Congenital heart disease

disease
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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

FieldValue
Canonical namecongenital heart disease
Mondo IDMONDO:0005453
EFOEFO:0005207
MeSHD006330
DOIDDOID:1682
ICD-112004408087
NCITC95834
SNOMED CT13213009
UMLSC0152021
MedGen57501
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 disorderheart disordercongenital 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

rsIDp-valueGeneRisk alleleOdds ratio
rs23607437e-13SLC44A2T0.02
rs8701423e-10STX18-AS1A1.46
rs558771921e-09CAPN11G0.42
rs23163272e-09RPRML - LRRC37A17P?1.14
rs169413822e-09GOSR2?1.15
rs1855316585e-09YTHDC2 - KCNN2?2.16
rs564090463e-07HULC - OFCC1?1.34
rs19410234e-07MS4A12 - MS4A13?1.25
rs756612655e-07TOX-DT - RNA5SP267?1.18
rs1882557665e-07AP3S1 - LINCADLT0.41
rs118955887e-07LRP1B?1.84
rs11768699e-07FBXO33 - LINC02315?1.35
rs12453149e-07NOVA1-DT, MIR4307HG?1.12
rs171112301e-06FBXO33 - LINC02315?1.3
rs666782471e-06DRD3 - ATOSBP1?1.7
rs1461897031e-06ADAM29 - TSEN2P1?1.01
rs28446601e-06LINC02570 - RN7SKP186?1.37
rs72123302e-06CLEC10A - ASGR2?1.42
rs12177522e-06CARTPT - MAP1B?1.08
rs285499252e-06AHR?1.16
rs786420282e-06SOX5P1 - DCAF4L2?1.66
rs59132712e-06TENT5D - HNRNPH3P1A0.27
rs118160843e-06KRT8P37 - CHCHD3P1?1.36
rs356119963e-06SCHIP1, IQCJ-SCHIP1?1.01
rs46884064e-06SYNPR-AS1, SYNPR?1.29
rs561713874e-06TMEM104?1.06
rs93416034e-06LINC02540 - HTR1BT1.42
rs14508325e-06FOXP2?1.1
rs95868815e-06LINC00373?1.07
rs127169446e-06MPHOSPH6-DT - CDH13?1.29

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST011989Lahm H20204,0348,486Congenital heart disease risk loci identified by genome-wide association study in European patients.
GCST90570531Broberg M20243,506392,436Genome-wide association studies highlight novel risk loci for septal defects and left-sided congenital heart defects.
GCST002035Cordell HJ20131,4795,159Genome-wide association study of multiple congenital heart disease phenotypes identifies a susceptibility locus for atrial septal defect at chromosome 4p16.
GCST90131426Rashkin SR202200A genome-wide association study of obstructive heart defects among participants in the National Birth Defects Prevention Study.
GCST90131427Rashkin SR202200A genome-wide association study of obstructive heart defects among participants in the National Birth Defects Prevention Study.
GCST90131428Rashkin SR202200A genome-wide association study of obstructive heart defects among participants in the National Birth Defects Prevention Study.
GCST004718Agopian AJ201702,976Genome-Wide Association Studies and Meta-Analyses for Congenital Heart Defects.
GCST004721Agopian AJ201700Genome-Wide Association Studies and Meta-Analyses for Congenital Heart Defects.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR0
Tier 3: regulatory0
Tier 4: intronic/intergenic41

MAF distribution

BucketVariants
common (>=0.05)37
low_freq (0.01-0.05)0
rare (<0.01)0
unknown4

Functional consequences

ConsequenceCount
intron_variant31
intergenic_variant9
non_coding_transcript_exon_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs23607431910625838C>Tintron_variantSLC44A27e-13Tier 4: intronic/intergenic
rs87014244646320C>G,T0.228intron_variantSTX18-AS13e-10Tier 4: intronic/intergenic
rs55877192644161476A>G0.05intron_variantCAPN111e-09Tier 4: intronic/intergenic
rs23163271747001132G>A,C0.05intron_variantRPRML - LRRC37A17P2e-09Tier 4: intronic/intergenic
rs169413821746966142T>C0.05intron_variantGOSR22e-09Tier 4: intronic/intergenic
rs1855316585113800824T>Cintron_variantYTHDC2 - KCNN25e-09Tier 4: intronic/intergenic
rs5640904669320073C>T0.05intergenic_variantHULC - OFCC13e-07Tier 4: intronic/intergenic
rs19410231160508428G>A0.05intergenic_variantMS4A12 - MS4A134e-07Tier 4: intronic/intergenic
rs75661265859275232C>T0.05intron_variantTOX-DT - RNA5SP2675e-07Tier 4: intronic/intergenic
rs1882557665115946361C>Tintergenic_variantAP3S1 - LINCADL5e-07Tier 4: intronic/intergenic
rs118955882141204588G>T0.05intron_variantLRP1B7e-07Tier 4: intronic/intergenic
rs11768691440807221C>G0.05intron_variantFBXO33 - LINC023159e-07Tier 4: intronic/intergenic
rs12453141427023434A>C,G,T0.05intron_variantNOVA1-DT, MIR4307HG9e-07Tier 4: intronic/intergenic
rs171112301440922047G>A,C,T0.05intergenic_variantFBXO33 - LINC023151e-06Tier 4: intronic/intergenic
rs666782473114227412T>C0.05intron_variantDRD3 - ATOSBP11e-06Tier 4: intronic/intergenic
rs1461897034175023930T>A,C0.05intron_variantADAM29 - TSEN2P11e-06Tier 4: intronic/intergenic
rs2844660630855983T>C0.05intergenic_variantLINC02570 - RN7SKP1861e-06Tier 4: intronic/intergenic
rs7212330177100096A>G0.05intergenic_variantCLEC10A - ASGR22e-06Tier 4: intronic/intergenic
rs1217752571956619A>T0.05intron_variantCARTPT - MAP1B2e-06Tier 4: intronic/intergenic
rs28549925716931967A>G0.05intron_variantAHR2e-06Tier 4: intronic/intergenic
rs78642028887811731A>G0.05non_coding_transcript_exon_variantSOX5P1 - DCAF4L22e-06Tier 4: intronic/intergenic
rs5913271X80475711T>A,C0.05intron_variantTENT5D - HNRNPH3P12e-06Tier 4: intronic/intergenic
rs11816084108519464C>A,T0.05intergenic_variantKRT8P37 - CHCHD3P13e-06Tier 4: intronic/intergenic
rs356119963159298001C>T0.05intron_variantSCHIP1, IQCJ-SCHIP13e-06Tier 4: intronic/intergenic
rs4688406363495718T>G0.05intron_variantSYNPR-AS1, SYNPR4e-06Tier 4: intronic/intergenic
rs561713871774829334G>A0.05intron_variantTMEM1044e-06Tier 4: intronic/intergenic
rs9341603676825236C>T0.05intron_variantLINC02540 - HTR1B4e-06Tier 4: intronic/intergenic
rs14508327114223329G>A,T0.05intron_variantFOXP25e-06Tier 4: intronic/intergenic
rs95868811388185775A>G0.05intron_variantLINC003735e-06Tier 4: intronic/intergenic
rs127169441682445019C>A,G,T0.05intergenic_variantMPHOSPH6-DT - CDH136e-06Tier 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

ClinVarVariant (HGVS)GeneClassificationReview
374794NM_005157.6(ABL1):c.1009G>A (p.Ala337Thr)ABL1Pathogeniccriteria provided, multiple submitters, no conflicts
374795NM_005157.6(ABL1):c.677A>G (p.Tyr226Cys)ABL1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
4846746GRCh38/hg38 22q11.21(chr22:18932238-20324016)x3ARVCFPathogeniccriteria provided, single submitter
1307836NM_015557.3(CHD5):c.4852C>T (p.Arg1618Ter)CHD5Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1358881NM_001372.4(DNAH9):c.4719T>G (p.Tyr1573Ter)DNAH9Pathogeniccriteria provided, single submitter
1911635NM_001372.4(DNAH9):c.4030C>T (p.Arg1344Ter)DNAH9Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
219226NM_001308093.3(GATA4):c.23C>A (p.Ala8Asp)GATA4Pathogenicno assertion criteria provided
219228NM_001308093.3(GATA4):c.383A>T (p.Glu128Val)GATA4Pathogenicno assertion criteria provided
219229NM_001308093.3(GATA4):c.397A>T (p.Ser133Cys)GATA4Pathogenicno assertion criteria provided
219230NM_001308093.3(GATA4):c.685T>A (p.Trp229Arg)GATA4Pathogenicno assertion criteria provided
219231NM_001308093.3(GATA4):c.27C>A (p.Ala9=)GATA4Pathogenicno assertion criteria provided
219232NM_001308093.3(GATA4):c.1266C>T (p.Ser422=)GATA4Pathogenicno assertion criteria provided
219233NM_001308093.3(GATA4):c.1000+2T>GGATA4Pathogenicno assertion criteria provided
433018NM_001308093.3(GATA4):c.913-55T>CGATA4Pathogenicno assertion criteria provided
4075076NM_147191.1(MMP21):c.1260C>G (p.Asp420Glu)MMP21Pathogeniccriteria provided, single submitter
1202626NM_000432.4(MYL2):c.473T>C (p.Ile158Thr)MYL2Pathogenicno assertion criteria provided
219165NM_004387.4(NKX2-5):c.335-1G>TNKX2-5Pathogenicno assertion criteria provided
219168NM_004387.4(NKX2-5):c.391G>A (p.Glu131Lys)NKX2-5Pathogenicno assertion criteria provided
219170NM_004387.4(NKX2-5):c.182C>G (p.Ala61Gly)NKX2-5Pathogenicno assertion criteria provided
219378NM_017617.5(NOTCH1):c.1649dup (p.Tyr550Ter)NOTCH1Pathogeniccriteria provided, multiple submitters, no conflicts
41442NM_002834.5(PTPN11):c.178G>T (p.Gly60Cys)PTPN11Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
2753661NM_004260.4(RECQL4):c.236_237insCA (p.Pro80fs)RECQL4Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56407NM_004260.4(RECQL4):c.3072del (p.Val1026fs)RECQL4Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
181522NM_006912.6(RIT1):c.246T>G (p.Phe82Leu)RIT1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1077090NM_002941.4(ROBO1):c.2758C>T (p.Arg920Ter)ROBO1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
929503NM_005632.2:c.2904+1_2905-45delCAPN15Likely pathogeniccriteria provided, single submitter
4075256NM_001791.4(CDC42):c.67T>C (p.Tyr23His)CDC42Likely pathogeniccriteria provided, single submitter
4074816NM_006766.5(KAT6A):c.5202del (p.Ile1735fs)KAT6ALikely pathogeniccriteria provided, single submitter
4820339NM_003482.4(KMT2D):c.7207dup (p.Leu2403fs)KMT2DLikely pathogeniccriteria provided, single submitter
3900742NM_004991.4(MECOM):c.2831C>T (p.Thr944Ile)MECOMLikely pathogeniccriteria 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.

GeneClassificationInheritanceDiseaseRecords
ISL1DefinitiveAutosomal dominantcongenital heart disease
GJA1StrongAutosomal dominantautosomal dominant palmoplantar keratoderma and congenital alopecia25
NKX2-6StrongAutosomal recessivecongenital heart disease4
PRKD1StrongAutosomal dominantcongenital heart defects and ectodermal dysplasia14
RBFOX2StrongAutosomal dominantcongenital heart defects, multiple types3
SCN5AStrongAutosomal dominantprogressive familial heart block, type 1A23
SMAD2StrongAutosomal dominantcongenital heart defects, multiple types, 8, with or without heterotaxy11
CITED2ModerateAutosomal dominantcongenital heart defects, multiple types4
ETS1ModerateAutosomal dominantcongenital heart disease4
FGF8ModerateAutosomal dominantcongenital heart disease9
FOXH1ModerateAutosomal dominantcongenital heart disease2
HAND1ModerateAutosomal dominantcongenital heart disease2
HAND2ModerateAutosomal dominantHAND2 related congenital heart defect4
KLF13ModerateAutosomal dominantcongenital heart disease
MESP1ModerateAutosomal dominantcongenital heart disease2
ROCK2ModerateAutosomal dominantcongenital heart disease2
TBX20ModerateAutosomal dominantcongenital heart disease5
MYH7SupportiveAutosomal dominantcongenital myopathy 7A, myosin storage, autosomal dominant20
ACVR1LimitedAutosomal dominantcongenital heart disease7
ADAM17LimitedAutosomal dominantcongenital heart disease6
ADAMTS19LimitedAutosomal recessivecongenital heart disease4
ANKRD1LimitedAutosomal dominantcongenital heart disease5
BCL9LimitedAutosomal dominantcongenital heart disease
BMP10LimitedAutosomal dominantcongenital heart disease4
CASZ1LimitedAutosomal dominantcongenital heart disease
CHRDLimitedAutosomal recessivecongenital heart disease
CRELD1LimitedAutosomal dominantcongenital heart disease5
CRIPTOLimitedAutosomal dominantcongenital heart disease2
EFNB2LimitedAutosomal dominantcongenital heart disease
ETV2LimitedAutosomal recessivecongenital heart disease

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
ROBO1Orphanet:95496Pituitary stalk interruption syndrome
SCN5AOrphanet:101016Romano-Ward syndrome
SCN5AOrphanet:130Brugada syndrome
SCN5AOrphanet:1344Isolated atrial standstill
SCN5AOrphanet:154Familial isolated dilated cardiomyopathy
SCN5AOrphanet:166282Hereditary sick sinus syndrome
SCN5AOrphanet:228140Idiopathic ventricular fibrillation
SCN5AOrphanet:334Hereditary atrial fibrillation
SCN5AOrphanet:871Hereditary progressive cardiac conduction defect
DCHS1Orphanet:314679Cerebrofacioarticular syndrome
DCHS1Orphanet:741Familial mitral valve prolapse
CRELD1Orphanet:576235Partial atrioventricular septal defect without ventricular hypoplasia
CRELD1Orphanet:99067Complete atrioventricular septal defect with ventricular hypoplasia
CRELD1Orphanet:99068Complete atrioventricular septal defect-tetralogy of Fallot
ACVR1Orphanet:337Fibrodysplasia ossificans progressiva
CTNNA3Orphanet:293888Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant
CTNNA3Orphanet:293899Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant
CTNNA3Orphanet:293910Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant
DTNAOrphanet:54260Left ventricular noncompaction
FOXP1Orphanet:391372FOXP1 Syndrome
FOXP1Orphanet:52417MALT lymphoma
FOXP1Orphanet:585877B-lymphoblastic leukemia/lymphoma with recurrent genetic abnormality
LRP2Orphanet:2143Donnai-Barrow syndrome
RECQL4Orphanet:1225Baller-Gerold syndrome
RECQL4Orphanet:221016Rothmund-Thomson syndrome type 2
RECQL4Orphanet:3021RAPADILINO syndrome
TBX20Orphanet:54260Left ventricular noncompaction
TBX20Orphanet:99103Atrial septal defect, ostium secundum type
CRIPTOOrphanet:220386Semilobar holoprosencephaly
CRIPTOOrphanet:280195Septopreoptic holoprosencephaly
CRIPTOOrphanet:280200Microform holoprosencephaly
CRIPTOOrphanet:93924Lobar holoprosencephaly
CRIPTOOrphanet:93925Alobar holoprosencephaly
CRIPTOOrphanet:93926Midline interhemispheric variant of holoprosencephaly
TLL1Orphanet:99103Atrial septal defect, ostium secundum type
TLL1Orphanet:99106Atrial septal defect, ostium primum type
VCLOrphanet:154Familial isolated dilated cardiomyopathy
ANKRD1Orphanet:154Familial isolated dilated cardiomyopathy
ADAM17Orphanet:294023Neonatal erythroderma-autoinflammation-inflammatory bowel disease syndrome
CITED2Orphanet:101063Situs inversus totalis
CITED2Orphanet:3303Tetralogy of Fallot
CITED2Orphanet:99103Atrial septal defect, ostium secundum type
CITED2Orphanet:99105Atrial septal defect, sinus venosus type
COL1A2Orphanet:1899Arthrochalasia Ehlers-Danlos syndrome
COL1A2Orphanet:216796Osteogenesis imperfecta type 1
COL1A2Orphanet:216804Osteogenesis imperfecta type 2
COL1A2Orphanet:216812Osteogenesis imperfecta type 3
COL1A2Orphanet:216820Osteogenesis imperfecta type 4
COL1A2Orphanet:230851Cardiac-valvular Ehlers-Danlos syndrome
COL1A2Orphanet:230857Ehlers-Danlos/osteogenesis imperfecta syndrome

Cohort genes → proteins

83 cohort genes, 83 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence83

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
ROBO1HGNC:10249ENSG00000169855Q9Y6N7Roundabout homolog 1gencc,clinvar
SCN5AHGNC:10593ENSG00000183873Q14524Sodium channel protein type 5 subunit alphagencc,clinvar
WDR5HGNC:12757ENSG00000196363P61964WD repeat-containing protein 5gencc,clinvar
KLF13HGNC:13672ENSG00000169926Q9Y2Y9Krueppel-like factor 13gencc,clinvar
DCHS1HGNC:13681ENSG00000166341Q96JQ0Protocadherin-16gencc,clinvar
CRELD1HGNC:14630ENSG00000163703Q96HD1Protein disulfide isomerase CRELD1gencc,clinvar
ACVR1HGNC:171ENSG00000115170Q04771Activin receptor type-1gencc,clinvar
CTNNA3HGNC:2511ENSG00000183230Q9UI47Catenin alpha-3gencc,clinvar
DTNAHGNC:3057ENSG00000134769Q9Y4J8Dystrobrevin alphagencc,clinvar
FOXP1HGNC:3823ENSG00000114861Q9H334Forkhead box protein P1gencc,clinvar
LRP2HGNC:6694ENSG00000081479P98164Low-density lipoprotein receptor-related protein 2gencc,clinvar
RBFOX2HGNC:9906ENSG00000100320O43251RNA binding protein fox-1 homolog 2gencc,clinvar
RECQL4HGNC:9949ENSG00000160957O94761ATP-dependent DNA helicase Q4gencc,clinvar
BCL9HGNC:1008ENSG00000116128O00512B-cell CLL/lymphoma 9 proteingencc
ROCK2HGNC:10252ENSG00000134318O75116Rho-associated protein kinase 2gencc
RXRAHGNC:10477ENSG00000186350P19793Retinoic acid receptor RXR-alphagencc
SRFHGNC:11291ENSG00000112658P11831Serum response factorgencc
TBX20HGNC:11598ENSG00000164532Q9UMR3T-box transcription factor TBX20gencc
TCF21HGNC:11632ENSG00000118526O43680Transcription factor 21gencc
CRIPTOHGNC:11701ENSG00000241186P13385Protein Criptogencc
TLL1HGNC:11843ENSG00000038295O43897Tolloid-like protein 1gencc
VCLHGNC:12665ENSG00000035403P18206Vinculingencc
VEGFAHGNC:12680ENSG00000112715P15692Vascular endothelial growth factor A, long formgencc
WNT11HGNC:12776ENSG00000085741O96014Protein Wnt-11gencc
ANKRD1HGNC:15819ENSG00000148677Q15327Ankyrin repeat domain-containing protein 1gencc
MAML2HGNC:16259ENSG00000184384Q8IZL2Mastermind-like protein 2gencc
RNF40HGNC:16867ENSG00000103549O75150E3 ubiquitin-protein ligase BRE1Bgencc
ADAMTS19HGNC:17111ENSG00000145808Q8TE59A disintegrin and metalloproteinase with thrombospondin motifs 19gencc
CHRDHGNC:1949ENSG00000090539Q9H2X0Chordingencc
ADAM17HGNC:195ENSG00000151694P78536Disintegrin and metalloproteinase domain-containing protein 17gencc
ZFPM1HGNC:19762ENSG00000179588Q8IX07Zinc finger protein ZFPM1gencc
CITED2HGNC:1987ENSG00000164442Q99967Cbp/p300-interacting transactivator 2gencc
USP44HGNC:20064ENSG00000136014Q9H0E7Ubiquitin carboxyl-terminal hydrolase 44gencc
USP34HGNC:20066ENSG00000115464Q70CQ2Ubiquitin carboxyl-terminal hydrolase 34gencc
BMP10HGNC:20869ENSG00000163217O95393Bone morphogenetic protein 10gencc
COL1A2HGNC:2198ENSG00000164692P08123Collagen alpha-2(I) chaingencc
SORBS2HGNC:24098ENSG00000154556O94875Sorbin and SH3 domain-containing protein 2gencc
CSRP1HGNC:2469ENSG00000159176P21291Cysteine and glycine-rich protein 1gencc
CASZ1HGNC:26002ENSG00000130940Q86V15Zinc finger protein castor homolog 1gencc
DAND5HGNC:26780ENSG00000179284Q8N907DAN domain family member 5gencc
WDR47HGNC:29141ENSG00000085433O94967WD repeat-containing protein 47gencc
MESP1HGNC:29658ENSG00000166823Q9BRJ9Mesoderm posterior protein 1gencc
LEFTY2HGNC:3122ENSG00000143768O00292Left-right determination factor 2gencc
EFNB2HGNC:3227ENSG00000125266P52799Ephrin-B2gencc
NKX2-6HGNC:32940ENSG00000180053A6NCS4Homeobox protein Nkx-2.6gencc
ETS1HGNC:3488ENSG00000134954P14921Protein C-ets-1gencc
ETV2HGNC:3491ENSG00000105672O00321ETS translocation variant 2gencc
FBLN2HGNC:3601ENSG00000163520P98095Fibulin-2gencc
FGF8HGNC:3686ENSG00000107831P55075Fibroblast growth factor 8gencc
FMO5HGNC:3773ENSG00000131781P49326Flavin-containing monooxygenase 5gencc

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
ROBO1Roundabout homolog 1Receptor 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…
SCN5ASodium channel protein type 5 subunit alphaPore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes.
WDR5WD repeat-containing protein 5Contributes to histone modification.
KLF13Krueppel-like factor 13Transcription factor that activates expression from GC-rich minimal promoter regions, including genes in the cells of the erythroid lineage.
DCHS1Protocadherin-16Calcium-dependent cell-adhesion protein.
CRELD1Protein disulfide isomerase CRELD1Protein disulfide isomerase.
ACVR1Activin receptor type-1Bone 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.
CTNNA3Catenin alpha-3May be involved in formation of stretch-resistant cell-cell adhesion complexes.
DTNADystrobrevin alphaMay be involved in the formation and stability of synapses as well as being involved in the clustering of nicotinic acetylcholine receptors.
FOXP1Forkhead box protein P1Transcriptional repressor.
LRP2Low-density lipoprotein receptor-related protein 2Multiligand endocytic receptor.
RBFOX2RNA binding protein fox-1 homolog 2RNA-binding protein that regulates alternative splicing events by binding to 5’-UGCAUGU-3’ elements.
RECQL4ATP-dependent DNA helicase Q4An ATP-dependent DNA helicase which unwinds dsDNA with a 3’-overhang in a 3’-5’ direction.
BCL9B-cell CLL/lymphoma 9 proteinInvolved in signal transduction through the Wnt pathway.
ROCK2Rho-associated protein kinase 2Protein kinase which is a key regulator of actin cytoskeleton and cell polarity.
RXRARetinoic acid receptor RXR-alphaReceptor for retinoic acid that acts as a transcription factor.
SRFSerum response factorSRF 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).
TBX20T-box transcription factor TBX20Acts 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.
TCF21Transcription factor 21Involved in epithelial-mesenchymal interactions in kidney and lung morphogenesis that include epithelial differentiation and branching morphogenesis.
CRIPTOProtein CriptoGPI-anchored cell membrane protein involved in Nodal signaling.
TLL1Tolloid-like protein 1Protease which processes procollagen C-propeptides, such as chordin, pro-biglycan and pro-lysyl oxidase.
VCLVinculinActin filament (F-actin)-binding protein involved in cell-matrix adhesion and cell-cell adhesion.
VEGFAVascular endothelial growth factor A, long formParticipates in the induction of key genes involved in the response to hypoxia and in the induction of angiogenesis such as HIF1A.
WNT11Protein Wnt-11Ligand for members of the frizzled family of seven transmembrane receptors.
ANKRD1Ankyrin repeat domain-containing protein 1May play an important role in endothelial cell activation.
MAML2Mastermind-like protein 2Acts as a transcriptional coactivator for NOTCH proteins.
RNF40E3 ubiquitin-protein ligase BRE1BComponent of the RNF20/40 E3 ubiquitin-protein ligase complex that mediates monoubiquitination of ‘Lys-120’ of histone H2B (H2BK120ub1).
CHRDChordinDorsalizing factor.
ADAM17Disintegrin and metalloproteinase domain-containing protein 17Transmembrane 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.
ZFPM1Zinc finger protein ZFPM1Transcription regulator that plays an essential role in erythroid and megakaryocytic cell differentiation.
CITED2Cbp/p300-interacting transactivator 2Transcriptional coactivator of the p300/CBP-mediated transcription complex.
USP44Ubiquitin carboxyl-terminal hydrolase 44Deubiquitinase that plays a key regulatory role in the spindle assembly checkpoint or mitotic checkpoint by preventing premature anaphase onset.
USP34Ubiquitin carboxyl-terminal hydrolase 34Ubiquitin hydrolase that can remove conjugated ubiquitin from AXIN1 and AXIN2, thereby acting as a regulator of Wnt signaling pathway.
BMP10Bone morphogenetic protein 10Required 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…
COL1A2Collagen alpha-2(I) chainType I collagen is a member of group I collagen (fibrillar forming collagen).
SORBS2Sorbin and SH3 domain-containing protein 2Adapter protein that plays a role in the assembling of signaling complexes, being a link between ABL kinases and actin cytoskeleton.
CSRP1Cysteine and glycine-rich protein 1Could play a role in neuronal development.
CASZ1Zinc finger protein castor homolog 1Transcriptional activator.
DAND5DAN domain family member 5Antagonist of the extracellular signaling protein NODAL, which is required for correct left-right patterning during embryonic development.
MESP1Mesoderm posterior protein 1Transcription factor.
LEFTY2Left-right determination factor 2Required for left-right (L-R) asymmetry determination of organ systems in mammals.
EFNB2Ephrin-B2Cell 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.
NKX2-6Homeobox protein Nkx-2.6Acts as a transcriptional activator.
ETS1Protein C-ets-1Transcription factor.
ETV2ETS translocation variant 2Binds to DNA sequences containing the consensus pentanucleotide 5’-CGGA[AT]-3’.
FBLN2Fibulin-2Its binding to fibronectin and some other ligands is calcium dependent.
FGF8Fibroblast growth factor 8Plays an important role in the regulation of embryonic development, cell proliferation, cell differentiation and cell migration.
FMO5Flavin-containing monooxygenase 5Acts as a Baeyer-Villiger monooxygenase on a broad range of substrates.
FOXH1Forkhead box protein H1Transcriptional activator.
FOXL1Forkhead box protein L1Transcription 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.

FamilyGenesFoldFDR
Transcription factor272.7×8e-06
Protease62.6×0.130
Kinase62.0×0.264
Nuclear receptor14.7×0.388
Ion channel22.7×0.388
Complement13.2×0.445
Scaffold/PPI51.0×0.755
Enzyme (other)60.9×0.869
Antibody/Immunoglobulin20.7×0.869
Other/Unknown270.6×1.000

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
ROBO1Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
SCN5AIon channelyesNa_channel_asu, Ion_trans_dom, Na_channel_a5su
WDR5Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_CS
KLF13Transcription factornoZnf_C2H2_type, Znf_C2H2_sf
DCHS1Other/UnknownnoCadherin-like_dom, Cadherin-like_sf, Cadherin_CS
CRELD1Other/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom
ACVR1Kinaseyes2.7.10.2TGFB_receptor, Activin_recp, Prot_kinase_dom
CTNNA3Other/UnknownnoAlpha_catenin, Vinculin/catenin, Alpha-catenin/vinculin-like_sf
DTNATranscription factornoZnf_ZZ, EF-hand-dom_pair, EF-hand_dom_typ1
FOXP1Transcription factornoFork_head_dom, TF_fork_head_CS_2, FOXP-CC
LRP2Other/UnknownnoLDLR_classB_rpt, EGF-type_Asp/Asn_hydroxyl_site, EGF
RBFOX2Other/UnknownnoRRM_dom, Nucleotide-bd_a/b_plait_sf, RBFOX1-3
RECQL4Enzyme (other)yes3.6.4.12Helicase_C-like, DNA_helicase_ATP-dep_RecQ, DEAD/DEAH_box_helicase_dom
BCL9Transcription factornoZnf_RING/FYVE/PHD, Bcl-9/Bcl-9l, BCL9_beta-catenin-bd_dom
ROCK2KinaseyesProt_kinase_dom, AGC-kinase_C, PH_domain
RXRANuclear receptoryesRetinoid-X_rcpt/HNF4, Nucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt
SRFTranscription factornoTF_MADSbox, SRF-like_MADS-box, TF_MADSbox_sf
TBX20Transcription factornoTF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS
TCF21Transcription factornobHLH_dom, HLH_DNA-bd_sf, E-box_TF_Regulators
CRIPTOOther/UnknownnoEGF, Cripto, Cryptic/Cripto_CFC-dom
TLL1ProteaseyesEGF-type_Asp/Asn_hydroxyl_site, EGF, CUB_dom
VCLOther/UnknownnoVinculin_CS, Vinculin/catenin, Vinculin
VEGFAOther/UnknownnoPDGF/VEGF_dom, PD_growth_factor_CS, VEGF_C
WNT11Other/UnknownnoWnt, Wnt_CS, Wnt_C
ANKRD1Scaffold/PPInoAnkyrin_rpt, Ankyrin_rpt-contain_sf
MAML2Other/UnknownnoMastermind-like_N, MAML1-3, MAML_N_sf
RNF40Transcription factornoZnf_RING, Znf_RING/FYVE/PHD, E3_ubiquit_lig_Bre1
ADAMTS19ProteaseyesTSP1_rpt, Peptidase_M12B, ADAM_Cys-rich
CHRDOther/UnknownnoVWF_dom, CHRD, Chordin
ADAM17Proteaseyes3.4.24.86Peptidase_M12B, Disintegrin_dom, MetalloPept_cat_dom_sf
ZFPM1Transcription factornoZnf_C2H2_type, Znf_CCHC_FOG, Znf_C2H2_sf
CITED2Other/UnknownnoCITED
USP44ProteaseyesPeptidase_C19_UCH, Znf_UBP, Znf_RING/FYVE/PHD
USP34ProteaseyesPeptidase_C19_UCH, ARM-type_fold, USP_CS
BMP10Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGF-beta-like
COL1A2Other/UnknownnoFib_collagen_C, Collagen, Collagen_superfamily
SORBS2Transcription factornoSH3_domain, SoHo_dom, Znf_C2H2_type
CSRP1Transcription factornoZnf_LIM
CASZ1Transcription factornoZnf_C2H2_type, CASZ1
DAND5Other/UnknownnoDAN_dom, Cerberus, Cystine-knot_cytokine
WDR47Scaffold/PPInoWD40_rpt, LisH, CTLH_C
MESP1Transcription factornobHLH_dom, HLH_DNA-bd_sf, Mesogenin/MesP
LEFTY2Other/UnknownnoTGF-b_propeptide, TGF-b_C, LRDF
EFNB2Other/UnknownnoEphrin_RBD, Cupredoxin, Ephrin_CS
NKX2-6Transcription factornoHD, Homeodomain-like_sf, Homeobox_CS
ETS1Other/UnknownnoEts_dom, Pointed_dom, SAM/pointed_sf
ETV2Other/UnknownnoEts_dom, WH-like_DNA-bd_sf, WH_DNA-bd_sf
FBLN2ComplementyesAnaphylatoxin/fibulin, EGF-type_Asp/Asn_hydroxyl_site, EGF
FGF8Other/UnknownnoFibroblast_GF_fam, IL1/FGF
FMO5Enzyme (other)yes1.14.13.8Flavin_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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)1
broad (>20)82
unknown0

Top tissues across cohort

TissueCohort genes
ventricular zone7
apex of heart7
popliteal artery7
ganglionic eminence6
right atrium auricular region6
primordial germ cell in gonad6
secondary oocyte6
tibial artery6
cortical plate5
cardiac atrium5
oocyte5
tibia4
pancreatic ductal cell4
calcaneal tendon4
stromal cell of endometrium4
male germ line stem cell (sensu Vertebrata) in testis4
left testis3
cerebellar hemisphere3
right hemisphere of cerebellum3
cartilage tissue3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
ROBO1287ubiquitousmarkerventricular zone, ganglionic eminence, tibia
SCN5A161broadyesapex of heart, heart left ventricle, cardiac ventricle
WDR5245ubiquitousmarkerupper arm skin, left testis, right testis
KLF13169ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
DCHS1259broadmarkertendon of biceps brachii, ganglionic eminence, cortical plate
CRELD1134ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
ACVR1293ubiquitousmarkercartilage tissue, synovial joint, saphenous vein
CTNNA3211broadmarkercorpus callosum, heart right ventricle, medial globus pallidus
DTNA266ubiquitousmarkermedial globus pallidus, globus pallidus, C1 segment of cervical spinal cord
FOXP1256ubiquitousmarkerpancreatic ductal cell, oviduct epithelium, cardia of stomach
LRP2169broadmarkeradult organism, adult mammalian kidney, corpus callosum
RBFOX2144ubiquitousmarkercortical plate, embryo, ganglionic eminence
RECQL4212ubiquitousyeslower esophagus mucosa, ventricular zone, mucosa of transverse colon
BCL9198ubiquitousmarkercortical plate, ganglionic eminence, ventricular zone
ROCK2290ubiquitousmarkercalcaneal tendon, colonic epithelium, middle temporal gyrus
RXRA294ubiquitousmarkerskin of hip, gingival epithelium, pancreatic ductal cell
SRF290ubiquitousmarkerlower esophagus muscularis layer, lower esophagus, muscle layer of sigmoid colon
TBX2052broadmarkerright atrium auricular region, cardiac atrium, heart
TCF21175broadmarkerprimordial germ cell in gonad, right lung, upper lobe of left lung
CRIPTO124tissue_specificmarkeradrenal tissue, primordial germ cell in gonad, metanephros cortex
TLL1162broadmarkersecondary oocyte, buccal mucosa cell, primordial germ cell in gonad
VCL300ubiquitousmarkersaphenous vein, blood vessel layer, urethra
VEGFA297ubiquitousmarkerright lobe of thyroid gland, left lobe of thyroid gland, thyroid gland
WNT11178broadmarkeromental fat pad, peritoneum, adipose tissue of abdominal region
ANKRD1155ubiquitousmarkerapex of heart, right atrium auricular region, cardiac atrium
MAML2238ubiquitousmarkermucosa of paranasal sinus, cartilage tissue, mammary duct
RNF40235ubiquitousmarkerventricular zone, cortical plate, left testis
ADAMTS19137broadmarkeradrenal tissue, buccal mucosa cell, body of uterus
CHRD185broadmarkerright lobe of liver, right hemisphere of cerebellum, cerebellar hemisphere
ADAM17294ubiquitousmarkeroocyte, adrenal tissue, calcaneal tendon

Protein interactions among cohort

Intra-cohort edges: 53.

Hub genes (top 10 by interactor count)

SymbolInteractor count
HDAC110,279
WDR56,596
RECQL46,330
SMAD25,751
PDGFRA5,186
KIF20A5,046
GJA14,942
FGF84,536
VCL4,495
NTRK34,147

Intra-cohort edges

ABSources
ACVR1BMP10string_interaction
BCL9FMO5string_interaction
BMP10MYH7string_interaction
CASZ1HDAC1intact
CASZ1TBX20string_interaction
CHRDDAND5string_interaction
CHRDTLL1string_interaction
CITED2LEFTY2string_interaction
CRELD1GJA1string_interaction
CRIPTOFOXH1string_interaction
CRIPTOLEFTY2string_interaction
CRIPTOSMAD2string_interaction
CTNNA3VCLstring_interaction
DAND5FOXH1string_interaction
DAND5LEFTY2string_interaction
EFNB2HEY2string_interaction
EFNB2MESP1string_interaction
FMO5GJA5string_interaction
FMO5PRKAB2string_interaction
FOXH1HAND2string_interaction
FOXH1HEY1intact
FOXH1LEFTY2string_interaction
FOXH1SMAD1string_interaction
FOXH1SMAD2biogrid_interaction, intact, string_interaction
GJA1GJA5string_interaction
GJA1LEFTY2string_interaction
GJA1SCN5Astring_interaction
GJA5PRKAB2string_interaction
GJA5SCN5Astring_interaction
HAND1HEY2biogrid_interaction
HAND2IRX4string_interaction
HAND2MESP1string_interaction
HAND2NKX2-6string_interaction
HAND2TBX20string_interaction
HDAC1KDM5Aintact, string_interaction
HDAC1MYH7intact
HDAC1ZFPM1string_interaction
HEY1HEY2biogrid_interaction, intact
HEY2IRX4string_interaction
IRX4TBX20string_interaction
ISL1NFATC1biogrid_interaction
ISL1RNF40biogrid_interaction
KCNJ2ROCK2biogrid_interaction
MYBPC3MYH7intact, string_interaction
MYH11SRFstring_interaction
NKX2-6TBX20string_interaction
NRP1VEGFAintact
SMAD1SMAD2string_interaction
SMAD1SMAD7biogrid_interaction
SORBS2VCLstring_interaction

Structural data

PDB: 50 · AlphaFold-only: 33 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
WDR5P61964199
RXRAP19793110
ACVR1Q0477185
VEGFAP1569256
KDM5AP2937546
MYH7P1288343
VCLP1820637
ADAM17P7853633
NRP1O1478625
ROCK2O7511621
ETS1P1492121
GJA1P1730219
MYBPC3Q1489617
PRKAB2O4374117
SCN5AQ1452416
PDGFRAP1623415
ROBO1Q9Y6N712
HDAC1Q1354712
EFNB2P5279910
SMAD1Q1579710
SMAD2Q1579610
BCL9O005128
BMP10O953938
SMAD7O151057
COL1A2P081235
NTRK3Q162885
LRP2P981644
RNF40O751504
CITED2Q999674
SRFP118313

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
FMO5P4932695.03
HAS2Q9281990.63
WNT11O9601490.35
ANKRD1Q1532782.64
PCSK6P2912281.84
CRELD1Q96HD181.68
CTNNA3Q9UI4781.65
LEFTY2O0029279.01
CHRDQ9H2X073.95
USP44Q9H0E772.63
ISL1P6137172.57
CSRP1P2129172.49
GJA5P3638270.35
DAND5Q8N90770.04
PRKD1Q1513968.99
ADAMTS19Q8TE5968.76
TBX20Q9UMR367.87
FBLN2P9809567.85
WDR47O9496767.49
CRIPTOP1338567.47
HAND2P6129667.30
TCF21O4368066.67
HAND1O9600465.87
HEY2Q9UBP565.56
NKX2-6A6NCS464.31
FOXL1Q1295264.30
MESP1Q9BRJ962.31
OSR1Q8TAX060.59
KLF13Q9Y2Y958.91
ETV2O0032157.35

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.

PathwayCohort genesFoldFDRSample cohort genes
Cardiogenesis1345.4×2e-16WDR5, SRF, TBX20, NKX2-5, CTNNB1, MESP1, GATA4, HAND1 (+5 more)
NOTCH4 Intracellular Domain Regulates Transcription628.3×1e-05MAML2, HEY1, HEY2, NOTCH1, NOTCH2, NOTCH4
Developmental Biology273.2×1e-05ROBO1, SCN5A, ROCK2, RXRA, BMP4, SOS2, SRF, TBX20 (+19 more)
Signaling by NODAL624.6×2e-05CRIPTO, DAND5, LEFTY2, FOXH1, SMAD2, PCSK6
Signaling by TGFB family members98.6×2e-04RXRA, CBL, BMP10, LTBP1, SMAD1, SMAD2, SMAD5, SMAD6 (+1 more)
Constitutive Signaling by NOTCH1 PEST Domain Mutants711.4×3e-04MAML2, ADAM17, HDAC1, HEY1, HEY2, JAG1, NOTCH1
Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants711.4×3e-04MAML2, ADAM17, HDAC1, HEY1, HEY2, JAG1, NOTCH1
Notch-HLH transcription pathway516.9×1e-03MAML2, HDAC1, NOTCH1, NOTCH2, NOTCH4
Defective LFNG causes SCDO3356.6×0.001NOTCH1, NOTCH2, NOTCH4
Signal Transduction282.4×0.001BCL9, ROCK2, RXRA, SMC1A, SOS2, SRF, CBL, SALL4 (+20 more)
Differentiation of naive CD4+ T cells to T helper 2 cells (Th2 cells)78.5×0.001WDR5, KLF13, MAML2, ETS1, HDAC1, NOTCH1, NOTCH2
Signaling by BMP514.8×0.001BMP10, SMAD1, SMAD5, SMAD6, SMAD7
Pre-NOTCH Processing in the Endoplasmic Reticulum347.2×0.001NOTCH1, NOTCH2, NOTCH4
Germ layer formation at gastrulation422.2×0.001BMP4, CTNNB1, FOXH1, SMAD2
Formation of the nephric duct421.0×0.002BMP4, CTNNB1, MECOM, OSR1
Constitutive Signaling by NOTCH1 t(7;9)(NOTCH1:M1580_K2555) Translocation Mutant340.5×0.002ADAM17, JAG1, NOTCH1
Molecules associated with elastic fibres512.8×0.002BMP4, BMP10, FBLN2, FBN2, LTBP1
Mitotic Telophase/Cytokinesis335.4×0.003SMC1A, SMC3, KIF20A
Transcriptional regulation of pluripotent stem cells418.0×0.003FOXP1, CRIPTO, SALL4, SMAD2
Leishmania infection68.1×0.004CDC42, ADAM17, CTSG, ABL1, MYO5A, PRKAR1B
Parasitic Infection Pathways68.1×0.004CDC42, ADAM17, CTSG, ABL1, MYO5A, PRKAR1B
RUNX2 regulates osteoblast differentiation415.1×0.005COL1A1, HEY1, HEY2, ABL1
NOTCH3 Intracellular Domain Regulates Transcription414.5×0.005MAML2, HEY1, HEY2, NOTCH1
NOTCH1 Intracellular Domain Regulates Transcription59.8×0.005MAML2, HDAC1, HEY1, HEY2, NOTCH1
Deactivation of the beta-catenin transactivating complex59.6×0.005WDR5, BCL9, CTNNB1, HDAC1, KMT2D
Formation of paraxial mesoderm413.5×0.006BMP4, MAML2, CTNNB1, NOTCH1
Regulation of signaling by NODAL323.6×0.007CRIPTO, DAND5, LEFTY2
GP1b-IX-V activation signalling323.6×0.007COL1A1, COL1A2, FLNA
Defective VWF binding to collagen type I262.9×0.009COL1A1, COL1A2
RUNX2 regulates bone development320.2×0.009SMAD1, 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 termCohort genesFoldFDRSample cohort genes
aortic valve morphogenesis1541.5×6e-18ROBO1, ROCK2, BMP4, TBX20, GATA5, ADAMTS19, NKX2-5, GATA4 (+7 more)
pulmonary valve morphogenesis1166.0×9e-16ROBO1, BMP4, ADAMTS19, HEY1, HEY2, JAG1, SMAD2, SMAD6 (+3 more)
ventricular septum morphogenesis1336.0×9e-15ROBO1, ACVR1, WNT11, ADAMTS19, ZFPM1, CITED2, NKX2-5, GJA5 (+5 more)
positive regulation of transcription by RNA polymerase II454.3×9e-15ACVR1, BCL9, RXRA, BMP4, SRF, TCF21, VEGFA, MBTPS2 (+37 more)
cardiac conduction system development1067.5×1e-14SCN5A, CDC42, NKX2-5, GJA1, GJA5, HEY1, HEY2, SMAD1 (+2 more)
heart development2010.1×3e-12ACVR1, SRF, CRIPTO, ZFPM1, CITED2, NKX2-5, CC2D2A, FOXL1 (+12 more)
atrial septum morphogenesis866.5×2e-11TBX20, ZFPM1, NKX2-5, GATA4, GJA5, HEY2, ISL1, NOTCH2
ventricular cardiac muscle tissue morphogenesis940.5×1e-10BMP10, HAND1, ISL1, SMAD7, MYBPC3, MYH6, MYH7, MYL2 (+1 more)
heart looping1220.6×1e-10SRF, TBX20, CITED2, NKX2-5, MESP1, FGF8, FOXH1, GATA4 (+4 more)
outflow tract septum morphogenesis937.4×2e-10ROBO1, LRP2, BMP4, TBX20, NKX2-5, FGF8, ISL1, SMAD6 (+1 more)
positive regulation of DNA-templated transcription285.0×3e-10WDR5, ACVR1, RXRA, BMP4, WNT11, KAT6A, CITED2, BMP10 (+20 more)
outflow tract morphogenesis1121.6×4e-10VEGFA, WNT11, ZFPM1, CITED2, CTNNB1, FOXH1, GJA5, HAND2 (+3 more)
positive regulation of gene expression235.7×2e-09ROBO1, ROCK2, BMP4, VEGFA, KAT6A, GATA5, CITED2, BMP10 (+15 more)
cardiac septum morphogenesis754.0×2e-09CHD7, NKX2-5, HAND1, HEY1, HEY2, JAG1, NOTCH1
BMP signaling pathway1215.4×2e-09ACVR1, BMP4, CHRD, BMP10, LEFTY2, ETV2, SMAD1, SMAD5 (+4 more)
negative regulation of transcription by RNA polymerase II323.6×2e-08WDR5, RXRA, BMP4, TBX20, TCF21, VEGFA, GATA5, ANKRD1 (+24 more)
secondary heart field specification658.9×3e-08LRP2, BMP4, WNT11, MESP1, FOXH1, ISL1
branching involved in blood vessel morphogenesis827.0×4e-08ACVR1, SRF, TBX20, VEGFA, CTNNB1, FGF8, NOTCH4, NRP1
cardiac right ventricle morphogenesis654.0×5e-08TBX20, FOXH1, GATA4, HEY2, ISL1, JAG1
transcription by RNA polymerase II167.2×7e-08KLF13, BCL9, BMP4, SRF, ASH1L, CHD7, NKX2-5, CTNNB1 (+8 more)
negative regulation of gene expression167.1×9e-08ROBO1, FOXP1, ROCK2, BMP4, VEGFA, GATA5, CITED2, CTNNB1 (+8 more)
ureteric bud development823.4×1e-07BMP4, TCF21, SMAD1, SMAD2, SMAD5, SMAD6, SMAD7, OSR1
adult heart development646.3×1e-07CHD7, BMP10, NKX2-5, HAND2, MYH6, MYH7
embryonic hindlimb morphogenesis726.1×5e-07BMP4, CHD7, CTNNB1, FGF8, MSX1, NOTCH1, OSR1
coronary artery morphogenesis560.0×6e-07LRP2, VEGFA, HAND2, NOTCH1, NRP1
ventricular septum development722.2×2e-06LRP2, SALL4, DAND5, GATA4, GJA5, HOXA13, SMAD6
atrioventricular canal development549.1×2e-06TBX20, CHD7, GATA4, HAS2, PTPN11
pharyngeal system development630.9×2e-06ACVR1, NKX2-5, NKX2-6, FGF8, ISL1, PTCH1
positive regulation of osteoblast differentiation913.0×2e-06ACVR1, BMP4, VEGFA, CTNNB1, FBN2, JAG1, SMAD1, SMAD5 (+1 more)
embryonic heart tube development629.5×2e-06CDC42, 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.

DrugDevelopment status
BosentanApproved (phase 4)
AllopurinolPhase 3 (in late-stage trials)
ClopidogrelPhase 3 (in late-stage trials)
DexamethasonePhase 3 (in late-stage trials)
DopaminePhase 3 (in late-stage trials)
Gadobenate DimegluminePhase 3 (in late-stage trials)
GadopiclenolPhase 3 (in late-stage trials)
MacitentanPhase 3 (in late-stage trials)
MannitolPhase 3 (in late-stage trials)
Nitric OxidePhase 3 (in late-stage trials)
NorepinephrinePhase 3 (in late-stage trials)
TadalafilPhase 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.

SymbolExample approved molecule
SCN5ABEPRIDIL
WDR5ESOMEPRAZOLE
ACVR1MOMELOTINIB
ROCK2MOMELOTINIB
RXRABEXAROTENE
VEGFAVADADUSTAT
ADAM17PREDNISOLONE
GJA1KANAMYCIN
HDAC1CELECOXIB
NTRK3FEDRATINIB
OSR1VERTEPORFIN
PDGFRAPONATINIB
PRKAB2ADENOSINE PHOSPHATE
PRKD1INGENOL MEBUTATE
KDM5ADEFERASIROX

Top cohort targets by molecule count

SymbolMoleculesMax phase
SCN5A1084
PDGFRA774
ROCK2524
HDAC1484
NTRK3414
ACVR1394
PRKD1264
RXRA234
ADAM1784
WDR564

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
BEPRIDIL4SCN5A
CANDESARTAN CILEXETIL4SCN5A
TELMISARTAN4SCN5A
CARBAMAZEPINE4SCN5A
DIBUCAINE4SCN5A
IMIPRAMINE4SCN5A
DROPERIDOL4SCN5A
PONATINIB4PDGFRA, SCN5A
DULOXETINE4SCN5A
PALONOSETRON4SCN5A
VILANTEROL4SCN5A
MEXILETINE HYDROCHLORIDE4SCN5A
UNOPROSTONE ISOPROPYL4SCN5A
LURASIDONE4SCN5A
LETERMOVIR4SCN5A
SERTINDOLE4SCN5A
FEDRATINIB4ACVR1, NTRK3, PDGFRA, ROCK2, SCN5A
QUINIDINE4SCN5A
DARUNAVIR4SCN5A
DARIFENACIN4SCN5A
BENZONATATE4SCN5A
TOLTERODINE4SCN5A
RANOLAZINE4SCN5A
PIMOZIDE4SCN5A
NIMODIPINE4SCN5A
FELODIPINE4SCN5A
NICARDIPINE4SCN5A
AMLODIPINE4SCN5A
PHENYTOIN4SCN5A
PALIPERIDONE4SCN5A

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 14.

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

SymbolAssaysType breakdown
HDAC13,675Binding:3604, ADMET:57, Functional:13, Toxicity:1
PDGFRA1,172Binding:1160, Functional:8, ADMET:4
RXRA846Binding:703, Functional:138, ADMET:5
ROCK2788Binding:783, Functional:3, ADMET:1, Toxicity:1
PRKD1660Binding:650, Functional:10
SCN5A594Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1
NTRK3408Binding:400, Functional:4, ADMET:4
PRKAB2322Binding:321, Functional:1
WDR5314Binding:311, Functional:3
ACVR1299Binding:293, Functional:4, ADMET:2
ADAM17288Binding:257, Functional:25, ADMET:5, Toxicity:1
KDM5A165Binding:165
BCL9125Binding:125
VEGFA64Binding:64
NRP150Binding:50
OSR140Binding:40
KCNJ231Binding:23, ADMET:8
SMAD220Binding:20
NFATC115Binding:15
FMO514ADMET:14
KIF20A10Binding:10
PCSK69Binding:9
TLL15Binding:5
COL1A24Functional:4
GJA14Binding:4
VCL2Binding:2
LRP21Binding:1
SRF1Binding:1
CSRP11Binding:1
PROX11Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
ACVR12.7.10.2non-specific protein-tyrosine kinase
RECQL43.6.4.12DNA helicase
ADAM173.4.24.86ADAM 17 endopeptidase
FMO51.14.13.8flavin-containing monooxygenase
HAS22.4.1.212hyaluronan synthase
HDAC13.5.1.98histone deacetylase
ATE12.3.2.8arginyltransferase
NTRK32.7.10.1receptor protein-tyrosine kinase
PCSK63.4.21.61, 3.4.21.B25Kexin,
PDGFRA2.7.10.1receptor protein-tyrosine kinase
PRKAB22.7.11.31[hydroxymethylglutaryl-CoA reductase (NADPH)] kinase
PRKD12.7.11.13protein kinase C
KIF20A5.6.1.3plus-end-directed kinesin ATPase
KDM5A1.14.11.67[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.

SymbolChEMBL assays
SCN5A594
WDR5314
ACVR1299
BCL9125
ROCK2788
RXRA846
ADAM17288
HDAC13,675
NTRK3408
PDGFRA1,172
PRKAB2322
PRKD1660
KDM5A165

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.

CompoundMax phaseCohort target (bioactivity)
BEPRIDIL4SCN5A
CANDESARTAN CILEXETIL4SCN5A
TELMISARTAN4SCN5A
CARBAMAZEPINE4SCN5A
DIBUCAINE4SCN5A
IMIPRAMINE4SCN5A
DROPERIDOL4SCN5A
PONATINIB4PDGFRA, SCN5A
DULOXETINE4SCN5A
PALONOSETRON4SCN5A
VILANTEROL4SCN5A
MEXILETINE HYDROCHLORIDE4SCN5A
UNOPROSTONE ISOPROPYL4SCN5A
LURASIDONE4SCN5A
LETERMOVIR4SCN5A
SERTINDOLE4SCN5A
FEDRATINIB4ACVR1, NTRK3, PDGFRA, ROCK2, SCN5A
QUINIDINE4SCN5A
DARUNAVIR4SCN5A
DARIFENACIN4SCN5A
BENZONATATE4SCN5A
TOLTERODINE4SCN5A
RANOLAZINE4SCN5A
PIMOZIDE4SCN5A
NIMODIPINE4SCN5A
FELODIPINE4SCN5A
NICARDIPINE4SCN5A
AMLODIPINE4SCN5A
PHENYTOIN4SCN5A
PALIPERIDONE4SCN5A

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)15SCN5A, WDR5, ACVR1, ROCK2, RXRA, VEGFA, ADAM17, GJA1, HDAC1, NTRK3 (+5 more)
BPhased (≥1) drug, not yet approved1BCL9
CDruggable family + PDB, no drug8ROBO1, RECQL4, TLL1, USP34, KCNJ2, MYBPC3, ATE1, KIF20A
DDruggable family + AlphaFold only, no drug6ADAMTS19, USP44, FBLN2, FMO5, HAS2, PCSK6
EDifficult family or no structure, no drug53KLF13, 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).

SymbolChEMBL assaysDrugged partners (top 3)
CRELD10GJA1
BMP100ACVR1
GJA50GJA1, SCN5A
ROBO10
KLF130
DCHS10
CTNNA30
DTNA0
FOXP10
LRP21
RBFOX20
RECQL40
SRF1
TBX200
TCF210
CRIPTO0
TLL15
VCL2
WNT110
ANKRD10
MAML20
RNF400
ADAMTS190
CHRD0
ZFPM10
CITED20
USP440
USP340
COL1A24
SORBS20

Clinical trials & evidence

Clinical trials

Clinical trials: 679.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified588
PHASE229
PHASE315
PHASE1/PHASE213
PHASE412
PHASE2/PHASE311
PHASE18
EARLY_PHASE13

Top trials by phase / activity

NCTPhaseStatusTitle
NCT06668389PHASE4RECRUITINGSodium-Glucose Cotransporter 2 Inhibitors for Repaired Tetralogy of Fallot Patients for Enhancement of Cardio-Pulmonary Status Trial
NCT07499154PHASE4NOT_YET_RECRUITINGPerioperative Lidocaine for Lung Protection in Infants Undergoing Cardiac Surgery
NCT00668824PHASE4UNKNOWNImproved Diagnosis of Congenital Heart Disease by Magnetic Resonance Imaging Using Vasovist
NCT01368705PHASE4COMPLETEDNitrogen Balance in Infants After Post Cardiothoracic Surgery
NCT01619982PHASE4COMPLETEDPre-operative Prophylaxis With Vancomycin and Cefazolin in Pediatric Cardiovascular Surgery Patients
NCT02122679PHASE4WITHDRAWNTranexamic Acid Effect on Platelet Aggregation Following Infant Cardiopulmonary Bypass
NCT02527811PHASE4UNKNOWNUlinastatin Injection in in Pediatric Patients Undergoing Open Heart Surgery
NCT03014700PHASE4COMPLETEDFibrinogen Concentrate vs Cryoprecipitate
NCT03408340PHASE4TERMINATEDParavertebral Nerve Blocks in Neonates
NCT03630796PHASE4UNKNOWNEffect of Sevoflurane in Postoperative Troponin I Levels in Children Undergoing Congenital Heart Defects Surgery
NCT03667703PHASE4COMPLETEDStress Ulcer Prophylaxis Versus Placebo in Critically Ill Infants With Congenital Heart Disease
NCT04453761PHASE4UNKNOWNThiamine Influenced on Substrate Energy Effectiveness in Indonesian Children Undergoing Cardiopulmonary Bypass
NCT04702373PHASE3ACTIVE_NOT_RECRUITINGTraining in Exercise Activities and Motion for Growth (TEAM 4 Growth) RCT
NCT05101746PHASE2/PHASE3ENROLLING_BY_INVITATIONNitric Oxide Effect on Brain and Kidney in Pediatric Patients Undergoing Cardiopulmonary Bypass
NCT06693674PHASE3RECRUITINGEffect of Sacubitril-Valsartan on Cardiac Structure and Function
NCT06955260PHASE3NOT_YET_RECRUITINGSGLT2 Inhibition With Empagliflozin in Fontan Circulatory Failure
NCT00000470PHASE3COMPLETEDInfant Heart Surgery: Central Nervous System Sequelae of Circulatory Arrest
NCT00000494PHASE3COMPLETEDManagement of Patent Ductus in Premature Infants
NCT00226369PHASE2/PHASE3COMPLETEDCylexin for Reduction of Reperfusion Injury in Infant Heart Surgery
NCT00450684PHASE2/PHASE3COMPLETEDCardiac Resynchronization Therapy in Congenital Heart Defects
NCT00945529PHASE2/PHASE3COMPLETEDThe Effects of Inhaled Nitric Oxide After Fontan Operation
NCT01006629PHASE2/PHASE3COMPLETEDPalivizumab for Prevention of Severe Respiratory Syncytial Virus Infection in Russian Children
NCT01134302PHASE3UNKNOWNHybrid Versus Norwood Management Strategies in Infants Undergoing Single Ventricle Palliation
NCT01607983PHASE3WITHDRAWNEffects of Pulmonary Vasodilation Upon VA Coupling in Fontan Patients
NCT01662011PHASE3UNKNOWNApplication of Neurally Adjusted Ventilatory Assist to Children After Congenital Cardiac Surgery
NCT02320669PHASE3COMPLETEDPhase 3 Triiodothyronine Supplementation for Infants After Cardiopulmonary Bypass
NCT02615262PHASE3COMPLETEDIntraoperative Dexamethasone in Pediatric Cardiac Surgery
NCT02652741PHASE2/PHASE3UNKNOWNOrodispersible Minitablets of Enalapril in Young Children With Heart Failure Due to Congenital Heart Disease
NCT02654678PHASE2/PHASE3UNKNOWNFollow-up Safety Trial in Children With Chronic Heart Failure Therapy Receiving Orodispersible Minitablets of Enalapril
NCT03088345PHASE2/PHASE3COMPLETEDEarly Use of Vasopressin in Post-Fontan Management
NCT03153137PHASE3COMPLETEDClinical Study Assessing the Efficacy and Safety of Macitentan in Fontan-palliated Subjects
NCT03154476PHASE3COMPLETEDRole of Sildenafil for Fontan Associated Liver Disease (SiFALD) Study
NCT03361189PHASE2/PHASE3TERMINATEDSpecialized Pacing for Patients With Congenital Heart Disease
NCT04259684PHASE2/PHASE3WITHDRAWNNitric Oxide During Cardiopulmonary Bypass in Neonates to Reduce Risk of Acute Kidney Injury
NCT04536194PHASE3COMPLETEDDopamine Versus Norepinephrine Under General Anesthesia
NCT05049590PHASE3COMPLETEDAcute Normovolemic Hemodilution in Complex Cardiac Surgery
NCT05580510PHASE2/PHASE3UNKNOWNEvaluation of Safety and Efficacy of Empagliflozin and Sacubitril/Valsartan for CHF With Reduced Ejection Fraction in ACHD
NCT06406517PHASE3UNKNOWNComparative Effectiveness of Gadopiclenol for Evaluation of Adult Congenital Heart Anatomy and Hemodynamics
NCT06080074PHASE2RECRUITINGMulticenter Trial of ECMO in Children With Severe Cardiac Failure Using the Cardiohelp System
NCT06882772PHASE1/PHASE2NOT_YET_RECRUITINGButyric Acid Supplementation for Gut Improvement After Cardiac Surgery in Kids

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
BOSENTAN44
DOPAMINE43
PHENOXYBENZAMINE43
THEOPHYLLINE ANHYDROUS43
ALPROSTADIL42
ILOPROST42
MILRINONE42
NITRIC OXIDE42
PALIVIZUMAB42
THIAMINE ION42
TREPROSTINIL42
BIVALIRUDIN41
CEFAZOLIN41
CEFOXITIN41
FAMOTIDINE41
GADOBENATE DIMEGLUMINE41
GADOFOSVESET TRISODIUM41
GADOPICLENOL41
INDOMETHACIN41
ISOFLURANE41
LIOTHYRONINE SODIUM41
MACITENTAN41
NESIRITIDE41
NOREPINEPHRINE41
OXANDROLONE41
PORACTANT ALFA41
SODIUM BICARBONATE41
SOTATERCEPT41
TRANEXAMIC ACID41
VASOPRESSIN41