Summary
Conduct disorder (MONDO:0005352) is a disease with 45 cohort genes (71 GWAS associations across 10 studies) and 82 clinical trials. Top therapeutic interventions include methylphenidate, aripiprazole, and brexpiprazole.
At a glance
- Cohort genes: 45
- GWAS associations: 71
- Clinical trials: 82
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | conduct disorder |
| Mondo ID | MONDO:0005352 |
| EFO | EFO:0004216 |
| MeSH | D019955 |
| DOID | DOID:12995 |
| NCIT | C89329 |
| SNOMED CT | 430909002 |
| UMLS | C0149654 |
| MedGen | 56196 |
| Is cancer (heuristic) | no |
Data availability: 71 GWAS associations (10 studies).
Disease family
Classification path: disease › human disease › disease by developmental or physiological process › psychiatric disorder › mental disorder › developmental disorder of mental health › specific developmental disorder › conduct disorder
Related subtypes (9): fetal alcohol spectrum disorder, oppositional defiant disorder, fetal nicotine spectrum disorder, communication disorder, stereotypic movement disorder, tic disorder, learning disability, developmental coordination disorder, attention deficit-hyperactivity disorder
Genetics & variants
GWAS landscape
71 GWAS associations across 10 studies. Top hits map to 31 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs201901088 | 2e-11 | TNFRSF18 | ? | |
| rs16891867 | 3e-09 | C1QTNF7, C1QTNF7-AS1 | G | 0.15 |
| rs7950811 | 1e-08 | EEF1A1P49 - SNRPGP16 | A | 0.16 |
| rs11838918 | 1e-08 | LINC00331 | C | 0.28 |
| rs1861046 | 6e-08 | C1QTNF7, C1QTNF7-AS1 | A | 1.65 |
| rs16831128 | 4e-07 | FAM201B - RNU6-175P | G | 1.45 |
| rs10492664 | 1e-06 | NALF1 - LIG4 | C | |
| rs13398848 | 1e-06 | RNU6-1312P - CRLF3P3 | G | 0.17 |
| rs7762160 | 1e-06 | PDE10A | C | 0.07 |
| rs13188771 | 2e-06 | RN7SL802P - OR7H2P | A | 4.24 |
| rs10831284 | 2e-06 | ST13P11 - CWC15 | G | |
| rs2826340 | 2e-06 | RPS3AP1 - LINC00320 | T | |
| rs10776612 | 2e-06 | ARHGAP22 | T | 1.33 |
| rs1789891 | 3e-06 | ADH1B - ADH1C | A | 1.47 |
| rs6500744 | 3e-06 | RBFOX1 | C | 0.91 |
| rs2122554 | 3e-06 | RPLP0P9 - LINC01947 | A | 0.1 |
| rs8179116 | 3e-06 | SELPLG | A | 0.23 |
| rs2184898 | 3e-06 | EMX2 - LINC02674 | A | 1.33 |
| rs701157 | 4e-06 | PGBD5 - LINC01737 | C | |
| rs4533251 | 4e-06 | Metazoa_SRP - FAM149B1P1 | T | |
| rs7297018 | 4e-06 | PAWR | A | |
| rs6733379 | 4e-06 | LINC01320 | G | |
| rs1256531 | 4e-06 | PTBP1P | G | 0.09 |
| rs1550057 | 4e-06 | RNF150 | C | 1.39 |
| rs719593 | 5e-06 | HNRNPA1P57 - LDHAP3 | T | 2.05 |
| rs1951082 | 5e-06 | NOVA1-DT, LINC02294 | T | |
| rs1557488 | 5e-06 | KIRREL3 | T | |
| rs931812 | 5e-06 | Metazoa_SRP - YWHAZ | C | |
| rs10229603 | 5e-06 | HRAT17 | C | |
| rs9990174 | 6e-06 | SLC6A1 | T | 2.52 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90481827 | Verma A | 2024 | 5,310 | 442,073 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST012098 | Demontis D | 2021 | 3,802 | 31,305 | Risk variants and polygenic architecture of disruptive behavior disorders in the context of attention-deficit/hyperactivity disorder. |
| GCST90481826 | Verma A | 2024 | 2,460 | 117,772 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST012097 | Demontis D | 2021 | 1,959 | 13,539 | Risk variants and polygenic architecture of disruptive behavior disorders in the context of attention-deficit/hyperactivity disorder. |
| GCST90481825 | Verma A | 2024 | 925 | 58,216 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90651241 | Liu TY | 2025 | 135 | 231,742 | Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population. |
| GCST000713 | Dick DM | 2010 | 0 | 0 | Genome-wide association study of conduct disorder symptomatology. |
| GCST000714 | Dick DM | 2010 | 0 | 0 | Genome-wide association study of conduct disorder symptomatology. |
| GCST000245 | Sonuga-Barke EJ | 2008 | 0 | 0 | Does parental expressed emotion moderate genetic effects in ADHD? An exploration using a genome wide association scan. |
| GCST000253 | Anney RJ | 2008 | 0 | 0 | Conduct disorder and ADHD: evaluation of conduct problems as a categorical and quantitative trait in the international multicentre ADHD genetics study. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 3 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 47 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 47 |
| low_freq (0.01-0.05) | 2 |
| rare (<0.01) | 0 |
| unknown | 1 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 29 |
| intergenic_variant | 17 |
| 3_prime_UTR_variant | 2 |
| non_coding_transcript_exon_variant | 1 |
| 5_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs201901088 | 1 | 1203829 | G>A,C | | 3_prime_UTR_variant | TNFRSF18 | 2e-11 | Tier 2: splice/UTR |
| rs16891867 | 4 | 15395740 | A>G | 0.097 | intron_variant | C1QTNF7, C1QTNF7-AS1 | 3e-09 | Tier 4: intronic/intergenic |
| rs7950811 | 11 | 92917836 | C>A,T | 0.071 | intron_variant | EEF1A1P49 - SNRPGP16 | 1e-08 | Tier 4: intronic/intergenic |
| rs11838918 | 13 | 78836439 | T>C | 0.022 | intron_variant | LINC00331 | 1e-08 | Tier 4: intronic/intergenic |
| rs1861046 | 4 | 15396282 | G>A,C | 0.095 | intron_variant | C1QTNF7, C1QTNF7-AS1 | 6e-08 | Tier 4: intronic/intergenic |
| rs16831128 | 2 | 132386819 | A>G | 0.189 | intergenic_variant | FAM201B - RNU6-175P | 4e-07 | Tier 4: intronic/intergenic |
| rs10492664 | 13 | 108163877 | C>A,T | 0.16 | intergenic_variant | NALF1 - LIG4 | 1e-06 | Tier 4: intronic/intergenic |
| rs13398848 | 2 | 84018044 | A>G | 0.181 | intergenic_variant | RNU6-1312P - CRLF3P3 | 1e-06 | Tier 4: intronic/intergenic |
| rs7762160 | 6 | 165601943 | T>C | 0.365 | intron_variant | PDE10A | 1e-06 | Tier 4: intronic/intergenic |
| rs13188771 | 5 | 101612841 | C>A,G | 0.17 | intergenic_variant | RN7SL802P - OR7H2P | 2e-06 | Tier 4: intronic/intergenic |
| rs10831284 | 11 | 94934799 | G>A,C,T | 0.13 | intergenic_variant | ST13P11 - CWC15 | 2e-06 | Tier 4: intronic/intergenic |
| rs2826340 | 21 | 20512990 | A>T | 0.17 | intergenic_variant | RPS3AP1 - LINC00320 | 2e-06 | Tier 4: intronic/intergenic |
| rs10776612 | 10 | 48527518 | C>G,T | 0.481 | intron_variant | ARHGAP22 | 2e-06 | Tier 4: intronic/intergenic |
| rs1789891 | 4 | 99329262 | C>A,G | 0.14 | intergenic_variant | ADH1B - ADH1C | 3e-06 | Tier 4: intronic/intergenic |
| rs6500744 | 16 | 6063660 | C>T | 0.47 | intron_variant | RBFOX1 | 3e-06 | Tier 4: intronic/intergenic |
| rs2122554 | 5 | 166530081 | T>A,C,G | 0.162 | intergenic_variant | RPLP0P9 - LINC01947 | 3e-06 | Tier 4: intronic/intergenic |
| rs8179116 | 12 | 108631651 | C>A,G,T | 0.021 | intron_variant | SELPLG | 3e-06 | Tier 4: intronic/intergenic |
| rs2184898 | 10 | 117658593 | G>A | 0.327 | intron_variant | EMX2 - LINC02674 | 3e-06 | Tier 4: intronic/intergenic |
| rs701157 | 1 | 230539080 | T>A,C | 0.45 | intron_variant | PGBD5 - LINC01737 | 4e-06 | Tier 4: intronic/intergenic |
| rs4533251 | 15 | 96719197 | T>A,G | 0.15 | intron_variant | Metazoa_SRP - FAM149B1P1 | 4e-06 | Tier 4: intronic/intergenic |
| rs7297018 | 12 | 79668450 | A>C,G,T | 0.19 | intron_variant | PAWR | 4e-06 | Tier 4: intronic/intergenic |
| rs6733379 | 2 | 34255008 | G>A,C,T | 0.28 | intron_variant | LINC01320 | 4e-06 | Tier 4: intronic/intergenic |
| rs1256531 | 14 | 65281041 | A>G | 0.234 | non_coding_transcript_exon_variant | PTBP1P | 4e-06 | Tier 4: intronic/intergenic |
| rs1550057 | 4 | 141196270 | A>C,G,T | 0.243 | intergenic_variant | RNF150 | 4e-06 | Tier 4: intronic/intergenic |
| rs719593 | 2 | 41777857 | A>C,G,T | 0.14 | intergenic_variant | HNRNPA1P57 - LDHAP3 | 5e-06 | Tier 4: intronic/intergenic |
| rs1951082 | 14 | 26790837 | T>A,C,G | 0.43 | intron_variant | NOVA1-DT, LINC02294 | 5e-06 | Tier 4: intronic/intergenic |
| rs1557488 | 11 | 126749295 | T>A,C,G | 0.18 | intron_variant | KIRREL3 | 5e-06 | Tier 4: intronic/intergenic |
| rs931812 | 8 | 100907093 | C>G,T | 0.26 | intergenic_variant | Metazoa_SRP - YWHAZ | 5e-06 | Tier 4: intronic/intergenic |
| rs10229603 | 7 | 112988318 | T>C | 0.31 | intron_variant | HRAT17 | 5e-06 | Tier 4: intronic/intergenic |
| rs9990174 | 3 | 10998753 | G>T | 0.33 | intron_variant | SLC6A1 | 6e-06 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 27 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| RIT1 | Orphanet:648 | Noonan syndrome |
| SLC6A1 | Orphanet:178469 | Autosomal dominant non-syndromic intellectual disability |
| SLC6A1 | Orphanet:1942 | Epilepsy with myoclonic-atonic seizures |
| YWHAZ | Orphanet:178469 | Autosomal dominant non-syndromic intellectual disability |
| ZBTB16 | Orphanet:520 | Acute promyelocytic leukemia |
| ZBTB16 | Orphanet:99861 | Precursor T-cell acute lymphoblastic leukemia |
| AMOTL1 | Orphanet:660021 | Orofacial clefting-cardiac anomalies-facial dysmorphism syndrome |
| PDHX | Orphanet:255182 | Pyruvate dehydrogenase E3-binding protein deficiency |
| KIRREL3 | Orphanet:178469 | Autosomal dominant non-syndromic intellectual disability |
| PPM1K | Orphanet:268162 | Intermediate maple syrup urine disease |
| DHODH | Orphanet:246 | Postaxial acrofacial dysostosis |
| CC2D2A | Orphanet:1454 | Joubert syndrome with hepatic defect |
| CC2D2A | Orphanet:2318 | Joubert syndrome with oculorenal defect |
| CC2D2A | Orphanet:564 | Meckel syndrome |
| CC2D2A | Orphanet:791 | Retinitis pigmentosa |
| ERCC4 | Orphanet:220295 | Xeroderma pigmentosum-Cockayne syndrome complex |
| ERCC4 | Orphanet:84 | Fanconi anemia |
| ERCC4 | Orphanet:90321 | Cockayne syndrome type 1 |
| ERCC4 | Orphanet:910 | Xeroderma pigmentosum |
| ATP8B1 | Orphanet:69665 | Intrahepatic cholestasis of pregnancy |
| ATP8B1 | Orphanet:79306 | Progressive familial intrahepatic cholestasis type 1 |
| ATP8B1 | Orphanet:99960 | Benign recurrent intrahepatic cholestasis type 1 |
| LIG4 | Orphanet:235 | Dubowitz syndrome |
| LIG4 | Orphanet:39041 | Omenn syndrome |
| LIG4 | Orphanet:99812 | LIG4 syndrome |
| PDE10A | Orphanet:494526 | Infantile-onset generalized dyskinesia with orofacial involvement |
| PDE10A | Orphanet:494541 | Childhood-onset benign chorea with striatal involvement |
Cohort genes → proteins
45 cohort genes, 45 distinct canonical proteins.
Evidence partition
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| RIT1 | HGNC:10023 | ENSG00000143622 | Q92963 | GTP-binding protein Rit1 | gwas |
| SCN7A | HGNC:10594 | ENSG00000136546 | Q01118 | Sodium channel protein type 7 subunit alpha | gwas |
| SELPLG | HGNC:10722 | ENSG00000110876 | Q14242 | P-selectin glycoprotein ligand 1 | gwas |
| SLC6A1 | HGNC:11042 | ENSG00000157103 | P30531 | Sodium- and chloride-dependent GABA transporter 1 | gwas |
| YWHAZ | HGNC:12855 | ENSG00000164924 | P63104 | 14-3-3 protein zeta/delta | gwas |
| ZBTB16 | HGNC:12930 | ENSG00000109906 | Q05516 | Zinc finger and BTB domain-containing protein 16 | gwas |
| C1QTNF7 | HGNC:14342 | ENSG00000163145 | Q9BXJ2 | Complement C1q tumor necrosis factor-related protein 7 | gwas |
| NOAZFP | HGNC:15462 | ENSG00000109445 | Q9Y3S2 | Zinc finger protein 330 | gwas |
| TOX2 | HGNC:16095 | ENSG00000124191 | Q96NM4 | TOX high mobility group box family member 2 | gwas |
| COLGALT2 | HGNC:16790 | ENSG00000198756 | Q8IYK4 | Procollagen galactosyltransferase 2 | gwas |
| MFHAS1 | HGNC:16982 | ENSG00000147324 | Q9Y4C4 | Malignant fibrous histiocytoma-amplified sequence 1 | gwas |
| PITRM1 | HGNC:17663 | ENSG00000107959 | Q5JRX3 | Presequence protease, mitochondrial | gwas |
| AMOTL1 | HGNC:17811 | ENSG00000166025 | Q8IY63 | Angiomotin-like protein 1 | gwas |
| RBFOX1 | HGNC:18222 | ENSG00000078328 | Q9NWB1 | RNA binding protein fox-1 homolog 1 | gwas |
| ABHD13 | HGNC:20293 | ENSG00000139826 | Q7L211 | Protein ABHD13 | gwas |
| GSX1 | HGNC:20374 | ENSG00000169840 | Q9H4S2 | GS homeobox 1 | gwas |
| C5orf15 | HGNC:20656 | ENSG00000113583 | Q8NC54 | Keratinocyte-associated transmembrane protein 2 | gwas |
| PDHX | HGNC:21350 | ENSG00000110435 | O00330 | Pyruvate dehydrogenase protein X component, mitochondrial | gwas |
| PKD1L2 | HGNC:21715 | ENSG00000166473 | Q7Z442 | Polycystin-1-like protein 2 | gwas |
| PKD1L3 | HGNC:21716 | ENSG00000277481 | Q7Z443 | Polycystin-1-like protein 3 | gwas |
| SPATS1 | HGNC:22957 | ENSG00000249481 | Q496A3 | Spermatogenesis-associated serine-rich protein 1 | gwas |
| KIRREL3 | HGNC:23204 | ENSG00000149571 | Q8IZU9 | Kin of IRRE-like protein 3 | gwas |
| ADH1C | HGNC:251 | ENSG00000248144 | P00326 | Alcohol dehydrogenase 1C | gwas |
| PPM1K | HGNC:25415 | ENSG00000163644 | Q8N3J5 | Protein phosphatase Mn(2+)-dependent 1K | gwas |
| KDM4D | HGNC:25498 | ENSG00000186280 | Q6B0I6 | Lysine-specific demethylase 4D | gwas |
| MYRFL | HGNC:26316 | ENSG00000166268 | Q96LU7 | Myelin regulatory factor-like protein | gwas |
| SAMTOR | HGNC:26475 | ENSG00000164603 | Q1RMZ1 | S-adenosylmethionine sensor upstream of mTORC1 | gwas |
| C16orf46 | HGNC:26525 | ENSG00000166455 | Q6P387 | Uncharacterized protein C16orf46 | gwas |
| CWC15 | HGNC:26939 | ENSG00000150316 | Q9P013 | Spliceosome-associated protein CWC15 homolog | gwas |
| DHODH | HGNC:2867 | ENSG00000102967 | Q02127 | Dihydroorotate dehydrogenase (quinone), mitochondrial | gwas |
| IST1 | HGNC:28977 | ENSG00000182149 | P53990 | IST1 homolog | gwas |
| CC2D2A | HGNC:29253 | ENSG00000048342 | Q9P2K1 | Coiled-coil and C2 domain-containing protein 2A | gwas |
| RGL1 | HGNC:30281 | ENSG00000143344 | Q9NZL6 | Ral guanine nucleotide dissociation stimulator-like 1 | gwas |
| ARHGAP22 | HGNC:30320 | ENSG00000128805 | Q7Z5H3 | Rho GTPase-activating protein 22 | gwas |
| ETV3L | HGNC:33834 | ENSG00000253831 | Q6ZN32 | ETS translocation variant 3-like protein | gwas |
| ERCC4 | HGNC:3436 | ENSG00000175595 | Q92889 | DNA repair endonuclease XPF | gwas |
| ETV3 | HGNC:3492 | ENSG00000117036 | P41162 | ETS translocation variant 3 | gwas |
| ATP8B1 | HGNC:3706 | ENSG00000081923 | O43520 | Phospholipid-transporting ATPase IC | gwas |
| FZD7 | HGNC:4045 | ENSG00000155760 | O75084 | Frizzled-7 | gwas |
| GPR85 | HGNC:4536 | ENSG00000164604 | P60893 | Probable G-protein coupled receptor 85 | gwas |
| HACL2 | HGNC:6041 | ENSG00000105135 | A1L0T0 | 2-hydroxyacyl-CoA lyase 2 | gwas |
| LIG4 | HGNC:6601 | ENSG00000174405 | P49917 | DNA ligase 4 | gwas |
| PAWR | HGNC:8614 | ENSG00000177425 | Q96IZ0 | PRKC apoptosis WT1 regulator protein | gwas |
| PDE10A | HGNC:8772 | ENSG00000112541 | Q9Y233 | cAMP and cAMP-inhibited cGMP 3’,5’-cyclic phosphodiesterase 10A | gwas |
| PTPRD | HGNC:9668 | ENSG00000153707 | P23468 | Receptor-type tyrosine-protein phosphatase delta | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| RIT1 | GTP-binding protein Rit1 | Plays a crucial role in coupling NGF stimulation to the activation of both EPHB2 and MAPK14 signaling pathways and in NGF-dependent neuronal differentiation. |
| SCN7A | Sodium channel protein type 7 subunit alpha | Sodium leak channel functioning as an osmosensor regulating sodium ion levels in various tissues and organs. |
| SELPLG | P-selectin glycoprotein ligand 1 | A SLe(x)-type proteoglycan, which through high affinity, calcium-dependent interactions with E-, P- and L-selectins, mediates rapid rolling of leukocytes over vascular surfaces during the initial steps in inflammation. |
| SLC6A1 | Sodium- and chloride-dependent GABA transporter 1 | Mediates transport of gamma-aminobutyric acid (GABA) together with sodium and chloride and is responsible for the reuptake of GABA from the synapse. |
| YWHAZ | 14-3-3 protein zeta/delta | Adapter protein implicated in the regulation of a large spectrum of both general and specialized signaling pathways. |
| ZBTB16 | Zinc finger and BTB domain-containing protein 16 | Acts as a transcriptional repressor. |
| TOX2 | TOX high mobility group box family member 2 | Putative transcriptional activator involved in the hypothalamo-pituitary-gonadal system. |
| COLGALT2 | Procollagen galactosyltransferase 2 | Beta-galactosyltransferase that transfers beta-galactose to hydroxylysine residues of collagen. |
| MFHAS1 | Malignant fibrous histiocytoma-amplified sequence 1 | Probable GTP-binding protein. |
| PITRM1 | Presequence protease, mitochondrial | Metalloendopeptidase of the mitochondrial matrix that functions in peptide cleavage and degradation rather than in protein processing. |
| AMOTL1 | Angiomotin-like protein 1 | Inhibits the Wnt/beta-catenin signaling pathway, probably by recruiting CTNNB1 to recycling endosomes and hence preventing its translocation to the nucleus. |
| RBFOX1 | RNA binding protein fox-1 homolog 1 | RNA-binding protein that regulates alternative splicing events by binding to 5’-UGCAUGU-3’ elements. |
| GSX1 | GS homeobox 1 | Probable transcription factor that binds to the DNA sequence 5’-GC[TA][AC]ATTA[GA]-3'. |
| PDHX | Pyruvate dehydrogenase protein X component, mitochondrial | Required for anchoring dihydrolipoamide dehydrogenase (E3) to the dihydrolipoamide transacetylase (E2) core of the pyruvate dehydrogenase complexes of eukaryotes. |
| PKD1L2 | Polycystin-1-like protein 2 | May function as a G-protein-coupled receptor. |
| PKD1L3 | Polycystin-1-like protein 3 | Pore-forming subunit of a heterotetrameric, non-selective cation channel that is permeable to Ca(2+). |
| KIRREL3 | Kin of IRRE-like protein 3 | Synaptic adhesion molecule required for the formation of target-specific synapses. |
| ADH1C | Alcohol dehydrogenase 1C | Alcohol dehydrogenase. |
| PPM1K | Protein phosphatase Mn(2+)-dependent 1K | Serine/threonine-protein phosphatase component of macronutrients metabolism. |
| KDM4D | Lysine-specific demethylase 4D | Histone demethylase that specifically demethylates ‘Lys-9’ of histone H3, thereby playing a central role in histone code. |
| SAMTOR | S-adenosylmethionine sensor upstream of mTORC1 | S-adenosyl-L-methionine-binding protein that acts as an inhibitor of mTORC1 signaling via interaction with the GATOR1 and KICSTOR complexes. |
| CWC15 | Spliceosome-associated protein CWC15 homolog | Involved in pre-mRNA splicing as component of the spliceosome. |
| DHODH | Dihydroorotate dehydrogenase (quinone), mitochondrial | Catalyzes the conversion of dihydroorotate to orotate with quinone as electron acceptor. |
| IST1 | IST1 homolog | ESCRT-III-like protein involved in cytokinesis, nuclear envelope reassembly and endosomal tubulation. |
| CC2D2A | Coiled-coil and C2 domain-containing protein 2A | Component of the tectonic-like complex, a complex localized at the transition zone of primary cilia and acting as a barrier that prevents diffusion of transmembrane proteins between the cilia and plasma membranes. |
| RGL1 | Ral guanine nucleotide dissociation stimulator-like 1 | Probable guanine nucleotide exchange factor. |
| ARHGAP22 | Rho GTPase-activating protein 22 | Rho GTPase-activating protein involved in the signal transduction pathway that regulates endothelial cell capillary tube formation during angiogenesis. |
| ETV3L | ETS translocation variant 3-like protein | Transcriptional regulator. |
| ERCC4 | DNA repair endonuclease XPF | Catalytic component of a structure-specific DNA repair endonuclease responsible for the 5-prime incision during DNA repair, and which is essential for nucleotide excision repair (NER) and interstrand cross-link (ICL) repair. |
| ETV3 | ETS translocation variant 3 | Transcriptional repressor that contribute to growth arrest during terminal macrophage differentiation by repressing target genes involved in Ras-dependent proliferation. |
| ATP8B1 | Phospholipid-transporting ATPase IC | Catalytic component of a P4-ATPase flippase complex which catalyzes the hydrolysis of ATP coupled to the transport of phospholipids, in particular phosphatidylcholines (PC), from the outer to the inner leaflet of the plasma membrane. |
| FZD7 | Frizzled-7 | Receptor for Wnt proteins. |
| GPR85 | Probable G-protein coupled receptor 85 | Orphan receptor. |
| HACL2 | 2-hydroxyacyl-CoA lyase 2 | Endoplasmic reticulum 2-OH acyl-CoA lyase involved in the cleavage (C1 removal) reaction in the fatty acid alpha-oxydation in a thiamine pyrophosphate (TPP)-dependent manner. |
| LIG4 | DNA ligase 4 | DNA ligase involved in DNA non-homologous end joining (NHEJ); required for double-strand break (DSB) repair and V(D)J recombination. |
| PAWR | PRKC apoptosis WT1 regulator protein | Pro-apoptotic protein capable of selectively inducing apoptosis in cancer cells, sensitizing the cells to diverse apoptotic stimuli and causing regression of tumors in animal models. |
| PDE10A | cAMP and cAMP-inhibited cGMP 3’,5’-cyclic phosphodiesterase 10A | Plays a role in signal transduction by regulating the intracellular concentration of cyclic nucleotides. |
| PTPRD | Receptor-type tyrosine-protein phosphatase delta | Can bidirectionally induce pre- and post-synaptic differentiation of neurons by mediating interaction with IL1RAP and IL1RAPL1 trans-synaptically. |
Protein-family classification
Druggable: 14 · Difficult: 6 · Unknown: 25 · Druggable fraction: 0.31
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 |
|---|
| Phosphatase | 2 | 3.7× | 0.761 |
| Enzyme (other) | 6 | 1.6× | 0.761 |
| Ion channel | 1 | 2.5× | 0.785 |
| Protease | 2 | 1.6× | 0.785 |
| GPCR | 2 | 1.1× | 0.835 |
| Other/Unknown | 25 | 1.0× | 0.835 |
| Transcription factor | 5 | 0.9× | 0.835 |
| Antibody/Immunoglobulin | 1 | 0.7× | 0.891 |
| Scaffold/PPI | 1 | 0.4× | 0.932 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| RIT1 | Other/Unknown | no | | Small_GTPase, Small_GTP-bd, Small_GTPase_Ras-type |
| SCN7A | Ion channel | yes | | Na_channel_asu, Ion_trans_dom, Na_trans_assoc_dom |
| SELPLG | Other/Unknown | no | | PSGL-1 |
| SLC6A1 | Other/Unknown | no | | Na/ntran_symport, Na/ntran_symport_GABA_GAT1, SNS_sf |
| YWHAZ | Other/Unknown | no | | 14-3-3, 14-3-3_CS, 14-3-3_domain |
| ZBTB16 | Transcription factor | no | | BTB/POZ_dom, SKP1/BTB/POZ_sf, Znf_C2H2_type |
| C1QTNF7 | Other/Unknown | no | | C1q_dom, Collagen, Tumour_necrosis_fac-like_dom |
| NOAZFP | Other/Unknown | no | | NOA36 |
| TOX2 | Other/Unknown | no | | HMG_box_dom, HMG_box_dom_sf, TOX_HMG-box_domain |
| COLGALT2 | Enzyme (other) | yes | 2.4.1.50 | Glyco_trans_25, Nucleotide-diphossugar_trans, Collagen_mod_GT25 |
| MFHAS1 | Other/Unknown | no | | Leu-rich_rpt, Leu-rich_rpt_typical-subtyp, ROC |
| PITRM1 | Protease | yes | 3.4.24.56 | Peptidase_M16_C, Metalloenz_LuxS/M16, Pept_M16_N |
| AMOTL1 | Other/Unknown | no | | Angiomotin, Angiomotin_C, Angiomotin-like |
| RBFOX1 | Other/Unknown | no | | RRM_dom, Nucleotide-bd_a/b_plait_sf, RBFOX1-3 |
| ABHD13 | Other/Unknown | no | | AB_hydrolase_1, AB_hydrolase_fold |
| GSX1 | Transcription factor | no | | HD, Homeodomain-like_sf, Homeobox_CS |
| C5orf15 | Other/Unknown | no | | KCT2 |
| PDHX | Enzyme (other) | yes | 1.2.1.104 | Biotin_lipoyl, 2-oxoacid_DH_actylTfrase, 2-oxoA_DH_lipoyl-BS |
| PKD1L2 | Other/Unknown | no | | GPS, Lectin_gal-bd_dom, PLAT/LH2_dom |
| PKD1L3 | Other/Unknown | no | | GPS, PC1, PLAT/LH2_dom |
| SPATS1 | Other/Unknown | no | | SASRP1 |
| KIRREL3 | Antibody/Immunoglobulin | yes | | Ig_sub2, Ig_sub, Ig-like_dom |
| ADH1C | Enzyme (other) | yes | 1.1.1.1 | ADH_Zn_CS, GroES-like_sf, ADH-like_C |
| PPM1K | Phosphatase | yes | 3.1.3.16 | PP2C_BS, PPM-type_phosphatase-like_dom, PP2C |
| KDM4D | Enzyme (other) | yes | 1.14.11.27 | JmjC_dom, JmjN |
| MYRFL | Transcription factor | no | | p53-like_TF_DNA-bd_sf, NDT80_DNA-bd_dom, MYRF_C2 |
| SAMTOR | Other/Unknown | no | | Bmt2/SAMTOR, SAM-dependent_MTases_sf |
| C16orf46 | Other/Unknown | no | | DUF4529 |
| CWC15 | Other/Unknown | no | | Cwf_Cwc_15 |
| DHODH | Enzyme (other) | yes | 1.3.5.2 | Dihydroorotate_DH_CS, Dihydroorotate_DH_2, Dihydroorotate_DH_cat |
| IST1 | Other/Unknown | no | | Ist1, IST1-like |
| CC2D2A | Protease | yes | | C2_dom, CC2D2AN-C2, C2_domain_sf |
| RGL1 | Other/Unknown | no | | RA_dom, Ras-like_Gua-exchang_fac_N, RASGEF_cat_dom |
| ARHGAP22 | Scaffold/PPI | no | | RhoGAP_dom, PH_domain, Rho_GTPase_activation_prot |
| ETV3L | Other/Unknown | no | | Ets_dom, WH-like_DNA-bd_sf, WH_DNA-bd_sf |
| ERCC4 | Other/Unknown | no | | ERCC4_domain, XPF, RuvA_2-like |
| ETV3 | Other/Unknown | no | | Ets_dom, WH-like_DNA-bd_sf, WH_DNA-bd_sf |
| ATP8B1 | Transcription factor | no | 7.6.2.1 | P_typ_ATPase, P-type_ATPase_IV, ATPase_P-typ_transduc_dom_A_sf |
| FZD7 | GPCR | yes | | Frizzled/Smoothened_7TM, Frizzled/SFRP, GPCR_2-like_7TM |
| GPR85 | GPCR | yes | | GPCR_Rhodpsn, GPCR_Rhodpsn_7TM, GPCR_Orphan/Phoenixin |
| HACL2 | Other/Unknown | no | | TPP-bd_CS, TPP_enzyme_TPP-bd, Thiamin_PyroP_enz_cen_dom |
| LIG4 | Enzyme (other) | yes | 6.5.1.1 | DNA_ligase_ATP-dep, BRCT_dom, DNA_ligase_ATP-dep_N |
| PAWR | Other/Unknown | no | | Par-4 |
| PDE10A | Transcription factor | no | 3.1.4.17 | PDEase_catalytic_dom, GAF, HD/PDEase_dom |
| PTPRD | Phosphatase | yes | 3.1.3.48 | PTP_cat, Tyr_Pase_dom, Tyr_Pase_cat |
Expression context
Cohort genes with no expression data: 0.
39 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) | 44 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| cortical plate | 5 |
| secondary oocyte | 5 |
| Brodmann (1909) area 23 | 4 |
| germinal epithelium of ovary | 4 |
| leukocyte | 3 |
| tibialis anterior | 3 |
| oocyte | 3 |
| adrenal tissue | 3 |
| apex of heart | 3 |
| cardiac muscle of right atrium | 3 |
| male germ line stem cell (sensu Vertebrata) in testis | 3 |
| primordial germ cell in gonad | 3 |
| endothelial cell | 3 |
| monocyte | 2 |
| cerebellar vermis | 2 |
| skin of hip | 2 |
| calcaneal tendon | 2 |
| mucosa of stomach | 2 |
| thymus | 2 |
| C1 segment of cervical spinal cord | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| RIT1 | 268 | ubiquitous | marker | monocyte, mononuclear cell, leukocyte |
| SCN7A | 226 | broad | marker | trigeminal ganglion, sural nerve, right lung |
| SELPLG | 255 | broad | marker | granulocyte, blood, leukocyte |
| SLC6A1 | 207 | broad | marker | lateral nuclear group of thalamus, lateral globus pallidus, cerebellar vermis |
| YWHAZ | 295 | ubiquitous | marker | gingival epithelium, cortical plate, tongue squamous epithelium |
| ZBTB16 | 281 | broad | marker | skin of hip, Brodmann (1909) area 23, tibialis anterior |
| C1QTNF7 | 192 | broad | marker | calcaneal tendon, popliteal artery, tibial artery |
| NOAZFP | 297 | ubiquitous | marker | secondary oocyte, germinal epithelium of ovary, oocyte |
| TOX2 | 196 | ubiquitous | marker | secondary oocyte, thymus, mucosa of stomach |
| COLGALT2 | 242 | broad | marker | tibia, corpus callosum, C1 segment of cervical spinal cord |
| MFHAS1 | 266 | ubiquitous | marker | saphenous vein, secondary oocyte, renal medulla |
| PITRM1 | 292 | ubiquitous | marker | apex of heart, adrenal tissue, right adrenal gland cortex |
| AMOTL1 | 251 | ubiquitous | marker | tibialis anterior, deltoid, cardiac muscle of right atrium |
| RBFOX1 | 220 | broad | marker | middle temporal gyrus, Brodmann (1909) area 23, cortical plate |
| ABHD13 | 214 | ubiquitous | marker | monocyte, leukocyte, calcaneal tendon |
| GSX1 | 18 | tissue_specific | yes | superficial temporal artery, buccal mucosa cell, epithelium of nasopharynx |
| C5orf15 | 303 | ubiquitous | marker | tibia, bronchial epithelial cell, germinal epithelium of ovary |
| PDHX | 296 | ubiquitous | marker | biceps brachii, heart right ventricle, skeletal muscle tissue of biceps brachii |
| PKD1L2 | 156 | broad | marker | seminal vesicle, apex of heart, subcutaneous adipose tissue |
| PKD1L3 | 42 | tissue_specific | marker | male germ line stem cell (sensu Vertebrata) in testis, right lobe of liver, liver |
| SPATS1 | 63 | tissue_specific | yes | right uterine tube, primordial germ cell in gonad, left testis |
| KIRREL3 | 179 | broad | marker | middle temporal gyrus, nucleus accumbens, Brodmann (1909) area 23 |
| ADH1C | 199 | tissue_specific | marker | mucosa of transverse colon, jejunal mucosa, nasal cavity epithelium |
| PPM1K | 259 | ubiquitous | marker | left ventricle myocardium, cardiac muscle of right atrium, myocardium |
| KDM4D | 161 | broad | yes | buccal mucosa cell, left testis, testis |
| MYRFL | 148 | tissue_specific | marker | primordial germ cell in gonad, jejunal mucosa, duodenum |
| SAMTOR | 240 | ubiquitous | yes | secondary oocyte, cortical plate, oocyte |
| C16orf46 | 129 | ubiquitous | marker | male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, testis |
| CWC15 | 262 | ubiquitous | marker | kidney epithelium, tibialis anterior, cardiac muscle of right atrium |
| DHODH | 179 | ubiquitous | marker | right lobe of liver, liver, right atrium auricular region |
Protein interactions among cohort
Intra-cohort edges: 7.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| YWHAZ | 3,588 |
| PDHX | 3,542 |
| ZBTB16 | 3,514 |
| RIT1 | 3,298 |
| DHODH | 3,148 |
| PTPRD | 3,052 |
| RBFOX1 | 2,990 |
| SLC6A1 | 2,841 |
| SELPLG | 2,655 |
| HACL2 | 2,599 |
Intra-cohort edges
| A | B | Sources |
|---|
| AMOTL1 | YWHAZ | intact |
| ARHGAP22 | NOAZFP | string_interaction |
| HACL2 | MYRFL | string_interaction |
| MFHAS1 | TOX2 | biogrid_interaction, intact |
| MYRFL | PKD1L3 | string_interaction |
| PITRM1 | PPM1K | biogrid_interaction |
| RGL1 | RIT1 | intact |
Structural data
PDB: 25 · AlphaFold-only: 20 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| PDE10A | Q9Y233 | 359 |
| KDM4D | Q6B0I6 | 284 |
| DHODH | Q02127 | 105 |
| YWHAZ | P63104 | 77 |
| CWC15 | Q9P013 | 34 |
| LIG4 | P49917 | 31 |
| IST1 | P53990 | 16 |
| ERCC4 | Q92889 | 13 |
| ATP8B1 | O43520 | 13 |
| FZD7 | O75084 | 13 |
| PITRM1 | Q5JRX3 | 8 |
| PTPRD | P23468 | 8 |
| SLC6A1 | P30531 | 5 |
| PDHX | O00330 | 5 |
| RBFOX1 | Q9NWB1 | 4 |
| RIT1 | Q92963 | 3 |
| ZBTB16 | Q05516 | 3 |
| PPM1K | Q8N3J5 | 3 |
| SCN7A | Q01118 | 2 |
| ADH1C | P00326 | 2 |
| RGL1 | Q9NZL6 | 2 |
| SELPLG | Q14242 | 1 |
| KIRREL3 | Q8IZU9 | 1 |
| SAMTOR | Q1RMZ1 | 1 |
| PAWR | Q96IZ0 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| HACL2 | A1L0T0 | 94.53 |
| ABHD13 | Q7L211 | 92.06 |
| COLGALT2 | Q8IYK4 | 88.44 |
| MFHAS1 | Q9Y4C4 | 84.62 |
| GPR85 | P60893 | 82.93 |
| NOAZFP | Q9Y3S2 | 76.52 |
| C1QTNF7 | Q9BXJ2 | 74.35 |
| PKD1L2 | Q7Z442 | 71.44 |
| ARHGAP22 | Q7Z5H3 | 70.00 |
| CC2D2A | Q9P2K1 | 69.46 |
| MYRFL | Q96LU7 | 68.13 |
| GSX1 | Q9H4S2 | 65.45 |
| PKD1L3 | Q7Z443 | 65.18 |
| AMOTL1 | Q8IY63 | 61.14 |
| SPATS1 | Q496A3 | 58.12 |
| C5orf15 | Q8NC54 | 57.94 |
| ETV3L | Q6ZN32 | 56.93 |
| ETV3 | P41162 | 56.10 |
| TOX2 | Q96NM4 | 51.70 |
| C16orf46 | Q6P387 | 50.10 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 137. Enrichment computed across 45 evidence-associated genes (28 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 28 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Pyrimidine biosynthesis | 1 | 135.9× | 0.253 | DHODH |
| Reuptake of GABA | 1 | 102.0× | 0.253 | SLC6A1 |
| Signalling to p38 via RIT and RIN | 1 | 81.6× | 0.253 | RIT1 |
| MECP2 regulates transcription factors | 1 | 81.6× | 0.253 | RBFOX1 |
| H139Hfs13* PPM1K causes a mild variant of MSUD | 1 | 81.6× | 0.253 | PPM1K |
| 2-LTR circle formation | 1 | 58.3× | 0.253 | LIG4 |
| PDH complex synthesizes acetyl-CoA from PYR | 1 | 58.3× | 0.253 | PDHX |
| NOTCH4 Activation and Transmission of Signal to the Nucleus | 1 | 37.1× | 0.253 | YWHAZ |
| GP1b-IX-V activation signalling | 1 | 34.0× | 0.253 | YWHAZ |
| Ethanol oxidation | 1 | 34.0× | 0.253 | ADH1C |
| Regulation of localization of FOXO transcription factors | 1 | 34.0× | 0.253 | YWHAZ |
| WNT5:FZD7-mediated leishmania damping | 1 | 34.0× | 0.253 | FZD7 |
| SARS-CoV-2 targets host intracellular signalling and regulatory pathways | 1 | 31.4× | 0.253 | YWHAZ |
| Signaling by Retinoic Acid | 2 | 29.1× | 0.253 | PDHX, ADH1C |
| Activation of BAD and translocation to mitochondria | 1 | 27.2× | 0.253 | YWHAZ |
| Regulation of mRNA stability by proteins that bind AU-rich elements | 1 | 27.2× | 0.253 | YWHAZ |
| Regulation of pyruvate dehydrogenase (PDH) complex | 1 | 25.5× | 0.253 | PDHX |
| Rap1 signalling | 1 | 25.5× | 0.253 | YWHAZ |
| cGMP effects | 1 | 25.5× | 0.253 | PDE10A |
| Chk1/Chk2(Cds1) mediated inactivation of Cyclin B:Cdk1 complex | 1 | 24.0× | 0.253 | YWHAZ |
| SARS-CoV-1 targets host intracellular signalling and regulatory pathways | 1 | 24.0× | 0.253 | YWHAZ |
| KSRP (KHSRP) binds and destabilizes mRNA | 1 | 22.7× | 0.253 | YWHAZ |
| GABA synthesis, release, reuptake and degradation | 1 | 22.7× | 0.253 | SLC6A1 |
| Receptor-type tyrosine-protein phosphatases | 1 | 20.4× | 0.253 | PTPRD |
| Signaling by Hippo | 1 | 19.4× | 0.253 | AMOTL1 |
| Synaptic adhesion-like molecules | 1 | 19.4× | 0.253 | PTPRD |
| Activation of BH3-only proteins | 1 | 17.7× | 0.253 | YWHAZ |
| Signaling by NOTCH4 | 1 | 17.7× | 0.253 | YWHAZ |
| Nephrin family interactions | 1 | 17.0× | 0.253 | KIRREL3 |
| RA biosynthesis pathway | 1 | 17.0× | 0.253 | ADH1C |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 39 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| obsolete isoleucine biosynthetic process | 1 | 432.1× | 0.069 | HACL2 |
| negative regulation of ectodermal cell fate specification | 1 | 432.1× | 0.069 | FZD7 |
| establishment of integrated proviral latency | 1 | 432.1× | 0.069 | LIG4 |
| regulation of plasma membrane organization | 1 | 432.1× | 0.069 | ATP8B1 |
| detection of chemical stimulus involved in sensory perception of sour taste | 1 | 216.1× | 0.069 | PKD1L3 |
| inter-male aggressive behavior | 1 | 216.1× | 0.069 | KIRREL3 |
| synaptic target recognition | 1 | 216.1× | 0.069 | YWHAZ |
| leukocyte adhesive activation | 1 | 216.1× | 0.069 | SELPLG |
| inorganic anion import across plasma membrane | 1 | 216.1× | 0.069 | SLC6A1 |
| positive regulation of chromosome organization | 1 | 216.1× | 0.069 | LIG4 |
| establishment of cell polarity involved in ameboidal cell migration | 1 | 144.0× | 0.069 | AMOTL1 |
| pyrimidine ribonucleotide biosynthetic process | 1 | 144.0× | 0.069 | DHODH |
| principal sensory nucleus of trigeminal nerve development | 1 | 144.0× | 0.069 | KIRREL3 |
| ‘de novo’ UMP biosynthetic process | 1 | 144.0× | 0.069 | DHODH |
| male germ-line stem cell asymmetric division | 1 | 144.0× | 0.069 | ZBTB16 |
| glomerulus morphogenesis | 1 | 144.0× | 0.069 | KIRREL3 |
| trans-synaptic signaling by trans-synaptic complex | 1 | 144.0× | 0.069 | PTPRD |
| nucleotide-excision repair involved in interstrand cross-link repair | 1 | 144.0× | 0.069 | ERCC4 |
| pro-B cell differentiation | 1 | 108.0× | 0.069 | LIG4 |
| tolerance induction in gut-associated lymphoid tissue | 1 | 108.0× | 0.069 | ZBTB16 |
| L-valine biosynthetic process | 1 | 108.0× | 0.069 | HACL2 |
| T cell receptor V(D)J recombination | 1 | 108.0× | 0.069 | LIG4 |
| positive regulation of NK T cell differentiation | 1 | 108.0× | 0.069 | ZBTB16 |
| gamma-aminobutyric acid reuptake | 1 | 108.0× | 0.069 | SLC6A1 |
| telomeric DNA-containing double minutes formation | 1 | 108.0× | 0.069 | ERCC4 |
| positive regulation of hydrogen peroxide-mediated programmed cell death | 1 | 108.0× | 0.069 | PAWR |
| DN2 thymocyte differentiation | 1 | 108.0× | 0.069 | LIG4 |
| negative regulation of protection from non-homologous end joining at telomere | 1 | 108.0× | 0.069 | ERCC4 |
| regulation of chloride transport | 1 | 108.0× | 0.069 | ATP8B1 |
| detection of mechanical stimulus | 2 | 61.7× | 0.069 | PKD1L2, PKD1L3 |
Therapeutics
Drugs indicated for this disease
2 approved, 2 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
Drug target analysis
Approved (phase 4): 4 · Phase ≥3: 5 · Phased (≥1): 7 · Undrugged: 38
Druggability breadth: 18 of 45 evidence-associated genes (40%) 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.
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| SCN7A | 20 | 4 |
| PDE10A | 16 | 4 |
| DHODH | 13 | 4 |
| SLC6A1 | 3 | 4 |
| SELPLG | 1 | 2 |
| PITRM1 | 1 | 3 |
| KDM4D | 1 | 2 |
| RIT1 | 0 | 0 |
| YWHAZ | 0 | 0 |
| ZBTB16 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 11.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| PDE10A | 357 | Binding:345, ADMET:9, Functional:3 |
| DHODH | 297 | Binding:286, ADMET:7, Functional:2, Toxicity:2 |
| SLC6A1 | 56 | Binding:55, Functional:1 |
| SCN7A | 48 | Binding:32, Functional:16 |
| KDM4D | 43 | Binding:41, Functional:2 |
| ERCC4 | 28 | Binding:28 |
| YWHAZ | 23 | Binding:23 |
| PITRM1 | 15 | Binding:15 |
| SELPLG | 13 | Binding:13 |
| ADH1C | 12 | Binding:12 |
| FZD7 | 8 | Binding:8 |
| ZBTB16 | 3 | Binding:3 |
| GPR85 | 2 | Binding:2 |
| LIG4 | 2 | Binding:2 |
| PDHX | 1 | Binding:1 |
| CWC15 | 1 | Binding:1 |
| HACL2 | 1 | Binding:1 |
| PTPRD | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| COLGALT2 | 2.4.1.50 | procollagen galactosyltransferase |
| PITRM1 | 3.4.24.56 | insulysin |
| PDHX | 1.2.1.104 | pyruvate dehydrogenase system |
| ADH1C | 1.1.1.1 | alcohol dehydrogenase |
| PPM1K | 3.1.3.16, 3.1.3.52 | protein-serine/threonine phosphatase, [3-methyl-2-oxobutanoate dehydrogenase (2-methylpropanoyl-transferring)]-phosphatase |
| KDM4D | 1.14.11.27, 1.14.11.66 | [histone H3]-dimethyl-L-lysine36 demethylase, [histone H3]-trimethyl-L-lysine9 demethylase |
| DHODH | 1.3.5.2 | dihydroorotate dehydrogenase (quinone) |
| ATP8B1 | 7.6.2.1 | P-type phospholipid transporter |
| LIG4 | 6.5.1.1 | DNA ligase (ATP) |
| PDE10A | 3.1.4.17 | 3’,5’-cyclic-nucleotide phosphodiesterase |
| PTPRD | 3.1.3.48 | protein-tyrosine-phosphatase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| DHODH | 297 |
| PDE10A | 357 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 45; 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) |
|---|
| IMIPRAMINE | 4 | SCN7A |
| SERTINDOLE | 4 | SCN7A |
| PIMOZIDE | 4 | SCN7A |
| NIFEDIPINE | 4 | SCN7A |
| DILTIAZEM | 4 | SCN7A |
| MIBEFRADIL | 4 | SCN7A |
| HALOPERIDOL | 4 | SCN7A |
| MEXILETINE | 4 | SCN7A |
| AMITRIPTYLINE | 4 | SCN7A |
| AMIODARONE | 4 | SCN7A |
| CHLORPROMAZINE | 4 | SCN7A |
| TETRACAINE | 4 | SCN7A |
| TIAGABINE | 4 | SLC6A1 |
| TIAGABINE HYDROCHLORIDE | 4 | SLC6A1 |
| ATOVAQUONE | 4 | DHODH |
| LEFLUNOMIDE | 4 | DHODH |
| TERIFLUNOMIDE | 4 | DHODH |
| VARDENAFIL | 4 | PDE10A |
| SILDENAFIL | 4 | PDE10A |
| CINCHOPHEN | 4 | PDE10A |
| DIPYRIDAMOLE | 4 | PDE10A |
| TEDISAMIL | 3 | SCN7A |
| NITRENDIPINE | 3 | SCN7A |
| AJMALINE | 3 | SCN7A |
| VIXOTRIGINE | 3 | SCN7A |
| TETRODOTOXIN | 3 | SCN7A |
| TALABOSTAT | 3 | PITRM1 |
| VIDOFLUDIMUS | 3 | DHODH |
| PAPAVERINE | 3 | PDE10A |
| CIFENLINE | 2 | SCN7A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 4 | SCN7A, SLC6A1, DHODH, PDE10A |
| B | Phased (≥1) drug, not yet approved | 3 | SELPLG, PITRM1, KDM4D |
| C | Druggable family + PDB, no drug | 7 | PDHX, KIRREL3, ADH1C, PPM1K, FZD7, LIG4, PTPRD |
| D | Druggable family + AlphaFold only, no drug | 3 | COLGALT2, CC2D2A, GPR85 |
| E | Difficult family or no structure, no drug | 28 | RIT1, YWHAZ, ZBTB16, C1QTNF7, NOAZFP, TOX2, MFHAS1, AMOTL1, RBFOX1, ABHD13 (+18 more) |
Undrugged target profiles
38 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| RIT1 | 0 | — |
| YWHAZ | 23 | — |
| ZBTB16 | 3 | — |
| C1QTNF7 | 0 | — |
| NOAZFP | 0 | — |
| TOX2 | 0 | — |
| COLGALT2 | 0 | — |
| MFHAS1 | 0 | — |
| AMOTL1 | 0 | — |
| RBFOX1 | 0 | — |
| ABHD13 | 0 | — |
| GSX1 | 0 | — |
| C5orf15 | 0 | — |
| PDHX | 1 | — |
| PKD1L2 | 0 | — |
| PKD1L3 | 0 | — |
| SPATS1 | 0 | — |
| KIRREL3 | 0 | — |
| ADH1C | 12 | — |
| PPM1K | 0 | — |
| MYRFL | 0 | — |
| SAMTOR | 0 | — |
| C16orf46 | 0 | — |
| CWC15 | 1 | — |
| IST1 | 0 | — |
| CC2D2A | 0 | — |
| RGL1 | 0 | — |
| ARHGAP22 | 0 | — |
| ETV3L | 0 | — |
| ERCC4 | 28 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 82.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 57 |
| PHASE4 | 6 |
| PHASE3 | 5 |
| PHASE2 | 5 |
| PHASE1 | 4 |
| PHASE1/PHASE2 | 3 |
| PHASE2/PHASE3 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT00051714 | PHASE4 | COMPLETED | Early Prevention of Conduct Problems |
| NCT00154362 | PHASE4 | COMPLETED | The Efficacy and Safety of Oral Oxcarbazepine 300-1200 mg/Day as Adjuvant Therapy in the Treatment of Adolescents With Impulsivity and Aggressive Behavior in Conduct Disorder This Study is Not Being Conducted in the United States. |
| NCT00228046 | PHASE4 | COMPLETED | Medication Strategies for Treating Aggressive Behavior in Youth With Attention Deficit Hyperactivity Disorder |
| NCT00250705 | PHASE4 | COMPLETED | Trial of Aripiprazole in the Treatment of CD in Adolescents |
| NCT02063945 | PHASE4 | TERMINATED | Methylphenidate vs. Risperidone for the Treatment of Children and Adolescents With ADHD and Disruptive Disorders |
| NCT04170738 | PHASE4 | COMPLETED | Brain Indices of Stimulant Treatment in Drug-Naive Youth at Risk for Substance Use Disorder |
| NCT00000385 | PHASE3 | COMPLETED | Long-Term Lithium Treatment for Aggressive Conduct Disorder |
| NCT00250354 | PHASE3 | COMPLETED | A Study of the Safety and Effectiveness of Risperidone for the Treatment of Conduct Disorder and Other Disruptive Behavior Disorders in Children Ages 5 to 12 With Mild, Moderate, or Borderline Mental Retardation |
| NCT00266552 | PHASE3 | COMPLETED | A Study of the Safety and Effectiveness of Risperidone Versus Placebo for the Treatment of Conduct Disorder in Children With Mild, Moderate, or Borderline Mental Retardation |
| NCT00344474 | PHASE2/PHASE3 | COMPLETED | Personality-targeted Interventions for Adolescent Alcohol Misuse |
| NCT00399698 | PHASE3 | COMPLETED | Study to Determine Whether There Are Any Cognitive or Motor Effects From Taking the Medicine Risperidone. |
| NCT00776685 | PHASE2/PHASE3 | COMPLETED | Adventure: Teacher Delivered Personality-targeted Interventions for Substance Misuse |
| NCT01594606 | PHASE3 | COMPLETED | Randomized Control Trial of an Animal-Assisted Intervention With Adjudicated Youth |
| NCT06831123 | PHASE1/PHASE2 | RECRUITING | Pathways 2 Success |
| NCT00051727 | PHASE2 | COMPLETED | Prevention of School Dropout for Mexican American Adolescents |
| NCT00280228 | PHASE2 | COMPLETED | Home Based Treatment for Drug Use in Early Adolescents |
| NCT00626236 | PHASE2 | COMPLETED | Phase 2a Study of Safety and Tolerability of SPN-810 in Children With ADHD and Persistent Serious Conduct Problems |
| NCT00676429 | PHASE2 | COMPLETED | Ziprasidone for Severe Conduct and Other Disruptive Behavior Disorders |
| NCT01494831 | PHASE2 | COMPLETED | Randomized Control Trial of Group Intervention With Former War-affected Boys in the Democratic Republic of Congo |
| NCT02093052 | PHASE1/PHASE2 | UNKNOWN | Intervening Early With Neglected Children |
| NCT02247986 | PHASE1/PHASE2 | WITHDRAWN | Investigating the Impact of Methylphenidate on Neural Response in Disruptive Behavioral Disorder |
| NCT00149812 | PHASE1 | COMPLETED | A Clinic-based Prevention Program for Families of Depressed Mothers |
| NCT01267773 | PHASE1 | UNKNOWN | Treatment of Conduct Problems and Depression |
| NCT03292848 | PHASE1 | COMPLETED | Trial to Assess the Pharmacokinetics, Safety, Tolerability of Oral Brexpiprazole in Children (6 to <13 Years Old) With Central Nervous System Disorders |
| NCT06301516 | PHASE1 | COMPLETED | Impact VR: An Emotion Recognition and Regulation Training Program for Youth With CD |
| NCT01653535 | Not specified | ACTIVE_NOT_RECRUITING | Multisite Prevention of Conduct Problems (Fast Track) |
| NCT04631042 | Not specified | RECRUITING | Developing Brain, Impulsivity and Compulsivity |
| NCT05449002 | Not specified | RECRUITING | Digital Single Session Intervention for Youth Mental Health |
| NCT05606978 | Not specified | ACTIVE_NOT_RECRUITING | The Effectiveness of Blended Forensic Ambulant Systemic Therapy |
| NCT05637320 | Not specified | RECRUITING | Big Feelings: A Study on Children’s Emotions in Therapy |
| NCT05802758 | Not specified | RECRUITING | CFT-focused Mental Health Intervention With Exposure Training for Youngsters |
| NCT06032520 | Not specified | RECRUITING | The Effectiveness of Forensic Outpatient Systemic Therapy: a Multiple Case Experimental Design |
| NCT06373484 | Not specified | RECRUITING | Matching Assessment and Treatment for Children With Disruptive Behaviour and Their Parents |
| NCT06657430 | Not specified | RECRUITING | A Study on the Preference of Risperidone Dosage Forms |
| NCT07091721 | Not specified | RECRUITING | Using Mentalization Based Therapy to Support Children and Adolescents Referred to Specialist Mental Health Services in the NHS for Aggressive and/or Violent Behaviour |
| NCT07273695 | Not specified | RECRUITING | Assessing Real Life Effectiveness of Treatment in Neurodevelopmental Disorders |
| NCT07322055 | Not specified | ACTIVE_NOT_RECRUITING | Genetic and Clinical Correlates of Disruptive Behavior Disorder With and Without Callous-Unemotional Traits |
| NCT00104039 | Not specified | COMPLETED | Brain Changes in Children and Adolescents With Behavioral Problems |
| NCT00189189 | Not specified | UNKNOWN | Prevention of Oppositional Defiant and Conduct Disorders in Preschool Children |
| NCT00404911 | Not specified | COMPLETED | Multi-Family Group Therapy for Reducing Behavioral Difficulties in Youth |
Drugs tested across these trials (top 30)
- Cohort genes: RIT1, SCN7A, SELPLG, SLC6A1, YWHAZ, ZBTB16, C1QTNF7, NOAZFP, TOX2, COLGALT2, MFHAS1, PITRM1, AMOTL1, RBFOX1, ABHD13, GSX1, C5orf15, PDHX, PKD1L2, PKD1L3, SPATS1, KIRREL3, ADH1C, PPM1K, KDM4D, MYRFL, SAMTOR, C16orf46, CWC15, DHODH, IST1, CC2D2A, RGL1, ARHGAP22, ETV3L, ERCC4, ETV3, ATP8B1, FZD7, GPR85, HACL2, LIG4, PAWR, PDE10A, PTPRD
- Drugs: Methylphenidate, Aripiprazole, Brexpiprazole, Dextroamphetamine, Divalproex, Levamfetamine, Molindone, Oxcarbazepine, Ziprasidone, Lithium