Cervical cancer

disease
On this page

Also known as cancer of uterine cervixcervical cancer, somaticcervical neoplasmmalignant cervical neoplasmmalignant cervical tumormalignant cervical tumourmalignant cervix neoplasmmalignant cervix tumormalignant cervix tumourmalignant cervix uteri neoplasmmalignant cervix uteri tumormalignant cervix uteri tumourmalignant neoplasm of cervixmalignant neoplasm of cervix uterimalignant neoplasm of the cervixmalignant neoplasm of the cervix uterimalignant neoplasm of the uterine cervixmalignant neoplasm of uterine cervixmalignant tumor of cervixmalignant tumor of cervix uteri

Summary

Cervical cancer (MONDO:0002974) is a cancer (an umbrella term covering 9 Mondo subtypes) with 7 cohort genes (36 GWAS associations across 15 studies; 7 CIViC-evidence somatic drivers; 36 ClinVar predisposition records) and 1,662 clinical trials. Molecularly, XRCC1 Q399R confers sensitivity to Cisplatin + Carboplatin in Cervical Cancer (CIViC Level B); 3 further subtype–drug associations are mapped below. Top therapeutic interventions include cisplatin, human papillomavirus, l1 protein virus like particles, and topotecan.

At a glance

  • Classification: Cancer
  • Umbrella term: 9 Mondo subtypes
  • Cohort genes: 7
  • GWAS associations: 36
  • ClinVar variants: 36
  • Clinical trials: 1,662
  • Precision-medicine evidence (CIViC): 4 subtype–drug associations

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namecervical cancer
Mondo IDMONDO:0002974
OMIM603956
DOIDDOID:4362
ICD-10-CMC53
ICD-111256072522
NCITC9311
SNOMED CT363354003
UMLSC4048328
MedGen890252
Anatomy (UBERON)UBERON:0000002
Is cancer (heuristic)yes

Also known as: cancer of uterine cervix · cervical cancer, somatic · cervical neoplasm · malignant cervical neoplasm · malignant cervical tumor · malignant cervical tumour · malignant cervix neoplasm · malignant cervix tumor · malignant cervix tumour · malignant cervix uteri neoplasm · malignant cervix uteri tumor · malignant cervix uteri tumour · malignant neoplasm of cervix · malignant neoplasm of cervix uteri · malignant neoplasm of the cervix · malignant neoplasm of the cervix uteri · malignant neoplasm of the uterine cervix · malignant neoplasm of uterine cervix · malignant tumor of cervix · malignant tumor of cervix uteri (+17 more)

Data availability: 36 ClinVar variants · 36 GWAS associations (15 studies).

Disease family

An umbrella term covering 9 Mondo subtypes.

Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumorneoplastic disease or syndromeneoplasmcancerreproductive system cancerfemale reproductive organ canceruterine cancercervical cancer

Related subtypes (6): uterine adnexa cancer, placenta cancer, uterine carcinoma, uterine corpus cancer, uterine carcinosarcoma, endometrial cancer

Subtypes (9): cervix melanoma, uterine ligament cancer, cervical carcinoma, cervical Wilms tumor, high-grade neuroendocrine carcinoma of the cervix uteri, malignant mixed epithelial and mesenchymal tumor of cervix uteri, sarcoma of cervix uteri, malignant germ cell tumor of cervix uteri, malignant neoplasm of endocervix

Genetics & variants

GWAS landscape

36 GWAS associations across 15 studies. Top hits map to 19 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs287182323e-44HLA-DQA1 - HLA-DQB1?
rs355083821e-39HLA-DRB1 - HLA-DQA1G
rs48491771e-15PAX8, PAX8-AS1C0.87
rs270696e-15CLPTM1L - LINC01511T0.88
rs11265133e-12HLA-DPB1, HLA-DPA1?
rs126033322e-10ORMDL3C0.9
rs11265062e-08HLA-DPB1, HLA-DPA1?
rs22681773e-08CDC42T
rs4257874e-08Y_RNA - CD70?
rs2259021e-07PRKD1A0.47
rs171513522e-07MAGI2T20
rs743883745e-07OSBPL10G24
rs286317192e-06HLA-DQA1 - HLA-DQB1A0.57
rs10127802e-06CKAP2LP1 - SIRPAC2.7
rs111668443e-06COL22A1T0.64
rs1480421183e-06LINC01982 - LINC02089G2.39
rs27418733e-06OSGIN1C0.52
rs19420843e-06KC6T2.89
rs1117615823e-06COL18A1C47.14
rs680585493e-06GPC5G26.61
rs29372683e-06PDE4BC27.93
rs722338303e-06TGA12.65
rs170350863e-06LINC02272 - PDGFCT21.33
rs728015353e-06STOX1C84.52
rs731743504e-06MECOMG30.18
rs624418924e-06AGR2 - AGR3C24.03
rs65356084e-06NR3C2 - ASS1P8C15.37
rs117068064e-06ZNF385DG16.61
rs22990594e-06JARID2A16.59
rs170486585e-06ISCA1P6 - LINC01854A0.51

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90266933Koel M202314,694551,136GWAS meta-analyses clarify genetics of cervical phenotypes and inform risk stratification for cervical cancer.
GCST90246358Koel M20238,624400,573GWAS meta-analyses clarify genetics of cervical phenotypes and inform risk stratification for cervical cancer.
GCST90246359Koel M20238,624400,573GWAS meta-analyses clarify genetics of cervical phenotypes and inform risk stratification for cervical cancer.
GCST90435605Zhou W20183,653381,902Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies.
GCST90651227Liu TY20252,931111,969Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population.
GCST90077634Backman JD20211,78637,828Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90081620Backman JD20211,78637,828Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90477203Verma A20241,77530,185Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90435606Zhou W20181,659381,902Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies.
GCST90477202Verma A202480215,352Diversity 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: coding1
Tier 2: splice/UTR3
Tier 3: regulatory0
Tier 4: intronic/intergenic27

MAF distribution

BucketVariants
common (>=0.05)24
low_freq (0.01-0.05)7
rare (<0.01)0
unknown0

Functional consequences

ConsequenceCount
intron_variant18
intergenic_variant7
non_coding_transcript_exon_variant1
stop_gained1
5_prime_UTR_variant1
splice_region_variant1
3_prime_UTR_variant1
unknown1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs28718232632658973A>G0.05intergenic_variantHLA-DQA1 - HLA-DQB13e-44Tier 4: intronic/intergenic
rs35508382632625367A>G0.05intergenic_variantHLA-DRB1 - HLA-DQA11e-39Tier 4: intronic/intergenic
rs48491772113225007T>A,C0.39intron_variantPAX8, PAX8-AS11e-15Tier 4: intronic/intergenic
rs2706951347013C>T0.43non_coding_transcript_exon_variantCLPTM1L - LINC015116e-15Tier 4: intronic/intergenic
rs1126513633080690G>T0.05stop_gainedHLA-DPB1, HLA-DPA13e-12Tier 1: coding
rs126033321739926554T>C0.495_prime_UTR_variantORMDL32e-10Tier 2: splice/UTR
rs1126506633080682T>C,G0.05splice_region_variantHLA-DPB1, HLA-DPA12e-08Tier 2: splice/UTR
rs2268177122088917A>C,G,T0.053_prime_UTR_variantCDC423e-08Tier 2: splice/UTR
rs425787196578940T>A,C,G0.05intergenic_variantY_RNA - CD704e-08Tier 4: intronic/intergenic
rs2259021429990245A>G,T0.154intron_variantPRKD11e-07Tier 4: intronic/intergenic
rs17151352778716998T>C0.127intron_variantMAGI22e-07Tier 4: intronic/intergenic
rs74388374331878861G>A0.116intron_variantOSBPL105e-07Tier 4: intronic/intergenic
rs28631719632657632A>G0.426intergenic_variantHLA-DQA1 - HLA-DQB12e-06Tier 4: intronic/intergenic
rs1012780201774323C>G,T0.087intron_variantCKAP2LP1 - SIRPA2e-06Tier 4: intronic/intergenic
rs111668448138766637C>A,G,T0.423intron_variantCOL22A13e-06Tier 4: intronic/intergenic
rs1480421181752737990G>GT0.067intron_variantLINC01982 - LINC020893e-06Tier 4: intronic/intergenic
rs27418731683957967C>A,G,T0.262intron_variantOSGIN13e-06Tier 4: intronic/intergenic
rs19420841841568225T>A0.041intron_variantKC63e-06Tier 4: intronic/intergenic
rs1117615822145461787C>A0.024intron_variantCOL18A13e-06Tier 4: intronic/intergenic
rs680585491391618423G>C,T0.042intron_variantGPC53e-06Tier 4: intronic/intergenic
rs2937268166087924C>G,T0.062intron_variantPDE4B3e-06Tier 4: intronic/intergenic
rs722338300.0143e-06Tier 4: intronic/intergenic
rs170350864156696327T>A0.082intergenic_variantLINC02272 - PDGFC3e-06Tier 4: intronic/intergenic
rs728015351068872285C>T0.036intron_variantSTOX13e-06Tier 4: intronic/intergenic
rs731743503169552715G>A0.037intron_variantMECOM4e-06Tier 4: intronic/intergenic
rs62441892716835876C>T0.072intron_variantAGR2 - AGR34e-06Tier 4: intronic/intergenic
rs65356084148454471C>A0.478intron_variantNR3C2 - ASS1P84e-06Tier 4: intronic/intergenic
rs11706806321690952G>A,C0.276intron_variantZNF385D4e-06Tier 4: intronic/intergenic
rs2299059615376763A>G,T0.254intron_variantJARID24e-06Tier 4: intronic/intergenic
rs170486582128647548A>C,G0.177intergenic_variantISCA1P6 - LINC018545e-06Tier 4: intronic/intergenic

ClinVar germline variants

36 retrieved; paginated sample, class counts are floors:

12 uncertain significance, 9 pathogenic, 6 conflicting classifications of pathogenicity, 5 benign/likely benign, 4 pathogenic/likely pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
16327NM_000142.5(FGFR3):c.1138G>A (p.Gly380Arg)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16331NM_000142.5(FGFR3):c.1948A>G (p.Lys650Glu)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16332NM_000142.5(FGFR3):c.742C>T (p.Arg248Cys)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16335NM_000142.5(FGFR3):c.2419T>A (p.Ter807Arg)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16338NM_000142.5(FGFR3):c.1620C>G (p.Asn540Lys)FGFR3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
16339NM_000142.5(FGFR3):c.746C>G (p.Ser249Cys)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16340NM_000142.5(FGFR3):c.749C>G (p.Pro250Arg)FGFR3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
16341NM_000142.5(FGFR3):c.1949A>T (p.Lys650Met)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16347NM_000142.5(FGFR3):c.1950G>C (p.Lys650Asn)FGFR3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
16359NM_000142.5(FGFR3):c.1108G>T (p.Gly370Cys)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
65562NM_000142.5(FGFR3):c.2420G>T (p.Ter807Leu)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
65855NM_000142.5(FGFR3):c.1949A>C (p.Lys650Thr)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
12352NM_000546.6(TP53):c.747G>T (p.Arg249Ser)TP53Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
128194NM_032043.3(BRIP1):c.587A>G (p.Asn196Ser)BRIP1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1680106NM_000142.5(FGFR3):c.1827C>G (p.Ala609=)FGFR3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
287276NM_000142.5(FGFR3):c.598C>T (p.Arg200Cys)FGFR3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
521225NM_000142.5(FGFR3):c.2153A>G (p.Asn718Ser)FGFR3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
546226NM_000142.5(FGFR3):c.200G>A (p.Gly67Asp)FGFR3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
579912NM_000142.5(FGFR3):c.2005C>G (p.Arg669Gly)FGFR3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1309951NM_000142.5(FGFR3):c.1255C>T (p.Leu419Phe)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
1310646NM_000142.5(FGFR3):c.1547A>G (p.Asp516Gly)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
1680065NM_000142.5(FGFR3):c.1267G>C (p.Val423Leu)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
1680111NM_000142.5(FGFR3):c.1946A>G (p.Lys649Arg)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
1684285NM_000142.5(FGFR3):c.184C>T (p.Pro62Ser)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
1691355NM_000142.5(FGFR3):c.1718C>T (p.Pro573Leu)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
2874249NM_000142.5(FGFR3):c.2105A>T (p.Glu702Val)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
3892110NM_000142.5(FGFR3):c.166G>A (p.Ala56Thr)FGFR3Uncertain significancecriteria provided, single submitter
465350NM_000142.5(FGFR3):c.1993G>T (p.Ala665Ser)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
533891NM_000142.5(FGFR3):c.2294C>T (p.Ala765Val)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts
651478NM_000142.5(FGFR3):c.2413C>T (p.Arg805Trp)FGFR3Uncertain significancecriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 50 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Somatic driver evidence (intOGen + CIViC, cohort fanout)

GeneintOGen roleCancer typesCIViC
TP53LoFACC,ALL,AML,ANGS,ANSC,BCC,BL,BLADDER,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,CHRCC,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,EGC,ES,ESCA,ESCC,GB,GBC,GBM,GIST,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LMS,LNM,LUAD,LUSC,MBL,MEL,MLYM,MT,NBL,NETNOS,NHL,NPC,NSCLC,OS,OVT,PAAD,PANCREAS,PAST,PCM,PLMESO,PRAD,PRCC,PROSTATE,RCC,READ,SACA,SARCNOS,SCLC,SIC,SKCM,SKIN,SOFT_TISSUE,STAD,STOMACH,THYM,UCEC,UCS,UTUC,VULVA,WDTC,WTCIViC #45
SPHK1CIViC #7041
XRCC1CIViC #6144
CD44CIViC #855
PIK3CAActACYC,ANGS,ANSC,BCC,BLADDER,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,COAD,COADREAD,EPM,ESCA,ESCC,GB,GBM,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LMS,LUAD,LUSC,MBL,MGCT,NPC,NSCLC,OVT,PAAD,PAST,PLMESO,PRAD,PRCC,PROSTATE,RCC,SACA,SKCM,SOFT_TISSUE,STAD,UCEC,UCS,UTUC,VULVA,WDTCCIViC #37
BRIP1CIViC #15955
FGFR3ActBLADDER,BLCA,HNSC,LUSC,PCM,PLMESO,UTUCCIViC #23

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
TP53Orphanet:1333Familial pancreatic carcinoma
TP53Orphanet:145Hereditary breast and/or ovarian cancer syndrome
TP53Orphanet:1501Adrenocortical carcinoma
TP53Orphanet:210159Adult hepatocellular carcinoma
TP53Orphanet:251576Gliosarcoma
TP53Orphanet:251579Giant cell glioblastoma
TP53Orphanet:251899Choroid plexus carcinoma
TP53Orphanet:2807Papilloma of choroid plexus
TP53Orphanet:293199Pleomorphic rhabdomyosarcoma
TP53Orphanet:3318Essential thrombocythemia
TP53Orphanet:524Li-Fraumeni syndrome
TP53Orphanet:52688Myelodysplastic syndrome
TP53Orphanet:585909B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2)
TP53Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
TP53Orphanet:668Osteosarcoma
TP53Orphanet:67038B-cell chronic lymphocytic leukemia
TP53Orphanet:70573Small cell lung cancer
TP53Orphanet:96253Cushing disease
TP53Orphanet:99756Alveolar rhabdomyosarcoma
TP53Orphanet:99757Embryonal rhabdomyosarcoma
PIK3CAOrphanet:140944CLOVES syndrome
PIK3CAOrphanet:144Lynch syndrome
PIK3CAOrphanet:168984CLAPO syndrome
PIK3CAOrphanet:201Cowden syndrome
PIK3CAOrphanet:210159Adult hepatocellular carcinoma
PIK3CAOrphanet:221061Familial cerebral cavernous malformation
PIK3CAOrphanet:2495Meningioma
PIK3CAOrphanet:276280Hemihyperplasia-multiple lipomatosis syndrome
PIK3CAOrphanet:295239Macrodactyly of fingers, unilateral
PIK3CAOrphanet:295243Macrodactyly of toes, unilateral
PIK3CAOrphanet:314662Segmental progressive overgrowth syndrome with fibroadipose hyperplasia
PIK3CAOrphanet:60040Megalencephaly-capillary malformation-polymicrogyria syndrome
PIK3CAOrphanet:714737Diffuse capillary malformation with overgrowth
PIK3CAOrphanet:90308Capillary-lymphatic-venous malformation with segmental distribution
PIK3CAOrphanet:99802Hemimegalencephaly
BRIP1Orphanet:145Hereditary breast and/or ovarian cancer syndrome
BRIP1Orphanet:84Fanconi anemia
FGFR3Orphanet:15Achondroplasia
FGFR3Orphanet:1860Thanatophoric dysplasia type 1
FGFR3Orphanet:2363Lacrimoauriculodentodigital syndrome
FGFR3Orphanet:251576Gliosarcoma
FGFR3Orphanet:251579Giant cell glioblastoma
FGFR3Orphanet:35099Non-syndromic bicoronal craniosynostosis
FGFR3Orphanet:429Hypochondroplasia
FGFR3Orphanet:53271Muenke syndrome
FGFR3Orphanet:794Saethre-Chotzen syndrome
FGFR3Orphanet:85164Camptodactyly-tall stature-scoliosis-hearing loss syndrome
FGFR3Orphanet:85165Severe achondroplasia-developmental delay-acanthosis nigricans syndrome
FGFR3Orphanet:93262Crouzon syndrome-acanthosis nigricans syndrome
FGFR3Orphanet:93274Thanatophoric dysplasia type 2

Cohort genes → proteins

7 cohort genes, 7 distinct canonical proteins.

Evidence partition

SubsetGenes
civic_only4
multi_evidence3

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
TP53HGNC:11998ENSG00000141510P04637Cellular tumor antigen p53clinvar,civic_evidence
SPHK1HGNC:11240ENSG00000176170Q9NYA1Sphingosine kinase 1civic_evidence
XRCC1HGNC:12828ENSG00000073050P18887DNA repair protein XRCC1civic_evidence
CD44HGNC:1681ENSG00000026508P16070CD44 antigencivic_evidence
PIK3CAHGNC:8975ENSG00000121879P42336Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoformcivic_evidence
BRIP1HGNC:20473ENSG00000136492Q9BX63Fanconi anemia group J proteinclinvar
FGFR3HGNC:3690ENSG00000068078P22607Fibroblast growth factor receptor 3clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
TP53Cellular tumor antigen p53Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence.
SPHK1Sphingosine kinase 1Catalyzes the phosphorylation of sphingosine to form sphingosine 1-phosphate (SPP), a lipid mediator with both intra- and extracellular functions.
XRCC1DNA repair protein XRCC1Scaffold protein involved in DNA single-strand break repair by mediating the assembly of DNA break repair protein complexes.
CD44CD44 antigenCell-surface receptor that plays a role in cell-cell interactions, cell adhesion and migration, helping them to sense and respond to changes in the tissue microenvironment.
PIK3CAPhosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoformPhosphoinositide-3-kinase (PI3K) phosphorylates phosphatidylinositol (PI) and its phosphorylated derivatives at position 3 of the inositol ring to produce 3-phosphoinositides.
BRIP1Fanconi anemia group J proteinDNA-dependent ATPase and 5’-3’ DNA helicase required for the maintenance of chromosomal stability.
FGFR3Fibroblast growth factor receptor 3Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of cell proliferation, differentiation and apoptosis.

Protein-family classification

Druggable: 4 · Difficult: 1 · Unknown: 2 · Druggable fraction: 0.57

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
Kinase311.9×0.006
Enzyme (other)11.7×0.793
Transcription factor11.2×0.793
Other/Unknown20.5×0.968

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
TP53Transcription factornop53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn
SPHK1Kinaseyes2.7.1.91Diacylglycerol_kinase_cat_dom, NAD/diacylglycerol_kinase_sf, ATP-NAD_kinase_N
XRCC1Other/UnknownnoBRCT_dom, Xrcc1_N, Galactose-bd-like_sf
CD44Other/UnknownnoLink_dom, CD44_antigen, C-type_lectin-like/link_sf
PIK3CAKinaseyes2.7.1.137PI3K_Ras-bd_dom, PI3/4_kinase_cat_dom, PI3K_accessory_dom
BRIP1Enzyme (other)yes3.6.4.12Helicase-like_DEXD_c2, ATP-dep_Helicase_C, RAD3-like_helicase_DEAD
FGFR3Kinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)7
unknown0

Top tissues across cohort

TissueCohort genes
ventricular zone3
ganglionic eminence2
tendon of biceps brachii2
stromal cell of endometrium2
lower esophagus mucosa1
tibial nerve1
mammalian vulva1
parotid gland1
adrenal tissue1
calcaneal tendon1
tendon1
male germ line stem cell (sensu Vertebrata) in testis1
primordial germ cell in gonad1
skin of hip1
upper arm skin1
upper leg skin1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
TP53223ubiquitousmarkerventricular zone, ganglionic eminence, tendon of biceps brachii
SPHK1210ubiquitousmarkerstromal cell of endometrium, lower esophagus mucosa, tibial nerve
XRCC1276ubiquitousmarkerventricular zone, tendon of biceps brachii, ganglionic eminence
CD44294ubiquitousmarkerparotid gland, stromal cell of endometrium, mammalian vulva
PIK3CA284ubiquitousmarkercalcaneal tendon, adrenal tissue, tendon
BRIP1181ubiquitousmarkerventricular zone, primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis
FGFR3262broadmarkerupper leg skin, skin of hip, upper arm skin

Protein interactions among cohort

Intra-cohort edges: 1.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TP5322,736
CD446,810
PIK3CA5,157
FGFR34,510
XRCC12,591
SPHK12,277
BRIP12,272

Intra-cohort edges

ABSources
FGFR3PIK3CAstring_interaction

Structural data

PDB: 7 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
TP53P04637313
PIK3CAP42336135
FGFR3P2260715
XRCC1P1888713
CD44P160706
SPHK1Q9NYA15
BRIP1Q9BX633

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 164. Enrichment computed across 7 evidence-associated genes (7 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 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
PI-3K cascade:FGFR32181.3×0.007FGFR3, PIK3CA
Signaling by FGFR3 in disease2141.9×0.007FGFR3, PIK3CA
Association of TriC/CCT with target proteins during biosynthesis283.7×0.011TP53, SPHK1
PI3K Cascade277.7×0.011FGFR3, PIK3CA
t(4;14) translocations of FGFR311631.4×0.014FGFR3
Signaling by FGFR3 fusions in cancer11631.4×0.014FGFR3
Loss of function of TP53 in cancer due to loss of tetramerization ability11631.4×0.014TP53
Extra-nuclear estrogen signaling248.7×0.014SPHK1, PIK3CA
Regulation of TP53 Expression1815.7×0.015TP53
Signaling by ALK fusions and activated point mutants242.9×0.015TP53, PIK3CA
PKR-mediated signaling240.3×0.015TP53, SPHK1
VEGFA-VEGFR2 Pathway239.8×0.015SPHK1, PIK3CA
Constitutive Signaling by Aberrant PI3K in Cancer236.2×0.015FGFR3, PIK3CA
G2/M DNA damage checkpoint234.4×0.015TP53, BRIP1
Interferon Signaling234.4×0.015SPHK1, CD44
Regulation of TP53 Activity through Phosphorylation233.6×0.015TP53, BRIP1
PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling227.6×0.021FGFR3, PIK3CA
Transcriptional activation of cell cycle inhibitor p211407.9×0.022TP53
Resolution of AP sites via the single-nucleotide replacement pathway1326.3×0.026XRCC1
Activation of NOXA and translocation to mitochondria1271.9×0.026TP53
MET activates PI3K/AKT signaling1271.9×0.026PIK3CA
Activated NTRK3 signals through PI3K1271.9×0.026PIK3CA
FGFR3b ligand binding and activation1233.1×0.026FGFR3
APEX1-Independent Resolution of AP Sites via the Single Nucleotide Replacement Pathway1233.1×0.026XRCC1
RUNX3 regulates CDKN1A transcription1233.1×0.026TP53
Activated NTRK2 signals through PI3K1233.1×0.026PIK3CA
Signaling by LTK in cancer1233.1×0.026PIK3CA
PIP3 activates AKT signaling219.1×0.026FGFR3, PIK3CA
PI3K/AKT activation1181.3×0.027PIK3CA
PI5P Regulates TP53 Acetylation1181.3×0.027TP53

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
double-strand break repair387.0×0.001TP53, XRCC1, BRIP1
response to muscle inactivity12407.4×0.010PIK3CA
sphingoid catabolic process12407.4×0.010SPHK1
negative regulation of developmental growth12407.4×0.010FGFR3
negative regulation of helicase activity12407.4×0.010TP53
cellular response to actinomycin D12407.4×0.010TP53
regulation of intrinsic apoptotic signaling pathway by p53 class mediator12407.4×0.010TP53
negative regulation of G1 to G0 transition12407.4×0.010TP53
response to butyrate12407.4×0.010PIK3CA
regulation of endosomal vesicle fusion12407.4×0.010SPHK1
nucleotide-excision repair2109.4×0.010TP53, BRIP1
negative regulation of protein ADP-ribosylation11203.7×0.010XRCC1
positive regulation of mitochondrial membrane permeability11203.7×0.010TP53
oligodendrocyte apoptotic process11203.7×0.010TP53
fibroblast growth factor receptor apoptotic signaling pathway11203.7×0.010FGFR3
negative regulation of glucose catabolic process to lactate via pyruvate11203.7×0.010TP53
regulation of base-excision repair11203.7×0.010XRCC1
negative regulation of pentose-phosphate shunt11203.7×0.010TP53
meiotic DNA double-strand break processing involved in reciprocal meiotic recombination1802.5×0.010BRIP1
obsolete homolactic fermentation1802.5×0.010TP53
response to L-leucine1802.5×0.010PIK3CA
monocyte aggregation1802.5×0.010CD44
bone maturation1802.5×0.010FGFR3
cellular response to hydrostatic pressure1802.5×0.010PIK3CA
signal transduction by p53 class mediator1802.5×0.010TP53
positive regulation of monocyte aggregation1802.5×0.010CD44
negative regulation of miRNA processing1802.5×0.010TP53
intrinsic apoptotic signaling pathway in response to hypoxia1802.5×0.010TP53
regulation of fibroblast apoptotic process1802.5×0.010TP53
regulation of lamellipodium morphogenesis1802.5×0.010CD44

Therapeutics

Drug target analysis

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

Druggability breadth: 5 of 7 evidence-associated genes (71%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
TP53NITROFURANTOIN
PIK3CAIDELALISIB
FGFR3PONATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
TP531964
PIK3CA674
FGFR3644
SPHK133
XRCC100
CD4400
BRIP100

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
NITROFURANTOIN4TP53
DIOSMIN4TP53
VERTEPORFIN4TP53
CANDESARTAN CILEXETIL4TP53
DIENESTROL4TP53
CLOTRIMAZOLE4TP53
COLCHICINE4TP53
NABUMETONE4TP53
SALMETEROL XINAFOATE4TP53
AMIODARONE HYDROCHLORIDE4TP53
FURAZOLIDONE4TP53
AMOXAPINE4TP53
RALOXIFENE HYDROCHLORIDE4TP53
NICARDIPINE HYDROCHLORIDE4TP53
SULCONAZOLE NITRATE4TP53
PYRITHIONE ZINC4TP53
LACTIC ACID4TP53
OXYMETHOLONE4TP53
CHLOROXINE4TP53
PROPIOLACTONE4TP53
CLOMIPRAMINE HYDROCHLORIDE4TP53
PHENYL AMINOSALICYLATE4TP53
THIORIDAZINE HYDROCHLORIDE4TP53
AMITRIPTYLINE HYDROCHLORIDE4TP53
ETHOPROPAZINE HYDROCHLORIDE4TP53
MECHLORETHAMINE HYDROCHLORIDE4TP53
ECONAZOLE NITRATE4TP53
TRIFLUPROMAZINE HYDROCHLORIDE4TP53
PROCHLORPERAZINE EDISYLATE4TP53
DEQUALINIUM CHLORIDE4TP53

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 4.

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

SymbolAssaysType breakdown
PIK3CA2,034Binding:2009, ADMET:19, Toxicity:4, Functional:2
FGFR3975Binding:948, Functional:18, ADMET:9
TP53869Binding:775, ADMET:83, Functional:10, Toxicity:1
SPHK1232Binding:228, ADMET:3, Functional:1
CD449Binding:9

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
SPHK12.7.1.91sphingosine kinase
PIK3CA2.7.1.137, 2.7.1.153, 2.7.11.1phosphatidylinositol 3-kinase, phosphatidylinositol-4,5-bisphosphate 3-kinase, non-specific serine/threonine protein kinase
BRIP13.6.4.12DNA helicase
FGFR32.7.10.1receptor protein-tyrosine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
TP53869
SPHK1232
PIK3CA2,034
FGFR3975

Pharmacogenomics

Cohort genes with a PharmGKB record: 7; with CPIC/DPWG dosing guidelines: 0.

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

Drug repurposing candidates

30 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.

CompoundMax phaseCohort target (bioactivity)
NITROFURANTOIN4TP53
DIOSMIN4TP53
VERTEPORFIN4TP53
CANDESARTAN CILEXETIL4TP53
DIENESTROL4TP53
CLOTRIMAZOLE4TP53
COLCHICINE4TP53
NABUMETONE4TP53
SALMETEROL XINAFOATE4TP53
AMIODARONE HYDROCHLORIDE4TP53
FURAZOLIDONE4TP53
AMOXAPINE4TP53
RALOXIFENE HYDROCHLORIDE4TP53
NICARDIPINE HYDROCHLORIDE4TP53
SULCONAZOLE NITRATE4TP53
PYRITHIONE ZINC4TP53
LACTIC ACID4TP53
OXYMETHOLONE4TP53
CHLOROXINE4TP53
PROPIOLACTONE4TP53
CLOMIPRAMINE HYDROCHLORIDE4TP53
PHENYL AMINOSALICYLATE4TP53
THIORIDAZINE HYDROCHLORIDE4TP53
AMITRIPTYLINE HYDROCHLORIDE4TP53
ETHOPROPAZINE HYDROCHLORIDE4TP53
MECHLORETHAMINE HYDROCHLORIDE4TP53
ECONAZOLE NITRATE4TP53
TRIFLUPROMAZINE HYDROCHLORIDE4TP53
PROCHLORPERAZINE EDISYLATE4TP53
DEQUALINIUM CHLORIDE4TP53

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)3TP53, PIK3CA, FGFR3
BPhased (≥1) drug, not yet approved1SPHK1
CDruggable family + PDB, no drug1BRIP1
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug2XRCC1, CD44

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
XRCC10
CD449
BRIP10

Clinical trials & evidence

Clinical trials

Clinical trials: 1,662.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified333
PHASE2324
PHASE1170
PHASE3134
PHASE1/PHASE284
PHASE429
PHASE2/PHASE314
EARLY_PHASE112

Top trials by phase / activity

NCTPhaseStatusTitle
NCT00923702PHASE4ACTIVE_NOT_RECRUITINGTrial of Two Versus Three Doses of Human Papillomavirus (HPV) Vaccine in India
NCT04910802PHASE4RECRUITINGConcomitant HPV Vaccination and HPV Screening HPV Infection and Cervical Cancer in Sweden
NCT06536855PHASE4NOT_YET_RECRUITINGFaster Elimination of HPV Infection and Cervical Cancer Using Concomitant HPV Vaccination and HPV Screening: A Demonstration Project in Rwanda
NCT06871787PHASE4NOT_YET_RECRUITINGNear-Infrared Fluorescence Imaging With Indocyanine Green to Evaluate Bowel Anastomoses in Gynecologic Oncology Surgery
NCT06952660PHASE4RECRUITINGOcular Assessments in Patients Treated With Tivdak® in Recurrent or Metastatic Cervical Cancer
NCT07412873PHASE4NOT_YET_RECRUITINGStudy on Sexual Health and Self-perceived Quality of Life (PROMs) in Patients Treated for Cervical Cancer
NCT00046969PHASE4COMPLETEDEpoetin Beta in Treating Anemia in Patients With Cervical Cancer
NCT00365508PHASE4COMPLETEDCounseling and Nicotine Replacement Therapy in Helping Adult Smokers Quit Smoking
NCT00613275PHASE4COMPLETEDPatient Navigation in the Safety Net:CONNECTeDD
NCT00629993PHASE4TERMINATEDDissemination of Cervical Cancer Screening to Primary Care Physicians in Underserved Communities
NCT00666978PHASE4COMPLETEDHealth Education Counseling With or Without Bupropion in Helping African Americans Stop Smoking
NCT00862810PHASE4COMPLETEDAlternate Dosing Schedules Study for HPV Vaccine
NCT01021904PHASE4UNKNOWNPrimary and Secondary Prevention of Human Papillomavirus (HPV) Disease in China
NCT01101750PHASE4COMPLETEDDoes the HPV Vaccine Cause the Same Response in Adolescent Kidney and Liver Transplant Patients as in Healthy Controls?
NCT01173900PHASE4COMPLETEDDelivery, Uptake and Acceptability of HPV Vaccination in Tanzanian Girls
NCT01544478PHASE4COMPLETEDV501 Safety and Efficacy Study in Japanese Women Aged 16 to 26 Years (V501-110)
NCT01895517PHASE4COMPLETEDCervIcal Cancer Screening Trial by Randomization of HPV Testing Intervention for Upcoming Screening (CITRUS Study)
NCT01953107PHASE4COMPLETEDOral Iron vs. Placebo in Newly Diagnosed Gynecologic Oncology Patients Who Are Surgical Candidates.
NCT02296255PHASE4COMPLETEDEffect of HPV Vaccination on Women Aged 25 Years
NCT02629510PHASE4UNKNOWNThe Efficacy of Tachosil® for Prevention of Hemorrhage After Loop Electrosurgical Excisional Procedure (LEEP)
NCT02837926PHASE4COMPLETEDComparing Health Services Interventions for the Prevention of HPV-related Cancer
NCT03206684PHASE4UNKNOWNTo Evaluate the Efficacy and Safety of PEG-rhG-CSF(Jinyouli®) in Reducing Neutropenia in Patients With Cervical Cancer
NCT03349463PHASE4UNKNOWNEvaluation of Fluciclovine Uptake in Patients With Cervical, Ovarian Epithelial or Endometrial Cancers.
NCT03384511PHASE4COMPLETEDThe Use of 18F-ALF-NOTA-PRGD2 PET/CT Scan to Predict the Efficacy and Adverse Events of Apatinib in Malignancies.
NCT03423082PHASE4TERMINATEDPilot Study to Assess the Potential Clinical Utility of 18F Fluciclovine PET for Cervical and Endometrial Cancer.
NCT03752606PHASE4COMPLETEDApplication of Tachosil During Lymphadenectomy
NCT04819685PHASE4UNKNOWNApplication of KANG FU PEN in Radical Concurrent Radiotherapy and Chemotherapy for Cervical Cancer to Prevent and Treat Radiation-induced Rectal Injury
NCT05426148PHASE4COMPLETEDLot Consistency Clinical Trial of of Recombinant HPV Bivalent Vaccine in 9 to14 Years Old Healthy Female
NCT06031493PHASE4UNKNOWNA Multimodal Intervention Program to Improve Sexual Health and Self-perceived Quality of Life in Patients Treated for Cervical Cancer (PROVIDENCE)
NCT01566240PHASE3ACTIVE_NOT_RECRUITINGInduction Chemotherapy Plus Chemoradiation as First Line Treatment for Locally Advanced Cervical Cancer
NCT02466971PHASE3ACTIVE_NOT_RECRUITINGTesting the Addition of a New Anti-Cancer Drug, Triapine, to the Usual Chemotherapy Treatment (Cisplatin) During Radiation Therapy for Advanced-stage Cervical and Vaginal Cancers
NCT03755739PHASE2/PHASE3RECRUITINGTrans-Artery/Intra-Tumor Infusion of Checkpoint Inhibitors Plus Chemodrug for Immunotherapy of Advanced Solid Tumors
NCT04422366PHASE3RECRUITINGEvaluate the Efficacy, Immunogenicity and Safety of 9-valent HPV Recombinant Vaccine in Chinese Healthy Females
NCT04537156PHASE3ACTIVE_NOT_RECRUITINGEfficacy, Immunogenicity and Safety Study of Recombinant Human Papillomavirus Vaccine(6,11,16,18,31,33,45,52,58 Type)(E.Coli)
NCT04723875PHASE3ACTIVE_NOT_RECRUITINGPostoperative Adjuvant Chemotherapy in Early-stage Cervical Cancer That Not Meet Criteria of Adjuvant Therapeutic According to NCCN Guideline
NCT04733820PHASE3RECRUITINGClinical Efficacy of Adjuvant Chemotherapy in Patients With Locally Advanced Cervical Cancer Who Did Not Meet the NCCN Guidelines for Adjuvant Treatment After NACT Combined With Surgery
NCT04895020PHASE3RECRUITINGImmunobridging Study of 9-valent Human Papillomavirus Recombinant Vaccine in Chinese Females Aged 9 to 19 Years
NCT04906993PHASE3ACTIVE_NOT_RECRUITINGCamrelizumab Combined With Famitinib Malate for Treatment of Recurrent/Metastatic Cervical Cancer
NCT04974346PHASE3RECRUITINGPara-aortic Prophylactic Irradiation for Locally Advanced Cervical Cancer
NCT04982237PHASE3ACTIVE_NOT_RECRUITINGA Study of AK104 Plus Platinum-containing Chemotherapy±Bevacizumab as First-line Treatment for Persistent, Recurrent, or Metastatic Cervical Cancer

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
CISPLATIN4137
HUMAN PAPILLOMAVIRUS, L1 PROTEIN VIRUS LIKE PARTICLES411
TOPOTECAN49
GEMCITABINE46
TISOTUMAB VEDOTIN45
HYDRALAZINE43
VINORELBINE43
FLUOROURACIL42
IFOSFAMIDE42
INDOCYANINE GREEN ACID FORM42
BLEOMYCIN SULFATE41
BUPROPION HYDROCHLORIDE41
DALTEPARIN SODIUM41
EPOETIN ALFA41
EPOETIN BETA41
FERROUS FUMARATE41
FLUCICLOVINE F1841
MITOMYCIN41
NICOTINE41
OCTREOTIDE ACETATE41
PEMBROLIZUMAB41
VINBLASTINE SULFATE41
VINCRISTINE SULFATE41
VINDESINE41
TRIAPINE34
TIRAPAZAMINE33
MAGNESIUM VALPROATE32
RIVOCERANIB32
ARUNDINE31
FENRETINIDE31

Precision-medicine subtype map (CIViC)

Drug × molecular subtype: 4 predictive associations from 4 curated evidence items; also 3 prognostic, 1 oncogenic.

Molecular subtypeTherapyEffectLevelCIViC
XRCC1 Q399RCisplatin + CarboplatinSensitivity/ResponseCIViC BEID673
CD44 CD44v6CisplatinResistanceCIViC BEID9481
PIK3CA E545KCisplatinResistanceCIViC DEID2985
PIK3CA E545KCisplatin + Ionizing RadiotherapyResistanceCIViC DEID8112