FRRS1L
geneOn this page
Also known as CG-6
Summary
FRRS1L (ferric chelate reductase 1 like, HGNC:1362) is a protein-coding gene on chromosome 9q31.3, encoding DOMON domain-containing protein FRRS1L (Q9P0K9). Important modulator of glutamate signaling pathway.
This gene encodes a component of the outer-core of an alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptor protein in the brain. The encoded protein is thought to interact with inner-core components of the receptor, and play a role in the modulation of glutamate signaling. Mutations in this gene are associated with early infantile epileptic encephalopathy 37.
Source: NCBI Gene 23732 — RefSeq curated summary.
At a glance
- Gene–disease (curated): genetic developmental and epileptic encephalopathy (Definitive, ClinGen) — +2 more curated relationships
- GWAS associations: 2
- Clinical variants (ClinVar): 444 total — 28 pathogenic, 7 likely-pathogenic
- Phenotypes (HPO): 50
- MANE Select transcript:
NM_014334
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:1362 |
| Approved symbol | FRRS1L |
| Name | ferric chelate reductase 1 like |
| Location | 9q31.3 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | CG-6 |
| Ensembl gene | ENSG00000260230 |
| Ensembl biotype | protein_coding |
| OMIM | 604574 |
| Entrez | 23732 |
Gene structure
Transcript identifiers
Ensembl transcripts: 6 — 3 nonsense_mediated_decay, 2 retained_intron, 1 protein_coding
ENST00000561981, ENST00000642157, ENST00000642299, ENST00000644736, ENST00000644747, ENST00000645180
RefSeq mRNA: 1 — MANE Select: NM_014334
NM_014334
CCDS: CCDS35098
Canonical transcript exons
ENST00000561981 — 5 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000718927 | 109141343 | 109141589 |
| ENSE00000926800 | 109147051 | 109147189 |
| ENSE00000926801 | 109149636 | 109149720 |
| ENSE00001463888 | 109166901 | 109167249 |
| ENSE00002584457 | 109130293 | 109137627 |
Expression profiles
Bgee: expression breadth ubiquitous, 189 present calls, max score 98.74.
FANTOM5 (CAGE): breadth broad, TPM avg 2.5899 / max 126.2940, expressed in 300 samples.
FANTOM5 promoters (2 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 101878 | 2.5497 | 300 |
| 101879 | 0.0402 | 19 |
Top tissues by expression
281 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| middle temporal gyrus | UBERON:0002771 | 98.74 | gold quality |
| Brodmann (1909) area 23 | UBERON:0013554 | 97.92 | gold quality |
| orbitofrontal cortex | UBERON:0004167 | 97.32 | gold quality |
| frontal pole | UBERON:0002795 | 97.23 | gold quality |
| postcentral gyrus | UBERON:0002581 | 96.65 | gold quality |
| Brodmann (1909) area 10 | UBERON:0013541 | 96.62 | gold quality |
| superior frontal gyrus | UBERON:0002661 | 96.58 | gold quality |
| paraflocculus | UBERON:0005351 | 96.36 | gold quality |
| parietal lobe | UBERON:0001872 | 95.88 | gold quality |
| entorhinal cortex | UBERON:0002728 | 95.84 | gold quality |
| endothelial cell | CL:0000115 | 95.51 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 95.40 | gold quality |
| cerebellar vermis | UBERON:0004720 | 95.16 | gold quality |
| CA1 field of hippocampus | UBERON:0003881 | 94.95 | gold quality |
| middle frontal gyrus | UBERON:0002702 | 94.76 | gold quality |
| lateral globus pallidus | UBERON:0002476 | 94.04 | gold quality |
| lateral nuclear group of thalamus | UBERON:0002736 | 93.86 | gold quality |
| primary visual cortex | UBERON:0002436 | 93.60 | gold quality |
| occipital lobe | UBERON:0002021 | 93.12 | gold quality |
| substantia nigra pars compacta | UBERON:0001965 | 92.42 | gold quality |
| cortical plate | UBERON:0005343 | 91.50 | gold quality |
| prefrontal cortex | UBERON:0000451 | 91.40 | gold quality |
| frontal cortex | UBERON:0001870 | 91.25 | gold quality |
| substantia nigra pars reticulata | UBERON:0001966 | 90.88 | gold quality |
| pons | UBERON:0000988 | 90.69 | gold quality |
| cerebral cortex | UBERON:0000956 | 90.24 | gold quality |
| neocortex | UBERON:0001950 | 90.23 | gold quality |
| cerebellum | UBERON:0002037 | 90.12 | gold quality |
| dorsolateral prefrontal cortex | UBERON:0009834 | 89.83 | gold quality |
| superior vestibular nucleus | UBERON:0007227 | 89.76 | gold quality |
Single-cell (SCXA)
Detected in 4 experiment(s), a significant marker in 3.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-5061 | yes | 25.61 |
| E-ANND-3 | yes | 7.45 |
| E-GEOD-137537 | yes | 6.25 |
| E-GEOD-86618 | no | 55.05 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
16 targeting FRRS1L, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-5692A | 100.00 | 74.40 | 6850 |
| HSA-MIR-1277-5P | 100.00 | 73.95 | 5056 |
| HSA-MIR-6875-3P | 99.82 | 70.26 | 2983 |
| HSA-MIR-320A-3P | 99.77 | 69.73 | 2107 |
| HSA-MIR-320B | 99.77 | 69.73 | 2107 |
| HSA-MIR-320C | 99.77 | 69.73 | 2107 |
| HSA-MIR-320D | 99.77 | 69.73 | 2107 |
| HSA-MIR-4429 | 99.77 | 69.62 | 2111 |
| HSA-MIR-4677-5P | 99.70 | 70.09 | 1940 |
| HSA-MIR-7161-5P | 99.68 | 68.92 | 1592 |
| HSA-MIR-548U | 99.65 | 67.78 | 1463 |
| HSA-MIR-302B-5P | 99.50 | 69.49 | 1857 |
| HSA-MIR-302D-5P | 99.50 | 69.34 | 1863 |
| HSA-MIR-7843-3P | 98.31 | 67.94 | 803 |
| HSA-MIR-127-5P | 97.78 | 67.64 | 869 |
| HSA-MIR-1243 | 97.07 | 65.44 | 719 |
Literature-anchored findings (GeneRIF, showing 4)
- Loss-of-Function Mutations in FRRS1L gene is associated with Epileptic-Dyskinetic Encephalopathy. (PMID:27236917)
- Boricua Founder Variant in FRRS1L Causes Epileptic Encephalopathy With Hyperkinetic Movements. (PMID:32928027)
- Continuous Spikes and Waves During Sleep (CSWS), Severe Epileptic Encephalopathy, and Choreoathetosis due to Mutations in FRRS1L. (PMID:35815844)
- Movement disorder caused by FRRS1L deficiency may be associated with morphological and functional disorders in Purkinje cells. (PMID:36330921)
Cross-species orthologs
11 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | frrs1l | ENSDARG00000103940 |
| mus_musculus | Frrs1l | ENSMUSG00000045589 |
| rattus_norvegicus | Frrs1l | ENSRNOG00000043103 |
| drosophila_melanogaster | CG8399 | FBGN0034067 |
| drosophila_melanogaster | CG14515 | FBGN0039648 |
| drosophila_melanogaster | l(2)34Fc | FBGN0261534 |
| caenorhabditis_elegans | WBGENE00007339 | |
| caenorhabditis_elegans | WBGENE00007545 | |
| caenorhabditis_elegans | WBGENE00013292 | |
| caenorhabditis_elegans | WBGENE00019746 | |
| caenorhabditis_elegans | WBGENE00077490 |
Paralogs (2): FRRS1 (ENSG00000156869), REELD1 (ENSG00000250673)
Protein
Protein identifiers
DOMON domain-containing protein FRRS1L — Q9P0K9 (reviewed: Q9P0K9)
Alternative names: Brain protein CG-6, Ferric-chelate reductase 1-like protein
All UniProt accessions (4): A0A2R8Y4E4, A0A2R8Y5Y6, Q9P0K9, A0A2R8YDG8
UniProt curated annotations — full annotation on UniProt →
Function. Important modulator of glutamate signaling pathway.
Subunit / interactions. Component of the outer core of AMPAR complex. AMPAR complex consists of an inner core made of 4 pore-forming GluA/GRIA proteins (GRIA1, GRIA2, GRIA3 and GRIA4) and 4 major auxiliary subunits arranged in a twofold symmetry. One of the two pairs of distinct binding sites is occupied either by CNIH2, CNIH3 or CACNG2, CACNG3. The other harbors CACNG2, CACNG3, CACNG4, CACNG8 or GSG1L. This inner core of AMPAR complex is complemented by outer core constituents binding directly to the GluA/GRIA proteins at sites distinct from the interaction sites of the inner core constituents. Outer core constituents include at least PRRT1, PRRT2, CKAMP44/SHISA9, FRRS1L and NRN1. The proteins of the inner and outer core serve as a platform for other, more peripherally associated AMPAR constituents. Alone or in combination, these auxiliary subunits control the gating and pharmacology of the AMPAR complex and profoundly impact their biogenesis and protein processing.
Subcellular location. Cell membrane. Synapse.
Tissue specificity. Expressed in adult and fetal brain. Very weak expression in medulla, spinal cord and in adult ovary.
Disease relevance. Developmental and epileptic encephalopathy 37 (DEE37) [MIM:616981] A form of epileptic encephalopathy, a heterogeneous group of severe early-onset epilepsies characterized by refractory seizures, neurodevelopmental impairment, and poor prognosis. Development is normal prior to seizure onset, after which cognitive and motor delays become apparent. DEE37 is an autosomal recessive, severe form manifesting in the first years of life. Affected individuals show hyperkinetic movement disorder with choreoathetosis, spasticity, rigidity, intellectual disability, absent speech, and impaired volitional movements. The disease is caused by variants affecting the gene represented in this entry.
RefSeq proteins (1): NP_055149* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR005018 | DOMON_domain | Domain |
| IPR042789 | FRRS1L | Family |
Pfam: PF03351
UniProt features (7 total): signal peptide 1, chain 1, transmembrane region 1, domain 1, region of interest 1, compositionally biased region 1, sequence variant 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q9P0K9-F1 | 80.60 | 0.63 |
Function
Pathways and Gene Ontology
Reactome pathways
0 pathways
MSigDB gene sets: 128 (showing top):
GSE18804_SPLEEN_MACROPHAGE_VS_TUMORAL_MACROPHAGE_DN, GOBP_REGULATION_OF_SYNAPTIC_TRANSMISSION_GLUTAMATERGIC, KAAB_HEART_ATRIUM_VS_VENTRICLE_UP, GOBP_CELL_CELL_SIGNALING, GOBP_CELL_JUNCTION_ORGANIZATION, GOBP_REGULATION_OF_CELLULAR_LOCALIZATION, GOBP_POSTSYNAPTIC_MEMBRANE_ORGANIZATION, GOBP_SYNAPTIC_SIGNALING, CAIRO_HEPATOBLASTOMA_UP, GOBP_MEMBRANE_ORGANIZATION, GOBP_SYNAPTIC_TRANSMISSION_GLUTAMATERGIC, GOBP_LOCALIZATION_WITHIN_MEMBRANE, GOBP_RECEPTOR_CLUSTERING, GOCC_POSTSYNAPSE, GOCC_SYNAPSE
GO Biological Process (4): regulation of synaptic transmission, glutamatergic (GO:0051966), regulation of postsynaptic membrane neurotransmitter receptor levels (GO:0099072), regulation of glutamate receptor signaling pathway (GO:1900449), regulation of AMPA glutamate receptor clustering (GO:1904717)
GO Molecular Function (2): protein-containing complex binding (GO:0044877), dynein intermediate chain binding (GO:0045505)
GO Cellular Component (5): endoplasmic reticulum membrane (GO:0005789), plasma membrane (GO:0005886), postsynapse (GO:0098794), membrane (GO:0016020), synapse (GO:0045202)
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 2 |
| synaptic transmission, glutamatergic | 1 |
| modulation of chemical synaptic transmission | 1 |
| regulation of biological quality | 1 |
| glutamate receptor signaling pathway | 1 |
| regulation of signal transduction | 1 |
| AMPA glutamate receptor clustering | 1 |
| regulation of glutamate receptor clustering | 1 |
| binding | 1 |
| protein binding | 1 |
| organelle membrane | 1 |
| nuclear outer membrane-endoplasmic reticulum membrane network | 1 |
| endoplasmic reticulum subcompartment | 1 |
| membrane | 1 |
| cell periphery | 1 |
| synapse | 1 |
| cell junction | 1 |
Protein interactions and networks
STRING
1709 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| FRRS1L | ABITRAM | Q9NX38 | 882 |
| FRRS1L | CPT1C | Q8TCG5 | 779 |
| FRRS1L | ABHD6 | Q9BV23 | 570 |
| FRRS1L | CACNG8 | Q8WXS5 | 562 |
| FRRS1L | C1orf159 | Q96HA4 | 494 |
| FRRS1L | GSG1L | Q6UXU4 | 490 |
| FRRS1L | C8B | P07358 | 478 |
| FRRS1L | CTXN1 | P60606 | 474 |
| FRRS1L | CNIH1 | O95406 | 469 |
| FRRS1L | DNHD1 | Q96M86 | 461 |
| FRRS1L | CNIH2 | Q6PI25 | 460 |
| FRRS1L | PTCD2 | Q8WV60 | 460 |
| FRRS1L | SH2D5 | Q6ZV89 | 457 |
| FRRS1L | WDR20 | Q8TBZ3 | 447 |
| FRRS1L | ZNHIT2 | Q9UHR6 | 446 |
| FRRS1L | C8A | P07357 | 446 |
IntAct
3 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| TBRG4 | PNPT1 | psi-mi:“MI:0914”(association) | 0.640 |
| TBRG4 | RAP1A | psi-mi:“MI:0914”(association) | 0.350 |
BioGRID (2): FRRS1L (Affinity Capture-MS), FRRS1L (Affinity Capture-MS)
ESM2 similar proteins: A2AFS3, B1AXV0, D0PRN2, D3ZE85, D4ABL6, E9PV86, M0R7X9, M0RAS4, O19116, O42224, O54951, O60243, O70141, P0DI97, P58400, Q00961, Q01098, Q13507, Q13635, Q14957, Q28142, Q3ZBS2, Q4R766, Q5E9M6, Q5RF67, Q61200, Q63366, Q63373, Q6DN14, Q6NW40, Q76LW2, Q7TNR6, Q7Z5A7, Q8C4U3, Q8N2K0, Q8N474, Q8NBT3, Q8WXS5, Q90693, Q91WE9
Diamond homologs: A0A1B0GV85, A2VE04, A4QP81, B1AXV0, D3ZE85, P0C963, P35446, P35447, Q5MGQ0, Q6INU7, Q6ZNA5, Q8K385, Q8VCC9, Q9GLX9, Q9HCB6, Q9P0K9, Q9V3Y3, Q9W770, Q008X1, Q0Q028, Q765V4
SIGNOR signaling
0 interactions.
Disease & clinical
Clinical variants and AI predictions
ClinVar
444 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 28 |
| Likely pathogenic | 7 |
| Uncertain significance | 225 |
| Likely benign | 145 |
| Benign | 21 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1070692 | NM_014334.4(FRRS1L):c.121G>T (p.Gly41Ter) | Pathogenic |
| 1073247 | NC_000009.12:g.109167267dup | Pathogenic |
| 1076371 | NM_014334.4(FRRS1L):c.618_619insTTTTTTTTTTNNNNNNNNNNGGGATGGTCTCGATCTCCTGACCTCGTGATCCGCCCGCCTCGGCCTCCCAAAGTGCTGGGATTACAGGCGTGAGCCACCGCGCCCGGCCTCACCTGCAGATTT (p.Lys207delinsPhePhePheXaaXaaXaaXaaGlyTrpSerArgSerProAspLeuValIleArgProProArgProProLysValLeuGlyLeuGlnAlaTer) | Pathogenic |
| 1426886 | NM_014334.4(FRRS1L):c.68_69del (p.Pro23fs) | Pathogenic |
| 1427697 | NC_000009.12:g.109167276G>A | Pathogenic |
| 1452447 | NM_014334.4(FRRS1L):c.564_576del (p.Asn188fs) | Pathogenic |
| 1458310 | NM_014334.4(FRRS1L):c.62del (p.Thr21fs) | Pathogenic |
| 1459172 | NC_000009.11:g.(?111903603)(111903889_?)del | Pathogenic |
| 1997044 | NC_000009.12:g.109167267del | Pathogenic |
| 2100471 | NM_014334.4(FRRS1L):c.-35_-16del | Pathogenic |
| 218151 | NM_014334.4(FRRS1L):c.808C>T (p.Gln270Ter) | Pathogenic |
| 218152 | NM_014334.4(FRRS1L):c.692G>A (p.Trp231Ter) | Pathogenic |
| 218154 | NM_014334.4(FRRS1L):c.283dup (p.Ile95fs) | Pathogenic |
| 2698820 | NM_014334.4(FRRS1L):c.618_619insTTTTTTTTTTTTTTTTTTTTTTTTTTTTTNNNGACCTCGTGATCCGCCCGCCTCGGCCTCCCAAAGTGCTGGGATTACAGGCGTGAGCCACCGCGCCCGGCCTCACCTGCAGATTT (p.Lys207delinsPhePhePhePhePhePhePhePhePheXaaXaaThrSerTer) | Pathogenic |
| 2704376 | NM_014334.4(FRRS1L):c.542G>A (p.Trp181Ter) | Pathogenic |
| 2709537 | NM_014334.4(FRRS1L):c.189C>G (p.Tyr63Ter) | Pathogenic |
| 3245267 | NC_000009.11:g.(?111899735)(111929571_?)del | Pathogenic |
| 3622710 | NM_014334.4(FRRS1L):c.-23G>A | Pathogenic |
| 3727968 | NM_014334.4(FRRS1L):c.321del (p.Phe107fs) | Pathogenic |
| 4720998 | NM_014334.4(FRRS1L):c.-99del | Pathogenic |
| 4721448 | NM_014334.4(FRRS1L):c.327del (p.Arg108_Tyr109insTer) | Pathogenic |
| 4731360 | NM_014334.4(FRRS1L):c.543G>A (p.Trp181Ter) | Pathogenic |
| 476302 | NM_014334.4(FRRS1L):c.145del (p.Asp49fs) | Pathogenic |
| 569279 | NM_014334.4(FRRS1L):c.300_301del (p.Cys100fs) | Pathogenic |
| 659759 | NM_014334.4(FRRS1L):c.517C>T (p.Gln173Ter) | Pathogenic |
| 831493 | NC_000009.12:g.(?109147031)(109147209_?)del | Pathogenic |
| 952733 | NM_014334.4(FRRS1L):c.568del (p.Ala190fs) | Pathogenic |
| 984706 | NM_014334.4(FRRS1L):c.431del (p.Val144fs) | Pathogenic |
| 1012838 | NM_014334.4(FRRS1L):c.709+2T>G | Likely pathogenic |
| 2440332 | NM_014334.4(FRRS1L):c.69del (p.Ala24fs) | Likely pathogenic |
SpliceAI
1024 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 9:109137418:T:TA | donor_gain | 1.0000 |
| 9:109137419:C:A | donor_gain | 1.0000 |
| 9:109147044:ATCTT:A | donor_loss | 1.0000 |
| 9:109147045:TCTTA:T | donor_loss | 1.0000 |
| 9:109147046:CTTA:C | donor_loss | 1.0000 |
| 9:109147047:TTAC:T | donor_loss | 1.0000 |
| 9:109147048:TA:T | donor_loss | 1.0000 |
| 9:109147049:A:AT | donor_loss | 1.0000 |
| 9:109166899:AC:A | donor_gain | 1.0000 |
| 9:109166899:ACCCT:A | donor_gain | 1.0000 |
| 9:109166900:CC:C | donor_gain | 1.0000 |
| 9:109166900:CCCTC:C | donor_gain | 1.0000 |
| 9:109166903:T:A | donor_gain | 1.0000 |
| 9:109141380:A:AC | donor_gain | 0.9900 |
| 9:109141381:C:CC | donor_gain | 0.9900 |
| 9:109141586:CACC:C | acceptor_gain | 0.9900 |
| 9:109141588:CC:C | acceptor_gain | 0.9900 |
| 9:109141589:CC:C | acceptor_gain | 0.9900 |
| 9:109147049:A:AC | donor_gain | 0.9900 |
| 9:109147050:C:CC | donor_gain | 0.9900 |
| 9:109147078:TGC:T | donor_gain | 0.9900 |
| 9:109147185:CATAT:C | acceptor_gain | 0.9900 |
| 9:109147187:TAT:T | acceptor_gain | 0.9900 |
| 9:109147187:TATC:T | acceptor_loss | 0.9900 |
| 9:109147189:TCT:T | acceptor_loss | 0.9900 |
| 9:109147190:C:CC | acceptor_gain | 0.9900 |
| 9:109147190:CTAGA:C | acceptor_loss | 0.9900 |
| 9:109147191:T:A | acceptor_loss | 0.9900 |
| 9:109149601:AG:A | donor_gain | 0.9900 |
| 9:109149645:C:A | donor_gain | 0.9900 |
AlphaMissense
2201 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 9:109137613:G:C | H293D | 1.000 |
| 9:109141357:C:A | G283V | 1.000 |
| 9:109141357:C:T | G283D | 1.000 |
| 9:109141358:C:A | G283C | 1.000 |
| 9:109141358:C:G | G283R | 1.000 |
| 9:109141369:A:G | L279P | 1.000 |
| 9:109141429:C:G | R259P | 1.000 |
| 9:109141430:G:T | R259S | 1.000 |
| 9:109141434:A:C | F257L | 1.000 |
| 9:109141434:A:T | F257L | 1.000 |
| 9:109141435:A:G | F257S | 1.000 |
| 9:109141436:A:G | F257L | 1.000 |
| 9:109141440:G:C | C255W | 1.000 |
| 9:109141441:C:A | C255F | 1.000 |
| 9:109141441:C:G | C255S | 1.000 |
| 9:109141441:C:T | C255Y | 1.000 |
| 9:109141442:A:G | C255R | 1.000 |
| 9:109141442:A:T | C255S | 1.000 |
| 9:109141447:A:T | V253D | 1.000 |
| 9:109141450:C:G | R252P | 1.000 |
| 9:109141509:C:A | W232C | 1.000 |
| 9:109141509:C:G | W232C | 1.000 |
| 9:109141521:A:C | N228K | 1.000 |
| 9:109141521:A:T | N228K | 1.000 |
| 9:109141566:G:C | C213W | 1.000 |
| 9:109141567:C:A | C213F | 1.000 |
| 9:109141567:C:G | C213S | 1.000 |
| 9:109141567:C:T | C213Y | 1.000 |
| 9:109141568:A:G | C213R | 1.000 |
| 9:109141568:A:T | C213S | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000056317 (9:109158656 A>G), RS1000176455 (9:109140488 G>A), RS1000241107 (9:109149095 G>A,C), RS1000285612 (9:109152383 C>T), RS1000331828 (9:109167650 C>G,T), RS1000366227 (9:109164747 A>C), RS1000376939 (9:109146151 C>T), RS1000378565 (9:109136764 C>T), RS1000409507 (9:109146399 G>C), RS1000466164 (9:109160280 C>T), RS1000713492 (9:109147448 A>G), RS1000746144 (9:109147798 G>T), RS1000779953 (9:109130796 C>T), RS1000849122 (9:109143178 G>A), RS1000867606 (9:109159987 A>G)
Disease associations
OMIM: gene MIM:604574 | disease phenotypes: MIM:616981
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| genetic developmental and epileptic encephalopathy | Definitive | Autosomal recessive |
| developmental and epileptic encephalopathy, 37 | Strong | Autosomal recessive |
| autosomal recessive non-syndromic intellectual disability | Supportive | Autosomal recessive |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| genetic developmental and epileptic encephalopathy | Definitive | AR |
Mondo (5): developmental and epileptic encephalopathy, 37 (MONDO:0014859), choreatic disease (MONDO:0001595), epilepsy (MONDO:0005027), genetic developmental and epileptic encephalopathy (MONDO:0100062), autosomal recessive non-syndromic intellectual disability (MONDO:0019502)
Orphanet (1): Benign hereditary chorea (Orphanet:1429)
HPO phenotypes
50 total (30 of 50 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000639 | Nystagmus |
| HP:0000718 | Aggressive behavior |
| HP:0000729 | Autistic behavior |
| HP:0001249 | Intellectual disability |
| HP:0001250 | Seizure |
| HP:0001252 | Hypotonia |
| HP:0001257 | Spasticity |
| HP:0001263 | Global developmental delay |
| HP:0001266 | Choreoathetosis |
| HP:0001272 | Cerebellar atrophy |
| HP:0001288 | Gait disturbance |
| HP:0001332 | Dystonia |
| HP:0001336 | Myoclonus |
| HP:0001344 | Absent speech |
| HP:0001345 | Psychotic mentation |
| HP:0002059 | Cerebral atrophy |
| HP:0002063 | Rigidity |
| HP:0002069 | Bilateral tonic-clonic seizure |
| HP:0002072 | Chorea |
| HP:0002266 | Focal clonic seizure |
| HP:0002312 | Clumsiness |
| HP:0002333 | Motor deterioration |
| HP:0002349 | Focal aware seizure |
| HP:0002375 | Hypokinesia |
| HP:0002376 | Developmental regression |
| HP:0002381 | Aphasia |
| HP:0002384 | Focal impaired awareness seizure |
| HP:0002396 | Cogwheel rigidity |
| HP:0002487 | Hyperkinetic movements |
GWAS associations
2 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST004138_11 | Early-onset Parkinson’s disease | 2.000000e-31 |
| GCST004904_82 | Body mass index | 2.000000e-12 |
EFO canonical traits (1, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0004340 | body mass index |
MeSH disease descriptors (2)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D002819 | Chorea | C10.228.662.262.249; C10.597.350.250; C23.888.592.350.250 |
| D004827 | Epilepsy | C10.228.140.490 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
14 total (human), top 14 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| entinostat | decreases expression, affects cotreatment | 2 |
| Panobinostat | decreases expression, affects cotreatment | 2 |
| Phenylmercuric Acetate | affects cotreatment, decreases expression | 2 |
| 4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamide | affects cotreatment, decreases expression | 1 |
| belinostat | affects cotreatment, decreases expression | 1 |
| dorsomorphin | affects cotreatment, decreases expression | 1 |
| (+)-JQ1 compound | increases expression | 1 |
| MT19c compound | decreases expression | 1 |
| Resveratrol | affects cotreatment, decreases expression | 1 |
| Acetaminophen | decreases expression | 1 |
| Diethylhexyl Phthalate | decreases expression | 1 |
| Lead | affects expression | 1 |
| Plant Extracts | affects cotreatment, decreases expression | 1 |
| Acrylamide | decreases expression | 1 |
Clinical trials (associated diseases)
312 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00004637 | PHASE4 | COMPLETED | Double-Blind, Placebo-Controlled Trial of Vitamin E as Add-on Therapy for Children With Epilepsy |
| NCT00043914 | PHASE4 | COMPLETED | Measurement Of Serum Levels Of Two Antiepileptic Drugs During Conversion In Patients With Epilepsy |
| NCT00132223 | PHASE4 | UNKNOWN | Effects on the Diagnostic Accuracy of Magnetic Imaging Angiographies of the Supra-Aortic Vessels by Three Different Magnetic Resonance Contrast Agents in Patients |
| NCT00133081 | PHASE4 | UNKNOWN | Study to Improve the Treatment of Epilepsy (SITE) |
| NCT00137709 | PHASE4 | UNKNOWN | Hormone Profiles in Adults With Newly Diagnosed Epilepsy |
| NCT00154076 | PHASE4 | COMPLETED | A Multicenter Comparative Trial of Zonisamide and Topiramate as Initial Monotherapy in Untreated Epilepsies |
| NCT00165828 | PHASE4 | TERMINATED | Efficacy and Safety of an add-on Treatment With Zonisamide in Adults With Focal Epileptic Seizures With or Without Secondary Generalization |
| NCT00181116 | PHASE4 | COMPLETED | Levetiracetam for Benign Rolandic Epilepsy |
| NCT00207935 | PHASE4 | COMPLETED | Use of Sustained Release Antiepileptic Medication (Depakote® ER) for Pediatric Epilepsy in a Mental Retardation/Developmental Disorder Population |
| NCT00215592 | PHASE4 | COMPLETED | Open Label, Zonegran (Zonisamide) In Partial Onset Seizures |
| NCT00266604 | PHASE4 | COMPLETED | A Study to Evaluate the Dosing, Effectiveness and Safety of Topiramate for the Treatment of Epilepsy |
| NCT00288639 | PHASE4 | COMPLETED | Lyrica (Pregabalin) Administered as an Add-on Therapy for Partial Seizures (LEADER). |
| NCT00312676 | PHASE4 | UNKNOWN | Compare Tolerability of an Overnight Switch to Gradual Switch Between Two Different Forms of Depakote |
| NCT00323947 | PHASE4 | COMPLETED | Methylphenidate for Treating Attention Deficit Hyperactivity Disorder in Children With Both ADHD and Epilepsy |
| NCT00385411 | PHASE4 | COMPLETED | Study of Valproate in Young Patients Suffering From Epilepsy |
| NCT00522418 | PHASE4 | TERMINATED | Study Comparing Best Medical Practice With or Without VNS Therapy in Pharmacoresistant Partial Epilepsy Patients |
| NCT00537940 | PHASE4 | COMPLETED | Comparative Study Of Pregabalin And Gabapentin As Adjunctive Therapy In Subjects With Partial Seizures |
| NCT00552526 | PHASE4 | UNKNOWN | Ketogenic Diet vs.Antiepileptic Drug Treatment in Drug Resistant Epilepsy |
| NCT00564915 | PHASE4 | COMPLETED | RCT of the Efficacy of the Ketogenic Diet in the Treatment of Epilepsy |
| NCT00571155 | PHASE4 | COMPLETED | Trial of Levetiracetam in Patients With Primary Brain Tumors and Symptomatic Seizures Who Undergo Surgery |
| NCT00572195 | PHASE4 | COMPLETED | RNS® System LTT Study |
| NCT00610532 | PHASE4 | TERMINATED | Evaluating the Transporter Protein Inhibitor Probenecid In Patients With Epilepsy |
| NCT00630357 | PHASE4 | COMPLETED | Trial to Evaluate the Safety and Efficacy of Keppra After Conversion to Mono-therapy in Subjects With Partial Epilepsy |
| NCT00630630 | PHASE4 | COMPLETED | Study on Safety and Efficacy of Levetiracetam in the Adjunctive Treatment of Female Subjects With C1 Catamenial Epilepsy |
| NCT00630968 | PHASE4 | COMPLETED | S.K.A.T.E.: Safety of Keppra as Adjunctive Therapy in Epilepsy |
| NCT00631150 | PHASE4 | COMPLETED | A Phase IV-Pharmacovigilance Study of Keppra Greece - S.K.A.T.E.: Safety of Keppra as Adjunctive Therapy in Epilepsy |
| NCT00659958 | PHASE4 | COMPLETED | ZAGAL Study: Evaluating Effectiveness and Tolerability of Zonisamide as Adjunctive Therapy in Patients With Partial Onset Seizures Treated With Two Antiepileptic Drugs |
| NCT00713622 | PHASE4 | COMPLETED | Comparing The Effect On Cognition Of Adjunctive Therapy With Zonisamide Versus Sodium Valproate |
| NCT00807989 | PHASE4 | COMPLETED | The Efficacy and Safety of Low Dose Combination of LTG and VPA Compared to CBZ Monotherapy |
| NCT00832884 | PHASE4 | COMPLETED | The Safety of Intravenous Lacosamide |
| NCT00869622 | PHASE4 | COMPLETED | Antiepileptic Drugs and Osteoporotic Prevention Trial |
| NCT00896987 | PHASE4 | COMPLETED | Lamotrigine Cognitive Function Study in Adult Untreated Epilepsies |
| NCT00952081 | PHASE4 | COMPLETED | A Pilot Study to Evaluate Efficacy and Safety of Clevidipine in Neurosurgical Patients |
| NCT01118455 | PHASE4 | TERMINATED | Trial to Assess Vagus Nerve Stimulation Therapy vs. Anti-Epileptic Drug (AED) Treatment in Children With Refractory Seizures |
| NCT01127165 | PHASE4 | COMPLETED | Low and High Dose Zonisamide in Children as Monotherapy |
| NCT01127256 | PHASE4 | COMPLETED | Comparative Study of Zonisamide and Carbamazepine as an Initial Monotherapy: Efficacy and Safety Evaluation |
| NCT01140867 | PHASE4 | COMPLETED | Open-label, Multi-center Trial of Zonisamide as Adjunctive Therapy in Patients With Uncontrolled Partial Epilepsy |
| NCT01175954 | PHASE4 | COMPLETED | Cognitive and Behavioral Effects of Lacosamide |
| NCT01229735 | PHASE4 | COMPLETED | Levetiracetam Versus Topiramate as Adjunctive Therapy to Evaluate Efficacy and Safety in Subjects With Refractory Partial Onset Seizures |
| NCT01244724 | PHASE4 | TERMINATED | Lexapro for Major Depression in Patients With Epilepsy |
Related Atlas pages
- Associated diseases: developmental and epileptic encephalopathy, 37, genetic developmental and epileptic encephalopathy, autosomal recessive non-syndromic intellectual disability
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): autosomal recessive non-syndromic intellectual disability, choreatic disease, developmental and epileptic encephalopathy, 37, epilepsy, genetic developmental and epileptic encephalopathy