RAMP1

Chr 2

receptor activity modifying protein 1

RAMP1 encodes a single-transmembrane accessory protein that transports calcitonin receptor-like receptor (CRLR) to the plasma membrane and forms functional receptor complexes for calcitonin gene-related peptide (CGRP) and amylin signaling. Biallelic mutations cause a severe neurodevelopmental disorder with early-onset seizures, developmental delay, and microcephaly following autosomal recessive inheritance. The gene shows relatively low constraint to loss-of-function variation (pLI 0.13), consistent with recessive disease requiring biallelic variants.

Summary from RefSeq, UniProt
Research Assistant →
1
Active trials
38
Pubs (1 yr)
83
P/LP submissions
0%
P/LP missense
1.12
LOEUF
Multiple*
Mechanism· predicted
Clinical SummaryRAMP1
Population Constraint (gnomAD)
Low constraint (pLI 0.13) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
81 unique Pathogenic / Likely Pathogenic· 34 VUS of 128 total submissions
💊
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
1.12LOEUF
pLI 0.132
Z-score 1.41
OE 0.36 (0.141.12)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.55Z-score
OE missense 1.16 (0.991.36)
107 obs / 92.1 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.36 (0.141.12)
00.351.4
Missense OE1.16 (0.991.36)
00.61.4
Synonymous OE0.92
01.21.6
LoF obs/exp: 2 / 5.6Missense obs/exp: 107 / 92.1Syn Z: 0.39
DN
0.6937th %ile
GOF
0.74top 25%
LOF
0.2288th %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

128 submitted variants in ClinVar

Classification Summary

Pathogenic79
Likely Pathogenic2
VUS34
Likely Benign6
Benign2
79
Pathogenic
2
Likely Pathogenic
34
VUS
6
Likely Benign
2
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
79
0
79
Likely Pathogenic
0
0
2
0
2
VUS
0
27
7
0
34
Likely Benign
0
6
0
0
6
Benign
0
0
0
2
2
Total033882123

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

View in ClinVar →

Protein Context — Lollipop Plot

RAMP1 · protein map & ClinVar variants

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

Clinical Literature
Open Research Assistant →