The protein is a secreted ligand that activates canonical Wnt signaling by binding to LGR4-6 receptors and plays a crucial role in embryonic limb specification. Autosomal recessive mutations cause tetraamelia syndrome 2 (absence of all four limbs) and humerofemoral hypoplasia with radiotibial ray deficiency, representing severe limb malformation disorders. The gene shows tolerance to loss-of-function variants in the general population (low pLI), consistent with its recessive inheritance pattern.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 0.762 OMIM phenotypes
Clinical SummaryRSPO2
Population Constraint (gnomAD)
Low constraint (pLI 0.02) — loss-of-function variants are relatively tolerated in the population.
Some data sources returned errors (1)

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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.76LOEUF
pLI 0.025
Z-score 2.19
OE 0.36 (0.190.76)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.50Z-score
OE missense 0.88 (0.761.02)
121 obs / 137.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.36 (0.190.76)
00.351.4
Missense OE0.88 (0.761.02)
00.61.4
Synonymous OE1.24
01.21.6
LoF obs/exp: 5 / 13.8Missense obs/exp: 121 / 137.4Syn Z: -1.26
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongRSPO2-related tetraamelia with lung agenesisLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.6744th %ile
GOF
0.5465th %ile
LOF
0.3550th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

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

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

RSPO2 · 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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