MTOR

protein-coding

mechanistic target of rapamycin kinase, the group of MTOR complex 2|Armadillo like helical domain containing|MTOR complex 1

Gene summary

The protein encoded by this gene belongs to a family of phosphatidylinositol kinase-related kinases. These kinases mediate cellular responses to stresses such as DNA damage and nutrient deprivation. This kinase is a component of two distinct complexes, mTORC1, which controls protein synthesis, cell growth and proliferation, and mTORC2, which is a regulator of the actin cytoskeleton, and promotes cell survival and cell cycle progression. This protein acts as the target for the cell-cycle arrest and immunosuppressive effects of the FKBP12-rapamycin complex. Inhibitors of mTOR are used in organ transplants as immunosuppressants, and are being evaluated for their therapeutic potential in SARS-CoV-2 infections. Mutations in this gene are associated with Smith-Kingsmore syndrome and somatic focal cortical dysplasia type II. The ANGPTL7 gene is located in an intron of this gene. [provided by RefSeq, Aug 2020]

Previous symbols:
  • FRAP
  • FRAP2
  • FRAP1

MANE transcript

NM_004958.4

Inheritance

AD

ClinVar variants

P:67U:1080B:1109

Top phenotype

Smith-Kingsmore syndrome

gnomAD constraint

pLI —, LoF o/e 0.13

Max pathogenic AF

—

Genomic locus

chr1:11,106,535-11,262,556

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~156.0 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

overgrowth syndrome and/or cerebral malformations due to abnormalities in MTOR pathway genesDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100283

Submitter: ClinGen

MTOR was FIRST reported in relation to overgrowth syndrome and/or cerebral malformations due to abnormalities in MTOR pathway genes in 2012 (Lee et al. PMID:22729223). Evidence supporting this gene-disease relationship includes case-level data and experimental data. Multiple recurrent variants have been identified in this gene, and functional testing in patient cell lines support a gain-of-function disease mechanism. Additional experimental studies have been done on non-patient derived cells and animal models supporting a gain-of-function disease mechanism. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanism(s) AND inheritance pattern. Therefore, the following disease entities have been lumped into one disease entity, Focal cortical dysplasia, type II, somatic (OMIM: 607341), Smith-Kingsmore syndrome (616638). The phenotypic spectrum is largely due to what tissue(s) the variant affects. In summary, MTOR has been definitively associated with overgrowth syndrome and/or cerebral malformations due to abnormalities in MTOR pathway genes, and has been upheld over time. This classification was approved by the ClinGen Brain Malformations Gene Curation Expert Panel on 05/25/2021. (SOP v8)

macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014716

Submitter: Labcorp Genetics (formerly Invitae)

macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014716

Submitter: Orphanet

macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014716

Submitter: G2P

macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0014716

Submitter: Illumina

overgrowth syndrome and/or cerebral malformations due to abnormalities in MTOR pathway genesSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0100283

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Smith-Kingsmore syndromeAD

Manifestation: Craniofacial; 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: 25851998; 26542245; 27753196; 27830187Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MTOR variants in ClinVar

26 Conditions Cataloged
not providedTotal: 2798
not specifiedTotal: 294
Inborn genetic diseasesTotal: 171
MTOR-related disorderTotal: 144
Macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndromeTotal: 117
Isolated focal cortical dysplasia type IITotal: 51
Overgrowth syndrome and/or cerebral malformations due to abnormalities in MTOR pathway genesTotal: 31
CEBALID syndromeTotal: 11

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_004958.4. 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
25
clinvar
712
clinvar
23
clinvar
760
missense
22
clinvar
42
clinvar
943
clinvar
210
clinvar
148
clinvar
1365
nonsense
1
clinvar
35
clinvar
7
clinvar
43
start loss
0
frameshift
1
clinvar
1
clinvar
43
clinvar
7
clinvar
52
splice donor/acceptor (+/-2bp)
34
clinvar
2
clinvar
36
Total234410809381712256

Highest pathogenic variant AF is 0.0000068176214

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 34 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_004958.4RefSeqNP_004949.157MANE Select
ENST00000361445.9EnsemblENSP00000354558.457MANE Select
NM_001386500.1RefSeqNP_001373429.157Standard
NM_001386501.1RefSeqNP_001373430.150Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
mtorDanio rerio

Structure: cardiac muscle cell

Quality: decreased size

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • PI3K-Akt signaling pathway - Homo sapiens (human)
  • Gastric cancer - Homo sapiens (human)
  • mTOR signaling pathway - Homo sapiens (human)
  • Adipocytokine signaling pathway - Homo sapiens (human)
  • Kaposi,s sarcoma-associated herpesvirus infection - Homo sapiens (human)

Biological Process

  • regulation of cell growth
  • negative regulation of protein phosphorylation
  • positive regulation of protein phosphorylation
  • positive regulation of endothelial cell proliferation
  • T-helper 1 cell lineage commitment

Molecular Function

  • RNA polymerase III type 1 promoter DNA binding
  • RNA polymerase III type 2 promoter DNA binding
  • RNA polymerase III type 3 promoter DNA binding
  • TFIIIC-class transcription factor complex binding
  • protein kinase activity

Cellular Component

  • Golgi membrane
  • nucleus
  • nucleoplasm
  • cytoplasm
  • mitochondrial outer membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000361445
Coding exons
57
Length
155973
Individuals with no LoFs
125717
Homozygous LoFs
0
Heterozygous LoFs
31
Defined
125748
p
0.000123
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense7.027311.49e+30.4890.000088016753
Missense (PolyPhen)173563.680.306916334
Synonymous0.7575485710.9600.00003304987
Loss of Function9.95191510.1260.000009131535

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000620.000062rare
Latino/Admixed American0.0000580.000058rare
Ashkenazi Jewish0.0000990.000099rare
East Asian0.000160.00016rare
Finnish0.0000460.000046rare
European (Non-Finnish)0.000150.00015rare
South Asian0.000200.00020rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Serine/threonine protein kinase which is a central regulator of cellular metabolism, growth and survival in response to hormones, growth factors, nutrients, energy and stress signals. MTOR directly or indirectly regulates the phosphorylation of at least 800 proteins. Functions as part of 2 structurally and functionally distinct signaling complexes mTORC1 and mTORC2 (mTOR complex 1 and 2). Activated mTORC1 up-regulates protein synthesis by phosphorylating key regulators of mRNA translation and ribosome synthesis. This includes phosphorylation of EIF4EBP1 and release of its inhibition toward the elongation initiation factor 4E (eiF4E). Moreover, phosphorylates and activates RPS6KB1 and RPS6KB2 that promote protein synthesis by modulating the activity of their downstream targets including ribosomal protein S6, eukaryotic translation initiation factor EIF4B, and the inhibitor of translation initiation PDCD4. Stimulates the pyrimidine biosynthesis pathway, both by acute regulation through RPS6KB1- mediated phosphorylation of the biosynthetic enzyme CAD, and delayed regulation, through transcriptional enhancement of the pentose phosphate pathway which produces 5-phosphoribosyl-1- pyrophosphate (PRPP), an allosteric activator of CAD at a later step in synthesis, this function is dependent on the mTORC1 complex. Regulates ribosome synthesis by activating RNA polymerase III-dependent transcription through phosphorylation and inhibition of MAF1 an RNA polymerase III-repressor. In parallel to protein synthesis, also regulates lipid synthesis through SREBF1/SREBP1 and LPIN1. To maintain energy homeostasis mTORC1 may also regulate mitochondrial biogenesis through regulation of PPARGC1A. mTORC1 also negatively regulates autophagy through phosphorylation of ULK1. Under nutrient sufficiency, phosphorylates ULK1 at 'Ser- 758', disrupting the interaction with AMPK and preventing activation of ULK1. Also prevents autophagy through phosphorylation of the autophagy inhibitor DAP. mTORC1 exerts a feedback control on upstream growth factor signaling that includes phosphorylation and activation of GRB10 a INSR-dependent signaling suppressor. Among other potential targets mTORC1 may phosphorylate CLIP1 and regulate microtubules. As part of the mTORC2 complex MTOR may regulate other cellular processes including survival and organization of the cytoskeleton. Plays a critical role in the phosphorylation at 'Ser-473' of AKT1, a pro-survival effector of phosphoinositide 3-kinase, facilitating its activation by PDK1. mTORC2 may regulate the actin cytoskeleton, through phosphorylation of PRKCA, PXN and activation of the Rho-type guanine nucleotide exchange factors RHOA and RAC1A or RAC1B. mTORC2 also regulates the phosphorylation of SGK1 at 'Ser-422' (PubMed:12087098, PubMed:12150925, PubMed:12150926, PubMed:12231510, PubMed:12718876, PubMed:14651849, PubMed:15268862, PubMed:15467718, PubMed:15545625, PubMed:15718470, PubMed:18497260, PubMed:18762023, PubMed:18925875, PubMed:20516213, PubMed:20537536, PubMed:21659604, PubMed:23429703, PubMed:23429704, PubMed:25799227, PubMed:26018084). Regulates osteoclastogenesis by adjusting the expression of CEBPB isoforms (By similarity). {ECO:0000250|UniProtKB:Q9JLN9, ECO:0000269|PubMed:12087098, ECO:0000269|PubMed:12150925, ECO:0000269|PubMed:12150926, ECO:0000269|PubMed:12231510, ECO:0000269|PubMed:12718876, ECO:0000269|PubMed:14651849, ECO:0000269|PubMed:15268862, ECO:0000269|PubMed:15467718, ECO:0000269|PubMed:15545625, ECO:0000269|PubMed:15718470, ECO:0000269|PubMed:18497260, ECO:0000269|PubMed:18762023, ECO:0000269|PubMed:18925875, ECO:0000269|PubMed:20516213, ECO:0000269|PubMed:20537536, ECO:0000269|PubMed:21659604, ECO:0000269|PubMed:23429703, ECO:0000269|PubMed:23429704, ECO:0000269|PubMed:25799227, ECO:0000269|PubMed:26018084}.;
Disease
DISEASE: Smith-Kingsmore syndrome (SKS) [MIM:616638]: An autosomal dominant syndrome characterized by intellectual disability, macrocephaly, seizures, umbilical hernia, and facial dysmorphic features. {ECO:0000269|PubMed:25851998, ECO:0000269|PubMed:26542245, ECO:0000269|PubMed:27830187}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Focal cortical dysplasia 2 (FCORD2) [MIM:607341]: A form of focal cortical dysplasia, a malformation of cortical development that results in medically refractory epilepsy in the pediatric population and in adults. FCORD2 is a severe form, with onset usually in childhood, characterized by disrupted cortical lamination and specific cytological abnormalities. It is classified in 2 subtypes: type IIA characterized by dysmorphic neurons and lack of balloon cells; type IIB with dysmorphic neurons and balloon cells. {ECO:0000269|PubMed:25799227, ECO:0000269|PubMed:25878179, ECO:0000269|PubMed:26018084, ECO:0000269|PubMed:27830187}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.171

Intolerance Scores

LoFtool
0.246
RVIS EVS
-3.49
RVIS percentile EVS
0.34

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
E
Essential (gene trap)
E
Indispensability pred.
E
Indispensability score
0.802

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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