Cardiomyopathy

disease
On this page

Also known as Cardiomyopathies

Summary

Cardiomyopathy (MONDO:0004994) is a disease (an umbrella term covering 12 Mondo subtypes) with 75 cohort genes (56 GWAS associations across 44 studies) and 324 clinical trials. The dominant Reactome pathway is Striated Muscle Contraction (14 cohort genes). Top therapeutic interventions include acoramidis, amiodarone, and bisoprolol.

At a glance

  • Umbrella term: 12 Mondo subtypes
  • Cohort genes: 75
  • GWAS associations: 56
  • ClinVar variants: 20,472
  • Clinical trials: 324

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namecardiomyopathy
Mondo IDMONDO:0004994
EFOEFO:0000318
MeSHD009202
Orphanet167848
DOIDDOID:0050700
ICD-10-CMI42
ICD-11282225286
NCITC34830
SNOMED CT85898001
UMLSC0878544
MedGen209232
MedDRA10007636
Anatomy (UBERON)UBERON:0001133
Is cancer (heuristic)no

Also known as: Cardiomyopathies · cardiomyopathy

Data availability: 20,472 ClinVar variants · 63 ClinGen variant curations · 56 GWAS associations (44 studies) · 7 GenCC gene-disease records · 49 cell lines.

Disease family

An umbrella term covering 12 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › musculoskeletal system disordermuscle tissue disordercardiomyopathy

Related subtypes (12): striated muscle rhabdoid tumor, septal myocardial infarction, tonsillar pillar cancer, atrophic muscular disease, myalgic encephalomeyelitis/chronic fatigue syndrome, conduction system disorder, myostatin-related muscle hypertrophy, caveolinopathy, distal arthrogryposis, skeletal muscle disorder, myomatous neoplasm, Kocher-debre-Semelaigne syndrome

Subtypes (12): Keshan disease, intrinsic cardiomyopathy, extrinsic cardiomyopathy, idiopathic cardiomyopathy, familial cardiomyopathy, non-compaction cardiomyopathy, Chagas cardiomyopathy, Uhl anomaly, Tako-tsubo cardiomyopathy, cardiomyopathy due to anthracyclines, doxorubicin induced cardiomyopathy, autoimmune cardiomyopathy

Genetics & variants

GWAS landscape

56 GWAS associations across 44 studies. Top hits map to 21 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs728422073e-28BAG3C0.14
rs31763263e-28CDKN1AG0.13
rs22349623e-26BAG3T0.14
rs94422163e-23CLCNKAT0.1
rs66606855e-23CLCNKA, HSPB7A0.1
chr1:163311085e-20T0.1
rs126274266e-17MAP3K7CLT0.1
rs5665880311e-16DUSP29G3.99
rs5628075424e-16C10orf55 - VCLG3.17
rs734676374e-16DDB2A0.31
chr3:142984075e-16A0.09
rs76504822e-15CAND2A0.08
rs32119165e-15CD36T0.21
chr3:142985107e-15G0.09
chr21:305346852e-14G0.1
rs562819796e-14LSM3 - LINC01267C0.09
rs350069072e-13LINC00964C0.08
rs5727666056e-13GNA15C4.27
rs559042231e-12LSM3 - LINC01267T0.09
rs5418345422e-12GALNT18T4.41
rs57600543e-12SMARCB1C0.08
rs1455272254e-12LINC01755G4.16
rs1396039315e-12LRRC1A3.76
rs5541900895e-12MCM9T2.38
rs2010203226e-12MITA1 - RPL3P9C4.03
chr1:520139152e-11T0.23
rs38073092e-11FLNCG0.09
rs5508292452e-11OPCMLC2.89
rs1889626283e-11GRID2 - RNA5SP164G3.02
rs752247814e-11IGSF9BC2.4

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90475949Verma A202420,680418,334Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90475951Verma A202419,708419,904Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90475948Verma A20247,053111,507Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90480151Verma A20247,053111,507Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90475950Verma A20246,758112,127Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90480149Verma A20246,758112,127Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90473562UK Biobank Whole-Genome Sequencing Consortium20253,578454,862Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90297606Auwerx C20241,978179,146Rare copy-number variants as modulators of common disease susceptibility.
GCST90297660Auwerx C20241,978179,146Rare copy-number variants as modulators of common disease susceptibility.
GCST90297709Auwerx C20241,978179,146Rare copy-number variants as modulators of common disease susceptibility.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding1
Tier 2: splice/UTR0
Tier 3: regulatory2
Tier 4: intronic/intergenic34

MAF distribution

BucketVariants
common (>=0.05)19
low_freq (0.01-0.05)1
rare (<0.01)13
unknown4

Functional consequences

ConsequenceCount
intron_variant20
unknown8
intergenic_variant6
regulatory_region_variant2
missense_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs7284220710119674163C>T0.21intron_variantBAG33e-28Tier 4: intronic/intergenic
rs3176326636679512G>A0.197intron_variantCDKN1A3e-28Tier 4: intronic/intergenic
rs223496210119670121T>C,G0.211missense_variantBAG33e-26Tier 1: coding
rs9442216116026905T>C,G0.315intron_variantCLCNKA3e-23Tier 4: intronic/intergenic
rs6660685116020493A>G,T0.321intergenic_variantCLCNKA, HSPB75e-23Tier 4: intronic/intergenic
chr1:163311080.3485e-20Tier 4: intronic/intergenic
rs126274262129147136T>A,C,G0.199intron_variantMAP3K7CL6e-17Tier 4: intronic/intergenic
rs5665880311075040354G>A0.001intron_variantDUSP291e-16Tier 4: intronic/intergenic
rs5628075421073940559G>A,C0regulatory_region_variantC10orf55 - VCL4e-16Tier 3: regulatory
rs734676371147226713A>G0.009intron_variantDDB24e-16Tier 4: intronic/intergenic
chr3:142984070.2185e-16Tier 4: intronic/intergenic
rs7650482312800305A>G0.361intron_variantCAND22e-15Tier 4: intronic/intergenic
rs3211916780665494T>C0.115intron_variantCD365e-15Tier 4: intronic/intergenic
chr3:142985100.2187e-15Tier 4: intronic/intergenic
chr21:305346850.152e-14Tier 4: intronic/intergenic
rs56281979314232793C>A,T0.187regulatory_region_variantLSM3 - LINC012676e-14Tier 3: regulatory
rs350069078124847575C>A0.272intron_variantLINC009642e-13Tier 4: intronic/intergenic
rs572766605193159009C>A0.001intron_variantGNA156e-13Tier 4: intronic/intergenic
rs55904223314258304T>A,C,G0.169intron_variantLSM3 - LINC012671e-12Tier 4: intronic/intergenic
rs5418345421111368539T>C0intron_variantGALNT182e-12Tier 4: intronic/intergenic
rs57600542223819530C>T0.285intron_variantSMARCB13e-12Tier 4: intronic/intergenic
rs145527225155951346G>A0.001intergenic_variantLINC017554e-12Tier 4: intronic/intergenic
rs139603931653828227A>G0.001intron_variantLRRC15e-12Tier 4: intronic/intergenic
rs5541900896118840174T>A,C0.001intron_variantMCM95e-12Tier 4: intronic/intergenic
rs201020322878996979C>T0intergenic_variantMITA1 - RPL3P96e-12Tier 4: intronic/intergenic
chr1:520139150.0192e-11Tier 4: intronic/intergenic
rs38073097128832084G>A0.144intron_variantFLNC2e-11Tier 4: intronic/intergenic
rs55082924511132831430C>T0intron_variantOPCML2e-11Tier 4: intronic/intergenic
rs188962628493819592G>A0.001intergenic_variantGRID2 - RNA5SP1643e-11Tier 4: intronic/intergenic
rs7522478111133952491C>G0.001intron_variantIGSF9B4e-11Tier 4: intronic/intergenic

ClinVar germline variants

600 retrieved; paginated sample, class counts are floors:

240 uncertain significance, 231 likely benign, 104 conflicting classifications of pathogenicity, 12 benign/likely benign, 6 pathogenic, 4 pathogenic/likely pathogenic, 1 conflicting classifications of pathogenicity; other, 1 likely pathogenic, 1 benign/likely benign; other

ClinVarVariant (HGVS)GeneClassificationReview
1071032NM_004006.3(DMD):c.568C>T (p.Gln190Ter)DMDPathogeniccriteria provided, single submitter
1071901NM_004006.3(DMD):c.8416C>T (p.Gln2806Ter)DMDPathogeniccriteria provided, multiple submitters, no conflicts
1073643NM_004006.3(DMD):c.10224dup (p.Pro3409fs)DMDPathogeniccriteria provided, multiple submitters, no conflicts
11239NM_004006.3(DMD):c.178C>T (p.Gln60Ter)DMDPathogeniccriteria provided, multiple submitters, no conflicts
1072470NM_004415.4(DSP):c.4687_4688del (p.Leu1563fs)DSPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
10730NM_000169.3(GLA):c.644A>G (p.Asn215Ser)GLAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
10768NM_000169.3(GLA):c.640-801G>AGLAPathogeniccriteria provided, multiple submitters, no conflicts
1047883GRCh37/hg19 Xp11.4-11.3(chrX:39645568-44199000)GPR82Pathogeniccriteria provided, single submitter
1071112NM_000257.4(MYH7):c.732+1G>TMYH7Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1067228NM_001267550.2(TTN):c.95872C>T (p.Arg31958Ter)TTN-AS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1068025NM_001267550.2(TTN):c.73347del (p.Phe24449fs)TTNLikely pathogeniccriteria provided, multiple submitters, no conflicts
1003362NM_004006.3(DMD):c.10951G>A (p.Asp3651Asn)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1003542NM_004006.3(DMD):c.5684A>T (p.Asp1895Val)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1003878NM_004006.3(DMD):c.961-4delDMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1009457NM_004006.3(DMD):c.2776C>A (p.Gln926Lys)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1015517NM_004006.3(DMD):c.7064A>G (p.Asn2355Ser)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1017962NM_004006.3(DMD):c.1388G>T (p.Trp463Leu)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1018171NM_004006.3(DMD):c.3677C>G (p.Ala1226Gly)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1023293NM_004006.3(DMD):c.3326A>G (p.Asn1109Ser)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1024683NM_004006.3(DMD):c.3175A>G (p.Thr1059Ala)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1024941NM_004006.3(DMD):c.4294C>G (p.Gln1432Glu)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1027173NM_004006.3(DMD):c.2346A>T (p.Arg782Ser)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1034457NM_004006.3(DMD):c.969A>T (p.Glu323Asp)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1053809NM_004006.3(DMD):c.5682T>G (p.Asp1894Glu)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1066984NM_004006.3(DMD):c.10262+1G>TDMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1108248NM_004006.3(DMD):c.2432G>A (p.Arg811Gln)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1124266NM_004006.3(DMD):c.2472C>G (p.Asn824Lys)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1134344NM_004006.3(DMD):c.3777G>A (p.Lys1259=)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1139740NM_004006.3(DMD):c.3696A>G (p.Ala1232=)DMDConflicting classifications of pathogenicitycriteria provided, conflicting classifications
1117381NM_024422.6(DSC2):c.776-13dupDSC2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 22 · Orphanet: 162 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
TNNT2DefinitiveAutosomal dominanthypertrophic cardiomyopathy 212
FHL2ModerateAutosomal dominantcardiomyopathy2
SLC30A5ModerateAutosomal recessivecardiomyopathy2
PTCD1LimitedAutosomal recessivecardiomyopathy
SLC2A6LimitedAutosomal dominantcardiomyopathy
SOD2LimitedAutosomal recessivecardiomyopathy3
TRIB3LimitedAutosomal dominantcardiomyopathy

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
TNNT2Orphanet:154Familial isolated dilated cardiomyopathy
TNNT2Orphanet:54260Left ventricular noncompaction
TNNT2Orphanet:75249Familial isolated restrictive cardiomyopathy
FHL2Orphanet:154Familial isolated dilated cardiomyopathy
RPL3LOrphanet:154Familial isolated dilated cardiomyopathy
RYR2Orphanet:293888Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant
RYR2Orphanet:293899Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant
RYR2Orphanet:293910Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant
RYR2Orphanet:3286Catecholaminergic polymorphic ventricular tachycardia
SCN10AOrphanet:101016Romano-Ward syndrome
SCN10AOrphanet:130Brugada syndrome
SCN10AOrphanet:306577Hereditary sodium channelopathy-related small fibers neuropathy
SCN10AOrphanet:46348Paroxysmal extreme pain disorder
SCN10AOrphanet:88642Congenital insensitivity to pain-anosmia-neuropathic arthropathy
SCN10AOrphanet:90026Primary erythromelalgia
SCN1BOrphanet:130Brugada syndrome
SCN1BOrphanet:1934Early infantile developmental and epileptic encephalopathy
SCN1BOrphanet:33069Dravet syndrome
SCN1BOrphanet:334Hereditary atrial fibrillation
SCN1BOrphanet:36387Genetic epilepsy with febrile seizure plus
SCN1BOrphanet:871Hereditary progressive cardiac conduction defect
SCN5AOrphanet:101016Romano-Ward syndrome
SCN5AOrphanet:130Brugada syndrome
SCN5AOrphanet:1344Isolated atrial standstill
SCN5AOrphanet:154Familial isolated dilated cardiomyopathy
SCN5AOrphanet:166282Hereditary sick sinus syndrome
SCN5AOrphanet:228140Idiopathic ventricular fibrillation
SCN5AOrphanet:334Hereditary atrial fibrillation
SCN5AOrphanet:871Hereditary progressive cardiac conduction defect
SGCAOrphanet:62Alpha-sarcoglycan-related limb-girdle muscular dystrophy R3
SGCDOrphanet:154Familial isolated dilated cardiomyopathy
SGCDOrphanet:219Delta-sarcoglycan-related limb-girdle muscular dystrophy R6
DSTOrphanet:314381Hereditary sensory and autonomic neuropathy type 6
DSTOrphanet:412181Epidermolysis bullosa simplex due to BP230 deficiency
BRAFOrphanet:1340Cardiofaciocutaneous syndrome
BRAFOrphanet:146Differentiated thyroid carcinoma
BRAFOrphanet:251615Pilomyxoid astrocytoma
BRAFOrphanet:389Langerhans cell histiocytosis
BRAFOrphanet:500Noonan syndrome with multiple lentigines
BRAFOrphanet:54595Craniopharyngioma
BRAFOrphanet:58017Classic hairy cell leukemia
BRAFOrphanet:626Large/giant congenital melanocytic nevus
BRAFOrphanet:648Noonan syndrome
BRAFOrphanet:840Syringocystadenoma papilliferum
BRAFOrphanet:96253Cushing disease
SLC4A3Orphanet:51083Congenital short QT syndrome
SOS1Orphanet:2024Hereditary gingival fibromatosis
SOS1Orphanet:648Noonan syndrome
TAFAZZINOrphanet:111Barth syndrome
TAFAZZINOrphanet:154Familial isolated dilated cardiomyopathy

Cohort genes → proteins

75 cohort genes, 75 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence75

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
TNNT2HGNC:11949ENSG00000118194P45379Troponin T, cardiac musclegencc,clinvar
FHL2HGNC:3703ENSG00000115641Q14192Four and a half LIM domains protein 2gencc,clinvar
SLC2A6HGNC:11011ENSG00000160326Q9UGQ3Solute carrier family 2, facilitated glucose transporter member 6gencc
SOD2HGNC:11180ENSG00000291237P04179Superoxide dismutase [Mn], mitochondrialgencc
TRIB3HGNC:16228ENSG00000101255Q96RU7Tribbles homolog 3gencc
SLC30A5HGNC:19089ENSG00000145740Q8TAD4Proton-coupled zinc antiporter SLC30A5gencc
PTCD1HGNC:22198ENSG00000106246O75127Pentatricopeptide repeat-containing protein 1, mitochondrialgencc
RPL3LHGNC:10351ENSG00000140986Q92901Ribosomal protein uL3-likeclinvar
RYR2HGNC:10484ENSG00000198626Q92736Ryanodine receptor 2clinvar
SCN10AHGNC:10582ENSG00000185313Q9Y5Y9Sodium channel protein type 10 subunit alphaclinvar
SCN1BHGNC:10586ENSG00000105711Q07699Sodium channel regulatory subunit beta-1clinvar
SCN5AHGNC:10593ENSG00000183873Q14524Sodium channel protein type 5 subunit alphaclinvar
SGCAHGNC:10805ENSG00000108823Q16586Alpha-sarcoglycanclinvar
SGCDHGNC:10807ENSG00000170624Q92629Delta-sarcoglycanclinvar
DSTHGNC:1090ENSG00000151914Q03001Dystoninclinvar
BRAFHGNC:1097ENSG00000157764P15056Serine/threonine-protein kinase B-rafclinvar
SLC4A3HGNC:11029ENSG00000114923P48751Anion exchange protein 3clinvar
SOS1HGNC:11187ENSG00000115904Q07889Son of sevenless homolog 1clinvar
TAF10HGNC:11543ENSG00000166337Q12962Transcription initiation factor TFIID subunit 10clinvar
TAFAZZINHGNC:11577ENSG00000102125Q16635Tafazzinclinvar
TCAPHGNC:11610ENSG00000173991O15273Telethoninclinvar
TGFB3HGNC:11769ENSG00000119699P10600Transforming growth factor beta-3 proproteinclinvar
TMPOHGNC:11875ENSG00000120802P42166Lamina-associated polypeptide 2, isoform alphaclinvar
TNNC1HGNC:11943ENSG00000114854P63316Troponin C, slow skeletal and cardiac musclesclinvar
TNNI3HGNC:11947ENSG00000129991P19429Troponin I, cardiac muscleclinvar
TPM1HGNC:12010ENSG00000140416P09493Tropomyosin alpha-1 chainclinvar
TTNHGNC:12403ENSG00000155657Q8WZ42Titinclinvar
TTRHGNC:12405ENSG00000118271P02766Transthyretinclinvar
UMPSHGNC:12563ENSG00000114491P11172Uridine 5’-monophosphate synthaseclinvar
UQCRFS1HGNC:12587ENSG00000169021P47985Cytochrome b-c1 complex subunit Rieske, mitochondrialclinvar
VCLHGNC:12665ENSG00000035403P18206Vinculinclinvar
MYOZ2HGNC:1330ENSG00000172399Q9NPC6Myozenin-2clinvar
DCHS1HGNC:13681ENSG00000166341Q96JQ0Protocadherin-16clinvar
CACNA1CHGNC:1390ENSG00000151067Q13936Voltage-dependent L-type calcium channel subunit alpha-1Cclinvar
CACNB2HGNC:1402ENSG00000165995Q08289Voltage-dependent L-type calcium channel subunit beta-2clinvar
JPH2HGNC:14202ENSG00000149596Q9BR39Junctophilin-2clinvar
ACTC1HGNC:143ENSG00000159251P68032Actin, alpha cardiac muscle 1clinvar
CASQ2HGNC:1513ENSG00000118729O14958Calsequestrin-2clinvar
CAV3HGNC:1529ENSG00000182533P56539Caveolin-3clinvar
LDB3HGNC:15710ENSG00000122367O75112LIM domain-binding protein 3clinvar
OBSCNHGNC:15719ENSG00000154358Q5VST9Obscurinclinvar
ANKRD1HGNC:15819ENSG00000148677Q15327Ankyrin repeat domain-containing protein 1clinvar
MYLK2HGNC:16243ENSG00000101306Q9H1R3Myosin light chain kinase 2, skeletal/cardiac muscleclinvar
ACTN2HGNC:164ENSG00000077522P35609Alpha-actinin-2clinvar
HCN4HGNC:16882ENSG00000138622Q9Y3Q4Potassium/sodium hyperpolarization-activated cyclic nucleotide-gated channel 4clinvar
NEBLHGNC:16932ENSG00000078114O76041Nebuletteclinvar
CLASP1HGNC:17088ENSG00000074054Q7Z460CLIP-associating protein 1clinvar
SYNE1HGNC:17089ENSG00000131018Q8NF91Nesprin-1clinvar
CDK13HGNC:1733ENSG00000065883Q14004Cyclin-dependent kinase 13clinvar
ALPK3HGNC:17574ENSG00000136383Q96L96Alpha-protein kinase 3clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
TNNT2Troponin T, cardiac muscleTroponin T is the tropomyosin-binding subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity.
FHL2Four and a half LIM domains protein 2May function as a molecular transmitter linking various signaling pathways to transcriptional regulation.
SLC2A6Solute carrier family 2, facilitated glucose transporter member 6Probable sugar transporter that acts as a regulator of glycolysis in macrophages.
SOD2Superoxide dismutase [Mn], mitochondrialDestroys superoxide anion radicals which are normally produced within the cells and which are toxic to biological systems.
TRIB3Tribbles homolog 3Inactive protein kinase which acts as a regulator of the integrated stress response (ISR), a process for adaptation to various stress.
SLC30A5Proton-coupled zinc antiporter SLC30A5Together with SLC30A6 forms a functional proton-coupled zinc ion antiporter mediating zinc entry into the lumen of organelles along the secretory pathway.
PTCD1Pentatricopeptide repeat-containing protein 1, mitochondrialMitochondrial protein implicated in negative regulation of leucine tRNA levels, as well as negative regulation of mitochondria-encoded proteins and COX activity.
RPL3LRibosomal protein uL3-likeHeart- and skeletal muscle-specific component of the ribosome, which regulates muscle function.
RYR2Ryanodine receptor 2Cytosolic 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.
SCN10ASodium channel protein type 10 subunit alphaTetrodotoxin-resistant channel that mediates the voltage-dependent sodium ion permeability of excitable membranes.
SCN1BSodium channel regulatory subunit beta-1Regulatory subunit of multiple voltage-gated sodium (Nav) channels directly mediating the depolarization of excitable membranes.
SCN5ASodium channel protein type 5 subunit alphaPore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes.
SGCAAlpha-sarcoglycanComponent of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix.
SGCDDelta-sarcoglycanComponent of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix.
DSTDystoninCytoskeletal linker protein.
BRAFSerine/threonine-protein kinase B-rafProtein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus.
SLC4A3Anion exchange protein 3Sodium-independent anion exchanger which mediates the electroneutral exchange of chloride for bicarbonate ions across the cell membrane.
SOS1Son of sevenless homolog 1Promotes the exchange of Ras-bound GDP by GTP.
TAF10Transcription initiation factor TFIID subunit 10The TFIID basal transcription factor complex plays a major role in the initiation of RNA polymerase II (Pol II)-dependent transcription.
TAFAZZINTafazzinAcyltransferase required to remodel newly synthesized phospholipid cardiolipin (1’,3’-bis-[1,2-diacyl-sn-glycero-3-phospho]-glycerol or CL), a key component of the mitochondrial inner membrane, with tissue specific acyl chains necessary fo…
TCAPTelethoninMuscle assembly regulating factor.
TGFB3Transforming growth factor beta-3 proproteinTransforming 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.
TMPOLamina-associated polypeptide 2, isoform alphaMay be involved in the structural organization of the nucleus and in the post-mitotic nuclear assembly.
TNNC1Troponin C, slow skeletal and cardiac musclesTroponin is the central regulatory protein of striated muscle contraction.
TNNI3Troponin I, cardiac muscleTroponin I is the inhibitory subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity.
TPM1Tropomyosin alpha-1 chainBinds to actin filaments in muscle and non-muscle cells.
TTNTitinKey component in the assembly and functioning of vertebrate striated muscles.
TTRTransthyretinThyroid hormone-binding protein.
UMPSUridine 5’-monophosphate synthaseBifunctional enzyme catalyzing the last two steps of de novo pyrimidine biosynthesis, orotate phosphoribosyltransferase (OPRT), which converts orotate to orotidine-5’-monophosphate (OMP), and orotidine-5’-monophosphate decarboxylase (ODC),…
UQCRFS1Cytochrome b-c1 complex subunit Rieske, mitochondrialComponent of the ubiquinol-cytochrome c oxidoreductase, a multisubunit transmembrane complex that is part of the mitochondrial electron transport chain which drives oxidative phosphorylation.
VCLVinculinActin filament (F-actin)-binding protein involved in cell-matrix adhesion and cell-cell adhesion.
MYOZ2Myozenin-2Myozenins may serve as intracellular binding proteins involved in linking Z line proteins such as alpha-actinin, gamma-filamin, TCAP/telethonin, LDB3/ZASP and localizing calcineurin signaling to the sarcomere.
DCHS1Protocadherin-16Calcium-dependent cell-adhesion protein.
CACNA1CVoltage-dependent L-type calcium channel subunit alpha-1CPore-forming, alpha-1C subunit of the voltage-gated calcium channel that gives rise to L-type calcium currents.
CACNB2Voltage-dependent L-type calcium channel subunit beta-2Beta subunit of voltage-dependent calcium channels which contributes to the function of the calcium channel by increasing peak calcium current.
JPH2Junctophilin-2Membrane-binding protein that provides a structural bridge between the plasma membrane and the sarcoplasmic reticulum and is required for normal excitation-contraction coupling in cardiomyocytes.
ACTC1Actin, alpha cardiac muscle 1Actins are highly conserved proteins that are involved in various types of cell motility and are ubiquitously expressed in all eukaryotic cells.
CASQ2Calsequestrin-2Calsequestrin is a high-capacity, moderate affinity, calcium-binding protein and thus acts as an internal calcium store in muscle.
CAV3Caveolin-3May act as a scaffolding protein within caveolar membranes.
LDB3LIM domain-binding protein 3May function as an adapter in striated muscle to couple protein kinase C-mediated signaling via its LIM domains to the cytoskeleton.
OBSCNObscurinStructural component of striated muscles which plays a role in myofibrillogenesis.
ANKRD1Ankyrin repeat domain-containing protein 1May play an important role in endothelial cell activation.
MYLK2Myosin light chain kinase 2, skeletal/cardiac muscleImplicated in the level of global muscle contraction and cardiac function.
ACTN2Alpha-actinin-2F-actin cross-linking protein which is thought to anchor actin to a variety of intracellular structures.
HCN4Potassium/sodium hyperpolarization-activated cyclic nucleotide-gated channel 4Hyperpolarization-activated ion channel that are permeable to Na(+) and K(+) ions with very slow activation and inactivation.
NEBLNebuletteBinds to actin and plays an important role in the assembly of the Z-disk.
CLASP1CLIP-associating protein 1Microtubule plus-end tracking protein that promotes the stabilization of dynamic microtubules.
SYNE1Nesprin-1Multi-isomeric modular protein which forms a linking network between organelles and the actin cytoskeleton to maintain the subcellular spatial organization.
CDK13Cyclin-dependent kinase 13Cyclin-dependent kinase which displays CTD kinase activity and is required for RNA splicing.
ALPK3Alpha-protein kinase 3Involved in cardiomyocyte differentiation.

Protein-family classification

Druggable: 24 · Difficult: 12 · Unknown: 39 · Druggable fraction: 0.32

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.

FamilyGenesFoldFDR
Ion channel68.9×6e-04
Kinase72.6×0.092
Antibody/Immunoglobulin41.6×0.852
Scaffold/PPI51.1×0.960
Transporter11.0×0.960
Protease21.0×0.960
Other/Unknown390.9×0.960
Transcription factor70.8×0.960
Enzyme (other)30.5×0.960
GPCR10.3×0.960

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
TNNT2Other/UnknownnoTroponin, TNNT, Troponin_sf
FHL2Transcription factornoZnf_LIM, LIM_FHL1/2/3/5_N
SLC2A6TransporteryesSugar/inositol_transpt, MFS_sugar_transport-like, Sugar_transporter_CS
SOD2Enzyme (other)yes1.15.1.1Mn/Fe_SOD, Mn/Fe_SOD_N, Mn/Fe_SOD_C
TRIB3KinaseyesProt_kinase_dom, Kinase-like_dom_sf, Tribbles/Ser_Thr_kinase_40
SLC30A5Other/UnknownnoCation_efflux, Cation_efflux_TMD_sf, Msc2-like
PTCD1Other/UnknownnoPPR_rpt, TPR-like_helical_dom_sf, PROP1-like_PPR_dom
RPL3LOther/UnknownnoRibosomal_uL3, Transl_B-barrel_sf, Ribosomal_uL3_CS
RYR2Ion channelyesRIH_dom, B30.2/SPRY, EF_hand_dom
SCN10AIon channelyesNa_channel_asu, Ion_trans_dom, Na_trans_assoc_dom
SCN1BAntibody/ImmunoglobulinyesIg_V-set, Ig-like_fold, Na_channel_b1/b3
SCN5AIon channelyesNa_channel_asu, Ion_trans_dom, Na_channel_a5su
SGCAOther/UnknownnoCadg, Sarcoglycan_alpha/epsilon, Cadherin-like_sf
SGCDOther/UnknownnoSarcoglycan, Sarcoglycan_gamma/delta/zeta
DSTScaffold/PPInoPlectin_repeat, SH3_domain, Actinin_actin-bd_CS
BRAFKinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE
SLC4A3Other/UnknownnoAnion_exchange, Anion_exchange_3, HCO3_transpt_euk
SOS1Scaffold/PPInoDH_dom, Ras-like_Gua-exchang_fac_N, PH_domain
TAF10Other/UnknownnoTAF10
TAFAZZINOther/UnknownnoTafazzin, Plipid/glycerol_acylTrfase
TCAPOther/UnknownnoTelethonin, Titin-like_dom_sf
TGFB3Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGF-beta-like
TMPOOther/UnknownnoLEM_dom, LEM/LEM-like_dom_sf, LEM-like_dom
TNNC1Other/UnknownnoEF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS
TNNI3Other/UnknownnoTroponin, Troponin-I_N, Troponin_sf
TPM1Other/UnknownnoTropomyosin
TTNKinaseyes2.7.11.1Prot_kinase_dom, Ig_sub2, Ig_sub
TTROther/UnknownnoTransthyretin/HIU_hydrolase, Transthyretin/HIU_hydrolase_d, Thyroxine_BS
UMPSEnzyme (other)yes4.1.1.23PRTase_dom, OMPdeCOase_dom, Or_phspho_trans_dom
UQCRFS1Other/UnknownnoRieske_TM, Rieske_Fe-S_prot_C, Ubiquinol_cyt_c_Rdtase_Fe-S-su
VCLOther/UnknownnoVinculin_CS, Vinculin/catenin, Vinculin
MYOZ2Other/UnknownnoMYOZ
DCHS1Other/UnknownnoCadherin-like_dom, Cadherin-like_sf, Cadherin_CS
CACNA1CIon channelyesVDCCAlpha1, VDCC_L_a1su, VDCC_L_a1csu
CACNB2Scaffold/PPInoVDCC_L_bsu, SH3_domain, VDCC_L_b2su
JPH2Other/UnknownnoMORN, Junctophilin
ACTC1Other/UnknownnoActin, Actin_CS, Actin/actin-like_CS
CASQ2Other/UnknownnoCalsequestrin, Calsequestrin_CS, Thioredoxin-like_sf
CAV3Other/UnknownnoCaveolin, Caveolin_CS
LDB3Transcription factornoPDZ, Znf_LIM, Zasp-like_motif
OBSCNKinaseyesIQ_motif_EF-hand-BS, DH_dom, Prot_kinase_dom
ANKRD1Scaffold/PPInoAnkyrin_rpt, Ankyrin_rpt-contain_sf
MYLK2Kinaseyes2.7.11.18Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
ACTN2Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
HCN4Ion channelyescNMP-bd_dom, K_chnl_volt-dep_EAG/ELK/ERG, Ion_trans_dom
NEBLScaffold/PPInoNebulin_repeat, SH3_domain, Nebulette_SH3
CLASP1Other/UnknownnoARM-like, ARM-type_fold, HEAT_type_2
SYNE1Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
CDK13Kinaseyes2.7.11.22Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
ALPK3KinaseyesIg_sub2, Ig_sub, a-kinase_dom

Expression context

Cohort genes with no expression data: 0.

67 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)74
unknown1

Top tissues across cohort

TissueCohort genes
apex of heart18
left ventricle myocardium15
hindlimb stylopod muscle14
heart right ventricle12
skeletal muscle tissue of rectus abdominis9
myocardium9
gastrocnemius8
right atrium auricular region6
buccal mucosa cell6
calcaneal tendon5
skeletal muscle tissue of biceps brachii5
cardiac atrium4
tendon of biceps brachii4
gluteal muscle4
cardiac ventricle3
granulocyte3
right lobe of liver3
vastus lateralis3
saphenous vein3
ganglionic eminence3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
TNNT2154broadmarkerapex of heart, right atrium auricular region, cardiac atrium
FHL2272ubiquitousmarkerleft ventricle myocardium, heart right ventricle, cardiac ventricle
SLC2A6133ubiquitousmarkergranulocyte, monocyte, leukocyte
SOD2ubiquitous
TRIB3205ubiquitousmarkerright lobe of liver, pancreatic ductal cell, primordial germ cell in gonad
SLC30A5281ubiquitousmarkerbuccal mucosa cell, stromal cell of endometrium, tendon of biceps brachii
PTCD1273ubiquitousmarkerbuccal mucosa cell, tendon of biceps brachii, parotid gland
RPL3L156tissue_specificmarkerskeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, vastus lateralis
RYR2210broadmarkerheart right ventricle, left ventricle myocardium, myocardium
SCN10A21markertype B pancreatic cell, olfactory bulb, diaphragm
SCN1B133ubiquitousmarkerprimary visual cortex, right hemisphere of cerebellum, cerebellum
SCN5A161broadyesapex of heart, heart left ventricle, cardiac ventricle
SGCA190broadmarkerhindlimb stylopod muscle, gastrocnemius, apex of heart
SGCD247broadmarkerleft ventricle myocardium, skeletal muscle tissue of rectus abdominis, heart right ventricle
DST305ubiquitousmarkercorpus callosum, calcaneal tendon, medial globus pallidus
BRAF265ubiquitousmarkerbuccal mucosa cell, colonic epithelium, calcaneal tendon
SLC4A3203ubiquitousmarkerapex of heart, right atrium auricular region, cardiac atrium
SOS1289ubiquitousmarkercolonic epithelium, jejunal mucosa, tendon of biceps brachii
TAF10166ubiquitousmarkerright testis, left testis, granulocyte
TAFAZZIN238ubiquitousmarkerapex of heart, granulocyte, lower esophagus mucosa
TCAP213tissue_specificmarkerapex of heart, hindlimb stylopod muscle, skeletal muscle tissue of rectus abdominis
TGFB3244broadmarkersaphenous vein, endocervix, gall bladder
TMPO287ubiquitousmarkerventricular zone, ganglionic eminence, embryo
TNNC1207broadmarkertriceps brachii, gluteal muscle, heart right ventricle
TNNI3169broadmarkerapex of heart, left ventricle myocardium, right atrium auricular region
TPM1305ubiquitousmarkerleft ventricle myocardium, heart right ventricle, myocardium
TTN223broadmarkerbiceps brachii, gluteal muscle, skeletal muscle tissue of biceps brachii
TTR185broadmarkerchoroid plexus epithelium, type B pancreatic cell, right lobe of liver
UMPS279ubiquitousmarkeradrenal tissue, ventricular zone, ganglionic eminence
UQCRFS1134ubiquitousmarkergastrocnemius, heart left ventricle, mucosa of transverse colon

Protein interactions among cohort

Intra-cohort edges: 145.

Hub genes (top 10 by interactor count)

SymbolInteractor count
BRAF7,394
SOD26,580
UMPS4,760
RPL3L4,559
TTR4,528
VCL4,495
TTN4,237
UQCRFS14,001
TXNRD23,712
SOS13,625

Intra-cohort edges

ABSources
ACTN2CACNA1Cbiogrid_interaction
ACTN2CSRP3intact, string_interaction
ACTN2LDB3biogrid_interaction, intact, string_interaction
ACTN2MYOZ2biogrid_interaction, intact, string_interaction
ACTN2MYPNbiogrid_interaction, string_interaction
ACTN2NEBLstring_interaction
ACTN2NEXNstring_interaction
ACTN2PDLIM3biogrid_interaction, intact, string_interaction
ACTN2TCAPstring_interaction
ACTN2TNNT2string_interaction
ACTN2TPM1biogrid_interaction, string_interaction
ACTN2TTNstring_interaction
ACTN2VCLstring_interaction
ALPK3TNNT2string_interaction
ANKRD1CSRP3string_interaction
ANKRD1DSTbiogrid_interaction, intact
ANKRD1FHL2string_interaction
ANKRD1MYPNbiogrid_interaction, string_interaction
ANKRD1NEBLstring_interaction
ANKRD1TCAPstring_interaction
ANKRD1TTNbiogrid_interaction, string_interaction
BRAFSOD2intact
BRAFSOS1string_interaction
CACNA1CCACNB2intact, string_interaction
CACNA1CCASQ2string_interaction
CACNA1CCAV3string_interaction
CACNA1CFHL2biogrid_interaction
CACNA1CGPD1Lstring_interaction
CACNA1CHCN4string_interaction
CACNA1CJPH2string_interaction
CACNA1CRYR2biogrid_interaction, string_interaction
CACNA1CSCN3Bstring_interaction
CACNB2GPD1Lstring_interaction
CACNB2HCN4string_interaction
CACNB2SCN1Bstring_interaction
CACNB2SCN3Bstring_interaction
CACNB2SCN5Astring_interaction
CALR3CASQ2string_interaction
CALR3CSRP3string_interaction
CALR3JPH2string_interaction
CALR3MYLK2string_interaction
CALR3MYOZ2string_interaction
CALR3MYPNstring_interaction
CALR3RYR2string_interaction
CALR3TCAPstring_interaction
CASQ2JPH2string_interaction
CASQ2RYR2string_interaction
CASQ2SCN5Astring_interaction
CAV3DMDstring_interaction
CAV3GPD1Lstring_interaction

Structural data

PDB: 46 · AlphaFold-only: 29 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
TTRP02766462
BRAFP15056131
SOS1Q0788991
UMPSP1117272
TTNQ8WZ4264
TNNC1P6331661
SOD2P0417948
TAF10Q1296248
SCN1BQ0769939
TNNI3P1942939
VCLP1820637
CACNA1CQ1393633
TRPM4Q8TD4329
RYR2Q9273626
TNNT2P4537925
OBSCNQ5VST925
CRYABP0251121
CHRM2P0817217
SCN5AQ1452416
ACTC1P6803216
ACTN2P3560916
TMPOP4216614
TPM1P0949314
TGFB3P1060011
SCN10AQ9Y5Y98
HCN4Q9Y3Q48
FKRPQ9H9S58
DMDP115326
UQCRFS1P479855
FHL2Q141924

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
TAFAZZINQ1663594.87
RPL3LQ9290194.79
TMEM43Q9BTV489.92
CAV3P5653988.54
KLHL24Q6TFL487.69
CTF1Q1661985.94
COX15Q7KZN985.29
ANKRD1Q1532782.64
SLC2A6Q9UGQ381.69
SGCDQ9262981.43
SGCAQ1658680.15
DESP1766177.73
TRIB3Q96RU777.51
CALR3Q96L1277.43
SLC30A5Q8TAD476.95
NEXNQ0ZGT270.78
CORINQ9Y5Q570.20
PTCD1O7512768.41
PDLIM3Q53GG566.98
C2orf49Q9BVC566.31
MYOZ2Q9NPC665.51
CEP85LQ5SZL264.98
FHOD3Q2V2M964.62
MYO18BQ8IUG560.66
CASZ1Q86V1553.66
MYPNQ86TC952.71
ALPK3Q96L9649.15
RBM20Q5T48148.52
TXNRD2Q9NNW7

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 507. Enrichment computed across 137 evidence-associated genes (97 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 97 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Striated Muscle Contraction1444.5×6e-18TNNT2, TCAP, TNNC1, TNNI3, TPM1, TTN, ACTC1, ACTN2 (+6 more)
Muscle contraction2116.7×6e-18RYR2, SCN10A, SCN1B, SCN5A, TCAP, CACNA1C, CACNB2, ACTC1 (+13 more)
Cardiac conduction1314.6×7e-10RYR2, SCN10A, SCN1B, SCN5A, CACNA1C, CACNB2, CASQ2, SCN3B (+5 more)
Phase 2 - plateau phase647.1×2e-07CACNA1C, CACNB2, AKAP9, KCNE1, KCNE3, KCNQ1
Phase 0 - rapid depolarisation621.4×3e-05SCN10A, SCN1B, SCN5A, CACNA1C, CACNB2, SCN3B
Formation of the dystrophin-glycoprotein complex (DGC)619.1×5e-05SGCA, SGCD, ACTC1, DMD, DTNA, LAMA4
Phase 3 - rapid repolarisation447.1×7e-05AKAP9, KCNE1, KCNE3, KCNQ1
Interaction between L1 and Ankyrins519.0×4e-04SCN10A, SCN1B, SCN5A, SCN3B, ANK2
Non-integrin membrane-ECM interactions69.6×0.002SGCA, SGCD, TTR, ACTC1, DMD, LAMA4
Ion homeostasis510.5×0.005RYR2, TNNI3, CASQ2, ABCC9, PLN
Regulation of CDH1 Function329.4×0.006VCL, ACTC1, JUP
Depolymerization of the Nuclear Lamina323.6×0.011TMPO, EMD, LMNA
Axon guidance94.2×0.011SCN10A, SCN1B, SCN5A, SOS1, CACNA1C, CACNB2, SCN3B, ANK2 (+1 more)
HCN channels258.9×0.014HCN4, HCN2
Nervous system development94.0×0.014SCN10A, SCN1B, SCN5A, SOS1, CACNA1C, CACNB2, SCN3B, ANK2 (+1 more)
Initiation of Nuclear Envelope (NE) Reformation318.6×0.017TMPO, EMD, LMNA
Formation of the cornified envelope65.4×0.025DSC2, DSC3, DSG2, DSP, JUP, PKP2
Nuclear Envelope Breakdown314.1×0.034TMPO, EMD, LMNA
L1CAM interactions56.2×0.034SCN10A, SCN1B, SCN5A, SCN3B, ANK2
Role of ABL in ROBO-SLIT signaling226.2×0.060CLASP1, ABL1
Signaling by BRAF and RAF1 fusions47.0×0.060BRAF, VCL, AKAP9, LMNA
Elastic fibre formation310.4×0.068TGFB3, ELN, LOX
Signaling by FGFR3223.6×0.068BRAF, SOS1
Apoptotic cleavage of cell adhesion proteins221.4×0.076DSG2, DSP
Signaling by FGFR4221.4×0.076BRAF, SOS1
Activated NTRK2 signals through FRS2 and FRS3219.6×0.084SOS1, PTPN11
Extracellular matrix organization63.9×0.084SGCA, SGCD, TGFB3, ACTC1, LAMA4, LOX
Platelet degranulation54.5×0.090TGFB3, TTN, VCL, ACTN2, LAMP2
Signaling by FGFR1216.8×0.093BRAF, SOS1
Diseases of carbohydrate metabolism216.8×0.093GAA, NAGLU

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 123 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
cardiac muscle contraction2271.8×7e-34TNNT2, RYR2, SCN1B, SCN5A, TCAP, TNNC1, TNNI3, TPM1 (+14 more)
regulation of heart rate by cardiac conduction1751.8×8e-23SCN1B, SCN5A, CACNA1C, CACNB2, HCN4, TRPM4, SCN3B, DSC2 (+9 more)
sarcomere organization1649.8×3e-21TNNT2, TCAP, TPM1, TTN, MYOZ2, LDB3, OBSCN, ANKRD1 (+8 more)
ventricular cardiac muscle cell action potential1080.6×2e-15RYR2, SCN5A, CAV3, SCN3B, GPD1L, ANK2, KCNE1, KCNE3 (+2 more)
ventricular cardiac muscle tissue morphogenesis1057.1×1e-13TNNT2, TNNC1, TNNI3, TPM1, MYBPC3, MYH6, MYH7, MYL2 (+2 more)
regulation of heart rate1141.9×2e-13RYR2, SCN10A, SCN5A, CASQ2, CAV3, HCN4, GPD1L, DMD (+3 more)
regulation of ventricular cardiac muscle cell action potential891.3×5e-13RYR2, CACNA1C, TRPM4, DSC2, DSG2, DSP, JUP, PKP2
muscle filament sliding868.5×1e-11TNNT2, TCAP, TNNC1, TNNI3, TPM1, TTN, MYH6, MYH7
cardiac muscle cell development945.7×2e-11SGCD, TCAP, TTN, CAV3, ACTN2, ALPK3, MYO18B, MYH6 (+1 more)
regulation of ventricular cardiac muscle cell membrane repolarization854.8×8e-11SCN1B, SCN5A, CAV3, AKAP9, ANK2, KCNE1, KCNE3, KCNQ1
regulation of the force of heart contraction756.4×2e-09CSRP3, GAA, MYH6, MYH7, MYL2, MYL3, PLN
muscle contraction1118.6×2e-09SGCA, TTN, HCN4, FKRP, CRYAB, DES, EMD, MYH6 (+3 more)
striated muscle contraction748.0×6e-09RYR2, TTN, CASQ2, MYLK2, DTNA, MYH6, MYH7
regulation of heart contraction832.2×8e-09TNNT2, TPM1, CAV3, CHRM2, DES, KCNQ1, MYH6, PLN
membrane depolarization during cardiac muscle cell action potential668.5×9e-09SCN1B, SCN5A, CACNA1C, HCN4, SCN3B, HCN2
cardiac myofibril assembly663.2×2e-08TCAP, TTN, ACTC1, CSRP3, FHOD3, MYL2
cardiac muscle cell action potential involved in contraction740.0×2e-08SCN10A, SCN1B, SCN5A, CACNA1C, SCN3B, KCNE1, PKP2
bundle of His cell-Purkinje myocyte adhesion involved in cell communication597.9×2e-08DSC2, DSG2, DSP, JUP, PKP2
muscle cell cellular homeostasis736.9×3e-08CSRP3, DMD, GAA, LAMP2, LOX, PLN, BAG3
cardiac muscle hypertrophy568.5×2e-07RYR2, TCAP, TTN, CAV3, CSRP3
cardiac muscle cell contraction568.5×2e-07SGCD, TNNC1, ABCC9, KCNE1, KCNQ1
membrane depolarization during AV node cell action potential4109.6×7e-07SCN5A, CACNA1C, CACNB2, TRPM4
cardiac muscle tissue morphogenesis557.1×7e-07TCAP, TTN, ACTC1, ANKRD1, MYLK2
regulation of cardiac muscle contraction by regulation of the release of sequestered calcium ion632.9×1e-06RYR2, CACNA1C, CASQ2, DMD, ANK2, PLN
regulation of ventricular cardiac muscle cell membrane depolarization491.3×2e-06SCN5A, CAV3, SCN3B, GPD1L
SA node cell action potential491.3×2e-06SCN5A, HCN4, SCN3B, ANK2
muscle organ development912.2×2e-06SGCA, SGCD, CAV3, CRYAB, CTF1, DMD, EMD, FKTN (+1 more)
heart development127.7×2e-06SOD2, TGFB3, TNNI3, CACNA1C, LDB3, ALPK3, PDLIM3, KCNQ1 (+4 more)
detection of muscle stretch478.3×4e-06TCAP, TTN, CAV3, CSRP3
regulation of cardiac muscle contraction536.0×8e-06RYR2, SCN10A, CAV3, HCN4, ANK2

Therapeutics

Drugs indicated for this disease

1 approved, 7 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
TafamidisApproved (phase 4)
AmiodaronePhase 3 (in late-stage trials)
AzathioprinePhase 3 (in late-stage trials)
EnalaprilPhase 3 (in late-stage trials)
EplerenonePhase 3 (in late-stage trials)
Human Immunoglobulin GPhase 3 (in late-stage trials)
NesiritidePhase 3 (in late-stage trials)
PrednisonePhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Adenosine, Atorvastatin, Carvedilol, INTERFERON BETA-1B, Lisinopril Anhydrous, Mycophenolate Mofetil, Pravastatin, Prednisolone, Spironolactone.

Drug target analysis

Approved (phase 4): 11 · Phase ≥3: 13 · Phased (≥1): 16 · Undrugged: 59

Druggability breadth: 61 of 137 evidence-associated genes (45%) 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.

SymbolExample approved molecule
SCN10AIMIPRAMINE
SCN5ABEPRIDIL
BRAFVEMURAFENIB
SOS1IDARUBICIN
TNNC1FINGOLIMOD
TTRTRICLABENDAZOLE
CACNA1CREMIFENTANIL
CACNB2NIMODIPINE
MYLK2FEDRATINIB
HCN4IVABRADINE
CHRM2CARBACHOL

Top cohort targets by molecule count

SymbolMoleculesMax phase
CHRM23754
SCN5A1084
CACNA1C854
BRAF484
TTR294
SCN10A214
CDK13203
MYLK2194
SOS154
TXNRD233

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
IMIPRAMINE4CACNA1C, CHRM2, SCN10A, SCN5A
SERTINDOLE4CACNA1C, SCN10A, SCN5A
PIMOZIDE4CACNA1C, CHRM2, SCN10A, SCN5A
NIFEDIPINE4CACNA1C, SCN10A, SCN5A
DILTIAZEM4CACNA1C, SCN10A, SCN5A
MIBEFRADIL4CACNA1C, CHRM2, SCN10A, SCN5A
HALOPERIDOL4CACNA1C, CHRM2, SCN10A, SCN5A
MEXILETINE4CACNA1C, SCN10A, SCN5A
AMITRIPTYLINE4CACNA1C, CHRM2, SCN10A, SCN5A
AMIODARONE4CACNA1C, CHRM2, SCN10A, SCN5A
CHLORPROMAZINE4CACNA1C, CHRM2, SCN10A, SCN5A
LAMOTRIGINE4SCN10A, SCN5A
BEPRIDIL4CACNA1C, SCN5A
CANDESARTAN CILEXETIL4CHRM2, SCN5A
TELMISARTAN4CHRM2, SCN5A
CARBAMAZEPINE4SCN5A
DIBUCAINE4CACNA1C, SCN5A
DROPERIDOL4CACNA1C, SCN5A
PONATINIB4BRAF, CHRM2, SCN5A
DULOXETINE4CACNA1C, SCN5A
PALONOSETRON4SCN5A
VILANTEROL4SCN5A
MEXILETINE HYDROCHLORIDE4SCN5A
UNOPROSTONE ISOPROPYL4SCN5A
LURASIDONE4CHRM2, SCN5A
LETERMOVIR4SCN5A
FEDRATINIB4BRAF, MYLK2, SCN5A
QUINIDINE4CACNA1C, SCN5A
DARUNAVIR4SCN5A
DARIFENACIN4CHRM2, SCN5A

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 7.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
BRAF1,442Binding:1400, Functional:37, ADMET:5
CHRM21,316Binding:958, Functional:339, ADMET:17, Unclassified:1, Toxicity:1
SCN5A594Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1
CACNA1C575Binding:319, Functional:211, Toxicity:26, ADMET:19
TTR423Binding:391, Functional:32
SOS1421Binding:409, Functional:12
CDK13257Binding:250, Functional:7
MYLK2196Binding:196
SCN10A144Binding:124, Functional:16, ADMET:4
TXNRD291Binding:76, Functional:15
HCN430Binding:20, ADMET:5, Functional:4, Toxicity:1
CACNB222Binding:20, ADMET:1, Toxicity:1
RYR215Binding:15
SCN1B15Binding:7, ADMET:6, Toxicity:2
UMPS14Binding:14
TRPM414Binding:13, Functional:1
CRYAB13Binding:13
CLASP110Binding:10
ALPK310Binding:10
TNNC18Binding:8
TMPO7Binding:7
ACTC16Binding:6
TPM13Binding:3
TNNT22Binding:2
SOD22Binding:2
TNNI32Binding:2
VCL2Binding:2
SLC30A51Binding:1
TAFAZZIN1Binding:1
TGFB31Binding:1
TTN1Binding:1
COX151Binding:1
TMEM431Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
SOD21.15.1.1superoxide dismutase
BRAF2.7.10.2, 2.7.11.1non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase
TTN2.7.11.1non-specific serine/threonine protein kinase
UMPS4.1.1.23orotidine-5’-phosphate decarboxylase
MYLK22.7.11.18myosin-light-chain kinase
CDK132.7.11.22, 2.7.11.23cyclin-dependent kinase, [RNA-polymerase]-subunit kinase
TXNRD21.8.1.9thioredoxin-disulfide reductase (NADPH)

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
SCN10A144
SCN5A594
BRAF1,442
SOS1421
TTR423
CACNA1C575
MYLK2196
CDK13257
CHRM21,316

Pharmacogenomics

Cohort genes with a PharmGKB record: 75; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

29 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.

CompoundMax phaseCohort target (bioactivity)
IMIPRAMINE4CACNA1C, CHRM2, SCN10A, SCN5A
SERTINDOLE4CACNA1C, SCN10A, SCN5A
PIMOZIDE4CACNA1C, CHRM2, SCN10A, SCN5A
NIFEDIPINE4CACNA1C, SCN10A, SCN5A
DILTIAZEM4CACNA1C, SCN10A, SCN5A
MIBEFRADIL4CACNA1C, CHRM2, SCN10A, SCN5A
HALOPERIDOL4CACNA1C, CHRM2, SCN10A, SCN5A
MEXILETINE4CACNA1C, SCN10A, SCN5A
AMITRIPTYLINE4CACNA1C, CHRM2, SCN10A, SCN5A
CHLORPROMAZINE4CACNA1C, CHRM2, SCN10A, SCN5A
LAMOTRIGINE4SCN10A, SCN5A
BEPRIDIL4CACNA1C, SCN5A
CANDESARTAN CILEXETIL4CHRM2, SCN5A
TELMISARTAN4CHRM2, SCN5A
CARBAMAZEPINE4SCN5A
DIBUCAINE4CACNA1C, SCN5A
DROPERIDOL4CACNA1C, SCN5A
PONATINIB4BRAF, CHRM2, SCN5A
DULOXETINE4CACNA1C, SCN5A
PALONOSETRON4SCN5A
VILANTEROL4SCN5A
MEXILETINE HYDROCHLORIDE4SCN5A
UNOPROSTONE ISOPROPYL4SCN5A
LURASIDONE4CHRM2, SCN5A
LETERMOVIR4SCN5A
FEDRATINIB4BRAF, MYLK2, SCN5A
QUINIDINE4CACNA1C, SCN5A
DARUNAVIR4SCN5A
DARIFENACIN4CHRM2, SCN5A

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)11SCN10A, SCN5A, BRAF, SOS1, TNNC1, TTR, CACNA1C, CACNB2, MYLK2, HCN4 (+1 more)
BPhased (≥1) drug, not yet approved5RYR2, SCN1B, UMPS, CDK13, TXNRD2
CDruggable family + PDB, no drug5SOD2, TTN, OBSCN, TRPM4, SCN3B
DDruggable family + AlphaFold only, no drug7SLC2A6, TRIB3, ALPK3, CORIN, COX15, MYPN, NEXN
EDifficult family or no structure, no drug47TNNT2, FHL2, SLC30A5, PTCD1, RPL3L, SGCA, SGCD, DST, SLC4A3, TAF10 (+37 more)

Undrugged target profiles

59 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
JPH20RYR2
CASQ20RYR2, CACNA1C
SCN3B0SCN5A
GPD1L0SCN5A, SCN1B, CACNB2
TNNT22
FHL20
SLC2A60
SOD22
TRIB30
SLC30A51
PTCD10
RPL3L0
SGCA0
SGCD0
DST0
SLC4A30
TAF100
TAFAZZIN1
TCAP0
TGFB31
TMPO7
TNNI32
TPM13
TTN1
UQCRFS10
VCL2
MYOZ20
DCHS10
ACTC16
CAV30

Clinical trials & evidence

Clinical trials

Clinical trials: 324.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified251
PHASE419
PHASE318
PHASE214
PHASE111
PHASE1/PHASE28
PHASE2/PHASE32
EARLY_PHASE11

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05034432PHASE4RECRUITINGThe PIVATAL Study -Study of Ventricular Arrhythmia (VTA) Ablation in Left Ventricular Assist Device (LVAD) Patients
NCT05718128PHASE4RECRUITINGClinical Study of Endocardial Myocardial Biopsy
NCT06964464PHASE4RECRUITINGComparative Effectiveness of Carvedilol Versus Metoprolol Succinate in Heart Failure Patients With an Implantable Cardioverter Defibrillator
NCT00348530PHASE4UNKNOWNCarvedilol Versus Verapamil in Chronic Heart Failure Secondary to Non-Ischemic Cardiomyopathy
NCT00371891PHASE4COMPLETEDOntario Multidetector Computed Tomographic (MDCT) Coronary Angiography Study (OMCAS)
NCT00401856PHASE4COMPLETEDCMR to Assess Fibrosis in Cardiomyopathy Using Eplerenone
NCT00559338PHASE4COMPLETEDImpact of Nesiritide Infusion for Decompensated Heart Failure in the Emergency Department
NCT00606775PHASE4UNKNOWNThe Preventive Efficacy of Carvedilol on Cardiac Dysfunction in Duchenne Muscular Dystrophy
NCT00658203PHASE4COMPLETEDClinical Evaluation on Advanced Resynchronization
NCT00701220PHASE4COMPLETEDStatin Therapy for Ischemic and Nonischemic Cardiomyopathy
NCT00800761PHASE4COMPLETEDIntensive Combined Chelation Therapy for Iron-Induced Cardiac Disease in Patients With Thalassemia Major
NCT00806390PHASE4TERMINATEDPrevention of Anthracycline or Trastuzumab Induced Cardiomyopathy by Metoprolol
NCT01006473PHASE4COMPLETEDExercise Training in Chagas Cardiomyopathy
NCT01261065PHASE4COMPLETEDMechanisms of Improvement With Beta-Blocker Treatment in Heart Failure
NCT01345188PHASE4COMPLETEDRanolazine in Ischemic Cardiomyopathy
NCT01868841PHASE4COMPLETED123-I mIBG (AdreView) Heart-to-Mediastinal (H/M) Ratio and SPECT Imaging on a Small Field of View-High Efficiency Cardiac SPECT System
NCT02640846PHASE4UNKNOWNEffects of Levosimendan, Milrinone and Norepinephrine on Left and Right Ventricular Function in Septic Shock
NCT03228823PHASE4UNKNOWNProspective Assessment of Premature Ventricular Contractions Suppression in Cardiomyopathy(PAPS)
NCT04323852PHASE4COMPLETEDCan Vitamin D Reduce Heart Muscle Damage After Bypass Surgery?
NCT06158698PHASE3RECRUITINGCMP-MYTHiC Trial and Registry - CardioMyoPathy With MYocarditis THerapy With Colchicine
NCT06563895PHASE3RECRUITINGAcoramidis Transthyretin Amyloidosis Prevention Trial in the Young (ACT-EARLY) Study in Asymptomatic Carriers of a Pathogenic TTR Variant
NCT06846086PHASE3RECRUITINGCardioprotective Effects of Melatonin in Patients With Cardiomyopathy
NCT07116473PHASE3NOT_YET_RECRUITINGTo Evaluate the Long-term Safety and Tolerability of Acoramidis in Participants With Newly Diagnosed ATTR-CM (ACT-EARLY OLE)
NCT00170183PHASE3COMPLETEDBrain Natriuretic Peptide (BNP) to Preserve Renal Function in Hospitalized Patients With Heart Failure
NCT00270387PHASE3COMPLETEDA Study of Short-Term Outcomes and Economic Impact For Patients With Worsening Congestive Heart Failure When Natrecor (Nesiritide) is Added to Standard-Care Therapy, Compared to Administration of Placebo With Standard-Care Therapy
NCT00321295PHASE3COMPLETEDBiventricular Pacing In Patients With Left Ventricular Dysfunction After Cardiovascular Surgery
NCT00483197PHASE3UNKNOWNVentrAssistTM LVAD as a Bridge to Cardiac Transplantation - Pivotal Trial
NCT00490321PHASE3UNKNOWNVentrAssistTM LVAD for the Treatment of Advanced Heart Failure - Destination Therapy
NCT00626028PHASE3COMPLETEDComparison of Inhaled Nitric Oxide and Oxygen in Participants Reactivity During Acute Pulmonary Vasodilator Testing
NCT00691470PHASE2/PHASE3UNKNOWNComparison of ATI-5923, a Novel Vitamin K Antagonist, With Warfarin in Patients Requiring Chronic Anticoagulation
NCT01013714PHASE3UNKNOWNCardiac Sympathetic Denervation for Prevention of Ventricular Tachyarrhythmias
NCT01217827PHASE3COMPLETEDImplantable Cardioverter-Defibrillator Use in the VA System
NCT01648634PHASE3COMPLETEDNebivolol for the Prevention of Left Ventricular Systolic Dysfunction in Patients With Duchenne Muscular Dystrophy
NCT02247427PHASE2/PHASE3COMPLETEDClinical Outcomes Related to Cardiac Resynchronization Therapy Deactivation of Super Responders
NCT02924285PHASE3COMPLETEDCatheter Ablation Versus Amiodarone for Therapy of Premature Ventricular Contractions in Patients With Structural Heart Disease
NCT03860935PHASE3COMPLETEDEfficacy and Safety of AG10 in Subjects With Transthyretin Amyloid Cardiomyopathy
NCT04166331PHASE3COMPLETEDAdjunctive DobutAmine in sePtic Cardiomyopathy With Tissue Hypoperfusion
NCT05175066PHASE3COMPLETEDBisoprolol Administration to Prevent Anthracycline-induced Cardiotoxicity
NCT05237323PHASE3COMPLETEDMicophenolate Mofetil Versus Azathioprine in Myocarditis
NCT05371496PHASE2ENROLLING_BY_INVITATIONCardiac and Metabolic Effects of Semaglutide in Heart Failure With Preserved Ejection Fraction

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
ACORAMIDIS43
AMIODARONE43
BISOPROLOL43
CARVEDILOL43
METOPROLOL43
NESIRITIDE43
ATORVASTATIN42
LISINOPRIL ANHYDROUS42
RANOLAZINE42
URSODIOL42
ZINC ACETATE ANHYDROUS42
ADENOSINE41
BIVALIRUDIN41
CAPTOPRIL41
DEFERIPRONE41
DEFEROXAMINE41
DOBUTAMINE41
EPLERENONE41
ERGOCALCIFEROL41
ETOMIDATE41
FLECAINIDE41
FLECAINIDE ACETATE41
GADOBUTROL41
IOBENGUANE SULFATE I 12341
KETAMINE HYDROCHLORIDE41
MAVACAMTEN41
MILRINONE41
NEBIVOLOL41
NITRIC OXIDE41
NOREPINEPHRINE41