NPR2

natriuretic peptide receptor 2, the group of Transmembrane guanylate cyclases|DENN domain containing

Basic information

Region (hg38): 9:35791003-35809732

Previous symbols: [ "ANPRB", "NPRB", "AMDM" ]

Links

ENSG00000159899NCBI:4882OMIM:108961HGNC:7944Uniprot:P20594AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • acromesomelic dysplasia 1, Maroteaux type (Definitive), mode of inheritance: AR
  • acromesomelic dysplasia 1, Maroteaux type (Definitive), mode of inheritance: AR
  • tall stature-scoliosis-macrodactyly of the great toes syndrome (Moderate), mode of inheritance: AD
  • short stature with nonspecific skeletal abnormalities 1 (Moderate), mode of inheritance: AD
  • acromesomelic dysplasia 1, Maroteaux type (Supportive), mode of inheritance: AR
  • tall stature-scoliosis-macrodactyly of the great toes syndrome (Supportive), mode of inheritance: AD
  • acromesomelic dysplasia 1, Maroteaux type (Strong), mode of inheritance: AR
  • tall stature-scoliosis-macrodactyly of the great toes syndrome (Strong), mode of inheritance: AD
  • short stature with nonspecific skeletal abnormalities 1 (Strong), mode of inheritance: AD
  • tall stature-scoliosis-macrodactyly of the great toes syndrome (Moderate), mode of inheritance: AD

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Epiphyseal chondrodysplasia, Miura type; Short stature with nonspecific skeletal abnormalities 1; Acromesomelic dysplasia 1AD/ARGeneralGenetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testingMusculoskeletal15146390; 16384845; 22691581; 22870295; 24001744; 24057292; 24259409; 24471569; 26336901; 26537434

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the NPR2 gene.

  • Acromesomelic_dysplasia_1,_Maroteaux_type (497 variants)
  • Tall_stature-scoliosis-macrodactyly_of_the_great_toes_syndrome (449 variants)
  • not_provided (92 variants)
  • Inborn_genetic_diseases (74 variants)
  • Short_stature_with_nonspecific_skeletal_abnormalities (28 variants)
  • not_specified (27 variants)
  • NPR2-related_disorder (18 variants)
  • Epilepsy,_familial_focal,_with_variable_foci_2 (5 variants)
  • Short_stature_with_nonspecific_skeletal_abnormalities_1 (5 variants)
  • Trident_hand (2 variants)
  • Craniosynostosis_syndrome (2 variants)
  • Limb_undergrowth (2 variants)
  • Growth_delay (2 variants)
  • Intellectual_disability (1 variants)
  • Disproportionate_short_stature (1 variants)
  • Short_stature (1 variants)
  • Cardiac_anomalies_-_developmental_delay_-_facial_dysmorphism_syndrome (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the NPR2 gene is commonly pathogenic or not. These statistics are base on transcript: NM_000003995.4. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
9
clinvar
96
clinvar
2
clinvar
107
missense
14
clinvar
26
clinvar
322
clinvar
8
clinvar
370
nonsense
21
clinvar
8
clinvar
1
clinvar
30
start loss
0
frameshift
10
clinvar
10
clinvar
1
clinvar
21
splice donor/acceptor (+/-2bp)
1
clinvar
7
clinvar
8
Total 46 51 333 104 2

Highest pathogenic variant AF is 0.000010945784

Loading clinvar variants...

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
NPR2protein_codingprotein_codingENST00000342694 2217579
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
0.00004201.001257170311257480.000123
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense2.963986020.6610.00004106760
Missense in Polyphen94197.840.475132323
Synonymous0.4612232320.9620.00001382197
Loss of Function4.541854.00.3330.00000360580

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.0003300.000329
Ashkenazi Jewish0.000.00
East Asian0.00005440.0000544
Finnish0.0001390.000139
European (Non-Finnish)0.0001150.000114
Middle Eastern0.00005440.0000544
South Asian0.0001960.000196
Other0.000.00

dbNSFP

Source: dbNSFP

Function
FUNCTION: Receptor for the C-type natriuretic peptide NPPC/CNP hormone. Has guanylate cyclase activity upon binding of its ligand. May play a role in the regulation of skeletal growth. {ECO:0000269|PubMed:15146390, ECO:0000269|PubMed:1672777, ECO:0000269|PubMed:24001744, ECO:0000269|PubMed:24471569, ECO:0000269|PubMed:26980729}.;
Disease
DISEASE: Acromesomelic dysplasia, Maroteaux type (AMDM) [MIM:602875]: An autosomal recessive acromesomelic chondrodysplasia. Acromesomelic chondrodysplasias are rare hereditary skeletal disorders characterized by short stature, very short limbs and hand/foot malformations. The severity of limb abnormalities increases from proximal to distal with profoundly affected hands and feet showing brachydactyly and/or rudimentary fingers (knob-like fingers). AMDM is characterized by axial skeletal involvement with wedging of vertebral bodies. In AMDM all skeletal elements are present but show abnormal rates of linear growth. {ECO:0000269|PubMed:15146390, ECO:0000269|PubMed:17652215, ECO:0000269|PubMed:26980729}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Epiphyseal chondrodysplasia, Miura type (ECDM) [MIM:615923]: An overgrowth syndrome characterized by tall stature, long hands and feet with arachnodactyly, macrodactyly of the great toes, scoliosis, coxa valga and slipped capital femoral epiphysis. {ECO:0000269|PubMed:22870295, ECO:0000269|PubMed:23827346, ECO:0000269|PubMed:24057292, ECO:0000269|PubMed:24259409}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Short stature with non-specific skeletal abnormalities (SNSK) [MIM:616255]: A condition characterized by short stature, defined as a height less than 2 SD below normal, and no endocrine abnormalities. {ECO:0000269|PubMed:24001744, ECO:0000269|PubMed:24471569}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway
Oxytocin signaling pathway - Homo sapiens (human);Vascular smooth muscle contraction - Homo sapiens (human);Purine metabolism - Homo sapiens (human);cGMP-PKG signaling pathway - Homo sapiens (human);Physiological factors;Purine metabolism;Cardiac conduction;Muscle contraction;Purine nucleotides nucleosides metabolism (Consensus)

Recessive Scores

pRec
0.266

Intolerance Scores

loftool
0.202
rvis_EVS
-1.04
rvis_percentile_EVS
7.71

Haploinsufficiency Scores

pHI
0.200
hipred
Y
hipred_score
0.708
ghis
0.618

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
E
gene_indispensability_score
0.944

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Npr2
Phenotype
homeostasis/metabolism phenotype; muscle phenotype; craniofacial phenotype; growth/size/body region phenotype; endocrine/exocrine gland phenotype; respiratory system phenotype; behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); immune system phenotype; skeleton phenotype; limbs/digits/tail phenotype; nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan); digestive/alimentary phenotype; reproductive system phenotype; mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span); hematopoietic system phenotype; cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan);

Gene ontology

Biological process
ossification;cGMP biosynthetic process;protein phosphorylation;signal transduction;receptor guanylyl cyclase signaling pathway;regulation of blood pressure;positive regulation of cGMP-mediated signaling;cGMP-mediated signaling;reproductive process;negative regulation of meiotic cell cycle;bone development;cellular response to granulocyte macrophage colony-stimulating factor stimulus;negative regulation of oocyte maturation;regulation of cardiac conduction
Cellular component
plasma membrane;integral component of plasma membrane
Molecular function
peptide receptor activity;guanylate cyclase activity;protein kinase activity;protein binding;ATP binding;GTP binding;natriuretic peptide receptor activity;peptide hormone binding;hormone binding;identical protein binding