Coronary artery disorder

disease
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Also known as CADCHD (coronary heart disease)coronary arteriosclerosiscoronary artery diseasecoronary artery disease or disordercoronary diseasecoronary heart diseasedisease of coronary arterydisease or disorder of coronary arterydisorder of coronary artery

Summary

Coronary artery disorder (MONDO:0005010) is a disease (an umbrella term covering 12 Mondo subtypes) with 72 cohort genes (4,081 GWAS associations across 210 studies) and 5,111 clinical trials. Top therapeutic interventions include clopidogrel, prasugrel, and rosuvastatin.

At a glance

  • Umbrella term: 12 Mondo subtypes
  • Cohort genes: 72
  • GWAS associations: 4,081
  • ClinVar variants: 14
  • Clinical trials: 5,111

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namecoronary artery disorder
Mondo IDMONDO:0005010
EFOEFO:0001645
MeSHD003324
DOIDDOID:3393
ICD-111059873720
NCITC26732
SNOMED CT414024009
UMLSC1956346
MedGen365486
Anatomy (UBERON)UBERON:0000948, UBERON:0001621
Is cancer (heuristic)no

Also known as: CAD · CHD (coronary heart disease) · coronary arteriosclerosis · coronary artery disease · coronary artery disease or disorder · coronary disease · coronary heart disease · disease of coronary artery · disease or disorder of coronary artery · disorder of coronary artery

Data availability: 14 ClinVar variants · 4,081 GWAS associations (210 studies) · 3 GenCC gene-disease records · 41 cell lines.

Disease family

An umbrella term covering 12 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › cardiovascular disordervascular disorderarterial disordercoronary artery disorder

Related subtypes (29): vertebral artery insufficiency, splenic artery aneurysm, basilar artery insufficiency, arteriosclerosis disorder, subclavian artery aneurysm, pulmonary artery choriocarcinoma, pulmonary artery leiomyosarcoma, hypertensive disorder, carotid artery disorder, pulmonary embolism, peripheral arterial disease, hypotensive disorder, large artery stroke, aortic disorder, cervical artery dissection, anterior spinal artery syndrome, fibromuscular dysplasia, retinal arterial tortuosity, Sneddon syndrome, celiac trunk compression syndrome, pediatric arterial ischemic stroke, absence of the pulmonary artery, arterial occlusion, aberrant subclavian artery, anterior spinal artery stroke, arteritis, pulmonary artery disease, fibromuscular dysplasia, multifocal, carotid web

Subtypes (12): coronary vasospasm, postoperative ventricular dysfunction, coronary aneurysm, 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

4,081 GWAS associations across 210 studies. Top hits map to 33 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs49775749e-223CDKN2B-AS1A0.18
rs28911685e-204CDKN2B-AS1A0.19
rs13330492e-192CDKN2B-AS1C0.19
rs557304993e-154LPAT0.34
rs2476171e-149HERPUD1 - CETP?
rs9641842e-108ZPR1?
rs1866962655e-92LPA - PLGT0.55
rs7800944e-91GCKR?
rs1405708863e-87LPAT0.48
rs93493793e-77PHACTR1A0.12
rs80828125e-67THEMIS3P - AKR1B1P6?
rs6026332e-59CELSR2 - PSRC1T0.11
rs127403742e-57CELSR2T0.12
rs6293011e-49CELSR2?
rs104558722e-49LPAG1.31
rs107572748e-45CDKN2B-AS1G1.37
rs7655472e-44LPL - RPL30P9?
rs65117205e-41LDLRT0.14
rs74123e-39APOET0.16
rs557913712e-36SMARCA4A0.12
rs71737435e-36MORF4L1T0.06
rs2613322e-35ALDH1A2, LIPC-AS1, LIPC?
rs6712e-34ALDH2A1.43
rs284510643e-33KCNE2, MRPS6, LINC00310A0.11
rs67288611e-32WDR12A0.11
rs42521852e-32PLGC1.34
rs729345352e-32NBEAL1T0.13
rs1156546172e-32NBEAL1A0.12
rs17289181e-31PPM1G - NRBP1?
rs1475555973e-31LPAL2A0.4

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST007544Siewert KM2018122,733424,528Bivariate Genome-Wide Association Scan Identifies 6 Novel Loci Associated With Lipid Levels and Coronary Artery Disease.
GCST007545Siewert KM2018122,733424,528Bivariate Genome-Wide Association Scan Identifies 6 Novel Loci Associated With Lipid Levels and Coronary Artery Disease.
GCST005195van der Harst P2017122,733424,528Identification of 64 Novel Genetic Loci Provides an Expanded View on the Genetic Architecture of Coronary Artery Disease.
GCST005196van der Harst P201788,192162,544Identification of 64 Novel Genetic Loci Provides an Expanded View on the Genetic Architecture of Coronary Artery Disease.
GCST003116Nikpay M201542,09699,121A comprehensive 1,000 Genomes-based genome-wide association meta-analysis of coronary artery disease.
GCST004944Winsvold BS201737,653171,108Shared genetic risk between migraine and coronary artery disease: A genome-wide analysis of common variants.
GCST005194van der Harst P201734,541261,984Identification of 64 Novel Genetic Loci Provides an Expanded View on the Genetic Architecture of Coronary Artery Disease.
GCST002289Dichgans M201333,39875,726Shared genetic susceptibility to ischemic stroke and coronary artery disease: a genome-wide analysis of common variants.
GCST004717Peng C201722,23364,762Genetic sharing with coronary artery disease identifies potential novel loci for bone mineral density.
GCST000998Schunkert H201122,23364,762Large-scale association analysis identifies 13 new susceptibility loci for coronary artery disease.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding4
Tier 2: splice/UTR4
Tier 3: regulatory0
Tier 4: intronic/intergenic42

MAF distribution

BucketVariants
common (>=0.05)46
low_freq (0.01-0.05)3
rare (<0.01)1
unknown0

Functional consequences

ConsequenceCount
intron_variant29
intergenic_variant11
3_prime_UTR_variant4
missense_variant4
non_coding_transcript_exon_variant2

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs4977574922098575A>G,T0.481intron_variantCDKN2B-AS19e-223Tier 4: intronic/intergenic
rs2891168922098620A>G0.475intron_variantCDKN2B-AS15e-204Tier 4: intronic/intergenic
rs1333049922125504G>A,C0.485intergenic_variantCDKN2B-AS12e-192Tier 4: intronic/intergenic
rs557304996160584578C>T0.069intron_variantLPA3e-154Tier 4: intronic/intergenic
rs2476171656956804C>A0.05intergenic_variantHERPUD1 - CETP1e-149Tier 4: intronic/intergenic
rs96418411116778201G>C0.053_prime_UTR_variantZPR12e-108Tier 2: splice/UTR
rs1866962656160690668C>T0.013intergenic_variantLPA - PLG5e-92Tier 4: intronic/intergenic
rs780094227518370T>A,C,G0.05intron_variantGCKR4e-91Tier 4: intronic/intergenic
rs1405708866160591981T>C0.017intron_variantLPA3e-87Tier 4: intronic/intergenic
rs9349379612903725A>C,G,T0.412intron_variantPHACTR13e-77Tier 4: intronic/intergenic
rs8082812188522684C>A0.05intergenic_variantTHEMIS3P - AKR1B1P65e-67Tier 4: intronic/intergenic
rs6026331109278889T>A,C,G0.235intergenic_variantCELSR2 - PSRC12e-59Tier 4: intronic/intergenic
rs127403741109274968G>T0.2193_prime_UTR_variantCELSR22e-57Tier 2: splice/UTR
rs6293011109275684G>A,C,T0.053_prime_UTR_variantCELSR21e-49Tier 2: splice/UTR
rs104558726160589086A>G0.065intron_variantLPA2e-49Tier 4: intronic/intergenic
rs10757274922096056A>C,G,T0.46intron_variantCDKN2B-AS18e-45Tier 4: intronic/intergenic
rs765547820008763G>A,C,T0.05intergenic_variantLPL - RPL30P92e-44Tier 4: intronic/intergenic
rs65117201911091630G>T0.117intron_variantLDLR5e-41Tier 4: intronic/intergenic
rs74121944908822C>T0.08missense_variantAPOE3e-39Tier 1: coding
rs557913711911077477A>C,T0.113intergenic_variantSMARCA42e-36Tier 4: intronic/intergenic
rs71737431578849442T>A,C0.446intergenic_variantMORF4L15e-36Tier 4: intronic/intergenic
rs2613321558435126A>G0.05non_coding_transcript_exon_variantALDH1A2, LIPC-AS1, LIPC2e-35Tier 4: intronic/intergenic
rs67112111803962G>A0.23missense_variantALDH22e-34Tier 1: coding
rs284510642134221526G>A,T0.124intron_variantKCNE2, MRPS6, LINC003103e-33Tier 4: intronic/intergenic
rs67288612203009020G>A0.117intergenic_variantWDR121e-32Tier 4: intronic/intergenic
rs42521856160702419T>C0.06intron_variantPLG2e-32Tier 4: intronic/intergenic
rs729345352203104250T>C0.1intron_variantNBEAL12e-32Tier 4: intronic/intergenic
rs1156546172203029276C>A0.116intron_variantNBEAL12e-32Tier 4: intronic/intergenic
rs1728918227412596A>C,G,T0.05intron_variantPPM1G - NRBP11e-31Tier 4: intronic/intergenic
rs1475555976160490564G>A0.009intron_variantLPAL23e-31Tier 4: intronic/intergenic

ClinVar germline variants

14 retrieved; paginated sample, class counts are floors:

6 benign, 3 uncertain significance, 3 pathogenic, 1 risk factor, 1 likely pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
633592NM_033440.3(CELA2A):c.361G>A (p.Asp121Asn)CELA2APathogenicno assertion criteria provided
633594NM_033440.3(CELA2A):c.639+1G>CCELA2APathogenicno assertion criteria provided
633595NM_033440.3(CELA2A):c.209C>T (p.Thr70Met)CELA2APathogeniccriteria provided, multiple submitters, no conflicts
633593NM_033440.3(CELA2A):c.253C>A (p.Leu85Met)CELA2ALikely pathogeniccriteria provided, multiple submitters, no conflicts
441163NM_005114.4(HS3ST1):c.-108-6848A>GHS3ST1risk factorcriteria provided, single submitter
684469NM_002336.3(LRP6):c.1750C>T (p.His584Tyr)LRP6Uncertain significancecriteria provided, single submitter
374128NM_016203.4(PRKAG2):c.590C>G (p.Pro197Arg)PRKAG2Uncertain significancecriteria provided, multiple submitters, no conflicts
523426NM_001256071.3(RNF213):c.11659A>G (p.Lys3887Glu)RNF213Uncertain significancecriteria provided, single submitter
1239762NM_000078.3(CETP):c.118+279G>ACETPBenigncriteria provided, multiple submitters, no conflicts
17525NM_000078.3(CETP):c.1264G>A (p.Val422Ile)CETPBenigncriteria provided, multiple submitters, no conflicts
1684531NM_198551.4(MIA3):c.3632-105A>GMIA3Benigncriteria provided, single submitter
1684529NM_000450.2(SELE):c.38-139T>CSELEBenigncriteria provided, single submitter
1684530NM_000450.2(SELE):c.1723C>T (p.Leu575Phe)SELEBenigncriteria provided, multiple submitters, no conflicts
1272319NM_005902.4(SMAD3):c.533-478T>CSMAD3Benigncriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 74 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 4

Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)

GeneHGNCEvidence routes
RNF213RNF213GWAS, Orphanet
CETPCETPGWAS, Orphanet
MIA3MIA3GWAS
SMAD3SMAD3GWAS, Orphanet

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
RNF213Orphanet:2573Moyamoya disease
CETPOrphanet:181428Familial Hyperalphalipoproteinemia
SMAD3Orphanet:284984Aneurysm-osteoarthritis syndrome
SMAD3Orphanet:60030Loeys-Dietz syndrome
SMAD3Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
CNNM2Orphanet:620363Primary hypomagnesemia-generalized seizures-intellectual disability-obesity syndrome
BDNFOrphanet:661Congenital central hypoventilation syndrome
BDNFOrphanet:893WAGR syndrome
CFBOrphanet:544472Atypical hemolytic uremic syndrome with complement gene abnormality
ATXN2Orphanet:803Amyotrophic lateral sclerosis
ATXN2Orphanet:98756Spinocerebellar ataxia type 2
BLMOrphanet:125Bloom syndrome
BMP1Orphanet:216812Osteogenesis imperfecta type 3
BMP1Orphanet:314029High bone mass osteogenesis imperfecta
SEMA5AOrphanet:281Monosomy 5p syndrome
BMPR1BOrphanet:2098Acromesomelic dysplasia, Grebe type
BMPR1BOrphanet:2639Fibular aplasia-complex brachydactyly syndrome
BMPR1BOrphanet:93384Brachydactyly type C
BMPR1BOrphanet:93388Brachydactyly type A1
BMPR1BOrphanet:93396Brachydactyly type A2
SFTPCOrphanet:2032Idiopathic pulmonary fibrosis
SFTPCOrphanet:217566Chronic respiratory distress with surfactant metabolism deficiency
SFTPCOrphanet:440392Interstitial lung disease due to SP-C deficiency
SFTPCOrphanet:685082Pediatric acute respiratory distress syndrome
SIX5Orphanet:107BOR syndrome
SKIOrphanet:16061p36 deletion syndrome
SKIOrphanet:2462Shprintzen-Goldberg syndrome
SKIC2Orphanet:84064Trichohepatoenteric syndrome
SMARCA4Orphanet:1465Coffin-Siris syndrome
SMARCA4Orphanet:231108Rhabdoid tumor predisposition syndrome
SMARCA4Orphanet:370396Small cell carcinoma of the ovary
SMARCA4Orphanet:466962SMARCA4-deficient sarcoma of thorax
SPINK2Orphanet:399805Male infertility with azoospermia or oligozoospermia due to single gene mutation
BTNL2Orphanet:797Sarcoidosis
TAF6Orphanet:694946Alazami-Yuan syndrome
TBX20Orphanet:54260Left ventricular noncompaction
TBX20Orphanet:99103Atrial septal defect, ostium secundum type
TBXAS1Orphanet:1802Ghosal hematodiaphyseal dysplasia
HNF1AOrphanet:319303Chromophobe renal cell carcinoma
HNF1AOrphanet:324575Hyperinsulinism due to HNF1A deficiency
HNF1AOrphanet:404511Clear cell papillary renal cell carcinoma
HNF1AOrphanet:552MODY
TCF7L2Orphanet:528084Non-specific syndromic intellectual disability
TEKOrphanet:1059Blue rubber bleb nevus
TEKOrphanet:2451Mucocutaneous venous malformations
TEKOrphanet:714806Multifocal sporadic venous malformation
TEKOrphanet:98976Congenital glaucoma
TGFB1Orphanet:1328Camurati-Engelmann disease
TGFB1Orphanet:565788Infantile inflammatory bowel disease with neurological involvement
TGFB1Orphanet:586Cystic fibrosis

Cohort genes → proteins

72 cohort genes, 72 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only67
gwas_and_clinvar4
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
RNF213HGNC:14539ENSG00000173821Q63HN8E3 ubiquitin-protein ligase RNF213gwas,clinvar
CETPHGNC:1869ENSG00000087237P11597Cholesteryl ester transfer proteingwas,clinvar
MIA3HGNC:24008ENSG00000154305Q5JRA6Transport and Golgi organization protein 1 homologgwas,clinvar
SMAD3HGNC:6769ENSG00000166949P84022SMAD family member 3gwas,clinvar
RNASE1HGNC:10044ENSG00000129538P07998Ribonuclease pancreaticgwas
CNNM2HGNC:103ENSG00000148842Q9H8M5Metal transporter CNNM2gwas
BDNFHGNC:1033ENSG00000176697P23560Neurotrophic factor BDNF precursor formgwas
CFBHGNC:1037ENSG00000243649P00751Complement factor Bgwas
RRBP1HGNC:10448ENSG00000125844Q9P2E9Ribosome-binding protein 1gwas
ATXN2HGNC:10555ENSG00000204842Q99700Ataxin-2gwas
BLMHGNC:1058ENSG00000197299P54132RecQ-like DNA helicase BLMgwas
BMP1HGNC:1067ENSG00000168487P13497Bone morphogenetic protein 1gwas
CXCL12HGNC:10672ENSG00000107562P48061Stromal cell-derived factor 1gwas
SELEHGNC:10718ENSG00000007908P16581E-selectinclinvar
SEMA5AHGNC:10736ENSG00000112902Q13591Semaphorin-5Agwas
SF3A3HGNC:10767ENSG00000183431Q12874Splicing factor 3A subunit 3gwas
BMPR1BHGNC:1077ENSG00000138696O00238Bone morphogenetic protein receptor type-1Bgwas
SCAF11HGNC:10784ENSG00000139218Q99590Protein SCAF11gwas
SFTPCHGNC:10802ENSG00000168484P11686Surfactant protein Cgwas
ST3GAL4HGNC:10864ENSG00000110080Q11206CMP-N-acetylneuraminate-beta-galactosamide-alpha-2,3-sialyltransferase 4gwas
SIPA1HGNC:10885ENSG00000213445Q96FS4Signal-induced proliferation-associated protein 1gwas
SIX5HGNC:10891ENSG00000177045Q8N196Homeobox protein SIX5gwas
SKIHGNC:10896ENSG00000157933P12755Ski oncogenegwas
SKIC2HGNC:10898ENSG00000204351Q15477Superkiller complex protein 2gwas
SLC18A1HGNC:10934ENSG00000036565P54219Chromaffin granule amine transportergwas
SLC22A3HGNC:10967ENSG00000146477O75751Solute carrier family 22 member 3gwas
SLC22A4HGNC:10968ENSG00000197208Q9H015Solute carrier family 22 member 4gwas
SLC5A3HGNC:11038ENSG00000198743P53794Sodium/myo-inositol cotransportergwas
SMARCA4HGNC:11100ENSG00000127616P51532SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 4gwas
SNRPD2HGNC:11159ENSG00000125743P62316Small nuclear ribonucleoprotein Sm D2gwas
BSNHGNC:1117ENSG00000164061Q9UPA5Protein bassoongwas
SORT1HGNC:11186ENSG00000134243Q99523Sortilingwas
SPINK2HGNC:11245ENSG00000128040P20155Serine protease inhibitor Kazal-type 2gwas
ZNRD2HGNC:11328ENSG00000173465O60232Protein ZNRD2gwas
BTNL2HGNC:1142ENSG00000204290Q9UIR0Butyrophilin-like protein 2gwas
TAF6HGNC:11540ENSG00000106290P49848Transcription initiation factor TFIID subunit 6gwas
TBX2HGNC:11597ENSG00000121068Q13207T-box transcription factor TBX2gwas
TBX20HGNC:11598ENSG00000164532Q9UMR3T-box transcription factor TBX20gwas
TBXAS1HGNC:11609ENSG00000059377P24557Thromboxane-A synthasegwas
HNF1AHGNC:11621ENSG00000135100P20823Hepatocyte nuclear factor 1-alphagwas
TCF21HGNC:11632ENSG00000118526O43680Transcription factor 21gwas
TCF7L2HGNC:11641ENSG00000148737Q9NQB0Transcription factor 7-like 2gwas
TCTAHGNC:11692ENSG00000145022P57738T-cell leukemia translocation-altered gene proteingwas
TDRKHHGNC:11713ENSG00000182134Q9Y2W6Tudor and KH domain-containing proteingwas
TEKHGNC:11724ENSG00000120156Q02763Angiopoietin-1 receptorgwas
TGFB1HGNC:11766ENSG00000105329P01137Transforming growth factor beta-1 proproteingwas
TMOD4HGNC:11874ENSG00000163157Q9NZQ9Tropomodulin-4gwas
GIGYF2HGNC:11960ENSG00000204120Q6Y7W6GRB10-interacting GYF protein 2gwas
TNS1HGNC:11973ENSG00000079308Q9HBL0Tensin-1gwas
TNXBHGNC:11976ENSG00000168477P22105Tenascin-Xgwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
RNF213E3 ubiquitin-protein ligase RNF213Atypical E3 ubiquitin ligase that can catalyze ubiquitination of both proteins and lipids, and which is involved in various processes, such as lipid metabolism, angiogenesis and cell-autonomous immunity.
CETPCholesteryl ester transfer proteinInvolved in the transfer of neutral lipids, including cholesteryl ester and triglyceride, among lipoprotein particles.
MIA3Transport and Golgi organization protein 1 homologPlays a role in the transport of cargos that are too large to fit into COPII-coated vesicles and require specific mechanisms to be incorporated into membrane-bound carriers and exported from the endoplasmic reticulum.
SMAD3SMAD family member 3Receptor-regulated SMAD (R-SMAD) that is an intracellular signal transducer and transcriptional modulator activated by TGF-beta (transforming growth factor) and activin type 1 receptor kinases.
RNASE1Ribonuclease pancreaticEndonuclease that catalyzes the cleavage of RNA on the 3’ side of pyrimidine nucleotides.
CNNM2Metal transporter CNNM2Divalent metal cation transporter.
BDNFNeurotrophic factor BDNF precursor formImportant signaling molecule that activates signaling cascades downstream of NTRK2.
CFBComplement factor BPrecursor of the catalytic component of the C3 and C5 convertase complexes of the alternative pathway of the complement system, a cascade of proteins that leads to phagocytosis and breakdown of pathogens and signaling that strengthens the…
RRBP1Ribosome-binding protein 1Acts as a ribosome receptor and mediates interaction between the ribosome and the endoplasmic reticulum membrane.
ATXN2Ataxin-2Involved in EGFR trafficking, acting as negative regulator of endocytic EGFR internalization at the plasma membrane.
BLMRecQ-like DNA helicase BLMATP-dependent DNA helicase that unwinds double-stranded (ds)DNA in a 3’-5’ direction.
BMP1Bone morphogenetic protein 1Metalloprotease that plays key roles in regulating the formation of the extracellular matrix (ECM) via processing of various precursor proteins into mature functional enzymes or structural proteins.
CXCL12Stromal cell-derived factor 1Chemoattractant active on T-lymphocytes and monocytes but not neutrophils.
SELEE-selectinCell-surface glycoprotein having a role in immunoadhesion.
SEMA5ASemaphorin-5ABifunctional axonal guidance cue regulated by sulfated proteoglycans; attractive effects result from interactions with heparan sulfate proteoglycans (HSPGs), while the inhibitory effects depend on interactions with chondroitin sulfate prot…
SF3A3Splicing factor 3A subunit 3Component of the 17S U2 SnRNP complex of the spliceosome, a large ribonucleoprotein complex that removes introns from transcribed pre-mRNAs.
BMPR1BBone morphogenetic protein receptor type-1BOn ligand binding, forms a receptor complex consisting of two type II and two type I transmembrane serine/threonine kinases.
SCAF11Protein SCAF11Plays a role in pre-mRNA alternative splicing by regulating spliceosome assembly.
SFTPCSurfactant protein CPulmonary surfactant associated proteins promote alveolar stability by lowering the surface tension at the air-liquid interface in the peripheral air spaces.
ST3GAL4CMP-N-acetylneuraminate-beta-galactosamide-alpha-2,3-sialyltransferase 4A beta-galactoside alpha2-3 sialyltransferase involved in terminal sialylation of glycoproteins and glycolipids.
SIPA1Signal-induced proliferation-associated protein 1GTPase activator for the nuclear Ras-related regulatory proteins Rap1 and Rap2 in vitro, converting them to the putatively inactive GDP-bound state.
SIX5Homeobox protein SIX5Transcription factor that is thought to be involved in regulation of organogenesis.
SKISki oncogeneMay play a role in terminal differentiation of skeletal muscle cells but not in the determination of cells to the myogenic lineage.
SKIC2Superkiller complex protein 2Helicase component of the SKI complex, a multiprotein complex that assists the RNA-degrading exosome during the mRNA decay and quality-control pathways.
SLC18A1Chromaffin granule amine transporterElectrogenic antiporter that exchanges one cationic monoamine with two intravesicular protons across the membrane of secretory and synaptic vesicles.
SLC22A3Solute carrier family 22 member 3Electrogenic voltage-dependent transporter that mediates the transport of a variety of organic cations such as endogenous bioactive amines, cationic drugs and xenobiotics.
SLC22A4Solute carrier family 22 member 4Transporter that mediates the transport of endogenous and microbial zwitterions and organic cations.
SLC5A3Sodium/myo-inositol cotransporterElectrogenic Na(+)-coupled sugar symporter that actively transports myo-inositol and its stereoisomer scyllo-inositol across the plasma membrane, with a Na(+) to sugar coupling ratio of 2:1.
SMARCA4SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 4ATPase involved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology).
SNRPD2Small nuclear ribonucleoprotein Sm D2Plays a role in pre-mRNA splicing as a core component of the spliceosomal U1, U2, U4 and U5 small nuclear ribonucleoproteins (snRNPs), the building blocks of the spliceosome.
BSNProtein bassoonScaffold protein of the presynaptic cytomatrix at the active zone (CAZ) which is the place in the synapse where neurotransmitter is released.
SORT1SortilinFunctions as a sorting receptor in the Golgi compartment and as a clearance receptor on the cell surface.
SPINK2Serine protease inhibitor Kazal-type 2As a strong inhibitor of acrosin, it is required for normal spermiogenesis.
ZNRD2Protein ZNRD2Might play a role in mitosis.
BTNL2Butyrophilin-like protein 2Negative regulator of T-cell proliferation.
TAF6Transcription initiation factor TFIID subunit 6The TFIID basal transcription factor complex plays a major role in the initiation of RNA polymerase II (Pol II)-dependent transcription.
TBX2T-box transcription factor TBX2Transcription factor which acts as a transcriptional repressor.
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.
TBXAS1Thromboxane-A synthaseCatalyzes the conversion of prostaglandin H2 (PGH2) to thromboxane A2 (TXA2), a potent inducer of blood vessel constriction and platelet aggregation.
HNF1AHepatocyte nuclear factor 1-alphaTranscriptional activator that regulates the tissue specific expression of multiple genes, especially in pancreatic islet cells and in liver.
TCF21Transcription factor 21Involved in epithelial-mesenchymal interactions in kidney and lung morphogenesis that include epithelial differentiation and branching morphogenesis.
TCF7L2Transcription factor 7-like 2Participates in the Wnt signaling pathway and modulates MYC expression by binding to its promoter in a sequence-specific manner.
TCTAT-cell leukemia translocation-altered gene proteinMay be required for cellular fusion during osteoclastogenesis.
TDRKHTudor and KH domain-containing proteinParticipates in the primary piRNA biogenesis pathway and is required during spermatogenesis to repress transposable elements and prevent their mobilization, which is essential for the germline integrity.
TEKAngiopoietin-1 receptorTyrosine-protein kinase that acts as a cell-surface receptor for ANGPT1, ANGPT2 and ANGPT4 and regulates angiogenesis, endothelial cell survival, proliferation, migration, adhesion and cell spreading, reorganization of the actin cytoskelet…
TGFB1Transforming growth factor beta-1 proproteinTransforming growth factor beta-1 proprotein: Precursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-1 (TGF-beta-1) chains, which constitute the regulatory and active subunit of TGF-beta-1, respectively.
TMOD4Tropomodulin-4Blocks the elongation and depolymerization of the actin filaments at the pointed end.
GIGYF2GRB10-interacting GYF protein 2Key component of the 4EHP-GYF2 complex, a multiprotein complex that acts as a repressor of translation initiation.
TNS1Tensin-1May act as a protein phosphatase and/or a lipid phosphatase.
TNXBTenascin-XAppears to mediate interactions between cells and the extracellular matrix.

Protein-family classification

Druggable: 21 · Difficult: 19 · Unknown: 32 · 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
Complement27.4×0.161
Protease52.5×0.161
Transcription factor141.6×0.161
Transporter33.2×0.164
Antibody/Immunoglobulin31.2×0.750
Scaffold/PPI51.2×0.750
Phosphatase11.2×0.820
Enzyme (other)50.8×0.820
Kinase20.8×0.820
Other/Unknown320.8×0.980

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
RNF213Transcription factornoZnf_RING, AAA+_ATPase, Znf_RING/FYVE/PHD
CETPOther/UnknownnoLipid-bd_serum_glycop_C, Cholesteryl_ester_transfer, Lipid-bd_serum_glycop_N
MIA3Scaffold/PPInoSH3_domain, SH3-like_dom_sf, cTAGE_MIA/OTOR
SMAD3Other/UnknownnoSMAD_dom, MAD_homology1_Dwarfin-type, SMAD_FHA_dom_sf
RNASE1Enzyme (other)yes4.6.1.18RNaseA, RNaseA_AS, RNaseA_domain
CNNM2Other/UnknownnoCBS_dom, CNNM, RmlC-like_jellyroll
BDNFOther/UnknownnoNerve_growth_factor-rel, Nerve_growth_factor_CS, Nerve_growth_factor-like
CFBProteaseyes3.4.21.47Sushi_SCR_CCP_dom, Trypsin_dom, Peptidase_S1A
RRBP1Other/UnknownnoRib_rcpt_KP, RRBP1
ATXN2Other/UnknownnoLsmAD_domain, PAM2_motif, LSM_dom_sf
BLMEnzyme (other)yes3.6.4.12Helicase_C-like, HRDC_dom, DNA/RNA_helicase_DEAH_CS
BMP1Proteaseyes2.7.11.4EGF-type_Asp/Asn_hydroxyl_site, EGF, CUB_dom
CXCL12Other/UnknownnoChemokine_IL8-like_dom, CXC_Chemokine_domain, Interleukin_8-like_sf
SELEComplementyesSushi_SCR_CCP_dom, EGF, C-type_lectin-like
SEMA5AScaffold/PPInoTSP1_rpt, Semap_dom, Plexin_repeat
SF3A3Transcription factornoMatrin/U1-C_Znf_C2H2, SF3a60_bindingd, SF3a60/Prp9_C
BMPR1BKinaseyes2.7.10.2TGFB_receptor, Activin_recp, Prot_kinase_dom
SCAF11Transcription factornoZnf_RING, Znf_RING/FYVE/PHD, Znf_RING_CS
SFTPCOther/UnknownnoSP-C, BRICHOS_dom, Surfactant_protein_propep
ST3GAL4Enzyme (other)yes2.4.99.2Glyco_trans_29, Sialyl_trans, GT29-like_sf
SIPA1Scaffold/PPInoRap/Ran_GAP_dom, PDZ, Rap/Ran-GAP_sf
SIX5Transcription factornoHD, Homeodomain-like_sf, Homeobox_CS
SKIOther/UnknownnoSKI/SNO/DAC, DNA-bd_dom_put_sf, SAND-like_dom_sf
SKIC2Other/UnknownnoHelicase_C-like, DEAD/DEAH_box_helicase_dom, Ski2/MTR4_C
SLC18A1TransporteryesTet-R_TetA/multi-R_MdtG-like, MFS, MFS_dom
SLC22A3TransporteryesOrgcat_transp/SVOP, Sugar_transporter_CS, MFS
SLC22A4TransporteryesOrgcat_transp/SVOP, MFS_sugar_transport-like, Sugar_transporter_CS
SLC5A3Other/UnknownnoNa/solute_symporter, Na/solute_symporter_CS, Na/Glc_symporter_sf
SMARCA4Other/UnknownnoSNF2_N, Bromodomain, Helicase_C-like
SNRPD2Other/UnknownnoSm_dom_euk/arc, LSM_dom_sf, Sm_D2
BSNTranscription factornoZnf_piccolo, Znf_FYVE_PHD, Znf_RING/FYVE/PHD
SORT1Scaffold/PPInoVPS10, WD40/YVTN_repeat-like_dom_sf, Sortilin_C
SPINK2Other/UnknownnoKazal_dom, Kazal_dom_sf, SPINK2
ZNRD2Other/UnknownnoZNRD2_N, UPF0148_domain
BTNL2Antibody/ImmunoglobulinyesIg_C1-set, Ig_sub, Ig-like_dom
TAF6Other/UnknownnoTAF_TATA-bd_Histone-like_dom, Histone-fold, TAF6_C
TBX2Transcription factornoTF_T-box, TF_Brachyury, p53-like_TF_DNA-bd_sf
TBX20Transcription factornoTF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS
TBXAS1Other/UnknownnoCyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS
HNF1ATranscription factornoHD, HNF1b_C, HNF1a_C
TCF21Transcription factornobHLH_dom, HLH_DNA-bd_sf, E-box_TF_Regulators
TCF7L2Other/UnknownnoHMG_box_dom, CTNNB1-bd_N, TCF/LEF
TCTAOther/UnknownnoTCTA
TDRKHOther/UnknownnoTudor, KH_dom, KH_dom_type_1
TEKKinaseyes2.7.10.1Prot_kinase_dom, EGF, Ser-Thr/Tyr_kinase_cat_dom
TGFB1Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGFb1
TMOD4Other/UnknownnoTMOD, LRR_dom_sf
GIGYF2Other/UnknownnoGYF, GYF-like_dom_sf, GRB10-interact_GYF
TNS1PhosphataseyesSH2, PKC_DAG/PE, Tyr_Pase_cat
TNXBAntibody/ImmunoglobulinyesEGF, Fibrinogen_a/b/g_C_dom, FN3_dom

Expression context

Cohort genes with no expression data: 0.

63 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)72
unknown0

Top tissues across cohort

TissueCohort genes
primordial germ cell in gonad7
right lung6
oocyte6
right lobe of liver6
liver5
calcaneal tendon4
hindlimb stylopod muscle4
tendon of biceps brachii4
right testis4
secondary oocyte4
buccal mucosa cell4
colonic epithelium4
ganglionic eminence4
granulocyte3
pancreatic ductal cell3
body of pancreas3
right adrenal gland3
stromal cell of endometrium3
male germ line stem cell (sensu Vertebrata) in testis3
sural nerve3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
RNF213252ubiquitousmarkergranulocyte, metanephros cortex, pancreatic ductal cell
CETP165broadmarkerlymph node, spleen, liver
MIA3282ubiquitousmarkercalcaneal tendon, adrenal tissue, body of pancreas
SMAD3288ubiquitousmarkertendon of biceps brachii, cartilage tissue, hindlimb stylopod muscle
RNASE1283broadmarkerleft testis, right testis, right lung
CNNM2234ubiquitousmarkersecondary oocyte, oocyte, right adrenal gland
BDNF189ubiquitousyessaphenous vein, pons, oocyte
CFB134broadmarkerright lobe of liver, liver, gall bladder
RRBP1298ubiquitousmarkerbody of pancreas, parotid gland, tendon of biceps brachii
ATXN2286ubiquitousmarkerbuccal mucosa cell, colonic epithelium, olfactory bulb
BLM199ubiquitousmarkerparotid gland, primordial germ cell in gonad, secondary oocyte
BMP1236ubiquitousmarkerstromal cell of endometrium, left uterine tube, right adrenal gland cortex
CXCL12275ubiquitousmarkersynovial joint, pericardium, mammary duct
SELE213broadmarkervena cava, left uterine tube, male germ line stem cell (sensu Vertebrata) in testis
SEMA5A262ubiquitousmarkermetanephric glomerulus, renal glomerulus, stromal cell of endometrium
SF3A3289ubiquitousmarkersural nerve, calcaneal tendon, colonic epithelium
BMPR1B239broadmarkercalcaneal tendon, bronchial epithelial cell, cauda epididymis
SCAF11295ubiquitousmarkerbuccal mucosa cell, colonic epithelium, tendon of biceps brachii
SFTPC208tissue_specificmarkerlower lobe of lung, right lung, adult organism
ST3GAL4249ubiquitousmarkerlower esophagus mucosa, left adrenal gland cortex, left adrenal gland
SIPA1191ubiquitousmarkergranulocyte, spleen, lower esophagus mucosa
SIX5205ubiquitousyescardiac muscle of right atrium, right uterine tube, right ovary
SKI268ubiquitousmarkernipple, right hemisphere of cerebellum, cerebellar hemisphere
SKIC2134ubiquitousyesright lobe of liver, pituitary gland, adenohypophysis
SLC18A179tissue_specificmarkerdiaphragm, male germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell
SLC22A3189broadmarkerthoracic aorta, ascending aorta, descending thoracic aorta
SLC22A4201ubiquitousmarkerbronchial epithelial cell, epithelium of bronchus, bronchus
SLC5A3291ubiquitousmarkerrenal medulla, choroid plexus epithelium, tibia
SMARCA4295ubiquitousmarkerganglionic eminence, cortical plate, cervix squamous epithelium
SNRPD2295ubiquitousmarkeradult organism, type B pancreatic cell, embryo

Protein interactions among cohort

Intra-cohort edges: 15.

Hub genes (top 10 by interactor count)

SymbolInteractor count
SMARCA48,138
TGFB17,596
SMAD36,440
BDNF5,587
CXCL124,892
UMPS4,760
SF3A34,041
WT13,938
TCF7L23,775
TWIST13,507

Intra-cohort edges

ABSources
ASZ1TDRKHstring_interaction
BDNFSORT1biogrid_interaction, intact, string_interaction
BMP1C1Sintact, string_interaction
C1SC2intact
C2SKIC2string_interaction
C5CFBstring_interaction
CNNM2SFTPCintact
CXCL12TEKstring_interaction
SF3A3SNRPD2biogrid_interaction, intact
SKISMAD3biogrid_interaction, intact, string_interaction
SMAD3TGFB1string_interaction
SORT1VAMP5intact
TCF21WT1string_interaction
TGFB1TNXBintact
VAMP5VAMP8string_interaction

Structural data

PDB: 45 · AlphaFold-only: 27 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
SNRPD2P6231681
UMPSP1117272
VEGFAP1569256
SF3A3Q1287446
C5P0103142
CXCL12P4806134
TAF6P4984832
SMARCA4P5153231
WT1P1954428
CFBP0075126
TGFB1P0113720
SELEP1658117
SORT1Q9952317
TEKQ0276317
BLMP5413215
C1SP0987114
C2P0668114
SMAD3P8402212
RNASE1P0799812
SKIC2Q1547711
BMP1P134978
SLC18A1P542198
CNNM2Q9H8M57
HNF1AP208236
TDRKHQ9Y2W65
ZNF32P170415
RNF213Q63HN84
MIA3Q5JRA64
SEMA5AQ135914
SKIP127554

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
PGPEP1Q9NXJ593.62
VPS33BQ9H26791.82
TBXAS1P2455791.50
ST3GAL4Q1120689.46
TMOD4Q9NZQ986.28
BTNL2Q9UIR085.97
UBE3BQ7Z3V485.14
SLC22A4Q9H01585.07
WNT9BO1490584.50
VAMP5O9518380.60
ZPR1O7531280.11
SLC38A1Q9H2H979.81
UNC5CO9518578.72
SLC5A3P5379478.65
SIPA1Q96FS472.20
RRBP1Q9P2E970.52
ZNF77Q1593568.67
TBX20Q9UMR367.87
ASZ1Q8WWH466.83
TCF21O4368066.67
TCTAP5773866.03
FIGNQ5HY9262.06
TBX2Q1320758.13
TNS1Q9HBL053.42
SIX5Q8N19653.21
SCAF11Q9959042.56
BSNQ9UPA5

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 739. Enrichment computed across 250 evidence-associated genes (163 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 163 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Defective ABCG8 causes GBD4 and sitosterolemia270.1×0.055ABCG5, ABCG8
Defective ABCG5 causes sitosterolemia270.1×0.055ABCG5, ABCG8
Activation of C3 and C5323.4×0.055CFB, C2, C5
Nephron development316.2×0.109WNT9B, WT1, IRX1
Disease252.0×0.109RNF213, SMAD3, BDNF, RRBP1, BLM, SEMA5A, ST3GAL4, SNRPD2 (+17 more)
Loss of Function of TGFBR1 in Cancer228.0×0.128SMAD3, TGFB1
Loss of Function of SMAD2/3 in Cancer223.4×0.128SMAD3, TGFB1
Signaling by TGF-beta Receptor Complex in Cancer223.4×0.128SMAD3, TGFB1
SMAD2/3 Phosphorylation Motif Mutants in Cancer223.4×0.128SMAD3, TGFB1
TGFBR1 KD Mutants in Cancer223.4×0.128SMAD3, TGFB1
Anchoring fibril formation314.0×0.128BMP1, COL4A1, COL4A2
Crosslinking of collagen fibrils310.5×0.128BMP1, COL4A1, COL4A2
Regulation of MITF-M-dependent genes involved in cell cycle and proliferation310.5×0.128TBX2, TCF7L2, CDKN2A
Transcriptional regulation by RUNX346.7×0.128SMAD3, TCF7L2, TGFB1, CDKN2A
Collagen biosynthesis and modifying enzymes55.2×0.128BMP1, SERPINH1, ADAMTS3, COL4A1, COL4A2
RAC1 GTPase cycle93.4×0.128MCF2L, VANGL1, SWAP70, ARHGAP26, ARHGAP20, FGD5, DOCK6, PLEKHG1 (+1 more)
Signal Transduction281.8×0.128SMAD3, BDNF, CXCL12, BMPR1B, ST3GAL4, SKI, SMARCA4, TCF7L2 (+20 more)
RUNX3 regulates CDKN1A transcription220.0×0.167SMAD3, TGFB1
Collagen formation38.4×0.189BMP1, SERPINH1, ADAMTS3
Regulation of Complement cascade45.7×0.189CFB, C1S, C2, C5
O-linked glycosylation54.4×0.189SEMA5A, ST3GAL4, B3GNT2, ADAMTSL4, ADAMTS3
Downregulation of TGF-beta receptor signaling37.5×0.241SMAD3, TGFB1, PMEPA1
CDC42 GTPase cycle73.1×0.241ARHGEF12, MCF2L, VANGL1, ARHGAP26, ARHGAP20, DOCK6, PLEKHG1
RUNX3 regulates p14-ARF214.0×0.250TGFB1, CDKN2A
Signaling by TGF-beta Receptor Complex44.9×0.250SMAD3, SKI, TGFB1, CDKN2B
Diseases of signal transduction by growth factor receptors and second messengers82.8×0.250RNF213, SMAD3, BDNF, RRBP1, TCF7L2, TGFB1, SPRED2, KSR2
SARS-CoV-2 modulates autophagy212.7×0.261VPS33B, VPS11
Regulation of CDH11 gene transcription212.7×0.261PRDM8, ZEB2
Transcriptional activity of SMAD2/SMAD3:SMAD4 heterotrimer36.8×0.261SMAD3, SKI, CDKN2B
Defective TBXAS1 causes GHDD170.1×0.301TBXAS1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 229 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
triglyceride homeostasis612.6×0.011CETP, ABCG5, ABCG8, ANGPTL4, SCARB1, APOA5
positive regulation of axon extension involved in axon guidance331.5×0.024CXCL12, SEMA5A, VEGFA
regulatory T cell differentiation327.6×0.024TGFB1, PRDM16, ZBTB46
sprouting angiogenesis510.5×0.024RNF213, TEK, TGFB1, VEGFA, CDH13
positive regulation of epithelial to mesenchymal transition68.3×0.024SMAD3, TBX20, TCF7L2, TGFB1, TNXB, TWIST1
collagen fibril organization76.9×0.024BMP1, TNXB, VPS33B, SERPINH1, ADAMTS3, COL4A1, COL4A2
regulation of small GTPase mediated signal transduction95.7×0.024SIPA1, ARHGEF12, MCF2L, SWAP70, ARHGAP26, ARHGAP20, FGD5, PLEKHG1 (+1 more)
cholesterol homeostasis85.5×0.024CETP, ABCG5, ABCG8, HDAC9, SCARB1, APOA5, PCSK9, NUS1
negative regulation of DNA-templated transcription192.6×0.024SIX5, SMARCA4, TBX2, TBX20, TCF7L2, TGFB1, TWIST1, WT1 (+11 more)
negative regulation of intestinal phytosterol absorption273.6×0.025ABCG5, ABCG8
negative regulation of intestinal cholesterol absorption273.6×0.025ABCG5, ABCG8
triglyceride metabolic process59.7×0.025CETP, SLC22A4, TNXB, APOA5, PCSK9
lymph vessel morphogenesis249.1×0.052VEGFA, SVEP1
positive regulation of positive chemotaxis318.4×0.052SMAD3, VEGFA, CDH13
negative regulation of miRNA transcription410.9×0.052SMAD3, TGFB1, TWIST1, VEGFA
negative regulation of SMAD protein signal transduction410.5×0.052SKI, TBX20, PMEPA1, FAM89B
positive regulation of endothelial cell proliferation66.0×0.052CXCL12, SEMA5A, TEK, VEGFA, PRKD2, CDH13
glomerulus development317.0×0.055TCF21, WT1, PLCE1
collagen-activated tyrosine kinase receptor signaling pathway317.0×0.055TSPAN9, COL4A1, COL4A2
collateral sprouting315.8×0.058BDNF, ZEB2, RND2
endothelial cell proliferation49.5×0.058TEK, VEGFA, ZEB2, SCARB1
negative regulation of fat cell differentiation56.8×0.058SMAD3, SORT1, TGFB1, VEGFA, ZFPM2
heart development103.4×0.058TEK, TGFB1, WT1, HDAC9, NCOA6, ZFPM2, CALCRL, TAB2 (+2 more)
cholesterol efflux49.2×0.060ABCG5, ABCG8, SCARB1, APOA5
tolerance induction in gut-associated lymphoid tissue236.8×0.061PRDM16, ZBTB46
negative regulation of skeletal muscle tissue development236.8×0.061TGFB1, TWIST1
positive regulation of vasculature development236.8×0.061CXCL12, TGFB1
negative regulation of female gonad development236.8×0.061WT1, ZFPM2
positive regulation of vascular endothelial growth factor signaling pathway314.7×0.061TNXB, VEGFA, ADAMTS3
positive regulation of miRNA transcription56.3×0.061SMAD3, SMARCA4, TGFB1, WT1, MRTFA

Therapeutics

Drugs indicated for this disease

16 approved, 103 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
AlirocumabApproved (phase 4)
AspirinApproved (phase 4)
AtenololApproved (phase 4)
Bempedoic AcidApproved (phase 4)
DipyridamoleApproved (phase 4)
EvolocumabApproved (phase 4)
GemfibrozilApproved (phase 4)
Isosorbide DinitrateApproved (phase 4)
Isosorbide MononitrateApproved (phase 4)
LovastatinApproved (phase 4)
NiacinApproved (phase 4)
NitroglycerinApproved (phase 4)
RamiprilApproved (phase 4)
RivaroxabanApproved (phase 4)
SimvastatinApproved (phase 4)
TicagrelorApproved (phase 4)
AcarbosePhase 3 (in late-stage trials)
AcetylcysteinePhase 3 (in late-stage trials)
AlaninePhase 3 (in late-stage trials)
Alanyl GlutaminePhase 3 (in late-stage trials)
AliskirenPhase 3 (in late-stage trials)
AlteplasePhase 3 (in late-stage trials)
AmlodipinePhase 3 (in late-stage trials)
AnacetrapibPhase 3 (in late-stage trials)
AnivamersenPhase 3 (in late-stage trials)
ApabetalonePhase 3 (in late-stage trials)
Ascorbic AcidPhase 3 (in late-stage trials)
AtorvastatinPhase 3 (in late-stage trials)
AzithromycinPhase 3 (in late-stage trials)
BenazeprilPhase 3 (in late-stage trials)
BivalirudinPhase 3 (in late-stage trials)
CaffeinePhase 3 (in late-stage trials)
CalciumPhase 3 (in late-stage trials)
Candesartan CilexetilPhase 3 (in late-stage trials)
CarvedilolPhase 3 (in late-stage trials)
ChlorothiazidePhase 3 (in late-stage trials)
ChlorthalidonePhase 3 (in late-stage trials)
CholestyraminePhase 3 (in late-stage trials)
CilostazolPhase 3 (in late-stage trials)
ClofibratePhase 3 (in late-stage trials)
ClopidogrelPhase 3 (in late-stage trials)
ColchicinePhase 3 (in late-stage trials)
Colestipol HydrochloridePhase 3 (in late-stage trials)
DalcetrapibPhase 3 (in late-stage trials)
DapagliflozinPhase 3 (in late-stage trials)
DextrosePhase 3 (in late-stage trials)
DiltiazemPhase 3 (in late-stage trials)
Edetic AcidPhase 3 (in late-stage trials)
Edifoligide SodiumPhase 3 (in late-stage trials)
EnalaprilPhase 3 (in late-stage trials)
EnoximonePhase 3 (in late-stage trials)
ErgocalciferolPhase 3 (in late-stage trials)
EsmololPhase 3 (in late-stage trials)
EstradiolPhase 3 (in late-stage trials)
Estrogens, ConjugatedPhase 3 (in late-stage trials)
EverolimusPhase 3 (in late-stage trials)
ExenatidePhase 3 (in late-stage trials)
EzetimibePhase 3 (in late-stage trials)
FelodipinePhase 3 (in late-stage trials)
FenofibratePhase 3 (in late-stage trials)
FerumoxytolPhase 3 (in late-stage trials)
Fish OilPhase 3 (in late-stage trials)
FurosemidePhase 3 (in late-stage trials)
GlimepiridePhase 3 (in late-stage trials)
GlutaminePhase 3 (in late-stage trials)
HeparinPhase 3 (in late-stage trials)
HyaluronidasePhase 3 (in late-stage trials)
HydralazinePhase 3 (in late-stage trials)
HydrochlorothiazidePhase 3 (in late-stage trials)
IcosapentPhase 3 (in late-stage trials)
InclisiranPhase 3 (in late-stage trials)
Insulin AspartPhase 3 (in late-stage trials)
Insulin DetemirPhase 3 (in late-stage trials)
Insulin GlarginePhase 3 (in late-stage trials)
Insulin HumanPhase 3 (in late-stage trials)
Insulin PorkPhase 3 (in late-stage trials)
Insulin Susp Isophane Recombinant HumanPhase 3 (in late-stage trials)
Insulin Susp Isophane Semisynthetic Purified HumanPhase 3 (in late-stage trials)
IvabradinePhase 3 (in late-stage trials)
Lisinopril AnhydrousPhase 3 (in late-stage trials)
LycopenePhase 3 (in late-stage trials)
MannitolPhase 3 (in late-stage trials)
Medroxyprogesterone AcetatePhase 3 (in late-stage trials)
MetforminPhase 3 (in late-stage trials)
MetoprololPhase 3 (in late-stage trials)
OMEGA-3 FATTY ACIDSPhase 3 (in late-stage trials)
OxygenPhase 3 (in late-stage trials)
PegnivacoginPhase 3 (in late-stage trials)
PexelizumabPhase 3 (in late-stage trials)
PioglitazonePhase 3 (in late-stage trials)
PitavastatinPhase 3 (in late-stage trials)
Potassium ChloridePhase 3 (in late-stage trials)
PrasugrelPhase 3 (in late-stage trials)
ProgesteronePhase 3 (in late-stage trials)
PropranololPhase 3 (in late-stage trials)
QuercetinPhase 3 (in late-stage trials)
RanolazinePhase 3 (in late-stage trials)
Regadenoson AnhydrousPhase 3 (in late-stage trials)
RepaglinidePhase 3 (in late-stage trials)
ReserpinePhase 3 (in late-stage trials)
RimonabantPhase 3 (in late-stage trials)
RosiglitazonePhase 3 (in late-stage trials)
RosuvastatinPhase 3 (in late-stage trials)
SemaglutidePhase 3 (in late-stage trials)
SevofluranePhase 3 (in late-stage trials)
Sodium ChloridePhase 3 (in late-stage trials)
StreptokinasePhase 3 (in late-stage trials)
TamoxifenPhase 3 (in late-stage trials)
TerazosinPhase 3 (in late-stage trials)
TestosteronePhase 3 (in late-stage trials)
ThiazolidinedionePhase 3 (in late-stage trials)
TirofibanPhase 3 (in late-stage trials)
TorcetrapibPhase 3 (in late-stage trials)
Tranexamic AcidPhase 3 (in late-stage trials)
TriamterenePhase 3 (in late-stage trials)
ValsartanPhase 3 (in late-stage trials)
Vitamin EPhase 3 (in late-stage trials)
WarfarinPhase 3 (in late-stage trials)
XenonPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Adenosine, Amiloride, Argatroban, Cangrelor, Dabigatran Etexilate, Dexmedetomidine, Edoxaban, Epoetin Alfa, Eptifibatide, Folic Acid, Fospropofol, Gefarnate, HYDROXYETHYL STARCH 130/0.4, Inclacumab, Levosimendan, Methotrexate, Nicorandil, Nitric Oxide, Otamixaban, Pentoxifylline, Propofol, Riociguat, Selatogrel, Serelaxin, Testosterone Undecanoate, Ubidecarenone, Varespladib Methyl.

Drug target analysis

Approved (phase 4): 11 · Phase ≥3: 15 · Phased (≥1): 19 · Undrugged: 53

Druggability breadth: 96 of 250 evidence-associated genes (38%) 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
SMAD3FLUORESCEIN
CFBIPTACOPAN
BLMAMIFOSTINE
CXCL12PLERIXAFOR
BMPR1BMOMELOTINIB
SLC18A1RESERPINE
SLC22A3PROGESTERONE
TBXAS1CLOTRIMAZOLE
TEKCETIRIZINE
VEGFAVADADUSTAT
C5OXAPROZIN

Top cohort targets by molecule count

SymbolMoleculesMax phase
BLM2844
TBXAS1464
TEK464
BMPR1B284
SLC22A3204
CETP53
VEGFA54
C544
SMAD324
CXCL1224

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
FLUORESCEIN4BLM, SMAD3
IPTACOPAN4CFB
AMIFOSTINE4BLM
BEXAROTENE4BLM
DICLOFENAC SODIUM4BLM
CLOTRIMAZOLE4BLM, TBXAS1
OXCARBAZEPINE4BLM
BUMETANIDE4BLM
GLIPIZIDE4BLM
SALMETEROL XINAFOATE4BLM
AMIODARONE HYDROCHLORIDE4BLM
INDIGOTINDISULFONATE4BLM
TRIHEXYPHENIDYL HYDROCHLORIDE4BLM
RALOXIFENE HYDROCHLORIDE4BLM
IDARUBICIN4BLM
EDROPHONIUM CHLORIDE4BLM
PINACIDIL ANHYDROUS4BLM
DITHIAZANINE4BLM
TRIMETREXATE4BLM
NICARDIPINE HYDROCHLORIDE4BLM
PILOCARPINE HYDROCHLORIDE4BLM
PHENYLEPHRINE HYDROCHLORIDE4BLM
APRACLONIDINE HYDROCHLORIDE4BLM
DOXYLAMINE SUCCINATE4BLM
ROPINIROLE HYDROCHLORIDE4BLM
TETRAHYDROZOLINE HYDROCHLORIDE4BLM
MOLINDONE HYDROCHLORIDE4BLM
PARGYLINE HYDROCHLORIDE4BLM
GUANFACINE HYDROCHLORIDE4BLM
BROMOCRIPTINE MESYLATE4BLM

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 12.

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

SymbolAssaysType breakdown
TEK707Binding:701, Functional:4, ADMET:2
SMARCA4230Binding:207, ADMET:12, Functional:11
TBXAS1210Binding:138, Functional:72
BMPR1B166Binding:164, ADMET:2
CETP132Binding:127, Functional:5
SELE118Binding:108, Functional:10
BLM82Binding:78, Functional:4
VEGFA64Binding:64
CFB33Binding:33
SLC22A333Binding:17, Functional:11, ADMET:5
BMP130Binding:29, ADMET:1
C1S30Binding:28, Functional:2
CXCL1229Binding:29
SLC22A429Functional:26, ADMET:3
C525Binding:25
SMAD324Binding:18, Functional:6
TCF7L222Binding:22
RNASE117Binding:16, ADMET:1
SORT117Binding:15, ADMET:2
UMPS14Binding:14
TGFB19Binding:9
SF3A38Binding:8
SNRPD28Binding:8
ATXN25Binding:3, Functional:2
GIGYF25Binding:5
C24Binding:4
BDNF2Binding:2
SLC18A12Functional:1, Binding:1
SLC38A12Binding:2
PGPEP12Binding:2
RNF2131Binding:1
MIA31Binding:1
RRBP11Binding:1
ZNRD21Binding:1
TAF61Binding:1
HNF1A1Binding:1
VAMP81Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
RNASE14.6.1.18pancreatic ribonuclease
CFB3.4.21.47alternative-complement-pathway C3/C5 convertase
BLM3.6.4.12DNA helicase
BMP12.7.11.4, 3.4.24.19, 3.4.24.21[3-methyl-2-oxobutanoate dehydrogenase (acetyl-transferring)] kinase, procollagen C-endopeptidase, astacin
BMPR1B2.7.10.2non-specific protein-tyrosine kinase
ST3GAL42.4.99.2, 2.4.99.6beta-D-galactosyl-(1->3)-N-acetyl-beta-D-galactosaminide alpha-2,3-sialyltransferase, N-acetyllactosaminide alpha-2,3-sialyltransferase
TEK2.7.10.1receptor protein-tyrosine kinase
C1S3.4.21.42complement subcomponent C1s
UMPS4.1.1.23orotidine-5’-phosphate decarboxylase
C53.4.21.43classical-complement-pathway C3/C5 convertase
UBE3B2.3.2.26, 2.3.2.B11HECT-type E3 ubiquitin transferase,
PGPEP13.4.19.3pyroglutamyl-peptidase I

Cohort genes with high screening signal

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

SymbolChEMBL assays
CETP132
SELE118
BMPR1B166
SMARCA4230
TBXAS1210
TEK707

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)
FLUORESCEIN4BLM, SMAD3
IPTACOPAN4CFB
AMIFOSTINE4BLM
BEXAROTENE4BLM
DICLOFENAC SODIUM4BLM
CLOTRIMAZOLE4BLM, TBXAS1
OXCARBAZEPINE4BLM
BUMETANIDE4BLM
GLIPIZIDE4BLM
SALMETEROL XINAFOATE4BLM
AMIODARONE HYDROCHLORIDE4BLM
INDIGOTINDISULFONATE4BLM
TRIHEXYPHENIDYL HYDROCHLORIDE4BLM
RALOXIFENE HYDROCHLORIDE4BLM
IDARUBICIN4BLM
EDROPHONIUM CHLORIDE4BLM
PINACIDIL ANHYDROUS4BLM
DITHIAZANINE4BLM
TRIMETREXATE4BLM
NICARDIPINE HYDROCHLORIDE4BLM
PILOCARPINE HYDROCHLORIDE4BLM
PHENYLEPHRINE HYDROCHLORIDE4BLM
APRACLONIDINE HYDROCHLORIDE4BLM
DOXYLAMINE SUCCINATE4BLM
ROPINIROLE HYDROCHLORIDE4BLM
TETRAHYDROZOLINE HYDROCHLORIDE4BLM
MOLINDONE HYDROCHLORIDE4BLM
PARGYLINE HYDROCHLORIDE4BLM
GUANFACINE HYDROCHLORIDE4BLM
BROMOCRIPTINE MESYLATE4BLM

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)11SMAD3, CFB, BLM, CXCL12, BMPR1B, SLC18A1, SLC22A3, TBXAS1, TEK, VEGFA (+1 more)
BPhased (≥1) drug, not yet approved8CETP, SELE, SMARCA4, SNRPD2, SORT1, TGFB1, C1S, UMPS
CDruggable family + PDB, no drug4RNASE1, BMP1, TNXB, C2
DDruggable family + AlphaFold only, no drug7ST3GAL4, SLC22A4, BTNL2, TNS1, UNC5C, UBE3B, PGPEP1
EDifficult family or no structure, no drug42RNF213, MIA3, CNNM2, BDNF, RRBP1, ATXN2, SEMA5A, SF3A3, SCAF11, SFTPC (+32 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
BDNF2SORT1
RNF2131
MIA31
RNASE117
CNNM20
RRBP11
ATXN25
BMP130
SEMA5A0
SF3A38
SCAF110
SFTPC0
ST3GAL40
SIPA10
SIX50
SKI0
SKIC20
SLC22A429
SLC5A30
BSN0
SPINK20
ZNRD21
BTNL20
TAF61
TBX20
TBX200
HNF1A1
TCF210
TCF7L222
TCTA0

Clinical trials & evidence

Clinical trials

Clinical trials: 5,111.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE4686
PHASE3344
PHASE2/PHASE352
PHASE218

Top trials by phase / activity

NCTPhaseStatusTitle
NCT01475123PHASE4ACTIVE_NOT_RECRUITINGProspective Study of End Stage Renal Disease Patients With Coronary Artery Disease Treated by Oral Nicorandil
NCT03169985PHASE4ACTIVE_NOT_RECRUITINGRandomized Controlled Trial of Moderate-Intensity Rosuvastatin With Ezetimibe Combination Therapy Versus High-Intensity Rosuvastatin on Progression of Coronary Atherosclerotic Plaque
NCT03378934PHASE4RECRUITINGAnti-platelet Effect of Berberine in Patients After Percutaneous Coronary Intervention
NCT03417388PHASE4ACTIVE_NOT_RECRUITINGWomen’s IschemiA TRial to Reduce Events In Non-ObstRuctive CAD
NCT03462498PHASE4ACTIVE_NOT_RECRUITINGShorT and OPtimal Duration of Dual AntiPlatelet Therapy-2 Study for the Patients With ACS
NCT03947229PHASE4ACTIVE_NOT_RECRUITINGA Randomized Comparison of CLOpidogrel Monotherapy Versus Extended Dual-antiplatelet Therapy Beyond 12 Months After Implantation of Drug-eluting StEnts in High-risk Lesions or Patients; A-CLOSE Trial
NCT04014803PHASE4RECRUITINGAspirin and a PoTent P2Y12 Inhibitor Versus Aspirin and Clopidogrel in Patients Undergoing PCI for Complex Lesion
NCT04416581PHASE4RECRUITINGPotassium-Competitive Acid Blocker Versus pROton-Pump Inhibitor for GastroproTECTion Strategies In Patients at High Gastro-Intestinal Bleeding Risk Receiving Antithrombotic Therapy
NCT04436978PHASE4RECRUITINGWhat is the Optimal Antithrombotic Strategy in Patients With Atrial Fibrillation Undergoing PCI?
NCT04654052PHASE4ACTIVE_NOT_RECRUITINGVerifyNow to Optimise Platelet Inhibition in Coronary Acute Syndrome
NCT05030818PHASE4RECRUITINGCross-over Study of Coronary Risk Factors With a Polypill
NCT05081999PHASE4ACTIVE_NOT_RECRUITINGDe-Adoption of Beta-Blockers in Patients With Stable Ischemic Heart Disease
NCT05347069PHASE4RECRUITINGEfficacy and Safety of Aspirin in Patients With Chronic Coronary Syndromes Without Revascularization
NCT05418556PHASE4RECRUITINGTailored Versus Coventional AntiPlaTelet Strategy Intended After OPTIMIZEd Drug Eluting Stent
NCT05427786PHASE4RECRUITINGA Study to Evaluate the Impact of Pre-procedural Intracoronary Nicorandil Injection to PREVENT ReductioN of DecREased TIMI FLOW in Patients Who Undergoing Percutaneous Coronary Intervention for the Coronary Artery Disease
NCT05437900PHASE4RECRUITINGINSIGHTFUL-FFR Clinical Trial
NCT05618353PHASE4RECRUITINGThe Peri-OPerative COlchicine to Reduce Negative Events (POPCORN) Trial
NCT05631769PHASE4ACTIVE_NOT_RECRUITINGHOST - DAPT Duration According the Bleeding Risk
NCT05638867PHASE4RECRUITINGNOAC Therapy Guided by PARIS Risk Score and D-dimer in Patients With ACS After PCI
NCT05681702PHASE4RECRUITINGTailoring Bleeding Reduction Approaches in Patients Undergoing PCI
NCT05845489PHASE4RECRUITINGHarmonizing Optimal Strategy for Treatment of Coronary Artery Stenosis- CloPidogREl for Primary preVENTION (HOST-PREVENTION)
NCT05850091PHASE4RECRUITINGPolygenic Risk-based Detection of Subclinical Coronary Atherosclerosis and Intervention With Statin and Colchicine
NCT05910476PHASE4ACTIVE_NOT_RECRUITINGComparative Study of Rosuvastatin/Ezetimib 20/10 mg and Atovastatin/Ezetimib 40/10 mg (TOLERANT Trial)
NCT06068764PHASE4RECRUITINGEtomidate Versus Propofol in CABG Surgery
NCT06089577PHASE4RECRUITINGEffects of Cangrelor on MIcRovAscular Disfunction During Elective Percutaneous CORonary Intervention
NCT06186037PHASE4RECRUITINGClinical Comparison of Low-dose Rosuvastatin Plus Ezetimibe Combination Therapy and High-dose Rosuvastatin Monotherapy in Patients With Minimal to Intermediate Coronary Artery Disease Without Percutaneous Coronary Intervention
NCT06228456PHASE4RECRUITINGEffects of Low-dose Ticagrelor vs. Clopidogrel in Stable Patients Undergoing Elective Percutaneous Coronary Intervention
NCT06338293PHASE4RECRUITINGEffects of Inclisiran Combined With Statins on the Morphology of Coronary Vulnerable Plaques
NCT06409117PHASE4NOT_YET_RECRUITING3rd Generation Resorbable Magnesium Scaffolds vs Biodegradable Polymer Stents in NSTE/ACS
NCT06425120PHASE4RECRUITINGEffect of Xuesaitong Soft Capsules on Major Risk Factors in Patients With Coronary Heart Disease
NCT06451198PHASE4RECRUITINGIndObufen Versus asPirin After Coronary Drug-eluting Stent implantaTION in Elderly Patients With Acute Coronary Syndrome
NCT06475625PHASE4ACTIVE_NOT_RECRUITINGClinical Impact of Orsiro™ Stent in Patient With Chronic Kidney Disease
NCT06509893PHASE4RECRUITINGTicagrelore Alone Post PCI
NCT06520904PHASE4RECRUITINGEffect of PCSK9 Inhibitors on Coronary Atherosclerotic Plaques Derived From Optical Coherence Tomography
NCT06578234PHASE4RECRUITINGHyperemic mYocardial Perfusion by adEnosine at diffeRent Doses
NCT06606821PHASE4RECRUITINGThe Effects of Tirzepatide in People With Overweight/Obesity and Coronary Artery Disease
NCT06691191PHASE4RECRUITINGSwitching From Dual Antiplatelet Therapy to Monotherapy With Potent P2Y12 Inhibitors
NCT06767345PHASE4RECRUITINGComparison of Moderate-Intensity Statin Plus Ezetimibe vs. High-Intensity Statin for Coronary Plaque Stabilization
NCT06798714PHASE4RECRUITINGThe Effect of Colchicine on the Occurrence of Atrial Fibrillation After Cardiac Surgery
NCT06821191PHASE4RECRUITINGComparison of Dual Antiplatelet Therapy De-escalation by Dose Reduction Versus Switching in Patients Undergoing PCI: The Switching Antiplatelet-8 (SWAP-8) Study

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
CLOPIDOGREL4140
PRASUGREL434
ROSUVASTATIN434
ASPIRIN429
ATORVASTATIN423
REGADENOSON ANHYDROUS420
EZETIMIBE419
SODIUM CHLORIDE415
SIMVASTATIN412
TRIMETAZIDINE412
HEPARIN411
NIACIN411
RANOLAZINE411
BIVALIRUDIN410
PITAVASTATIN410
CILOSTAZOL47
IODIXANOL47
TIROFIBAN47
PRAVASTATIN45
TELMISARTAN45
ABCIXIMAB44
ACARBOSE44
DIPYRIDAMOLE44
PROPOFOL44
RAMIPRIL44
AMLODIPINE43
ENOXAPARIN SODIUM43
ETOMIDATE43
METFORMIN43
PACLITAXEL43