Autoimmune hepatitis
diseaseOn this page
Also known as AIHautoimmune chronic active hepatitisautoimmune chronic hepatitisautoimmune hepatitis with centrilobular necrosisautoimmune liver diseasechronic autoimmune hepatitis
Summary
Autoimmune hepatitis (MONDO:0016264) is a disease (an umbrella term covering 7 Mondo subtypes) with 4 cohort genes (17 GWAS associations across 6 studies) and 64 clinical trials. Top therapeutic interventions include azathioprine, mycophenolate mofetil, and cannabidiol.
At a glance
- Prevalence: 1-5 / 10 000 (Norway) [Orphanet-validated]
- Umbrella term: 7 Mondo subtypes
- Cohort genes: 4
- GWAS associations: 17
- Phenotypes (HPO): 34
- Clinical trials: 64
Clinical features
Epidemiology
Prevalence records
17 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Annual incidence | 1-9 / 1 000 000 | 0.75 | Europe | Validated |
| Annual incidence | 1-9 / 100 000 | 1.9 | Norway | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.85 | Sweden | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.95 | Spain | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.67 | Israel | Validated |
| Annual incidence | 1-9 / 100 000 | 1.68 | Denmark | Validated |
| Point prevalence | 1-5 / 10 000 | 16.9 | Norway | Validated |
| Point prevalence | 1-5 / 10 000 | 24.5 | New Zealand | Validated |
| Point prevalence | 1-5 / 10 000 | 11.6 | Spain | Validated |
| Point prevalence | 1-5 / 10 000 | 10.7 | Sweden | Validated |
| Point prevalence | 1-5 / 10 000 | 11 | Israel | Validated |
| Point prevalence | 1-5 / 10 000 | 23.9 | Denmark | Validated |
| Point prevalence | 1-9 / 100 000 | 4 | Singapore | Validated |
| Point prevalence | 1-5 / 10 000 | 42.9 | Specific population | Validated |
| Annual incidence | 1-9 / 100 000 | 1.2 | Worldwide | Not yet validated |
| Point prevalence | 1-5 / 10 000 | 23.5 | Worldwide | Not yet validated |
| Point prevalence | 1-5 / 10 000 | Europe | Not yet validated |
Signs & symptoms
Clinical features (HPO)
34 HPO clinical features (Orphanet curated; top 34 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0003237 | Increased circulating IgG level | Obligate (100%) |
| HP:0010702 | Increased circulating antibody level | Obligate (100%) |
| HP:0002910 | Elevated circulating hepatic transaminase concentration | Very frequent (80-99%) |
| HP:0003262 | Smooth muscle antibody positivity | Very frequent (80-99%) |
| HP:0003453 | Antineutrophil antibody positivity | Very frequent (80-99%) |
| HP:0003493 | Antinuclear antibody positivity | Very frequent (80-99%) |
| HP:0030908 | Liver kidney microsome type 1 antibody positivity | Very frequent (80-99%) |
| HP:0030909 | Anti-liver cytosolic antigen type 1 antibody positivity | Very frequent (80-99%) |
| HP:0031925 | Rosette | Very frequent (80-99%) |
| HP:0000716 | Depression | Frequent (30-79%) |
| HP:0002027 | Abdominal pain | Frequent (30-79%) |
| HP:0002829 | Arthralgia | Frequent (30-79%) |
| HP:0012432 | Chronic fatigue | Frequent (30-79%) |
| HP:0012522 | Spider hemangioma | Frequent (30-79%) |
| HP:0032469 | Anti-asialoglycoprotein receptor antibody positivity | Frequent (30-79%) |
| HP:0000099 | Glomerulonephritis | Occasional (5-29%) |
| HP:0000739 | Anxiety | Occasional (5-29%) |
| HP:0000952 | Jaundice | Occasional (5-29%) |
| HP:0001045 | Vitiligo | Occasional (5-29%) |
| HP:0001369 | Arthritis | Occasional (5-29%) |
| HP:0001394 | Cirrhosis | Occasional (5-29%) |
| HP:0001541 | Ascites | Occasional (5-29%) |
| HP:0001744 | Splenomegaly | Occasional (5-29%) |
| HP:0002037 | Inflammation of the large intestine | Occasional (5-29%) |
| HP:0002239 | Gastrointestinal hemorrhage | Occasional (5-29%) |
| HP:0003573 | Increased total bilirubin | Occasional (5-29%) |
| HP:0006555 | Diffuse hepatic steatosis | Occasional (5-29%) |
| HP:0030991 | Sclerosing cholangitis | Occasional (5-29%) |
| HP:0100279 | Ulcerative colitis | Occasional (5-29%) |
| HP:0100646 | Thyroiditis | Occasional (5-29%) |
| HP:0200119 | Acute hepatitis | Occasional (5-29%) |
| HP:0001402 | Hepatocellular carcinoma | Very rare (<1-4%) |
| HP:0004787 | Fulminant hepatitis | Very rare (<1-4%) |
| HP:0006562 | Viral hepatitis | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | autoimmune hepatitis |
| Mondo ID | MONDO:0016264 |
| EFO | EFO:0005676 |
| MeSH | D019693 |
| Orphanet | 2137 |
| DOID | DOID:2048 |
| ICD-10-CM | K75.4 |
| ICD-11 | 1235727122 |
| NCIT | C27029 |
| SNOMED CT | 408335007 |
| UMLS | C4721555 |
| MedGen | 1666753 |
| GARD | 0005871 |
| MedDRA | 10003827 |
| NORD | 1897 |
| Is cancer (heuristic) | no |
Also known as: AIH · autoimmune chronic active hepatitis · autoimmune chronic hepatitis · autoimmune hepatitis · autoimmune hepatitis with centrilobular necrosis · autoimmune liver disease · chronic autoimmune hepatitis
Data availability: 17 GWAS associations (6 studies) · 24 cell lines.
Disease family
An umbrella term covering 7 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › endocrine system disorder › autoimmune disorder of endocrine system › autoimmune hepatitis
Related subtypes (12): type 1 diabetes mellitus, autoimmune thyroid disease, immune dysregulation-polyendocrinopathy-enteropathy-X-linked syndrome, autoimmune enteropathy and endocrinopathy - susceptibility to chronic infections syndrome, autoimmune pancreatitis, autoimmune polyendocrinopathy, autoimmune hypoparathyroidism, insulin autoimmune syndrome, IgG4-related sclerosing cholangitis, lymphocytic hypophysitis, autoimmune oophoritis, autoimmune primary ovarian failure
Subtypes (7): autoimmune hepatitis type 1, autoimmune hepatitis type 2, autoimmune hepatitis type 3, primary biliary cholangitis/primary sclerosing cholangitis and autoimmune hepatitis overlap syndrome, seronegative autoimmune hepatitis, autoimmune cholangitis, giant cell hepatitis with autoimmune hemolytic anemia
Genetics & variants
GWAS landscape
17 GWAS associations across 6 studies. Top hits map to 12 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs2187668 | 2e-78 | HLA-DQA1 | ? | 2.9 |
| rs6932730 | 9e-73 | MICA-AS1 | ? | 2.32 |
| rs1794514 | 6e-14 | HLA-DQB1 - MTCO3P1 | C | 0.5 |
| DQA1*05:01 | 4e-11 | ? | ||
| rs3891175 | 5e-11 | HLA-DQB1 | ? | 2.41 |
| rs72929257 | 3e-09 | ICOS - DSTNP5 | ? | 1.31 |
| rs6809477 | 5e-09 | SYNPR-AS1, SYNPR | ? | 1.25 |
| rs56036302 | 7e-09 | TSBP1-AS1, TSBP1 | T | 1.24 |
| rs564176274 | 9e-09 | HLA-DQB1 - MTCO3P1 | ? | 0.02 |
| rs3184504 | 8e-08 | ATXN2, SH2B3 | ? | 1.4 |
| rs11889341 | 1e-07 | STAT4 | ? | 1.24 |
| DQB1*02:01 | 2e-07 | ? | ||
| rs9564997 | 3e-07 | LINC00393 | ? | 0.81 |
| rs7574865 | 1e-06 | STAT4 | ? | 1.21 |
| rs6000782 | 3e-06 | CARD10 - CDC42EP1 | ? | 1.7 |
| rs11084330 | 5e-06 | LILRA4 | ? | 0.66 |
| rs11117432 | 6e-06 | LINC02132 - LINC01082 | ? | 0.72 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90103934 | Li Y | 2022 | 1,622 | 10,466 | Genome-wide Meta-analysis Identifies Novel Susceptibility Loci for Autoimmune Hepatitis Type 1. |
| GCST90018785 | Sakaue S | 2021 | 821 | 484,413 | A cross-population atlas of genetic associations for 220 human phenotypes. |
| GCST002423 | de Boer YS | 2014 | 649 | 13,436 | Genome-wide association study identifies variants associated with autoimmune hepatitis type 1. |
| GCST90492681 | Lyu X | 2024 | 153 | 212,616 | A genome-wide cross-trait analysis identifying shared genetic basis and causal relationships between Hunner-type interstitial cystitis and autoimmune diseases in East Asian populations. |
| GCST005853 | Alberts R | 2017 | 107 | 3,159 | Genetic association analysis identifies variants associated with disease progression in primary sclerosing cholangitis. |
| GCST90018565 | Sakaue S | 2021 | 85 | 166,529 | A cross-population atlas of genetic associations for 220 human phenotypes. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 2 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 14 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 14 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 2 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 8 |
| intergenic_variant | 4 |
| unknown | 2 |
| 5_prime_UTR_variant | 1 |
| missense_variant | 1 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs2187668 | 6 | 32638107 | C>A,G,T | 0.15 | intron_variant | HLA-DQA1 | 2e-78 | Tier 4: intronic/intergenic |
| rs6932730 | 6 | 31386405 | T>C | 0.05 | intron_variant | MICA-AS1 | 9e-73 | Tier 4: intronic/intergenic |
| rs1794514 | 6 | 32699696 | G>A,C,T | 0.05 | intergenic_variant | HLA-DQB1 - MTCO3P1 | 6e-14 | Tier 4: intronic/intergenic |
| DQA1*05:01 | 4e-11 | Tier 4: intronic/intergenic | ||||||
| rs3891175 | 6 | 32666690 | C>A,G,T | 0.05 | 5_prime_UTR_variant | HLA-DQB1 | 5e-11 | Tier 2: splice/UTR |
| rs72929257 | 2 | 204117920 | C>T | 0.05 | intergenic_variant | ICOS - DSTNP5 | 3e-09 | Tier 4: intronic/intergenic |
| rs6809477 | 3 | 63577606 | C>A,T | 0.05 | intron_variant | SYNPR-AS1, SYNPR | 5e-09 | Tier 4: intronic/intergenic |
| rs56036302 | 6 | 32304379 | A>T | 0.2 | intron_variant | TSBP1-AS1, TSBP1 | 7e-09 | Tier 4: intronic/intergenic |
| rs564176274 | 6 | 32674248 | C>T | 0.05 | intergenic_variant | HLA-DQB1 - MTCO3P1 | 9e-09 | Tier 4: intronic/intergenic |
| rs3184504 | 12 | 111446804 | T>A,C,G | 0.43 | missense_variant | ATXN2, SH2B3 | 8e-08 | Tier 1: coding |
| rs11889341 | 2 | 191079016 | C>T | 0.05 | intron_variant | STAT4 | 1e-07 | Tier 4: intronic/intergenic |
| DQB1*02:01 | 2e-07 | Tier 4: intronic/intergenic | ||||||
| rs9564997 | 13 | 73469604 | C>A,G,T | 0.05 | intron_variant | LINC00393 | 3e-07 | Tier 4: intronic/intergenic |
| rs7574865 | 2 | 191099907 | T>A,G | 0.05 | intron_variant | STAT4 | 1e-06 | Tier 4: intronic/intergenic |
| rs6000782 | 22 | 37532179 | A>C | 0.04 | intron_variant | CARD10 - CDC42EP1 | 3e-06 | Tier 4: intronic/intergenic |
| rs11084330 | 19 | 54333209 | A>G | 0.05 | 3_prime_UTR_variant | LILRA4 | 5e-06 | Tier 2: splice/UTR |
| rs11117432 | 16 | 85985665 | G>A | 0.05 | intergenic_variant | LINC02132 - LINC01082 | 6e-06 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 9 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 1
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|---|---|
| SH2B3 | SH2B3 | GWAS, Orphanet |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SH2B3 | Orphanet:3318 | Essential thrombocythemia |
| SH2B3 | Orphanet:391366 | Growth retardation-mild developmental delay-chronic hepatitis syndrome |
| HLA-DQA1 | Orphanet:391490 | Adult-onset myasthenia gravis |
| HLA-DQA1 | Orphanet:930 | Idiopathic achalasia |
| HLA-DQB1 | Orphanet:2073 | Narcolepsy type 1 |
| HLA-DQB1 | Orphanet:477738 | Pediatric multiple sclerosis |
| HLA-DQB1 | Orphanet:703 | Bullous pemphigoid |
| HLA-DQB1 | Orphanet:83465 | Narcolepsy type 2 |
| HLA-DQB1 | Orphanet:930 | Idiopathic achalasia |
Cohort genes → proteins
4 cohort genes, 4 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 4 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| CARD10 | HGNC:16422 | ENSG00000100065 | Q9BWT7 | Caspase recruitment domain-containing protein 10 | gwas |
| SH2B3 | HGNC:29605 | ENSG00000111252 | Q9UQQ2 | SH2B adapter protein 3 | gwas |
| HLA-DQA1 | HGNC:4942 | ENSG00000196735 | P01909 | HLA class II histocompatibility antigen, DQ alpha 1 chain | gwas |
| HLA-DQB1 | HGNC:4944 | ENSG00000179344 | P01920 | HLA class II histocompatibility antigen, DQ beta 1 chain | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| CARD10 | Caspase recruitment domain-containing protein 10 | Scaffold protein that plays an important role in mediating the activation of NF-kappa-B via BCL10 or EGFR. |
| SH2B3 | SH2B adapter protein 3 | Links T-cell receptor activation signal to phospholipase C-gamma-1, GRB2 and phosphatidylinositol 3-kinase. |
| HLA-DQA1 | HLA class II histocompatibility antigen, DQ alpha 1 chain | Binds peptides derived from antigens that access the endocytic route of antigen presenting cells (APC) and presents them on the cell surface for recognition by the CD4 T-cells. |
| HLA-DQB1 | HLA class II histocompatibility antigen, DQ beta 1 chain | Binds peptides derived from antigens that access the endocytic route of antigen presenting cells (APC) and presents them on the cell surface for recognition by the CD4 T-cells. |
Protein-family classification
Druggable: 2 · Difficult: 1 · Unknown: 1 · Druggable fraction: 0.5
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 |
|---|---|---|---|
| Antibody/Immunoglobulin | 2 | 14.6× | 0.020 |
| Scaffold/PPI | 1 | 4.3× | 0.318 |
| Other/Unknown | 1 | 0.5× | 0.962 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| CARD10 | Other/Unknown | no | CARD, DEATH-like_dom_sf, P-loop_NTPase | |
| SH2B3 | Scaffold/PPI | no | SH2, PH_domain, PH-like_dom_sf | |
| HLA-DQA1 | Antibody/Immunoglobulin | yes | MHC_II_a_N, Ig/MHC_CS, Ig_C1-set | |
| HLA-DQB1 | Antibody/Immunoglobulin | yes | MHC_II_b_N, Ig/MHC_CS, Ig_C1-set |
Expression context
Cohort genes with no expression data: 0.
4 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) | 4 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| monocyte | 2 |
| jejunal mucosa | 1 |
| pancreatic ductal cell | 1 |
| parotid gland | 1 |
| leukocyte | 1 |
| mononuclear cell | 1 |
| gall bladder | 1 |
| rectum | 1 |
| right lung | 1 |
| spleen | 1 |
| upper lobe of left lung | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| CARD10 | 243 | ubiquitous | marker | parotid gland, jejunal mucosa, pancreatic ductal cell |
| SH2B3 | 260 | ubiquitous | marker | monocyte, mononuclear cell, leukocyte |
| HLA-DQA1 | 244 | broad | marker | gall bladder, rectum, monocyte |
| HLA-DQB1 | 268 | broad | marker | right lung, spleen, upper lobe of left lung |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| CARD10 | 2,265 |
| SH2B3 | 1,617 |
| HLA-DQA1 | 196 |
| HLA-DQB1 | 128 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| HLA-DQA1 | HLA-DQB1 | biogrid_interaction, intact |
Structural data
PDB: 2 · AlphaFold-only: 2 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| HLA-DQA1 | P01909 | 28 |
| HLA-DQB1 | P01920 | 10 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| CARD10 | Q9BWT7 | 70.22 |
| SH2B3 | Q9UQQ2 | 63.45 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 17. Enrichment computed across 4 evidence-associated genes (3 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 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Interferon gamma signaling | 2 | 83.7× | 0.003 | HLA-DQA1, HLA-DQB1 |
| Negative regulation of FLT3 | 1 | 237.9× | 0.016 | SH2B3 |
| Translocation of ZAP-70 to Immunological synapse | 1 | 211.5× | 0.016 | HLA-DQA1 |
| Regulation of KIT signaling | 1 | 200.3× | 0.016 | SH2B3 |
| Phosphorylation of CD3 and TCR zeta chains | 1 | 181.3× | 0.016 | HLA-DQA1 |
| Co-inhibition by PD-1 | 1 | 173.0× | 0.016 | HLA-DQA1 |
| Generation of second messenger molecules | 1 | 115.3× | 0.018 | HLA-DQA1 |
| FLT3 Signaling | 1 | 115.3× | 0.018 | SH2B3 |
| Signaling by SCF-KIT | 1 | 82.8× | 0.023 | SH2B3 |
| Downstream TCR signaling | 1 | 42.8× | 0.039 | HLA-DQA1 |
| MHC class II antigen presentation | 1 | 29.7× | 0.051 | HLA-DQA1 |
| Factors involved in megakaryocyte development and platelet production | 1 | 22.1× | 0.063 | SH2B3 |
| Signaling by Receptor Tyrosine Kinases | 1 | 17.2× | 0.074 | SH2B3 |
| Cytokine Signaling in Immune system | 1 | 13.6× | 0.087 | SH2B3 |
| Hemostasis | 1 | 12.0× | 0.092 | SH2B3 |
| Immune System | 1 | 4.3× | 0.227 | SH2B3 |
| Signal Transduction | 1 | 3.4× | 0.267 | SH2B3 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| peptide antigen assembly with MHC class II protein complex | 2 | 526.6× | 2e-04 | HLA-DQA1, HLA-DQB1 |
| antigen processing and presentation of exogenous peptide antigen via MHC class II | 2 | 271.8× | 3e-04 | HLA-DQA1, HLA-DQB1 |
| positive regulation of immune response | 2 | 240.7× | 3e-04 | HLA-DQA1, HLA-DQB1 |
| positive regulation of T cell activation | 2 | 221.7× | 3e-04 | HLA-DQA1, HLA-DQB1 |
| negative regulation of Kit signaling pathway | 1 | 2106.5× | 0.003 | SH2B3 |
| monocyte homeostasis | 1 | 1404.3× | 0.004 | SH2B3 |
| adaptive immune response | 2 | 42.1× | 0.004 | HLA-DQA1, HLA-DQB1 |
| negative regulation of receptor signaling pathway via STAT | 1 | 842.6× | 0.005 | SH2B3 |
| cellular response to interleukin-3 | 1 | 702.2× | 0.005 | SH2B3 |
| negative regulation of response to cytokine stimulus | 1 | 702.2× | 0.005 | SH2B3 |
| negative regulation of chemokine-mediated signaling pathway | 1 | 601.9× | 0.005 | SH2B3 |
| thrombopoietin-mediated signaling pathway | 1 | 526.6× | 0.005 | SH2B3 |
| activation of NF-kappaB-inducing kinase activity | 1 | 421.3× | 0.006 | CARD10 |
| neutrophil homeostasis | 1 | 383.0× | 0.006 | SH2B3 |
| immune response | 2 | 23.5× | 0.006 | HLA-DQA1, HLA-DQB1 |
| negative regulation of platelet aggregation | 1 | 351.1× | 0.006 | SH2B3 |
| embryonic hemopoiesis | 1 | 247.8× | 0.007 | SH2B3 |
| negative regulation of cell migration involved in sprouting angiogenesis | 1 | 247.8× | 0.007 | CARD10 |
| cellular response to chemokine | 1 | 247.8× | 0.007 | SH2B3 |
| negative regulation of receptor signaling pathway via JAK-STAT | 1 | 221.7× | 0.008 | SH2B3 |
| hematopoietic stem cell differentiation | 1 | 191.5× | 0.008 | SH2B3 |
| megakaryocyte development | 1 | 175.5× | 0.009 | SH2B3 |
| erythrocyte development | 1 | 131.7× | 0.011 | SH2B3 |
| regulation of immune response | 1 | 123.9× | 0.011 | CARD10 |
| positive regulation of protein localization to nucleus | 1 | 98.0× | 0.014 | CARD10 |
| negative regulation of MAPK cascade | 1 | 75.2× | 0.017 | SH2B3 |
| humoral immune response | 1 | 70.2× | 0.018 | HLA-DQB1 |
| negative regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction | 1 | 65.8× | 0.018 | SH2B3 |
| T cell receptor signaling pathway | 1 | 38.0× | 0.031 | HLA-DQB1 |
| protein-containing complex assembly | 1 | 28.5× | 0.039 | CARD10 |
Therapeutics
Drugs indicated for this disease
0 approved, 3 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Cyclosporine | Phase 3 (in late-stage trials) |
| Paeoniflorin | Phase 3 (in late-stage trials) |
| Phosphatidylcholine | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Azathioprine, Budesonide, Cannabidiol, Ianalumab, Prednisone, Tacrolimus Anhydrous.
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 4
Druggability breadth: 1 of 4 evidence-associated genes (25%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| CARD10 | 0 | 0 |
| SH2B3 | 0 | 0 |
| HLA-DQA1 | 0 | 0 |
| HLA-DQB1 | 0 | 0 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| HLA-DQA1 | 2 | Binding:2 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 4; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
0 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.
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 2 | HLA-DQA1, HLA-DQB1 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 2 | CARD10, SH2B3 |
Undrugged target profiles
4 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CARD10 | 0 | — |
| SH2B3 | 0 | — |
| HLA-DQA1 | 2 | — |
| HLA-DQB1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 64.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 39 |
| PHASE2 | 9 |
| PHASE4 | 5 |
| PHASE1 | 4 |
| PHASE2/PHASE3 | 3 |
| PHASE3 | 2 |
| PHASE1/PHASE2 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00687180 | PHASE4 | COMPLETED | Mycophenolate vs Azathioprin in Autoimmune Hepatitis |
| NCT02463331 | PHASE4 | COMPLETED | Possible Role of Chloroquine to Induce a Complete Remission in the Treatment of Autoimmune Hepatitis: a Randomized Trial |
| NCT02900443 | PHASE4 | UNKNOWN | Mycophenolate Mofetil Versus Azathioprine in Treatment Naive Autoimmune Hepatitis |
| NCT04933292 | PHASE4 | UNKNOWN | A Randomised Clinical Trial Assessing the Efficacy and Safety of Mycophenolate Mofetil Versus Azathioprine for Induction of Remission in Treatment Primary Biliary Cholangitis-Autoimmune Hepatitis Overlap Syndrome |
| NCT05221411 | PHASE4 | UNKNOWN | Tacrolimus Versus Mycophenolate for Autoimmune Hepatitis Patients With Incomplete Response on First Line Therapy |
| NCT06650124 | PHASE2/PHASE3 | NOT_YET_RECRUITING | Induction of Remission in Autoimmune Hepatitis With Azathioprine vs. MMF |
| NCT07598825 | PHASE3 | NOT_YET_RECRUITING | A Trial of Inebilizumab in Participants With Autoimmune Hepatitis |
| NCT00838214 | PHASE2/PHASE3 | COMPLETED | Budesonide 3x3mg/d Versus Prednisone in Active Autoimmune Hepatitis |
| NCT01170351 | PHASE3 | COMPLETED | Cyclosporine-A Versus Prednisolone for Induction of Remission in Auto-immune Hepatitis |
| NCT03217422 | PHASE2/PHASE3 | COMPLETED | ADCC Mediated B-Cell dEpletion and BAFF-R Blockade |
| NCT06381453 | PHASE2 | RECRUITING | Belimumab in Autoimmune Hepatitis |
| NCT00608894 | PHASE2 | TERMINATED | LCP-Tacro vs. Azathioprine for the Treatment of Autoimmune Hepatitis |
| NCT01661842 | PHASE1/PHASE2 | UNKNOWN | Umbilical Cord Mesenchymal Stem Cells for Patients With Autoimmune Hepatitis |
| NCT01988506 | PHASE2 | COMPLETED | Induction of Regulatory t Cells by Low Dose il2 in Autoimmune and Inflammatory Diseases |
| NCT02556372 | PHASE2 | COMPLETED | Liver Test Study of Using JKB-122 in Autoimmune Hepatitis (AIH) Patients Who Are Refractory or Intolerant to Current Therapies |
| NCT04129489 | PHASE2 | TERMINATED | A Phase 2a Study to Evaluate the Safety and Efficacy of Cannabidiol Only as Maintenance Therapy and Steroid Sparing in Patients With Stable Autoimmune Hepatitis |
| NCT04371718 | PHASE2 | UNKNOWN | Effect of JKB-122 on Prednisolone and Azathioprine Induced Remission in Autoimmune Hepatitis (AIH) |
| NCT04790916 | PHASE2 | TERMINATED | Effect of RO7049665 on the Time to Relapse Following Steroid Tapering in Participants With Autoimmune Hepatitis (AIH) |
| NCT05476900 | PHASE2 | COMPLETED | A Study to Evaluate the Efficacy and Safety of HR19042 Capsules in the Treatment of Autoimmune Hepatitis. |
| NCT05569759 | PHASE2 | COMPLETED | A Study of Zetomipzomib (KZR-616) in Patients With Autoimmune Hepatitis (PORTOLA) |
| NCT06455280 | PHASE1 | RECRUITING | A Study of SIPLIZUMAB in AILD and LT Patients |
| NCT02239562 | PHASE1 | COMPLETED | sPIF CLINICAL STUDY PROTOCOL IN AUTOIMMUNE HEPATITIS |
| NCT04203875 | PHASE1 | TERMINATED | Abatacept for Treatment of Recurrent or de Novo Autoimmune Hepatitis |
| NCT04313205 | PHASE1 | UNKNOWN | A Pharmacokinetic Study of JKB-122 Tablets Compared to Capsule |
| NCT03842254 | EARLY_PHASE1 | COMPLETED | Use of Erythropoietin to Expand Regulatory T Cells in Autoimmune Liver Disease |
| NCT03146884 | Not specified | RECRUITING | Swiss Autoimmune Hepatitis Cohort Study |
| NCT03175471 | Not specified | RECRUITING | MRI Based Biomarkers in Pediatric Autoimmune Liver Disease |
| NCT03178630 | Not specified | RECRUITING | MRI Biomarkers in as Predictor of Clinical Endpoints in Pediatric Autoimmune Liver Disease |
| NCT03569826 | Not specified | RECRUITING | Canadian Network for Autoimmune Liver Disease |
| NCT04798625 | Not specified | ACTIVE_NOT_RECRUITING | Vaccine Response to COVID-19 Vaccines in Patients Using Immunosuppressive Medication |
| NCT04902807 | Not specified | RECRUITING | Conception of a Diagnosis, Prognosis and Therapeutic Decision Tool for Patients With Autoimmunity and Inflammation |
| NCT05635266 | Not specified | RECRUITING | Tissue Repository Providing Annotated Biospecimens for Approved Investigator-directed Biomedical Research Initiatives |
| NCT05740358 | Not specified | ACTIVE_NOT_RECRUITING | Liver Cirrhosis Network Cohort Study |
| NCT05750498 | Not specified | RECRUITING | A-LiNK: Improving Outcomes in Autoimmune Liver Disease |
| NCT05785793 | Not specified | RECRUITING | Autoimmune Hepatitis Cohort in China |
| NCT05810480 | Not specified | RECRUITING | PredIcting SterOid DepeNdEnt LivEr InjuRy with Polyreactive Immunoglobulin G |
| NCT06061341 | Not specified | ENROLLING_BY_INVITATION | TruGraf Liver Gene Expression Serial Test |
| NCT06078098 | Not specified | RECRUITING | Development of a Autoimmune Hepatitis Patient’s Database Linked to a Biological Sample Storage |
| NCT06250309 | Not specified | RECRUITING | Mediterranean Diet Versus Western Diet on Fatigue in Autoimmune Hepatitis Patients |
| NCT06356506 | Not specified | NOT_YET_RECRUITING | A Study on Factors of Biochemical Response in Autoimmune Hepatitis |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| AZATHIOPRINE | 4 | 5 |
| MYCOPHENOLATE MOFETIL | 4 | 3 |
| CANNABIDIOL | 4 | 1 |
| CHLOROQUINE PHOSPHATE | 4 | 1 |
| INEBILIZUMAB | 4 | 1 |
| METHYLPREDNISOLONE | 4 | 1 |
| PREDNISONE | 4 | 1 |
| IANALUMAB | 3 | 1 |
| MELREDABLEUKIN ALFA | 2 | 1 |
| SIPLIZUMAB | 2 | 1 |
| ZETOMIPZOMIB | 2 | 1 |
| CHEMBL15720 | 0 | 1 |
Related Atlas pages
- Cohort genes: CARD10, SH2B3, HLA-DQA1, HLA-DQB1
- Drugs: Azathioprine, Mycophenolate Mofetil, Cannabidiol, Chloroquine Phosphate, Inebilizumab, Methylprednisolone, Prednisone, Ianalumab