GRIN2A
protein-codingglutamate 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]
- NMDAR2A
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~429.9 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: AD
Disease ID:MONDO:0009509
Submitter: Ambry Genetics
Inheritance Pattern: AD
Disease ID:MONDO:0019123
Submitter: Orphanet
Inheritance Pattern: AD
Disease ID:MONDO:0009509
Submitter: Orphanet
Inheritance Pattern: AR
Disease ID:MONDO:0700092
Submitter: G2P
Inheritance Pattern: AD
Disease ID:MONDO:0009509
Submitter: G2P
Inheritance Pattern: AR
Disease ID:MONDO:0100620
Submitter: PanelApp Australia
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).
Inheritance Pattern: AD
Disease ID:MONDO:0009509
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: AD
Disease ID:MONDO:0015587
Submitter: Orphanet
Inheritance Pattern: AD
Disease ID:MONDO:0017325
Submitter: Orphanet
Inheritance Pattern: AD
Disease ID:MONDO:0017325
Submitter: PanelApp Australia
Inheritance Pattern: AD
Disease ID:MONDO:0007295
Submitter: Orphanet
Clinical Genomic Database (CGD)
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
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to GRIN2A variants in ClinVar
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.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 1 | 26 | 481 | 10 | 518 | |
| missense | 19 | 106 | 800 | 301 | 16 | 1242 |
| nonsense | 30 | 22 | 5 | 57 | ||
| start loss | 2 | 1 | 3 | |||
| frameshift | 59 | 32 | 4 | 2 | 97 | |
| splice donor/acceptor (+/-2bp) | 13 | 30 | 4 | 47 | ||
| Total | 121 | 193 | 840 | 784 | 26 | 1964 |
Highest pathogenic variant AF is 0.000013133874
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_001127879.1 | 12 | MANE Select | |
| Ensembl | ENSP00000332549.3 | 12 | MANE Select | |
| RefSeq | NP_000824.1 | 12 | Standard | |
| RefSeq | NP_001127880.1 | 13 | Standard |
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:
- 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-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | 2.83 | 599 | 828 | 0.723 | 0.0000523 | 9746 |
| Missense (PolyPhen) | 160 | 364.58 | 0.43886 | 4321 | ||
| Synonymous | -2.42 | 412 | 354 | 1.16 | 0.0000263 | 2825 |
| Loss of Function | 5.94 | 4 | 48.8 | 0.0820 | 0.00000246 | 602 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0.00012 | 0.000062 | rare |
| Latino/Admixed American | 0 | 0.0 | absent |
| Ashkenazi Jewish | 0 | 0.0 | absent |
| East Asian | 0 | 0.0 | absent |
| Finnish | 0 | 0.0 | absent |
| European (Non-Finnish) | 0.000044 | 0.000044 | rare |
| South Asian | 0 | 0.0 | absent |
| Other | 0 | 0.0 | absent |
dbNSFP Gene Annotations
Source:
- 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
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |