LRRTM4

protein-coding

leucine rich repeat transmembrane neuronal 4

Gene summary

Predicted to enable heparan sulfate proteoglycan binding activity and signaling receptor activity. Predicted to be involved in positive regulation of synapse assembly. Predicted to act upstream of or within AMPA glutamate receptor clustering and regulation of presynaptic membrane organization. Predicted to be located in postsynaptic membrane. Predicted to be part of AMPA glutamate receptor complex. Predicted to be active in several cellular components, including GABA-ergic synapse; photoreceptor ribbon synapse; and postsynaptic density membrane. [provided by Alliance of Genome Resources, Jun 2026]

MANE transcript

NM_001134745.3

Inheritance

—

ClinVar variants

U:66B:2

Top phenotype

LRRTM4-related disorder

gnomAD constraint

pLI —, LoF o/e 0.28

Max pathogenic AF

—

Genomic locus

chr2:76,747,685-77,593,319

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~845.6 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

No GenCC data available for this gene.

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to LRRTM4 variants in ClinVar

2 Conditions Cataloged
not specifiedTotal: 64
LRRTM4-related disorderTotal: 4

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001134745.3. 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
1
missense
64
clinvar
1
clinvar
65
nonsense
0
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
1
clinvar
1
Total00662068
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 15 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001134745.3RefSeqNP_001128217.13MANE Select
ENST00000409884.6EnsemblENSP00000387297.13MANE Select
NM_001282924.3RefSeqNP_001269853.13Standard
NM_001282928.3RefSeqNP_001269857.12Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Neuronal System
  • Neurexins and neuroligins
  • Protein-protein interactions at synapses

Cellular Component

  • extracellular space
  • integral component of membrane
  • cell junction
  • extracellular matrix
  • postsynaptic membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000409093
Coding exons
3
Length
845601
Individuals with no LoFs
124629
Homozygous LoFs
0
Heterozygous LoFs
26
Defined
124655
p
0.000104
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.592423220.7510.00001693854
Missense (PolyPhen)80140.240.570461779
Synonymous-0.008881271271.000.000006841143
Loss of Function3.12621.70.2770.00000115269

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000290.00029rare
Ashkenazi Jewish00.0absent
East Asian0.000110.00011rare
Finnish0.0000930.000093rare
European (Non-Finnish)0.0000890.000088rare
South Asian0.0000330.000033rare
Other0.000170.00017rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: May play a role in the development and maintenance of the vertebrate nervous system. Exhibits strong synaptogenic activity, restricted to excitatory presynaptic differentiation (By similarity). {ECO:0000250}.;

Recessive Scores

pRec
0.105

Intolerance Scores

LoFtool
0.438
RVIS EVS
-0.27
RVIS percentile EVS
34.32

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.275

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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