Cerebrovascular disorder

disease
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Also known as cerebral infarctioncerebrovascular accidentcerebrovascular diseaseCVACVA (cerebral vascular accident)stroke

Summary

Cerebrovascular disorder (MONDO:0011057) is a disease (an umbrella term covering 24 Mondo subtypes) caused by NIT1 (GenCC Strong), with 1 cohort gene (57 GWAS associations across 55 studies) and 6,214 clinical trials. Top therapeutic interventions include aspirin, alteplase, and clopidogrel.

At a glance

  • Causal gene: NIT1 (GenCC Strong)
  • Umbrella term: 24 Mondo subtypes
  • Cohort genes: 1
  • GWAS associations: 57
  • Clinical trials: 6,214

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namecerebrovascular disorder
Mondo IDMONDO:0011057
EFOEFO:0003763
MeSHD002561
DOIDDOID:6713
ICD-10-CMI60-I69
ICD-11843843448
NCITC2938
SNOMED CT62914000
UMLSC0007820
MedGen858
Anatomy (UBERON)UBERON:0008998
Is cancer (heuristic)no

Also known as: cerebral infarction · cerebrovascular accident · cerebrovascular disease · cerebrovascular disorder · CVA · CVA (cerebral vascular accident) · stroke

Data availability: 57 GWAS associations (55 studies) · 1 GenCC gene-disease record · 3 cell lines.

Disease family

An umbrella term covering 24 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › nervous system disordercentral nervous system disorderbrain disordercerebrovascular disorder

Related subtypes (70): leukoencephalopathy, megalencephalic, encephalopathy, acute, infection-induced, diabetic encephalopathy, complex cortical dysplasia with other brain malformations, hydrocephalus, brain compression, cerebral sarcoidosis, hepatic encephalopathy, visual pathway disorder, central nervous system origin vertigo, cerebellar disorder, cerebritis, olfactory nerve disorder, thalamic disorder, pituitary gland disorder, disorder of optic chiasm, basal ganglia disorder, epilepsy, mental disorder, central nervous system cyst, migraine disorder, multiple sclerosis, prion disease, carbon monoxide-induced delayed encephalopathy, cerebral malaria, akinetic mutism, bulbar polio, Reye syndrome, brain edema, encephalomalacia, intracranial hypertension, intracranial hypotension, Wernicke encephalopathy, encephalopathy, recurrent, of childhood, XK aprosencephaly, progressive bulbar palsy, glycine encephalopathy, autosomal recessive frontotemporal pachygyria, occipital pachygyria and polymicrogyria, insomnia, narcolepsy-cataplexy syndrome, megalencephaly, meningoencephalocele, cerebral cortical dysplasia, encephaloclastic disorder, bilirubin encephalopathy, autoimmune encephalopathy with parasomnia and obstructive sleep apnea, narcolepsy without cataplexy, hypothalamic hamartomas with gelastic seizures, encephalitis, cerebral lipidosis with dementia, brain neoplasm, colpocephaly, corpus callosum agenesis of blepharophimosis robin type, corpus callosum dysgenesis X-linked recessive, corpus callosum dysgenesis cleft spasm, corpus callosum dysgenesis hypopituitarism, cerebral degeneration, acute bilirubin encephalopathy, chronic bilirubin encephalopathy, atelencephaly, aprosencephaly, brain injury, traumatic encephalopathy, cluster headache syndrome, cerebral cortex disorder, midbrain disorder, encephalopathy due to mitochondrial and peroxisomal fission defect, brain malformations with or without urinary tract defects, encephalopathy, acute transient

Subtypes (24): cerebral arteritis, intracranial thrombosis, occlusion precerebral artery, vascular dementia, stroke disorder, internal carotid artery stenosis, carotid artery disorder, brain ischemia, brain infarction, cerebral amyloid angiopathy, vascular brain injury, basal ganglia cerebrovascular disorder, intracranial arterial disease, intracranial vasospasm, subclavian steal syndrome, pseudotumor cerebri, cerebral sinovenous thrombosis, HTRA1-related autosomal dominant cerebral small vessel disease, familial porencephaly, microangiopathy and leukoencephalopathy, pontine, autosomal dominant, cathepsin a-related arteriopathy-strokes-leukoencephalopathy, precerebral artery stenosis, cerebral artery stenosis, APP-related brain and vascular amyloidosis

Genetics & variants

GWAS landscape

57 GWAS associations across 55 studies. Top hits map to 11 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs15373733e-34CDKN2B-AS1T0.07
chr7:190527331e-31G0.1
rs13330471e-26CDKN2B-AS1A0.07
rs104558728e-26LPAA0.12
rs21075952e-23HDAC9 - TWIST1G0.08
chr19:449086847e-22C0.12
chr11:1027186952e-19T0.07
rs132257238e-18LINC02577G0.06
chr7:922375335e-16A0.06
rs42722e-14CDK6A0.05
rs18929714e-14RNU7-159P - MMP13G0.06
rs4293585e-14APOET0.06
chr19:111916779e-13T0.06
rs6467763e-12CELSR2 - PSRC1C0.05
chr16:754620553e-12A0.04
chr4:1483784425e-12T0.06
chr3:113585666e-12G0.04
chr9:221031847e-12T0.07
chr2:269143641e-11C0.04
rs31845042e-11ATXN2, SH2B3T0.04
rs121511082e-11SMARCA4 - LDLRG0.06
rs12759824e-11KCNK3C0.04
rs1854387951e-10CYP4F8 - CYP4F3?
chr10:1038546941e-10T0.06
chr1:31954267e-10T1.4
chr9:220855991e-09C0.08
chr8:1045104371e-09G2.01
chr9:981828411e-09T1.74
chr2:2029438092e-09A0.11
rs614112763e-09PITX2 - LINC01438?1.11

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90475985Verma A202469,894349,486Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90473581UK Biobank Whole-Genome Sequencing Consortium202524,515433,925Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90103647Rannikmae K202219,449388,761Physician-Confirmed and Administrative Definitions of Stroke in UK Biobank Reflect the Same Underlying Genetic Trait.
GCST90477982Verma A202416,85897,523Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90480195Verma A202416,85897,523Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90103644Rannikmae K202216,750391,460Physician-Confirmed and Administrative Definitions of Stroke in UK Biobank Reflect the Same Underlying Genetic Trait.
GCST90651254Liu TY202514,440215,981Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population.
GCST90478003Verma A202414,431426,248Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90103642Rannikmae K202212,612395,598Physician-Confirmed and Administrative Definitions of Stroke in UK Biobank Reflect the Same Underlying Genetic Trait.
GCST90478000Verma A202412,412432,840Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding2
Tier 2: splice/UTR1
Tier 3: regulatory3
Tier 4: intronic/intergenic43

MAF distribution

BucketVariants
common (>=0.05)25
low_freq (0.01-0.05)0
rare (<0.01)0
unknown24

Functional consequences

ConsequenceCount
unknown29
intron_variant8
intergenic_variant6
regulatory_region_variant3
missense_variant2
3_prime_UTR_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs1537373922103342T>A,G0.498intron_variantCDKN2B-AS13e-34Tier 4: intronic/intergenic
chr7:190527330.161e-31Tier 4: intronic/intergenic
rs1333047922124505A>C,G,T0.422intergenic_variantCDKN2B-AS11e-26Tier 4: intronic/intergenic
rs104558726160589086A>G0.069intron_variantLPA8e-26Tier 4: intronic/intergenic
rs2107595719009765G>A,C,T0.182regulatory_region_variantHDAC9 - TWIST12e-23Tier 3: regulatory
chr19:449086847e-22Tier 4: intronic/intergenic
chr11:1027186950.1842e-19Tier 4: intronic/intergenic
rs132257237106776021G>A,C0.204intron_variantLINC025778e-18Tier 4: intronic/intergenic
chr7:922375330.215e-16Tier 4: intronic/intergenic
rs4272792607515A>G,T0.2073_prime_UTR_variantCDK62e-14Tier 2: splice/UTR
rs189297111102924877G>A0.188regulatory_region_variantRNU7-159P - MMP134e-14Tier 3: regulatory
rs4293581944908684T>C0.14missense_variantAPOE5e-14Tier 1: coding
chr19:111916770.1219e-13Tier 4: intronic/intergenic
rs6467761109275908C>A,G,T0.22regulatory_region_variantCELSR2 - PSRC13e-12Tier 3: regulatory
chr16:754620550.4253e-12Tier 4: intronic/intergenic
chr4:1483784420.145e-12Tier 4: intronic/intergenic
chr3:113585660.3886e-12Tier 4: intronic/intergenic
chr9:221031847e-12Tier 4: intronic/intergenic
chr2:269143640.3941e-11Tier 4: intronic/intergenic
rs318450412111446804T>A,C,G0.491missense_variantATXN2, SH2B32e-11Tier 1: coding
rs121511081911086585G>A,T0.12intergenic_variantSMARCA4 - LDLR2e-11Tier 4: intronic/intergenic
rs1275982226696221C>T0.47intron_variantKCNK34e-11Tier 4: intronic/intergenic
rs1854387951915637050A>Gintergenic_variantCYP4F8 - CYP4F31e-10Tier 4: intronic/intergenic
chr10:1038546941e-10Tier 4: intronic/intergenic
chr1:31954267e-10Tier 4: intronic/intergenic
chr9:220855991e-09Tier 4: intronic/intergenic
chr8:1045104371e-09Tier 4: intronic/intergenic
chr9:981828411e-09Tier 4: intronic/intergenic
chr2:2029438092e-09Tier 4: intronic/intergenic
rs614112764110776660TG>T,TGG0.05intergenic_variantPITX2 - LINC014383e-09Tier 4: intronic/intergenic

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 1 · Orphanet: 0 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

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

GeneClassificationInheritanceDiseaseRecords
NIT1StrongAutosomal recessivecerebrovascular disorder

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
NIT1HGNC:7828ENSG00000158793Q86X76Deaminated glutathione amidasegencc

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
NIT1Deaminated glutathione amidaseCatalyzes the hydrolysis of the amide bond in N-(4-oxoglutarate)-L-cysteinylglycine (deaminated glutathione), a metabolite repair reaction to dispose of the harmful deaminated glutathione.

Protein-family classification

Druggable: 0 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.0

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.

FamilyGenesFoldFDR
Other/Unknown11.8×0.558

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
NIT1Other/UnknownnoUPF0012_CS, C-N_Hydrolase, C-N_Hydrolase_sf

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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)1
unknown0

Top tissues across cohort

TissueCohort genes
left adrenal gland1
right adrenal gland1
right adrenal gland cortex1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
NIT1287ubiquitousmarkerright adrenal gland cortex, right adrenal gland, left adrenal gland

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
NIT11,658

Structural data

PDB: 0 · AlphaFold-only: 1 · No structure: 0

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
NIT1Q86X7688.57

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 0. Enrichment computed across 1 evidence-associated genes (0 with Reactome annotation).

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 termCohort genesFoldFDRSample cohort genes
obsolete amide catabolic process12106.5×5e-04NIT1

Therapeutics

Drugs indicated for this disease

0 approved, 8 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
AspirinPhase 3 (in late-stage trials)
AtenololPhase 3 (in late-stage trials)
ChlorthalidonePhase 3 (in late-stage trials)
CilostazolPhase 3 (in late-stage trials)
GefarnatePhase 3 (in late-stage trials)
ReserpinePhase 3 (in late-stage trials)
UrapidilPhase 3 (in late-stage trials)
Vitamin EPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Lovastatin.

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 1

Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

SymbolMoleculesMax phase
NIT100

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

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

SymbolAssaysType breakdown
NIT12Binding:2

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

0 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.

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug1NIT1

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
NIT12

Clinical trials & evidence

Clinical trials

Clinical trials: 6,214.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE2265
PHASE3215
PHASE4183
PHASE1136
Not specified112
PHASE1/PHASE287
PHASE2/PHASE351
EARLY_PHASE151

Top trials by phase / activity

NCTPhaseStatusTitle
NCT02472028PHASE4RECRUITINGBlood Pressure Reduction to Limit the Evolution of Vascular Brain Lesions in Elderly Individuals
NCT02670161PHASE4ENROLLING_BY_INVITATIONQuality Improvement and Practice Based Research in Neurology Using the EMR
NCT03568890PHASE4ACTIVE_NOT_RECRUITINGShort-Term Anticoagulation Versus Antiplatelet Therapy for Preventing Device Thrombosis Following Left Atrial Appendage Closure
NCT03862859PHASE4RECRUITINGThe Danish Warfarin-Dialysis Study - Safety and Efficacy of Warfarin in Patients With Atrial Fibrillation on Dialysis
NCT03968393PHASE4RECRUITINGAnticoagulation for Stroke Prevention In Patients With Recent Episodes of Atrial Fibrillation Occurring Transiently With Stress
NCT04436978PHASE4RECRUITINGWhat is the Optimal Antithrombotic Strategy in Patients With Atrial Fibrillation Undergoing PCI?
NCT04908423PHASE4RECRUITINGXeomin® and Gait Related Mobility After Stroke
NCT05169021PHASE4NOT_YET_RECRUITINGFolic Acid and Intensive Antihypertensive Therapy for Hypertension With CSVD
NCT05260125PHASE4RECRUITINGComparison of the Efficacy of Ultrasound Guided vs Non-guided Suprascapular Nerve Block Treatment in Stroke Patients
NCT05284747PHASE4ACTIVE_NOT_RECRUITINGEVOLVE-MI: EVOLocumab Very Early After Myocardial Infarction
NCT05995600PHASE4RECRUITINGComparison of Clopidogrel-based Antiplatelet Therapy Versus Warfarin As Secondary Prevention Strategy for AntiPhospholipid Syndrome-related STROKE
NCT06108414PHASE4RECRUITINGLow-dose Versus Standard-dose Rivaroxaban in Elderly Patients With Atrial Fibrillation
NCT06429332PHASE4RECRUITINGInternational Care Bundle Evaluation in Cerebral Hemorrhage Research
NCT06486792PHASE4NOT_YET_RECRUITINGStroke Prevention In Ischemic Stroke With Covert Atrial Fibrillation
NCT06526117PHASE4RECRUITINGStroke Prevention in Nigeria 2 Trial
NCT06543758PHASE4RECRUITINGEffectiveness and Safety of At-home Gait Rehabilitation Using Wearable Exoskeletal Robot
NCT06757764PHASE4RECRUITINGThe Effect and Safety of Combined Anti-platelet Treatment in Acute Ischemic Stroke Due to Large Artery Atherosclerosis
NCT06823999PHASE4NOT_YET_RECRUITINGPrevention and Treatment for Bruises in Patients With Ischemic Stroke
NCT06897176PHASE4RECRUITINGEffects of Cerebrolysin on Language Ability in Non-fluent Aphasia Patients After Stroke: A Randomized, Placebo-controlled, Double-blinded, Single Center Study
NCT06899464PHASE4NOT_YET_RECRUITINGSafety and Feasibility of Using Cerebrolysin in the Treatment of Primary Intracerebral Hemorrhage - a Prospective Randomized Open Blinded End-point Trial
NCT06921616PHASE4NOT_YET_RECRUITINGNeuroendoscopic Hematoma Evacuation Combined With Methylprednisolone Sodium Succinate in the Treatment of Lobar Intracerebral Hemorrhage at the Early Stage.
NCT06924983PHASE4NOT_YET_RECRUITINGNeuroendoscopic Hematoma Evacuation Combined With Methylprednisolone Sodium Succinate in the Treatment of Basal Ganglia Intracerebral Hemorrhage at the Early Stage
NCT06959784PHASE4ENROLLING_BY_INVITATIONAssessing Incretin Therapy for Cardiovascular Risk Reduction and Diabetes Remission( ITCRDR Study)
NCT07049094PHASE4RECRUITINGThe Analgesic Effect of Scalp Nerve Block Using Bupivacaine Liposomes for Postoperative Pain Relief After Craniotomy
NCT07095790PHASE4RECRUITINGTirofiban With Sequential Dual Antiplatelet Therapy in Mild Stroke
NCT07111559PHASE4RECRUITINGLacunar Stroke hyperAcute Clinical Utilization of Novel Approach Regimens: Rt-PA vs. DAPT Randomised Clinical Trial
NCT07237308PHASE4NOT_YET_RECRUITINGBEACON-AA: Apixaban With or Without Clopidogrel in Stroke Patients With Atrial Fibrillation and Cerebral Atherosclerosis
NCT07519044PHASE4RECRUITINGSafety and Efficacy of Adjunctive GM1 to Mechanical Thrombectomy for Acute Anterior Circulation Large Vessel Occlusion
NCT07563673PHASE4NOT_YET_RECRUITINGEarly Low-dose ASpirin Use After Intravenous Thrombolysis for Acute Ischemic Cerebral Infarction(ELASTIC)
NCT00004727PHASE4COMPLETEDAntiplatelet Therapy to Prevent Stroke in African Americans
NCT00029172PHASE4COMPLETEDTreatment for Post-Stroke Depression
NCT00079638PHASE4COMPLETEDComparative Efficacy Evaluation of Lipids When Treated With Niaspan & Statin or Other Lipid-Modifying Therapies-COMPELL
NCT00101543PHASE4COMPLETEDGait Training For Acute Stroke: Functional Neuromuscular Stimulation (FNS) and Weight Supported Treadmill Training
NCT00102869PHASE4COMPLETEDDopaminergic Enhancement of Learning and Memory in Aphasia
NCT00106886PHASE4UNKNOWNHOPE-2 Study (Heart Outcomes Prevention Evaluation-2 Study)
NCT00108706PHASE4UNKNOWNAcute Candesartan Cilexetil Outcomes Stroke Trial (ACCOST)
NCT00126087PHASE4TERMINATEDPotentiation of Procedural Motor Learning in Health and Disease
NCT00130039PHASE4COMPLETEDTrial of Cilostazol in Symptomatic Intracranial Arterial Stenosis II
NCT00149227PHASE4COMPLETEDAdd-on Effects of Valsartan on Morbi- Mortality (KYOTO HEART Study)
NCT00153062PHASE4COMPLETEDPRoFESS - Prevention Regimen For Effectively Avoiding Second Strokes

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
ASPIRIN455
ALTEPLASE419
CLOPIDOGREL418
CILOSTAZOL415
TENECTEPLASE412
WARFARIN412
BOTULINUM TOXIN TYPE A410
CARBIDOPA ANHYDROUS49
RIVAROXABAN49
APIXABAN48
ROSUVASTATIN48
ATORVASTATIN47
FINGOLIMOD46
TICAGRELOR46
DABIGATRAN ETEXILATE45
ABCIXIMAB44
EDARAVONE44
EDOXABAN44
HYDROXYUREA44
ONABOTULINUMTOXINA44
ACETAMINOPHEN43
COLCHICINE43
DONEPEZIL43
EPTIFIBATIDE43
LEVODOPA43
MANNITOL43
MARAVIROC43
NIMODIPINE43
SORBITOL43
VORAPAXAR43