Summary
Brugada syndrome (MONDO:0015263) is a disease (an umbrella term covering 9 Mondo subtypes) with 66 cohort genes (49 GWAS associations across 5 studies) and 43 clinical trials. The dominant Reactome pathway is Muscle contraction (22 cohort genes). Top therapeutic interventions include flecainide, empagliflozin, and procainamide.
At a glance
- Prevalence: 1-5 / 10 000 (Europe)
- Umbrella term: 9 Mondo subtypes
- Cohort genes: 66
- GWAS associations: 49
- ClinVar variants: 3,797
- Phenotypes (HPO): 12
- Clinical trials: 43
Clinical features
Epidemiology
Prevalence records
2 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|
| Point prevalence | 1-5 / 10 000 | 20 | Europe | Not yet validated |
| Point prevalence | 6-9 / 10 000 | 75 | South East Asia | Not yet validated |
Signs & symptoms
Clinical features (HPO)
12 HPO clinical features (Orphanet curated; top 12 by frequency):
| HPO ID | Term | Frequency |
|---|
| HP:0001279 | Syncope | Frequent (30-79%) |
| HP:0001695 | Cardiac arrest | Frequent (30-79%) |
| HP:0011712 | Right bundle branch block | Frequent (30-79%) |
| HP:0012251 | ST segment elevation | Frequent (30-79%) |
| HP:0001649 | Tachycardia | Occasional (5-29%) |
| HP:0001663 | Ventricular fibrillation | Occasional (5-29%) |
| HP:0004751 | Paroxysmal ventricular tachycardia | Occasional (5-29%) |
| HP:0004755 | Supraventricular tachycardia | Occasional (5-29%) |
| HP:0011704 | Sick sinus syndrome | Occasional (5-29%) |
| HP:0011705 | First degree atrioventricular block | Occasional (5-29%) |
| HP:0004308 | Ventricular arrhythmia | Very rare (<1-4%) |
| HP:0011715 | Trifascicular block | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | Brugada syndrome |
| Mondo ID | MONDO:0015263 |
| MeSH | D053840 |
| OMIM | 601144 |
| Orphanet | 130 |
| DOID | DOID:0050451 |
| ICD-11 | 1250136584 |
| NCIT | C142891 |
| SNOMED CT | 418818005 |
| UMLS | C1142166 |
| MedGen | 222975 |
| GARD | 0001030 |
| MedDRA | 10059027 |
| NORD | 878 |
| Is cancer (heuristic) | no |
Also known as: Brugada syndrome · Brugada type idiopathic ventricular fibrillation · idiopathic ventricular fibrillation, Brugada type · right bundle branch block, ST segment elevation, and sudden death syndrome · sudden unexpected nocturnal death syndrome · sudden unexplained nocturnal death syndrome
Data availability: 3,797 ClinVar variants · 49 GWAS associations (5 studies) · 29 GenCC gene-disease records · 36 cell lines.
Disease family
An umbrella term covering 9 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › heart disorder › heart conduction disease › Brugada syndrome
Related subtypes (9): short QT syndrome, atrioventricular block, sinoatrial node disorder, Wolff-Parkinson-White syndrome, postural orthostatic tachycardia syndrome, catecholaminergic polymorphic ventricular tachycardia, progressive familial heart block, sinoatrial block, NKX2.5-related congenital, conduction and myopathic heart disease
Subtypes (9): Brugada syndrome 1, Brugada syndrome 2, Brugada syndrome 3, Brugada syndrome 4, Brugada syndrome 5, Brugada syndrome 6, Brugada syndrome 7, Brugada syndrome 8, Brugada syndrome 9
Genetics & variants
GWAS landscape
49 GWAS associations across 5 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 |
|---|
| rs6801957 | 6e-217 | SCN10A | C | 0.41 |
| rs10428132 | 1e-68 | SCN10A | T | 2.55 |
| rs7374540 | 4e-57 | SCN5A | C | 1.72 |
| rs3757217 | 4e-57 | HEY2, HEY2-AS1 | C | 1.58 |
| rs6782237 | 1e-47 | SCN5A - SCN10A | C | 1.74 |
| rs9398791 | 1e-39 | NCOA7 | C | 1.53 |
| rs7433206 | 1e-23 | SCN5A | A | 1.48 |
| rs34760424 | 3e-23 | SCN5A | G | 2.32 |
| rs9388446 | 2e-21 | HEY2-AS1 | A | 1.85 |
| rs9388451 | 5e-17 | HEY2 - NCOA7 | C | 1.58 |
| rs6810361 | 4e-16 | EXOG | C | 1.7 |
| rs41310232 | 1e-15 | SCN5A | A | 1.56 |
| rs11708996 | 1e-14 | SCN5A | C | 1.73 |
| rs62241190 | 9e-14 | SCN5A | G | 1.96 |
| rs72671655 | 3e-13 | ZFPM2 | T | 1.85 |
| rs16835523 | 3e-13 | ZSCAN20 | G | 0.77 |
| rs883079 | 3e-13 | TBX5 | T | 0.8 |
| rs72622262 | 2e-12 | LINC02183 - CRNDE | G | 0.77 |
| rs76267029 | 3e-11 | TBX20 - HERPUD2 | G | 1.31 |
| rs11765936 | 4e-11 | TBX20 - HERPUD2 | G | 1.37 |
| rs476348 | 6e-11 | MAPRE2 | C | 1.25 |
| rs7105159 | 8e-11 | WT1-AS | T | 1.31 |
| rs6767797 | 3e-10 | EXOG | G | 2.3 |
| rs804281 | 1e-09 | GATA4 | G | 1.22 |
| rs11645463 | 1e-09 | LINC02140 - LINC02183 | A | 1.22 |
| rs340398 | 2e-09 | TBX20 - HERPUD2 | C | 1.22 |
| rs72905083 | 2e-09 | WT1-AS | A | 1.43 |
| rs133902 | 5e-09 | MYO18B | T | 1.2 |
| rs2593619 | 7e-09 | USP34 | G | 1.19 |
| rs3734634 | 8e-09 | NCOA7 | A | 2.5 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90086158 | Barc J | 2022 | 2,820 | 10,001 | Genome-wide association analyses identify new Brugada syndrome risk loci and highlight a new mechanism of sodium channel regulation in disease susceptibility. |
| GCST90295916 | Ishikawa T | 2024 | 940 | 1,634 | Brugada syndrome in Japan and Europe: a genome-wide association study reveals shared genetic architecture and new risk loci. |
| GCST90295917 | Ishikawa T | 2024 | 940 | 1,634 | Brugada syndrome in Japan and Europe: a genome-wide association study reveals shared genetic architecture and new risk loci. |
| GCST002098 | Bezzina CR | 2013 | 312 | 1,115 | Common variants at SCN5A-SCN10A and HEY2 are associated with Brugada syndrome, a rare disease with high risk of sudden cardiac death. |
| GCST011054 | Makarawate P | 2020 | 154 | 0 | Common and rare susceptibility genetic variants predisposing to Brugada Syndrome in Thailand. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 4 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 33 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 37 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 27 |
| intergenic_variant | 5 |
| 3_prime_UTR_variant | 2 |
| regulatory_region_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
| splice_region_variant | 1 |
| 5_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs6801957 | 3 | 38725824 | T>A,C,G | 0.47 | intron_variant | SCN10A | 6e-217 | Tier 4: intronic/intergenic |
| rs10428132 | 3 | 38736063 | T>A,C,G | 0.41 | intron_variant | SCN10A | 1e-68 | Tier 4: intronic/intergenic |
| rs7374540 | 3 | 38592651 | C>A,G | 0.39 | intron_variant | SCN5A | 4e-57 | Tier 4: intronic/intergenic |
| rs3757217 | 6 | 125748490 | G>A,C,T | 0.464 | intron_variant | HEY2, HEY2-AS1 | 4e-57 | Tier 4: intronic/intergenic |
| rs6782237 | 3 | 38655062 | G>A,C | 0.32 | intergenic_variant | SCN5A - SCN10A | 1e-47 | Tier 4: intronic/intergenic |
| rs9398791 | 6 | 125794675 | T>A,C | 0.49 | intron_variant | NCOA7 | 1e-39 | Tier 4: intronic/intergenic |
| rs7433206 | 3 | 38616217 | T>A | 0.42 | intron_variant | SCN5A | 1e-23 | Tier 4: intronic/intergenic |
| rs34760424 | 3 | 38641527 | G>T | 0.06 | intron_variant | SCN5A | 3e-23 | Tier 4: intronic/intergenic |
| rs9388446 | 6 | 125743774 | T>A,C | 0.373 | intron_variant | HEY2-AS1 | 2e-21 | Tier 4: intronic/intergenic |
| rs9388451 | 6 | 125769231 | T>A,C,G | 0.5 | intergenic_variant | HEY2 - NCOA7 | 5e-17 | Tier 4: intronic/intergenic |
| rs6810361 | 3 | 38533477 | T>C | 0.417 | regulatory_region_variant | EXOG | 4e-16 | Tier 3: regulatory |
| rs41310232 | 3 | 38647751 | G>A | 0.09 | intron_variant | SCN5A | 1e-15 | Tier 4: intronic/intergenic |
| rs11708996 | 3 | 38592432 | G>C | 0.15 | intron_variant | SCN5A | 1e-14 | Tier 4: intronic/intergenic |
| rs62241190 | 3 | 38565977 | A>G | 0.03 | intron_variant | SCN5A | 9e-14 | Tier 4: intronic/intergenic |
| rs72671655 | 8 | 105335669 | T>A | 0.05 | intron_variant | ZFPM2 | 3e-13 | Tier 4: intronic/intergenic |
| rs16835523 | 1 | 33501482 | C>G,T | 0.16 | 3_prime_UTR_variant | ZSCAN20 | 3e-13 | Tier 2: splice/UTR |
| rs883079 | 12 | 114355435 | C>A,G,T | 0.296 | 3_prime_UTR_variant | TBX5 | 3e-13 | Tier 2: splice/UTR |
| rs72622262 | 16 | 54629032 | C>A,G,T | 0.159 | non_coding_transcript_exon_variant | LINC02183 - CRNDE | 2e-12 | Tier 4: intronic/intergenic |
| rs76267029 | 7 | 35265873 | A>C,G | 0.176 | intergenic_variant | TBX20 - HERPUD2 | 3e-11 | Tier 4: intronic/intergenic |
| rs11765936 | 7 | 35309535 | T>A,G | 0.15 | intergenic_variant | TBX20 - HERPUD2 | 4e-11 | Tier 4: intronic/intergenic |
| rs476348 | 18 | 35090057 | T>A,C,G | 0.301 | intron_variant | MAPRE2 | 6e-11 | Tier 4: intronic/intergenic |
| rs7105159 | 11 | 32459913 | G>T | 0.164 | intron_variant | WT1-AS | 8e-11 | Tier 4: intronic/intergenic |
| rs6767797 | 3 | 38541080 | A>G,T | 0.44 | intergenic_variant | EXOG | 3e-10 | Tier 4: intronic/intergenic |
| rs804281 | 8 | 11754356 | A>G,T | 0.42 | intron_variant | GATA4 | 1e-09 | Tier 4: intronic/intergenic |
| rs11645463 | 16 | 54422441 | A>G | 0.46 | intron_variant | LINC02140 - LINC02183 | 1e-09 | Tier 4: intronic/intergenic |
| rs340398 | 7 | 35374178 | C>G,T | 0.38 | intron_variant | TBX20 - HERPUD2 | 2e-09 | Tier 4: intronic/intergenic |
| rs72905083 | 11 | 32452828 | G>A | 0.08 | intron_variant | WT1-AS | 2e-09 | Tier 4: intronic/intergenic |
| rs133902 | 22 | 25768112 | C>A,G,T | 0.438 | splice_region_variant | MYO18B | 5e-09 | Tier 2: splice/UTR |
| rs2593619 | 2 | 61385869 | A>G,T | 0.381 | intron_variant | USP34 | 7e-09 | Tier 4: intronic/intergenic |
| rs3734634 | 6 | 125790654 | G>A,C,T | 0.32 | 5_prime_UTR_variant | NCOA7 | 8e-09 | Tier 2: splice/UTR |
ClinVar germline variants
600 retrieved; paginated sample, class counts are floors:
346 uncertain significance, 165 likely benign, 56 conflicting classifications of pathogenicity, 14 benign/likely benign, 8 benign, 6 pathogenic, 4 likely pathogenic, 1 pathogenic/likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|
| 1069871 | NC_000003.11:g.(?38655228)(38663986_?)del | SCN5A | Pathogenic | criteria provided, single submitter |
| 1072847 | NM_000335.5(SCN5A):c.934+1G>A | SCN5A | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1074266 | NC_000003.11:g.(?38674520)(38674804_?)del | SCN5A | Pathogenic | criteria provided, single submitter |
| 1076513 | NM_000335.5(SCN5A):c.901del (p.Trp301fs) | SCN5A | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1299249 | NM_000335.5(SCN5A):c.4313dup (p.Trp1439fs) | SCN5A | Pathogenic | no assertion criteria provided |
| 132906 | NM_000335.5(SCN5A):c.3960+1G>A | SCN5A | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1459394 | NC_000003.11:g.(?38591802)(38674808_?)del | SCN5A | Pathogenic | criteria provided, single submitter |
| 1066904 | NC_000003.11:g.(?38591792)(38593069_?)del | SCN5A | Likely pathogenic | criteria provided, single submitter |
| 1326907 | NM_000335.5(SCN5A):c.3821A>G (p.Asp1274Gly) | SCN5A | Likely pathogenic | no assertion criteria provided |
| 1326908 | NM_000335.5(SCN5A):c.935-3C>G | SCN5A | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1326912 | NM_000335.5(SCN5A):c.4810+5G>A | SCN5A | Likely pathogenic | criteria provided, single submitter |
| 1015295 | NM_000722.4(CACNA2D1):c.2060C>T (p.Ala687Val) | CACNA2D1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1044068 | NM_000722.4(CACNA2D1):c.1405A>G (p.Ile469Val) | CACNA2D1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1364338 | NM_000722.4(CACNA2D1):c.394G>T (p.Asp132Tyr) | CACNA2D1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1399290 | NM_000722.4(CACNA2D1):c.2324C>A (p.Ala775Asp) | CACNA2D1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1005323 | NM_015141.4(GPD1L):c.344C>T (p.Ala115Val) | GPD1L | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1041106 | NM_015141.4(GPD1L):c.619-9C>A | GPD1L | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1054485 | NM_015141.4(GPD1L):c.944A>G (p.Lys315Arg) | GPD1L | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1056227 | NM_015141.4(GPD1L):c.376del (p.Glu126fs) | GPD1L | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1059755 | NM_015141.4(GPD1L):c.232A>G (p.Met78Val) | GPD1L | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 14433 | NM_000238.4(KCNH2):c.2350C>T (p.Arg784Trp) | KCNH2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1400429 | NM_004982.4(KCNJ8):c.332A>G (p.Glu111Gly) | KCNJ8-AS1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1002406 | NM_006514.4(SCN10A):c.3178T>G (p.Ser1060Ala) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1027260 | NM_006514.4(SCN10A):c.2852T>A (p.Leu951His) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1034930 | NM_006514.4(SCN10A):c.3394A>C (p.Lys1132Gln) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1042304 | NM_006514.4(SCN10A):c.2965G>A (p.Ala989Thr) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1062762 | NM_006514.4(SCN10A):c.3214C>T (p.Gln1072Ter) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1306032 | NM_006514.4(SCN10A):c.3425G>A (p.Arg1142His) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1307778 | NM_006514.4(SCN10A):c.3156A>G (p.Thr1052=) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1307856 | NM_006514.4(SCN10A):c.3108C>T (p.Val1036=) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 167 · Orphanet: 168 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 3
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|
| SCN10A | SCN10A | GWAS, GenCC, Orphanet |
| SCN5A | SCN5A | GWAS, GenCC, Orphanet |
| GATA4 | GATA4 | GWAS, Orphanet |
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|
| SCN5A | Definitive | Autosomal dominant | Brugada syndrome 1 | 23 |
| KCNH2 | Moderate | Autosomal dominant | Brugada syndrome | 8 |
| CACNA1C | Supportive | Autosomal dominant | Brugada syndrome | 13 |
| SCN2B | Supportive | Autosomal dominant | Brugada syndrome | 7 |
| SCNN1A | Supportive | Autosomal dominant | Brugada syndrome | 12 |
| SEMA3A | Supportive | Autosomal dominant | Brugada syndrome | 7 |
| SLMAP | Supportive | Autosomal dominant | Brugada syndrome | 3 |
| ABCC9 | Limited | Autosomal dominant | Brugada syndrome | 18 |
| ANK2 | Limited | Autosomal dominant | Brugada syndrome | 11 |
| CACNA2D1 | Limited | Unknown | Brugada syndrome | 8 |
| CAV3 | Limited | Autosomal dominant | Brugada syndrome | 7 |
| DEPDC5 | Limited | Autosomal dominant | Brugada syndrome | 11 |
| DLG1 | Limited | Unknown | Brugada syndrome | 2 |
| DLGAP5 | Limited | Unknown | Brugada syndrome | 2 |
| KCNE5 | Limited | Unknown | Brugada syndrome | 4 |
| KCNJ8 | Limited | Unknown | Brugada syndrome | 5 |
| PKP2 | Limited | Autosomal dominant | Brugada syndrome | 6 |
| RANGRF | Limited | Autosomal dominant | Brugada syndrome | 2 |
| RRAD | Limited | Autosomal dominant | Brugada syndrome | |
| SCN10A | Limited | Unknown | Brugada syndrome | 6 |
| TRPM4 | Limited | Autosomal dominant | Brugada syndrome | 11 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| SCN10A | Orphanet:101016 | Romano-Ward syndrome |
| SCN10A | Orphanet:130 | Brugada syndrome |
| SCN10A | Orphanet:306577 | Hereditary sodium channelopathy-related small fibers neuropathy |
| SCN10A | Orphanet:46348 | Paroxysmal extreme pain disorder |
| SCN10A | Orphanet:88642 | Congenital insensitivity to pain-anosmia-neuropathic arthropathy |
| SCN10A | Orphanet:90026 | Primary erythromelalgia |
| SCN5A | Orphanet:101016 | Romano-Ward syndrome |
| SCN5A | Orphanet:130 | Brugada syndrome |
| SCN5A | Orphanet:1344 | Isolated atrial standstill |
| SCN5A | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| SCN5A | Orphanet:166282 | Hereditary sick sinus syndrome |
| SCN5A | Orphanet:228140 | Idiopathic ventricular fibrillation |
| SCN5A | Orphanet:334 | Hereditary atrial fibrillation |
| SCN5A | Orphanet:871 | Hereditary progressive cardiac conduction defect |
| CACNA1C | Orphanet:101016 | Romano-Ward syndrome |
| CACNA1C | Orphanet:130 | Brugada syndrome |
| CACNA1C | Orphanet:528084 | Non-specific syndromic intellectual disability |
| CACNA1C | Orphanet:595098 | Timothy syndrome type 1 |
| CACNA1C | Orphanet:595105 | Timothy syndrome type 2 |
| CACNA1C | Orphanet:595109 | Atypical Timothy syndrome |
| CACNA2D1 | Orphanet:130 | Brugada syndrome |
| CACNA2D1 | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| CACNA2D1 | Orphanet:51083 | Congenital short QT syndrome |
| SLMAP | Orphanet:130 | Brugada syndrome |
| TRPM4 | Orphanet:130 | Brugada syndrome |
| TRPM4 | Orphanet:316 | Progressive symmetric erythrokeratodermia |
| TRPM4 | Orphanet:871 | Hereditary progressive cardiac conduction defect |
| GATA4 | Orphanet:251071 | 8p23.1 microdeletion syndrome |
| GATA4 | Orphanet:251510 | 46,XY partial gonadal dysgenesis |
| GATA4 | Orphanet:3303 | Tetralogy of Fallot |
| GATA4 | Orphanet:334 | Hereditary atrial fibrillation |
| GATA4 | Orphanet:576232 | Partial atrioventricular septal defect with ventricular hypoplasia |
| GATA4 | Orphanet:99067 | Complete atrioventricular septal defect with ventricular hypoplasia |
| GATA4 | Orphanet:99068 | Complete atrioventricular septal defect-tetralogy of Fallot |
| GATA4 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| ANK2 | Orphanet:101016 | Romano-Ward syndrome |
| ABCC9 | Orphanet:130 | Brugada syndrome |
| ABCC9 | Orphanet:1517 | Cantú syndrome |
| ABCC9 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| ABCC9 | Orphanet:334 | Hereditary atrial fibrillation |
| KCNE5 | Orphanet:130 | Brugada syndrome |
| KCNE5 | Orphanet:86818 | Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome |
| KCNH2 | Orphanet:101016 | Romano-Ward syndrome |
| KCNH2 | Orphanet:51083 | Congenital short QT syndrome |
| KCNJ8 | Orphanet:130 | Brugada syndrome |
| KCNJ8 | Orphanet:1517 | Cantú syndrome |
| PKP2 | Orphanet:130 | Brugada syndrome |
| PKP2 | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| PKP2 | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| PKP2 | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
Cohort genes → proteins
66 cohort genes, 63 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 13 |
| gwas_and_clinvar | 1 |
| multi_evidence | 52 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| SCN10A | HGNC:10582 | ENSG00000185313 | Q9Y5Y9 | Sodium channel protein type 10 subunit alpha | gwas,gencc,clinvar |
| SCN5A | HGNC:10593 | ENSG00000183873 | Q14524 | Sodium channel protein type 5 subunit alpha | gwas,gencc,clinvar |
| CACNA1C | HGNC:1390 | ENSG00000151067 | Q13936 | Voltage-dependent L-type calcium channel subunit alpha-1C | gencc,clinvar |
| CACNA2D1 | HGNC:1399 | ENSG00000153956 | P54289 | Voltage-dependent calcium channel subunit alpha-2/delta-1 | gencc,clinvar |
| SLMAP | HGNC:16643 | ENSG00000163681 | Q14BN4 | Sarcolemmal membrane-associated protein | gencc,clinvar |
| TRPM4 | HGNC:17993 | ENSG00000130529 | Q8TD43 | Transient receptor potential cation channel subfamily M member 4 | gencc,clinvar |
| GATA4 | HGNC:4173 | ENSG00000136574 | P43694 | Transcription factor GATA-4 | gwas,clinvar |
| ANK2 | HGNC:493 | ENSG00000145362 | Q01484 | Ankyrin-2 | gencc,clinvar |
| ABCC9 | HGNC:60 | ENSG00000069431 | O60706 | ATP-binding cassette sub-family C member 9 | gencc,clinvar |
| KCNE5 | HGNC:6241 | ENSG00000176076 | Q9UJ90 | Potassium voltage-gated channel subfamily E regulatory beta subunit 5 | gencc,clinvar |
| KCNH2 | HGNC:6251 | ENSG00000055118 | Q12809 | Voltage-gated inwardly rectifying potassium channel KCNH2 | gencc,clinvar |
| KCNJ8 | HGNC:6269 | ENSG00000121361 | Q15842 | ATP-sensitive inward rectifier potassium channel 8 | gencc,clinvar |
| PKP2 | HGNC:9024 | ENSG00000057294 | Q99959 | Plakophilin-2 | gencc,clinvar |
| RRAD | HGNC:10446 | ENSG00000166592 | P55042 | GTP-binding protein RAD | gencc |
| SCN2B | HGNC:10589 | ENSG00000149575 | O60939 | Sodium channel regulatory subunit beta-2 | gencc |
| SCNN1A | HGNC:10599 | ENSG00000111319 | P37088 | Epithelial sodium channel subunit alpha | gencc |
| SEMA3A | HGNC:10723 | ENSG00000075213 | Q14563 | Semaphorin-3A | gencc |
| CAV3 | HGNC:1529 | ENSG00000182533 | P56539 | Caveolin-3 | gencc |
| DLGAP5 | HGNC:16864 | ENSG00000126787 | Q15398 | Disks large-associated protein 5 | gencc |
| RANGRF | HGNC:17679 | ENSG00000108961 | Q9HD47 | Ran guanine nucleotide release factor | gencc |
| DEPDC5 | HGNC:18423 | ENSG00000100150 | O75140 | GATOR1 complex protein DEPDC5 | gencc |
| DLG1 | HGNC:2900 | ENSG00000075711 | Q12959 | Disks large homolog 1 | gencc |
| RYR2 | HGNC:10484 | ENSG00000198626 | Q92736 | Ryanodine receptor 2 | clinvar |
| SCN1B | HGNC:10586 | ENSG00000105711 | Q07699 | Sodium channel regulatory subunit beta-1 | clinvar |
| SNTA1 | HGNC:11167 | ENSG00000101400 | Q13424 | Alpha-1-syntrophin | clinvar |
| SOS1 | HGNC:11187 | ENSG00000115904 | Q07889 | Son of sevenless homolog 1 | clinvar |
| TBX20 | HGNC:11598 | ENSG00000164532 | Q9UMR3 | T-box transcription factor TBX20 | gwas |
| TBX5 | HGNC:11604 | ENSG00000089225 | Q99593 | T-box transcription factor TBX5 | gwas |
| TCAP | HGNC:11610 | ENSG00000173991 | O15273 | Telethonin | clinvar |
| TGFB3 | HGNC:11769 | ENSG00000119699 | P10600 | Transforming growth factor beta-3 proprotein | clinvar |
| TTN | HGNC:12403 | ENSG00000155657 | Q8WZ42 | Titin | clinvar |
| TTR | HGNC:12405 | ENSG00000118271 | P02766 | Transthyretin | clinvar |
| WT1 | HGNC:12796 | ENSG00000184937 | P19544 | Wilms tumor protein | gwas |
| CACNB2 | HGNC:1402 | ENSG00000165995 | Q08289 | Voltage-dependent L-type calcium channel subunit beta-2 | clinvar |
| IRX3 | HGNC:14360 | ENSG00000177508 | P78415 | Iroquois-class homeodomain protein IRX-3 | gwas |
| IRX5 | HGNC:14361 | ENSG00000176842 | P78411 | Iroquois-class homeodomain protein IRX-5 | gwas |
| ANKRD1 | HGNC:15819 | ENSG00000148677 | Q15327 | Ankyrin repeat domain-containing protein 1 | clinvar |
| ZFPM2 | HGNC:16700 | ENSG00000169946 | Q8WW38 | Zinc finger protein ZFPM2 | gwas |
| HCN4 | HGNC:16882 | ENSG00000138622 | Q9Y3Q4 | Potassium/sodium hyperpolarization-activated cyclic nucleotide-gated channel 4 | clinvar |
| CTDSPL | HGNC:16890 | ENSG00000144677 | O15194 | CTD small phosphatase-like protein | clinvar |
| ACVR2B | HGNC:174 | ENSG00000114739 | Q13705 | Activin receptor type-2B | clinvar |
| MYO18B | HGNC:18150 | ENSG00000133454 | Q8IUG5 | Unconventional myosin-XVIIIb | gwas |
| SCN3B | HGNC:20665 | ENSG00000166257 | Q9NY72 | Sodium channel regulatory subunit beta-3 | clinvar |
| HDDC2 | HGNC:21078 | ENSG00000111906 | Q7Z4H3 | 5’-deoxynucleotidase HDDC2 | gwas |
| NCOA7 | HGNC:21081 | ENSG00000111912 | Q8NI08 | Nuclear receptor coactivator 7 | gwas |
| COL5A1 | HGNC:2209 | ENSG00000130635 | P20908 | Collagen alpha-1(V) chain | clinvar |
| GPD1L | HGNC:28956 | ENSG00000152642 | Q8N335 | Glycerol-3-phosphate dehydrogenase 1-like protein | clinvar |
| DMD | HGNC:2928 | ENSG00000198947 | P11532 | Dystrophin | clinvar |
| MYBPHL | HGNC:30434 | ENSG00000221986 | A2RUH7 | Myosin-binding protein H-like | clinvar |
| DSP | HGNC:3052 | ENSG00000096696 | P15924 | Desmoplakin | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| SCN10A | Sodium channel protein type 10 subunit alpha | Tetrodotoxin-resistant channel that mediates the voltage-dependent sodium ion permeability of excitable membranes. |
| SCN5A | Sodium channel protein type 5 subunit alpha | Pore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. |
| CACNA1C | Voltage-dependent L-type calcium channel subunit alpha-1C | Pore-forming, alpha-1C subunit of the voltage-gated calcium channel that gives rise to L-type calcium currents. |
| CACNA2D1 | Voltage-dependent calcium channel subunit alpha-2/delta-1 | The alpha-2/delta subunit of voltage-dependent calcium channels regulates calcium current density and activation/inactivation kinetics of the calcium channel. |
| SLMAP | Sarcolemmal membrane-associated protein | Associates with the striatin-interacting phosphatase and kinase (STRIPAK) core complex, forming the extended (SIKE1:SLMAP)STRIPAK complex. |
| TRPM4 | Transient receptor potential cation channel subfamily M member 4 | Calcium-activated selective cation channel that mediates membrane depolarization. |
| GATA4 | Transcription factor GATA-4 | Transcriptional activator that binds to the consensus sequence 5’-AGATAG-3’ and plays a key role in cardiac development and function. |
| ANK2 | Ankyrin-2 | Plays an essential role in the localization and membrane stabilization of ion transporters and ion channels in several cell types, including cardiomyocytes, as well as in striated muscle cells. |
| ABCC9 | ATP-binding cassette sub-family C member 9 | Subunit of ATP-sensitive potassium channels (KATP). |
| KCNE5 | Potassium voltage-gated channel subfamily E regulatory beta subunit 5 | Potassium channel ancillary subunit that is essential for generation of some native K(+) currents by virtue of formation of heteromeric ion channel complex with voltage-gated potassium (Kv) channel pore-forming alpha subunits. |
| KCNH2 | Voltage-gated inwardly rectifying potassium channel KCNH2 | Pore-forming (alpha) subunit of voltage-gated inwardly rectifying potassium channel. |
| KCNJ8 | ATP-sensitive inward rectifier potassium channel 8 | Inward rectifier potassium channels are characterized by a greater tendency to allow potassium to flow into the cell rather than out of it. |
| PKP2 | Plakophilin-2 | A component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion. |
| RRAD | GTP-binding protein RAD | May regulate basal voltage-dependent L-type Ca(2+) currents and be required for beta-adrenergic augmentation of Ca(2+) influx in cardiomyocytes, thereby regulating increases in heart rate and contractile force. |
| SCN2B | Sodium channel regulatory subunit beta-2 | Regulatory subunit of multiple voltage-gated sodium (Nav) channels directly mediating the depolarization of excitable membranes. |
| SCNN1A | Epithelial sodium channel subunit alpha | This is one of the three pore-forming subunits of the heterotrimeric epithelial sodium channel (ENaC), a critical regulator of sodium balance and fluid homeostasis. |
| SEMA3A | Semaphorin-3A | Involved in the development of the olfactory system and in neuronal control of puberty. |
| CAV3 | Caveolin-3 | May act as a scaffolding protein within caveolar membranes. |
| DLGAP5 | Disks large-associated protein 5 | Potential cell cycle regulator that may play a role in carcinogenesis of cancer cells. |
| RANGRF | Ran guanine nucleotide release factor | May regulate the intracellular trafficking of RAN. |
| DEPDC5 | GATOR1 complex protein DEPDC5 | As a component of the GATOR1 complex functions as an inhibitor of the amino acid-sensing branch of the mTORC1 pathway. |
| DLG1 | Disks large homolog 1 | Essential multidomain scaffolding protein required for normal development. |
| RYR2 | Ryanodine receptor 2 | Cytosolic calcium-activated calcium channel that mediates the release of Ca(2+) from the sarcoplasmic reticulum into the cytosol and thereby plays a key role in triggering cardiac muscle contraction. |
| SCN1B | Sodium channel regulatory subunit beta-1 | Regulatory subunit of multiple voltage-gated sodium (Nav) channels directly mediating the depolarization of excitable membranes. |
| SNTA1 | Alpha-1-syntrophin | Adapter protein that binds to and probably organizes the subcellular localization of a variety of membrane proteins. |
| SOS1 | Son of sevenless homolog 1 | Promotes the exchange of Ras-bound GDP by GTP. |
| TBX20 | T-box transcription factor TBX20 | Acts as a transcriptional activator and repressor required for cardiac development and may have key roles in the maintenance of functional and structural phenotypes in adult heart. |
| TBX5 | T-box transcription factor TBX5 | DNA-binding protein that regulates the transcription of several genes and is involved in heart development and limb pattern formation. |
| TCAP | Telethonin | Muscle assembly regulating factor. |
| TGFB3 | Transforming growth factor beta-3 proprotein | Transforming growth factor beta-3 proprotein: Precursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-3 (TGF-beta-3) chains, which constitute the regulatory and active subunit of TGF-beta-3, respectively. |
| TTN | Titin | Key component in the assembly and functioning of vertebrate striated muscles. |
| TTR | Transthyretin | Thyroid hormone-binding protein. |
| WT1 | Wilms tumor protein | Transcription factor that plays an important role in cellular development and cell survival. |
| CACNB2 | Voltage-dependent L-type calcium channel subunit beta-2 | Beta subunit of voltage-dependent calcium channels which contributes to the function of the calcium channel by increasing peak calcium current. |
| IRX3 | Iroquois-class homeodomain protein IRX-3 | Transcription factor involved in SHH-dependent neural patterning. |
| IRX5 | Iroquois-class homeodomain protein IRX-5 | Establishes the cardiac repolarization gradient by its repressive actions on the KCND2 potassium-channel gene. |
| ANKRD1 | Ankyrin repeat domain-containing protein 1 | May play an important role in endothelial cell activation. |
| ZFPM2 | Zinc finger protein ZFPM2 | Transcription regulator that plays a central role in heart morphogenesis and development of coronary vessels from epicardium, by regulating genes that are essential during cardiogenesis. |
| HCN4 | Potassium/sodium hyperpolarization-activated cyclic nucleotide-gated channel 4 | Hyperpolarization-activated ion channel that are permeable to Na(+) and K(+) ions with very slow activation and inactivation. |
| CTDSPL | CTD small phosphatase-like protein | Recruited by REST to neuronal genes that contain RE-1 elements, leading to neuronal gene silencing in non-neuronal cells. |
| ACVR2B | Activin receptor type-2B | Transmembrane serine/threonine kinase activin type-2 receptor forming an activin receptor complex with activin type-1 serine/threonine kinase receptors (ACVR1, ACVR1B or ACVR1c). |
| MYO18B | Unconventional myosin-XVIIIb | May be involved in intracellular trafficking of the muscle cell when in the cytoplasm, whereas entering the nucleus, may be involved in the regulation of muscle specific genes. |
| SCN3B | Sodium channel regulatory subunit beta-3 | Regulatory subunit of multiple voltage-gated sodium (Nav) channels directly mediating the depolarization of excitable membranes. |
| HDDC2 | 5’-deoxynucleotidase HDDC2 | Catalyzes the dephosphorylation of the nucleoside 5’-monophosphates deoxyadenosine monophosphate (dAMP), deoxycytidine monophosphate (dCMP), deoxyguanosine monophosphate (dGMP) and deoxythymidine monophosphate (dTMP). |
| NCOA7 | Nuclear receptor coactivator 7 | Enhances the transcriptional activities of several nuclear receptors. |
| COL5A1 | Collagen alpha-1(V) chain | Type V collagen is a member of group I collagen (fibrillar forming collagen). |
| GPD1L | Glycerol-3-phosphate dehydrogenase 1-like protein | Plays a role in regulating cardiac sodium current; decreased enzymatic activity with resulting increased levels of glycerol 3-phosphate activating the DPD1L-dependent SCN5A phosphorylation pathway, may ultimately lead to decreased sodium c… |
| DMD | Dystrophin | Anchors the extracellular matrix to the cytoskeleton via F-actin. |
| MYBPHL | Myosin-binding protein H-like | Myosin-binding protein which plays a role in cardiac function. |
| DSP | Desmoplakin | A component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion. |
Protein-family classification
Druggable: 25 · Difficult: 17 · Unknown: 24 · Druggable fraction: 0.38
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|
| Ion channel | 13 | 22.0× | 2e-13 |
| Antibody/Immunoglobulin | 6 | 2.6× | 0.101 |
| Scaffold/PPI | 7 | 1.8× | 0.229 |
| Kinase | 4 | 1.7× | 0.429 |
| Transcription factor | 10 | 1.2× | 0.438 |
| Phosphatase | 1 | 1.3× | 0.657 |
| Transporter | 1 | 1.2× | 0.657 |
| Other/Unknown | 24 | 0.7× | 1.000 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| SCN10A | Ion channel | yes | | Na_channel_asu, Ion_trans_dom, Na_trans_assoc_dom |
| SCN5A | Ion channel | yes | | Na_channel_asu, Ion_trans_dom, Na_channel_a5su |
| CACNA1C | Ion channel | yes | | VDCCAlpha1, VDCC_L_a1su, VDCC_L_a1csu |
| CACNA2D1 | Other/Unknown | no | | VWF_A, VWA_N, VDCC_a2/dsu |
| SLMAP | Other/Unknown | no | | FHA_dom, SMAD_FHA_dom_sf, Cent_Immune-Sig_Mod |
| TRPM4 | Ion channel | yes | | Ion_trans_dom, TRPM_SLOG, TRPM |
| GATA4 | Transcription factor | no | | Znf_GATA, GATA_N, Znf_NHR/GATA |
| ANK2 | Scaffold/PPI | no | | Death_dom, ZU5_dom, Ankyrin_rpt |
| ABCC9 | Transporter | yes | | ABCC8/9, ABCC9, ABC_transporter-like_ATP-bd |
| KCNE5 | Ion channel | yes | | K_chnl_KCNE |
| KCNH2 | Ion channel | yes | | PAS, cNMP-bd_dom, PAS-assoc_C |
| KCNJ8 | Ion channel | yes | | K_chnl_inward-rec_Kir6.1, K_chnl_inward-rec_Kir_cyto, Ig_E-set |
| PKP2 | Other/Unknown | no | | Armadillo, ARM-like, ARM-type_fold |
| RRAD | Other/Unknown | no | | Small_GTPase, Small_GTP-bd, RGK |
| SCN2B | Antibody/Immunoglobulin | yes | | Myelin_P0-rel, Ig_sub, Ig-like_dom |
| SCNN1A | Other/Unknown | no | | ENaC, ENaC_chordates, ENaC_CS |
| SEMA3A | Antibody/Immunoglobulin | yes | | Semap_dom, Ig_sub, Ig-like_dom |
| CAV3 | Other/Unknown | no | | Caveolin, Caveolin_CS |
| DLGAP5 | Other/Unknown | no | | SAPAP |
| RANGRF | Other/Unknown | no | | Mog1, Mog1/PsbP_a/b/a-sand |
| DEPDC5 | Other/Unknown | no | | DEP_dom, IML1, WH-like_DNA-bd_sf |
| DLG1 | Kinase | yes | 2.7.4.8 | SH3_domain, PDZ, L27_dom |
| RYR2 | Ion channel | yes | | RIH_dom, B30.2/SPRY, EF_hand_dom |
| SCN1B | Antibody/Immunoglobulin | yes | | Ig_V-set, Ig-like_fold, Na_channel_b1/b3 |
| SNTA1 | Scaffold/PPI | no | | PDZ, PH_domain, PH-like_dom_sf |
| SOS1 | Scaffold/PPI | no | | DH_dom, Ras-like_Gua-exchang_fac_N, PH_domain |
| TBX20 | Transcription factor | no | | TF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS |
| TBX5 | Transcription factor | no | | TF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS |
| TCAP | Other/Unknown | no | | Telethonin, Titin-like_dom_sf |
| TGFB3 | Other/Unknown | no | | TGF-b_propeptide, TGF-b_C, TGF-beta-like |
| TTN | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, Ig_sub2, Ig_sub |
| TTR | Other/Unknown | no | | Transthyretin/HIU_hydrolase, Transthyretin/HIU_hydrolase_d, Thyroxine_BS |
| WT1 | Transcription factor | no | | Wilms_tumour_N, Znf_C2H2_type, Znf_C2H2_sf |
| CACNB2 | Scaffold/PPI | no | | VDCC_L_bsu, SH3_domain, VDCC_L_b2su |
| IRX3 | Transcription factor | no | | HD, Iroquois_homeo, KN_HD |
| IRX5 | Transcription factor | no | | HD, Iroquois_homeo, KN_HD |
| ANKRD1 | Scaffold/PPI | no | | Ankyrin_rpt, Ankyrin_rpt-contain_sf |
| ZFPM2 | Transcription factor | no | | Znf_C2H2_type, Znf_CCHC_FOG, Znf_C2H2_sf |
| HCN4 | Ion channel | yes | | cNMP-bd_dom, K_chnl_volt-dep_EAG/ELK/ERG, Ion_trans_dom |
| CTDSPL | Phosphatase | yes | | FCP1_dom, Dullard_phosphatase, HAD_sf |
| ACVR2B | Kinase | yes | | TGFB_receptor, Activin_recp, Prot_kinase_dom |
| MYO18B | Other/Unknown | no | | Myosin_head_motor_dom-like, P-loop_NTPase, MYSc_Myo18 |
| SCN3B | Antibody/Immunoglobulin | yes | | Ig_sub, Ig-like_dom, Ig_V-set |
| HDDC2 | Transcription factor | no | | HD/PDEase_dom, HD_domain, YfbR/HDDC2 |
| NCOA7 | Other/Unknown | no | | TLDc_dom, LysM, LysM_dom_sf |
| COL5A1 | Other/Unknown | no | | Fib_collagen_C, Laminin_G, Collagen |
| GPD1L | Other/Unknown | no | | G3P_DH_NAD-dep_C, G3P_DH_NAD-dep, 6-PGluconate_DH-like_C_sf |
| DMD | Transcription factor | no | | Znf_ZZ, WW_dom, Actinin_actin-bd_CS |
| MYBPHL | Antibody/Immunoglobulin | yes | | Ig_sub2, Ig_sub, FN3_dom |
| DSP | Scaffold/PPI | no | | Plectin_repeat, SH3_domain, Spectrin/alpha-actinin |
Expression context
Cohort genes with no expression data: 0.
59 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) | 66 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| apex of heart | 11 |
| right atrium auricular region | 7 |
| cardiac atrium | 6 |
| heart right ventricle | 6 |
| skeletal muscle tissue of rectus abdominis | 5 |
| hindlimb stylopod muscle | 5 |
| biceps brachii | 4 |
| skeletal muscle tissue of biceps brachii | 4 |
| left ventricle myocardium | 4 |
| cortical plate | 4 |
| heart left ventricle | 3 |
| cardiac muscle of right atrium | 3 |
| lateral nuclear group of thalamus | 3 |
| gastrocnemius | 3 |
| primordial germ cell in gonad | 3 |
| corpus callosum | 3 |
| jejunal mucosa | 3 |
| tendon of biceps brachii | 3 |
| bronchial epithelial cell | 3 |
| male germ line stem cell (sensu Vertebrata) in testis | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| SCN10A | 21 | | marker | type B pancreatic cell, olfactory bulb, diaphragm |
| SCN5A | 161 | broad | yes | apex of heart, heart left ventricle, cardiac ventricle |
| CACNA1C | 134 | broad | marker | apex of heart, right coronary artery, muscle layer of sigmoid colon |
| CACNA2D1 | 261 | ubiquitous | marker | biceps brachii, skeletal muscle tissue of biceps brachii, skeletal muscle tissue of rectus abdominis |
| SLMAP | 260 | ubiquitous | marker | saphenous vein, cauda epididymis, cardiac muscle of right atrium |
| TRPM4 | 201 | ubiquitous | marker | mucosa of transverse colon, rectum, apex of heart |
| GATA4 | 85 | broad | marker | right atrium auricular region, heart left ventricle, duodenum |
| ANK2 | 281 | ubiquitous | marker | substantia nigra pars compacta, lateral nuclear group of thalamus, substantia nigra pars reticulata |
| ABCC9 | 195 | broad | marker | gastrocnemius, muscle of leg, hindlimb stylopod muscle |
| KCNE5 | 117 | broad | marker | primordial germ cell in gonad, substantia nigra, nucleus accumbens |
| KCNH2 | 211 | broad | marker | apex of heart, right atrium auricular region, cardiac atrium |
| KCNJ8 | 233 | broad | marker | heart right ventricle, left ventricle myocardium, cardiac ventricle |
| PKP2 | 237 | ubiquitous | marker | heart right ventricle, apex of heart, left ventricle myocardium |
| RRAD | 234 | ubiquitous | marker | olfactory segment of nasal mucosa, skeletal muscle tissue of rectus abdominis, heart right ventricle |
| SCN2B | 182 | broad | yes | middle temporal gyrus, lateral nuclear group of thalamus, cerebellar cortex |
| SCNN1A | 283 | broad | marker | nasal cavity epithelium, metanephros cortex, right uterine tube |
| SEMA3A | 194 | ubiquitous | marker | stromal cell of endometrium, cortical plate, colonic epithelium |
| CAV3 | 157 | tissue_specific | yes | hindlimb stylopod muscle, vastus lateralis, triceps brachii |
| DLGAP5 | 186 | ubiquitous | marker | secondary oocyte, ventricular zone, oocyte |
| RANGRF | 274 | ubiquitous | marker | left testis, right testis, testis |
| DEPDC5 | 236 | ubiquitous | marker | paraflocculus, frontal pole, middle frontal gyrus |
| DLG1 | 294 | ubiquitous | marker | endothelial cell, esophagus squamous epithelium, corpus callosum |
| RYR2 | 210 | broad | marker | heart right ventricle, left ventricle myocardium, myocardium |
| SCN1B | 133 | ubiquitous | marker | primary visual cortex, right hemisphere of cerebellum, cerebellum |
| SNTA1 | 266 | ubiquitous | marker | apex of heart, hindlimb stylopod muscle, gastrocnemius |
| SOS1 | 289 | ubiquitous | marker | colonic epithelium, jejunal mucosa, tendon of biceps brachii |
| TBX20 | 52 | broad | marker | right atrium auricular region, cardiac atrium, heart |
| TBX5 | 129 | broad | marker | tendon of biceps brachii, cardiac muscle of right atrium, buccal mucosa cell |
| TCAP | 213 | tissue_specific | marker | apex of heart, hindlimb stylopod muscle, skeletal muscle tissue of rectus abdominis |
| TGFB3 | 244 | broad | marker | saphenous vein, endocervix, gall bladder |
Protein interactions among cohort
Intra-cohort edges: 140.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| ANK2 | 6,423 |
| GATA4 | 4,994 |
| DLG1 | 4,800 |
| PRKCA | 4,530 |
| TTR | 4,528 |
| TTN | 4,237 |
| WT1 | 3,938 |
| SOS1 | 3,625 |
| AKAP9 | 3,537 |
| KCNQ1 | 3,235 |
Intra-cohort edges
| A | B | Sources |
|---|
| ABCC9 | KCNE5 | string_interaction |
| ABCC9 | KCNJ8 | string_interaction |
| ABCC9 | MYBPC3 | string_interaction |
| ABCC9 | SCN5A | string_interaction |
| ABCC9 | TCAP | string_interaction |
| AKAP9 | KCNE3 | string_interaction |
| AKAP9 | KCNH2 | string_interaction |
| AKAP9 | KCNQ1 | biogrid_interaction, intact, string_interaction |
| AKAP9 | SNTA1 | string_interaction |
| ANK2 | CACNA2D1 | intact |
| ANK2 | DMD | intact |
| ANK2 | TTN | string_interaction |
| ANKRD1 | TCAP | string_interaction |
| ANKRD1 | TTN | biogrid_interaction, string_interaction |
| CACNA1C | CACNA2D1 | intact, string_interaction |
| CACNA1C | CACNB2 | intact, string_interaction |
| CACNA1C | CAV3 | string_interaction |
| CACNA1C | GPD1L | string_interaction |
| CACNA1C | HCN4 | string_interaction |
| CACNA1C | KCND3 | string_interaction |
| CACNA1C | KCNH2 | string_interaction |
| CACNA1C | KCNJ8 | string_interaction |
| CACNA1C | RYR2 | biogrid_interaction, string_interaction |
| CACNA1C | SCN3B | string_interaction |
| CACNA2D1 | CACNB2 | string_interaction |
| CACNA2D1 | KCNJ8 | string_interaction |
| CACNA2D1 | RANGRF | string_interaction |
| CACNA2D1 | SCN5A | string_interaction |
| CACNB2 | GPD1L | string_interaction |
| CACNB2 | HCN4 | string_interaction |
| CACNB2 | IRX5 | string_interaction |
| CACNB2 | KCNE3 | string_interaction |
| CACNB2 | KCNH2 | string_interaction |
| CACNB2 | KCNJ8 | string_interaction |
| CACNB2 | SCN1B | string_interaction |
| CACNB2 | SCN3B | string_interaction |
| CACNB2 | SCN5A | string_interaction |
| CAV3 | DLG1 | string_interaction |
| CAV3 | DMD | string_interaction |
| CAV3 | GPD1L | string_interaction |
| CAV3 | SCN5A | string_interaction |
| CAV3 | SNTA1 | string_interaction |
| CTDSPL | KCNE3 | intact |
| DLG1 | KCNJ2 | intact |
| DLG1 | SCN5A | intact, string_interaction |
| DMD | SNTA1 | biogrid_interaction, intact, string_interaction |
| DSP | PKP2 | string_interaction |
| GATA4 | HEY2 | string_interaction |
| GATA4 | MYH6 | string_interaction |
| GATA4 | TBX20 | string_interaction |
Structural data
PDB: 44 · AlphaFold-only: 19 · No structure: 3
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| TTR | P02766 | 462 |
| SOS1 | Q07889 | 91 |
| TTN | Q8WZ42 | 64 |
| SCN1B | Q07699 | 39 |
| SCN2B | O60939 | 35 |
| CACNA1C | Q13936 | 33 |
| CACNA2D1 | P54289 | 30 |
| TRPM4 | Q8TD43 | 29 |
| WT1 | P19544 | 28 |
| KCNQ1 | P51787 | 28 |
| RYR2 | Q92736 | 26 |
| KCNH2 | Q12809 | 24 |
| MYBPC3 | Q14896 | 17 |
| SCN5A | Q14524 | 16 |
| DLG1 | Q12959 | 13 |
| ANK2 | Q01484 | 11 |
| DEPDC5 | O75140 | 11 |
| TGFB3 | P10600 | 11 |
| ACVR2B | Q13705 | 9 |
| SCN10A | Q9Y5Y9 | 8 |
| HCN4 | Q9Y3Q4 | 8 |
| DMD | P11532 | 6 |
| KCND3 | Q9UK17 | 6 |
| PRKCA | P17252 | 6 |
| RRAD | P55042 | 5 |
| DLGAP5 | Q15398 | 4 |
| TBX5 | Q99593 | 4 |
| HDDC2 | Q7Z4H3 | 4 |
| DSP | P15924 | 4 |
| KCNE3 | Q9Y6H6 | 4 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| CAV3 | P56539 | 88.54 |
| MYBPHL | A2RUH7 | 86.64 |
| SEMA3A | Q14563 | 84.50 |
| KCNJ8 | Q15842 | 84.00 |
| ANKRD1 | Q15327 | 82.64 |
| ABCC9 | O60706 | 81.72 |
| SNTA1 | Q13424 | 80.00 |
| MAPRE2 | Q15555 | 75.12 |
| MYH6 | P13533 | 74.91 |
| LAMA4 | Q16363 | 73.75 |
| TBX20 | Q9UMR3 | 67.87 |
| HEY2 | Q9UBP5 | 65.56 |
| KCNE5 | Q9UJ90 | 64.43 |
| MYO18B | Q8IUG5 | 60.66 |
| IRX5 | P78411 | 55.14 |
| IRX3 | P78415 | 54.98 |
| ZFPM2 | Q8WW38 | 51.93 |
| HRC | P23327 | 50.20 |
| AKAP9 | Q99996 | |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 331. Enrichment computed across 66 evidence-associated genes (54 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 54 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Muscle contraction | 22 | 31.4× | 1e-25 | SCN10A, SCN5A, CACNA1C, ABCC9, KCNE5, KCNH2, RYR2, SCN1B (+14 more) |
| Cardiac conduction | 18 | 36.2× | 6e-22 | SCN10A, SCN5A, CACNA1C, ABCC9, KCNE5, KCNH2, RYR2, SCN1B (+10 more) |
| Phase 0 - rapid depolarisation | 8 | 51.3× | 2e-10 | SCN10A, SCN5A, CACNA1C, SCN1B, SCN2B, CACNB2, RANGRF, SCN3B |
| Phase 2 - plateau phase | 6 | 84.6× | 3e-09 | CACNA1C, KCNE5, CACNB2, AKAP9, KCNE3, KCNQ1 |
| Phase 3 - rapid repolarisation | 5 | 105.7× | 3e-08 | KCNE5, KCNH2, AKAP9, KCNE3, KCNQ1 |
| Interaction between L1 and Ankyrins | 6 | 40.9× | 3e-07 | SCN10A, SCN5A, ANK2, SCN1B, SCN2B, SCN3B |
| Axon guidance | 11 | 9.2× | 1e-06 | SCN10A, SCN5A, CACNA1C, ANK2, SCN1B, SCN2B, SEMA3A, SOS1 (+3 more) |
| Nervous system development | 11 | 8.8× | 1e-06 | SCN10A, SCN5A, CACNA1C, ANK2, SCN1B, SCN2B, SEMA3A, SOS1 (+3 more) |
| Striated Muscle Contraction | 5 | 28.6× | 3e-05 | TCAP, TTN, DMD, MYBPC3, MYH6 |
| Non-integrin membrane-ECM interactions | 6 | 17.1× | 4e-05 | SNTA1, TTR, COL5A1, DMD, LAMA4, PRKCA |
| Potassium Channels | 6 | 14.9× | 8e-05 | ABCC9, KCNH2, KCNJ8, KCND3, KCNJ2, KCNQ1 |
| L1CAM interactions | 6 | 13.4× | 1e-04 | SCN10A, SCN5A, ANK2, SCN1B, SCN2B, SCN3B |
| Cardiogenesis | 4 | 31.3× | 2e-04 | GATA4, TBX20, TBX5, HEY2 |
| Developmental Biology | 14 | 3.8× | 3e-04 | SCN10A, SCN5A, CACNA1C, ANK2, SCN1B, SCN2B, SEMA3A, SOS1 (+6 more) |
| Sensory perception of taste | 4 | 24.9× | 4e-04 | SCN1B, SCN2B, SCNN1A, KCNJ2 |
| Sensory Perception | 6 | 10.6× | 4e-04 | SCN1B, SCN2B, SCNN1A, CACNB2, KCNJ2, PRKCA |
| Neuronal System | 8 | 6.6× | 5e-04 | ABCC9, KCNH2, KCNJ8, CACNB2, KCND3, KCNJ2, KCNQ1, PRKCA |
| Inwardly rectifying K+ channels | 3 | 39.6× | 9e-04 | ABCC9, KCNJ8, KCNJ2 |
| Transcriptional regulation of testis differentiation | 3 | 39.6× | 9e-04 | GATA4, WT1, ZFPM2 |
| ATP sensitive Potassium channels | 2 | 105.7× | 0.002 | ABCC9, KCNJ8 |
| Formation of the dystrophin-glycoprotein complex (DGC) | 3 | 17.1× | 0.011 | SNTA1, DMD, LAMA4 |
| EGFR Transactivation by Gastrin | 2 | 42.3× | 0.014 | SOS1, PRKCA |
| Sensory perception of sweet, bitter, and umami (glutamate) taste | 3 | 15.5× | 0.014 | TRPM4, SCN1B, SCN2B |
| NCAM signaling for neurite out-growth | 3 | 15.1× | 0.014 | CACNA1C, SOS1, CACNB2 |
| NCAM1 interactions | 3 | 13.8× | 0.017 | CACNA1C, CACNB2, COL5A1 |
| Voltage gated Potassium channels | 3 | 13.5× | 0.018 | KCNH2, KCND3, KCNQ1 |
| Gastrin-CREB signalling pathway via PKC and MAPK | 2 | 32.5× | 0.020 | SOS1, PRKCA |
| Developmental Lineage of Pancreatic Ductal Cells | 3 | 12.7× | 0.020 | GATA4, COL5A1, LAMA4 |
| Regulation of insulin secretion | 3 | 12.2× | 0.021 | CACNA1C, CACNB2, PRKCA |
| YAP1- and WWTR1 (TAZ)-stimulated gene expression | 2 | 28.2× | 0.024 | GATA4, TBX5 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 63 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| regulation of heart rate by cardiac conduction | 19 | 112.9× | 7e-33 | SCN5A, CACNA1C, CACNA2D1, TRPM4, ANK2, KCNE5, KCNH2, PKP2 (+11 more) |
| ventricular cardiac muscle cell action potential | 12 | 188.8× | 6e-24 | SCN5A, ANK2, KCNE5, KCNH2, PKP2, RYR2, SNTA1, CAV3 (+4 more) |
| regulation of heart rate | 14 | 104.0× | 2e-23 | SCN10A, SCN5A, ANK2, KCNJ8, RYR2, SNTA1, IRX5, CAV3 (+6 more) |
| regulation of ventricular cardiac muscle cell membrane repolarization | 11 | 147.1× | 3e-20 | SCN5A, CACNA2D1, ANK2, KCNE5, KCNH2, SCN1B, SNTA1, CAV3 (+3 more) |
| cardiac muscle contraction | 13 | 82.8× | 3e-20 | SCN5A, KCNE5, KCNH2, RYR2, SCN1B, SCN2B, TCAP, TTN (+5 more) |
| cardiac muscle cell action potential involved in contraction | 9 | 100.3× | 1e-14 | SCN10A, SCN5A, CACNA1C, CACNA2D1, PKP2, SCN1B, SCN2B, SCN3B (+1 more) |
| regulation of sodium ion transmembrane transport | 8 | 133.8× | 3e-14 | SCN5A, SLMAP, SCN1B, SNTA1, CAV3, RANGRF, DLG1, DMD |
| membrane repolarization during ventricular cardiac muscle cell action potential | 7 | 187.2× | 9e-14 | KCNE5, KCNH2, KCNJ8, DLG1, KCND3, KCNE3, KCNQ1 |
| membrane depolarization during cardiac muscle cell action potential | 7 | 156.0× | 5e-13 | SCN5A, CACNA1C, SCN1B, SCN2B, HCN4, SCN3B, KCNJ2 |
| regulation of atrial cardiac muscle cell membrane depolarization | 6 | 178.3× | 1e-11 | SCN10A, SCN5A, SCN1B, SCN2B, TBX5, SCN3B |
| membrane depolarization during action potential | 6 | 160.5× | 3e-11 | SCN10A, SCN5A, KCNH2, SCN1B, SCN2B, SCN3B |
| regulation of ventricular cardiac muscle cell action potential | 6 | 133.8× | 1e-10 | CACNA1C, TRPM4, PKP2, RYR2, DLG1, DSP |
| positive regulation of sodium ion transport | 6 | 80.2× | 5e-09 | SCN5A, PKP2, SCN1B, SCN2B, SCN3B, GPD1L |
| membrane repolarization during action potential | 5 | 133.8× | 8e-09 | KCNE5, KCNH2, KCNE3, KCNJ2, KCNQ1 |
| atrial cardiac muscle cell action potential | 5 | 133.8× | 8e-09 | SCN5A, ANK2, KCNE5, SCN3B, KCNQ1 |
| positive regulation of heart rate | 6 | 66.9× | 1e-08 | TRPM4, RYR2, SCN3B, HEY2, HRC, KCNQ1 |
| muscle contraction | 8 | 26.4× | 3e-08 | SLMAP, SNTA1, TBX20, TTN, HCN4, HRC, KCND3, MYH6 |
| regulation of membrane repolarization | 5 | 102.9× | 3e-08 | KCNE5, KCNH2, AKAP9, KCNJ2, KCNQ1 |
| membrane depolarization during AV node cell action potential | 4 | 214.0× | 4e-08 | SCN5A, CACNA1C, TRPM4, CACNB2 |
| regulation of cardiac muscle cell contraction | 5 | 89.2× | 7e-08 | SCN5A, GATA4, ANK2, KCNJ2, MYBPC3 |
| regulation of ventricular cardiac muscle cell membrane depolarization | 4 | 178.3× | 9e-08 | SCN5A, CAV3, SCN3B, GPD1L |
| SA node cell action potential | 4 | 178.3× | 9e-08 | SCN5A, ANK2, HCN4, SCN3B |
| potassium ion export across plasma membrane | 5 | 83.6× | 9e-08 | KCNE5, KCNH2, KCND3, KCNE3, KCNQ1 |
| regulation of cardiac muscle contraction | 5 | 70.4× | 2e-07 | SCN10A, ANK2, RYR2, CAV3, HCN4 |
| potassium ion import across plasma membrane | 6 | 34.9× | 6e-07 | ABCC9, KCNH2, KCNJ8, HCN4, KCNJ2, KCNQ1 |
| regulation of cardiac muscle cell action potential involved in regulation of contraction | 4 | 118.9× | 7e-07 | CAV3, HCN4, RANGRF, AKAP9 |
| regulation of cardiac muscle contraction by regulation of the release of sequestered calcium ion | 5 | 53.5× | 9e-07 | CACNA1C, ANK2, RYR2, DMD, HRC |
| cardiac muscle hypertrophy | 4 | 107.0× | 1e-06 | RYR2, TCAP, TTN, CAV3 |
| cardiac conduction | 4 | 107.0× | 1e-06 | CACNA1C, ABCC9, SCN1B, SCN2B |
| membrane repolarization during cardiac muscle cell action potential | 4 | 107.0× | 1e-06 | KCNH2, KCND3, KCNJ2, KCNQ1 |
Therapeutics
Drugs indicated for this disease
0 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
Drug target analysis
Approved (phase 4): 15 · Phase ≥3: 15 · Phased (≥1): 19 · Undrugged: 47
Druggability breadth: 32 of 66 evidence-associated genes (48%) 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 |
|---|
| KCNH2 | 706 | 4 |
| SCN5A | 108 | 4 |
| CACNA1C | 85 | 4 |
| PRKCA | 39 | 4 |
| TTR | 29 | 4 |
| SCN10A | 21 | 4 |
| KCNQ1 | 15 | 4 |
| ACVR2B | 12 | 4 |
| KCND3 | 10 | 4 |
| CACNA2D1 | 5 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|
| IMIPRAMINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| SERTINDOLE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| PIMOZIDE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| NIFEDIPINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| DILTIAZEM | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| MIBEFRADIL | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| HALOPERIDOL | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| MEXILETINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| AMITRIPTYLINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| AMIODARONE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| CHLORPROMAZINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| LAMOTRIGINE | 4 | SCN10A, SCN5A |
| BEPRIDIL | 4 | CACNA1C, KCNH2, SCN5A |
| CANDESARTAN CILEXETIL | 4 | SCN5A |
| TELMISARTAN | 4 | SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | CACNA1C, KCNH2, SCN5A |
| DROPERIDOL | 4 | CACNA1C, KCNH2, SCN5A |
| PONATINIB | 4 | KCNH2, SCN5A |
| DULOXETINE | 4 | CACNA1C, KCND3, KCNH2, KCNQ1, SCN5A |
| PALONOSETRON | 4 | KCNH2, KCNQ1, SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | KCNH2, SCN5A |
| LETERMOVIR | 4 | SCN5A |
| FEDRATINIB | 4 | KCNH2, SCN5A |
| QUINIDINE | 4 | CACNA1C, KCNH2, SCN5A |
| DARUNAVIR | 4 | KCND3, KCNH2, KCNQ1, SCN5A |
| DARIFENACIN | 4 | KCND3, KCNH2, KCNQ1, SCN5A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 3.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| KCNH2 | 4,851 | Binding:3558, Toxicity:1071, Functional:169, ADMET:53 |
| PRKCA | 1,148 | Binding:1131, Functional:15, ADMET:2 |
| SCN5A | 594 | Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1 |
| CACNA1C | 575 | Binding:319, Functional:211, Toxicity:26, ADMET:19 |
| TTR | 423 | Binding:391, Functional:32 |
| SOS1 | 421 | Binding:409, Functional:12 |
| KCNQ1 | 179 | Binding:96, Functional:64, ADMET:14, Toxicity:5 |
| SCN10A | 144 | Binding:124, Functional:16, ADMET:4 |
| KCND3 | 118 | Binding:55, Functional:44, ADMET:12, Toxicity:7 |
| ACVR2B | 104 | Binding:104 |
| ABCC9 | 61 | Functional:46, Binding:15 |
| CACNA2D1 | 47 | Binding:45, ADMET:1, Toxicity:1 |
| KCNJ8 | 43 | Functional:38, Binding:5 |
| KCNJ2 | 31 | Binding:23, ADMET:8 |
| HCN4 | 30 | Binding:20, ADMET:5, Functional:4, Toxicity:1 |
| CACNB2 | 22 | Binding:20, ADMET:1, Toxicity:1 |
| RYR2 | 15 | Binding:15 |
| SCN1B | 15 | Binding:7, ADMET:6, Toxicity:2 |
| TRPM4 | 14 | Binding:13, Functional:1 |
| SCN2B | 9 | ADMET:4, Binding:3, Toxicity:2 |
| SCNN1A | 6 | Binding:4, ADMET:1, Functional:1 |
| GATA4 | 5 | Binding:5 |
| DSP | 2 | Binding:2 |
| TBX5 | 1 | Binding:1 |
| TGFB3 | 1 | Binding:1 |
| TTN | 1 | Binding:1 |
| MAPRE2 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| DLG1 | 2.7.4.8 | guanylate kinase |
| TTN | 2.7.11.1 | non-specific serine/threonine protein kinase |
| PRKCA | 2.7.11.13 | protein kinase C |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| SCN10A | 144 |
| SCN5A | 594 |
| CACNA1C | 575 |
| KCNH2 | 4,851 |
| SOS1 | 421 |
| TTR | 423 |
| ACVR2B | 104 |
| KCND3 | 118 |
| KCNQ1 | 179 |
| PRKCA | 1,148 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 64; 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) |
|---|
| IMIPRAMINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| SERTINDOLE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| PIMOZIDE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| NIFEDIPINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| DILTIAZEM | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| MIBEFRADIL | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| HALOPERIDOL | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| MEXILETINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| AMITRIPTYLINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| AMIODARONE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| CHLORPROMAZINE | 4 | CACNA1C, KCNH2, SCN10A, SCN5A |
| LAMOTRIGINE | 4 | SCN10A, SCN5A |
| BEPRIDIL | 4 | CACNA1C, KCNH2, SCN5A |
| CANDESARTAN CILEXETIL | 4 | SCN5A |
| TELMISARTAN | 4 | SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | CACNA1C, KCNH2, SCN5A |
| DROPERIDOL | 4 | CACNA1C, KCNH2, SCN5A |
| PONATINIB | 4 | KCNH2, SCN5A |
| DULOXETINE | 4 | CACNA1C, KCND3, KCNH2, KCNQ1, SCN5A |
| PALONOSETRON | 4 | KCNH2, KCNQ1, SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | KCNH2, SCN5A |
| LETERMOVIR | 4 | SCN5A |
| FEDRATINIB | 4 | KCNH2, SCN5A |
| QUINIDINE | 4 | CACNA1C, KCNH2, SCN5A |
| DARUNAVIR | 4 | KCND3, KCNH2, KCNQ1, SCN5A |
| DARIFENACIN | 4 | KCND3, KCNH2, KCNQ1, SCN5A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 15 | SCN10A, SCN5A, CACNA1C, CACNA2D1, ABCC9, KCNH2, SCNN1A, SOS1, TTR, CACNB2 (+5 more) |
| B | Phased (≥1) drug, not yet approved | 4 | KCNJ8, SCN2B, RYR2, SCN1B |
| C | Druggable family + PDB, no drug | 8 | TRPM4, DLG1, TTN, CTDSPL, SCN3B, KCNE3, KCNJ2, MYBPC3 |
| D | Druggable family + AlphaFold only, no drug | 3 | KCNE5, SEMA3A, MYBPHL |
| E | Difficult family or no structure, no drug | 36 | SLMAP, GATA4, ANK2, PKP2, RRAD, CAV3, DLGAP5, RANGRF, DEPDC5, SNTA1 (+26 more) |
Undrugged target profiles
47 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| PKP2 | 0 | SCN5A |
| RANGRF | 0 | SCN5A |
| SNTA1 | 0 | SCN5A |
| SCN3B | 0 | SCN2B, SCN5A |
| GPD1L | 0 | SCN5A, SCN1B, CACNB2 |
| AKAP9 | 0 | KCNQ1 |
| KCNE3 | 0 | KCNQ1, KCND3 |
| SLMAP | 0 | — |
| TRPM4 | 14 | — |
| GATA4 | 5 | — |
| ANK2 | 0 | — |
| KCNE5 | 0 | — |
| RRAD | 0 | — |
| SEMA3A | 0 | — |
| CAV3 | 0 | — |
| DLGAP5 | 0 | — |
| DEPDC5 | 0 | — |
| DLG1 | 0 | — |
| TBX20 | 0 | — |
| TBX5 | 1 | — |
| TCAP | 0 | — |
| TGFB3 | 1 | — |
| TTN | 1 | — |
| WT1 | 0 | — |
| IRX3 | 0 | — |
| IRX5 | 0 | — |
| ANKRD1 | 0 | — |
| ZFPM2 | 0 | — |
| CTDSPL | 0 | — |
| MYO18B | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 43.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 38 |
| PHASE3 | 2 |
| PHASE2 | 2 |
| PHASE4 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT00702117 | PHASE4 | COMPLETED | Ajmaline Utilization in the Diagnosis and Treatment of Cardiac Arrhythmias |
| NCT00701077 | PHASE3 | TERMINATED | DAPERB 3,4-DiAminoPyridine and Electrophysiological Response in Brugada Syndrome |
| NCT00927732 | PHASE3 | TERMINATED | Hydroquinidine Versus Placebo in Patients With Brugada Syndrome |
| NCT07146880 | PHASE2 | NOT_YET_RECRUITING | Empagliflozin as a Potential Therapeutic Solution for Patients With Brugada Syndrome |
| NCT02933437 | PHASE2 | UNKNOWN | The Response To Ajmaline Provocation in Healthy Subjects |
| NCT02413450 | Not specified | ENROLLING_BY_INVITATION | Derivation of Human Induced Pluripotent Stem (iPS) Cells to Heritable Cardiac Arrhythmias |
| NCT03775954 | Not specified | RECRUITING | Fetal Electrophysiologic Abnormalities in High-Risk Pregnancies Associated With Fetal Demise |
| NCT04257994 | Not specified | RECRUITING | Distribution of Cell-cell Junction Proteins in Arrhythmic Disorders |
| NCT05283759 | Not specified | RECRUITING | UZ Brussel HRMC Registry of Brugada Syndrome |
| NCT05521451 | Not specified | RECRUITING | Clinical Cohort Study - TRUST |
| NCT05643209 | Not specified | RECRUITING | Brugada Syndrome Substrate Characterization and Ablation |
| NCT06546137 | Not specified | RECRUITING | National Network for Cardiovascular Genomics: Advancing Cardiovascular Healthcare for Hereditary Diseases in Brazil’s Unified Health System Through a Multicenter Registry |
| NCT06647927 | Not specified | RECRUITING | GenLab: Unveiling the Genetic Landscape of Brugada Syndrome: Novel Biomarker Discovery for Precise Diagnosis |
| NCT06888271 | Not specified | NOT_YET_RECRUITING | DNA Methylation in Brugada Syndrome and Risk of Sudden Cardiac Death |
| NCT06988189 | Not specified | RECRUITING | Unmasking Concealed Arrhythmia Syndromes |
| NCT07364656 | Not specified | NOT_YET_RECRUITING | Analysis of the Presence and Cardiac Functional Effects of Anti-NaV1.5 Autoantibodies in Patients With Metastatic Tumors |
| NCT00292032 | Not specified | COMPLETED | Registry of Unexplained Cardiac Arrest |
| NCT02014961 | Not specified | UNKNOWN | Worm Study: Modifier Genes in Sudden Cardiac Death |
| NCT02052765 | Not specified | COMPLETED | AnalyST & Brugada Syndrome - Feasibility Study |
| NCT02302274 | Not specified | COMPLETED | Diagnostic Value and Safety of Flecainide Infusion Test in Brugada Syndrome |
| NCT02344277 | Not specified | COMPLETED | Evaluation of Subcutaneous Implantable Cardiac Defibrillator in Brugada Patients |
| NCT02641431 | Not specified | COMPLETED | Epicardial Ablation in Brugada Syndrome |
| NCT02704416 | Not specified | COMPLETED | Ablation in Brugada Syndrome for the Prevention of VF |
| NCT03182777 | Not specified | COMPLETED | Safety of Local Dental Anesthesia in Patients With Cardiac Channelopathies |
| NCT03435393 | Not specified | UNKNOWN | Ripple Mapping for Epicardial Mapping of Brugada Syndrome |
| NCT03485508 | Not specified | UNKNOWN | The Brugada Syndrome: a Follow-up Study |
| NCT03491475 | Not specified | UNKNOWN | Echocardiography During Ajmaline Test |
| NCT03524079 | Not specified | COMPLETED | Right Ventricle Morphology and Hemodynamics in BrS |
| NCT03764592 | Not specified | COMPLETED | VF Mapping in Brugada and Early Repolarization Syndromes |
| NCT03992677 | Not specified | COMPLETED | Feasibility of Improving Risk Stratification in Brugada Syndrome |
| NCT04124237 | Not specified | COMPLETED | Long Term Monitoring for Risk of Sudden Death |
| NCT04232787 | Not specified | UNKNOWN | Southeast Asian Brugada Syndrome Cohort |
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| NCT04808193 | Not specified | UNKNOWN | European Perioperative Brugada Survey |
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Drugs tested across these trials (top 30)
- Cohort genes: SCN10A, SCN5A, CACNA1C, CACNA2D1, SLMAP, TRPM4, ANK2, ABCC9, KCNE5, KCNH2, KCNJ8, PKP2, GATA4, RRAD, SCN2B, SCNN1A, SEMA3A, CAV3, DLGAP5, RANGRF, DEPDC5, DLG1, RYR2, SCN1B, SNTA1, SOS1, TBX20, TBX5, TCAP, TGFB3, TTN, TTR, WT1, CACNB2, IRX3, IRX5, ANKRD1, ZFPM2, HCN4, CTDSPL, ACVR2B, MYO18B, SCN3B, HDDC2, NCOA7, COL5A1, GPD1L, DMD, MYBPHL, DSP, CRNDE, AKAP9, CACNA2D1-AS1, HEY2, HRC, KCNJ8-AS1, KCND3, KCNE3, KCNJ2, KCNQ1, LAMA4, MAPRE2, MYBPC3, MYH6, ACAA1, PRKCA
- Drugs: Flecainide, Empagliflozin, Procainamide, Ajmaline, Hydroquinidine
- Associated genes: FGF12, TMEM168