Summary
Barrett esophagus (MONDO:0013662) is a disease with 34 cohort genes (145 GWAS associations across 28 studies) and 269 clinical trials. Top therapeutic interventions include esomeprazole, enalapril, and dexlansoprazole.
At a glance
- Cohort genes: 34
- GWAS associations: 145
- ClinVar variants: 5
- Clinical trials: 269
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | Barrett esophagus |
| Mondo ID | MONDO:0013662 |
| EFO | EFO:0000280 |
| MeSH | D001471 |
| OMIM | 614266 |
| Orphanet | 1232 |
| DOID | DOID:9206 |
| ICD-10-CM | K22.7 |
| NCIT | C2891 |
| SNOMED CT | 196609006 |
| UMLS | C0004763 |
| MedGen | 2551 |
| Is cancer (heuristic) | no |
Also known as: adenocarcinoma of oesophagus · Barrett esophagus · Barrett esophagus/esophageal adenocarcinoma · Barrett’s esophagus · Barrett’s oesophagus with esophagitis · Barrett’s ulcer of oesophagus · BE · CELLO · cello · CLE · columnar epithelial-lined Lower esophagus · columnar epithelial-lined Lower oesophagus · columnar-lined esophagus · columnar-lined oesophagus
Data availability: 5 ClinVar variants · 145 GWAS associations (28 studies) · 3 GenCC gene-disease records · 9 cell lines.
Disease family
Classification path: disease › human disease › disease by body system or component › digestive system disorder › upper digestive tract disorder › esophageal disorder › Barrett esophagus
Related subtypes (19): esophageal atresia, esophageal varices, esophagitis, megaesophagus, esophageal tuberculosis, esophageal leukoplakia, dyskinesia of esophagus, esophageal diverticulosis, gastroesophageal reflux disease, esophageal atresia/tracheoesophageal fistula, achalasia, esophageal duplication cyst, tubular duplication of the esophagus, laryngotracheoesophageal cleft, isolated tracheo-esophageal fistula, congenital esophageal diverticulum, neoplasm of esophagus, esophageal ulcer, congenital esophageal stenosis
Genetics & variants
GWAS landscape
145 GWAS associations across 28 studies. Top hits map to 21 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs1537372 | 3e-26 | CDKN2B-AS1 | G | 0.13 |
| rs2891698 | 6e-19 | KLHL26 - CRTC1 | G | 0.1 |
| rs622217 | 3e-18 | SLC22A2 - SLC22A3 | T | 0.13 |
| rs2289081 | 2e-16 | GDF7 - LDAH | G | 0.1 |
| rs12504496 | 1e-15 | LINC01091 | A | 0.12 |
| rs9306895 | 2e-15 | GDF7 | T | 0.12 |
| rs7255 | 6e-15 | GDF7 | T | 0.09 |
| chr5:134529416 | 7e-14 | | T | 0.09 |
| rs35631104 | 1e-13 | LINC02253 | G | 0.13 |
| rs72760500 | 2e-13 | NNT - RNU6-381P | A | 0.23 |
| rs2597301 | 3e-13 | RNU6-281P - FOXP1 | C | 0.12 |
| rs61487437 | 4e-13 | NNT - RNU6-381P | G | 0.17 |
| rs7723887 | 5e-13 | PITX1-AS1 | T | 0.09 |
| rs149252763 | 6e-13 | LINC01091 | G | 0.14 |
| rs3072 | 9e-13 | GDF7 | T | 0.11 |
| rs2687197 | 3e-12 | RNU6-281P - FOXP1 | T | 0.11 |
| rs185206559 | 6e-12 | NEURL1B - DUSP1 | C | 1.81 |
| rs4676893 | 8e-12 | RNU6-281P - FOXP1 | ? | 0.11 |
| rs4646614 | 3e-11 | ALDH1A2 | A | 0.1 |
| rs3950627 | 3e-11 | LINC00917 - FENDRR | A | 0.1 |
| rs2188554 | 3e-11 | ASZ1, CFTR | A | 0.13 |
| rs7170896 | 4e-11 | ALDH1A2 | A | 0.11 |
| rs58407103 | 6e-11 | BLK-AS1 - LINC00208 | T | 0.12 |
| rs146917555 | 7e-11 | PLCL1 - RNU7-147P | A | 0.1 |
| rs1247942 | 1e-10 | GLULP5 - LINC02459 | G | 0.1 |
| rs60849513 | 1e-10 | SLC66A1LP | T | 0.12 |
| rs111613945 | 1e-10 | LINC00208 | C | 0.1 |
| rs144823843 | 2e-10 | CEP72 | A | 0.12 |
| rs7045553 | 2e-10 | TMOD1 | T | 0.1 |
| rs9936833 | 3e-10 | LINC00917 - FENDRR | C | 1.14 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90432133 | Jiang Y | 2023 | 116,382 | 213,325 | A cross-disorder study to identify causal relationships, shared genetic variants, and genes across 21 digestive disorders. |
| GCST90258656 | Schroder J | 2022 | 16,790 | 32,476 | GWAS meta-analysis of 16 790 patients with Barrett’s oesophagus and oesophageal adenocarcinoma identifies 16 novel genetic risk loci and provides insights into disease aetiology beyond the single marker level. |
| GCST90476048 | Verma A | 2024 | 14,584 | 432,257 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90000515 | Ong JS | 2021 | 13,358 | 43,071 | Multitrait genetic association analysis identifies 50 new risk loci for gastro-oesophageal reflux, seven new loci for Barrett’s oesophagus and provides insights into clinical heterogeneity in reflux diagnosis. |
| GCST90258657 | Schroder J | 2022 | 11,208 | 32,476 | GWAS meta-analysis of 16 790 patients with Barrett’s oesophagus and oesophageal adenocarcinoma identifies 16 novel genetic risk loci and provides insights into disease aetiology beyond the single marker level. |
| GCST008831 | An J | 2019 | 8,998 | 19,247 | Gastroesophageal reflux GWAS identifies risk loci that also associate with subsequent severe esophageal diseases. |
| GCST011461 | Dong J | 2020 | 6,758 | 7,489 | Sex-Specific Genetic Associations for Barrett’s Esophagus and Esophageal Adenocarcinoma. |
| GCST011462 | Dong J | 2020 | 6,758 | 7,489 | Sex-Specific Genetic Associations for Barrett’s Esophagus and Esophageal Adenocarcinoma. |
| GCST011463 | Dong J | 2020 | 6,758 | 7,489 | Sex-Specific Genetic Associations for Barrett’s Esophagus and Esophageal Adenocarcinoma. |
| GCST90044123 | Jiang L | 2021 | 6,591 | 449,757 | A generalized linear mixed model association tool for biobank-scale data. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 4 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 45 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 48 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 2 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 26 |
| intergenic_variant | 16 |
| 3_prime_UTR_variant | 4 |
| unknown | 2 |
| regulatory_region_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs1537372 | 9 | 22103184 | G>A,T | 0.44 | intron_variant | CDKN2B-AS1 | 3e-26 | Tier 4: intronic/intergenic |
| rs2891698 | 19 | 18677171 | G>A,C | 0.477 | intergenic_variant | KLHL26 - CRTC1 | 6e-19 | Tier 4: intronic/intergenic |
| rs622217 | 6 | 160345738 | T>A,C | 0.49 | intergenic_variant | SLC22A2 - SLC22A3 | 3e-18 | Tier 4: intronic/intergenic |
| rs2289081 | 2 | 20682080 | G>A,C | 0.361 | intergenic_variant | GDF7 - LDAH | 2e-16 | Tier 4: intronic/intergenic |
| rs12504496 | 4 | 123628089 | A>G | 0.175 | intron_variant | LINC01091 | 1e-15 | Tier 4: intronic/intergenic |
| rs9306895 | 2 | 20678393 | T>C | 0.369 | 3_prime_UTR_variant | GDF7 | 2e-15 | Tier 2: splice/UTR |
| rs7255 | 2 | 20679060 | T>A,C | 0.496 | 3_prime_UTR_variant | GDF7 | 6e-15 | Tier 2: splice/UTR |
| chr5:134529416 | | | | 0.374 | | | 7e-14 | Tier 4: intronic/intergenic |
| rs35631104 | 15 | 97014558 | GA>G,GAA | 0.251 | intron_variant | LINC02253 | 1e-13 | Tier 4: intronic/intergenic |
| rs72760500 | 5 | 43785571 | G>A | 0.059 | intergenic_variant | NNT - RNU6-381P | 2e-13 | Tier 4: intronic/intergenic |
| rs2597301 | 3 | 70860343 | C>G | 0.31 | intergenic_variant | RNU6-281P - FOXP1 | 3e-13 | Tier 4: intronic/intergenic |
| rs61487437 | 5 | 43855144 | G>C,T | 0.059 | regulatory_region_variant | NNT - RNU6-381P | 4e-13 | Tier 3: regulatory |
| rs7723887 | 5 | 135207864 | T>A,C | 0.451 | intron_variant | PITX1-AS1 | 5e-13 | Tier 4: intronic/intergenic |
| rs149252763 | 4 | 123640999 | GGGAAGGAA>G,GGGAA,GGGAAGGAAGGAAGGAA | 0.187 | intron_variant | LINC01091 | 6e-13 | Tier 4: intronic/intergenic |
| rs3072 | 2 | 20678646 | T>A,C,G | 0.37 | 3_prime_UTR_variant | GDF7 | 9e-13 | Tier 2: splice/UTR |
| rs2687197 | 3 | 70873169 | T>C | 0.315 | intergenic_variant | RNU6-281P - FOXP1 | 3e-12 | Tier 4: intronic/intergenic |
| rs185206559 | 5 | 172749643 | C>G,T | 0.002 | intron_variant | NEURL1B - DUSP1 | 6e-12 | Tier 4: intronic/intergenic |
| rs4676893 | 3 | 70868488 | A>T | 0.05 | intergenic_variant | RNU6-281P - FOXP1 | 8e-12 | Tier 4: intronic/intergenic |
| rs4646614 | 15 | 57972595 | ATAGT>A,ATAGTTAGT,ATAGTTAGTTAGT | 0.435 | intron_variant | ALDH1A2 | 3e-11 | Tier 4: intronic/intergenic |
| rs3950627 | 16 | 86402737 | C>A,G | 0.476 | intergenic_variant | LINC00917 - FENDRR | 3e-11 | Tier 4: intronic/intergenic |
| rs2188554 | 7 | 117400063 | A>G,T | 0.187 | intron_variant | ASZ1, CFTR | 3e-11 | Tier 4: intronic/intergenic |
| rs7170896 | 15 | 57960195 | T>A,C,G | 0.451 | intron_variant | ALDH1A2 | 4e-11 | Tier 4: intronic/intergenic |
| rs58407103 | 8 | 11574435 | | 0.337 | intergenic_variant | BLK-AS1 - LINC00208 | 6e-11 | Tier 4: intronic/intergenic |
| rs146917555 | 2 | 199159992 | | 0.415 | intron_variant | PLCL1 - RNU7-147P | 7e-11 | Tier 4: intronic/intergenic |
| rs1247942 | 12 | 114235918 | G>A,C | 0.41 | intergenic_variant | GLULP5 - LINC02459 | 1e-10 | Tier 4: intronic/intergenic |
| rs60849513 | 3 | 157593634 | G>C,T | 0.214 | intron_variant | SLC66A1LP | 1e-10 | Tier 4: intronic/intergenic |
| rs111613945 | 8 | 11576907 | C>CCCGGTTT,CGGTTT | 0.468 | non_coding_transcript_exon_variant | LINC00208 | 1e-10 | Tier 4: intronic/intergenic |
| rs144823843 | 5 | 642178 | A>C,G,T | 0.204 | intron_variant | CEP72 | 2e-10 | Tier 4: intronic/intergenic |
| rs7045553 | 9 | 97545507 | C>G,T | 0.396 | intron_variant | TMOD1 | 2e-10 | Tier 4: intronic/intergenic |
| rs9936833 | 16 | 86369512 | C>A,G,T | 0.37 | intergenic_variant | LINC00917 - FENDRR | 3e-10 | Tier 4: intronic/intergenic |
ClinVar germline variants
5 retrieved; paginated sample, class counts are floors:
3 uncertain significance, 1 pathogenic, 1 conflicting classifications of pathogenicity
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|
| 1285416 | NM_001198800.3(ASCC1):c.714C>A (p.Tyr238Ter) | ASCC1 | Pathogenic | criteria provided, single submitter |
| 14357 | NM_138715.3(MSR1):c.877C>T (p.Arg293Ter) | MSR1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 2431593 | NM_001198800.3(ASCC1):c.778C>T (p.Arg260Cys) | ASCC1 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 2431546 | NM_138715.3(MSR1):c.217G>A (p.Ala73Thr) | MSR1 | Uncertain significance | criteria provided, single submitter |
| 4079291 | NM_138715.3(MSR1):c.980-1G>T | MSR1 | Uncertain significance | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 3 · Orphanet: 25 · 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 |
|---|
| CTHRC1 | Limited | Autosomal dominant | Barrett esophagus | |
| MSR1 | Limited | Unknown | Barrett esophagus | 2 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| MSR1 | Orphanet:1331 | Familial prostate cancer |
| BLK | Orphanet:536 | Systemic lupus erythematosus |
| BLK | Orphanet:552 | MODY |
| SLC12A6 | Orphanet:1496 | Corpus callosum agenesis-neuronopathy syndrome |
| TBX5 | Orphanet:101016 | Romano-Ward syndrome |
| TBX5 | Orphanet:392 | Holt-Oram syndrome |
| RP1L1 | Orphanet:247834 | Occult macular dystrophy |
| RP1L1 | Orphanet:791 | Retinitis pigmentosa |
| CFTR | Orphanet:399805 | Male infertility with azoospermia or oligozoospermia due to single gene mutation |
| CFTR | Orphanet:48 | Congenital bilateral absence of vas deferens |
| CFTR | Orphanet:498359 | Aquagenic palmoplantar keratoderma |
| CFTR | Orphanet:586 | Cystic fibrosis |
| CFTR | Orphanet:60033 | Idiopathic bronchiectasis |
| CFTR | Orphanet:700124 | Autosomal recessive hereditary chronic pancreatitis |
| SATB2 | Orphanet:251019 | 2q32q33 deletion syndrome |
| SATB2 | Orphanet:251028 | SATB2-associated syndrome due to a chromosomal rearrangement |
| SATB2 | Orphanet:576283 | SATB2-associated syndrome due to a pathogenic variant |
| ASCC1 | Orphanet:486811 | Prenatal-onset spinal muscular atrophy with congenital bone fractures |
| VPS35L | Orphanet:7 | 3C syndrome |
| DPYSL2 | Orphanet:178469 | Autosomal dominant non-syndromic intellectual disability |
| FOXF1 | Orphanet:210122 | Congenital alveolar capillary dysplasia |
| FOXP1 | Orphanet:391372 | FOXP1 Syndrome |
| FOXP1 | Orphanet:52417 | MALT lymphoma |
| FOXP1 | Orphanet:585877 | B-lymphoblastic leukemia/lymphoma with recurrent genetic abnormality |
| APOB | Orphanet:391665 | Homozygous familial hypercholesterolemia |
Cohort genes → proteins
34 cohort genes, 33 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 31 |
| multi_evidence | 3 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| MSR1 | HGNC:7376 | ENSG00000038945 | P21757 | Macrophage scavenger receptor types I and II | gencc,clinvar |
| CTHRC1 | HGNC:18831 | ENSG00000164932 | Q96CG8 | Collagen triple helix repeat-containing protein 1 | gencc |
| BLK | HGNC:1057 | ENSG00000136573 | P51451 | Tyrosine-protein kinase Blk | gwas |
| SLC12A6 | HGNC:10914 | ENSG00000140199 | Q9UHW9 | Solute carrier family 12 member 6 | gwas |
| TBX5 | HGNC:11604 | ENSG00000089225 | Q99593 | T-box transcription factor TBX5 | gwas |
| TMOD1 | HGNC:11871 | ENSG00000136842 | P28289 | Tropomodulin-1 | gwas |
| ASZ1 | HGNC:1350 | ENSG00000154438 | Q8WWH4 | Ankyrin repeat, SAM and basic leucine zipper domain-containing protein 1 | gwas |
| ALDH1A2 | HGNC:15472 | ENSG00000128918 | O94788 | Retinal dehydrogenase 2 | gwas |
| LINC00208 | HGNC:15535 | ENSG00000170983 | Q96KT6 | Putative uncharacterized protein encoded by LINC00208 | gwas |
| RP1L1 | HGNC:15946 | ENSG00000183638 | Q8IWN7 | Retinitis pigmentosa 1-like 1 protein | gwas |
| CRTC1 | HGNC:16062 | ENSG00000105662 | Q6UUV9 | CREB-regulated transcription coactivator 1 | gwas |
| KHDRBS2 | HGNC:18114 | ENSG00000112232 | Q5VWX1 | KH domain-containing, RNA-binding, signal transduction-associated protein 2 | gwas |
| AGO3 | HGNC:18421 | ENSG00000126070 | Q9H9G7 | Protein argonaute-3 | gwas |
| CFTR | HGNC:1884 | ENSG00000001626 | P13569 | Cystic fibrosis transmembrane conductance regulator | gwas |
| SATB2 | HGNC:21637 | ENSG00000119042 | Q9UPW6 | DNA-binding protein SATB2 | gwas |
| TPPP | HGNC:24164 | ENSG00000171368 | O94811 | Tubulin polymerization-promoting protein | gwas |
| ASCC1 | HGNC:24268 | ENSG00000138303 | Q8N9N2 | Activating signal cointegrator 1 complex subunit 1 | clinvar |
| VPS35L | HGNC:24641 | ENSG00000103544 | Q7Z3J2 | VPS35 endosomal protein-sorting factor-like | gwas |
| CEP72 | HGNC:25547 | ENSG00000112877 | Q9P209 | Centrosomal protein of 72 kDa | gwas |
| LDAH | HGNC:26145 | ENSG00000118961 | Q9H6V9 | Lipid droplet-associated hydrolase | gwas |
| IKBIP | HGNC:26430 | ENSG00000166130 | Q70UQ0 | Inhibitor of nuclear factor kappa-B kinase-interacting protein | gwas |
| SLFN11 | HGNC:26633 | ENSG00000172716 | Q7Z7L1 | Schlafen family member 11 | gwas |
| DPYSL2 | HGNC:3014 | ENSG00000092964 | Q16555 | Dihydropyrimidinase-related protein 2 | gwas |
| PRSS55 | HGNC:30824 | ENSG00000184647 | Q6UWB4 | Serine protease 55 | gwas |
| MTRNR2L9 | HGNC:37166 | | P0CJ76 | Humanin-like 9 | gwas |
| FOXF1 | HGNC:3809 | ENSG00000103241 | Q12946 | Forkhead box protein F1 | gwas |
| FOXP1 | HGNC:3823 | ENSG00000114861 | Q9H334 | Forkhead box protein P1 | gwas |
| LSP1P3 | HGNC:39718 | ENSG00000162685 | | LSP1 pseudogene 3 | gwas |
| GDF7 | HGNC:4222 | ENSG00000143869 | Q7Z4P5 | Growth/differentiation factor 7 | gwas |
| APOB | HGNC:603 | ENSG00000084674 | P04114 | Apolipoprotein B-100 | gwas |
| LMO3 | HGNC:6643 | ENSG00000048540 | Q8TAP4 | LIM domain only protein 3 | gwas |
| MGST1 | HGNC:7061 | ENSG00000008394 | P10620 | Microsomal glutathione S-transferase 1 | gwas |
| MSRA | HGNC:7377 | ENSG00000175806 | Q9UJ68 | Mitochondrial peptide methionine sulfoxide reductase | gwas |
| BARX1 | HGNC:955 | ENSG00000131668 | Q9HBU1 | Homeobox protein BarH-like 1 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| MSR1 | Macrophage scavenger receptor types I and II | Membrane glycoproteins implicated in the pathologic deposition of cholesterol in arterial walls during atherogenesis. |
| CTHRC1 | Collagen triple helix repeat-containing protein 1 | May act as a negative regulator of collagen matrix deposition. |
| BLK | Tyrosine-protein kinase Blk | Non-receptor tyrosine kinase involved in B-lymphocyte development, differentiation and signaling. |
| SLC12A6 | Solute carrier family 12 member 6 | Mediates electroneutral potassium-chloride cotransport when activated by cell swelling. |
| TBX5 | T-box transcription factor TBX5 | DNA-binding protein that regulates the transcription of several genes and is involved in heart development and limb pattern formation. |
| TMOD1 | Tropomodulin-1 | Blocks the elongation and depolymerization of the actin filaments at the pointed end. |
| ASZ1 | Ankyrin repeat, SAM and basic leucine zipper domain-containing protein 1 | Plays a central role during spermatogenesis by repressing transposable elements and preventing their mobilization, which is essential for the germline integrity. |
| ALDH1A2 | Retinal dehydrogenase 2 | Catalyzes the NAD-dependent oxidation of aldehyde substrates, such as all-trans-retinal and all-trans-13,14-dihydroretinal, to their corresponding carboxylic acids, all-trans-retinoate and all-trans-13,14-dihydroretinoate, respectively. |
| RP1L1 | Retinitis pigmentosa 1-like 1 protein | Required for the differentiation of photoreceptor cells. |
| CRTC1 | CREB-regulated transcription coactivator 1 | Transcriptional coactivator for CREB1 which activates transcription through both consensus and variant cAMP response element (CRE) sites. |
| KHDRBS2 | KH domain-containing, RNA-binding, signal transduction-associated protein 2 | RNA-binding protein that plays a role in the regulation of alternative splicing and influences mRNA splice site selection and exon inclusion. |
| AGO3 | Protein argonaute-3 | Required for RNA-mediated gene silencing (RNAi). |
| CFTR | Cystic fibrosis transmembrane conductance regulator | Epithelial ion channel that plays an important role in the regulation of epithelial ion and water transport and fluid homeostasis. |
| SATB2 | DNA-binding protein SATB2 | Binds to DNA, at nuclear matrix- or scaffold-associated regions. |
| TPPP | Tubulin polymerization-promoting protein | Regulator of microtubule dynamics that plays a key role in myelination by promoting elongation of the myelin sheath. |
| ASCC1 | Activating signal cointegrator 1 complex subunit 1 | Plays a role in DNA damage repair as component of the ASCC complex. |
| VPS35L | VPS35 endosomal protein-sorting factor-like | Acts as a component of the retriever complex. |
| CEP72 | Centrosomal protein of 72 kDa | Involved in the recruitment of key centrosomal proteins to the centrosome. |
| LDAH | Lipid droplet-associated hydrolase | Probable serine lipid hydrolase associated with lipid droplets. |
| IKBIP | Inhibitor of nuclear factor kappa-B kinase-interacting protein | Target of p53/TP53 with pro-apoptotic function. |
| SLFN11 | Schlafen family member 11 | Inhibitor of DNA replication that promotes cell death in response to DNA damage. |
| DPYSL2 | Dihydropyrimidinase-related protein 2 | Plays a role in neuronal development and polarity, as well as in axon growth and guidance, neuronal growth cone collapse and cell migration. |
| PRSS55 | Serine protease 55 | Probable serine protease, which plays a crucial role in the fertility of male mice including sperm migration and sperm-egg interaction. |
| MTRNR2L9 | Humanin-like 9 | Plays a role as a neuroprotective and antiapoptotic factor. |
| FOXF1 | Forkhead box protein F1 | Probable transcription activator for a number of lung-specific genes. |
| FOXP1 | Forkhead box protein P1 | Transcriptional repressor. |
| GDF7 | Growth/differentiation factor 7 | May play an active role in the motor area of the primate neocortex. |
| APOB | Apolipoprotein B-100 | Apolipoprotein B is a major protein constituent of chylomicrons (apo B-48), LDL (apo B-100) and VLDL (apo B-100). |
| MGST1 | Microsomal glutathione S-transferase 1 | Conjugation of reduced glutathione to a wide number of exogenous and endogenous hydrophobic electrophiles. |
| MSRA | Mitochondrial peptide methionine sulfoxide reductase | Catalyzes the reversible oxidation-reduction of methionine sulfoxide in proteins to methionine. |
| BARX1 | Homeobox protein BarH-like 1 | Transcription factor, which is involved in craniofacial development, in odontogenesis and in stomach organogenesis. |
Protein-family classification
Druggable: 6 · Difficult: 7 · Unknown: 21 · Druggable fraction: 0.18
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 |
|---|
| Transporter | 1 | 2.3× | 0.623 |
| Kinase | 2 | 1.6× | 0.623 |
| Transcription factor | 6 | 1.5× | 0.623 |
| Other/Unknown | 21 | 1.1× | 0.623 |
| Protease | 1 | 1.1× | 0.854 |
| Enzyme (other) | 2 | 0.7× | 0.868 |
| Scaffold/PPI | 1 | 0.5× | 0.868 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| MSR1 | Other/Unknown | no | | SRCR, SR-AI/II, Collagen |
| CTHRC1 | Other/Unknown | no | | CTHRC1_C |
| BLK | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, SH2, Ser-Thr/Tyr_kinase_cat_dom |
| SLC12A6 | Other/Unknown | no | | KCL_cotranspt, AA-permease/SLC12A_dom, SLC12A_fam |
| TBX5 | Transcription factor | no | | TF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS |
| TMOD1 | Other/Unknown | no | | TMOD, LRR_dom_sf |
| ASZ1 | Scaffold/PPI | no | | SAM, Ankyrin_rpt, SAM/pointed_sf |
| ALDH1A2 | Enzyme (other) | yes | 1.2.1.36 | Aldehyde_DH_dom, Ald_DH_CS_CYS, Ald_DH/histidinol_DH |
| LINC00208 | Other/Unknown | no | | |
| RP1L1 | Other/Unknown | no | | Doublecortin_dom, Doublecortin_dom_sf |
| CRTC1 | Other/Unknown | no | | TORC_N, TORC_M, TORC_C |
| KHDRBS2 | Other/Unknown | no | | KH_dom, Sam68-YY, Qua1_dom |
| AGO3 | Other/Unknown | no | | PAZ_dom, Piwi, RNaseH-like_sf |
| CFTR | Transporter | yes | 2.7.4.3 | ABC_transporter-like_ATP-bd, AAA+_ATPase, CFTR/ABCC7 |
| SATB2 | Transcription factor | no | | HD, CUT_dom, Homeodomain-like_sf |
| TPPP | Other/Unknown | no | | TPP/p25, EF-hand-dom_pair |
| ASCC1 | Other/Unknown | no | | KH_dom_type_1, Cyclic_Pdiesterase, ASCC1 |
| VPS35L | Other/Unknown | no | | VPS35L |
| CEP72 | Other/Unknown | no | | Leu-rich_rpt, Leu-rich_rpt_typical-subtyp, U2A’_phosphoprotein32A_C |
| LDAH | Other/Unknown | no | | LDAH, AB_hydrolase_fold |
| IKBIP | Kinase | yes | | Inh_kappa-B_kinase-int |
| SLFN11 | Other/Unknown | no | | Schlafen_AlbA_2_dom, SLFN_3-like_DNA/RNA_helicase, P-loop_NTPase |
| DPYSL2 | Other/Unknown | no | | Amidohydro-rel, Metal-dep_hydrolase_composite, Hydantoinase/dihydroPyrase |
| PRSS55 | Protease | yes | | Trypsin_dom, Peptidase_S1A, Peptidase_S1_PA |
| MTRNR2L9 | Other/Unknown | no | | Humanin |
| FOXF1 | Transcription factor | no | | Fork_head_dom, TF_fork_head_CS_1, TF_fork_head_CS_2 |
| FOXP1 | Transcription factor | no | | Fork_head_dom, TF_fork_head_CS_2, FOXP-CC |
| LSP1P3 | Other/Unknown | no | | |
| GDF7 | Other/Unknown | no | | TGF-b_propeptide, TGF-b_C, TGF-beta-like |
| APOB | Other/Unknown | no | | Vitellogenin_N, Lipid_transpt_open_b-sht, Lipovitellin_superhlx_dom |
| LMO3 | Transcription factor | no | | Znf_LIM, LMO_RBTN_TF |
| MGST1 | Other/Unknown | no | | Membr-assoc_MAPEG, MAPEG-like_dom_sf, MGST1-like |
| MSRA | Enzyme (other) | yes | 1.8.4.11 | Met_Sox_Rdtase_MsrA_dom, Met_Sox_Rdtase_MsrA_sf, MsrA_MetSO_reductase |
| BARX1 | Transcription factor | no | | HTH_motif, HD, Homeodomain-like_sf |
Expression context
Cohort genes with no expression data: 1.
27 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) | 1 |
| broad (>20) | 32 |
| unknown | 1 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| male germ line stem cell (sensu Vertebrata) in testis | 5 |
| buccal mucosa cell | 4 |
| primordial germ cell in gonad | 4 |
| monocyte | 3 |
| cortical plate | 3 |
| calcaneal tendon | 3 |
| ventricular zone | 3 |
| right lung | 2 |
| blood | 2 |
| islet of Langerhans | 2 |
| type B pancreatic cell | 2 |
| right testis | 2 |
| sperm | 2 |
| left testis | 2 |
| Brodmann (1909) area 23 | 2 |
| middle temporal gyrus | 2 |
| colonic epithelium | 2 |
| stromal cell of endometrium | 2 |
| mucosa of stomach | 2 |
| upper lobe of left lung | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| MSR1 | 206 | broad | marker | right lung, upper lobe of left lung, upper lobe of lung |
| CTHRC1 | 228 | ubiquitous | marker | tibia, skin of hip, visceral pleura |
| BLK | 145 | tissue_specific | marker | spleen, male germ line stem cell (sensu Vertebrata) in testis, lymph node |
| SLC12A6 | 274 | ubiquitous | marker | esophagus squamous epithelium, blood, secondary oocyte |
| TBX5 | 129 | broad | marker | tendon of biceps brachii, cardiac muscle of right atrium, buccal mucosa cell |
| TMOD1 | 265 | broad | marker | type B pancreatic cell, hindlimb stylopod muscle, islet of Langerhans |
| ASZ1 | 60 | tissue_specific | marker | male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, right testis |
| ALDH1A2 | 226 | broad | marker | germinal epithelium of ovary, decidua, sperm |
| LINC00208 | 9 | | yes | monocyte, gastrocnemius, left testis |
| RP1L1 | 30 | tissue_specific | yes | primordial germ cell in gonad, buccal mucosa cell, bone marrow cell |
| CRTC1 | 218 | ubiquitous | marker | olfactory bulb, type B pancreatic cell, paraflocculus |
| KHDRBS2 | 102 | broad | marker | cortical plate, corpus callosum, male germ line stem cell (sensu Vertebrata) in testis |
| AGO3 | 257 | ubiquitous | marker | buccal mucosa cell, cauda epididymis, caput epididymis |
| CFTR | 193 | broad | marker | body of pancreas, gall bladder, pancreas |
| SATB2 | 235 | ubiquitous | marker | periodontal ligament, cortical plate, mucosa of sigmoid colon |
| TPPP | 257 | broad | marker | Brodmann (1909) area 23, middle temporal gyrus, postcentral gyrus |
| ASCC1 | 282 | ubiquitous | marker | calcaneal tendon, ventricular zone, sperm |
| VPS35L | 282 | ubiquitous | marker | buccal mucosa cell, stromal cell of endometrium, colonic epithelium |
| CEP72 | 173 | ubiquitous | yes | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, ventricular zone |
| LDAH | 254 | ubiquitous | marker | adrenal tissue, male germ line stem cell (sensu Vertebrata) in testis, islet of Langerhans |
| IKBIP | 224 | ubiquitous | marker | stromal cell of endometrium, calcaneal tendon, monocyte |
| SLFN11 | 215 | ubiquitous | marker | monocyte, leukocyte, calcaneal tendon |
| DPYSL2 | 301 | ubiquitous | marker | inferior vagus X ganglion, subthalamic nucleus, substantia nigra pars compacta |
| PRSS55 | 49 | tissue_specific | yes | primordial germ cell in gonad, right testis, left testis |
| MTRNR2L9 | | | | |
| FOXF1 | 202 | broad | marker | muscle layer of sigmoid colon, mucosa of stomach, right lung |
| FOXP1 | 256 | ubiquitous | marker | pancreatic ductal cell, oviduct epithelium, cardia of stomach |
| LSP1P3 | 67 | tissue_specific | yes | blood, colonic epithelium, ventricular zone |
| GDF7 | 168 | broad | marker | seminal vesicle, endometrium, blood vessel layer |
| APOB | 116 | broad | marker | jejunal mucosa, liver, ileal mucosa |
Protein interactions among cohort
Intra-cohort edges: 11.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| CFTR | 7,664 |
| APOB | 5,244 |
| ALDH1A2 | 4,289 |
| DPYSL2 | 2,980 |
| BLK | 2,967 |
| FOXP1 | 2,939 |
| MSRA | 2,363 |
| AGO3 | 2,299 |
| MSR1 | 2,259 |
| SATB2 | 2,254 |
Intra-cohort edges
| A | B | Sources |
|---|
| ALDH1A2 | CFTR | intact |
| ASCC1 | CTHRC1 | string_interaction |
| ASCC1 | MSR1 | string_interaction |
| BARX1 | FOXF1 | string_interaction |
| CFTR | SLC12A6 | intact |
| FOXF1 | FOXP1 | biogrid_interaction |
| FOXF1 | SATB2 | biogrid_interaction |
| FOXP1 | SATB2 | biogrid_interaction, intact, string_interaction |
| IKBIP | MSR1 | biogrid_interaction |
| MSRA | RP1L1 | string_interaction |
| PRSS55 | RP1L1 | string_interaction |
Structural data
PDB: 17 · AlphaFold-only: 16 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| CFTR | P13569 | 58 |
| DPYSL2 | Q16555 | 15 |
| SLC12A6 | Q9UHW9 | 8 |
| SLFN11 | Q7Z7L1 | 8 |
| APOB | P04114 | 8 |
| ALDH1A2 | O94788 | 7 |
| VPS35L | Q7Z3J2 | 7 |
| TMOD1 | P28289 | 6 |
| TBX5 | Q99593 | 4 |
| CRTC1 | Q6UUV9 | 3 |
| SATB2 | Q9UPW6 | 3 |
| TPPP | O94811 | 3 |
| AGO3 | Q9H9G7 | 2 |
| MSR1 | P21757 | 1 |
| ASCC1 | Q8N9N2 | 1 |
| FOXP1 | Q9H334 | 1 |
| BARX1 | Q9HBU1 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| LDAH | Q9H6V9 | 90.59 |
| MSRA | Q9UJ68 | 89.13 |
| LMO3 | Q8TAP4 | 88.38 |
| IKBIP | Q70UQ0 | 83.32 |
| BLK | P51451 | 81.89 |
| CTHRC1 | Q96CG8 | 79.78 |
| MGST1 | P10620 | 78.65 |
| PRSS55 | Q6UWB4 | 76.06 |
| GDF7 | Q7Z4P5 | 72.03 |
| MTRNR2L9 | P0CJ76 | 71.49 |
| KHDRBS2 | Q5VWX1 | 70.39 |
| ASZ1 | Q8WWH4 | 66.83 |
| CEP72 | Q9P209 | 65.74 |
| FOXF1 | Q12946 | 59.41 |
| LINC00208 | Q96KT6 | 51.52 |
| RP1L1 | Q8IWN7 | 38.97 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 177. Enrichment computed across 34 evidence-associated genes (22 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 22 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Scavenging by Class A Receptors | 2 | 54.6× | 0.064 | MSR1, APOB |
| Binding and Uptake of Ligands by Scavenger Receptors | 2 | 49.4× | 0.064 | MSR1, APOB |
| Defective SLC12A6 causes agenesis of the corpus callosum, with peripheral neuropathy (ACCPN) | 1 | 519.1× | 0.085 | SLC12A6 |
| Gene Silencing by RNA | 2 | 32.4× | 0.085 | ASZ1, AGO3 |
| RHO GTPases regulate CFTR trafficking | 1 | 173.0× | 0.098 | CFTR |
| ALKBH3 mediated reversal of alkylation damage | 1 | 129.8× | 0.098 | ASCC1 |
| Scavenging by Class H Receptors | 1 | 129.8× | 0.098 | APOB |
| PTK6 Regulates Proteins Involved in RNA Processing | 1 | 103.8× | 0.098 | KHDRBS2 |
| VLDL assembly | 1 | 103.8× | 0.098 | APOB |
| Chylomicron clearance | 1 | 103.8× | 0.098 | APOB |
| Formation of lateral plate mesoderm | 1 | 103.8× | 0.098 | FOXF1 |
| Scavenging by Class F Receptors | 1 | 86.5× | 0.098 | APOB |
| Protein repair | 1 | 86.5× | 0.098 | MSRA |
| RUNX1 regulates transcription of genes involved in BCR signaling | 1 | 86.5× | 0.098 | BLK |
| LDL remodeling | 1 | 86.5× | 0.098 | APOB |
| VLDL clearance | 1 | 86.5× | 0.098 | APOB |
| Regulation of NPAS4 gene expression | 1 | 86.5× | 0.098 | AGO3 |
| Cation-coupled Chloride cotransporters | 1 | 74.2× | 0.098 | SLC12A6 |
| Post-transcriptional silencing by small RNAs | 1 | 74.2× | 0.098 | AGO3 |
| DNA Damage Reversal | 1 | 74.2× | 0.098 | ASCC1 |
| Reversal of alkylation damage by DNA dioxygenases | 1 | 74.2× | 0.098 | ASCC1 |
| Competing endogenous RNAs (ceRNAs) regulate PTEN translation | 1 | 64.9× | 0.098 | AGO3 |
| Regulation of CDH11 mRNA translation by microRNAs | 1 | 57.7× | 0.098 | AGO3 |
| Regulation of NPAS4 mRNA translation | 1 | 57.7× | 0.098 | AGO3 |
| Regulation of PD-L1(CD274) translation | 1 | 57.7× | 0.098 | AGO3 |
| Small interfering RNA (siRNA) biogenesis | 1 | 51.9× | 0.098 | AGO3 |
| Regulation of PTEN mRNA translation | 1 | 51.9× | 0.098 | AGO3 |
| Chylomicron assembly | 1 | 51.9× | 0.098 | APOB |
| Chylomicron remodeling | 1 | 51.9× | 0.098 | APOB |
| Scavenging by Class B Receptors | 1 | 47.2× | 0.098 | APOB |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 32 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| cholesterol transport | 3 | 68.7× | 0.004 | MSR1, CFTR, APOB |
| positive regulation of cholesterol storage | 2 | 150.5× | 0.011 | MSR1, APOB |
| midgut development | 2 | 131.7× | 0.011 | ALDH1A2, FOXF1 |
| endocardial cushion development | 2 | 87.8× | 0.019 | TBX5, FOXF1 |
| lipoprotein transport | 2 | 62.0× | 0.030 | MSR1, APOB |
| lung development | 3 | 18.6× | 0.030 | TBX5, ALDH1A2, FOXF1 |
| positive regulation of macrophage derived foam cell differentiation | 2 | 52.7× | 0.030 | MSR1, APOB |
| determination of bilateral symmetry | 1 | 526.6× | 0.031 | ALDH1A2 |
| detection of wounding | 1 | 526.6× | 0.031 | FOXF1 |
| roof plate formation | 1 | 526.6× | 0.031 | GDF7 |
| embryonic ectodermal digestive tract morphogenesis | 1 | 526.6× | 0.031 | FOXF1 |
| microtubule nucleation by microtubule organizing center | 1 | 526.6× | 0.031 | TPPP |
| right lung morphogenesis | 1 | 526.6× | 0.031 | FOXF1 |
| cell migration involved in coronary vasculogenesis | 1 | 526.6× | 0.031 | TBX5 |
| cellular response to lipid hydroperoxide | 1 | 526.6× | 0.031 | MGST1 |
| regulation of macrophage colony-stimulating factor production | 1 | 526.6× | 0.031 | FOXP1 |
| positive regulation of cardiac conduction | 1 | 526.6× | 0.031 | TBX5 |
| pancreas development | 2 | 42.1× | 0.031 | ALDH1A2, FOXF1 |
| embryonic forelimb morphogenesis | 2 | 31.0× | 0.031 | TBX5, ALDH1A2 |
| establishment of localization in cell | 3 | 15.1× | 0.031 | MSR1, CFTR, APOB |
| cardiac left ventricle formation | 1 | 263.3× | 0.038 | TBX5 |
| regulation of monocyte differentiation | 1 | 263.3× | 0.038 | FOXP1 |
| lateral mesodermal cell differentiation | 1 | 263.3× | 0.038 | FOXF1 |
| atrioventricular node cell fate commitment | 1 | 263.3× | 0.038 | TBX5 |
| bundle of His cell to Purkinje myocyte communication by electrical coupling | 1 | 263.3× | 0.038 | TBX5 |
| establishment of planar polarity involved in neural tube closure | 1 | 263.3× | 0.038 | CTHRC1 |
| regulation of defense response to bacterium | 1 | 263.3× | 0.038 | FOXP1 |
| positive regulation of cell communication by electrical coupling involved in cardiac conduction | 1 | 263.3× | 0.038 | TBX5 |
| negative regulation of membrane hyperpolarization | 1 | 263.3× | 0.038 | CRTC1 |
| positive regulation of nuclear receptor-mediated glucocorticoid signaling pathway | 1 | 263.3× | 0.038 | LMO3 |
Therapeutics
Drugs indicated for this disease
1 approved, 4 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Aspirin, Dexlansoprazole, Obeticholic Acid.
Drug target analysis
Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 32
Druggability breadth: 10 of 34 evidence-associated genes (29%) 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 |
|---|
| BLK | AFATINIB |
| CFTR | IVACAFTOR |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| BLK | 62 | 4 |
| CFTR | 14 | 4 |
| MSR1 | 0 | 0 |
| CTHRC1 | 0 | 0 |
| SLC12A6 | 0 | 0 |
| TBX5 | 0 | 0 |
| TMOD1 | 0 | 0 |
| ASZ1 | 0 | 0 |
| ALDH1A2 | 0 | 0 |
| LINC00208 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 4.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| CFTR | 520 | Binding:497, Functional:17, ADMET:5, Toxicity:1 |
| BLK | 483 | Binding:477, ADMET:4, Functional:2 |
| ALDH1A2 | 32 | Binding:32 |
| SATB2 | 6 | Binding:6 |
| SLFN11 | 6 | Binding:6 |
| DPYSL2 | 3 | Binding:3 |
| MGST1 | 3 | ADMET:2, Binding:1 |
| MSR1 | 1 | Binding:1 |
| TBX5 | 1 | Binding:1 |
| APOB | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| BLK | 2.7.10.2 | non-specific protein-tyrosine kinase |
| ALDH1A2 | 1.2.1.36 | retinal dehydrogenase |
| CFTR | 2.7.4.3, 5.6.1.6 | adenylate kinase, channel-conductance-controlling ATPase |
| MSRA | 1.8.4.11 | peptide-methionine (S)-S-oxide reductase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| BLK | 483 |
| CFTR | 520 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 33; with CPIC/DPWG dosing guidelines: 1.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|
| CFTR | 1 |
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 | BLK |
| FEDRATINIB | 4 | BLK |
| AXITINIB | 4 | BLK |
| SORAFENIB | 4 | BLK |
| NERATINIB | 4 | BLK |
| IBRUTINIB | 4 | BLK |
| ENTRECTINIB | 4 | BLK |
| BELUMOSUDIL | 4 | BLK |
| AFATINIB DIMALEATE | 4 | BLK |
| VANDETANIB | 4 | BLK |
| NILOTINIB | 4 | BLK |
| BOSUTINIB | 4 | BLK |
| BRIGATINIB | 4 | BLK |
| ACALABRUTINIB | 4 | BLK |
| ZANUBRUTINIB | 4 | BLK |
| TIRABRUTINIB | 4 | BLK |
| RITLECITINIB | 4 | BLK |
| PAZOPANIB | 4 | BLK |
| NINTEDANIB | 4 | BLK |
| SUNITINIB | 4 | BLK |
| DASATINIB | 4 | BLK |
| ERLOTINIB | 4 | BLK |
| QUIZARTINIB | 4 | BLK |
| CRIZOTINIB | 4 | BLK |
| MIDOSTAURIN | 4 | BLK |
| GEFITINIB | 4 | BLK |
| IMATINIB | 4 | BLK |
| IVACAFTOR | 4 | CFTR |
| LUMACAFTOR | 4 | CFTR |
| TEZACAFTOR | 4 | CFTR |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 2 | BLK, CFTR |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | ALDH1A2 |
| D | Druggable family + AlphaFold only, no drug | 3 | IKBIP, PRSS55, MSRA |
| E | Difficult family or no structure, no drug | 28 | MSR1, CTHRC1, SLC12A6, TBX5, TMOD1, ASZ1, LINC00208, RP1L1, CRTC1, KHDRBS2 (+18 more) |
Undrugged target profiles
32 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| MSR1 | 1 | — |
| CTHRC1 | 0 | — |
| SLC12A6 | 0 | — |
| TBX5 | 1 | — |
| TMOD1 | 0 | — |
| ASZ1 | 0 | — |
| ALDH1A2 | 32 | — |
| LINC00208 | 0 | — |
| RP1L1 | 0 | — |
| CRTC1 | 0 | — |
| KHDRBS2 | 0 | — |
| AGO3 | 0 | — |
| SATB2 | 6 | — |
| TPPP | 0 | — |
| ASCC1 | 0 | — |
| VPS35L | 0 | — |
| CEP72 | 0 | — |
| LDAH | 0 | — |
| IKBIP | 0 | — |
| SLFN11 | 6 | — |
| DPYSL2 | 3 | — |
| PRSS55 | 0 | — |
| MTRNR2L9 | 0 | — |
| FOXF1 | 0 | — |
| FOXP1 | 0 | — |
| LSP1P3 | 0 | — |
| GDF7 | 0 | — |
| APOB | 1 | — |
| LMO3 | 0 | — |
| MGST1 | 3 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 269.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 219 |
| PHASE2 | 16 |
| PHASE1 | 12 |
| PHASE4 | 11 |
| EARLY_PHASE1 | 6 |
| PHASE3 | 3 |
| PHASE2/PHASE3 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT00352261 | PHASE4 | COMPLETED | An Open Label pH Comparison of Esomeprazole and Lansoprazole in Barrett’s Esophagus Patients |
| NCT00526786 | PHASE4 | TERMINATED | Study of CryoSpray Ablation of Low Grade or High Grade Dysplasia Within Barrett’s Esophagus |
| NCT00628784 | PHASE4 | UNKNOWN | Endoesophageal Cryotherapy For Ablating Barrett’s Esophagus and Early Stage Esophageal Cancer |
| NCT00637559 | PHASE4 | COMPLETED | Barrett’s Esophagus - 315 - 3 Way Cross-Over |
| NCT00637988 | PHASE4 | COMPLETED | Barrett’s Esophagus - 315 - 3 Way Cross Over |
| NCT00754468 | PHASE4 | COMPLETED | Study of CryoSpray Ablation(TM)to Determine Treatment Effect, Depth of Injury, and Side Effects in the Esophagus. |
| NCT00872755 | PHASE4 | COMPLETED | Nissen and Gastroplasty in Gastroesophageal Reflux Disease (GERD) |
| NCT01030263 | PHASE4 | TERMINATED | A Trial Comparing Yield of Confocal Endomicroscopy Guided Biopsies |
| NCT01093755 | PHASE4 | COMPLETED | Does Intensive Acid Suppression Reduce Esophageal Inflammation and Recurrent Barrett’s Esophagus Following Ablation? |
| NCT01733147 | PHASE4 | COMPLETED | Modulation of Esophageal Inflammation in Barrett’s Esophagus by Omega-3 Fatty Acids |
| NCT02004782 | PHASE4 | WITHDRAWN | Barretts oEsophageal Resection With Steroid Therapy Trial |
| NCT00487695 | PHASE3 | COMPLETED | Confocal Endomicroscopy for Barrett’s Esophagus |
| NCT00587600 | PHASE2/PHASE3 | COMPLETED | Biomarkers in Phototherapy of Barrett’s Esophagus |
| NCT01209013 | PHASE3 | WITHDRAWN | Safety of Photodynamic Therapy (PDT) in the Ablation of High-grade Dysplasia (HGD) in Barrett’s Esophagus (BE) |
| NCT01566474 | PHASE3 | COMPLETED | Melatonin Associated to Acid Inhibition for Chemoprevention in Barret Esophagus: a Pilot Study |
| NCT02614703 | PHASE2/PHASE3 | TERMINATED | Acetic Acid Chromoendoscopy in Barrett’s Esophagus Surveillance |
| NCT02521285 | PHASE2 | ACTIVE_NOT_RECRUITING | Aspirin in Preventing Disease Recurrence in Patients With Barrett Esophagus After Successful Elimination by Radiofrequency Ablation |
| NCT04939051 | PHASE2 | RECRUITING | Obeticholic Acid for Prevention in Barrett’s Esophagus |
| NCT06732388 | PHASE2 | NOT_YET_RECRUITING | Itraconazole in Combination With Ablation for the Prevention of Esophageal Cancer in Patients With High-risk Barrett’s Esophagus |
| NCT07260877 | PHASE2 | RECRUITING | A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Phase 2a Study With an Open-Label Extension Evaluating the Efficacy and Safety of VENT-03 in Adult Participants With Active Cutaneous Lupus Erythematosus With or Without Systemic Lupus Erythematosus |
| NCT00217087 | PHASE2 | COMPLETED | Endoscopic Therapy of Early Cancer in Barretts Esophagus |
| NCT00220103 | PHASE2 | COMPLETED | Pre-operative Epirubicin, Cisplatin, and Capecitabine in Patients With Newly Diagnosed Localised Oesophageal Adenocarcinoma |
| NCT00411151 | PHASE2 | COMPLETED | Efficacy and Safety of Sunitinib in Metastatic Gastric Cancer |
| NCT00474903 | PHASE2 | COMPLETED | Esomeprazole Magnesium With or Without Aspirin in Preventing Esophageal Cancer in Patients With Barrett Esophagus |
| NCT01097304 | PHASE2 | COMPLETED | Ursodiol in Treating Patients With Barrett Esophagus and Low-Grade Dysplasia |
| NCT01298999 | PHASE2 | COMPLETED | Trial of a Gastrin Receptor Antagonist in Barrett’s Esophagus |
| NCT01360541 | PHASE2 | COMPLETED | Radiofrequency Ablation for Barrett Oesophagus With Low Grade Dysplasia |
| NCT01447927 | PHASE2 | COMPLETED | Metformin Hydrochloride in Preventing Esophageal Cancer in Patients With Barrett Esophagus |
| NCT02018367 | PHASE2 | UNKNOWN | Accuracy, Yield and Clinical Impact of a Low-Cost HRME in the Early Diagnosis of Esophageal Adenocarcinoma |
| NCT02162758 | PHASE2 | TERMINATED | Effect of Dexlansoprazole 60 mg QD and 60 mg BID on Recurrence of Intestinal Metaplasia in Subjects Who Have Achieved Complete Eradication of Barrett’s Esophagus With Radiofrequency Ablation |
| NCT02597712 | PHASE2 | COMPLETED | YF476 in Barrett’s Esophagus |
| NCT03877601 | PHASE2 | UNKNOWN | Detection of Early Esophageal Cancer by NIR-FME. |
| NCT00216788 | PHASE1 | UNKNOWN | The Effect of Nexium on Transmucosal Esophageal Leak |
| NCT00233935 | PHASE1 | COMPLETED | Defined Green Tea Catechin Extract in Preventing Esophageal Cancer in Patients With Barrett’s Esophagus |
| NCT00573911 | PHASE1 | COMPLETED | Acid Reflux and Stromal Fibroblasts in Barrett’s Esophagus |
| NCT01236443 | PHASE1 | COMPLETED | Study of Photodynamic Therapy (PDT) Using HPPH in Barrett’s Esophagus |
| NCT01238042 | PHASE1 | COMPLETED | Study To Determine The Maximum Range of Light Doses At Two HPPH Doses With Acceptable Normal Tissue Toxicity For PDT Treatment Of High Grade Dysplasia,CIS or Early Adenocarcinoma In Barrett’s Esophagus |
| NCT01391208 | PHASE1 | COMPLETED | Esophageal Protocol for Detection of Neoplasia in the Digestive Tract |
| NCT01630798 | PHASE1 | COMPLETED | A In-Vivo Esophageal Protocol for Detection of Neoplasia in the Digestive Tract |
| NCT01905202 | PHASE1 | UNKNOWN | The Safety and Tolerability of Secretrol in Patients With Barrett’s Esophagus |
Drugs tested across these trials (top 30)
- Cohort genes: MSR1, CTHRC1, BLK, SLC12A6, TBX5, TMOD1, ASZ1, ALDH1A2, LINC00208, RP1L1, CRTC1, KHDRBS2, AGO3, CFTR, SATB2, TPPP, ASCC1, VPS35L, CEP72, LDAH, IKBIP, SLFN11, DPYSL2, PRSS55, FOXF1, FOXP1, GDF7, APOB, LMO3, MGST1, MSRA, BARX1
- Drugs: Esomeprazole, Enalapril, Dexlansoprazole, Omeprazole, Acetic Acid, Aspirin, Fluorescein, Itraconazole, Lansoprazole, Linaclotide, Melatonin, Metformin, Obeticholic Acid, Plecanatide, Prednisolone, Rofecoxib, Ursodiol, Candesartan, CHEMBL1628, Hyoscyamine