PRNP

protein-coding

prion protein, the group of CD molecules

Gene summary

The protein encoded by this gene is a membrane glycosylphosphatidylinositol-anchored glycoprotein that tends to aggregate into rod-like structures. The encoded protein contains a highly unstable region of five tandem octapeptide repeats. This gene is found on chromosome 20, approximately 20 kbp upstream of a gene which encodes a biochemically and structurally similar protein to the one encoded by this gene. Mutations in the repeat region as well as elsewhere in this gene have been associated with Creutzfeldt-Jakob disease, fatal familial insomnia, Gerstmann-Straussler disease, Huntington disease-like 1, and kuru. An overlapping open reading frame has been found for this gene that encodes a smaller, structurally unrelated protein, AltPrp. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Nov 2014]

Previous symbols:
  • PRIP
  • GSS
  • CJD

MANE transcript

NM_000311.5

Inheritance

AD, AR

ClinVar variants

P:28U:72B:51

Top phenotype

Spongiform encephalopathy with neuropsychiatric features; Huntington disease-like 1; Gerstmann-Straussler disease; Creutzfeldt-Jakob disease; Insomnia, fatal familial; Dementia, Lewy body

gnomAD constraint

pLI —, LoF o/e 0.66

Max pathogenic AF

—

Genomic locus

chr20:4,686,350-4,701,590

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~15.2 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Gerstmann-Straussler-Scheinker syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007656

Submitter: Genomics England PanelApp

Huntington disease-like 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0011299

Submitter: Genomics England PanelApp

inherited Creutzfeldt-Jakob diseaseSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007403

Submitter: Genomics England PanelApp

familial Alzheimer-like prion diseaseSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0017233

Submitter: Orphanet

inherited Creutzfeldt-Jakob diseaseSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007403

Submitter: Labcorp Genetics (formerly Invitae)

PrP systemic amyloidosisSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0018339

Submitter: Orphanet

inherited Creutzfeldt-Jakob diseaseSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007403

Submitter: Orphanet

fatal familial insomniaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0010808

Submitter: Orphanet

Gerstmann-Straussler-Scheinker syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007656

Submitter: Ambry Genetics

Huntington disease-like 1SUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0011299

Submitter: Orphanet

Gerstmann-Straussler-Scheinker syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007656

Submitter: Orphanet

Clinical Genomic Database (CGD)

Spongiform encephalopathy with neuropsychiatric features; Huntington disease-like 1; Gerstmann-Straussler disease; Creutzfeldt-Jakob disease; Insomnia, fatal familial; Dementia, Lewy bodyAD/AR

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: 2573006; 2572450; 2564168; 2563037; 2190844; 1975028; 2159587; 1683708; 1677164; 1363809; 1439789; 1363810; 12451207; 1346338; 8595485; 9266722; 9384372; 9789072; 9792871; 10581230; 10371520; 9932941; 11593450; 11709001; 15623717; 16769939; 16831973; 17353478; 18360821; 19081515; 22097954; 22210626; 22488860; 22558438; 22561193; 22612156; 22675855; 22763467Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to PRNP variants in ClinVar

17 Conditions Cataloged
Huntington disease-like 1Total: 103
not providedTotal: 53
Gerstmann-Straussler-Scheinker syndromeTotal: 26
Inherited prion diseaseTotal: 20
Spongiform encephalopathy with neuropsychiatric featuresTotal: 17
Inborn genetic diseasesTotal: 16
not specifiedTotal: 15
Inherited Creutzfeldt-Jakob diseaseTotal: 13

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_000311.5. 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
2
clinvar
38
clinvar
4
clinvar
44
missense
11
clinvar
12
clinvar
67
clinvar
7
clinvar
2
clinvar
99
nonsense
4
clinvar
1
clinvar
2
clinvar
7
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
0
Total151372456151

Highest pathogenic variant AF is 0.0000867408

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 29 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_000311.5RefSeqNP_000302.11MANE Select
ENST00000379440.9EnsemblENSP00000368752.41MANE Select
NM_001080121.3RefSeqNP_001073590.11Standard
NM_001080122.3RefSeqNP_001073591.11Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Prion diseases - Homo sapiens (human)
  • Ferroptosis - Homo sapiens (human)
  • Human Complement System
  • Copper homeostasis
  • Prion disease pathway

Biological Process

  • negative regulation of protein phosphorylation
  • cellular copper ion homeostasis
  • response to oxidative stress
  • cell cycle arrest
  • learning or memory

Molecular Function

  • amyloid-beta binding
  • protease binding
  • copper ion binding
  • protein binding
  • lamin binding

Cellular Component

  • cytoplasm
  • endoplasmic reticulum
  • Golgi apparatus
  • cytosol
  • plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000379440
Coding exons
1
Length
15355
Individuals with no LoFs
125738
Homozygous LoFs
0
Heterozygous LoFs
8
Defined
125746
p
0.0000318
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.181111520.7310.000009051663
Missense (PolyPhen)3960.860.64081655
Synonymous-0.4766358.41.080.00000399491
Loss of Function0.95069.090.6604.86e-784

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish0.000100.000099rare
East Asian0.000110.000054rare
Finnish0.0000930.000092rare
European (Non-Finnish)0.0000270.000026rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Recessive Scores

pRec
0.664

Intolerance Scores

LoFtool
0.0143
RVIS EVS
0.37
RVIS percentile EVS
75.12

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.982

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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