Developmental and epileptic encephalopathy 101

disease
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Also known as DEE101

Summary

Developmental and epileptic encephalopathy 101 (MONDO:0030727) is a disease caused by GRIN1 (GenCC Strong), with 1 cohort gene.

At a glance

  • Causal gene: GRIN1 (GenCC Strong)
  • Cohort genes: 1
  • ClinVar variants: 11

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namedevelopmental and epileptic encephalopathy 101
Mondo IDMONDO:0030727
OMIM619814
DOIDDOID:0070387
UMLSC5676955
MedGen1805172
GARD0025626
Is cancer (heuristic)no

Also known as: DEE101 · developmental and epileptic encephalopathy 101

Data availability: 11 ClinVar variants · 1 GenCC gene-disease record.

Disease family

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary diseasehereditary neurological diseaseMendelian neurodevelopmental disordergenetic developmental and epileptic encephalopathydevelopmental and epileptic encephalopathy 101

Related subtypes (104): developmental and epileptic encephalopathy, 9, developmental and epileptic encephalopathy, 8, developmental and epileptic encephalopathy, 2, multiple congenital anomalies-hypotonia-seizures syndrome 2, developmental and epileptic encephalopathy, 36, developmental and epileptic encephalopathy, 1, developmental and epileptic encephalopathy, 3, developmental and epileptic encephalopathy, 4, microcephaly, seizures, and developmental delay, developmental and epileptic encephalopathy, 5, developmental and epileptic encephalopathy, 7, developmental and epileptic encephalopathy, 11, neonatal-onset encephalopathy with rigidity and seizures, developmental and epileptic encephalopathy, 14, developmental and epileptic encephalopathy, 15, developmental and epileptic encephalopathy, 17, developmental and epileptic encephalopathy, 18, developmental and epileptic encephalopathy, 19, developmental and epileptic encephalopathy, 23, developmental and epileptic encephalopathy, 27, developmental and epileptic encephalopathy, 30, developmental and epileptic encephalopathy, 50, developmental and epileptic encephalopathy, 35, developmental and epileptic encephalopathy, 37, developmental and epileptic encephalopathy, 38, developmental and epileptic encephalopathy, 40, developmental and epileptic encephalopathy, 48, developmental and epileptic encephalopathy, 49, developmental and epileptic encephalopathy, 51, Lennox-Gastaut syndrome, developmental and epileptic encephalopathy 91, developmental and epileptic encephalopathy 92, developmental and epileptic encephalopathy 93, developmental and epileptic encephalopathy 96, developmental and epileptic encephalopathy, 90, developmental and epileptic encephalopathy, 85, with or without midline brain defects, developmental and epileptic encephalopathy, 67, developmental and epileptic encephalopathy, 86, developmental and epileptic encephalopathy, 87, developmental and epileptic encephalopathy, 88, developmental and epileptic encephalopathy 6B, developmental and epileptic encephalopathy 97, developmental and epileptic encephalopathy 98, developmental and epileptic encephalopathy 99, developmental and epileptic encephalopathy 100, developmental and epileptic encephalopathy 89, developmental and epileptic encephalopathy 102, developmental and epileptic encephalopathy 103, developmental and epileptic encephalopathy 104, developmental and epileptic encephalopathy 105 with hypopituitarism, developmental and epileptic encephalopathy 106, developmental and epileptic encephalopathy 107, developmental and epileptic encephalopathy, 68, developmental and epileptic encephalopathy, 69, developmental and epileptic encephalopathy, 70, developmental and epileptic encephalopathy, 71, developmental and epileptic encephalopathy, 72, developmental and epileptic encephalopathy, 74, developmental and epileptic encephalopathy, 75, developmental and epileptic encephalopathy, 76, developmental and epileptic encephalopathy, 77, developmental and epileptic encephalopathy, 78, developmental and epileptic encephalopathy, 79, developmental and epileptic encephalopathy, 80, developmental and epileptic encephalopathy, 81, developmental and epileptic encephalopathy, 82, developmental and epileptic encephalopathy, 83, developmental and epileptic encephalopathy, 84, developmental and epileptic encephalopathy, 52, developmental and epileptic encephalopathy, 53, developmental and epileptic encephalopathy, 54, developmental and epileptic encephalopathy, 55, developmental and epileptic encephalopathy, 56, developmental and epileptic encephalopathy, 57, developmental and epileptic encephalopathy, 58, developmental and epileptic encephalopathy, 59, developmental and epileptic encephalopathy, 60, developmental and epileptic encephalopathy, 61, developmental and epileptic encephalopathy, 62, developmental and epileptic encephalopathy, 63, developmental and epileptic encephalopathy, 64, developmental and epileptic encephalopathy, 65, developmental and epileptic encephalopathy, 73, developmental and epileptic encephalopathy, 66, developmental and epileptic encephalopathy, 6A, non-neonatal early infantile epileptic encephalopathy, Dravet syndrome, neonatal-onset developmental and epileptic encephalopathy, hemiplegic migraine-developmental and epileptic encephalopathy spectrum, DNM1-encephalopathy and neurodevelopmental disorder, TMEM63B-related developmental and epileptic encephalopathy with anemia, developmental and epileptic encephalopathy 108, developmental and epileptic encephalopathy 109, developmental and epileptic encephalopathy 110, developmental and epileptic encephalopathy 111, developmental and epileptic encephalopathy 112, developmental and epileptic encephalopathy 113, developmental and epileptic encephalopathy 114, developmental and epileptic encephalopathy 115, developmental and epileptic encephalopathy 116, developmental and epileptic encephalopathy 118, developmental and epileptic encephalopathy 120, developmental and epileptic encephalopathy 121, developmental and epileptic encephalopathy 119

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

11 retrieved; paginated sample, class counts are floors:

4 pathogenic, 3 uncertain significance, 2 conflicting classifications of pathogenicity, 1 benign/likely benign, 1 pathogenic/likely pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
1525992NM_007327.4(GRIN1):c.394-1G>CGRIN1Pathogenicno assertion criteria provided
1700197NM_007327.4(GRIN1):c.1921A>T (p.Met641Leu)GRIN1Pathogeniccriteria provided, multiple submitters, no conflicts
3024338NM_007327.4(GRIN1):c.1904T>G (p.Val635Gly)GRIN1Pathogeniccriteria provided, single submitter
487503NM_007327.4(GRIN1):c.2479G>A (p.Gly827Arg)GRIN1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
487506NM_007327.4(GRIN1):c.1666C>T (p.Gln556Ter)GRIN1Pathogenicno assertion criteria provided
3382998NM_007327.4(GRIN1):c.1975C>G (p.Arg659Gly)GRIN1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
625956NM_007327.4(GRIN1):c.957G>A (p.Pro319=)GRIN1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
2431427NM_007327.4(GRIN1):c.1237C>A (p.Pro413Thr)GRIN1Uncertain significancecriteria provided, single submitter
3893157NM_007327.4(GRIN1):c.1387C>T (p.Leu463Phe)GRIN1Uncertain significancecriteria provided, single submitter
625954NM_007327.4(GRIN1):c.734A>T (p.Tyr245Phe)GRIN1Uncertain significancecriteria provided, multiple submitters, no conflicts
387537NM_007327.4(GRIN1):c.394-4G>AGRIN1Benign/Likely benigncriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 10 · Orphanet: 4 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
GRIN1StrongAutosomal recessivedevelopmental and epileptic encephalopathy 10110

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
GRIN1Orphanet:178469Autosomal dominant non-syndromic intellectual disability
GRIN1Orphanet:1934Early infantile developmental and epileptic encephalopathy
GRIN1Orphanet:208447Bilateral generalized polymicrogyria
GRIN1Orphanet:88616Autosomal recessive non-syndromic intellectual disability

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
GRIN1HGNC:4584ENSG00000176884Q05586Glutamate receptor ionotropic, NMDA 1gencc,clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
GRIN1Glutamate receptor ionotropic, NMDA 1Component of N-methyl-D-aspartate (NMDA) receptors (NMDARs) that function as heterotetrameric, ligand-gated cation channels with high calcium permeability and voltage-dependent block by Mg(2+).

Protein-family classification

Druggable: 0 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.0

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Other/Unknown11.8×0.558

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
GRIN1Other/UnknownnoIontro_rcpt_C, Iono_Glu_rcpt_met, ANF_lig-bd_rcpt

Expression context

Cohort genes with no expression data: 0.

1 cohort gene are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)1
unknown0

Top tissues across cohort

TissueCohort genes
cerebellar hemisphere1
right frontal lobe1
right hemisphere of cerebellum1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
GRIN1215tissue_specificmarkerright hemisphere of cerebellum, right frontal lobe, cerebellar hemisphere

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
GRIN1118

Structural data

PDB: 1 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
GRIN1Q0558685

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 9. Enrichment computed across 1 evidence-associated genes (1 with Reactome annotation).

Pathways by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Ras activation upon Ca2+ influx through NMDA receptor1571.0×0.004GRIN1
Unblocking of NMDA receptors, glutamate binding and activation1543.8×0.004GRIN1
Synaptic adhesion-like molecules1543.8×0.004GRIN1
Negative regulation of NMDA receptor-mediated neuronal transmission1543.8×0.004GRIN1
Long-term potentiation1475.8×0.004GRIN1
EPHB-mediated forward signaling1265.6×0.005GRIN1
Assembly and cell surface presentation of NMDA receptors1253.8×0.005GRIN1
Neurexins and neuroligins1196.9×0.006GRIN1
RAF/MAP kinase cascade161.1×0.016GRIN1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
propylene metabolic process116852.0×7e-04GRIN1
response to glycine116852.0×7e-04GRIN1
regulation of monoatomic cation transmembrane transport12106.5×0.003GRIN1
calcium ion transmembrane import into cytosol11532.0×0.003GRIN1
ionotropic glutamate receptor signaling pathway11296.3×0.003GRIN1
excitatory chemical synaptic transmission11296.3×0.003GRIN1
positive regulation of calcium ion transport into cytosol11203.7×0.003GRIN1
positive regulation of reactive oxygen species biosynthetic process11123.5×0.003GRIN1
protein heterotetramerization11053.2×0.003GRIN1
monoatomic cation transport1766.0×0.003GRIN1
regulation of neuronal synaptic plasticity1674.1×0.003GRIN1
positive regulation of synaptic transmission, glutamatergic1624.1×0.003GRIN1
monoatomic cation transmembrane transport1624.1×0.003GRIN1
positive regulation of excitatory postsynaptic potential1526.6×0.003GRIN1
calcium ion homeostasis1443.5×0.004GRIN1
excitatory postsynaptic potential1443.5×0.004GRIN1
visual learning1306.4×0.005GRIN1
regulation of synaptic plasticity1259.3×0.005GRIN1
regulation of membrane potential1230.8×0.006GRIN1
calcium ion transmembrane transport1210.7×0.006GRIN1
sodium ion transmembrane transport1203.0×0.006GRIN1
response to ethanol1146.5×0.008GRIN1
brain development179.5×0.013GRIN1
chemical synaptic transmission177.3×0.013GRIN1
positive regulation of transcription by RNA polymerase II114.9×0.067GRIN1

Therapeutics

Drug target analysis

Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0

Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
GRIN1DEXTROMETHORPHAN

Top cohort targets by molecule count

SymbolMoleculesMax phase
GRIN1394

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
DEXTROMETHORPHAN4GRIN1
KETAMINE4GRIN1
CYCLOSERINE4GRIN1
MEMANTINE4GRIN1
TACRINE4GRIN1
MEMANTINE HYDROCHLORIDE4GRIN1
ESKETAMINE4GRIN1
PENTAMIDINE4GRIN1
AMANTADINE4GRIN1
LEVORPHANOL4GRIN1
CHLORPROMAZINE4GRIN1
PROCYCLIDINE4GRIN1
ORPHENADRINE4GRIN1
ESMETHADONE3GRIN1
DALZANEMDOR3GRIN1
LATREPIRDINE3GRIN1
GLUTAMIC ACID3GRIN1
DEXTRORPHAN2GRIN1
LEVOMETHADONE2GRIN1
ALPHAMETHADOL2GRIN1
TRAXOPRODIL2GRIN1
RADIPRODIL2GRIN1
PHENCYCLIDINE2GRIN1
DIZOCILPINE2GRIN1
ELIPRODIL2GRIN1
IFENPRODIL2GRIN1
ONFASPRODIL2GRIN1
DEXOXADROL2GRIN1
BETAMETHADOL2GRIN1
DIMEMORFAN2GRIN1

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
GRIN1481Binding:435, Functional:40, ADMET:5, Toxicity:1

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
GRIN1481

Pharmacogenomics

Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
DEXTROMETHORPHAN4GRIN1
KETAMINE4GRIN1
CYCLOSERINE4GRIN1
MEMANTINE4GRIN1
TACRINE4GRIN1
MEMANTINE HYDROCHLORIDE4GRIN1
ESKETAMINE4GRIN1
PENTAMIDINE4GRIN1
AMANTADINE4GRIN1
LEVORPHANOL4GRIN1
CHLORPROMAZINE4GRIN1
PROCYCLIDINE4GRIN1
ORPHENADRINE4GRIN1
ESMETHADONE3GRIN1
DALZANEMDOR3GRIN1
LATREPIRDINE3GRIN1
GLUTAMIC ACID3GRIN1
DEXTRORPHAN2GRIN1
LEVOMETHADONE2GRIN1
ALPHAMETHADOL2GRIN1
TRAXOPRODIL2GRIN1
RADIPRODIL2GRIN1
PHENCYCLIDINE2GRIN1
DIZOCILPINE2GRIN1
ELIPRODIL2GRIN1
IFENPRODIL2GRIN1
ONFASPRODIL2GRIN1
DEXOXADROL2GRIN1
BETAMETHADOL2GRIN1
DIMEMORFAN2GRIN1

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)1GRIN1
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug0

Undrugged target profiles

0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

Clinical trials & evidence

Clinical trials

Clinical trials: 0.