Bilateral perisylvian polymicrogyria
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Summary
Bilateral perisylvian polymicrogyria (MONDO:0020340) is a disease with 6 cohort genes.
At a glance
- Cohort genes: 6
- ClinVar variants: 8
- Phenotypes (HPO): 49
Clinical features
Signs & symptoms
Clinical features (HPO)
49 HPO clinical features (Orphanet curated; top 49 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0002269 | Abnormality of neuronal migration | Very frequent (80-99%) |
| HP:0032407 | Bilateral perisylvian polymicrogyria | Very frequent (80-99%) |
| HP:0000750 | Delayed speech and language development | Frequent (30-79%) |
| HP:0001249 | Intellectual disability | Frequent (30-79%) |
| HP:0001250 | Seizure | Frequent (30-79%) |
| HP:0001257 | Spasticity | Frequent (30-79%) |
| HP:0001263 | Global developmental delay | Frequent (30-79%) |
| HP:0001328 | Specific learning disability | Frequent (30-79%) |
| HP:0001347 | Hyperreflexia | Frequent (30-79%) |
| HP:0001371 | Flexion contracture | Frequent (30-79%) |
| HP:0002392 | EEG with polyspike wave complexes | Frequent (30-79%) |
| HP:0002463 | Language impairment | Frequent (30-79%) |
| HP:0005684 | Distal arthrogryposis | Frequent (30-79%) |
| HP:0007359 | Focal-onset seizure | Frequent (30-79%) |
| HP:0008947 | Floppy infant | Frequent (30-79%) |
| HP:0012014 | EEG with central focal spikes | Frequent (30-79%) |
| HP:0012017 | EEG with parietal focal spikes | Frequent (30-79%) |
| HP:0020190 | Perisylvian predominant thick cortex pachygyria | Frequent (30-79%) |
| HP:0030319 | Weakness of facial musculature | Frequent (30-79%) |
| HP:0000252 | Microcephaly | Occasional (5-29%) |
| HP:0000347 | Micrognathia | Occasional (5-29%) |
| HP:0000365 | Hearing impairment | Occasional (5-29%) |
| HP:0000453 | Choanal atresia | Occasional (5-29%) |
| HP:0000639 | Nystagmus | Occasional (5-29%) |
| HP:0000767 | Pectus excavatum | Occasional (5-29%) |
| HP:0001260 | Dysarthria | Occasional (5-29%) |
| HP:0001310 | Dysmetria | Occasional (5-29%) |
| HP:0001320 | Cerebellar vermis hypoplasia | Occasional (5-29%) |
| HP:0001349 | Facial diplegia | Occasional (5-29%) |
| HP:0001511 | Intrauterine growth retardation | Occasional (5-29%) |
| HP:0002015 | Dysphagia | Occasional (5-29%) |
| HP:0002020 | Gastroesophageal reflux | Occasional (5-29%) |
| HP:0002061 | Lower limb spasticity | Occasional (5-29%) |
| HP:0002104 | Apnea | Occasional (5-29%) |
| HP:0002307 | Drooling | Occasional (5-29%) |
| HP:0002385 | Paraparesis | Occasional (5-29%) |
| HP:0002509 | Limb hypertonia | Occasional (5-29%) |
| HP:0002510 | Spastic tetraplegia | Occasional (5-29%) |
| HP:0002835 | Aspiration | Occasional (5-29%) |
| HP:0007024 | Pseudobulbar paralysis | Occasional (5-29%) |
| HP:0007033 | Cerebellar dysplasia | Occasional (5-29%) |
| HP:0007301 | Oromotor apraxia | Occasional (5-29%) |
| HP:0010808 | Protruding tongue | Occasional (5-29%) |
| HP:0011157 | Focal sensory seizure | Occasional (5-29%) |
| HP:0011755 | Ectopic posterior pituitary | Occasional (5-29%) |
| HP:0011968 | Feeding difficulties | Occasional (5-29%) |
| HP:0012015 | EEG with frontal focal spikes | Occasional (5-29%) |
| HP:0012469 | Infantile spasms | Occasional (5-29%) |
| HP:0410011 | Abnormality of masticatory muscle | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | bilateral perisylvian polymicrogyria |
| Mondo ID | MONDO:0020340 |
| Orphanet | 98889 |
| DOID | DOID:0080924 |
| ICD-11 | 1882677643 |
| UMLS | C1845668 |
| MedGen | 337000 |
| GARD | 0006011 |
| Is cancer (heuristic) | no |
Data availability: 8 ClinVar variants.
Disease family
An umbrella term covering 3 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › nervous system disorder › congenital nervous system disorder › polymicrogyria › bilateral polymicrogyria › bilateral perisylvian polymicrogyria
Related subtypes (4): bilateral frontoparietal polymicrogyria, bilateral parasagittal parieto-occipital polymicrogyria, bilateral generalized polymicrogyria, bilateral frontal polymicrogyria
Subtypes (3): polymicrogyria, bilateral perisylvian, X-linked, polymicrogyria, bilateral perisylvian, autosomal recessive, polymicrogyria, perisylvian, with cerebellar hypoplasia and arthrogryposis
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
8 retrieved; paginated sample, class counts are floors:
3 conflicting classifications of pathogenicity, 2 pathogenic, 2 likely pathogenic, 1 pathogenic/likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 432534 | NM_006922.4(SCN3A):c.4862G>A (p.Arg1621Gln) | SCN3A | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2664153 | NM_006009.4(TUBA1A):c.303T>A (p.Asn101Lys) | TUBA1A | Pathogenic | criteria provided, single submitter |
| 1708143 | NM_178012.5(TUBB2B):c.776C>T (p.Pro259Leu) | TUBB2B | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 2664152 | NM_004818.3(DDX23):c.2437C>T (p.Arg813Cys) | DDX23 | Likely pathogenic | criteria provided, single submitter |
| 2664151 | NM_138459.5(NUS1):c.616G>T (p.Asp206Tyr) | NUS1 | Likely pathogenic | criteria provided, single submitter |
| 988578 | NM_006009.4(TUBA1A):c.1216C>G (p.His406Asp) | TUBA1A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 988580 | NM_006009.4(TUBA1A):c.1193T>G (p.Met398Arg) | TUBA1A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1496445 | NM_006005.3(WFS1):c.923C>G (p.Ser308Cys) | WFS1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 15 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SCN3A | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| SCN3A | Orphanet:98820 | Familial focal epilepsy with variable foci |
| WFS1 | Orphanet:3463 | Wolfram syndrome |
| WFS1 | Orphanet:411590 | Wolfram-like syndrome |
| WFS1 | Orphanet:90635 | Rare autosomal dominant non-syndromic sensorineural deafness type DFNA |
| WFS1 | Orphanet:98991 | Early-onset nuclear cataract |
| TUBA1A | Orphanet:171680 | Lissencephaly due to TUBA1A mutation |
| TUBA1A | Orphanet:45358 | Congenital fibrosis of extraocular muscles |
| TUBA1A | Orphanet:467166 | Tubulinopathy-associated dysgyria |
| TUBA1A | Orphanet:994 | Fetal akinesia deformation sequence |
| NUS1 | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| TUBB2B | Orphanet:1766 | Dysequilibrium syndrome |
| TUBB2B | Orphanet:300573 | Polymicrogyria due to TUBB2B mutation |
| TUBB2B | Orphanet:45358 | Congenital fibrosis of extraocular muscles |
| TUBB2B | Orphanet:467166 | Tubulinopathy-associated dysgyria |
Cohort genes → proteins
6 cohort genes, 6 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 6 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SCN3A | HGNC:10590 | ENSG00000153253 | Q9NY46 | Sodium channel protein type 3 subunit alpha | clinvar |
| WFS1 | HGNC:12762 | ENSG00000109501 | O76024 | Wolframin | clinvar |
| DDX23 | HGNC:17347 | ENSG00000174243 | Q9BUQ8 | Probable ATP-dependent RNA helicase DDX23 | clinvar |
| TUBA1A | HGNC:20766 | ENSG00000167552 | Q71U36 | Tubulin alpha-1A chain | clinvar |
| NUS1 | HGNC:21042 | ENSG00000153989 | Q96E22 | Dehydrodolichyl diphosphate synthase complex subunit NUS1 | clinvar |
| TUBB2B | HGNC:30829 | ENSG00000137285 | Q9BVA1 | Tubulin beta-2B chain | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SCN3A | Sodium channel protein type 3 subunit alpha | Pore-forming subunit of Nav1.3, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. |
| WFS1 | Wolframin | Participates in the regulation of cellular Ca(2+) homeostasis, at least partly, by modulating the filling state of the endoplasmic reticulum Ca(2+) store. |
| DDX23 | Probable ATP-dependent RNA helicase DDX23 | Involved in pre-mRNA splicing and its phosphorylated form (by SRPK2) is required for spliceosomal B complex formation. |
| TUBA1A | Tubulin alpha-1A chain | Tubulin is the major constituent of microtubules, a cylinder consisting of laterally associated linear protofilaments composed of alpha- and beta-tubulin heterodimers. |
| NUS1 | Dehydrodolichyl diphosphate synthase complex subunit NUS1 | With DHDDS, forms the dehydrodolichyl diphosphate synthase (DDS) complex, an essential component of the dolichol monophosphate (Dol-P) biosynthetic machinery. |
| TUBB2B | Tubulin beta-2B chain | Tubulin is the major constituent of microtubules, a cylinder consisting of laterally associated linear protofilaments composed of alpha- and beta-tubulin heterodimers. |
Protein-family classification
Druggable: 2 · Difficult: 0 · Unknown: 4 · Druggable fraction: 0.33
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 |
|---|---|---|---|
| Ion channel | 1 | 18.6× | 0.158 |
| Enzyme (other) | 1 | 2.0× | 0.458 |
| Other/Unknown | 4 | 1.2× | 0.458 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SCN3A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_trans_assoc_dom | |
| WFS1 | Other/Unknown | no | TPR-like_helical_dom_sf, Wolframin, Wolframin_fam | |
| DDX23 | Other/Unknown | no | RNA-helicase_DEAD-box_CS, Helicase_C-like, DEAD/DEAH_box_helicase_dom | |
| TUBA1A | Other/Unknown | no | Tubulin, Alpha_tubulin, Tubulin_FtsZ_GTPase | |
| NUS1 | Enzyme (other) | yes | 2.5.1.87 | UPP_synth-like, UPP_synth-like_sf, Nus1/NgBR |
| TUBB2B | Other/Unknown | no | Tubulin, Beta_tubulin, Tubulin_FtsZ_GTPase |
Expression context
Cohort genes with no expression data: 0.
6 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) | 6 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cortical plate | 3 |
| endothelial cell | 2 |
| ganglionic eminence | 2 |
| middle temporal gyrus | 1 |
| body of uterus | 1 |
| left ovary | 1 |
| right ovary | 1 |
| calcaneal tendon | 1 |
| granulocyte | 1 |
| sural nerve | 1 |
| endometrium | 1 |
| islet of Langerhans | 1 |
| tibia | 1 |
| ventricular zone | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SCN3A | 221 | broad | marker | endothelial cell, cortical plate, middle temporal gyrus |
| WFS1 | 280 | ubiquitous | marker | right ovary, left ovary, body of uterus |
| DDX23 | 296 | ubiquitous | marker | calcaneal tendon, sural nerve, granulocyte |
| TUBA1A | 288 | ubiquitous | marker | endothelial cell, cortical plate, ganglionic eminence |
| NUS1 | 255 | broad | marker | endometrium, tibia, islet of Langerhans |
| TUBB2B | 265 | ubiquitous | marker | cortical plate, ganglionic eminence, ventricular zone |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| DDX23 | 4,764 |
| TUBB2B | 4,736 |
| WFS1 | 3,409 |
| NUS1 | 2,058 |
| SCN3A | 1,454 |
| TUBA1A | 1,436 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| TUBA1A | TUBB2B | intact |
Structural data
PDB: 5 · AlphaFold-only: 1 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| DDX23 | Q9BUQ8 | 24 |
| TUBA1A | Q71U36 | 15 |
| NUS1 | Q96E22 | 9 |
| TUBB2B | Q9BVA1 | 3 |
| SCN3A | Q9NY46 | 2 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| WFS1 | O76024 | 73.85 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 108. Enrichment computed across 6 evidence-associated genes (6 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 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Microtubule-dependent trafficking of connexons from Golgi to the plasma membrane | 2 | 181.3× | 0.001 | TUBA1A, TUBB2B |
| Transport of connexons to the plasma membrane | 2 | 181.3× | 0.001 | TUBA1A, TUBB2B |
| Gap junction trafficking and regulation | 2 | 158.6× | 0.001 | TUBA1A, TUBB2B |
| Gap junction trafficking | 2 | 158.6× | 0.001 | TUBA1A, TUBB2B |
| Post-chaperonin tubulin folding pathway | 2 | 158.6× | 0.001 | TUBA1A, TUBB2B |
| Formation of tubulin folding intermediates by CCT/TriC | 2 | 141.0× | 0.001 | TUBA1A, TUBB2B |
| Cooperation of Prefoldin and TriC/CCT in actin and tubulin folding | 2 | 135.9× | 0.001 | TUBA1A, TUBB2B |
| Prefoldin mediated transfer of substrate to CCT/TriC | 2 | 131.3× | 0.001 | TUBA1A, TUBB2B |
| Activation of AMPK downstream of NMDARs | 2 | 126.9× | 0.001 | TUBA1A, TUBB2B |
| L1CAM interactions | 3 | 60.1× | 0.001 | SCN3A, TUBA1A, TUBB2B |
| RHO GTPases activate IQGAPs | 2 | 115.3× | 0.001 | TUBA1A, TUBB2B |
| Sealing of the nuclear envelope (NE) by ESCRT-III | 2 | 115.3× | 0.001 | TUBA1A, TUBB2B |
| HCMV Infection | 2 | 108.8× | 0.001 | TUBA1A, TUBB2B |
| Chaperonin-mediated protein folding | 2 | 100.2× | 0.001 | TUBA1A, TUBB2B |
| Gap junction assembly | 2 | 97.6× | 0.001 | TUBA1A, TUBB2B |
| Nuclear Envelope (NE) Reassembly | 2 | 97.6× | 0.001 | TUBA1A, TUBB2B |
| Selective autophagy | 2 | 92.8× | 0.001 | TUBA1A, TUBB2B |
| Protein folding | 2 | 86.5× | 0.001 | TUBA1A, TUBB2B |
| Assembly and cell surface presentation of NMDA receptors | 2 | 84.6× | 0.001 | TUBA1A, TUBB2B |
| Cargo trafficking to the periciliary membrane | 2 | 82.8× | 0.001 | TUBA1A, TUBB2B |
| Aggrephagy | 2 | 82.8× | 0.001 | TUBA1A, TUBB2B |
| Axon guidance | 3 | 22.6× | 0.001 | SCN3A, TUBA1A, TUBB2B |
| Nervous system development | 3 | 21.5× | 0.001 | SCN3A, TUBA1A, TUBB2B |
| Carboxyterminal post-translational modifications of tubulin | 2 | 79.3× | 0.001 | TUBA1A, TUBB2B |
| Recycling pathway of L1 | 2 | 74.6× | 0.001 | TUBA1A, TUBB2B |
| COPI-independent Golgi-to-ER retrograde traffic | 2 | 69.2× | 0.001 | TUBA1A, TUBB2B |
| Post NMDA receptor activation events | 2 | 68.0× | 0.001 | TUBA1A, TUBB2B |
| Intraflagellar transport | 2 | 66.8× | 0.001 | TUBA1A, TUBB2B |
| Antimicrobial mechanism of IFN-stimulated genes | 2 | 65.6× | 0.001 | TUBA1A, TUBB2B |
| HSP90 chaperone cycle for steroid hormone receptors (SHR) in the presence of ligand | 2 | 64.5× | 0.001 | TUBA1A, TUBB2B |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| microtubule-based process | 2 | 330.4× | 0.001 | TUBA1A, TUBB2B |
| cis assembly of pre-catalytic spliceosome | 1 | 1404.3× | 0.009 | DDX23 |
| dolichyl diphosphate biosynthetic process | 1 | 1404.3× | 0.009 | NUS1 |
| positive regulation of axon guidance | 1 | 1404.3× | 0.009 | TUBB2B |
| negative regulation of ATF6-mediated unfolded protein response | 1 | 1404.3× | 0.009 | WFS1 |
| cerebral cortex development | 2 | 68.5× | 0.009 | TUBA1A, TUBB2B |
| mitotic cell cycle | 2 | 44.6× | 0.009 | TUBA1A, TUBB2B |
| neuron migration | 2 | 44.6× | 0.009 | TUBA1A, TUBB2B |
| microtubule cytoskeleton organization | 2 | 40.4× | 0.009 | TUBA1A, TUBB2B |
| regulation of intracellular cholesterol transport | 1 | 702.2× | 0.011 | NUS1 |
| positive regulation of growth | 1 | 702.2× | 0.011 | WFS1 |
| pyramidal neuron differentiation | 1 | 561.7× | 0.013 | TUBA1A |
| cerebellar cortex morphogenesis | 1 | 468.1× | 0.014 | TUBA1A |
| negative regulation of response to endoplasmic reticulum stress | 1 | 401.2× | 0.014 | WFS1 |
| negative regulation of type B pancreatic cell apoptotic process | 1 | 351.1× | 0.014 | WFS1 |
| olfactory behavior | 1 | 312.1× | 0.014 | WFS1 |
| dolichyl monophosphate biosynthetic process | 1 | 312.1× | 0.014 | NUS1 |
| neuron projection arborization | 1 | 312.1× | 0.014 | TUBA1A |
| R-loop processing | 1 | 280.9× | 0.014 | DDX23 |
| membrane depolarization during action potential | 1 | 280.9× | 0.014 | SCN3A |
| response to L-glutamate | 1 | 280.9× | 0.014 | TUBA1A |
| positive regulation of blood vessel endothelial cell proliferation involved in sprouting angiogenesis | 1 | 280.9× | 0.014 | NUS1 |
| ER overload response | 1 | 255.3× | 0.015 | WFS1 |
| forebrain morphogenesis | 1 | 234.1× | 0.015 | TUBA1A |
| nervous system process | 1 | 200.6× | 0.016 | WFS1 |
| organelle transport along microtubule | 1 | 200.6× | 0.016 | TUBA1A |
| startle response | 1 | 187.2× | 0.017 | TUBA1A |
| vascular endothelial growth factor signaling pathway | 1 | 175.5× | 0.017 | NUS1 |
| locomotory exploration behavior | 1 | 165.2× | 0.017 | TUBA1A |
| positive regulation of protein metabolic process | 1 | 165.2× | 0.017 | WFS1 |
Therapeutics
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 3 · Undrugged: 3
Druggability breadth: 4 of 6 evidence-associated genes (67%) 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 |
|---|---|
| SCN3A | BEPRIDIL |
| TUBA1A | COLCHICINE |
| TUBB2B | COLCHICINE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SCN3A | 93 | 4 |
| TUBA1A | 22 | 4 |
| TUBB2B | 21 | 4 |
| WFS1 | 0 | 0 |
| DDX23 | 0 | 0 |
| NUS1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| BEPRIDIL | 4 | SCN3A |
| DIBUCAINE | 4 | SCN3A |
| ARTICAINE | 4 | SCN3A |
| BUPIVACAINE | 4 | SCN3A |
| IMIPRAMINE | 4 | SCN3A |
| DROPERIDOL | 4 | SCN3A |
| DICYCLOMINE | 4 | SCN3A |
| TETRABENAZINE | 4 | SCN3A |
| PHENIRAMINE | 4 | SCN3A |
| PRILOCAINE | 4 | SCN3A |
| PROPOXYCAINE | 4 | SCN3A |
| PROPARACAINE | 4 | SCN3A |
| HEXYLCAINE | 4 | SCN3A |
| PRAMOXINE | 4 | SCN3A |
| BENOXINATE | 4 | SCN3A |
| QUINIDINE | 4 | SCN3A |
| FELODIPINE | 4 | SCN3A |
| PHENYTOIN | 4 | SCN3A |
| QUININE | 4 | SCN3A |
| NISOLDIPINE | 4 | SCN3A |
| NIFEDIPINE | 4 | SCN3A |
| PRAZOSIN | 4 | SCN3A |
| DILTIAZEM | 4 | SCN3A |
| PRENYLAMINE | 4 | SCN3A |
| COCAINE | 4 | SCN3A |
| TRIFLUOPERAZINE | 4 | SCN3A |
| CINNARIZINE | 4 | SCN3A |
| THIORIDAZINE | 4 | SCN3A |
| ETIDOCAINE | 4 | SCN3A |
| CHLORPHENIRAMINE | 4 | SCN3A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| TUBB2B | 1,757 | Binding:1717, Functional:34, ADMET:6 |
| TUBA1A | 1,696 | Binding:1655, Functional:35, ADMET:6 |
| SCN3A | 102 | Binding:79, Functional:18, ADMET:4, Toxicity:1 |
| WFS1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| NUS1 | 2.5.1.87 | ditrans,polycis-polyprenyl diphosphate synthase [(2E,6E)-farnesyl diphosphate specific] |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| SCN3A | 102 |
| TUBA1A | 1,696 |
| TUBB2B | 1,757 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 6; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| BEPRIDIL | 4 | SCN3A |
| DIBUCAINE | 4 | SCN3A |
| ARTICAINE | 4 | SCN3A |
| BUPIVACAINE | 4 | SCN3A |
| IMIPRAMINE | 4 | SCN3A |
| DROPERIDOL | 4 | SCN3A |
| DICYCLOMINE | 4 | SCN3A |
| TETRABENAZINE | 4 | SCN3A |
| PHENIRAMINE | 4 | SCN3A |
| PRILOCAINE | 4 | SCN3A |
| PROPOXYCAINE | 4 | SCN3A |
| PROPARACAINE | 4 | SCN3A |
| HEXYLCAINE | 4 | SCN3A |
| PRAMOXINE | 4 | SCN3A |
| BENOXINATE | 4 | SCN3A |
| QUINIDINE | 4 | SCN3A |
| FELODIPINE | 4 | SCN3A |
| PHENYTOIN | 4 | SCN3A |
| QUININE | 4 | SCN3A |
| NISOLDIPINE | 4 | SCN3A |
| NIFEDIPINE | 4 | SCN3A |
| PRAZOSIN | 4 | SCN3A |
| DILTIAZEM | 4 | SCN3A |
| PRENYLAMINE | 4 | SCN3A |
| COCAINE | 4 | SCN3A |
| TRIFLUOPERAZINE | 4 | SCN3A |
| CINNARIZINE | 4 | SCN3A |
| THIORIDAZINE | 4 | SCN3A |
| ETIDOCAINE | 4 | SCN3A |
| CHLORPHENIRAMINE | 4 | SCN3A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 3 | SCN3A, TUBA1A, TUBB2B |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | NUS1 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 2 | WFS1, DDX23 |
Undrugged target profiles
3 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| WFS1 | 1 | — |
| DDX23 | 0 | — |
| NUS1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 0.