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GREM1

Chr 15q13.3

gremlin 1, DAN family BMP antagonist

Aliases:
DRM, gremlin, DAND2, HMPS
MANE:
ENST00000651154.1

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • Inherited polyposis and early onset colorectal cancer - germline testing

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • CAKUT

  • GI tract tumours

    MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
  • Limb disorders

    MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
  • Skeletal dysplasia

    Unknown
  • Unexplained kidney failure in young people

  • Unexplained young onset end-stage renal disease - additional genes

    Unknown
  • VACTERL-like phenotypes

Disease associations (Open Targets)

  • colorectal cancer

    0.54
  • hereditary mixed polyposis syndrome

    0.53
  • colorectal carcinoma

    0.47
  • benign colon neoplasm

    0.47
  • polyp of colon

    0.45
  • colonic neoplasm

    0.43
  • rectosigmoid junction neoplasm

    0.42
  • colon carcinoma

    0.40
  • polyp

    0.40
  • benign neoplasm of rectum

    0.39

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

Gremlin-1

Cytokine that may play an important role during carcinogenesis and metanephric kidney organogenesis, as a BMP antagonist required for early limb outgrowth and patterning in maintaining the FGF4-SHH feedback loop. Down-regulates the BMP4 signaling in a dose-dependent manner (By similarity). Antagonist of BMP2; inhibits BMP2-mediated differentiation of osteoblasts (in vitro) (PubMed:27036124). Acts as inhibitor of monocyte chemotaxis. Can inhibit the growth or viability of normal cells but not transformed cells when is overexpressed (By similarity)

Curated MONDO disease pages that list GREM1 among their top associated genes.

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.