GRIA3

protein-coding

glutamate ionotropic receptor AMPA type subunit 3, the group of Glutamate ionotropic receptor AMPA type subunits

Gene summary

Glutamate receptors are the predominant excitatory neurotransmitter receptors in the mammalian brain and are activated in a variety of normal neurophysiologic processes. These receptors are heteromeric protein complexes composed of multiple subunits, arranged to form ligand-gated ion channels. The classification of glutamate receptors is based on their activation by different pharmacologic agonists. The subunit encoded by this gene belongs to a family of AMPA (alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionate)-sensitive glutamate receptors, and is subject to RNA editing (AGA->GGA; R->G). Alternative splicing at this locus results in different isoforms, which may vary in their signal transduction properties. [provided by RefSeq, Jul 2008]

Previous symbols:
  • GLUR3

MANE transcript

NM_007325.5

Inheritance

XL

ClinVar variants

P:41U:370B:172

Top phenotype

Intellectual developmental disorder, X-linked, syndromic, Wu type

gnomAD constraint

pLI —, LoF o/e 0.06

Max pathogenic AF

—

Genomic locus

chrX:123,184,153-123,490,915

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~306.8 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

X-linked complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0100148

Submitter: ClinGen

*GRIA3* is located on chromosome Xq25 and encodes a subunit of AMPA-type ionotropic glutamate receptors that mediate excitatory synaptic transmission in the central nervous system and are essential for most brain functions, including learning and memory. *GRIA3* was first reported in relation to X-linked complex neurodevelopmental disorder in 2007 (Wu et al., PMID: 17989220). Affected individuals exhibit global developmental delay, intellectual disability (mostly moderate or severe), seizures (including developmental and epileptic encephalopathy), limited or absent speech, hypotonia or hypertonia, movement disorders (including hyperekplexia, erratic non-epileptic myoclonus, and ataxia), behavioral abnormalities (including aggressive outbursts, and autism or autistic features) and variable dysmorphic features. Most of the reported variants are missense and concentrate on domains responsible for glutamate binding and channel gating. Pathogenic variants alter receptor function and show loss-of-function (LoF) or gain-of-function (GoF) properties on electrophysiological assays. LoF and GoF variants can cause disease in both sexes but affected males predominantly carry hemizygous LoF variants inherited from healthy mothers, whereas most affected females carry *de novo* heterozygous GoF variants (PMID: 35318360). Genotype-phenotype correlation analysis showed that GoF variants were associated with more severe outcomes: patients were younger at the time of seizure onset (median age: 1 month), and had hypertonia and movement disorders, including hyperekplexia. Patients with LoF variants were older at the time of seizure onset (median age: 16 months), and had hypotonia and sleeping disturbances (PMID: 35318360). Fifteen variants (12 missense, 1 nonsense, 1 frameshift and 1 partial gene duplication leading to decreased expression) that have been reported in 15 probands in 10 publications (PMIDs: 17568425, 17989220, 21376300, 24721225, 25644381, 26637798, 28708303, 29016847, 31406558, 35318360) are included in this curation. Variants in this gene segregated with disease in additional family members. More evidence is available in the literature, but the maximum score for genetic evidence (12 points) has been reached. The mechanism of pathogenicity of truncating variants is LoF, while missense variants can lead to LoF or GoF. LoF effects on receptor signaling function include decreased or complete loss of current response to glutamate, reduced agonist sensitivity, reduced activation ability, increased desensitization, and/or decreased AMPA receptor surface expression (PMIDs: 35318360, 37921875). In contrast, GoF effects include increased current amplitudes, agonist sensitivity, and activation, constitutive activity and/or reduced or blocked desensitization. This gene-disease relationship is also supported by biochemical function, functional studies and mouse models (PMIDs: 12848940, 16436610, 18312590, 22285418, 35697757, 37921875). The three other genes encoding AMPA-type ionotropic glutamate receptors subunits, *GRIA1*, *GRIA2*, and *GRIA4*, are also involved in neurodevelopmental disorders with overlapping features. In summary, there is definitive evidence supporting the relationship between *GRIA3* and X-linked complex neurodevelopmental disorder. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This gene-disease pair was originally evaluated by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel in 2017 and reevaluated in 2019. It was reevaluated again on August 19, 2026 (SOP Version 12). Although new cases and experimental evidence were added, the classification did not change.

syndromic X-linked intellectual disability 94DEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010402

Submitter: G2P

X-linked intellectual disability due to GRIA3 anomaliesSUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0018222

Submitter: Orphanet

syndromic X-linked intellectual disability 94STRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010402

Submitter: PanelApp Australia

syndromic X-linked intellectual disability 94STRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010402

Submitter: Labcorp Genetics (formerly Invitae)

syndromic X-linked intellectual disability 94LIMITED

Inheritance Pattern: XL

Disease ID:MONDO:0010402

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Intellectual developmental disorder, X-linked, syndromic, Wu typeXL

Manifestation: Musculoskeletal; 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: 17568425; 17989220; 19449417; 22124977Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to GRIA3 variants in ClinVar

23 Conditions Cataloged
not providedTotal: 506
Syndromic X-linked intellectual disability 94Total: 88
Inborn genetic diseasesTotal: 74
not specifiedTotal: 70
GRIA3-related disorderTotal: 22
Intellectual disabilityTotal: 6
SeizureTotal: 3
GRIA3-related complex neurodevelopmental disorderTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_007325.5. 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
26
clinvar
133
clinvar
7
clinvar
166
missense
12
clinvar
18
clinvar
299
clinvar
30
clinvar
1
clinvar
360
nonsense
5
clinvar
15
clinvar
20
start loss
1
clinvar
1
frameshift
3
clinvar
2
clinvar
4
clinvar
1
clinvar
10
splice donor/acceptor (+/-2bp)
1
clinvar
25
clinvar
26
Total15263701639583

Highest pathogenic variant AF is 0.000008957523

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 21 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_007325.5RefSeqNP_015564.515MANE Select
ENST00000620443.2EnsemblENSP00000478489.115MANE Select
NM_000828.5RefSeqNP_000819.415MANE Plus Clinical
NM_001256743.2RefSeqNP_001243672.14Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
gria3aDanio rerio

Structure: whole organism

Quality: dead

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Retrograde endocannabinoid signaling - Homo sapiens (human)
  • Dopaminergic synapse - Homo sapiens (human)
  • Glutamatergic synapse - Homo sapiens (human)
  • Long-term depression - Homo sapiens (human)
  • Nicotine addiction - Homo sapiens (human)

Biological Process

  • glutamate receptor signaling pathway
  • ion transmembrane transport
  • ionotropic glutamate receptor signaling pathway
  • regulation of postsynaptic membrane potential

Molecular Function

  • amyloid-beta binding
  • AMPA glutamate receptor activity
  • transmitter-gated ion channel activity involved in regulation of postsynaptic membrane potential

Cellular Component

  • plasma membrane
  • cell junction
  • endocytic vesicle membrane
  • AMPA glutamate receptor complex
  • postsynaptic membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000264357
Coding exons
15
Length
306761
Individuals with no LoFs
125704
Homozygous LoFs
2
Heterozygous LoFs
3
Defined
125709
p
0.0000199
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense4.231303540.3680.00002705888
Missense (PolyPhen)40161.290.2482707
Synonymous0.3021311350.9670.00001121698
Loss of Function4.97232.60.06130.00000259531

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000760.000062rare
Latino/Admixed American00.0absent
Ashkenazi Jewish0.000130.000099rare
East Asian0.0000720.000054rare
Finnish00.0absent
European (Non-Finnish)0.0000240.000018rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Receptor for glutamate that functions as ligand-gated ion channel in the central nervous system and plays an important role in excitatory synaptic transmission. L-glutamate acts as an excitatory neurotransmitter at many synapses in the central nervous system. Binding of the excitatory neurotransmitter L- glutamate induces a conformation change, leading to the opening of the cation channel, and thereby converts the chemical signal to an electrical impulse. The receptor then desensitizes rapidly and enters a transient inactive state, characterized by the presence of bound agonist. In the presence of CACNG4 or CACNG7 or CACNG8, shows resensitization which is characterized by a delayed accumulation of current flux upon continued application of glutamate. {ECO:0000269|PubMed:21172611}.;
Disease
DISEASE: Mental retardation, X-linked 94 (MRX94) [MIM:300699]: A disorder characterized by significantly below average general intellectual functioning associated with impairments in adaptive behavior and manifested during the developmental period. Intellectual deficiency is the only primary symptom of non- syndromic X-linked mental retardation, while syndromic mental retardation presents with associated physical, neurological and/or psychiatric manifestations. MRX94 patients have moderate mental retardation. Other variable features are macrocephaly, seizures, myoclonic jerks, autistic behavior, asthenic body habitus, distal muscle weakness and hyporeflexia. {ECO:0000269|PubMed:17989220}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.176

Intolerance Scores

LoFtool
0.107
RVIS EVS
-0.12
RVIS percentile EVS
45.13

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.652

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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