Congenital heart disease
diseaseOn this page
Also known as abnormalities, heartAbnormality, heartcongenital anomaly of heartcongenital heart defectcongenital heart defectsdefect, congenital heartdefects, congenital heartheart abnormalitiesheart abnormalityheart defect, congenitalheart malformationheart, malformation Of
Summary
Congenital heart disease (MONDO:0005453) is a disease (an umbrella term covering 23 Mondo subtypes) caused by variants in ISL1, NKX2-6, and RBFOX2, with 83 cohort genes (41 GWAS associations across 8 studies) and 679 clinical trials. The dominant Reactome pathway is Cardiogenesis (13 cohort genes). Top therapeutic interventions include bosentan, dopamine, and phenoxybenzamine.
At a glance
- Causal genes: ISL1 (GenCC Definitive), NKX2-6 (GenCC Strong), RBFOX2 (GenCC Strong)
- Umbrella term: 23 Mondo subtypes
- Cohort genes: 83
- GWAS associations: 41
- ClinVar variants: 135
- Clinical trials: 679
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | congenital heart disease |
| Mondo ID | MONDO:0005453 |
| EFO | EFO:0005207 |
| MeSH | D006330 |
| DOID | DOID:1682 |
| ICD-11 | 2004408087 |
| NCIT | C95834 |
| SNOMED CT | 13213009 |
| UMLS | C0152021 |
| MedGen | 57501 |
| Is cancer (heuristic) | no |
Also known as: abnormalities, heart · Abnormality, heart · congenital anomaly of heart · congenital heart defect · congenital heart defects · defect, congenital heart · defects, congenital heart · heart abnormalities · heart abnormality · heart defect, congenital · heart malformation · heart, malformation Of
Data availability: 135 ClinVar variants · 41 GWAS associations (8 studies) · 93 GenCC gene-disease records · 7 cell lines.
Disease family
An umbrella term covering 23 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › heart disorder › congenital heart disease
Related subtypes (33): endocardium disorder, pericardium disorder, cardiac tuberculosis, heart conduction disease, hypertensive heart disease, heart valve disorder, cardiomyopathy, coronary artery disorder, heart failure, heart aneurysm, rheumatic heart disease, cardiac rhythm disease, white forelock with malformations, atrioventricular defect-blepharophimosis-radial and anal defect syndrome, microcephaly-cardiac defect-lung malsegmentation syndrome, PHACE syndrome, microcephaly-facio-cardio-skeletal syndrome, Hadziselimovic type, cardiac anomalies-heterotaxy syndrome, polyvalvular heart disease syndrome, Thomas syndrome, 22q11.2 deletion syndrome, myocardial rupture, heart neoplasm, aortopulmonary window, cor biloculare, inflammation of heart layer, myocardial disorder, carcinoid heart disease, omphalocele-diaphragmatic hernia-cardiovascular anomalies-radial ray defect syndrome, coronary microvascular disorder, cardiac ventricle disorder, cardiogenetic disease, cardiogenic shock
Subtypes (23): congenital heart defects, multiple types, heart septal defect, tetralogy of fallot, heart defects-limb shortening syndrome, tricuspid atresia, patent ductus arteriosus, coronary artery congenital malformation, mitral atresia disorder, persistent truncus arteriosus, dextro-looped transposition of the great arteries, aortic valve atresia, congenital pulmonary veins anomaly, mehta lewis patton syndrome, structural congenital heart disease, multiple types - GATA4, GATA6-related congenital heart disease with or without pancreatic agenesis or neonatal diabetes, GATA5-related congenital heart defects, RBFOX2-related congenital heart disorder, syndromic congenital heart disease, ACTC1-related distal arthrogryposis with congenital heart disease, HAND1 related congenital heart defect, HAND2 related congenital heart defect, TFAP2B-related congenital heart disease spectrum disorder, PLD1-related congenital heart disease
Genetics & variants
GWAS landscape
41 GWAS associations across 8 studies. Top hits map to 21 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs2360743 | 7e-13 | SLC44A2 | T | 0.02 |
| rs870142 | 3e-10 | STX18-AS1 | A | 1.46 |
| rs55877192 | 1e-09 | CAPN11 | G | 0.42 |
| rs2316327 | 2e-09 | RPRML - LRRC37A17P | ? | 1.14 |
| rs16941382 | 2e-09 | GOSR2 | ? | 1.15 |
| rs185531658 | 5e-09 | YTHDC2 - KCNN2 | ? | 2.16 |
| rs56409046 | 3e-07 | HULC - OFCC1 | ? | 1.34 |
| rs1941023 | 4e-07 | MS4A12 - MS4A13 | ? | 1.25 |
| rs75661265 | 5e-07 | TOX-DT - RNA5SP267 | ? | 1.18 |
| rs188255766 | 5e-07 | AP3S1 - LINCADL | T | 0.41 |
| rs11895588 | 7e-07 | LRP1B | ? | 1.84 |
| rs1176869 | 9e-07 | FBXO33 - LINC02315 | ? | 1.35 |
| rs1245314 | 9e-07 | NOVA1-DT, MIR4307HG | ? | 1.12 |
| rs17111230 | 1e-06 | FBXO33 - LINC02315 | ? | 1.3 |
| rs66678247 | 1e-06 | DRD3 - ATOSBP1 | ? | 1.7 |
| rs146189703 | 1e-06 | ADAM29 - TSEN2P1 | ? | 1.01 |
| rs2844660 | 1e-06 | LINC02570 - RN7SKP186 | ? | 1.37 |
| rs7212330 | 2e-06 | CLEC10A - ASGR2 | ? | 1.42 |
| rs1217752 | 2e-06 | CARTPT - MAP1B | ? | 1.08 |
| rs28549925 | 2e-06 | AHR | ? | 1.16 |
| rs78642028 | 2e-06 | SOX5P1 - DCAF4L2 | ? | 1.66 |
| rs5913271 | 2e-06 | TENT5D - HNRNPH3P1 | A | 0.27 |
| rs11816084 | 3e-06 | KRT8P37 - CHCHD3P1 | ? | 1.36 |
| rs35611996 | 3e-06 | SCHIP1, IQCJ-SCHIP1 | ? | 1.01 |
| rs4688406 | 4e-06 | SYNPR-AS1, SYNPR | ? | 1.29 |
| rs56171387 | 4e-06 | TMEM104 | ? | 1.06 |
| rs9341603 | 4e-06 | LINC02540 - HTR1B | T | 1.42 |
| rs1450832 | 5e-06 | FOXP2 | ? | 1.1 |
| rs9586881 | 5e-06 | LINC00373 | ? | 1.07 |
| rs12716944 | 6e-06 | MPHOSPH6-DT - CDH13 | ? | 1.29 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST011989 | Lahm H | 2020 | 4,034 | 8,486 | Congenital heart disease risk loci identified by genome-wide association study in European patients. |
| GCST90570531 | Broberg M | 2024 | 3,506 | 392,436 | Genome-wide association studies highlight novel risk loci for septal defects and left-sided congenital heart defects. |
| GCST002035 | Cordell HJ | 2013 | 1,479 | 5,159 | Genome-wide association study of multiple congenital heart disease phenotypes identifies a susceptibility locus for atrial septal defect at chromosome 4p16. |
| GCST90131426 | Rashkin SR | 2022 | 0 | 0 | A genome-wide association study of obstructive heart defects among participants in the National Birth Defects Prevention Study. |
| GCST90131427 | Rashkin SR | 2022 | 0 | 0 | A genome-wide association study of obstructive heart defects among participants in the National Birth Defects Prevention Study. |
| GCST90131428 | Rashkin SR | 2022 | 0 | 0 | A genome-wide association study of obstructive heart defects among participants in the National Birth Defects Prevention Study. |
| GCST004718 | Agopian AJ | 2017 | 0 | 2,976 | Genome-Wide Association Studies and Meta-Analyses for Congenital Heart Defects. |
| GCST004721 | Agopian AJ | 2017 | 0 | 0 | Genome-Wide Association Studies and Meta-Analyses for Congenital Heart Defects. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 41 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 37 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 4 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 31 |
| intergenic_variant | 9 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs2360743 | 19 | 10625838 | C>T | intron_variant | SLC44A2 | 7e-13 | Tier 4: intronic/intergenic | |
| rs870142 | 4 | 4646320 | C>G,T | 0.228 | intron_variant | STX18-AS1 | 3e-10 | Tier 4: intronic/intergenic |
| rs55877192 | 6 | 44161476 | A>G | 0.05 | intron_variant | CAPN11 | 1e-09 | Tier 4: intronic/intergenic |
| rs2316327 | 17 | 47001132 | G>A,C | 0.05 | intron_variant | RPRML - LRRC37A17P | 2e-09 | Tier 4: intronic/intergenic |
| rs16941382 | 17 | 46966142 | T>C | 0.05 | intron_variant | GOSR2 | 2e-09 | Tier 4: intronic/intergenic |
| rs185531658 | 5 | 113800824 | T>C | intron_variant | YTHDC2 - KCNN2 | 5e-09 | Tier 4: intronic/intergenic | |
| rs56409046 | 6 | 9320073 | C>T | 0.05 | intergenic_variant | HULC - OFCC1 | 3e-07 | Tier 4: intronic/intergenic |
| rs1941023 | 11 | 60508428 | G>A | 0.05 | intergenic_variant | MS4A12 - MS4A13 | 4e-07 | Tier 4: intronic/intergenic |
| rs75661265 | 8 | 59275232 | C>T | 0.05 | intron_variant | TOX-DT - RNA5SP267 | 5e-07 | Tier 4: intronic/intergenic |
| rs188255766 | 5 | 115946361 | C>T | intergenic_variant | AP3S1 - LINCADL | 5e-07 | Tier 4: intronic/intergenic | |
| rs11895588 | 2 | 141204588 | G>T | 0.05 | intron_variant | LRP1B | 7e-07 | Tier 4: intronic/intergenic |
| rs1176869 | 14 | 40807221 | C>G | 0.05 | intron_variant | FBXO33 - LINC02315 | 9e-07 | Tier 4: intronic/intergenic |
| rs1245314 | 14 | 27023434 | A>C,G,T | 0.05 | intron_variant | NOVA1-DT, MIR4307HG | 9e-07 | Tier 4: intronic/intergenic |
| rs17111230 | 14 | 40922047 | G>A,C,T | 0.05 | intergenic_variant | FBXO33 - LINC02315 | 1e-06 | Tier 4: intronic/intergenic |
| rs66678247 | 3 | 114227412 | T>C | 0.05 | intron_variant | DRD3 - ATOSBP1 | 1e-06 | Tier 4: intronic/intergenic |
| rs146189703 | 4 | 175023930 | T>A,C | 0.05 | intron_variant | ADAM29 - TSEN2P1 | 1e-06 | Tier 4: intronic/intergenic |
| rs2844660 | 6 | 30855983 | T>C | 0.05 | intergenic_variant | LINC02570 - RN7SKP186 | 1e-06 | Tier 4: intronic/intergenic |
| rs7212330 | 17 | 7100096 | A>G | 0.05 | intergenic_variant | CLEC10A - ASGR2 | 2e-06 | Tier 4: intronic/intergenic |
| rs1217752 | 5 | 71956619 | A>T | 0.05 | intron_variant | CARTPT - MAP1B | 2e-06 | Tier 4: intronic/intergenic |
| rs28549925 | 7 | 16931967 | A>G | 0.05 | intron_variant | AHR | 2e-06 | Tier 4: intronic/intergenic |
| rs78642028 | 8 | 87811731 | A>G | 0.05 | non_coding_transcript_exon_variant | SOX5P1 - DCAF4L2 | 2e-06 | Tier 4: intronic/intergenic |
| rs5913271 | X | 80475711 | T>A,C | 0.05 | intron_variant | TENT5D - HNRNPH3P1 | 2e-06 | Tier 4: intronic/intergenic |
| rs11816084 | 10 | 8519464 | C>A,T | 0.05 | intergenic_variant | KRT8P37 - CHCHD3P1 | 3e-06 | Tier 4: intronic/intergenic |
| rs35611996 | 3 | 159298001 | C>T | 0.05 | intron_variant | SCHIP1, IQCJ-SCHIP1 | 3e-06 | Tier 4: intronic/intergenic |
| rs4688406 | 3 | 63495718 | T>G | 0.05 | intron_variant | SYNPR-AS1, SYNPR | 4e-06 | Tier 4: intronic/intergenic |
| rs56171387 | 17 | 74829334 | G>A | 0.05 | intron_variant | TMEM104 | 4e-06 | Tier 4: intronic/intergenic |
| rs9341603 | 6 | 76825236 | C>T | 0.05 | intron_variant | LINC02540 - HTR1B | 4e-06 | Tier 4: intronic/intergenic |
| rs1450832 | 7 | 114223329 | G>A,T | 0.05 | intron_variant | FOXP2 | 5e-06 | Tier 4: intronic/intergenic |
| rs9586881 | 13 | 88185775 | A>G | 0.05 | intron_variant | LINC00373 | 5e-06 | Tier 4: intronic/intergenic |
| rs12716944 | 16 | 82445019 | C>A,G,T | 0.05 | intergenic_variant | MPHOSPH6-DT - CDH13 | 6e-06 | Tier 4: intronic/intergenic |
ClinVar germline variants
135 retrieved; paginated sample, class counts are floors:
58 uncertain significance, 23 conflicting classifications of pathogenicity, 17 pathogenic, 11 benign/likely benign, 9 likely pathogenic, 8 pathogenic/likely pathogenic, 5 benign, 4 likely benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 374794 | NM_005157.6(ABL1):c.1009G>A (p.Ala337Thr) | ABL1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 374795 | NM_005157.6(ABL1):c.677A>G (p.Tyr226Cys) | ABL1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 4846746 | GRCh38/hg38 22q11.21(chr22:18932238-20324016)x3 | ARVCF | Pathogenic | criteria provided, single submitter |
| 1307836 | NM_015557.3(CHD5):c.4852C>T (p.Arg1618Ter) | CHD5 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1358881 | NM_001372.4(DNAH9):c.4719T>G (p.Tyr1573Ter) | DNAH9 | Pathogenic | criteria provided, single submitter |
| 1911635 | NM_001372.4(DNAH9):c.4030C>T (p.Arg1344Ter) | DNAH9 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 219226 | NM_001308093.3(GATA4):c.23C>A (p.Ala8Asp) | GATA4 | Pathogenic | no assertion criteria provided |
| 219228 | NM_001308093.3(GATA4):c.383A>T (p.Glu128Val) | GATA4 | Pathogenic | no assertion criteria provided |
| 219229 | NM_001308093.3(GATA4):c.397A>T (p.Ser133Cys) | GATA4 | Pathogenic | no assertion criteria provided |
| 219230 | NM_001308093.3(GATA4):c.685T>A (p.Trp229Arg) | GATA4 | Pathogenic | no assertion criteria provided |
| 219231 | NM_001308093.3(GATA4):c.27C>A (p.Ala9=) | GATA4 | Pathogenic | no assertion criteria provided |
| 219232 | NM_001308093.3(GATA4):c.1266C>T (p.Ser422=) | GATA4 | Pathogenic | no assertion criteria provided |
| 219233 | NM_001308093.3(GATA4):c.1000+2T>G | GATA4 | Pathogenic | no assertion criteria provided |
| 433018 | NM_001308093.3(GATA4):c.913-55T>C | GATA4 | Pathogenic | no assertion criteria provided |
| 4075076 | NM_147191.1(MMP21):c.1260C>G (p.Asp420Glu) | MMP21 | Pathogenic | criteria provided, single submitter |
| 1202626 | NM_000432.4(MYL2):c.473T>C (p.Ile158Thr) | MYL2 | Pathogenic | no assertion criteria provided |
| 219165 | NM_004387.4(NKX2-5):c.335-1G>T | NKX2-5 | Pathogenic | no assertion criteria provided |
| 219168 | NM_004387.4(NKX2-5):c.391G>A (p.Glu131Lys) | NKX2-5 | Pathogenic | no assertion criteria provided |
| 219170 | NM_004387.4(NKX2-5):c.182C>G (p.Ala61Gly) | NKX2-5 | Pathogenic | no assertion criteria provided |
| 219378 | NM_017617.5(NOTCH1):c.1649dup (p.Tyr550Ter) | NOTCH1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 41442 | NM_002834.5(PTPN11):c.178G>T (p.Gly60Cys) | PTPN11 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2753661 | NM_004260.4(RECQL4):c.236_237insCA (p.Pro80fs) | RECQL4 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 56407 | NM_004260.4(RECQL4):c.3072del (p.Val1026fs) | RECQL4 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 181522 | NM_006912.6(RIT1):c.246T>G (p.Phe82Leu) | RIT1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1077090 | NM_002941.4(ROBO1):c.2758C>T (p.Arg920Ter) | ROBO1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 929503 | NM_005632.2:c.2904+1_2905-45del | CAPN15 | Likely pathogenic | criteria provided, single submitter |
| 4075256 | NM_001791.4(CDC42):c.67T>C (p.Tyr23His) | CDC42 | Likely pathogenic | criteria provided, single submitter |
| 4074816 | NM_006766.5(KAT6A):c.5202del (p.Ile1735fs) | KAT6A | Likely pathogenic | criteria provided, single submitter |
| 4820339 | NM_003482.4(KMT2D):c.7207dup (p.Leu2403fs) | KMT2D | Likely pathogenic | criteria provided, single submitter |
| 3900742 | NM_004991.4(MECOM):c.2831C>T (p.Thr944Ile) | MECOM | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 378 · Orphanet: 113 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| ISL1 | Definitive | Autosomal dominant | congenital heart disease | |
| GJA1 | Strong | Autosomal dominant | autosomal dominant palmoplantar keratoderma and congenital alopecia | 25 |
| NKX2-6 | Strong | Autosomal recessive | congenital heart disease | 4 |
| PRKD1 | Strong | Autosomal dominant | congenital heart defects and ectodermal dysplasia | 14 |
| RBFOX2 | Strong | Autosomal dominant | congenital heart defects, multiple types | 3 |
| SCN5A | Strong | Autosomal dominant | progressive familial heart block, type 1A | 23 |
| SMAD2 | Strong | Autosomal dominant | congenital heart defects, multiple types, 8, with or without heterotaxy | 11 |
| CITED2 | Moderate | Autosomal dominant | congenital heart defects, multiple types | 4 |
| ETS1 | Moderate | Autosomal dominant | congenital heart disease | 4 |
| FGF8 | Moderate | Autosomal dominant | congenital heart disease | 9 |
| FOXH1 | Moderate | Autosomal dominant | congenital heart disease | 2 |
| HAND1 | Moderate | Autosomal dominant | congenital heart disease | 2 |
| HAND2 | Moderate | Autosomal dominant | HAND2 related congenital heart defect | 4 |
| KLF13 | Moderate | Autosomal dominant | congenital heart disease | |
| MESP1 | Moderate | Autosomal dominant | congenital heart disease | 2 |
| ROCK2 | Moderate | Autosomal dominant | congenital heart disease | 2 |
| TBX20 | Moderate | Autosomal dominant | congenital heart disease | 5 |
| MYH7 | Supportive | Autosomal dominant | congenital myopathy 7A, myosin storage, autosomal dominant | 20 |
| ACVR1 | Limited | Autosomal dominant | congenital heart disease | 7 |
| ADAM17 | Limited | Autosomal dominant | congenital heart disease | 6 |
| ADAMTS19 | Limited | Autosomal recessive | congenital heart disease | 4 |
| ANKRD1 | Limited | Autosomal dominant | congenital heart disease | 5 |
| BCL9 | Limited | Autosomal dominant | congenital heart disease | |
| BMP10 | Limited | Autosomal dominant | congenital heart disease | 4 |
| CASZ1 | Limited | Autosomal dominant | congenital heart disease | |
| CHRD | Limited | Autosomal recessive | congenital heart disease | |
| CRELD1 | Limited | Autosomal dominant | congenital heart disease | 5 |
| CRIPTO | Limited | Autosomal dominant | congenital heart disease | 2 |
| EFNB2 | Limited | Autosomal dominant | congenital heart disease | |
| ETV2 | Limited | Autosomal recessive | congenital heart disease |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| ROBO1 | Orphanet:95496 | Pituitary stalk interruption syndrome |
| SCN5A | Orphanet:101016 | Romano-Ward syndrome |
| SCN5A | Orphanet:130 | Brugada syndrome |
| SCN5A | Orphanet:1344 | Isolated atrial standstill |
| SCN5A | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| SCN5A | Orphanet:166282 | Hereditary sick sinus syndrome |
| SCN5A | Orphanet:228140 | Idiopathic ventricular fibrillation |
| SCN5A | Orphanet:334 | Hereditary atrial fibrillation |
| SCN5A | Orphanet:871 | Hereditary progressive cardiac conduction defect |
| DCHS1 | Orphanet:314679 | Cerebrofacioarticular syndrome |
| DCHS1 | Orphanet:741 | Familial mitral valve prolapse |
| CRELD1 | Orphanet:576235 | Partial atrioventricular septal defect without ventricular hypoplasia |
| CRELD1 | Orphanet:99067 | Complete atrioventricular septal defect with ventricular hypoplasia |
| CRELD1 | Orphanet:99068 | Complete atrioventricular septal defect-tetralogy of Fallot |
| ACVR1 | Orphanet:337 | Fibrodysplasia ossificans progressiva |
| CTNNA3 | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| CTNNA3 | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| CTNNA3 | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| DTNA | Orphanet:54260 | Left ventricular noncompaction |
| FOXP1 | Orphanet:391372 | FOXP1 Syndrome |
| FOXP1 | Orphanet:52417 | MALT lymphoma |
| FOXP1 | Orphanet:585877 | B-lymphoblastic leukemia/lymphoma with recurrent genetic abnormality |
| LRP2 | Orphanet:2143 | Donnai-Barrow syndrome |
| RECQL4 | Orphanet:1225 | Baller-Gerold syndrome |
| RECQL4 | Orphanet:221016 | Rothmund-Thomson syndrome type 2 |
| RECQL4 | Orphanet:3021 | RAPADILINO syndrome |
| TBX20 | Orphanet:54260 | Left ventricular noncompaction |
| TBX20 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| CRIPTO | Orphanet:220386 | Semilobar holoprosencephaly |
| CRIPTO | Orphanet:280195 | Septopreoptic holoprosencephaly |
| CRIPTO | Orphanet:280200 | Microform holoprosencephaly |
| CRIPTO | Orphanet:93924 | Lobar holoprosencephaly |
| CRIPTO | Orphanet:93925 | Alobar holoprosencephaly |
| CRIPTO | Orphanet:93926 | Midline interhemispheric variant of holoprosencephaly |
| TLL1 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| TLL1 | Orphanet:99106 | Atrial septal defect, ostium primum type |
| VCL | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| ANKRD1 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| ADAM17 | Orphanet:294023 | Neonatal erythroderma-autoinflammation-inflammatory bowel disease syndrome |
| CITED2 | Orphanet:101063 | Situs inversus totalis |
| CITED2 | Orphanet:3303 | Tetralogy of Fallot |
| CITED2 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| CITED2 | Orphanet:99105 | Atrial septal defect, sinus venosus type |
| COL1A2 | Orphanet:1899 | Arthrochalasia Ehlers-Danlos syndrome |
| COL1A2 | Orphanet:216796 | Osteogenesis imperfecta type 1 |
| COL1A2 | Orphanet:216804 | Osteogenesis imperfecta type 2 |
| COL1A2 | Orphanet:216812 | Osteogenesis imperfecta type 3 |
| COL1A2 | Orphanet:216820 | Osteogenesis imperfecta type 4 |
| COL1A2 | Orphanet:230851 | Cardiac-valvular Ehlers-Danlos syndrome |
| COL1A2 | Orphanet:230857 | Ehlers-Danlos/osteogenesis imperfecta syndrome |
Cohort genes → proteins
83 cohort genes, 83 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 83 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| ROBO1 | HGNC:10249 | ENSG00000169855 | Q9Y6N7 | Roundabout homolog 1 | gencc,clinvar |
| SCN5A | HGNC:10593 | ENSG00000183873 | Q14524 | Sodium channel protein type 5 subunit alpha | gencc,clinvar |
| WDR5 | HGNC:12757 | ENSG00000196363 | P61964 | WD repeat-containing protein 5 | gencc,clinvar |
| KLF13 | HGNC:13672 | ENSG00000169926 | Q9Y2Y9 | Krueppel-like factor 13 | gencc,clinvar |
| DCHS1 | HGNC:13681 | ENSG00000166341 | Q96JQ0 | Protocadherin-16 | gencc,clinvar |
| CRELD1 | HGNC:14630 | ENSG00000163703 | Q96HD1 | Protein disulfide isomerase CRELD1 | gencc,clinvar |
| ACVR1 | HGNC:171 | ENSG00000115170 | Q04771 | Activin receptor type-1 | gencc,clinvar |
| CTNNA3 | HGNC:2511 | ENSG00000183230 | Q9UI47 | Catenin alpha-3 | gencc,clinvar |
| DTNA | HGNC:3057 | ENSG00000134769 | Q9Y4J8 | Dystrobrevin alpha | gencc,clinvar |
| FOXP1 | HGNC:3823 | ENSG00000114861 | Q9H334 | Forkhead box protein P1 | gencc,clinvar |
| LRP2 | HGNC:6694 | ENSG00000081479 | P98164 | Low-density lipoprotein receptor-related protein 2 | gencc,clinvar |
| RBFOX2 | HGNC:9906 | ENSG00000100320 | O43251 | RNA binding protein fox-1 homolog 2 | gencc,clinvar |
| RECQL4 | HGNC:9949 | ENSG00000160957 | O94761 | ATP-dependent DNA helicase Q4 | gencc,clinvar |
| BCL9 | HGNC:1008 | ENSG00000116128 | O00512 | B-cell CLL/lymphoma 9 protein | gencc |
| ROCK2 | HGNC:10252 | ENSG00000134318 | O75116 | Rho-associated protein kinase 2 | gencc |
| RXRA | HGNC:10477 | ENSG00000186350 | P19793 | Retinoic acid receptor RXR-alpha | gencc |
| SRF | HGNC:11291 | ENSG00000112658 | P11831 | Serum response factor | gencc |
| TBX20 | HGNC:11598 | ENSG00000164532 | Q9UMR3 | T-box transcription factor TBX20 | gencc |
| TCF21 | HGNC:11632 | ENSG00000118526 | O43680 | Transcription factor 21 | gencc |
| CRIPTO | HGNC:11701 | ENSG00000241186 | P13385 | Protein Cripto | gencc |
| TLL1 | HGNC:11843 | ENSG00000038295 | O43897 | Tolloid-like protein 1 | gencc |
| VCL | HGNC:12665 | ENSG00000035403 | P18206 | Vinculin | gencc |
| VEGFA | HGNC:12680 | ENSG00000112715 | P15692 | Vascular endothelial growth factor A, long form | gencc |
| WNT11 | HGNC:12776 | ENSG00000085741 | O96014 | Protein Wnt-11 | gencc |
| ANKRD1 | HGNC:15819 | ENSG00000148677 | Q15327 | Ankyrin repeat domain-containing protein 1 | gencc |
| MAML2 | HGNC:16259 | ENSG00000184384 | Q8IZL2 | Mastermind-like protein 2 | gencc |
| RNF40 | HGNC:16867 | ENSG00000103549 | O75150 | E3 ubiquitin-protein ligase BRE1B | gencc |
| ADAMTS19 | HGNC:17111 | ENSG00000145808 | Q8TE59 | A disintegrin and metalloproteinase with thrombospondin motifs 19 | gencc |
| CHRD | HGNC:1949 | ENSG00000090539 | Q9H2X0 | Chordin | gencc |
| ADAM17 | HGNC:195 | ENSG00000151694 | P78536 | Disintegrin and metalloproteinase domain-containing protein 17 | gencc |
| ZFPM1 | HGNC:19762 | ENSG00000179588 | Q8IX07 | Zinc finger protein ZFPM1 | gencc |
| CITED2 | HGNC:1987 | ENSG00000164442 | Q99967 | Cbp/p300-interacting transactivator 2 | gencc |
| USP44 | HGNC:20064 | ENSG00000136014 | Q9H0E7 | Ubiquitin carboxyl-terminal hydrolase 44 | gencc |
| USP34 | HGNC:20066 | ENSG00000115464 | Q70CQ2 | Ubiquitin carboxyl-terminal hydrolase 34 | gencc |
| BMP10 | HGNC:20869 | ENSG00000163217 | O95393 | Bone morphogenetic protein 10 | gencc |
| COL1A2 | HGNC:2198 | ENSG00000164692 | P08123 | Collagen alpha-2(I) chain | gencc |
| SORBS2 | HGNC:24098 | ENSG00000154556 | O94875 | Sorbin and SH3 domain-containing protein 2 | gencc |
| CSRP1 | HGNC:2469 | ENSG00000159176 | P21291 | Cysteine and glycine-rich protein 1 | gencc |
| CASZ1 | HGNC:26002 | ENSG00000130940 | Q86V15 | Zinc finger protein castor homolog 1 | gencc |
| DAND5 | HGNC:26780 | ENSG00000179284 | Q8N907 | DAN domain family member 5 | gencc |
| WDR47 | HGNC:29141 | ENSG00000085433 | O94967 | WD repeat-containing protein 47 | gencc |
| MESP1 | HGNC:29658 | ENSG00000166823 | Q9BRJ9 | Mesoderm posterior protein 1 | gencc |
| LEFTY2 | HGNC:3122 | ENSG00000143768 | O00292 | Left-right determination factor 2 | gencc |
| EFNB2 | HGNC:3227 | ENSG00000125266 | P52799 | Ephrin-B2 | gencc |
| NKX2-6 | HGNC:32940 | ENSG00000180053 | A6NCS4 | Homeobox protein Nkx-2.6 | gencc |
| ETS1 | HGNC:3488 | ENSG00000134954 | P14921 | Protein C-ets-1 | gencc |
| ETV2 | HGNC:3491 | ENSG00000105672 | O00321 | ETS translocation variant 2 | gencc |
| FBLN2 | HGNC:3601 | ENSG00000163520 | P98095 | Fibulin-2 | gencc |
| FGF8 | HGNC:3686 | ENSG00000107831 | P55075 | Fibroblast growth factor 8 | gencc |
| FMO5 | HGNC:3773 | ENSG00000131781 | P49326 | Flavin-containing monooxygenase 5 | gencc |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| ROBO1 | Roundabout homolog 1 | Receptor for SLIT1 and SLIT2 that mediates cellular responses to molecular guidance cues in cellular migration, including axonal navigation at the ventral midline of the neural tube and projection of axons to different regions during neuro… |
| SCN5A | Sodium channel protein type 5 subunit alpha | Pore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. |
| WDR5 | WD repeat-containing protein 5 | Contributes to histone modification. |
| KLF13 | Krueppel-like factor 13 | Transcription factor that activates expression from GC-rich minimal promoter regions, including genes in the cells of the erythroid lineage. |
| DCHS1 | Protocadherin-16 | Calcium-dependent cell-adhesion protein. |
| CRELD1 | Protein disulfide isomerase CRELD1 | Protein disulfide isomerase. |
| ACVR1 | Activin receptor type-1 | Bone morphogenetic protein (BMP) type I receptor that is involved in a wide variety of biological processes, including bone, heart, cartilage, nervous, and reproductive system development and regulation. |
| CTNNA3 | Catenin alpha-3 | May be involved in formation of stretch-resistant cell-cell adhesion complexes. |
| DTNA | Dystrobrevin alpha | May be involved in the formation and stability of synapses as well as being involved in the clustering of nicotinic acetylcholine receptors. |
| FOXP1 | Forkhead box protein P1 | Transcriptional repressor. |
| LRP2 | Low-density lipoprotein receptor-related protein 2 | Multiligand endocytic receptor. |
| RBFOX2 | RNA binding protein fox-1 homolog 2 | RNA-binding protein that regulates alternative splicing events by binding to 5’-UGCAUGU-3’ elements. |
| RECQL4 | ATP-dependent DNA helicase Q4 | An ATP-dependent DNA helicase which unwinds dsDNA with a 3’-overhang in a 3’-5’ direction. |
| BCL9 | B-cell CLL/lymphoma 9 protein | Involved in signal transduction through the Wnt pathway. |
| ROCK2 | Rho-associated protein kinase 2 | Protein kinase which is a key regulator of actin cytoskeleton and cell polarity. |
| RXRA | Retinoic acid receptor RXR-alpha | Receptor for retinoic acid that acts as a transcription factor. |
| SRF | Serum response factor | SRF is a transcription factor that binds to the serum response element (SRE), a short sequence of dyad symmetry located 300 bp to the 5’ of the site of transcription initiation of some genes (such as FOS). |
| TBX20 | T-box transcription factor TBX20 | Acts as a transcriptional activator and repressor required for cardiac development and may have key roles in the maintenance of functional and structural phenotypes in adult heart. |
| TCF21 | Transcription factor 21 | Involved in epithelial-mesenchymal interactions in kidney and lung morphogenesis that include epithelial differentiation and branching morphogenesis. |
| CRIPTO | Protein Cripto | GPI-anchored cell membrane protein involved in Nodal signaling. |
| TLL1 | Tolloid-like protein 1 | Protease which processes procollagen C-propeptides, such as chordin, pro-biglycan and pro-lysyl oxidase. |
| VCL | Vinculin | Actin filament (F-actin)-binding protein involved in cell-matrix adhesion and cell-cell adhesion. |
| VEGFA | Vascular endothelial growth factor A, long form | Participates in the induction of key genes involved in the response to hypoxia and in the induction of angiogenesis such as HIF1A. |
| WNT11 | Protein Wnt-11 | Ligand for members of the frizzled family of seven transmembrane receptors. |
| ANKRD1 | Ankyrin repeat domain-containing protein 1 | May play an important role in endothelial cell activation. |
| MAML2 | Mastermind-like protein 2 | Acts as a transcriptional coactivator for NOTCH proteins. |
| RNF40 | E3 ubiquitin-protein ligase BRE1B | Component of the RNF20/40 E3 ubiquitin-protein ligase complex that mediates monoubiquitination of ‘Lys-120’ of histone H2B (H2BK120ub1). |
| CHRD | Chordin | Dorsalizing factor. |
| ADAM17 | Disintegrin and metalloproteinase domain-containing protein 17 | Transmembrane metalloprotease which mediates the ectodomain shedding of a myriad of transmembrane proteins including adhesion proteins, growth factor precursors and cytokines important for inflammation and immunity. |
| ZFPM1 | Zinc finger protein ZFPM1 | Transcription regulator that plays an essential role in erythroid and megakaryocytic cell differentiation. |
| CITED2 | Cbp/p300-interacting transactivator 2 | Transcriptional coactivator of the p300/CBP-mediated transcription complex. |
| USP44 | Ubiquitin carboxyl-terminal hydrolase 44 | Deubiquitinase that plays a key regulatory role in the spindle assembly checkpoint or mitotic checkpoint by preventing premature anaphase onset. |
| USP34 | Ubiquitin carboxyl-terminal hydrolase 34 | Ubiquitin hydrolase that can remove conjugated ubiquitin from AXIN1 and AXIN2, thereby acting as a regulator of Wnt signaling pathway. |
| BMP10 | Bone morphogenetic protein 10 | Required for maintaining the proliferative activity of embryonic cardiomyocytes by preventing premature activation of the negative cell cycle regulator CDKN1C/p57KIP and maintaining the required expression levels of cardiogenic factors suc… |
| COL1A2 | Collagen alpha-2(I) chain | Type I collagen is a member of group I collagen (fibrillar forming collagen). |
| SORBS2 | Sorbin and SH3 domain-containing protein 2 | Adapter protein that plays a role in the assembling of signaling complexes, being a link between ABL kinases and actin cytoskeleton. |
| CSRP1 | Cysteine and glycine-rich protein 1 | Could play a role in neuronal development. |
| CASZ1 | Zinc finger protein castor homolog 1 | Transcriptional activator. |
| DAND5 | DAN domain family member 5 | Antagonist of the extracellular signaling protein NODAL, which is required for correct left-right patterning during embryonic development. |
| MESP1 | Mesoderm posterior protein 1 | Transcription factor. |
| LEFTY2 | Left-right determination factor 2 | Required for left-right (L-R) asymmetry determination of organ systems in mammals. |
| EFNB2 | Ephrin-B2 | Cell surface transmembrane ligand for Eph receptors, a family of receptor tyrosine kinases which are crucial for migration, repulsion and adhesion during neuronal, vascular and epithelial development. |
| NKX2-6 | Homeobox protein Nkx-2.6 | Acts as a transcriptional activator. |
| ETS1 | Protein C-ets-1 | Transcription factor. |
| ETV2 | ETS translocation variant 2 | Binds to DNA sequences containing the consensus pentanucleotide 5’-CGGA[AT]-3’. |
| FBLN2 | Fibulin-2 | Its binding to fibronectin and some other ligands is calcium dependent. |
| FGF8 | Fibroblast growth factor 8 | Plays an important role in the regulation of embryonic development, cell proliferation, cell differentiation and cell migration. |
| FMO5 | Flavin-containing monooxygenase 5 | Acts as a Baeyer-Villiger monooxygenase on a broad range of substrates. |
| FOXH1 | Forkhead box protein H1 | Transcriptional activator. |
| FOXL1 | Forkhead box protein L1 | Transcription factor required for proper proliferation and differentiation in the gastrointestinal epithelium. |
Protein-family classification
Druggable: 24 · Difficult: 32 · Unknown: 27 · Druggable fraction: 0.29
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 |
|---|---|---|---|
| Transcription factor | 27 | 2.7× | 8e-06 |
| Protease | 6 | 2.6× | 0.130 |
| Kinase | 6 | 2.0× | 0.264 |
| Nuclear receptor | 1 | 4.7× | 0.388 |
| Ion channel | 2 | 2.7× | 0.388 |
| Complement | 1 | 3.2× | 0.445 |
| Scaffold/PPI | 5 | 1.0× | 0.755 |
| Enzyme (other) | 6 | 0.9× | 0.869 |
| Antibody/Immunoglobulin | 2 | 0.7× | 0.869 |
| Other/Unknown | 27 | 0.6× | 1.000 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| ROBO1 | Antibody/Immunoglobulin | yes | Ig_sub2, Ig_sub, FN3_dom | |
| SCN5A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_channel_a5su | |
| WDR5 | Scaffold/PPI | no | WD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_CS | |
| KLF13 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf | |
| DCHS1 | Other/Unknown | no | Cadherin-like_dom, Cadherin-like_sf, Cadherin_CS | |
| CRELD1 | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom | |
| ACVR1 | Kinase | yes | 2.7.10.2 | TGFB_receptor, Activin_recp, Prot_kinase_dom |
| CTNNA3 | Other/Unknown | no | Alpha_catenin, Vinculin/catenin, Alpha-catenin/vinculin-like_sf | |
| DTNA | Transcription factor | no | Znf_ZZ, EF-hand-dom_pair, EF-hand_dom_typ1 | |
| FOXP1 | Transcription factor | no | Fork_head_dom, TF_fork_head_CS_2, FOXP-CC | |
| LRP2 | Other/Unknown | no | LDLR_classB_rpt, EGF-type_Asp/Asn_hydroxyl_site, EGF | |
| RBFOX2 | Other/Unknown | no | RRM_dom, Nucleotide-bd_a/b_plait_sf, RBFOX1-3 | |
| RECQL4 | Enzyme (other) | yes | 3.6.4.12 | Helicase_C-like, DNA_helicase_ATP-dep_RecQ, DEAD/DEAH_box_helicase_dom |
| BCL9 | Transcription factor | no | Znf_RING/FYVE/PHD, Bcl-9/Bcl-9l, BCL9_beta-catenin-bd_dom | |
| ROCK2 | Kinase | yes | Prot_kinase_dom, AGC-kinase_C, PH_domain | |
| RXRA | Nuclear receptor | yes | Retinoid-X_rcpt/HNF4, Nucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt | |
| SRF | Transcription factor | no | TF_MADSbox, SRF-like_MADS-box, TF_MADSbox_sf | |
| TBX20 | Transcription factor | no | TF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS | |
| TCF21 | Transcription factor | no | bHLH_dom, HLH_DNA-bd_sf, E-box_TF_Regulators | |
| CRIPTO | Other/Unknown | no | EGF, Cripto, Cryptic/Cripto_CFC-dom | |
| TLL1 | Protease | yes | EGF-type_Asp/Asn_hydroxyl_site, EGF, CUB_dom | |
| VCL | Other/Unknown | no | Vinculin_CS, Vinculin/catenin, Vinculin | |
| VEGFA | Other/Unknown | no | PDGF/VEGF_dom, PD_growth_factor_CS, VEGF_C | |
| WNT11 | Other/Unknown | no | Wnt, Wnt_CS, Wnt_C | |
| ANKRD1 | Scaffold/PPI | no | Ankyrin_rpt, Ankyrin_rpt-contain_sf | |
| MAML2 | Other/Unknown | no | Mastermind-like_N, MAML1-3, MAML_N_sf | |
| RNF40 | Transcription factor | no | Znf_RING, Znf_RING/FYVE/PHD, E3_ubiquit_lig_Bre1 | |
| ADAMTS19 | Protease | yes | TSP1_rpt, Peptidase_M12B, ADAM_Cys-rich | |
| CHRD | Other/Unknown | no | VWF_dom, CHRD, Chordin | |
| ADAM17 | Protease | yes | 3.4.24.86 | Peptidase_M12B, Disintegrin_dom, MetalloPept_cat_dom_sf |
| ZFPM1 | Transcription factor | no | Znf_C2H2_type, Znf_CCHC_FOG, Znf_C2H2_sf | |
| CITED2 | Other/Unknown | no | CITED | |
| USP44 | Protease | yes | Peptidase_C19_UCH, Znf_UBP, Znf_RING/FYVE/PHD | |
| USP34 | Protease | yes | Peptidase_C19_UCH, ARM-type_fold, USP_CS | |
| BMP10 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, TGF-beta-like | |
| COL1A2 | Other/Unknown | no | Fib_collagen_C, Collagen, Collagen_superfamily | |
| SORBS2 | Transcription factor | no | SH3_domain, SoHo_dom, Znf_C2H2_type | |
| CSRP1 | Transcription factor | no | Znf_LIM | |
| CASZ1 | Transcription factor | no | Znf_C2H2_type, CASZ1 | |
| DAND5 | Other/Unknown | no | DAN_dom, Cerberus, Cystine-knot_cytokine | |
| WDR47 | Scaffold/PPI | no | WD40_rpt, LisH, CTLH_C | |
| MESP1 | Transcription factor | no | bHLH_dom, HLH_DNA-bd_sf, Mesogenin/MesP | |
| LEFTY2 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, LRDF | |
| EFNB2 | Other/Unknown | no | Ephrin_RBD, Cupredoxin, Ephrin_CS | |
| NKX2-6 | Transcription factor | no | HD, Homeodomain-like_sf, Homeobox_CS | |
| ETS1 | Other/Unknown | no | Ets_dom, Pointed_dom, SAM/pointed_sf | |
| ETV2 | Other/Unknown | no | Ets_dom, WH-like_DNA-bd_sf, WH_DNA-bd_sf | |
| FBLN2 | Complement | yes | Anaphylatoxin/fibulin, EGF-type_Asp/Asn_hydroxyl_site, EGF | |
| FGF8 | Other/Unknown | no | Fibroblast_GF_fam, IL1/FGF | |
| FMO5 | Enzyme (other) | yes | 1.14.13.8 | Flavin_mOase, Flavin_mOase_5, Flavin_mOase-like |
Expression context
Cohort genes with no expression data: 0.
76 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) | 82 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| ventricular zone | 7 |
| apex of heart | 7 |
| popliteal artery | 7 |
| ganglionic eminence | 6 |
| right atrium auricular region | 6 |
| primordial germ cell in gonad | 6 |
| secondary oocyte | 6 |
| tibial artery | 6 |
| cortical plate | 5 |
| cardiac atrium | 5 |
| oocyte | 5 |
| tibia | 4 |
| pancreatic ductal cell | 4 |
| calcaneal tendon | 4 |
| stromal cell of endometrium | 4 |
| male germ line stem cell (sensu Vertebrata) in testis | 4 |
| left testis | 3 |
| cerebellar hemisphere | 3 |
| right hemisphere of cerebellum | 3 |
| cartilage tissue | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| ROBO1 | 287 | ubiquitous | marker | ventricular zone, ganglionic eminence, tibia |
| SCN5A | 161 | broad | yes | apex of heart, heart left ventricle, cardiac ventricle |
| WDR5 | 245 | ubiquitous | marker | upper arm skin, left testis, right testis |
| KLF13 | 169 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| DCHS1 | 259 | broad | marker | tendon of biceps brachii, ganglionic eminence, cortical plate |
| CRELD1 | 134 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| ACVR1 | 293 | ubiquitous | marker | cartilage tissue, synovial joint, saphenous vein |
| CTNNA3 | 211 | broad | marker | corpus callosum, heart right ventricle, medial globus pallidus |
| DTNA | 266 | ubiquitous | marker | medial globus pallidus, globus pallidus, C1 segment of cervical spinal cord |
| FOXP1 | 256 | ubiquitous | marker | pancreatic ductal cell, oviduct epithelium, cardia of stomach |
| LRP2 | 169 | broad | marker | adult organism, adult mammalian kidney, corpus callosum |
| RBFOX2 | 144 | ubiquitous | marker | cortical plate, embryo, ganglionic eminence |
| RECQL4 | 212 | ubiquitous | yes | lower esophagus mucosa, ventricular zone, mucosa of transverse colon |
| BCL9 | 198 | ubiquitous | marker | cortical plate, ganglionic eminence, ventricular zone |
| ROCK2 | 290 | ubiquitous | marker | calcaneal tendon, colonic epithelium, middle temporal gyrus |
| RXRA | 294 | ubiquitous | marker | skin of hip, gingival epithelium, pancreatic ductal cell |
| SRF | 290 | ubiquitous | marker | lower esophagus muscularis layer, lower esophagus, muscle layer of sigmoid colon |
| TBX20 | 52 | broad | marker | right atrium auricular region, cardiac atrium, heart |
| TCF21 | 175 | broad | marker | primordial germ cell in gonad, right lung, upper lobe of left lung |
| CRIPTO | 124 | tissue_specific | marker | adrenal tissue, primordial germ cell in gonad, metanephros cortex |
| TLL1 | 162 | broad | marker | secondary oocyte, buccal mucosa cell, primordial germ cell in gonad |
| VCL | 300 | ubiquitous | marker | saphenous vein, blood vessel layer, urethra |
| VEGFA | 297 | ubiquitous | marker | right lobe of thyroid gland, left lobe of thyroid gland, thyroid gland |
| WNT11 | 178 | broad | marker | omental fat pad, peritoneum, adipose tissue of abdominal region |
| ANKRD1 | 155 | ubiquitous | marker | apex of heart, right atrium auricular region, cardiac atrium |
| MAML2 | 238 | ubiquitous | marker | mucosa of paranasal sinus, cartilage tissue, mammary duct |
| RNF40 | 235 | ubiquitous | marker | ventricular zone, cortical plate, left testis |
| ADAMTS19 | 137 | broad | marker | adrenal tissue, buccal mucosa cell, body of uterus |
| CHRD | 185 | broad | marker | right lobe of liver, right hemisphere of cerebellum, cerebellar hemisphere |
| ADAM17 | 294 | ubiquitous | marker | oocyte, adrenal tissue, calcaneal tendon |
Protein interactions among cohort
Intra-cohort edges: 53.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| HDAC1 | 10,279 |
| WDR5 | 6,596 |
| RECQL4 | 6,330 |
| SMAD2 | 5,751 |
| PDGFRA | 5,186 |
| KIF20A | 5,046 |
| GJA1 | 4,942 |
| FGF8 | 4,536 |
| VCL | 4,495 |
| NTRK3 | 4,147 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ACVR1 | BMP10 | string_interaction |
| BCL9 | FMO5 | string_interaction |
| BMP10 | MYH7 | string_interaction |
| CASZ1 | HDAC1 | intact |
| CASZ1 | TBX20 | string_interaction |
| CHRD | DAND5 | string_interaction |
| CHRD | TLL1 | string_interaction |
| CITED2 | LEFTY2 | string_interaction |
| CRELD1 | GJA1 | string_interaction |
| CRIPTO | FOXH1 | string_interaction |
| CRIPTO | LEFTY2 | string_interaction |
| CRIPTO | SMAD2 | string_interaction |
| CTNNA3 | VCL | string_interaction |
| DAND5 | FOXH1 | string_interaction |
| DAND5 | LEFTY2 | string_interaction |
| EFNB2 | HEY2 | string_interaction |
| EFNB2 | MESP1 | string_interaction |
| FMO5 | GJA5 | string_interaction |
| FMO5 | PRKAB2 | string_interaction |
| FOXH1 | HAND2 | string_interaction |
| FOXH1 | HEY1 | intact |
| FOXH1 | LEFTY2 | string_interaction |
| FOXH1 | SMAD1 | string_interaction |
| FOXH1 | SMAD2 | biogrid_interaction, intact, string_interaction |
| GJA1 | GJA5 | string_interaction |
| GJA1 | LEFTY2 | string_interaction |
| GJA1 | SCN5A | string_interaction |
| GJA5 | PRKAB2 | string_interaction |
| GJA5 | SCN5A | string_interaction |
| HAND1 | HEY2 | biogrid_interaction |
| HAND2 | IRX4 | string_interaction |
| HAND2 | MESP1 | string_interaction |
| HAND2 | NKX2-6 | string_interaction |
| HAND2 | TBX20 | string_interaction |
| HDAC1 | KDM5A | intact, string_interaction |
| HDAC1 | MYH7 | intact |
| HDAC1 | ZFPM1 | string_interaction |
| HEY1 | HEY2 | biogrid_interaction, intact |
| HEY2 | IRX4 | string_interaction |
| IRX4 | TBX20 | string_interaction |
| ISL1 | NFATC1 | biogrid_interaction |
| ISL1 | RNF40 | biogrid_interaction |
| KCNJ2 | ROCK2 | biogrid_interaction |
| MYBPC3 | MYH7 | intact, string_interaction |
| MYH11 | SRF | string_interaction |
| NKX2-6 | TBX20 | string_interaction |
| NRP1 | VEGFA | intact |
| SMAD1 | SMAD2 | string_interaction |
| SMAD1 | SMAD7 | biogrid_interaction |
| SORBS2 | VCL | string_interaction |
Structural data
PDB: 50 · AlphaFold-only: 33 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| WDR5 | P61964 | 199 |
| RXRA | P19793 | 110 |
| ACVR1 | Q04771 | 85 |
| VEGFA | P15692 | 56 |
| KDM5A | P29375 | 46 |
| MYH7 | P12883 | 43 |
| VCL | P18206 | 37 |
| ADAM17 | P78536 | 33 |
| NRP1 | O14786 | 25 |
| ROCK2 | O75116 | 21 |
| ETS1 | P14921 | 21 |
| GJA1 | P17302 | 19 |
| MYBPC3 | Q14896 | 17 |
| PRKAB2 | O43741 | 17 |
| SCN5A | Q14524 | 16 |
| PDGFRA | P16234 | 15 |
| ROBO1 | Q9Y6N7 | 12 |
| HDAC1 | Q13547 | 12 |
| EFNB2 | P52799 | 10 |
| SMAD1 | Q15797 | 10 |
| SMAD2 | Q15796 | 10 |
| BCL9 | O00512 | 8 |
| BMP10 | O95393 | 8 |
| SMAD7 | O15105 | 7 |
| COL1A2 | P08123 | 5 |
| NTRK3 | Q16288 | 5 |
| LRP2 | P98164 | 4 |
| RNF40 | O75150 | 4 |
| CITED2 | Q99967 | 4 |
| SRF | P11831 | 3 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| FMO5 | P49326 | 95.03 |
| HAS2 | Q92819 | 90.63 |
| WNT11 | O96014 | 90.35 |
| ANKRD1 | Q15327 | 82.64 |
| PCSK6 | P29122 | 81.84 |
| CRELD1 | Q96HD1 | 81.68 |
| CTNNA3 | Q9UI47 | 81.65 |
| LEFTY2 | O00292 | 79.01 |
| CHRD | Q9H2X0 | 73.95 |
| USP44 | Q9H0E7 | 72.63 |
| ISL1 | P61371 | 72.57 |
| CSRP1 | P21291 | 72.49 |
| GJA5 | P36382 | 70.35 |
| DAND5 | Q8N907 | 70.04 |
| PRKD1 | Q15139 | 68.99 |
| ADAMTS19 | Q8TE59 | 68.76 |
| TBX20 | Q9UMR3 | 67.87 |
| FBLN2 | P98095 | 67.85 |
| WDR47 | O94967 | 67.49 |
| CRIPTO | P13385 | 67.47 |
| HAND2 | P61296 | 67.30 |
| TCF21 | O43680 | 66.67 |
| HAND1 | O96004 | 65.87 |
| HEY2 | Q9UBP5 | 65.56 |
| NKX2-6 | A6NCS4 | 64.31 |
| FOXL1 | Q12952 | 64.30 |
| MESP1 | Q9BRJ9 | 62.31 |
| OSR1 | Q8TAX0 | 60.59 |
| KLF13 | Q9Y2Y9 | 58.91 |
| ETV2 | O00321 | 57.35 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 796. Enrichment computed across 161 evidence-associated genes (121 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 121 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Cardiogenesis | 13 | 45.4× | 2e-16 | WDR5, SRF, TBX20, NKX2-5, CTNNB1, MESP1, GATA4, HAND1 (+5 more) |
| NOTCH4 Intracellular Domain Regulates Transcription | 6 | 28.3× | 1e-05 | MAML2, HEY1, HEY2, NOTCH1, NOTCH2, NOTCH4 |
| Developmental Biology | 27 | 3.2× | 1e-05 | ROBO1, SCN5A, ROCK2, RXRA, BMP4, SOS2, SRF, TBX20 (+19 more) |
| Signaling by NODAL | 6 | 24.6× | 2e-05 | CRIPTO, DAND5, LEFTY2, FOXH1, SMAD2, PCSK6 |
| Signaling by TGFB family members | 9 | 8.6× | 2e-04 | RXRA, CBL, BMP10, LTBP1, SMAD1, SMAD2, SMAD5, SMAD6 (+1 more) |
| Constitutive Signaling by NOTCH1 PEST Domain Mutants | 7 | 11.4× | 3e-04 | MAML2, ADAM17, HDAC1, HEY1, HEY2, JAG1, NOTCH1 |
| Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants | 7 | 11.4× | 3e-04 | MAML2, ADAM17, HDAC1, HEY1, HEY2, JAG1, NOTCH1 |
| Notch-HLH transcription pathway | 5 | 16.9× | 1e-03 | MAML2, HDAC1, NOTCH1, NOTCH2, NOTCH4 |
| Defective LFNG causes SCDO3 | 3 | 56.6× | 0.001 | NOTCH1, NOTCH2, NOTCH4 |
| Signal Transduction | 28 | 2.4× | 0.001 | BCL9, ROCK2, RXRA, SMC1A, SOS2, SRF, CBL, SALL4 (+20 more) |
| Differentiation of naive CD4+ T cells to T helper 2 cells (Th2 cells) | 7 | 8.5× | 0.001 | WDR5, KLF13, MAML2, ETS1, HDAC1, NOTCH1, NOTCH2 |
| Signaling by BMP | 5 | 14.8× | 0.001 | BMP10, SMAD1, SMAD5, SMAD6, SMAD7 |
| Pre-NOTCH Processing in the Endoplasmic Reticulum | 3 | 47.2× | 0.001 | NOTCH1, NOTCH2, NOTCH4 |
| Germ layer formation at gastrulation | 4 | 22.2× | 0.001 | BMP4, CTNNB1, FOXH1, SMAD2 |
| Formation of the nephric duct | 4 | 21.0× | 0.002 | BMP4, CTNNB1, MECOM, OSR1 |
| Constitutive Signaling by NOTCH1 t(7;9)(NOTCH1:M1580_K2555) Translocation Mutant | 3 | 40.5× | 0.002 | ADAM17, JAG1, NOTCH1 |
| Molecules associated with elastic fibres | 5 | 12.8× | 0.002 | BMP4, BMP10, FBLN2, FBN2, LTBP1 |
| Mitotic Telophase/Cytokinesis | 3 | 35.4× | 0.003 | SMC1A, SMC3, KIF20A |
| Transcriptional regulation of pluripotent stem cells | 4 | 18.0× | 0.003 | FOXP1, CRIPTO, SALL4, SMAD2 |
| Leishmania infection | 6 | 8.1× | 0.004 | CDC42, ADAM17, CTSG, ABL1, MYO5A, PRKAR1B |
| Parasitic Infection Pathways | 6 | 8.1× | 0.004 | CDC42, ADAM17, CTSG, ABL1, MYO5A, PRKAR1B |
| RUNX2 regulates osteoblast differentiation | 4 | 15.1× | 0.005 | COL1A1, HEY1, HEY2, ABL1 |
| NOTCH3 Intracellular Domain Regulates Transcription | 4 | 14.5× | 0.005 | MAML2, HEY1, HEY2, NOTCH1 |
| NOTCH1 Intracellular Domain Regulates Transcription | 5 | 9.8× | 0.005 | MAML2, HDAC1, HEY1, HEY2, NOTCH1 |
| Deactivation of the beta-catenin transactivating complex | 5 | 9.6× | 0.005 | WDR5, BCL9, CTNNB1, HDAC1, KMT2D |
| Formation of paraxial mesoderm | 4 | 13.5× | 0.006 | BMP4, MAML2, CTNNB1, NOTCH1 |
| Regulation of signaling by NODAL | 3 | 23.6× | 0.007 | CRIPTO, DAND5, LEFTY2 |
| GP1b-IX-V activation signalling | 3 | 23.6× | 0.007 | COL1A1, COL1A2, FLNA |
| Defective VWF binding to collagen type I | 2 | 62.9× | 0.009 | COL1A1, COL1A2 |
| RUNX2 regulates bone development | 3 | 20.2× | 0.009 | SMAD1, SMAD6, ABL1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 156 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| aortic valve morphogenesis | 15 | 41.5× | 6e-18 | ROBO1, ROCK2, BMP4, TBX20, GATA5, ADAMTS19, NKX2-5, GATA4 (+7 more) |
| pulmonary valve morphogenesis | 11 | 66.0× | 9e-16 | ROBO1, BMP4, ADAMTS19, HEY1, HEY2, JAG1, SMAD2, SMAD6 (+3 more) |
| ventricular septum morphogenesis | 13 | 36.0× | 9e-15 | ROBO1, ACVR1, WNT11, ADAMTS19, ZFPM1, CITED2, NKX2-5, GJA5 (+5 more) |
| positive regulation of transcription by RNA polymerase II | 45 | 4.3× | 9e-15 | ACVR1, BCL9, RXRA, BMP4, SRF, TCF21, VEGFA, MBTPS2 (+37 more) |
| cardiac conduction system development | 10 | 67.5× | 1e-14 | SCN5A, CDC42, NKX2-5, GJA1, GJA5, HEY1, HEY2, SMAD1 (+2 more) |
| heart development | 20 | 10.1× | 3e-12 | ACVR1, SRF, CRIPTO, ZFPM1, CITED2, NKX2-5, CC2D2A, FOXL1 (+12 more) |
| atrial septum morphogenesis | 8 | 66.5× | 2e-11 | TBX20, ZFPM1, NKX2-5, GATA4, GJA5, HEY2, ISL1, NOTCH2 |
| ventricular cardiac muscle tissue morphogenesis | 9 | 40.5× | 1e-10 | BMP10, HAND1, ISL1, SMAD7, MYBPC3, MYH6, MYH7, MYL2 (+1 more) |
| heart looping | 12 | 20.6× | 1e-10 | SRF, TBX20, CITED2, NKX2-5, MESP1, FGF8, FOXH1, GATA4 (+4 more) |
| outflow tract septum morphogenesis | 9 | 37.4× | 2e-10 | ROBO1, LRP2, BMP4, TBX20, NKX2-5, FGF8, ISL1, SMAD6 (+1 more) |
| positive regulation of DNA-templated transcription | 28 | 5.0× | 3e-10 | WDR5, ACVR1, RXRA, BMP4, WNT11, KAT6A, CITED2, BMP10 (+20 more) |
| outflow tract morphogenesis | 11 | 21.6× | 4e-10 | VEGFA, WNT11, ZFPM1, CITED2, CTNNB1, FOXH1, GJA5, HAND2 (+3 more) |
| positive regulation of gene expression | 23 | 5.7× | 2e-09 | ROBO1, ROCK2, BMP4, VEGFA, KAT6A, GATA5, CITED2, BMP10 (+15 more) |
| cardiac septum morphogenesis | 7 | 54.0× | 2e-09 | CHD7, NKX2-5, HAND1, HEY1, HEY2, JAG1, NOTCH1 |
| BMP signaling pathway | 12 | 15.4× | 2e-09 | ACVR1, BMP4, CHRD, BMP10, LEFTY2, ETV2, SMAD1, SMAD5 (+4 more) |
| negative regulation of transcription by RNA polymerase II | 32 | 3.6× | 2e-08 | WDR5, RXRA, BMP4, TBX20, TCF21, VEGFA, GATA5, ANKRD1 (+24 more) |
| secondary heart field specification | 6 | 58.9× | 3e-08 | LRP2, BMP4, WNT11, MESP1, FOXH1, ISL1 |
| branching involved in blood vessel morphogenesis | 8 | 27.0× | 4e-08 | ACVR1, SRF, TBX20, VEGFA, CTNNB1, FGF8, NOTCH4, NRP1 |
| cardiac right ventricle morphogenesis | 6 | 54.0× | 5e-08 | TBX20, FOXH1, GATA4, HEY2, ISL1, JAG1 |
| transcription by RNA polymerase II | 16 | 7.2× | 7e-08 | KLF13, BCL9, BMP4, SRF, ASH1L, CHD7, NKX2-5, CTNNB1 (+8 more) |
| negative regulation of gene expression | 16 | 7.1× | 9e-08 | ROBO1, FOXP1, ROCK2, BMP4, VEGFA, GATA5, CITED2, CTNNB1 (+8 more) |
| ureteric bud development | 8 | 23.4× | 1e-07 | BMP4, TCF21, SMAD1, SMAD2, SMAD5, SMAD6, SMAD7, OSR1 |
| adult heart development | 6 | 46.3× | 1e-07 | CHD7, BMP10, NKX2-5, HAND2, MYH6, MYH7 |
| embryonic hindlimb morphogenesis | 7 | 26.1× | 5e-07 | BMP4, CHD7, CTNNB1, FGF8, MSX1, NOTCH1, OSR1 |
| coronary artery morphogenesis | 5 | 60.0× | 6e-07 | LRP2, VEGFA, HAND2, NOTCH1, NRP1 |
| ventricular septum development | 7 | 22.2× | 2e-06 | LRP2, SALL4, DAND5, GATA4, GJA5, HOXA13, SMAD6 |
| atrioventricular canal development | 5 | 49.1× | 2e-06 | TBX20, CHD7, GATA4, HAS2, PTPN11 |
| pharyngeal system development | 6 | 30.9× | 2e-06 | ACVR1, NKX2-5, NKX2-6, FGF8, ISL1, PTCH1 |
| positive regulation of osteoblast differentiation | 9 | 13.0× | 2e-06 | ACVR1, BMP4, VEGFA, CTNNB1, FBN2, JAG1, SMAD1, SMAD5 (+1 more) |
| embryonic heart tube development | 6 | 29.5× | 2e-06 | CDC42, NKX2-5, CTNNB1, NKX2-6, GJA5, HAND1 |
Therapeutics
Drugs indicated for this disease
1 approved, 11 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Bosentan | Approved (phase 4) |
| Allopurinol | Phase 3 (in late-stage trials) |
| Clopidogrel | Phase 3 (in late-stage trials) |
| Dexamethasone | Phase 3 (in late-stage trials) |
| Dopamine | Phase 3 (in late-stage trials) |
| Gadobenate Dimeglumine | Phase 3 (in late-stage trials) |
| Gadopiclenol | Phase 3 (in late-stage trials) |
| Macitentan | Phase 3 (in late-stage trials) |
| Mannitol | Phase 3 (in late-stage trials) |
| Nitric Oxide | Phase 3 (in late-stage trials) |
| Norepinephrine | Phase 3 (in late-stage trials) |
| Tadalafil | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Arginine, Dexmedetomidine, Fibrinogen, Human, Levosimendan, Milrinone, Motavizumab, Nesiritide, Palivizumab, Phenoxybenzamine, Sevoflurane, Treprostinil, Tryptophan, Vasopressin.
Drug target analysis
Approved (phase 4): 15 · Phase ≥3: 16 · Phased (≥1): 16 · Undrugged: 67
Druggability breadth: 71 of 161 evidence-associated genes (44%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| SCN5A | BEPRIDIL |
| WDR5 | ESOMEPRAZOLE |
| ACVR1 | MOMELOTINIB |
| ROCK2 | MOMELOTINIB |
| RXRA | BEXAROTENE |
| VEGFA | VADADUSTAT |
| ADAM17 | PREDNISOLONE |
| GJA1 | KANAMYCIN |
| HDAC1 | CELECOXIB |
| NTRK3 | FEDRATINIB |
| OSR1 | VERTEPORFIN |
| PDGFRA | PONATINIB |
| PRKAB2 | ADENOSINE PHOSPHATE |
| PRKD1 | INGENOL MEBUTATE |
| KDM5A | DEFERASIROX |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SCN5A | 108 | 4 |
| PDGFRA | 77 | 4 |
| ROCK2 | 52 | 4 |
| HDAC1 | 48 | 4 |
| NTRK3 | 41 | 4 |
| ACVR1 | 39 | 4 |
| PRKD1 | 26 | 4 |
| RXRA | 23 | 4 |
| ADAM17 | 8 | 4 |
| WDR5 | 6 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| BEPRIDIL | 4 | SCN5A |
| CANDESARTAN CILEXETIL | 4 | SCN5A |
| TELMISARTAN | 4 | SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | SCN5A |
| IMIPRAMINE | 4 | SCN5A |
| DROPERIDOL | 4 | SCN5A |
| PONATINIB | 4 | PDGFRA, SCN5A |
| DULOXETINE | 4 | SCN5A |
| PALONOSETRON | 4 | SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | SCN5A |
| LETERMOVIR | 4 | SCN5A |
| SERTINDOLE | 4 | SCN5A |
| FEDRATINIB | 4 | ACVR1, NTRK3, PDGFRA, ROCK2, SCN5A |
| QUINIDINE | 4 | SCN5A |
| DARUNAVIR | 4 | SCN5A |
| DARIFENACIN | 4 | SCN5A |
| BENZONATATE | 4 | SCN5A |
| TOLTERODINE | 4 | SCN5A |
| RANOLAZINE | 4 | SCN5A |
| PIMOZIDE | 4 | SCN5A |
| NIMODIPINE | 4 | SCN5A |
| FELODIPINE | 4 | SCN5A |
| NICARDIPINE | 4 | SCN5A |
| AMLODIPINE | 4 | SCN5A |
| PHENYTOIN | 4 | SCN5A |
| PALIPERIDONE | 4 | SCN5A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 14.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| HDAC1 | 3,675 | Binding:3604, ADMET:57, Functional:13, Toxicity:1 |
| PDGFRA | 1,172 | Binding:1160, Functional:8, ADMET:4 |
| RXRA | 846 | Binding:703, Functional:138, ADMET:5 |
| ROCK2 | 788 | Binding:783, Functional:3, ADMET:1, Toxicity:1 |
| PRKD1 | 660 | Binding:650, Functional:10 |
| SCN5A | 594 | Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1 |
| NTRK3 | 408 | Binding:400, Functional:4, ADMET:4 |
| PRKAB2 | 322 | Binding:321, Functional:1 |
| WDR5 | 314 | Binding:311, Functional:3 |
| ACVR1 | 299 | Binding:293, Functional:4, ADMET:2 |
| ADAM17 | 288 | Binding:257, Functional:25, ADMET:5, Toxicity:1 |
| KDM5A | 165 | Binding:165 |
| BCL9 | 125 | Binding:125 |
| VEGFA | 64 | Binding:64 |
| NRP1 | 50 | Binding:50 |
| OSR1 | 40 | Binding:40 |
| KCNJ2 | 31 | Binding:23, ADMET:8 |
| SMAD2 | 20 | Binding:20 |
| NFATC1 | 15 | Binding:15 |
| FMO5 | 14 | ADMET:14 |
| KIF20A | 10 | Binding:10 |
| PCSK6 | 9 | Binding:9 |
| TLL1 | 5 | Binding:5 |
| COL1A2 | 4 | Functional:4 |
| GJA1 | 4 | Binding:4 |
| VCL | 2 | Binding:2 |
| LRP2 | 1 | Binding:1 |
| SRF | 1 | Binding:1 |
| CSRP1 | 1 | Binding:1 |
| PROX1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| ACVR1 | 2.7.10.2 | non-specific protein-tyrosine kinase |
| RECQL4 | 3.6.4.12 | DNA helicase |
| ADAM17 | 3.4.24.86 | ADAM 17 endopeptidase |
| FMO5 | 1.14.13.8 | flavin-containing monooxygenase |
| HAS2 | 2.4.1.212 | hyaluronan synthase |
| HDAC1 | 3.5.1.98 | histone deacetylase |
| ATE1 | 2.3.2.8 | arginyltransferase |
| NTRK3 | 2.7.10.1 | receptor protein-tyrosine kinase |
| PCSK6 | 3.4.21.61, 3.4.21.B25 | Kexin, |
| PDGFRA | 2.7.10.1 | receptor protein-tyrosine kinase |
| PRKAB2 | 2.7.11.31 | [hydroxymethylglutaryl-CoA reductase (NADPH)] kinase |
| PRKD1 | 2.7.11.13 | protein kinase C |
| KIF20A | 5.6.1.3 | plus-end-directed kinesin ATPase |
| KDM5A | 1.14.11.67 | [histone H3]-trimethyl-L-lysine4 demethylase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| SCN5A | 594 |
| WDR5 | 314 |
| ACVR1 | 299 |
| BCL9 | 125 |
| ROCK2 | 788 |
| RXRA | 846 |
| ADAM17 | 288 |
| HDAC1 | 3,675 |
| NTRK3 | 408 |
| PDGFRA | 1,172 |
| PRKAB2 | 322 |
| PRKD1 | 660 |
| KDM5A | 165 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 83; 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) |
|---|---|---|
| BEPRIDIL | 4 | SCN5A |
| CANDESARTAN CILEXETIL | 4 | SCN5A |
| TELMISARTAN | 4 | SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | SCN5A |
| IMIPRAMINE | 4 | SCN5A |
| DROPERIDOL | 4 | SCN5A |
| PONATINIB | 4 | PDGFRA, SCN5A |
| DULOXETINE | 4 | SCN5A |
| PALONOSETRON | 4 | SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | SCN5A |
| LETERMOVIR | 4 | SCN5A |
| SERTINDOLE | 4 | SCN5A |
| FEDRATINIB | 4 | ACVR1, NTRK3, PDGFRA, ROCK2, SCN5A |
| QUINIDINE | 4 | SCN5A |
| DARUNAVIR | 4 | SCN5A |
| DARIFENACIN | 4 | SCN5A |
| BENZONATATE | 4 | SCN5A |
| TOLTERODINE | 4 | SCN5A |
| RANOLAZINE | 4 | SCN5A |
| PIMOZIDE | 4 | SCN5A |
| NIMODIPINE | 4 | SCN5A |
| FELODIPINE | 4 | SCN5A |
| NICARDIPINE | 4 | SCN5A |
| AMLODIPINE | 4 | SCN5A |
| PHENYTOIN | 4 | SCN5A |
| PALIPERIDONE | 4 | SCN5A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 15 | SCN5A, WDR5, ACVR1, ROCK2, RXRA, VEGFA, ADAM17, GJA1, HDAC1, NTRK3 (+5 more) |
| B | Phased (≥1) drug, not yet approved | 1 | BCL9 |
| C | Druggable family + PDB, no drug | 8 | ROBO1, RECQL4, TLL1, USP34, KCNJ2, MYBPC3, ATE1, KIF20A |
| D | Druggable family + AlphaFold only, no drug | 6 | ADAMTS19, USP44, FBLN2, FMO5, HAS2, PCSK6 |
| E | Difficult family or no structure, no drug | 53 | KLF13, DCHS1, CRELD1, CTNNA3, DTNA, FOXP1, LRP2, RBFOX2, SRF, TBX20 (+43 more) |
Undrugged target profiles
67 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CRELD1 | 0 | GJA1 |
| BMP10 | 0 | ACVR1 |
| GJA5 | 0 | GJA1, SCN5A |
| ROBO1 | 0 | — |
| KLF13 | 0 | — |
| DCHS1 | 0 | — |
| CTNNA3 | 0 | — |
| DTNA | 0 | — |
| FOXP1 | 0 | — |
| LRP2 | 1 | — |
| RBFOX2 | 0 | — |
| RECQL4 | 0 | — |
| SRF | 1 | — |
| TBX20 | 0 | — |
| TCF21 | 0 | — |
| CRIPTO | 0 | — |
| TLL1 | 5 | — |
| VCL | 2 | — |
| WNT11 | 0 | — |
| ANKRD1 | 0 | — |
| MAML2 | 0 | — |
| RNF40 | 0 | — |
| ADAMTS19 | 0 | — |
| CHRD | 0 | — |
| ZFPM1 | 0 | — |
| CITED2 | 0 | — |
| USP44 | 0 | — |
| USP34 | 0 | — |
| COL1A2 | 4 | — |
| SORBS2 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 679.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 588 |
| PHASE2 | 29 |
| PHASE3 | 15 |
| PHASE1/PHASE2 | 13 |
| PHASE4 | 12 |
| PHASE2/PHASE3 | 11 |
| PHASE1 | 8 |
| EARLY_PHASE1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06668389 | PHASE4 | RECRUITING | Sodium-Glucose Cotransporter 2 Inhibitors for Repaired Tetralogy of Fallot Patients for Enhancement of Cardio-Pulmonary Status Trial |
| NCT07499154 | PHASE4 | NOT_YET_RECRUITING | Perioperative Lidocaine for Lung Protection in Infants Undergoing Cardiac Surgery |
| NCT00668824 | PHASE4 | UNKNOWN | Improved Diagnosis of Congenital Heart Disease by Magnetic Resonance Imaging Using Vasovist |
| NCT01368705 | PHASE4 | COMPLETED | Nitrogen Balance in Infants After Post Cardiothoracic Surgery |
| NCT01619982 | PHASE4 | COMPLETED | Pre-operative Prophylaxis With Vancomycin and Cefazolin in Pediatric Cardiovascular Surgery Patients |
| NCT02122679 | PHASE4 | WITHDRAWN | Tranexamic Acid Effect on Platelet Aggregation Following Infant Cardiopulmonary Bypass |
| NCT02527811 | PHASE4 | UNKNOWN | Ulinastatin Injection in in Pediatric Patients Undergoing Open Heart Surgery |
| NCT03014700 | PHASE4 | COMPLETED | Fibrinogen Concentrate vs Cryoprecipitate |
| NCT03408340 | PHASE4 | TERMINATED | Paravertebral Nerve Blocks in Neonates |
| NCT03630796 | PHASE4 | UNKNOWN | Effect of Sevoflurane in Postoperative Troponin I Levels in Children Undergoing Congenital Heart Defects Surgery |
| NCT03667703 | PHASE4 | COMPLETED | Stress Ulcer Prophylaxis Versus Placebo in Critically Ill Infants With Congenital Heart Disease |
| NCT04453761 | PHASE4 | UNKNOWN | Thiamine Influenced on Substrate Energy Effectiveness in Indonesian Children Undergoing Cardiopulmonary Bypass |
| NCT04702373 | PHASE3 | ACTIVE_NOT_RECRUITING | Training in Exercise Activities and Motion for Growth (TEAM 4 Growth) RCT |
| NCT05101746 | PHASE2/PHASE3 | ENROLLING_BY_INVITATION | Nitric Oxide Effect on Brain and Kidney in Pediatric Patients Undergoing Cardiopulmonary Bypass |
| NCT06693674 | PHASE3 | RECRUITING | Effect of Sacubitril-Valsartan on Cardiac Structure and Function |
| NCT06955260 | PHASE3 | NOT_YET_RECRUITING | SGLT2 Inhibition With Empagliflozin in Fontan Circulatory Failure |
| NCT00000470 | PHASE3 | COMPLETED | Infant Heart Surgery: Central Nervous System Sequelae of Circulatory Arrest |
| NCT00000494 | PHASE3 | COMPLETED | Management of Patent Ductus in Premature Infants |
| NCT00226369 | PHASE2/PHASE3 | COMPLETED | Cylexin for Reduction of Reperfusion Injury in Infant Heart Surgery |
| NCT00450684 | PHASE2/PHASE3 | COMPLETED | Cardiac Resynchronization Therapy in Congenital Heart Defects |
| NCT00945529 | PHASE2/PHASE3 | COMPLETED | The Effects of Inhaled Nitric Oxide After Fontan Operation |
| NCT01006629 | PHASE2/PHASE3 | COMPLETED | Palivizumab for Prevention of Severe Respiratory Syncytial Virus Infection in Russian Children |
| NCT01134302 | PHASE3 | UNKNOWN | Hybrid Versus Norwood Management Strategies in Infants Undergoing Single Ventricle Palliation |
| NCT01607983 | PHASE3 | WITHDRAWN | Effects of Pulmonary Vasodilation Upon VA Coupling in Fontan Patients |
| NCT01662011 | PHASE3 | UNKNOWN | Application of Neurally Adjusted Ventilatory Assist to Children After Congenital Cardiac Surgery |
| NCT02320669 | PHASE3 | COMPLETED | Phase 3 Triiodothyronine Supplementation for Infants After Cardiopulmonary Bypass |
| NCT02615262 | PHASE3 | COMPLETED | Intraoperative Dexamethasone in Pediatric Cardiac Surgery |
| NCT02652741 | PHASE2/PHASE3 | UNKNOWN | Orodispersible Minitablets of Enalapril in Young Children With Heart Failure Due to Congenital Heart Disease |
| NCT02654678 | PHASE2/PHASE3 | UNKNOWN | Follow-up Safety Trial in Children With Chronic Heart Failure Therapy Receiving Orodispersible Minitablets of Enalapril |
| NCT03088345 | PHASE2/PHASE3 | COMPLETED | Early Use of Vasopressin in Post-Fontan Management |
| NCT03153137 | PHASE3 | COMPLETED | Clinical Study Assessing the Efficacy and Safety of Macitentan in Fontan-palliated Subjects |
| NCT03154476 | PHASE3 | COMPLETED | Role of Sildenafil for Fontan Associated Liver Disease (SiFALD) Study |
| NCT03361189 | PHASE2/PHASE3 | TERMINATED | Specialized Pacing for Patients With Congenital Heart Disease |
| NCT04259684 | PHASE2/PHASE3 | WITHDRAWN | Nitric Oxide During Cardiopulmonary Bypass in Neonates to Reduce Risk of Acute Kidney Injury |
| NCT04536194 | PHASE3 | COMPLETED | Dopamine Versus Norepinephrine Under General Anesthesia |
| NCT05049590 | PHASE3 | COMPLETED | Acute Normovolemic Hemodilution in Complex Cardiac Surgery |
| NCT05580510 | PHASE2/PHASE3 | UNKNOWN | Evaluation of Safety and Efficacy of Empagliflozin and Sacubitril/Valsartan for CHF With Reduced Ejection Fraction in ACHD |
| NCT06406517 | PHASE3 | UNKNOWN | Comparative Effectiveness of Gadopiclenol for Evaluation of Adult Congenital Heart Anatomy and Hemodynamics |
| NCT06080074 | PHASE2 | RECRUITING | Multicenter Trial of ECMO in Children With Severe Cardiac Failure Using the Cardiohelp System |
| NCT06882772 | PHASE1/PHASE2 | NOT_YET_RECRUITING | Butyric Acid Supplementation for Gut Improvement After Cardiac Surgery in Kids |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| BOSENTAN | 4 | 4 |
| DOPAMINE | 4 | 3 |
| PHENOXYBENZAMINE | 4 | 3 |
| THEOPHYLLINE ANHYDROUS | 4 | 3 |
| ALPROSTADIL | 4 | 2 |
| ILOPROST | 4 | 2 |
| MILRINONE | 4 | 2 |
| NITRIC OXIDE | 4 | 2 |
| PALIVIZUMAB | 4 | 2 |
| THIAMINE ION | 4 | 2 |
| TREPROSTINIL | 4 | 2 |
| BIVALIRUDIN | 4 | 1 |
| CEFAZOLIN | 4 | 1 |
| CEFOXITIN | 4 | 1 |
| FAMOTIDINE | 4 | 1 |
| GADOBENATE DIMEGLUMINE | 4 | 1 |
| GADOFOSVESET TRISODIUM | 4 | 1 |
| GADOPICLENOL | 4 | 1 |
| INDOMETHACIN | 4 | 1 |
| ISOFLURANE | 4 | 1 |
| LIOTHYRONINE SODIUM | 4 | 1 |
| MACITENTAN | 4 | 1 |
| NESIRITIDE | 4 | 1 |
| NOREPINEPHRINE | 4 | 1 |
| OXANDROLONE | 4 | 1 |
| PORACTANT ALFA | 4 | 1 |
| SODIUM BICARBONATE | 4 | 1 |
| SOTATERCEPT | 4 | 1 |
| TRANEXAMIC ACID | 4 | 1 |
| VASOPRESSIN | 4 | 1 |
Related Atlas pages
- Cohort genes: ROBO1, SCN5A, WDR5, KLF13, DCHS1, CRELD1, ACVR1, CTNNA3, DTNA, FOXP1, LRP2, RBFOX2, RECQL4, BCL9, ROCK2, RXRA, SRF, TBX20, TCF21, CRIPTO, TLL1, VCL, VEGFA, WNT11, ANKRD1, MAML2, RNF40, ADAMTS19, CHRD, ADAM17, ZFPM1, CITED2, USP44, USP34, BMP10, COL1A2, SORBS2, CSRP1, CASZ1, DAND5, WDR47, MESP1, LEFTY2, EFNB2, NKX2-6, ETS1, ETV2, FBLN2, FGF8, FMO5, FOXH1, FOXL1, GJA1, GJA5, HAND1, HAND2, HAS2, HDAC1, HEY1, HEY2, ID2, IRX4, ISL1, KCNJ2, SMAD1, SMAD2, SMAD7, MYBPC3, MYH11, MYH7, NFATC1, ATE1, NRP1, NTRK3, OSR1, PCSK6, PDGFRA, PRKAB2, PRKD1, PROX1, KIF20A, RAI2, KDM5A
- Drugs: Bosentan, Dopamine, Phenoxybenzamine, Theophylline, Alprostadil, Iloprost, Milrinone, Nitric Oxide, Palivizumab, Thiamine Ion, Treprostinil, Bivalirudin, Cefazolin, Cefoxitin, Famotidine, Gadobenate Dimeglumine, Gadofosveset Trisodium, Gadopiclenol, Indomethacin, Isoflurane, Liothyronine, Macitentan, Nesiritide, Norepinephrine, Oxandrolone, Poractant Alfa, Sodium Bicarbonate, Sotatercept, Tranexamic Acid, Vasopressin
- Associated genes: BMPR2, CRKL, MED13L, NFATC2, SNAI1, SOX7, UGDH