Cardiomyopathy
diseaseOn 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
| Field | Value |
|---|---|
| Canonical name | cardiomyopathy |
| Mondo ID | MONDO:0004994 |
| EFO | EFO:0000318 |
| MeSH | D009202 |
| Orphanet | 167848 |
| DOID | DOID:0050700 |
| ICD-10-CM | I42 |
| ICD-11 | 282225286 |
| NCIT | C34830 |
| SNOMED CT | 85898001 |
| UMLS | C0878544 |
| MedGen | 209232 |
| MedDRA | 10007636 |
| 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 disorder › muscle tissue disorder › cardiomyopathy
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
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs72842207 | 3e-28 | BAG3 | C | 0.14 |
| rs3176326 | 3e-28 | CDKN1A | G | 0.13 |
| rs2234962 | 3e-26 | BAG3 | T | 0.14 |
| rs9442216 | 3e-23 | CLCNKA | T | 0.1 |
| rs6660685 | 5e-23 | CLCNKA, HSPB7 | A | 0.1 |
| chr1:16331108 | 5e-20 | T | 0.1 | |
| rs12627426 | 6e-17 | MAP3K7CL | T | 0.1 |
| rs566588031 | 1e-16 | DUSP29 | G | 3.99 |
| rs562807542 | 4e-16 | C10orf55 - VCL | G | 3.17 |
| rs73467637 | 4e-16 | DDB2 | A | 0.31 |
| chr3:14298407 | 5e-16 | A | 0.09 | |
| rs7650482 | 2e-15 | CAND2 | A | 0.08 |
| rs3211916 | 5e-15 | CD36 | T | 0.21 |
| chr3:14298510 | 7e-15 | G | 0.09 | |
| chr21:30534685 | 2e-14 | G | 0.1 | |
| rs56281979 | 6e-14 | LSM3 - LINC01267 | C | 0.09 |
| rs35006907 | 2e-13 | LINC00964 | C | 0.08 |
| rs572766605 | 6e-13 | GNA15 | C | 4.27 |
| rs55904223 | 1e-12 | LSM3 - LINC01267 | T | 0.09 |
| rs541834542 | 2e-12 | GALNT18 | T | 4.41 |
| rs5760054 | 3e-12 | SMARCB1 | C | 0.08 |
| rs145527225 | 4e-12 | LINC01755 | G | 4.16 |
| rs139603931 | 5e-12 | LRRC1 | A | 3.76 |
| rs554190089 | 5e-12 | MCM9 | T | 2.38 |
| rs201020322 | 6e-12 | MITA1 - RPL3P9 | C | 4.03 |
| chr1:52013915 | 2e-11 | T | 0.23 | |
| rs3807309 | 2e-11 | FLNC | G | 0.09 |
| rs550829245 | 2e-11 | OPCML | C | 2.89 |
| rs188962628 | 3e-11 | GRID2 - RNA5SP164 | G | 3.02 |
| rs75224781 | 4e-11 | IGSF9B | C | 2.4 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90475949 | Verma A | 2024 | 20,680 | 418,334 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90475951 | Verma A | 2024 | 19,708 | 419,904 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90475948 | Verma A | 2024 | 7,053 | 111,507 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480151 | Verma A | 2024 | 7,053 | 111,507 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90475950 | Verma A | 2024 | 6,758 | 112,127 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480149 | Verma A | 2024 | 6,758 | 112,127 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90473562 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 3,578 | 454,862 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90297606 | Auwerx C | 2024 | 1,978 | 179,146 | Rare copy-number variants as modulators of common disease susceptibility. |
| GCST90297660 | Auwerx C | 2024 | 1,978 | 179,146 | Rare copy-number variants as modulators of common disease susceptibility. |
| GCST90297709 | Auwerx C | 2024 | 1,978 | 179,146 | Rare copy-number variants as modulators of common disease susceptibility. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 2 |
| Tier 4: intronic/intergenic | 34 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 19 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 13 |
| unknown | 4 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 20 |
| unknown | 8 |
| intergenic_variant | 6 |
| regulatory_region_variant | 2 |
| missense_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs72842207 | 10 | 119674163 | C>T | 0.21 | intron_variant | BAG3 | 3e-28 | Tier 4: intronic/intergenic |
| rs3176326 | 6 | 36679512 | G>A | 0.197 | intron_variant | CDKN1A | 3e-28 | Tier 4: intronic/intergenic |
| rs2234962 | 10 | 119670121 | T>C,G | 0.211 | missense_variant | BAG3 | 3e-26 | Tier 1: coding |
| rs9442216 | 1 | 16026905 | T>C,G | 0.315 | intron_variant | CLCNKA | 3e-23 | Tier 4: intronic/intergenic |
| rs6660685 | 1 | 16020493 | A>G,T | 0.321 | intergenic_variant | CLCNKA, HSPB7 | 5e-23 | Tier 4: intronic/intergenic |
| chr1:16331108 | 0.348 | 5e-20 | Tier 4: intronic/intergenic | |||||
| rs12627426 | 21 | 29147136 | T>A,C,G | 0.199 | intron_variant | MAP3K7CL | 6e-17 | Tier 4: intronic/intergenic |
| rs566588031 | 10 | 75040354 | G>A | 0.001 | intron_variant | DUSP29 | 1e-16 | Tier 4: intronic/intergenic |
| rs562807542 | 10 | 73940559 | G>A,C | 0 | regulatory_region_variant | C10orf55 - VCL | 4e-16 | Tier 3: regulatory |
| rs73467637 | 11 | 47226713 | A>G | 0.009 | intron_variant | DDB2 | 4e-16 | Tier 4: intronic/intergenic |
| chr3:14298407 | 0.218 | 5e-16 | Tier 4: intronic/intergenic | |||||
| rs7650482 | 3 | 12800305 | A>G | 0.361 | intron_variant | CAND2 | 2e-15 | Tier 4: intronic/intergenic |
| rs3211916 | 7 | 80665494 | T>C | 0.115 | intron_variant | CD36 | 5e-15 | Tier 4: intronic/intergenic |
| chr3:14298510 | 0.218 | 7e-15 | Tier 4: intronic/intergenic | |||||
| chr21:30534685 | 0.15 | 2e-14 | Tier 4: intronic/intergenic | |||||
| rs56281979 | 3 | 14232793 | C>A,T | 0.187 | regulatory_region_variant | LSM3 - LINC01267 | 6e-14 | Tier 3: regulatory |
| rs35006907 | 8 | 124847575 | C>A | 0.272 | intron_variant | LINC00964 | 2e-13 | Tier 4: intronic/intergenic |
| rs572766605 | 19 | 3159009 | C>A | 0.001 | intron_variant | GNA15 | 6e-13 | Tier 4: intronic/intergenic |
| rs55904223 | 3 | 14258304 | T>A,C,G | 0.169 | intron_variant | LSM3 - LINC01267 | 1e-12 | Tier 4: intronic/intergenic |
| rs541834542 | 11 | 11368539 | T>C | 0 | intron_variant | GALNT18 | 2e-12 | Tier 4: intronic/intergenic |
| rs5760054 | 22 | 23819530 | C>T | 0.285 | intron_variant | SMARCB1 | 3e-12 | Tier 4: intronic/intergenic |
| rs145527225 | 1 | 55951346 | G>A | 0.001 | intergenic_variant | LINC01755 | 4e-12 | Tier 4: intronic/intergenic |
| rs139603931 | 6 | 53828227 | A>G | 0.001 | intron_variant | LRRC1 | 5e-12 | Tier 4: intronic/intergenic |
| rs554190089 | 6 | 118840174 | T>A,C | 0.001 | intron_variant | MCM9 | 5e-12 | Tier 4: intronic/intergenic |
| rs201020322 | 8 | 78996979 | C>T | 0 | intergenic_variant | MITA1 - RPL3P9 | 6e-12 | Tier 4: intronic/intergenic |
| chr1:52013915 | 0.019 | 2e-11 | Tier 4: intronic/intergenic | |||||
| rs3807309 | 7 | 128832084 | G>A | 0.144 | intron_variant | FLNC | 2e-11 | Tier 4: intronic/intergenic |
| rs550829245 | 11 | 132831430 | C>T | 0 | intron_variant | OPCML | 2e-11 | Tier 4: intronic/intergenic |
| rs188962628 | 4 | 93819592 | G>A | 0.001 | intergenic_variant | GRID2 - RNA5SP164 | 3e-11 | Tier 4: intronic/intergenic |
| rs75224781 | 11 | 133952491 | C>G | 0.001 | intron_variant | IGSF9B | 4e-11 | Tier 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
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1071032 | NM_004006.3(DMD):c.568C>T (p.Gln190Ter) | DMD | Pathogenic | criteria provided, single submitter |
| 1071901 | NM_004006.3(DMD):c.8416C>T (p.Gln2806Ter) | DMD | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1073643 | NM_004006.3(DMD):c.10224dup (p.Pro3409fs) | DMD | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 11239 | NM_004006.3(DMD):c.178C>T (p.Gln60Ter) | DMD | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1072470 | NM_004415.4(DSP):c.4687_4688del (p.Leu1563fs) | DSP | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 10730 | NM_000169.3(GLA):c.644A>G (p.Asn215Ser) | GLA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 10768 | NM_000169.3(GLA):c.640-801G>A | GLA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1047883 | GRCh37/hg19 Xp11.4-11.3(chrX:39645568-44199000) | GPR82 | Pathogenic | criteria provided, single submitter |
| 1071112 | NM_000257.4(MYH7):c.732+1G>T | MYH7 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1067228 | NM_001267550.2(TTN):c.95872C>T (p.Arg31958Ter) | TTN-AS1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1068025 | NM_001267550.2(TTN):c.73347del (p.Phe24449fs) | TTN | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1003362 | NM_004006.3(DMD):c.10951G>A (p.Asp3651Asn) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1003542 | NM_004006.3(DMD):c.5684A>T (p.Asp1895Val) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1003878 | NM_004006.3(DMD):c.961-4del | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1009457 | NM_004006.3(DMD):c.2776C>A (p.Gln926Lys) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1015517 | NM_004006.3(DMD):c.7064A>G (p.Asn2355Ser) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1017962 | NM_004006.3(DMD):c.1388G>T (p.Trp463Leu) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1018171 | NM_004006.3(DMD):c.3677C>G (p.Ala1226Gly) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1023293 | NM_004006.3(DMD):c.3326A>G (p.Asn1109Ser) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1024683 | NM_004006.3(DMD):c.3175A>G (p.Thr1059Ala) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1024941 | NM_004006.3(DMD):c.4294C>G (p.Gln1432Glu) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1027173 | NM_004006.3(DMD):c.2346A>T (p.Arg782Ser) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1034457 | NM_004006.3(DMD):c.969A>T (p.Glu323Asp) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1053809 | NM_004006.3(DMD):c.5682T>G (p.Asp1894Glu) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1066984 | NM_004006.3(DMD):c.10262+1G>T | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1108248 | NM_004006.3(DMD):c.2432G>A (p.Arg811Gln) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1124266 | NM_004006.3(DMD):c.2472C>G (p.Asn824Lys) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1134344 | NM_004006.3(DMD):c.3777G>A (p.Lys1259=) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1139740 | NM_004006.3(DMD):c.3696A>G (p.Ala1232=) | DMD | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1117381 | NM_024422.6(DSC2):c.776-13dup | DSC2 | Conflicting classifications of pathogenicity | criteria 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.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| TNNT2 | Definitive | Autosomal dominant | hypertrophic cardiomyopathy 2 | 12 |
| FHL2 | Moderate | Autosomal dominant | cardiomyopathy | 2 |
| SLC30A5 | Moderate | Autosomal recessive | cardiomyopathy | 2 |
| PTCD1 | Limited | Autosomal recessive | cardiomyopathy | |
| SLC2A6 | Limited | Autosomal dominant | cardiomyopathy | |
| SOD2 | Limited | Autosomal recessive | cardiomyopathy | 3 |
| TRIB3 | Limited | Autosomal dominant | cardiomyopathy |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| TNNT2 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| TNNT2 | Orphanet:54260 | Left ventricular noncompaction |
| TNNT2 | Orphanet:75249 | Familial isolated restrictive cardiomyopathy |
| FHL2 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| RPL3L | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| RYR2 | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| RYR2 | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| RYR2 | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| RYR2 | Orphanet:3286 | Catecholaminergic polymorphic ventricular tachycardia |
| 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 |
| SCN1B | Orphanet:130 | Brugada syndrome |
| SCN1B | Orphanet:1934 | Early infantile developmental and epileptic encephalopathy |
| SCN1B | Orphanet:33069 | Dravet syndrome |
| SCN1B | Orphanet:334 | Hereditary atrial fibrillation |
| SCN1B | Orphanet:36387 | Genetic epilepsy with febrile seizure plus |
| SCN1B | Orphanet:871 | Hereditary progressive cardiac conduction defect |
| 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 |
| SGCA | Orphanet:62 | Alpha-sarcoglycan-related limb-girdle muscular dystrophy R3 |
| SGCD | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| SGCD | Orphanet:219 | Delta-sarcoglycan-related limb-girdle muscular dystrophy R6 |
| DST | Orphanet:314381 | Hereditary sensory and autonomic neuropathy type 6 |
| DST | Orphanet:412181 | Epidermolysis bullosa simplex due to BP230 deficiency |
| BRAF | Orphanet:1340 | Cardiofaciocutaneous syndrome |
| BRAF | Orphanet:146 | Differentiated thyroid carcinoma |
| BRAF | Orphanet:251615 | Pilomyxoid astrocytoma |
| BRAF | Orphanet:389 | Langerhans cell histiocytosis |
| BRAF | Orphanet:500 | Noonan syndrome with multiple lentigines |
| BRAF | Orphanet:54595 | Craniopharyngioma |
| BRAF | Orphanet:58017 | Classic hairy cell leukemia |
| BRAF | Orphanet:626 | Large/giant congenital melanocytic nevus |
| BRAF | Orphanet:648 | Noonan syndrome |
| BRAF | Orphanet:840 | Syringocystadenoma papilliferum |
| BRAF | Orphanet:96253 | Cushing disease |
| SLC4A3 | Orphanet:51083 | Congenital short QT syndrome |
| SOS1 | Orphanet:2024 | Hereditary gingival fibromatosis |
| SOS1 | Orphanet:648 | Noonan syndrome |
| TAFAZZIN | Orphanet:111 | Barth syndrome |
| TAFAZZIN | Orphanet:154 | Familial isolated dilated cardiomyopathy |
Cohort genes → proteins
75 cohort genes, 75 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 75 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| TNNT2 | HGNC:11949 | ENSG00000118194 | P45379 | Troponin T, cardiac muscle | gencc,clinvar |
| FHL2 | HGNC:3703 | ENSG00000115641 | Q14192 | Four and a half LIM domains protein 2 | gencc,clinvar |
| SLC2A6 | HGNC:11011 | ENSG00000160326 | Q9UGQ3 | Solute carrier family 2, facilitated glucose transporter member 6 | gencc |
| SOD2 | HGNC:11180 | ENSG00000291237 | P04179 | Superoxide dismutase [Mn], mitochondrial | gencc |
| TRIB3 | HGNC:16228 | ENSG00000101255 | Q96RU7 | Tribbles homolog 3 | gencc |
| SLC30A5 | HGNC:19089 | ENSG00000145740 | Q8TAD4 | Proton-coupled zinc antiporter SLC30A5 | gencc |
| PTCD1 | HGNC:22198 | ENSG00000106246 | O75127 | Pentatricopeptide repeat-containing protein 1, mitochondrial | gencc |
| RPL3L | HGNC:10351 | ENSG00000140986 | Q92901 | Ribosomal protein uL3-like | clinvar |
| RYR2 | HGNC:10484 | ENSG00000198626 | Q92736 | Ryanodine receptor 2 | clinvar |
| SCN10A | HGNC:10582 | ENSG00000185313 | Q9Y5Y9 | Sodium channel protein type 10 subunit alpha | clinvar |
| SCN1B | HGNC:10586 | ENSG00000105711 | Q07699 | Sodium channel regulatory subunit beta-1 | clinvar |
| SCN5A | HGNC:10593 | ENSG00000183873 | Q14524 | Sodium channel protein type 5 subunit alpha | clinvar |
| SGCA | HGNC:10805 | ENSG00000108823 | Q16586 | Alpha-sarcoglycan | clinvar |
| SGCD | HGNC:10807 | ENSG00000170624 | Q92629 | Delta-sarcoglycan | clinvar |
| DST | HGNC:1090 | ENSG00000151914 | Q03001 | Dystonin | clinvar |
| BRAF | HGNC:1097 | ENSG00000157764 | P15056 | Serine/threonine-protein kinase B-raf | clinvar |
| SLC4A3 | HGNC:11029 | ENSG00000114923 | P48751 | Anion exchange protein 3 | clinvar |
| SOS1 | HGNC:11187 | ENSG00000115904 | Q07889 | Son of sevenless homolog 1 | clinvar |
| TAF10 | HGNC:11543 | ENSG00000166337 | Q12962 | Transcription initiation factor TFIID subunit 10 | clinvar |
| TAFAZZIN | HGNC:11577 | ENSG00000102125 | Q16635 | Tafazzin | clinvar |
| TCAP | HGNC:11610 | ENSG00000173991 | O15273 | Telethonin | clinvar |
| TGFB3 | HGNC:11769 | ENSG00000119699 | P10600 | Transforming growth factor beta-3 proprotein | clinvar |
| TMPO | HGNC:11875 | ENSG00000120802 | P42166 | Lamina-associated polypeptide 2, isoform alpha | clinvar |
| TNNC1 | HGNC:11943 | ENSG00000114854 | P63316 | Troponin C, slow skeletal and cardiac muscles | clinvar |
| TNNI3 | HGNC:11947 | ENSG00000129991 | P19429 | Troponin I, cardiac muscle | clinvar |
| TPM1 | HGNC:12010 | ENSG00000140416 | P09493 | Tropomyosin alpha-1 chain | clinvar |
| TTN | HGNC:12403 | ENSG00000155657 | Q8WZ42 | Titin | clinvar |
| TTR | HGNC:12405 | ENSG00000118271 | P02766 | Transthyretin | clinvar |
| UMPS | HGNC:12563 | ENSG00000114491 | P11172 | Uridine 5’-monophosphate synthase | clinvar |
| UQCRFS1 | HGNC:12587 | ENSG00000169021 | P47985 | Cytochrome b-c1 complex subunit Rieske, mitochondrial | clinvar |
| VCL | HGNC:12665 | ENSG00000035403 | P18206 | Vinculin | clinvar |
| MYOZ2 | HGNC:1330 | ENSG00000172399 | Q9NPC6 | Myozenin-2 | clinvar |
| DCHS1 | HGNC:13681 | ENSG00000166341 | Q96JQ0 | Protocadherin-16 | clinvar |
| CACNA1C | HGNC:1390 | ENSG00000151067 | Q13936 | Voltage-dependent L-type calcium channel subunit alpha-1C | clinvar |
| CACNB2 | HGNC:1402 | ENSG00000165995 | Q08289 | Voltage-dependent L-type calcium channel subunit beta-2 | clinvar |
| JPH2 | HGNC:14202 | ENSG00000149596 | Q9BR39 | Junctophilin-2 | clinvar |
| ACTC1 | HGNC:143 | ENSG00000159251 | P68032 | Actin, alpha cardiac muscle 1 | clinvar |
| CASQ2 | HGNC:1513 | ENSG00000118729 | O14958 | Calsequestrin-2 | clinvar |
| CAV3 | HGNC:1529 | ENSG00000182533 | P56539 | Caveolin-3 | clinvar |
| LDB3 | HGNC:15710 | ENSG00000122367 | O75112 | LIM domain-binding protein 3 | clinvar |
| OBSCN | HGNC:15719 | ENSG00000154358 | Q5VST9 | Obscurin | clinvar |
| ANKRD1 | HGNC:15819 | ENSG00000148677 | Q15327 | Ankyrin repeat domain-containing protein 1 | clinvar |
| MYLK2 | HGNC:16243 | ENSG00000101306 | Q9H1R3 | Myosin light chain kinase 2, skeletal/cardiac muscle | clinvar |
| ACTN2 | HGNC:164 | ENSG00000077522 | P35609 | Alpha-actinin-2 | clinvar |
| HCN4 | HGNC:16882 | ENSG00000138622 | Q9Y3Q4 | Potassium/sodium hyperpolarization-activated cyclic nucleotide-gated channel 4 | clinvar |
| NEBL | HGNC:16932 | ENSG00000078114 | O76041 | Nebulette | clinvar |
| CLASP1 | HGNC:17088 | ENSG00000074054 | Q7Z460 | CLIP-associating protein 1 | clinvar |
| SYNE1 | HGNC:17089 | ENSG00000131018 | Q8NF91 | Nesprin-1 | clinvar |
| CDK13 | HGNC:1733 | ENSG00000065883 | Q14004 | Cyclin-dependent kinase 13 | clinvar |
| ALPK3 | HGNC:17574 | ENSG00000136383 | Q96L96 | Alpha-protein kinase 3 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| TNNT2 | Troponin T, cardiac muscle | Troponin T is the tropomyosin-binding subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity. |
| FHL2 | Four and a half LIM domains protein 2 | May function as a molecular transmitter linking various signaling pathways to transcriptional regulation. |
| SLC2A6 | Solute carrier family 2, facilitated glucose transporter member 6 | Probable sugar transporter that acts as a regulator of glycolysis in macrophages. |
| SOD2 | Superoxide dismutase [Mn], mitochondrial | Destroys superoxide anion radicals which are normally produced within the cells and which are toxic to biological systems. |
| TRIB3 | Tribbles homolog 3 | Inactive protein kinase which acts as a regulator of the integrated stress response (ISR), a process for adaptation to various stress. |
| SLC30A5 | Proton-coupled zinc antiporter SLC30A5 | Together with SLC30A6 forms a functional proton-coupled zinc ion antiporter mediating zinc entry into the lumen of organelles along the secretory pathway. |
| PTCD1 | Pentatricopeptide repeat-containing protein 1, mitochondrial | Mitochondrial protein implicated in negative regulation of leucine tRNA levels, as well as negative regulation of mitochondria-encoded proteins and COX activity. |
| RPL3L | Ribosomal protein uL3-like | Heart- and skeletal muscle-specific component of the ribosome, which regulates muscle function. |
| 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. |
| SCN10A | Sodium channel protein type 10 subunit alpha | Tetrodotoxin-resistant channel that mediates the voltage-dependent sodium ion permeability of excitable membranes. |
| SCN1B | Sodium channel regulatory subunit beta-1 | Regulatory subunit of multiple voltage-gated sodium (Nav) channels directly mediating the depolarization 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. |
| SGCA | Alpha-sarcoglycan | Component of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix. |
| SGCD | Delta-sarcoglycan | Component of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix. |
| DST | Dystonin | Cytoskeletal linker protein. |
| BRAF | Serine/threonine-protein kinase B-raf | Protein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus. |
| SLC4A3 | Anion exchange protein 3 | Sodium-independent anion exchanger which mediates the electroneutral exchange of chloride for bicarbonate ions across the cell membrane. |
| SOS1 | Son of sevenless homolog 1 | Promotes the exchange of Ras-bound GDP by GTP. |
| TAF10 | Transcription initiation factor TFIID subunit 10 | The TFIID basal transcription factor complex plays a major role in the initiation of RNA polymerase II (Pol II)-dependent transcription. |
| TAFAZZIN | Tafazzin | Acyltransferase 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… |
| 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. |
| TMPO | Lamina-associated polypeptide 2, isoform alpha | May be involved in the structural organization of the nucleus and in the post-mitotic nuclear assembly. |
| TNNC1 | Troponin C, slow skeletal and cardiac muscles | Troponin is the central regulatory protein of striated muscle contraction. |
| TNNI3 | Troponin I, cardiac muscle | Troponin I is the inhibitory subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity. |
| TPM1 | Tropomyosin alpha-1 chain | Binds to actin filaments in muscle and non-muscle cells. |
| TTN | Titin | Key component in the assembly and functioning of vertebrate striated muscles. |
| TTR | Transthyretin | Thyroid hormone-binding protein. |
| UMPS | Uridine 5’-monophosphate synthase | Bifunctional 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),… |
| UQCRFS1 | Cytochrome b-c1 complex subunit Rieske, mitochondrial | Component of the ubiquinol-cytochrome c oxidoreductase, a multisubunit transmembrane complex that is part of the mitochondrial electron transport chain which drives oxidative phosphorylation. |
| VCL | Vinculin | Actin filament (F-actin)-binding protein involved in cell-matrix adhesion and cell-cell adhesion. |
| MYOZ2 | Myozenin-2 | Myozenins 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. |
| DCHS1 | Protocadherin-16 | Calcium-dependent cell-adhesion protein. |
| 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. |
| 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. |
| JPH2 | Junctophilin-2 | Membrane-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. |
| ACTC1 | Actin, alpha cardiac muscle 1 | Actins are highly conserved proteins that are involved in various types of cell motility and are ubiquitously expressed in all eukaryotic cells. |
| CASQ2 | Calsequestrin-2 | Calsequestrin is a high-capacity, moderate affinity, calcium-binding protein and thus acts as an internal calcium store in muscle. |
| CAV3 | Caveolin-3 | May act as a scaffolding protein within caveolar membranes. |
| LDB3 | LIM domain-binding protein 3 | May function as an adapter in striated muscle to couple protein kinase C-mediated signaling via its LIM domains to the cytoskeleton. |
| OBSCN | Obscurin | Structural component of striated muscles which plays a role in myofibrillogenesis. |
| ANKRD1 | Ankyrin repeat domain-containing protein 1 | May play an important role in endothelial cell activation. |
| MYLK2 | Myosin light chain kinase 2, skeletal/cardiac muscle | Implicated in the level of global muscle contraction and cardiac function. |
| ACTN2 | Alpha-actinin-2 | F-actin cross-linking protein which is thought to anchor actin to a variety of intracellular structures. |
| 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. |
| NEBL | Nebulette | Binds to actin and plays an important role in the assembly of the Z-disk. |
| CLASP1 | CLIP-associating protein 1 | Microtubule plus-end tracking protein that promotes the stabilization of dynamic microtubules. |
| SYNE1 | Nesprin-1 | Multi-isomeric modular protein which forms a linking network between organelles and the actin cytoskeleton to maintain the subcellular spatial organization. |
| CDK13 | Cyclin-dependent kinase 13 | Cyclin-dependent kinase which displays CTD kinase activity and is required for RNA splicing. |
| ALPK3 | Alpha-protein kinase 3 | Involved 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.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Ion channel | 6 | 8.9× | 6e-04 |
| Kinase | 7 | 2.6× | 0.092 |
| Antibody/Immunoglobulin | 4 | 1.6× | 0.852 |
| Scaffold/PPI | 5 | 1.1× | 0.960 |
| Transporter | 1 | 1.0× | 0.960 |
| Protease | 2 | 1.0× | 0.960 |
| Other/Unknown | 39 | 0.9× | 0.960 |
| Transcription factor | 7 | 0.8× | 0.960 |
| Enzyme (other) | 3 | 0.5× | 0.960 |
| GPCR | 1 | 0.3× | 0.960 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| TNNT2 | Other/Unknown | no | Troponin, TNNT, Troponin_sf | |
| FHL2 | Transcription factor | no | Znf_LIM, LIM_FHL1/2/3/5_N | |
| SLC2A6 | Transporter | yes | Sugar/inositol_transpt, MFS_sugar_transport-like, Sugar_transporter_CS | |
| SOD2 | Enzyme (other) | yes | 1.15.1.1 | Mn/Fe_SOD, Mn/Fe_SOD_N, Mn/Fe_SOD_C |
| TRIB3 | Kinase | yes | Prot_kinase_dom, Kinase-like_dom_sf, Tribbles/Ser_Thr_kinase_40 | |
| SLC30A5 | Other/Unknown | no | Cation_efflux, Cation_efflux_TMD_sf, Msc2-like | |
| PTCD1 | Other/Unknown | no | PPR_rpt, TPR-like_helical_dom_sf, PROP1-like_PPR_dom | |
| RPL3L | Other/Unknown | no | Ribosomal_uL3, Transl_B-barrel_sf, Ribosomal_uL3_CS | |
| RYR2 | Ion channel | yes | RIH_dom, B30.2/SPRY, EF_hand_dom | |
| SCN10A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_trans_assoc_dom | |
| SCN1B | Antibody/Immunoglobulin | yes | Ig_V-set, Ig-like_fold, Na_channel_b1/b3 | |
| SCN5A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_channel_a5su | |
| SGCA | Other/Unknown | no | Cadg, Sarcoglycan_alpha/epsilon, Cadherin-like_sf | |
| SGCD | Other/Unknown | no | Sarcoglycan, Sarcoglycan_gamma/delta/zeta | |
| DST | Scaffold/PPI | no | Plectin_repeat, SH3_domain, Actinin_actin-bd_CS | |
| BRAF | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE |
| SLC4A3 | Other/Unknown | no | Anion_exchange, Anion_exchange_3, HCO3_transpt_euk | |
| SOS1 | Scaffold/PPI | no | DH_dom, Ras-like_Gua-exchang_fac_N, PH_domain | |
| TAF10 | Other/Unknown | no | TAF10 | |
| TAFAZZIN | Other/Unknown | no | Tafazzin, Plipid/glycerol_acylTrfase | |
| TCAP | Other/Unknown | no | Telethonin, Titin-like_dom_sf | |
| TGFB3 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, TGF-beta-like | |
| TMPO | Other/Unknown | no | LEM_dom, LEM/LEM-like_dom_sf, LEM-like_dom | |
| TNNC1 | Other/Unknown | no | EF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS | |
| TNNI3 | Other/Unknown | no | Troponin, Troponin-I_N, Troponin_sf | |
| TPM1 | Other/Unknown | no | Tropomyosin | |
| 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 | |
| UMPS | Enzyme (other) | yes | 4.1.1.23 | PRTase_dom, OMPdeCOase_dom, Or_phspho_trans_dom |
| UQCRFS1 | Other/Unknown | no | Rieske_TM, Rieske_Fe-S_prot_C, Ubiquinol_cyt_c_Rdtase_Fe-S-su | |
| VCL | Other/Unknown | no | Vinculin_CS, Vinculin/catenin, Vinculin | |
| MYOZ2 | Other/Unknown | no | MYOZ | |
| DCHS1 | Other/Unknown | no | Cadherin-like_dom, Cadherin-like_sf, Cadherin_CS | |
| CACNA1C | Ion channel | yes | VDCCAlpha1, VDCC_L_a1su, VDCC_L_a1csu | |
| CACNB2 | Scaffold/PPI | no | VDCC_L_bsu, SH3_domain, VDCC_L_b2su | |
| JPH2 | Other/Unknown | no | MORN, Junctophilin | |
| ACTC1 | Other/Unknown | no | Actin, Actin_CS, Actin/actin-like_CS | |
| CASQ2 | Other/Unknown | no | Calsequestrin, Calsequestrin_CS, Thioredoxin-like_sf | |
| CAV3 | Other/Unknown | no | Caveolin, Caveolin_CS | |
| LDB3 | Transcription factor | no | PDZ, Znf_LIM, Zasp-like_motif | |
| OBSCN | Kinase | yes | IQ_motif_EF-hand-BS, DH_dom, Prot_kinase_dom | |
| ANKRD1 | Scaffold/PPI | no | Ankyrin_rpt, Ankyrin_rpt-contain_sf | |
| MYLK2 | Kinase | yes | 2.7.11.18 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| ACTN2 | Other/Unknown | no | Actinin_actin-bd_CS, CH_dom, Spectrin_repeat | |
| HCN4 | Ion channel | yes | cNMP-bd_dom, K_chnl_volt-dep_EAG/ELK/ERG, Ion_trans_dom | |
| NEBL | Scaffold/PPI | no | Nebulin_repeat, SH3_domain, Nebulette_SH3 | |
| CLASP1 | Other/Unknown | no | ARM-like, ARM-type_fold, HEAT_type_2 | |
| SYNE1 | Other/Unknown | no | Actinin_actin-bd_CS, CH_dom, Spectrin_repeat | |
| CDK13 | Kinase | yes | 2.7.11.22 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| ALPK3 | Kinase | yes | Ig_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)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 74 |
| unknown | 1 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| apex of heart | 18 |
| left ventricle myocardium | 15 |
| hindlimb stylopod muscle | 14 |
| heart right ventricle | 12 |
| skeletal muscle tissue of rectus abdominis | 9 |
| myocardium | 9 |
| gastrocnemius | 8 |
| right atrium auricular region | 6 |
| buccal mucosa cell | 6 |
| calcaneal tendon | 5 |
| skeletal muscle tissue of biceps brachii | 5 |
| cardiac atrium | 4 |
| tendon of biceps brachii | 4 |
| gluteal muscle | 4 |
| cardiac ventricle | 3 |
| granulocyte | 3 |
| right lobe of liver | 3 |
| vastus lateralis | 3 |
| saphenous vein | 3 |
| ganglionic eminence | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| TNNT2 | 154 | broad | marker | apex of heart, right atrium auricular region, cardiac atrium |
| FHL2 | 272 | ubiquitous | marker | left ventricle myocardium, heart right ventricle, cardiac ventricle |
| SLC2A6 | 133 | ubiquitous | marker | granulocyte, monocyte, leukocyte |
| SOD2 | ubiquitous | |||
| TRIB3 | 205 | ubiquitous | marker | right lobe of liver, pancreatic ductal cell, primordial germ cell in gonad |
| SLC30A5 | 281 | ubiquitous | marker | buccal mucosa cell, stromal cell of endometrium, tendon of biceps brachii |
| PTCD1 | 273 | ubiquitous | marker | buccal mucosa cell, tendon of biceps brachii, parotid gland |
| RPL3L | 156 | tissue_specific | marker | skeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, vastus lateralis |
| RYR2 | 210 | broad | marker | heart right ventricle, left ventricle myocardium, myocardium |
| SCN10A | 21 | marker | type B pancreatic cell, olfactory bulb, diaphragm | |
| SCN1B | 133 | ubiquitous | marker | primary visual cortex, right hemisphere of cerebellum, cerebellum |
| SCN5A | 161 | broad | yes | apex of heart, heart left ventricle, cardiac ventricle |
| SGCA | 190 | broad | marker | hindlimb stylopod muscle, gastrocnemius, apex of heart |
| SGCD | 247 | broad | marker | left ventricle myocardium, skeletal muscle tissue of rectus abdominis, heart right ventricle |
| DST | 305 | ubiquitous | marker | corpus callosum, calcaneal tendon, medial globus pallidus |
| BRAF | 265 | ubiquitous | marker | buccal mucosa cell, colonic epithelium, calcaneal tendon |
| SLC4A3 | 203 | ubiquitous | marker | apex of heart, right atrium auricular region, cardiac atrium |
| SOS1 | 289 | ubiquitous | marker | colonic epithelium, jejunal mucosa, tendon of biceps brachii |
| TAF10 | 166 | ubiquitous | marker | right testis, left testis, granulocyte |
| TAFAZZIN | 238 | ubiquitous | marker | apex of heart, granulocyte, lower esophagus mucosa |
| 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 |
| TMPO | 287 | ubiquitous | marker | ventricular zone, ganglionic eminence, embryo |
| TNNC1 | 207 | broad | marker | triceps brachii, gluteal muscle, heart right ventricle |
| TNNI3 | 169 | broad | marker | apex of heart, left ventricle myocardium, right atrium auricular region |
| TPM1 | 305 | ubiquitous | marker | left ventricle myocardium, heart right ventricle, myocardium |
| TTN | 223 | broad | marker | biceps brachii, gluteal muscle, skeletal muscle tissue of biceps brachii |
| TTR | 185 | broad | marker | choroid plexus epithelium, type B pancreatic cell, right lobe of liver |
| UMPS | 279 | ubiquitous | marker | adrenal tissue, ventricular zone, ganglionic eminence |
| UQCRFS1 | 134 | ubiquitous | marker | gastrocnemius, heart left ventricle, mucosa of transverse colon |
Protein interactions among cohort
Intra-cohort edges: 145.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| BRAF | 7,394 |
| SOD2 | 6,580 |
| UMPS | 4,760 |
| RPL3L | 4,559 |
| TTR | 4,528 |
| VCL | 4,495 |
| TTN | 4,237 |
| UQCRFS1 | 4,001 |
| TXNRD2 | 3,712 |
| SOS1 | 3,625 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ACTN2 | CACNA1C | biogrid_interaction |
| ACTN2 | CSRP3 | intact, string_interaction |
| ACTN2 | LDB3 | biogrid_interaction, intact, string_interaction |
| ACTN2 | MYOZ2 | biogrid_interaction, intact, string_interaction |
| ACTN2 | MYPN | biogrid_interaction, string_interaction |
| ACTN2 | NEBL | string_interaction |
| ACTN2 | NEXN | string_interaction |
| ACTN2 | PDLIM3 | biogrid_interaction, intact, string_interaction |
| ACTN2 | TCAP | string_interaction |
| ACTN2 | TNNT2 | string_interaction |
| ACTN2 | TPM1 | biogrid_interaction, string_interaction |
| ACTN2 | TTN | string_interaction |
| ACTN2 | VCL | string_interaction |
| ALPK3 | TNNT2 | string_interaction |
| ANKRD1 | CSRP3 | string_interaction |
| ANKRD1 | DST | biogrid_interaction, intact |
| ANKRD1 | FHL2 | string_interaction |
| ANKRD1 | MYPN | biogrid_interaction, string_interaction |
| ANKRD1 | NEBL | string_interaction |
| ANKRD1 | TCAP | string_interaction |
| ANKRD1 | TTN | biogrid_interaction, string_interaction |
| BRAF | SOD2 | intact |
| BRAF | SOS1 | string_interaction |
| CACNA1C | CACNB2 | intact, string_interaction |
| CACNA1C | CASQ2 | string_interaction |
| CACNA1C | CAV3 | string_interaction |
| CACNA1C | FHL2 | biogrid_interaction |
| CACNA1C | GPD1L | string_interaction |
| CACNA1C | HCN4 | string_interaction |
| CACNA1C | JPH2 | string_interaction |
| CACNA1C | RYR2 | biogrid_interaction, string_interaction |
| CACNA1C | SCN3B | string_interaction |
| CACNB2 | GPD1L | string_interaction |
| CACNB2 | HCN4 | string_interaction |
| CACNB2 | SCN1B | string_interaction |
| CACNB2 | SCN3B | string_interaction |
| CACNB2 | SCN5A | string_interaction |
| CALR3 | CASQ2 | string_interaction |
| CALR3 | CSRP3 | string_interaction |
| CALR3 | JPH2 | string_interaction |
| CALR3 | MYLK2 | string_interaction |
| CALR3 | MYOZ2 | string_interaction |
| CALR3 | MYPN | string_interaction |
| CALR3 | RYR2 | string_interaction |
| CALR3 | TCAP | string_interaction |
| CASQ2 | JPH2 | string_interaction |
| CASQ2 | RYR2 | string_interaction |
| CASQ2 | SCN5A | string_interaction |
| CAV3 | DMD | string_interaction |
| CAV3 | GPD1L | string_interaction |
Structural data
PDB: 46 · AlphaFold-only: 29 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| TTR | P02766 | 462 |
| BRAF | P15056 | 131 |
| SOS1 | Q07889 | 91 |
| UMPS | P11172 | 72 |
| TTN | Q8WZ42 | 64 |
| TNNC1 | P63316 | 61 |
| SOD2 | P04179 | 48 |
| TAF10 | Q12962 | 48 |
| SCN1B | Q07699 | 39 |
| TNNI3 | P19429 | 39 |
| VCL | P18206 | 37 |
| CACNA1C | Q13936 | 33 |
| TRPM4 | Q8TD43 | 29 |
| RYR2 | Q92736 | 26 |
| TNNT2 | P45379 | 25 |
| OBSCN | Q5VST9 | 25 |
| CRYAB | P02511 | 21 |
| CHRM2 | P08172 | 17 |
| SCN5A | Q14524 | 16 |
| ACTC1 | P68032 | 16 |
| ACTN2 | P35609 | 16 |
| TMPO | P42166 | 14 |
| TPM1 | P09493 | 14 |
| TGFB3 | P10600 | 11 |
| SCN10A | Q9Y5Y9 | 8 |
| HCN4 | Q9Y3Q4 | 8 |
| FKRP | Q9H9S5 | 8 |
| DMD | P11532 | 6 |
| UQCRFS1 | P47985 | 5 |
| FHL2 | Q14192 | 4 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| TAFAZZIN | Q16635 | 94.87 |
| RPL3L | Q92901 | 94.79 |
| TMEM43 | Q9BTV4 | 89.92 |
| CAV3 | P56539 | 88.54 |
| KLHL24 | Q6TFL4 | 87.69 |
| CTF1 | Q16619 | 85.94 |
| COX15 | Q7KZN9 | 85.29 |
| ANKRD1 | Q15327 | 82.64 |
| SLC2A6 | Q9UGQ3 | 81.69 |
| SGCD | Q92629 | 81.43 |
| SGCA | Q16586 | 80.15 |
| DES | P17661 | 77.73 |
| TRIB3 | Q96RU7 | 77.51 |
| CALR3 | Q96L12 | 77.43 |
| SLC30A5 | Q8TAD4 | 76.95 |
| NEXN | Q0ZGT2 | 70.78 |
| CORIN | Q9Y5Q5 | 70.20 |
| PTCD1 | O75127 | 68.41 |
| PDLIM3 | Q53GG5 | 66.98 |
| C2orf49 | Q9BVC5 | 66.31 |
| MYOZ2 | Q9NPC6 | 65.51 |
| CEP85L | Q5SZL2 | 64.98 |
| FHOD3 | Q2V2M9 | 64.62 |
| MYO18B | Q8IUG5 | 60.66 |
| CASZ1 | Q86V15 | 53.66 |
| MYPN | Q86TC9 | 52.71 |
| ALPK3 | Q96L96 | 49.15 |
| RBM20 | Q5T481 | 48.52 |
| TXNRD2 | Q9NNW7 |
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.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Striated Muscle Contraction | 14 | 44.5× | 6e-18 | TNNT2, TCAP, TNNC1, TNNI3, TPM1, TTN, ACTC1, ACTN2 (+6 more) |
| Muscle contraction | 21 | 16.7× | 6e-18 | RYR2, SCN10A, SCN1B, SCN5A, TCAP, CACNA1C, CACNB2, ACTC1 (+13 more) |
| Cardiac conduction | 13 | 14.6× | 7e-10 | RYR2, SCN10A, SCN1B, SCN5A, CACNA1C, CACNB2, CASQ2, SCN3B (+5 more) |
| Phase 2 - plateau phase | 6 | 47.1× | 2e-07 | CACNA1C, CACNB2, AKAP9, KCNE1, KCNE3, KCNQ1 |
| Phase 0 - rapid depolarisation | 6 | 21.4× | 3e-05 | SCN10A, SCN1B, SCN5A, CACNA1C, CACNB2, SCN3B |
| Formation of the dystrophin-glycoprotein complex (DGC) | 6 | 19.1× | 5e-05 | SGCA, SGCD, ACTC1, DMD, DTNA, LAMA4 |
| Phase 3 - rapid repolarisation | 4 | 47.1× | 7e-05 | AKAP9, KCNE1, KCNE3, KCNQ1 |
| Interaction between L1 and Ankyrins | 5 | 19.0× | 4e-04 | SCN10A, SCN1B, SCN5A, SCN3B, ANK2 |
| Non-integrin membrane-ECM interactions | 6 | 9.6× | 0.002 | SGCA, SGCD, TTR, ACTC1, DMD, LAMA4 |
| Ion homeostasis | 5 | 10.5× | 0.005 | RYR2, TNNI3, CASQ2, ABCC9, PLN |
| Regulation of CDH1 Function | 3 | 29.4× | 0.006 | VCL, ACTC1, JUP |
| Depolymerization of the Nuclear Lamina | 3 | 23.6× | 0.011 | TMPO, EMD, LMNA |
| Axon guidance | 9 | 4.2× | 0.011 | SCN10A, SCN1B, SCN5A, SOS1, CACNA1C, CACNB2, SCN3B, ANK2 (+1 more) |
| HCN channels | 2 | 58.9× | 0.014 | HCN4, HCN2 |
| Nervous system development | 9 | 4.0× | 0.014 | SCN10A, SCN1B, SCN5A, SOS1, CACNA1C, CACNB2, SCN3B, ANK2 (+1 more) |
| Initiation of Nuclear Envelope (NE) Reformation | 3 | 18.6× | 0.017 | TMPO, EMD, LMNA |
| Formation of the cornified envelope | 6 | 5.4× | 0.025 | DSC2, DSC3, DSG2, DSP, JUP, PKP2 |
| Nuclear Envelope Breakdown | 3 | 14.1× | 0.034 | TMPO, EMD, LMNA |
| L1CAM interactions | 5 | 6.2× | 0.034 | SCN10A, SCN1B, SCN5A, SCN3B, ANK2 |
| Role of ABL in ROBO-SLIT signaling | 2 | 26.2× | 0.060 | CLASP1, ABL1 |
| Signaling by BRAF and RAF1 fusions | 4 | 7.0× | 0.060 | BRAF, VCL, AKAP9, LMNA |
| Elastic fibre formation | 3 | 10.4× | 0.068 | TGFB3, ELN, LOX |
| Signaling by FGFR3 | 2 | 23.6× | 0.068 | BRAF, SOS1 |
| Apoptotic cleavage of cell adhesion proteins | 2 | 21.4× | 0.076 | DSG2, DSP |
| Signaling by FGFR4 | 2 | 21.4× | 0.076 | BRAF, SOS1 |
| Activated NTRK2 signals through FRS2 and FRS3 | 2 | 19.6× | 0.084 | SOS1, PTPN11 |
| Extracellular matrix organization | 6 | 3.9× | 0.084 | SGCA, SGCD, TGFB3, ACTC1, LAMA4, LOX |
| Platelet degranulation | 5 | 4.5× | 0.090 | TGFB3, TTN, VCL, ACTN2, LAMP2 |
| Signaling by FGFR1 | 2 | 16.8× | 0.093 | BRAF, SOS1 |
| Diseases of carbohydrate metabolism | 2 | 16.8× | 0.093 | GAA, 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 term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| cardiac muscle contraction | 22 | 71.8× | 7e-34 | TNNT2, RYR2, SCN1B, SCN5A, TCAP, TNNC1, TNNI3, TPM1 (+14 more) |
| regulation of heart rate by cardiac conduction | 17 | 51.8× | 8e-23 | SCN1B, SCN5A, CACNA1C, CACNB2, HCN4, TRPM4, SCN3B, DSC2 (+9 more) |
| sarcomere organization | 16 | 49.8× | 3e-21 | TNNT2, TCAP, TPM1, TTN, MYOZ2, LDB3, OBSCN, ANKRD1 (+8 more) |
| ventricular cardiac muscle cell action potential | 10 | 80.6× | 2e-15 | RYR2, SCN5A, CAV3, SCN3B, GPD1L, ANK2, KCNE1, KCNE3 (+2 more) |
| ventricular cardiac muscle tissue morphogenesis | 10 | 57.1× | 1e-13 | TNNT2, TNNC1, TNNI3, TPM1, MYBPC3, MYH6, MYH7, MYL2 (+2 more) |
| regulation of heart rate | 11 | 41.9× | 2e-13 | RYR2, SCN10A, SCN5A, CASQ2, CAV3, HCN4, GPD1L, DMD (+3 more) |
| regulation of ventricular cardiac muscle cell action potential | 8 | 91.3× | 5e-13 | RYR2, CACNA1C, TRPM4, DSC2, DSG2, DSP, JUP, PKP2 |
| muscle filament sliding | 8 | 68.5× | 1e-11 | TNNT2, TCAP, TNNC1, TNNI3, TPM1, TTN, MYH6, MYH7 |
| cardiac muscle cell development | 9 | 45.7× | 2e-11 | SGCD, TCAP, TTN, CAV3, ACTN2, ALPK3, MYO18B, MYH6 (+1 more) |
| regulation of ventricular cardiac muscle cell membrane repolarization | 8 | 54.8× | 8e-11 | SCN1B, SCN5A, CAV3, AKAP9, ANK2, KCNE1, KCNE3, KCNQ1 |
| regulation of the force of heart contraction | 7 | 56.4× | 2e-09 | CSRP3, GAA, MYH6, MYH7, MYL2, MYL3, PLN |
| muscle contraction | 11 | 18.6× | 2e-09 | SGCA, TTN, HCN4, FKRP, CRYAB, DES, EMD, MYH6 (+3 more) |
| striated muscle contraction | 7 | 48.0× | 6e-09 | RYR2, TTN, CASQ2, MYLK2, DTNA, MYH6, MYH7 |
| regulation of heart contraction | 8 | 32.2× | 8e-09 | TNNT2, TPM1, CAV3, CHRM2, DES, KCNQ1, MYH6, PLN |
| membrane depolarization during cardiac muscle cell action potential | 6 | 68.5× | 9e-09 | SCN1B, SCN5A, CACNA1C, HCN4, SCN3B, HCN2 |
| cardiac myofibril assembly | 6 | 63.2× | 2e-08 | TCAP, TTN, ACTC1, CSRP3, FHOD3, MYL2 |
| cardiac muscle cell action potential involved in contraction | 7 | 40.0× | 2e-08 | SCN10A, SCN1B, SCN5A, CACNA1C, SCN3B, KCNE1, PKP2 |
| bundle of His cell-Purkinje myocyte adhesion involved in cell communication | 5 | 97.9× | 2e-08 | DSC2, DSG2, DSP, JUP, PKP2 |
| muscle cell cellular homeostasis | 7 | 36.9× | 3e-08 | CSRP3, DMD, GAA, LAMP2, LOX, PLN, BAG3 |
| cardiac muscle hypertrophy | 5 | 68.5× | 2e-07 | RYR2, TCAP, TTN, CAV3, CSRP3 |
| cardiac muscle cell contraction | 5 | 68.5× | 2e-07 | SGCD, TNNC1, ABCC9, KCNE1, KCNQ1 |
| membrane depolarization during AV node cell action potential | 4 | 109.6× | 7e-07 | SCN5A, CACNA1C, CACNB2, TRPM4 |
| cardiac muscle tissue morphogenesis | 5 | 57.1× | 7e-07 | TCAP, TTN, ACTC1, ANKRD1, MYLK2 |
| regulation of cardiac muscle contraction by regulation of the release of sequestered calcium ion | 6 | 32.9× | 1e-06 | RYR2, CACNA1C, CASQ2, DMD, ANK2, PLN |
| regulation of ventricular cardiac muscle cell membrane depolarization | 4 | 91.3× | 2e-06 | SCN5A, CAV3, SCN3B, GPD1L |
| SA node cell action potential | 4 | 91.3× | 2e-06 | SCN5A, HCN4, SCN3B, ANK2 |
| muscle organ development | 9 | 12.2× | 2e-06 | SGCA, SGCD, CAV3, CRYAB, CTF1, DMD, EMD, FKTN (+1 more) |
| heart development | 12 | 7.7× | 2e-06 | SOD2, TGFB3, TNNI3, CACNA1C, LDB3, ALPK3, PDLIM3, KCNQ1 (+4 more) |
| detection of muscle stretch | 4 | 78.3× | 4e-06 | TCAP, TTN, CAV3, CSRP3 |
| regulation of cardiac muscle contraction | 5 | 36.0× | 8e-06 | RYR2, 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.
| Drug | Development status |
|---|---|
| Tafamidis | Approved (phase 4) |
| Amiodarone | Phase 3 (in late-stage trials) |
| Azathioprine | Phase 3 (in late-stage trials) |
| Enalapril | Phase 3 (in late-stage trials) |
| Eplerenone | Phase 3 (in late-stage trials) |
| Human Immunoglobulin G | Phase 3 (in late-stage trials) |
| Nesiritide | Phase 3 (in late-stage trials) |
| Prednisone | Phase 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.
| Symbol | Example approved molecule |
|---|---|
| SCN10A | IMIPRAMINE |
| SCN5A | BEPRIDIL |
| BRAF | VEMURAFENIB |
| SOS1 | IDARUBICIN |
| TNNC1 | FINGOLIMOD |
| TTR | TRICLABENDAZOLE |
| CACNA1C | REMIFENTANIL |
| CACNB2 | NIMODIPINE |
| MYLK2 | FEDRATINIB |
| HCN4 | IVABRADINE |
| CHRM2 | CARBACHOL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| CHRM2 | 375 | 4 |
| SCN5A | 108 | 4 |
| CACNA1C | 85 | 4 |
| BRAF | 48 | 4 |
| TTR | 29 | 4 |
| SCN10A | 21 | 4 |
| CDK13 | 20 | 3 |
| MYLK2 | 19 | 4 |
| SOS1 | 5 | 4 |
| TXNRD2 | 3 | 3 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| IMIPRAMINE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| SERTINDOLE | 4 | CACNA1C, SCN10A, SCN5A |
| PIMOZIDE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| NIFEDIPINE | 4 | CACNA1C, SCN10A, SCN5A |
| DILTIAZEM | 4 | CACNA1C, SCN10A, SCN5A |
| MIBEFRADIL | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| HALOPERIDOL | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| MEXILETINE | 4 | CACNA1C, SCN10A, SCN5A |
| AMITRIPTYLINE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| AMIODARONE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| CHLORPROMAZINE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| LAMOTRIGINE | 4 | SCN10A, SCN5A |
| BEPRIDIL | 4 | CACNA1C, SCN5A |
| CANDESARTAN CILEXETIL | 4 | CHRM2, SCN5A |
| TELMISARTAN | 4 | CHRM2, SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | CACNA1C, SCN5A |
| DROPERIDOL | 4 | CACNA1C, SCN5A |
| PONATINIB | 4 | BRAF, CHRM2, SCN5A |
| DULOXETINE | 4 | CACNA1C, SCN5A |
| PALONOSETRON | 4 | SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | CHRM2, SCN5A |
| LETERMOVIR | 4 | SCN5A |
| FEDRATINIB | 4 | BRAF, MYLK2, SCN5A |
| QUINIDINE | 4 | CACNA1C, SCN5A |
| DARUNAVIR | 4 | SCN5A |
| DARIFENACIN | 4 | CHRM2, SCN5A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 7.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| BRAF | 1,442 | Binding:1400, Functional:37, ADMET:5 |
| CHRM2 | 1,316 | Binding:958, Functional:339, ADMET:17, Unclassified:1, Toxicity:1 |
| 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 |
| CDK13 | 257 | Binding:250, Functional:7 |
| MYLK2 | 196 | Binding:196 |
| SCN10A | 144 | Binding:124, Functional:16, ADMET:4 |
| TXNRD2 | 91 | Binding:76, Functional:15 |
| 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 |
| UMPS | 14 | Binding:14 |
| TRPM4 | 14 | Binding:13, Functional:1 |
| CRYAB | 13 | Binding:13 |
| CLASP1 | 10 | Binding:10 |
| ALPK3 | 10 | Binding:10 |
| TNNC1 | 8 | Binding:8 |
| TMPO | 7 | Binding:7 |
| ACTC1 | 6 | Binding:6 |
| TPM1 | 3 | Binding:3 |
| TNNT2 | 2 | Binding:2 |
| SOD2 | 2 | Binding:2 |
| TNNI3 | 2 | Binding:2 |
| VCL | 2 | Binding:2 |
| SLC30A5 | 1 | Binding:1 |
| TAFAZZIN | 1 | Binding:1 |
| TGFB3 | 1 | Binding:1 |
| TTN | 1 | Binding:1 |
| COX15 | 1 | Binding:1 |
| TMEM43 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| SOD2 | 1.15.1.1 | superoxide dismutase |
| BRAF | 2.7.10.2, 2.7.11.1 | non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase |
| TTN | 2.7.11.1 | non-specific serine/threonine protein kinase |
| UMPS | 4.1.1.23 | orotidine-5’-phosphate decarboxylase |
| MYLK2 | 2.7.11.18 | myosin-light-chain kinase |
| CDK13 | 2.7.11.22, 2.7.11.23 | cyclin-dependent kinase, [RNA-polymerase]-subunit kinase |
| TXNRD2 | 1.8.1.9 | thioredoxin-disulfide reductase (NADPH) |
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 |
| BRAF | 1,442 |
| SOS1 | 421 |
| TTR | 423 |
| CACNA1C | 575 |
| MYLK2 | 196 |
| CDK13 | 257 |
| CHRM2 | 1,316 |
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.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| IMIPRAMINE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| SERTINDOLE | 4 | CACNA1C, SCN10A, SCN5A |
| PIMOZIDE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| NIFEDIPINE | 4 | CACNA1C, SCN10A, SCN5A |
| DILTIAZEM | 4 | CACNA1C, SCN10A, SCN5A |
| MIBEFRADIL | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| HALOPERIDOL | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| MEXILETINE | 4 | CACNA1C, SCN10A, SCN5A |
| AMITRIPTYLINE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| CHLORPROMAZINE | 4 | CACNA1C, CHRM2, SCN10A, SCN5A |
| LAMOTRIGINE | 4 | SCN10A, SCN5A |
| BEPRIDIL | 4 | CACNA1C, SCN5A |
| CANDESARTAN CILEXETIL | 4 | CHRM2, SCN5A |
| TELMISARTAN | 4 | CHRM2, SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | CACNA1C, SCN5A |
| DROPERIDOL | 4 | CACNA1C, SCN5A |
| PONATINIB | 4 | BRAF, CHRM2, SCN5A |
| DULOXETINE | 4 | CACNA1C, SCN5A |
| PALONOSETRON | 4 | SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | CHRM2, SCN5A |
| LETERMOVIR | 4 | SCN5A |
| FEDRATINIB | 4 | BRAF, MYLK2, SCN5A |
| QUINIDINE | 4 | CACNA1C, SCN5A |
| DARUNAVIR | 4 | SCN5A |
| DARIFENACIN | 4 | CHRM2, SCN5A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 11 | SCN10A, SCN5A, BRAF, SOS1, TNNC1, TTR, CACNA1C, CACNB2, MYLK2, HCN4 (+1 more) |
| B | Phased (≥1) drug, not yet approved | 5 | RYR2, SCN1B, UMPS, CDK13, TXNRD2 |
| C | Druggable family + PDB, no drug | 5 | SOD2, TTN, OBSCN, TRPM4, SCN3B |
| D | Druggable family + AlphaFold only, no drug | 7 | SLC2A6, TRIB3, ALPK3, CORIN, COX15, MYPN, NEXN |
| E | Difficult family or no structure, no drug | 47 | TNNT2, 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).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| JPH2 | 0 | RYR2 |
| CASQ2 | 0 | RYR2, CACNA1C |
| SCN3B | 0 | SCN5A |
| GPD1L | 0 | SCN5A, SCN1B, CACNB2 |
| TNNT2 | 2 | — |
| FHL2 | 0 | — |
| SLC2A6 | 0 | — |
| SOD2 | 2 | — |
| TRIB3 | 0 | — |
| SLC30A5 | 1 | — |
| PTCD1 | 0 | — |
| RPL3L | 0 | — |
| SGCA | 0 | — |
| SGCD | 0 | — |
| DST | 0 | — |
| SLC4A3 | 0 | — |
| TAF10 | 0 | — |
| TAFAZZIN | 1 | — |
| TCAP | 0 | — |
| TGFB3 | 1 | — |
| TMPO | 7 | — |
| TNNI3 | 2 | — |
| TPM1 | 3 | — |
| TTN | 1 | — |
| UQCRFS1 | 0 | — |
| VCL | 2 | — |
| MYOZ2 | 0 | — |
| DCHS1 | 0 | — |
| ACTC1 | 6 | — |
| CAV3 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 324.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 251 |
| PHASE4 | 19 |
| PHASE3 | 18 |
| PHASE2 | 14 |
| PHASE1 | 11 |
| PHASE1/PHASE2 | 8 |
| PHASE2/PHASE3 | 2 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05034432 | PHASE4 | RECRUITING | The PIVATAL Study -Study of Ventricular Arrhythmia (VTA) Ablation in Left Ventricular Assist Device (LVAD) Patients |
| NCT05718128 | PHASE4 | RECRUITING | Clinical Study of Endocardial Myocardial Biopsy |
| NCT06964464 | PHASE4 | RECRUITING | Comparative Effectiveness of Carvedilol Versus Metoprolol Succinate in Heart Failure Patients With an Implantable Cardioverter Defibrillator |
| NCT00348530 | PHASE4 | UNKNOWN | Carvedilol Versus Verapamil in Chronic Heart Failure Secondary to Non-Ischemic Cardiomyopathy |
| NCT00371891 | PHASE4 | COMPLETED | Ontario Multidetector Computed Tomographic (MDCT) Coronary Angiography Study (OMCAS) |
| NCT00401856 | PHASE4 | COMPLETED | CMR to Assess Fibrosis in Cardiomyopathy Using Eplerenone |
| NCT00559338 | PHASE4 | COMPLETED | Impact of Nesiritide Infusion for Decompensated Heart Failure in the Emergency Department |
| NCT00606775 | PHASE4 | UNKNOWN | The Preventive Efficacy of Carvedilol on Cardiac Dysfunction in Duchenne Muscular Dystrophy |
| NCT00658203 | PHASE4 | COMPLETED | Clinical Evaluation on Advanced Resynchronization |
| NCT00701220 | PHASE4 | COMPLETED | Statin Therapy for Ischemic and Nonischemic Cardiomyopathy |
| NCT00800761 | PHASE4 | COMPLETED | Intensive Combined Chelation Therapy for Iron-Induced Cardiac Disease in Patients With Thalassemia Major |
| NCT00806390 | PHASE4 | TERMINATED | Prevention of Anthracycline or Trastuzumab Induced Cardiomyopathy by Metoprolol |
| NCT01006473 | PHASE4 | COMPLETED | Exercise Training in Chagas Cardiomyopathy |
| NCT01261065 | PHASE4 | COMPLETED | Mechanisms of Improvement With Beta-Blocker Treatment in Heart Failure |
| NCT01345188 | PHASE4 | COMPLETED | Ranolazine in Ischemic Cardiomyopathy |
| NCT01868841 | PHASE4 | COMPLETED | 123-I mIBG (AdreView) Heart-to-Mediastinal (H/M) Ratio and SPECT Imaging on a Small Field of View-High Efficiency Cardiac SPECT System |
| NCT02640846 | PHASE4 | UNKNOWN | Effects of Levosimendan, Milrinone and Norepinephrine on Left and Right Ventricular Function in Septic Shock |
| NCT03228823 | PHASE4 | UNKNOWN | Prospective Assessment of Premature Ventricular Contractions Suppression in Cardiomyopathy(PAPS) |
| NCT04323852 | PHASE4 | COMPLETED | Can Vitamin D Reduce Heart Muscle Damage After Bypass Surgery? |
| NCT06158698 | PHASE3 | RECRUITING | CMP-MYTHiC Trial and Registry - CardioMyoPathy With MYocarditis THerapy With Colchicine |
| NCT06563895 | PHASE3 | RECRUITING | Acoramidis Transthyretin Amyloidosis Prevention Trial in the Young (ACT-EARLY) Study in Asymptomatic Carriers of a Pathogenic TTR Variant |
| NCT06846086 | PHASE3 | RECRUITING | Cardioprotective Effects of Melatonin in Patients With Cardiomyopathy |
| NCT07116473 | PHASE3 | NOT_YET_RECRUITING | To Evaluate the Long-term Safety and Tolerability of Acoramidis in Participants With Newly Diagnosed ATTR-CM (ACT-EARLY OLE) |
| NCT00170183 | PHASE3 | COMPLETED | Brain Natriuretic Peptide (BNP) to Preserve Renal Function in Hospitalized Patients With Heart Failure |
| NCT00270387 | PHASE3 | COMPLETED | A 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 |
| NCT00321295 | PHASE3 | COMPLETED | Biventricular Pacing In Patients With Left Ventricular Dysfunction After Cardiovascular Surgery |
| NCT00483197 | PHASE3 | UNKNOWN | VentrAssistTM LVAD as a Bridge to Cardiac Transplantation - Pivotal Trial |
| NCT00490321 | PHASE3 | UNKNOWN | VentrAssistTM LVAD for the Treatment of Advanced Heart Failure - Destination Therapy |
| NCT00626028 | PHASE3 | COMPLETED | Comparison of Inhaled Nitric Oxide and Oxygen in Participants Reactivity During Acute Pulmonary Vasodilator Testing |
| NCT00691470 | PHASE2/PHASE3 | UNKNOWN | Comparison of ATI-5923, a Novel Vitamin K Antagonist, With Warfarin in Patients Requiring Chronic Anticoagulation |
| NCT01013714 | PHASE3 | UNKNOWN | Cardiac Sympathetic Denervation for Prevention of Ventricular Tachyarrhythmias |
| NCT01217827 | PHASE3 | COMPLETED | Implantable Cardioverter-Defibrillator Use in the VA System |
| NCT01648634 | PHASE3 | COMPLETED | Nebivolol for the Prevention of Left Ventricular Systolic Dysfunction in Patients With Duchenne Muscular Dystrophy |
| NCT02247427 | PHASE2/PHASE3 | COMPLETED | Clinical Outcomes Related to Cardiac Resynchronization Therapy Deactivation of Super Responders |
| NCT02924285 | PHASE3 | COMPLETED | Catheter Ablation Versus Amiodarone for Therapy of Premature Ventricular Contractions in Patients With Structural Heart Disease |
| NCT03860935 | PHASE3 | COMPLETED | Efficacy and Safety of AG10 in Subjects With Transthyretin Amyloid Cardiomyopathy |
| NCT04166331 | PHASE3 | COMPLETED | Adjunctive DobutAmine in sePtic Cardiomyopathy With Tissue Hypoperfusion |
| NCT05175066 | PHASE3 | COMPLETED | Bisoprolol Administration to Prevent Anthracycline-induced Cardiotoxicity |
| NCT05237323 | PHASE3 | COMPLETED | Micophenolate Mofetil Versus Azathioprine in Myocarditis |
| NCT05371496 | PHASE2 | ENROLLING_BY_INVITATION | Cardiac and Metabolic Effects of Semaglutide in Heart Failure With Preserved Ejection Fraction |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ACORAMIDIS | 4 | 3 |
| AMIODARONE | 4 | 3 |
| BISOPROLOL | 4 | 3 |
| CARVEDILOL | 4 | 3 |
| METOPROLOL | 4 | 3 |
| NESIRITIDE | 4 | 3 |
| ATORVASTATIN | 4 | 2 |
| LISINOPRIL ANHYDROUS | 4 | 2 |
| RANOLAZINE | 4 | 2 |
| URSODIOL | 4 | 2 |
| ZINC ACETATE ANHYDROUS | 4 | 2 |
| ADENOSINE | 4 | 1 |
| BIVALIRUDIN | 4 | 1 |
| CAPTOPRIL | 4 | 1 |
| DEFERIPRONE | 4 | 1 |
| DEFEROXAMINE | 4 | 1 |
| DOBUTAMINE | 4 | 1 |
| EPLERENONE | 4 | 1 |
| ERGOCALCIFEROL | 4 | 1 |
| ETOMIDATE | 4 | 1 |
| FLECAINIDE | 4 | 1 |
| FLECAINIDE ACETATE | 4 | 1 |
| GADOBUTROL | 4 | 1 |
| IOBENGUANE SULFATE I 123 | 4 | 1 |
| KETAMINE HYDROCHLORIDE | 4 | 1 |
| MAVACAMTEN | 4 | 1 |
| MILRINONE | 4 | 1 |
| NEBIVOLOL | 4 | 1 |
| NITRIC OXIDE | 4 | 1 |
| NOREPINEPHRINE | 4 | 1 |
Related Atlas pages
- Cohort genes: TNNT2, FHL2, SLC2A6, SOD2, TRIB3, SLC30A5, PTCD1, RPL3L, RYR2, SCN10A, SCN1B, SCN5A, SGCA, SGCD, DST, BRAF, SLC4A3, SOS1, TAF10, TAFAZZIN, TCAP, TGFB3, TMPO, TNNC1, TNNI3, TPM1, TTN, TTR, UMPS, UQCRFS1, VCL, MYOZ2, DCHS1, CACNA1C, CACNB2, JPH2, ACTC1, CASQ2, CAV3, LDB3, OBSCN, ANKRD1, MYLK2, ACTN2, HCN4, NEBL, CLASP1, SYNE1, CDK13, ALPK3, TRPM4, FKRP, MYO18B, TXNRD2, CORIN, CHRM2, CALR3, SCN3B, PDLIM3, CEP85L, COX15, MYPN, CRYAB, CSRP3, CTF1, KLHL24, CASZ1, FHOD3, RBM20, DES, TMEM43, C2orf49, GPD1L, DMD, NEXN
- Drugs: Acoramidis, Amiodarone, Bisoprolol, Carvedilol, Metoprolol, Nesiritide, Atorvastatin, Lisinopril, Ranolazine, Ursodiol, Zinc Acetate, Adenosine, Bivalirudin, Captopril, Deferiprone, Deferoxamine, Dobutamine, Eplerenone, Ergocalciferol, Etomidate, Flecainide, Gadobutrol, IOBENGUANE SULFATE I 123, Ketamine, Mavacamten, Milrinone, Nebivolol, Nitric Oxide, Norepinephrine