Summary
Breast carcinoma (MONDO:0004989) is a cancer (an umbrella term covering 13 Mondo subtypes) with 61 cohort genes (2,159 GWAS associations across 172 studies; 51 CIViC-evidence somatic drivers; 212 ClinVar predisposition records) and 11,024 clinical trials. The dominant Reactome pathway is PIP3 activates AKT signaling (20 cohort genes). Molecularly, ERBB2 Amplification confers sensitivity to Capecitabine + Lapatinib in Breast Cancer (CIViC Level A); 234 further subtype–drug associations are mapped below. Top therapeutic interventions include tamoxifen, docetaxel anhydrous, and epirubicin.
At a glance
- Classification: Cancer
- Umbrella term: 13 Mondo subtypes
- Cohort genes: 61
- GWAS associations: 2,159
- ClinVar variants: 212
- Clinical trials: 11,024
- Precision-medicine evidence (CIViC): 235 subtype–drug associations
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | breast carcinoma |
| Mondo ID | MONDO:0004989 |
| EFO | EFO:0000305 |
| DOID | DOID:3459 |
| NCIT | C4872 |
| SNOMED CT | 254838004 |
| UMLS | C0678222 |
| MedGen | 146260 |
| Anatomy (UBERON) | UBERON:0000310 |
| Is cancer (heuristic) | yes |
Also known as: breast cancer · breast cancer, NOS · breast carcinoma · cancer of breast · cancer of the breast · cancer, breast · carcinoma of breast · carcinoma of the breast · mammary carcinoma
Data availability: 212 ClinVar variants · 2,159 GWAS associations (172 studies) · 1 HPO phenotype · 203 cell lines.
Disease family
An umbrella term covering 13 Mondo subtypes.
Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumor › neoplastic disease or syndrome › neoplasm › cancer › carcinoma › breast carcinoma
Related subtypes (48): retroperitoneum carcinoma, head and neck carcinoma, peritoneal carcinoma, neuroendocrine carcinoma, laryngeal carcinoma, bone carcinoma, carcinoma ex pleomorphic adenoma, scrotal carcinoma, skin carcinoma, malignant myoepithelioma, trachea carcinoma, epithelial-myoepithelial carcinoma, lipid-rich carcinoma, comedocarcinoma, in situ carcinoma, adenocarcinoma, urinary bladder carcinoma, squamous cell carcinoma, lung carcinoma, prostate carcinoma, renal carcinoma, uterine carcinoma, vulvar carcinoma, large cell carcinoma, undifferentiated carcinoma, basaloid carcinoma, cribriform carcinoma, digestive system carcinoma, fallopian tube carcinoma, penile carcinoma, sarcomatoid carcinoma, thymic carcinoma, transitional cell carcinoma, ureter carcinoma, papillary carcinoma, Krebs 2 carcinoma, thyroid gland carcinoma, vaginal carcinoma, choroid plexus carcinoma, malignant epithelial tumor of ovary, mucin-producing carcinoma, basal cell carcinoma, carcinoma of urethra, combined carcinoid and adenocarcinoma, secondary carcinoma, invasive carcinoma, glycogen-rich carcinoma, lymph node carcinoma
Subtypes (13): nipple carcinoma, bilateral breast carcinoma, female breast carcinoma, sporadic breast cancer, breast carcinoma in situ, breast adenocarcinoma, male breast carcinoma, breast carcinoma by gene expression profile, invasive breast carcinoma, Ehrlich tumor carcinoma, hereditary breast carcinoma, cribriform carcinoma of breast, hormone-resistant breast carcinoma
Genetics & variants
GWAS landscape
2,159 GWAS associations across 172 studies. Top hits map to 19 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs35054928 | 2e-322 | FGFR2 | GC | 1.27 |
| rs2981578 | 1e-245 | FGFR2 | C | 1.23 |
| rs4784227 | 7e-201 | CASC16 | T | 1.23 |
| rs2981579 | 2e-170 | FGFR2 | A | 1.27 |
| rs78540526 | 2e-131 | LINC01488 - PNCRNA-D | T | 0.28 |
| rs3803662 | 4e-117 | CASC16 | A | 1.24 |
| rs62355901 | 3e-98 | C5orf67 - MAP3K1 | C | 0.17 |
| rs62355902 | 7e-98 | C5orf67 - MAP3K1 | T | 1.18 |
| rs4442975 | 1e-95 | TESHL | G | 1.12 |
| rs75915166 | 4e-95 | LINC01488 - PNCRNA-D | A | 1.28 |
| rs554219 | 2e-81 | LINC01488 - PNCRNA-D | G | 1.26 |
| rs2981582 | 2e-76 | FGFR2 | A | 1.26 |
| rs10941679 | 6e-73 | MRPS30-DT | G | 1.15 |
| rs6890270 | 5e-67 | MIER3 | G | 0.13 |
| rs10096351 | 2e-64 | PCAT1, POU5F1B, CASC8 | G | 0.11 |
| rs60936670 | 8e-64 | NEK10 | C | 0.11 |
| rs614367 | 2e-63 | LINC01488 - PNCRNA-D | T | 1.21 |
| rs7297051 | 3e-60 | PTHLH - CCDC91 | C | 1.12 |
| rs930395 | 2e-58 | MRPS30 - HCN1 | A | 0.12 |
| rs10510097 | 2e-58 | FGFR2 | T | 0.15 |
| rs13387042 | 2e-57 | TESHL | A | 1.14 |
| rs13281615 | 2e-57 | CASC8, POU5F1B, PCAT1 | G | 1.11 |
| rs4973768 | 5e-57 | SLC4A7 | T | 1.11 |
| rs630965 | 3e-54 | CHCHD4P2 - RPL36P14 | T | 0.1 |
| rs60954078 | 3e-54 | CCDC170 - ESR1 | G | 0.18 |
| rs9397437 | 5e-54 | CCDC170 - ESR1 | A | 1.17 |
| rs676256 | 4e-53 | CHCHD4P2 - RPL36P14 | T | 1.1 |
| rs11249433 | 2e-52 | EMBP1 | G | 1.11 |
| rs10995201 | 2e-51 | LINC02929 | A | 1.11 |
| rs1696803 | 2e-45 | FGFR2 - ATE1 | C | 0.12 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST002861 | Guo Q | 2015 | 23,059 | 0 | Identification of novel genetic markers of breast cancer survival. |
| GCST001937 | Michailidou K | 2013 | 10,052 | 12,575 | Large-scale genotyping identifies 41 new loci associated with breast cancer risk. |
| GCST003520 | Han MR | 2016 | 7,619 | 6,286 | Genome-wide association study in East Asians identifies two novel breast cancer susceptibility loci. |
| GCST003587 | Fehringer G | 2016 | 5,020 | 61,820 | Cross-Cancer Genome-Wide Analysis of Lung, Ovary, Breast, Prostate, and Colorectal Cancer Reveals Novel Pleiotropic Associations. |
| GCST003588 | Fehringer G | 2016 | 5,020 | 61,820 | Cross-Cancer Genome-Wide Analysis of Lung, Ovary, Breast, Prostate, and Colorectal Cancer Reveals Novel Pleiotropic Associations. |
| GCST001930 | Garcia-Closas M | 2013 | 4,193 | 35,194 | Genome-wide association studies identify four ER negative-specific breast cancer risk loci. |
| GCST003782 | Huo D | 2016 | 3,962 | 4,150 | Genome-wide association studies in women of African ancestry identified 3q26.21 as a novel susceptibility locus for oestrogen receptor negative breast cancer. |
| GCST001683 | Siddiq A | 2012 | 3,666 | 28,864 | A meta-analysis of genome-wide association studies of breast cancer identifies two novel susceptibility loci at 6q14 and 20q11. |
| GCST000678 | Turnbull C | 2010 | 3,659 | 4,897 | Genome-wide association study identifies five new breast cancer susceptibility loci. |
| GCST002346 | Ahsan H | 2014 | 3,523 | 2,702 | A genome-wide association study of early-onset breast cancer identifies PFKM as a novel breast cancer gene and supports a common genetic spectrum for breast cancer at any age. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 2 |
| Tier 3: regulatory | 5 |
| Tier 4: intronic/intergenic | 43 |
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 | 27 |
| intergenic_variant | 14 |
| regulatory_region_variant | 5 |
| 3_prime_UTR_variant | 2 |
| non_coding_transcript_exon_variant | 1 |
| unknown | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs35054928 | 10 | 121580918 | GC>G,GCC | 0.4 | intron_variant | FGFR2 | 2e-322 | Tier 4: intronic/intergenic |
| rs2981578 | 10 | 121580797 | C>A,G,T | 0.47 | intron_variant | FGFR2 | 1e-245 | Tier 4: intronic/intergenic |
| rs4784227 | 16 | 52565276 | C>A,T | 0.24 | intron_variant | CASC16 | 7e-201 | Tier 4: intronic/intergenic |
| rs2981579 | 10 | 121577821 | A>C,G,T | 0.4 | intron_variant | FGFR2 | 2e-170 | Tier 4: intronic/intergenic |
| rs78540526 | 11 | 69516650 | C>T | 0.076 | regulatory_region_variant | LINC01488 - PNCRNA-D | 2e-131 | Tier 3: regulatory |
| rs3803662 | 16 | 52552429 | A>C,G,T | 0.26 | non_coding_transcript_exon_variant | CASC16 | 4e-117 | Tier 4: intronic/intergenic |
| rs62355901 | 5 | 56757708 | T>A,C,G | 0.16 | intergenic_variant | C5orf67 - MAP3K1 | 3e-98 | Tier 4: intronic/intergenic |
| rs62355902 | 5 | 56757896 | A>C,T | 0.16 | intergenic_variant | C5orf67 - MAP3K1 | 7e-98 | Tier 4: intronic/intergenic |
| rs4442975 | 2 | 217056046 | G>A,C,T | 0.5 | intron_variant | TESHL | 1e-95 | Tier 4: intronic/intergenic |
| rs75915166 | 11 | 69564393 | C>A | 0.06 | regulatory_region_variant | LINC01488 - PNCRNA-D | 4e-95 | Tier 3: regulatory |
| rs554219 | 11 | 69516874 | C>A,G,T | 0.12 | intergenic_variant | LINC01488 - PNCRNA-D | 2e-81 | Tier 4: intronic/intergenic |
| rs2981582 | 10 | 121592803 | A>C,G,T | 0.38 | intron_variant | FGFR2 | 2e-76 | Tier 4: intronic/intergenic |
| rs10941679 | 5 | 44706396 | A>G | 0.25 | intron_variant | MRPS30-DT | 6e-73 | Tier 4: intronic/intergenic |
| rs6890270 | 5 | 56964779 | A>C,G | 0.187 | intergenic_variant | MIER3 | 5e-67 | Tier 4: intronic/intergenic |
| rs10096351 | 8 | 127359926 | A>C,G,T | 0.456 | intron_variant | PCAT1, POU5F1B, CASC8 | 2e-64 | Tier 4: intronic/intergenic |
| rs60936670 | 3 | 27290919 | CTCAAAACA>C,CTCAAAACATCAAAACA | 0.476 | intron_variant | NEK10 | 8e-64 | Tier 4: intronic/intergenic |
| rs614367 | 11 | 69513996 | C>T | 0.15 | intergenic_variant | LINC01488 - PNCRNA-D | 2e-63 | Tier 4: intronic/intergenic |
| rs7297051 | 12 | 28021884 | C>G,T | 0.24 | regulatory_region_variant | PTHLH - CCDC91 | 3e-60 | Tier 3: regulatory |
| rs930395 | 5 | 44822356 | G>A,T | 0.221 | intergenic_variant | MRPS30 - HCN1 | 2e-58 | Tier 4: intronic/intergenic |
| rs10510097 | 10 | 121568362 | C>T | 0.11 | intron_variant | FGFR2 | 2e-58 | Tier 4: intronic/intergenic |
| rs13387042 | 2 | 217041109 | A>C,G,T | 0.49 | intron_variant | TESHL | 2e-57 | Tier 4: intronic/intergenic |
| rs13281615 | 8 | 127343372 | A>C,G,T | 0.41 | intron_variant | CASC8, POU5F1B, PCAT1 | 2e-57 | Tier 4: intronic/intergenic |
| rs4973768 | 3 | 27374522 | C>T | 0.47 | 3_prime_UTR_variant | SLC4A7 | 5e-57 | Tier 2: splice/UTR |
| rs630965 | 9 | 108123199 | C>A,G,T | 0.38 | intergenic_variant | CHCHD4P2 - RPL36P14 | 3e-54 | Tier 4: intronic/intergenic |
| rs60954078 | 6 | 151634779 | A>G | 0.07 | intergenic_variant | CCDC170 - ESR1 | 3e-54 | Tier 4: intronic/intergenic |
| rs9397437 | 6 | 151631197 | G>A | 0.07 | intergenic_variant | CCDC170 - ESR1 | 5e-54 | Tier 4: intronic/intergenic |
| rs676256 | 9 | 108133073 | C>A,G,T | 0.38 | intergenic_variant | CHCHD4P2 - RPL36P14 | 4e-53 | Tier 4: intronic/intergenic |
| rs11249433 | 1 | 121538815 | A>C,G,T | 0.41 | intron_variant | EMBP1 | 2e-52 | Tier 4: intronic/intergenic |
| rs10995201 | 10 | 62540131 | A>G | 0.16 | intron_variant | LINC02929 | 2e-51 | Tier 4: intronic/intergenic |
| rs1696803 | 10 | 121677436 | T>A,C | 0.163 | intergenic_variant | FGFR2 - ATE1 | 2e-45 | Tier 4: intronic/intergenic |
ClinVar germline variants
212 retrieved; paginated sample, class counts are floors:
86 pathogenic, 35 conflicting classifications of pathogenicity, 28 pathogenic/likely pathogenic, 24 likely pathogenic, 14 uncertain significance, 12 benign, 8 benign/likely benign, 2 association, 2 likely benign, 1 conflicting classifications of pathogenicity; association; risk factor
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|
| 1192513 | NM_000051.4(ATM):c.7424T>G (p.Leu2475Ter) | ATM | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1209849 | NM_000051.4(ATM):c.6951_6952del (p.Lys2318fs) | ATM | Pathogenic/Likely pathogenic | no assertion criteria provided |
| 1244225 | NM_000051.4(ATM):c.6527del (p.Leu2176fs) | ATM | Pathogenic | no assertion criteria provided |
| 127374 | NM_000051.4(ATM):c.3802del (p.Glu1267_Val1268insTer) | ATM | Pathogenic | reviewed by expert panel |
| 142700 | NM_000051.4(ATM):c.8147T>C (p.Val2716Ala) | ATM | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 181974 | NM_000051.4(ATM):c.6095G>A (p.Arg2032Lys) | ATM | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 186242 | NM_000051.4(ATM):c.8395_8404del (p.Phe2799fs) | ATM | Pathogenic | reviewed by expert panel |
| 230843 | NM_000051.4(ATM):c.2497G>T (p.Gly833Ter) | ATM | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 265585 | NM_000051.4(ATM):c.193C>T (p.Gln65Ter) | ATM | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 584461 | NM_000051.4(ATM):c.1110C>A (p.Tyr370Ter) | ATM | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 647116 | NM_000051.4(ATM):c.4383G>A (p.Trp1461Ter) | ATM | Pathogenic | criteria provided, single submitter |
| 847035 | NM_000051.4(ATM):c.4019T>A (p.Leu1340Ter) | ATM | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 936134 | NM_000051.4(ATM):c.5755C>T (p.Gln1919Ter) | ATM | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 229677 | NM_000465.4(BARD1):c.1216C>T (p.Arg406Ter) | BARD1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 125807 | NM_007294.4(BRCA1):c.5241del (p.Gly1748fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 17661 | NM_007294.4(BRCA1):c.181T>G (p.Cys61Gly) | BRCA1 | Pathogenic | reviewed by expert panel |
| 266276 | NM_007294.4(BRCA1):c.2536G>T (p.Glu846Ter) | BRCA1 | Pathogenic | reviewed by expert panel |
| 266434 | NM_007294.4(BRCA1):c.4062_4066del (p.Asn1354fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 266579 | NM_007294.4(BRCA1):c.788dup (p.Gly263_Ser264insTer) | BRCA1 | Pathogenic | reviewed by expert panel |
| 37426 | NM_007294.4(BRCA1):c.1687C>T (p.Gln563Ter) | BRCA1 | Pathogenic | reviewed by expert panel |
| 37546 | NM_007294.4(BRCA1):c.3770_3771del (p.Glu1257fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 37691 | NM_007294.4(BRCA1):c.66dup (p.Glu23fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 495093 | NM_007294.4(BRCA1):c.4818del (p.Val1607fs) | BRCA1 | Pathogenic | criteria provided, single submitter |
| 54729 | NM_007294.4(BRCA1):c.2952del (p.Ile986fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 54764 | NM_007294.4(BRCA1):c.3049G>T (p.Glu1017Ter) | BRCA1 | Pathogenic | reviewed by expert panel |
| 54944 | NM_007294.4(BRCA1):c.3626dup (p.Leu1209fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 55008 | NM_007294.4(BRCA1):c.3794del (p.Asn1265fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 55322 | NM_007294.4(BRCA1):c.4936del (p.Val1646fs) | BRCA1 | Pathogenic | reviewed by expert panel |
| 55344 | NM_007294.4(BRCA1):c.4986+6T>G | BRCA1 | Pathogenic | reviewed by expert panel |
| 55401 | NM_007294.4(BRCA1):c.5102_5103del (p.Leu1701fs) | BRCA1 | Pathogenic | reviewed by expert panel |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 209 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 4
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|
| BRCA2 | BRCA2 | GWAS, Orphanet |
| CHEK2 | CHEK2 | GWAS, Orphanet |
| TERT | TERT | GWAS, Orphanet |
| PRC1 | PRC1 | GWAS |
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|
| BRCA2 | LoF | BLCA,BRCA,CESC,CHOL,HCC,HNSC,LUSC,MBL,OVT,PAAD,PRAD,PROSTATE,RCC,VULVA | CIViC #7 |
| CHEK2 | Act | BRCA | CIViC #8950 |
| BRCA1 | LoF | BLCA,BRCA,MEL,OVT | CIViC #6 |
| TERT | Act | PRCC | CIViC #79 |
| TP53 | LoF | ACC,ALL,AML,ANGS,ANSC,BCC,BL,BLADDER,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,CHRCC,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,EGC,ES,ESCA,ESCC,GB,GBC,GBM,GIST,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LMS,LNM,LUAD,LUSC,MBL,MEL,MLYM,MT,NBL,NETNOS,NHL,NPC,NSCLC,OS,OVT,PAAD,PANCREAS,PAST,PCM,PLMESO,PRAD,PRCC,PROSTATE,RCC,READ,SACA,SARCNOS,SCLC,SIC,SKCM,SKIN,SOFT_TISSUE,STAD,STOMACH,THYM,UCEC,UCS,UTUC,VULVA,WDTC,WT | CIViC #45 |
| CCND1 | Act | HNSC,PCM,UCEC | CIViC #8 |
| CCNE1 | | | CIViC #11 |
| PALB2 | LoF | OVT | CIViC #15013 |
| ERBB4 | LoF | BLCA,BRCA,CCRCC,CHOL,COADREAD,ESCA,HCC,MEL,PRAD,STAD | CIViC #1734 |
| ESR1 | Act | BRCA,LUSC,MEL,UCEC | CIViC #21 |
| FGF3 | | | CIViC #1873 |
| FGFR2 | Act | BRCA,CHOL,LUSC,SACA,UCEC | CIViC #22 |
| PIK3CA | Act | ACYC,ANGS,ANSC,BCC,BLADDER,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,COAD,COADREAD,EPM,ESCA,ESCC,GB,GBM,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LMS,LUAD,LUSC,MBL,MGCT,NPC,NSCLC,OVT,PAAD,PAST,PLMESO,PRAD,PRCC,PROSTATE,RCC,SACA,SKCM,SOFT_TISSUE,STAD,UCEC,UCS,UTUC,VULVA,WDTC | CIViC #37 |
| PTEN | LoF | ANGS,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,CHRCC,COADREAD,CSCC,ESCA,GB,GBM,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LUAD,LUSC,MBL,MEL,MT,NSCLC,OVT,PANET,PAST,PRAD,PRCC,PROSTATE,RCC,SCLC,SKCM,SOFT_TISSUE,STAD,UCEC,UCS,WDTC | CIViC #41 |
| RAD51D | | | CIViC #4765 |
| RET | Act | ANGS,MEL,NSCLC,PGNG,SOFT_TISSUE,WDTC | CIViC #42 |
| SF3B1 | Act | AML,BLCA,BRCA,CHOL,CLLSLL,HCC,LUNG,MBL,MEL,PAAD,PCM,PRAD,SKCM,UM | CIViC #44 |
| SGK1 | Act | DLBCLNOS,MLYM,NHL,PRCC | CIViC #5225 |
| BRAF | Act | BLCA,BRCA,CHOL,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,GBM,GIST,HGGNOS,LGGNOS,LUAD,MEL,MLYM,NSCLC,OVT,PAST,PCM,PRAD,PRCC,PROSTATE,READ,SACA,SKCM,STAD,UCEC,WDTC | CIViC #5 |
| TFF3 | | | CIViC #5737 |
| TIMP1 | | | CIViC #5777 |
| TLK2 | | | CIViC #8787 |
| TOP2A | Act | STAD | CIViC #5848 |
| KMT2C | LoF | ACC,ACYC,AML,ANSC,BCC,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,COAD,COADREAD,ES,ESCA,GBC,HCC,HNSC,LUAD,LUSC,MBL,MEL,NPC,OVT,PAAD,PANCREAS,PANET,PAST,PGNG,PRAD,PRCC,PROSTATE,RCC,SACA,SCLC,STAD,STOMACH,UCEC,WDTC | CIViC #14089 |
| CD274 | LoF | DLBCLNOS | CIViC #11335 |
| CDK6 | | | CIViC #12 |
| CDKN1B | LoF | BRCA,HCC,PCM,PRAD,SIC | CIViC #914 |
| RSF1 | | | CIViC #12121 |
| TUBB3 | | | CIViC #8262 |
| CDK12 | LoF | BLCA,CCRCC,CESC,DLBCLNOS,MEL,OVT,PRAD,PROSTATE,STAD | CIViC #12112 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| BRCA2 | Orphanet:1331 | Familial prostate cancer |
| BRCA2 | Orphanet:1333 | Familial pancreatic carcinoma |
| BRCA2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| BRCA2 | Orphanet:178 | Chordoma |
| BRCA2 | Orphanet:227535 | Hereditary breast cancer |
| BRCA2 | Orphanet:319462 | Inherited cancer-predisposing syndrome due to biallelic BRCA2 mutations |
| BRCA2 | Orphanet:440437 | Familial colorectal cancer Type X |
| BRCA2 | Orphanet:654 | Nephroblastoma |
| BRCA2 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| BRCA2 | Orphanet:694963 | Inflammatory breast cancer |
| BRCA2 | Orphanet:70567 | Cholangiocarcinoma |
| BRCA2 | Orphanet:84 | Fanconi anemia |
| CHEK2 | Orphanet:1331 | Familial prostate cancer |
| CHEK2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| CHEK2 | Orphanet:440437 | Familial colorectal cancer Type X |
| CHEK2 | Orphanet:524 | Li-Fraumeni syndrome |
| CHEK2 | Orphanet:668 | Osteosarcoma |
| BRCA1 | Orphanet:1331 | Familial prostate cancer |
| BRCA1 | Orphanet:1333 | Familial pancreatic carcinoma |
| BRCA1 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| BRCA1 | Orphanet:168829 | Primary peritoneal carcinoma |
| BRCA1 | Orphanet:227535 | Hereditary breast cancer |
| BRCA1 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| BRCA1 | Orphanet:694963 | Inflammatory breast cancer |
| BRCA1 | Orphanet:70567 | Cholangiocarcinoma |
| BRCA1 | Orphanet:84 | Fanconi anemia |
| TERT | Orphanet:146 | Differentiated thyroid carcinoma |
| TERT | Orphanet:1501 | Adrenocortical carcinoma |
| TERT | Orphanet:1775 | Dyskeratosis congenita |
| TERT | Orphanet:2032 | Idiopathic pulmonary fibrosis |
| TERT | Orphanet:2495 | Meningioma |
| TERT | Orphanet:3322 | Hoyeraal-Hreidarsson syndrome |
| TERT | Orphanet:457246 | Clear cell sarcoma of kidney |
| TERT | Orphanet:618 | Familial melanoma |
| TERT | Orphanet:88 | Idiopathic aplastic anemia |
| TP53 | Orphanet:1333 | Familial pancreatic carcinoma |
| TP53 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| TP53 | Orphanet:1501 | Adrenocortical carcinoma |
| TP53 | Orphanet:210159 | Adult hepatocellular carcinoma |
| TP53 | Orphanet:251576 | Gliosarcoma |
| TP53 | Orphanet:251579 | Giant cell glioblastoma |
| TP53 | Orphanet:251899 | Choroid plexus carcinoma |
| TP53 | Orphanet:2807 | Papilloma of choroid plexus |
| TP53 | Orphanet:293199 | Pleomorphic rhabdomyosarcoma |
| TP53 | Orphanet:3318 | Essential thrombocythemia |
| TP53 | Orphanet:524 | Li-Fraumeni syndrome |
| TP53 | Orphanet:52688 | Myelodysplastic syndrome |
| TP53 | Orphanet:585909 | B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2) |
| TP53 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| TP53 | Orphanet:668 | Osteosarcoma |
Cohort genes → proteins
61 cohort genes, 61 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 11 |
| gwas_and_clinvar | 2 |
| civic_only | 32 |
| multi_evidence | 16 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| BRCA2 | HGNC:1101 | ENSG00000139618 | P51587 | Breast cancer type 2 susceptibility protein | gwas,clinvar,civic_evidence |
| CHEK2 | HGNC:16627 | ENSG00000183765 | O96017 | Serine/threonine-protein kinase Chk2 | gwas,clinvar,civic_evidence |
| BRCA1 | HGNC:1100 | ENSG00000012048 | P38398 | Breast cancer type 1 susceptibility protein | clinvar,civic_evidence |
| TERT | HGNC:11730 | ENSG00000164362 | O14746 | Telomerase reverse transcriptase | gwas,clinvar |
| TP53 | HGNC:11998 | ENSG00000141510 | P04637 | Cellular tumor antigen p53 | clinvar,civic_evidence |
| CCND1 | HGNC:1582 | ENSG00000110092 | P24385 | G1/S-specific cyclin-D1 | gwas,civic_evidence |
| CCNE1 | HGNC:1589 | ENSG00000105173 | P24864 | G1/S-specific cyclin-E1 | gwas,civic_evidence |
| PALB2 | HGNC:26144 | ENSG00000083093 | Q86YC2 | Partner and localizer of BRCA2 | clinvar,civic_evidence |
| ERBB4 | HGNC:3432 | ENSG00000178568 | Q15303 | Receptor tyrosine-protein kinase erbB-4 | gwas,civic_evidence |
| ESR1 | HGNC:3467 | ENSG00000091831 | P03372 | Estrogen receptor | gwas,civic_evidence |
| FGF3 | HGNC:3681 | ENSG00000186895 | P11487 | Fibroblast growth factor 3 | gwas,civic_evidence |
| FGFR2 | HGNC:3689 | ENSG00000066468 | P21802 | Fibroblast growth factor receptor 2 | gwas,civic_evidence |
| PIK3CA | HGNC:8975 | ENSG00000121879 | P42336 | Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoform | clinvar,civic_evidence |
| PRC1 | HGNC:9341 | ENSG00000198901 | O43663 | Protein regulator of cytokinesis 1 | gwas,clinvar |
| PTEN | HGNC:9588 | ENSG00000171862 | P60484 | Phosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTEN | clinvar,civic_evidence |
| RAD51D | HGNC:9823 | ENSG00000185379 | O75771 | DNA repair protein RAD51 homolog 4 | clinvar,civic_evidence |
| RET | HGNC:9967 | ENSG00000165731 | P07949 | Proto-oncogene tyrosine-protein kinase receptor Ret | clinvar,civic_evidence |
| SF3B1 | HGNC:10768 | ENSG00000115524 | O75533 | Splicing factor 3B subunit 1 | civic_evidence |
| SGK1 | HGNC:10810 | ENSG00000118515 | O00141 | Serine/threonine-protein kinase Sgk1 | civic_evidence |
| BRAF | HGNC:1097 | ENSG00000157764 | P15056 | Serine/threonine-protein kinase B-raf | civic_evidence |
| TFF3 | HGNC:11757 | ENSG00000160180 | Q07654 | Trefoil factor 3 | civic_evidence |
| TIMP1 | HGNC:11820 | ENSG00000102265 | P01033 | Metalloproteinase inhibitor 1 | civic_evidence |
| TLK2 | HGNC:11842 | ENSG00000146872 | Q86UE8 | Serine/threonine-protein kinase tousled-like 2 | civic_evidence |
| TOP2A | HGNC:11989 | ENSG00000131747 | P11388 | DNA topoisomerase 2-alpha | civic_evidence |
| KMT2C | HGNC:13726 | ENSG00000055609 | Q8NEZ4 | Histone-lysine N-methyltransferase 2C | civic_evidence |
| CD274 | HGNC:17635 | ENSG00000120217 | Q9NZQ7 | Programmed cell death 1 ligand 1 | civic_evidence |
| CDK6 | HGNC:1777 | ENSG00000105810 | Q00534 | Cyclin-dependent kinase 6 | civic_evidence |
| CDKN1B | HGNC:1785 | ENSG00000111276 | P46527 | Cyclin-dependent kinase inhibitor 1B | civic_evidence |
| RSF1 | HGNC:18118 | ENSG00000048649 | Q96T23 | Remodeling and spacing factor 1 | civic_evidence |
| TUBB3 | HGNC:20772 | ENSG00000258947 | Q13509 | Tubulin beta-3 chain | civic_evidence |
| CDK12 | HGNC:24224 | ENSG00000167258 | Q9NYV4 | Cyclin-dependent kinase 12 | civic_evidence |
| CYP2D6 | HGNC:2625 | ENSG00000100197 | P10635 | Cytochrome P450 2D6 | civic_evidence |
| PARP1 | HGNC:270 | ENSG00000143799 | P09874 | Poly [ADP-ribose] polymerase 1 | civic_evidence |
| EGFR | HGNC:3236 | ENSG00000146648 | P00533 | Epidermal growth factor receptor | civic_evidence |
| AGR2 | HGNC:328 | ENSG00000106541 | O95994 | Anterior gradient protein 2 homolog | civic_evidence |
| ERBB2 | HGNC:3430 | ENSG00000141736 | P04626 | Receptor tyrosine-protein kinase erbB-2 | civic_evidence |
| ERBB3 | HGNC:3431 | ENSG00000065361 | P21860 | Receptor tyrosine-protein kinase erbB-3 | civic_evidence |
| FCGR2A | HGNC:3616 | ENSG00000143226 | P12318 | Low affinity immunoglobulin gamma Fc region receptor II-a | civic_evidence |
| FCGR2B | HGNC:3618 | ENSG00000072694 | P31994 | Low affinity immunoglobulin gamma Fc region receptor II-b | civic_evidence |
| FCGR3A | HGNC:3619 | ENSG00000203747 | P08637 | Low affinity immunoglobulin gamma Fc region receptor III-A | civic_evidence |
| FDXR | HGNC:3642 | ENSG00000161513 | P22570 | NADPH:adrenodoxin oxidoreductase, mitochondrial | civic_evidence |
| FGFR1 | HGNC:3688 | ENSG00000077782 | P11362 | Fibroblast growth factor receptor 1 | civic_evidence |
| FGFR3 | HGNC:3690 | ENSG00000068078 | P22607 | Fibroblast growth factor receptor 3 | civic_evidence |
| KLLN | HGNC:37212 | ENSG00000227268 | B2CW77 | Killin | civic_evidence |
| AKT1 | HGNC:391 | ENSG00000142208 | P31749 | RAC-alpha serine/threonine-protein kinase | civic_evidence |
| AKT2 | HGNC:392 | ENSG00000105221 | P31751 | RAC-beta serine/threonine-protein kinase | civic_evidence |
| AKT3 | HGNC:393 | ENSG00000117020 | Q9Y243 | RAC-gamma serine/threonine-protein kinase | civic_evidence |
| MTOR | HGNC:3942 | ENSG00000198793 | P42345 | Serine/threonine-protein kinase mTOR | civic_evidence |
| ABCB1 | HGNC:40 | ENSG00000085563 | P08183 | ATP-dependent translocase ABCB1 | civic_evidence |
| RORA | HGNC:10258 | ENSG00000069667 | P35398 | Nuclear receptor ROR-alpha | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| BRCA2 | Breast cancer type 2 susceptibility protein | Involved in double-strand break repair and/or homologous recombination. |
| CHEK2 | Serine/threonine-protein kinase Chk2 | Serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks. |
| BRCA1 | Breast cancer type 1 susceptibility protein | E3 ubiquitin-protein ligase that specifically mediates the formation of ‘Lys-6’-linked polyubiquitin chains and plays a central role in DNA repair by facilitating cellular responses to DNA damage. |
| TERT | Telomerase reverse transcriptase | Telomerase is a ribonucleoprotein enzyme essential for the replication of chromosome termini in most eukaryotes. |
| TP53 | Cellular tumor antigen p53 | Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence. |
| CCND1 | G1/S-specific cyclin-D1 | Regulatory component of the cyclin D1-CDK4 (DC) complex that phosphorylates and inhibits members of the retinoblastoma (RB) protein family including RB1 and regulates the cell-cycle during G(1)/S transition. |
| CCNE1 | G1/S-specific cyclin-E1 | Essential for the control of the cell cycle at the G1/S (start) transition. |
| PALB2 | Partner and localizer of BRCA2 | Plays a critical role in homologous recombination repair (HRR) through its ability to recruit BRCA2 and RAD51 to DNA breaks. |
| ERBB4 | Receptor tyrosine-protein kinase erbB-4 | Tyrosine-protein kinase that plays an essential role as cell surface receptor for neuregulins and EGF family members and regulates development of the heart, the central nervous system and the mammary gland, gene transcription, cell prolife… |
| ESR1 | Estrogen receptor | Nuclear hormone receptor. |
| FGF3 | Fibroblast growth factor 3 | Plays an important role in the regulation of embryonic development, cell proliferation, and cell differentiation. |
| FGFR2 | Fibroblast growth factor receptor 2 | Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of cell proliferation, differentiation, migration and apoptosis, and in the regulation of embryonic de… |
| PIK3CA | Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoform | Phosphoinositide-3-kinase (PI3K) phosphorylates phosphatidylinositol (PI) and its phosphorylated derivatives at position 3 of the inositol ring to produce 3-phosphoinositides. |
| PRC1 | Protein regulator of cytokinesis 1 | Key regulator of cytokinesis that cross-links antiparrallel microtubules at an average distance of 35 nM. |
| PTEN | Phosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTEN | Dual-specificity protein phosphatase, dephosphorylating tyrosine-, serine- and threonine-phosphorylated proteins. |
| RAD51D | DNA repair protein RAD51 homolog 4 | Involved in the homologous recombination repair (HRR) pathway of double-stranded DNA breaks arising during DNA replication or induced by DNA-damaging agents. |
| RET | Proto-oncogene tyrosine-protein kinase receptor Ret | Receptor tyrosine-protein kinase involved in numerous cellular mechanisms including cell proliferation, neuronal navigation, cell migration, and cell differentiation in response to glia cell line-derived growth family factors (GDNF, NRTN,… |
| SF3B1 | Splicing factor 3B subunit 1 | Component of the 17S U2 SnRNP complex of the spliceosome, a large ribonucleoprotein complex that removes introns from transcribed pre-mRNAs. |
| SGK1 | Serine/threonine-protein kinase Sgk1 | Serine/threonine-protein kinase which is involved in the regulation of a wide variety of ion channels, membrane transporters, cellular enzymes, transcription factors, neuronal excitability, cell growth, proliferation, survival, migration a… |
| BRAF | Serine/threonine-protein kinase B-raf | Protein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus. |
| TFF3 | Trefoil factor 3 | Involved in the maintenance and repair of the intestinal mucosa. |
| TIMP1 | Metalloproteinase inhibitor 1 | Metalloproteinase inhibitor that functions by forming one to one complexes with target metalloproteinases, such as collagenases, and irreversibly inactivates them by binding to their catalytic zinc cofactor. |
| TLK2 | Serine/threonine-protein kinase tousled-like 2 | Serine/threonine-protein kinase involved in the process of chromatin assembly and probably also DNA replication, transcription, repair, and chromosome segregation. |
| TOP2A | DNA topoisomerase 2-alpha | Key decatenating enzyme that alters DNA topology by binding to two double-stranded DNA molecules, generating a double-stranded break in one of the strands, passing the intact strand through the broken strand, and religating the broken stra… |
| KMT2C | Histone-lysine N-methyltransferase 2C | Histone methyltransferase that catalyzes methyl group transfer from S-adenosyl-L-methionine to the epsilon-amino group of ‘Lys-4’ of histone H3 (H3K4). |
| CD274 | Programmed cell death 1 ligand 1 | Plays a critical role in induction and maintenance of immune tolerance to self. |
| CDK6 | Cyclin-dependent kinase 6 | Serine/threonine-protein kinase involved in the control of the cell cycle and differentiation; promotes G1/S transition. |
| CDKN1B | Cyclin-dependent kinase inhibitor 1B | Important regulator of cell cycle progression. |
| RSF1 | Remodeling and spacing factor 1 | Regulatory subunit of the ATP-dependent RSF-1 and RSF-5 ISWI chromatin-remodeling complexes, which form ordered nucleosome arrays on chromatin and facilitate access to DNA during DNA-templated processes such as DNA replication, transcripti… |
| TUBB3 | Tubulin beta-3 chain | Tubulin is the major constituent of microtubules, protein filaments consisting of alpha- and beta-tubulin heterodimers. |
| CDK12 | Cyclin-dependent kinase 12 | Cyclin-dependent kinase that phosphorylates the C-terminal domain (CTD) of the large subunit of RNA polymerase II (POLR2A), thereby acting as a key regulator of transcription elongation. |
| CYP2D6 | Cytochrome P450 2D6 | A cytochrome P450 monooxygenase involved in the metabolism of fatty acids, steroids and retinoids. |
| PARP1 | Poly [ADP-ribose] polymerase 1 | Poly-ADP-ribosyltransferase that mediates poly-ADP-ribosylation of proteins and plays a key role in DNA repair. |
| EGFR | Epidermal growth factor receptor | Receptor tyrosine kinase binding ligands of the EGF family and activating several signaling cascades to convert extracellular cues into appropriate cellular responses. |
| AGR2 | Anterior gradient protein 2 homolog | Required for MUC2 post-transcriptional synthesis and secretion. |
| ERBB2 | Receptor tyrosine-protein kinase erbB-2 | Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding. |
| ERBB3 | Receptor tyrosine-protein kinase erbB-3 | Tyrosine-protein kinase that plays an essential role as cell surface receptor for neuregulins. |
| FCGR2A | Low affinity immunoglobulin gamma Fc region receptor II-a | Binds to the Fc region of immunoglobulins gamma. |
| FCGR2B | Low affinity immunoglobulin gamma Fc region receptor II-b | Receptor for the Fc region of complexed or aggregated immunoglobulins gamma. |
| FCGR3A | Low affinity immunoglobulin gamma Fc region receptor III-A | Receptor for the invariable Fc fragment of immunoglobulin gamma (IgG). |
| FDXR | NADPH:adrenodoxin oxidoreductase, mitochondrial | Serves as the first electron transfer protein in all the mitochondrial P450 systems including cholesterol side chain cleavage in all steroidogenic tissues, steroid 11-beta hydroxylation in the adrenal cortex, 25-OH-vitamin D3-24 hydroxylat… |
| FGFR1 | Fibroblast growth factor receptor 1 | Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of embryonic development, cell proliferation, differentiation and migration. |
| FGFR3 | Fibroblast growth factor receptor 3 | Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of cell proliferation, differentiation and apoptosis. |
| KLLN | Killin | DNA-binding protein involved in S phase checkpoint control-coupled apoptosis by mediating p53/TP53-induced apoptosis. |
| AKT1 | RAC-alpha serine/threonine-protein kinase | AKT1 is one of 3 closely related serine/threonine-protein kinases (AKT1, AKT2 and AKT3) called the AKT kinase, and which regulate many processes including metabolism, proliferation, cell survival, growth and angiogenesis. |
| AKT2 | RAC-beta serine/threonine-protein kinase | Serine/threonine kinase closely related to AKT1 and AKT3. |
| AKT3 | RAC-gamma serine/threonine-protein kinase | AKT3 is one of 3 closely related serine/threonine-protein kinases (AKT1, AKT2 and AKT3) called the AKT kinase, and which regulate many processes including metabolism, proliferation, cell survival, growth and angiogenesis. |
| MTOR | Serine/threonine-protein kinase mTOR | Serine/threonine protein kinase which is a central regulator of cellular metabolism, growth and survival in response to hormones, growth factors, nutrients, energy and stress signals. |
| ABCB1 | ATP-dependent translocase ABCB1 | Translocates drugs and phospholipids across the membrane. |
| RORA | Nuclear receptor ROR-alpha | Nuclear receptor that binds DNA as a monomer to ROR response elements (RORE) containing a single core motif half-site 5’-AGGTCA-3’ preceded by a short A-T-rich sequence. |
Protein-family classification
Druggable: 33 · Difficult: 10 · Unknown: 18 · Druggable fraction: 0.54
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 |
|---|
| Kinase | 21 | 9.5× | 1e-14 |
| Nuclear receptor | 2 | 12.7× | 0.049 |
| Antibody/Immunoglobulin | 4 | 1.9× | 0.468 |
| Transcription factor | 9 | 1.2× | 0.713 |
| Phosphatase | 1 | 1.4× | 0.819 |
| Transporter | 1 | 1.3× | 0.819 |
| Enzyme (other) | 4 | 0.8× | 0.977 |
| Other/Unknown | 18 | 0.5× | 1.000 |
| Scaffold/PPI | 1 | 0.3× | 1.000 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| BRCA2 | Other/Unknown | no | | BRCA2_repeat, NA-bd_OB-fold, BRCA2_OB_1 |
| CHEK2 | Kinase | yes | 2.7.11.1 | FHA_dom, Prot_kinase_dom, Ser/Thr_kinase_AS |
| BRCA1 | Transcription factor | no | 2.3.2.27 | BRCT_dom, Znf_RING, BRCA1 |
| TERT | Other/Unknown | no | | RT_dom, Telomerase_RT, Telomerase_RBD |
| TP53 | Transcription factor | no | | p53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn |
| CCND1 | Other/Unknown | no | | Cyclin_C-dom, Cyclin_N, Cyclin-like_dom |
| CCNE1 | Other/Unknown | no | | Cyclin_C-dom, Cyclin_N, Cyclin-like_dom |
| PALB2 | Scaffold/PPI | no | | WD40/YVTN_repeat-like_dom_sf, PALB2_WD40, WD40_repeat_dom_sf |
| ERBB4 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| ESR1 | Nuclear receptor | yes | | Nucl_hrmn_rcpt_lig-bd, Estr_rcpt, Znf_hrmn_rcpt |
| FGF3 | Other/Unknown | no | | Fibroblast_GF_fam, IL1/FGF |
| FGFR2 | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2 |
| PIK3CA | Kinase | yes | 2.7.1.137 | PI3K_Ras-bd_dom, PI3/4_kinase_cat_dom, PI3K_accessory_dom |
| PRC1 | Other/Unknown | no | | MAP65_Ase1_PRC1 |
| PTEN | Phosphatase | yes | 3.1.3.16 | Tyr_Pase_dom, Tyr_Pase_cat, Tensin_C2-dom |
| RAD51D | Other/Unknown | no | | AAA+_ATPase, Rad51_C, DNA_recomb/repair_RecA-like |
| RET | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Cadherin-like_dom |
| SF3B1 | Other/Unknown | no | | ARM-like, SF3b_su1, ARM-type_fold |
| SGK1 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, AGC-kinase_C, Ser/Thr_kinase_AS |
| BRAF | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE |
| TFF3 | Other/Unknown | no | | P_trefoil_dom, P_trefoil_CS, P_trefoil_chordata |
| TIMP1 | Enzyme (other) | yes | 3.4.24.22 | Netrin_domain, TIMP, TIMP-like_OB-fold |
| TLK2 | Kinase | yes | | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| TOP2A | Enzyme (other) | yes | 5.6.2.2 | TopoII_euk, Topo_IIA, Topo_IIA_dom_A |
| KMT2C | Transcription factor | no | | HMGI/Y_DNA-bd_CS, SET_dom, Znf_RING |
| CD274 | Antibody/Immunoglobulin | yes | | Ig_sub, Ig-like_dom, Ig_V-set |
| CDK6 | Kinase | yes | 2.7.11.22 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| CDKN1B | Other/Unknown | no | | CDI_dom, CDI_dom_sf |
| RSF1 | Transcription factor | no | | Znf_PHD, Znf_FYVE_PHD, Znf_RING/FYVE/PHD |
| TUBB3 | Other/Unknown | no | | Tubulin, Beta_tubulin, Tubulin_FtsZ_GTPase |
| CDK12 | Kinase | yes | 2.7.11.22 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| CYP2D6 | Enzyme (other) | yes | 1.14.14.1 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_E_grp-I_CYP2D-like |
| PARP1 | Transcription factor | no | 2.4.2.30 | BRCT_dom, Znf_PARP, Poly(ADP-ribose)pol_reg_dom |
| EGFR | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| AGR2 | Other/Unknown | no | | Thioredoxin-like_sf, AGR/TXD |
| ERBB2 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| ERBB3 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| FCGR2A | Antibody/Immunoglobulin | yes | | Ig_sub2, Ig_sub, Ig-like_dom |
| FCGR2B | Antibody/Immunoglobulin | yes | | Ig_sub2, Ig_sub, Ig-like_dom |
| FCGR3A | Antibody/Immunoglobulin | yes | | Ig_sub, Ig-like_dom, Ig-like_fold |
| FDXR | Other/Unknown | no | | Ferredox_Rdtase_adrenod, FAD/NAD-bd_sf, Ferredox_Rdtase |
| FGFR1 | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2 |
| FGFR3 | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2 |
| KLLN | Other/Unknown | no | | |
| AKT1 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, AGC-kinase_C, PH_domain |
| AKT2 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, AGC-kinase_C, PH_domain |
| AKT3 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, AGC-kinase_C, PH_domain |
| MTOR | Kinase | yes | | PI3/4_kinase_cat_dom, PIK-rel_kinase_FAT, FATC_dom |
| ABCB1 | Transporter | yes | 7.6.2.2 | ABC_transporter-like_ATP-bd, AAA+_ATPase, ABC1_TM_dom |
| RORA | Nuclear receptor | yes | | Nucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt, Nuclear_hrmn_rcpt |
Expression context
Cohort genes with no expression data: 0.
56 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) | 61 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| calcaneal tendon | 9 |
| ventricular zone | 8 |
| secondary oocyte | 6 |
| ganglionic eminence | 6 |
| primordial germ cell in gonad | 5 |
| oocyte | 5 |
| buccal mucosa cell | 5 |
| male germ line stem cell (sensu Vertebrata) in testis | 4 |
| stromal cell of endometrium | 4 |
| adrenal tissue | 4 |
| right adrenal gland cortex | 4 |
| lower esophagus mucosa | 3 |
| upper arm skin | 3 |
| endothelial cell | 3 |
| right hemisphere of cerebellum | 3 |
| sperm | 3 |
| sural nerve | 3 |
| blood | 3 |
| monocyte | 3 |
| right adrenal gland | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| BRCA2 | 184 | ubiquitous | marker | male germ line stem cell (sensu Vertebrata) in testis, secondary oocyte, ventricular zone |
| CHEK2 | 183 | ubiquitous | marker | primordial germ cell in gonad, lower esophagus mucosa, male germ line stem cell (sensu Vertebrata) in testis |
| BRCA1 | 208 | ubiquitous | marker | ventricular zone, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad |
| TERT | 105 | broad | yes | stromal cell of endometrium, type B pancreatic cell, olfactory bulb |
| TP53 | 223 | ubiquitous | marker | ventricular zone, ganglionic eminence, tendon of biceps brachii |
| CCND1 | 280 | ubiquitous | marker | endometrium epithelium, stromal cell of endometrium, upper arm skin |
| CCNE1 | 201 | ubiquitous | marker | secondary oocyte, oocyte, adrenal tissue |
| PALB2 | 232 | ubiquitous | yes | secondary oocyte, buccal mucosa cell, oocyte |
| ERBB4 | 226 | broad | marker | endothelial cell, secondary oocyte, cranial nerve II |
| ESR1 | 216 | broad | marker | oviduct epithelium, cervix epithelium, mammalian vulva |
| FGF3 | 23 | tissue_specific | yes | cerebellar hemisphere, right hemisphere of cerebellum, cerebellar cortex |
| FGFR2 | 272 | broad | marker | C1 segment of cervical spinal cord, spinal cord, corpus callosum |
| PIK3CA | 284 | ubiquitous | marker | calcaneal tendon, adrenal tissue, tendon |
| PRC1 | 134 | ubiquitous | marker | ventricular zone, ganglionic eminence, primordial germ cell in gonad |
| PTEN | 256 | ubiquitous | marker | sperm, endothelial cell, calcaneal tendon |
| RAD51D | 187 | ubiquitous | yes | sperm, male germ cell, oocyte |
| RET | 193 | broad | marker | substantia nigra pars reticulata, dorsal root ganglion, substantia nigra pars compacta |
| SF3B1 | 295 | ubiquitous | marker | tibia, ventricular zone, epithelium of nasopharynx |
| SGK1 | 299 | ubiquitous | marker | palpebral conjunctiva, eye, right lung |
| BRAF | 265 | ubiquitous | marker | buccal mucosa cell, colonic epithelium, calcaneal tendon |
| TFF3 | 199 | broad | marker | mucosa of transverse colon, ileal mucosa, left lobe of thyroid gland |
| TIMP1 | 296 | ubiquitous | marker | right coronary artery, left coronary artery, gall bladder |
| TLK2 | 185 | tissue_specific | marker | calcaneal tendon, sural nerve, colonic epithelium |
| TOP2A | 217 | ubiquitous | marker | ventricular zone, ganglionic eminence, secondary oocyte |
| KMT2C | 261 | ubiquitous | marker | oocyte, caput epididymis, upper arm skin |
| CD274 | 208 | ubiquitous | marker | cartilage tissue, placenta, lower lobe of lung |
| CDK6 | 262 | ubiquitous | marker | adrenal tissue, trabecular bone tissue, pylorus |
| CDKN1B | 301 | ubiquitous | marker | pigmented layer of retina, retina, ventricular zone |
| RSF1 | 280 | ubiquitous | marker | calcaneal tendon, tendon, medial globus pallidus |
| TUBB3 | 144 | ubiquitous | marker | cortical plate, ganglionic eminence, embryo |
Protein interactions among cohort
Intra-cohort edges: 105.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| TP53 | 22,736 |
| EGFR | 18,421 |
| AKT1 | 16,601 |
| ESR1 | 12,382 |
| PTEN | 11,626 |
| ERBB2 | 9,659 |
| MTOR | 9,490 |
| BRCA1 | 9,064 |
| PARP1 | 8,370 |
| CCND1 | 8,328 |
Intra-cohort edges
| A | B | Sources |
|---|
| ABCB1 | CYP2D6 | string_interaction |
| AGR2 | ERBB3 | string_interaction |
| AGR2 | ESR1 | string_interaction |
| AGR2 | TFF3 | string_interaction |
| AKT1 | AKT2 | intact |
| AKT1 | AKT3 | biogrid_interaction, intact |
| AKT1 | CCND1 | string_interaction |
| AKT1 | FGF3 | intact |
| AKT1 | MTOR | intact, string_interaction |
| AKT1 | PIK3CA | biogrid_interaction, string_interaction |
| AKT1 | PTEN | string_interaction |
| AKT1 | RUNX1 | intact |
| AKT1 | TBX3 | intact |
| AKT1 | TERT | biogrid_interaction |
| AKT2 | AKT3 | intact |
| AKT2 | PIK3CA | string_interaction |
| AKT2 | PTEN | string_interaction |
| AKT3 | BRAF | intact |
| AKT3 | PIK3CA | string_interaction |
| AKT3 | PTEN | string_interaction |
| AKT3 | SLC24A3 | string_interaction |
| BRAF | BRCA2 | biogrid_interaction |
| BRAF | EGFR | biogrid_interaction |
| BRAF | FGFR2 | biogrid_interaction |
| BRAF | PIK3CA | biogrid_interaction, string_interaction |
| BRAF | PTEN | biogrid_interaction, string_interaction |
| BRAF | TBX3 | intact |
| BRAF | TP53 | string_interaction |
| BRCA1 | BRCA2 | string_interaction |
| BRCA1 | CDK12 | string_interaction |
| BRCA1 | CHEK2 | string_interaction |
| BRCA1 | ESR1 | intact, string_interaction |
| BRCA1 | PALB2 | biogrid_interaction, intact, string_interaction |
| BRCA1 | PARP1 | string_interaction |
| BRCA1 | RAD51D | string_interaction |
| BRCA1 | TOP2A | intact |
| BRCA1 | TP53 | string_interaction |
| BRCA2 | CCND1 | intact |
| BRCA2 | CDK12 | string_interaction |
| BRCA2 | CHEK2 | string_interaction |
| BRCA2 | PALB2 | biogrid_interaction, intact, string_interaction |
| BRCA2 | PARP1 | string_interaction |
| BRCA2 | RAD51D | string_interaction |
| BRCA2 | STK11 | string_interaction |
| BRCA2 | TP53 | string_interaction |
| CCND1 | CDK6 | intact, string_interaction |
| CCND1 | CDKN1B | biogrid_interaction, intact, string_interaction |
| CCND1 | ESR1 | string_interaction |
| CCND1 | TP53 | string_interaction |
| CCNE1 | CDK6 | string_interaction |
Structural data
PDB: 54 · AlphaFold-only: 7 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| ESR1 | P03372 | 478 |
| EGFR | P00533 | 388 |
| TP53 | P04637 | 313 |
| PIK3CA | P42336 | 135 |
| BRAF | P15056 | 131 |
| PARP1 | P09874 | 106 |
| FGFR1 | P11362 | 83 |
| CD274 | Q9NZQ7 | 76 |
| SF3B1 | O75533 | 74 |
| MTOR | P42345 | 70 |
| FGFR2 | P21802 | 63 |
| ERBB2 | P04626 | 63 |
| AKT1 | P31749 | 43 |
| CDK12 | Q9NYV4 | 39 |
| CHEK2 | O96017 | 38 |
| RET | P07949 | 34 |
| BRCA1 | P38398 | 33 |
| TUBB3 | Q13509 | 28 |
| ABCB1 | P08183 | 24 |
| TERT | O14746 | 23 |
| ERBB3 | P21860 | 23 |
| CCNE1 | P24864 | 22 |
| CDK6 | Q00534 | 22 |
| CDKN1B | P46527 | 19 |
| AKT2 | P31751 | 19 |
| RAD51D | O75771 | 17 |
| TOP2A | P11388 | 15 |
| FCGR3A | P08637 | 15 |
| FGFR3 | P22607 | 15 |
| BRCA2 | P51587 | 14 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| FDXR | P22570 | 91.66 |
| TAGLN | Q01995 | 88.63 |
| FGF3 | P11487 | 79.32 |
| SLC24A3 | Q9HC58 | 70.31 |
| RPS6KC1 | Q96S38 | 56.74 |
| KLLN | B2CW77 | 51.20 |
| RSF1 | Q96T23 | 48.31 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 979. Enrichment computed across 250 evidence-associated genes (152 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 152 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| PIP3 activates AKT signaling | 20 | 8.8× | 9e-11 | ERBB4, ESR1, FGF3, FGFR2, PIK3CA, SGK1, CDKN1B, RNF146 (+12 more) |
| Constitutive Signaling by Aberrant PI3K in Cancer | 13 | 10.8× | 8e-08 | ERBB4, ESR1, FGF3, FGFR2, PIK3CA, EGFR, ERBB2, ERBB3 (+5 more) |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 14 | 8.9× | 2e-07 | ERBB4, ESR1, FGF3, FGFR2, PIK3CA, EGFR, ERBB2, ERBB3 (+6 more) |
| PI3K Cascade | 9 | 16.1× | 8e-07 | FGF3, FGFR2, PIK3CA, FGF10, FGF19, FGF4, FGFR1, FGFR3 (+1 more) |
| Mitotic G1 phase and G1/S transition | 10 | 12.1× | 2e-06 | CCND1, CCNE1, MCM8, CDK6, CDKN1B, CDKN2A, CDKN2B, AKT1 (+2 more) |
| Impaired BRCA2 binding to PALB2 | 7 | 21.0× | 3e-06 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, EXO1 |
| Resolution of D-loop Structures through Holliday Junction Intermediates | 8 | 15.8× | 3e-06 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, MUS81, EXO1 |
| RAF/MAP kinase cascade | 15 | 6.0× | 3e-06 | ERBB4, FGF3, FGFR2, PIK3CA, RET, BRAF, RANBP9, EGFR (+7 more) |
| Defective homologous recombination repair (HRR) due to BRCA1 loss of function | 7 | 19.5× | 4e-06 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, EXO1 |
| Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA1 binding function | 7 | 19.5× | 4e-06 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, EXO1 |
| Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA2/RAD51/RAD51C binding function | 7 | 19.5× | 4e-06 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, EXO1 |
| Regulation of TP53 Degradation | 8 | 15.4× | 4e-06 | CHEK2, TP53, SGK1, CDKN2A, AKT1, AKT2, AKT3, MTOR |
| Resolution of D-loop Structures through Synthesis-Dependent Strand Annealing (SDSA) | 7 | 18.1× | 6e-06 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, EXO1 |
| MITF-M-regulated melanocyte development | 11 | 8.3× | 6e-06 | BRCA1, TERT, CCND1, TBX3, TCF7L2, TFAP2A, CDH1, CDH2 (+3 more) |
| Homologous DNA Pairing and Strand Exchange | 7 | 17.5× | 6e-06 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, EXO1 |
| Downregulation of ERBB2 signaling | 7 | 17.5× | 6e-06 | ERBB4, EGFR, ERBB2, ERBB3, AKT1, AKT2, AKT3 |
| MITF-M-dependent gene expression | 9 | 10.7× | 8e-06 | BRCA1, TERT, CCND1, TCF7L2, TFAP2A, CDH1, CDH2, CDKN2A (+1 more) |
| Signaling by ERBB2 | 7 | 15.9× | 1e-05 | ERBB4, EGFR, ERBB2, ERBB3, AKT1, AKT2, AKT3 |
| Cell Cycle | 18 | 4.3× | 1e-05 | BRCA2, BRCA1, TERT, CCND1, CCNE1, MCM8, CDK6, CDKN1B (+10 more) |
| Regulation of TP53 Expression and Degradation | 6 | 20.5× | 2e-05 | SGK1, CDKN2A, AKT1, AKT2, AKT3, MTOR |
| Downregulation of ERBB2:ERBB3 signaling | 5 | 26.8× | 3e-05 | ERBB2, ERBB3, AKT1, AKT2, AKT3 |
| Estrogen-dependent nuclear events downstream of ESR-membrane signaling | 6 | 17.3× | 4e-05 | CCND1, CDKN1B, EGFR, AKT1, AKT2, AKT3 |
| HDR through Homologous Recombination (HRR) | 8 | 10.0× | 5e-05 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, BRIP1, MUS81, EXO1 |
| G1 Phase | 6 | 15.5× | 8e-05 | CCND1, CCNE1, CDK6, CDKN1B, CDKN2A, CDKN2B |
| PI3K events in ERBB2 signaling | 5 | 22.1× | 8e-05 | ERBB4, PIK3CA, EGFR, ERBB2, ERBB3 |
| Extra-nuclear estrogen signaling | 8 | 9.0× | 1e-04 | CCND1, ESR1, PIK3CA, CDKN1B, EGFR, AKT1, AKT2, AKT3 |
| G1/S Transition | 7 | 10.7× | 1e-04 | CCND1, CCNE1, MCM8, CDKN1B, AKT1, AKT2, AKT3 |
| Gene expression (Transcription) | 24 | 2.8× | 1e-04 | BRCA1, CCND1, CCNE1, RORA, RUNX1, SF3B1, SGK1, STK11 (+16 more) |
| FLT3 Signaling | 6 | 13.7× | 1e-04 | PIK3CA, CDKN1B, SH2B3, AKT1, AKT2, AKT3 |
| PI-3K cascade:FGFR1 | 5 | 17.1× | 3e-04 | FGF3, PIK3CA, FGF10, FGF4, FGFR1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 223 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| DNA damage response | 19 | 4.6× | 8e-05 | CHEK2, BRCA1, TP53, CCND1, SGK1, STK11, TLK2, TOP2A (+11 more) |
| telomere maintenance | 9 | 10.8× | 1e-04 | TERT, CCNE1, RAD51D, LTO1, DCLRE1B, ZNF365, PARP1, MUS81 (+1 more) |
| pancreas development | 6 | 18.1× | 5e-04 | HNF1A, HNF1B, TCF7L2, ZNF808, FGF10, FOXF1 |
| heart development | 14 | 4.9× | 5e-04 | TERT, ERBB4, PTEN, TBX5, TGFBR2, CASP8, TAB2, CDKN1B (+6 more) |
| double-strand break repair via homologous recombination | 10 | 7.0× | 6e-04 | BRCA2, BRCA1, PALB2, RAD51D, XRCC2, FBH1, MCM8, HELQ (+2 more) |
| positive regulation of transcription by RNA polymerase II | 35 | 2.3× | 7e-04 | BRCA1, TP53, ESR1, FGFR2, PTEN, RORA, RUNX1, ATXN1 (+27 more) |
| epidermal growth factor receptor signaling pathway | 8 | 8.9× | 7e-04 | ERBB4, PIK3CA, BRAF, GAREM1, EGFR, ERBB2, ERBB3, AKT1 |
| in utero embryonic development | 14 | 4.5× | 7e-04 | TP53, FGFR2, TBX3, TGFBR2, XRCC2, DHX35, ZMIZ1, OTUD7B (+6 more) |
| positive regulation of MAPK cascade | 13 | 4.7× | 9e-04 | ERBB4, FGF3, FGFR2, RET, CDH2, EGFR, ERBB2, ERBB3 (+5 more) |
| positive regulation of DNA-templated transcription | 23 | 2.9× | 0.001 | BRCA2, CHEK2, BRCA1, TP53, ERBB4, ESR1, RET, RORA (+15 more) |
| cellular response to epidermal growth factor stimulus | 7 | 10.0× | 0.001 | ERBB4, CFL1, COL1A1, GAREM1, EGFR, ERBB2, AKT1 |
| response to UV-A | 3 | 56.7× | 0.001 | CCND1, EGFR, AKT1 |
| cellular senescence | 7 | 9.3× | 0.001 | BRCA2, TP53, TBX3, ZMIZ1, CDKN1B, CDKN2A, CDKN2B |
| fibroblast growth factor receptor signaling pathway | 7 | 9.0× | 0.002 | FGF3, FGFR2, FGF10, FGF19, FGF4, FGFR1, FGFR3 |
| double-strand break repair | 8 | 7.3× | 0.002 | BRCA2, CHEK2, BRCA1, TP53, BRIP1, BABAM1, PARP1, MUS81 |
| positive regulation of G1/S transition of mitotic cell cycle | 6 | 10.8× | 0.002 | TERT, CCND1, CCNE1, EGFR, FGF10, AKT1 |
| anoikis | 4 | 23.2× | 0.002 | PIK3CA, STK11, AKT1, MTOR |
| positive regulation of phospholipase activity | 3 | 45.3× | 0.002 | FGFR2, FGFR1, FGFR3 |
| negative regulation of apoptotic process | 19 | 3.0× | 0.003 | TP53, PALB2, ERBB4, SIAH2, BRAF, TBX3, TFAP2A, TIMP1 (+11 more) |
| positive regulation of epithelial cell proliferation | 7 | 7.7× | 0.003 | ERBB4, FGFR2, TCF7L2, EGFR, ERBB2, ERBB3, FGF10 |
| antibody-dependent cellular cytotoxicity | 3 | 37.8× | 0.004 | FCGR2A, FCGR2B, FCGR3A |
| replicative senescence | 4 | 17.8× | 0.005 | CHEK2, TERT, TP53, CDKN2A |
| positive regulation of stem cell proliferation | 5 | 11.8× | 0.005 | TERT, TBX3, FGF10, FGF4, FGFR1 |
| negative regulation of transcription by RNA polymerase II | 28 | 2.2× | 0.005 | TP53, CCND1, CCNE1, ESR1, FGFR2, RUNX1, ATXN1, TBX3 (+20 more) |
| branching morphogenesis of a nerve | 3 | 32.4× | 0.005 | FGFR2, DLX2, FGF13 |
| resolution of meiotic recombination intermediates | 4 | 16.8× | 0.005 | TOP2A, ANKLE1, MUS81, ERCC4 |
| embryonic digestive tract morphogenesis | 4 | 16.8× | 0.005 | FGFR2, HNF1B, FGF10, FOXF1 |
| intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator | 5 | 11.1× | 0.005 | BRCA2, CHEK2, TP53, HIPK1, ATAD5 |
| stem cell proliferation | 6 | 8.4× | 0.005 | TP53, TBX3, FGF10, FGF4, FGFR1, ABCB1 |
| response to X-ray | 4 | 15.9× | 0.006 | BRCA2, TP53, CCND1, XRCC2 |
Therapeutics
Drugs indicated for this disease
23 approved, 34 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): Alisertib, Binimetinib, Bintrafusp Alfa, Bortezomib, Bosutinib, Caffeine, Cediranib, Ceralasertib, Cimetidine, Cobimetinib, Copanlisib, Cyanocobalamin, Dasatinib Anhydrous, Degarelix, Diphenhydramine, Famotidine, Fluocinonide, Fluoroestradiol, Folic Acid, Ipilimumab, Loperamide, Metformin, Omeprazole, Panitumumab, Patritumab Deruxtecan, Pelareorep, Perflutren, Pralatrexate, Racemetyrosine, Ranitidine, Retifanlimab, Ruxolitinib, Simvastatin, Tipifarnib, Tivantinib, Trametinib, Tremelimumab, Vismodegib.
Drug target analysis
Approved (phase 4): 32 · Phase ≥3: 33 · Phased (≥1): 35 · Undrugged: 26
Druggability breadth: 94 of 250 evidence-associated genes (38%) 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.
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| CYP2D6 | 436 | 4 |
| TP53 | 196 | 4 |
| EGFR | 175 | 4 |
| MTOR | 164 | 4 |
| ESR1 | 162 | 4 |
| RET | 135 | 4 |
| ABCB1 | 119 | 4 |
| FGFR1 | 93 | 4 |
| ERBB2 | 83 | 4 |
| PIK3CA | 67 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|
| NERATINIB | 4 | CHEK2, EGFR, ERBB2, ERBB3, ERBB4 |
| BOSUTINIB | 4 | CHEK2, EGFR, ERBB2, ERBB3, ERBB4, RET |
| BRIGATINIB | 4 | CHEK2, EGFR, ERBB2, ERBB4, FGFR1, FGFR2 |
| SUNITINIB | 4 | AKT2, CHEK2, EGFR, FGFR1, FGFR2, FGFR3 |
| GEFITINIB | 4 | ABCB1, BRAF, CHEK2, EGFR, ERBB2, ERBB3 |
| RIBOFLAVIN | 4 | BRCA1, CYP2D6 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | BRCA1 |
| TOPOTECAN HYDROCHLORIDE | 4 | BRCA1 |
| DAUNORUBICIN | 4 | ABCB1, BRCA1, ESR1, TOP2A, TP53 |
| DOXORUBICIN HYDROCHLORIDE | 4 | ABCB1, BRCA1, TOP2A |
| MESALAMINE | 4 | BRCA1 |
| DIPYRIDAMOLE | 4 | ABCB1, BRCA1, CYP2D6 |
| BERBERINE | 4 | CYP2D6, TERT |
| DOXORUBICIN | 4 | ABCB1, ERBB2, ESR1, TERT, TOP2A |
| NITROFURANTOIN | 4 | TP53 |
| DIOSMIN | 4 | TP53 |
| VERTEPORFIN | 4 | TP53 |
| CANDESARTAN CILEXETIL | 4 | ESR1, TP53 |
| DIENESTROL | 4 | CYP2D6, ESR1, TP53 |
| CLOTRIMAZOLE | 4 | ABCB1, CYP2D6, EGFR, ERBB2, TP53 |
| COLCHICINE | 4 | CYP2D6, TP53, TUBB3 |
| NABUMETONE | 4 | TP53 |
| SALMETEROL XINAFOATE | 4 | MTOR, TP53 |
| AMIODARONE HYDROCHLORIDE | 4 | TP53 |
| FURAZOLIDONE | 4 | TP53 |
| AMOXAPINE | 4 | CYP2D6, MTOR, TP53 |
| RALOXIFENE HYDROCHLORIDE | 4 | ESR1, TP53 |
| NICARDIPINE HYDROCHLORIDE | 4 | CYP2D6, TP53 |
| SULCONAZOLE NITRATE | 4 | TP53 |
| PYRITHIONE ZINC | 4 | TP53 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 26.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| EGFR | 6,531 | Binding:6211, Functional:173, ADMET:138, Toxicity:9 |
| CYP2D6 | 3,659 | ADMET:3565, Binding:91, Functional:2, Toxicity:1 |
| ABCB1 | 3,063 | Binding:2135, Functional:746, ADMET:182 |
| ESR1 | 2,435 | Binding:2037, Functional:363, ADMET:35 |
| PIK3CA | 2,034 | Binding:2009, ADMET:19, Toxicity:4, Functional:2 |
| AKT1 | 1,942 | Binding:1900, Functional:34, ADMET:7, Toxicity:1 |
| TUBB3 | 1,781 | Binding:1741, Functional:34, ADMET:6 |
| RET | 1,586 | Binding:1573, Functional:10, ADMET:3 |
| FGFR1 | 1,465 | Binding:1428, Functional:24, ADMET:13 |
| BRAF | 1,442 | Binding:1400, Functional:37, ADMET:5 |
| MTOR | 1,375 | Binding:1335, Functional:37, ADMET:2, Toxicity:1 |
| TOP2A | 1,305 | Binding:1264, ADMET:22, Functional:13, Toxicity:6 |
| ERBB2 | 1,221 | Binding:1136, Functional:79, ADMET:6 |
| FGFR3 | 975 | Binding:948, Functional:18, ADMET:9 |
| FGFR2 | 966 | Binding:940, Functional:22, ADMET:4 |
| TP53 | 869 | Binding:775, ADMET:83, Functional:10, Toxicity:1 |
| PARP1 | 825 | Binding:814, Functional:8, ADMET:3 |
| AKT2 | 822 | Binding:802, Functional:19, Toxicity:1 |
| CDK6 | 715 | Binding:691, Functional:24 |
| CCNE1 | 691 | Binding:690, ADMET:1 |
| CHEK2 | 690 | Binding:687, Functional:2, ADMET:1 |
| AKT3 | 660 | Binding:644, Functional:16 |
| ERBB4 | 591 | Binding:579, ADMET:8, Functional:4 |
| CCND1 | 576 | Binding:574, Functional:1, ADMET:1 |
| SGK1 | 538 | Binding:535, ADMET:2, Functional:1 |
| CD274 | 525 | Binding:520, Functional:5 |
| TERT | 391 | Binding:389, Functional:2 |
| CDK12 | 347 | Binding:341, Functional:6 |
| STK11 | 244 | Binding:244 |
| TLK2 | 185 | Binding:185 |
| ERBB3 | 169 | Binding:169 |
| RORA | 115 | Binding:111, Functional:3, Unclassified:1 |
| KMT2C | 29 | Binding:29 |
| SF3B1 | 22 | Binding:22 |
| RPS6KC1 | 22 | Binding:22 |
| RUNX1 | 20 | Binding:17, Functional:3 |
| BRCA1 | 13 | Binding:9, Functional:4 |
| PTEN | 8 | Binding:8 |
| CDKN1B | 5 | Binding:5 |
| FCGR2A | 1 | Binding:1 |
| SLC4A7 | 1 | Binding:1 |
| TBX5 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| CHEK2 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| BRCA1 | 2.3.2.27 | RING-type E3 ubiquitin transferase |
| ERBB4 | 2.7.10.1 | receptor protein-tyrosine kinase |
| FGFR2 | 2.7.10.1 | receptor protein-tyrosine kinase |
| PIK3CA | 2.7.1.137, 2.7.1.153, 2.7.11.1 | phosphatidylinositol 3-kinase, phosphatidylinositol-4,5-bisphosphate 3-kinase, non-specific serine/threonine protein kinase |
| PTEN | 3.1.3.16, 3.1.3.67 | protein-serine/threonine phosphatase, phosphatidylinositol-3,4,5-trisphosphate 3-phosphatase |
| RET | 2.7.10.1 | receptor protein-tyrosine kinase |
| SGK1 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| BRAF | 2.7.10.2, 2.7.11.1 | non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase |
| TIMP1 | 3.4.24.22 | stromelysin 2 |
| TOP2A | 5.6.2.2, 5.99.1.3 | DNA topoisomerase (ATP-hydrolysing), DNA topoisomerase (ATP-hydrolysing) |
| CDK6 | 2.7.11.22 | cyclin-dependent kinase |
| CDK12 | 2.7.11.22, 2.7.11.23 | cyclin-dependent kinase, [RNA-polymerase]-subunit kinase |
| CYP2D6 | 1.14.14.1, 1.14.99.38 | unspecific monooxygenase, cholesterol 25-monooxygenase |
| PARP1 | 2.4.2.30 | NAD+ ADP-ribosyltransferase |
| EGFR | 2.7.10.1 | receptor protein-tyrosine kinase |
| ERBB2 | 2.7.10.1 | receptor protein-tyrosine kinase |
| ERBB3 | 2.7.10.1 | receptor protein-tyrosine kinase |
| FGFR1 | 2.7.10.1 | receptor protein-tyrosine kinase |
| FGFR3 | 2.7.10.1 | receptor protein-tyrosine kinase |
| AKT1 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| AKT2 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| AKT3 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| ABCB1 | 7.6.2.2, 7.6.2.3 | ABC-type xenobiotic transporter, ABC-type glutathione-S-conjugate transporter |
| ST8SIA4 | 2.4.99.8 | alpha-N-acetylneuraminate alpha-2,8-sialyltransferase |
| STK11 | 2.7.11.1 | non-specific serine/threonine protein kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| CHEK2 | 690 |
| TERT | 391 |
| TP53 | 869 |
| CCND1 | 576 |
| CCNE1 | 691 |
| ERBB4 | 591 |
| ESR1 | 2,435 |
| FGFR2 | 966 |
| PIK3CA | 2,034 |
| RET | 1,586 |
| SGK1 | 538 |
| BRAF | 1,442 |
| TLK2 | 185 |
| TOP2A | 1,305 |
| CD274 | 525 |
| CDK6 | 715 |
| TUBB3 | 1,781 |
| CDK12 | 347 |
| CYP2D6 | 3,659 |
| PARP1 | 825 |
| EGFR | 6,531 |
| ERBB2 | 1,221 |
| ERBB3 | 169 |
| FGFR1 | 1,465 |
| FGFR3 | 975 |
| AKT1 | 1,942 |
| AKT2 | 822 |
| AKT3 | 660 |
| MTOR | 1,375 |
| ABCB1 | 3,063 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 61; with CPIC/DPWG dosing guidelines: 1.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|
| CYP2D6 | 1 |
Drug repurposing candidates
29 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.
| Compound | Max phase | Cohort target (bioactivity) |
|---|
| NERATINIB | 4 | CHEK2, EGFR, ERBB2, ERBB3, ERBB4 |
| BOSUTINIB | 4 | CHEK2, EGFR, ERBB2, ERBB3, ERBB4, RET |
| BRIGATINIB | 4 | CHEK2, EGFR, ERBB2, ERBB4, FGFR1, FGFR2 |
| SUNITINIB | 4 | AKT2, CHEK2, EGFR, FGFR1, FGFR2, FGFR3 |
| GEFITINIB | 4 | ABCB1, BRAF, CHEK2, EGFR, ERBB2, ERBB3 |
| RIBOFLAVIN | 4 | BRCA1, CYP2D6 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | BRCA1 |
| TOPOTECAN HYDROCHLORIDE | 4 | BRCA1 |
| DAUNORUBICIN | 4 | ABCB1, BRCA1, ESR1, TOP2A, TP53 |
| DOXORUBICIN HYDROCHLORIDE | 4 | ABCB1, BRCA1, TOP2A |
| MESALAMINE | 4 | BRCA1 |
| DIPYRIDAMOLE | 4 | ABCB1, BRCA1, CYP2D6 |
| BERBERINE | 4 | CYP2D6, TERT |
| NITROFURANTOIN | 4 | TP53 |
| DIOSMIN | 4 | TP53 |
| VERTEPORFIN | 4 | TP53 |
| CANDESARTAN CILEXETIL | 4 | ESR1, TP53 |
| DIENESTROL | 4 | CYP2D6, ESR1, TP53 |
| CLOTRIMAZOLE | 4 | ABCB1, CYP2D6, EGFR, ERBB2, TP53 |
| COLCHICINE | 4 | CYP2D6, TP53, TUBB3 |
| NABUMETONE | 4 | TP53 |
| SALMETEROL XINAFOATE | 4 | MTOR, TP53 |
| AMIODARONE HYDROCHLORIDE | 4 | TP53 |
| FURAZOLIDONE | 4 | TP53 |
| AMOXAPINE | 4 | CYP2D6, MTOR, TP53 |
| RALOXIFENE HYDROCHLORIDE | 4 | ESR1, TP53 |
| NICARDIPINE HYDROCHLORIDE | 4 | CYP2D6, TP53 |
| SULCONAZOLE NITRATE | 4 | TP53 |
| PYRITHIONE ZINC | 4 | TP53 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 32 | CHEK2, BRCA1, TERT, TP53, CCND1, CCNE1, ERBB4, ESR1, FGFR2, PIK3CA (+22 more) |
| B | Phased (≥1) drug, not yet approved | 3 | SF3B1, SGK1, CDK12 |
| C | Druggable family + PDB, no drug | 6 | PTEN, TIMP1, FCGR2A, FCGR2B, FCGR3A, ST8SIA4 |
| D | Druggable family + AlphaFold only, no drug | 1 | RPS6KC1 |
| E | Difficult family or no structure, no drug | 19 | BRCA2, PALB2, FGF3, PRC1, RAD51D, TFF3, KMT2C, CDKN1B, RSF1, AGR2 (+9 more) |
Undrugged target profiles
26 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| BRCA2 | 0 | BRCA1 |
| PALB2 | 0 | BRCA1 |
| FGF3 | 0 | FGFR1 |
| PTEN | 8 | STK11, TP53, AKT1 |
| RAD51D | 0 | BRCA1 |
| AGR2 | 0 | ESR1 |
| PRC1 | 0 | — |
| TFF3 | 0 | — |
| TIMP1 | 0 | — |
| KMT2C | 29 | — |
| CDKN1B | 5 | — |
| RSF1 | 0 | — |
| FCGR2A | 1 | — |
| FCGR2B | 0 | — |
| FCGR3A | 0 | — |
| FDXR | 0 | — |
| KLLN | 0 | — |
| RPS6KC1 | 22 | — |
| ATXN1 | 0 | — |
| SIAH2 | 0 | — |
| ST8SIA4 | 0 | — |
| SLC24A3 | 0 | — |
| SLC4A7 | 1 | — |
| TAGLN | 0 | — |
| TBX3 | 0 | — |
| TBX5 | 1 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 11,024.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| PHASE3 | 805 |
| PHASE4 | 216 |
| PHASE2/PHASE3 | 79 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT04136782 | PHASE4 | RECRUITING | Albumin-bound Paclitaxel and Carboplatin Versus Epirubicin and Docetaxel for Triple-negative Breast Cancer |
| NCT04137640 | PHASE4 | NOT_YET_RECRUITING | Palbociclib + Letrozole Versus Epirubicin + Cyclophosphamide and Sequential Docetaxel as Neoadjuvant Chemotherapy |
| NCT04549207 | PHASE4 | ACTIVE_NOT_RECRUITING | Comparing Continuation or De-escalation of Bone Modifying Agents (BMA) in Patients Treated for Over 2 Years for Bone Metastases From Either Breast or Castration-resistant Prostate Cancer |
| NCT04921137 | PHASE4 | RECRUITING | Evaluating Harms and Benefits of Endocrine Therapy in Patients ≥70 Years of Age With Lower Risk Breast Cancer |
| NCT04928261 | PHASE4 | ACTIVE_NOT_RECRUITING | Evaluating 6-months of HER2-targeted Therapy in Patients With HER2 Positive Early-stage Breast Cancer That Achieve a Pathological Complete Response to Neoadjuvant Systemic Therapy |
| NCT04929548 | PHASE4 | NOT_YET_RECRUITING | Exploratory Study of Neoadjuvant Treatment of HER2-positive Breast Cancer With Py in Combination With HP |
| NCT05161195 | PHASE4 | ACTIVE_NOT_RECRUITING | Roll-over Study to Allow Continued Access to Ribociclib |
| NCT05183126 | PHASE4 | RECRUITING | Pharmacokinetic Study of Skeletal Muscle Area-based Paclitaxel Infusion in Patients With Cancer |
| NCT05206331 | PHASE4 | RECRUITING | CEM to Reduce Biopsy Rates for Less Than Highly Suspicious Breast Abnormalities: a Prospective Study |
| NCT05333328 | PHASE4 | RECRUITING | OFS in Premenopausal Node+ Breast Cancer With Low Genomic Risk |
| NCT05376878 | PHASE4 | RECRUITING | An Investigational Scan (64Cu-DOTA-Trastuzumab PET/MRI) in Imaging Patients With HER2+ Breast Cancer With Brain Metastasis |
| NCT05420454 | PHASE4 | RECRUITING | A Study for the Neoadjuvant Treatment of Breast Cancer |
| NCT05420467 | PHASE4 | RECRUITING | A Study for the Adjuvant Treatment of Breast Cancer |
| NCT05452213 | PHASE4 | RECRUITING | Comprehensive Analysis of Spatial, Temporal and Molecular Patterns of Ribociclib Efficacy and Resistance in Advanced Breast Cancer Patients |
| NCT05465031 | PHASE4 | RECRUITING | Sacubitril/Valsartan in PriMAry preventIoN of the Cardiotoxicity of Systematic breaST canceR trEAtMent (MAINSTREAM) |
| NCT05486182 | PHASE4 | ACTIVE_NOT_RECRUITING | Impact of 18F-FES PET on the Therapeutic Treatment of Patients With Metastatic Breast Cancer |
| NCT05562518 | PHASE4 | ACTIVE_NOT_RECRUITING | GRACE-trial: a Randomized Active-controlled Trial for vulvovaGinal atRophy in breAst Cancer Patients on Endocrine Therapy. |
| NCT05753618 | PHASE4 | RECRUITING | Evaluating Omission of Granulocyte Colony-stimulating Factors in Breast Cancer Patients Receiving Paclitaxel Portion of Dose-dense Adriamycin-cyclophosphamide and Paclitaxel Chemotherapy |
| NCT05754528 | PHASE4 | ACTIVE_NOT_RECRUITING | Evaluating an Endocrine Therapy Dose-frequency Escalation Strategy and Its Effects on Tolerability and Compliance |
| NCT05841849 | PHASE4 | NOT_YET_RECRUITING | Efficacy and Safety of Intravenous Versus Oral 5-HT3 Antagonists Combined With NK-1 Receptor Antagonists for the Prevention of CINV in Breast Cancer |
| NCT05860907 | PHASE4 | NOT_YET_RECRUITING | Clinical Study of Huaier Granules in Patients With Advanced Breast Cancer Without Visceral Metastasis |
| NCT05871437 | PHASE4 | NOT_YET_RECRUITING | Randomized Controlled Clinical Study on the Reduction of Tumor Marker Levels in Breast Cancer Patients by Huaier Granules |
| NCT06072807 | PHASE4 | RECRUITING | Brain [18F]-FES PET/CT in Patients With Estrogen-Receptor Positive Breast Cancer |
| NCT06169371 | PHASE4 | RECRUITING | Abemaciclib Dose Escalation to Maintain Intensity (ADE-MI) |
| NCT06217185 | PHASE4 | RECRUITING | The Efficacy and Safety of Pyrotinib, Trastuzumab Combined With Taxanes in the Treatment of Trastuzumab-treated HER2+ Advanced Breast Cancer (ABC). |
| NCT06245824 | PHASE4 | NOT_YET_RECRUITING | Trastuzumab Deruxtecan (T-DXd) With Pyrotinib in First-line HER2-positive Unresectable or Metastatic Breast Cancer Trial |
| NCT06252662 | PHASE4 | RECRUITING | Liposomal Bupivacaine Vs Bupivacaine with Dexmedetomidine in Erector Spinae Plane Blocks for Mastectomies |
| NCT06274515 | PHASE4 | RECRUITING | A Study to Investigate Mechanisms of Resistance to Breast Cancer Therapies |
| NCT06406127 | PHASE4 | RECRUITING | Effect of Alpha Lipoic Acid on Chemotherapy Induced Neurological Changes in Breast Cancer Patients |
| NCT06428682 | PHASE4 | RECRUITING | Role of TXA in Patients Undergoing Breast Free Flap Reconstruction |
| NCT06429761 | PHASE4 | RECRUITING | Phase 4 Study to Assess the Safety of Trastuzumab Deruxtecan, in Indian Patients |
| NCT06491680 | PHASE4 | RECRUITING | Cardiotoxicity in Breast Cancer Patients |
| NCT06574022 | PHASE4 | RECRUITING | Post-mastectomy Recovery: Comparing Preoperative PECS-II Blocks With Intraoperative Pectoral Blocks |
| NCT06578299 | PHASE4 | NOT_YET_RECRUITING | Inetetamab Combined With Paclitaxel With/Without Pertuzumab for Previously Treated HER2-positive Advanced Breast Cancer |
| NCT06613373 | PHASE4 | NOT_YET_RECRUITING | An Exploratory Clinical Study of CDK4/6i Dalpiciclib Combined With AI Neoadjuvant Therapy for Stage II-III HR+/HER2- Breast Cancer |
| NCT06641544 | PHASE4 | RECRUITING | The Efficacy and Safety of Different Combination Regimens of Inetetamab in First-line Treatment of HER2 Positive Metastatic Breast Cancer |
| NCT06777537 | PHASE4 | NOT_YET_RECRUITING | Neoadjuvant Chemotherapy with or Without Talniflumate for the Treatment of Breast Cancer |
| NCT06920810 | PHASE4 | RECRUITING | Viscum Album for TNBC on Adjuvant Pembrolizumab |
| NCT07042581 | PHASE4 | RECRUITING | A Study of Revaree Plus in People With Breast Cancer |
| NCT07093931 | PHASE4 | NOT_YET_RECRUITING | Efficacy and Safety of Lobaplatin and Carboplatin as Neoadjuvant Therapy in HER-2 Positive Breast Cancer |
Drugs tested across these trials (top 30)
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 235 predictive associations from 243 curated evidence items; also 51 prognostic, 9 predisposing, 4 oncogenic, 3 diagnostic.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|
| ERBB2 Amplification | Capecitabine + Lapatinib | Sensitivity/Response | CIViC A | EID11247 |
| ERBB2 Amplification | Lapatinib + Letrozole | Sensitivity/Response | CIViC A | EID11248 |
| ERBB2 Amplification | Margetuximab | Sensitivity/Response | CIViC A | EID11249 |
| ERBB2 Amplification | Trastuzumab + Tucatinib + Capecitabine | Sensitivity/Response | CIViC A | EID11250 |
| ESR1 D538G OR ESR1 Y537C OR ESR1 Y537N OR ESR1 Y537S OR ESR1 E380Q OR ESR1 Mutation | Lasofoxifene | Sensitivity/Response | CIViC A | EID12934 |
| ESR1 Mutation | Elacestrant | Sensitivity/Response | CIViC A | EID11443 |
| ESR1 Mutation | Imlunestrant Regimen + Abemaciclib Regimen | Sensitivity/Response | CIViC A | EID12599 |
| ESR1 Mutation | Aromatase Inhibitor + Fulvestrant + Imlunestrant Regimen | Sensitivity/Response | CIViC A | EID12600 |
| PIK3CA C420R | Alpelisib + Fulvestrant | Sensitivity/Response | CIViC A | EID11275 |
| PIK3CA E453K OR PIK3CA E453Q OR PIK3CA E453A OR PIK3CA E453D OR PIK3CA E453G OR PIK3CA E453V | Fulvestrant + Inavolisib + Palbociclib | Sensitivity/Response | CIViC A | EID12540 |
| PIK3CA E542K | Fulvestrant + Alpelisib | Sensitivity/Response | CIViC A | EID7315 |
| PIK3CA E542K OR PIK3CA E542Q OR PIK3CA E542A OR PIK3CA E542D OR PIK3CA E542G OR PIK3CA E542R OR PIK3CA E542V | Palbociclib + Inavolisib + Fulvestrant | Sensitivity/Response | CIViC A | EID12535 |
| PIK3CA E545K OR PIK3CA E545A OR PIK3CA E545G OR PIK3CA E545D | Fulvestrant + Alpelisib | Sensitivity/Response | CIViC A | EID7468 |
| PIK3CA E545K OR PIK3CA E545Q OR PIK3CA E545A OR PIK3CA E545G OR PIK3CA E545V OR PIK3CA E545D OR PIK3CA E545L OR PIK3CA E545R | Palbociclib + Inavolisib + Fulvestrant | Sensitivity/Response | CIViC A | EID12534 |
| PIK3CA G1049S OR PIK3CA G1049R OR PIK3CA G106V OR PIK3CA G106R OR PIK3CA G1049A OR PIK3CA G106S OR PIK3CA G106A OR PIK3CA G106D OR PIK3CA G118D OR PIK3CA G1049C OR PIK3CA G1049D | Palbociclib + Inavolisib + Fulvestrant | Sensitivity/Response | CIViC A | EID12537 |
| PIK3CA H1047R OR PIK3CA H1047Y OR PIK3CA H1047L | Fulvestrant + Alpelisib | Sensitivity/Response | CIViC A | EID7318 |
| PIK3CA H1047R OR PIK3CA H1047Y OR PIK3CA H1047L OR PIK3CA H1047D OR PIK3CA H1047I OR PIK3CA H1047N OR PIK3CA H1047P OR PIK3CA H1047Q OR PIK3CA H1047T | Palbociclib + Inavolisib + Fulvestrant | Sensitivity/Response | CIViC A | EID12533 |
| PIK3CA Mutation | Alpelisib + Fulvestrant | Sensitivity/Response | CIViC A | EID7313 |
| PIK3CA Mutation OR PTEN Mutation OR AKT1 Mutation | Capivasertib + Fulvestrant | Sensitivity/Response | CIViC A | EID12020 |
| PIK3CA N345K OR PIK3CA N345D OR PIK3CA N345H OR PIK3CA N345I OR PIK3CA N345S OR PIK3CA N345T OR PIK3CA N345Y | Palbociclib + Inavolisib + Fulvestrant | Sensitivity/Response | CIViC A | EID12538 |
| PIK3CA Q546E OR PIK3CA Q546R | Fulvestrant + Alpelisib | Sensitivity/Response | CIViC A | EID7316 |
| PIK3CA Q546K OR PIK3CA Q546E OR PIK3CA Q546P OR PIK3CA Q546R OR PIK3CA Q546L OR PIK3CA K111E OR PIK3CA K111N OR PIK3CA K111R OR PIK3CA Q546H | Inavolisib + Fulvestrant + Palbociclib | Sensitivity/Response | CIViC A | EID12536 |
| PIK3CA R88Q OR PIK3CA C420R OR PIK3CA M1043V OR PIK3CA M1043I OR PIK3CA M1043T | Fulvestrant + Palbociclib + Inavolisib | Sensitivity/Response | CIViC A | EID12539 |
| VEGFA Overexpression of VEGF121 and VEGF110 | Bevacizumab | Sensitivity/Response | CIViC B | EID9299 +2 |
| ERBB2 Overexpression | Lapatinib | Sensitivity/Response | CIViC B | EID7014 +1 |
| ESR1 Y537N | Palbociclib | Sensitivity/Response | CIViC B | EID4817 +1 |
| ESR1 Y537S | Palbociclib | Sensitivity/Response | CIViC B | EID4819 +1 |
| FGFR1 Amplification | Dovitinib | Sensitivity/Response | CIViC B | EID12478 +1 |
| AKT2 EXPRESSION | Trastuzumab | Sensitivity/Response | CIViC B | EID706 |
| BRAF Wildtype | Cetuximab | Sensitivity/Response | CIViC B | EID11657 |
+205 more predictive associations (showing top 30 by evidence level).
- Cohort genes: BRCA2, CHEK2, BRCA1, TERT, TP53, CCND1, CCNE1, PALB2, ERBB4, ESR1, FGF3, FGFR2, PIK3CA, PTEN, RAD51D, RET, SF3B1, SGK1, BRAF, TFF3, TIMP1, TLK2, TOP2A, KMT2C, CD274, CDK6, CDKN1B, RSF1, TUBB3, CDK12, CYP2D6, PARP1, EGFR, AGR2, ERBB2, ERBB3, FCGR2A, FCGR2B, FCGR3A, FDXR, FGFR1, FGFR3, KLLN, AKT1, AKT2, AKT3, MTOR, ABCB1, RUNX1, STK11, TBX3, PRC1, RORA, RPS6KC1, ATXN1, SIAH2, ST8SIA4, SLC24A3, SLC4A7, TAGLN, TBX5
- Drugs: Tamoxifen, Docetaxel, Epirubicin, Goserelin, Trastuzumab, Doxorubicin, Cyclophosphamide, Letrozole, Anastrozole, Fulvestrant, Exemestane, Capecitabine, Zoledronic Acid, Lapatinib, Pertuzumab, Eribulin, Paclitaxel, Vinorelbine, Gemcitabine, Pegfilgrastim, Risedronic Acid, Trastuzumab Emtansine, Fluorouracil, Leuprolide, Palbociclib, Filgrastim, Ribociclib, Bevacizumab, Carboplatin, Thiotepa, Margetuximab, Lasofoxifene, Elacestrant, Dovitinib, Cetuximab
- Associated genes: ABCC3, ATRIP, AURKA, BARD1, BLM, FANCC, FANCM, FOXP3, IGF1R, LZTR1, MAP3K1, MLH1, MRE11, MSH2, MSH6, MTAP, MYD88, NF2, NRG1, NTHL1, PGR, PIK3R1, PMS2, RASAL1, RB1, RECQL, RECQL5, RINT1, ROS1, XRCC2