Cranio-osteoarthropathy
diseaseOn this page
Also known as cranio osteoarthropathyCurrarino diseaseCurrarino idiopathic osteoarthropathyReginato-Schiapachasse syndrome
Summary
Cranio-osteoarthropathy (MONDO:0015466) is a disease with 1 cohort gene.
At a glance
- Prevalence: <1 / 1 000 000 (Worldwide) [Orphanet-validated]
- Cohort genes: 1
- ClinVar variants: 1
- Phenotypes (HPO): 14
Clinical features
Epidemiology
Prevalence records
2 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Cases/families | 30 | Worldwide | Validated | |
| Point prevalence | <1 / 1 000 000 | Worldwide | Validated |
Signs & symptoms
Clinical features (HPO)
14 HPO clinical features (Orphanet curated; top 14 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000239 | Large fontanelles | Very frequent (80-99%) |
| HP:0000929 | Abnormal skull morphology | Very frequent (80-99%) |
| HP:0001070 | Mottled pigmentation | Very frequent (80-99%) |
| HP:0003103 | Abnormal cortical bone morphology | Very frequent (80-99%) |
| HP:0001369 | Arthritis | Frequent (30-79%) |
| HP:0001386 | Joint swelling | Frequent (30-79%) |
| HP:0001387 | Joint stiffness | Frequent (30-79%) |
| HP:0002758 | Osteoarthritis | Frequent (30-79%) |
| HP:0002815 | Abnormality of the knee | Frequent (30-79%) |
| HP:0002829 | Arthralgia | Frequent (30-79%) |
| HP:0002992 | Abnormality of tibia morphology | Frequent (30-79%) |
| HP:0100760 | Clubbing of toes | Frequent (30-79%) |
| HP:0000964 | Eczematoid dermatitis | Occasional (5-29%) |
| HP:0004097 | Deviation of finger | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | cranio-osteoarthropathy |
| Mondo ID | MONDO:0015466 |
| Orphanet | 1525 |
| ICD-11 | 225223076 |
| SNOMED CT | 720753002 |
| UMLS | C2678439 |
| MedGen | 394824 |
| GARD | 0001564 |
| Is cancer (heuristic) | no |
Also known as: cranio osteoarthropathy · Currarino disease · Currarino idiopathic osteoarthropathy · Reginato-Schiapachasse syndrome
Data availability: 1 ClinVar variant · 1 GenCC gene-disease record.
Disease family
Classification path: disease › human disease › disease by body system or component › syndromic disease › primary hypertrophic osteoarthropathy › cranio-osteoarthropathy
Related subtypes (3): hypertrophic osteoarthropathy, primary, autosomal dominant, hypertrophic osteoarthropathy, primary, autosomal recessive, 2, hypertrophic osteoarthropathy, primary, autosomal recessive, 1
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
1 retrieved; paginated sample, class counts are floors:
1 pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 7917 | NM_000860.6(HPGD):c.418G>C (p.Ala140Pro) | HPGD | Pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 10 · Orphanet: 3 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| HPGD | Definitive | Autosomal recessive | hypertrophic osteoarthropathy, primary, autosomal recessive, 1 | 10 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| HPGD | Orphanet:1525 | Cranio-osteoarthropathy |
| HPGD | Orphanet:217059 | Isolated nail clubbing |
| HPGD | Orphanet:2796 | Pachydermoperiostosis |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| HPGD | HGNC:5154 | ENSG00000164120 | P15428 | 15-hydroxyprostaglandin dehydrogenase [NAD(+)] | gencc,clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| HPGD | 15-hydroxyprostaglandin dehydrogenase [NAD(+)] | Catalyzes the NAD-dependent dehydrogenation (oxidation) of a broad array of hydroxylated polyunsaturated fatty acids (mainly eicosanoids and docosanoids, including prostaglandins, lipoxins and resolvins), yielding their corresponding keto… |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
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 |
|---|---|---|---|
| Enzyme (other) | 1 | 12.0× | 0.083 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| HPGD | Enzyme (other) | yes | 1.1.1.141 | SDR_fam, Sc_DH/Rdtase_CS, NAD(P)-bd_dom_sf |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene 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) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| adrenal tissue | 1 |
| jejunal mucosa | 1 |
| lower esophagus mucosa | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| HPGD | 244 | broad | marker | adrenal tissue, jejunal mucosa, lower esophagus mucosa |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| HPGD | 4,071 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| HPGD | P15428 | 6 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 4. Enrichment computed across 1 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Biosynthesis of D-series resolvins | 1 | 2855.0× | 7e-04 | HPGD |
| Biosynthesis of E-series 18(S)-resolvins | 1 | 2284.0× | 7e-04 | HPGD |
| Biosynthesis of Lipoxins (LX) | 1 | 1903.3× | 7e-04 | HPGD |
| Synthesis of Prostaglandins (PG) and Thromboxanes (TX) | 1 | 761.3× | 0.001 | HPGD |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 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 prostaglandin catabolic process | 1 | 16852.0× | 9e-04 | HPGD |
| ovulation | 1 | 4213.0× | 0.002 | HPGD |
| ductus arteriosus closure | 1 | 3370.4× | 0.002 | HPGD |
| thrombin-activated receptor signaling pathway | 1 | 2407.4× | 0.002 | HPGD |
| parturition | 1 | 1872.4× | 0.002 | HPGD |
| lipoxygenase pathway | 1 | 1532.0× | 0.002 | HPGD |
| prostaglandin metabolic process | 1 | 842.6× | 0.003 | HPGD |
| positive regulation of vascular associated smooth muscle cell proliferation | 1 | 432.1× | 0.005 | HPGD |
| negative regulation of cell cycle | 1 | 290.6× | 0.006 | HPGD |
| female pregnancy | 1 | 210.7× | 0.007 | HPGD |
| response to estradiol | 1 | 198.3× | 0.007 | HPGD |
| transforming growth factor beta receptor signaling pathway | 1 | 159.0× | 0.008 | HPGD |
| response to ethanol | 1 | 146.5× | 0.008 | HPGD |
| kidney development | 1 | 140.4× | 0.008 | HPGD |
| response to lipopolysaccharide | 1 | 124.8× | 0.009 | HPGD |
| positive regulation of apoptotic process | 1 | 56.7× | 0.018 | HPGD |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| HPGD | PHENYLBUTAZONE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| HPGD | 220 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PHENYLBUTAZONE | 4 | HPGD |
| CANDESARTAN CILEXETIL | 4 | HPGD |
| CHOLECALCIFEROL | 4 | HPGD |
| FLUORESCEIN | 4 | HPGD |
| OXAPROZIN | 4 | HPGD |
| BUMETANIDE | 4 | HPGD |
| SALMETEROL XINAFOATE | 4 | HPGD |
| DIBUCAINE | 4 | HPGD |
| INDIGOTINDISULFONATE | 4 | HPGD |
| CISPLATIN | 4 | HPGD |
| TETRABENAZINE | 4 | HPGD |
| TRIMETREXATE | 4 | HPGD |
| LABETALOL HYDROCHLORIDE | 4 | HPGD |
| PYRITHIONE ZINC | 4 | HPGD |
| DOXAZOSIN MESYLATE | 4 | HPGD |
| PRILOCAINE HYDROCHLORIDE | 4 | HPGD |
| TOLMETIN SODIUM | 4 | HPGD |
| CHLOROTRIANISENE | 4 | HPGD |
| TRAZODONE HYDROCHLORIDE | 4 | HPGD |
| DINOPROST TROMETHAMINE | 4 | HPGD |
| METHYSERGIDE MALEATE | 4 | HPGD |
| ETHOPROPAZINE HYDROCHLORIDE | 4 | HPGD |
| ACRISORCIN | 4 | HPGD |
| FLUOXETINE HYDROCHLORIDE | 4 | HPGD |
| LIOTHYRONINE SODIUM | 4 | HPGD |
| CARBIDOPA ANHYDROUS | 4 | HPGD |
| ETHOPROPAZINE | 4 | HPGD |
| ROSE BENGAL FREE ACID | 4 | HPGD |
| ROSIGLITAZONE | 4 | HPGD |
| RABEPRAZOLE | 4 | HPGD |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| HPGD | 38 | Binding:33, Functional:3, ADMET:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| HPGD | 1.1.1.141, 1.3.1.48 | 15-hydroxyprostaglandin dehydrogenase (NAD+), 13,14-dehydro-15-oxoprostaglandin 13-reductase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| PHENYLBUTAZONE | 4 | HPGD |
| CANDESARTAN CILEXETIL | 4 | HPGD |
| CHOLECALCIFEROL | 4 | HPGD |
| FLUORESCEIN | 4 | HPGD |
| OXAPROZIN | 4 | HPGD |
| BUMETANIDE | 4 | HPGD |
| SALMETEROL XINAFOATE | 4 | HPGD |
| DIBUCAINE | 4 | HPGD |
| INDIGOTINDISULFONATE | 4 | HPGD |
| CISPLATIN | 4 | HPGD |
| TETRABENAZINE | 4 | HPGD |
| TRIMETREXATE | 4 | HPGD |
| LABETALOL HYDROCHLORIDE | 4 | HPGD |
| PYRITHIONE ZINC | 4 | HPGD |
| DOXAZOSIN MESYLATE | 4 | HPGD |
| PRILOCAINE HYDROCHLORIDE | 4 | HPGD |
| TOLMETIN SODIUM | 4 | HPGD |
| CHLOROTRIANISENE | 4 | HPGD |
| TRAZODONE HYDROCHLORIDE | 4 | HPGD |
| DINOPROST TROMETHAMINE | 4 | HPGD |
| METHYSERGIDE MALEATE | 4 | HPGD |
| ETHOPROPAZINE HYDROCHLORIDE | 4 | HPGD |
| ACRISORCIN | 4 | HPGD |
| FLUOXETINE HYDROCHLORIDE | 4 | HPGD |
| LIOTHYRONINE SODIUM | 4 | HPGD |
| CARBIDOPA ANHYDROUS | 4 | HPGD |
| ETHOPROPAZINE | 4 | HPGD |
| ROSE BENGAL FREE ACID | 4 | HPGD |
| ROSIGLITAZONE | 4 | HPGD |
| RABEPRAZOLE | 4 | HPGD |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | HPGD |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 0.
Related Atlas pages
- Cohort genes: HPGD