Amyotrophic lateral sclerosis type 10

disease
On this page

Also known as ALS10amyotrophic lateral sclerosis 10 with or without frontotemporal dementiaamyotrophic lateral sclerosis 10, with or without FTDamyotrophic lateral sclerosis caused by mutation in TARDBPfrontotemporal lobar degeneration, TARDBP-relatedTARDBP amyotrophic lateral sclerosis

Summary

Amyotrophic lateral sclerosis type 10 (MONDO:0012790) is a disease caused by TARDBP (GenCC Definitive), with 8 cohort genes.

At a glance

  • Causal gene: TARDBP (GenCC Definitive)
  • Cohort genes: 8
  • ClinVar variants: 229

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameamyotrophic lateral sclerosis type 10
Mondo IDMONDO:0012790
MeSHC567429
OMIM612069
DOIDDOID:0060201
UMLSC2677565
MedGen383137
GARD0015540
Is cancer (heuristic)no

Also known as: ALS10 · amyotrophic lateral sclerosis 10 with or without frontotemporal dementia · amyotrophic lateral sclerosis 10, with or without FTD · amyotrophic lateral sclerosis caused by mutation in TARDBP · amyotrophic lateral sclerosis type 10 · frontotemporal lobar degeneration, TARDBP-related · TARDBP amyotrophic lateral sclerosis

Data availability: 229 ClinVar variants · 3 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by body system or component › nervous system disordercentral nervous system disorderspinal cord disorderanterior horn disorderamyotrophic lateral sclerosisfamilial amyotrophic lateral sclerosisamyotrophic lateral sclerosis type 10

Related subtypes (29): amyotrophic lateral sclerosis type 1, frontotemporal dementia and/or amyotrophic lateral sclerosis 1, spinocerebellar ataxia type 2, amyotrophic lateral sclerosis type 15, frontotemporal dementia and/or amyotrophic lateral sclerosis 7, amyotrophic lateral sclerosis type 4, amyotrophic lateral sclerosis type 21, amyotrophic lateral sclerosis type 3, amyotrophic lateral sclerosis type 6, amyotrophic lateral sclerosis type 7, amyotrophic lateral sclerosis type 8, amyotrophic lateral sclerosis type 9, amyotrophic lateral sclerosis type 11, amyotrophic lateral sclerosis type 12, frontotemporal dementia and/or amyotrophic lateral sclerosis 6, amyotrophic lateral sclerosis type 18, amyotrophic lateral sclerosis type 20, amyotrophic lateral sclerosis type 19, frontotemporal dementia and/or amyotrophic lateral sclerosis 2, amyotrophic lateral sclerosis type 22, frontotemporal dementia and/or amyotrophic lateral sclerosis 3, frontotemporal dementia and/or amyotrophic lateral sclerosis 4, juvenile amyotrophic lateral sclerosis, amyotrophic lateral sclerosis type 23, frontotemporal dementia and/or amyotrophic lateral sclerosis 8, frontotemporal dementia and/or amyotrophic lateral sclerosis 5, amyotrophic lateral sclerosis 26 with or without frontotemporal dementia, amyotrophic lateral sclerosis 27, juvenile, amyotrophic lateral sclerosis 28

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

229 retrieved; paginated sample, class counts are floors:

104 uncertain significance, 63 likely benign, 15 conflicting classifications of pathogenicity, 14 benign, 9 pathogenic, 9 pathogenic/likely pathogenic, 7 benign/likely benign, 6 likely pathogenic, 2 not provided

ClinVarVariant (HGVS)GeneClassificationReview
98177NM_002087.4(GRN):c.1252C>T (p.Arg418Ter)GRNPathogeniccriteria provided, multiple submitters, no conflicts
21484NM_007375.4(TARDBP):c.881G>T (p.Gly294Val)MASP2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1801690NM_001008212.2(OPTN):c.493C>T (p.Gln165Ter)OPTNPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14756NM_000454.5(SOD1):c.131A>G (p.His44Arg)SOD1Pathogeniccriteria provided, multiple submitters, no conflicts
21467NM_007375.4(TARDBP):c.1035C>A (p.Asn345Lys)TARDBPPathogeniccriteria provided, single submitter
21468NM_007375.4(TARDBP):c.1055A>G (p.Asn352Ser)TARDBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
21474NM_007375.4(TARDBP):c.1144G>A (p.Ala382Thr)TARDBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
21476NM_007375.4(TARDBP):c.1147A>G (p.Ile383Val)TARDBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
21483NM_007375.4(TARDBP):c.859G>A (p.Gly287Ser)TARDBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
21485NM_007375.4(TARDBP):c.883G>A (p.Gly295Ser)TARDBPPathogeniccriteria provided, single submitter
2202699NM_007375.4(TARDBP):c.1123A>G (p.Ser375Gly)TARDBPPathogeniccriteria provided, single submitter
5228NM_007375.4(TARDBP):c.1009A>G (p.Met337Val)TARDBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
5229NM_007375.4(TARDBP):c.991C>A (p.Gln331Lys)TARDBPPathogenicno assertion criteria provided
5232NM_007375.4(TARDBP):c.892G>A (p.Gly298Ser)TARDBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
5233NM_007375.4(TARDBP):c.506A>G (p.Asp169Gly)TARDBPPathogenicno assertion criteria provided
5234NM_007375.4(TARDBP):c.1042G>T (p.Gly348Cys)TARDBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
5235NM_007375.4(TARDBP):c.1028A>G (p.Gln343Arg)TARDBPPathogenicno assertion criteria provided
5236NM_007375.4(TARDBP):c.943G>A (p.Ala315Thr)TARDBPPathogeniccriteria provided, multiple submitters, no conflicts
21487NM_007375.4(TARDBP):c.931A>G (p.Met311Val)TARDBPLikely pathogeniccriteria provided, multiple submitters, no conflicts
2501300NM_007375.4(TARDBP):c.1133A>G (p.Asn378Ser)TARDBPLikely pathogeniccriteria provided, single submitter
4783510NM_007375.4(TARDBP):c.962C>G (p.Ala321Gly)TARDBPLikely pathogeniccriteria provided, single submitter
873228NM_007375.4(TARDBP):c.1060C>G (p.Gln354Glu)TARDBPLikely pathogeniccriteria provided, single submitter
938527NM_007375.4(TARDBP):c.962C>A (p.Ala321Asp)TARDBPLikely pathogeniccriteria provided, single submitter
939152NM_007375.4(TARDBP):c.1132A>G (p.Asn378Asp)TARDBPLikely pathogeniccriteria provided, single submitter
807060NM_001097577.3(ANG):c.3G>A (p.Met1Ile)ANGConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1300489NM_007375.4(TARDBP):c.1169A>G (p.Asn390Ser)TARDBPConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1446008NM_007375.4(TARDBP):c.1069G>C (p.Gly357Arg)TARDBPConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1806944NM_007375.4(TARDBP):c.883G>C (p.Gly295Arg)TARDBPConflicting classifications of pathogenicitycriteria provided, conflicting classifications
190399NM_007375.4(TARDBP):c.1150G>C (p.Gly384Arg)TARDBPConflicting classifications of pathogenicitycriteria provided, conflicting classifications
21477NM_007375.4(TARDBP):c.1168A>G (p.Asn390Asp)TARDBPConflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 6 · Orphanet: 13 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
TARDBPDefinitiveAutosomal dominantamyotrophic lateral sclerosis type 106

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
TARDBPOrphanet:275872Frontotemporal dementia with motor neuron disease
TARDBPOrphanet:700154TARDBP-related predominantly upper-limb distal myopathy
TARDBPOrphanet:803Amyotrophic lateral sclerosis
SOD1Orphanet:803Amyotrophic lateral sclerosis
OPTNOrphanet:803Amyotrophic lateral sclerosis
ERBB4Orphanet:178469Autosomal dominant non-syndromic intellectual disability
ERBB4Orphanet:803Amyotrophic lateral sclerosis
GRNOrphanet:100069Semantic dementia
GRNOrphanet:100070Progressive non-fluent aphasia
GRNOrphanet:275864Behavioral variant of frontotemporal dementia
GRNOrphanet:314629CLN11 disease
ANGOrphanet:803Amyotrophic lateral sclerosis
MASP2Orphanet:331187Immunodeficiency due to MASP-2 deficiency

Cohort genes → proteins

8 cohort genes, 8 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence8

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
TARDBPHGNC:11571ENSG00000120948Q13148TAR DNA-binding protein 43gencc,clinvar
SOD1HGNC:11179ENSG00000142168P00441Superoxide dismutase [Cu-Zn]clinvar
TUBA4AHGNC:12407ENSG00000127824P68366Tubulin alpha-4A chainclinvar
OPTNHGNC:17142ENSG00000123240Q96CV9Optineurinclinvar
ERBB4HGNC:3432ENSG00000178568Q15303Receptor tyrosine-protein kinase erbB-4clinvar
GRNHGNC:4601ENSG00000030582P28799Progranulinclinvar
ANGHGNC:483ENSG00000214274P03950Angiogeninclinvar
MASP2HGNC:6902ENSG00000009724O00187Mannan-binding lectin serine protease 2clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
TARDBPTAR DNA-binding protein 43RNA-binding protein that is involved in various steps of RNA biogenesis and processing.
SOD1Superoxide dismutase [Cu-Zn]Destroys radicals which are normally produced within the cells and which are toxic to biological systems.
TUBA4ATubulin alpha-4A chainTubulin is the major constituent of microtubules, a cylinder consisting of laterally associated linear protofilaments composed of alpha- and beta-tubulin heterodimers.
OPTNOptineurinPlays an important role in the maintenance of the Golgi complex, in membrane trafficking, in exocytosis, through its interaction with myosin VI and Rab8.
ERBB4Receptor tyrosine-protein kinase erbB-4Tyrosine-protein kinase that plays an essential role as cell surface receptor for neuregulins and EGF family members and regulates development of the heart, the central nervous system and the mammary gland, gene transcription, cell prolife…
GRNProgranulinSecreted protein that acts as a key regulator of lysosomal function and as a growth factor involved in inflammation, wound healing and cell proliferation.
ANGAngiogeninSecreted ribonuclease that can either promote or restrict cell proliferation of target cells, depending on the context.
MASP2Mannan-binding lectin serine protease 2Precursor of a serum protease that activates the lectin pathway of the complement system, a cascade of proteins that leads to phagocytosis and breakdown of pathogens and signaling that strengthens the adaptive immune system.

Protein-family classification

Druggable: 3 · Difficult: 0 · Unknown: 5 · Druggable fraction: 0.38

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
Protease14.6×0.502
Kinase13.5×0.502
Enzyme (other)11.5×0.502
Other/Unknown51.1×0.502

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
TARDBPOther/UnknownnoRRM_dom, Nucleotide-bd_a/b_plait_sf, RBD_domain_sf
SOD1Enzyme (other)yes1.15.1.1SOD_Cu_Zn_dom, SOD_Cu/Zn_BS, SOD_Cu/Zn_/chaperone
TUBA4AOther/UnknownnoTubulin, Alpha_tubulin, Tubulin_FtsZ_GTPase
OPTNOther/UnknownnoNEMO_N, CC2-LZ_dom, NEMO_ZF
ERBB4Kinaseyes2.7.10.1Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
GRNOther/UnknownnoGranulin, Granulin_sf, Granulin_fam
ANGOther/UnknownnoRNaseA, RNaseA_AS, RNaseA_domain
MASP2Proteaseyes3.4.21.104EGF-type_Asp/Asn_hydroxyl_site, Sushi_SCR_CCP_dom, EGF

Expression context

Cohort genes with no expression data: 0.

8 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)0
broad (>20)8
unknown0

Top tissues across cohort

TissueCohort genes
secondary oocyte2
liver2
right lobe of liver2
ganglionic eminence1
ventricular zone1
dorsal root ganglion1
pons1
substantia nigra pars compacta1
frontal pole1
gingiva1
gingival epithelium1
amniotic fluid1
gastrocnemius1
muscle of leg1
cranial nerve II1
endothelial cell1
granulocyte1
monocyte1
stromal cell of endometrium1
left ovary1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
TARDBP301ubiquitousmarkersecondary oocyte, ventricular zone, ganglionic eminence
SOD1304ubiquitousmarkerpons, dorsal root ganglion, substantia nigra pars compacta
TUBA4A299ubiquitousmarkergingival epithelium, frontal pole, gingiva
OPTN302ubiquitousmarkeramniotic fluid, gastrocnemius, muscle of leg
ERBB4226broadmarkerendothelial cell, secondary oocyte, cranial nerve II
GRN301ubiquitousmarkermonocyte, granulocyte, stromal cell of endometrium
ANG238ubiquitousmarkerright lobe of liver, liver, left ovary
MASP2172tissue_specificmarkerright lobe of liver, liver, cerebellar hemisphere

Protein interactions among cohort

Intra-cohort edges: 3.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TARDBP7,245
SOD16,807
ERBB44,325
OPTN3,505
GRN1,490
MASP21,321
TUBA4A1,118
ANG852

Intra-cohort edges

ABSources
OPTNSOD1biogrid_interaction, string_interaction
OPTNTARDBPstring_interaction
SOD1TARDBPstring_interaction

Structural data

PDB: 7 · AlphaFold-only: 1 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
SOD1P00441156
ANGP0395056
TARDBPQ1314844
OPTNQ96CV914
ERBB4Q1530314
MASP2O0018710
GRNP287998

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
TUBA4AP6836692.02

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 143. Enrichment computed across 8 evidence-associated genes (7 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 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
tRNA-derived small RNA (tsRNA or tRNA-related fragment, tRF) biogenesis1543.8×0.062ANG
Ficolins bind to repetitive carbohydrate structures on the target cell surface1326.3×0.062MASP2
Lectin pathway of complement activation1181.3×0.062MASP2
Downregulation of ERBB4 signaling1163.1×0.062ERBB4
PI3K events in ERBB4 signaling1148.3×0.062ERBB4
Regulation of TBK1, IKKε-mediated activation of IRF3, IRF7 upon TLR3 ligation1135.9×0.062OPTN
ERBB2 Activates PTK6 Signaling1116.5×0.062ERBB4
TICAM1-dependent activation of IRF3/IRF71116.5×0.062OPTN
Regulation of TBK1, IKKε (IKBKE)-mediated activation of IRF3, IRF71108.8×0.062OPTN
SHC1 events in ERBB4 signaling1102.0×0.062ERBB4
ERBB2 Regulates Cell Motility1102.0×0.062ERBB4
PI3K events in ERBB2 signaling196.0×0.062ERBB4
GRB2 events in ERBB2 signaling190.6×0.062ERBB4
Initial triggering of complement185.9×0.062MASP2
Activation of IRF3, IRF7 mediated by TBK1, IKKε (IKBKE)185.9×0.062OPTN
Microtubule-dependent trafficking of connexons from Golgi to the plasma membrane177.7×0.062TUBA4A
Transport of connexons to the plasma membrane177.7×0.062TUBA4A
SHC1 events in ERBB2 signaling168.0×0.062ERBB4
Gap junction trafficking and regulation168.0×0.062TUBA4A
Gap junction trafficking168.0×0.062TUBA4A
Post-chaperonin tubulin folding pathway168.0×0.062TUBA4A
Interleukin-12 family signaling168.0×0.062SOD1
Long-term potentiation168.0×0.062ERBB4
Signaling by ERBB2 TMD/JMD mutants168.0×0.062ERBB4
TNFR1-induced proapoptotic signaling162.8×0.062OPTN
Formation of tubulin folding intermediates by CCT/TriC160.4×0.062TUBA4A
Signaling by ERBB2 KD Mutants160.4×0.062ERBB4
Cooperation of Prefoldin and TriC/CCT in actin and tubulin folding158.3×0.062TUBA4A
Interleukin-12 signaling158.3×0.062SOD1
Prefoldin mediated transfer of substrate to CCT/TriC156.3×0.062TUBA4A

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 8 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
placenta development2110.9×0.014SOD1, ANG
ovarian follicle development298.0×0.014SOD1, ANG
embryo implantation287.8×0.014SOD1, GRN
nuclear inner membrane organization12106.5×0.015TARDBP
positive regulation of aspartic-type peptidase activity12106.5×0.015GRN
central nervous system morphogenesis11053.2×0.015ERBB4
establishment of planar polarity involved in nephron morphogenesis11053.2×0.015ERBB4
response to antipsychotic drug11053.2×0.015SOD1
positive regulation of inflammatory response to wounding11053.2×0.015GRN
positive regulation of trophectodermal cell proliferation11053.2×0.015GRN
negative regulation of translation in response to stress1702.2×0.015ANG
response to carbon monoxide1702.2×0.015SOD1
action potential initiation1702.2×0.015SOD1
positive regulation of protein folding1702.2×0.015GRN
astrocyte activation involved in immune response1526.6×0.015GRN
cardiac muscle tissue regeneration1526.6×0.015ERBB4
positive regulation of lysosome organization1526.6×0.015GRN
response to superoxide1421.3×0.015SOD1
trophectodermal cell proliferation1421.3×0.015GRN
negative regulation of receptor recycling1421.3×0.015OPTN
microglial cell activation involved in immune response1421.3×0.015GRN
tRNA decay1421.3×0.015ANG
olfactory bulb interneuron differentiation1421.3×0.015ERBB4
positive regulation of axon regeneration1421.3×0.015GRN
negative regulation of respiratory burst involved in inflammatory response1421.3×0.015GRN
type 2 mitophagy1421.3×0.015OPTN
positive regulation of oxidative stress-induced intrinsic apoptotic signaling pathway1421.3×0.015SOD1
positive regulation of epithelial cell proliferation261.1×0.015ERBB4, GRN
negative regulation of neuron apoptotic process227.7×0.015SOD1, GRN
signal transduction48.0×0.015OPTN, ERBB4, GRN, ANG

Therapeutics

Drug target analysis

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

Druggability breadth: 7 of 8 evidence-associated genes (88%) 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
TARDBPMITOXANTRONE
TUBA4ACOLCHICINE
ERBB4MOBOCERTINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
ERBB4474
TUBA4A224
TARDBP14
SOD100
OPTN00
GRN00
ANG00
MASP200

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
MITOXANTRONE4TARDBP
COLCHICINE4TUBA4A
VINBLASTINE4TUBA4A
LEVOFLOXACIN ANHYDROUS4TUBA4A
DOCETAXEL4TUBA4A
NOSCAPINE4TUBA4A
VINBLASTINE SULFATE4TUBA4A
PACLITAXEL4TUBA4A
LEVOFLOXACIN4TUBA4A
VINORELBINE4TUBA4A
TIRBANIBULIN4TUBA4A
PODOFILOX4TUBA4A
VINCRISTINE4TUBA4A
DOCETAXEL ANHYDROUS4TUBA4A
MOBOCERTINIB4ERBB4
AFATINIB4ERBB4
FEDRATINIB4ERBB4
NERATINIB4ERBB4
IBRUTINIB4ERBB4
AFATINIB DIMALEATE4ERBB4
DACOMITINIB4ERBB4
DACOMITINIB ANHYDROUS4ERBB4
VANDETANIB4ERBB4
BOSUTINIB4ERBB4
BRIGATINIB4ERBB4
ACALABRUTINIB4ERBB4
ZANUBRUTINIB4ERBB4
TIRABRUTINIB4ERBB4
RITLECITINIB4ERBB4
DASATINIB4ERBB4

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

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

SymbolAssaysType breakdown
TUBA4A1,695Binding:1654, Functional:35, ADMET:6
ERBB4591Binding:579, ADMET:8, Functional:4
SOD138Binding:32, Functional:5, ADMET:1
MASP29Binding:9
TARDBP8Binding:7, Functional:1
GRN2Binding:2
ANG2Binding:2

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
SOD11.15.1.1superoxide dismutase
ERBB42.7.10.1receptor protein-tyrosine kinase
MASP23.4.21.104mannan-binding lectin-associated serine protease-2

Cohort genes with high screening signal

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

SymbolChEMBL assays
TUBA4A1,695
ERBB4591

Pharmacogenomics

Cohort genes with a PharmGKB record: 8; 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.

CompoundMax phaseCohort target (bioactivity)
MITOXANTRONE4TARDBP
COLCHICINE4TUBA4A
VINBLASTINE4TUBA4A
LEVOFLOXACIN ANHYDROUS4TUBA4A
DOCETAXEL4TUBA4A
NOSCAPINE4TUBA4A
VINBLASTINE SULFATE4TUBA4A
PACLITAXEL4TUBA4A
LEVOFLOXACIN4TUBA4A
VINORELBINE4TUBA4A
TIRBANIBULIN4TUBA4A
PODOFILOX4TUBA4A
VINCRISTINE4TUBA4A
DOCETAXEL ANHYDROUS4TUBA4A
MOBOCERTINIB4ERBB4
AFATINIB4ERBB4
FEDRATINIB4ERBB4
NERATINIB4ERBB4
IBRUTINIB4ERBB4
AFATINIB DIMALEATE4ERBB4
DACOMITINIB4ERBB4
DACOMITINIB ANHYDROUS4ERBB4
VANDETANIB4ERBB4
BOSUTINIB4ERBB4
BRIGATINIB4ERBB4
ACALABRUTINIB4ERBB4
ZANUBRUTINIB4ERBB4
TIRABRUTINIB4ERBB4
RITLECITINIB4ERBB4
DASATINIB4ERBB4

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)3TARDBP, TUBA4A, ERBB4
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug2SOD1, MASP2
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug3OPTN, GRN, ANG

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
SOD138TARDBP
OPTN0
GRN2
ANG2
MASP29

Clinical trials & evidence

Clinical trials

Clinical trials: 0.