NLGN3

protein-coding

neuroligin 3, the group of Neuroligins

Gene summary

This gene encodes a member of a family of neuronal cell surface proteins. Members of this family may act as splice site-specific ligands for beta-neurexins and may be involved in the formation and remodeling of central nervous system synapses. Mutations in this gene may be associated with autism and Asperger syndrome. Multiple transcript variants encoding distinct isoforms have been identified for this gene. [provided by RefSeq, Oct 2009]

MANE transcript

NM_181303.2

Inheritance

XL

ClinVar variants

P:13U:215B:45

Top phenotype

Autism, susceptibility to, X-linked 1

gnomAD constraint

pLI —, LoF o/e 0.1

Max pathogenic AF

—

Genomic locus

chrX:71,144,821-71,175,255

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~30.4 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

autism, susceptibility to, X-linked 1MODERATE

Inheritance Pattern: XL

Disease ID:MONDO:0010321

Submitter: Ambry Genetics

X-linked complex neurodevelopmental disorderSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0100148

Submitter: PanelApp Australia

autism, susceptibility to, X-linked 1STRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010321

Submitter: G2P

X-linked complex neurodevelopmental disorderMODERATE

Inheritance Pattern: XL

Disease ID:MONDO:0100148

Submitter: ClinGen

*NLGN3* was first reported in relation to X-linked complex neurodevelopmental disorder in 2003 (Jamain et al., PMID: 12669065). *NLGN43* encodes a member of the neuroligin family of neuronal cell-adhesion molecules that are localized postsynaptically, interact with presynaptic neurexins, and play a key role in the maturation and function of synapses. *NLGN3* variants have been identified in males with autism, intellectual disability, learning disability, or seizures. Carrier females are unaffected. Variants in *NLGN3* were curated under the disease entity complex neurodevelopmental disorder. A truncating variant reported in an individual with schizophrenia (PMID: 24126926) was not included in this curation. Four variants (nonsense, frameshift, and missense) that have been reported in five probands in four publications (PMIDs: 12669065, 25167861, 25533962, 28263302) are included in this curation. Variants in this gene segregated with disease in two additional family members. The mechanism of pathogenicity is loss of function. This gene-disease relationship is also supported by mouse models and *in vitro* functional studies that underscore a critical role of NLGN3 in synaptic transmission. In summary, there is moderate evidence supporting the relationship between *NLGN3* and X-linked complex neurodevelopmental disorder. While more evidence is needed to establish this relationship definitively, no convincing contradictory evidence has emerged. This classification was approved by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel on August 15, 2018 (SOP Version 5). As of October 2025, this record underwent administrative updates to include an evidence summary text and update scoring to be consistent with SOP Version 11. No new evidence was added.

autism, susceptibility to, X-linked 1LIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0010321

Submitter: Labcorp Genetics (formerly Invitae)

X-linked complex neurodevelopmental disorderMODERATE

Inheritance Pattern: XL

Disease ID:MONDO:0100148

Submitter: Illumina

Clinical Genomic Database (CGD)

Autism, susceptibility to, X-linked 1XL

Manifestation: 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: 12669065Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to NLGN3 variants in ClinVar

12 Conditions Cataloged
not providedTotal: 132
Inborn genetic diseasesTotal: 69
not specifiedTotal: 38
Autism, susceptibility to, X-linked 1Total: 19
NLGN3-related disorderTotal: 13
Intellectual disabilityTotal: 7
X-linked complex neurodevelopmental disorderTotal: 3
Autism spectrum disorderTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_181303.2. 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
16
clinvar
37
clinvar
3
clinvar
56
missense
2
clinvar
5
clinvar
181
clinvar
5
clinvar
193
nonsense
1
clinvar
7
clinvar
8
start loss
1
clinvar
1
frameshift
2
clinvar
1
clinvar
3
clinvar
6
splice donor/acceptor (+/-2bp)
2
clinvar
7
clinvar
9
Total58215423273

Highest pathogenic variant AF is 0.0000036427218

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 41 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_181303.2RefSeqNP_851820.17MANE Select
ENST00000358741.4EnsemblENSP00000351591.47MANE Select
NM_001166660.2RefSeqNP_001160132.15Standard
NM_001321276.2RefSeqNP_001308205.16Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Cell adhesion molecules (CAMs) - Homo sapiens (human)
  • Neuronal System
  • Neurexins and neuroligins
  • Protein-protein interactions at synapses

Biological Process

  • regulation of respiratory gaseous exchange by neurological system process
  • receptor-mediated endocytosis
  • neuron cell-cell adhesion
  • synapse assembly
  • learning

Molecular Function

  • protein binding
  • signaling receptor activity
  • neurexin family protein binding
  • cell adhesion molecule binding
  • scaffold protein binding

Cellular Component

  • plasma membrane
  • integral component of plasma membrane
  • cell surface
  • cell junction
  • endocytic vesicle

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000358741
Coding exons
7
Length
26371
Individuals with no LoFs
125591
Homozygous LoFs
1
Heterozygous LoFs
1
Defined
125593
p
0.00000796
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense4.211513820.3950.00003315517
Missense (PolyPhen)51191.590.26622733
Synonymous0.6741571680.9340.00001531781
Loss of Function3.77220.30.09840.00000151322

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish0.000270.00020rare
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Cell surface protein involved in cell-cell-interactions via its interactions with neurexin family members. Plays a role in synapse function and synaptic signal transmission, and may mediate its effects by clustering other synaptic proteins. May promote the initial formation of synapses, but is not essential for this. May also play a role in glia-glia or glia-neuron interactions in the developing peripheral nervous system (By similarity). {ECO:0000250, ECO:0000269|PubMed:15620359}.;
Disease
DISEASE: Asperger syndrome, X-linked, 1 (ASPGX1) [MIM:300494]: A syndrome with features similar to autism. Affected individuals exhibit qualitative impairment in social interaction, as manifest by impairment in the use of non-verbal behaviors such as eye-to- eye gaze, facial expression, body postures, and gestures, failure to develop appropriate peer relationships, and lack of social sharing or reciprocity. Patients also exhibit restricted, repetitive and stereotyped patterns of behavior, interests, and activities, including abnormal preoccupation with certain activities and inflexible adherence to routines or rituals. Asperger syndrome is primarily distinguished from autism by the higher cognitive abilities and a more normal and timely development of language and communicative phrases. {ECO:0000269|PubMed:12669065}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.212

Intolerance Scores

LoFtool
0.165
RVIS EVS
-0.54
RVIS percentile EVS
20.54

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.739

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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