Cardiovascular disorder
diseaseOn this page
Also known as cardiovascular diseasecardiovascular disease (CVD)cardiovascular system diseasecardiovascular system disease or disordercirculatory system diseasedisease of cardiovascular systemdisease or disorder of cardiovascular systemdisorder of cardiovascular system
Summary
Cardiovascular disorder (MONDO:0004995) is a disease (an umbrella term covering 6 Mondo subtypes) with 19 cohort genes (564 GWAS associations across 97 studies) and 4,079 clinical trials. Top therapeutic interventions include enalapril, rosuvastatin, and clopidogrel.
At a glance
- Umbrella term: 6 Mondo subtypes
- Cohort genes: 19
- GWAS associations: 564
- ClinVar variants: 1
- Clinical trials: 4,079
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | cardiovascular disorder |
| Mondo ID | MONDO:0004995 |
| EFO | EFO:0000319 |
| MeSH | D002318 |
| DOID | DOID:1287 |
| ICD-10-CM | I00-I99 |
| ICD-11 | 424293435, 426429380 |
| NCIT | C2931 |
| SNOMED CT | 49601007 |
| UMLS | C0007222 |
| MedGen | 2848 |
| Anatomy (UBERON) | UBERON:0004535 |
| Is cancer (heuristic) | no |
Also known as: cardiovascular disease · cardiovascular disease (CVD) · cardiovascular disorder · cardiovascular system disease · cardiovascular system disease or disorder · circulatory system disease · disease of cardiovascular system · disease or disorder of cardiovascular system · disorder of cardiovascular system
Data availability: 1 ClinVar variant · 564 GWAS associations (97 studies).
Disease family
An umbrella term covering 6 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder
Related subtypes (18): disorder of orbital region, integumentary system disorder, musculoskeletal system disorder, urinary system disorder, syndromic disease, auditory system disorder, breast disorder, connective tissue disorder, digestive system disorder, reproductive system disorder, immune system disorder, nervous system disorder, respiratory system disorder, endocrine system disorder, hematologic disorder, mouth disorder, disorder of visual system, otorhinolaryngologic disease
Subtypes (6): autoimmune disorder of cardiovascular system, heart disorder, vascular disorder, autosomal dominant familial hematuria-retinal arteriolar tortuosity-contractures syndrome, congenital anomaly of cardiovascular system, cardiovascular neoplasm
Genetics & variants
GWAS landscape
564 GWAS associations across 97 studies. Top hits map to 19 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs4007642 | 3e-84 | CDKN2B-AS1 | ? | |
| rs13125101 | 1e-80 | PRDM8 - FGF5 | ? | |
| rs74617384 | 5e-74 | LPA | ? | |
| rs7412 | 3e-63 | APOE | ? | |
| rs3918226 | 2e-49 | NOS3 | ? | |
| rs72831343 | 1e-47 | CABCOCO1, LINC02625 | ? | |
| rs140570886 | 1e-47 | LPA | ? | |
| rs2290400 | 7e-44 | GSDMB | ? | |
| rs2305479 | 7e-44 | GSDMB | ? | |
| rs7216389 | 2e-43 | GSDMB | ? | |
| rs7219923 | 2e-43 | GSDMB | ? | |
| rs7224129 | 2e-43 | GSDMB | ? | |
| rs9303281 | 2e-43 | GSDMB | ? | |
| rs12978472 | 3e-43 | INSR | ? | |
| rs1008723 | 5e-43 | GSDMB | ? | |
| rs869402 | 7e-42 | GSDMB | ? | |
| rs167479 | 9e-42 | RGL3 | ? | |
| rs9303277 | 1e-41 | IKZF3 | ? | |
| rs9901146 | 2e-41 | ZPBP2 - GSDMB | ? | |
| rs12950743 | 2e-41 | ZPBP2 - GSDMB | ? | |
| rs8067378 | 3e-41 | ZPBP2 - GSDMB | ? | |
| rs4795405 | 1e-40 | LRRC3C | ? | |
| rs604723 | 8e-40 | ARHGAP42 | ? | |
| rs9303280 | 2e-39 | GSDMB | ? | |
| rs3816470 | 3e-39 | IKZF3 | ? | |
| rs10059884 | 6e-39 | NPR3 - LINC02120 | ? | |
| rs12603332 | 1e-38 | ORMDL3 | ? | |
| rs7359623 | 3e-38 | ZPBP2 - GSDMB | ? | |
| rs1275988 | 1e-37 | RPL37P11 - KCNK3 | ? | |
| rs7267618 | 2e-37 | ZNF831 | ? |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90044348 | Jiang L | 2021 | 320,315 | 134,988 | A generalized linear mixed model association tool for biobank-scale data. |
| GCST90038595 | Donertas HM | 2021 | 177,923 | 306,675 | Common genetic associations between age-related diseases. |
| GCST90446535 | Guo Y | 2023 | 44,238 | 414,900 | Genome-Wide Assessment of Shared Genetic Architecture Between Rheumatoid Arthritis and Cardiovascular Diseases. |
| GCST90475217 | Verma A | 2024 | 28,091 | 287,577 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90081364 | Backman JD | 2021 | 22,886 | 360,766 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90085350 | Backman JD | 2021 | 22,886 | 360,766 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90473623 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 22,106 | 436,334 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90103427 | Zhou Y | 2022 | 19,954 | 107,715 | Shared Genetic Architecture and Causal Relationship Between Asthma and Cardiovascular Diseases: A Large-Scale Cross-Trait Analysis. |
| GCST90475218 | Verma A | 2024 | 18,522 | 297,146 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90436187 | Zhou W | 2018 | 16,544 | 387,905 | Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 7 |
| Tier 2: splice/UTR | 3 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 39 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 50 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 27 |
| intergenic_variant | 12 |
| missense_variant | 7 |
| 3_prime_UTR_variant | 2 |
| 5_prime_UTR_variant | 1 |
| regulatory_region_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs4007642 | 9 | 22093300 | A>C,T | 0.05 | intron_variant | CDKN2B-AS1 | 3e-84 | Tier 4: intronic/intergenic |
| rs13125101 | 4 | 80253438 | G>A | 0.05 | intergenic_variant | PRDM8 - FGF5 | 1e-80 | Tier 4: intronic/intergenic |
| rs74617384 | 6 | 160576086 | A>C,G,T | 0.05 | intron_variant | LPA | 5e-74 | Tier 4: intronic/intergenic |
| rs7412 | 19 | 44908822 | C>T | 0.05 | missense_variant | APOE | 3e-63 | Tier 1: coding |
| rs3918226 | 7 | 150993088 | C>T | 0.05 | intron_variant | NOS3 | 2e-49 | Tier 4: intronic/intergenic |
| rs72831343 | 10 | 61755923 | T>G | 0.05 | intron_variant | CABCOCO1, LINC02625 | 1e-47 | Tier 4: intronic/intergenic |
| rs140570886 | 6 | 160591981 | T>C | 0.05 | intron_variant | LPA | 1e-47 | Tier 4: intronic/intergenic |
| rs2290400 | 17 | 39909987 | T>A,C,G | 0.05 | intron_variant | GSDMB | 7e-44 | Tier 4: intronic/intergenic |
| rs2305479 | 17 | 39905964 | C>A,T | 0.05 | missense_variant | GSDMB | 7e-44 | Tier 1: coding |
| rs7216389 | 17 | 39913696 | C>T | 0.05 | intron_variant | GSDMB | 2e-43 | Tier 4: intronic/intergenic |
| rs7219923 | 17 | 39918265 | C>A,T | 0.05 | intron_variant | GSDMB | 2e-43 | Tier 4: intronic/intergenic |
| rs7224129 | 17 | 39919173 | G>A | 0.05 | intergenic_variant | GSDMB | 2e-43 | Tier 4: intronic/intergenic |
| rs9303281 | 17 | 39917793 | G>A | 0.05 | intron_variant | GSDMB | 2e-43 | Tier 4: intronic/intergenic |
| rs12978472 | 19 | 7257979 | C>A,G,T | 0.05 | intron_variant | INSR | 3e-43 | Tier 4: intronic/intergenic |
| rs1008723 | 17 | 39910014 | G>C,T | 0.05 | intron_variant | GSDMB | 5e-43 | Tier 4: intronic/intergenic |
| rs869402 | 17 | 39911790 | T>A,C,G | 0.05 | intron_variant | GSDMB | 7e-42 | Tier 4: intronic/intergenic |
| rs167479 | 19 | 11416089 | T>A,C,G | 0.05 | missense_variant | RGL3 | 9e-42 | Tier 1: coding |
| rs9303277 | 17 | 39820216 | C>G,T | 0.05 | intron_variant | IKZF3 | 1e-41 | Tier 4: intronic/intergenic |
| rs9901146 | 17 | 39887090 | G>A | 0.05 | intergenic_variant | ZPBP2 - GSDMB | 2e-41 | Tier 4: intronic/intergenic |
| rs12950743 | 17 | 39892980 | T>C | 0.05 | intergenic_variant | ZPBP2 - GSDMB | 2e-41 | Tier 4: intronic/intergenic |
| rs8067378 | 17 | 39895095 | A>C,G | 0.05 | intergenic_variant | ZPBP2 - GSDMB | 3e-41 | Tier 4: intronic/intergenic |
| rs4795405 | 17 | 39932164 | T>A,C,G | 0.05 | intron_variant | LRRC3C | 1e-40 | Tier 4: intronic/intergenic |
| rs604723 | 11 | 100739815 | T>C | 0.05 | intron_variant | ARHGAP42 | 8e-40 | Tier 4: intronic/intergenic |
| rs9303280 | 17 | 39917778 | T>A,C | 0.05 | intron_variant | GSDMB | 2e-39 | Tier 4: intronic/intergenic |
| rs3816470 | 17 | 39829548 | A>C,G | 0.05 | intron_variant | IKZF3 | 3e-39 | Tier 4: intronic/intergenic |
| rs10059884 | 5 | 32832368 | C>A,G,T | 0.05 | intergenic_variant | NPR3 - LINC02120 | 6e-39 | Tier 4: intronic/intergenic |
| rs12603332 | 17 | 39926554 | T>C | 0.05 | 5_prime_UTR_variant | ORMDL3 | 1e-38 | Tier 2: splice/UTR |
| rs7359623 | 17 | 39893336 | C>T | 0.05 | intergenic_variant | ZPBP2 - GSDMB | 3e-38 | Tier 4: intronic/intergenic |
| rs1275988 | 2 | 26691496 | C>T | 0.05 | intron_variant | RPL37P11 - KCNK3 | 1e-37 | Tier 4: intronic/intergenic |
| rs7267618 | 20 | 59131469 | T>G | 0.05 | intron_variant | ZNF831 | 2e-37 | Tier 4: intronic/intergenic |
ClinVar germline variants
1 retrieved; paginated sample, class counts are floors:
1 likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 3068675 | NM_001458.5(FLNC):c.4467del (p.Glu1489fs) | FLNC | Likely pathogenic | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 14 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SORL1 | Orphanet:1020 | Early-onset autosomal dominant Alzheimer disease |
| STX16 | Orphanet:94089 | Pseudohypoparathyroidism type 1B |
| PRDM16 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| PRDM16 | Orphanet:1606 | 1p36 deletion syndrome |
| PRDM16 | Orphanet:54260 | Left ventricular noncompaction |
| APOA5 | Orphanet:530849 | Familial apolipoprotein A5 deficiency |
| HHAT | Orphanet:1422 | Chondrodysplasia-difference of sex development syndrome |
| FLNC | Orphanet:171445 | Muscle filaminopathy |
| FLNC | Orphanet:63273 | FLNC-related handgrip and calf weakness-distal myopathy |
| FLNC | Orphanet:75249 | Familial isolated restrictive cardiomyopathy |
| GK | Orphanet:284411 | Glycerol kinase deficiency, juvenile form |
| GK | Orphanet:284414 | Glycerol kinase deficiency, adult form |
| GLUL | Orphanet:71278 | Congenital brain dysgenesis due to glutamine synthetase deficiency |
| IL1RAPL1 | Orphanet:777 | X-linked non-syndromic intellectual disability |
Cohort genes → proteins
19 cohort genes, 19 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 18 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SORL1 | HGNC:11185 | ENSG00000137642 | Q92673 | Sortilin-related receptor | gwas |
| STX16 | HGNC:11431 | ENSG00000124222 | O14662 | Syntaxin-16 | gwas |
| MEPE | HGNC:13361 | ENSG00000152595 | Q9NQ76 | Matrix extracellular phosphoglycoprotein | gwas |
| PRDM16 | HGNC:14000 | ENSG00000142611 | Q9HAZ2 | Histone-lysine N-methyltransferase PRDM16 | gwas |
| AGAP1 | HGNC:16922 | ENSG00000157985 | Q9UPQ3 | Arf-GAP with GTPase, ANK repeat and PH domain-containing protein 1 | gwas |
| APOA5 | HGNC:17288 | ENSG00000110243 | Q6Q788 | Apolipoprotein A-V | gwas |
| ZNF648 | HGNC:18190 | ENSG00000179930 | Q5T619 | Zinc finger protein 648 | gwas |
| HHAT | HGNC:18270 | ENSG00000054392 | Q5VTY9 | Protein-cysteine N-palmitoyltransferase HHAT | gwas |
| SAYSD1 | HGNC:21025 | ENSG00000112167 | Q9NPB0 | SAYSvFN domain-containing protein 1 | gwas |
| APCDD1L | HGNC:26892 | ENSG00000198768 | Q8NCL9 | Protein APCDD1-like | gwas |
| BUD13 | HGNC:28199 | ENSG00000137656 | Q9BRD0 | BUD13 homolog | gwas |
| BLID | HGNC:33495 | ENSG00000259571 | Q8IZY5 | BH3-like motif-containing cell death inducer | gwas |
| FLNC | HGNC:3756 | ENSG00000128591 | Q14315 | Filamin-C | clinvar |
| GK | HGNC:4289 | ENSG00000198814 | P32189 | Glycerol kinase | gwas |
| GLUL | HGNC:4341 | ENSG00000135821 | P15104 | Glutamine synthetase | gwas |
| CADM1 | HGNC:5951 | ENSG00000182985 | Q9BY67 | Cell adhesion molecule 1 | gwas |
| IL1RAPL1 | HGNC:5996 | ENSG00000169306 | Q9NZN1 | Interleukin-1 receptor accessory protein-like 1 | gwas |
| IRX4 | HGNC:6129 | ENSG00000113430 | P78413 | Iroquois-class homeodomain protein IRX-4 | gwas |
| BACE1 | HGNC:933 | ENSG00000186318 | P56817 | Beta-secretase 1 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SORL1 | Sortilin-related receptor | Sorting receptor that directs several proteins to their correct location within the cell. |
| STX16 | Syntaxin-16 | SNARE involved in vesicular transport from the late endosomes to the trans-Golgi network. |
| MEPE | Matrix extracellular phosphoglycoprotein | Promotes renal phosphate excretion and inhibits intestinal phosphate absorption. |
| PRDM16 | Histone-lysine N-methyltransferase PRDM16 | Transcription regulator that acts both as a histone methyltransferase or chromatin adapter, depending on the context. |
| AGAP1 | Arf-GAP with GTPase, ANK repeat and PH domain-containing protein 1 | GTPase-activating protein for ARF1 and, to a lesser extent, ARF5. |
| APOA5 | Apolipoprotein A-V | Minor apolipoprotein mainly associated with HDL and to a lesser extent with VLDL. |
| ZNF648 | Zinc finger protein 648 | May be involved in transcriptional regulation. |
| HHAT | Protein-cysteine N-palmitoyltransferase HHAT | Palmitoyl acyltransferase that catalyzes N-terminal palmitoylation of SHH; which is required for SHH signaling. |
| SAYSD1 | SAYSvFN domain-containing protein 1 | Ufmylation ‘reader’ component of a translocation-associated quality control pathway, a mechanism that takes place when a ribosome has stalled during translation, and which is required to degrade clogged substrates. |
| BUD13 | BUD13 homolog | Involved in pre-mRNA splicing as component of the activated spliceosome. |
| BLID | BH3-like motif-containing cell death inducer | Functions as a proapoptotic molecule through the caspase-dependent mitochondrial pathway of cell death. |
| FLNC | Filamin-C | Muscle-specific filamin, which plays a central role in sarcomere assembly and organization. |
| GK | Glycerol kinase | Kinase that plays a key role in glycerol metabolism, catalyzing its phosphorylation to produce sn-glycerol 3-phosphate. |
| GLUL | Glutamine synthetase | Glutamine synthetase that catalyzes the ATP-dependent conversion of glutamate and ammonia to glutamine. |
| CADM1 | Cell adhesion molecule 1 | Mediates homophilic cell-cell adhesion in a Ca(2+)-independent manner. |
| IL1RAPL1 | Interleukin-1 receptor accessory protein-like 1 | May regulate secretion and presynaptic differentiation through inhibition of the activity of N-type voltage-gated calcium channel. |
| IRX4 | Iroquois-class homeodomain protein IRX-4 | Likely to be an important mediator of ventricular differentiation during cardiac development. |
| BACE1 | Beta-secretase 1 | Responsible for the proteolytic processing of the amyloid precursor protein (APP). |
Protein-family classification
Druggable: 7 · Difficult: 4 · Unknown: 8 · Druggable fraction: 0.37
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 |
|---|---|---|---|
| Antibody/Immunoglobulin | 4 | 6.2× | 0.025 |
| Protease | 1 | 1.9× | 0.880 |
| Kinase | 1 | 1.5× | 0.880 |
| Transcription factor | 3 | 1.3× | 0.880 |
| Scaffold/PPI | 1 | 0.9× | 0.924 |
| Other/Unknown | 8 | 0.8× | 0.924 |
| Enzyme (other) | 1 | 0.6× | 0.924 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SORL1 | Antibody/Immunoglobulin | yes | LDLR_classB_rpt, LDrepeatLR_classA_rpt, FN3_dom | |
| STX16 | Other/Unknown | no | T_SNARE_dom, Syntaxin/epimorphin_CS, SNARE | |
| MEPE | Other/Unknown | no | MEPE | |
| PRDM16 | Transcription factor | no | 2.1.1.367 | SET_dom, Znf_C2H2_type, Znf_C2H2_sf |
| AGAP1 | Scaffold/PPI | no | ArfGAP_dom, Small_GTPase, PH_domain | |
| APOA5 | Other/Unknown | no | ApoA_E, Apolipoprotein_A1/A4/E | |
| ZNF648 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf | |
| HHAT | Other/Unknown | no | MBOAT_fam, MB_O-acyltransferase | |
| SAYSD1 | Other/Unknown | no | SAYSvFN_dom, SAYSD1 | |
| APCDD1L | Other/Unknown | no | APCDD1_dom, APCDD1 | |
| BUD13 | Other/Unknown | no | Bud13, CWC26_splicing_factor | |
| BLID | Other/Unknown | no | ||
| FLNC | Antibody/Immunoglobulin | yes | Filamin/ABP280_rpt, Actinin_actin-bd_CS, CH_dom | |
| GK | Kinase | yes | 2.7.1.30 | Carb_kinase_FGGY, Glycerol_kin, Carb_kinase_FGGY_CS |
| GLUL | Enzyme (other) | yes | 6.3.1.2 | Gln_synth_cat_dom, Gln_synt_N, Gln_synth/guanido_kin_cat_dom |
| CADM1 | Antibody/Immunoglobulin | yes | Neurexin-like, Ig_sub2, Ig_sub | |
| IL1RAPL1 | Antibody/Immunoglobulin | yes | TIR_dom, Ig_sub2, Ig_sub | |
| IRX4 | Transcription factor | no | HD, Iroquois_homeo, KN_HD | |
| BACE1 | Protease | yes | 3.4.23.46 | Aspartic_peptidase_A1, Aspartic_peptidase_AS, BACE |
Expression context
Cohort genes with no expression data: 0.
16 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 1 |
| broad (>20) | 18 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| paraflocculus | 3 |
| corpus callosum | 3 |
| frontal pole | 2 |
| sural nerve | 2 |
| liver | 2 |
| male germ line stem cell (sensu Vertebrata) in testis | 2 |
| primordial germ cell in gonad | 2 |
| adrenal tissue | 2 |
| endothelial cell | 2 |
| middle frontal gyrus | 1 |
| right uterine tube | 1 |
| periodontal ligament | 1 |
| tibia | 1 |
| trabecular bone tissue | 1 |
| ascending aorta | 1 |
| pigmented layer of retina | 1 |
| cortical plate | 1 |
| right lobe of liver | 1 |
| skeletal muscle tissue of rectus abdominis | 1 |
| olfactory segment of nasal mucosa | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SORL1 | 293 | ubiquitous | marker | frontal pole, paraflocculus, middle frontal gyrus |
| STX16 | 300 | broad | marker | right uterine tube, sural nerve, corpus callosum |
| MEPE | 52 | tissue_specific | marker | tibia, periodontal ligament, trabecular bone tissue |
| PRDM16 | 202 | broad | marker | sural nerve, pigmented layer of retina, ascending aorta |
| AGAP1 | 287 | ubiquitous | marker | frontal pole, cortical plate, paraflocculus |
| APOA5 | 45 | tissue_specific | yes | right lobe of liver, liver, skeletal muscle tissue of rectus abdominis |
| ZNF648 | 19 | marker | male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, liver | |
| HHAT | 137 | ubiquitous | yes | male germ line stem cell (sensu Vertebrata) in testis, olfactory segment of nasal mucosa, primordial germ cell in gonad |
| SAYSD1 | 256 | ubiquitous | marker | left testis, right testis, sperm |
| APCDD1L | 125 | broad | marker | kidney epithelium, vena cava, stromal cell of endometrium |
| BUD13 | 246 | ubiquitous | marker | secondary oocyte, oocyte, tendon of biceps brachii |
| BLID | 39 | yes | cartilage tissue, calcaneal tendon, corpus callosum | |
| FLNC | 255 | ubiquitous | marker | gastrocnemius, hindlimb stylopod muscle, tibialis anterior |
| GK | 243 | ubiquitous | marker | jejunal mucosa, adrenal tissue, duodenum |
| GLUL | 309 | ubiquitous | marker | endothelial cell, medial globus pallidus, globus pallidus |
| CADM1 | 294 | ubiquitous | marker | paraflocculus, pons, adrenal tissue |
| IL1RAPL1 | 115 | broad | marker | buccal mucosa cell, endothelial cell, corpus callosum |
| IRX4 | 93 | broad | marker | skin of abdomen, apex of heart, cervix squamous epithelium |
| BACE1 | 278 | ubiquitous | marker | inferior vagus X ganglion, body of pancreas, C1 segment of cervical spinal cord |
Protein interactions among cohort
Intra-cohort edges: 2.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| GLUL | 5,006 |
| FLNC | 3,174 |
| BACE1 | 2,883 |
| CADM1 | 2,700 |
| PRDM16 | 2,633 |
| SORL1 | 2,524 |
| GK | 2,358 |
| BUD13 | 2,107 |
| APOA5 | 1,919 |
| STX16 | 1,793 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| APOA5 | BUD13 | string_interaction |
| BLID | SORL1 | string_interaction |
Structural data
PDB: 11 · AlphaFold-only: 8 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| BACE1 | P56817 | 350 |
| FLNC | Q14315 | 14 |
| GLUL | P15104 | 12 |
| BUD13 | Q9BRD0 | 11 |
| HHAT | Q5VTY9 | 10 |
| SORL1 | Q92673 | 7 |
| IL1RAPL1 | Q9NZN1 | 3 |
| PRDM16 | Q9HAZ2 | 2 |
| AGAP1 | Q9UPQ3 | 2 |
| CADM1 | Q9BY67 | 2 |
| STX16 | O14662 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| GK | P32189 | 92.01 |
| APCDD1L | Q8NCL9 | 82.31 |
| APOA5 | Q6Q788 | 72.38 |
| SAYSD1 | Q9NPB0 | 66.34 |
| ZNF648 | Q5T619 | 61.00 |
| IRX4 | P78413 | 54.03 |
| BLID | Q8IZY5 | 50.81 |
| MEPE | Q9NQ76 | 43.45 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 44. Enrichment computed across 19 evidence-associated genes (13 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 13 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Interleukin-38 signaling | 1 | 219.6× | 0.060 | IL1RAPL1 |
| HHAT G278V doesn’t palmitoylate Hh-Np | 1 | 175.7× | 0.060 | HHAT |
| Astrocytic Glutamate-Glutamine Uptake And Metabolism | 1 | 146.4× | 0.060 | GLUL |
| Nectin/Necl trans heterodimerization | 1 | 109.8× | 0.060 | CADM1 |
| Amyloid fiber formation | 2 | 15.8× | 0.060 | SORL1, BACE1 |
| Post-translational protein phosphorylation | 2 | 15.4× | 0.060 | MEPE, APOA5 |
| Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs) | 2 | 13.3× | 0.060 | MEPE, APOA5 |
| Chylomicron remodeling | 1 | 87.8× | 0.062 | APOA5 |
| Glutamate and glutamine metabolism | 1 | 62.8× | 0.070 | GLUL |
| Cell-extracellular matrix interactions | 1 | 51.7× | 0.070 | FLNC |
| Triglyceride biosynthesis | 1 | 51.7× | 0.070 | GK |
| Metabolism of proteins | 4 | 3.8× | 0.070 | SORL1, MEPE, APOA5, BACE1 |
| Assembly of active LPL and LIPC lipase complexes | 1 | 46.2× | 0.071 | APOA5 |
| Receptor-type tyrosine-protein phosphatases | 1 | 43.9× | 0.071 | IL1RAPL1 |
| Plasma lipoprotein remodeling | 1 | 36.6× | 0.079 | APOA5 |
| Transcriptional regulation of brown and beige adipocyte differentiation by EBF2 | 1 | 29.3× | 0.092 | PRDM16 |
| Interleukin-1 family signaling | 1 | 20.9× | 0.107 | IL1RAPL1 |
| Protein-protein interactions at synapses | 1 | 20.4× | 0.107 | IL1RAPL1 |
| Intra-Golgi traffic | 1 | 20.0× | 0.107 | STX16 |
| Adherens junctions interactions | 1 | 19.1× | 0.107 | CADM1 |
| Cell-cell junction organization | 1 | 19.1× | 0.107 | CADM1 |
| Plasma lipoprotein assembly, remodeling, and clearance | 1 | 17.6× | 0.110 | APOA5 |
| Retrograde transport at the Trans-Golgi-Network | 1 | 16.9× | 0.110 | STX16 |
| Hedgehog ligand biogenesis | 1 | 16.3× | 0.110 | HHAT |
| Cell junction organization | 1 | 14.4× | 0.118 | CADM1 |
| PKMTs methylate histone lysines | 1 | 12.4× | 0.132 | PRDM16 |
| Regulation of lipid metabolism by PPARalpha | 1 | 10.8× | 0.142 | APOA5 |
| Cell-Cell communication | 1 | 10.6× | 0.142 | CADM1 |
| mRNA Splicing | 1 | 8.4× | 0.170 | BUD13 |
| Intra-Golgi and retrograde Golgi-to-ER traffic | 1 | 8.1× | 0.172 | STX16 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 19 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| obsolete glutamine biosynthetic process | 1 | 887.0× | 0.027 | GLUL |
| establishment of animal organ orientation | 1 | 887.0× | 0.027 | IRX4 |
| intracellular ammonium homeostasis | 1 | 887.0× | 0.027 | GLUL |
| obsolete positive regulation of early endosome to recycling endosome transport | 1 | 887.0× | 0.027 | SORL1 |
| negative regulation of neurofibrillary tangle assembly | 1 | 887.0× | 0.027 | SORL1 |
| triglyceride metabolic process | 2 | 46.7× | 0.027 | APOA5, GK |
| positive regulation of very-low-density lipoprotein particle remodeling | 1 | 443.5× | 0.028 | APOA5 |
| N-terminal peptidyl-L-cysteine N-palmitoylation | 1 | 443.5× | 0.028 | HHAT |
| detection of stimulus | 1 | 443.5× | 0.028 | CADM1 |
| negative regulation of white fat cell differentiation | 1 | 443.5× | 0.028 | PRDM16 |
| positive regulation of glial cell-derived neurotrophic factor production | 1 | 443.5× | 0.028 | SORL1 |
| triglyceride-rich lipoprotein particle remodeling | 1 | 295.6× | 0.028 | APOA5 |
| susceptibility to natural killer cell mediated cytotoxicity | 1 | 295.6× | 0.028 | CADM1 |
| trans-synaptic signaling by trans-synaptic complex | 1 | 295.6× | 0.028 | IL1RAPL1 |
| beige fat cell differentiation | 1 | 295.6× | 0.028 | PRDM16 |
| regulation of protein localization to nucleolus | 1 | 295.6× | 0.028 | GLUL |
| tolerance induction in gut-associated lymphoid tissue | 1 | 221.7× | 0.028 | PRDM16 |
| L-glutamate catabolic process | 1 | 221.7× | 0.028 | GLUL |
| insulin receptor recycling | 1 | 221.7× | 0.028 | SORL1 |
| glycerol-3-phosphate biosynthetic process | 1 | 221.7× | 0.028 | GK |
| signaling receptor ligand precursor processing | 1 | 221.7× | 0.028 | BACE1 |
| very-low-density lipoprotein particle clearance | 1 | 177.4× | 0.028 | APOA5 |
| swimming behavior | 1 | 177.4× | 0.028 | BACE1 |
| protein retention in Golgi apparatus | 1 | 177.4× | 0.028 | SORL1 |
| acylglycerol homeostasis | 1 | 177.4× | 0.028 | APOA5 |
| endosome to plasma membrane protein transport | 1 | 177.4× | 0.028 | SORL1 |
| positive regulation of ER to Golgi vesicle-mediated transport | 1 | 177.4× | 0.028 | SORL1 |
| negative regulation of amyloid precursor protein catabolic process | 1 | 177.4× | 0.028 | SORL1 |
| retrograde transport, endosome to Golgi | 2 | 21.6× | 0.028 | SORL1, STX16 |
| negative regulation of triglyceride catabolic process | 1 | 147.8× | 0.029 | SORL1 |
Therapeutics
Drugs indicated for this disease
173 approved, 65 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Acebutolol | Approved (phase 4) |
| Acetyldigitoxin | Approved (phase 4) |
| Acipimox | Approved (phase 4) |
| Adenosine | Approved (phase 4) |
| Alipogene Tiparvovec | Approved (phase 4) |
| Alirocumab | Approved (phase 4) |
| Aliskiren | Approved (phase 4) |
| Alprostadil | Approved (phase 4) |
| Amiloride | Approved (phase 4) |
| Amlodipine | Approved (phase 4) |
| Angiotensin Ii | Approved (phase 4) |
| Arbutamine | Approved (phase 4) |
| Atenolol | Approved (phase 4) |
| Atorvastatin | Approved (phase 4) |
| Bempedoic Acid | Approved (phase 4) |
| Benazepril | Approved (phase 4) |
| Bendroflumethiazide | Approved (phase 4) |
| Benziodarone | Approved (phase 4) |
| Bepridil | Approved (phase 4) |
| Betaxolol | Approved (phase 4) |
| Bezafibrate | Approved (phase 4) |
| Bisoprolol | Approved (phase 4) |
| Buflomedil | Approved (phase 4) |
| Bumetanide | Approved (phase 4) |
| Camphor | Approved (phase 4) |
| Canrenone | Approved (phase 4) |
| Captopril | Approved (phase 4) |
| Carteolol | Approved (phase 4) |
| Carvedilol | Approved (phase 4) |
| Celiprolol | Approved (phase 4) |
| Cerivastatin | Approved (phase 4) |
| Chlorothiazide | Approved (phase 4) |
| Chlorthalidone | Approved (phase 4) |
| Cholestyramine | Approved (phase 4) |
| Cilazapril | Approved (phase 4) |
| Cinepazide | Approved (phase 4) |
| Ciprofibrate | Approved (phase 4) |
| Clevidipine | Approved (phase 4) |
| Clofibrate | Approved (phase 4) |
| Colesevelam | Approved (phase 4) |
| Colestipol Hydrochloride | Approved (phase 4) |
| Conivaptan | Approved (phase 4) |
| Cyclandelate | Approved (phase 4) |
| Cyclothiazide | Approved (phase 4) |
| Deslanoside | Approved (phase 4) |
| Dextrothyroxine | Approved (phase 4) |
| Digitoxin | Approved (phase 4) |
| Digoxin | Approved (phase 4) |
| Diltiazem | Approved (phase 4) |
| Diosmin | Approved (phase 4) |
| Dobutamine | Approved (phase 4) |
| Dopamine | Approved (phase 4) |
| Droxidopa | Approved (phase 4) |
| Enalapril | Approved (phase 4) |
| Enoximone | Approved (phase 4) |
| Ephedrine | Approved (phase 4) |
| Epinephrine | Approved (phase 4) |
| Eplerenone | Approved (phase 4) |
| Eprosartan | Approved (phase 4) |
| Esmolol | Approved (phase 4) |
| Ethacrynic Acid | Approved (phase 4) |
| Evinacumab | Approved (phase 4) |
| Evolocumab | Approved (phase 4) |
| Ezetimibe | Approved (phase 4) |
| Felodipine | Approved (phase 4) |
| Fenofibrate | Approved (phase 4) |
| Fenoldopam | Approved (phase 4) |
| Finerenone | Approved (phase 4) |
| Flosequinan | Approved (phase 4) |
| Fluvastatin | Approved (phase 4) |
| Fosinopril | Approved (phase 4) |
| Furosemide | Approved (phase 4) |
| Gemfibrozil | Approved (phase 4) |
| Hydrochlorothiazide | Approved (phase 4) |
| Hydroflumethiazide | Approved (phase 4) |
| Ibuprofen | Approved (phase 4) |
| Idecabtagene Vicleucel | Approved (phase 4) |
| Imidapril | Approved (phase 4) |
| Inamrinone | Approved (phase 4) |
| Indapamide | Approved (phase 4) |
| Indomethacin | Approved (phase 4) |
| Irbesartan | Approved (phase 4) |
| Isoproterenol | Approved (phase 4) |
| Isosorbide Dinitrate | Approved (phase 4) |
| Isosorbide Mononitrate | Approved (phase 4) |
| Isradipine | Approved (phase 4) |
| Ivabradine | Approved (phase 4) |
| Labetalol | Approved (phase 4) |
| Lacidipine | Approved (phase 4) |
| Lercanidipine | Approved (phase 4) |
| Levamlodipine | Approved (phase 4) |
| Losartan | Approved (phase 4) |
| Lovastatin | Approved (phase 4) |
| Mavacamten | Approved (phase 4) |
| Mefruside | Approved (phase 4) |
| Mephentermine | Approved (phase 4) |
| Mersalyl | Approved (phase 4) |
| Metaraminol | Approved (phase 4) |
| Methoxamine | Approved (phase 4) |
| Methyclothiazide | Approved (phase 4) |
| Metolazone | Approved (phase 4) |
| Metoprolol | Approved (phase 4) |
| Mibefradil | Approved (phase 4) |
| Midodrine | Approved (phase 4) |
| Milrinone | Approved (phase 4) |
| Mipomersen | Approved (phase 4) |
| Moexipril | Approved (phase 4) |
| Molsidomine | Approved (phase 4) |
| Moxisylyte | Approved (phase 4) |
| Muzolimine | Approved (phase 4) |
| Nadolol | Approved (phase 4) |
| Naftazone | Approved (phase 4) |
| Nebivolol | Approved (phase 4) |
| Nesiritide | Approved (phase 4) |
| Niacin | Approved (phase 4) |
| Nicardipine | Approved (phase 4) |
| Nicergoline | Approved (phase 4) |
| Nicorandil | Approved (phase 4) |
| Nifedipine | Approved (phase 4) |
| Nimodipine | Approved (phase 4) |
| Nisoldipine | Approved (phase 4) |
| Nitrendipine | Approved (phase 4) |
| Nitroglycerin | Approved (phase 4) |
| Norepinephrine | Approved (phase 4) |
| OMEGA-3-ACID ETHYL ESTERS | Approved (phase 4) |
| Olmesartan Medoxomil | Approved (phase 4) |
| Oxprenolol | Approved (phase 4) |
| Pemafibrate | Approved (phase 4) |
| Penbutolol | Approved (phase 4) |
| Pentaerythritol Tetranitrate | Approved (phase 4) |
| Pentoxifylline | Approved (phase 4) |
| Perhexiline | Approved (phase 4) |
| Perindopril | Approved (phase 4) |
| Phenoxybenzamine | Approved (phase 4) |
| Phentolamine | Approved (phase 4) |
| Phenylephrine | Approved (phase 4) |
| Pindolol | Approved (phase 4) |
| Piretanide | Approved (phase 4) |
| Pitavastatin | Approved (phase 4) |
| Policosanol | Approved (phase 4) |
| Polythiazide | Approved (phase 4) |
| Practolol | Approved (phase 4) |
| Pravastatin | Approved (phase 4) |
| Prenylamine | Approved (phase 4) |
| Probucol | Approved (phase 4) |
| Propranolol | Approved (phase 4) |
| Quinapril | Approved (phase 4) |
| Quinethazone | Approved (phase 4) |
| Ramipril | Approved (phase 4) |
| Ranolazine | Approved (phase 4) |
| Rosuvastatin | Approved (phase 4) |
| Simvastatin | Approved (phase 4) |
| Sotalol | Approved (phase 4) |
| Spirapril | Approved (phase 4) |
| Spironolactone | Approved (phase 4) |
| Suloctidil | Approved (phase 4) |
| Telmisartan | Approved (phase 4) |
| Tertatolol | Approved (phase 4) |
| Ticrynafen | Approved (phase 4) |
| Timolol | Approved (phase 4) |
| Tolazoline | Approved (phase 4) |
| Tolvaptan | Approved (phase 4) |
| Torsemide | Approved (phase 4) |
| Trandolapril | Approved (phase 4) |
| Triamterene | Approved (phase 4) |
| Trichlormethiazide | Approved (phase 4) |
| Trimetazidine | Approved (phase 4) |
| Troxerutin | Approved (phase 4) |
| Valsartan | Approved (phase 4) |
| Verapamil | Approved (phase 4) |
| Vericiguat | Approved (phase 4) |
| Vincamine | Approved (phase 4) |
| Volanesorsen | Approved (phase 4) |
| Acadesine | Phase 3 (in late-stage trials) |
| Acoramidis | Phase 3 (in late-stage trials) |
| Allopurinol | Phase 3 (in late-stage trials) |
| Alteplase | Phase 3 (in late-stage trials) |
| Arginine | Phase 3 (in late-stage trials) |
| Aspirin | Phase 3 (in late-stage trials) |
| Azilsartan Medoxomil | Phase 3 (in late-stage trials) |
| Azithromycin | Phase 3 (in late-stage trials) |
| Benidipine | Phase 3 (in late-stage trials) |
| Bivalirudin | Phase 3 (in late-stage trials) |
| Bococizumab | Phase 3 (in late-stage trials) |
| Cagrilintide | Phase 3 (in late-stage trials) |
| Calcium | Phase 3 (in late-stage trials) |
| Candesartan | Phase 3 (in late-stage trials) |
| Centhaquine | Phase 3 (in late-stage trials) |
| Cholecalciferol | Phase 3 (in late-stage trials) |
| Cilnidipine | Phase 3 (in late-stage trials) |
| Cilostazol | Phase 3 (in late-stage trials) |
| Clazosentan | Phase 3 (in late-stage trials) |
| Clonidine | Phase 3 (in late-stage trials) |
| Colchicine | Phase 3 (in late-stage trials) |
| Dalcetrapib | Phase 3 (in late-stage trials) |
| Delapril | Phase 3 (in late-stage trials) |
| Digitalis | Phase 3 (in late-stage trials) |
| Dipyridamole | Phase 3 (in late-stage trials) |
| Eptifibatide | Phase 3 (in late-stage trials) |
| Ergocalciferol | Phase 3 (in late-stage trials) |
| Estrogens, Conjugated | Phase 3 (in late-stage trials) |
| Etripamil | Phase 3 (in late-stage trials) |
| Evacetrapib | Phase 3 (in late-stage trials) |
| Fasudil | Phase 3 (in late-stage trials) |
| Febuxostat | Phase 3 (in late-stage trials) |
| Fimasartan | Phase 3 (in late-stage trials) |
| Fish Oil | Phase 3 (in late-stage trials) |
| Fosfocreatine | Phase 3 (in late-stage trials) |
| Heparin | Phase 3 (in late-stage trials) |
| Icosapent | Phase 3 (in late-stage trials) |
| Icosapent Ethyl | Phase 3 (in late-stage trials) |
| Inclisiran | Phase 3 (in late-stage trials) |
| Landiolol | Phase 3 (in late-stage trials) |
| Lerodalcibep | Phase 3 (in late-stage trials) |
| Levosimendan | Phase 3 (in late-stage trials) |
| Lisinopril Anhydrous | Phase 3 (in late-stage trials) |
| Lomitapide | Phase 3 (in late-stage trials) |
| MANIDIPINE 6300 | Phase 3 (in late-stage trials) |
| Medroxyprogesterone Acetate | Phase 3 (in late-stage trials) |
| Methotrexate | Phase 3 (in late-stage trials) |
| Mycophenolate Mofetil | Phase 3 (in late-stage trials) |
| Nilvadipine | Phase 3 (in late-stage trials) |
| Olpasiran | Phase 3 (in late-stage trials) |
| Omecamtiv Mecarbil | Phase 3 (in late-stage trials) |
| Phytonadione | Phase 3 (in late-stage trials) |
| Progesterone | Phase 3 (in late-stage trials) |
| Propatyl Nitrate | Phase 3 (in late-stage trials) |
| Rauwolfia Serpentina | Phase 3 (in late-stage trials) |
| Reserpine | Phase 3 (in late-stage trials) |
| Rimonabant | Phase 3 (in late-stage trials) |
| Rosiglitazone | Phase 3 (in late-stage trials) |
| Salicylic Acid | Phase 3 (in late-stage trials) |
| Semaglutide | Phase 3 (in late-stage trials) |
| Serelaxin | Phase 3 (in late-stage trials) |
| Somatropin | Phase 3 (in late-stage trials) |
| Theobromine | Phase 3 (in late-stage trials) |
| Ubidecarenone | Phase 3 (in late-stage trials) |
| Warfarin | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Blood Cells, Red, Capsaicin, Clopidogrel, Creatinolfosfate, Dextrin, Doconexent, Doxazosin, Hydralazine, Pelacarsen, Pioglitazone, Prasugrel, Rutin, Sodium Chloride, Vitamin E.
Drug target analysis
Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 17
Druggability breadth: 5 of 19 evidence-associated genes (26%) 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 |
|---|---|
| GLUL | PREDNISOLONE |
| BACE1 | CIANIDANOL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| BACE1 | 26 | 4 |
| GLUL | 1 | 4 |
| SORL1 | 0 | 0 |
| STX16 | 0 | 0 |
| MEPE | 0 | 0 |
| PRDM16 | 0 | 0 |
| AGAP1 | 0 | 0 |
| APOA5 | 0 | 0 |
| ZNF648 | 0 | 0 |
| HHAT | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PREDNISOLONE | 4 | GLUL |
| CIANIDANOL | 4 | BACE1 |
| DONEPEZIL | 4 | BACE1 |
| CHLOROQUINE | 4 | BACE1 |
| GEFITINIB | 4 | BACE1 |
| TYRAMINE | 3 | BACE1 |
| CURCUMIN | 3 | BACE1 |
| CAFFEIC ACID | 3 | BACE1 |
| HYDROXYTYROSOL | 3 | BACE1 |
| RUTIN | 3 | BACE1 |
| EPIGALOCATECHIN GALLATE | 3 | BACE1 |
| VERUBECESTAT | 3 | BACE1 |
| LANABECESTAT | 3 | BACE1 |
| ELENBECESTAT | 3 | BACE1 |
| PHLOROGLUCINOL | 3 | BACE1 |
| QUERCETIN | 3 | BACE1 |
| (+)-EPICATECHIN | 2 | BACE1 |
| SPICLOMAZINE | 2 | BACE1 |
| LUTEOLIN | 2 | BACE1 |
| ATABECESTAT | 2 | BACE1 |
| ACETOSIDE | 2 | BACE1 |
| (-)-EPICATECHIN | 2 | BACE1 |
| ELLAGIC ACID | 2 | BACE1 |
| KAEMPFEROL | 1 | BACE1 |
| AZD-3839 | 1 | BACE1 |
| LY-2811376 | 1 | BACE1 |
| LY-2886721 | 1 | BACE1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 4.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| BACE1 | 1,237 | Binding:1230, Functional:6, ADMET:1 |
| GLUL | 45 | Binding:45 |
| HHAT | 14 | Binding:14 |
| PRDM16 | 2 | Binding:2 |
| GK | 2 | Binding:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| PRDM16 | 2.1.1.367, 2.1.1.370 | [histone H3]-lysine9 N-methyltransferase, [histone H3]-lysine4 N-dimethyltransferase |
| GK | 2.7.1.30 | glycerol kinase |
| GLUL | 6.3.1.2 | glutamine synthetase |
| BACE1 | 3.4.23.46 | memapsin 2 |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| BACE1 | 1,237 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 19; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
27 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) |
|---|---|---|
| PREDNISOLONE | 4 | GLUL |
| CIANIDANOL | 4 | BACE1 |
| DONEPEZIL | 4 | BACE1 |
| CHLOROQUINE | 4 | BACE1 |
| GEFITINIB | 4 | BACE1 |
| TYRAMINE | 3 | BACE1 |
| CURCUMIN | 3 | BACE1 |
| CAFFEIC ACID | 3 | BACE1 |
| HYDROXYTYROSOL | 3 | BACE1 |
| RUTIN | 3 | BACE1 |
| EPIGALOCATECHIN GALLATE | 3 | BACE1 |
| VERUBECESTAT | 3 | BACE1 |
| LANABECESTAT | 3 | BACE1 |
| ELENBECESTAT | 3 | BACE1 |
| PHLOROGLUCINOL | 3 | BACE1 |
| QUERCETIN | 3 | BACE1 |
| (+)-EPICATECHIN | 2 | BACE1 |
| SPICLOMAZINE | 2 | BACE1 |
| LUTEOLIN | 2 | BACE1 |
| ATABECESTAT | 2 | BACE1 |
| ACETOSIDE | 2 | BACE1 |
| (-)-EPICATECHIN | 2 | BACE1 |
| ELLAGIC ACID | 2 | BACE1 |
| KAEMPFEROL | 1 | BACE1 |
| AZD-3839 | 1 | BACE1 |
| LY-2811376 | 1 | BACE1 |
| LY-2886721 | 1 | BACE1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 2 | GLUL, BACE1 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 4 | SORL1, FLNC, CADM1, IL1RAPL1 |
| D | Druggable family + AlphaFold only, no drug | 1 | GK |
| E | Difficult family or no structure, no drug | 12 | STX16, MEPE, PRDM16, AGAP1, APOA5, ZNF648, HHAT, SAYSD1, APCDD1L, BUD13 (+2 more) |
Undrugged target profiles
17 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| SORL1 | 0 | — |
| STX16 | 0 | — |
| MEPE | 0 | — |
| PRDM16 | 2 | — |
| AGAP1 | 0 | — |
| APOA5 | 0 | — |
| ZNF648 | 0 | — |
| HHAT | 14 | — |
| SAYSD1 | 0 | — |
| APCDD1L | 0 | — |
| BUD13 | 0 | — |
| BLID | 0 | — |
| FLNC | 0 | — |
| GK | 2 | — |
| CADM1 | 0 | — |
| IL1RAPL1 | 0 | — |
| IRX4 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 4,079.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 270 |
| PHASE3 | 254 |
| PHASE4 | 220 |
| PHASE2 | 165 |
| PHASE1 | 118 |
| PHASE1/PHASE2 | 27 |
| PHASE2/PHASE3 | 25 |
| EARLY_PHASE1 | 21 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03520660 | PHASE4 | ACTIVE_NOT_RECRUITING | People With CHC Who Achieved a Sustained Virological Response Following Therapy With Direct Acting Antiviral Agents |
| NCT04262206 | PHASE4 | RECRUITING | Pragmatic Evaluation of Events And Benefits of Lipid-lowering in Older Adults |
| NCT04263038 | PHASE4 | RECRUITING | Clinical Surveillance vs. Anticoagulation for Low-risk Patients With Isolated Subsegmental Pulmonary Embolism |
| NCT04286399 | PHASE4 | RECRUITING | Asian Diabetes Outcomes Prevention Trial |
| NCT04715568 | PHASE4 | RECRUITING | Secondhand Tobacco Smoke and Cardiovascular Disease |
| NCT05242315 | PHASE4 | RECRUITING | Extended-Release Tacrolimus Following Liver Transplantation |
| NCT05284747 | PHASE4 | ACTIVE_NOT_RECRUITING | EVOLVE-MI: EVOLocumab Very Early After Myocardial Infarction |
| NCT05361421 | PHASE4 | ACTIVE_NOT_RECRUITING | Effect of Intensive LDL-cholesterol Targeting for Elderly Patients With Cardiovascular Disease: I-OLD Trial |
| NCT05498376 | PHASE4 | ACTIVE_NOT_RECRUITING | The Leadless AV Versus DDD Pacing Study |
| NCT05700877 | PHASE4 | RECRUITING | Screening and Intervention for Subclinical Coronary Artery Disease in Patients With Type 2 Diabetes |
| NCT05932472 | PHASE4 | RECRUITING | Randomized Comparison of Morning Versus Bedtime Administration of Aspirin: A Cardiovascular Circadian Chronotherapy (C3) Trial |
| NCT05995600 | PHASE4 | RECRUITING | Comparison of Clopidogrel-based Antiplatelet Therapy Versus Warfarin As Secondary Prevention Strategy for AntiPhospholipid Syndrome-related STROKE |
| NCT06263452 | PHASE4 | RECRUITING | Beta-Blocker Influences on Inflammatory and Neural Responses to Stress |
| NCT06281665 | PHASE4 | RECRUITING | Treatment With Aspirin After Preeclampsia: TAP Trial |
| NCT06336317 | PHASE4 | RECRUITING | Effect of infLuenza vaccInation After Myocardial INfArction on Cardiac inflammaTory responsE |
| NCT06625073 | PHASE4 | RECRUITING | Randomized Trial of SGLT2i in Heart Transplant Recipients |
| NCT06642623 | PHASE4 | RECRUITING | A Prospective Trial of Enavogliflozin to Evaluate Cardio-renal Outcome in Type 2 Diabetes Mellitus Patients |
| NCT06676280 | PHASE4 | RECRUITING | ASpirin Use and stAtin Strategy for Primary Prevention in Severe Coronary Calcium Score on Computed Tomography |
| NCT06873321 | PHASE4 | RECRUITING | VTE Incidence After Rivaroxaban + Aspirin or SAPT After Lower-limb Revascularization |
| NCT06959784 | PHASE4 | ENROLLING_BY_INVITATION | Assessing Incretin Therapy for Cardiovascular Risk Reduction and Diabetes Remission( ITCRDR Study) |
| NCT07026539 | PHASE4 | RECRUITING | Effect of Treatment With Finerenone on Cardio-Renal Target Organ Damage in Patients With Type 2 Diabetes. |
| NCT07370688 | PHASE4 | RECRUITING | Iron Infusion in Patients Undergoing Transcatheter Aortic Valve Implantation |
| NCT07482943 | PHASE4 | NOT_YET_RECRUITING | The Effect of Dapagliflozin on Exercise and Cardiac Functional Status of Patients After Fontan Procedure |
| NCT07483801 | PHASE4 | NOT_YET_RECRUITING | DECODE - Haemodynamic Effects Of Semaglutide and Tirzepatide - a Series of Pilot Studies |
| NCT07485283 | PHASE4 | RECRUITING | Recombinant Herpes Zoster Vaccine for Prevention of Cardiovascular Events and Dementia |
| NCT07507409 | PHASE4 | NOT_YET_RECRUITING | Innovative Sternal Closure Techniques: Evaluating STRATAFIX™ and DERMABOND™ for Reduced Complications in CABG Patients |
| NCT00000521 | PHASE4 | COMPLETED | Sodium-Potassium Blood Pressure Trial in Children |
| NCT00025766 | PHASE4 | COMPLETED | Angioplasty and Heart Stents to Treat Individuals With an Occluded Artery Following a Heart Attack |
| NCT00083772 | PHASE4 | TERMINATED | Use of Nesiritide in the Management of Acute Diastolic Heart Failure |
| NCT00106886 | PHASE4 | UNKNOWN | HOPE-2 Study (Heart Outcomes Prevention Evaluation-2 Study) |
| NCT00123045 | PHASE4 | COMPLETED | Patient-Physician Partnership to Improve High Blood Pressure Adherence |
| NCT00127348 | PHASE4 | COMPLETED | Effect of Continuous Positive Airway Pressure (CPAP) on Hypertension and Cardiovascular Morbidity-Mortality in Patients With Sleep Apnea and no Daytime Sleepiness |
| NCT00134160 | PHASE4 | COMPLETED | OlmeSartan and Calcium Antagonists Randomized (OSCAR) Study |
| NCT00135551 | PHASE4 | COMPLETED | Benidipine-based Comparison of Angiotensin Receptors, β-blockers, or Thiazide Diuretics in Hypertensive Patients |
| NCT00147251 | PHASE4 | COMPLETED | Stop Atherosclerosis in Native Diabetics Study |
| NCT00147602 | PHASE4 | COMPLETED | Lipitor In The Prevention Of Stroke, For Patients Who Have Had A Previous Stroke |
| NCT00153101 | PHASE4 | COMPLETED | Effectiveness and Safety of Ramipril Alone Compared With Telmisartan Alone and in Combination With Ramipril in Patients at High Risk for Cardiovascular Events. Patients Intolerant to Ramipril Were Entered in TRANSCEND, Telmisartan Compared to Placebo. |
| NCT00159835 | PHASE4 | COMPLETED | Atorvastatin Versus Simvastatin In The Prevention Of Coronary Heart Disease (CHD) In Patients With Known CHD |
| NCT00169910 | PHASE4 | COMPLETED | VIP: Vascular Imaging Project. Study on the Progression of Cardiovascular Disease in Renal Transplant Recipients |
| NCT00181818 | PHASE4 | COMPLETED | Bupropion for Hospitalized Smokers With Acute Cardiovascular Disease |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ENALAPRIL | 4 | 18 |
| ROSUVASTATIN | 4 | 14 |
| CLOPIDOGREL | 4 | 13 |
| AMIODARONE | 4 | 12 |
| METOPROLOL | 4 | 10 |
| BISOPROLOL | 4 | 9 |
| PROPRANOLOL | 4 | 9 |
| SIMVASTATIN | 4 | 9 |
| ATORVASTATIN | 4 | 8 |
| NIACIN | 4 | 8 |
| CHLORTHALIDONE | 4 | 7 |
| PRAVASTATIN | 4 | 7 |
| VITAMIN E | 4 | 7 |
| LISINOPRIL ANHYDROUS | 4 | 6 |
| WARFARIN | 4 | 6 |
| ALLOPURINOL | 4 | 5 |
| DIPYRIDAMOLE | 4 | 5 |
| LOVASTATIN | 4 | 5 |
| PRASUGREL | 4 | 5 |
| ASPIRIN | 4 | 4 |
| CHOLESTYRAMINE | 4 | 4 |
| EMPAGLIFLOZIN | 4 | 4 |
| ESTRADIOL | 4 | 4 |
| MEDROXYPROGESTERONE ACETATE | 4 | 4 |
| SOTALOL | 4 | 4 |
| TICAGRELOR | 4 | 4 |
| ADALIMUMAB | 4 | 3 |
| ALCOHOL | 4 | 3 |
| ASCORBIC ACID | 4 | 3 |
| ATENOLOL | 4 | 3 |
Related Atlas pages
- Cohort genes: SORL1, STX16, MEPE, PRDM16, AGAP1, APOA5, ZNF648, HHAT, SAYSD1, APCDD1L, BUD13, BLID, FLNC, GK, GLUL, CADM1, IL1RAPL1, IRX4, BACE1
- Drugs: Enalapril, Rosuvastatin, Clopidogrel, Amiodarone, Metoprolol, Bisoprolol, Propranolol, Simvastatin, Atorvastatin, Niacin, Chlorthalidone, Pravastatin, Vitamin E, Lisinopril, Warfarin, Allopurinol, Dipyridamole, Lovastatin, Prasugrel, Aspirin, Cholestyramine, Empagliflozin, Estradiol, Medroxyprogesterone Acetate, Sotalol, Ticagrelor, Adalimumab, Alcohol, Ascorbic Acid, Atenolol