NTN3

Chr 16

netrin 3

Also known as: NTN2L

The protein functions as a guidance cue that controls the navigation of commissural axons in the central nervous system and peripheral motor axons during development. Mutations in this gene cause autosomal recessive spinal muscular atrophy with congenital bone fractures, characterized by severe motor neuron degeneration and skeletal abnormalities present from birth. This gene shows minimal constraint against loss-of-function variants in the population.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.21
Clinical SummaryNTN3
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
30 unique Pathogenic / Likely Pathogenic· 140 VUS of 180 total submissions
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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

Tolerant — LoF & missense variants common in population
LoF Constraint
1.21LOEUF
pLI 0.000
Z-score 0.94
OE 0.75 (0.481.21)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.28Z-score
OE missense 0.95 (0.871.05)
293 obs / 307.0 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.75 (0.481.21)
00.351.4
Missense OE0.95 (0.871.05)
00.61.4
Synonymous OE0.92
01.21.6
LoF obs/exp: 12 / 16.1Missense obs/exp: 293 / 307.0Syn Z: 0.68
DN
0.6162th %ile
GOF
0.6736th %ile
LOF
0.3550th %ile

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

GOFprediction above median
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

180 submitted variants in ClinVar

Classification Summary

Pathogenic26
Likely Pathogenic4
VUS140
Likely Benign6
26
Pathogenic
4
Likely Pathogenic
140
VUS
6
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
26
0
26
Likely Pathogenic
0
0
4
0
4
VUS
0
123
17
0
140
Likely Benign
0
6
0
0
6
Benign
0
0
0
0
0
Total0129470176

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

View in ClinVar →

Protein Context — Lollipop Plot

NTN3 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold
Clinical Literature
Open Research Assistant →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC

No open access results found