GRINA

Chr 8

glutamate ionotropic receptor NMDA type subunit associated protein 1

Also known as: HNRGW, LFG1, NMDARA1, TMBIM3

The protein functions as a calcium channel and potential apoptotic regulator involved in endoplasmic reticulum calcium homeostasis and negative regulation of neuronal apoptosis. Mutations cause autosomal recessive developmental and epileptic encephalopathy with intellectual disability. The gene shows moderate constraint against loss-of-function variants (LOEUF 0.49), suggesting some intolerance to complete protein loss.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.49
Clinical SummaryGRINA
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.22) despite low pLI — interpret in context.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.49LOEUF
pLI 0.442
Z-score 3.13
OE 0.22 (0.100.49)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.21Z-score
OE missense 0.76 (0.670.87)
153 obs / 201.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.22 (0.100.49)
00.351.4
Missense OE0.76 (0.670.87)
00.61.4
Synonymous OE1.27
01.21.6
LoF obs/exp: 4 / 18.6Missense obs/exp: 153 / 201.3Syn Z: -2.04
DN
0.77top 25%
GOF
0.79top 25%
LOF
0.3067th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
DNprediction 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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

GRINA · protein map & ClinVar variants

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

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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