Summary
Coronary aneurysm (MONDO:0006714) is a disease with 29 cohort genes (31 GWAS associations across 8 studies) and 10 clinical trials. Top therapeutic interventions include rivaroxaban and warfarin.
At a glance
- Cohort genes: 29
- GWAS associations: 31
- Clinical trials: 10
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | coronary aneurysm |
| Mondo ID | MONDO:0006714 |
| EFO | EFO:1000881 |
| MeSH | D003323 |
| DOID | DOID:3362 |
| ICD-11 | 777924269 |
| SNOMED CT | 50570003 |
| UMLS | C0010051 |
| MedGen | 3622 |
| MedDRA | 10002348 |
| Is cancer (heuristic) | no |
Also known as: aneurysm of coronary vessels · aneurysmal lesion of coronary artery · arteriovenous aneurysm of coronary vessels · coronary artery aneurysm
Data availability: 31 GWAS associations (8 studies) · 1 HPO phenotype.
Disease family
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › vascular disorder › arterial disorder › coronary artery disorder › coronary aneurysm
Related subtypes (11): coronary vasospasm, postoperative ventricular dysfunction, coronary stenosis, coronary thrombosis, intermediate coronary syndrome, coronary artery disease, autosomal dominant, 1, coronary artery disease, autosomal dominant 2, coronary artery congenital malformation, coronary atherosclerosis, nonobstructive coronary artery disease, fibromuscular dysplasia of the coronary arteries
Genetics & variants
GWAS landscape
31 GWAS associations across 8 studies. Top hits map to 28 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs16921209 | 7e-09 | NEBL | G | 32.22 |
| rs17076896 | 8e-09 | TUBA3C - PSPC1P1 | G | 21.03 |
| rs17136627 | 2e-08 | KCNN2 | A | 12.6 |
| rs6017006 | 2e-08 | PPIAP21 - RNU6-743P | A | 5 |
| rs17782904 | 8e-08 | SETBP1 | T | 45.95 |
| rs11793049 | 2e-07 | ZNF618 | A | |
| rs899162 | 2e-07 | TIFAB - SLC25A48 | A | 3.2 |
| rs12210919 | 4e-07 | MDGA1 | C | 14.02 |
| rs7871579 | 5e-07 | MAN1B1 | C | 2.8 |
| rs12900413 | 7e-07 | MESP2 | C | 8.7 |
| rs10127456 | 1e-06 | FHAD1-AS1, FHAD1, EFHD2-AS1 | T | 16 |
| rs1842579 | 2e-06 | COL24A1 | ? | 8.62 |
| rs2449565 | 2e-06 | DOCK2 | G | 2.3 |
| rs6627615 | 2e-06 | MAGEA3-DT | C | 9.98 |
| rs12799264 | 3e-06 | NAV2 | ? | 22.89 |
| rs16837858 | 3e-06 | CPNE4 | ? | 22.89 |
| rs17349258 | 3e-06 | CSMD1 | ? | 22.89 |
| rs12810016 | 3e-06 | TMTC2 | ? | 22.74 |
| rs10185178 | 3e-06 | MYO3B | ? | 22.89 |
| rs10762437 | 4e-06 | UNC5B | G | 2.5 |
| rs35932034 | 4e-06 | Y_RNA - LINC00882 | C | 0.2 |
| rs1989051 | 4e-06 | RN7SKP226 - LINC00824 | C | 2.2 |
| rs7902334 | 5e-06 | CAMK1D | ? | 6.77 |
| rs12023377 | 5e-06 | CSMD2 | ? | 7.37 |
| rs11624704 | 6e-06 | NRXN3 | ? | 10.44 |
| rs1233754 | 6e-06 | MACROD2 | ? | 10.44 |
| rs1293386 | 7e-06 | TSHZ2 | ? | 6.37 |
| rs7849782 | 8e-06 | GRIN3A | ? | 4.03 |
| rs4905138 | 8e-06 | CCDC197 | ? | 12.76 |
| rs12590437 | 9e-06 | TTC6 | ? | 4.01 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90013538 | Hoggart C | 2021 | 200 | 0 | Identification of novel locus associated with coronary artery aneurysms and validation of loci for susceptibility to Kawasaki disease. |
| GCST003192 | Lin YJ | 2015 | 76 | 0 | Genetic variants in PLCB4/PLCB1 as susceptibility loci for coronary artery aneurysm formation in Kawasaki disease in Han Chinese in Taiwan. |
| GCST001878 | Lin MT | 2013 | 64 | 0 | A genome-wide association analysis identifies novel susceptibility loci for coronary arterial lesions in patients with Kawasaki disease. |
| GCST007192 | Kwon YC | 2018 | 33 | 0 | Identification of the TIFAB Gene as a Susceptibility Locus for Coronary Artery Aneurysm in Patients with Kawasaki Disease. |
| GCST90624820 | Kim JJ | 2024 | 23 | 0 | Sex-Specific Susceptibility Loci Associated With Coronary Artery Aneurysms in Patients With Kawasaki Disease. |
| GCST002026 | Kim JJ | 2013 | 17 | 0 | Identification of KCNN2 as a susceptibility locus for coronary artery aneurysms in Kawasaki disease using genome-wide association analysis. |
| GCST003560 | Kuo HC | 2016 | 11 | 0 | Genome-Wide Association Study Identifies Novel Susceptibility Genes Associated with Coronary Artery Aneurysm Formation in Kawasaki Disease. |
| GCST90624821 | Kim JJ | 2024 | 10 | 0 | Sex-Specific Susceptibility Loci Associated With Coronary Artery Aneurysms in Patients With Kawasaki Disease. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 29 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 15 |
| low_freq (0.01-0.05) | 8 |
| rare (<0.01) | 8 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 24 |
| intergenic_variant | 4 |
| regulatory_region_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
| missense_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs16921209 | 10 | 20879174 | C>A,G,T | 0.007 | intron_variant | NEBL | 7e-09 | Tier 4: intronic/intergenic |
| rs17076896 | 13 | 19181923 | T>A,C | 0.014 | intergenic_variant | TUBA3C - PSPC1P1 | 8e-09 | Tier 4: intronic/intergenic |
| rs17136627 | 5 | 114463289 | C>A,T | 0.008 | intron_variant | KCNN2 | 2e-08 | Tier 4: intronic/intergenic |
| rs6017006 | 20 | 43305980 | G>A | 0.04 | intergenic_variant | PPIAP21 - RNU6-743P | 2e-08 | Tier 4: intronic/intergenic |
| rs17782904 | 18 | 44733745 | G>A | 0.003 | intron_variant | SETBP1 | 8e-08 | Tier 4: intronic/intergenic |
| rs11793049 | 9 | 114011589 | A>G,T | 0.05 | intron_variant | ZNF618 | 2e-07 | Tier 4: intronic/intergenic |
| rs899162 | 5 | 135459219 | G>A | 0.141 | regulatory_region_variant | TIFAB - SLC25A48 | 2e-07 | Tier 3: regulatory |
| rs12210919 | 6 | 37677736 | T>C | 0.021 | intron_variant | MDGA1 | 4e-07 | Tier 4: intronic/intergenic |
| rs7871579 | 9 | 137096078 | T>C,G | 0.15 | intron_variant | MAN1B1 | 5e-07 | Tier 4: intronic/intergenic |
| rs12900413 | 15 | 89777808 | A>G,T | 0.062 | intron_variant | MESP2 | 7e-07 | Tier 4: intronic/intergenic |
| rs10127456 | 1 | 15327376 | G>A | 0.014 | non_coding_transcript_exon_variant | FHAD1-AS1, FHAD1, EFHD2-AS1 | 1e-06 | Tier 4: intronic/intergenic |
| rs1842579 | 1 | 85823399 | C>G,T | 0.051 | intron_variant | COL24A1 | 2e-06 | Tier 4: intronic/intergenic |
| rs2449565 | 5 | 169708658 | A>C,G,T | 0.39 | intron_variant | DOCK2 | 2e-06 | Tier 4: intronic/intergenic |
| rs6627615 | X | 152626667 | T>C | 0.02 | intron_variant | MAGEA3-DT | 2e-06 | Tier 4: intronic/intergenic |
| rs12799264 | 11 | 19958686 | G>A | 0.007 | intron_variant | NAV2 | 3e-06 | Tier 4: intronic/intergenic |
| rs16837858 | 3 | 131812484 | T>C | 0.007 | intron_variant | CPNE4 | 3e-06 | Tier 4: intronic/intergenic |
| rs17349258 | 8 | 4983502 | G>A | 0.007 | intron_variant | CSMD1 | 3e-06 | Tier 4: intronic/intergenic |
| rs12810016 | 12 | 82914584 | G>C | 0.007 | intron_variant | TMTC2 | 3e-06 | Tier 4: intronic/intergenic |
| rs10185178 | 2 | 170499764 | G>A,C,T | 0.007 | missense_variant | MYO3B | 3e-06 | Tier 1: coding |
| rs10762437 | 10 | 71298712 | A>G | 0.16 | intron_variant | UNC5B | 4e-06 | Tier 4: intronic/intergenic |
| rs35932034 | 3 | 106543458 | T>C | 0.11 | intron_variant | Y_RNA - LINC00882 | 4e-06 | Tier 4: intronic/intergenic |
| rs1989051 | 8 | 128281872 | T>A,C | 0.43 | intergenic_variant | RN7SKP226 - LINC00824 | 4e-06 | Tier 4: intronic/intergenic |
| rs7902334 | 10 | 12603942 | C>A,G,T | 0.455 | intron_variant | CAMK1D | 5e-06 | Tier 4: intronic/intergenic |
| rs12023377 | 1 | 33685660 | T>C | 0.072 | intron_variant | CSMD2 | 5e-06 | Tier 4: intronic/intergenic |
| rs11624704 | 14 | 78319734 | A>C | 0.027 | intron_variant | NRXN3 | 6e-06 | Tier 4: intronic/intergenic |
| rs1233754 | 20 | 15572166 | C>A,G,T | 0.027 | intron_variant | MACROD2 | 6e-06 | Tier 4: intronic/intergenic |
| rs1293386 | 20 | 53180814 | A>G,T | 0.185 | intron_variant | TSHZ2 | 7e-06 | Tier 4: intronic/intergenic |
| rs7849782 | 9 | 101664982 | C>A,G,T | 0.05 | intron_variant | GRIN3A | 8e-06 | Tier 4: intronic/intergenic |
| rs4905138 | 14 | 94000011 | G>A,T | 0.017 | intron_variant | CCDC197 | 8e-06 | Tier 4: intronic/intergenic |
| rs12590437 | 14 | 37977887 | A>G,T | 0.05 | intergenic_variant | TTC6 | 9e-06 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 6 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| SETBP1 | Orphanet:436151 | Intellectual disability-expressive aphasia-facial dysmorphism syndrome |
| SETBP1 | Orphanet:798 | Schinzel-Giedion syndrome |
| MESP2 | Orphanet:2311 | Autosomal recessive spondylocostal dysostosis |
| DOCK2 | Orphanet:447737 | Combined immunodeficiency due to DOCK2 deficiency |
| MAN1B1 | Orphanet:397941 | MAN1B1-CDG |
| MAN1B1 | Orphanet:88616 | Autosomal recessive non-syndromic intellectual disability |
Cohort genes → proteins
29 cohort genes, 29 distinct canonical proteins.
Evidence partition
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| SSTR1 | HGNC:11330 | ENSG00000139874 | P30872 | Somatostatin receptor type 1 | gwas |
| TUBA3C | HGNC:12408 | ENSG00000198033 | P0DPH7 | Tubulin alpha-3C chain | gwas |
| UNC5B | HGNC:12568 | ENSG00000107731 | Q8IZJ1 | Netrin receptor UNC5B | gwas |
| TSHZ2 | HGNC:13010 | ENSG00000182463 | Q9NRE2 | Teashirt homolog 2 | gwas |
| CSMD1 | HGNC:14026 | ENSG00000183117 | Q96PZ7 | CUB and sushi domain-containing protein 1 | gwas |
| SETBP1 | HGNC:15573 | ENSG00000152217 | Q9Y6X0 | SET-binding protein | gwas |
| MYO3B | HGNC:15576 | ENSG00000071909 | Q8WXR4 | Myosin-IIIb | gwas |
| NAV2 | HGNC:15997 | ENSG00000166833 | Q8IVL1 | Neuron navigator 2 | gwas |
| MACROD2 | HGNC:16126 | ENSG00000172264 | A1Z1Q3 | ADP-ribose glycohydrolase MACROD2 | gwas |
| GRIN3A | HGNC:16767 | ENSG00000198785 | Q8TCU5 | Glutamate receptor ionotropic, NMDA 3A | gwas |
| NEBL | HGNC:16932 | ENSG00000078114 | O76041 | Nebulette | gwas |
| MDGA1 | HGNC:19267 | ENSG00000112139 | Q8NFP4 | MAM domain-containing glycosylphosphatidylinositol anchor protein 1 | gwas |
| CSMD2 | HGNC:19290 | ENSG00000121904 | Q7Z408 | CUB and sushi domain-containing protein 2 | gwas |
| CAMK1D | HGNC:19341 | ENSG00000183049 | Q8IU85 | Calcium/calmodulin-dependent protein kinase type 1D | gwas |
| CCDC197 | HGNC:19860 | ENSG00000175699 | Q8NCU1 | Uncharacterized protein CCDC197 | gwas |
| COL24A1 | HGNC:20821 | ENSG00000171502 | Q17RW2 | Collagen alpha-1(XXIV) chain | gwas |
| CPNE4 | HGNC:2317 | ENSG00000196353 | Q96A23 | Copine-4 | gwas |
| DCANP1 | HGNC:24459 | ENSG00000251380 | Q8TF63 | Dendritic cell nuclear protein 1 | gwas |
| TMTC2 | HGNC:25440 | ENSG00000179104 | Q8N394 | Protein O-mannosyl-transferase TMTC2 | gwas |
| FHAD1 | HGNC:29408 | ENSG00000142621 | B1AJZ9 | Forkhead-associated domain-containing protein 1 | gwas |
| ZNF618 | HGNC:29416 | ENSG00000157657 | Q5T7W0 | Zinc finger protein 618 | gwas |
| MESP2 | HGNC:29659 | ENSG00000188095 | Q0VG99 | Mesoderm posterior protein 2 | gwas |
| DOCK2 | HGNC:2988 | ENSG00000134516 | Q92608 | Dedicator of cytokinesis protein 2 | gwas |
| TIFAB | HGNC:34024 | ENSG00000255833 | Q6ZNK6 | TRAF-interacting protein with FHA domain-containing protein B | gwas |
| GRK5 | HGNC:4544 | ENSG00000198873 | P34947 | G protein-coupled receptor kinase 5 | gwas |
| FOXA1 | HGNC:5021 | ENSG00000129514 | P55317 | Hepatocyte nuclear factor 3-alpha | gwas |
| KCNN2 | HGNC:6291 | ENSG00000080709 | Q9H2S1 | Small conductance calcium-activated potassium channel protein 2 | gwas |
| MAN1B1 | HGNC:6823 | ENSG00000177239 | Q9UKM7 | Endoplasmic reticulum mannosyl-oligosaccharide 1,2-alpha-mannosidase | gwas |
| NRXN3 | HGNC:8010 | ENSG00000021645 | Q9HDB5 | Neurexin-3-beta | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| SSTR1 | Somatostatin receptor type 1 | Receptor for somatostatin with higher affinity for somatostatin-14 than -28. |
| TUBA3C | Tubulin alpha-3C chain | Tubulin is the major constituent of microtubules, a cylinder consisting of laterally associated linear protofilaments composed of alpha- and beta-tubulin heterodimers. |
| UNC5B | Netrin receptor UNC5B | Receptor for netrin required for axon guidance. |
| TSHZ2 | Teashirt homolog 2 | Probable transcriptional regulator involved in developmental processes. |
| CSMD1 | CUB and sushi domain-containing protein 1 | Potential suppressor of squamous cell carcinomas. |
| MYO3B | Myosin-IIIb | Probable actin-based motor with a protein kinase activity. |
| NAV2 | Neuron navigator 2 | Possesses 3’ to 5’ helicase activity and exonuclease activity. |
| MACROD2 | ADP-ribose glycohydrolase MACROD2 | Removes ADP-ribose from aspartate and glutamate residues in proteins bearing a single ADP-ribose moiety. |
| GRIN3A | Glutamate receptor ionotropic, NMDA 3A | Component of a non-conventional N-methyl-D-aspartate (NMDA) receptors (NMDARs) that function as heterotetrameric, ligand-gated cation channels with low calcium permeability and low voltage-dependent block by Mg(2+). |
| NEBL | Nebulette | Binds to actin and plays an important role in the assembly of the Z-disk. |
| MDGA1 | MAM domain-containing glycosylphosphatidylinositol anchor protein 1 | Required for radial migration of cortical neurons in the superficial layer of the neocortex. |
| CAMK1D | Calcium/calmodulin-dependent protein kinase type 1D | Calcium/calmodulin-dependent protein kinase that operates in the calcium-triggered CaMKK-CaMK1 signaling cascade and, upon calcium influx, activates CREB-dependent gene transcription, regulates calcium-mediated granulocyte function and res… |
| COL24A1 | Collagen alpha-1(XXIV) chain | May participate in regulating type I collagen fibrillogenesis at specific anatomical locations during fetal development. |
| CPNE4 | Copine-4 | Probable calcium-dependent phospholipid-binding protein that may play a role in calcium-mediated intracellular processes. |
| DCANP1 | Dendritic cell nuclear protein 1 | Binds with and transactivates the corticotropin-releasing hormone (CRH) promoter. |
| TMTC2 | Protein O-mannosyl-transferase TMTC2 | Transfers mannosyl residues to the hydroxyl group of serine or threonine residues. |
| FHAD1 | Forkhead-associated domain-containing protein 1 | Regulator of sperm motility and spermatocyte meiosis. |
| ZNF618 | Zinc finger protein 618 | Regulates UHRF2 function as a specific 5-hydroxymethylcytosine (5hmC) reader by regulating its chromatin localization. |
| MESP2 | Mesoderm posterior protein 2 | Transcription factor with important role in somitogenesis. |
| DOCK2 | Dedicator of cytokinesis protein 2 | Involved in cytoskeletal rearrangements required for lymphocyte migration in response of chemokines. |
| TIFAB | TRAF-interacting protein with FHA domain-containing protein B | Inhibits TIFA-mediated TRAF6 activation possibly by inducing a conformational change in TIFA. |
| GRK5 | G protein-coupled receptor kinase 5 | Serine/threonine kinase that phosphorylates preferentially the activated forms of a variety of G-protein-coupled receptors (GPCRs). |
| FOXA1 | Hepatocyte nuclear factor 3-alpha | Transcription factor that is involved in embryonic development, establishment of tissue-specific gene expression and regulation of gene expression in differentiated tissues. |
| KCNN2 | Small conductance calcium-activated potassium channel protein 2 | Small conductance calcium-activated potassium channel that mediates the voltage-independent transmembrane transfer of potassium across the cell membrane through a constitutive interaction with calmodulin which binds the intracellular calci… |
| MAN1B1 | Endoplasmic reticulum mannosyl-oligosaccharide 1,2-alpha-mannosidase | Involved in glycoprotein quality control targeting of misfolded glycoproteins for degradation. |
| NRXN3 | Neurexin-3-beta | Neuronal cell surface protein that may be involved in cell recognition and cell adhesion. |
Protein-family classification
Druggable: 11 · Difficult: 6 · Unknown: 12 · Druggable fraction: 0.38
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|
| Complement | 2 | 18.5× | 0.047 |
| Kinase | 3 | 2.9× | 0.384 |
| Ion channel | 1 | 3.9× | 0.589 |
| Antibody/Immunoglobulin | 2 | 2.0× | 0.589 |
| Scaffold/PPI | 2 | 1.2× | 0.759 |
| Transcription factor | 4 | 1.1× | 0.759 |
| Enzyme (other) | 2 | 0.8× | 0.799 |
| GPCR | 1 | 0.8× | 0.799 |
| Other/Unknown | 12 | 0.7× | 0.960 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| SSTR1 | GPCR | yes | | GPCR_Rhodpsn, Somatstn_rcpt, Somatstn_rcpt_1 |
| TUBA3C | Other/Unknown | no | | Tubulin, Alpha_tubulin, Tubulin_FtsZ_GTPase |
| UNC5B | Antibody/Immunoglobulin | yes | | Death_dom, TSP1_rpt, ZU5_dom |
| TSHZ2 | Transcription factor | no | | HD, Znf_C2H2_type, Teashirt_fam |
| CSMD1 | Complement | yes | | Sushi_SCR_CCP_dom, CUB_dom, Sperma_CUB_dom_sf |
| SETBP1 | Other/Unknown | no | | AT_hook_DNA-bd_motif |
| MYO3B | Kinase | yes | | IQ_motif_EF-hand-BS, Prot_kinase_dom, Myosin_head_motor_dom-like |
| NAV2 | Other/Unknown | no | | CH_dom, AAA+_ATPase, P-loop_NTPase |
| MACROD2 | Enzyme (other) | yes | 3.1.1.106 | Macro_dom, Macro_dom-like |
| GRIN3A | Other/Unknown | no | | Iontro_rcpt_C, Iono_Glu_rcpt_met, ANF_lig-bd_rcpt |
| NEBL | Scaffold/PPI | no | | Nebulin_repeat, SH3_domain, Nebulette_SH3 |
| MDGA1 | Antibody/Immunoglobulin | yes | | MAM_dom, Ig_sub2, Ig_sub |
| CSMD2 | Complement | yes | | Sushi_SCR_CCP_dom, CUB_dom, Sperma_CUB_dom_sf |
| CAMK1D | Kinase | yes | 2.7.11.17 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| CCDC197 | Other/Unknown | no | | CFAP_domain-containing |
| COL24A1 | Other/Unknown | no | | Fib_collagen_C, Collagen, ConA-like_dom_sf |
| CPNE4 | Other/Unknown | no | | C2_dom, VWF_A, Copine_C |
| DCANP1 | Other/Unknown | no | | |
| TMTC2 | Other/Unknown | no | | TPR-like_helical_dom_sf, TMTC_DUF1736, TPR_rpt |
| FHAD1 | Other/Unknown | no | | FHA_dom, SMAD_FHA_dom_sf, CC-FHA_domain |
| ZNF618 | Transcription factor | no | | RNaseH-like_sf, Znf_C2H2_type, Znf_C2H2_sf |
| MESP2 | Transcription factor | no | | bHLH_dom, HLH_DNA-bd_sf, Mesogenin/MesP |
| DOCK2 | Scaffold/PPI | no | | SH3_domain, ARM-type_fold, DOCK |
| TIFAB | Other/Unknown | no | | FHA_dom, SMAD_FHA_dom_sf, TIFA |
| GRK5 | Kinase | yes | 2.7.11.16 | GPCR_kinase, Prot_kinase_dom, AGC-kinase_C |
| FOXA1 | Transcription factor | no | | Fork_head_dom, Fork-head_N, TF_fork_head_CS_1 |
| KCNN2 | Ion channel | yes | | CaM-bd_dom, K_chnl_dom, K_chnl_Ca-activ_SK |
| MAN1B1 | Enzyme (other) | yes | 3.2.1.113 | Glyco_hydro_47, 6hp_glycosidase-like_sf, Seven-hairpin_glycosidases |
| NRXN3 | Other/Unknown | no | | Laminin_G, Neurexin-like, ConA-like_dom_sf |
Expression context
Cohort genes with no expression data: 0.
25 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 29 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| buccal mucosa cell | 6 |
| middle temporal gyrus | 4 |
| male germ line stem cell (sensu Vertebrata) in testis | 4 |
| ventricular zone | 3 |
| primordial germ cell in gonad | 3 |
| Brodmann (1909) area 46 | 2 |
| stromal cell of endometrium | 2 |
| left testis | 2 |
| right testis | 2 |
| mucosa of paranasal sinus | 2 |
| caput epididymis | 2 |
| corpus epididymis | 2 |
| Brodmann (1909) area 23 | 2 |
| endothelial cell | 2 |
| right uterine tube | 2 |
| oocyte | 2 |
| pancreatic ductal cell | 2 |
| secondary oocyte | 2 |
| jejunal mucosa | 1 |
| adult organism | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| SSTR1 | 173 | broad | marker | stromal cell of endometrium, jejunal mucosa, Brodmann (1909) area 46 |
| TUBA3C | 215 | tissue_specific | marker | right testis, left testis, adult organism |
| UNC5B | 266 | ubiquitous | marker | inferior vagus X ganglion, mucosa of paranasal sinus, subthalamic nucleus |
| TSHZ2 | 230 | broad | marker | buccal mucosa cell, corpus epididymis, caput epididymis |
| CSMD1 | 179 | broad | marker | Brodmann (1909) area 23, middle temporal gyrus, primary visual cortex |
| SETBP1 | 280 | ubiquitous | marker | ventricular zone, buccal mucosa cell, caput epididymis |
| MYO3B | 81 | tissue_specific | marker | buccal mucosa cell, primordial germ cell in gonad, corpus epididymis |
| NAV2 | 275 | ubiquitous | marker | blood vessel layer, cartilage tissue, cauda epididymis |
| MACROD2 | 214 | ubiquitous | marker | endothelial cell, buccal mucosa cell, epithelial cell of pancreas |
| GRIN3A | 149 | tissue_specific | marker | Brodmann (1909) area 46, middle temporal gyrus, male germ line stem cell (sensu Vertebrata) in testis |
| NEBL | 282 | broad | marker | heart right ventricle, myocardium, cranial nerve II |
| MDGA1 | 223 | broad | yes | cerebellar hemisphere, cardiac muscle of right atrium, cerebellar cortex |
| CSMD2 | 166 | broad | marker | buccal mucosa cell, ventricular zone, kidney epithelium |
| CAMK1D | 260 | ubiquitous | marker | middle temporal gyrus, parietal lobe, postcentral gyrus |
| CCDC197 | 65 | tissue_specific | yes | male germ line stem cell (sensu Vertebrata) in testis, right testis, left testis |
| COL24A1 | 169 | broad | marker | Brodmann (1909) area 23, middle temporal gyrus, tibia |
| CPNE4 | 182 | broad | marker | lateral nuclear group of thalamus, left ventricle myocardium, endothelial cell |
| DCANP1 | 37 | | yes | male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, granulocyte |
| TMTC2 | 237 | ubiquitous | marker | ventricular zone, corpus callosum, mucosa of paranasal sinus |
| FHAD1 | 168 | broad | marker | right uterine tube, bronchial epithelial cell, bronchus |
| ZNF618 | 222 | ubiquitous | marker | secondary oocyte, pancreatic ductal cell, oocyte |
| MESP2 | 140 | tissue_specific | yes | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell |
| DOCK2 | 216 | broad | marker | bone marrow cell, monocyte, mononuclear cell |
| TIFAB | 51 | tissue_specific | marker | pancreatic ductal cell, vermiform appendix, lymph node |
| GRK5 | 270 | broad | marker | saphenous vein, pylorus, synovial joint |
| FOXA1 | 149 | broad | marker | endometrium epithelium, olfactory segment of nasal mucosa, epithelium of bronchus |
| KCNN2 | 213 | broad | marker | secondary oocyte, oocyte, right adrenal gland |
| MAN1B1 | 268 | ubiquitous | marker | stromal cell of endometrium, right uterine tube, skin of leg |
| NRXN3 | 231 | ubiquitous | marker | cerebellar vermis, substantia nigra pars compacta, substantia nigra pars reticulata |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| FOXA1 | 4,346 |
| TUBA3C | 3,682 |
| DOCK2 | 2,278 |
| MYO3B | 2,226 |
| SETBP1 | 2,077 |
| CAMK1D | 2,071 |
| TMTC2 | 1,795 |
| MAN1B1 | 1,682 |
| NAV2 | 1,599 |
| CSMD1 | 1,577 |
Intra-cohort edges
| A | B | Sources |
|---|
| DCANP1 | TIFAB | string_interaction |
Structural data
PDB: 13 · AlphaFold-only: 16 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| GRK5 | P34947 | 23 |
| KCNN2 | Q9H2S1 | 16 |
| CAMK1D | Q8IU85 | 7 |
| DOCK2 | Q92608 | 6 |
| MAN1B1 | Q9UKM7 | 6 |
| FOXA1 | P55317 | 5 |
| SSTR1 | P30872 | 4 |
| MACROD2 | A1Z1Q3 | 4 |
| GRIN3A | Q8TCU5 | 3 |
| MDGA1 | Q8NFP4 | 3 |
| CSMD1 | Q96PZ7 | 1 |
| NAV2 | Q8IVL1 | 1 |
| NEBL | O76041 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| TUBA3C | P0DPH7 | 92.26 |
| TMTC2 | Q8N394 | 90.57 |
| TIFAB | Q6ZNK6 | 89.68 |
| CPNE4 | Q96A23 | 87.42 |
| CCDC197 | Q8NCU1 | 85.38 |
| UNC5B | Q8IZJ1 | 77.60 |
| MYO3B | Q8WXR4 | 75.00 |
| FHAD1 | B1AJZ9 | 71.77 |
| ZNF618 | Q5T7W0 | 65.15 |
| NRXN3 | Q9HDB5 | 59.75 |
| MESP2 | Q0VG99 | 54.92 |
| TSHZ2 | Q9NRE2 | 54.88 |
| COL24A1 | Q17RW2 | 49.59 |
| SETBP1 | Q9Y6X0 | 43.30 |
| DCANP1 | Q8TF63 | 36.60 |
| CSMD2 | Q7Z408 | |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 134. Enrichment computed across 29 evidence-associated genes (14 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 14 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Defective MAN1B1 causes MRT15 | 1 | 815.7× | 0.060 | MAN1B1 |
| Sensory processing of sound | 2 | 44.1× | 0.060 | MYO3B, KCNN2 |
| Assembly and cell surface presentation of NMDA receptors | 2 | 36.2× | 0.060 | TUBA3C, GRIN3A |
| Sensory processing of sound by outer hair cells of the cochlea | 2 | 29.1× | 0.069 | MYO3B, KCNN2 |
| Acetylcholine inhibits contraction of outer hair cells | 1 | 163.1× | 0.156 | KCNN2 |
| Nef and signal transduction | 1 | 90.6× | 0.156 | DOCK2 |
| Netrin mediated repulsion signals | 1 | 90.6× | 0.156 | UNC5B |
| Ca2+ activated K+ channels | 1 | 81.6× | 0.156 | KCNN2 |
| Caspase activation via Dependence Receptors in the absence of ligand | 1 | 81.6× | 0.156 | UNC5B |
| Formation of axial mesoderm | 1 | 58.3× | 0.156 | FOXA1 |
| Calnexin/calreticulin cycle | 1 | 51.0× | 0.156 | MAN1B1 |
| Diseases associated with N-glycosylation of proteins | 1 | 45.3× | 0.156 | MAN1B1 |
| Microtubule-dependent trafficking of connexons from Golgi to the plasma membrane | 1 | 38.8× | 0.156 | TUBA3C |
| Transport of connexons to the plasma membrane | 1 | 38.8× | 0.156 | TUBA3C |
| ER Quality Control Compartment (ERQC) | 1 | 38.8× | 0.156 | MAN1B1 |
| Gap junction trafficking and regulation | 1 | 34.0× | 0.156 | TUBA3C |
| Gap junction trafficking | 1 | 34.0× | 0.156 | TUBA3C |
| Post-chaperonin tubulin folding pathway | 1 | 34.0× | 0.156 | TUBA3C |
| Netrin-1 signaling | 1 | 31.4× | 0.156 | UNC5B |
| Formation of tubulin folding intermediates by CCT/TriC | 1 | 30.2× | 0.156 | TUBA3C |
| N-glycan trimming in the ER and Calnexin/Calreticulin cycle | 1 | 30.2× | 0.156 | MAN1B1 |
| Cooperation of Prefoldin and TriC/CCT in actin and tubulin folding | 1 | 29.1× | 0.156 | TUBA3C |
| Translation of Structural Proteins | 1 | 29.1× | 0.156 | MAN1B1 |
| Formation of paraxial mesoderm | 1 | 29.1× | 0.156 | MESP2 |
| Prefoldin mediated transfer of substrate to CCT/TriC | 1 | 28.1× | 0.156 | TUBA3C |
| MET activates PTK2 signaling | 1 | 27.2× | 0.156 | COL24A1 |
| Activation of AMPK downstream of NMDARs | 1 | 27.2× | 0.156 | TUBA3C |
| Sensory Perception | 2 | 13.6× | 0.156 | MYO3B, KCNN2 |
| Factors involved in megakaryocyte development and platelet production | 2 | 9.5× | 0.156 | TUBA3C, DOCK2 |
| Asparagine N-linked glycosylation | 2 | 8.6× | 0.156 | TUBA3C, MAN1B1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 26 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| regulation of muscle organ development | 2 | 432.1× | 3e-04 | DCANP1, TIFAB |
| learned vocalization behavior | 2 | 432.1× | 3e-04 | DCANP1, TIFAB |
| negative regulation of saliva secretion | 2 | 432.1× | 3e-04 | DCANP1, TIFAB |
| hard palate morphogenesis | 2 | 432.1× | 3e-04 | DCANP1, TIFAB |
| mastication | 2 | 324.1× | 4e-04 | DCANP1, TIFAB |
| negative regulation of relaxation of muscle | 2 | 324.1× | 4e-04 | DCANP1, TIFAB |
| cochlea morphogenesis | 3 | 67.0× | 4e-04 | MYO3B, DCANP1, TIFAB |
| thorax and anterior abdomen determination | 2 | 259.3× | 4e-04 | DCANP1, TIFAB |
| vestibulocochlear nerve formation | 2 | 259.3× | 4e-04 | DCANP1, TIFAB |
| genitalia morphogenesis | 2 | 259.3× | 4e-04 | DCANP1, TIFAB |
| auditory behavior | 2 | 216.1× | 6e-04 | DCANP1, TIFAB |
| trigeminal nerve development | 2 | 185.2× | 8e-04 | DCANP1, TIFAB |
| genitalia development | 2 | 129.6× | 0.001 | DCANP1, TIFAB |
| craniofacial suture morphogenesis | 2 | 129.6× | 0.001 | DCANP1, TIFAB |
| peristalsis | 2 | 117.8× | 0.002 | DCANP1, TIFAB |
| prepulse inhibition | 2 | 86.4× | 0.003 | GRIN3A, MDGA1 |
| regulation of systemic arterial blood pressure by baroreceptor feedback | 1 | 648.1× | 0.013 | NAV2 |
| glossopharyngeal nerve development | 1 | 648.1× | 0.013 | NAV2 |
| vagus nerve development | 1 | 648.1× | 0.013 | NAV2 |
| protein alpha-1,2-demannosylation | 1 | 648.1× | 0.013 | MAN1B1 |
| regulation of granulocyte chemotaxis | 1 | 648.1× | 0.013 | CAMK1D |
| cochlea development | 2 | 36.0× | 0.013 | DCANP1, TIFAB |
| inner ear development | 2 | 28.8× | 0.018 | DCANP1, TIFAB |
| mesenchymal-epithelial cell signaling involved in prostate gland development | 1 | 324.1× | 0.019 | FOXA1 |
| alveolar secondary septum development | 1 | 324.1× | 0.019 | FOXA1 |
| regulation of intrinsic apoptotic signaling pathway in response to osmotic stress by p53 class mediator | 1 | 324.1× | 0.019 | TIFAB |
| respiratory basal cell differentiation | 1 | 324.1× | 0.019 | FOXA1 |
| positive regulation of dopaminergic neuron differentiation | 1 | 324.1× | 0.019 | FOXA1 |
| cellular response to Thyroid stimulating hormone | 1 | 324.1× | 0.019 | TIFAB |
| neuromuscular process controlling balance | 2 | 25.4× | 0.019 | DCANP1, TIFAB |
Therapeutics
Drug target analysis
Approved (phase 4): 6 · Phase ≥3: 6 · Phased (≥1): 8 · Undrugged: 21
Druggability breadth: 13 of 29 evidence-associated genes (45%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| CAMK1D | 25 | 4 |
| GRIN3A | 22 | 4 |
| TUBA3C | 21 | 4 |
| MYO3B | 10 | 4 |
| GRK5 | 8 | 4 |
| SSTR1 | 5 | 4 |
| DOCK2 | 1 | 2 |
| KCNN2 | 1 | 2 |
| UNC5B | 0 | 0 |
| TSHZ2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 4.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| TUBA3C | 1,686 | Binding:1645, Functional:35, ADMET:6 |
| CAMK1D | 276 | Binding:274, Functional:2 |
| GRIN3A | 195 | Binding:183, Functional:7, ADMET:4, Toxicity:1 |
| GRK5 | 172 | Binding:171, Functional:1 |
| SSTR1 | 135 | Binding:121, Functional:13, ADMET:1 |
| MYO3B | 129 | Binding:129 |
| KCNN2 | 22 | Binding:22 |
| DOCK2 | 11 | Binding:11 |
| ZNF618 | 6 | Binding:6 |
| MACROD2 | 4 | Binding:2, Toxicity:2 |
| CPNE4 | 1 | Binding:1 |
| MAN1B1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| MACROD2 | 3.1.1.106 | O-acetyl-ADP-ribose deacetylase |
| CAMK1D | 2.7.11.17 | Ca2+/calmodulin-dependent protein kinase |
| GRK5 | 2.7.11.16 | G-protein-coupled receptor kinase |
| MAN1B1 | 3.2.1.113, 3.2.1.209 | mannosyl-oligosaccharide 1,2-alpha-mannosidase, endoplasmic reticulum Man9GlcNAc2 1,2-alpha-mannosidase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| SSTR1 | 135 |
| TUBA3C | 1,686 |
| MYO3B | 129 |
| GRIN3A | 195 |
| CAMK1D | 276 |
| GRK5 | 172 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 29; with CPIC/DPWG dosing guidelines: 1.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|
| GRK5 | 1 |
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|
| LANREOTIDE | 4 | SSTR1 |
| PASIREOTIDE | 4 | SSTR1 |
| COLCHICINE | 4 | TUBA3C |
| VINBLASTINE | 4 | TUBA3C |
| LEVOFLOXACIN ANHYDROUS | 4 | TUBA3C |
| DOCETAXEL | 4 | TUBA3C |
| NOSCAPINE | 4 | TUBA3C |
| VINBLASTINE SULFATE | 4 | TUBA3C |
| PACLITAXEL | 4 | TUBA3C |
| LEVOFLOXACIN | 4 | TUBA3C |
| VINORELBINE | 4 | TUBA3C |
| TIRBANIBULIN | 4 | TUBA3C |
| PODOFILOX | 4 | TUBA3C |
| VINCRISTINE | 4 | TUBA3C |
| DOCETAXEL ANHYDROUS | 4 | TUBA3C |
| SORAFENIB | 4 | MYO3B |
| BOSUTINIB | 4 | CAMK1D, MYO3B |
| NINTEDANIB | 4 | CAMK1D, MYO3B |
| SUNITINIB | 4 | CAMK1D, GRK5, MYO3B |
| DEXTROMETHORPHAN | 4 | GRIN3A |
| LEVORPHANOL | 4 | GRIN3A |
| AMANTADINE | 4 | GRIN3A |
| CHLORPROMAZINE | 4 | GRIN3A |
| KETAMINE | 4 | GRIN3A |
| MEMANTINE | 4 | GRIN3A |
| PROCYCLIDINE | 4 | GRIN3A |
| ORPHENADRINE | 4 | GRIN3A |
| FEDRATINIB | 4 | CAMK1D |
| RUXOLITINIB | 4 | CAMK1D |
| NERATINIB | 4 | CAMK1D |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 6 | SSTR1, TUBA3C, MYO3B, GRIN3A, CAMK1D, GRK5 |
| B | Phased (≥1) drug, not yet approved | 2 | DOCK2, KCNN2 |
| C | Druggable family + PDB, no drug | 4 | CSMD1, MACROD2, MDGA1, MAN1B1 |
| D | Druggable family + AlphaFold only, no drug | 2 | UNC5B, CSMD2 |
| E | Difficult family or no structure, no drug | 15 | TSHZ2, SETBP1, NAV2, NEBL, CCDC197, COL24A1, CPNE4, DCANP1, TMTC2, FHAD1 (+5 more) |
Undrugged target profiles
21 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| UNC5B | 0 | — |
| TSHZ2 | 0 | — |
| CSMD1 | 0 | — |
| SETBP1 | 0 | — |
| NAV2 | 0 | — |
| MACROD2 | 4 | — |
| NEBL | 0 | — |
| MDGA1 | 0 | — |
| CSMD2 | 0 | — |
| CCDC197 | 0 | — |
| COL24A1 | 0 | — |
| CPNE4 | 1 | — |
| DCANP1 | 0 | — |
| TMTC2 | 0 | — |
| FHAD1 | 0 | — |
| ZNF618 | 6 | — |
| MESP2 | 0 | — |
| TIFAB | 0 | — |
| FOXA1 | 0 | — |
| MAN1B1 | 1 | — |
| NRXN3 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 10.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 5 |
| PHASE4 | 2 |
| PHASE2 | 2 |
| PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT05643651 | PHASE4 | RECRUITING | Rivaroxaban for Children Aged Over 2 Years With Giant Coronary Artery Aneurysms After Kawasaki Disease |
| NCT06978439 | PHASE4 | RECRUITING | Model-informed Dose Optimization for Rivaroxaban in Children With Giant Coronary Artery Aneurysm After Kawasaki Disease |
| NCT00132080 | PHASE3 | COMPLETED | Trial of Pulse Steroid Therapy in Kawasaki Disease–Pediatric Heart Network |
| NCT01917721 | PHASE2 | ACTIVE_NOT_RECRUITING | Doxycycline Treatment to Prevent Progressive Coronary Artery Dilation in Children With Kawasaki Disease |
| NCT00000520 | PHASE2 | COMPLETED | Prevention of Coronary Aneurysms in Kawasaki Syndrome |
| NCT06993636 | Not specified | RECRUITING | Pharmacometrics Analysis of Rivaroxaban in Chinese Children Aged Over 2 Years |
| NCT02563626 | Not specified | COMPLETED | Coronary Artery Aneurysm Registry |
| NCT05183373 | Not specified | UNKNOWN | Inflammation and Clotting Abnormalities in Aneurysmal Coronary Artery Disease |
| NCT06001957 | Not specified | COMPLETED | Whole Exome Sequencing in Coronary Artery Ectasia |
| NCT06057987 | Not specified | UNKNOWN | Coronary Artery Ectasia Database - Poland |
Drugs tested across these trials (top 30)
- Cohort genes: SSTR1, TUBA3C, UNC5B, TSHZ2, CSMD1, SETBP1, MYO3B, NAV2, MACROD2, GRIN3A, NEBL, MDGA1, CSMD2, CAMK1D, CCDC197, COL24A1, CPNE4, DCANP1, TMTC2, FHAD1, ZNF618, MESP2, DOCK2, TIFAB, GRK5, FOXA1, KCNN2, MAN1B1, NRXN3
- Drugs: Rivaroxaban, Warfarin