PRR27

Chr 4

proline rich 27

Also known as: C4orf40

PRR27 encodes a protein located in extracellular exosomes, though its specific molecular function remains unclear. Mutations in this gene cause autosomal recessive developmental and epileptic encephalopathy, characterized by early-onset seizures and developmental delay. The gene shows tolerance to loss-of-function variants in the general population, consistent with the recessive inheritance pattern observed in affected individuals.

ResearchSummary from RefSeq
DNmechanismLOEUF 1.64
Clinical SummaryPRR27
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
22 unique Pathogenic / Likely Pathogenic· 48 VUS of 80 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.64LOEUF
pLI 0.000
Z-score 0.34
OE 0.86 (0.471.64)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.40Z-score
OE missense 1.10 (0.961.27)
132 obs / 119.7 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.86 (0.471.64)
00.351.4
Missense OE1.10 (0.961.27)
00.61.4
Synonymous OE0.97
01.21.6
LoF obs/exp: 6 / 7.0Missense obs/exp: 132 / 119.7Syn Z: 0.13
DN
0.76top 25%
GOF
0.5367th %ile
LOF
0.2091th %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

80 submitted variants in ClinVar

Classification Summary

Pathogenic21
Likely Pathogenic1
VUS48
Likely Benign10
21
Pathogenic
1
Likely Pathogenic
48
VUS
10
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
21
0
21
Likely Pathogenic
0
0
1
0
1
VUS
0
39
9
0
48
Likely Benign
0
3
2
5
10
Benign
0
0
0
0
0
Total04233580

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

View in ClinVar →

Protein Context — Lollipop Plot

PRR27 · 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.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Susceptibility to Childhood Pneumonia: A Genome-Wide Analysis.
Hayden LP et al.·Am J Respir Cell Mol Biol
2017Clinical trial
Top 1 results · since 2015Search PubMed ↗
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC

No open access results found