Megalencephalic leukoencephalopathy with subcortical cysts 3

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Summary

Megalencephalic leukoencephalopathy with subcortical cysts 3 (MONDO:0957533) is a disease caused by GPRC5B (GenCC Strong), with 1 cohort gene.

At a glance

  • Causal gene: GPRC5B (GenCC Strong)
  • Cohort genes: 1
  • ClinVar variants: 4

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namemegalencephalic leukoencephalopathy with subcortical cysts 3
Mondo IDMONDO:0957533
OMIM620447
UMLSC5830625
MedGen1841261
Is cancer (heuristic)no

Data availability: 4 ClinVar variants · 2 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by body system or component › nervous system disordercentral nervous system disorderbrain disorderleukoencephalopathy, megalencephalicmegalencephalic leukoencephalopathy with subcortical cysts 3

Related subtypes (2): megalencephalic leukoencephalopathy with subcortical cysts, megalencephalic leukoencephalopathy with subcortical cysts 4, remitting

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

4 retrieved; paginated sample, class counts are floors:

2 pathogenic, 2 uncertain significance

ClinVarVariant (HGVS)GeneClassificationReview
2573133NM_016235.3(GPRC5B):c.523ATC[3] (p.Ile176_Ala177insIle)GPRC5BPathogenicno assertion criteria provided
2573134NM_016235.3(GPRC5B):c.528_530dup (p.Ala177_Val178insAla)GPRC5BPathogenicno assertion criteria provided
4277714NM_016235.3(GPRC5B):c.1037G>C (p.Arg346Pro)GPRC5BUncertain significancecriteria provided, single submitter
4846802NM_016235.3(GPRC5B):c.535G>C (p.Glu179Gln)GPRC5BUncertain significancecriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 3 · Orphanet: 0 · 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
GPRC5BStrongAutosomal dominantmegalencephalic leukoencephalopathy with subcortical cysts 13

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
GPRC5BHGNC:13308ENSG00000167191Q9NZH0G-protein coupled receptor family C group 5 member Bgencc,clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
GPRC5BG-protein coupled receptor family C group 5 member BG-protein coupled receptor involved in the regulation of cell volume.

Protein-family classification

Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0

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
GPCR123.9×0.042

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
GPRC5BGPCRyesGPCR_3_C, RA-inducible_GPCR3

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
globus pallidus1
inferior olivary complex1
medial globus pallidus1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
GPRC5B278ubiquitousmarkermedial globus pallidus, globus pallidus, inferior olivary complex

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
GPRC5B1,112

Structural data

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

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
GPRC5BQ9NZH074.39

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 0. Enrichment computed across 1 evidence-associated genes (0 with Reactome annotation).

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
cell volume homeostasis1601.9×0.003GPRC5B
intracellular signal transduction138.1×0.026GPRC5B

Therapeutics

Drug target analysis

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

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

Top cohort targets by molecule count

SymbolMoleculesMax phase
GPRC5B00

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

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

SymbolAssaysType breakdown
GPRC5B2Binding:2

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

0 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.

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug1GPRC5B
EDifficult family or no structure, no drug0

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
GPRC5B2

Clinical trials & evidence

Clinical trials

Clinical trials: 0.