ACVRL1

activin A receptor like type 1, the group of Type 1 receptor serine/threonine kinases

Basic information

Region (hg38): 12:51906908-51923361

Previous symbols: [ "ACVRLK1", "ORW2" ]

Links

ENSG00000139567NCBI:94OMIM:601284HGNC:175Uniprot:P37023AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • telangiectasia, hereditary hemorrhagic, type 2 (Strong), mode of inheritance: AD
  • hereditary hemorrhagic telangiectasia (Supportive), mode of inheritance: AD
  • telangiectasia, hereditary hemorrhagic, type 2 (Definitive), mode of inheritance: AD
  • telangiectasia, hereditary hemorrhagic, type 2 (Strong), mode of inheritance: AD
  • telangiectasia, hereditary hemorrhagic, type 2 (Definitive), mode of inheritance: AD
  • hereditary hemorrhagic telangiectasia (Limited), mode of inheritance: AR

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Telangiectasia, hereditary hemorrhagic, type 2ADCardiovascular; Gastrointestinal; Hematologic; Obstetric; Pharmacogenomic; PulmonaryThere are a number of surveillance/preventive/treatment based measures; These include: epistaxis treatment with humidification, lubricants, hormone therapy, anti-fibrinolytic agents, ablation, surgery, etc.; GI bleeding: iron replacement, hormonal or anti-fibrinolytic medication, surgery, etc.; Pulmonary AVM: catheter occlusion, and preventive measures such as antibiotic prophylaxis; symptomatic cerebral AVMs: surgery/embolotherapy, etc; Severe hepatic AVMs: liver transplantation if medical management fails; Specific pregnancy-related screening may be indicated; Anemia: Iron replacement or transfusion; Avoidance of certain activities and use of anticoagulant and anti-inflammatory agents (including aspirin) in the case of significant bleeding; For PAH, medical therapy (eg, prostanoids, endothelin receptor antagonists, etc.) may be beneficial, but lung transplantation may be indicatedCardiovascular; Dermatologic; Gastrointestinal; Hematologic; Pulmonary5037289; 3186989; 8640225; 10946360; 9354504; 11170071; 11484689; 14684682; 16470787; 16155196; 6542389; 17786384; 18498373; 18831062; 18312453; 19439755; 20056902; 20301525

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the ACVRL1 gene.

  • Telangiectasia,_hereditary_hemorrhagic,_type_2 (797 variants)
  • Cardiovascular_phenotype (409 variants)
  • not_provided (200 variants)
  • not_specified (42 variants)
  • ACVRL1-related_disorder (31 variants)
  • Pulmonary_arterial_hypertension_related_to_hereditary_hemorrhagic_telangiectasia (30 variants)
  • Hereditary_hemorrhagic_telangiectasia (25 variants)
  • Pulmonary_hypertension,_primary,_1 (14 variants)
  • Pulmonary_arterial_hypertension (9 variants)
  • Hereditary_factor_VIII_deficiency_disease (6 variants)
  • Haemorrhagic_telangiectasia_2 (4 variants)
  • Thrombocytopenia (2 variants)
  • Abnormal_bleeding (2 variants)
  • See_cases (2 variants)
  • Lip_telangiectasia (1 variants)
  • Telangiectasia (1 variants)
  • Telangiectasia_of_the_skin (1 variants)
  • Heritable_pulmonary_arterial_hypertension (1 variants)
  • Epistaxis (1 variants)
  • Oral_cavity_telangiectasia (1 variants)
  • Spontaneous,_recurrent_epistaxis (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the ACVRL1 gene is commonly pathogenic or not. These statistics are base on transcript: NM_000000020.3. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
3
clinvar
2
clinvar
8
clinvar
155
clinvar
3
clinvar
171
missense
97
clinvar
174
clinvar
176
clinvar
23
clinvar
470
nonsense
67
clinvar
5
clinvar
1
clinvar
73
start loss
0
frameshift
134
clinvar
22
clinvar
1
clinvar
157
splice donor/acceptor (+/-2bp)
27
clinvar
19
clinvar
46
Total 328 222 186 178 3

Highest pathogenic variant AF is 0.00003469516

Loading clinvar variants...

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
ACVRL1protein_codingprotein_codingENST00000388922 916454
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
0.0009670.9971257330121257450.0000477
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense2.451903110.6100.00002093227
Missense in Polyphen57153.080.372361576
Synonymous-0.4491451381.050.000009781030
Loss of Function2.66922.70.3970.00000108243

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.0001260.000123
Ashkenazi Jewish0.000.00
East Asian0.000.00
Finnish0.000.00
European (Non-Finnish)0.00007950.0000791
Middle Eastern0.000.00
South Asian0.00003430.0000327
Other0.000.00

dbNSFP

Source: dbNSFP

Function
FUNCTION: Type I receptor for TGF-beta family ligands BMP9/GDF2 and BMP10 and important regulator of normal blood vessel development. On ligand binding, forms a receptor complex consisting of two type II and two type I transmembrane serine/threonine kinases. Type II receptors phosphorylate and activate type I receptors which autophosphorylate, then bind and activate SMAD transcriptional regulators. May bind activin as well. {ECO:0000269|PubMed:22718755, ECO:0000269|PubMed:22799562, ECO:0000269|PubMed:26176610}.;
Disease
DISEASE: Telangiectasia, hereditary hemorrhagic, 2 (HHT2) [MIM:600376]: A multisystemic vascular dysplasia leading to dilation of permanent blood vessels and arteriovenous malformations of skin, mucosa, and viscera. The disease is characterized by recurrent epistaxis and gastro-intestinal hemorrhage. Visceral involvement includes arteriovenous malformations of the lung, liver, and brain. {ECO:0000269|PubMed:10694922, ECO:0000269|PubMed:10767348, ECO:0000269|PubMed:11170071, ECO:0000269|PubMed:11484689, ECO:0000269|PubMed:14684682, ECO:0000269|PubMed:15024723, ECO:0000269|PubMed:15712270, ECO:0000269|PubMed:16525724, ECO:0000269|PubMed:16752392, ECO:0000269|PubMed:20414677, ECO:0000269|PubMed:26176610, ECO:0000269|PubMed:8640225, ECO:0000269|PubMed:9245985}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway
TGF-Core;Signal Transduction;TGF-beta super family signaling pathway canonical;IL-7 signaling;JAK STAT pathway and regulation;EPO signaling;BMP2 signaling TGF-beta MV;VEGF;Signaling by BMP;Signaling by TGF-beta family members;ALK1 signaling events (Consensus)

Recessive Scores

pRec
0.441

Intolerance Scores

loftool
0.0783
rvis_EVS
-1.02
rvis_percentile_EVS
8

Haploinsufficiency Scores

pHI
0.930
hipred
Y
hipred_score
0.524
ghis
0.577

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
E
gene_indispensability_score
0.999

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Acvrl1
Phenotype
growth/size/body region phenotype; craniofacial phenotype; muscle phenotype; homeostasis/metabolism phenotype; respiratory system phenotype; liver/biliary system phenotype; behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); embryo phenotype; mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span); normal phenotype; hematopoietic system phenotype; cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan); nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan); digestive/alimentary phenotype;

Zebrafish Information Network

Gene name
acvrl1
Affected structure
endothelial cell
Phenotype tag
abnormal
Phenotype quality
increased amount

Gene ontology

Biological process
angiogenesis;response to hypoxia;in utero embryonic development;regulation of endothelial cell proliferation;negative regulation of endothelial cell proliferation;positive regulation of endothelial cell proliferation;lymphangiogenesis;blood vessel maturation;blood vessel remodeling;blood vessel endothelial cell proliferation involved in sprouting angiogenesis;endocardial cushion morphogenesis;regulation of DNA replication;regulation of transcription, DNA-templated;protein phosphorylation;negative regulation of cell adhesion;signal transduction;transforming growth factor beta receptor signaling pathway;pattern specification process;blood circulation;regulation of blood pressure;negative regulation of cell population proliferation;negative regulation of endothelial cell migration;negative regulation of gene expression;positive regulation of pathway-restricted SMAD protein phosphorylation;negative regulation of cell growth;negative regulation of cell migration;BMP signaling pathway;positive regulation of BMP signaling pathway;positive regulation of chondrocyte differentiation;activin receptor signaling pathway;wound healing, spreading of epidermal cells;dorsal aorta morphogenesis;regulation of blood vessel endothelial cell migration;negative regulation of blood vessel endothelial cell migration;negative regulation of endothelial cell differentiation;positive regulation of endothelial cell differentiation;positive regulation of angiogenesis;positive regulation of transcription, DNA-templated;positive regulation of transcription by RNA polymerase II;negative regulation of focal adhesion assembly;lymphatic endothelial cell differentiation;artery development;venous blood vessel development;endothelial tube morphogenesis;retina vasculature development in camera-type eye;cellular response to transforming growth factor beta stimulus;cellular response to BMP stimulus;endocardial cushion to mesenchymal transition;negative regulation of DNA biosynthetic process
Cellular component
plasma membrane;integral component of plasma membrane;cell surface;dendrite;neuronal cell body;receptor complex;activin receptor complex
Molecular function
protein serine/threonine kinase activity;transmembrane receptor protein serine/threonine kinase activity;transforming growth factor beta-activated receptor activity;transforming growth factor beta receptor activity, type I;protein binding;ATP binding;activin receptor activity, type I;growth factor binding;protein kinase binding;SMAD binding;metal ion binding;activin binding;transforming growth factor beta binding;BMP receptor activity