GABRB2

protein-coding

gamma-aminobutyric acid type A receptor subunit beta2, the group of Gamma-aminobutyric acid type A receptor subunits

Gene summary

The gamma-aminobutyric acid (GABA) A receptor is a multisubunit chloride channel that mediates the fastest inhibitory synaptic transmission in the central nervous system. This gene encodes GABA A receptor, beta 2 subunit. It is mapped to chromosome 5q34 in a cluster comprised of genes encoding alpha 1 and gamma 2 subunits of the GABA A receptor. Alternative splicing of this gene generates 2 transcript variants, differing by a 114 bp insertion. [provided by RefSeq, Jul 2008]

MANE transcript

NM_001371727.1

Inheritance

AD

ClinVar variants

P:68U:218B:205

Top phenotype

Developmental and epileptic encephalopathy 92

gnomAD constraint

pLI —, LoF o/e 0.17

Max pathogenic AF

—

Genomic locus

chr5:161,288,429-161,549,044

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~260.6 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

developmental and epileptic encephalopathy 92STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0020631

Submitter: PanelApp Australia

complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: ClinGen

Variants in *GABRB2* were first reported in relation to autosomal dominant complex neurodevelopmental disorder in 2011 (Kumari et al., PMID 21420396). Individuals with variants in *GABRB2* can present with features such as developmental and epileptic encephalopathy, early-onset epilepsy, various types of seizures, fever sensitivity, developmental delay, intellectual disability, and movement disorders (PMIDs: 27789573, 32686847, 33325057). Sixteen missense variants that have been reported in 20 probands in 5 publications (PMIDs: 25124326, 27789573, 29100083, 32686847, 33325057) are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 points) has been reached. Most variants occur *de novo* but may also be inherited from an affected parent. Functional analysis of four missense variants demonstrated that they resulted in loss of function (PMID: 33325057). Pathogenic variants are localized in regions intolerant to functional variation, and cluster in the extracellular N-terminus and transmembrane domains 1–3. No truncating variants or deletions have been identified to date in affected individuals (PMID: 33325057). In summary, there is definitive evidence supporting the relationship between *GABRB2* and autosomal dominant complex neurodevelopmental disorder. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel on January 16, 2024 (SOP 10).

developmental and epileptic encephalopathy 92STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0020631

Submitter: G2P

undetermined early-onset epileptic encephalopathySUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018614

Submitter: Orphanet

developmental and epileptic encephalopathy 92DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0020631

Submitter: Illumina

developmental and epileptic encephalopathy 92STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0020631

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Developmental and epileptic encephalopathy 92AD

Manifestation: Neurologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 25124326; 27789573; 29100083Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to GABRB2 variants in ClinVar

13 Conditions Cataloged
Intellectual disabilityTotal: 431
not providedTotal: 164
Developmental and epileptic encephalopathy 92Total: 67
not specifiedTotal: 56
Inborn genetic diseasesTotal: 25
GABRB2-related disorderTotal: 16
GABRB2-related disordersTotal: 4
See casesTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001371727.1. 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
3
clinvar
135
clinvar
2
clinvar
140
missense
17
clinvar
51
clinvar
198
clinvar
44
clinvar
22
clinvar
332
nonsense
5
clinvar
1
clinvar
6
start loss
1
clinvar
1
frameshift
8
clinvar
8
splice donor/acceptor (+/-2bp)
3
clinvar
1
clinvar
4
Total175121818124491

Highest pathogenic variant AF is 0.0000025104907

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 26 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001371727.1RefSeqNP_001358656.110MANE Select
ENST00000393959.6EnsemblENSP00000377531.110MANE Select
NM_000813.3RefSeqNP_000804.19Standard
NM_021911.3RefSeqNP_068711.110Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Benzodiazepine Pathway, Pharmacodynamics
  • Retrograde endocannabinoid signaling - Homo sapiens (human)
  • GABAergic synapse - Homo sapiens (human)
  • Serotonergic synapse - Homo sapiens (human)
  • Nicotine addiction - Homo sapiens (human)

Biological Process

  • signal transduction
  • gamma-aminobutyric acid signaling pathway
  • chemical synaptic transmission
  • sensory perception of sound
  • ion transmembrane transport

Molecular Function

  • GABA-A receptor activity
  • extracellular ligand-gated ion channel activity
  • inhibitory extracellular ligand-gated ion channel activity
  • chloride channel activity
  • GABA receptor activity

Cellular Component

  • cytosol
  • plasma membrane
  • integral component of plasma membrane
  • cell junction
  • cytoplasmic vesicle membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000274547
Coding exons
10
Length
260615
Individuals with no LoFs
125692
Homozygous LoFs
0
Heterozygous LoFs
3
Defined
125695
p
0.0000119
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense3.401332980.4460.00001613376
Missense (PolyPhen)18129.910.138561537
Synonymous-0.9221211091.110.00000563989
Loss of Function3.76423.80.1680.00000117280

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish0.0000990.000099rare
East Asian00.0absent
Finnish0.0000460.000046rare
European (Non-Finnish)0.00000880.0000088rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Component of the heteropentameric receptor for GABA, the major inhibitory neurotransmitter in the vertebrate brain. Functions also as histamine receptor and mediates cellular responses to histamine. Functions as receptor for diazepines and various anesthetics, such as pentobarbital; these are bound at a separate allosteric effector binding site. Functions as ligand- gated chloride channel. {ECO:0000269|PubMed:19763268, ECO:0000269|PubMed:27789573, ECO:0000269|PubMed:8264558}.;

Recessive Scores

pRec
0.156

Intolerance Scores

LoFtool
0.0759
RVIS EVS
-0.69
RVIS percentile EVS
14.97

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.871

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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