Cecum adenocarcinoma
diseaseOn this page
Also known as adenocarcinoma of cecumadenocarcinoma of the cecumcaecum adenocarcinomacecal adenocarcinoma
Summary
Cecum adenocarcinoma (MONDO:0006028) is a disease with 1 cohort gene. Molecularly, ERBB2 L755S is associated with resistance to Cetuximab in Cecum Adenocarcinoma (CIViC Level D).
At a glance
- Cohort genes: 1
- Precision-medicine evidence (CIViC): 1 subtype–drug association
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | cecum adenocarcinoma |
| Mondo ID | MONDO:0006028 |
| EFO | EFO:1000020 |
| DOID | DOID:3039 |
| NCIT | C5543 |
| SNOMED CT | 413446001 |
| UMLS | C1332866 |
| MedGen | 234098 |
| Anatomy (UBERON) | UBERON:0001153 |
| Is cancer (heuristic) | no |
Also known as: adenocarcinoma of cecum · adenocarcinoma of the cecum · caecum adenocarcinoma · cecal adenocarcinoma · cecum adenocarcinoma
Data availability: 47 cell lines.
Disease family
An umbrella term covering 1 Mondo subtype.
Classification path: human disease › disease by body system or component › digestive system disorder › intestinal disorder › large intestine disorder › colonic disorder › colonic neoplasm › malignant colon neoplasm › colon carcinoma › colon adenocarcinoma › cecum adenocarcinoma
Related subtypes (4): colon medullary carcinoma, colon signet ring cell adenocarcinoma, submucosal invasive colon adenocarcinoma, colon mucinous adenocarcinoma
Subtypes (1): appendix adenocarcinoma
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 4 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| ERBB2 | Orphanet:213726 | Serous carcinoma of the corpus uteri |
| ERBB2 | Orphanet:2800 | Extramammary Paget disease |
| ERBB2 | Orphanet:388 | Hirschsprung disease |
| ERBB2 | Orphanet:99976 | Adenocarcinoma of the oesophagus and oesophagogastric junction |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| civic_only | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| ERBB2 | HGNC:3430 | ENSG00000141736 | P04626 | Receptor tyrosine-protein kinase erbB-2 | civic_evidence |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| ERBB2 | Receptor tyrosine-protein kinase erbB-2 | Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
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 |
|---|---|---|---|
| Kinase | 1 | 27.7× | 0.036 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| ERBB2 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene 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) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| lower esophagus mucosa | 1 |
| right uterine tube | 1 |
| sural nerve | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| ERBB2 | 276 | ubiquitous | marker | lower esophagus mucosa, right uterine tube, sural nerve |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| ERBB2 | 9,659 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| ERBB2 | P04626 | 63 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 33. Enrichment computed across 1 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| PLCG1 events in ERBB2 signaling | 1 | 2855.0× | 0.001 | ERBB2 |
| Drug-mediated inhibition of ERBB2 signaling | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to trastuzumab | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to sapitinib | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to tesevatinib | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to neratinib | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to osimertinib | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to afatinib | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to AEE788 | 1 | 2855.0× | 0.001 | ERBB2 |
| Resistance of ERBB2 KD mutants to lapatinib | 1 | 2855.0× | 0.001 | ERBB2 |
| Drug resistance in ERBB2 TMD/JMD mutants | 1 | 2855.0× | 0.001 | ERBB2 |
| GRB7 events in ERBB2 signaling | 1 | 1903.3× | 0.001 | ERBB2 |
| Constitutive Signaling by Overexpressed ERBB2 | 1 | 951.7× | 0.002 | ERBB2 |
| Downregulation of ERBB2:ERBB3 signaling | 1 | 815.7× | 0.002 | ERBB2 |
| ERBB2 Activates PTK6 Signaling | 1 | 815.7× | 0.002 | ERBB2 |
| TFAP2 (AP-2) family regulates transcription of growth factors and their receptors | 1 | 761.3× | 0.002 | ERBB2 |
| Developmental Lineage of Mammary Stem Cells | 1 | 761.3× | 0.002 | ERBB2 |
| ERBB2 Regulates Cell Motility | 1 | 713.8× | 0.002 | ERBB2 |
| PI3K events in ERBB2 signaling | 1 | 671.8× | 0.002 | ERBB2 |
| Signaling by ERBB2 ECD mutants | 1 | 671.8× | 0.002 | ERBB2 |
| GRB2 events in ERBB2 signaling | 1 | 634.4× | 0.002 | ERBB2 |
| Sema4D induced cell migration and growth-cone collapse | 1 | 571.0× | 0.003 | ERBB2 |
| Developmental Lineage of Mammary Gland Myoepithelial Cells | 1 | 543.8× | 0.003 | ERBB2 |
| SHC1 events in ERBB2 signaling | 1 | 475.8× | 0.003 | ERBB2 |
| Signaling by ERBB2 TMD/JMD mutants | 1 | 475.8× | 0.003 | ERBB2 |
| Developmental Lineage of Mammary Gland Luminal Epithelial Cells | 1 | 456.8× | 0.003 | ERBB2 |
| Signaling by ERBB2 KD Mutants | 1 | 423.0× | 0.003 | ERBB2 |
| Downregulation of ERBB2 signaling | 1 | 380.7× | 0.003 | ERBB2 |
| Signaling by ERBB2 | 1 | 346.1× | 0.003 | ERBB2 |
| Constitutive Signaling by Aberrant PI3K in Cancer | 1 | 126.9× | 0.009 | ERBB2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| immature T cell proliferation in thymus | 1 | 3370.4× | 0.004 | ERBB2 |
| negative regulation of immature T cell proliferation in thymus | 1 | 2808.7× | 0.004 | ERBB2 |
| ERBB2-ERBB4 signaling pathway | 1 | 2808.7× | 0.004 | ERBB2 |
| regulation of microtubule-based process | 1 | 1872.4× | 0.004 | ERBB2 |
| ERBB2-ERBB3 signaling pathway | 1 | 1685.2× | 0.004 | ERBB2 |
| ERBB2-EGFR signaling pathway | 1 | 1685.2× | 0.004 | ERBB2 |
| enzyme-linked receptor protein signaling pathway | 1 | 1296.3× | 0.004 | ERBB2 |
| Schwann cell development | 1 | 1053.2× | 0.005 | ERBB2 |
| neurotransmitter receptor localization to postsynaptic specialization membrane | 1 | 802.5× | 0.005 | ERBB2 |
| motor neuron axon guidance | 1 | 702.2× | 0.005 | ERBB2 |
| positive regulation of MAP kinase activity | 1 | 648.1× | 0.005 | ERBB2 |
| positive regulation of transcription by RNA polymerase I | 1 | 648.1× | 0.005 | ERBB2 |
| positive regulation of Rho protein signal transduction | 1 | 581.1× | 0.005 | ERBB2 |
| regulation of ERK1 and ERK2 cascade | 1 | 581.1× | 0.005 | ERBB2 |
| positive regulation of protein targeting to membrane | 1 | 561.7× | 0.005 | ERBB2 |
| neuromuscular junction development | 1 | 526.6× | 0.005 | ERBB2 |
| peptidyl-tyrosine phosphorylation | 1 | 421.3× | 0.005 | ERBB2 |
| regulation of angiogenesis | 1 | 421.3× | 0.005 | ERBB2 |
| oligodendrocyte differentiation | 1 | 421.3× | 0.005 | ERBB2 |
| semaphorin-plexin signaling pathway | 1 | 401.2× | 0.005 | ERBB2 |
| cellular response to growth factor stimulus | 1 | 318.0× | 0.006 | ERBB2 |
| cellular response to epidermal growth factor stimulus | 1 | 318.0× | 0.006 | ERBB2 |
| positive regulation of cell adhesion | 1 | 271.8× | 0.006 | ERBB2 |
| myelination | 1 | 251.5× | 0.006 | ERBB2 |
| epidermal growth factor receptor signaling pathway | 1 | 247.8× | 0.006 | ERBB2 |
| positive regulation of epithelial cell proliferation | 1 | 244.2× | 0.006 | ERBB2 |
| wound healing | 1 | 227.7× | 0.006 | ERBB2 |
| positive regulation of translation | 1 | 227.7× | 0.006 | ERBB2 |
| phosphatidylinositol 3-kinase/protein kinase B signal transduction | 1 | 210.7× | 0.007 | ERBB2 |
| positive regulation of cell growth | 1 | 183.2× | 0.007 | ERBB2 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) 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 |
|---|---|
| ERBB2 | CLOTRIMAZOLE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| ERBB2 | 83 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| CLOTRIMAZOLE | 4 | ERBB2 |
| ERLOTINIB HYDROCHLORIDE | 4 | ERBB2 |
| PONATINIB | 4 | ERBB2 |
| AFATINIB | 4 | ERBB2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| SORAFENIB | 4 | ERBB2 |
| NERATINIB | 4 | ERBB2 |
| IBRUTINIB | 4 | ERBB2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
| VANDETANIB | 4 | ERBB2 |
| TRIBROMSALAN | 4 | ERBB2 |
| BOSUTINIB | 4 | ERBB2 |
| BITHIONOL | 4 | ERBB2 |
| ASTEMIZOLE | 4 | ERBB2 |
| EBASTINE | 4 | ERBB2 |
| OSIMERTINIB | 4 | ERBB2 |
| BRIGATINIB | 4 | ERBB2 |
| ACALABRUTINIB | 4 | ERBB2 |
| ZANUBRUTINIB | 4 | ERBB2 |
| TUCATINIB | 4 | ERBB2 |
| TIRABRUTINIB | 4 | ERBB2 |
| PACLITAXEL | 4 | ERBB2 |
| LAZERTINIB | 4 | ERBB2 |
| HEXACHLOROPHENE | 4 | ERBB2 |
| DOXORUBICIN | 4 | ERBB2 |
| DASATINIB | 4 | ERBB2 |
| ERLOTINIB | 4 | ERBB2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| ERBB2 | 1,221 | Binding:1136, Functional:79, ADMET:6 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| ERBB2 | 2.7.10.1 | receptor protein-tyrosine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| ERBB2 | 1,221 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| CLOTRIMAZOLE | 4 | ERBB2 |
| ERLOTINIB HYDROCHLORIDE | 4 | ERBB2 |
| PONATINIB | 4 | ERBB2 |
| AFATINIB | 4 | ERBB2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| SORAFENIB | 4 | ERBB2 |
| NERATINIB | 4 | ERBB2 |
| IBRUTINIB | 4 | ERBB2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
| VANDETANIB | 4 | ERBB2 |
| TRIBROMSALAN | 4 | ERBB2 |
| BOSUTINIB | 4 | ERBB2 |
| BITHIONOL | 4 | ERBB2 |
| ASTEMIZOLE | 4 | ERBB2 |
| EBASTINE | 4 | ERBB2 |
| OSIMERTINIB | 4 | ERBB2 |
| BRIGATINIB | 4 | ERBB2 |
| ACALABRUTINIB | 4 | ERBB2 |
| ZANUBRUTINIB | 4 | ERBB2 |
| TUCATINIB | 4 | ERBB2 |
| TIRABRUTINIB | 4 | ERBB2 |
| PACLITAXEL | 4 | ERBB2 |
| LAZERTINIB | 4 | ERBB2 |
| HEXACHLOROPHENE | 4 | ERBB2 |
| DOXORUBICIN | 4 | ERBB2 |
| DASATINIB | 4 | ERBB2 |
| ERLOTINIB | 4 | ERBB2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | ERBB2 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 0.
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 1 predictive associations from 1 curated evidence items.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| ERBB2 L755S | Cetuximab | Resistance | CIViC D | EID4519 |