LRP5 (O75197) variants and mutations
LRP5 (also known as O75197) is a human protein-coding gene encoding a low-density lipoprotein receptor-related protein 5 protein. It transduces canonical Wnt signals that strongly regulate bone formation and also contributes to retinal vascular development. Loss-of-function variants cause osteoporosis-pseudoglioma syndrome, while activating variants cause high-bone-mass disorders. This analysis covers 2,355 LRP5 variants and mutations. Of these, 79% have computational variant effect predictions. Disease context includes osteoporosis-pseudoglioma syndrome, Familial exudative vitreoretinopathy, and autosomal dominant osteosclerosis, Worth type. Example LRP5 variants include M1L, M1V, and E2Q.
Variant analysis overview
- Gene: LRP5
- Protein: O75197
- UniProt accession: O75197
- Organism: Homo sapiens
- Variants analyzed: 2355
- Variant scope: all variants
- Completed: 2026-08-21
Variant and mutation evidence
- Variant composition: 2,093 unspecified-consequence records; 111 missense variants; 43 frameshift variants; 6 stop-gained variants; 71 synonymous variants; 12 in-frame deletions; 12 in-frame insertions; 2 splice-region variants; 5 substitution
- Prediction scores: 1,855 variants have prediction scores (79% of the analyzed set).
Clinical, disease, and population context
- Disease context: 25 disease associations are represented. Top associations: osteoporosis-pseudoglioma syndrome, Familial exudative vitreoretinopathy, autosomal dominant osteosclerosis, Worth type, polycystic liver disease 4 with or without kidney cysts, osteoporosis, exudative vitreoretinopathy 4, Autosomal dominant osteopetrosis type 1, Osteoporosis - pseudoglioma, autosomal dominant osteopetrosis 1, hyperostosis corticalis generalisata, Albers-Schönberg osteopetrosis, X-linked osteoporosis with fractures.
Protein structure and variant hotspots
- Protein features: 1 transmembrane segments; 7 domains; 6 post-translational modification sites.
- Structural context: 417 variants have structural context.
- PTM context: 7 variants overlap post-translational modification sites.
Data sources
Evidence in this analysis draws on EBI Proteins Variation, UniProt, gnomAD v4, EuropePMC, 3D Hotspot Analysis, Interaction Network Analysis, AlphaFold DB, gnomAD constraint, Open Targets, ClinGen, MaveDB, LitVar.
Notable LRP5 variants
Examples include M1L, M1V, E2Q, E2K, E2G, E2*, E2V, E2E. Listed records include available protein-change notation, database identifiers, clinical classifications, computational predictions, population evidence, experimental measurements, and disease context.
- M1L (p.Met1Leu), rs2153110162, ClinGen CA381607178, ClinVar RCV003848167, Pathogenic, not provided
- M1V (p.Met1Val), rs2153110162, ClinGen CA381607176, ClinVar RCV002277797, ClinVar RCV003546748, MutPred 0.89, Pathogenic/Likely pathogenic, not provided; Osteogenesis imperfecta
- E2Q (p.Glu2Gln), TOPMed rs2098589173, REVEL 0.28, CADD 18.60
- E2K (p.Glu2Lys), gnomAD 11-68312718-G-A, REVEL 0.23, CADD 19.40
- E2G (p.Glu2Gly), gnomAD 11-68312718-GA-G, CADD 23.30
- E2* (p.Glu2Ter), gnomAD 11-68312718-G-T, CADD 36.00
- E2V (p.Glu2Val), gnomAD 11-68312719-A-T, REVEL 0.36, CADD 19.20
- E2E (p.Glu2Glu), gnomAD 11-68312720-G-A, CADD 9.79
- E2D (p.Glu2Asp), gnomAD 11-68312720-G-T, REVEL 0.24, CADD 14.10
- A3V (p.Ala3Val), TOPMed rs2098589178, gnomAD rs2098589178, REVEL 0.15, CADD 20.40
- A3P (p.Ala3Pro), gnomAD 11-68312721-G-C, REVEL 0.19, CADD 16.10
- A3S (p.Ala3Ser), gnomAD 11-68312721-G-T, REVEL 0.13, CADD 14.70
- A3T (p.Ala3Thr), gnomAD 11-68312721-G-A, REVEL 0.16, CADD 16.00
- A3E (p.Ala3Glu), gnomAD 11-68312722-C-A, REVEL 0.20, CADD 16.10
- A3G (p.Ala3Gly), gnomAD 11-68312722-C-G, REVEL 0.17, CADD 16.70
- A3A (p.Ala3Ala), gnomAD 11-68312723-A-G, CADD 13.90
- A4E (p.Ala4Glu), gnomAD rs1389034811, REVEL 0.26, CADD 20.50
- A4G (p.Ala4Gly), rs1389034811, ClinGen CA381607240, ClinVar RCV003681167, REVEL 0.26, CADD 21.90, Uncertain significance, not provided
- A4T (p.Ala4Thr), rs1396350476, gnomAD rs1396350476, REVEL 0.25, CADD 21.30, Variant assessed as somatic; moderate impact.
- A4V (p.Ala4Val), gnomAD rs1389034811, REVEL 0.28, CADD 20.80
- p.Ala4 Pro6del, gnomAD 11-68312723-AGCGC, CADD 14.80
- A4S (p.Ala4Ser), gnomAD 11-68312724-G-T, REVEL 0.25, CADD 16.30
- A4A (p.Ala4Ala), gnomAD 11-68312726-G-T, CADD 12.10
- P5A (p.Pro5Ala), rs2496190917, ClinGen CA381607248, ClinVar RCV002797197, REVEL 0.26, CADD 18.10, Uncertain significance, not provided
- P5L (p.Pro5Leu), rs886042987, ClinGen CA10604959, ClinVar RCV000387467, TOPMed rs886042987, REVEL 0.25, CADD 21.40, Uncertain significance, not provided
- P5S (p.Pro5Ser), gnomAD 11-68312727-C-T, REVEL 0.27, CADD 19.80
- P5T (p.Pro5Thr), gnomAD 11-68312727-C-A, REVEL 0.27, CADD 19.10
- P5Q (p.Pro5Gln), gnomAD 11-68312728-C-A, REVEL 0.25, CADD 20.90
- P5R (p.Pro5Arg), gnomAD 11-68312728-C-G, REVEL 0.24, CADD 21.30
- P5P (p.Pro5Pro), rs1004096379, gnomAD 11-68312729-G-C, CADD 10.40
- P6L (p.Pro6Leu), 1000Genomes rs2153110175, REVEL 0.14, CADD 12.10
- P6T (p.Pro6Thr), rs771718186, ClinGen CA6148887, ClinVar RCV000592927, ClinVar RCV000712232, REVEL 0.27, CADD 9.41, Benign/Likely benign, not provided; not specified; Osteogenesis imperfecta
- P6S (p.Pro6Ser), gnomAD 11-68312730-C-T, REVEL 0.25, CADD 10.30
- P6A (p.Pro6Ala), gnomAD 11-68312730-C-G, REVEL 0.26, CADD 8.53
- P6H (p.Pro6His), gnomAD 11-68312731-C-A, REVEL 0.16, CADD 10.90
- P6P (p.Pro6Pro), gnomAD 11-68312732-C-A, CADD 7.74
- G7R (p.Gly7Arg), rs1320492358, gnomAD rs1320492358, ClinGen CA381607276, ClinVar RCV003012330, REVEL 0.26, CADD 12.80, Uncertain significance, not provided
- G7W (p.Gly7Trp), gnomAD 11-68312733-G-T, REVEL 0.25, CADD 14.10
- G7E (p.Gly7Glu), gnomAD 11-68312734-G-A, REVEL 0.22, CADD 16.30
- G7A (p.Gly7Ala), gnomAD 11-68312734-G-C, REVEL 0.20, CADD 15.40
- G7V (p.Gly7Val), gnomAD 11-68312734-G-T, REVEL 0.20, CADD 16.00
- G7G (p.Gly7Gly), rs1324803759, gnomAD 11-68312735-G-A, CADD 7.54
- P8L (p.Pro8Leu), TOPMed rs2098589225, REVEL 0.17, CADD 6.74, Uncertain significance, not provided
- P8Q (p.Pro8Gln), TOPMed rs2098589225, REVEL 0.19, CADD 4.86
- P8R (p.Pro8Arg), TOPMed rs2098589225
- P8T (p.Pro8Thr), rs895427090, ClinGen CA224251918, ClinVar RCV003456780, TOPMed rs895427090, REVEL 0.24, CADD 8.72, Uncertain significance, not provided
- P8S (p.Pro8Ser), gnomAD 11-68312736-C-T, REVEL 0.22, CADD 9.36
- P8A (p.Pro8Ala), gnomAD 11-68312736-C-G, REVEL 0.22, CADD 6.29
- P8P (p.Pro8Pro), gnomAD 11-68312738-G-C, CADD 8.47
- P9L (p.Pro9Leu), TOPMed rs1174353023, REVEL 0.26, CADD 13.90
- P9S (p.Pro9Ser), TOPMed rs1285364397, gnomAD rs1285364397, REVEL 0.26, CADD 7.16
- P9R (p.Pro9Arg), gnomAD 11-68312728-CGCCC, CADD 23.40
- P9A (p.Pro9Ala), gnomAD 11-68312739-C-G, REVEL 0.26, CADD 2.00
- P9T (p.Pro9Thr), gnomAD 11-68312739-C-A, REVEL 0.24, CADD 7.32
- P9Q (p.Pro9Gln), gnomAD 11-68312740-C-A, REVEL 0.27, CADD 14.80
- P9P (p.Pro9Pro), gnomAD 11-68312741-G-C, CADD 8.46
- W10* (p.Trp10Ter), Ensembl rs2098589244, CADD 32.00, Pathogenic
- p.Trp10 Pro11delinsSer, gnomAD 11-68312742-TGGC-, CADD 7.32
- W10R (p.Trp10Arg), gnomAD 11-68312742-T-C, REVEL 0.28, CADD 7.88
- W10G (p.Trp10Gly), gnomAD 11-68312742-T-G, REVEL 0.30, CADD 9.89
- W10L (p.Trp10Leu), gnomAD 11-68312743-G-T, REVEL 0.33, CADD 4.44
- p.Trp10 Pro11insSer, gnomAD 11-68312743-G-GGT, CADD 7.78
- W10C (p.Trp10Cys), gnomAD 11-68312744-G-C, REVEL 0.18, CADD 10.70
- P11L (p.Pro11Leu), gnomAD rs1282312295, REVEL 0.33, CADD 4.80, Uncertain significance, not provided
- P11S (p.Pro11Ser), rs1272970460, ClinGen CA381607336, ClinVar RCV001995981, ClinVar RCV004042501, REVEL 0.30, CADD 6.60, Uncertain significance, Autosomal dominant osteopetrosis 1; Polycystic liver disease 4 with or without k
- p.Pro11dup, rs1231935129, gnomAD 11-68312743-G-GGC, CADD 7.78
- P11del (p.Pro11del), gnomAD 11-68312743-GGCC-, CADD 5.94
- P11T (p.Pro11Thr), gnomAD 11-68312745-C-A, REVEL 0.30, CADD 6.11
- P11A (p.Pro11Ala), gnomAD 11-68312745-C-G, REVEL 0.29, CADD 4.02
- p.Pro11 Leu12insArg, gnomAD 11-68312746-C-CGC, CADD 7.49
- P11Q (p.Pro11Gln), gnomAD 11-68312746-C-A, REVEL 0.34, CADD 6.12
- P11R (p.Pro11Arg), gnomAD 11-68312746-C-G, REVEL 0.33, CADD 5.86
- P11P (p.Pro11Pro), gnomAD 11-68312747-G-C, CADD 8.11
- L12P (p.Leu12Pro), rs1019409513, ClinGen CA224251992, NCI-TCGA Cosmic COSV5372, ClinVar RCV002716729, REVEL 0.23, CADD 13.10, Uncertain significance, not provided
- L12Q (p.Leu12Gln), rs1019409513, ClinGen CA381607383, ClinVar RCV001971791, ClinVar RCV003987951, REVEL 0.26, CADD 15.80, Uncertain significance, not specified; Autosomal dominant osteopetrosis 1; Polycystic liver disease 4 wi
- p.Leu12 Leu13insArgProLeu, rs946141296, gnomAD 11-68312742-T-TGG, CADD 7.41
- L12A (p.Leu12Ala), gnomAD 11-68312745-CCG-C, CADD 15.70
- L12C (p.Leu12Cys), gnomAD 11-68312746-CG-C, CADD 15.90
- L12L (p.Leu12Leu), gnomAD 11-68312748-C-T, CADD 6.65
- L12M (p.Leu12Met), gnomAD 11-68312748-C-A, REVEL 0.27, CADD 4.61
- p.Leu13 Leu14insProLeuLeuLeu, gnomAD 11-68312746-C-CGC, CADD 7.11
- L13A (p.Leu13Ala), gnomAD 11-68312749-TGC-T, CADD 17.60
- L13R (p.Leu13Arg), gnomAD 11-68312749-T-TGC, CADD 16.60
- L13C (p.Leu13Cys), gnomAD 11-68312749-TGCTG, CADD 17.40
- L13L (p.Leu13Leu), rs2098589290, gnomAD 11-68312751-C-T, CADD 7.54
- L13M (p.Leu13Met), gnomAD 11-68312751-C-A, REVEL 0.21, CADD 7.18
- L13P (p.Leu13Pro), gnomAD 11-68312751-CTG-C, CADD 16.80
- L13V (p.Leu13Val), gnomAD 11-68312751-C-G, REVEL 0.23, CADD 4.54
- L13Q (p.Leu13Gln), gnomAD 11-68312752-T-A, REVEL 0.29, CADD 15.80
- L14C (p.Leu14Cys), gnomAD 11-68312753-GC-G, CADD 17.00
- L14P (p.Leu14Pro), gnomAD 11-68312754-CTG-C, CADD 20.50
- L14R (p.Leu14Arg), gnomAD 11-68312754-CT-C, CADD 17.00
- L14M (p.Leu14Met), gnomAD 11-68312754-C-A, REVEL 0.27, CADD 8.40
- p.Leu14 Leu15insMet, gnomAD 11-68312754-C-CTG, CADD 7.83
- L14L (p.Leu14Leu), gnomAD 11-68312754-C-T, CADD 7.40
- L14V (p.Leu14Val), gnomAD 11-68312754-C-G, REVEL 0.22, CADD 6.26
- L14Q (p.Leu14Gln), gnomAD 11-68312755-T-A, REVEL 0.36, CADD 15.90
- L15V (p.Leu15Val), rs2098589299, ClinGen CA381607418, ClinVar RCV002726582, REVEL 0.22, CADD 0.51, Uncertain significance, not provided
- p.Leu15 Leu20del, gnomAD 11-68312746-CGCTG, CADD 11.90
- L15A (p.Leu15Ala), gnomAD 11-68312755-TGC-T, CADD 21.40
- L15C (p.Leu15Cys), gnomAD 11-68312755-TG-T, CADD 21.10
- L15P (p.Leu15Pro), gnomAD 11-68312757-CTG-C, CADD 20.70
- L15R (p.Leu15Arg), gnomAD 11-68312757-CTGCT, CADD 22.10
- L15M (p.Leu15Met), gnomAD 11-68312757-C-A, REVEL 0.23, CADD 5.12
- L15L (p.Leu15Leu), rs2098589299, gnomAD 11-68312757-C-T, CADD 7.09
- L15Q (p.Leu15Gln), gnomAD 11-68312758-T-A, REVEL 0.29, CADD 3.00
- L16P (p.Leu16Pro), Ensembl rs1591160218, REVEL 0.31, CADD 10.40
- p.Leu16 Leu20del, rs72555376, gnomAD 11-68312746-CGCTG, CADD 9.57
- L16C (p.Leu16Cys), gnomAD 11-68312758-TGCTG, CADD 22.50
- L16A (p.Leu16Ala), gnomAD 11-68312759-GCT-G, CADD 19.60
- p.Leu16 Leu17insMet, rs2098589305, gnomAD 11-68312760-C-CTG, CADD 9.79
- L16V (p.Leu16Val), gnomAD 11-68312760-C-G, REVEL 0.23, CADD 6.85
- L16L (p.Leu16Leu), gnomAD 11-68312760-C-T, CADD 8.43
- L16R (p.Leu16Arg), gnomAD 11-68312760-CT-C, CADD 16.40
- L16M (p.Leu16Met), gnomAD 11-68312760-C-A, REVEL 0.21, CADD 9.68
- L16Q (p.Leu16Gln), gnomAD 11-68312761-T-A, REVEL 0.37, CADD 8.73
- p.Leu17 Leu20del, rs72555376, gnomAD 11-68312746-CGCTG, CADD 9.37
- L17A (p.Leu17Ala), gnomAD 11-68312761-TGC-T, CADD 22.50
- L17C (p.Leu17Cys), gnomAD 11-68312761-TG-T, CADD 22.40
- L17L (p.Leu17Leu), gnomAD 11-68312763-C-T, CADD 7.12
- p.Leu17 Leu18insMet, gnomAD 11-68312763-C-CTG, CADD 12.50
- L17M (p.Leu17Met), gnomAD 11-68312763-C-A, REVEL 0.39, CADD 12.80
- L17P (p.Leu17Pro), gnomAD 11-68312763-CTG-C, CADD 22.70
- L17V (p.Leu17Val), gnomAD 11-68312763-C-G, REVEL 0.32, CADD 3.53
- L17R (p.Leu17Arg), gnomAD 11-68312764-T-G, REVEL 0.30, CADD 19.70
- L17Q (p.Leu17Gln), gnomAD 11-68312764-T-A, REVEL 0.31, CADD 20.50
- L18P (p.Leu18Pro), gnomAD rs1445972969, REVEL 0.48, CADD 22.00
- L18V (p.Leu18Val), ExAC rs777352225, gnomAD rs777352225, REVEL 0.26, CADD 11.50, Likely benign
- p.Leu18 Leu20del, rs72555376, gnomAD 11-68312746-CGCTG, CADD 7.09
- L18A (p.Leu18Ala), gnomAD 11-68312764-TGC-T, CADD 23.00
- L18C (p.Leu18Cys), gnomAD 11-68312764-TG-T, CADD 22.90
- L18M (p.Leu18Met), gnomAD 11-68312766-C-A, REVEL 0.35, CADD 17.50
- L18L (p.Leu18Leu), rs777352225, gnomAD 11-68312766-C-T, CADD 9.05
- L18R (p.Leu18Arg), gnomAD 11-68312766-CT-C, CADD 22.60
- p.Leu18 Leu19insPro, gnomAD 11-68312767-T-TGC, CADD 13.90
- p.Leu19 Leu20del, rs72555376, gnomAD 11-68312746-CGCTG, CADD 7.25
- L19C (p.Leu19Cys), gnomAD 11-68312765-G-GCT, CADD 22.60
- L19M (p.Leu19Met), gnomAD 11-68312769-C-A, REVEL 0.33, CADD 14.50
- L19P (p.Leu19Pro), gnomAD 11-68312769-CTG-C, CADD 22.60
- L19V (p.Leu19Val), gnomAD 11-68312769-C-G, REVEL 0.25, CADD 3.90
- L19L (p.Leu19Leu), gnomAD 11-68312769-C-T, CADD 8.18
- L19R (p.Leu19Arg), gnomAD 11-68312770-T-G, REVEL 0.40, CADD 21.80
- L20P (p.Leu20Pro), rs2153110217, ClinGen CA381607482, ClinVar RCV001885525, Ensembl rs2153110217, REVEL 0.50, CADD 22.20, Uncertain significance, not provided
- p.Leu20dup, gnomAD 11-68312746-C-CAC, CADD 7.49
- L20del (p.Leu20del), rs72555376, gnomAD 11-68312746-CGCT-, CADD 7.46
- L20G (p.Leu20Gly), gnomAD 11-68312771-GCT-G, CADD 22.80
- L20W (p.Leu20Trp), gnomAD 11-68312771-GC-G, CADD 22.50
- L20M (p.Leu20Met), gnomAD 11-68312772-C-A, REVEL 0.32, CADD 18.70
- L20L (p.Leu20Leu), gnomAD 11-68312772-C-T, CADD 9.18
- L20V (p.Leu20Val), gnomAD 11-68312772-C-G, REVEL 0.22, CADD 12.90
- L20R (p.Leu20Arg), gnomAD 11-68312772-CT-C, CADD 22.30
- L20Q (p.Leu20Gln), gnomAD 11-68312773-T-A, REVEL 0.40, CADD 21.90
- p.Leu20 Ala21insPro, gnomAD 11-68312773-T-TGC, CADD 13.20
- A21T (p.Ala21Thr), Ensembl rs1591160274, REVEL 0.14, CADD 11.80
- A21V (p.Ala21Val), gnomAD rs1419301372, REVEL 0.17, CADD 5.07
- p.Ala21 Leu22del, gnomAD 11-68312770-TGCTG, CADD 12.70
- A21L (p.Ala21Leu), gnomAD 11-68312774-G-GCT, CADD 22.00
- A21P (p.Ala21Pro), gnomAD 11-68312775-G-C, REVEL 0.18, CADD 13.50
- A21S (p.Ala21Ser), gnomAD 11-68312775-G-T, REVEL 0.17, CADD 9.58
- A21G (p.Ala21Gly), gnomAD 11-68312775-GC-G, CADD 15.00
- A21E (p.Ala21Glu), gnomAD 11-68312776-C-A, REVEL 0.21, CADD 5.64
- A21A (p.Ala21Ala), gnomAD 11-68312777-G-T, CADD 9.22
- L22M (p.Leu22Met), gnomAD rs1474195508, REVEL 0.27, CADD 17.10
- L22P (p.Leu22Pro), rs2496192099, ClinGen CA381607514, ClinVar RCV003016961, REVEL 0.42, CADD 21.70, Uncertain significance, not provided
- L22V (p.Leu22Val), gnomAD 11-68312773-TGG-T, CADD 22.40
- L22L (p.Leu22Leu), gnomAD 11-68312778-C-T, CADD 8.30
- C23G (p.Cys23Gly), rs2098589360, ClinGen CA381607520, ClinVar RCV002663268, gnomAD rs2098589360, REVEL 0.20, CADD 16.40, Uncertain significance, not provided
- C23L (p.Cys23Leu), gnomAD 11-68312780-G-GC, CADD 21.90
- C23R (p.Cys23Arg), gnomAD 11-68312781-T-C, REVEL 0.22, CADD 16.50
- C23S (p.Cys23Ser), gnomAD 11-68312781-TG-T, CADD 19.90
- C23W (p.Cys23Trp), gnomAD 11-68312782-GC-G, CADD 22.60
- C23Y (p.Cys23Tyr), gnomAD 11-68312782-G-A, REVEL 0.20, CADD 13.00
- C23F (p.Cys23Phe), gnomAD 11-68312782-G-T, REVEL 0.22, CADD 11.90
- C23C (p.Cys23Cys), rs1164074861, gnomAD 11-68312783-C-T, CADD 10.40
- C23* (p.Cys23Ter), gnomAD 11-68312783-C-A, CADD 33.00
- G24C (p.Gly24Cys), ExAC rs746511983, TOPMed rs746511983, gnomAD rs746511983, REVEL 0.21, CADD 14.80, Uncertain significance, Inborn genetic diseases
- G24D (p.Gly24Asp), rs2098589368, ClinGen CA381607546, ClinVar RCV003200846, TOPMed rs2098589368, REVEL 0.17, CADD 14.60, Uncertain significance, Inborn genetic diseases
- G24S (p.Gly24Ser), ExAC rs746511983, TOPMed rs746511983, gnomAD rs746511983, REVEL 0.22, CADD 12.70
- G24R (p.Gly24Arg), gnomAD 11-68312784-G-C, REVEL 0.24, CADD 13.20
- G24V (p.Gly24Val), gnomAD 11-68312785-G-T, REVEL 0.19, CADD 14.80
Public LRP5 analysis runs
- LRP5 analysis run — LRP5 (2,355 variants) — completed 2026-08-21