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Skeletal dysplasia v7.38 NPR3 Eleanor Williams Publications for gene: NPR3 were set to 30032985; 10468599
Skeletal dysplasia v7.37 NPR3 Eleanor Williams Phenotypes for gene: NPR3 were changed from Tall stature; arachnodactyly; extra epiphyses; aortic dilatation to Boudin-Mortier syndrome, OMIM:619543; Boudin-Mortier syndrome, MONDO:0859194
Skeletal dysplasia v7.36 NPR3 Eleanor Williams edited their review of gene: NPR3: Added comment: Additional cases reported in:

PMID: 35233476 - Lauffer et al 2022 - 2 novel compound heterozygous NPR3 variants c.943G>A p.(Ala315Thr) and c.1294A>T p.(Ile432Phe) in a boy with tall stature and macrodactyly of the halluces. The authors note that compared to other patients with NPR-C (encoded by NPR3) loss-of-function, the phenotype appears to be milder.

PMID: 40171685 - Moffat et al 2025 - 3 siblings with a novel homozygous missense variant in NPR3 that in vitro data shows causes loss-of-function. All had tall stature but in addition 1 sibling had severe scoliosis developed and mild scoliosis was observed in the two others. Scoliosis has not been previously reported in NPR3-related tall stature and therefore extends the phenotype.; Changed publications to: 30032985, 10468599, 35233476, 40171685; Changed phenotypes to: Boudin-Mortier syndrome, OMIM:619543
Skeletal dysplasia v2.177 NPR3 Eleanor Williams Tag for-review was removed from gene: NPR3.
Skeletal dysplasia v2.176 NPR3 Eleanor Williams commented on gene: NPR3: The rating of this gene has been updated following NHS Genomic Medicine Service approval.
Skeletal dysplasia v2.175 NPR3 Eleanor Williams Source Expert Review Green was added to NPR3.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Skeletal dysplasia v2.75 NPR3 Eleanor Williams Classified gene: NPR3 as Amber List (moderate evidence)
Skeletal dysplasia v2.75 NPR3 Eleanor Williams Added comment: Comment on list classification: Promoting this gene from grey to amber with a recommendation for green rating following GMS review. 3 unrelated cases with a similar phenotype and supporting functional data and mouse model.
Skeletal dysplasia v2.75 NPR3 Eleanor Williams Gene: npr3 has been classified as Amber List (Moderate Evidence).
Skeletal dysplasia v2.74 NPR3 Eleanor Williams Publications for gene: NPR3 were set to PMID: 30032985; 10468599
Skeletal dysplasia v2.73 NPR3 Eleanor Williams Tag for-review tag was added to gene: NPR3.
Skeletal dysplasia v2.73 NPR3 Eleanor Williams reviewed gene: NPR3: Rating: GREEN; Mode of pathogenicity: None; Publications: 30032985, 10468599; Phenotypes: ; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal
Skeletal dysplasia v2.3 NPR3 Ian Berry gene: NPR3 was added
gene: NPR3 was added to Skeletal dysplasia. Sources: Literature
Mode of inheritance for gene: NPR3 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: NPR3 were set to PMID: 30032985; 10468599
Phenotypes for gene: NPR3 were set to Tall stature; arachnodactyly; extra epiphyses; aortic dilatation
Penetrance for gene: NPR3 were set to unknown
Review for gene: NPR3 was set to GREEN
gene: NPR3 was marked as current diagnostic
Added comment: 4 individuals in 3 families reported with striking phenotypic similarity.
Functional evidence compelling.
Mouse model recapitulates phenotype (including skeletal features).
Sources: Literature