FLRT3

protein-coding

fibronectin leucine rich transmembrane protein 3, the group of Fibronectin type III domain containing

Gene summary

This gene encodes a member of the fibronectin leucine rich transmembrane protein (FLRT) family. FLRTs may function in cell adhesion and/or receptor signalling. Their protein structures resemble small leucine-rich proteoglycans found in the extracellular matrix. This gene is expressed in many tissues. Two alternatively spliced transcript variants encoding the same protein have been described for this gene. [provided by RefSeq, Jul 2010]

MANE transcript

NM_198391.3

Inheritance

AD, Digenic, Multigenic

ClinVar variants

P:1U:93B:29

Top phenotype

Hypogonadotropic hypogonadism 21, with or without anosmia

gnomAD constraint

pLI —, LoF o/e 0.25

Max pathogenic AF

—

Genomic locus

chr20:14,322,985-14,337,614

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~14.6 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Kallmann syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018800

Submitter: Orphanet

hypogonadotropic hypogonadism 21 with or without anosmiaLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014107

Submitter: Ambry Genetics

hypogonadotropic hypogonadism 21 with or without anosmiaLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0014107

Submitter: PanelApp Australia

hypogonadotropic hypogonadism 21 with or without anosmiaLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0014107

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Hypogonadotropic hypogonadism 21, with or without anosmiaAD/Digenic/Multigenic

Manifestation: Audiologic/Otolaryngologic; Endocrine; Musculoskeletal; Neurologic

Intervention: Endocrine

Rationale: In Hypogonadotropic hypogonadism, surveillance in adolescence related to sexual maturation is indicated, as is monitoring of bone mineral density in order to allow early detection and treatment of disease; In order to induce and maintain secondary sex characteristics, gradually increasing doses of gonadal steroids (females: estrogen/progestin; males: testosterone/hCG) can be beneficial; Related to fertility, endocrinologic therapy (females: recombinant hCG or pulsatile GnRH therapy; males: hCG/HMG/recombinant FSH or pulsatile GnRH therapy) may be effective, though IVF may be required

Comments: Relatively complex genetic models of disease have been described (eg, involving variants in other FGF8-network-associated genes)

Refs: 6881209; 23643382Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to FLRT3 variants in ClinVar

9 Conditions Cataloged
not specifiedTotal: 65
not providedTotal: 51
FLRT3-related disorderTotal: 8
Hypogonadotropic hypogonadism 21 with or without anosmiaTotal: 5
HYPOGONADOTROPIC HYPOGONADISM 21 WITH ANOSMIA, SUSCEPTIBILITY TOTotal: 3
High myopiaTotal: 1
Disorder of sexual differentiationTotal: 1
AmenorrheaTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_198391.3. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
23
clinvar
2
clinvar
25
missense
1
clinvar
89
clinvar
4
clinvar
94
nonsense
2
clinvar
2
start loss
0
frameshift
2
clinvar
2
splice donor/acceptor (+/-2bp)
0
Total1093272123
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 19 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_198391.3RefSeqNP_938205.11MANE Select
ENST00000341420.5EnsemblENSP00000339912.41MANE Select
NM_013281.4RefSeqNP_037413.11Standard
ENST00000378053.3EnsemblENSP00000367292.31Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Developmental Biology
  • Signal Transduction
  • Signaling by FGFR
  • Signaling by ROBO receptors
  • Axon guidance

Biological Process

  • proepicardium cell migration involved in pericardium morphogenesis
  • axon guidance
  • synapse assembly
  • heart development
  • fibroblast growth factor receptor signaling pathway

Molecular Function

  • fibroblast growth factor receptor binding
  • protein binding
  • protein binding, bridging
  • protein homodimerization activity
  • chemorepellent activity

Cellular Component

  • extracellular space
  • endoplasmic reticulum membrane
  • cytosol
  • plasma membrane
  • integral component of plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000378053
Coding exons
1
Length
14629
Individuals with no LoFs
125659
Homozygous LoFs
0
Heterozygous LoFs
9
Defined
125668
p
0.0000358
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.862543520.7210.00001854250
Missense (PolyPhen)70134.60.520041614
Synonymous-0.1161311291.010.000006421324
Loss of Function3.14520.20.2470.00000133231

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000620.000062rare
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish0.0000460.000046rare
European (Non-Finnish)0.0000530.000053rare
South Asian00.0absent
Other0.000160.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Functions in cell-cell adhesion, cell migration and axon guidance, exerting an attractive or repulsive role depending on its interaction partners. Plays a role in the spatial organization of brain neurons. Plays a role in vascular development in the retina (By similarity). Plays a role in cell-cell adhesion via its interaction with ADGRL3 and probably also other latrophilins that are expressed at the surface of adjacent cells (PubMed:26235030). Interaction with the intracellular domain of ROBO1 mediates axon attraction towards cells expressing NTN1. Mediates axon growth cone collapse and plays a repulsive role in neuron guidance via its interaction with UNC5B, and possibly also other UNC-5 family members (By similarity). Promotes neurite outgrowth (in vitro) (PubMed:14706654). Mediates cell-cell contacts that promote an increase both in neurite number and in neurite length. Plays a role in the regulation of the density of glutamaergic synapses. Plays a role in fibroblast growth factor-mediated signaling cascades. Required for normal morphogenesis during embryonic development, but not for normal embryonic patterning. Required for normal ventral closure, headfold fusion and definitive endoderm migration during embryonic development. Required for the formation of a normal basement membrane and the maintenance of a normal anterior visceral endoderm during embryonic development (By similarity). {ECO:0000250|UniProtKB:B1H234, ECO:0000250|UniProtKB:Q8BGT1, ECO:0000269|PubMed:14706654, ECO:0000269|PubMed:26235030}.;
Disease
DISEASE: Hypogonadotropic hypogonadism 21 with or without anosmia (HH21) [MIM:615271]: A disorder characterized by absent or incomplete sexual maturation by the age of 18 years, in conjunction with low levels of circulating gonadotropins and testosterone and no other abnormalities of the hypothalamic- pituitary axis. In some cases, it is associated with non- reproductive phenotypes, such as anosmia, cleft palate, and sensorineural hearing loss. Anosmia or hyposmia is related to the absence or hypoplasia of the olfactory bulbs and tracts. Hypogonadism is due to deficiency in gonadotropin-releasing hormone and probably results from a failure of embryonic migration of gonadotropin-releasing hormone-synthesizing neurons. In the presence of anosmia, idiopathic hypogonadotropic hypogonadism is referred to as Kallmann syndrome, whereas in the presence of a normal sense of smell, it has been termed normosmic idiopathic hypogonadotropic hypogonadism (nIHH). {ECO:0000269|PubMed:23643382}. Note=The disease is caused by mutations affecting distinct genetic loci, including the gene represented in this entry. Some patients carrying mutations in FLRT3 also have a mutation in another HH-associated gene including FGFR1, HS6ST1 and FGF17 (PubMed:23643382). {ECO:0000269|PubMed:23643382}.;

Recessive Scores

pRec
0.122

Intolerance Scores

LoFtool
0.146
RVIS EVS
-0.09
RVIS percentile EVS
46.99

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.484

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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