arthrogryposis, distal, type 1A
disease diseaseOn this page
Also known as AMCarthrogryposis multiplex congenitaDA1A
Summary
arthrogryposis, distal, type 1A (MONDO:0007157) is a disease caused by TPM2 (GenCC Strong), with 8 cohort genes and 5 clinical trials. The dominant Reactome pathway is Striated Muscle Contraction (3 cohort genes).
At a glance
- Causal gene: TPM2 (GenCC Strong)
- Cohort genes: 8
- ClinVar variants: 272
- Clinical trials: 5
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | arthrogryposis, distal, type 1A |
| Mondo ID | MONDO:0007157 |
| OMIM | 108120 |
| DOID | DOID:0111597 |
| SNOMED CT | 715314008 |
| UMLS | C0220662 |
| MedGen | 113099 |
| GARD | 0024527 |
| Is cancer (heuristic) | no |
Also known as: AMC · arthrogryposis multiplex congenita · arthrogryposis, distal, type 1A · DA1A
Data availability: 272 ClinVar variants · 3 GenCC gene-disease records.
Disease family
Classification path: disease › human disease › disease by developmental or physiological process › disorder of development or morphogenesis › developmental defect during embryogenesis › multiple congenital anomalies/dysmorphic syndrome › multiple congenital anomalies/dysmorphic syndrome without intellectual disability › digitotalar dysmorphism › arthrogryposis, distal, type 1A
Related subtypes (2): digitotalar dysmorphism; ulnar drift, hereditary, arthrogryposis, distal, type 1B
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
272 retrieved; paginated sample, class counts are floors:
119 likely benign, 89 uncertain significance, 15 conflicting classifications of pathogenicity, 13 benign, 12 likely pathogenic, 10 pathogenic, 8 benign/likely benign, 5 pathogenic/likely pathogenic, 1 pathogenic; risk factor
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 560980 | NM_003632.3(CNTNAP1):c.2015G>A (p.Trp672Ter) | CNTNAP1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 446117 | NM_000245.4(MET):c.3701A>G (p.Tyr1234Cys) | MET | Pathogenic; risk factor | no assertion criteria provided |
| 12460 | NM_003289.4(TPM2):c.271C>G (p.Arg91Gly) | TPM2 | Pathogenic | no assertion criteria provided |
| 12462 | NM_003289.4(TPM2):c.349G>A (p.Glu117Lys) | TPM2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12463 | NM_003289.4(TPM2):c.397C>T (p.Arg133Trp) | TPM2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 12464 | NM_003289.4(TPM2):c.121G>A (p.Glu41Lys) | TPM2 | Pathogenic | criteria provided, single submitter |
| 12465 | NM_003289.4(TPM2):c.412GAG[1] (p.Glu139del) | TPM2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 140486 | NM_003289.4(TPM2):c.14AGA[2] (p.Lys7del) | TPM2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 140493 | NM_003289.4(TPM2):c.628C>T (p.Gln210Ter) | TPM2 | Pathogenic | criteria provided, single submitter |
| 1686270 | NM_003289.4(TPM2):c.394_396dup (p.Asn132dup) | TPM2 | Pathogenic | criteria provided, single submitter |
| 2434210 | NM_003289.4(TPM2):c.220del (p.Ala74fs) | TPM2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 450194 | NM_003289.4(TPM2):c.70C>T (p.Gln24Ter) | TPM2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 569587 | NM_003289.4(TPM2):c.463G>A (p.Ala155Thr) | TPM2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 632042 | NM_003289.4(TPM2):c.663T>A (p.Tyr221Ter) | TPM2 | Pathogenic | criteria provided, single submitter |
| 816832 | NM_003289.4(TPM2):c.620_631dup (p.Gln210_Ala211insValGluAlaGln) | TPM2 | Pathogenic | no assertion criteria provided |
| 977300 | NM_003289.4(TPM2):c.782A>G (p.Tyr261Cys) | TPM2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1067848 | NM_003289.4(TPM2):c.364G>A (p.Glu122Lys) | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 12466 | NM_003289.4(TPM2):c.142AAG[1] (p.Lys49del) | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 1468701 | NM_003289.4(TPM2):c.493-2A>G | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 2017054 | NM_003289.4(TPM2):c.479G>T (p.Arg160Leu) | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 3667651 | NM_003289.4(TPM2):c.640-1G>A | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 458722 | NM_003289.4(TPM2):c.360TGA[1] (p.Asp121del) | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 4734141 | NM_003289.4(TPM2):c.563+1G>T | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 521421 | NM_003289.4(TPM2):c.26A>C (p.Gln9Pro) | TPM2 | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 577391 | NM_003289.4(TPM2):c.382A>G (p.Lys128Glu) | TPM2 | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 816834 | NM_003289.4(TPM2):c.180T>G (p.Tyr60Ter) | TPM2 | Likely pathogenic | no assertion criteria provided |
| 848549 | NM_003289.4(TPM2):c.41A>T (p.Asp14Val) | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 939822 | NM_003289.4(TPM2):c.606C>A (p.Asn202Lys) | TPM2 | Likely pathogenic | criteria provided, single submitter |
| 1302243 | NM_003289.4(TPM2):c.773-9_773-8insCA | TPM2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1494530 | NM_003289.4(TPM2):c.773-10_773-9insCG | TPM2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 12 · Orphanet: 20 · 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.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| TPM2 | Strong | Autosomal dominant | arthrogryposis, distal, type 1A | 12 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| TPM2 | Orphanet:1146 | Distal arthrogryposis type 1 |
| TPM2 | Orphanet:1147 | Sheldon-Hall syndrome |
| TPM2 | Orphanet:171436 | Typical nemaline myopathy |
| TPM2 | Orphanet:171439 | Childhood-onset nemaline myopathy |
| TPM2 | Orphanet:171881 | Cap myopathy |
| TPM2 | Orphanet:2020 | Congenital fiber-type disproportion myopathy |
| MET | Orphanet:319298 | Papillary renal cell carcinoma |
| MET | Orphanet:33402 | Pediatric hepatocellular carcinoma |
| MET | Orphanet:47044 | Hereditary papillary renal cell carcinoma |
| MET | Orphanet:488265 | Osteofibrous dysplasia |
| MET | Orphanet:90636 | Rare autosomal recessive non-syndromic sensorineural deafness type DFNB |
| MYH3 | Orphanet:1146 | Distal arthrogryposis type 1 |
| MYH3 | Orphanet:1147 | Sheldon-Hall syndrome |
| MYH3 | Orphanet:2053 | Freeman-Sheldon syndrome |
| MYH3 | Orphanet:2990 | Autosomal recessive multiple pterygium syndrome |
| MYH3 | Orphanet:3275 | Spondylocarpotarsal synostosis |
| MYH3 | Orphanet:65743 | Autosomal dominant multiple pterygium syndrome |
| MYH8 | Orphanet:319340 | Carney complex-trismus-pseudocamptodactyly syndrome |
| MYH8 | Orphanet:3377 | Trismus-pseudocamptodactyly syndrome |
| CNTNAP1 | Orphanet:2680 | Hypomyelination neuropathy-arthrogryposis syndrome |
Cohort genes → proteins
8 cohort genes, 7 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 8 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| TPM2 | HGNC:12011 | ENSG00000198467 | P07951 | Tropomyosin beta chain | gencc,clinvar |
| GLIPR2 | HGNC:18007 | ENSG00000122694 | Q9H4G4 | Golgi-associated plant pathogenesis-related protein 1 | clinvar |
| FAM219A | HGNC:19920 | ENSG00000164970 | Q8IW50 | Protein FAM219A | clinvar |
| MYHAS | HGNC:50609 | ENSG00000272975 | myosin heavy chain gene cluster antisense RNA | clinvar | |
| MET | HGNC:7029 | ENSG00000105976 | P08581 | Hepatocyte growth factor receptor | clinvar |
| MYH3 | HGNC:7573 | ENSG00000109063 | P11055 | Myosin-3 | clinvar |
| MYH8 | HGNC:7578 | ENSG00000133020 | P13535 | Myosin-8 | clinvar |
| CNTNAP1 | HGNC:8011 | ENSG00000108797 | P78357 | Contactin-associated protein 1 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| TPM2 | Tropomyosin beta chain | Binds to actin filaments in muscle and non-muscle cells. |
| MET | Hepatocyte growth factor receptor | Receptor tyrosine kinase that transduces signals from the extracellular matrix into the cytoplasm by binding to hepatocyte growth factor/HGF ligand. |
| MYH3 | Myosin-3 | Muscle contraction. |
| MYH8 | Myosin-8 | Muscle contraction. |
| CNTNAP1 | Contactin-associated protein 1 | Required, with CNTNAP2, for radial and longitudinal organization of myelinated axons. |
Protein-family classification
Druggable: 1 · Difficult: 2 · Unknown: 5 · Druggable fraction: 0.12
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 |
|---|---|---|---|
| Scaffold/PPI | 2 | 4.3× | 0.223 |
| Kinase | 1 | 3.5× | 0.382 |
| Other/Unknown | 5 | 1.1× | 0.496 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| TPM2 | Other/Unknown | no | Tropomyosin | |
| GLIPR2 | Other/Unknown | no | CRISP-related, CAP_dom, Allrgn_V5/Tpx1_CS | |
| FAM219A | Other/Unknown | no | FAM219 | |
| MYHAS | Other/Unknown | no | ||
| MET | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Semap_dom |
| MYH3 | Scaffold/PPI | no | Myosin_head_motor_dom-like, Myosin_tail, SH3_Myosin | |
| MYH8 | Scaffold/PPI | no | Myosin_head_motor_dom-like, Myosin_tail, SH3_Myosin | |
| CNTNAP1 | Other/Unknown | no | FA58C, EGF, Laminin_G |
Expression context
Cohort genes with no expression data: 0.
5 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 8 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| blood vessel layer | 1 |
| popliteal artery | 1 |
| saphenous vein | 1 |
| granulocyte | 1 |
| leukocyte | 1 |
| monocyte | 1 |
| medulla oblongata | 1 |
| superior vestibular nucleus | 1 |
| ventricular zone | 1 |
| hindlimb stylopod muscle | 1 |
| muscle of leg | 1 |
| skeletal muscle tissue | 1 |
| cartilage tissue | 1 |
| germinal epithelium of ovary | 1 |
| pigmented layer of retina | 1 |
| left testis | 1 |
| right testis | 1 |
| testis | 1 |
| quadriceps femoris | 1 |
| skeletal muscle tissue of rectus abdominis | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| TPM2 | 283 | ubiquitous | marker | saphenous vein, popliteal artery, blood vessel layer |
| GLIPR2 | 251 | ubiquitous | marker | monocyte, leukocyte, granulocyte |
| FAM219A | 245 | ubiquitous | yes | ventricular zone, superior vestibular nucleus, medulla oblongata |
| MYHAS | 65 | tissue_specific | yes | skeletal muscle tissue, hindlimb stylopod muscle, muscle of leg |
| MET | 270 | ubiquitous | marker | pigmented layer of retina, germinal epithelium of ovary, cartilage tissue |
| MYH3 | 203 | tissue_specific | yes | left testis, right testis, testis |
| MYH8 | 67 | tissue_specific | marker | vastus lateralis, quadriceps femoris, skeletal muscle tissue of rectus abdominis |
| CNTNAP1 | 209 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| MET | 5,823 |
| MYH3 | 1,795 |
| MYH8 | 1,719 |
| CNTNAP1 | 1,292 |
| GLIPR2 | 1,054 |
| FAM219A | 411 |
| TPM2 | 357 |
| MYHAS | 0 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| MYH3 | TPM2 | biogrid_interaction |
Structural data
PDB: 2 · AlphaFold-only: 5 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| MET | P08581 | 130 |
| GLIPR2 | Q9H4G4 | 3 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| TPM2 | P07951 | 91.51 |
| CNTNAP1 | P78357 | 81.51 |
| MYH8 | P13535 | 75.13 |
| MYH3 | P11055 | 74.35 |
| FAM219A | Q8IW50 | 63.93 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 48. Enrichment computed across 8 evidence-associated genes (5 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 5 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Striated Muscle Contraction | 3 | 185.2× | 1e-05 | TPM2, MYH3, MYH8 |
| Drug-mediated inhibition of MET activation | 1 | 1142.0× | 0.016 | MET |
| MET activates STAT3 | 1 | 761.3× | 0.016 | MET |
| MET activates PTPN11 | 1 | 456.8× | 0.016 | MET |
| MET interacts with TNS proteins | 1 | 456.8× | 0.016 | MET |
| MET Receptor Activation | 1 | 380.7× | 0.016 | MET |
| MET activates PI3K/AKT signaling | 1 | 380.7× | 0.016 | MET |
| Muscle contraction | 2 | 30.9× | 0.016 | MYH3, MYH8 |
| Sema4D mediated inhibition of cell attachment and migration | 1 | 285.5× | 0.016 | MET |
| Neurofascin interactions | 1 | 285.5× | 0.016 | CNTNAP1 |
| MET receptor recycling | 1 | 228.4× | 0.016 | MET |
| MET activates RAS signaling | 1 | 207.6× | 0.016 | MET |
| MET activates RAP1 and RAC1 | 1 | 207.6× | 0.016 | MET |
| Listeria monocytogenes entry into host cells | 1 | 207.6× | 0.016 | MET |
| InlB-mediated entry of Listeria monocytogenes into host cell | 1 | 152.3× | 0.021 | MET |
| Sema4D in semaphorin signaling | 1 | 134.3× | 0.022 | MET |
| MET promotes cell motility | 1 | 120.2× | 0.022 | MET |
| MECP2 regulates neuronal receptors and channels | 1 | 120.2× | 0.022 | MET |
| Regulation of MITF-M-dependent genes involved in cell cycle and proliferation | 1 | 114.2× | 0.022 | MET |
| Negative regulation of MET activity | 1 | 103.8× | 0.023 | MET |
| Semaphorin interactions | 1 | 78.8× | 0.028 | MET |
| MET activates PTK2 signaling | 1 | 76.1× | 0.028 | MET |
| PI3K/AKT Signaling in Cancer | 1 | 73.7× | 0.028 | MET |
| Bacterial Infection Pathways | 1 | 67.2× | 0.029 | MET |
| Signaling by MET | 1 | 63.4× | 0.029 | MET |
| Transcriptional Regulation by MECP2 | 1 | 63.4× | 0.029 | MET |
| Negative regulation of the PI3K/AKT network | 1 | 55.7× | 0.032 | MET |
| Smooth Muscle Contraction | 1 | 53.1× | 0.032 | TPM2 |
| MITF-M-dependent gene expression | 1 | 36.2× | 0.045 | MET |
| MAPK1/MAPK3 signaling | 1 | 26.2× | 0.060 | MET |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| muscle contraction | 3 | 104.0× | 1e-04 | TPM2, MYH3, MYH8 |
| muscle filament sliding | 2 | 351.1× | 3e-04 | MYH3, MYH8 |
| skeletal muscle contraction | 2 | 170.2× | 8e-04 | MYH3, MYH8 |
| ATP metabolic process | 2 | 156.0× | 8e-04 | MYH3, MYH8 |
| neuromuscular junction development, skeletal muscle fiber | 1 | 2808.7× | 0.003 | CNTNAP1 |
| regulation of ATP-dependent activity | 1 | 1404.3× | 0.004 | TPM2 |
| postsynaptic density organization | 1 | 1404.3× | 0.004 | CNTNAP1 |
| paranodal junction maintenance | 1 | 1404.3× | 0.004 | CNTNAP1 |
| protein localization to paranode region of axon | 1 | 702.2× | 0.006 | CNTNAP1 |
| protein localization to juxtaparanode region of axon | 1 | 702.2× | 0.006 | CNTNAP1 |
| negative regulation of hydrogen peroxide-mediated programmed cell death | 1 | 702.2× | 0.006 | MET |
| paranodal junction assembly | 1 | 468.1× | 0.008 | CNTNAP1 |
| hepatocyte growth factor receptor signaling pathway | 1 | 351.1× | 0.010 | MET |
| neuronal action potential propagation | 1 | 234.1× | 0.014 | CNTNAP1 |
| endothelial cell morphogenesis | 1 | 175.5× | 0.016 | MET |
| neuromuscular process controlling posture | 1 | 175.5× | 0.016 | CNTNAP1 |
| central nervous system myelination | 1 | 165.2× | 0.016 | CNTNAP1 |
| positive regulation of endothelial cell chemotaxis | 1 | 165.2× | 0.016 | MET |
| regulation of synapse maturation | 1 | 156.0× | 0.016 | CNTNAP1 |
| myelination in peripheral nervous system | 1 | 147.8× | 0.016 | CNTNAP1 |
| actin filament-based movement | 1 | 133.8× | 0.016 | MYH3 |
| positive chemotaxis | 1 | 133.8× | 0.016 | MET |
| branching morphogenesis of an epithelial tube | 1 | 122.1× | 0.017 | MET |
| pancreas development | 1 | 112.3× | 0.017 | MET |
| face morphogenesis | 1 | 82.6× | 0.023 | MYH3 |
| excitatory postsynaptic potential | 1 | 73.9× | 0.024 | MET |
| positive regulation of epithelial cell migration | 1 | 68.5× | 0.024 | GLIPR2 |
| embryonic limb morphogenesis | 1 | 66.9× | 0.024 | MYH3 |
| semaphorin-plexin signaling pathway | 1 | 66.9× | 0.024 | MET |
| sarcomere organization | 1 | 63.8× | 0.024 | MYH3 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 7
Druggability breadth: 1 of 8 evidence-associated genes (12%) 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 |
|---|---|
| MET | AFATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| MET | 95 | 4 |
| TPM2 | 0 | 0 |
| GLIPR2 | 0 | 0 |
| FAM219A | 0 | 0 |
| MYHAS | 0 | 0 |
| MYH3 | 0 | 0 |
| MYH8 | 0 | 0 |
| CNTNAP1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| AFATINIB | 4 | MET |
| FEDRATINIB | 4 | MET |
| TIVOZANIB | 4 | MET |
| AXITINIB | 4 | MET |
| SORAFENIB | 4 | MET |
| NERATINIB | 4 | MET |
| INFIGRATINIB PHOSPHATE | 4 | MET |
| INFIGRATINIB | 4 | MET |
| PALBOCICLIB | 4 | MET |
| ENTRECTINIB | 4 | MET |
| DABRAFENIB | 4 | MET |
| CABOZANTINIB S-MALATE | 4 | MET |
| AFATINIB DIMALEATE | 4 | MET |
| CABOZANTINIB | 4 | MET |
| CERITINIB | 4 | MET |
| VANDETANIB | 4 | MET |
| BOSUTINIB | 4 | MET |
| CAPMATINIB | 4 | MET |
| TEPOTINIB | 4 | MET |
| BRIGATINIB | 4 | MET |
| ENSARTINIB | 4 | MET |
| PAZOPANIB | 4 | MET |
| NINTEDANIB | 4 | MET |
| SUNITINIB | 4 | MET |
| ERLOTINIB | 4 | MET |
| CRIZOTINIB | 4 | MET |
| MIDOSTAURIN | 4 | MET |
| GEFITINIB | 4 | MET |
| LINSITINIB | 3 | MET |
| RIGOSERTIB | 3 | MET |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| MET | 2,015 | Binding:2005, Functional:6, ADMET:4 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| MET | 2.7.10.1 | receptor protein-tyrosine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| MET | 2,015 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 7; 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) |
|---|---|---|
| AFATINIB | 4 | MET |
| FEDRATINIB | 4 | MET |
| TIVOZANIB | 4 | MET |
| AXITINIB | 4 | MET |
| SORAFENIB | 4 | MET |
| NERATINIB | 4 | MET |
| INFIGRATINIB PHOSPHATE | 4 | MET |
| INFIGRATINIB | 4 | MET |
| PALBOCICLIB | 4 | MET |
| ENTRECTINIB | 4 | MET |
| DABRAFENIB | 4 | MET |
| CABOZANTINIB S-MALATE | 4 | MET |
| AFATINIB DIMALEATE | 4 | MET |
| CABOZANTINIB | 4 | MET |
| CERITINIB | 4 | MET |
| VANDETANIB | 4 | MET |
| BOSUTINIB | 4 | MET |
| CAPMATINIB | 4 | MET |
| TEPOTINIB | 4 | MET |
| BRIGATINIB | 4 | MET |
| ENSARTINIB | 4 | MET |
| PAZOPANIB | 4 | MET |
| NINTEDANIB | 4 | MET |
| SUNITINIB | 4 | MET |
| ERLOTINIB | 4 | MET |
| CRIZOTINIB | 4 | MET |
| MIDOSTAURIN | 4 | MET |
| GEFITINIB | 4 | MET |
| LINSITINIB | 3 | MET |
| RIGOSERTIB | 3 | MET |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | MET |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 7 | TPM2, GLIPR2, FAM219A, MYHAS, MYH3, MYH8, CNTNAP1 |
Undrugged target profiles
7 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| TPM2 | 0 | — |
| GLIPR2 | 0 | — |
| FAM219A | 0 | — |
| MYHAS | 0 | — |
| MYH3 | 0 | — |
| MYH8 | 0 | — |
| CNTNAP1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 5.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 5 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT07360574 | Not specified | NOT_YET_RECRUITING | Piezo2-related Arthrogryposis & physiopathOLOgy 3 |
| NCT01144741 | Not specified | TERMINATED | Survey Study and Records Review of Treatment Outcomes in Freeman-Sheldon Syndrome |
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