Summary
Bronchopulmonary dysplasia (MONDO:0019091) is a disease with 39 cohort genes (38 GWAS associations across 5 studies) and 290 clinical trials. Top therapeutic interventions include sodium chloride, azithromycin, and budesonide.
At a glance
- Prevalence: 1-5 / 10 000 (Europe) [Orphanet-validated]
- Cohort genes: 39
- GWAS associations: 38
- ClinVar variants: 1
- Phenotypes (HPO): 27
- Clinical trials: 290
Clinical features
Epidemiology
Prevalence records
1 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|
| Point prevalence | 1-5 / 10 000 | 13 | Europe | Validated |
Signs & symptoms
Clinical features (HPO)
27 HPO clinical features (Orphanet curated; top 27 by frequency):
| HPO ID | Term | Frequency |
|---|
| HP:0001518 | Small for gestational age | Very frequent (80-99%) |
| HP:0001622 | Premature birth | Very frequent (80-99%) |
| HP:0002088 | Abnormal lung morphology | Very frequent (80-99%) |
| HP:0002094 | Dyspnea | Very frequent (80-99%) |
| HP:0002097 | Emphysema | Very frequent (80-99%) |
| HP:0002098 | Respiratory distress | Very frequent (80-99%) |
| HP:0004887 | Respiratory failure requiring assisted ventilation | Very frequent (80-99%) |
| HP:0006528 | Chronic lung disease | Very frequent (80-99%) |
| HP:0012419 | Hyperoxemia | Very frequent (80-99%) |
| HP:0012735 | Cough | Very frequent (80-99%) |
| HP:0001607 | Subglottic stenosis | Frequent (30-79%) |
| HP:0001667 | Right ventricular hypertrophy | Frequent (30-79%) |
| HP:0001708 | Right ventricular failure | Frequent (30-79%) |
| HP:0002360 | Sleep abnormality | Frequent (30-79%) |
| HP:0002780 | Bronchomalacia | Frequent (30-79%) |
| HP:0002795 | Abnormal respiratory system physiology | Frequent (30-79%) |
| HP:0002871 | Central apnea | Frequent (30-79%) |
| HP:0004890 | Elevated pulmonary artery pressure | Frequent (30-79%) |
| HP:0006536 | Airway obstruction | Frequent (30-79%) |
| HP:0006597 | Diaphragmatic paralysis | Frequent (30-79%) |
| HP:0012252 | Abnormal respiratory system morphology | Frequent (30-79%) |
| HP:0030828 | Wheezing | Frequent (30-79%) |
| HP:0003546 | Exercise intolerance | Occasional (5-29%) |
| HP:0002786 | Tracheobronchomalacia | Occasional (5-29%) |
| HP:0030878 | Abnormality on pulmonary function testing | Occasional (5-29%) |
| HP:0100632 | Pulmonary sequestration | Occasional (5-29%) |
| HP:0100750 | Atelectasis | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | bronchopulmonary dysplasia |
| Mondo ID | MONDO:0019091 |
| MeSH | D001997 |
| Orphanet | 70589 |
| DOID | DOID:11650 |
| ICD-11 | 1462855296 |
| NCIT | C90599 |
| SNOMED CT | 67569000 |
| UMLS | C0495402 |
| MedGen | 1864458 |
| GARD | 0005962 |
| MedDRA | 10006475 |
| NORD | 874 |
| Is cancer (heuristic) | no |
Also known as: BPD
Data availability: 1 ClinVar variant · 38 GWAS associations (5 studies).
Disease family
Classification path: disease › human disease › disease by body system or component › respiratory system disorder › bronchopulmonary dysplasia
Related subtypes (58): lower respiratory tract disorder, respiratory system cancer, respiratory system benign neoplasm, allergic respiratory disease, paranasal sinus disorder, upper respiratory tract disorder, pertussis, severe acute respiratory syndrome, sleep apnea syndrome, diaphragm disorder, pulmonary tuberculosis, altitude sickness, perinatal asphyxia, pulmonary nodular lymphoid hyperplasia, tracheobronchopathia osteochondroplastica, Williams-Campbell syndrome, cystic fibrosis, growth delay-hydrocephaly-lung hypoplasia syndrome, laryngo-onycho-cutaneous syndrome, congenital pulmonary lymphangiectasia, familial primary pulmonary hypoplasia, Mounier-Kuhn syndrome, Young syndrome, lung agenesis-heart defect-thumb anomalies syndrome, sudden infant death-dysgenesis of the testes syndrome, alpha 1-antitrypsin deficiency, hereditary sclerosing poikiloderma with tendon and pulmonary involvement, autoimmune interstitial lung disease-arthritis syndrome, mucopolysaccharidosis-plus syndrome, congenital bronchobiliary fistula, bronchogenic cyst, primary ciliary dyskinesia, congenital pulmonary airway malformation, transient hyperammonemia of the newborn, congenital pulmonary sequestration, Siegler-Brewer-Carey syndrome, tracheal agenesis, 16q24.1 microdeletion syndrome, staphylococcal necrotizing pneumonia, pulmonary veno-occlusive disease and/or pulmonary capillary haemangiomatosis, plastic bronchitis, recurrent respiratory papillomatosis, IgG4-related mediastinitis, infantile apnea, diffuse alveolar hemorrhage, respiratory or thoracic malformation, pulmonary agenesis, eosinophilic granuloma, disorder of pharynx, respiratory tract neoplasm, pulmonary alveolar proteinosis with hypogammaglobulinemia, respiratory tract infectious disorder, Middle East respiratory syndrome, reactive airway disease, acinar dysplasia, pulmonary hypoplasia, isolated left bronchial isomerism, bronchiectasis and nasal polyposis
Genetics & variants
GWAS landscape
38 GWAS associations across 5 studies. Top hits map to 24 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs372271081 | 7e-07 | MICOS10-NBL1, NBL1 | ? | 5.88 |
| rs556493 | 1e-06 | STXBP5 | A | 1.35 |
| rs1440306 | 1e-06 | RNU6-119P - TRAM1L1 | A | 1.37 |
| rs72791417 | 1e-06 | CTNNA3 | A | 1.45 |
| rs650950 | 2e-06 | PAMR1 | G | 1.55 |
| rs4634985 | 3e-06 | PLXDC2 | A | 1.54 |
| rs55716084 | 3e-06 | CEP170 | A | 1.59 |
| rs9953270 | 3e-06 | CHST9, AQP4-AS1 | G | 1.33 |
| rs12701220 | 3e-06 | COX19 - CYP2W1 | G | 1.54 |
| rs9877396 | 3e-06 | FHIT | ? | 2 |
| rs6988306 | 3e-06 | GRHL2 | ? | 2.78 |
| rs4883955 | 3e-06 | KLF12 | ? | 2 |
| rs8016110 | 3e-06 | MDGA2 | A | 3.5 |
| rs75055007 | 3e-06 | ABAT | ? | 3.85 |
| rs60417571 | 3e-06 | STK32C | ? | 4.76 |
| rs78975256 | 4e-06 | RNU4-69P - RPL23AP44 | G | 2.44 |
| rs7246967 | 4e-06 | VN1R88P - ZNF728 | C | 1.4 |
| rs10193074 | 4e-06 | LINC00276 - Metazoa_SRP | ? | 3.85 |
| rs11226613 | 5e-06 | CARD16 - CASP1P1 | T | 1.43 |
| rs17551536 | 5e-06 | MIR3681HG | G | 1.47 |
| rs2786189 | 5e-06 | STXBP5 | C | 1.47 |
| rs2278034 | 5e-06 | TNK2 | ? | 1.83 |
| chr12:131048872 | 5e-06 | | ? | 2.56 |
| chr2:54980799 | 5e-06 | | ? | 2.5 |
| rs62468577 | 6e-06 | MAGI2 | G | 1.54 |
| rs1912816 | 6e-06 | CSMD3 - Y_RNA | A | 1.28 |
| rs1474256 | 6e-06 | ANKRD34C-AS1 | G | 1.2 |
| rs71627250 | 6e-06 | ISCA1P1 - HTR1A | A | 1.65 |
| chr2:33777089 | 6e-06 | | ? | 3.57 |
| rs4851694 | 6e-06 | LINC01831 | T | 4.3 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST006460 | Torgerson DG | 2018 | 136 | 0 | Ancestry and Genetic Associations with Bronchopulmonary Dysplasia in Preterm Infants. |
| GCST002104 | Wang H | 2013 | 117 | 0 | A genome-wide association study (GWAS) for bronchopulmonary dysplasia. |
| GCST004783 | Mahlman M | 2017 | 60 | 0 | Genome-wide association study of bronchopulmonary dysplasia: a potential role for variants near the CRP gene. |
| GCST001197 | Hadchouel A | 2011 | 22 | 0 | Identification of SPOCK2 as a susceptibility gene for bronchopulmonary dysplasia. |
| GCST001789 | Frazier-Wood AC | 2012 | 0 | 0 | Genetic variants associated with VLDL, LDL and HDL particle size differ with race/ethnicity. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 37 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 33 |
| low_freq (0.01-0.05) | 2 |
| rare (<0.01) | 0 |
| unknown | 3 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 26 |
| intergenic_variant | 8 |
| unknown | 3 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs372271081 | 1 | 19647903 | G>A | 0.05 | intron_variant | MICOS10-NBL1, NBL1 | 7e-07 | Tier 4: intronic/intergenic |
| rs556493 | 6 | 147228161 | A>C,G,T | 0.46 | intron_variant | STXBP5 | 1e-06 | Tier 4: intronic/intergenic |
| rs1440306 | 4 | 116954105 | T>A,C,G | 0.25 | intergenic_variant | RNU6-119P - TRAM1L1 | 1e-06 | Tier 4: intronic/intergenic |
| rs72791417 | 10 | 65983896 | A>T | 0.16 | intron_variant | CTNNA3 | 1e-06 | Tier 4: intronic/intergenic |
| rs650950 | 11 | 35517721 | T>A,C,G | 0.29 | intron_variant | PAMR1 | 2e-06 | Tier 4: intronic/intergenic |
| rs4634985 | 10 | 20145851 | T>A,C,G | 0.31 | intron_variant | PLXDC2 | 3e-06 | Tier 4: intronic/intergenic |
| rs55716084 | 1 | 243127340 | | 0.13 | intron_variant | CEP170 | 3e-06 | Tier 4: intronic/intergenic |
| rs9953270 | 18 | 27107407 | T>C | 0.31 | intron_variant | CHST9, AQP4-AS1 | 3e-06 | Tier 4: intronic/intergenic |
| rs12701220 | 7 | 983092 | T>C | 0.28 | intron_variant | COX19 - CYP2W1 | 3e-06 | Tier 4: intronic/intergenic |
| rs9877396 | 3 | 61141532 | T>A,C | 0.28 | intron_variant | FHIT | 3e-06 | Tier 4: intronic/intergenic |
| rs6988306 | 8 | 101583982 | C>T | 0.22 | intron_variant | GRHL2 | 3e-06 | Tier 4: intronic/intergenic |
| rs4883955 | 13 | 73859670 | T>A,C,G | 0.28 | intron_variant | KLF12 | 3e-06 | Tier 4: intronic/intergenic |
| rs8016110 | 14 | 46990706 | C>A | 0.05 | intron_variant | MDGA2 | 3e-06 | Tier 4: intronic/intergenic |
| rs75055007 | 16 | 8740228 | G>A,T | 0.05 | intron_variant | ABAT | 3e-06 | Tier 4: intronic/intergenic |
| rs60417571 | 10 | 132230648 | C>T | 0.05 | intron_variant | STK32C | 3e-06 | Tier 4: intronic/intergenic |
| rs78975256 | 5 | 120880342 | T>A,C | 0.02 | intergenic_variant | RNU4-69P - RPL23AP44 | 4e-06 | Tier 4: intronic/intergenic |
| rs7246967 | 19 | 22873544 | T>C,G | 0.16 | intergenic_variant | VN1R88P - ZNF728 | 4e-06 | Tier 4: intronic/intergenic |
| rs10193074 | 2 | 14508784 | A>G | 0.05 | intergenic_variant | LINC00276 - Metazoa_SRP | 4e-06 | Tier 4: intronic/intergenic |
| rs11226613 | 11 | 105101791 | T>A | 0.17 | intron_variant | CARD16 - CASP1P1 | 5e-06 | Tier 4: intronic/intergenic |
| rs17551536 | 2 | 12112224 | A>C,G | 0.13 | intron_variant | MIR3681HG | 5e-06 | Tier 4: intronic/intergenic |
| rs2786189 | 6 | 147209945 | G>A,C,T | 0.48 | intron_variant | STXBP5 | 5e-06 | Tier 4: intronic/intergenic |
| rs2278034 | 3 | 195870036 | T>C,G | 0.48 | intron_variant | TNK2 | 5e-06 | Tier 4: intronic/intergenic |
| chr12:131048872 | | | | | | | 5e-06 | Tier 4: intronic/intergenic |
| chr2:54980799 | | | | | | | 5e-06 | Tier 4: intronic/intergenic |
| rs62468577 | 7 | 78523355 | C>G,T | 0.18 | intron_variant | MAGI2 | 6e-06 | Tier 4: intronic/intergenic |
| rs1912816 | 8 | 113861151 | A>C,G,T | 0.38 | intergenic_variant | CSMD3 - Y_RNA | 6e-06 | Tier 4: intronic/intergenic |
| rs1474256 | 15 | 79171505 | C>T | 0.49 | intron_variant | ANKRD34C-AS1 | 6e-06 | Tier 4: intronic/intergenic |
| rs71627250 | 5 | 63088872 | C>T | 0.1 | intergenic_variant | ISCA1P1 - HTR1A | 6e-06 | Tier 4: intronic/intergenic |
| chr2:33777089 | | | | | | | 6e-06 | Tier 4: intronic/intergenic |
| rs4851694 | 2 | 104419442 | C>G,T | 0.05 | intron_variant | LINC01831 | 6e-06 | Tier 4: intronic/intergenic |
ClinVar germline variants
1 retrieved; paginated sample, class counts are floors:
1 uncertain significance
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|
| 1339481 | NM_002204.4(ITGA3):c.1766G>C (p.Arg589Pro) | ITGA3 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 16 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 1
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|
| CTNNA3 | CTNNA3 | GWAS, Orphanet |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| TRPS1 | Orphanet:502 | Trichorhinophalangeal syndrome type 2 |
| TRPS1 | Orphanet:77258 | Trichorhinophalangeal syndrome type 1 |
| MAGI2 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| TNK2 | Orphanet:391316 | Infantile-onset mesial temporal lobe epilepsy with severe cognitive regression |
| ABAT | Orphanet:2066 | Gamma-aminobutyric acid transaminase deficiency |
| CTNNA3 | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| CTNNA3 | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| CTNNA3 | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| GRHL2 | Orphanet:423454 | Nail and teeth abnormalities-marginal palmoplantar keratoderma-oral hyperpigmentation syndrome |
| GRHL2 | Orphanet:90635 | Rare autosomal dominant non-syndromic sensorineural deafness type DFNA |
| GRHL2 | Orphanet:98973 | Posterior polymorphous corneal dystrophy |
| DSC3 | Orphanet:217407 | Hereditary hypotrichosis with recurrent skin vesicles |
| FHIT | Orphanet:422526 | Hereditary clear cell renal cell carcinoma |
| HTR1A | Orphanet:498251 | Menstrual cycle-dependent periodic fever |
| ITGA3 | Orphanet:306504 | Interstitial lung disease-nephrotic syndrome-epidermolysis bullosa syndrome |
| KLHL3 | Orphanet:300525 | Pseudohypoaldosteronism type 2D |
Cohort genes → proteins
39 cohort genes, 36 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 38 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| SPOCK1 | HGNC:11251 | ENSG00000152377 | Q08629 | Testican-1 | gwas |
| TRPS1 | HGNC:12340 | ENSG00000104447 | Q9UHF7 | Zinc finger transcription factor Trps1 | gwas |
| HIVEP3 | HGNC:13561 | ENSG00000127124 | Q5T1R4 | Transcription factor HIVEP3 | gwas |
| RASGRP3 | HGNC:14545 | ENSG00000152689 | Q8IV61 | Ras guanyl-releasing protein 3 | gwas |
| FTMT | HGNC:17345 | ENSG00000181867 | Q8N4E7 | Ferritin, mitochondrial | gwas |
| MAGI2 | HGNC:18957 | ENSG00000187391 | Q86UL8 | Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 2 | gwas |
| CSMD3 | HGNC:19291 | ENSG00000164796 | Q7Z407 | CUB and sushi domain-containing protein 3 | gwas |
| TNK2 | HGNC:19297 | ENSG00000061938 | Q07912 | Activated CDC42 kinase 1 | gwas |
| STXBP5 | HGNC:19665 | ENSG00000164506 | Q5T5C0 | Syntaxin-binding protein 5 | gwas |
| MDGA2 | HGNC:19835 | ENSG00000139915 | Q7Z553 | MAM domain-containing glycosylphosphatidylinositol anchor protein 2 | gwas |
| CHST9 | HGNC:19898 | ENSG00000154080 | Q7L1S5 | Carbohydrate sulfotransferase 9 | gwas |
| CYP2W1 | HGNC:20243 | ENSG00000073067 | Q8TAV3 | Cytochrome P450 2W1 | gwas |
| NDST4 | HGNC:20779 | ENSG00000138653 | Q9H3R1 | Bifunctional heparan sulfate N-deacetylase/N-sulfotransferase 4 | gwas |
| PLXDC2 | HGNC:21013 | ENSG00000120594 | Q6UX71 | Plexin domain-containing protein 2 | gwas |
| STK32C | HGNC:21332 | ENSG00000165752 | Q86UX6 | Serine/threonine-protein kinase 32C | gwas |
| ABAT | HGNC:23 | ENSG00000183044 | P80404 | 4-aminobutyrate aminotransferase, mitochondrial | gwas |
| PAMR1 | HGNC:24554 | ENSG00000149090 | Q6UXH9 | Inactive serine protease PAMR1 | gwas |
| CTNNA3 | HGNC:2511 | ENSG00000183230 | Q9UI47 | Catenin alpha-3 | gwas |
| ZNF770 | HGNC:26061 | ENSG00000198146 | Q6IQ21 | Zinc finger protein 770 | gwas |
| GRHL2 | HGNC:2799 | ENSG00000083307 | Q6ISB3 | Grainyhead-like protein 2 homolog | gwas |
| COX19 | HGNC:28074 | ENSG00000240230 | Q49B96 | Cytochrome c oxidase assembly protein COX19 | gwas |
| TRAM1L1 | HGNC:28371 | ENSG00000174599 | Q8N609 | Translocating chain-associated membrane protein 1-like 1 | gwas |
| CEP170 | HGNC:28920 | ENSG00000143702 | Q5SW79 | Centrosomal protein of 170 kDa | gwas |
| PRR16 | HGNC:29654 | ENSG00000184838 | Q569H4 | Protein Largen | gwas |
| RIMBP2 | HGNC:30339 | ENSG00000060709 | O15034 | RIMS-binding protein 2 | gwas |
| DSC3 | HGNC:3037 | ENSG00000134762 | Q14574 | Desmocollin-3 | gwas |
| ZNF728 | HGNC:32463 | ENSG00000269067 | P0DKX0 | Zinc finger protein 728 | gwas |
| ISCA1P1 | HGNC:33263 | ENSG00000217416 | | iron-sulfur cluster assembly 1 pseudogene 1 | gwas |
| CARD17P | HGNC:33827 | ENSG00000255221 | Q5XLA6 | Putative caspase recruitment domain-containing protein 17P | gwas |
| EML6 | HGNC:35412 | ENSG00000214595 | Q6ZMW3 | Echinoderm microtubule-associated protein-like 6 | gwas |
| FHIT | HGNC:3701 | ENSG00000189283 | P49789 | Bis(5’-adenosyl)-triphosphatase | gwas |
| YAP1P1 | HGNC:38016 | ENSG00000220494 | | YAP1 pseudogene 1 | gwas |
| CASP1P1 | HGNC:43775 | ENSG00000255430 | | caspase 1 pseudogene 1 | gwas |
| HTR1A | HGNC:5286 | ENSG00000178394 | P08908 | 5-hydroxytryptamine receptor 1A | gwas |
| ITGA3 | HGNC:6139 | ENSG00000005884 | P26006 | Integrin alpha-3 | clinvar |
| KLF12 | HGNC:6346 | ENSG00000118922 | Q9Y4X4 | Krueppel-like factor 12 | gwas |
| KLHL3 | HGNC:6354 | ENSG00000146021 | Q9UH77 | Kelch-like protein 3 | gwas |
| NBL1 | HGNC:7650 | ENSG00000158747 | P41271 | Neuroblastoma suppressor of tumorigenicity 1 | gwas |
| RASGRF1 | HGNC:9875 | ENSG00000058335 | Q13972 | Ras-specific guanine nucleotide-releasing factor 1 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| SPOCK1 | Testican-1 | May play a role in cell-cell and cell-matrix interactions. |
| TRPS1 | Zinc finger transcription factor Trps1 | Transcriptional repressor. |
| HIVEP3 | Transcription factor HIVEP3 | Plays a role of transcription factor; binds to recognition signal sequences (Rss heptamer) for somatic recombination of immunoglobulin and T-cell receptor gene segments; Also binds to the kappa-B motif of gene such as S100A4, involved in c… |
| RASGRP3 | Ras guanyl-releasing protein 3 | Guanine nucleotide exchange factor (GEF) for Ras and Rap1. |
| FTMT | Ferritin, mitochondrial | Catalyzes the oxidation of ferrous iron(II) to ferric iron(III) and stores iron in a soluble, non-toxic, readily available form. |
| MAGI2 | Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 2 | Seems to act as a scaffold molecule at synaptic junctions by assembling neurotransmitter receptors and cell adhesion proteins. |
| CSMD3 | CUB and sushi domain-containing protein 3 | Involved in dendrite development. |
| TNK2 | Activated CDC42 kinase 1 | Non-receptor tyrosine-protein and serine/threonine-protein kinase that is implicated in cell spreading and migration, cell survival, cell growth and proliferation. |
| STXBP5 | Syntaxin-binding protein 5 | Plays a regulatory role in calcium-dependent exocytosis and neurotransmitter release. |
| MDGA2 | MAM domain-containing glycosylphosphatidylinositol anchor protein 2 | May be involved in cell-cell interactions. |
| CHST9 | Carbohydrate sulfotransferase 9 | Catalyzes the transfer of sulfate from 3’-phosphoadenylyl sulfate (PAPS) to position 4 of non-reducing N-acetylgalactosamine (GalNAc) residues in both N-glycans and O-glycans. |
| CYP2W1 | Cytochrome P450 2W1 | A cytochrome P450 monooxygenase that may play a role in retinoid and phospholipid metabolism. |
| NDST4 | Bifunctional heparan sulfate N-deacetylase/N-sulfotransferase 4 | Essential bifunctional enzyme that catalyzes both the N-deacetylation and the N-sulfation of glucosamine (GlcNAc) of the glycosaminoglycan in heparan sulfate. |
| PLXDC2 | Plexin domain-containing protein 2 | May play a role in tumor angiogenesis. |
| ABAT | 4-aminobutyrate aminotransferase, mitochondrial | Catalyzes the conversion of gamma-aminobutyrate and L-beta-aminoisobutyrate to succinate semialdehyde and methylmalonate semialdehyde, respectively. |
| PAMR1 | Inactive serine protease PAMR1 | May play a role in regeneration of skeletal muscle. |
| CTNNA3 | Catenin alpha-3 | May be involved in formation of stretch-resistant cell-cell adhesion complexes. |
| ZNF770 | Zinc finger protein 770 | May be involved in transcriptional regulation. |
| GRHL2 | Grainyhead-like protein 2 homolog | Transcription factor playing an important role in primary neurulation and in epithelial development. |
| COX19 | Cytochrome c oxidase assembly protein COX19 | Assembly factor for cytochrome c oxidase (respiratory chain complex IV, CIV). |
| TRAM1L1 | Translocating chain-associated membrane protein 1-like 1 | Stimulatory or required for the translocation of secretory proteins across the ER membrane. |
| CEP170 | Centrosomal protein of 170 kDa | Plays a role in microtubule organization. |
| PRR16 | Protein Largen | Regulator of cell size that promotes cell size increase independently of mTOR and Hippo signaling pathways. |
| RIMBP2 | RIMS-binding protein 2 | Plays a role in the synaptic transmission as bifunctional linker that interacts simultaneously with RIMS1, RIMS2, CACNA1D and CACNA1B. |
| DSC3 | Desmocollin-3 | A component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion. |
| CARD17P | Putative caspase recruitment domain-containing protein 17P | Regulator of procaspase-1/CASP1 activation implicated in the regulation of the proteolytic maturation of pro-IL-1beta/IL1B and its release during inflammation. |
| EML6 | Echinoderm microtubule-associated protein-like 6 | Microtubule-associated protein that plays an important role in the regulation of oocyte meiotic progression by maintaining spindle integrity and facilitating proper chromosome alignment. |
| FHIT | Bis(5’-adenosyl)-triphosphatase | Possesses dinucleoside triphosphate hydrolase activity. |
| HTR1A | 5-hydroxytryptamine receptor 1A | G-protein coupled receptor for 5-hydroxytryptamine (serotonin). |
| ITGA3 | Integrin alpha-3 | Integrin alpha-3/beta-1 is a receptor for fibronectin, laminin, collagen, epiligrin, thrombospondin and CSPG4. |
| KLF12 | Krueppel-like factor 12 | Confers strong transcriptional repression to the AP-2-alpha gene. |
| KLHL3 | Kelch-like protein 3 | Substrate-specific adapter of a BCR (BTB-CUL3-RBX1) E3 ubiquitin ligase complex that acts as a regulator of ion transport in the distal nephron. |
| NBL1 | Neuroblastoma suppressor of tumorigenicity 1 | Possible candidate as a tumor suppressor gene of neuroblastoma. |
| RASGRF1 | Ras-specific guanine nucleotide-releasing factor 1 | Promotes the exchange of Ras-bound GDP by GTP. |
Protein-family classification
Druggable: 12 · Difficult: 9 · Unknown: 18 · Druggable fraction: 0.31
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 |
|---|
| Complement | 1 | 6.9× | 0.496 |
| Antibody/Immunoglobulin | 3 | 2.2× | 0.496 |
| Kinase | 3 | 2.1× | 0.496 |
| Scaffold/PPI | 3 | 1.3× | 0.710 |
| Transcription factor | 6 | 1.3× | 0.710 |
| Protease | 1 | 0.9× | 0.850 |
| Enzyme (other) | 3 | 0.9× | 0.850 |
| GPCR | 1 | 0.6× | 0.912 |
| Other/Unknown | 18 | 0.8× | 0.915 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| SPOCK1 | Other/Unknown | no | | Thyroglobulin_1, Kazal_dom, EF-hand-dom_pair |
| TRPS1 | Transcription factor | no | | Znf_GATA, Znf_C2H2_type, Znf_NHR/GATA |
| HIVEP3 | Transcription factor | no | | Znf_C2H2_type, Znf_CCHC_HIVEP, Znf_C2H2_sf |
| RASGRP3 | Other/Unknown | no | | Ras-like_Gua-exchang_fac_N, RASGEF_cat_dom, EF_hand_dom |
| FTMT | Other/Unknown | no | | Ferritin, Ferritin_DPS_dom, Ferritin-like_diiron |
| MAGI2 | Kinase | yes | | WW_dom, PDZ, Guanylate_kin-like_dom |
| CSMD3 | Complement | yes | | Sushi_SCR_CCP_dom, CUB_dom, Sperma_CUB_dom_sf |
| TNK2 | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, SH3_domain |
| STXBP5 | Scaffold/PPI | no | | Lethal2_giant, WD40_rpt, LLGL2 |
| MDGA2 | Antibody/Immunoglobulin | yes | | MAM_dom, Ig_sub2, Ig_sub |
| CHST9 | Other/Unknown | no | | Sulfotransferase, Carb_sulfotrans_8-10 |
| CYP2W1 | Other/Unknown | no | | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS |
| NDST4 | Enzyme (other) | yes | 2.8.2.8 | Sulfotransferase_dom, Heparan_SO4_deacetylase_dom, P-loop_NTPase |
| PLXDC2 | Other/Unknown | no | | Plexin_repeat, PSI, PLXDC |
| STK32C | Kinase | yes | | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| ABAT | Enzyme (other) | yes | 2.6.1.19 | 4NH2But_aminotransferase_euk, Aminotrans_3, PyrdxlP-dep_Trfase_major |
| PAMR1 | Protease | yes | | Sushi_SCR_CCP_dom, EGF, CUB_dom |
| CTNNA3 | Other/Unknown | no | | Alpha_catenin, Vinculin/catenin, Alpha-catenin/vinculin-like_sf |
| ZNF770 | Transcription factor | no | | Znf_C2H2_type, Znf_C2H2_sf |
| GRHL2 | Transcription factor | no | | CP2, TF_CP2-like, GRHL1/CP2_C |
| COX19 | Other/Unknown | no | | Cys_alpha_HP_mot_SF, CHCH, COX19 |
| TRAM1L1 | Other/Unknown | no | | TLC-dom, Translocation_assoc_membrane |
| CEP170 | Other/Unknown | no | | FHA_dom, SMAD_FHA_dom_sf, CEP170_C |
| PRR16 | Other/Unknown | no | | Largen/INSYN1 |
| RIMBP2 | Antibody/Immunoglobulin | yes | | SH3_domain, FN3_dom, Ig-like_fold |
| DSC3 | Other/Unknown | no | | Cadherin_Y-type_LIR, Cadherin-like_dom, Desmosomal_cadherin |
| ZNF728 | Transcription factor | no | | KRAB, Znf_C2H2_type, KRAB_dom_sf |
| ISCA1P1 | Other/Unknown | no | | |
| CARD17P | Other/Unknown | no | | CARD, Pept_C14, DEATH-like_dom_sf |
| EML6 | Scaffold/PPI | no | | WD40_rpt, HELP, Quinoprotein_ADH-like_sf |
| FHIT | Enzyme (other) | yes | 3.6.1.29 | HIT-like, Histidine_triad_CS, HIT-like_sf |
| YAP1P1 | Other/Unknown | no | | |
| CASP1P1 | Other/Unknown | no | | |
| HTR1A | GPCR | yes | | GPCR_Rhodpsn, 5HT1A_rcpt, 5HT_rcpt |
| ITGA3 | Antibody/Immunoglobulin | yes | | Integrin_alpha, FG-GAP, Int_alpha_beta-p |
| KLF12 | Transcription factor | no | | Znf_C2H2_type, Znf_C2H2_sf |
| KLHL3 | Other/Unknown | no | | BTB/POZ_dom, Kelch_1, SKP1/BTB/POZ_sf |
| NBL1 | Other/Unknown | no | | DAN_dom, Cys_knot_C, Neuroblast_suppress_tumour_1 |
| RASGRF1 | Scaffold/PPI | no | | DH_dom, Ras-like_Gua-exchang_fac_N, GDS_CDC24_CS |
Expression context
Cohort genes with no expression data: 0.
32 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 1 |
| broad (>20) | 38 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| Brodmann (1909) area 23 | 6 |
| primordial germ cell in gonad | 5 |
| male germ line stem cell (sensu Vertebrata) in testis | 5 |
| middle temporal gyrus | 5 |
| stromal cell of endometrium | 4 |
| calcaneal tendon | 4 |
| buccal mucosa cell | 4 |
| corpus callosum | 4 |
| endothelial cell | 3 |
| left testis | 3 |
| right hemisphere of cerebellum | 3 |
| cortical plate | 3 |
| decidua | 2 |
| C1 segment of cervical spinal cord | 2 |
| testis | 2 |
| cerebellar hemisphere | 2 |
| right adrenal gland | 2 |
| right adrenal gland cortex | 2 |
| tendon of biceps brachii | 2 |
| right testis | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| SPOCK1 | 273 | ubiquitous | marker | stromal cell of endometrium, lateral nuclear group of thalamus, decidua |
| TRPS1 | 284 | ubiquitous | marker | mammary duct, epithelium of mammary gland, calcaneal tendon |
| HIVEP3 | 234 | ubiquitous | marker | buccal mucosa cell, endothelial cell, Brodmann (1909) area 23 |
| RASGRP3 | 255 | ubiquitous | marker | corpus callosum, inferior vagus X ganglion, C1 segment of cervical spinal cord |
| FTMT | 16 | tissue_specific | yes | primordial germ cell in gonad, left testis, testis |
| MAGI2 | 267 | ubiquitous | marker | calcaneal tendon, corpus callosum, Brodmann (1909) area 23 |
| CSMD3 | 129 | broad | marker | middle temporal gyrus, Brodmann (1909) area 23, male germ line stem cell (sensu Vertebrata) in testis |
| TNK2 | 276 | ubiquitous | marker | right hemisphere of cerebellum, right frontal lobe, cerebellar hemisphere |
| STXBP5 | 244 | ubiquitous | marker | adrenal tissue, Brodmann (1909) area 23, calcaneal tendon |
| MDGA2 | 85 | broad | marker | cortical plate, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad |
| CHST9 | 139 | broad | marker | bronchial epithelial cell, bronchus, olfactory segment of nasal mucosa |
| CYP2W1 | 147 | tissue_specific | marker | buccal mucosa cell, right adrenal gland cortex, right adrenal gland |
| NDST4 | 65 | tissue_specific | marker | palpebral conjunctiva, pons, male germ line stem cell (sensu Vertebrata) in testis |
| PLXDC2 | 279 | ubiquitous | marker | calcaneal tendon, tendon of biceps brachii, tendon |
| STK32C | 198 | ubiquitous | marker | right testis, left testis, anterior cingulate cortex |
| ABAT | 289 | ubiquitous | marker | Brodmann (1909) area 23, endothelial cell, middle temporal gyrus |
| PAMR1 | 237 | broad | marker | decidua, stromal cell of endometrium, tibia |
| CTNNA3 | 211 | broad | marker | corpus callosum, heart right ventricle, medial globus pallidus |
| ZNF770 | 255 | ubiquitous | marker | upper arm skin, corpus epididymis, gingival epithelium |
| GRHL2 | 200 | broad | marker | buccal mucosa cell, oviduct epithelium, cervix squamous epithelium |
| COX19 | 217 | ubiquitous | marker | tendon of biceps brachii, vena cava, buccal mucosa cell |
| TRAM1L1 | 210 | broad | yes | endothelial cell, upper arm skin, epithelial cell of pancreas |
| CEP170 | 134 | ubiquitous | marker | cortical plate, ganglionic eminence, corpus callosum |
| PRR16 | 205 | ubiquitous | marker | stromal cell of endometrium, descending thoracic aorta, oocyte |
| RIMBP2 | 201 | broad | marker | Brodmann (1909) area 10, frontal pole, pituitary gland |
| DSC3 | 177 | broad | marker | upper leg skin, gingival epithelium, gingiva |
| ZNF728 | 117 | broad | yes | male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, testis |
| ISCA1P1 | 115 | | marker | right testis, primordial germ cell in gonad, left testis |
| CARD17P | 89 | tissue_specific | yes | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, monocyte |
| EML6 | 217 | broad | marker | middle temporal gyrus, right hemisphere of cerebellum, Brodmann (1909) area 23 |
Protein interactions among cohort
Intra-cohort edges: 3.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| MAGI2 | 3,246 |
| TRPS1 | 2,588 |
| CEP170 | 2,543 |
| RASGRF1 | 2,337 |
| CTNNA3 | 2,306 |
| ITGA3 | 2,079 |
| HTR1A | 1,946 |
| ABAT | 1,711 |
| FHIT | 1,690 |
| EML6 | 1,689 |
Intra-cohort edges
| A | B | Sources |
|---|
| CSMD3 | TRPS1 | string_interaction |
| MAGI2 | PRR16 | intact |
| NDST4 | TRAM1L1 | string_interaction |
Structural data
PDB: 10 · AlphaFold-only: 26 · No structure: 3
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| HTR1A | P08908 | 30 |
| FTMT | Q8N4E7 | 24 |
| TNK2 | Q07912 | 18 |
| FHIT | P49789 | 9 |
| MAGI2 | Q86UL8 | 5 |
| RIMBP2 | O15034 | 4 |
| KLHL3 | Q9UH77 | 3 |
| NBL1 | P41271 | 2 |
| GRHL2 | Q6ISB3 | 1 |
| CEP170 | Q5SW79 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| ABAT | P80404 | 93.91 |
| CYP2W1 | Q8TAV3 | 92.79 |
| NDST4 | Q9H3R1 | 91.22 |
| EML6 | Q6ZMW3 | 87.42 |
| MDGA2 | Q7Z553 | 84.96 |
| ITGA3 | P26006 | 83.88 |
| CTNNA3 | Q9UI47 | 81.65 |
| CARD17P | Q5XLA6 | 81.44 |
| COX19 | Q49B96 | 81.23 |
| TRAM1L1 | Q8N609 | 80.64 |
| STK32C | Q86UX6 | 79.95 |
| STXBP5 | Q5T5C0 | 78.93 |
| CHST9 | Q7L1S5 | 78.39 |
| PAMR1 | Q6UXH9 | 77.31 |
| DSC3 | Q14574 | 75.53 |
| RASGRF1 | Q13972 | 72.89 |
| RASGRP3 | Q8IV61 | 70.51 |
| PLXDC2 | Q6UX71 | 69.80 |
| ZNF728 | P0DKX0 | 69.18 |
| SPOCK1 | Q08629 | 63.80 |
| PRR16 | Q569H4 | 63.69 |
| ZNF770 | Q6IQ21 | 55.24 |
| KLF12 | Q9Y4X4 | 51.57 |
| TRPS1 | Q9UHF7 | 49.12 |
| HIVEP3 | Q5T1R4 | 37.25 |
| CSMD3 | Q7Z407 | |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 46. Enrichment computed across 39 evidence-associated genes (17 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 17 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Degradation of GABA | 1 | 335.9× | 0.116 | ABAT |
| Activation of RAS in B cells | 1 | 134.3× | 0.116 | RASGRP3 |
| Miscellaneous substrates | 1 | 56.0× | 0.116 | CYP2W1 |
| Serotonin receptors | 1 | 56.0× | 0.116 | HTR1A |
| Signaling by LTK | 1 | 51.7× | 0.116 | TNK2 |
| MET promotes cell motility | 1 | 35.4× | 0.116 | ITGA3 |
| Ras activation upon Ca2+ influx through NMDA receptor | 1 | 33.6× | 0.116 | RASGRF1 |
| Heparan sulfate/heparin (HS-GAG) metabolism | 1 | 32.0× | 0.116 | NDST4 |
| CS-GAG biosynthesis | 1 | 32.0× | 0.116 | CHST9 |
| Xenobiotics | 1 | 29.2× | 0.116 | CYP2W1 |
| Nephrin family interactions | 1 | 28.0× | 0.116 | MAGI2 |
| Basigin interactions | 1 | 25.8× | 0.116 | ITGA3 |
| Laminin interactions | 1 | 22.4× | 0.116 | ITGA3 |
| MET activates PTK2 signaling | 1 | 22.4× | 0.116 | ITGA3 |
| HS-GAG biosynthesis | 1 | 20.4× | 0.116 | NDST4 |
| Amine ligand-binding receptors | 1 | 20.4× | 0.116 | HTR1A |
| Iron uptake and transport | 1 | 20.4× | 0.116 | FTMT |
| RAF/MAP kinase cascade | 2 | 7.2× | 0.116 | RASGRP3, RASGRF1 |
| Signaling by Receptor Tyrosine Kinases | 2 | 6.1× | 0.116 | TNK2, ITGA3 |
| Signaling by MET | 1 | 18.7× | 0.120 | ITGA3 |
| Complex IV assembly | 1 | 13.4× | 0.156 | COX19 |
| Glycosaminoglycan metabolism | 1 | 12.9× | 0.156 | NDST4 |
| Regulation of RUNX2 expression and activity | 1 | 10.7× | 0.178 | HIVEP3 |
| Mitochondrial protein import | 1 | 9.9× | 0.178 | COX19 |
| Post-translational modification: synthesis of GPI-anchored proteins | 1 | 9.9× | 0.178 | MDGA2 |
| Cell-Cell communication | 1 | 8.1× | 0.203 | MAGI2 |
| Integrin cell surface interactions | 1 | 7.9× | 0.203 | ITGA3 |
| Metabolism of carbohydrates and carbohydrate derivatives | 1 | 7.1× | 0.218 | NDST4 |
| Cell surface interactions at the vascular wall | 1 | 5.6× | 0.261 | ITGA3 |
| Formation of the cornified envelope | 1 | 5.2× | 0.271 | DSC3 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 32 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| exploration behavior | 3 | 60.8× | 0.003 | ABAT, HTR1A, ITGA3 |
| diadenosine triphosphate catabolic process | 1 | 526.6× | 0.059 | FHIT |
| epithelium migration | 1 | 526.6× | 0.059 | GRHL2 |
| copulation | 1 | 263.3× | 0.059 | ABAT |
| obsolete GABA metabolic process | 1 | 263.3× | 0.059 | ABAT |
| GABA catabolic process | 1 | 263.3× | 0.059 | ABAT |
| negative regulation of gamma-aminobutyric acid secretion | 1 | 263.3× | 0.059 | ABAT |
| regulation of serotonin secretion | 1 | 263.3× | 0.059 | HTR1A |
| distal tubule morphogenesis | 1 | 263.3× | 0.059 | KLHL3 |
| positive regulation of prolactin secretion | 1 | 263.3× | 0.059 | ABAT |
| positive regulation of aspartate secretion | 1 | 263.3× | 0.059 | ABAT |
| purine nucleotide metabolic process | 1 | 175.5× | 0.059 | FHIT |
| negative regulation of cell projection organization | 1 | 175.5× | 0.059 | ITGA3 |
| response to gonadotropin | 1 | 175.5× | 0.059 | ITGA3 |
| obsolete sequestering of BMP from receptor via BMP binding | 1 | 175.5× | 0.059 | NBL1 |
| epithelial cell morphogenesis involved in placental branching | 1 | 175.5× | 0.059 | GRHL2 |
| renal filtration | 1 | 175.5× | 0.059 | ITGA3 |
| cell-cell adhesion | 3 | 9.5× | 0.059 | CTNNA3, DSC3, ITGA3 |
| nervous system development | 4 | 5.7× | 0.059 | SPOCK1, MAGI2, MDGA2, NBL1 |
| negative regulation of dopamine secretion | 1 | 131.7× | 0.062 | ABAT |
| obsolete sequestering of BMP in extracellular matrix | 1 | 131.7× | 0.062 | NBL1 |
| positive regulation of dopamine metabolic process | 1 | 131.7× | 0.062 | ABAT |
| regulation of hormone secretion | 1 | 131.7× | 0.062 | HTR1A |
| anterior neural tube closure | 1 | 131.7× | 0.062 | GRHL2 |
| positive regulation of heat generation | 1 | 105.3× | 0.066 | ABAT |
| retinoic acid catabolic process | 1 | 105.3× | 0.066 | CYP2W1 |
| determination of dorsal identity | 1 | 105.3× | 0.066 | NBL1 |
| cytochrome metabolic process | 1 | 105.3× | 0.066 | CYP2W1 |
| negative regulation of monocyte chemotaxis | 1 | 87.8× | 0.070 | NBL1 |
| positive regulation of inhibitory postsynaptic potential | 1 | 87.8× | 0.070 | ABAT |
Therapeutics
Drugs indicated for this disease
1 approved, 12 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): Furosemide, Ibuprofen, Sildenafil.
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 5 · Phased (≥1): 6 · Undrugged: 33
Druggability breadth: 11 of 39 evidence-associated genes (28%) 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 |
|---|
| TNK2 | VEMURAFENIB |
| CYP2W1 | PAZOPANIB |
| HTR1A | IMIPRAMINE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| HTR1A | 401 | 4 |
| TNK2 | 51 | 4 |
| RASGRP3 | 1 | 2 |
| CYP2W1 | 1 | 4 |
| STK32C | 1 | 3 |
| FHIT | 1 | 3 |
| SPOCK1 | 0 | 0 |
| TRPS1 | 0 | 0 |
| HIVEP3 | 0 | 0 |
| FTMT | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 4.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| HTR1A | 1,750 | Binding:1235, Functional:504, ADMET:10, Toxicity:1 |
| TNK2 | 348 | Binding:346, Functional:2 |
| CYP2W1 | 184 | ADMET:182, Binding:2 |
| STK32C | 148 | Binding:148 |
| ABAT | 41 | Binding:41 |
| FHIT | 21 | Binding:19, ADMET:2 |
| RASGRP3 | 20 | Binding:20 |
| ITGA3 | 5 | Binding:5 |
| KLHL3 | 3 | Binding:3 |
| RASGRF1 | 3 | Binding:3 |
| CEP170 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| TNK2 | 2.7.10.2 | non-specific protein-tyrosine kinase |
| NDST4 | 2.8.2.8 | [heparan sulfate]-glucosamine N-sulfotransferase |
| ABAT | 2.6.1.19 | 4-aminobutyrate-2-oxoglutarate transaminase |
| FHIT | 3.6.1.29 | bis(5’-adenosyl)-triphosphatase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| TNK2 | 348 |
| CYP2W1 | 184 |
| STK32C | 148 |
| HTR1A | 1,750 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 37; 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) |
|---|
| VEMURAFENIB | 4 | TNK2 |
| FEDRATINIB | 4 | TNK2 |
| AXITINIB | 4 | TNK2 |
| RUXOLITINIB | 4 | TNK2 |
| NERATINIB | 4 | TNK2 |
| ENTRECTINIB | 4 | TNK2 |
| PACRITINIB | 4 | TNK2 |
| TOFACITINIB | 4 | TNK2 |
| CERITINIB | 4 | TNK2 |
| BOSUTINIB | 4 | HTR1A, TNK2 |
| LORLATINIB | 4 | HTR1A, TNK2 |
| GILTERITINIB | 4 | TNK2 |
| OSIMERTINIB | 4 | HTR1A, TNK2 |
| UPADACITINIB | 4 | TNK2 |
| LAROTRECTINIB | 4 | TNK2 |
| PAZOPANIB | 4 | CYP2W1, TNK2 |
| NINTEDANIB | 4 | TNK2 |
| SUNITINIB | 4 | HTR1A, TNK2 |
| DASATINIB | 4 | HTR1A, TNK2 |
| CRIZOTINIB | 4 | TNK2 |
| MIDOSTAURIN | 4 | TNK2 |
| GEFITINIB | 4 | TNK2 |
| IMIPRAMINE | 4 | HTR1A |
| CANDESARTAN CILEXETIL | 4 | HTR1A |
| BEXAROTENE | 4 | HTR1A |
| METHYSERGIDE | 4 | HTR1A |
| GLIPIZIDE | 4 | HTR1A |
| MORICIZINE | 4 | HTR1A |
| ACETOPHENAZINE | 4 | HTR1A |
| MESORIDAZINE | 4 | HTR1A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 3 | TNK2, CYP2W1, HTR1A |
| B | Phased (≥1) drug, not yet approved | 3 | RASGRP3, STK32C, FHIT |
| C | Druggable family + PDB, no drug | 2 | MAGI2, RIMBP2 |
| D | Druggable family + AlphaFold only, no drug | 6 | CSMD3, MDGA2, NDST4, ABAT, PAMR1, ITGA3 |
| E | Difficult family or no structure, no drug | 25 | SPOCK1, TRPS1, HIVEP3, FTMT, STXBP5, CHST9, PLXDC2, CTNNA3, ZNF770, GRHL2 (+15 more) |
Undrugged target profiles
33 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| SPOCK1 | 0 | — |
| TRPS1 | 0 | — |
| HIVEP3 | 0 | — |
| FTMT | 0 | — |
| MAGI2 | 0 | — |
| CSMD3 | 0 | — |
| STXBP5 | 0 | — |
| MDGA2 | 0 | — |
| CHST9 | 0 | — |
| NDST4 | 0 | — |
| PLXDC2 | 0 | — |
| ABAT | 41 | — |
| PAMR1 | 0 | — |
| CTNNA3 | 0 | — |
| ZNF770 | 0 | — |
| GRHL2 | 0 | — |
| COX19 | 0 | — |
| TRAM1L1 | 0 | — |
| CEP170 | 1 | — |
| PRR16 | 0 | — |
| RIMBP2 | 0 | — |
| DSC3 | 0 | — |
| ZNF728 | 0 | — |
| ISCA1P1 | 0 | — |
| CARD17P | 0 | — |
| EML6 | 0 | — |
| YAP1P1 | 0 | — |
| CASP1P1 | 0 | — |
| ITGA3 | 5 | — |
| KLF12 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 290.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 165 |
| PHASE2 | 33 |
| PHASE3 | 31 |
| PHASE1 | 24 |
| PHASE1/PHASE2 | 13 |
| PHASE4 | 12 |
| PHASE2/PHASE3 | 9 |
| EARLY_PHASE1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT00926276 | PHASE4 | COMPLETED | The Role of Anti-Reflux Surgery for Gastroesophageal Reflux Disease in Premature Infants With Bronchopulmonary Dysplasia |
| NCT01039285 | PHASE4 | COMPLETED | Exogenous Surfactant in Very Preterm Neonates in Prevention of Bronchopulmonary Dysplasia |
| NCT01329432 | PHASE4 | UNKNOWN | Surfactant Administration During Spontaneous Breathing |
| NCT02140580 | PHASE4 | UNKNOWN | OPTIMIST-A Trial: Minimally-invasive Surfactant Therapy in Preterm Infants 25-28 Weeks Gestation on CPAP |
| NCT02447250 | PHASE4 | COMPLETED | Preterm Infant Inhaled Albuterol Dosing |
| NCT03275415 | PHASE4 | COMPLETED | Intratracheal Budesonide/Surfactant Prevents BPD |
| NCT03485703 | PHASE4 | COMPLETED | Azithromycin in the Prevention of Lung Injury in Premature Newborn |
| NCT03521063 | PHASE4 | UNKNOWN | Efficacy of Adding Budesonide to Poractant Alfa to Prevent Bronchopulmonary Dysplasia. |
| NCT04050488 | PHASE4 | UNKNOWN | Zinc Supplementation on Very Low Birth Weight Infant |
| NCT05311228 | PHASE4 | COMPLETED | The Efect of Azithromicyn on Bronchopulmonary Displasia in Extremely Preterm and Very Preterm Infant |
| NCT05898022 | PHASE4 | COMPLETED | Pragmatic Research on Diuretic Management in Early BPD Pilot |
| NCT06584474 | PHASE4 | COMPLETED | THE EFFECT OF NEBULIZED AZITHROMYCIN AS THERAPY FOR BRONCHOPULMONARY DYSPLASIA |
| NCT02371460 | PHASE3 | ACTIVE_NOT_RECRUITING | Maternal Omega-3 Supplementation to Reduce Bronchopulmonary Dysplasia |
| NCT04545866 | PHASE3 | ACTIVE_NOT_RECRUITING | The Budesonide in Babies (BiB) Trial |
| NCT06409299 | PHASE3 | NOT_YET_RECRUITING | Enhancing Lung Health in Kids With Structural Lung Damage and Malformations: Azithromycin (AZI) for Airway Infection Prevention |
| NCT06897839 | PHASE2/PHASE3 | RECRUITING | Efficacy and Safety of Zelpultide Alfa in Preterm Neonates at High Risk of Developing Bronchopulmonary Dysplasia (BPD) |
| NCT07052201 | PHASE3 | NOT_YET_RECRUITING | Dexamethasone Regimens for BPD Prevention in Preterm Infants |
| NCT00000548 | PHASE3 | COMPLETED | Inhaled NO in Prevention of Chronic Lung Disease |
| NCT00000567 | PHASE3 | COMPLETED | High Frequency Ventilation in Premature Infants (HIFI) |
| NCT00000576 | PHASE3 | COMPLETED | Inhaled Beclomethasone to Prevent Chronic Lung Disease |
| NCT00004785 | PHASE3 | COMPLETED | Phase III Randomized, Double-Blind Study of Dexamethasone Vs Dexamethasone/Methylprednisolone Vs Placebo for Bronchopulmonary Dysplasia |
| NCT00005777 | PHASE3 | TERMINATED | Minimal Breathing Support and Early Steroids to Prevent Chronic Lung Disease in Extremely Premature Infants (SAVE) |
| NCT00006401 | PHASE3 | COMPLETED | Inhaled Nitric Oxide for Preventing Chronic Lung Disease in Premature Infants |
| NCT00011362 | PHASE3 | COMPLETED | Dexamethasone Therapy in VLBW Infants at Risk of CLD |
| NCT00156572 | PHASE3 | TERMINATED | Management of Hyponatremia in Preterm Infants on Diuretics |
| NCT00188968 | PHASE3 | COMPLETED | Randomized Trial of Nasal Continuous Positive Airway Pressure or Synchronized Nasal Ventilation in Premature Infants. |
| NCT00233324 | PHASE3 | COMPLETED | Surfactant Positive Airway Pressure and Pulse Oximetry Trial |
| NCT00254176 | PHASE2/PHASE3 | UNKNOWN | Cysteine Supplementation in Critically Ill Neonates |
| NCT00303082 | PHASE3 | TERMINATED | Probiotics for the Prevention of Premature Birth and Neonatal Related Morbidity |
| NCT00314431 | PHASE3 | COMPLETED | Post-hospitalization Nursing Effectiveness (PHONE) Study |
| NCT00515281 | PHASE2/PHASE3 | TERMINATED | Inhaled Nitric Oxide and Neuroprotection in Premature Infants |
| NCT00569530 | PHASE3 | COMPLETED | Trial of Late Surfactant to Prevent BPD: A Pilot Study in Ventilated Preterm Neonates Receiving Inhaled Nitric Oxide |
| NCT00623740 | PHASE3 | COMPLETED | PREMILOC Trial to Prevent Bronchopulmonary Dysplasia in Very Preterm Neonates |
| NCT00931632 | PHASE3 | COMPLETED | Inhaled Nitric Oxide (INO) for the Prevention of Bronchopulmonary Dysplasia (BPD) in Preterm Infants |
| NCT01006629 | PHASE2/PHASE3 | COMPLETED | Palivizumab for Prevention of Severe Respiratory Syncytial Virus Infection in Russian Children |
| NCT01022580 | PHASE3 | COMPLETED | Trial of Late Surfactant for Prevention of Bronchopulmonary Dysplasia |
| NCT01035190 | PHASE3 | COMPLETED | Efficacy and Safety of Inhaled Budesonide in Very Preterm Infants at Risk for Bronchopulmonary Dysplasia |
| NCT01203358 | PHASE2/PHASE3 | COMPLETED | Exosurf Neonatal and Survanta for Treatment of Respiratory Distress Syndrome |
| NCT01353313 | PHASE3 | COMPLETED | Hydrocortisone for BPD |
| NCT01600430 | PHASE2/PHASE3 | COMPLETED | Vitamin D Supplementation for Extremely Preterm Infants |
Drugs tested across these trials (top 30)
- Cohort genes: SPOCK1, TRPS1, HIVEP3, RASGRP3, FTMT, MAGI2, CSMD3, TNK2, STXBP5, MDGA2, CHST9, CYP2W1, NDST4, PLXDC2, STK32C, ABAT, PAMR1, CTNNA3, ZNF770, GRHL2, COX19, TRAM1L1, CEP170, PRR16, RIMBP2, DSC3, ZNF728, EML6, FHIT, HTR1A, ITGA3, KLF12, KLHL3, NBL1, RASGRF1
- Drugs: Sodium Chloride, Azithromycin, Budesonide, Caffeine, Calfactant, Hydrocortisone, Poractant Alfa, Retinol, Zinc Acetate, Albuterol, Beclomethasone Dipropionate, Beractant, Lucinactant, Nitrogen, Oxygen, Palivizumab, Spironolactone, Zinc, L-Citrulline, Blood, Whole