The signal transducer and activator of transcription 5B (STAT5B) gene is a member of the STAT family of transcription factors, which has as its other member, STAT5A. Both these genes have 90% sequence identity. The STAT5B protein, in response to cytokines and growth factors, such as interleukin 2, interleukin 4, and colony stimulating factor 1 and other growth hormones, gets phosphorylated by receptor associated kinases on proteins such as growth hormone receptors. Following this phosphorylation, the STAT proteins form homo-or hetero-dimers and translocate to the nucleus, where they act as transcription activators of several genes, including many involved in T cell receptor signaling, apoptosis, adult mammary gland development, sexual dimorphism of liver gene expression, and others.
Mutations in the STAT5B gene have been shown to cause a form of growth hormone insensitivity due to postreceptor defect, characterized by severe growth failure, in the presence of normal-to-elevated concentrations of circulating growth hormone and resistance to exogenous growth hormone therapy. In addition, the STAT5B gene was found to fuse to retinoic acid receptor-alpha (RARA) gene in a small subset of acute promyelocytic leukemias.