NPRL2

protein-coding

NPR2 like, GATOR1 complex subunit, the group of GATOR1 subcomplex

Gene summary

Enables GTPase activator activity. Involved in cellular response to amino acid starvation; negative regulation of TORC1 signaling; and negative regulation of kinase activity. Part of GATOR1 complex. Is active in lysosomal membrane. Implicated in familial focal epilepsy with variable foci 2. [provided by Alliance of Genome Resources, Jul 2025]

Previous symbols:
  • TUSC4

MANE transcript

NM_006545.5

Inheritance

AD

ClinVar variants

P:33U:109B:21

Top phenotype

Epilepsy, familial focal, with variable foci 2

gnomAD constraint

pLI —, LoF o/e 0.22

Max pathogenic AF

—

Genomic locus

chr3:50,347,330-50,350,826

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~3.5 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

familial focal epilepsy with variable fociMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0020310

Submitter: Illumina

epilepsy, familial focal, with variable foci 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014924

Submitter: PanelApp Australia

familial focal epilepsy with variable fociSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0020310

Submitter: Orphanet

epilepsy, familial focal, with variable foci 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014924

Submitter: Labcorp Genetics (formerly Invitae)

focal epilepsyDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0005384

Submitter: ClinGen

*NPRL2* was first reported in relation to autosomal dominant focal epilepsy, a form of epilepsy characterized by seizures that are localized to one area or side of the brain, in 2016 (Ricos et al., PMID: 26505888). Of note, *NPRL2* is a member of the GATOR1 complex, which also includes *DEPDC5* and *NPRL3*. Each of these genes have an asserted relationship with autosomal dominant focal epilepsy (PMID: 23542697, 26505888). Ten variants in *NPRL2* (4 missense, 2 splice site, 3 nonsense and 1 frameshift) that have been reported in 12 probands in eight publications are included in this curation (PMIDs: 26505888, 27173016, 28199897, 29281825, 30093711, 31835056, 34376795). Variants in this gene have been observed to segregate with disease in families, but with incomplete penetrance (PMIDs: 26505888, 27173016, 28199897, 34376795). Additionally, several individuals with focal epilepsy and variants in *NPRL2* have been reported to have focal cortical dysplasia (PMIDs: 27173016, 30093711, 29281825, 37259768). More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. In summary, there is definitive evidence supporting the relationship between *NPRL2* and autosomal dominant focal epilepsy. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Epilepsy GCEP on the meeting date July 18, 2023 (SOP Version 9).

epilepsy, familial focal, with variable foci 2STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014924

Submitter: G2P

epilepsy, familial focal, with variable foci 2MODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0014924

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Epilepsy, familial focal, with variable foci 2AD

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: 26505888; 27173016Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to NPRL2 variants in ClinVar

10 Conditions Cataloged
not providedTotal: 77
Inborn genetic diseasesTotal: 51
Epilepsy, familial focal, with variable foci 2Total: 49
not specifiedTotal: 22
NPRL2-related disorderTotal: 13
SeizureTotal: 4
Epilepsy, familial focal, with variable foci 4Total: 1
Neonatal respiratory distressTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_006545.5. 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
4
clinvar
11
clinvar
15
missense
1
clinvar
4
clinvar
101
clinvar
10
clinvar
116
nonsense
5
clinvar
5
clinvar
10
start loss
1
clinvar
1
frameshift
5
clinvar
5
clinvar
1
clinvar
11
splice donor/acceptor (+/-2bp)
2
clinvar
5
clinvar
3
clinvar
10
Total1320109210163

Highest pathogenic variant AF is 0.0000041050453

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 76 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_006545.5RefSeqNP_006536.311MANE Select
ENST00000232501.8EnsemblENSP00000232501.311MANE Select
ENST00000418825.5EnsemblENSP00000396172.13Standard
ENST00000429366.5EnsemblENSP00000412779.13Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • mTOR signaling pathway - Homo sapiens (human)

Biological Process

  • protein phosphorylation
  • cellular response to nitrogen starvation
  • positive regulation of autophagy
  • negative regulation of TOR signaling
  • negative regulation of kinase activity

Molecular Function

  • protein kinase activity
  • GTPase activator activity
  • protein binding

Cellular Component

  • lysosomal membrane
  • GATOR1 complex

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000232501
Coding exons
11
Length
3762
Individuals with no LoFs
125727
Homozygous LoFs
0
Heterozygous LoFs
13
Defined
125740
p
0.0000517
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.641552240.6920.00001332493
Missense (PolyPhen)4982.550.59358873
Synonymous0.4138489.00.9440.00000508722
Loss of Function3.40522.40.2230.00000113251

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000620.000062rare
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian0.0000540.000054rare
Finnish0.000280.00028rare
European (Non-Finnish)0.0000350.000035rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: As a component of the GATOR1 complex functions as an inhibitor of the amino acid-sensing branch of the TORC1 pathway. The GATOR1 complex strongly increases GTP hydrolysis by RRAGA and RRAGB within RRAGC-containing heterodimers, thereby deactivating RRAGs, releasing mTORC1 from lysosomal surface and inhibiting mTORC1 signaling. The GATOR1 complex is negatively regulated by GATOR2 the other GATOR subcomplex in this amino acid-sensing branch of the TORC1 pathway. {ECO:0000269|PubMed:23723238}.;
Disease
DISEASE: Epilepsy, familial focal, with variable foci 2 (FFEVF2) [MIM:617116]: An autosomal dominant form of epilepsy characterized by focal seizures arising from different cortical regions, including the temporal, frontal, parietal, and occipital lobes. Seizure types commonly include temporal lobe epilepsy, frontal lobe epilepsy, and nocturnal frontal lobe epilepsy. Some patients may have intellectual disability or autism spectrum disorders. Seizure onset usually occurs in the first or second decades, although later onset has been reported, and there is phenotypic variability within families. A subset of patients have structural brain abnormalities. Penetrance of the disorder is incomplete. {ECO:0000269|PubMed:26505888, ECO:0000269|PubMed:27173016}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.117

Intolerance Scores

RVIS EVS
-0.43
RVIS percentile EVS
25.15

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.824

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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