ROR2

Chr 9ADAR

receptor tyrosine kinase like orphan receptor 2

ROR2 encodes a receptor tyrosine kinase required for cartilage and growth plate development that acts as a receptor for WNT5A and phosphorylates proteins involved in bone formation. Mutations cause brachydactyly type B1 (autosomal dominant) characterized by underdeveloped distal finger bones and nails, and autosomal recessive Robinow syndrome featuring skeletal dysplasia with limb shortening, spinal defects, brachydactyly, and distinctive facial features. The gene shows low constraint to loss-of-function variation (LOEUF 0.558), consistent with its dual inheritance patterns depending on the specific mutation and resulting phenotype.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismAD/ARLOEUF 0.562 OMIM phenotypes
Clinical SummaryROR2
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.56LOEUF
pLI 0.000
Z-score 3.73
OE 0.36 (0.230.56)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
0.14Z-score
OE missense 0.98 (0.921.05)
584 obs / 593.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.36 (0.230.56)
00.351.4
Missense OE0.98 (0.921.05)
00.61.4
Synonymous OE1.23
01.21.6
LoF obs/exp: 14 / 39.2Missense obs/exp: 584 / 593.8Syn Z: -3.00
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveROR2-related brachydactylyLOFAD
definitiveROR2-related Robinow syndromeLOFAR
DN
0.77top 25%
GOF
0.74top 25%
LOF
0.2678th %ile

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

DNprediction above median · 1 literature citation
GOFprediction 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.

Literature Evidence

DNOverexpression of dominant negative ROR2 lacking the extracellular CRD decreased spine density and the proportion of mushroom like spines, while ROR2 lacking the C-terminal and active kinase domains only affected spine morphology.PMID:26003414

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ROR2 · 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.

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Clinical Literature
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