GNRHR

protein-coding

gonadotropin releasing hormone receptor, the group of Gonadotropin releasing hormone receptors

Gene summary

This gene encodes the receptor for type 1 gonadotropin-releasing hormone. This receptor is a member of the seven-transmembrane, G-protein coupled receptor (GPCR) family. It is expressed on the surface of pituitary gonadotrope cells as well as lymphocytes, breast, ovary, and prostate. Following binding of gonadotropin-releasing hormone, the receptor associates with G-proteins that activate a phosphatidylinositol-calcium second messenger system. Activation of the receptor ultimately causes the release of gonadotropic luteinizing hormone (LH) and follicle stimulating hormone (FSH). Defects in this gene are a cause of hypogonadotropic hypogonadism (HH). Alternative splicing results in multiple transcript variants encoding different isoforms. More than 18 transcription initiation sites in the 5' region and multiple polyA signals in the 3' region have been identified for this gene. [provided by RefSeq, Jul 2008]

Previous symbols:
  • GRHR

MANE transcript

NM_000406.3

Inheritance

AD, AR, Digenic

ClinVar variants

P:47U:67B:17

Top phenotype

Hypogonadotropic hypogonadism 7 with or without anosmia; Hypogonadotropic hypogonadism 23 with or without anosmia

gnomAD constraint

pLI —, LoF o/e 0.33

Max pathogenic AF

—

Genomic locus

chr4:67,737,118-67,754,388

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~17.3 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hypogonadotropic hypogonadism 7 with or without anosmiaLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0007794

Submitter: Ambry Genetics

hypogonadotropic hypogonadism 7 with or without anosmiaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0007794

Submitter: Labcorp Genetics (formerly Invitae)

hypogonadotropic hypogonadismSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018555

Submitter: Orphanet

hypogonadotropic hypogonadism 7 with or without anosmiaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0007794

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Hypogonadotropic hypogonadism 7 with or without anosmia; Hypogonadotropic hypogonadism 23 with or without anosmiaAD/AR/Digenic

Manifestation: Endocrine; Genitourinary

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: Digenic inheritance (with FGFR1) has been reported

Refs: 13061573; 9371856; 10690855; 11397842; 17235395; 20301455; 20301509; 22035731; 22724017Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to GNRHR variants in ClinVar

15 Conditions Cataloged
not providedTotal: 65
Hypogonadotropic hypogonadism 7 with or without anosmiaTotal: 51
Inborn genetic diseasesTotal: 37
GNRHR-related disorderTotal: 11
GNRHR-related disordersTotal: 11
not specifiedTotal: 7
Hypogonadotropic hypogonadismTotal: 5
Isolated congenital hypogonadotropic hypogonadismTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_000406.3. 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
5
clinvar
14
clinvar
1
clinvar
20
missense
12
clinvar
21
clinvar
59
clinvar
2
clinvar
94
nonsense
3
clinvar
2
clinvar
2
clinvar
7
start loss
1
clinvar
1
frameshift
2
clinvar
4
clinvar
6
splice donor/acceptor (+/-2bp)
1
clinvar
2
clinvar
3
Total182967161131

Highest pathogenic variant AF is 0.00353684

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 5 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_000406.3RefSeqNP_000397.13MANE Select
ENST00000226413.5EnsemblENSP00000226413.53MANE Select
NM_001012763.2RefSeqNP_001012781.13Standard
ENST00000420975.2EnsemblENSP00000397561.23Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • GnRH signaling pathway - Homo sapiens (human)
  • Neuroactive ligand-receptor interaction - Homo sapiens (human)
  • GPCRs, Other
  • Peptide GPCRs
  • Signaling by GPCR

Biological Process

  • G protein-coupled receptor signaling pathway
  • multicellular organism development
  • cellular response to hormone stimulus
  • cellular response to gonadotropin-releasing hormone

Molecular Function

  • gonadotropin-releasing hormone receptor activity

Cellular Component

  • plasma membrane
  • integral component of plasma membrane
  • membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000226413
Coding exons
3
Length
15033
Individuals with no LoFs
125730
Homozygous LoFs
0
Heterozygous LoFs
10
Defined
125740
p
0.0000398
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.3011551660.9340.000008212164
Missense (PolyPhen)6367.2520.93678855
Synonymous-0.06756463.31.010.00000317638
Loss of Function2.18412.20.3286.14e-7141

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000190.00018rare
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish00.0absent
East Asian0.000110.00011rare
Finnish00.0absent
European (Non-Finnish)0.0000260.000026rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Receptor for gonadotropin releasing hormone (GnRH) that mediates the action of GnRH to stimulate the secretion of the gonadotropic hormones luteinizing hormone (LH) and follicle- stimulating hormone (FSH). This receptor mediates its action by association with G-proteins that activate a phosphatidylinositol- calcium second messenger system. Isoform 2 may act as an inhibitor of GnRH-R signaling.;

Recessive Scores

pRec
0.236

Intolerance Scores

LoFtool
0.492
RVIS EVS
-0.12
RVIS percentile EVS
45.13

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.215

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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