NR3C1

Chr 5AD

nuclear receptor subfamily 3 group C member 1

Also known as: GCCR, GCR, GCRST, GR, GRL

The glucocorticoid receptor functions as a transcription factor that binds to glucocorticoid response elements to regulate gene expression and modulates other transcription factors, affecting inflammatory responses, cellular proliferation, and differentiation. Mutations cause glucocorticoid resistance with autosomal dominant inheritance. This gene is highly constrained against loss-of-function variants, indicating intolerance to protein-disrupting mutations.

OMIMResearchSummary from RefSeq, OMIM, UniProt
MultiplemechanismADLOEUF 0.321 OMIM phenotype
Clinical SummaryNR3C1
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.97). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
11 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.32LOEUF
pLI 0.970
Z-score 4.50
OE 0.15 (0.080.32)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
1.84Z-score
OE missense 0.74 (0.670.81)
293 obs / 396.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.15 (0.080.32)
00.351.4
Missense OE0.74 (0.670.81)
00.61.4
Synonymous OE1.02
01.21.6
LoF obs/exp: 5 / 32.9Missense obs/exp: 293 / 396.1Syn Z: -0.17
DN
0.3892th %ile
GOF
0.3491th %ile
LOF
0.78top 5%

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

LOFprediction above median · 1 literature citation · LOEUF 0.32
DN1 literature citation

Literature Evidence

DNGlucocorticoid receptor-beta and receptor-gamma exert dominant negative effect on gene repression but not on gene induction.PMID:20484466
LOFHaploinsufficiency for NR3C1, the gene encoding the glucocorticoid receptor, in blastic plasmacytoid dendritic cell neoplasms.PMID:27060168

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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

NR3C1 · 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

Adverse Childhood ExperiencesDevelopmental RiskPsychomotor Development Disorders

Growing Up in Multifactorial Risk Conditions

ENROLLING BY INVITATION
NCT07477899Phase NAIRCCS Eugenio MedeaStarted 2024-06-26
Home visiting programme
Healthy

Effect of Transcranial Alternative Current Stimulation at Alpha Frequency (α-tACS) on Stressed Healthy Subjects

RECRUITING
NCT06229002Phase NAHôpital le VinatierStarted 2024-01-24
Transcranial alternative current stimulation (tACS) at alpha frequencySham stimulation
Congenital Adrenal Hyperplasia (CAH)

Fertility And Sexual Function In CAH: CALLIOPE

RECRUITING
NCT07099456University of Roma La SapienzaStarted 2024-11-01
Preterm BirthMother-Infant InteractionInfant Development

Continuous Delivery Room Skin-to-skin-study for Moderate and Late Preterm Infants

RECRUITING
NCT05975203Phase NAUniversity of CologneStarted 2023-08-04
skin-to-skin contact
Exposure to PollutionGlucocorticoid Resistance

Diesel Exhaust Induces Glucocorticoid Resistance

RECRUITING
NCT03615742Phase PHASE4University of British ColumbiaStarted 2018-12-01
PlaceboBudesonideFiltered Air
Obesity, Morbid

Study of the Steroid Hormone Milieu in Obese Patients

RECRUITING
NCT06341699Istituto Auxologico ItalianoStarted 2023-05-16
Paraphilic DisordersSexual AddictionParasomnia

Paraphilic Disorders and Other Conditions With Risk for Sexual Violence: a Case-control Study

RECRUITING
NCT05861752Region StockholmStarted 2022-10-19
Treatment as usual
ObesityObesity, Infant

Maternal Characteristics Associated With Child Growth and Adiposity

RECRUITING
NCT05798676Instituto de Desarrollo e Investigaciones Pediátricas Prof. Dr. Fernando E. ViteriStarted 2019-05-02
overweight/obesity
Cortisol ExcessStress, PsychologicalAnxiety

Effects of "Vitamin N" Nature Immersion Therapy on Stress Levels in Health Care Workers in the City of Bogotá

ACTIVE NOT RECRUITING
NCT05315388Phase NAJeadran N. Malagón-RojasStarted 2022-10-15
Immersion therapy in nature - Vitamin N
Infant, Premature, Diseases

Multisensory Early Oral Administration of Human Milk (M-MILK) for Very Preterm Infants

RECRUITING
NCT07216664Phase NALoyola UniversityStarted 2025-11-03
Multisensory early oral administration of human milk
Healthy Participants

Reality-monitoring & Stress

RECRUITING
NCT05595434Phase NAHôpital le VinatierStarted 2024-04-25
Acute Maastricht Stress Test (MAST), active condition.Acute Maastricht Stress Test (MAST), placebo condition
Clinical Literature
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