CRTAP

Chr 3AR

cartilage associated protein

Also known as: CASP, LEPREL3, OI7, P3H5

CRTAP encodes a protein necessary for efficient 3-hydroxylation of fibrillar collagen prolyl residues, serving as a scaffolding protein in collagen processing. Mutations cause osteogenesis imperfecta type VII, a connective tissue disorder characterized by bone fragility and low bone mass. This condition follows autosomal recessive inheritance.

OMIMResearchSummary from RefSeq, OMIM, UniProt
GOFmechanismARLOEUF 0.861 OMIM phenotype
Clinical SummaryCRTAP
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
78 unique Pathogenic / Likely Pathogenic· 153 VUS of 450 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.86LOEUF
pLI 0.001
Z-score 2.00
OE 0.48 (0.280.86)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
-0.44Z-score
OE missense 1.09 (0.971.21)
225 obs / 207.2 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.48 (0.280.86)
00.351.4
Missense OE1.09 (0.971.21)
00.61.4
Synonymous OE1.22
01.21.6
LoF obs/exp: 8 / 16.8Missense obs/exp: 225 / 207.2Syn Z: -1.62
DN
0.6065th %ile
GOF
0.6834th %ile
LOF
0.2679th %ile

The highest-scoring mechanism for this gene is gain-of-function.

GOFprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

450 submitted variants in ClinVar

Classification Summary

Pathogenic56
Likely Pathogenic22
VUS153
Likely Benign197
Benign9
Conflicting10
56
Pathogenic
22
Likely Pathogenic
153
VUS
197
Likely Benign
9
Benign
10
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
35
2
19
0
56
Likely Pathogenic
18
1
3
0
22
VUS
2
131
19
1
153
Likely Benign
0
0
66
131
197
Benign
0
1
3
5
9
Conflicting
10
Total55135110137447

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

CRTAP · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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