LGR4

protein-coding

leucine rich repeat containing G protein-coupled receptor 4, the group of G protein-coupled receptors, Class A orphans

Gene summary

The protein encoded by this gene is a G-protein coupled receptor that binds R-spondins and activates the Wnt signaling pathway. This Wnt signaling pathway activation is necessary for proper development of many organs of the body. [provided by RefSeq, Oct 2016]

Previous symbols:
  • GPR48

MANE transcript

NM_018490.5

Inheritance

SD, AD

ClinVar variants

P:2U:112B:21

Top phenotype

Delayed puberty, self-limited

gnomAD constraint

pLI —, LoF o/e 0.22

Max pathogenic AF

—

Genomic locus

chr11:27,365,961-27,472,790

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~106.8 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

delayed puberty, self-limitedLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0859205

Submitter: Labcorp Genetics (formerly Invitae)

syndromic diseaseMODERATE

Inheritance Pattern: SD

Disease ID:MONDO:0002254

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Delayed puberty, self-limitedAD

Manifestation: Endocrine

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: 32493844Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to LGR4 variants in ClinVar

6 Conditions Cataloged
not specifiedTotal: 112
not providedTotal: 13
LGR4-related disorderTotal: 7
Delayed puberty, self-limitedTotal: 3
Bone mineral density quantitative trait locus 17Total: 1
See casesTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_018490.5. 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
1
clinvar
11
clinvar
1
clinvar
13
missense
2
clinvar
107
clinvar
5
clinvar
4
clinvar
118
nonsense
1
clinvar
1
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
3
clinvar
3
Total20112165135

Highest pathogenic variant AF is 0.019729098

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 29 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_018490.5RefSeqNP_060960.218MANE Select
ENST00000379214.9EnsemblENSP00000368516.418MANE Select
NM_001346432.2RefSeqNP_001333361.117Standard
ENST00000389858.4EnsemblENSP00000374508.417Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Signaling by WNT
  • Signal Transduction
  • Regulation of FZD by ubiquitination
  • TCF dependent signaling in response to WNT

Biological Process

  • osteoblast differentiation
  • hair follicle development
  • adenylate cyclase-activating G protein-coupled receptor signaling pathway
  • activation of adenylate cyclase activity
  • spermatogenesis

Molecular Function

  • transmembrane signaling receptor activity
  • G protein-coupled receptor activity
  • protein binding
  • G protein-coupled peptide receptor activity
  • protein-hormone receptor activity

Cellular Component

  • plasma membrane
  • integral component of plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000379214
Coding exons
18
Length
106815
Individuals with no LoFs
125720
Homozygous LoFs
0
Heterozygous LoFs
28
Defined
125748
p
0.000111
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.223884610.8410.00002286186
Missense (PolyPhen)116156.750.740032086
Synonymous-0.8661941791.080.000009381837
Loss of Function4.64941.10.2190.00000199545

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000130.00012rare
Latino/Admixed American0.0000750.000029rare
Ashkenazi Jewish0.000260.000099rare
East Asian0.0000560.000054rare
Finnish0.000170.000092rare
European (Non-Finnish)0.000200.00016rare
South Asian0.0000990.000098rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Receptor for R-spondins that potentiates the canonical Wnt signaling pathway and is involved in the formation of various organs. Upon binding to R-spondins (RSPO1, RSPO2, RSPO3 or RSPO4), associates with phosphorylated LRP6 and frizzled receptors that are activated by extracellular Wnt receptors, triggering the canonical Wnt signaling pathway to increase expression of target genes. In contrast to classical G-protein coupled receptors, does not activate heterotrimeric G-proteins to transduce the signal. Its function as activator of the Wnt signaling pathway is required for the development of various organs, including liver, kidney, intestine, bone, reproductive tract and eye. May also act as a receptor for norrin (NDP), such results however require additional confirmation in vivo. Required during spermatogenesis to activate the Wnt signaling pathway in peritubular myoid cells. Required for the maintenance of intestinal stem cells and Paneth cell differentiation in postnatal intestinal crypts. Acts as a regulator of bone formation and remodeling. Involved in kidney development; required for maintaining the ureteric bud in an undifferentiated state. Involved in the development of the anterior segment of the eye. Required during erythropoiesis. Also acts as a negative regulator of innate immunity by inhibiting TLR2/TLR4 associated pattern-recognition and proinflammatory cytokine production. Plays an important role in regulating the circadian rhythms of plasma lipids, partially through regulating the rhythmic expression of MTTP (By similarity). {ECO:0000250|UniProtKB:A2ARI4, ECO:0000269|PubMed:21693646, ECO:0000269|PubMed:21727895, ECO:0000269|PubMed:21909076, ECO:0000269|PubMed:22815884, ECO:0000269|PubMed:23444378, ECO:0000269|PubMed:23756652}.;
Disease
DISEASE: Osteoporosis (OSTEOP) [MIM:166710]: A systemic skeletal disorder characterized by decreased bone mass and deterioration of bone microarchitecture without alteration in the composition of bone. The result is fragile bones and an increased risk of fractures, even after minimal trauma. Osteoporosis is a chronic condition of multifactorial etiology and is usually clinically silent until a fracture occurs. {ECO:0000269|PubMed:23644456}. Note=Disease susceptibility may be associated with variations affecting the gene represented in this entry. A LGR4 nonsense mutation creating a stop codon after position 126 (c.376C>T) is strongly associated with low bone mineral density and osteoporotic fractures (PubMed:23644456). This mutation probably causes degradation of the transcript by nonsense-mediated decay (NMD). The c.376C>T mutation is also associated with electrolyte imbalance, late onset of menarche and reduced testosterone levels, as well as an increased risk of squamous cell carcinoma of the skin and biliary tract cancer (PubMed:23644456). {ECO:0000269|PubMed:23644456}.;

Recessive Scores

pRec
0.130

Intolerance Scores

LoFtool
0.391
RVIS EVS
-0.26
RVIS percentile EVS
34.88

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.228

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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