Summary
Adolescent idiopathic scoliosis (MONDO:0005488) is a disease with 43 cohort genes (1,389 GWAS associations across 12 studies) and 197 clinical trials. Top therapeutic interventions include sodium chloride, abobotulinumtoxina, and caffeine.
At a glance
- Cohort genes: 43
- GWAS associations: 1,389
- Clinical trials: 197
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | adolescent idiopathic scoliosis |
| Mondo ID | MONDO:0005488 |
| EFO | EFO:0005423 |
| Orphanet | 3153 |
| SNOMED CT | 203646004 |
| UMLS | C0410702 |
| MedGen | 450543 |
| Is cancer (heuristic) | no |
Data availability: 1,389 GWAS associations (12 studies).
Disease family
Classification path: disease › human disease › disease by body system or component › musculoskeletal system disorder › skeletal system disorder › bone disorder › disease of bone structure › scoliosis › idiopathic scoliosis › adolescent idiopathic scoliosis
Related subtypes (1): juvenile idiopathic scoliosis
Genetics & variants
GWAS landscape
1,389 GWAS associations across 12 studies. Top hits map to 32 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs6964752 | 1e-221 | IQCE | ? | |
| rs41497646 | 1e-214 | LRP1B | ? | |
| rs41337747 | 2e-212 | RNF150 | ? | |
| rs1051432 | 3e-212 | WDR59 | ? | |
| rs3007163 | 5e-148 | TRIM9 - TMX1 | ? | |
| rs41320847 | 1e-138 | TMIGD3 | ? | |
| rs3847988 | 4e-138 | LINC00572 - LINC00544 | ? | |
| rs8111296 | 7e-137 | ZNF99 - ZNF723 | ? | |
| rs6826964 | 7e-137 | PGCKA1 | ? | |
| rs41416745 | 6e-136 | SGCZ | ? | |
| rs1175646 | 3e-104 | CTTNBP2NL - WNT2B | ? | |
| rs9594037 | 4e-94 | LINC00351 - SLITRK6 | ? | |
| rs17754109 | 3e-89 | RPL31P42 - CNTLN | ? | |
| rs9894591 | 7e-80 | COX10-DT | ? | |
| rs11157436 | 4e-71 | TRAV30 | ? | |
| rs9483645 | 3e-70 | SLC2A12 - HMGA1P7 | ? | |
| rs17163154 | 5e-69 | CHSY3-AS1, ADAMTS19 | ? | |
| rs16909256 | 2e-57 | C14orf119P1 - ZNF618 | ? | |
| rs12380216 | 6e-56 | OR7E108P | ? | |
| rs6488336 | 2e-55 | CD163, CD163L1 | ? | |
| rs8046476 | 1e-54 | SALL1 - UNGP1 | ? | |
| rs12435957 | 2e-53 | GALNT16 | ? | |
| rs2077502 | 2e-51 | SEPTIN9 - LINC01987 | ? | |
| rs6822565 | 2e-49 | EDNRA | ? | |
| rs12596920 | 6e-46 | LINC02188 - LINC02181 | ? | |
| rs10753165 | 7e-46 | LINC01645 - LINC01741 | ? | |
| rs2881493 | 1e-45 | MRPL42P4 - SRSF8CP | ? | |
| rs1254900 | 4e-45 | VAMP5 | ? | |
| rs10910445 | 7e-45 | SIPA1L2 | ? | |
| rs4627442 | 1e-44 | FHOD3 | ? | |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST008789 | Kou I | 2019 | 5,327 | 73,884 | Genome-wide association study identifies 14 previously unreported susceptibility loci for adolescent idiopathic scoliosis in Japanese. |
| GCST008788 | Kou I | 2019 | 5,004 | 33,679 | Genome-wide association study identifies 14 previously unreported susceptibility loci for adolescent idiopathic scoliosis in Japanese. |
| GCST006902 | Khanshour AM | 2018 | 2,295 | 11,084 | Genome-wide meta-analysis and replication studies in multiple ethnicities identify novel adolescent idiopathic scoliosis susceptibility loci. |
| GCST003052 | Ogura Y | 2015 | 2,109 | 11,140 | A Functional SNP in BNC2 Is Associated with Adolescent Idiopathic Scoliosis. |
| GCST004288 | Zhu Z | 2017 | 1,456 | 2,104 | Genome-wide association study identifies novel susceptible loci and highlights Wnt/beta-catenin pathway in the development of adolescent idiopathic scoliosis. |
| GCST90179478 | Yu H | 2024 | 1,358 | 12,507 | Association of genetic variation in COL11A1 with adolescent idiopathic scoliosis. |
| GCST004981 | Ogura Y | 2017 | 1,105 | 0 | A functional variant in MIR4300HG, the host gene of microRNA MIR4300 is associated with progression of adolescent idiopathic scoliosis. |
| GCST003128 | Zhu Z | 2015 | 960 | 1,499 | Genome-wide association study identifies new susceptibility loci for adolescent idiopathic scoliosis in Chinese girls. |
| GCST002169 | Miyake A | 2013 | 554 | 1,474 | Identification of a susceptibility locus for severe adolescent idiopathic scoliosis on chromosome 17q24.3. |
| GCST002819 | Sharma S | 2015 | 371 | 0 | A PAX1 enhancer locus is associated with susceptibility to idiopathic scoliosis in females. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 48 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 44 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 6 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 33 |
| intergenic_variant | 11 |
| non_coding_transcript_exon_variant | 4 |
| 3_prime_UTR_variant | 1 |
| stop_gained | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs6964752 | 7 | 2574148 | G>A,C | 0.05 | intron_variant | IQCE | 1e-221 | Tier 4: intronic/intergenic |
| rs41497646 | 2 | 140908502 | A>G | | intron_variant | LRP1B | 1e-214 | Tier 4: intronic/intergenic |
| rs41337747 | 4 | 140899003 | G>A,C,T | | intron_variant | RNF150 | 2e-212 | Tier 4: intronic/intergenic |
| rs1051432 | 16 | 74873752 | G>C | 0.05 | 3_prime_UTR_variant | WDR59 | 3e-212 | Tier 2: splice/UTR |
| rs3007163 | 14 | 51180944 | A>G,T | 0.05 | intron_variant | TRIM9 - TMX1 | 5e-148 | Tier 4: intronic/intergenic |
| rs41320847 | 1 | 111507328 | A>G | | intron_variant | TMIGD3 | 1e-138 | Tier 4: intronic/intergenic |
| rs3847988 | 13 | 29929140 | C>A,G,T | 0.05 | intergenic_variant | LINC00572 - LINC00544 | 4e-138 | Tier 4: intronic/intergenic |
| rs8111296 | 19 | 22823180 | T>C | 0.05 | intergenic_variant | ZNF99 - ZNF723 | 7e-137 | Tier 4: intronic/intergenic |
| rs6826964 | 4 | 37485311 | C>A | 0.05 | intron_variant | PGCKA1 | 7e-137 | Tier 4: intronic/intergenic |
| rs41416745 | 8 | 14774386 | A>G,T | 0.05 | intron_variant | SGCZ | 6e-136 | Tier 4: intronic/intergenic |
| rs1175646 | 1 | 112465599 | G>A,T | 0.05 | intergenic_variant | CTTNBP2NL - WNT2B | 3e-104 | Tier 4: intronic/intergenic |
| rs9594037 | 13 | 85603969 | G>A | 0.05 | intergenic_variant | LINC00351 - SLITRK6 | 4e-94 | Tier 4: intronic/intergenic |
| rs17754109 | 9 | 17130158 | C>T | 0.05 | intergenic_variant | RPL31P42 - CNTLN | 3e-89 | Tier 4: intronic/intergenic |
| rs9894591 | 17 | 13942569 | A>C,G,T | 0.05 | intron_variant | COX10-DT | 7e-80 | Tier 4: intronic/intergenic |
| rs11157436 | 14 | 22168978 | C>A,T | 0.05 | stop_gained | TRAV30 | 4e-71 | Tier 1: coding |
| rs9483645 | 6 | 134073198 | T>A,C | 0.05 | intergenic_variant | SLC2A12 - HMGA1P7 | 3e-70 | Tier 4: intronic/intergenic |
| rs17163154 | 5 | 129665081 | A>G | | intron_variant | CHSY3-AS1, ADAMTS19 | 5e-69 | Tier 4: intronic/intergenic |
| rs16909256 | 9 | 113773046 | G>A | 0.05 | intergenic_variant | C14orf119P1 - ZNF618 | 2e-57 | Tier 4: intronic/intergenic |
| rs12380216 | 9 | 90751960 | G>A | 0.05 | non_coding_transcript_exon_variant | OR7E108P | 6e-56 | Tier 4: intronic/intergenic |
| rs6488336 | 12 | 7479287 | G>A | 0.05 | intron_variant | CD163, CD163L1 | 2e-55 | Tier 4: intronic/intergenic |
| rs8046476 | 16 | 51190610 | T>G | | intron_variant | SALL1 - UNGP1 | 1e-54 | Tier 4: intronic/intergenic |
| rs12435957 | 14 | 69307269 | G>A,T | 0.05 | intron_variant | GALNT16 | 2e-53 | Tier 4: intronic/intergenic |
| rs2077502 | 17 | 77644311 | G>A,C,T | 0.05 | non_coding_transcript_exon_variant | SEPTIN9 - LINC01987 | 2e-51 | Tier 4: intronic/intergenic |
| rs6822565 | 4 | 147516360 | T>C | 0.05 | intron_variant | EDNRA | 2e-49 | Tier 4: intronic/intergenic |
| rs12596920 | 16 | 86833857 | G>A,C,T | 0.05 | intergenic_variant | LINC02188 - LINC02181 | 6e-46 | Tier 4: intronic/intergenic |
| rs10753165 | 1 | 177602999 | T>A,C,G | 0.05 | intron_variant | LINC01645 - LINC01741 | 7e-46 | Tier 4: intronic/intergenic |
| rs2881493 | 7 | 47038836 | G>A,C,T | 0.05 | intron_variant | MRPL42P4 - SRSF8CP | 1e-45 | Tier 4: intronic/intergenic |
| rs1254900 | 2 | 85589211 | A>G | 0.05 | intron_variant | VAMP5 | 4e-45 | Tier 4: intronic/intergenic |
| rs10910445 | 1 | 232421037 | T>A,C | 0.05 | intron_variant | SIPA1L2 | 7e-45 | Tier 4: intronic/intergenic |
| rs4627442 | 18 | 36336269 | T>G | 0.05 | intron_variant | FHOD3 | 1e-44 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 38 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| SOX9 | Orphanet:140 | Campomelic dysplasia |
| SOX9 | Orphanet:2138 | 46,XX ovotesticular difference of sex development |
| SOX9 | Orphanet:242 | 46,XY complete gonadal dysgenesis |
| SOX9 | Orphanet:251510 | 46,XY partial gonadal dysgenesis |
| SOX9 | Orphanet:393 | 46,XX testicular difference of sex development |
| SOX9 | Orphanet:718 | Isolated Pierre Robin sequence |
| TBX1 | Orphanet:1727 | 22q11.2 duplication syndrome |
| TBX1 | Orphanet:3303 | Tetralogy of Fallot |
| TBX1 | Orphanet:567 | 22q11.2 deletion syndrome |
| TBX1 | Orphanet:665044 | Common arterial trunk with aortic dominance |
| TBX1 | Orphanet:665058 | Common arterial trunk with pulmonary dominance and interrupted aortic arch |
| TBX1 | Orphanet:685017 | Combined immunodeficiency due to TBX1 deficiency |
| LBX1 | Orphanet:661 | Congenital central hypoventilation syndrome |
| TENT5A | Orphanet:216812 | Osteogenesis imperfecta type 3 |
| CHD2 | Orphanet:1942 | Epilepsy with myoclonic-atonic seizures |
| CHD2 | Orphanet:2382 | Lennox-Gastaut syndrome |
| FTO | Orphanet:210144 | Lethal polymalformative syndrome, Boissel type |
| TNIK | Orphanet:88616 | Autosomal recessive non-syndromic intellectual disability |
| BNC2 | Orphanet:93110 | Posterior urethral valve |
| EYA1 | Orphanet:107 | BOR syndrome |
| EYA1 | Orphanet:2792 | Otofaciocervical syndrome |
| EYA1 | Orphanet:52429 | Branchiootic syndrome |
| FOXA2 | Orphanet:95494 | Combined pituitary hormone deficiencies, genetic forms |
| KCNJ2 | Orphanet:334 | Hereditary atrial fibrillation |
| KCNJ2 | Orphanet:37553 | Andersen-Tawil syndrome |
| KCNJ2 | Orphanet:51083 | Congenital short QT syndrome |
| ARF1 | Orphanet:98892 | Periventricular nodular heterotopia |
| PAX1 | Orphanet:2792 | Otofaciocervical syndrome |
| PAX3 | Orphanet:1529 | Craniofacial-deafness-hand syndrome |
| PAX3 | Orphanet:894 | Waardenburg syndrome type 1 |
| PAX3 | Orphanet:896 | Waardenburg syndrome type 3 |
| PAX3 | Orphanet:99756 | Alveolar rhabdomyosarcoma |
| BCKDHB | Orphanet:268145 | Classic maple syrup urine disease |
| BCKDHB | Orphanet:268162 | Intermediate maple syrup urine disease |
| BCKDHB | Orphanet:268173 | Intermittent maple syrup urine disease |
| BCL2 | Orphanet:480541 | High grade B-cell lymphoma with MYC and/ or BCL2 and/or BCL6 rearrangement |
| BCL2 | Orphanet:545 | Follicular lymphoma |
| BCL2 | Orphanet:98839 | Intravascular large B-cell lymphoma |
Cohort genes → proteins
43 cohort genes, 37 distinct canonical proteins.
Evidence partition
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| SOX9 | HGNC:11204 | ENSG00000125398 | P48436 | Transcription factor SOX-9 | gwas |
| TBX1 | HGNC:11592 | ENSG00000184058 | O43435 | T-box transcription factor TBX1 | gwas |
| ADGRG6 | HGNC:13841 | ENSG00000112414 | Q86SQ4 | Adhesion G-protein coupled receptor G6 | gwas |
| CSMD1 | HGNC:14026 | ENSG00000183117 | Q96PZ7 | CUB and sushi domain-containing protein 1 | gwas |
| HHIP | HGNC:14866 | ENSG00000164161 | Q96QV1 | Hedgehog-interacting protein | gwas |
| SOX6 | HGNC:16421 | ENSG00000110693 | P35712 | Transcription factor SOX-6 | gwas |
| CREB5 | HGNC:16844 | ENSG00000146592 | Q02930 | Cyclic AMP-responsive element-binding protein 5 | gwas |
| LBX1 | HGNC:16960 | ENSG00000138136 | P52954 | Transcription factor LBX1 | gwas |
| BOC | HGNC:17173 | ENSG00000144857 | Q9BWV1 | Brother of CDO | gwas |
| CDH13 | HGNC:1753 | ENSG00000140945 | P55290 | Cadherin-13 | gwas |
| TENT5A | HGNC:18345 | ENSG00000112773 | Q96IP4 | Terminal nucleotidyltransferase 5A | gwas |
| CHD2 | HGNC:1917 | ENSG00000173575 | O14647 | ATP-dependent chromatin remodeler CHD2 | gwas |
| KIF24 | HGNC:19916 | ENSG00000186638 | Q5T7B8 | Kinesin-like protein KIF24 | gwas |
| NT5DC1 | HGNC:21556 | ENSG00000178425 | Q5TFE4 | 5’-nucleotidase domain-containing protein 1 | gwas |
| CNKSR3 | HGNC:23034 | ENSG00000153721 | Q6P9H4 | Connector enhancer of kinase suppressor of ras 3 | gwas |
| MTMR11 | HGNC:24307 | ENSG00000014914 | A4FU01 | Myotubularin-related protein 11 | gwas |
| FTO | HGNC:24678 | ENSG00000140718 | Q9C0B1 | Alpha-ketoglutarate-dependent dioxygenase FTO | gwas |
| SEC16B | HGNC:30301 | ENSG00000120341 | Q96JE7 | Protein transport protein Sec16B | gwas |
| TNIK | HGNC:30765 | ENSG00000154310 | Q9UKE5 | TRAF2 and NCK-interacting protein kinase | gwas |
| AJAP1 | HGNC:30801 | ENSG00000196581 | Q9UKB5 | Adherens junction-associated protein 1 | gwas |
| BNC2 | HGNC:30988 | ENSG00000173068 | Q6ZN30 | Zinc finger protein basonuclin-2 | gwas |
| UNCX | HGNC:33194 | ENSG00000164853 | A6NJT0 | Homeobox protein unc-4 homolog | gwas |
| AGMO | HGNC:33784 | ENSG00000187546 | Q6ZNB7 | Alkylglycerol monooxygenase | gwas |
| EPHA4 | HGNC:3388 | ENSG00000116106 | P54764 | Ephrin type-A receptor 4 | gwas |
| EYA1 | HGNC:3519 | ENSG00000104313 | Q99502 | Protein phosphatase EYA1 | gwas |
| MIR4300 | HGNC:38184 | ENSG00000264110 | | microRNA 4300 | gwas |
| MIR3974 | HGNC:41672 | ENSG00000283665 | | microRNA 3974 | gwas |
| CNTFR-AS1 | HGNC:48712 | ENSG00000237159 | | CNTFR antisense RNA 1 | gwas |
| FOXA2 | HGNC:5022 | ENSG00000125798 | Q9Y261 | Hepatocyte nuclear factor 3-beta | gwas |
| LINC01432 | HGNC:50745 | ENSG00000234435 | | long intergenic non-protein coding RNA 1432 | gwas |
| LINC01514 | HGNC:51207 | ENSG00000237579 | | long intergenic non-protein coding RNA 1514 | gwas |
| LINC02378 | HGNC:53301 | ENSG00000256994 | | long intergenic non-protein coding RNA 2378 | gwas |
| KCNJ2 | HGNC:6263 | ENSG00000123700 | P63252 | Inward rectifier potassium channel 2 | gwas |
| ARF1 | HGNC:652 | ENSG00000143761 | P84077 | ADP-ribosylation factor 1 | gwas |
| MEIS1 | HGNC:7000 | ENSG00000143995 | O00470 | Homeobox protein Meis1 | gwas |
| MEOX2 | HGNC:7014 | ENSG00000106511 | P50222 | Homeobox protein MOX-2 | gwas |
| MSC | HGNC:7321 | ENSG00000178860 | O60682 | Musculin | gwas |
| ABO | HGNC:79 | ENSG00000175164 | P16442 | Histo-blood group ABO system transferase | gwas |
| PAX1 | HGNC:8615 | ENSG00000125813 | P15863 | Paired box protein Pax-1 | gwas |
| PAX3 | HGNC:8617 | ENSG00000135903 | P23760 | Paired box protein Pax-3 | gwas |
| PLXNA2 | HGNC:9100 | ENSG00000076356 | O75051 | Plexin-A2 | gwas |
| BCKDHB | HGNC:987 | ENSG00000083123 | P21953 | 2-oxoisovalerate dehydrogenase subunit beta, mitochondrial | gwas |
| BCL2 | HGNC:990 | ENSG00000171791 | P10415 | Apoptosis regulator Bcl-2 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| SOX9 | Transcription factor SOX-9 | Transcription factor that plays a key role in chondrocytes differentiation and skeletal development. |
| TBX1 | T-box transcription factor TBX1 | Transcription factor that plays a key role in cardiovascular development by promoting pharyngeal arch segmentation during embryonic development. |
| ADGRG6 | Adhesion G-protein coupled receptor G6 | Adhesion G-protein coupled receptor (aGPCR) for steroid hormones, such as progesterone and 17alpha-hydroxyprogesterone (17OHP). |
| CSMD1 | CUB and sushi domain-containing protein 1 | Potential suppressor of squamous cell carcinomas. |
| HHIP | Hedgehog-interacting protein | Modulates hedgehog signaling in several cell types including brain and lung through direct interaction with members of the hedgehog family. |
| SOX6 | Transcription factor SOX-6 | Transcription factor that plays a key role in several developmental processes, including neurogenesis, chondrocytes differentiation and cartilage formation. |
| CREB5 | Cyclic AMP-responsive element-binding protein 5 | Binds to the cAMP response element and activates transcription. |
| LBX1 | Transcription factor LBX1 | Transcription factor required for the development of GABAergic interneurons in the dorsal horn of the spinal cord and migration and further development of hypaxial muscle precursor cells for limb muscles, diaphragm and hypoglossal cord. |
| BOC | Brother of CDO | Component of a cell-surface receptor complex that mediates cell-cell interactions between muscle precursor cells. |
| CDH13 | Cadherin-13 | Cadherins are calcium-dependent cell adhesion proteins. |
| TENT5A | Terminal nucleotidyltransferase 5A | Cytoplasmic non-canonical poly(A) RNA polymerase that catalyzes the transfer of one adenosine molecule from an ATP to an mRNA poly(A) tail bearing a 3’-OH terminal group and participates in the cytoplasmic polyadenylation. |
| CHD2 | ATP-dependent chromatin remodeler CHD2 | ATP-dependent chromatin-remodeling factor that specifically binds to the promoter of target genes, leading to chromatin remodeling, possibly by promoting deposition of histone H3.3. |
| KIF24 | Kinesin-like protein KIF24 | Microtubule-dependent motor protein that acts as a negative regulator of ciliogenesis by mediating recruitment of CCP110 to mother centriole in cycling cells, leading to restrict nucleation of cilia at centrioles. |
| CNKSR3 | Connector enhancer of kinase suppressor of ras 3 | Involved in transepithelial sodium transport. |
| FTO | Alpha-ketoglutarate-dependent dioxygenase FTO | RNA demethylase that mediates oxidative demethylation of different RNA species, such as mRNAs, tRNAs and snRNAs, and acts as a regulator of fat mass, adipogenesis and energy homeostasis. |
| SEC16B | Protein transport protein Sec16B | Plays a role in the organization of the endoplasmic reticulum exit sites (ERES), also known as transitional endoplasmic reticulum (tER). |
| TNIK | TRAF2 and NCK-interacting protein kinase | Serine/threonine kinase that acts as an essential activator of the Wnt signaling pathway. |
| AJAP1 | Adherens junction-associated protein 1 | Plays a role in cell adhesion and cell migration. |
| BNC2 | Zinc finger protein basonuclin-2 | Probable transcription factor specific for skin keratinocytes. |
| UNCX | Homeobox protein unc-4 homolog | Transcription factor involved in somitogenesis and neurogenesis. |
| AGMO | Alkylglycerol monooxygenase | Glyceryl-ether monooxygenase that cleaves the O-alkyl bond of ether lipids. |
| EPHA4 | Ephrin type-A receptor 4 | Receptor tyrosine kinase which binds membrane-bound ephrin family ligands residing on adjacent cells, leading to contact-dependent bidirectional signaling into neighboring cells. |
| EYA1 | Protein phosphatase EYA1 | Functions both as protein phosphatase and as transcriptional coactivator for SIX1, and probably also for SIX2, SIX4 and SIX5. |
| FOXA2 | Hepatocyte nuclear factor 3-beta | Transcription factor that is involved in embryonic development, establishment of tissue-specific gene expression and regulation of gene expression in differentiated tissues. |
| KCNJ2 | Inward rectifier potassium channel 2 | Inward rectifier potassium channels are characterized by a greater tendency to allow potassium to flow into the cell rather than out of it. |
| ARF1 | ADP-ribosylation factor 1 | Small GTPase involved in protein trafficking between different compartments. |
| MEIS1 | Homeobox protein Meis1 | Acts as a transcriptional regulator of PAX6. |
| MEOX2 | Homeobox protein MOX-2 | Mesodermal transcription factor that plays a key role in somitogenesis and somitogenesis and limb muscle differentiation. |
| MSC | Musculin | Transcription repressor capable of inhibiting the transactivation capability of TCF3/E47. |
| ABO | Histo-blood group ABO system transferase | This protein is the basis of the ABO blood group system. |
| PAX1 | Paired box protein Pax-1 | This protein is a transcriptional activator. |
| PAX3 | Paired box protein Pax-3 | Transcription factor that may regulate cell proliferation, migration and apoptosis. |
| PLXNA2 | Plexin-A2 | Coreceptor for SEMA3A and SEMA6A. |
| BCKDHB | 2-oxoisovalerate dehydrogenase subunit beta, mitochondrial | Together with BCKDHA forms the heterotetrameric E1 subunit of the mitochondrial branched-chain alpha-ketoacid dehydrogenase (BCKD) complex. |
| BCL2 | Apoptosis regulator Bcl-2 | Suppresses apoptosis in a variety of cell systems including factor-dependent lymphohematopoietic and neural cells. |
Protein-family classification
Druggable: 12 · Difficult: 14 · Unknown: 17 · Druggable fraction: 0.28
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|
| Transcription factor | 13 | 2.5× | 0.013 |
| Complement | 1 | 6.2× | 0.696 |
| Ion channel | 1 | 2.6× | 0.696 |
| Phosphatase | 1 | 1.9× | 0.696 |
| Antibody/Immunoglobulin | 2 | 1.4× | 0.696 |
| Kinase | 2 | 1.3× | 0.696 |
| Enzyme (other) | 4 | 1.1× | 0.696 |
| Other/Unknown | 17 | 0.7× | 0.989 |
| GPCR | 1 | 0.6× | 0.989 |
| Scaffold/PPI | 1 | 0.4× | 0.989 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| SOX9 | Transcription factor | no | | HMG_box_dom, Sox_N, HMG_box_dom_sf |
| TBX1 | Transcription factor | no | | TF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS |
| ADGRG6 | GPCR | yes | | GPS, GPCR_2_secretin-like, CUB_dom |
| CSMD1 | Complement | yes | | Sushi_SCR_CCP_dom, CUB_dom, Sperma_CUB_dom_sf |
| HHIP | Other/Unknown | no | | EGF, Quinoprot_gluc/sorb_DH_b-prop, 6-blade_b-propeller_TolB-like |
| SOX6 | Transcription factor | no | | HMG_box_dom, HMG_box_dom_sf, SOX/SOX-like_TF |
| CREB5 | Transcription factor | no | | bZIP, Znf_C2H2_type, TF_CRE-BP1-typ |
| LBX1 | Transcription factor | no | | HTH_motif, HD, Homeodomain-like_sf |
| BOC | Antibody/Immunoglobulin | yes | | Ig_sub2, Ig_sub, FN3_dom |
| CDH13 | Other/Unknown | no | | Cadherin-like_dom, Cadherin_pro_dom, Cadherin-like_sf |
| TENT5A | Enzyme (other) | yes | 2.7.7.19 | TET5 |
| CHD2 | Other/Unknown | no | | SNF2_N, Chromo/chromo_shadow_dom, Helicase_C-like |
| KIF24 | Other/Unknown | no | | SAM, Kinesin_motor_dom, SAM/pointed_sf |
| NT5DC1 | Other/Unknown | no | | HAD-SF_hydro_IG_5-nucl, HAD_sf, HAD-like_sf |
| CNKSR3 | Scaffold/PPI | no | | PDZ, SAM, CNK2/3_dom |
| MTMR11 | Phosphatase | yes | | Myotubularin-like_Pase_dom, MTMR12-like_C, Prot-tyrosine_phosphatase-like |
| FTO | Enzyme (other) | yes | 1.14.11.53 | FTO_C, FTO_cat_dom, FTO |
| SEC16B | Other/Unknown | no | | Sec16_Sec23-bd, Sec16_CCD |
| TNIK | Kinase | yes | | Prot_kinase_dom, CNH_dom, Ser/Thr_kinase_AS |
| AJAP1 | Other/Unknown | no | | AJAP1_PANP_C, AJAP1 |
| BNC2 | Transcription factor | no | | Znf_C2H2_type, Disconnected-like |
| UNCX | Transcription factor | no | | HD, Homeodomain-like_sf, Homeobox_CS |
| AGMO | Enzyme (other) | yes | 1.14.16.5 | Fatty_acid_hydroxylase, Sterol_desaturase/TMEM195, AGMP_C |
| EPHA4 | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, EPH_LBD, Ser-Thr/Tyr_kinase_cat_dom |
| EYA1 | Other/Unknown | no | | EYA_dom, EYA, EYA_dom_sf |
| MIR4300 | Other/Unknown | no | | |
| MIR3974 | Other/Unknown | no | | |
| CNTFR-AS1 | Other/Unknown | no | | |
| FOXA2 | Transcription factor | no | | Fork_head_dom, Fork-head_N, TF_fork_head_CS_1 |
| LINC01432 | Other/Unknown | no | | |
| LINC01514 | Other/Unknown | no | | |
| LINC02378 | Other/Unknown | no | | |
| KCNJ2 | Ion channel | yes | | K_chnl_inward-rec_Kir2.1, K_chnl_inward-rec_Kir_cyto, K_chnl_inward-rec_Kir_N |
| ARF1 | Other/Unknown | no | | Small_GTP-bd, Small_GTPase_ARF/SAR, Small_GTPase_ARF |
| MEIS1 | Transcription factor | no | | HD, KN_HD, Homeodomain-like_sf |
| MEOX2 | Transcription factor | no | | HD, Homeodomain-like_sf, Homeobox_CS |
| MSC | Transcription factor | no | | bHLH_dom, HLH_DNA-bd_sf, E-box_TF_Regulators |
| ABO | Enzyme (other) | yes | 2.4.1.37 | Glyco_trans_6, Nucleotide-diphossugar_trans |
| PAX1 | Transcription factor | no | | Paired_dom, Homeodomain-like_sf, WH-like_DNA-bd_sf |
| PAX3 | Transcription factor | no | | HD, Paired_dom, Homeodomain-like_sf |
| PLXNA2 | Antibody/Immunoglobulin | yes | | Semap_dom, Plexin_repeat, IPT_dom |
| BCKDHB | Other/Unknown | no | | Transketolase-like_Pyr-bd, Transketo_C/PFOR_II, THDP-binding |
| BCL2 | Other/Unknown | no | | Bcl2-like, Bcl2_BH4, Bcl2/BclX |
Expression context
Cohort genes with no expression data: 0.
35 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|
| narrow (1-5 tissues) | 1 |
| moderate (6-20) | 0 |
| broad (>20) | 42 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| male germ line stem cell (sensu Vertebrata) in testis | 8 |
| ventricular zone | 4 |
| Brodmann (1909) area 23 | 3 |
| tibia | 3 |
| calcaneal tendon | 3 |
| ileal mucosa | 3 |
| cortical plate | 3 |
| right lobe of liver | 3 |
| gastrocnemius | 2 |
| hindlimb stylopod muscle | 2 |
| muscle of leg | 2 |
| middle temporal gyrus | 2 |
| corpus callosum | 2 |
| kidney epithelium | 2 |
| blood | 2 |
| tendon of biceps brachii | 2 |
| right coronary artery | 2 |
| thoracic aorta | 2 |
| colonic epithelium | 2 |
| sural nerve | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| SOX9 | 274 | ubiquitous | marker | ventricular zone, cranial nerve II, hair follicle |
| TBX1 | 220 | broad | marker | hindlimb stylopod muscle, gastrocnemius, muscle of leg |
| ADGRG6 | 247 | ubiquitous | marker | endometrium epithelium, amniotic fluid, placenta |
| CSMD1 | 179 | broad | marker | Brodmann (1909) area 23, middle temporal gyrus, primary visual cortex |
| HHIP | 206 | ubiquitous | marker | corpus callosum, endothelial cell, globus pallidus |
| SOX6 | 235 | ubiquitous | marker | epithelial cell of pancreas, tibia, kidney epithelium |
| CREB5 | 252 | ubiquitous | marker | synovial joint, ventricular zone, blood |
| LBX1 | 28 | | yes | gastrocnemius, muscle of leg, hindlimb stylopod muscle |
| BOC | 253 | ubiquitous | marker | tendon of biceps brachii, oviduct epithelium, ventricular zone |
| CDH13 | 152 | ubiquitous | marker | descending thoracic aorta, right coronary artery, thoracic aorta |
| TENT5A | 270 | ubiquitous | marker | parotid gland, tibia, pericardium |
| CHD2 | 268 | ubiquitous | marker | calcaneal tendon, sural nerve, colonic epithelium |
| KIF24 | 129 | ubiquitous | marker | primordial germ cell in gonad, ventricular zone, male germ line stem cell (sensu Vertebrata) in testis |
| NT5DC1 | 255 | ubiquitous | marker | corpus callosum, kidney epithelium, inferior vagus X ganglion |
| CNKSR3 | 242 | ubiquitous | marker | esophagus squamous epithelium, pigmented layer of retina, ileal mucosa |
| MTMR11 | 205 | ubiquitous | marker | mucosa of transverse colon, rectum, ileal mucosa |
| FTO | 294 | ubiquitous | marker | cortical plate, bronchial epithelial cell, Brodmann (1909) area 10 |
| SEC16B | 165 | broad | yes | right lobe of liver, body of pancreas, adrenal tissue |
| TNIK | 268 | ubiquitous | marker | cortical plate, oocyte, caudate nucleus |
| AJAP1 | 178 | broad | marker | orbitofrontal cortex, Brodmann (1909) area 46, Brodmann (1909) area 23 |
| BNC2 | 229 | ubiquitous | marker | germinal epithelium of ovary, sural nerve, parietal pleura |
| UNCX | 24 | tissue_specific | yes | cerebellum, cerebellar cortex, cerebellar hemisphere |
| AGMO | 118 | broad | marker | liver, right lobe of liver, male germ line stem cell (sensu Vertebrata) in testis |
| EPHA4 | 271 | ubiquitous | marker | Brodmann (1909) area 23, frontal pole, middle temporal gyrus |
| EYA1 | 205 | broad | marker | choroid plexus epithelium, urethra, mucosa of paranasal sinus |
| MIR4300 | 22 | | yes | intestine, monocyte, right hemisphere of cerebellum |
| MIR3974 | 5 | | yes | blood, monocyte, skin of leg |
| CNTFR-AS1 | 156 | tissue_specific | yes | sperm, male germ line stem cell (sensu Vertebrata) in testis, right testis |
| FOXA2 | 105 | broad | marker | pancreatic ductal cell, pylorus, buccal mucosa cell |
| LINC01432 | 27 | tissue_specific | yes | male germ line stem cell (sensu Vertebrata) in testis, putamen, substantia nigra |
Protein interactions among cohort
Intra-cohort edges: 16.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| BCL2 | 8,343 |
| SOX9 | 4,935 |
| EPHA4 | 3,214 |
| PAX3 | 2,960 |
| FOXA2 | 2,789 |
| MEOX2 | 2,779 |
| BCKDHB | 2,616 |
| FTO | 2,496 |
| CHD2 | 2,392 |
| MEIS1 | 2,354 |
Intra-cohort edges
| A | B | Sources |
|---|
| ADGRG6 | LBX1 | string_interaction |
| AJAP1 | UNCX | string_interaction |
| BCL2 | CHD2 | string_interaction |
| BNC2 | LBX1 | string_interaction |
| BOC | HHIP | string_interaction |
| EYA1 | MEIS1 | string_interaction |
| EYA1 | PAX1 | string_interaction |
| EYA1 | PAX3 | string_interaction |
| FOXA2 | PAX1 | string_interaction |
| MEOX2 | PAX1 | biogrid_interaction, string_interaction |
| MEOX2 | PAX3 | intact |
| MSC | TBX1 | string_interaction |
| MTMR11 | NT5DC1 | string_interaction |
| MTMR11 | TENT5A | string_interaction |
| PAX1 | UNCX | string_interaction |
| SOX6 | SOX9 | string_interaction |
Structural data
PDB: 20 · AlphaFold-only: 17 · No structure: 6
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| ABO | P16442 | 151 |
| BCL2 | P10415 | 55 |
| ARF1 | P84077 | 40 |
| FTO | Q9C0B1 | 28 |
| BCKDHB | P21953 | 24 |
| EPHA4 | P54764 | 17 |
| HHIP | Q96QV1 | 11 |
| TNIK | Q9UKE5 | 11 |
| BOC | Q9BWV1 | 3 |
| FOXA2 | Q9Y261 | 3 |
| KCNJ2 | P63252 | 3 |
| TENT5A | Q96IP4 | 2 |
| MEIS1 | O00470 | 2 |
| SOX9 | P48436 | 1 |
| TBX1 | O43435 | 1 |
| ADGRG6 | Q86SQ4 | 1 |
| CSMD1 | Q96PZ7 | 1 |
| CDH13 | P55290 | 1 |
| PAX3 | P23760 | 1 |
| PLXNA2 | O75051 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| AGMO | Q6ZNB7 | 93.90 |
| NT5DC1 | Q5TFE4 | 88.76 |
| MTMR11 | A4FU01 | 74.50 |
| LBX1 | P52954 | 68.61 |
| EYA1 | Q99502 | 66.68 |
| MSC | O60682 | 65.61 |
| CNKSR3 | Q6P9H4 | 64.67 |
| MEOX2 | P50222 | 61.92 |
| CHD2 | O14647 | 60.81 |
| UNCX | A6NJT0 | 59.38 |
| CREB5 | Q02930 | 57.95 |
| SOX6 | P35712 | 56.48 |
| SEC16B | Q96JE7 | 55.68 |
| PAX1 | P15863 | 55.21 |
| BNC2 | Q6ZN30 | 54.10 |
| KIF24 | Q5T7B8 | 52.18 |
| AJAP1 | Q9UKB5 | 50.22 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 144. Enrichment computed across 43 evidence-associated genes (23 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 23 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| GLI proteins bind promoters of Hh responsive genes to promote transcription | 2 | 141.9× | 0.008 | HHIP, BOC |
| Ligand-receptor interactions | 2 | 124.1× | 0.008 | HHIP, BOC |
| Developmental Lineage of Multipotent Pancreatic Progenitor Cells | 2 | 52.3× | 0.031 | SOX9, FOXA2 |
| Sensory perception of sour taste | 1 | 248.3× | 0.083 | KCNJ2 |
| The NLRP1 inflammasome | 1 | 165.5× | 0.083 | BCL2 |
| Loss-of-function mutations in BCKDHA or BCKDHB cause MSUD | 1 | 165.5× | 0.083 | BCKDHB |
| Classical Kir channels | 1 | 124.1× | 0.083 | KCNJ2 |
| BCKDH synthesizes BCAA-CoA from KIC, KMVA, KIV | 1 | 124.1× | 0.083 | BCKDHB |
| Loss-of-function mutations in DBT cause MSUD2 | 1 | 124.1× | 0.083 | BCKDHB |
| Loss-of-function mutations in DLD cause MSUD3/DLDD | 1 | 124.1× | 0.083 | BCKDHB |
| Developmental Lineage of Pancreatic Acinar Cells | 2 | 26.1× | 0.083 | SOX9, FOXA2 |
| Deactivation of the beta-catenin transactivating complex | 2 | 20.3× | 0.083 | SOX9, SOX6 |
| Developmental Lineage of Pancreatic Ductal Cells | 2 | 19.9× | 0.083 | SOX9, FOXA2 |
| Transcriptional and post-translational regulation of MITF-M expression and activity | 2 | 15.5× | 0.083 | SOX9, PAX3 |
| Branched-chain ketoacid dehydrogenase kinase deficiency | 1 | 99.3× | 0.090 | BCKDHB |
| H139Hfs13* PPM1K causes a mild variant of MSUD | 1 | 99.3× | 0.090 | BCKDHB |
| Reversal of alkylation damage by DNA dioxygenases | 1 | 70.9× | 0.106 | FTO |
| Glycosphingolipid transport | 1 | 62.1× | 0.106 | ARF1 |
| BH3-only proteins associate with and inactivate anti-apoptotic BCL-2 members | 1 | 55.2× | 0.106 | BCL2 |
| Nef Mediated CD4 Down-regulation | 1 | 55.2× | 0.106 | ARF1 |
| G protein gated Potassium channels | 1 | 49.6× | 0.106 | KCNJ2 |
| Inflammasomes | 1 | 49.6× | 0.106 | BCL2 |
| ER to Golgi Anterograde Transport | 2 | 11.6× | 0.106 | SEC16B, ARF1 |
| TCF dependent signaling in response to WNT | 2 | 10.2× | 0.106 | SOX9, SOX6 |
| MITF-M-regulated melanocyte development | 2 | 9.9× | 0.106 | SOX9, BCL2 |
| Signaling by WNT | 2 | 9.7× | 0.106 | SOX9, SOX6 |
| Developmental Biology | 5 | 3.1× | 0.106 | SOX9, TBX1, ADGRG6, MEIS1, BCL2 |
| Transport to the Golgi and subsequent modification | 2 | 8.9× | 0.107 | SEC16B, ARF1 |
| Positive Regulation of CDH1 Gene Transcription | 1 | 41.4× | 0.111 | FOXA2 |
| NFE2L2 regulating tumorigenic genes | 1 | 41.4× | 0.111 | BCL2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 35 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| muscle organ development | 5 | 23.8× | 0.001 | TBX1, SOX6, LBX1, CHD2, PAX3 |
| pharyngeal system development | 3 | 68.8× | 0.002 | TBX1, EYA1, PLXNA2 |
| cartilage condensation | 3 | 65.7× | 0.002 | SOX9, SOX6, UNCX |
| cochlea morphogenesis | 3 | 49.8× | 0.004 | SOX9, TBX1, EYA1 |
| cell fate specification | 3 | 45.1× | 0.004 | SOX9, TBX1, FOXA2 |
| pattern specification process | 3 | 40.1× | 0.005 | TBX1, UNCX, EYA1 |
| semicircular canal morphogenesis | 2 | 137.6× | 0.005 | TBX1, EYA1 |
| positive regulation of mesenchymal stem cell differentiation | 2 | 137.6× | 0.005 | SOX9, SOX6 |
| negative regulation of mesenchymal cell apoptotic process | 2 | 137.6× | 0.005 | SOX9, TBX1 |
| branching involved in ureteric bud morphogenesis | 3 | 31.4× | 0.006 | SOX9, EYA1, BCL2 |
| outer ear morphogenesis | 2 | 87.5× | 0.009 | TBX1, EYA1 |
| limb bud formation | 2 | 87.5× | 0.009 | SOX9, PLXNA2 |
| mesenchymal cell apoptotic process | 2 | 87.5× | 0.009 | SOX9, TBX1 |
| cartilage development | 3 | 21.6× | 0.013 | SOX9, ADGRG6, SOX6 |
| roof of mouth development | 3 | 21.2× | 0.013 | BNC2, MEOX2, MSC |
| positive regulation of epithelial cell proliferation | 3 | 20.9× | 0.013 | SOX9, TBX1, EYA1 |
| endocrine pancreas development | 2 | 53.5× | 0.019 | SOX9, FOXA2 |
| positive regulation of cartilage development | 2 | 53.5× | 0.019 | SOX9, SOX6 |
| aorta morphogenesis | 2 | 50.7× | 0.020 | TBX1, EYA1 |
| epithelial tube branching involved in lung morphogenesis | 2 | 48.1× | 0.021 | SOX9, HHIP |
| positive regulation of chondrocyte differentiation | 2 | 45.9× | 0.022 | SOX9, SOX6 |
| hematopoietic stem cell differentiation | 2 | 43.8× | 0.023 | CHD2, BCL2 |
| middle ear morphogenesis | 2 | 40.1× | 0.025 | TBX1, EYA1 |
| neuron fate specification | 2 | 40.1× | 0.025 | SOX9, EYA1 |
| melanin metabolic process | 1 | 481.5× | 0.026 | BCL2 |
| regulation of skeletal muscle contraction via regulation of action potential | 1 | 481.5× | 0.026 | KCNJ2 |
| spinal cord association neuron specification | 1 | 481.5× | 0.026 | LBX1 |
| regulation of polarized epithelial cell differentiation | 1 | 481.5× | 0.026 | AJAP1 |
| obsolete negative regulation of cellular pH reduction | 1 | 481.5× | 0.026 | BCL2 |
| pigment granule organization | 1 | 481.5× | 0.026 | BCL2 |
Therapeutics
Drug target analysis
Approved (phase 4): 4 · Phase ≥3: 4 · Phased (≥1): 4 · Undrugged: 39
Druggability breadth: 13 of 43 evidence-associated genes (30%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|
| FTO | FLUORESCEIN |
| TNIK | PONATINIB |
| EPHA4 | PONATINIB |
| BCL2 | IXABEPILONE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| TNIK | 46 | 4 |
| EPHA4 | 34 | 4 |
| FTO | 18 | 4 |
| BCL2 | 14 | 4 |
| SOX9 | 0 | 0 |
| TBX1 | 0 | 0 |
| ADGRG6 | 0 | 0 |
| CSMD1 | 0 | 0 |
| HHIP | 0 | 0 |
| SOX6 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 5.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| BCL2 | 446 | Binding:418, Functional:23, Toxicity:3, ADMET:2 |
| EPHA4 | 286 | Binding:286 |
| TNIK | 257 | Binding:257 |
| FTO | 153 | Binding:153 |
| KCNJ2 | 31 | Binding:23, ADMET:8 |
| PAX3 | 17 | Binding:17 |
| NT5DC1 | 11 | Binding:11 |
| ABO | 6 | Binding:6 |
| MEIS1 | 5 | Binding:5 |
| ARF1 | 4 | Binding:4 |
| SOX9 | 3 | Binding:3 |
| ADGRG6 | 2 | Binding:2 |
| KIF24 | 2 | Binding:2 |
| BCKDHB | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| TENT5A | 2.7.7.19 | polynucleotide adenylyltransferase |
| FTO | 1.14.11.53 | mRNA N6-methyladenine demethylase |
| AGMO | 1.14.16.5 | alkylglycerol monooxygenase |
| EPHA4 | 2.7.10.1 | receptor protein-tyrosine kinase |
| ABO | 2.4.1.37, 2.4.1.40, 2.4.1.88 | fucosylgalactoside 3-alpha-galactosyltransferase, glycoprotein-fucosylgalactoside alpha-N-acetylgalactosaminyltransferase, globoside alpha-N-acetylgalactosaminyltransferase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| FTO | 153 |
| TNIK | 257 |
| EPHA4 | 286 |
| BCL2 | 446 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 38; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|
| FLUORESCEIN | 4 | FTO |
| DEMECLOCYCLINE | 4 | FTO |
| ROXADUSTAT | 4 | FTO |
| MECLOFENAMIC ACID | 4 | FTO |
| AMILORIDE | 4 | FTO |
| TACRINE | 4 | FTO |
| ENTACAPONE | 4 | FTO |
| PONATINIB | 4 | EPHA4, TNIK |
| LENVATINIB | 4 | TNIK |
| AXITINIB | 4 | TNIK |
| SORAFENIB | 4 | EPHA4, TNIK |
| NERATINIB | 4 | TNIK |
| PACRITINIB | 4 | TNIK |
| VANDETANIB | 4 | EPHA4, TNIK |
| BOSUTINIB | 4 | EPHA4, TNIK |
| PAZOPANIB | 4 | TNIK |
| NINTEDANIB | 4 | TNIK |
| SUNITINIB | 4 | TNIK |
| DASATINIB | 4 | EPHA4, TNIK |
| ERLOTINIB | 4 | TNIK |
| QUIZARTINIB | 4 | TNIK |
| MIDOSTAURIN | 4 | TNIK |
| GEFITINIB | 4 | TNIK |
| FEDRATINIB | 4 | EPHA4 |
| TIVOZANIB | 4 | EPHA4 |
| DASATINIB ANHYDROUS | 4 | EPHA4 |
| NILOTINIB | 4 | EPHA4 |
| CRIZOTINIB | 4 | EPHA4 |
| IXABEPILONE | 4 | BCL2 |
| VENETOCLAX | 4 | BCL2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 4 | FTO, TNIK, EPHA4, BCL2 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 7 | ADGRG6, CSMD1, BOC, TENT5A, KCNJ2, ABO, PLXNA2 |
| D | Druggable family + AlphaFold only, no drug | 2 | MTMR11, AGMO |
| E | Difficult family or no structure, no drug | 30 | SOX9, TBX1, HHIP, SOX6, CREB5, LBX1, CDH13, CHD2, KIF24, NT5DC1 (+20 more) |
Undrugged target profiles
39 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| SOX9 | 3 | — |
| TBX1 | 0 | — |
| ADGRG6 | 2 | — |
| CSMD1 | 0 | — |
| HHIP | 0 | — |
| SOX6 | 0 | — |
| CREB5 | 0 | — |
| LBX1 | 0 | — |
| BOC | 0 | — |
| CDH13 | 0 | — |
| TENT5A | 0 | — |
| CHD2 | 0 | — |
| KIF24 | 2 | — |
| NT5DC1 | 11 | — |
| CNKSR3 | 0 | — |
| MTMR11 | 0 | — |
| SEC16B | 0 | — |
| AJAP1 | 0 | — |
| BNC2 | 0 | — |
| UNCX | 0 | — |
| AGMO | 0 | — |
| EYA1 | 0 | — |
| MIR4300 | 0 | — |
| MIR3974 | 0 | — |
| CNTFR-AS1 | 0 | — |
| FOXA2 | 0 | — |
| LINC01432 | 0 | — |
| LINC01514 | 0 | — |
| LINC02378 | 0 | — |
| KCNJ2 | 31 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 197.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 183 |
| PHASE4 | 9 |
| PHASE3 | 2 |
| PHASE1/PHASE2 | 1 |
| PHASE2 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT03935295 | PHASE4 | RECRUITING | Dysport ® as an Adjunctive Treatment to Bracing in the Management of Adolescent Idiopathic Scoliosis |
| NCT05561725 | PHASE4 | RECRUITING | Perioperative Steroid Dosing on the APR in AIS |
| NCT06023043 | PHASE4 | NOT_YET_RECRUITING | Postoperative Steroid Use in Adolescent Idiopathic Scoliosis and Neuromuscular Scoliosis Patients |
| NCT06067893 | PHASE4 | ENROLLING_BY_INVITATION | Low Dose Dexmedetomidine as a Postoperative Pain Adjunct |
| NCT06935331 | PHASE4 | ENROLLING_BY_INVITATION | Prospective Opioid-Free AIS Fusion |
| NCT01451788 | PHASE4 | COMPLETED | Effect of Human Thrombin With Gelatin Matrix on Perioperative Blood Loss in Scoliosis Surgery |
| NCT04931433 | PHASE4 | COMPLETED | Intravenous Lignocaine as an Analgesic Adjunct in Adolescent Idiopathic Scoliosis Surgery |
| NCT04950660 | PHASE4 | COMPLETED | Oral Caffeine Use for Pain Management in AIS Patients After Spinal Fusion |
| NCT05730920 | PHASE4 | COMPLETED | IV Methadone Vs EXPAREL Erector Spinae Plane Blockade in Pediatric Subjects Undergoing Idiopathic Scoliosis Correction |
| NCT06934278 | PHASE3 | RECRUITING | Pooled Human Plasma vs Crystalloid in The Management of Children Undergoing Instrumented Spinal Fusion for Scoliosis |
| NCT07561827 | PHASE3 | RECRUITING | The Effect of Erector Spinae Plane Block (ESPB) on Pediatric Pain Management Following Posterior Spinal Fusion (PSF) Surgery |
| NCT01813058 | PHASE1/PHASE2 | COMPLETED | Does Tranexamic Acid Decrease Blood Loss in Pediatric Idiopathic Scoliosis Surgery? |
| NCT06096181 | PHASE2 | TERMINATED | Propofol + Remifentanil vs. Propofol + Dexmedetomidine in Adolescent Idiopathic Scoliosis Patients Having Spine Surgery |
| NCT02471508 | PHASE1 | COMPLETED | Safety and Efficacy of Body-mapping Tank Top Equipped With Biofeedback System for Adolescent With Early Scoliosis |
| NCT02315729 | Not specified | RECRUITING | Analysis of Prognostic Cell Signaling Factors in Adolescent Idiopathic Scoliosis |
| NCT03292601 | Not specified | RECRUITING | Brace Monitoring for Adolescent Idiopathic Scoliosis (AIS) |
| NCT03716843 | Not specified | RECRUITING | Dynamic Pressure Monitoring System for Orthotic Treatment of Scoliosis |
| NCT04117334 | Not specified | RECRUITING | Determining Best Indications for Bracing for Adolescent Idiopathic Scoliosis |
| NCT04296903 | Not specified | ACTIVE_NOT_RECRUITING | Post-approval Registry Study to Evaluate the Continued Safety and Probable Benefit of the MID-C System for 5 Years Post-Implantation in Adolescent Idiopathic Scoliosis (AIS) |
| NCT04441411 | Not specified | RECRUITING | Non Fusion Surgery in Adolescent Idiopathic Scoliosis Patients |
| NCT04568759 | Not specified | ACTIVE_NOT_RECRUITING | Effect of a Postural Re-education Intervention Compared to Standard Care on Scoliosis Progression in Adolescent |
| NCT04761549 | Not specified | RECRUITING | 3D, Dynamic and Mechanically-informed Decision Making in AIS |
| NCT05071144 | Not specified | RECRUITING | Advanced SPinal Innovations With Robotics and Enabling Technology Registry |
| NCT05379868 | Not specified | RECRUITING | Posterior Column Spinal Osteotomies in the Treatment of Adolescent Idiopathic Scoliosis |
| NCT05697939 | Not specified | RECRUITING | 3D Body Surface Modeling for Scoliosis Monitoring |
| NCT05774002 | Not specified | RECRUITING | Psychological Assessment of Scoliosis Patients Undergoing Surgical Management |
| NCT05790031 | Not specified | RECRUITING | Trials of Intelligent Nighttime Brace With Smart Padding to Treat of Adolescent Idiopathic Scoliosis |
| NCT05860673 | Not specified | RECRUITING | Minimally Invasive Surgery vs Standard Posterior Approach in the Treatment of Developmental Idiopathic Scoliosis |
| NCT05912140 | Not specified | ACTIVE_NOT_RECRUITING | Assessment of Trunk Aesthetics: Development of a New Tool |
| NCT05919459 | Not specified | RECRUITING | Effectiveness of Acceptance and Commitment Therapy Versus Active Controls in Improving Psychological Functions of Parents and Children With Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial |
| NCT05924347 | Not specified | RECRUITING | Early Scoliotic Changes in Children at Increased Risk for Scoliosis Development |
| NCT05924581 | Not specified | RECRUITING | Validation of Clinical Assessment of Spinal Stiffness |
| NCT05927701 | Not specified | RECRUITING | Self-perceived Health Status and Healthcare Consumption of Idiopathic Scoliosis Patients Treated More Than 20 Years Ago: How Much do Operated and Non-operated Patients Differ? |
| NCT06042699 | Not specified | RECRUITING | Kids With Iron Deficiency and Scoliosis |
| NCT06083714 | Not specified | RECRUITING | Effect of Scapular Stabilization Exercises in Individuals With Adolescent Idiopathic Scoliosis |
| NCT06224998 | Not specified | RECRUITING | Schroth and Pilates Exercises in Idiopathic Adolescent Scoliosis |
| NCT06262269 | Not specified | RECRUITING | Interest of Adapted Physical Activity by Tele-rehabilitation in Chronic Pathology - Idiopathic Scoliosis in Adolescents |
| NCT06279468 | Not specified | RECRUITING | Clinical Effectiveness of Intervertebral Disc Release in Treating Lenke 5 Adolescent Idiopathic Scoliosis |
| NCT06314594 | Not specified | RECRUITING | Personalized Prevention and Treatment Strategies for Adolescent Idiopathic Scoliosis Via a Comprehensive Health Management Platform |
| NCT06365892 | Not specified | RECRUITING | Open-label Placebo (COLP) for Pain in Adolescent Idiopathic Scoliosis (AIS) Surgery+Surgical Treatment of Idiopathic Scoliosis |
Drugs tested across these trials (top 30)
- Cohort genes: SOX9, TBX1, ADGRG6, CSMD1, HHIP, SOX6, CREB5, LBX1, BOC, CDH13, TENT5A, CHD2, KIF24, NT5DC1, CNKSR3, MTMR11, FTO, SEC16B, TNIK, AJAP1, BNC2, UNCX, AGMO, EPHA4, EYA1, MIR4300, MIR3974, CNTFR-AS1, FOXA2, LINC01432, LINC01514, LINC02378, KCNJ2, ARF1, MEIS1, MEOX2, MSC, ABO, PAX1, PAX3, PLXNA2, BCKDHB, BCL2
- Drugs: Sodium Chloride, Abobotulinumtoxina, Caffeine, Methadone