Connective tissue disorder

disease
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Also known as connective tissue diseaseconnective tissue disease or disorderconnective tissue diseasesconnective tissue disordersdisease of connective tissuedisease or disorder of connective tissuedisease, connective tissuedisorder of connective tissueprimary disorder of connective tissuetissue disease, connective

Summary

Connective tissue disorder (MONDO:0003900) is a disease (an umbrella term covering 16 Mondo subtypes) with 75 cohort genes (37 GWAS associations across 28 studies) and 83 clinical trials. The dominant Reactome pathway is Assembly of collagen fibrils and other multimeric structures (12 cohort genes). Top therapeutic interventions include pirfenidone, acetylcysteine, and avatrombopag.

At a glance

  • Umbrella term: 16 Mondo subtypes
  • Cohort genes: 75
  • GWAS associations: 37
  • ClinVar variants: 1,357
  • Clinical trials: 83

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameconnective tissue disorder
Mondo IDMONDO:0003900
EFOEFO:1001986
MeSHD003240
DOIDDOID:65
NCITC26729
SNOMED CT105969002
UMLSC0009782
MedGen1098
Is cancer (heuristic)no

Also known as: connective tissue disease · connective tissue disease or disorder · connective tissue diseases · connective tissue disorder · connective tissue disorders · disease of connective tissue · disease or disorder of connective tissue · disease, connective tissue · disorder of connective tissue · primary disorder of connective tissue · tissue disease, connective

Data availability: 1,357 ClinVar variants · 37 GWAS associations (28 studies) · 8 GenCC gene-disease records.

Disease family

An umbrella term covering 16 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › connective tissue disorder

Related subtypes (18): disorder of orbital region, integumentary system disorder, musculoskeletal system disorder, urinary system disorder, syndromic disease, auditory system disorder, breast disorder, digestive system disorder, cardiovascular disorder, reproductive system disorder, immune system disorder, nervous system disorder, respiratory system disorder, endocrine system disorder, hematologic disorder, mouth disorder, disorder of visual system, otorhinolaryngologic disease

Subtypes (16): benign connective and soft tissue neoplasm, ochronosis disorder, enthesopathy, synovitis, collagenopathy, fasciitis, interstitial keratitis, periostitis, rheumatic disorder, panniculitis, ainhum, overlapping connective tissue disease, interstitial cystitis, connective tissue neoplasm, hereditary disorder of connective tissue, disease of the tendon

Genetics & variants

GWAS landscape

37 GWAS associations across 28 studies. Top hits map to 18 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
chr6:326069656e-100A0.35
rs1170263264e-29GTF2I-AS1, GTF2I?
rs1854397172e-14LINC02466G2.52
rs1810686831e-13ETV6 - BCL2L14C2.42
rs25235843e-13HLA-BA0.44
rs3772214116e-13LUC7LG3.47
rs5375566911e-12RTKN2G3.93
rs5580726911e-12SERINC5G3.65
chr6:325913152e-12A0.35
rs5439972452e-12BMP7A4
rs5427778262e-12FAM193AT3.54
rs1810486552e-12RNU4-66P - RIMS1C3.32
rs1850170104e-12CDCA7LG3.46
rs5682147521e-11SLC10A7G2.45
rs1175942251e-11YWHAET2.58
rs7703255412e-11PAPOLA - RN7SKP108G2.15
rs5507693862e-11DMAC1 - PTPRDG2.87
rs5375603222e-11LINC02763 - NCAM1-AS2T4.24
rs8669657632e-11DNAJA1P1 - HMGN2P39A3.54
rs5708814062e-11GPC5A3.92
rs1419104392e-11EDIL3-DT - PPIAP79G2.83
rs5483353813e-11CFTRG3.16
rs1889300183e-11MYLKA2.11
rs1509939374e-11UBIAD1 - MTCYBP45G1.89
rs1873898204e-11WDR35C3.28
rs9507779424e-11NYAP2 - MIR5702T2.31
chr13:424579021e-10C0.09
chr5:561598183e-09C0.12
chr7:1290698307e-09CCCCA0.12
chr14:1061360487e-09G2.94

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90474048UK Biobank Whole-Genome Sequencing Consortium202510,382448,058Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90667825UK Biobank Whole-Genome Sequencing Consortium202510,382448,058Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90474055UK Biobank Whole-Genome Sequencing Consortium20257,493450,947Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90651168Liu TY20256,371210,768Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population.
GCST90436636Zhou W20183,463399,404Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies.
GCST90080470Backman JD20213,379383,362Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90084456Backman JD20213,379383,362Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90038660Donertas HM20213,206481,392Common genetic associations between age-related diseases.
GCST90044536Jiang L20212,600453,748A generalized linear mixed model association tool for biobank-scale data.
GCST90103422Fitzgerald T20222,146168,611CNest: A novel copy number association discovery method uncovers 862 new associations from 200,629 whole-exome sequence datasets in the UK Biobank.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR0
Tier 3: regulatory1
Tier 4: intronic/intergenic36

MAF distribution

BucketVariants
common (>=0.05)4
low_freq (0.01-0.05)0
rare (<0.01)22
unknown11

Functional consequences

ConsequenceCount
intron_variant19
unknown10
intergenic_variant7
regulatory_region_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
chr6:326069656e-100Tier 4: intronic/intergenic
rs117026326774711703C>T0.05intron_variantGTF2I-AS1, GTF2I4e-29Tier 4: intronic/intergenic
rs1854397174129687742G>A0.001intron_variantLINC024662e-14Tier 4: intronic/intergenic
rs1810686831211981551C>T0.001regulatory_region_variantETV6 - BCL2L141e-13Tier 3: regulatory
rs2523584631360113A>G0.093intron_variantHLA-B3e-13Tier 4: intronic/intergenic
rs37722141116208971G>A,T0intron_variantLUC7L6e-13Tier 4: intronic/intergenic
rs5375566911062241311G>A0intron_variantRTKN21e-12Tier 4: intronic/intergenic
rs558072691580174082G>A0intron_variantSERINC51e-12Tier 4: intronic/intergenic
chr6:325913150.4762e-12Tier 4: intronic/intergenic
rs5439972452057232221A>G0intron_variantBMP72e-12Tier 4: intronic/intergenic
rs54277782642565217T>C0intron_variantFAM193A2e-12Tier 4: intronic/intergenic
rs181048655671662879C>T0.001intron_variantRNU4-66P - RIMS12e-12Tier 4: intronic/intergenic
rs185017010721944400G>A,C0.001intron_variantCDCA7L4e-12Tier 4: intronic/intergenic
rs5682147524146300696G>A,C0.001intron_variantSLC10A71e-11Tier 4: intronic/intergenic
rs117594225171378383T>C0.001intron_variantYWHAE1e-11Tier 4: intronic/intergenic
rs7703255411496606259G>A0.001intron_variantPAPOLA - RN7SKP1082e-11Tier 4: intronic/intergenic
rs55076938697934823G>T0intron_variantDMAC1 - PTPRD2e-11Tier 4: intronic/intergenic
rs53756032211112954594T>C0.001intergenic_variantLINC02763 - NCAM1-AS22e-11Tier 4: intronic/intergenic
rs8669657631358776004A>G0intergenic_variantDNAJA1P1 - HMGN2P392e-11Tier 4: intronic/intergenic
rs5708814061392798491A>G0intron_variantGPC52e-11Tier 4: intronic/intergenic
rs141910439584822084G>A0.001intergenic_variantEDIL3-DT - PPIAP792e-11Tier 4: intronic/intergenic
rs5483353817117500412G>A0intron_variantCFTR3e-11Tier 4: intronic/intergenic
rs1889300183123828025A>G0.001intron_variantMYLK3e-11Tier 4: intronic/intergenic
rs150993937111345114G>T0.002intergenic_variantUBIAD1 - MTCYBP454e-11Tier 4: intronic/intergenic
rs187389820219930813C>A0intron_variantWDR354e-11Tier 4: intronic/intergenic
rs9507779422226473854T>A0.002intergenic_variantNYAP2 - MIR57024e-11Tier 4: intronic/intergenic
chr13:424579021e-10Tier 4: intronic/intergenic
chr5:561598183e-09Tier 4: intronic/intergenic
chr7:1290698307e-09Tier 4: intronic/intergenic
chr14:1061360487e-09Tier 4: intronic/intergenic

ClinVar germline variants

600 retrieved; paginated sample, class counts are floors:

188 conflicting classifications of pathogenicity, 162 benign/likely benign, 126 uncertain significance, 64 benign, 25 likely pathogenic, 12 pathogenic/likely pathogenic, 12 likely benign, 11 pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
120NM_000071.3(CBS):c.833T>C (p.Ile278Thr)CBSPathogeniccriteria provided, multiple submitters, no conflicts
143240NM_001844.5(COL2A1):c.4387_4389del (p.Ile1463del)COL2A1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1702527NM_001844.5(COL2A1):c.1862G>A (p.Gly621Glu)COL2A1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1702530NM_001844.5(COL2A1):c.2248G>A (p.Gly750Arg)COL2A1Pathogeniccriteria provided, single submitter
17361NM_001844.5(COL2A1):c.3589G>A (p.Gly1197Ser)COL2A1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1440290NM_001851.6(COL9A1):c.9dup (p.Cys4fs)COL9A1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
161449NM_001851.6(COL9A1):c.1519C>T (p.Arg507Ter)COL9A1Pathogeniccriteria provided, multiple submitters, no conflicts
1702389NM_001853.4(COL9A3):c.528dup (p.Ile177fs)COL9A3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
11485NM_006579.3(EBP):c.238G>A (p.Glu80Lys)EBPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1343082NM_000138.5(FBN1):c.2670C>A (p.Cys890Ter)FBN1Pathogeniccriteria provided, multiple submitters, no conflicts
16437NM_000138.5(FBN1):c.7339G>A (p.Glu2447Lys)FBN1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1702405NM_000138.5(FBN1):c.7429C>T (p.Gln2477Ter)FBN1Pathogeniccriteria provided, multiple submitters, no conflicts
16327NM_000142.5(FGFR3):c.1138G>A (p.Gly380Arg)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16332NM_000142.5(FGFR3):c.742C>T (p.Arg248Cys)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
16338NM_000142.5(FGFR3):c.1620C>G (p.Asn540Lys)FGFR3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
16339NM_000142.5(FGFR3):c.746C>G (p.Ser249Cys)FGFR3Pathogeniccriteria provided, multiple submitters, no conflicts
1702483NM_000112.4(SLC26A2):c.1487_1488insGGCG (p.Lys497fs)SLC26A2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
180524NM_005902.4(SMAD3):c.860G>A (p.Arg287Gln)SMAD3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
213782NM_005902.4(SMAD3):c.401-6G>ASMAD3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
2510NM_000346.4(SOX9):c.1320C>G (p.Tyr440Ter)SOX9Pathogeniccriteria provided, multiple submitters, no conflicts
213934NM_003242.6(TGFBR2):c.1489C>T (p.Arg497Ter)TGFBR2Pathogeniccriteria provided, multiple submitters, no conflicts
1702497NM_004239.4(TRIP11):c.1735C>T (p.Gln579Ter)TRIP11Pathogeniccriteria provided, single submitter
127159NM_025132.4(WDR19):c.3565+1G>AWDR19Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1702373NM_001844.5(COL2A1):c.2546G>C (p.Gly849Ala)COL2A1Likely pathogeniccriteria provided, single submitter
1702374NM_001844.5(COL2A1):c.2680-1G>ACOL2A1Likely pathogeniccriteria provided, single submitter
1702375NM_001844.5(COL2A1):c.2950G>C (p.Gly984Arg)COL2A1Likely pathogeniccriteria provided, multiple submitters, no conflicts
1702376NM_001844.5(COL2A1):c.3022G>T (p.Gly1008Cys)COL2A1Likely pathogeniccriteria provided, single submitter
1702377NM_001844.5(COL2A1):c.3050G>A (p.Gly1017Asp)COL2A1Likely pathogeniccriteria provided, single submitter
1702379NM_001844.5(COL2A1):c.4317+1G>ACOL2A1Likely pathogeniccriteria provided, single submitter
1702380NM_001844.5(COL2A1):c.604_609+2delCOL2A1Likely pathogeniccriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 62 · Orphanet: 237 · 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
ABL1ModerateAutosomal dominantconnective tissue disorder5
ACTA2ModerateAutosomal dominantconnective tissue disorder8
DCCModerateAutosomal recessiveconnective tissue disorder12
MYLKModerateAutosomal dominantconnective tissue disorder8
NOTCH1ModerateAutosomal dominantconnective tissue disorder9
PIEZO2ModerateAutosomal recessiveconnective tissue disorder18
MYADML2LimitedAutosomal recessiveconnective tissue disorder
P4HA1LimitedAutosomal recessiveconnective tissue disorder

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
ACTA2Orphanet:2573Moyamoya disease
ACTA2Orphanet:404463Multisystemic smooth muscle dysfunction syndrome
ACTA2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
MYLKOrphanet:2241Megacystis-microcolon-intestinal hypoperistalsis syndrome
MYLKOrphanet:91387Familial thoracic aortic aneurysm and aortic dissection
NOTCH1Orphanet:402075Familial bicuspid aortic valve
NOTCH1Orphanet:974Adams-Oliver syndrome
PIEZO2Orphanet:1154Arthrogryposis-oculomotor limitation-electroretinal anomalies syndrome
PIEZO2Orphanet:2461Marden-Walker syndrome
PIEZO2Orphanet:376Gordon syndrome
PIEZO2Orphanet:707937Distal arthrogryposis-progressive scoliosis-thumb deformity-impaired proprioception syndrome
DCCOrphanet:238722Familial congenital mirror movements
DCCOrphanet:2744Horizontal gaze palsy with progressive scoliosis
DCCOrphanet:478Kallmann syndrome
ABL1Orphanet:521Chronic myeloid leukemia
ABL1Orphanet:585909B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2)
ABL1Orphanet:643503Marfanoid habitus-facial dysmorphism-skeletal abnormality-heart defect syndrome
ABL1Orphanet:99861Precursor T-cell acute lymphoblastic leukemia
SHOXOrphanet:240Léri-Weill dyschondrosteosis
SHOXOrphanet:2632Langer mesomelic dysplasia
SHOXOrphanet:314795SHOX-related short stature
SLC26A2Orphanet:56304Atelosteogenesis type II
SLC26A2Orphanet:628Diastrophic dysplasia
SLC26A2Orphanet:93298Achondrogenesis type 1B
SLC26A2Orphanet:93307Multiple epiphyseal dysplasia type 4
SOX9Orphanet:140Campomelic dysplasia
SOX9Orphanet:213846,XX ovotesticular difference of sex development
SOX9Orphanet:24246,XY complete gonadal dysgenesis
SOX9Orphanet:25151046,XY partial gonadal dysgenesis
SOX9Orphanet:39346,XX testicular difference of sex development
SOX9Orphanet:718Isolated Pierre Robin sequence
TGFB2Orphanet:60030Loeys-Dietz syndrome
TGFB2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFBR1Orphanet:284973Marfan syndrome type 2
TGFBR1Orphanet:60030Loeys-Dietz syndrome
TGFBR1Orphanet:65748Multiple self-healing squamous epithelioma
TGFBR1Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFBR2Orphanet:144Lynch syndrome
TGFBR2Orphanet:284973Marfan syndrome type 2
TGFBR2Orphanet:60030Loeys-Dietz syndrome
TGFBR2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFBR2Orphanet:99977Squamous cell carcinoma of the esophagus
TGFBR3Orphanet:231160Familial cerebral saccular aneurysm
TNFRSF11BOrphanet:1416Familial calcium pyrophosphate deposition
TNFRSF11BOrphanet:2801Juvenile Paget disease
TRIP11Orphanet:166272Odontochondrodysplasia
TRIP11Orphanet:93299Achondrogenesis type 1A
WNT1Orphanet:216812Osteogenesis imperfecta type 3
WNT1Orphanet:216820Osteogenesis imperfecta type 4
WNT1Orphanet:85193Idiopathic juvenile osteoporosis

Cohort genes → proteins

75 cohort genes, 71 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence75

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
ACTA2HGNC:130ENSG00000107796P62736Actin, aortic smooth musclegencc,clinvar
MYLKHGNC:7590ENSG00000065534Q15746Myosin light chain kinase, smooth musclegencc,clinvar
NOTCH1HGNC:7881ENSG00000148400P46531Neurogenic locus notch homolog protein 1gencc,clinvar
PIEZO2HGNC:26270ENSG00000154864Q9H5I5Piezo-type mechanosensitive ion channel component 2gencc
DCCHGNC:2701ENSG00000187323P43146Netrin receptor DCCgencc
MYADML2HGNC:34548ENSG00000185105A6NDP7Myeloid-associated differentiation marker-like protein 2gencc
ABL1HGNC:76ENSG00000097007P00519Tyrosine-protein kinase ABL1gencc
P4HA1HGNC:8546ENSG00000122884P13674Prolyl 4-hydroxylase subunit alpha-1gencc
SHOXHGNC:10853ENSG00000185960O15266Short stature homeobox proteinclinvar
SLC26A2HGNC:10994ENSG00000155850P50443Sulfate transporterclinvar
SOX9HGNC:11204ENSG00000125398P48436Transcription factor SOX-9clinvar
BTF3P11HGNC:1126ENSG00000118903basic transcription factor 3 pseudogene 11clinvar
TGFB2HGNC:11768ENSG00000092969P61812Transforming growth factor beta-2 proproteinclinvar
TGFBR1HGNC:11772ENSG00000106799P36897TGF-beta receptor type-1clinvar
TGFBR2HGNC:11773ENSG00000163513P37173TGF-beta receptor type-2clinvar
TGFBR3HGNC:11774ENSG00000069702Q03167Transforming growth factor beta receptor type 3clinvar
TNFRSF11BHGNC:11909ENSG00000164761O00300Tumor necrosis factor receptor superfamily member 11Bclinvar
TRIP11HGNC:12305ENSG00000100815Q15643Thyroid receptor-interacting protein 11clinvar
WNT1HGNC:12774ENSG00000125084P04628Proto-oncogene Wnt-1clinvar
NSDHLHGNC:13398ENSG00000147383Q15738Sterol-4-alpha-carboxylate 3-dehydrogenase, decarboxylatingclinvar
IFT122HGNC:13556ENSG00000163913Q9HBG6Intraflagellar transport protein 122 homologclinvar
WNK4HGNC:14544ENSG00000126562Q96J92Serine/threonine-protein kinase WNK4clinvar
CBSHGNC:1550ENSG00000160200P35520Cystathionine beta-synthaseclinvar
NDE1HGNC:17619ENSG00000072864Q9NXR1Nuclear distribution protein nudE homolog 1clinvar
NTMHGNC:17941ENSG00000182667Q9P121Neurotriminclinvar
TRPV4HGNC:18083ENSG00000111199Q9HBA0Transient receptor potential cation channel subfamily V member 4clinvar
WDR19HGNC:18340ENSG00000157796Q8NEZ3WD repeat-containing protein 19clinvar
CLCN7HGNC:2025ENSG00000103249P51798H(+)/Cl(-) exchange transporter 7clinvar
SLC35D1HGNC:20800ENSG00000116704Q9NTN3Nucleotide sugar transporter SLC35D1clinvar
SLC39A13HGNC:20859ENSG00000165915Q96H72Zinc transporter ZIP13clinvar
DYMHGNC:21317ENSG00000141627Q7RTS9Dymeclinclinvar
COL11A1HGNC:2186ENSG00000060718P12107Collagen alpha-1(XI) chainclinvar
COL11A2HGNC:2187ENSG00000204248P13942Collagen alpha-2(XI) chainclinvar
COL1A1HGNC:2197ENSG00000108821P02452Collagen alpha-1(I) chainclinvar
COL1A2HGNC:2198ENSG00000164692P08123Collagen alpha-2(I) chainclinvar
COL2A1HGNC:2200ENSG00000139219P02458Collagen alpha-1(II) chainclinvar
COL3A1HGNC:2201ENSG00000168542P02461Collagen alpha-1(III) chainclinvar
COL5A1HGNC:2209ENSG00000130635P20908Collagen alpha-1(V) chainclinvar
COL5A2HGNC:2210ENSG00000204262P05997Collagen alpha-2(V) chainclinvar
COL9A1HGNC:2217ENSG00000112280P20849Collagen alpha-1(IX) chainclinvar
COL9A2HGNC:2218ENSG00000049089Q14055Collagen alpha-2(IX) chainclinvar
COL9A3HGNC:2219ENSG00000092758Q14050Collagen alpha-3(IX) chainclinvar
COMPHGNC:2227ENSG00000105664P49747Cartilage oligomeric matrix proteinclinvar
ZNF469HGNC:23216ENSG00000225614Q96JG9Zinc finger protein 469clinvar
TTC21BHGNC:25660ENSG00000123607Q7Z4L5Tetratricopeptide repeat protein 21Bclinvar
OFD1HGNC:2567ENSG00000046651O75665Centriole and centriolar satellite protein OFD1clinvar
DDR2HGNC:2731ENSG00000162733Q16832Discoidin domain-containing receptor 2clinvar
WDR35HGNC:29250ENSG00000118965Q9P2L0WD repeat-containing protein 35clinvar
IFT80HGNC:29262ENSG00000068885Q9P2H3Intraflagellar transport protein 80 homologclinvar
IFT43HGNC:29669ENSG00000119650Q96FT9Intraflagellar transport protein 43 homologclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
ACTA2Actin, aortic smooth muscleActins are highly conserved proteins that are involved in various types of cell motility and are ubiquitously expressed in all eukaryotic cells.
MYLKMyosin light chain kinase, smooth muscleCalcium/calmodulin-dependent myosin light chain kinase implicated in smooth muscle contraction via phosphorylation of myosin light chains (MLC).
NOTCH1Neurogenic locus notch homolog protein 1Functions as a receptor for membrane-bound ligands Jagged-1 (JAG1), Jagged-2 (JAG2) and Delta-1 (DLL1) to regulate cell-fate determination.
PIEZO2Piezo-type mechanosensitive ion channel component 2Pore-forming subunit of the mechanosensitive non-specific cation Piezo channel required for rapidly adapting mechanically activated (MA) currents and has a key role in sensing touch and tactile pain.
DCCNetrin receptor DCCReceptor for netrin required for axon guidance.
ABL1Tyrosine-protein kinase ABL1Non-receptor tyrosine-protein kinase that plays a role in many key processes linked to cell growth and survival such as cytoskeleton remodeling in response to extracellular stimuli, cell motility and adhesion, receptor endocytosis, autopha…
P4HA1Prolyl 4-hydroxylase subunit alpha-1Catalyzes the post-translational formation of 4-hydroxyproline in -Xaa-Pro-Gly- sequences in collagens and other proteins.
SHOXShort stature homeobox proteinTranscription factor that controls fundamental aspects of growth.
SLC26A2Sulfate transporterSulfate transporter which mediates sulfate uptake into chondrocytes in order to maintain adequate sulfation of proteoglycans which is needed for cartilage development.
SOX9Transcription factor SOX-9Transcription factor that plays a key role in chondrocytes differentiation and skeletal development.
TGFB2Transforming growth factor beta-2 proproteinPrecursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-2 (TGF-beta-2) chains, which constitute the regulatory and active subunit of TGF-beta-2, respectively.
TGFBR1TGF-beta receptor type-1Transmembrane serine/threonine kinase forming with the TGF-beta type II serine/threonine kinase receptor, TGFBR2, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3.
TGFBR2TGF-beta receptor type-2Transmembrane serine/threonine kinase forming with the TGF-beta type I serine/threonine kinase receptor, TGFBR1, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3.
TGFBR3Transforming growth factor beta receptor type 3Cell surface receptor that regulates diverse cellular processes including cell proliferation, differentiation, migration, and apoptosis.
TNFRSF11BTumor necrosis factor receptor superfamily member 11BActs as a decoy receptor for TNFSF11/RANKL and thereby neutralizes its function in osteoclastogenesis.
TRIP11Thyroid receptor-interacting protein 11Is a membrane tether required for vesicle tethering to Golgi.
WNT1Proto-oncogene Wnt-1Ligand for members of the frizzled family of seven transmembrane receptors.
NSDHLSterol-4-alpha-carboxylate 3-dehydrogenase, decarboxylatingCatalyzes the NAD(P)(+)-dependent oxidative decarboxylation of the C4 methyl groups of 4-alpha-carboxysterols in post-squalene cholesterol biosynthesis.
IFT122Intraflagellar transport protein 122 homologAs a component of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs), it is required in ciliogenesis and ciliary protein trafficking.
WNK4Serine/threonine-protein kinase WNK4Serine/threonine-protein kinase component of the WNK4-SPAK/OSR1 kinase cascade, which acts as a key regulator of ion transport in the distal nephron and blood pressure.
CBSCystathionine beta-synthaseHydro-lyase catalyzing the first step of the transsulfuration pathway, where the hydroxyl group of L-serine is displaced by L-homocysteine in a beta-replacement reaction to form L-cystathionine, the precursor of L-cysteine.
NDE1Nuclear distribution protein nudE homolog 1Required for centrosome duplication and formation and function of the mitotic spindle.
NTMNeurotriminNeural cell adhesion molecule.
TRPV4Transient receptor potential cation channel subfamily V member 4Non-selective calcium permeant cation channel involved in osmotic sensitivity and mechanosensitivity.
WDR19WD repeat-containing protein 19As component of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs), it is involved in cilia function and/or assembly.
CLCN7H(+)/Cl(-) exchange transporter 7Slowly voltage-gated channel mediating the exchange of chloride ions against protons.
SLC35D1Nucleotide sugar transporter SLC35D1Antiporter that transports nucleotide sugars across the endoplasmic reticulum (ER) membrane in exchange for either their cognate nucleoside monophosphate or another nucleotide sugar.
SLC39A13Zinc transporter ZIP13Functions as a zinc transporter transporting Zn(2+) from the Golgi apparatus to the cytosol and thus influences the zinc level at least in areas of the cytosol.
DYMDymeclinNecessary for correct organization of Golgi apparatus.
COL11A1Collagen alpha-1(XI) chainMay play an important role in fibrillogenesis by controlling lateral growth of collagen II fibrils.
COL11A2Collagen alpha-2(XI) chainMay play an important role in fibrillogenesis by controlling lateral growth of collagen II fibrils.
COL1A1Collagen alpha-1(I) chainType I collagen is a member of group I collagen (fibrillar forming collagen).
COL1A2Collagen alpha-2(I) chainType I collagen is a member of group I collagen (fibrillar forming collagen).
COL2A1Collagen alpha-1(II) chainType II collagen is specific for cartilaginous tissues.
COL3A1Collagen alpha-1(III) chainCollagen type III occurs in most soft connective tissues along with type I collagen.
COL5A1Collagen alpha-1(V) chainType V collagen is a member of group I collagen (fibrillar forming collagen).
COL5A2Collagen alpha-2(V) chainType V collagen is a member of group I collagen (fibrillar forming collagen).
COL9A1Collagen alpha-1(IX) chainStructural component of hyaline cartilage and vitreous of the eye.
COL9A2Collagen alpha-2(IX) chainStructural component of hyaline cartilage and vitreous of the eye.
COL9A3Collagen alpha-3(IX) chainStructural component of hyaline cartilage and vitreous of the eye.
COMPCartilage oligomeric matrix proteinPlays a role in the structural integrity of cartilage via its interaction with other extracellular matrix proteins such as the collagens and fibronectin.
ZNF469Zinc finger protein 469May be involved in transcriptional regulation.
TTC21BTetratricopeptide repeat protein 21BComponent of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs).
OFD1Centriole and centriolar satellite protein OFD1Component of the centrioles controlling mother and daughter centrioles length.
DDR2Discoidin domain-containing receptor 2Tyrosine kinase involved in the regulation of tissues remodeling.
WDR35WD repeat-containing protein 35As a component of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs), it is involved in ciliogenesis and ciliary protein trafficking.
IFT80Intraflagellar transport protein 80 homologComponent of the intraflagellar transport (IFT) complex B, which is essential for the development and maintenance of motile and sensory cilia.
IFT43Intraflagellar transport protein 43 homologAs a component of IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs), it is involved in ciliogenesis.
MFAP5Microfibrillar-associated protein 5May play a role in hematopoiesis.
EBP3-beta-hydroxysteroid-Delta(8),Delta(7)-isomeraseIsomerase that catalyzes the conversion of Delta(8)-sterols to their corresponding Delta(7)-isomers a catalytic step in the postlanosterol biosynthesis of cholesterol.

Protein-family classification

Druggable: 26 · Difficult: 10 · Unknown: 39 · Druggable fraction: 0.35

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
Kinase93.3×0.013
Antibody/Immunoglobulin62.3×0.196
Phosphatase22.2×0.564
Transporter22.1×0.564
Ion channel11.5×0.738
Scaffold/PPI51.1×0.738
Enzyme (other)61.0×0.775
Other/Unknown390.9×0.882
Transcription factor50.6×0.958

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
ACTA2Other/UnknownnoActin, Actin_CS, Actin/actin-like_CS
MYLKKinaseyes2.7.11.18Prot_kinase_dom, Ig_sub2, Ig_sub
NOTCH1Scaffold/PPInoEGF-type_Asp/Asn_hydroxyl_site, EGF, Notch_dom
PIEZO2Other/UnknownnoPiezo, Piezo_cap_dom, Piezo_TM25-28
DCCAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
MYADML2Other/UnknownnoMarvel, MYADM-like
ABL1Kinaseyes2.7.10.2Prot_kinase_dom, SH2, Ser-Thr/Tyr_kinase_cat_dom
P4HA1Enzyme (other)yes1.14.11.2Oxoglu/Fe-dep_dioxygenase_dom, Pro_4_hyd_alph, TPR-like_helical_dom_sf
SHOXTranscription factornoHTH_motif, HD, OAR_dom
SLC26A2TransporteryesSLC26A/SulP_fam, STAS_dom, SLC26A/SulP_dom
SOX9Transcription factornoHMG_box_dom, Sox_N, HMG_box_dom_sf
BTF3P11Other/Unknownno
TGFB2Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGFb2
TGFBR1Kinaseyes2.7.10.2TGFB_receptor, Activin_recp, Prot_kinase_dom
TGFBR2Kinaseyes2.7.10.2TGFB_receptor, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
TGFBR3Other/UnknownnoZP_dom, ZP_dom_CS, ZP-C_dom
TNFRSF11BOther/UnknownnoDeath_dom, TNFR/NGFR_Cys_rich_reg, DEATH-like_dom_sf
TRIP11Other/UnknownnoGRIP_dom
WNT1Other/UnknownnoWnt, Wnt1, Wnt_CS
NSDHLEnzyme (other)yes1.1.1.1703Beta_OHSteriod_DH/Estase, NAD(P)-bd_dom_sf, Lipid_A_modif_metabolic_enz
IFT122Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_dom_sf
WNK4KinaseyesProt_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
CBSEnzyme (other)yes4.2.1.22CBS_dom, P-phosphate_BS, TrpB-like_PALP
NDE1Other/UnknownnoNUDE_dom, NUDE
NTMAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, Ig-like_dom
TRPV4Ion channelyesAnkyrin_rpt, Ion_trans_dom, TrpV1-4
WDR19Transcription factornoWD40_rpt, TPR-like_helical_dom_sf, WD40/YVTN_repeat-like_dom_sf
CLCN7Other/UnknownnoCBS_dom, ClC, CIC-7
SLC35D1TransporteryesSugar_P_trans_dom, TPT_transporter
SLC39A13Other/UnknownnoZIP
DYMOther/UnknownnoDymeclin
COL11A1Other/UnknownnoFib_collagen_C, Laminin_G, Collagen
COL11A2Other/UnknownnoFib_collagen_C, Laminin_G, Collagen
COL1A1Other/UnknownnoFib_collagen_C, VWF_dom, Collagen
COL1A2Other/UnknownnoFib_collagen_C, Collagen, Collagen_superfamily
COL2A1Other/UnknownnoFib_collagen_C, VWF_dom, Collagen
COL3A1Other/UnknownnoFib_collagen_C, VWF_dom, Collagen
COL5A1Other/UnknownnoFib_collagen_C, Laminin_G, Collagen
COL5A2Other/UnknownnoFib_collagen_C, VWF_dom, Collagen
COL9A1Other/UnknownnoCollagen, ConA-like_dom_sf, TSPN-like_N
COL9A2Other/UnknownnoCollagen, Collagen_superfamily
COL9A3Other/UnknownnoCollagen, Collagen_superfamily
COMPOther/UnknownnoEGF, EGF-like_Ca-bd_dom, Thrombospondin_3-like_rpt
ZNF469Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, ZNF469
TTC21BOther/UnknownnoTPR-like_helical_dom_sf, TPR_rpt, TTC21A/TTC21B
OFD1Other/UnknownnoLisH, OFD1
DDR2Kinaseyes2.7.10.1FA58C, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
WDR35Transcription factornoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WDR35
IFT80Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_dom_sf
IFT43Other/UnknownnoIFT43

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)75
unknown0

Top tissues across cohort

TissueCohort genes
cartilage tissue13
tibia12
calcaneal tendon8
skin of hip6
stromal cell of endometrium6
male germ line stem cell (sensu Vertebrata) in testis5
periodontal ligament5
saphenous vein4
ventricular zone4
right uterine tube4
bronchial epithelial cell4
tendon of biceps brachii4
cauda epididymis3
colonic epithelium3
visceral pleura3
corpus callosum3
sural nerve3
synovial joint3
thoracic aorta3
adrenal tissue3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
ACTA2289ubiquitousmarkercauda epididymis, blood vessel layer, saphenous vein
MYLK289ubiquitousmarkercauda epididymis, saphenous vein, seminal vesicle
NOTCH1272ubiquitousmarkerventricular zone, colonic epithelium, visceral pleura
PIEZO2237broadmarkersural nerve, corpus callosum, dorsal root ganglion
DCC154broadmarkercortical plate, right testis, left testis
MYADML284yeshindlimb stylopod muscle, gastrocnemius, skeletal muscle tissue of rectus abdominis
ABL1283ubiquitousmarkerfrontal pole, paraflocculus, middle frontal gyrus
P4HA1293ubiquitousmarkercartilage tissue, calcaneal tendon, tibia
SHOX31tissue_specificyescalcaneal tendon, subcutaneous adipose tissue, sural nerve
SLC26A2282ubiquitousmarkercolonic mucosa, mucosa of sigmoid colon, mucosa of transverse colon
SOX9274ubiquitousmarkerventricular zone, cranial nerve II, hair follicle
BTF3P1176yesmale germ line stem cell (sensu Vertebrata) in testis, endometrium epithelium, Brodmann (1909) area 10
TGFB2206ubiquitousmarkercalcaneal tendon, tendon, cartilage tissue
TGFBR1269ubiquitousmarkersaphenous vein, tibia, visceral pleura
TGFBR2289ubiquitousmarkerpericardium, tibia, parietal pleura
TGFBR3288ubiquitousmarkerrenal glomerulus, metanephric glomerulus, synovial joint
TNFRSF11B201ubiquitousmarkercartilage tissue, ascending aorta, thoracic aorta
TRIP11270ubiquitousmarkercalcaneal tendon, male germ line stem cell (sensu Vertebrata) in testis, adrenal tissue
WNT173tissue_specificyesgranulocyte, nucleus accumbens, superior frontal gyrus
NSDHL271ubiquitousmarkercervix squamous epithelium, adrenal tissue, esophagus mucosa
IFT122250ubiquitousmarkerright testis, left testis, right uterine tube
WNK4177broadmarkerkidney epithelium, renal medulla, lower esophagus mucosa
CBS134tissue_specificmarkerright lobe of liver, body of pancreas, liver
NDE1134ubiquitousmarkercolonic epithelium, ventricular zone, corpus callosum
NTM231ubiquitousmarkerright hemisphere of cerebellum, cerebellar cortex, cerebellar hemisphere
TRPV4171ubiquitousmarkercartilage tissue, lower esophagus mucosa, olfactory segment of nasal mucosa
WDR19269ubiquitousmarkerright uterine tube, bronchial epithelial cell, adenohypophysis
CLCN7296ubiquitousmarkermetanephros cortex, right adrenal gland cortex, left adrenal gland cortex
SLC35D1282ubiquitousmarkersecondary oocyte, mucosa of sigmoid colon, colonic mucosa
SLC39A13248ubiquitousmarkermetanephros cortex, ascending aorta, thoracic aorta

Protein interactions among cohort

Intra-cohort edges: 107.

Hub genes (top 10 by interactor count)

SymbolInteractor count
NOTCH17,411
ABL16,937
SMAD36,440
TGFBR25,777
LOX5,479
COL1A15,341
FLNA5,321
SOX94,935
TGFBR14,828
FGFR34,510

Intra-cohort edges

ABSources
ALPLCOL1A1string_interaction
ALPLTNFRSF11Bstring_interaction
ARSLEBPstring_interaction
ARSLSHOXstring_interaction
COL11A1COL1A1string_interaction
COL11A1COL2A1string_interaction
COL11A1COL3A1string_interaction
COL11A1COL5A2string_interaction
COL11A1COL9A1string_interaction
COL11A1COL9A3string_interaction
COL11A1DDR2string_interaction
COL11A2COL2A1string_interaction
COL11A2COL5A1string_interaction
COL11A2DDR2intact
COL1A1COL1A2intact
COL1A1COL2A1intact
COL1A1COL3A1string_interaction
COL1A1COL5A1intact, string_interaction
COL1A1COL5A2string_interaction
COL1A1DDR2string_interaction
COL1A1EFEMP1string_interaction
COL1A1FBN1string_interaction
COL1A1LOXintact
COL1A1MFAP5string_interaction
COL1A1P4HA1intact
COL1A1TNFRSF11Bstring_interaction
COL1A2COL5A1intact
COL1A2LOXintact
COL2A1COL9A1biogrid_interaction, intact, string_interaction
COL2A1COL9A2string_interaction
COL2A1COL9A3string_interaction
COL2A1COMPstring_interaction
COL2A1DDR2string_interaction
COL2A1FGFR3intact, string_interaction
COL2A1MATN3intact
COL2A1P4HA1intact
COL2A1SLC26A2string_interaction
COL2A1SOX9string_interaction
COL2A1TRIP11string_interaction
COL3A1COL5A1string_interaction
COL3A1COL5A2string_interaction
COL3A1DDR2string_interaction
COL3A1FBN1string_interaction
COL3A1FBN2string_interaction
COL3A1LOXintact
COL3A1MFAP5string_interaction
COL5A1COL5A2string_interaction
COL5A1DDR2string_interaction
COL5A1FBN1string_interaction
COL5A1ZNF469string_interaction

Structural data

PDB: 49 · AlphaFold-only: 22 · No structure: 4

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
ABL1P0051985
TGFBR1P3689744
NOTCH1P4653129
FLNAP2133326
FLNBO7536923
TGFBR2P3717322
CBSP3552019
TRPV4Q9HBA019
EIF2AK3Q9NZJ515
FGFR3P2260715
COL1A1P0245214
SMAD3P8402212
TGFB2P6181211
COL2A1P0245811
COL3A1P0246111
FBN1P3555511
P4HA1P1367410
DCCP431469
CLCN7P517989
MYLKQ157468
GLB1P162788
LIFRP427026
IFT122Q9HBG65
COL1A2P081235
COL9A1P208495
DDR2Q168325
ALPLP051865
SLC26A2P504434
WDR19Q8NEZ34
COL9A2Q140554

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
PEX7O0062895.54
ACTA2P6273695.43
ARSLP5169092.57
IFT80Q9P2H392.50
DYMQ7RTS987.91
MYADML2A6NDP786.63
WNT1P0462886.53
SLC35D1Q9NTN380.98
MATN3O1523279.79
LDLRAD2Q5SZI179.62
EFEMP1Q1280577.67
SLC39A13Q96H7276.33
OFD1O7566568.41
LOXP2830068.06
TRIP11Q1564366.78
MFAP5Q1336165.79
SHOXO1526663.90
COL5A2P0599753.15
COL11A1P1210753.06
COL11A2P1394250.18
ZNF469Q96JG9
FBN2P35556

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 372. Enrichment computed across 81 evidence-associated genes (69 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 69 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Assembly of collagen fibrils and other multimeric structures1234.8×9e-14COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2 (+4 more)
ECM proteoglycans1328.3×9e-14TGFB2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2, COL9A1 (+5 more)
Collagen chain trimerization1141.4×1e-13COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2 (+3 more)
Collagen biosynthesis and modifying enzymes1229.6×4e-13COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2 (+4 more)
Integrin cell surface interactions1223.4×6e-12COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2, COL9A1, COL9A2 (+4 more)
Collagen degradation1128.0×7e-12COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2 (+3 more)
Non-integrin membrane-ECM interactions1124.6×3e-11ACTA2, COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1 (+3 more)
MET activates PTK2 signaling844.1×3e-10COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2
Developmental Lineage of Pancreatic Ductal Cells929.8×5e-10SOX9, COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1 (+1 more)
Fibronectin matrix formation649.6×5e-08COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2
Signaling by PDGF725.8×3e-07COL2A1, COL3A1, COL5A1, COL5A2, COL9A1, COL9A2, COL9A3
NCAM1 interactions725.2×3e-07COL2A1, COL3A1, COL5A1, COL5A2, COL9A1, COL9A2, COL9A3
Intraflagellar transport720.3×1e-06TRIP11, IFT122, WDR19, TTC21B, WDR35, IFT80, IFT43
TGF-beta receptor signaling activates SMADs628.4×1e-06TGFB2, TGFBR1, TGFBR2, TGFBR3, FBN1, SMAD3
TGFBR3 regulates TGF-beta signaling482.8×2e-06TGFB2, TGFBR1, TGFBR2, TGFBR3
Syndecan interactions530.6×1e-05COL1A1, COL1A2, COL3A1, COL5A1, COL5A2
Signaling by TGFBR3526.7×2e-05TGFB2, TGFBR1, TGFBR2, TGFBR3, SMAD3
Elastic fibre formation524.3×3e-05TGFB2, MFAP5, FBN1, FBN2, LOX
Loss of Function of TGFBR1 in Cancer399.3×4e-05TGFBR1, TGFBR2, SMAD3
Molecules associated with elastic fibres522.4×5e-05TGFB2, MFAP5, EFEMP1, FBN1, FBN2
Loss of Function of SMAD2/3 in Cancer382.8×6e-05TGFBR1, TGFBR2, SMAD3
Signaling by TGF-beta Receptor Complex in Cancer382.8×6e-05TGFBR1, TGFBR2, SMAD3
SMAD2/3 Phosphorylation Motif Mutants in Cancer382.8×6e-05TGFBR1, TGFBR2, SMAD3
TGFBR1 KD Mutants in Cancer382.8×6e-05TGFBR1, TGFBR2, SMAD3
Signaling by TGF-beta Receptor Complex514.5×3e-04TGFB2, TGFBR1, TGFBR2, TGFBR3, SMAD3
Cholesterol biosynthesis via desmosterol (Bloch pathway)349.6×4e-04NSDHL, EBP, LBR
Hedgehog ‘off’ state512.9×6e-04IFT122, WDR19, TTC21B, OFD1, WDR35
GP1b-IX-V activation signalling341.4×6e-04COL1A1, COL1A2, FLNA
Loss of Function of TGFBR2 in Cancer2110.3×0.001TGFBR1, TGFBR2
TGFBR2 Kinase Domain Mutants in Cancer2110.3×0.001TGFBR1, TGFBR2

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 74 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
skeletal system development2034.0×1e-22SHOX, SOX9, TGFB2, TGFBR1, TNFRSF11B, COL11A2, COL1A1, COL1A2 (+12 more)
collagen fibril organization1442.5×7e-17TGFB2, TGFBR1, COL11A1, COL11A2, COL1A1, COL1A2, COL2A1, COL3A1 (+6 more)
endochondral ossification751.4×2e-08CBS, COL1A1, COL2A1, IFT80, FGFR3, ALPL, PEX7
cellular response to transforming growth factor beta stimulus829.9×6e-08ACTA2, SOX9, TGFBR1, COL1A1, DDR2, FBN1, SMAD3, ABL1
bone mineralization829.4×6e-08SOX9, COL1A2, COMP, EIF2AK3, FGFR3, ALPL, LOX, PTH1R
intraciliary retrograde transport575.9×8e-07IFT122, WDR19, TTC21B, WDR35, IFT43
cartilage development involved in endochondral bone morphogenesis4130.1×2e-06CBS, TRPV4, COL1A1, COL2A1
cartilage condensation551.8×5e-06SOX9, TGFB2, COL11A1, COL2A1, PKD1
cilium assembly109.9×7e-06NOTCH1, IFT122, WDR19, TTC21B, OFD1, WDR35, IFT80, IFT43 (+2 more)
embryonic eye morphogenesis482.8×1e-05MFAP5, EFEMP1, FBN1, FBN2
epithelial to mesenchymal transition625.3×1e-05NOTCH1, SOX9, TGFB2, TGFBR1, TGFBR2, TGFBR3
chondrocyte differentiation624.4×1e-05SLC26A2, SOX9, COL2A1, COL3A1, FGFR3, PTH1R
tendon development3170.8×2e-05COL11A1, COL5A1, COMP
positive regulation of epithelial to mesenchymal transition involved in endocardial cushion formation3170.8×2e-05TGFB2, TGFBR1, TGFBR2
cardiac epithelial to mesenchymal transition465.1×2e-05NOTCH1, TGFB2, TGFBR1, TGFBR3
transforming growth factor beta receptor signaling pathway715.0×3e-05TGFB2, TGFBR1, TGFBR2, TGFBR3, COL1A2, COL3A1, SMAD3
heart development99.6×3e-05NOTCH1, SOX9, TGFB2, TGFBR1, TGFBR2, COL3A1, FBN1, LOX (+1 more)
cartilage development620.4×3e-05SOX9, TRIP11, COL11A2, COL2A1, MATN3, PKD1
chondrocyte proliferation456.9×4e-05SLC26A2, COMP, DDR2, FGFR3
skin development530.0×4e-05COL3A1, COL5A1, COL5A2, COMP, PKD1
ventricular septum morphogenesis529.2×4e-05NOTCH1, TGFB2, TGFBR1, TGFBR2, TGFBR3
positive regulation of SMAD protein signal transduction525.9×7e-05TGFB2, TGFBR1, TGFBR2, TGFBR3, SMAD3
positive regulation of epithelial to mesenchymal transition521.5×2e-04TGFB2, TGFBR1, TGFBR2, COL1A1, SMAD3
negative regulation of chondrocyte differentiation436.4×2e-04SOX9, TGFBR1, EFEMP1, NKX3-2
positive regulation of extracellular matrix assembly375.9×3e-04SOX9, TGFBR1, SMAD3
animal organ regeneration432.5×3e-04NOTCH1, TGFBR3, WNT1, HSPG2
embryonic cranial skeleton morphogenesis431.4×3e-04TGFBR1, TGFBR2, WDR19, SMAD3
cardiac muscle cell proliferation431.4×3e-04NOTCH1, TGFB2, TGFBR3, ABL1
in utero embryonic development87.8×3e-04NOTCH1, TGFBR1, TGFBR2, WDR19, COL3A1, SMAD3, PKD1, PTH1R
elastic fiber assembly362.1×5e-04COL3A1, LOX, MYH11

Therapeutics

Drug target analysis

Approved (phase 4): 12 · Phase ≥3: 14 · Phased (≥1): 19 · Undrugged: 56

Druggability breadth: 38 of 81 evidence-associated genes (47%) 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
MYLKPONATINIB
ABL1PONATINIB
TGFBR1MOMELOTINIB
TGFBR2PONATINIB
DDR2PONATINIB
EBPTRIFLUPERIDOL
FGFR3PONATINIB
GLB1MIGALASTAT
ALPLSULCONAZOLE NITRATE
LOXPYRITHIONE
SMAD3FLUORESCEIN
NEK1FEDRATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
ABL11224
FGFR3644
DDR2594
MYLK284
TGFBR1284
TGFBR2224
EBP164
NEK1124
ALPL74
TRPV463

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PONATINIB4ABL1, DDR2, FGFR3, MYLK, TGFBR2
AFATINIB4ABL1, MYLK
FEDRATINIB4ABL1, DDR2, FGFR3, MYLK, NEK1, TGFBR2
RUXOLITINIB4ABL1, MYLK
NIFEDIPINE4MYLK
BOSUTINIB4ABL1, DDR2, MYLK
GILTERITINIB4MYLK
TOVORAFENIB4ABL1, DDR2, MYLK, TGFBR2
NINTEDANIB4ABL1, DDR2, FGFR3, MYLK, TGFBR1
SUNITINIB4ABL1, DDR2, FGFR3, MYLK
DASATINIB4ABL1, DDR2, FGFR3, MYLK, TGFBR1, TGFBR2
QUIZARTINIB4ABL1, DDR2, MYLK
MIDOSTAURIN4ABL1, FGFR3, MYLK
TIVOZANIB4ABL1, DDR2
LENVATINIB4ABL1, DDR2, FGFR3
AXITINIB4ABL1, DDR2, FGFR3
SORAFENIB4ABL1, DDR2, FGFR3, TGFBR2
DASATINIB ANHYDROUS4ABL1, DDR2
IMATINIB MESYLATE4ABL1
NERATINIB4ABL1
INFIGRATINIB PHOSPHATE4ABL1, FGFR3
INFIGRATINIB4ABL1, FGFR3
IBRUTINIB4ABL1
REGORAFENIB4ABL1, DDR2
ENTRECTINIB4ABL1, FGFR3
DABRAFENIB4ABL1, NEK1, TGFBR1, TGFBR2
TOFACITINIB CITRATE4ABL1
AFATINIB DIMALEATE4ABL1
CABOZANTINIB4ABL1, DDR2
TOFACITINIB4ABL1

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 14.

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

SymbolAssaysType breakdown
ABL13,282Binding:3254, ADMET:16, Functional:10, Toxicity:2
FGFR3975Binding:948, Functional:18, ADMET:9
TGFBR1541Binding:516, Functional:13, ADMET:12
DDR2389Binding:386, ADMET:3
MYLK303Binding:303
NEK1288Binding:288
TGFBR2188Binding:188
EIF2AK3153Binding:151, Functional:2
GLB1124Binding:123, ADMET:1
TRPV499Binding:94, Functional:5
WNK463Binding:63
ALPL58Binding:50, Functional:4, ADMET:3, Toxicity:1
EBP57Binding:34, Functional:23
SMAD324Binding:18, Functional:6
NOTCH123Binding:19, ADMET:4
CBS22Binding:22
LOX15Binding:15
WNT110Binding:10
COL1A18Binding:8
FLNA7Binding:7
P4HA16Binding:6
LIFR6Binding:6
COL1A24Functional:4
SOX93Binding:3
TGFB23Binding:3
COL2A12Binding:2
FLNB2Binding:2
HSPG22Binding:2
LBR1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
MYLK2.7.11.18myosin-light-chain kinase
ABL12.7.10.2non-specific protein-tyrosine kinase
P4HA11.14.11.2procollagen-proline 4-dioxygenase
TGFBR12.7.10.2, 2.7.11.30non-specific protein-tyrosine kinase, receptor protein serine/threonine kinase
TGFBR22.7.10.2non-specific protein-tyrosine kinase
NSDHL1.1.1.1703beta-hydroxysteroid-4alpha-carboxylate 3-dehydrogenase (decarboxylating)
CBS4.2.1.22cystathionine beta-synthase
DDR22.7.10.1receptor protein-tyrosine kinase
EBP5.3.3.5cholestenol DELTA-isomerase
EIF2AK32.7.11.1non-specific serine/threonine protein kinase
FGFR32.7.10.1receptor protein-tyrosine kinase
ALPL3.1.3.1alkaline phosphatase
LBR1.3.1.70DELTA14-sterol reductase
LOX1.4.3.13protein-lysine 6-oxidase

Cohort genes with high screening signal

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

SymbolChEMBL assays
MYLK303
ABL13,282
TGFBR1541
TGFBR2188
DDR2389
EIF2AK3153
FGFR3975
GLB1124
NEK1288

Pharmacogenomics

Cohort genes with a PharmGKB record: 72; 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)
PONATINIB4ABL1, DDR2, FGFR3, MYLK, TGFBR2
AFATINIB4ABL1, MYLK
FEDRATINIB4ABL1, DDR2, FGFR3, MYLK, NEK1, TGFBR2
RUXOLITINIB4ABL1, MYLK
NIFEDIPINE4MYLK
BOSUTINIB4ABL1, DDR2, MYLK
GILTERITINIB4MYLK
TOVORAFENIB4ABL1, DDR2, MYLK, TGFBR2
NINTEDANIB4ABL1, DDR2, FGFR3, MYLK, TGFBR1
SUNITINIB4ABL1, DDR2, FGFR3, MYLK
DASATINIB4ABL1, DDR2, FGFR3, MYLK, TGFBR1, TGFBR2
QUIZARTINIB4ABL1, DDR2, MYLK
MIDOSTAURIN4ABL1, FGFR3, MYLK
TIVOZANIB4ABL1, DDR2
LENVATINIB4ABL1, DDR2, FGFR3
AXITINIB4ABL1, DDR2, FGFR3
SORAFENIB4ABL1, DDR2, FGFR3, TGFBR2
DASATINIB ANHYDROUS4ABL1, DDR2
IMATINIB MESYLATE4ABL1
NERATINIB4ABL1
INFIGRATINIB PHOSPHATE4ABL1, FGFR3
INFIGRATINIB4ABL1, FGFR3
IBRUTINIB4ABL1
REGORAFENIB4ABL1, DDR2
ENTRECTINIB4ABL1, FGFR3
DABRAFENIB4ABL1, NEK1, TGFBR1, TGFBR2
TOFACITINIB CITRATE4ABL1
AFATINIB DIMALEATE4ABL1
CABOZANTINIB4ABL1, DDR2
TOFACITINIB4ABL1

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)12MYLK, ABL1, TGFBR1, TGFBR2, DDR2, EBP, FGFR3, GLB1, ALPL, LOX (+2 more)
BPhased (≥1) drug, not yet approved7NOTCH1, TGFB2, WNT1, CBS, TRPV4, EIF2AK3, FLNA
CDruggable family + PDB, no drug10DCC, P4HA1, SLC26A2, NSDHL, WNK4, NTM, FLNB, HSPG2, LBR, LIFR
DDruggable family + AlphaFold only, no drug2SLC35D1, ARSL
EDifficult family or no structure, no drug44ACTA2, PIEZO2, MYADML2, SHOX, SOX9, BTF3P11, TGFBR3, TNFRSF11B, TRIP11, IFT122 (+34 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
PIEZO20TRPV4
TGFBR30TGFBR1, TGFBR2
NSDHL0EBP
ARSL0EBP
ACTA20
DCC0
MYADML20
P4HA16
SHOX0
SLC26A20
SOX93
BTF3P110
TNFRSF11B0
TRIP110
IFT1220
WNK463
NDE10
NTM0
WDR190
CLCN70
SLC35D10
SLC39A130
DYM0
COL11A10
COL11A20
COL1A18
COL1A24
COL2A12
COL3A10
COL5A10

Clinical trials & evidence

Clinical trials

Clinical trials: 83.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified50
PHASE39
PHASE48
PHASE28
PHASE15
PHASE2/PHASE32
PHASE1/PHASE21

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05440240PHASE4RECRUITINGPercutaneous Needle Fasciotomy +/- Corticosteroid Injection for Dupuytren’s Contracture
NCT06499233PHASE4RECRUITINGEfficacy and Safety of Prophylactic Treatment for Pneumocystis Jirovecii Pneumonia in Patients With Autoimmune Inflammatory Rheumatic Disease
NCT01042158PHASE4COMPLETEDA Clinical Trial of Ambrisentan and Tadalafil in Pulmonary Arterial Hypertension Associated With Systemic Sclerosis
NCT03688191PHASE4UNKNOWNStudy of Sirolimus in CTD-TP in China
NCT04169100PHASE4UNKNOWNNovel Form of Acquired Long QT Syndrome
NCT04197050PHASE4UNKNOWNEffect of Sacubitril/Valsartan on Reduced Right Ventricular Ejection Fraction in Patients With CTD
NCT04928586PHASE4UNKNOWNImmunosuppressant Combined With Pirfenidone in CTD-ILD
NCT05505409PHASE4UNKNOWNEfficacy and Safety of Pirfenidone in CTD-ILD
NCT03683186PHASE3ENROLLING_BY_INVITATIONA Study Evaluating the Long-Term Efficacy and Safety of Ralinepag in Subjects With PAH Via an Open-Label Extension
NCT06716606PHASE3RECRUITINGA Study to Investigate the Long-term Safety and Efficacy of Belimumab in Adults With Interstitial Lung Disease (ILD) Associated With Systemic Sclerosis (SSc) and Other Connective Tissue Diseases (CTD) (BLISSconneCTD-OLE)
NCT06917690PHASE3RECRUITINGA Study to Learn About the Safety and Efficacy of the Drug Oleogel-S10 in Japanese Patients With Epidermolysis Bullosa
NCT00864201PHASE3UNKNOWNA Study to Evaluate the Use of Bosentan in Patients With Exercise Induced Pulmonary Arterial Hypertension Associated With Connective Tissue Disease
NCT01196091PHASE3COMPLETEDA Study of LY2127399 in Participants With Systemic Lupus Erythematosus
NCT01205438PHASE3COMPLETEDA Study of LY2127399 in Participants With Systemic Lupus Erythematosus
NCT01424033PHASE2/PHASE3TERMINATEDA Clinical Trial for CTD-ILD Treatment
NCT01488708PHASE3TERMINATEDOn Open-Label Study in Participants With Systemic Lupus Erythematosus
NCT03626688PHASE3COMPLETEDA Study Evaluating the Efficacy and Safety of Ralinepag to Improve Treatment Outcomes in PAH Patients
NCT04084678PHASE3TERMINATEDA Study of Ralinepag to Evaluate Effects on Exercise Capacity by CPET in Subjects With WHO Group 1 PH
NCT04915482PHASE2/PHASE3UNKNOWNTPO-RAs Combined With Anti-CD20 Antibody in the Treatment of Adult Immune Thrombocytopenia With Autoantibodies
NCT02682511PHASE2ACTIVE_NOT_RECRUITINGOral Ifetroban to Treat Diffuse Cutaneous Systemic Sclerosis (SSc) or SSc-associated Pulmonary Arterial Hypertension
NCT04993885PHASE2RECRUITINGAvatrombopag in the Treatment of Adult Immune Thrombocytopenia With Autoantibodies
NCT05998759PHASE2RECRUITINGTelitacicept for the Treatment of Connective Tissue Disease-associated Thrombocytopenia
NCT06104228PHASE2RECRUITING129 Xenon MRI as a Biomarker for Diagnosis and Response to Therapy in Pulmonary Arterial Hypertension (PAH)
NCT06574581PHASE1/PHASE2RECRUITINGADSCs Therapy in Patients With CTD-ILD
NCT00004357PHASE2COMPLETEDAbsorption of Corticosteroids in Children With Juvenile Dermatomyositis
NCT00005675PHASE2COMPLETEDOral Type I Collagen for Relieving Scleroderma
NCT01808196PHASE2COMPLETEDTesting Effectiveness of Losartan in Patients With EoE With or Without a CTD
NCT05516758PHASE2TERMINATEDA Study of Peresolimab (LY3462817) in Participants With Moderately-to-Severely Active Rheumatoid Arthritis
NCT01093911PHASE1COMPLETEDSafety Study of CDP7657 in Healthy Volunteers and Patients With Systemic Lupus Erythematosus (SLE)
NCT01764594PHASE1COMPLETEDSafety Study of CDP7657 in Patients With Systemic Lupus Erythematosus
NCT02392130PHASE1COMPLETEDA Clinical Trial to Assess the Potential of LEO 130852A Gel to Reduce Steroid Induced Skin Atrophy on Healthy Skin
NCT03337165PHASE1COMPLETEDAutologous Tolerogenic Dendritic Cells for Treatment of Patients With Rheumatoid Arthritis
NCT03929120PHASE1COMPLETEDAllogeneic Bone Marrow Mesenchymal Stem Cells for Patients With Interstitial Lung Disease (ILD) & Connective Tissue Disorders (CTD)
NCT00470327Not specifiedRECRUITINGA Study of the Natural Progression of Interstitial Lung Disease (ILD)
NCT04095351Not specifiedRECRUITINGConnective Tissue Diseases and Lung Manifestations
NCT04398628Not specifiedRECRUITINGATHN Transcends: A Natural History Study of Non-Neoplastic Hematologic Disorders
NCT04896138Not specifiedENROLLING_BY_INVITATIONUniversity of Virginia Natural History Study
NCT04918524Not specifiedRECRUITINGThe Clinical Features and Pregnancy Outcomes of CTD Patients
NCT05665556Not specifiedRECRUITINGREgistry of Pulmonary Arterial Hypertension Associated With CONNECTIVE Tissue Diseases (RECONNECTIVE)
NCT05980728Not specifiedNOT_YET_RECRUITINGConnective Tissue Disease Patients With Pulmonary Hypertension

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
PIRFENIDONE42
ACETYLCYSTEINE41
AVATROMBOPAG41
BELIMUMAB41
BOSENTAN41
CLOBETASOL PROPIONATE41
PREDNISONE41
SACUBITRIL41
SIROLIMUS41
SULFAMETHOXAZOLE41
TADALAFIL41
TRIMETHOPRIM41
RALINEPAG33
TABALUMAB33
DAPIROLIZUMAB PEGOL32
TELITACICEPT31
IFETROBAN21
PERESOLIMAB21
CHEMBL13952101
CHEMBL17754201
CHEMBL424489701
CHEMBL1572001
CHEMBL543550001