NR1D2

Chr 3

nuclear receptor subfamily 1 group D member 2

Also known as: BD73, EAR-1R, REVERBB, REVERBbeta, RVR

NR1D2 encodes a transcriptional repressor that coordinates circadian rhythms and metabolic pathways by forming a critical negative limb of the circadian clock and regulating genes involved in lipid metabolism and inflammatory responses. Mutations in NR1D2 cause familial advanced sleep phase, an autosomal dominant circadian rhythm disorder characterized by very early sleep and wake times. The gene shows high constraint against loss-of-function variants (LOEUF 0.621), reflecting its important role in circadian regulation.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 0.62
Clinical SummaryNR1D2
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.34) despite low pLI — interpret in context.
📋
ClinVar Variants
21 unique Pathogenic / Likely Pathogenic· 66 VUS of 110 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.62LOEUF
pLI 0.006
Z-score 2.93
OE 0.34 (0.200.62)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.93Z-score
OE missense 0.85 (0.770.94)
268 obs / 314.5 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.34 (0.200.62)
00.351.4
Missense OE0.85 (0.770.94)
00.61.4
Synonymous OE1.14
01.21.6
LoF obs/exp: 8 / 23.2Missense obs/exp: 268 / 314.5Syn Z: -1.13
DN
0.6744th %ile
GOF
0.3590th %ile
LOF
0.4825th %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

110 submitted variants in ClinVar

Classification Summary

Pathogenic20
Likely Pathogenic1
VUS66
Likely Benign4
Benign1
20
Pathogenic
1
Likely Pathogenic
66
VUS
4
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
20
0
20
Likely Pathogenic
0
1
0
0
1
VUS
0
65
1
0
66
Likely Benign
0
3
0
1
4
Benign
0
0
0
1
1
Total06921292

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

View in ClinVar →

Protein Context — Lollipop Plot

NR1D2 · 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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