GRIN2A

protein-coding

glutamate ionotropic receptor NMDA type subunit 2A, the group of Glutamate ionotropic receptor NMDA type subunits

Gene summary

This gene encodes a member of the glutamate-gated ion channel protein family. The encoded protein is an N-methyl-D-aspartate (NMDA) receptor subunit. NMDA receptors are both ligand-gated and voltage-dependent, and are involved in long-term potentiation, an activity-dependent increase in the efficiency of synaptic transmission thought to underlie certain kinds of memory and learning. These receptors are permeable to calcium ions, and activation results in a calcium influx into post-synaptic cells, which results in the activation of several signaling cascades. Disruption of this gene is associated with focal epilepsy and speech disorder with or without cognitive disability. Alternative splicing results in multiple transcript variants. [provided by RefSeq, May 2014]

Previous symbols:
  • NMDAR2A

MANE transcript

NM_001134407.3

Inheritance

AD, AR

ClinVar variants

P:314U:840B:810

Top phenotype

Epilepsy, focal, with speech disorder and with or without impaired intellectual development

gnomAD constraint

pLI —, LoF o/e 0.08

Max pathogenic AF

—

Genomic locus

chr16:9,753,404-10,183,337

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~429.9 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Landau-Kleffner syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0009509

Submitter: Ambry Genetics

continuous spikes and waves during sleepSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019123

Submitter: Orphanet

Landau-Kleffner syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0009509

Submitter: Orphanet

neurodevelopmental disorderLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0700092

Submitter: G2P

Landau-Kleffner syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0009509

Submitter: G2P

developmental and epileptic encephalopathyLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0100620

Submitter: PanelApp Australia

complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: ClinGen

The GRIN2A gene has been associated with autosomal dominant complex neurodevelopmental disorder. This disease association was made using case-level data and experimental data. At least 10 variants (missense, frameshift, truncating, deletion, and de novo) were curated from two publications (23933819, 50890276). More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. This gene-disease association is supported by non-patient cells functional alteration and non-human model systems (27839871, 7816096). Additional experimental evidence exists, but was not reviewed in this curation (31158310, 30146685 [additional mouse models], 26312887 [variant expression in cultured neurons]). A treatment paper with N=1 was also reviewed (24839611), but did not qualify as a true genetic rescue; however, it does highlight the potential to translate functional data to targeted treatment. In summary, GRIN2A is definitively associated with 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 Epilepsy Gene Curation Expert Panel on 7/16/19 (SOP Version 6).

Landau-Kleffner syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0009509

Submitter: Labcorp Genetics (formerly Invitae)

rolandic epilepsy-speech dyspraxia syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0015587

Submitter: Orphanet

early-onset epileptic encephalopathy and intellectual disability due to GRIN2A mutationSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0017325

Submitter: Orphanet

early-onset epileptic encephalopathy and intellectual disability due to GRIN2A mutationSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0017325

Submitter: PanelApp Australia

self-limited epilepsy with centrotemporal spikesSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007295

Submitter: Orphanet

Clinical Genomic Database (CGD)

Epilepsy, focal, with speech disorder and with or without impaired intellectual developmentAD

Manifestation: Neurologic

Intervention: Neurologic

Rationale: Individuals may manifest with seizures, and specific knowledge of the underlying cause can help direct selection of optimal therapies for management based on the genetic etiology

Refs: 20890276; 23933818; 23933819; 23933820; 24504326; 28212175; 28331464; 30870728Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to GRIN2A variants in ClinVar

27 Conditions Cataloged
Landau-Kleffner syndromeTotal: 1741
not providedTotal: 636
Inborn genetic diseasesTotal: 238
not specifiedTotal: 169
GRIN2A-related complex neurodevelopmental disorderTotal: 46
Intellectual disabilityTotal: 14
Self-limited epilepsy with centrotemporal spikesTotal: 13
SeizureTotal: 8

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001134407.3. 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
1
clinvar
26
clinvar
481
clinvar
10
clinvar
518
missense
19
clinvar
106
clinvar
800
clinvar
301
clinvar
16
clinvar
1242
nonsense
30
clinvar
22
clinvar
5
clinvar
57
start loss
2
clinvar
1
clinvar
3
frameshift
59
clinvar
32
clinvar
4
clinvar
2
clinvar
97
splice donor/acceptor (+/-2bp)
13
clinvar
30
clinvar
4
clinvar
47
Total121193840784261964

Highest pathogenic variant AF is 0.000013133874

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 22 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001134407.3RefSeqNP_001127879.112MANE Select
ENST00000330684.4EnsemblENSP00000332549.312MANE Select
NM_000833.5RefSeqNP_000824.112Standard
NM_001134408.2RefSeqNP_001127880.113Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Long-term potentiation - Homo sapiens (human)
  • Dopaminergic synapse - Homo sapiens (human)
  • Glutamatergic synapse - Homo sapiens (human)
  • Systemic lupus erythematosus - Homo sapiens (human)
  • Alzheimer,s disease - Homo sapiens (human)

Biological Process

  • MAPK cascade
  • startle response
  • response to amphetamine
  • glutamate receptor signaling pathway
  • chemical synaptic transmission

Molecular Function

  • amyloid-beta binding
  • NMDA glutamate receptor activity
  • Ras guanyl-nucleotide exchange factor activity
  • protein binding
  • zinc ion binding

Cellular Component

  • endoplasmic reticulum
  • plasma membrane
  • integral component of plasma membrane
  • synaptic vesicle
  • cell surface

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000396573
Coding exons
12
Length
424236
Individuals with no LoFs
125742
Homozygous LoFs
0
Heterozygous LoFs
6
Defined
125748
p
0.0000239
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.835998280.7230.00005239746
Missense (PolyPhen)160364.580.438864321
Synonymous-2.424123541.160.00002632825
Loss of Function5.94448.80.08200.00000246602

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.000062rare
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)0.0000440.000044rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Component of NMDA receptor complexes that function as heterotetrameric, ligand-gated ion channels with high calcium permeability and voltage-dependent sensitivity to magnesium. Channel activation requires binding of the neurotransmitter glutamate to the epsilon subunit, glycine binding to the zeta subunit, plus membrane depolarization to eliminate channel inhibition by Mg(2+) (PubMed:8768735, PubMed:26919761, PubMed:26875626, PubMed:28105280). Sensitivity to glutamate and channel kinetics depend on the subunit composition; channels containing GRIN1 and GRIN2A have higher sensitivity to glutamate and faster kinetics than channels formed by GRIN1 and GRIN2B (PubMed:26919761, PubMed:26875626). Contributes to the slow phase of excitatory postsynaptic current, long-term synaptic potentiation, and learning (By similarity). {ECO:0000250|UniProtKB:P35436, ECO:0000250|UniProtKB:Q00959, ECO:0000269|PubMed:26875626, ECO:0000269|PubMed:26919761, ECO:0000269|PubMed:28105280, ECO:0000269|PubMed:8768735}.;
Disease
DISEASE: Epilepsy, focal, with speech disorder and with or without mental retardation (FESD) [MIM:245570]: A highly variable neurologic disorder with features ranging from severe early-onset seizures associated with delayed psychomotor development, persistent speech difficulties, and mental retardation to a more benign entity characterized by childhood onset of mild or asymptomatic seizures associated with transient speech difficulties followed by remission of seizures in adolescence and normal psychomotor development. The disorder encompasses several clinical entities, including Landau-Kleffner syndrome, epileptic encephalopathy with continuous spike and wave during slow-wave sleep, autosomal dominant rolandic epilepsy, mental retardation and speech dyspraxia, and benign epilepsy with centrotemporal spikes. {ECO:0000269|PubMed:20890276, ECO:0000269|PubMed:23033978, ECO:0000269|PubMed:23933818, ECO:0000269|PubMed:23933819, ECO:0000269|PubMed:23933820, ECO:0000269|PubMed:24504326, ECO:0000269|PubMed:24903190, ECO:0000269|PubMed:27839871, ECO:0000269|PubMed:27864847, ECO:0000269|PubMed:28095420, ECO:0000269|PubMed:28126851, ECO:0000269|PubMed:28182669}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Note=A chromosomal aberration involving GRIN2A has been found in a family with epilepsy and neurodevelopmental defects. Translocation t(16;17)(p13.2;q11.2).; DISEASE: Note=GRIN2A somatic mutations have been frequently found in cutaneous malignant melanoma, suggesting that the glutamate signaling pathway may play a role in the pathogenesis of melanoma. {ECO:0000269|PubMed:21499247, ECO:0000269|PubMed:24455489}.;

Recessive Scores

pRec
0.473

Intolerance Scores

LoFtool
0.0850
RVIS EVS
-1.46
RVIS percentile EVS
3.89

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Indispensability pred.
E
Indispensability score
0.838

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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