NPRL3

protein-coding

NPR3 like, GATOR1 complex subunit, the group of GATOR1 subcomplex

Gene summary

Predicted to enable GTPase activator activity. Involved in cellular response to amino acid starvation and negative regulation of TORC1 signaling. Part of GATOR1 complex. Is active in lysosomal membrane. Implicated in familial focal epilepsy with variable foci 3. [provided by Alliance of Genome Resources, Jul 2025]

Previous symbols:
  • C16orf35

MANE transcript

NM_001077350.3

Inheritance

AD

ClinVar variants

P:153U:403B:216

Top phenotype

Epilepsy, familial focal, with variable foci 3

gnomAD constraint

pLI —, LoF o/e 0.25

Max pathogenic AF

—

Genomic locus

chr16:84,271-138,677

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~54.4 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

epilepsy, familial focal, with variable foci 3STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014925

Submitter: Labcorp Genetics (formerly Invitae)

epilepsy, familial focal, with variable foci 3STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014925

Submitter: G2P

focal epilepsyDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0005384

Submitter: ClinGen

*NPRL3* 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). Six frameshift and two stop loss variants reported in eight probands across six publications are included in this curation (PMIDs: 26505888, 26285051, 27173016, 34868250, 35136953, and 26786403). More evidence, such as segregation data, is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. Of note, reduced penetrance has been demonstrated in multiple families, and seizure foci may vary across family members (PMIDs: 35136953, 34868250). The primary mechanism of disease is thought to be LOF (PMID: 34868250). In summary, there is definitive evidence to support the relationship between *NPRL3* and autosomal dominant focal epilepsy (MONDO:0005384). 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 Gene Curation Expert Panel on October 18, 2022 (SOP Version 9). As of August 1, 2023, this record underwent administrative changes to update scoring for two missense variants: p.Glu249Lys and p.Arg92Gln (PMID:26505888). Functional studies demonstrate that these variants can rescue mTOR activity in CRISPR/CAS knockout cells, bringing the pathogenicity of these two variants into question (PMID:31639411). Therefore, they are now both scored at zero points. No other new evidence has been reviewed or added, and the final classification of definitive did not change.

epilepsy, familial focal, with variable foci 3MODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0014925

Submitter: Ambry Genetics

familial focal epilepsy with variable fociSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0020310

Submitter: Orphanet

epilepsy, familial focal, with variable foci 3STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0014925

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Epilepsy, familial focal, with variable foci 3AD

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: 26285051; 26505888; 27173016Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to NPRL3 variants in ClinVar

19 Conditions Cataloged
Epilepsy, familial focal, with variable foci 3Total: 843
not providedTotal: 284
Inborn genetic diseasesTotal: 78
not specifiedTotal: 76
NPRL3-related disorderTotal: 38
SeizureTotal: 6
EpilepsyTotal: 3
Isolated focal cortical dysplasia type IIaTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001077350.3. 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
9
clinvar
177
clinvar
1
clinvar
187
missense
1
clinvar
2
clinvar
379
clinvar
31
clinvar
3
clinvar
416
nonsense
26
clinvar
13
clinvar
2
clinvar
41
start loss
0
frameshift
46
clinvar
19
clinvar
11
clinvar
1
clinvar
1
clinvar
78
splice donor/acceptor (+/-2bp)
13
clinvar
33
clinvar
2
clinvar
2
clinvar
50
Total86674032115772

Highest pathogenic variant AF is 0.000012945001

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 169 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001077350.3RefSeqNP_001070818.113MANE Select
ENST00000611875.5EnsemblENSP00000478273.113MANE Select
NM_001039476.3RefSeqNP_001034565.19Standard
NM_001243247.2RefSeqNP_001230176.111Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • mTOR signaling pathway - Homo sapiens (human)

Biological Process

  • ventricular septum development
  • negative regulation of TOR signaling
  • cellular response to amino acid starvation
  • aorta morphogenesis
  • TORC1 signaling

Molecular Function

  • GTPase activator activity
  • protein binding

Cellular Component

  • lysosomal membrane
  • GATOR1 complex

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000399953
Coding exons
14
Length
54587
Individuals with no LoFs
729
Homozygous LoFs
123969
Heterozygous LoFs
7
Defined
124705
p
0.924
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.842453400.7200.00002163661
Missense (PolyPhen)6593.9760.691661084
Synonymous-0.1521491471.020.000009981131
Loss of Function3.42624.10.2490.00000118281

Population LoF Frequency

PopulationCAFp-valueStatus
African1.00.89notable
Latino/Admixed American1.00.94notable
Ashkenazi Jewish1.00.93notable
East Asian1.00.96notable
Finnish1.00.93notable
European (Non-Finnish)1.00.91notable
South Asian1.00.96notable
Other1.00.92notable

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 3 (FFEVF3) [MIM:617118]: 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:26285051, 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
0.147

Essentials

Essential (CRISPR2)
N
Indispensability pred.
E
Indispensability score
0.731

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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