NR4A2

Chr 2AD

nuclear receptor subfamily 4 group A member 2

Also known as: HZF-3, IDLDP, NOT, NURR1, RNR1, TINUR

The protein functions as a transcriptional regulator essential for the differentiation and maintenance of midbrain dopaminergic neurons during development, controlling expression of genes critical for dopaminergic neuron function including dopamine transporter, vesicular monoamine transporter, tyrosine hydroxylase, and dopamine D2 receptor. Mutations cause autosomal dominant intellectual developmental disorder with language impairment and early-onset DOPA-responsive dystonia-parkinsonism. This gene is extremely intolerant to loss-of-function variation (pLI 1.0, LOEUF 0.13), reflecting its critical role in neurodevelopment.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismADLOEUF 0.131 OMIM phenotype
Clinical SummaryNR4A2
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Gene-Disease Validity (ClinGen)
complex neurodevelopmental disorder · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.13LOEUF
pLI 1.000
Z-score 4.39
OE 0.00 (0.000.13)
Highly constrained

Among the most LoF-intolerant genes (~top 3%)

Missense Constraint
2.24Z-score
OE missense 0.67 (0.600.74)
236 obs / 354.4 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.00 (0.000.13)
00.351.4
Missense OE0.67 (0.600.74)
00.61.4
Synonymous OE0.99
01.21.6
LoF obs/exp: 0 / 22.4Missense obs/exp: 236 / 354.4Syn Z: 0.09
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongNR4A2-related developmental disorderLOFAD
DN
0.2997th %ile
GOF
0.2398th %ile
LOF
0.83top 5%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · 1 literature citation · LOEUF 0.13

Literature Evidence

LOFNR4A2 haploinsufficiency is associated with intellectual disability and autism spectrum disorder.PMID:29770430

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

NR4A2 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
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