Normal function · from ai-gene-review (O75197, commit 79fe13b38970) · AI-generated, not KB evidence

LRP5 is a 1,615-residue type-I single-pass membrane coreceptor of the low-density-lipoprotein-receptor-related family. Its large extracellular region contains four beta-propeller/EGF modules and three LDL-receptor class A repeats, while its cytoplasmic tail contains phosphorylatable PPPSP motifs that recruit AXIN during ligand-dependent signaling. At the plasma membrane, LRP5 cooperates with Frizzled receptors to transduce canonical Wnt signals; this activity is a major determinant of osteoblast differentiation and bone mass and is antagonized by extracellular inhibitors including sclerostin. LRP5 also serves with FZD4 in Norrin signaling required for retinal vascular morphogenesis, and damaging human variants cause familial exudative vitreoretinopathy. Loss- and gain-of-function variants produce opposing bone phenotypes, whereas proposed direct roles in glucose or lipid metabolism remain less firmly established.

At the osteoblast plasma membrane, LRP5 acts as a Wnt coreceptor with Frizzled. Ligand-dependent assembly and phosphorylation of the receptor tail promote AXIN recruitment and canonical beta-catenin signaling; signaling dosage thereby promotes osteoblast differentiation and bone development. Sclerostin can inhibit this activity by binding the LRP5 extracellular domain and disrupting the Wnt-induced Frizzled-LRP complex.
In the retinal vasculature, LRP5 acts as the LRP coreceptor for Norrin-bound FZD4 and transduces the resulting beta-catenin signal required for retinal blood vessel morphogenesis. Human FEVR-associated LRP5 variants impair this pathway, separating the Norrin-FZD4 context from the receptor's Wnt-dependent bone role. Because Norrin is not a Wnt protein, the broader coreceptor-activity term is used here rather than the Wnt-receptor-activity term used for the bone pathway.
molecular function: coreceptor activity · directly involved in: Norrin signaling pathway; retinal blood vessel morphogenesis · locations: plasma membrane
In the knowledge base · computed from kb/ at build time

Disorders

Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.

DisorderRelationshipWhere the gene appears
Autosomal Dominant Osteopetrosis Type I causative germline
mechanism: LRP5 Gain-of-Function Variation
Autosomal Dominant Osteosclerosis Worth Type causative germline gain of function
mechanism: LRP5 Activating Variation; Variant-Dependent LRP5 Antagonist Resistance
Autosomal dominant polycystic liver disease disputed germline
subtype: LRP5-related ADPLD
Familial Exudative Vitreoretinopathy causative
mechanism: Impaired LRP5-mediated Wnt signaling in bone; Impaired Norrin/beta-catenin signaling in retinal endothelium
subtype: LRP5-FEVR
scoped to subtype: LRP5-FEVR
Osteoporosis susceptibility
ClinGen gene–disease validity · snapshot 2026-10-03 · matched to entries by MONDO

An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.

ClinGen diseaseMOIClassificationdismech entry
polycystic liver disease 4 with or without kidney cysts MONDO:0044327 AD Limited
2023-11-13
LRP5-related exudative vitreoretinopathy MONDO:0700228 AR Definitive
2023-03-02
Mechanism modules · computed from kb/

Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.