NR3C1

Chr 5

nuclear receptor subfamily 3 group C member 1

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

This gene encodes glucocorticoid receptor, which can function both as a transcription factor that binds to glucocorticoid response elements in the promoters of glucocorticoid responsive genes to activate their transcription, and as a regulator of other transcription factors. This receptor is typically found in the cytoplasm, but upon ligand binding, is transported into the nucleus. It is involved in inflammatory responses, cellular proliferation, and differentiation in target tissues. Mutations in this gene are associated with generalized glucocorticoid resistance. Alternative splicing of this gene results in transcript variants encoding either the same or different isoforms. Additional isoforms resulting from the use of alternate in-frame translation initiation sites have also been described, and shown to be functional, displaying diverse cytoplasm-to-nucleus trafficking patterns and distinct transcriptional activities (PMID:15866175). [provided by RefSeq, Feb 2011]

ResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

UniProtGlucocorticoid resistance, generalized

Clinical highlights

Interpreting a novel variant
This gene is strongly intolerant of loss-of-function variation in the population, so LoF variants warrant close attention. No curated mechanism annotation is available — see the mechanism card for the computational prediction and its caveats.Based on population constraint only.
10
Active trials
291
Pubs (1 yr)
P/LP submissions
P/LP missense
0.32
LOEUF· LoF intol.
Multiple*
Mechanism· predicted
Some data sources returned errors (1)

omim: Error: OMIM fetch failed: 429

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 OE?0.15 (0.080.32)
00.351.4
Missense OE?0.74 (0.670.81)
00.61.4
Synonymous OE?1.02
01.21.6
LoF obs/exp: 5 / 32.9Missense obs/exp: 293 / 396.1Syn Z: -0.17

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.

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
Obesity, Morbid

Study of the Steroid Hormone Milieu in Obese Patients

RECRUITING
NCT06341699Istituto Auxologico ItalianoStarted 2023-05-16
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
Congenital Adrenal Hyperplasia (CAH)

Fertility And Sexual Function In CAH: CALLIOPE

RECRUITING
NCT07099456University of Roma La SapienzaStarted 2024-11-01
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
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
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
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
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
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