MMRN1

Chr 4

multimerin 1

Also known as: ECM, EMILIN4, GPIa*, MMRN

Multimerin is a carrier protein that binds and stabilizes platelet factor V and functions as an extracellular matrix protein that interacts with platelet integrins. Mutations cause factor V Quebec, an autosomal dominant bleeding disorder characterized by deficient platelet multimerin. This gene shows very low constraint against loss-of-function variants.

Summary from RefSeq, UniProt
Research Assistant →
0
Active trials
18
Pubs (1 yr)
27
P/LP submissions
0%
P/LP missense
1.20
LOEUF
DN
Mechanism· predicted
Clinical SummaryMMRN1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
26 unique Pathogenic / Likely Pathogenic· 174 VUS of 225 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.20LOEUF
pLI 0.000
Z-score 0.50
OE 0.92 (0.711.20)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-1.10Z-score
OE missense 1.12 (1.051.20)
709 obs / 631.3 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.92 (0.711.20)
00.351.4
Missense OE1.12 (1.051.20)
00.61.4
Synonymous OE1.19
01.21.6
LoF obs/exp: 40 / 43.6Missense obs/exp: 709 / 631.3Syn Z: -2.30
DN
0.6647th %ile
GOF
0.5660th %ile
LOF
0.4529th %ile

The highest-scoring mechanism for this gene is dominant-negative.

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

225 submitted variants in ClinVar

Classification Summary

Pathogenic23
Likely Pathogenic3
VUS174
Likely Benign10
Benign9
23
Pathogenic
3
Likely Pathogenic
174
VUS
10
Likely Benign
9
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
23
0
23
Likely Pathogenic
0
0
3
0
3
VUS
0
171
3
0
174
Likely Benign
0
9
0
1
10
Benign
0
2
2
5
9
Total0182316219

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

View in ClinVar →

Protein Context — Lollipop Plot

MMRN1 · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
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