KISS1R

Chr 19ADAR

KISS1 receptor

Also known as: AXOR12, CPPB1, GPR54, HH8, HOT7T175, KISS-1R

The protein encoded by KISS1R is a G protein-coupled receptor that binds kisspeptins and plays a central role in regulating the hypothalamic-pituitary-gonadal reproductive axis by modulating gonadotropin-releasing hormone secretion from hypothalamic neurons. Mutations cause hypogonadotropic hypogonadism and central precocious puberty, conditions affecting pubertal timing and reproductive endocrine function. The gene follows both autosomal dominant and autosomal recessive inheritance patterns depending on the specific condition and variant.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
MultiplemechanismAD/ARLOEUF 0.652 OMIM phenotypes
Clinical SummaryKISS1R
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.21) despite low pLI — interpret in context.
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ClinVar Variants
48 unique Pathogenic / Likely Pathogenic· 122 VUS of 240 total submissions
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GeneReview available — KISS1R
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.65LOEUF
pLI 0.436
Z-score 2.29
OE 0.21 (0.080.65)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.89Z-score
OE missense 0.82 (0.730.94)
168 obs / 203.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.21 (0.080.65)
00.351.4
Missense OE0.82 (0.730.94)
00.61.4
Synonymous OE0.79
01.21.6
LoF obs/exp: 2 / 9.7Missense obs/exp: 168 / 203.8Syn Z: 1.68
DN
0.7034th %ile
GOF
0.87top 5%
LOF
0.3453th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function, dominant-negative and loss-of-function). 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 · 1 literature citation
DNprediction above median · 1 literature citation
LOF1 literature citation · 27% of P/LP variants are LoF

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.

Literature Evidence

DNAltogether, this study shows that a heterozygous insertion in KISS1R may lead to hypogonadotropic hypogonadism by a dominant negative effect on the WT receptor.PMID:23608644
GOFPremature activation of the GnRH secretion in central precocious puberty (CPP) may arise either from gain-of-function mutations of the KISS1 and KISS1R genes or from loss-of-function manner mutations of the MKRN3 gene leading to MKRN3 deficiency.OBJECTIVE: To explore the genetic causes responsible fPMID:26173472
LOFKisspeptin receptor haplo-insufficiency causes premature ovarian failure despite preserved gonadotropin secretion.PMID:24885574

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

240 submitted variants in ClinVar

Classification Summary

Pathogenic36
Likely Pathogenic12
VUS122
Likely Benign48
Benign17
Conflicting3
36
Pathogenic
12
Likely Pathogenic
122
VUS
48
Likely Benign
17
Benign
3
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
7
1
28
0
36
Likely Pathogenic
6
2
4
0
12
VUS
5
100
17
0
122
Likely Benign
0
3
21
24
48
Benign
0
2
11
4
17
Conflicting
3
Total181088128238

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

View in ClinVar →

Protein Context — Lollipop Plot

KISS1R · 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.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 5 results · since 2015Search PubMed ↗