Alcoholic pancreatitis

disease
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Summary

Alcoholic pancreatitis (MONDO:0003232) is a disease with 75 cohort genes (159 GWAS associations across 3 studies) and 1 clinical trial. The dominant Reactome pathway is Uptake of dietary cobalamins into enterocytes (3 cohort genes). Top therapeutic interventions include pentoxifylline.

At a glance

  • Cohort genes: 75
  • GWAS associations: 159
  • Clinical trials: 1

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namealcoholic pancreatitis
Mondo IDMONDO:0003232
EFOEFO:1002013
MeSHD019512
DOIDDOID:4988
SNOMED CT445507008
UMLSC0376670
MedGen84027
Is cancer (heuristic)no

Also known as: alcoholic pancreatitis

Data availability: 159 GWAS associations (3 studies).

Disease family

Classification path: disease › human disease › disease by body system or component › digestive system disorderpancreas disorderpancreatitisalcoholic pancreatitis

Related subtypes (4): chronic pancreatitis, thiopurine immunosuppressant-induced pancreatitis, acute pancreatitis, autoimmune pancreatitis

Genetics & variants

GWAS landscape

159 GWAS associations across 3 studies. Top hits map to 12 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs28559835e-40PRSS2?1.84
rs126880911e-32NUP62CL?2.57
rs47265759e-32TRBV29-1 - PRSS1?1.77
rs70573982e-29CLDN2, MORC4, RIPPLY1?2.28
rs558330423e-29PRSS1 - PRSS2?1.76
rs69535022e-25PGBD4P1 - TRBV29-1?1.6
rs1486555581e-24RNF128?2.22
rs789079242e-23PRSS2 - WBP1LP1?2.04
rs588544684e-23PRSS2?1.91
rs27342211e-22WBP1LP1?1.53
rs47265801e-22PRSS2, PRSS3P1?1.67
rs38577762e-22PRSS1?1.69
rs5456343e-22CTRC?1.83
rs350318736e-22PRSS1 - PRSS2?1.67
rs1387004032e-21PRSS2?1.8
rs64645306e-21PRSS2?1.88
rs41453949e-21PRSS2?1.81
rs664919096e-20RNF128?2.14
rs600959578e-20TRBV29-1 - PRSS1?1.54
rs120147622e-19MORC4?2.22
rs737424464e-19PRSS2?2.01
rs1441846417e-19PRSS2 - WBP1LP1?1.9
rs117620112e-18PRSS2 - WBP1LP1?1.74
rs1495063352e-18PRSS2 - WBP1LP1?1.78
rs1925149965e-18PRSS2 - WBP1LP1?2.1
rs737424348e-18PRSS2?1.67
rs44572428e-18PRSS2 - WBP1LP1?1.63
rs1477676071e-17PRSS2?1.73
rs12855822e-17NUP62CL?1.92
rs102435911e-16PGBD4P1 - TRBV29-1?1.47

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST004860Rosendahl J20171,9591,488Genome-wide association study identifies inversion in the CTRB1-CTRB2 locus to modify risk for alcoholic and non-alcoholic chronic pancreatitis.
GCST004757Treutlein J20171,3313,684Genetic Contribution to Alcohol Dependence: Investigation of a Heterogeneous German Sample of Individuals with Alcohol Dependence, Chronic Alcoholic Pancreatitis, and Alcohol-Related Cirrhosis.
GCST004755Treutlein J20171,1101,750Genetic Contribution to Alcohol Dependence: Investigation of a Heterogeneous German Sample of Individuals with Alcohol Dependence, Chronic Alcoholic Pancreatitis, and Alcohol-Related Cirrhosis.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding1
Tier 2: splice/UTR1
Tier 3: regulatory3
Tier 4: intronic/intergenic45

MAF distribution

BucketVariants
common (>=0.05)31
low_freq (0.01-0.05)0
rare (<0.01)0
unknown19

Functional consequences

ConsequenceCount
intron_variant23
intergenic_variant15
unknown5
regulatory_region_variant3
non_coding_transcript_exon_variant1
3_prime_UTR_variant1
missense_variant1
synonymous_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs28559837142770582A>C,G0.05intron_variantPRSS25e-40Tier 4: intronic/intergenic
rs12688091X107131628G>A0.05intron_variantNUP62CL1e-32Tier 4: intronic/intergenic
rs47265757142747017T>A,C,G0.05intergenic_variantTRBV29-1 - PRSS19e-32Tier 4: intronic/intergenic
rs7057398X106901299T>C,G0.05intron_variantCLDN2, MORC4, RIPPLY12e-29Tier 4: intronic/intergenic
rs558330427142758924C>A0.05intergenic_variantPRSS1 - PRSS23e-29Tier 4: intronic/intergenic
rs69535027142723525C>G,T0.05intergenic_variantPGBD4P1 - TRBV29-12e-25Tier 4: intronic/intergenic
rs148655558X106768355intron_variantRNF1281e-24Tier 4: intronic/intergenic
rs789079247142777210G>Aintergenic_variantPRSS2 - WBP1LP12e-23Tier 4: intronic/intergenic
rs588544687142773734C>Tintron_variantPRSS24e-23Tier 4: intronic/intergenic
rs27342217142779536A>C,G,T0.05non_coding_transcript_exon_variantWBP1LP11e-22Tier 4: intronic/intergenic
rs47265807142762217T>C0.05intron_variantPRSS2, PRSS3P11e-22Tier 4: intronic/intergenic
rs38577767142751439C>A,G,T0.05intron_variantPRSS12e-22Tier 4: intronic/intergenic
rs545634115443607G>A,C0.05intron_variantCTRC3e-22Tier 4: intronic/intergenic
rs350318737142758607A>C,G,T0.05intergenic_variantPRSS1 - PRSS26e-22Tier 4: intronic/intergenic
rs1387004037142768604A>C,G0.05intron_variantPRSS22e-21Tier 4: intronic/intergenic
rs64645307142769995G>Cintron_variantPRSS26e-21Tier 4: intronic/intergenic
rs41453947142770138C>Aintron_variantPRSS29e-21Tier 4: intronic/intergenic
rs66491909X106732269G>A0.05intron_variantRNF1286e-20Tier 4: intronic/intergenic
rs600959577142742709G>A0.05intergenic_variantTRBV29-1 - PRSS18e-20Tier 4: intronic/intergenic
rs12014762X106940440C>T0.05intergenic_variantMORC42e-19Tier 4: intronic/intergenic
rs737424467142771453G>Cintron_variantPRSS24e-19Tier 4: intronic/intergenic
rs1441846417142775173T>C,G0.05intergenic_variantPRSS2 - WBP1LP17e-19Tier 4: intronic/intergenic
rs117620117142775653G>Cintergenic_variantPRSS2 - WBP1LP12e-18Tier 4: intronic/intergenic
rs1495063357142776454G>C0.05regulatory_region_variantPRSS2 - WBP1LP12e-18Tier 3: regulatory
rs1925149967142778229T>C,Gintergenic_variantPRSS2 - WBP1LP15e-18Tier 4: intronic/intergenic
rs737424347142769972C>Aintron_variantPRSS28e-18Tier 4: intronic/intergenic
rs44572427142777285G>A,C0.05intergenic_variantPRSS2 - WBP1LP18e-18Tier 4: intronic/intergenic
rs1477676077142769934T>C0.05intron_variantPRSS21e-17Tier 4: intronic/intergenic
rs1285582X107123872G>A,C0.053_prime_UTR_variantNUP62CL2e-17Tier 2: splice/UTR
rs102435917142725721C>A,G,T0.05intergenic_variantPGBD4P1 - TRBV29-11e-16Tier 4: intronic/intergenic

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 19 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 3

Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)

GeneHGNCEvidence routes
SPINK1SPINK1GWAS, Orphanet
TRPV6TRPV6GWAS, Orphanet
CTRCCTRCGWAS, Orphanet

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
SPINK1Orphanet:103918Tropical pancreatitis
SPINK1Orphanet:700124Autosomal recessive hereditary chronic pancreatitis
MED12Orphanet:1415Hardikar syndrome
MED12Orphanet:293707Blepharophimosis-intellectual disability syndrome, MKB type
MED12Orphanet:776Lujan-Fryns syndrome
MED12Orphanet:777X-linked non-syndromic intellectual disability
MED12Orphanet:93932FG syndrome type 1
TRPV6Orphanet:417Neonatal severe primary hyperparathyroidism
TRPV6Orphanet:676Autosomal dominant hereditary chronic pancreatitis
SFXN4Orphanet:391348Growth and developmental delay-hypotonia-vision impairment-lactic acidosis syndrome
NANOS1Orphanet:399805Male infertility with azoospermia or oligozoospermia due to single gene mutation
FREM1Orphanet:217266BNAR syndrome
FREM1Orphanet:2717Oculotrichoanal syndrome
FREM1Orphanet:3366Non-syndromic metopic craniosynostosis
FREM1Orphanet:93100Renal agenesis, unilateral
TTC12Orphanet:244Primary ciliary dyskinesia
TBC1D8BOrphanet:656Hereditary steroid-resistant nephrotic syndrome
CTRCOrphanet:103918Tropical pancreatitis
CTRCOrphanet:676Autosomal dominant hereditary chronic pancreatitis

Cohort genes → proteins

75 cohort genes, 68 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only75

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
SPINK1HGNC:11244ENSG00000164266P00995Serine protease inhibitor Kazal-type 1gwas
TAX1BP1HGNC:11575ENSG00000106052Q86VP1Tax1-binding protein 1gwas
TLE3HGNC:11839ENSG00000140332Q04726Transducin-like enhancer protein 3gwas
MED12HGNC:11957ENSG00000184634Q93074Mediator of RNA polymerase II transcription subunit 12gwas
TRBC2HGNC:12157ENSG00000211772A0A5B9T cell receptor beta constant 2gwas
TRBJ2-1HGNC:12168ENSG00000211764A0A0A0MTA7T cell receptor beta joining 2-1gwas
TRBJ2-2HGNC:12169ENSG00000211765A0A0A0MT94T cell receptor beta joining 2-2gwas
TRBJ2-2PHGNC:12170ENSG00000211766T cell receptor beta joining 2-2P (non-functional)gwas
TRBJ2-3HGNC:12171ENSG00000211767A0A0B4J200T cell receptor beta joining 2-3gwas
TRBJ2-4HGNC:12172ENSG00000211768A0A0A0MT87T cell receptor beta joining 2-4gwas
TRBJ2-5HGNC:12173ENSG00000211769A0A0A0MTA4T cell receptor beta joining 2-5gwas
TRBJ2-6HGNC:12174ENSG00000211770A0A0A0MT70T cell receptor beta joining 2-6gwas
TRBJ2-7HGNC:12175ENSG00000211771A0A0A0MT78T cell receptor beta joining 2-7gwas
TRBV19HGNC:12194ENSG00000211746A0A075B6N1T cell receptor beta variable 19gwas
TRBV20-1HGNC:12196ENSG00000211747A0A075B6N2T cell receptor beta variable 20-1gwas
TRBV21-1HGNC:12198ENSG00000251578T cell receptor beta variable 21-1 (pseudogene)gwas
TRBV22-1HGNC:12200ENSG00000240578T cell receptor beta variable 22-1 (pseudogene)gwas
TRBV23-1HGNC:12201ENSG00000211749A0A0A0MS06Probable non-functional T cell receptor beta variable 23-1gwas
TRBV24-1HGNC:12203ENSG00000211750A0A075B6N3T cell receptor beta variable 24-1gwas
TRBV25-1HGNC:12205ENSG00000282499A0A075B6N4T cell receptor beta variable 25-1gwas
TRBV26HGNC:12207ENSG00000249912T cell receptor beta variable 26 (pseudogene)gwas
TRBV27HGNC:12208ENSG00000211752A0A0K0K1C4T cell receptor beta variable 27gwas
TRBV28HGNC:12209ENSG00000211753A0A5B6T cell receptor beta variable 28gwas
TRBV29-1HGNC:12210ENSG00000232869A0A5B7T cell receptor beta variable 29-1gwas
TRBV30HGNC:12214ENSG00000237254A0A0K0K1B3T cell receptor beta variable 30gwas
TRBV5-5HGNC:12222ENSG00000211725A0A597T cell receptor beta variable 5-5gwas
TRBV5-6HGNC:12223ENSG00000211728A0A599T cell receptor beta variable 5-6gwas
TRBV5-7HGNC:12224ENSG00000211731A0A0A0MS05Probable non-functional T cell receptor beta variable 5-7gwas
TRBV6-7HGNC:12232ENSG00000253188A0A0A0MS04Probable non-functional T cell receptor beta variable 6-7gwas
TRBV6-8HGNC:12233ENSG00000253534A0A0A6YYG3T cell receptor beta variable 6-8gwas
TRBV6-9HGNC:12234ENSG00000282610A0A0J9YX75T cell receptor beta variable 6-9gwas
TRBV7-6HGNC:12240ENSG00000211727A0A1B0GX31T cell receptor beta variable 7-6gwas
TRBV7-7HGNC:12241ENSG00000253291A0A0K0K1E9T cell receptor beta variable 7-7gwas
TRBV7-8HGNC:12242ENSG00000282040A0A1B0GX51T cell receptor beta variable 7-8gwas
TRBVAHGNC:12247ENSG00000239992T cell receptor beta variable A (pseudogene)gwas
TRBVBHGNC:12248ENSG00000241911T cell receptor beta variable B (pseudogene)gwas
TRPV6HGNC:14006ENSG00000165125Q9H1D0Transient receptor potential cation channel subfamily V member 6gwas
OR9A2HGNC:15093ENSG00000179468Q8NGT5Olfactory receptor 9A2gwas
CASP9HGNC:1511ENSG00000132906P55211Caspase-9gwas
MTPNHGNC:15667ENSG00000105887P58546Myotrophingwas
SLC13A4HGNC:15827ENSG00000164707Q9UKG4Solute carrier family 13 member 4gwas
PPP1R16BHGNC:15850ENSG00000101445Q96T49Protein phosphatase 1 regulatory inhibitor subunit 16Bgwas
SFXN4HGNC:16088ENSG00000183605Q6P4A7Sideroflexin-4gwas
SACK1DHGNC:16122ENSG00000101447Q9H4H8Protein FAM83Dgwas
SCP2D1-AS1HGNC:16210ENSG00000149443Q9BR46Putative uncharacterized protein SCP2D1-AS1gwas
SCP2D1HGNC:16211ENSG00000132631Q9UJQ7SCP2 sterol-binding domain-containing protein 1gwas
SCGB3A2HGNC:18391ENSG00000164265Q96PL1Secretoglobin family 3A member 2gwas
AGMATHGNC:18407ENSG00000116771Q9BSE5Guanidino acid hydrolase, mitochondrialgwas
CFDP1HGNC:1873ENSG00000153774Q9UEE9Heterochromatin-stabilizing protein CFDP1gwas
NPAS3HGNC:19311ENSG00000151322Q8IXF0Neuronal PAS domain-containing protein 3gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
SPINK1Serine protease inhibitor Kazal-type 1Serine protease inhibitor which exhibits anti-trypsin activity.
TAX1BP1Tax1-binding protein 1Ubiquitin-binding adapter that participates in inflammatory, antiviral and innate immune processes as well as selective autophagy regulation.
TLE3Transducin-like enhancer protein 3Transcriptional coregulator that binds to a number of transcription factors.
MED12Mediator of RNA polymerase II transcription subunit 12Component of the Mediator complex, a coactivator involved in the regulated transcription of nearly all RNA polymerase II-dependent genes.
TRBC2T cell receptor beta constant 2Constant region of T cell receptor (TR) beta chain.
TRBJ2-1T cell receptor beta joining 2-1J region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBJ2-2T cell receptor beta joining 2-2J region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBJ2-3T cell receptor beta joining 2-3J region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBJ2-4T cell receptor beta joining 2-4J region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBJ2-5T cell receptor beta joining 2-5J region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBJ2-6T cell receptor beta joining 2-6J region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBJ2-7T cell receptor beta joining 2-7J region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV19T cell receptor beta variable 19V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV20-1T cell receptor beta variable 20-1V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV23-1Probable non-functional T cell receptor beta variable 23-1Probable non-functional open reading frame (ORF) of V region of the variable domain of T cell receptor (TR) beta chain.
TRBV24-1T cell receptor beta variable 24-1V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV25-1T cell receptor beta variable 25-1V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV27T cell receptor beta variable 27V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV28T cell receptor beta variable 28V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV29-1T cell receptor beta variable 29-1V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV30T cell receptor beta variable 30V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV5-5T cell receptor beta variable 5-5V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV5-6T cell receptor beta variable 5-6V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV5-7Probable non-functional T cell receptor beta variable 5-7Probable non-functional open reading frame (ORF) of V region of the variable domain of T cell receptor (TR) beta chain.
TRBV6-7Probable non-functional T cell receptor beta variable 6-7Probable non-functional open reading frame (ORF) of V region of the variable domain of T cell receptor (TR) beta chain.
TRBV6-8T cell receptor beta variable 6-8V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV6-9T cell receptor beta variable 6-9V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV7-6T cell receptor beta variable 7-6V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV7-7T cell receptor beta variable 7-7V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRBV7-8T cell receptor beta variable 7-8V region of the variable domain of T cell receptor (TR) beta chain that participates in the antigen recognition.
TRPV6Transient receptor potential cation channel subfamily V member 6Calcium selective cation channel that mediates Ca(2+) uptake in various tissues, including the intestine.
OR9A2Olfactory receptor 9A2Odorant receptor.
CASP9Caspase-9Involved in the activation cascade of caspases responsible for apoptosis execution.
MTPNMyotrophinPromotes dimerization of NF-kappa-B subunits and regulates NF-kappa-B transcription factor activity.
SLC13A4Solute carrier family 13 member 4Sodium:sulfate symporter that mediates sulfate reabsorption in the high endothelial venules (HEV).
PPP1R16BProtein phosphatase 1 regulatory inhibitor subunit 16BRegulator of protein phosphatase 1 (PP1) that acts as a positive regulator of pulmonary endothelial cell (EC) barrier function.
SFXN4Sideroflexin-4Mitochondrial amino-acid transporter.
SACK1DProtein FAM83DThrough the degradation of FBXW7, may act indirectly on the expression and downstream signaling of MTOR, JUN and MYC.
SCGB3A2Secretoglobin family 3A member 2Secreted cytokine-like protein.
AGMATGuanidino acid hydrolase, mitochondrialHydrolyzes linear guanidino acids to form urea and the corresponding amines.
CFDP1Heterochromatin-stabilizing protein CFDP1Required for the structural stability of pericentromeric heterochromatin.
NPAS3Neuronal PAS domain-containing protein 3May play a broad role in neurogenesis.
HOOK1Protein Hook homolog 1Component of the FTS/Hook/FHIP complex (FHF complex).
CLDN2Claudin-2Forms paracellular channels: polymerizes in tight junction strands with cation- and water-selective channels through the strands, conveying epithelial permeability in a process known as paracellular tight junction permeability.
RNF128E3 ubiquitin-protein ligase RNF128E3 ubiquitin-protein ligase that catalyzes ‘Lys-27’, ‘Lys-48’- or ‘Lys-63’-linked polyubiquitin chains formation and plays a role in different biological processes such as modulation of immune response, cytoskeletal dynamics or protein hom…
SOFU1Sperm-egg fusion protein LLCFC1Sperm protein required for fusion of sperm with the egg membrane during fertilization.
NANOS1Nanos homolog 1May act as a translational repressor which regulates translation of specific mRNAs by forming a complex with PUM2 that associates with the 3’-UTR of mRNA targets.
ZFP1Zinc finger protein 1 homologMay be involved in transcriptional regulation.
FREM1FRAS1-related extracellular matrix protein 1Extracellular matrix protein that plays a role in epidermal differentiation and is required for epidermal adhesion during embryonic development.
MORC4MORC family CW-type zinc finger protein 4Histone methylation reader which binds to non-methylated (H3K4me0), monomethylated (H3K4me1), dimethylated (H3K4me2) and trimethylated (H3K4me3) ‘Lys-4’ on histone H3.

Protein-family classification

Druggable: 30 · Difficult: 9 · Unknown: 36 · Druggable fraction: 0.4

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.

FamilyGenesFoldFDR
Antibody/Immunoglobulin197.4×5e-11
Protease52.4×0.244
Ion channel11.5×0.960
Other/Unknown360.9×0.960
Scaffold/PPI30.7×0.960
Transcription factor60.7×0.960
Enzyme (other)30.5×0.960
Kinase10.4×0.960
GPCR10.3×0.960

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
SPINK1Other/UnknownnoProt_inh_Kazal-m, Kazal_dom, Kazal_dom_sf
TAX1BP1Other/UnknownnoCALCOCO1-like, SKICH, CALCOCO1/2_Zn_UBZ1
TLE3Scaffold/PPInoWD40_rpt, Groucho/TLE_N, Groucho_enhance
MED12Other/UnknownnoMediator_Med12, Mediator_Med12_catenin-bd, Mediator_Med12_LCEWAV
TRBC2Antibody/ImmunoglobulinyesIg_C1-set, Ig-like_dom, Ig-like_fold
TRBJ2-1Other/Unknownno
TRBJ2-2Other/Unknownno
TRBJ2-2POther/Unknownno
TRBJ2-3Other/Unknownno
TRBJ2-4Other/Unknownno
TRBJ2-5Other/Unknownno
TRBJ2-6Other/Unknownno
TRBJ2-7Other/Unknownno
TRBV19Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV20-1Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV21-1Other/Unknownno
TRBV22-1Other/Unknownno
TRBV23-1Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV24-1Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV25-1Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV26Other/Unknownno
TRBV27Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV28Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV29-1Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV30Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV5-5Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV5-6Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV5-7Antibody/ImmunoglobulinyesIg_V-set, Ig-like_fold, Ig-like_dom_sf
TRBV6-7Antibody/ImmunoglobulinyesIg_V-set, Ig-like_fold, Ig-like_dom_sf
TRBV6-8Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV6-9Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV7-6Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV7-7Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBV7-8Antibody/ImmunoglobulinyesIg-like_dom, Ig_V-set, Ig-like_fold
TRBVAOther/Unknownno
TRBVBOther/Unknownno
TRPV6Ion channelyesAnkyrin_rpt, Ion_trans_dom, TRPV5/TRPV6
OR9A2GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
CASP9Enzyme (other)yes3.4.22.62Pept_C14_p20, CARD, Pept_C14_p10
MTPNScaffold/PPInoAnkyrin_rpt, Ankyrin_rpt-contain_sf
SLC13A4Other/UnknownnoSLC13A/DASS
PPP1R16BScaffold/PPInoAnkyrin_rpt, Pase-1_reg_su_16AB, Ankyrin_rpt-contain_sf
SFXN4Other/UnknownnoMtc
SACK1DOther/UnknownnoSACK1, FAM83
SCP2D1-AS1Other/Unknownno
SCP2D1Other/UnknownnoSCP2_sterol-bd_dom, SCP2_sterol-bd_dom_sf
SCGB3A2Other/UnknownnoSecretoglobin_3A
AGMATEnzyme (other)yes3.5.3.11Agmatinase-rel, Ureohydrolase, Ureohydrolase_Mn_BS
CFDP1Other/UnknownnoBCNT-C, Swc5/CFDP1/2
NPAS3Transcription factornoPAS, bHLH_dom, PAS_fold_3

Expression context

Cohort genes with no expression data: 1.

43 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)3
broad (>20)71
unknown1

Top tissues across cohort

TissueCohort genes
granulocyte26
vermiform appendix15
lymph node14
blood10
male germ line stem cell (sensu Vertebrata) in testis10
body of pancreas8
islet of Langerhans6
spleen6
pancreas5
cortical plate4
right uterine tube4
left testis4
ganglionic eminence3
bone marrow cell3
primordial germ cell in gonad3
mucosa of transverse colon3
ventricular zone3
corpus callosum3
right testis3
epithelial cell of pancreas2

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
SPINK1192broadmarkerbody of pancreas, islet of Langerhans, epithelial cell of pancreas
TAX1BP1301ubiquitousmarkersecondary oocyte, oocyte, bronchial epithelial cell
TLE3248ubiquitousmarkerblood, cortical plate, ganglionic eminence
MED12281ubiquitousmarkerright adrenal gland cortex, right adrenal gland, left ovary
TRBC2133markergranulocyte, lymph node, vermiform appendix
TRBJ2-1116broadyesgranulocyte, vermiform appendix, blood
TRBJ2-2109markergranulocyte, vermiform appendix, spleen
TRBJ2-2P113broadyesgranulocyte, vermiform appendix, spleen
TRBJ2-3118broadmarkergranulocyte, vermiform appendix, spleen
TRBJ2-4112broadyesgranulocyte, spleen, blood
TRBJ2-5110tissue_specificyesgranulocyte, vermiform appendix, spleen
TRBJ2-6116tissue_specificyesgranulocyte, spleen, vermiform appendix
TRBJ2-7112tissue_specificyesgranulocyte, vermiform appendix, blood
TRBV19101yeslymph node, granulocyte, blood
TRBV20-1120tissue_specificmarkerlymph node, granulocyte, vermiform appendix
TRBV21-182broadyesgranulocyte, lymph node, vermiform appendix
TRBV22-120yesprimordial germ cell in gonad, bone marrow cell, body of pancreas
TRBV23-1101yesgranulocyte, lymph node, vermiform appendix
TRBV24-1109tissue_specificyeslymph node, granulocyte, vermiform appendix
TRBV25-1106tissue_specificmarkerlymph node, granulocyte, vermiform appendix
TRBV2630yesmale germ line stem cell (sensu Vertebrata) in testis, mucosa of transverse colon, granulocyte
TRBV27118tissue_specificyeslymph node, granulocyte, blood
TRBV28111tissue_specificyesgranulocyte, lymph node, leukocyte
TRBV29-1114yesmale germ line stem cell (sensu Vertebrata) in testis, granulocyte, lymph node
TRBV3092tissue_specificmarkerprimordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, lymph node
TRBV5-581tissue_specificmarkergranulocyte, lymph node, vermiform appendix
TRBV5-6103tissue_specificyeslymph node, granulocyte, blood
TRBV5-723yesgranulocyte, bone marrow cell, blood
TRBV6-756yesgranulocyte, mucosa of transverse colon, body of pancreas
TRBV6-844yesgranulocyte, vermiform appendix, bone marrow cell

Protein interactions among cohort

Intra-cohort edges: 12.

Hub genes (top 10 by interactor count)

SymbolInteractor count
CASP94,140
MED123,322
TAX1BP13,089
AGMAT2,288
HOOK12,273
CTRB12,260
CTRB22,190
TLE32,089
ARL152,073
TTC121,873

Intra-cohort edges

ABSources
ANKK1TTC12string_interaction
CLDN2CTRCstring_interaction
CLDN2MORC4string_interaction
CTRB1CTRB2biogrid_interaction, intact
CTRB1SPINK1string_interaction
CTRB2SPINK1string_interaction
CTRCSPINK1string_interaction
MORC4RIPPLY1string_interaction
MORC4SPINK1string_interaction
PPP1R16BSACK1Dstring_interaction
RIPPLY1TBC1D8Bstring_interaction
RIPPLY1TLE3biogrid_interaction

Structural data

PDB: 20 · AlphaFold-only: 48 · No structure: 7

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
TRBC2A0A5B963
TRPV6Q9H1D024
CASP9P5521111
TAX1BP1Q86VP110
SPINK1P009955
MTPNP585464
RADXQ6NSI44
MED12Q930743
TRBV19A0A075B6N13
TRBV28A0A5B63
DDI2Q5TDH03
FBLIM1Q8WUP23
SACK1DQ9H4H82
TRBJ2-3A0A0B4J2001
CLDN2P577391
RNF128Q8TEB71
NANOS1Q8WY411
MORC4Q8TE761
CTRCQ998951
ARL15Q9NXU51

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
CELA2AP0821793.66
TRBV29-1A0A5B793.56
TRBV5-5A0A59793.18
TRBV20-1A0A075B6N292.93
TRBV5-6A0A59992.92
TRBV27A0A0K0K1C492.70
TRBV6-7A0A0A0MS0492.52
TRBV6-9A0A0J9YX7592.24
AGMATQ9BSE592.12
CTRB1P1753891.90
CTRB2Q6GPI191.79
TRBV30A0A0K0K1B391.46
TRBV5-7A0A0A0MS0591.44
TRBJ2-6A0A0A0MT7091.29
TRBV7-6A0A1B0GX3190.94
TRBV24-1A0A075B6N390.76
TRBV23-1A0A0A0MS0690.69
TRBV6-8A0A0A6YYG390.56
TRBV7-7A0A0K0K1E990.41
TTC12Q9H89290.27
TRBV7-8A0A1B0GX5190.07
TRBV25-1A0A075B6N489.92
TRBJ2-4A0A0A0MT8786.36
MBOAT2Q6ZWT786.16
SFXN4Q6P4A785.33
OR9A2Q8NGT585.26
TRBJ2-2A0A0A0MT9483.56
HOOK1Q9UJC383.26
TRBJ2-1A0A0A0MTA782.73
SCP2D1Q9UJQ782.32

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 161. Enrichment computed across 137 evidence-associated genes (41 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 41 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Uptake of dietary cobalamins into enterocytes383.6×8e-04CTRB1, CTRB2, PRSS1
Developmental Lineage of Pancreatic Acinar Cells429.3×8e-04SPINK1, CELA2A, CTRC, PRSS1
Activation of Matrix Metalloproteinases322.6×0.016CTRB1, CTRB2, PRSS1
TRP channels219.9×0.180TRPV6, TRPV5
Agmatine biosynthesis1139.3×0.228AGMAT
Dopamine receptors155.7×0.228DRD2
Sodium-coupled sulphate, di- and tri-carboxylate transporters155.7×0.228SLC13A4
Activation of caspases through apoptosome-mediated cleavage146.4×0.228CASP9
SMAC (DIABLO) binds to IAPs139.8×0.228CASP9
SMAC(DIABLO)-mediated dissociation of IAP:caspase complexes139.8×0.228CASP9
SMAC, XIAP-regulated apoptotic response139.8×0.228CASP9
ARMS-mediated activation139.8×0.228KIDINS220
Formation of apoptosome134.8×0.228CASP9
Prolonged ERK activation events134.8×0.228KIDINS220
Synthesis of epoxy (EET) and dihydroxyeicosatrienoic acids (DHET)134.8×0.228CYP2J2
Caspase activation via extrinsic apoptotic signalling pathway134.8×0.228CASP9
RND1 GTPase cycle213.0×0.228KIDINS220, PLXNA1
NOTCH1 Intracellular Domain Regulates Transcription211.6×0.228TLE3, HES1
Developmental Cell Lineages210.9×0.228SPINK1, CELA2A
RHOD GTPase cycle29.9×0.228EFHD2, PLXNA1
Cytochrome c-mediated apoptotic response130.9×0.239CASP9
G protein gated Potassium channels127.9×0.239KCNJ3
Caspase activation via Dependence Receptors in the absence of ligand127.9×0.239CASP9
Regulation of the apoptosome activity125.3×0.239CASP9
NOTCH2 intracellular domain regulates transcription123.2×0.239HES1
Apoptotic factor-mediated response121.4×0.239CASP9
AKT phosphorylates targets in the cytosol119.9×0.239CASP9
PTK6 Regulates RHO GTPases, RAS GTPase and MAP kinases119.9×0.239BCAR1
RUNX3 regulates NOTCH signaling119.9×0.239HES1
p130Cas linkage to MAPK signaling for integrins118.6×0.239BCAR1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 90 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
adaptive immune response2624.3×1e-26TRBC2, TRBJ2-1, TRBJ2-2, TRBJ2-3, TRBJ2-4, TRBJ2-5, TRBJ2-6, TRBJ2-7 (+18 more)
cell surface receptor signaling pathway1812.8×7e-13TRBV19, TRBV20-1, TRBV23-1, TRBV24-1, TRBV25-1, TRBV27, TRBV28, TRBV29-1 (+10 more)
glomerulus vasculature development293.6×0.031ANGPT2, HES1
adenohypophysis development253.5×0.054DRD2, HES1
negative regulation of calcium ion import253.5×0.054SPINK1, HES1
digestion320.8×0.054CTRB1, CTRB2, PRSS1
fibroblast apoptotic process234.0×0.105CASP9, CFDP1
cell morphogenesis involved in neuron differentiation234.0×0.105HES1, ID2
positive regulation of macromolecule biosynthetic process1187.2×0.111MTPN
trochlear nerve development1187.2×0.111HES1
regeneration1187.2×0.111NFIB
obsolete putrescine biosynthetic process from arginine, via agmatine1187.2×0.111AGMAT
negative regulation of circadian sleep/wake cycle, sleep1187.2×0.111DRD2
positive regulation of mitotic cell cycle, embryonic1187.2×0.111HES1
negative regulation of positive chemotaxis1187.2×0.111ANGPT2
lung ciliated cell differentiation1187.2×0.111NFIB
response to indole-3-methanol1187.2×0.111CASP9
renal interstitial fibroblast development1187.2×0.111HES1
protein localization to phagocytic vesicle1187.2×0.111TAX1BP1
negative regulation of cell fate determination1187.2×0.111HES1
negative regulation of pancreatic A cell differentiation1187.2×0.111HES1
negative regulation of epithelial cell proliferation involved in lung morphogenesis1187.2×0.111NFIB
positive regulation of astrocyte differentiation231.2×0.111HES1, ID2
negative regulation of oligodendrocyte differentiation225.0×0.111HES1, ID2
axonemal dynein complex assembly223.4×0.111TTC12, DNAAF6
white fat cell differentiation218.7×0.111TLE3, ID2
proteolysis83.0×0.111CELA2A, CTRB1, CTRB2, CTRC, CELA2B, PRSS3P2, TRABD2B, PRSS1
obsolete negative regulation of nitric oxide mediated signal transduction193.6×0.112SPINK1
oculomotor nerve development193.6×0.112HES1
olfactory nerve formation193.6×0.112PLXNA1

Therapeutics

Drug target analysis

Approved (phase 4): 3 · Phase ≥3: 5 · Phased (≥1): 6 · Undrugged: 69

Druggability breadth: 20 of 137 evidence-associated genes (15%) 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.

SymbolExample approved molecule
TRPV6ECONAZOLE
ANKK1FEDRATINIB
CTRB1BORTEZOMIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
ANKK1174
CTRB174
TRPV634
CTRC33
MED1212
CTRB213
SPINK100
TAX1BP100
TLE300
TRBC200

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
ECONAZOLE4TRPV6
FEDRATINIB4ANKK1
AXITINIB4ANKK1
RUXOLITINIB4ANKK1
BOSUTINIB4ANKK1
SUNITINIB4ANKK1
CRIZOTINIB4ANKK1
BORTEZOMIB4CTRB1
DOVITINIB3ANKK1
LESTAURTINIB3ANKK1
MILVEXIAN3CTRB1, CTRB2, CTRC
QUERCETIN3CTRB1, CTRC
INDIGO3CTRB1
MOLIBRESIB2MED12
TETRAHYDROCANNABIVARIN2TRPV6
DORAMAPIMOD2ANKK1
FORETINIB2ANKK1
SU-0148132ANKK1
DEFOSBARASERTIB2ANKK1
R-4062ANKK1
TOZASERTIB2ANKK1
IODOPHTHALEIN2CTRB1, CTRC
INDIRUBIN2CTRB1
RAZAXABAN2CTRB1
SOR-C131TRPV6
GSK-4613641ANKK1
KW-24491ANKK1
AST-4871ANKK1

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 4.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
CTRB1140Binding:109, ADMET:24, Functional:6, Toxicity:1
CTRC125Binding:98, ADMET:24, Functional:2, Toxicity:1
ANKK174Binding:74
CASP965Binding:63, Functional:2
CTRB256Binding:30, ADMET:24, Functional:1, Toxicity:1
TRPV632Binding:32
MED126Binding:6
MTPN1Binding:1
SPATS2L1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
CASP93.4.22.62caspase-9
AGMAT3.5.3.11agmatinase
MBOAT22.3.1.231-acylglycerophosphocholine O-acyltransferase
CTRC3.4.21.2chymotrypsin C

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
CTRB1140
CTRC125

Pharmacogenomics

Cohort genes with a PharmGKB record: 73; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

28 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.

CompoundMax phaseCohort target (bioactivity)
ECONAZOLE4TRPV6
FEDRATINIB4ANKK1
AXITINIB4ANKK1
RUXOLITINIB4ANKK1
BOSUTINIB4ANKK1
SUNITINIB4ANKK1
CRIZOTINIB4ANKK1
BORTEZOMIB4CTRB1
DOVITINIB3ANKK1
LESTAURTINIB3ANKK1
MILVEXIAN3CTRB1, CTRB2, CTRC
QUERCETIN3CTRB1, CTRC
INDIGO3CTRB1
MOLIBRESIB2MED12
TETRAHYDROCANNABIVARIN2TRPV6
DORAMAPIMOD2ANKK1
FORETINIB2ANKK1
SU-0148132ANKK1
DEFOSBARASERTIB2ANKK1
R-4062ANKK1
TOZASERTIB2ANKK1
IODOPHTHALEIN2CTRB1, CTRC
INDIRUBIN2CTRB1
RAZAXABAN2CTRB1
SOR-C131TRPV6
GSK-4613641ANKK1
KW-24491ANKK1
AST-4871ANKK1

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)3TRPV6, ANKK1, CTRB1
BPhased (≥1) drug, not yet approved3MED12, CTRB2, CTRC
CDruggable family + PDB, no drug5TRBC2, TRBV19, TRBV28, CASP9, DDI2
DDruggable family + AlphaFold only, no drug20TRBV20-1, TRBV23-1, TRBV24-1, TRBV25-1, TRBV27, TRBV29-1, TRBV30, TRBV5-5, TRBV5-6, TRBV5-7 (+10 more)
EDifficult family or no structure, no drug44SPINK1, TAX1BP1, TLE3, TRBJ2-1, TRBJ2-2, TRBJ2-2P, TRBJ2-3, TRBJ2-4, TRBJ2-5, TRBJ2-6 (+34 more)

Undrugged target profiles

69 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
SPINK10CTRC
TTC120ANKK1
TAX1BP10
TLE30
TRBC20
TRBJ2-10
TRBJ2-20
TRBJ2-2P0
TRBJ2-30
TRBJ2-40
TRBJ2-50
TRBJ2-60
TRBJ2-70
TRBV190
TRBV20-10
TRBV21-10
TRBV22-10
TRBV23-10
TRBV24-10
TRBV25-10
TRBV260
TRBV270
TRBV280
TRBV29-10
TRBV300
TRBV5-50
TRBV5-60
TRBV5-70
TRBV6-70
TRBV6-80

Clinical trials & evidence

Clinical trials

Clinical trials: 1.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE31

Top trials by phase / activity

NCTPhaseStatusTitle
NCT02487225PHASE3COMPLETEDPentoxifylline Treatment in Acute Pancreatitis (AP)

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
PENTOXIFYLLINE41