positive regulation of cellular biosynthetic process cellular response to growth factor stimulus regulation of vascular endothelial growth factor receptor signaling pathway regulation of cellular response to growth factor stimulus vascular endothelial growth factor receptor signaling pathway positive regulation of vascular endothelial growth factor receptor signaling pathway response to growth factor homotypic cell-cell adhesion platelet aggregation homeostatic process regulation of bone remodeling tissue homeostasis regulation of tissue remodeling regulation of bone resorption bone resorption multicellular organismal-level homeostasis tissue remodeling bone remodeling anatomical structure homeostasis regulation of multicellular organismal process lipid storage maintenance of location regulation of lipid storage negative regulation of lipid storage regulation of catalytic activity regulation of transferase activity regulation of molecular function positive regulation of kinase activity regulation of kinase activity activation of protein kinase activity positive regulation of molecular function positive regulation of protein kinase activity positive regulation of transferase activity positive regulation of catalytic activity regulation of protein kinase activity negative regulation of endocytosis regulation of endocytosis negative regulation of cellular component organization negative regulation of receptor-mediated endocytosis regulation of receptor-mediated endocytosis negative regulation of molecular function regulation of vesicle-mediated transport negative regulation of low-density lipoprotein receptor activity receptor-mediated endocytosis regulation of lymphocyte migration positive regulation of mononuclear cell migration regulation of immune system process regulation of mononuclear cell migration positive regulation of immune system process positive regulation of lymphocyte migration regulation of leukocyte migration positive regulation of T cell migration positive regulation of leukocyte migration regulation of T cell migration positive regulation of multicellular organismal process positive regulation of bone resorption heterotypic cell-cell adhesion regulation of calcium ion transport intracellular calcium ion homeostasis calcium ion transport monoatomic cation homeostasis monoatomic cation transport intracellular monoatomic ion homeostasis regulation of release of sequestered calcium ion into cytosol regulation of monoatomic ion transport inorganic ion transmembrane transport inorganic cation transmembrane transport transmembrane transport release of sequestered calcium ion into cytosol regulation of transmembrane transport chemical homeostasis inorganic ion homeostasis monoatomic ion transmembrane transport calcium ion homeostasis regulation of monoatomic ion transmembrane transport negative regulation of sequestering of calcium ion metal ion transport maintenance of location in cell regulation of calcium ion transmembrane transport monoatomic cation transmembrane transport intracellular monoatomic cation homeostasis monoatomic ion homeostasis monoatomic ion transport intracellular chemical homeostasis regulation of metal ion transport regulation of sequestering of calcium ion calcium ion transmembrane import into cytosol sequestering of calcium ion cellular homeostasis regulation of monoatomic cation transmembrane transport calcium ion transmembrane transport blood vessel morphogenesis angiogenesis involved in wound healing angiogenesis vasculature development circulatory system development tube morphogenesis blood vessel development system development receptor internalization postsynaptic neurotransmitter receptor internalization regulation of receptor internalization vesicle-mediated transport in synapse regulation of postsynaptic neurotransmitter receptor internalization neurotransmitter receptor internalization postsynaptic endocytosis regulation of developmental process negative regulation of developmental process macrophage derived foam cell differentiation regulation of cell differentiation negative regulation of macrophage derived foam cell differentiation foam cell differentiation regulation of macrophage derived foam cell differentiation negative regulation of cell differentiation endothelial cell migration positive regulation of epithelial cell migration tissue migration regulation of endothelial cell migration epithelial cell migration regulation of epithelial cell migration epithelium migration positive regulation of endothelial cell migration cellular response to platelet-derived growth factor stimulus response to platelet-derived growth factor apolipoprotein A-I-mediated signaling pathway connective tissue development renal system development kidney vasculature development renal system vasculature development positive regulation of glomerular mesangial cell proliferation regulation of glomerular mesangial cell proliferation nephron development positive regulation of cell proliferation involved in kidney development animal organ development cell proliferation involved in kidney development glomerular mesangium development regulation of cell proliferation involved in kidney development glomerulus development glomerular mesangial cell proliferation glomerulus vasculature development kidney development fibroblast proliferation regulation of fibroblast proliferation positive regulation of fibroblast proliferation regulation of fibroblast migration positive regulation of fibroblast migration fibroblast migration positive regulation of cell adhesion mediated by integrin regulation of cell adhesion mediated by integrin regulation of vasculature development positive regulation of developmental process regulation of anatomical structure morphogenesis regulation of multicellular organismal development positive regulation of angiogenesis positive regulation of vasculature development regulation of angiogenesis regulation of opioid receptor signaling pathway positive regulation of opioid receptor signaling pathway G protein-coupled opioid receptor signaling pathway regulation of G protein-coupled receptor signaling pathway positive regulation of adenylate cyclase-inhibiting opioid receptor signaling pathway positive regulation of G protein-coupled receptor signaling pathway adenylate cyclase-inhibiting G protein-coupled receptor signaling pathway regulation of adenylate cyclase-inhibiting opioid receptor signaling pathway adenylate cyclase-inhibiting opioid receptor signaling pathway adenylate cyclase-modulating G protein-coupled receptor signaling pathway G protein-coupled receptor signaling pathway	membrane-bounded organelle intracellular anatomical structure membrane intracellular vesicle cellular anatomical entity intracellular membrane-bounded organelle endomembrane system specific granule membrane intracellular organelle cytoplasmic vesicle membrane bounding membrane of organelle vesicle membrane cytoplasmic vesicle organelle membrane-bounded organelle intracellular anatomical structure membrane intracellular vesicle cellular anatomical entity intracellular membrane-bounded organelle endomembrane system specific granule membrane intracellular organelle cytoplasmic vesicle membrane bounding membrane of organelle vesicle membrane cytoplasmic vesicle organelle secretory granule secretory vesicle cytoplasm vesicle organelle membrane secretory granule membrane specific granule cell periphery cell surface plasma membrane external side of plasma membrane side of membrane extracellular exosome extracellular vesicle extracellular organelle extracellular region extracellular space extracellular membrane-bounded organelle protein-containing complex plasma membrane protein complex membrane protein complex receptor complex integrin complex plasma membrane signaling receptor complex protein complex involved in cell adhesion integrin alphaL-beta2 complex cell-cell junction anchoring junction cell junction alphav-beta3 integrin-HMGB1 complex focal adhesion cell-substrate junction apical part of cell plasma membrane region apical plasma membrane ruffle cell leading edge leading edge membrane plasma membrane bounded cell projection cell projection ruffle membrane cell projection membrane lamellipodium membrane lamellipodium platelet alpha granule membrane platelet alpha granule postsynapse postsynaptic membrane synapse synaptic membrane alphav-beta3 integrin-PKCalpha complex actin-based cell projection microvillus microvillus membrane glutamatergic synapse alphav-beta3 integrin-IGF-1-IGF1R complex integrin alphav-beta3 complex pigment granule melanosome alphav-beta3 integrin-vitronectin complex glycinergic synapse nucleus membrane-enclosed lumen intracellular organelle lumen nucleoplasm organelle lumen nuclear lumen alpha9-beta1 integrin-ADAM8 complex filopodium membrane filopodium

InterPro: Protein Family Classification InterPro Database Homepage

Chains	Accession	Name	Type
A, B	IPR013517	FG-GAP repeat	Repeat
A, B	IPR013519	Integrin alpha beta-propellor	Repeat
A, B	IPR000413	Integrin alpha chain	Family
A, B	IPR036465	von Willebrand factor A-like domain superfamily	Homologous Superfamily
A, B	IPR013649	Integrin alpha, first immunoglubulin-like domain	Domain
A, B	IPR028994	Integrin alpha, N-terminal	Homologous Superfamily
A, B	IPR002035	von Willebrand factor, type A	Domain
A, B	IPR048285	Integrin alpha, second immunoglobulin-like domain	Domain
A, B	IPR032695	Integrin domain superfamily	Homologous Superfamily
A, B	IPR018184	Integrin alpha chain, C-terminal cytoplasmic region, conserved site	Conserved Site
A, B	IPR033760	Integrin beta N-terminal	Domain
A, B	IPR013111	EGF-like domain, extracellular	Domain
A, B	IPR036465	von Willebrand factor A-like domain superfamily	Homologous Superfamily
A, B	IPR032695	Integrin domain superfamily	Homologous Superfamily
A, B	IPR002369	Integrin beta subunit, VWA domain	Domain
A, B	IPR040622	Integrin beta, epidermal growth factor-like domain 1	Domain
A, B	IPR036349	Integrin beta tail domain superfamily	Homologous Superfamily
A, B	IPR014836	Integrin beta subunit, cytoplasmic domain	Domain
A, B	IPR012896	Integrin beta subunit, tail	Domain
A, B	IPR015812	Integrin beta subunit	Family
A, B	IPR016201	PSI domain	Domain

Pharos: Disease Associations Pharos Homepage Annotation

Chains	Drug Target	Associated Disease
A, B	Pharos: P05106	ulcerative colitis acute promyelocytic leukemia Liver Cirrhosis, Experimental Behcet disease inflammatory bowel disease Sjogren syndrome chronic obstructive pulmonary disease dry eye syndrome interstitial cystitis lung carcinoma osteosarcoma spina bifida atopic eczema glioblastoma malignant glioma ulcerative colitis acute promyelocytic leukemia Liver Cirrhosis, Experimental Behcet disease inflammatory bowel disease Sjogren syndrome chronic obstructive pulmonary disease dry eye syndrome interstitial cystitis lung carcinoma osteosarcoma spina bifida atopic eczema glioblastoma malignant glioma periodontitis psoriasis tuberculosis cutaneous lupus erythematosus lung cancer non-small cell lung carcinoma pilocytic astrocytoma Glanzmann thrombasthenia 1 platelet-type bleeding disorder 16 carotid artery thrombosis coronary thrombosis thrombocytopenia acute coronary syndrome intracerebral hemorrhage myocardial infarction prostate cancer Gliosis osteopetrosis neonatal thrombocytopenia schizophrenia Glanzmann thrombasthenia glioblastoma hip fracture tuberculosis malignant glioma autism ovarian cancer cerebrovascular disorder peripheral neuropathy spondyloarthropathy interstitial cystitis malignant mesothelioma autism spectrum disorder autosomal dominant macrothrombocytopenia pilocytic astrocytoma hypothyroidism malignant colon neoplasm malignant pancreatic neoplasm breast cancer osteosarcoma peripheral nervous system disease congenital anemia exocrine pancreatic carcinoma