Autosomal dominant hypohidrotic ectodermal dysplasia

disease
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Also known as AD-HEDautosomal dominant anhidrotic ectodermal dysplasiahypohidrotic ectodermal dysplasia, autosomal dominant

Summary

Autosomal dominant hypohidrotic ectodermal dysplasia (MONDO:0015884) is a disease with 5 cohort genes.

At a glance

  • Prevalence: <1 / 1 000 000 (Worldwide) [Orphanet-validated]
  • Cohort genes: 5
  • ClinVar variants: 2
  • Phenotypes (HPO): 15

Clinical features

Epidemiology

Prevalence records

2 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Cases/families40WorldwideValidated
Point prevalence<1 / 1 000 000WorldwideValidated

Signs & symptoms

Clinical features (HPO)

15 HPO clinical features (Orphanet curated; top 15 by frequency):

HPO IDTermFrequency
HP:0000164Abnormality of the dentitionVery frequent (80-99%)
HP:0000668HypodontiaVery frequent (80-99%)
HP:0000963Thin skinVery frequent (80-99%)
HP:0000966HypohidrosisVery frequent (80-99%)
HP:0002231Sparse body hairVery frequent (80-99%)
HP:0006323Premature loss of primary teethVery frequent (80-99%)
HP:0006482Abnormal dental morphologyVery frequent (80-99%)
HP:0008070Sparse hairVery frequent (80-99%)
HP:0001231Abnormal fingernail morphologyFrequent (30-79%)
HP:0000457Depressed nasal ridgeOccasional (5-29%)
HP:0000964Eczematoid dermatitisOccasional (5-29%)
HP:0001000Abnormality of skin pigmentationOccasional (5-29%)
HP:0002047Malignant hyperthermiaOccasional (5-29%)
HP:0011220Prominent foreheadOccasional (5-29%)
HP:0012471Thick vermilion borderOccasional (5-29%)

Identifiers

Disease identifiers

FieldValue
Canonical nameautosomal dominant hypohidrotic ectodermal dysplasia
Mondo IDMONDO:0015884
Orphanet1810
ICD-11222258115
UMLSC0265331
MedGen539190
GARD0002048
Is cancer (heuristic)no

Also known as: AD-HED · autosomal dominant anhidrotic ectodermal dysplasia · hypohidrotic ectodermal dysplasia, autosomal dominant

Data availability: 2 ClinVar variants · 4 GenCC gene-disease records.

Disease family

An umbrella term covering 2 Mondo subtypes.

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary disease › autosomal genetic disease › autosomal dominant disease › autosomal dominant hypohidrotic ectodermal dysplasia

Related subtypes (191): autosomal dominant polycystic liver disease, cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1, tuberous sclerosis, Treacher-Collins syndrome, hereditary breast ovarian cancer syndrome, autosomal dominant polycystic kidney disease, Lynch syndrome, branchio-oto-renal syndrome, autosomal dominant Aarskog syndrome, acroosteolysis dominant type, ADULT syndrome, autosomal dominant Alport syndrome, amelogenesis imperfecta type 1B, Townes-Brocks syndrome, nevoid basal cell carcinoma syndrome, blepharophimosis, ptosis, and epicanthus inversus syndrome, autosomal dominant brachyolmia, branchiooculofacial syndrome, pheochromocytoma/paraganglioma syndrome 4, cataract-aberrant oral frenula-growth delay syndrome, cherubism, autosomal dominant chondrodysplasia punctata, autosomal dominant popliteal pterygium syndrome, blepharocheilodontic syndrome, cochleosaccular degeneration-cataract syndrome, renal coloboma syndrome, Beare-Stevenson cutis gyrata syndrome, autosomal dominant vibratory urticaria, neurohypophyseal diabetes insipidus, autosomal dominant Kenny-Caffey syndrome, Rapp-Hodgkin syndrome, Ehlers-Danlos syndrome, classic type, autosomal dominant Ehlers-Danlos syndrome, vascular type, multiple endocrine neoplasia type 1, Coffin-Siris syndrome 1, isolated congenital adermatoglyphia, Flynn-Aird syndrome, Frasier syndrome, hand-foot-genital syndrome, Holt-Oram syndrome, hyperkeratosis-hyperpigmentation syndrome, autosomal dominant ichthyosis vulgaris, hyper-IgE recurrent infection syndrome 1, autosomal dominant, autosomal dominant keratitis, autosomal dominant keratitis-ichthyosis-hearing loss syndrome, LADD syndrome, trichorhinophalangeal syndrome type II, Noonan syndrome with multiple lentigines, microcephaly with or without chorioretinopathy, lymphedema, or intellectual disability, Marfan syndrome, melanoma, cutaneous malignant, susceptibility to, 2, autosomal dominant primary microcephaly, autosomal dominant progressive external ophthalmoplegia, monilethrix, Muir-Torre syndrome, autosomal dominant myoglobinuria, autosomal dominant centronuclear myopathy, nail-patella syndrome, multiple endocrine neoplasia type 2B, autosomal dominant omodysplasia, pheochromocytoma/paraganglioma syndrome 1, Pelger-Huet anomaly, multiple endocrine neoplasia type 2A, piebaldism, autosomal dominant medullary cystic kidney disease with or without hyperuricemia, generalized juvenile polyposis/juvenile polyposis coli, juvenile polyposis/hereditary hemorrhagic telangiectasia syndrome, Peutz-Jeghers syndrome, contractures, pterygia, and spondylocarpotarsal fusion syndrome 1A, autosomal dominant distal renal tubular acidosis, retinoschisis, autosomal dominant, autosomal dominant Robinow syndrome, scapuloperoneal spinal muscular atrophy, autosomal dominant, autosomal dominant sideroblastic anemia, spondyloepiphyseal dysplasia tarda, autosomal dominant, proximal symphalangism, calcaneonavicular coalition, thanatophoric dysplasia type 1, trichorhinophalangeal syndrome type I, Muckle-Wells syndrome, autosomal dominant hypophosphatemic rickets, von Hippel-Lindau disease, Denys-Drash syndrome, autosomal dominant severe congenital neutropenia, Costello syndrome, EEC syndrome, multiple cutaneous and mucosal venous malformations, diffuse nonepidermolytic palmoplantar keratoderma, Timothy syndrome, pheochromocytoma/paraganglioma syndrome 2, spondyloepimetaphyseal dysplasia with multiple dislocations, Brooke-Spiegler syndrome, macrocephaly-autism syndrome, pheochromocytoma/paraganglioma syndrome 3, Duane-radial ray syndrome, PCWH syndrome, heart-hand syndrome, Slovenian type, congenital stationary night blindness autosomal dominant 3, mandibulofacial dysostosis-microcephaly syndrome, multiple endocrine neoplasia type 4, juvenile cataract-microcornea-renal glucosuria syndrome, Crouzon syndrome-acanthosis nigricans syndrome, Birk-Barel syndrome, thrombophilia due to protein S deficiency, autosomal dominant, dyskeratosis congenita, autosomal dominant 2, dyskeratosis congenita, autosomal dominant 3, colorectal cancer, hereditary nonpolyposis, type 6, colorectal cancer, hereditary nonpolyposis, type 7, brain small vessel disease 2A, autosomal dominant, intellectual disability, autosomal dominant 14, intellectual disability, autosomal dominant 15, intellectual disability, autosomal dominant 16, hypopigmentation-punctate palmoplantar keratoderma syndrome, intellectual disability-facial dysmorphism syndrome due to SETD5 haploinsufficiency, postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome, intellectual developmental disorder with microcephaly and with or without ocular malformations or hypogonadotropic hypogonadism, intellectual disability, autosomal dominant 29, intellectual disability, autosomal dominant 30, Houge-Janssens syndrome 2, severe achondroplasia-developmental delay-acanthosis nigricans syndrome, dyskeratosis congenita, autosomal dominant 6, epidermolysis bullosa simplex 6, generalized, with scarring and hair loss, autosomal dominant complex spastic paraplegia, early-onset autosomal dominant Alzheimer disease, muscular dystrophy, limb-girdle, autosomal dominant, Feingold syndrome, Carney complex, neuronopathy, distal hereditary motor, autosomal dominant, autosomal dominant coarctation of aorta, autosomal dominant spondylocostal dysostosis, Cowden disease, autosomal dominant distal myopathy, autosomal dominant rhegmatogenous retinal detachment, palmoplantar keratoderma-spastic paralysis syndrome, Alagille syndrome due to a JAG1 point mutation, PTEN hamartoma tumor syndrome, gastric adenocarcinoma and proximal polyposis of the stomach, autosomal dominant proximal renal tubular acidosis, autosomal dominant spastic ataxia, Waardenburg syndrome, hereditary retinoblastoma, autosomal dominant hypocalcemia, Li-Fraumeni syndrome, Loeys-Dietz syndrome, hereditary hemorrhagic telangiectasia, hereditary inclusion body myopathy-joint contractures-ophthalmoplegia syndrome, microcephalic osteodysplastic dysplasia, Saul-Wilson type, autosomal dominant intermediate Charcot-Marie-Tooth disease, autosomal dominant cutis laxa, autosomal dominant nonsyndromic hearing loss, autosomal dominant optic atrophy, autosomal dominant Emery-Dreifuss muscular dystrophy, autosomal dominant cerebellar ataxia, autosomal dominant osteopetrosis, autosomal dominant epidermolytic ichthyosis, ventricular arrhythmias due to cardiac ryanodine receptor calcium release deficiency syndrome, distal arthrogryposis type 2B1, neurofibromatosis, autosomal dominant cataract, arthrogryposis, distal, type 2B2, arthrogryposis, distal, type 2B3, Charcot-Marie-Tooth disease, demyelinating, type 1G, Delpire-McNeill syndrome, LAMA5-related multisystemic syndrome, autosomal dominant oculocutaneous albinism, Charcot-Marie-tooth disease, axonal, type 2DD, Pilarowski-Bjornsson syndrome, intellectual disability, autosomal dominant, fatty acyl-CoA reductase 1 upregulation, GUCY2D-related dominant retinopathy, RPE65-related dominant retinopathy, autosomal dominant titinopathy, NOG-related symphalangism spectrum disorder, ALPL-related autosomal dominant hypophosphatasia, MYH10-related neurodevelopmental disorder with congenital anomalies, spastic paraplegia 30A, autosomal dominant, TMEM127-related tumor predisposition, MAX-related tumor predisposition, BMPR1A-related juvenile polyposis syndrome, RP1-related dominant retinopathy, Birt-Hogg-Dube syndrome, inclusion body myopathy and brain white matter abnormalities, KINSSHIP syndrome, autosomal dominant nebulin-related myopathy, IMPG1-related dominant retinopathy, PROM1-related dominant retinopathy, PURA-related severe neonatal hypotonia-seizures-encephalopathy syndrome, ALG8-related autosomal dominant polycystic kidney and/or liver disease, NOTCH1-related AOS spectrum disorder, FLNB-associated autosomal dominant filamin related bone disorder, familial antiphospholipid syndrome

Subtypes (2): ectodermal dysplasia 10A, hypohidrotic/hair/nail type, autosomal dominant, ectodermal dysplasia 11A, hypohidrotic/hair/tooth type, autosomal dominant

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

2 retrieved; paginated sample, class counts are floors:

2 pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
228341NC_000002.12:g.(?108910426)(108912698_?)delEDARPathogeniccriteria provided, single submitter
163325NM_022336.3(EDAR):c.(?998)(1347_?)delRANBP2Pathogeniccriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 23 · Orphanet: 10 · 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
EDARDefinitiveAutosomal recessiveectodermal dysplasia 10B, hypohidrotic/hair/tooth type, autosomal recessive9
KDF1DefinitiveAutosomal dominantectodermal dysplasia 12, hypohidrotic/hair/tooth/nail type4
EDARADDStrongAutosomal dominantectodermal dysplasia 11A, hypohidrotic/hair/tooth type, autosomal dominant9
TRAF6SupportiveAutosomal dominantautosomal dominant hypohidrotic ectodermal dysplasia

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
EDAROrphanet:1810Autosomal dominant hypohidrotic ectodermal dysplasia
EDAROrphanet:248Autosomal recessive hypohidrotic ectodermal dysplasia
TRAF6Orphanet:1810Autosomal dominant hypohidrotic ectodermal dysplasia
EDARADDOrphanet:1810Autosomal dominant hypohidrotic ectodermal dysplasia
EDARADDOrphanet:248Autosomal recessive hypohidrotic ectodermal dysplasia
EDARADDOrphanet:99798Oligodontia
KDF1Orphanet:1810Autosomal dominant hypohidrotic ectodermal dysplasia
RANBP2Orphanet:178342Inflammatory myofibroblastic tumor
RANBP2Orphanet:263524Acute necrotizing encephalopathy of childhood
RANBP2Orphanet:88619Familial acute necrotizing encephalopathy

Cohort genes → proteins

5 cohort genes, 5 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence5

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
EDARHGNC:2895ENSG00000135960Q9UNE0Tumor necrosis factor receptor superfamily member EDARgencc,clinvar
TRAF6HGNC:12036ENSG00000175104Q9Y4K3TNF receptor-associated factor 6gencc
EDARADDHGNC:14341ENSG00000186197Q8WWZ3Ectodysplasin-A receptor-associated adapter proteingencc
KDF1HGNC:26624ENSG00000175707Q8NAX2Keratinocyte differentiation factor 1gencc
RANBP2HGNC:9848ENSG00000153201P49792E3 SUMO-protein ligase RanBP2clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
EDARTumor necrosis factor receptor superfamily member EDARReceptor for EDA isoform A1, but not for EDA isoform A2.
TRAF6TNF receptor-associated factor 6E3 ubiquitin ligase that, together with UBE2N and UBE2V1, mediates the synthesis of ‘Lys-63’-linked-polyubiquitin chains conjugated to proteins, such as ECSIT, IKBKG, IRAK1, AKT1 and AKT2.
EDARADDEctodysplasin-A receptor-associated adapter proteinAdapter protein that interacts with EDAR DEATH domain and couples the receptor to EDA signaling pathway during morphogenesis of ectodermal organs.
KDF1Keratinocyte differentiation factor 1Plays a role in the regulation of the epidermis formation during early development.
RANBP2E3 SUMO-protein ligase RanBP2E3 SUMO-protein ligase which facilitates SUMO1 and SUMO2 conjugation by UBE2I.

Protein-family classification

Druggable: 0 · Difficult: 2 · Unknown: 3 · Druggable fraction: 0.0

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
Transcription factor23.3×0.229
Other/Unknown31.1×0.608

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
EDAROther/UnknownnoDEATH-like_dom_sf, EDAR_N, TNR19/27/EDAR
TRAF6Transcription factornoZnf_TRAF, Znf_RING, MATH/TRAF_dom
EDARADDOther/UnknownnoDeath_dom, DEATH-like_dom_sf, EDARADD
KDF1Other/UnknownnoKDF1
RANBP2Transcription factornoRan_bind_dom, Znf_RanBP2, Cyclophilin-type_PPIase_dom

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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)5
unknown0

Top tissues across cohort

TissueCohort genes
secondary oocyte2
endothelial cell2
oocyte1
pancreatic ductal cell1
primordial germ cell in gonad1
islet of Langerhans1
male germ line stem cell (sensu Vertebrata) in testis1
sural nerve1
esophagus mucosa1
lower esophagus mucosa1
mucosa of transverse colon1
mucosa of paranasal sinus1
sperm1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
EDAR100tissue_specificyessecondary oocyte, oocyte, pancreatic ductal cell
TRAF6235ubiquitousmarkersecondary oocyte, endothelial cell, primordial germ cell in gonad
EDARADD147broadmarkerislet of Langerhans, sural nerve, male germ line stem cell (sensu Vertebrata) in testis
KDF1163broadmarkermucosa of transverse colon, lower esophagus mucosa, esophagus mucosa
RANBP2294ubiquitousmarkerendothelial cell, sperm, mucosa of paranasal sinus

Protein interactions among cohort

Intra-cohort edges: 3.

Hub genes (top 10 by interactor count)

SymbolInteractor count
RANBP27,348
TRAF66,163
EDAR1,307
KDF11,041
EDARADD659

Intra-cohort edges

ABSources
EDAREDARADDbiogrid_interaction, intact, string_interaction
EDARTRAF6string_interaction
EDARADDTRAF6biogrid_interaction, intact, string_interaction

Structural data

PDB: 3 · AlphaFold-only: 2 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
RANBP2P4979233
TRAF6Q9Y4K313
EDARQ9UNE01

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
EDARADDQ8WWZ373.81
KDF1Q8NAX259.59

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 72. Enrichment computed across 5 evidence-associated genes (4 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 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
TNFs bind their physiological receptors2196.9×0.003EDAR, EDARADD
IRAK2 mediated activation of TAK1 complex1285.5×0.025TRAF6
Regulated proteolysis of p75NTR1259.6×0.025TRAF6
TICAM1,TRAF6-dependent induction of TAK1 complex1259.6×0.025TRAF6
Alpha-protein kinase 1 signaling pathway1259.6×0.025TRAF6
p75NTR recruits signalling complexes1219.6×0.025TRAF6
NF-kB is activated and signals survival1219.6×0.025TRAF6
TRAF6 mediated IRF7 activation in TLR7/8 or 9 signaling1219.6×0.025TRAF6
IRAK1 recruits IKK complex1203.9×0.025TRAF6
IRAK1 recruits IKK complex upon TLR7/8 or 9 stimulation1203.9×0.025TRAF6
IRAK2 mediated activation of TAK1 complex upon TLR7/8 or 9 stimulation1190.3×0.025TRAF6
NRIF signals cell death from the nucleus1178.4×0.025TRAF6
TRAF6-mediated induction of TAK1 complex within TLR4 complex1178.4×0.025TRAF6
Regulation of NF-kappa B signaling1158.6×0.025TRAF6
TICAM1, RIP1-mediated IKK complex recruitment1150.3×0.025TRAF6
JNK (c-Jun kinases) phosphorylation and activation mediated by activated human TAK11129.8×0.025TRAF6
activated TAK1 mediates p38 MAPK activation1124.1×0.025TRAF6
IKK complex recruitment mediated by RIP11124.1×0.025TRAF6
TRAF6 mediated NF-kB activation1114.2×0.025TRAF6
IPs transport between nucleus and cytosol195.2×0.025RANBP2
IP3 and IP4 transport between cytosol and nucleus195.2×0.025RANBP2
IP6 and IP7 transport between cytosol and nucleus195.2×0.025RANBP2
TRAF6 mediated IRF7 activation195.2×0.025TRAF6
Transport of Ribonucleoproteins into the Host Nucleus189.2×0.025RANBP2
Regulation of Glucokinase by Glucokinase Regulatory Protein189.2×0.025RANBP2
Defective TPR may confer susceptibility towards thyroid papillary carcinoma (TPC)189.2×0.025RANBP2
NEP/NS2 Interacts with the Cellular Export Machinery186.5×0.025RANBP2
Nuclear import of Rev protein184.0×0.025RANBP2
Vpr-mediated nuclear import of PICs184.0×0.025RANBP2
Transport of the SLBP independent Mature mRNA181.6×0.025RANBP2

GO biological processes 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.

GO termCohort genesFoldFDRSample cohort genes
odontogenesis of dentin-containing tooth2120.4×0.010EDAR, TRAF6
limb epidermis development11685.2×0.016KDF1
regulation of epidermal cell division11123.5×0.016KDF1
salivary gland cavitation1674.1×0.016EDAR
interleukin-17A-mediated signaling pathway1561.7×0.016TRAF6
regulation of immunoglobulin production1481.5×0.016TRAF6
interleukin-33-mediated signaling pathway1421.3×0.016TRAF6
positive regulation of epidermal cell differentiation1421.3×0.016KDF1
T-helper 1 type immune response1374.5×0.016TRAF6
CD40 signaling pathway1337.0×0.016TRAF6
interleukin-17-mediated signaling pathway1337.0×0.016TRAF6
keratinocyte development1306.4×0.016KDF1
morphogenesis of embryonic epithelium1306.4×0.016KDF1
positive regulation of lipopolysaccharide-mediated signaling pathway1306.4×0.016TRAF6
activation of protein kinase activity1306.4×0.016TRAF6
TRIF-dependent toll-like receptor signaling pathway1306.4×0.016TRAF6
nuclear export1306.4×0.016RANBP2
positive regulation of JNK cascade265.4×0.016EDAR, TRAF6
positive regulation of canonical NF-kappaB signal transduction229.1×0.016EDAR, TRAF6
positive regulation of leukocyte adhesion to vascular endothelial cell1280.9×0.016TRAF6
positive regulation of T cell cytokine production1259.3×0.016TRAF6
positive regulation of JUN kinase activity1259.3×0.016TRAF6
regulation of gluconeogenesis1224.7×0.017RANBP2
toll-like receptor 3 signaling pathway1224.7×0.017TRAF6
MyD88-dependent toll-like receptor signaling pathway1187.2×0.017TRAF6
myeloid dendritic cell differentiation1187.2×0.017TRAF6
cytoplasmic pattern recognition receptor signaling pathway1177.4×0.017TRAF6
centrosome localization1177.4×0.017RANBP2
regulation of neurotransmitter receptor localization to postsynaptic specialization membrane1177.4×0.017TRAF6
non-canonical NF-kappaB signal transduction1168.5×0.017TRAF6

Therapeutics

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 5

Druggability breadth: 3 of 5 evidence-associated genes (60%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

SymbolMoleculesMax phase
EDAR00
TRAF600
EDARADD00
KDF100
RANBP200

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

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

SymbolAssaysType breakdown
TRAF66Binding:6
EDAR1Binding:1
RANBP21Binding:1

Pharmacogenomics

Cohort genes with a PharmGKB record: 5; 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):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug5EDAR, TRAF6, EDARADD, KDF1, RANBP2

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
EDAR1
TRAF66
EDARADD0
KDF10
RANBP21

Clinical trials & evidence

Clinical trials

Clinical trials: 0.