RALA

protein-coding

RAS like proto-oncogene A, the group of RAS type GTPase family

Gene summary

The product of this gene belongs to the small GTPase superfamily, Ras family of proteins. GTP-binding proteins mediate the transmembrane signaling initiated by the occupancy of certain cell surface receptors. This gene encodes a low molecular mass ras-like GTP-binding protein that shares about 50% similarity with other ras proteins. [provided by RefSeq, Jul 2008]

Previous symbols:
  • RAL

MANE transcript

NM_005402.4

Inheritance

AD

ClinVar variants

P:14U:49B:41

Top phenotype

Hiatt-Neu-Cooper neurodevelopmental syndrome

gnomAD constraint

pLI —, LoF o/e 0

Max pathogenic AF

—

Genomic locus

chr7:39,623,565-39,708,120

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~84.6 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Hiatt-Neu-Cooper neurodevelopmental syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0859142

Submitter: Labcorp Genetics (formerly Invitae)

Hiatt-Neu-Cooper neurodevelopmental syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0859142

Submitter: G2P

Hiatt-Neu-Cooper neurodevelopmental syndromeSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0859142

Submitter: PanelApp Australia

complex neurodevelopmental disorderSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: Ambry Genetics

complex neurodevelopmental disorderDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0100038

Submitter: ClinGen

*RALA* encodes a small Ras-like GTPase. *RALA* was first reported in relation to autosomal dominant complex neurodevelopmental disorder (also known as Hiatt-Neu-Cooper neurodevelopmental disorder) in 2018 (Hiatt et al., PMID: 30500825). The main phenotypic features include intellectual disability, speech problems, autism spectrum disorder, hypotonia, structural brain abnormalities, seizures, dysmorphic features, skeletal anomalies, delayed growth, and macrocephaly. Seven *de novo* variants (six missense and one inframe) reported in 13 individuals are included in this curation (PMIDs: 30500825, 30761613, 33875846, 35846790). All the variants are located in the GTP/GDP-binding region of RALA. Two variants are recurrent, p.Val25Met and p.Lys128Arg. Functional studies showed that four missense variants exhibited loss of function, while two resulted in gain of function (PMIDs: 30500825, 35846790). One of the missense variants leading to gain of function is a brain somatic variant identified in a child with epilepsy and focal cortical dysplasia type II (PMID: 35846790). This gene-disease relationship is also supported by experimental evidence. Biallelic loss-of-function variants in *RALGAPA1*, encoding the catalytic subunit of the RalGAP complex that regulates RALA activity, cause a neurodevelopmental disorder with features overlapping those caused by *RALA* variants and lead to a constitutive activation of RALA in patient cells (PMID: 32004447). Additionally, *in utero* electroporation of the *RALA* c.G482A somatic variant (identified in an individual with focal cortical dysplasia) in the embryonic mouse brain induced abnormal cortical neuron migration (PMID: 35846790). In summary, there is definitive evidence supporting the relationship between *RALA* and autosomal dominant complex neurodevelopmental disorder. This classification was approved by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel on July 3, 2024 (SOP Version 10).

Clinical Genomic Database (CGD)

Hiatt-Neu-Cooper neurodevelopmental syndromeAD

Manifestation: Craniofacial; Musculoskeletal; 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: 30500825; 30761613Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to RALA variants in ClinVar

8 Conditions Cataloged
not providedTotal: 110
not specifiedTotal: 16
Hiatt-Neu-Cooper neurodevelopmental syndromeTotal: 13
RALA-related disorderTotal: 4
Inborn genetic diseasesTotal: 2
Noonan syndrome 1Total: 1
Neurodevelopmental delayTotal: 1
Intellectual disabilityTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_005402.4. 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
1
clinvar
32
clinvar
1
clinvar
34
missense
5
clinvar
8
clinvar
41
clinvar
4
clinvar
4
clinvar
62
nonsense
2
clinvar
2
start loss
0
frameshift
1
clinvar
1
clinvar
2
splice donor/acceptor (+/-2bp)
4
clinvar
4
Total5949365104

Highest pathogenic variant AF is 6.8408065e-7

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 40 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_005402.4RefSeqNP_005393.24MANE Select
ENST00000005257.7EnsemblENSP00000005257.24MANE Select
ENST00000434466.1EnsemblENSP00000413227.14Standard
ENST00000436179.1EnsemblENSP00000388975.12Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Rap1 signaling pathway - Homo sapiens (human)
  • Ras signaling pathway - Homo sapiens (human)
  • Phospholipase D signaling pathway - Homo sapiens (human)
  • Pathways in cancer - Homo sapiens (human)
  • Pancreatic cancer - Homo sapiens (human)

Biological Process

  • neural tube closure
  • exocytosis
  • chemotaxis
  • cell cycle
  • signal transduction

Molecular Function

  • GTPase activity
  • protein binding
  • GTP binding
  • myosin binding
  • GDP binding

Cellular Component

  • plasma membrane
  • focal adhesion
  • cell surface
  • endocytic vesicle
  • cytoplasmic vesicle membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000005257
Coding exons
4
Length
84642
Individuals with no LoFs
0
Homozygous LoFs
0
Heterozygous LoFs
0
Defined
0
p
0.00
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.70291080.2680.000005351362
Missense (PolyPhen)553.3350.093747650
Synonymous1.003240.10.7990.00000223370
Loss of Function3.09011.10.007.16e-7122

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Multifunctional GTPase involved in a variety of cellular processes including gene expression, cell migration, cell proliferation, oncogenic transformation and membrane trafficking. Accomplishes its multiple functions by interacting with distinct downstream effectors. Acts as a GTP sensor for GTP-dependent exocytosis of dense core vesicles. The RALA-exocyst complex regulates integrin-dependent membrane raft exocytosis and growth signaling (PubMed:20005108). Key regulator of LPAR1 signaling and competes with GRK2 for binding to LPAR1 thus affecting the signaling properties of the receptor. Required for anchorage- independent proliferation of transformed cells (PubMed:19306925). During mitosis, supports the stabilization and elongation of the intracellular bridge between dividing cells. Cooperates with EXOC2 to recruit other components of the exocyst to the early midbody (PubMed:18756269). {ECO:0000269|PubMed:18756269, ECO:0000269|PubMed:19306925, ECO:0000269|PubMed:20005108}.;

Recessive Scores

pRec
0.315

Intolerance Scores

RVIS EVS
0.32
RVIS percentile EVS
72.94

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.958

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumLowMedium
Primary ImmunodeficiencyMediumLowMedium
CancerMediumMediumMedium
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