CHEK2-related cancer predisposition

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Summary

CHEK2-related cancer predisposition (MONDO:0700271) is a cancer caused by CHEK2 (GenCC Definitive), with 2 cohort genes (1 CIViC-evidence somatic driver; 279 ClinVar predisposition records).

At a glance

  • Classification: Cancer
  • Causal gene: CHEK2 (GenCC Definitive)
  • Cohort genes: 2
  • ClinVar variants: 279

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameCHEK2-related cancer predisposition
Mondo IDMONDO:0700271
UMLSC5882668
MedGen1849727
GARD0026411
Is cancer (heuristic)yes

Data availability: 279 ClinVar variants · 1 GenCC gene-disease record.

Disease family

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary diseasehereditary neoplastic syndromeCHEK2-related cancer predisposition

Related subtypes (116): mosaic variegated aneuploidy syndrome, tuberous sclerosis, hereditary breast ovarian cancer syndrome, hereditary multiple osteochondromas, nevoid basal cell carcinoma syndrome, leukemia, chronic lymphocytic, susceptibility to, 2, blue rubber bleb nevus, cherubism, Beckwith-Wiedemann syndrome, multiple self-healing squamous epithelioma, erythroleukemia, familial, susceptibility to, goiter, multinodular 1, with or without Sertoli-Leydig cell tumors, hyperparathyroidism 2 with jaw tumors, Kaposi sarcoma, susceptibility to, hereditary leiomyomatosis and renal cell cancer, susceptibility to uveal melanoma, melanoma and neural system tumor syndrome, nasopharyngeal carcinoma, susceptibility to, 2, WAGR syndrome, neuroblastoma, susceptibility to, 1, Rothmund-Thomson syndrome, mismatch repair cancer syndrome 1, Wiskott-Aldrich syndrome, N syndrome, hereditary thrombocytopenia and hematologic cancer predisposition syndrome, prostate cancer/brain cancer susceptibility, Brooke-Spiegler syndrome, pancreatic cancer, susceptibility to, 1, Carney-Stratakis syndrome, nasopharyngeal carcinoma, susceptibility to, 1, ovarian cancer, susceptibility to, 1, colorectal cancer, susceptibility to, 1, lung cancer susceptibility 1, leukemia, chronic lymphocytic, susceptibility to, 1, Kostmann syndrome, colorectal cancer, susceptibility to, 2, colorectal cancer, susceptibility to, 3, colorectal cancer, susceptibility to, 5, colorectal cancer, susceptibility to, 6, colorectal cancer, susceptibility to, 7, leukemia, chronic lymphocytic, susceptibility to, 3, leukemia, chronic lymphocytic, susceptibility to, 4, leukemia, chronic lymphocytic, susceptibility to, 5, lung cancer susceptibility 3, colorectal cancer, susceptibility to, 8, colorectal cancer, susceptibility to, 9, colorectal cancer, susceptibility to, 10, colorectal cancer, susceptibility to, 11, lung cancer susceptibility 4, neuroblastoma, susceptibility to, 3, neuroblastoma, susceptibility to, 4, neuroblastoma, susceptibility to, 5, neuroblastoma, susceptibility to, 6, leukemia, acute lymphocytic, susceptibility to, 1, leukemia, acute lymphocytic, susceptibility to, 2, lung cancer susceptibility 5, BAP1-related tumor predisposition syndrome, familial cutaneous telangiectasia and oropharyngeal predisposition cancer syndrome, Maffucci syndrome, basal cell carcinoma, susceptibility to, 7, colorectal cancer, susceptibility to, 12, leukemia, acute lymphoblastic, susceptibility to, 3, cholangiocarcinoma, susceptibility to, progeroid features-hepatocellular carcinoma predisposition syndrome, neuroblastoma, susceptibility to, 7, DDX41-related hematologic malignancy predisposition syndrome, nasopharyngeal carcinoma, susceptibility to, 3, familial isolated hyperparathyroidism, intestinal polyposis syndrome, dyskeratosis congenita, familial rhabdoid tumor, multiple endocrine neoplasia, hereditary pheochromocytoma-paraganglioma, PTEN hamartoma tumor syndrome, familial multiple fibrofolliculoma, hereditary retinoblastoma, familial atypical multiple mole melanoma syndrome, hereditary nonpolyposis colon cancer, Li-Fraumeni syndrome, Cobb syndrome, neurofibromatosis, susceptibility to familial cutaneous melanoma, pancreatic cancer, susceptibility to, 5, leukemia, acute myeloid, susceptibility to, diffuse gastric and lobular breast cancer syndrome with or without cleft lip and/or palate, glioma susceptibility, hemangioma, capillary infantile, susceptibility to, CDH1-related diffuse gastric and lobular breast cancer syndrome, NTHL1-deficiency tumor predisposition syndrome, SAMD9-related spectrum and myeloid neoplasm risk, neuroblastoma, susceptibility to, 2, BARD1-related cancer predisposition, BRCA1-related cancer predisposition, BRCA2-related cancer predisposition, ATM-related cancer predisposition, PALB2-related cancer predisposition, RAD51C-related cancer predisposition, RAD51D-related cancer predisposition, Li-fraumeni-like syndrome, breast cancer, familial, susceptibility to, 1, breast cancer, familial, susceptibility to, 2, breast cancer, familial, susceptibility to, 3, colorectal cancer, susceptibility to, 4, colorectal cancer, susceptibility to, on chromosome 15, ovarian cancer, familial, susceptibility to, 1, ovarian cancer, familial, susceptibility to, 2, ovarian cancer, familial, susceptibility to, 3, inherited hematologic cancer-predisposing syndrome, mosaic neurofibromatosis/schwannomatosis, tumor predisposition syndrome 2, prostate cancer, hereditary, X-linked 3, follicular lymphoma, susceptibility to, GPR161-related medulloblastoma predisposition, SAMD9L-related spectrum and myeloid neoplasm risk, HAVCR2-related cancer predisposition, EGLN1-related erythrocytosis and pheochromocytoma/paraganglioma predisposition

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

ClinVar germline variants

279 retrieved; paginated sample, class counts are floors:

115 uncertain significance, 77 conflicting classifications of pathogenicity, 36 pathogenic/likely pathogenic, 17 pathogenic, 14 benign/likely benign, 11 likely pathogenic, 7 likely benign, 1 benign, 1 conflicting classifications of pathogenicity; risk factor

ClinVarVariant (HGVS)GeneClassificationReview
1066705NM_007194.4(CHEK2):c.684-2A>GCHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1075895NM_007194.4(CHEK2):c.724del (p.Thr242fs)CHEK2Pathogeniccriteria provided, multiple submitters, no conflicts
126914NM_007194.4(CHEK2):c.444+1G>TCHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
128042NM_007194.4(CHEK2):c.1100del (p.Thr367fs)CHEK2Pathogeniccriteria provided, multiple submitters, no conflicts
128053NM_007194.4(CHEK2):c.1263del (p.Ser422fs)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
128064NM_007194.4(CHEK2):c.1555C>T (p.Arg519Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
128071NM_007194.4(CHEK2):c.349A>G (p.Arg117Gly)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
128075NM_007194.4(CHEK2):c.444+1G>ACHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
128079NM_007194.4(CHEK2):c.507del (p.Phe169fs)CHEK2Pathogeniccriteria provided, multiple submitters, no conflicts
133887NM_007194.4(CHEK2):c.58C>T (p.Gln20Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
140772NM_007194.4(CHEK2):c.283C>T (p.Arg95Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
141381NM_007194.4(CHEK2):c.216T>G (p.Tyr72Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
141818NM_007194.4(CHEK2):c.1169A>C (p.Tyr390Ser)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
142352NM_007194.4(CHEK2):c.319+2T>ACHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
142524NM_007194.4(CHEK2):c.499G>A (p.Gly167Arg)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
142956NM_007194.4(CHEK2):c.592+3A>TCHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1453185NM_007194.4(CHEK2):c.342G>A (p.Trp114Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1707509NM_007194.4:c.(908+1_909-1)_(1095+1_1096-1)delCHEK2Pathogeniccriteria provided, single submitter
182430NM_007194.4(CHEK2):c.793-1G>ACHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
182450NM_007194.4(CHEK2):c.1368dup (p.Glu457fs)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
182452NM_007194.4(CHEK2):c.409C>T (p.Arg137Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
185097NM_007194.4(CHEK2):c.902del (p.Leu301fs)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
187085NM_007194.4(CHEK2):c.277del (p.Trp93fs)CHEK2Pathogeniccriteria provided, multiple submitters, no conflicts
187643NM_007194.4(CHEK2):c.278G>A (p.Trp93Ter)CHEK2Pathogeniccriteria provided, multiple submitters, no conflicts
2116199NM_007194.4(CHEK2):c.107del (p.Gln36fs)CHEK2Pathogeniccriteria provided, multiple submitters, no conflicts
2128744NM_007194.4(CHEK2):c.1126G>T (p.Gly376Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
216003NM_007194.4(CHEK2):c.593-1G>TCHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
216652NM_007194.4(CHEK2):c.846+4_846+7delCHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
230455NM_007194.4(CHEK2):c.1486C>T (p.Gln496Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
234505NM_007194.4(CHEK2):c.1232G>A (p.Trp411Ter)CHEK2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 5 · Orphanet: 10 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Somatic driver evidence (intOGen + CIViC, cohort fanout)

GeneintOGen roleCancer typesCIViC
CHEK2ActBRCACIViC #8950

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
CHEK2DefinitiveAutosomal dominantCHEK2-related cancer predisposition5

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
CHEK2Orphanet:1331Familial prostate cancer
CHEK2Orphanet:145Hereditary breast and/or ovarian cancer syndrome
CHEK2Orphanet:440437Familial colorectal cancer Type X
CHEK2Orphanet:524Li-Fraumeni syndrome
CHEK2Orphanet:668Osteosarcoma
COL11A1Orphanet:2021Fibrochondrogenesis
COL11A1Orphanet:440354Autosomal dominant myopia-midfacial retrusion-sensorineural hearing loss-rhizomelic dysplasia syndrome
COL11A1Orphanet:560Marshall syndrome
COL11A1Orphanet:90635Rare autosomal dominant non-syndromic sensorineural deafness type DFNA
COL11A1Orphanet:90654Stickler syndrome type 2

Cohort genes → proteins

2 cohort genes, 2 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence2

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
CHEK2HGNC:16627ENSG00000183765O96017Serine/threonine-protein kinase Chk2gencc,clinvar
COL11A1HGNC:2186ENSG00000060718P12107Collagen alpha-1(XI) chainclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
CHEK2Serine/threonine-protein kinase Chk2Serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks.
COL11A1Collagen alpha-1(XI) chainMay play an important role in fibrillogenesis by controlling lateral growth of collagen II fibrils.

Protein-family classification

Druggable: 1 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.5

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
Kinase113.9×0.142
Other/Unknown10.9×0.805

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
CHEK2Kinaseyes2.7.11.1FHA_dom, Prot_kinase_dom, Ser/Thr_kinase_AS
COL11A1Other/UnknownnoFib_collagen_C, Laminin_G, Collagen

Expression context

Cohort genes with no expression data: 0.

2 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)2
unknown0

Top tissues across cohort

TissueCohort genes
lower esophagus mucosa1
male germ line stem cell (sensu Vertebrata) in testis1
primordial germ cell in gonad1
cartilage tissue1
periodontal ligament1
tibia1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
CHEK2183ubiquitousmarkerprimordial germ cell in gonad, lower esophagus mucosa, male germ line stem cell (sensu Vertebrata) in testis
COL11A1209broadmarkertibia, cartilage tissue, periodontal ligament

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
CHEK24,795
COL11A12,433

Structural data

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

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
CHEK2O9601738

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
COL11A1P1210753.06

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 15. Enrichment computed across 2 evidence-associated genes (2 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 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Stabilization of p531380.7×0.016CHEK2
Chk1/Chk2(Cds1) mediated inactivation of Cyclin B:Cdk1 complex1335.9×0.016CHEK2
Regulation of TP53 Activity through Methylation1271.9×0.016CHEK2
MET activates PTK2 signaling1190.3×0.016COL11A1
Regulation of TP53 Degradation1146.4×0.016CHEK2
Collagen chain trimerization1129.8×0.016COL11A1
Developmental Lineage of Pancreatic Ductal Cells1114.2×0.016COL11A1
Ubiquitin-Mediated Degradation of Phosphorylated Cdc25A1102.0×0.016CHEK2
Assembly of collagen fibrils and other multimeric structures1100.2×0.016COL11A1
Collagen degradation187.8×0.016COL11A1
Collagen biosynthesis and modifying enzymes185.2×0.016COL11A1
Non-integrin membrane-ECM interactions177.2×0.016COL11A1
Recruitment and ATM-mediated phosphorylation of repair and signaling proteins at DNA double strand breaks173.2×0.016CHEK2
G2/M DNA damage checkpoint160.1×0.017CHEK2
Regulation of TP53 Activity through Phosphorylation158.9×0.017CHEK2

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
negative regulation of DNA damage checkpoint12808.7×0.006CHEK2
tendon development12106.5×0.006COL11A1
mitotic DNA damage checkpoint signaling12106.5×0.006CHEK2
cellular response to bisphenol A11685.2×0.006CHEK2
response to glycoside11203.7×0.006CHEK2
proteoglycan metabolic process1936.2×0.006COL11A1
positive regulation of anoikis1936.2×0.006CHEK2
thymocyte apoptotic process1702.2×0.006CHEK2
regulation of autophagosome assembly1561.7×0.006CHEK2
replicative senescence1495.6×0.006CHEK2
chondrocyte development1468.1×0.006COL11A1
mitotic intra-S DNA damage checkpoint signaling1468.1×0.006CHEK2
detection of mechanical stimulus involved in sensory perception of sound1468.1×0.006COL11A1
cellular response to stress1421.3×0.006CHEK2
regulation of protein catabolic process1421.3×0.006CHEK2
signal transduction in response to DNA damage1401.2×0.006CHEK2
cartilage condensation1383.0×0.006COL11A1
ventricular cardiac muscle tissue morphogenesis1351.1×0.007COL11A1
cellular response to gamma radiation1300.9×0.007CHEK2
endodermal cell differentiation1247.8×0.008COL11A1
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator1247.8×0.008CHEK2
DNA damage checkpoint signaling1195.9×0.009CHEK2
embryonic skeletal system morphogenesis1195.9×0.009COL11A1
regulation of signal transduction by p53 class mediator1191.5×0.009CHEK2
DNA damage response, signal transduction by p53 class mediator1179.3×0.009CHEK2
mitotic spindle assembly1172.0×0.009CHEK2
intrinsic apoptotic signaling pathway in response to DNA damage1162.0×0.010CHEK2
G2/M transition of mitotic cell cycle1156.0×0.010CHEK2
inner ear morphogenesis1150.5×0.010COL11A1
cellular response to xenobiotic stimulus1120.4×0.011CHEK2

Therapeutics

Drug target analysis

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

Druggability breadth: 2 of 2 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.

SymbolExample approved molecule
CHEK2NERATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
CHEK2304
COL11A100

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
NERATINIB4CHEK2
BOSUTINIB4CHEK2
BRIGATINIB4CHEK2
SUNITINIB4CHEK2
GEFITINIB4CHEK2
FASUDIL3CHEK2
CEDIRANIB3CHEK2
DOVITINIB3CHEK2
LESTAURTINIB3CHEK2
RUBOXISTAURIN3CHEK2
DORAMAPIMOD2CHEK2
FORETINIB2CHEK2
SU-0148132CHEK2
CENISERTIB2CHEK2
ILORASERTIB2CHEK2
CEP-119812CHEK2
DEFOSBARASERTIB2CHEK2
PREXASERTIB2CHEK2
BI-25362CHEK2
UCN-012CHEK2
PF-005622711CHEK2
KW-24491CHEK2
RG-15301CHEK2
MLN-80541CHEK2
PF-037583091CHEK2
SRA-7371CHEK2
SNS-3141CHEK2
CYC-1161CHEK2
GSK-6906931CHEK2
AST-4871CHEK2

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 1.

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

SymbolAssaysType breakdown
CHEK2690Binding:687, Functional:2, ADMET:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
CHEK22.7.11.1non-specific serine/threonine protein kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
CHEK2690

Pharmacogenomics

Cohort genes with a PharmGKB record: 2; 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)
NERATINIB4CHEK2
BOSUTINIB4CHEK2
BRIGATINIB4CHEK2
SUNITINIB4CHEK2
GEFITINIB4CHEK2
FASUDIL3CHEK2
CEDIRANIB3CHEK2
DOVITINIB3CHEK2
LESTAURTINIB3CHEK2
RUBOXISTAURIN3CHEK2
DORAMAPIMOD2CHEK2
FORETINIB2CHEK2
SU-0148132CHEK2
CENISERTIB2CHEK2
ILORASERTIB2CHEK2
CEP-119812CHEK2
DEFOSBARASERTIB2CHEK2
PREXASERTIB2CHEK2
BI-25362CHEK2
UCN-012CHEK2
PF-005622711CHEK2
KW-24491CHEK2
RG-15301CHEK2
MLN-80541CHEK2
PF-037583091CHEK2
SRA-7371CHEK2
SNS-3141CHEK2
CYC-1161CHEK2
GSK-6906931CHEK2
AST-4871CHEK2

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)1CHEK2
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug1COL11A1

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
COL11A10

Clinical trials & evidence

Clinical trials

Clinical trials: 0.