GRHL2

protein-coding

grainyhead like transcription factor 2

Gene summary

The protein encoded by this gene is a transcription factor that can act as a homodimer or as a heterodimer with either GRHL1 or GRHL3. Defects in this gene are a cause of non-syndromic sensorineural deafness autosomal dominant type 28 (DFNA28).[provided by RefSeq, Mar 2009]

Previous symbols:
  • DFNA28
  • TFCP2L3

MANE transcript

NM_024915.4

Inheritance

AR, AD

ClinVar variants

P:26U:155B:54

Top phenotype

Cornealy dystrophy, posterior polymorphous, 4; Ectodermal dysplasia/short stature syndrome

gnomAD constraint

pLI —, LoF o/e 0.13

Max pathogenic AF

—

Genomic locus

chr8:101,492,439-101,669,726

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~177.3 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndromeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014460

Submitter: G2P

autosomal dominant nonsyndromic hearing loss 28STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0012083

Submitter: PanelApp Australia

corneal dystrophy, posterior polymorphous, 4STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0054832

Submitter: PanelApp Australia

autosomal dominant nonsyndromic hearing loss 28STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0012083

Submitter: Labcorp Genetics (formerly Invitae)

posterior polymorphous corneal dystrophySTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0020364

Submitter: G2P

nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndromeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014460

Submitter: PanelApp Australia

nonsyndromic genetic hearing lossDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019497

Submitter: ClinGen

GRHL2 was first associated with autosomal dominant non-syndromic hearing loss as early as 2002 (Peters et al., PMID: 12393799). At least 7 unique variants (frameshift, splice site, exon deletion) have been reported in humans. This association was made using case-level data, animal models, expression studies, and protein interaction studies. Association is seen in at least 8 probands in 5 publications and 2 ClinVar SCVs (PMIDs: 12393799, 23813623, 25342930, 27911912, 32048449, SCV000575569.4, SCV000344371.3). Variants in this gene segregated with disease in 16 additional family members (PMIDs: 12393799, 23813623, 32048449). The mechanism for disease is haploinsufficiency (PMID: 12393799, 23813623, 25342930). This gene-disease association is supported by a zebrafish transposon-mediated gene trap model and mRNA rescue, expression studies in the inner ear of mice, and protein interaction studies showing GRHL2's interaction with claudins. In summary, GRHL2 is definitively associated with autosomal dominant non-syndromic hearing loss.

nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndromeMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0014460

Submitter: Ambry Genetics

autosomal dominant nonsyndromic hearing lossSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019587

Submitter: Orphanet

posterior polymorphous corneal dystrophySUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0020364

Submitter: Orphanet

nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndromeSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0014460

Submitter: Orphanet

congenital fibrosis of extraocular musclesLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0007614

Submitter: Genomics England PanelApp

autosomal dominant nonsyndromic hearing loss 28MODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0012083

Submitter: Ambry Genetics

nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndromeSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014460

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Cornealy dystrophy, posterior polymorphous, 4; Ectodermal dysplasia/short stature syndromeAD/AR

Manifestation: Audiologic/Otolaryngologic; Dental; Dermatologic; Musculoskeletal; Ophthalmologic

Intervention: Audiologic/Otolaryngologic; Ophthalmologic

Rationale: For Corneal dystrophy, posterior polymorphous, 4, individuals may have secondary glaucoma, and awareness may allow surveillance, prompt diagnosis, and management to prevent visual loss; For Ectodermal dysplasia/short stature syndrome, early recognition and treatment of hearing impairment may improve outcomes, including speech and language development

Refs: 12393799; 25152456; 29499165Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to GRHL2 variants in ClinVar

10 Conditions Cataloged
not providedTotal: 219
Inborn genetic diseasesTotal: 66
not specifiedTotal: 55
GRHL2-related disorderTotal: 38
Autosomal dominant nonsyndromic hearing loss 28Total: 15
Corneal dystrophy, posterior polymorphous, 4Total: 9
Nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndromeTotal: 5
Corneal dystrophyTotal: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_024915.4. 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
4
clinvar
45
clinvar
2
clinvar
51
missense
1
clinvar
1
clinvar
145
clinvar
6
clinvar
1
clinvar
154
nonsense
4
clinvar
5
clinvar
1
clinvar
10
start loss
0
frameshift
5
clinvar
1
clinvar
1
clinvar
7
splice donor/acceptor (+/-2bp)
2
clinvar
7
clinvar
4
clinvar
13
Total1214155513235

Highest pathogenic variant AF is 0.00001187513

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 14 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_024915.4RefSeqNP_079191.216MANE Select
ENST00000646743.1EnsemblENSP00000495564.116MANE Select
NM_001330593.2RefSeqNP_001317522.115Standard
NM_001440447.1RefSeqNP_001427376.116Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
grhl2bDanio rerio

Structure: otic epithelium

Quality: decreased thickness

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Mesodermal Commitment Pathway

Biological Process

  • neural tube closure
  • cardiac ventricle morphogenesis
  • epithelial cell morphogenesis
  • regulation of transcription by RNA polymerase II
  • cell adhesion

Molecular Function

  • DNA-binding transcription factor activity, RNA polymerase II-specific
  • intronic transcription regulatory region sequence-specific DNA binding
  • DNA-binding transcription activator activity, RNA polymerase II-specific
  • DNA-binding transcription factor activity
  • protein binding

Cellular Component

  • nucleus
  • nucleoplasm
  • cell-cell junction
  • membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000251808
Coding exons
16
Length
177295
Individuals with no LoFs
125740
Homozygous LoFs
0
Heterozygous LoFs
8
Defined
125748
p
0.0000318
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.932463470.7090.00002054174
Missense (PolyPhen)67140.570.476641771
Synonymous-1.271501311.140.000008401106
Loss of Function5.04539.00.1280.00000242435

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.0000580.000058rare
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000530.000053rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Transcription factor playing an important role in primary neurulation and in epithelial development (PubMed:29309642, PubMed:25152456). Binds directly to the consensus DNA sequence 5'-AACCGGTT-3' acting as an activator and repressor on distinct target genes (By similarity). During embryogenesis, plays unique and cooperative roles with GRHL3 in establishing distinct zones of primary neurulation. Essential for closure 3 (rostral end of the forebrain), functions cooperatively with GRHL3 in closure 2 (forebrain/midbrain boundary) and posterior neuropore closure (By similarity). Regulates epithelial morphogenesis acting as a target gene-associated transcriptional activator of apical junctional complex components. Up-regulates of CLDN3 and CLDN4, as well as of RAB25, which increases the CLDN4 protein and its localization at tight junctions (By similarity). Comprises an essential component of the transcriptional machinery that establishes appropriate expression levels of CLDN4 and CDH1 in different types of epithelia. Exhibits functional redundancy with GRHL3 in epidermal morphogenetic events and epidermal wound repair (By similarity). In lung, forms a regulatory loop with NKX2-1 that coordinates lung epithelial cell morphogenesis and differentiation (By similarity). In keratinocytes, plays a role in telomerase activation during cellular proliferation, regulates TERT expression by binding to TERT promoter region and inhibiting DNA methylation at the 5'-CpG island, possibly by interfering with DNMT1 enzyme activity (PubMed:19015635, PubMed:20938050). In addition, impairs keratinocyte differentiation and epidermal function by inhibiting the expression of genes clustered at the epidermal differentiation complex (EDC) as well as GRHL1 and GRHL3 through epigenetic mechanisms (PubMed:23254293). {ECO:0000250|UniProtKB:Q8K5C0, ECO:0000269|PubMed:19015635, ECO:0000269|PubMed:20938050, ECO:0000269|PubMed:20978075, ECO:0000269|PubMed:23254293, ECO:0000269|PubMed:25152456, ECO:0000269|PubMed:29309642, ECO:0000305|PubMed:12175488}.;
Disease
DISEASE: Deafness, autosomal dominant, 28 (DFNA28) [MIM:608641]: A form of non-syndromic sensorineural hearing loss. Sensorineural deafness results from damage to the neural receptors of the inner ear, the nerve pathways to the brain, or the area of the brain that receives sound information. DFNA28 is characterized by mild to moderate hearing loss across most frequencies that progresses to severe loss in the higher frequencies by the fifth decade. {ECO:0000269|PubMed:12393799}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Ectodermal dysplasia/short stature syndrome (ECTDS) [MIM:616029]: An autosomal recessive ectodermal dysplasia syndrome characterized by nail dystrophy and/or loss, oral mucosa and/or tongue pigmentation, abnormal dentition, keratoderma affecting the margins of the palms and soles, focal hyperkeratosis of the dorsal aspects of the hands and feet, and short stature. {ECO:0000269|PubMed:25152456}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Corneal dystrophy, posterior polymorphous, 4 (PPCD4) [MIM:618031]: A subtype of posterior corneal dystrophy, a disease characterized by alterations of Descemet membrane presenting as vesicles, opacities or band-like lesions on slit-lamp examination and specular microscopy. In severe cases, corneal endothelial failure may occur and corneal transplantation is required to restore vision. Secondary complications are common and include corneal edema, glaucoma, iris adherence to the cornea, and corectopia. PPCD4 transmission pattern is consistent with autosomal dominant inheritance. {ECO:0000269|PubMed:29499165}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.152

Intolerance Scores

LoFtool
0.241
RVIS EVS
-0.4
RVIS percentile EVS
26.73

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.460

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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