Crohn disease

disease
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Also known as Crohn's diseaseCrohn's disease of large bowelpaediatric Crohn's diseasepediatric Crohn's diseaseregional enteritis

Summary

Crohn disease (MONDO:0005011) is a disease (an umbrella term covering 5 Mondo subtypes) with 75 cohort genes (1,607 GWAS associations across 90 studies) and 1,638 clinical trials. The dominant Reactome pathway is TNFs bind their physiological receptors (11 cohort genes). Top therapeutic interventions include vedolizumab, certolizumab pegol, and infliximab.

At a glance

  • Umbrella term: 5 Mondo subtypes
  • Cohort genes: 75
  • GWAS associations: 1,607
  • ClinVar variants: 3
  • Clinical trials: 1,638

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameCrohn disease
Mondo IDMONDO:0005011
EFOEFO:0000384
MeSHD003424
Orphanet206
DOIDDOID:8778
ICD-10-CMK50
ICD-111267652425
NCITC2965
SNOMED CT7620006
UMLSC0010346
MedGen3664
Is cancer (heuristic)no

Also known as: Crohn disease · Crohn’s disease · Crohn’s disease of large bowel · paediatric Crohn’s disease · pediatric Crohn’s disease · regional enteritis

Data availability: 3 ClinVar variants · 1,607 GWAS associations (90 studies) · 27 cell lines.

Disease family

An umbrella term covering 5 Mondo subtypes.

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary diseaseinflammatory bowel diseaseCrohn disease

Related subtypes (39): colitis, proctitis, ulcerative proctosigmoiditis, inflammatory bowel disease 11, cutaneous photosensitivity-lethal colitis syndrome, inflammatory bowel disease 1, inflammatory bowel disease 2, inflammatory bowel disease 3, inflammatory bowel disease 7, inflammatory bowel disease 5, inflammatory bowel disease 8, inflammatory bowel disease 6, inflammatory bowel disease 4, inflammatory bowel disease 9, inflammatory bowel disease 10, inflammatory bowel disease 12, inflammatory bowel disease 13, inflammatory bowel disease 14, inflammatory bowel disease 15, inflammatory bowel disease 16, inflammatory bowel disease 17, inflammatory bowel disease 18, inflammatory bowel disease 19, inflammatory bowel disease 20, inflammatory bowel disease 21, inflammatory bowel disease 22, inflammatory bowel disease 23, inflammatory bowel disease 24, inflammatory bowel disease 26, inflammatory bowel disease 27, undetermined colitis, cap polyposis, IL10-related early-onset inflammatory bowel disease, neonatal inflammatory skin and bowel disease, inflammatory bowel disease (infantile ulcerative colitis) 31, autosomal recessive, inflammatory bowel disease 30, TRIM22-related inflammatory bowel disease, ALPI-related inflammatory bowel disease, inflammatory bowel disease 29

Subtypes (5): Crohn’s colitis, oral Crohn disease, perianal Crohn disease, small bowel Crohn disease, Crohn disease of the esophagus

Genetics & variants

GWAS landscape

1,607 GWAS associations across 90 studies. Top hits map to 21 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs57432931e-320NOD2, CYLD-AS1?
rs20668476e-209NOD2, CYLD-AS1T3.1
rs75178471e-159IL23R, C1orf141A1.4
rs801746461e-143IL23R?
rs20668446e-99NOD2?
rs562110634e-95TNFSF15 - DELEC1C2.09
rs20668456e-94NOD2?
rs115816076e-93IL23R?
rs108176786e-88TNFSF15 - DELEC1?
rs117425704e-87RNU1-150P - TTC33G1.28
rs67384904e-78ATG16L1?
rs19926611e-74RNU1-150P - TTC33?
rs92713662e-70HLA-DRB1 - HLA-DQA1C4.44
rs129949974e-70ATG16L1A1.23
rs20767564e-69NOD2G1.53
rs353002425e-67ATG16L1?
rs24766018e-67AP4B1-AS1, PTPN22?0.14
rs112090261e-64IL23RG2.66
rs114658047e-63IL23RT2.5
rs64268337e-62RNF186-AS1 - OTUD3?
rs67521072e-61ATG16L1?
rs77653799e-59MTCO3P1 - HLA-DQB3G1.93
rs176223787e-56IRF1, CARINHG1.21
rs31979997e-55MST1?
rs65962e-54SNX20?3.56
rs99776725e-54LINC02940 - RPL23AP12?
rs4697586e-54ERAP1?
rs46725052e-52RN7SL51P - RN7SL18P?
rs107487816e-51LINC01475?
rs107616591e-49LINC02929 - ALDH7A1P4G1.2

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST005837Huang H201720,15534,257Fine-mapping inflammatory bowel disease loci to single-variant resolution.
GCST001729Jostins L201212,92421,442Host-microbe interactions have shaped the genetic architecture of inflammatory bowel disease.
GCST005321Broce I201812,57723,475Immune-related genetic enrichment in frontotemporal dementia: An analysis of genome-wide association studies.
GCST004132de Lange KM201712,19428,072Genome-wide association study implicates immune activation of multiple integrin genes in inflammatory bowel disease.
GCST005537Ellinghaus D20168,72634,213Analysis of five chronic inflammatory diseases identifies 27 new associations and highlights disease-specific patterns at shared loci.
GCST005563Liu JZ20136,333106,357Dense genotyping of immune-related disease regions identifies nine new risk loci for primary sclerosing cholangitis.
GCST000879Franke A20106,33315,056Genome-wide meta-analysis increases to 71 the number of confirmed Crohn’s disease susceptibility loci.
GCST90016610Peyrot WJ20215,9568,875Identifying loci with different allele frequencies among cases of eight psychiatric disorders using CC-GWAS.
GCST90016611Peyrot WJ20215,9566,968Identifying loci with different allele frequencies among cases of eight psychiatric disorders using CC-GWAS.
GCST003044Liu JZ20155,95614,927Association analyses identify 38 susceptibility loci for inflammatory bowel disease and highlight shared genetic risk across populations.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding9
Tier 2: splice/UTR0
Tier 3: regulatory2
Tier 4: intronic/intergenic39

MAF distribution

BucketVariants
common (>=0.05)46
low_freq (0.01-0.05)1
rare (<0.01)0
unknown3

Functional consequences

ConsequenceCount
intron_variant22
intergenic_variant12
missense_variant7
non_coding_transcript_exon_variant4
frameshift_variant2
TF_binding_site_variant1
regulatory_region_variant1
synonymous_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs57432931650729868frameshift_variantNOD2, CYLD-AS11e-320Tier 1: coding
rs20668471650729868GC>G,GCC0.024frameshift_variantNOD2, CYLD-AS16e-209Tier 1: coding
rs7517847167215986T>A,C,G0.44intron_variantIL23R, C1orf1411e-159Tier 4: intronic/intergenic
rs80174646167242472G>T0.05intron_variantIL23R1e-143Tier 4: intronic/intergenic
rs20668441650712015C>T0.05missense_variantNOD26e-99Tier 1: coding
rs562110639114823617G>C0.351intergenic_variantTNFSF15 - DELEC14e-95Tier 4: intronic/intergenic
rs20668451650722629G>C,Tmissense_variantNOD26e-94Tier 1: coding
rs11581607167242007G>A0.05intron_variantIL23R6e-93Tier 4: intronic/intergenic
rs108176789114817177G>A0.05intron_variantTNFSF15 - DELEC16e-88Tier 4: intronic/intergenic
rs11742570540410482T>A,C,G0.39non_coding_transcript_exon_variantRNU1-150P - TTC334e-87Tier 4: intronic/intergenic
rs67384902233252937T>C0.05intron_variantATG16L14e-78Tier 4: intronic/intergenic
rs1992661540414887G>A0.05intron_variantRNU1-150P - TTC331e-74Tier 4: intronic/intergenic
rs9271366632619077G>A,C,T0.21intergenic_variantHLA-DRB1 - HLA-DQA12e-70Tier 4: intronic/intergenic
rs129949972233264857G>A,C0.477intron_variantATG16L14e-70Tier 4: intronic/intergenic
rs20767561650722970A>G0.26intron_variantNOD24e-69Tier 4: intronic/intergenic
rs353002422233260144G>A,C0.05intron_variantATG16L15e-67Tier 4: intronic/intergenic
rs24766011113834946A>G,T0.05missense_variantAP4B1-AS1, PTPN228e-67Tier 1: coding
rs11209026167240275G>A,T0.068missense_variantIL23R1e-64Tier 1: coding
rs11465804167236843T>A,G0.07intron_variantIL23R7e-63Tier 4: intronic/intergenic
rs6426833119845367G>A,C,T0.05TF_binding_site_variantRNF186-AS1 - OTUD37e-62Tier 3: regulatory
rs67521072233252802G>A,C0.05intron_variantATG16L12e-61Tier 4: intronic/intergenic
rs7765379632713151T>G0.05intergenic_variantMTCO3P1 - HLA-DQB39e-59Tier 4: intronic/intergenic
rs176223785132442760A>G0.419intron_variantIRF1, CARINH7e-56Tier 4: intronic/intergenic
rs3197999349684099G>A,C,T0.05missense_variantMST17e-55Tier 1: coding
rs65961650675812G>A,C,T0.05missense_variantSNX202e-54Tier 1: coding
rs99776722139091357G>A0.05intergenic_variantLINC02940 - RPL23AP125e-54Tier 4: intronic/intergenic
rs469758596786011C>T0.05intron_variantERAP16e-54Tier 4: intronic/intergenic
rs4672505262333197A>C,G,T0.05intron_variantRN7SL51P - RN7SL18P2e-52Tier 4: intronic/intergenic
rs107487811099523573C>A,G0.05non_coding_transcript_exon_variantLINC014756e-51Tier 4: intronic/intergenic
rs107616591062685804A>C,G0.46intron_variantLINC02929 - ALDH7A1P41e-49Tier 4: intronic/intergenic

ClinVar germline variants

3 retrieved; paginated sample, class counts are floors:

2 conflicting classifications of pathogenicity; association, 1 likely pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
997783NM_052905.4(FMNL2):c.407T>C (p.Leu136Pro)FMNL2Likely pathogenicno assertion criteria provided
4691NM_022162.3(NOD2):c.3019dup (p.Leu1007fs)CYLD-AS1Conflicting classifications of pathogenicity; associationcriteria provided, conflicting classifications
4693NM_001370466.1(NOD2):c.2023C>T (p.Arg675Trp)NOD2Conflicting classifications of pathogenicity; associationcriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 40 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 1

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

GeneHGNCEvidence routes
NOD2NOD2GWAS, Orphanet

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
NOD2Orphanet:90340Blau syndrome
RIT1Orphanet:648Noonan syndrome
RORCOrphanet:477857Mendelian susceptibility to mycobacterial diseases due to complete RORgamma receptor deficiency
RPS14Orphanet:86841Myelodysplastic syndrome associated with isolated del(5q) chromosome abnormality
ATXN2Orphanet:803Amyotrophic lateral sclerosis
ATXN2Orphanet:98756Spinocerebellar ataxia type 2
SEC24COrphanet:56722q11.2 deletion syndrome
SLC22A5Orphanet:158Systemic primary carnitine deficiency
SLC25A15Orphanet:415Hyperornithinemia-hyperammonemia-homocitrullinuria syndrome
ZFP36L2Orphanet:488191Female infertility due to oocyte meiotic arrest
ZFP36L2Orphanet:675396Epithelioid hemangioma
SOX11Orphanet:1465Coffin-Siris syndrome
STAT3Orphanet:2314Autosomal dominant hyper-IgE syndrome due to STAT3 deficiency
STAT3Orphanet:438159STAT3-related early-onset multisystem autoimmune disease
STAT3Orphanet:512017Chronic lymphoproliferative disorder of natural killer cells
STAT3Orphanet:520Acute promyelocytic leukemia
STAT3Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
STAT3Orphanet:86872T-cell large granular lymphocyte leukemia
STAT3Orphanet:99885Isolated permanent neonatal diabetes mellitus
STAT5BOrphanet:220465Laron syndrome with immunodeficiency
STAT5BOrphanet:520Acute promyelocytic leukemia
STK11Orphanet:2869Peutz-Jeghers syndrome
BTNL2Orphanet:797Sarcoidosis
SUOXOrphanet:99731Isolated sulfite oxidase deficiency
MLXOrphanet:3287Takayasu arteritis
TCOF1Orphanet:861Treacher-Collins syndrome
MYRFOrphanet:647811Cardiac-urogenital syndrome
TLR4Orphanet:117Behçet disease
TNFAIP3Orphanet:536Systemic lupus erythematosus
TNFAIP3Orphanet:674762Early-onset autoinflammatory syndrome due to A20 haploinsufficiency
TNFRSF1AOrphanet:32960Tumor necrosis factor receptor 1 associated periodic syndrome
TNFRSF1AOrphanet:329967Intermittent hydrarthrosis
CD40Orphanet:101090Hyper-IgM syndrome type 3
CD27Orphanet:238505Combined immunodeficiency due to CD27 deficiency
TNFRSF9Orphanet:664726EBV-induced lymphoproliferative disease due to CD137 deficiency
TNFSF11Orphanet:667Autosomal recessive malignant osteopetrosis
TNFSF15Orphanet:186Primary biliary cholangitis
TNFSF4Orphanet:2073Narcolepsy type 1
TNFSF4Orphanet:536Systemic lupus erythematosus
CD40LGOrphanet:101088X-linked hyper-IgM syndrome

Cohort genes → proteins

75 cohort genes, 75 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only74
gwas_and_clinvar1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
NOD2HGNC:5331ENSG00000167207Q9HC29Nucleotide-binding oligomerization domain-containing protein 2gwas,clinvar
RIPK2HGNC:10020ENSG00000104312O43353Receptor-interacting serine/threonine-protein kinase 2gwas
RIT1HGNC:10023ENSG00000143622Q92963GTP-binding protein Rit1gwas
RNASE2HGNC:10045ENSG00000169385P10153Non-secretory ribonucleasegwas
RNF7HGNC:10070ENSG00000114125Q9UBF6RING-box protein 2gwas
CNNM1HGNC:102ENSG00000119946Q9NRU3Metal transporter CNNM1gwas
RORCHGNC:10260ENSG00000143365P51449Nuclear receptor ROR-gammagwas
RPL3HGNC:10332ENSG00000100316P39023Large ribosomal subunit protein uL3gwas
RPL7HGNC:10363ENSG00000147604P18124Large ribosomal subunit protein uL30gwas
RPS14HGNC:10387ENSG00000164587P62263Small ribosomal subunit protein uS11gwas
RPS6KA4HGNC:10433ENSG00000162302O75676Ribosomal protein S6 kinase alpha-4gwas
RPS6KB1HGNC:10436ENSG00000108443P23443Ribosomal protein S6 kinase beta-1gwas
RUNX3HGNC:10473ENSG00000020633Q13761Runt-related transcription factor 3gwas
RXRAHGNC:10477ENSG00000186350P19793Retinoic acid receptor RXR-alphagwas
ATXN2HGNC:10555ENSG00000204842Q99700Ataxin-2gwas
SCAMP3HGNC:10565ENSG00000116521O14828Secretory carrier-associated membrane protein 3gwas
CCL1HGNC:10609ENSG00000108702P22362C-C motif chemokine 1gwas
CCL11HGNC:10610ENSG00000172156P51671Eotaxingwas
CCL13HGNC:10611ENSG00000181374Q99616C-C motif chemokine 13gwas
CCL2HGNC:10618ENSG00000108691P13500C-C motif chemokine 2gwas
CCL20HGNC:10619ENSG00000115009P78556C-C motif chemokine 20gwas
CCL21HGNC:10620ENSG00000137077O00585C-C motif chemokine 21gwas
CCL7HGNC:10634ENSG00000108688P80098C-C motif chemokine 7gwas
CCL8HGNC:10635ENSG00000108700P80075C-C motif chemokine 8gwas
STARD10HGNC:10666ENSG00000214530Q9Y365START domain-containing protein 10gwas
ENTR1HGNC:10667ENSG00000165689Q96C92Endosome-associated-trafficking regulator 1gwas
SDF2L1HGNC:10676ENSG00000128228Q9HCN8Stromal cell-derived factor 2-like protein 1gwas
SEC24CHGNC:10705ENSG00000176986P53992Protein transport protein Sec24Cgwas
SLC22A4HGNC:10968ENSG00000197208Q9H015Solute carrier family 22 member 4gwas
SLC22A5HGNC:10969ENSG00000197375O76082Organic cation/carnitine transporter 2gwas
SLC25A15HGNC:10985ENSG00000102743Q9Y619Mitochondrial ornithine transporter 1gwas
BRAPHGNC:1099ENSG00000089234Q7Z569BRCA1-associated proteingwas
BRD2HGNC:1103ENSG00000204256P25440Bromodomain-containing protein 2gwas
ZFP36L1HGNC:1107ENSG00000185650Q07352mRNA decay activator protein ZFP36L1gwas
SLC9A4HGNC:11077ENSG00000180251Q6AI14Sodium/hydrogen exchanger 4gwas
ZFP36L2HGNC:1108ENSG00000152518P47974mRNA decay activator protein ZFP36L2gwas
SNAPC4HGNC:11137ENSG00000165684Q5SXM2snRNA-activating protein complex subunit 4gwas
BSNHGNC:1117ENSG00000164061Q9UPA5Protein bassoongwas
SOX11HGNC:11191ENSG00000176887P35716Transcription factor SOX-11gwas
SSR2HGNC:11324ENSG00000163479P43308Translocon-associated protein subunit betagwas
STAT3HGNC:11364ENSG00000168610P40763Signal transducer and activator of transcription 3gwas
STAT5AHGNC:11366ENSG00000126561P42229Signal transducer and activator of transcription 5Agwas
STAT5BHGNC:11367ENSG00000173757P51692Signal transducer and activator of transcription 5Bgwas
STAU1HGNC:11370ENSG00000124214O95793Double-stranded RNA-binding protein Staufen homolog 1gwas
STIP1HGNC:11387ENSG00000168439P31948Stress-induced-phosphoprotein 1gwas
STK11HGNC:11389ENSG00000118046Q15831Serine/threonine-protein kinase STK11gwas
BTNL2HGNC:1142ENSG00000204290Q9UIR0Butyrophilin-like protein 2gwas
SULT1A1HGNC:11453ENSG00000196502P50225Sulfotransferase 1A1gwas
SULT1A2HGNC:11454ENSG00000197165P50226Sulfotransferase 1A2gwas
SUOXHGNC:11460ENSG00000139531P51687Sulfite oxidase, mitochondrialgwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
NOD2Nucleotide-binding oligomerization domain-containing protein 2Pattern recognition receptor (PRR) that detects bacterial peptidoglycan fragments and other danger signals and plays an important role in gastrointestinal immunity.
RIPK2Receptor-interacting serine/threonine-protein kinase 2Serine/threonine/tyrosine-protein kinase that plays an essential role in modulation of innate and adaptive immune responses.
RIT1GTP-binding protein Rit1Plays a crucial role in coupling NGF stimulation to the activation of both EPHB2 and MAPK14 signaling pathways and in NGF-dependent neuronal differentiation.
RNASE2Non-secretory ribonucleaseThis is a non-secretory ribonuclease.
RNF7RING-box protein 2Catalytic component of multiple cullin-5-RING E3 ubiquitin-protein ligase complexes (ECS complexes), which mediate the ubiquitination and subsequent proteasomal degradation of target proteins.
CNNM1Metal transporter CNNM1Probable metal transporter.
RORCNuclear receptor ROR-gammaNuclear receptor that binds DNA as a monomer to ROR response elements (RORE) containing a single core motif half-site 5’-AGGTCA-3’ preceded by a short A-T-rich sequence.
RPL3Large ribosomal subunit protein uL3Component of the large ribosomal subunit.
RPL7Large ribosomal subunit protein uL30Component of the large ribosomal subunit.
RPS14Small ribosomal subunit protein uS11Component of the small ribosomal subunit.
RPS6KA4Ribosomal protein S6 kinase alpha-4Serine/threonine-protein kinase that is required for the mitogen or stress-induced phosphorylation of the transcription factors CREB1 and ATF1 and for the regulation of the transcription factor RELA, and that contributes to gene activation…
RPS6KB1Ribosomal protein S6 kinase beta-1Serine/threonine-protein kinase that acts downstream of mTOR signaling in response to growth factors and nutrients to promote cell proliferation, cell growth and cell cycle progression.
RUNX3Runt-related transcription factor 3Forms the heterodimeric complex core-binding factor (CBF) with CBFB.
RXRARetinoic acid receptor RXR-alphaReceptor for retinoic acid that acts as a transcription factor.
ATXN2Ataxin-2Involved in EGFR trafficking, acting as negative regulator of endocytic EGFR internalization at the plasma membrane.
SCAMP3Secretory carrier-associated membrane protein 3Functions in post-Golgi recycling pathways.
CCL1C-C motif chemokine 1Cytokine that is chemotactic for monocytes but not for neutrophils.
CCL11EotaxinChemokine that plays a central role in both allergic and non-allergic inflammatory reactions by inducing the migration of different leukocyte types including eosinophils, basophils, macrophages and dendritic cells.
CCL13C-C motif chemokine 13Chemotactic factor that attracts monocytes, lymphocytes, basophils and eosinophils, but not neutrophils.
CCL2C-C motif chemokine 2Acts as a ligand for C-C chemokine receptor CCR2.
CCL20C-C motif chemokine 20Acts as a ligand for C-C chemokine receptor CCR6.
CCL21C-C motif chemokine 21Inhibits hemopoiesis and stimulates chemotaxis.
CCL7C-C motif chemokine 7Chemotactic factor that plays an important role in immune regulation.
CCL8C-C motif chemokine 8Chemotactic factor that attracts monocytes, lymphocytes, basophils and eosinophils.
STARD10START domain-containing protein 10May play metabolic roles in sperm maturation or fertilization.
ENTR1Endosome-associated-trafficking regulator 1Endosome-associated protein that plays a role in membrane receptor sorting, cytokinesis and ciliogenesis.
SEC24CProtein transport protein Sec24CComponent of the coat protein complex II (COPII) which promotes the formation of transport vesicles from the endoplasmic reticulum (ER).
SLC22A4Solute carrier family 22 member 4Transporter that mediates the transport of endogenous and microbial zwitterions and organic cations.
SLC22A5Organic cation/carnitine transporter 2Sodium-ion dependent, high affinity carnitine transporter.
SLC25A15Mitochondrial ornithine transporter 1Mitochondrial ornithine-citrulline antiporter.
BRAPBRCA1-associated proteinNegatively regulates MAP kinase activation by limiting the formation of Raf/MEK complexes probably by inactivation of the KSR1 scaffold protein.
BRD2Bromodomain-containing protein 2Chromatin reader protein that specifically recognizes and binds histone H4 acetylated at ‘Lys-5’ and ‘Lys-12’ (H4K5ac and H4K12ac, respectively), thereby controlling gene expression and remodeling chromatin structures.
ZFP36L1mRNA decay activator protein ZFP36L1Zinc-finger RNA-binding protein that destabilizes several cytoplasmic AU-rich element (ARE)-containing mRNA transcripts by promoting their poly(A) tail removal or deadenylation, and hence provide a mechanism for attenuating protein synthes…
SLC9A4Sodium/hydrogen exchanger 4Electroneutral antiporter that exchanges sodium for protons or ammonium ions at the basolateral membrane of epithelia to regulate cell volume and intracellular pH upon hypertonic conditions.
ZFP36L2mRNA decay activator protein ZFP36L2Zinc-finger RNA-binding protein that destabilizes several cytoplasmic AU-rich element (ARE)-containing mRNA transcripts by promoting their poly(A) tail removal or deadenylation, and hence provide a mechanism for attenuating protein synthes…
SNAPC4snRNA-activating protein complex subunit 4Part of the SNAPc complex required for the transcription of both RNA polymerase II and III small-nuclear RNA genes.
BSNProtein bassoonScaffold protein of the presynaptic cytomatrix at the active zone (CAZ) which is the place in the synapse where neurotransmitter is released.
SOX11Transcription factor SOX-11Transcription factor that acts as a transcriptional activator.
SSR2Translocon-associated protein subunit betaTRAP proteins are part of a complex whose function is to bind calcium to the ER membrane and thereby regulate the retention of ER resident proteins.
STAT3Signal transducer and activator of transcription 3Signal transducer and transcription activator that mediates cellular responses to interleukins, KITLG/SCF, LEP and other growth factors.
STAT5ASignal transducer and activator of transcription 5ACarries out a dual function: signal transduction and activation of transcription.
STAT5BSignal transducer and activator of transcription 5BCarries out a dual function: signal transduction and activation of transcription.
STAU1Double-stranded RNA-binding protein Staufen homolog 1Binds double-stranded RNA (regardless of the sequence) and tubulin.
STIP1Stress-induced-phosphoprotein 1Acts as a co-chaperone for HSP90AA1.
STK11Serine/threonine-protein kinase STK11Tumor suppressor serine/threonine-protein kinase that controls the activity of AMP-activated protein kinase (AMPK) family members, thereby playing a role in various processes such as cell metabolism, cell polarity, apoptosis and DNA damage…
BTNL2Butyrophilin-like protein 2Negative regulator of T-cell proliferation.
SULT1A1Sulfotransferase 1A1Sulfotransferase that utilizes 3’-phospho-5’-adenylyl sulfate (PAPS) as sulfonate donor to catalyze the sulfate conjugation of a wide variety of acceptor molecules bearing a hydroxyl or an amine group.
SULT1A2Sulfotransferase 1A2Sulfotransferase that utilizes 3’-phospho-5’-adenylyl sulfate (PAPS) as sulfonate donor to catalyze the sulfate conjugation of catecholamines, phenolic drugs and neurotransmitters.
SUOXSulfite oxidase, mitochondrialCatalyzes the oxidation of sulfite to sulfate, the terminal reaction in the oxidative degradation of sulfur-containing amino acids.
SYNGR1Synaptogyrin-1May play a role in regulated exocytosis.

Protein-family classification

Druggable: 14 · Difficult: 16 · Unknown: 45 · Druggable fraction: 0.19

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
Nuclear receptor210.3×0.057
Transcription factor161.8×0.057
Kinase51.9×0.312
Transporter22.1×0.379
Other/Unknown451.1×0.379
Enzyme (other)40.6×0.927
Antibody/Immunoglobulin10.4×0.927

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
NOD2Other/UnknownnoCARD, Leu-rich_rpt, NACHT_NTPase
RIPK2Kinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, CARD
RIT1Other/UnknownnoSmall_GTPase, Small_GTP-bd, Small_GTPase_Ras-type
RNASE2Other/UnknownnoRNaseA, RNaseA_AS, RNaseA_domain
RNF7Transcription factornoZnf_RING, Znf_RING/FYVE/PHD, Znf_RING_H2
CNNM1Other/UnknownnoCBS_dom, CNNM, Ion_transp-like_CBS
RORCNuclear receptoryesNucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt, Nuclear_hrmn_rcpt
RPL3Other/UnknownnoRibosomal_uL3, Transl_B-barrel_sf, Ribosomal_uL3_CS
RPL7Other/UnknownnoRibosomal_uL30_euk, Ribosomal_uL30_N_euk, Ribosomal_uL30_ferredoxin-like
RPS14Other/UnknownnoRibosomal_uS11, Ribosomal_uS11_CS, Ribosomal_uS11_sf
RPS6KA4KinaseyesProt_kinase_dom, AGC-kinase_C, Ser/Thr_kinase_AS
RPS6KB1Kinaseyes2.7.11.1Prot_kinase_dom, AGC-kinase_C, Ser/Thr_kinase_AS
RUNX3Transcription factornoAML1_Runt, p53-like_TF_DNA-bd_sf, p53/RUNT-type_TF_DNA-bd_sf
RXRANuclear receptoryesRetinoid-X_rcpt/HNF4, Nucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt
ATXN2Other/UnknownnoLsmAD_domain, PAM2_motif, LSM_dom_sf
SCAMP3Other/UnknownnoSCAMP
CCL1Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Interleukin_8-like_sf
CCL11Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Interleukin_8-like_sf
CCL13Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Interleukin_8-like_sf
CCL2Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Interleukin_8-like_sf
CCL20Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Chemokine_CC_DCCL
CCL21Other/UnknownnoChemokine_IL8-like_dom, Chemokine_CC_DCCL, Interleukin_8-like_sf
CCL7Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Interleukin_8-like_sf
CCL8Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Interleukin_8-like_sf
STARD10Other/UnknownnoSTART_lipid-bd_dom, START-like_dom_sf, STARD10_START
ENTR1Other/UnknownnoENTR1
SDF2L1Other/UnknownnoMIR_motif, MIR_dom_sf
SEC24CTranscription factornoZnf_Sec23_Sec24, Sec23/24_trunk_dom, Sec23/24_helical_dom
SLC22A4TransporteryesOrgcat_transp/SVOP, MFS_sugar_transport-like, Sugar_transporter_CS
SLC22A5TransporteryesOrgcat_transp/SVOP, MFS_sugar_transport-like, Sugar_transporter_CS
SLC25A15Other/UnknownnoMCP_transmembrane, MCP_dom_sf, Mitochondrial_Carrier
BRAPTranscription factornoZnf_UBP, Znf_RING, BRAP2/ETP1_RRM
BRD2Other/UnknownnoBromodomain, Bromodomain_CS, NET_dom
ZFP36L1Transcription factornoZnf_CCCH, Tis11B_N, Znf_CCCH_sf
SLC9A4Other/UnknownnoNHE-2/4, NaH_exchanger, Cation/H_exchanger_TM
ZFP36L2Transcription factornoZnf_CCCH, Tis11B_N, Znf_CCCH_sf
SNAPC4Transcription factornoSANT/Myb, Homeodomain-like_sf, SANT_dom
BSNTranscription factornoZnf_piccolo, Znf_FYVE_PHD, Znf_RING/FYVE/PHD
SOX11Transcription factornoHMG_box_dom, SOX-12/11/4, HMG_box_dom_sf
SSR2Other/UnknownnoTRAP_beta
STAT3Transcription factornoSH2, STAT, p53-like_TF_DNA-bd_sf
STAT5ATranscription factornoSH2, STAT, p53-like_TF_DNA-bd_sf
STAT5BTranscription factornoSH2, STAT, p53-like_TF_DNA-bd_sf
STAU1Other/UnknownnodsRBD_dom, Staufen_C, STAU1_DSRM_3
STIP1Other/UnknownnoSTI1_HS-bd, TPR-like_helical_dom_sf, TPR_2
STK11Kinaseyes2.7.11.1Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
BTNL2Antibody/ImmunoglobulinyesIg_C1-set, Ig_sub, Ig-like_dom
SULT1A1Enzyme (other)yes2.8.2.1Sulfotransferase_dom, P-loop_NTPase
SULT1A2Enzyme (other)yes2.8.2.1Sulfotransferase_dom, P-loop_NTPase
SUOXEnzyme (other)yes1.8.3.1OxRdtase_Mopterin-bd_dom, Cyt_B5-like_heme/steroid-bd, MoCF_OxRdtse_dimer

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

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

Top tissues across cohort

TissueCohort genes
lymph node7
right lobe of liver7
monocyte6
male germ line stem cell (sensu Vertebrata) in testis6
buccal mucosa cell6
granulocyte6
primordial germ cell in gonad6
mucosa of transverse colon6
mononuclear cell5
leukocyte4
cartilage tissue4
right adrenal gland4
type B pancreatic cell4
ganglionic eminence4
ventricular zone4
gall bladder4
left testis4
sural nerve4
spleen4
skin of hip3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
NOD2189broadmarkermonocyte, mononuclear cell, leukocyte
RIPK2249ubiquitousmarkercartilage tissue, monocyte, mononuclear cell
RIT1268ubiquitousmarkermonocyte, mononuclear cell, leukocyte
RNASE2184tissue_specificmarkertrabecular bone tissue, bone marrow, bone marrow cell
RNF7292ubiquitousmarkerleft adrenal gland, left adrenal gland cortex, right adrenal gland
CNNM1176broadmarkerpostcentral gyrus, prefrontal cortex, parietal lobe
RORC209broadmarkergastrocnemius, male germ line stem cell (sensu Vertebrata) in testis, hindlimb stylopod muscle
RPL3307ubiquitousmarkerleft ovary, right ovary, type B pancreatic cell
RPL7226ubiquitousmarkerganglionic eminence, ventricular zone, calcaneal tendon
RPS14305ubiquitousmarkerupper leg skin, adult organism, skin of hip
RPS6KA4215ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
RPS6KB1275ubiquitousmarkerendothelial cell, Brodmann (1909) area 23, calcaneal tendon
RUNX3220broadmarkergranulocyte, buccal mucosa cell, lymph node
RXRA294ubiquitousmarkerskin of hip, gingival epithelium, pancreatic ductal cell
ATXN2286ubiquitousmarkerbuccal mucosa cell, colonic epithelium, olfactory bulb
SCAMP3143ubiquitousmarkerright adrenal gland cortex, right adrenal gland, left adrenal gland
CCL152tissue_specificyesmale germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, buccal mucosa cell
CCL11128broadmarkerpylorus, cardia of stomach, caecum
CCL13174tissue_specificyesprimordial germ cell in gonad, mucosa of transverse colon, decidua
CCL2252ubiquitousmarkervena cava, gall bladder, islet of Langerhans
CCL20202broadmarkerepithelium of nasopharynx, cartilage tissue, gall bladder
CCL21206tissue_specificmarkerlymph node, right lobe of thyroid gland, vermiform appendix
CCL7124broadyesfrontal pole, type B pancreatic cell, paraflocculus
CCL8208broadmarkermale germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell, vena cava
STARD10251broadmarkerright lobe of liver, mucosa of transverse colon, body of pancreas
ENTR1278ubiquitousmarkerleft testis, right testis, right lobe of liver
SDF2L1199ubiquitousmarkermucosa of transverse colon, adenohypophysis, right lobe of liver
SEC24C290ubiquitousmarkerlower esophagus mucosa, esophagus squamous epithelium, epithelium of esophagus
SLC22A4201ubiquitousmarkerbronchial epithelial cell, epithelium of bronchus, bronchus
SLC22A5235ubiquitousmarkergastrocnemius, mucosa of transverse colon, muscle of leg

Protein interactions among cohort

Intra-cohort edges: 61.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TNF11,116
STAT310,108
RPL36,978
TLR46,974
CCL25,749
RPS6KB15,474
RPL75,417
STIP15,243
STK115,146
STAU14,999

Intra-cohort edges

ABSources
ATXN2RPL7intact
BRAPTNFAIP3intact
BRD2RUNX3intact
BTNL2NOD2string_interaction
CCL1CCL2string_interaction
CCL11CCL13biogrid_interaction, intact
CCL11CCL2biogrid_interaction, intact
CCL11CCL8biogrid_interaction, intact
CCL13CCL2biogrid_interaction, string_interaction
CCL13CCL21biogrid_interaction, intact
CCL13CCL8biogrid_interaction, intact
CCL2CCL20string_interaction
CCL2CCL8biogrid_interaction, intact
CCL7TNFstring_interaction
CD27CD40string_interaction
CD27CD40LGstring_interaction
CD27SCAMP3intact
CD27TNFRSF9string_interaction
CD27TNFSF18string_interaction
CD27TNFSF4string_interaction
CD40CD40LGbiogrid_interaction, intact, string_interaction
CD40TNFstring_interaction
CD40TNFRSF9string_interaction
CD40TNFSF4string_interaction
CD40LGTNFSF4string_interaction
CNNM1SLC9A4biogrid_interaction
ENTR1NOD2intact
ENTR1SLC9A4string_interaction
NOD2RIPK2biogrid_interaction, intact, string_interaction
NOD2SLC22A4string_interaction
NOD2SLC22A5string_interaction
NOD2TLR4string_interaction
NOD2TNFAIP3biogrid_interaction
NOD2TNFSF15string_interaction
RIPK2RPS14biogrid_interaction
RPL3RPL7string_interaction
RPL7RPS14biogrid_interaction
SDF2L1TNFRSF6Bintact
SLC22A4SLC22A5intact
SLC22A4SLC25A15intact
STAT3STAT5Astring_interaction
STAT3STAT5Bbiogrid_interaction, string_interaction
STAT5ASTAT5Bintact
STAT5BSUOXintact
STIP1TERF1intact
SULT1A1SULT1A2biogrid_interaction, intact
TERF1ZFP36L1intact
TNFTNFRSF14string_interaction
TNFTNFRSF1Abiogrid_interaction, intact, string_interaction
TNFTNFRSF6Bstring_interaction

Structural data

PDB: 59 · AlphaFold-only: 16 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
RPS14P62263213
RPL7P18124194
RPL3P39023193
BRD2P25440174
RORCP51449161
RXRAP19793110
TERF1P5427458
TNFP0137552
RIPK2O4335333
RNASE2P1015327
RPS6KB1P2344322
SNAPC4Q5SXM218
TNFAIP3P2158017
TLR4O0020615
CCL2P1350014
CD40P2594214
TNFRSF9Q0701114
TNFRSF1AP1943813
SULT1A1P5022511
CCL7P8009810
STIP1P319488
TNFRSF14Q929568
TNFRSF6BO954078
CD40LGP299658
RNF7Q9UBF67
TNFSF15O951507
TNFSF18Q9UNG27
CCL20P785566
STAT3P407636
TMEM258P611656

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
SDF2L1Q9HCN889.30
SLC25A15Q9Y61987.43
BTNL2Q9UIR085.97
THBS3P4974685.66
SLC22A4Q9H01585.07
NOD2Q9HC2984.76
SCAMP3O1482876.99
BRAPQ7Z56976.92
MLXQ9UH9273.71
RPS6KA4O7567672.00
CNNM1Q9NRU367.07
SLC9A4Q6AI1466.73
TCTAP5773866.03
ENTR1Q96C9265.28
TCOF1Q1342841.78
BSNQ9UPA5

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 744. Enrichment computed across 250 evidence-associated genes (174 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 174 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
TNFs bind their physiological receptors1124.9×2e-10TNFRSF14, TNFRSF1A, TNFRSF6B, CD27, TNFRSF9, TNFSF11, TNFSF15, TNFSF18 (+3 more)
Inactivation of CSF3 (G-CSF) signaling717.7×3e-05RNF7, STAT3, STAT5A, STAT5B, TYK2, UBE2D1, SOCS1
Cytokine Signaling in Immune system174.0×3e-04RORC, CCL11, CCL2, CCL20, STAT3, STAT5A, STAT5B, TEC (+9 more)
Chemokine receptors bind chemokines88.6×7e-04CCL1, CCL11, CCL13, CCL2, CCL20, CCL21, CCL7, CCR6
FGFR1 mutant receptor activation426.2×0.001STAT3, STAT5A, STAT5B, CEP43
Signaling by CSF3 (G-CSF)516.4×0.001STAT3, STAT5A, STAT5B, TYK2, SOCS1
TNFR1-induced NF-kappa-B signaling pathway611.6×0.001TNF, TNFAIP3, TNFRSF1A, USP4, TAB2, TAB1
NOD1/2 Signaling Pathway610.9×0.001NOD2, RIPK2, TNFAIP3, CARD9, TAB2, TAB1
Signaling by Interleukins124.4×0.001RORC, CCL11, CCL2, CCL20, STAT3, STAT5A, STAT5B, TEC (+4 more)
Immune System302.2×0.002RNASE2, RORC, CCL11, CCL2, CCL20, SEC24C, STAT3, STAT5A (+22 more)
Ovarian tumor domain proteases69.6×0.002NOD2, RIPK2, TNFAIP3, UBE2D1, TNIP1, IFIH1
Interleukin-20 family signaling512.2×0.003STAT3, STAT5A, STAT5B, TYK2, IFNLR1
Interleukin-4 and Interleukin-13 signaling95.3×0.003RORC, CCL11, CCL2, STAT3, TNF, FASLG, TYK2, IL23R (+1 more)
Interleukin-10 signaling68.0×0.005CCL2, CCL20, STAT3, TNF, TNFRSF1A, TYK2
Regulation of TNFR1 signaling67.7×0.006TNF, TNFAIP3, TNFRSF1A, UBE2D1, UBE2L3, USP4
Signaling by cytosolic FGFR1 fusion mutants414.6×0.006STAT3, STAT5A, STAT5B, CEP43
Signal Transduction331.9×0.007RPS6KB1, RUNX3, RXRA, CCL1, CCL11, CCL13, CCL2, CCL20 (+25 more)
Interleukin-9 signaling321.9×0.011STAT3, STAT5A, STAT5B
Interleukin-23 signaling321.9×0.011STAT3, TYK2, IL23R
JNK (c-Jun kinases) phosphorylation and activation mediated by activated human TAK1411.9×0.011NOD2, RIPK2, TAB2, TAB1
Interleukin-21 signaling319.7×0.012STAT3, STAT5A, STAT5B
Signaling by KIT in disease319.7×0.012STAT3, STAT5A, STAT5B
activated TAK1 mediates p38 MAPK activation411.4×0.012NOD2, RIPK2, TAB2, TAB1
TNFR2 non-canonical NF-kB pathway66.2×0.012TNF, CD40, CD27, TNFSF11, CD40LG, FASLG
Growth hormone receptor signaling410.9×0.013STAT3, STAT5A, STAT5B, SOCS1
Signaling by Leptin317.9×0.015STAT3, STAT5A, STAT5B
Peptide ligand-binding receptors93.8×0.016CCL1, CCL11, CCL13, CCL2, CCL20, CCL21, CCL7, UTS2 (+1 more)
TNFR1-induced proapoptotic signaling410.1×0.016TNF, TNFAIP3, TNFRSF1A, USP4
Signaling by SCF-KIT57.1×0.016STAT3, STAT5A, STAT5B, TEC, SOCS1
Signaling by FGFR in disease49.7×0.017STAT3, STAT5A, STAT5B, CEP43

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 238 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
cell surface receptor signaling pathway via JAK-STAT1113.4×8e-07CCL2, STAT3, STAT5A, STAT5B, TNF, TNFRSF1A, CD40, TYK2 (+3 more)
positive regulation of canonical NF-kappaB signal transduction185.5×3e-06NOD2, RIPK2, CCL21, STAT3, TLR4, TNF, TNFRSF1A, CD40 (+10 more)
inflammatory response254.0×3e-06RIPK2, RPS6KA4, CCL1, CCL11, CCL13, CCL2, CCL20, CCL21 (+17 more)
eosinophil chemotaxis721.6×9e-06CCL1, CCL11, CCL13, CCL2, CCL21, CCL7, CCL8
positive regulation of interleukin-6 production117.7×7e-05NOD2, RIPK2, STAT3, TLR4, TNF, TNFSF4, UCN, CARD9 (+3 more)
cytokine-mediated signaling pathway126.6×9e-05RIPK2, CCL2, STAT3, STAT5A, STAT5B, TNFRSF1A, TNFSF11, TYK2 (+4 more)
positive regulation of inflammatory response116.7×2e-04CCL1, CCL7, STAT3, STAT5A, STAT5B, TLR4, TNF, TNFRSF1A (+3 more)
positive regulation of type II interferon production98.5×2e-04RIPK2, TLR4, TNF, TNFSF4, TXK, TYK2, CD226, CD244 (+1 more)
positive regulation of cytokine production involved in inflammatory response613.7×8e-04NOD2, STAT3, TLR4, TNF, CARD9, CD6
chemokine-mediated signaling pathway79.5×0.001CCL1, CCL11, CCL13, CCL2, CCL21, CCL7, CCL8
growth hormone receptor signaling pathway via JAK-STAT425.8×0.002STAT3, STAT5A, STAT5B, TYK2
positive regulation of extrinsic apoptotic signaling pathway611.5×0.002TLR4, TNF, TNFSF11, TNFSF15, CD40LG, FASLG
defense response87.3×0.002NOD2, STAT3, STAT5A, STAT5B, TNIP1, ICOSLG, SP140, IL31RA
positive regulation of JNK cascade96.2×0.002NOD2, RIPK2, CCL21, TLR4, TNF, CD27, TNFSF11, DUSP22 (+1 more)
phosphatidylinositol 3-kinase/protein kinase B signal transduction87.1×0.002ZFP36L1, STAT3, TNF, CD40, TNFSF11, CD28, ERRFI1, BANK1
positive regulation of interleukin-10 production610.1×0.003NOD2, STAT3, TLR4, TNFSF4, CD40LG, CD28
positive regulation of interleukin-12 production69.9×0.003RIPK2, TLR4, CD40, TNFSF4, CD40LG, IL23R
positive regulation of T cell proliferation77.6×0.004BTNL2, TNFSF4, CD40LG, TYK2, CD28, CD6, IL23R
positive regulation of chemokine production69.4×0.004RIPK2, TLR4, TNF, TNFSF4, CARD9, CD74
positive regulation of interleukin-17 production512.6×0.004NOD2, CCL1, TYK2, CARD9, IL23R
positive regulation of B cell differentiation418.9×0.004STAT5A, STAT5B, CD27, PPP2R3C
interleukin-23-mediated signaling pathway335.4×0.004STAT3, TYK2, IL23R
positive regulation of interleukin-8 production77.2×0.004NOD2, STAT3, TLR4, TNF, PARK7, CD74, CD244
chemotaxis95.1×0.005RNASE2, CCL1, CCL11, CCL13, CCL2, CCL20, CCL7, CCL8 (+1 more)
response to type II interferon511.1×0.006SLC22A5, CD40, CD74, UBD, IL23R
positive regulation of dendritic cell antigen processing and presentation330.4×0.006NOD2, CCL21, CD74
positive regulation of type 2 immune response330.4×0.006NOD2, TNFSF4, CD74
regulation of steroid metabolic process330.4×0.006RORC, STAT5A, STAT5B
regulatory T cell differentiation326.6×0.008RORC, ZBTB46, CD28
Peyer’s patch development326.6×0.008RORC, STAT5A, STAT5B

Therapeutics

Drugs indicated for this disease

13 approved, 33 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
AdalimumabApproved (phase 4)
BudesonideApproved (phase 4)
Certolizumab PegolApproved (phase 4)
DexamethasoneApproved (phase 4)
HydrocortisoneApproved (phase 4)
InfliximabApproved (phase 4)
MethylprednisoloneApproved (phase 4)
MirikizumabApproved (phase 4)
NatalizumabApproved (phase 4)
PrednisoloneApproved (phase 4)
PrednisoneApproved (phase 4)
UstekinumabApproved (phase 4)
VedolizumabApproved (phase 4)
AbataceptPhase 3 (in late-stage trials)
AlicaforsenPhase 3 (in late-stage trials)
AzathioprinePhase 3 (in late-stage trials)
Beta CarotenePhase 3 (in late-stage trials)
BrazikumabPhase 3 (in late-stage trials)
CholecalciferolPhase 3 (in late-stage trials)
ClarithromycinPhase 3 (in late-stage trials)
ClofaziminePhase 3 (in late-stage trials)
CurcuminPhase 3 (in late-stage trials)
DarvadstrocelPhase 3 (in late-stage trials)
EtrasimodPhase 3 (in late-stage trials)
EtrolizumabPhase 3 (in late-stage trials)
FibrinPhase 3 (in late-stage trials)
FilgotinibPhase 3 (in late-stage trials)
FluconazolePhase 3 (in late-stage trials)
GuselkumabPhase 3 (in late-stage trials)
Lactobacillus AcidophilusPhase 3 (in late-stage trials)
MesalaminePhase 3 (in late-stage trials)
MethotrexatePhase 3 (in late-stage trials)
MetronidazolePhase 3 (in late-stage trials)
Mongersen SodiumPhase 3 (in late-stage trials)
OMEGA-3-CARBOXYLIC ACIDSPhase 3 (in late-stage trials)
OntamalimabPhase 3 (in late-stage trials)
OzanimodPhase 3 (in late-stage trials)
Remestemcel-LPhase 3 (in late-stage trials)
RifabutinPhase 3 (in late-stage trials)
RifaximinPhase 3 (in late-stage trials)
RisankizumabPhase 3 (in late-stage trials)
SargramostimPhase 3 (in late-stage trials)
Sodium ChloridePhase 3 (in late-stage trials)
ThalidomidePhase 3 (in late-stage trials)
TulisokibartPhase 3 (in late-stage trials)
UpadacitinibPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Aldesleukin, Alemtuzumab, Aminosalicylic Acid, Andecaliximab, Andrographolide, Artesunate, Atorvastatin, Azithromycin, Bifidobacterium Spp., Brepocitinib, Briakinumab, Brodalumab, Bupropion, Cannabidiol, Cannabinol, Ciprofloxacin, Clazakizumab, Ergocalciferol, Filgrastim, Fludarabine, Fludarabine Phosphate, Glatiramer Acetate, Golimumab, Hydroxychloroquine, INTERFERON BETA-1A, Itraconazole, Laquinimod, Lenalidomide, Mecasermin, Methoxsalen, Mycophenolate Mofetil, Mycophenolic Acid, Naltrexone, Neomycin, Nitazoxanide, Obefazimod, Olokizumab, POLYETHYLENE GLYCOL 3350, Pectin, Prasterone, Promethazine, Ranolazine, Ritlecitinib, Secukinumab, Somatropin, Spesolimab, Tacrolimus Anhydrous, Tamibarotene, Teduglutide, Terbinafine, Tetomilast, Tofacitinib, Vancomycin, Vercirnon, Visilizumab, Zasocitinib.

Drug target analysis

Approved (phase 4): 16 · Phase ≥3: 19 · Phased (≥1): 23 · Undrugged: 52

Druggability breadth: 114 of 250 evidence-associated genes (46%) 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
NOD2PACLITAXEL
RIPK2PONATINIB
RORCDIGOXIN
RPL3GENTAMICIN SULFATE
RPL7GENTAMICIN SULFATE
RPS14GENTAMICIN SULFATE
RPS6KA4FEDRATINIB
RPS6KB1FEDRATINIB
RXRABEXAROTENE
STAT3MOMELOTINIB
STAT5AMOMELOTINIB
STK11FEDRATINIB
SULT1A1ESTRADIOL
TECIBRUTINIB
TLR4METHOTREXATE
TNFPREDNISOLONE

Top cohort targets by molecule count

SymbolMoleculesMax phase
RIPK2644
RPS6KB1394
TEC394
RPS6KA4344
RXRA234
STAT3184
STK11174
TNF124
RORC94
BRD293

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PACLITAXEL4NOD2
DOCETAXEL ANHYDROUS4NOD2
GEFITINIB4NOD2, RIPK2, RPS6KA4
PONATINIB4RIPK2
AFATINIB4RIPK2
VEMURAFENIB4RIPK2
FEDRATINIB4RIPK2, RPS6KA4, RPS6KB1, STK11
TIVOZANIB4RIPK2
LENVATINIB4RIPK2
AXITINIB4RIPK2
SORAFENIB4RIPK2, RPS6KB1
IBRUTINIB4RIPK2, TEC
REGORAFENIB4RIPK2
DABRAFENIB4RIPK2
CABOZANTINIB4RIPK2
DACOMITINIB ANHYDROUS4RIPK2
VANDETANIB4RIPK2, RPS6KB1
BOSUTINIB4RIPK2, RPS6KB1, TEC
ENCORAFENIB4RIPK2
GILTERITINIB4RIPK2
PAZOPANIB4RIPK2
DASATINIB4RIPK2, TEC
ERLOTINIB4RIPK2, RPS6KA4
LAPATINIB4RIPK2
QUIZARTINIB4RIPK2
CRIZOTINIB4RIPK2, RPS6KB1
DIGOXIN4RORC, STAT3
TRETINOIN4RORC, RXRA
ALITRETINOIN4RORC, RXRA
GENTAMICIN SULFATE4RPL3, RPL7, RPS14

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 8.

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

SymbolAssaysType breakdown
STAT31,319Binding:1304, Functional:12, Unclassified:2, ADMET:1
RXRA846Binding:703, Functional:138, ADMET:5
RORC758Binding:707, Functional:50, Unclassified:1
BRD2681Binding:655, Functional:19, ADMET:7
RPS6KB1585Binding:582, Functional:2, ADMET:1
RIPK2455Binding:452, ADMET:3
RPS6KA4389Binding:387, Functional:1, ADMET:1
TEC302Binding:291, ADMET:11
TLR4267Binding:254, Functional:10, ADMET:3
STK11244Binding:244
STAT5A199Binding:199
TNF193Binding:162, Functional:31
NOD2126Binding:121, Functional:5
SLC22A597Functional:79, ADMET:18
RPL390Binding:90
RPL790Binding:90
RPS1490Binding:90
STAT5B55Binding:55
TNFSF1130Binding:30
SLC22A429Functional:26, ADMET:3
CCL224Binding:24
TNFRSF1A24Binding:23, Functional:1
SULT1A119ADMET:15, Binding:4
STIP113Binding:13
TNFRSF911Binding:11
CD4010Binding:10
TCOF18Binding:8
CD40LG8Binding:8
SNAPC46Binding:6
ATXN25Binding:3, Functional:2
RNASE22Binding:2
CCL72Binding:2
BRAP2Binding:2
SCAMP31Binding:1
CCL111Binding:1
STARD101Binding:1
SEC24C1Binding:1
STAU11Binding:1
SULT1A21ADMET:1
MLX1Binding:1
TNFAIP31Binding:1
CD271Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
RIPK22.7.10.2, 2.7.11.30non-specific protein-tyrosine kinase, receptor protein serine/threonine kinase
RPS6KB12.7.11.1non-specific serine/threonine protein kinase
STK112.7.11.1non-specific serine/threonine protein kinase
SULT1A12.8.2.1, 2.8.2.2aryl sulfotransferase, alcohol sulfotransferase
SULT1A22.8.2.1, 2.8.2.2, 2.8.2.9aryl sulfotransferase, alcohol sulfotransferase, tyrosine-ester sulfotransferase
SUOX1.8.3.1sulfite oxidase
TMEM2582.4.99.18dolichyl-diphosphooligosaccharide-protein glycotransferase
TEC2.7.10.2non-specific protein-tyrosine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
NOD2126
RIPK2455
RORC758
RPS6KA4389
RPS6KB1585
RXRA846
BRD2681
STAT31,319
STAT5A199
STK11244
TEC302
TLR4267
TNF193

Pharmacogenomics

Cohort genes with a PharmGKB record: 75; 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)
PACLITAXEL4NOD2
DOCETAXEL ANHYDROUS4NOD2
GEFITINIB4NOD2, RIPK2, RPS6KA4
PONATINIB4RIPK2
AFATINIB4RIPK2
VEMURAFENIB4RIPK2
FEDRATINIB4RIPK2, RPS6KA4, RPS6KB1, STK11
TIVOZANIB4RIPK2
LENVATINIB4RIPK2
AXITINIB4RIPK2
SORAFENIB4RIPK2, RPS6KB1
IBRUTINIB4RIPK2, TEC
REGORAFENIB4RIPK2
DABRAFENIB4RIPK2
CABOZANTINIB4RIPK2
DACOMITINIB ANHYDROUS4RIPK2
VANDETANIB4RIPK2, RPS6KB1
BOSUTINIB4RIPK2, RPS6KB1, TEC
ENCORAFENIB4RIPK2
GILTERITINIB4RIPK2
PAZOPANIB4RIPK2
DASATINIB4RIPK2, TEC
ERLOTINIB4RIPK2, RPS6KA4
LAPATINIB4RIPK2
QUIZARTINIB4RIPK2
CRIZOTINIB4RIPK2, RPS6KB1
DIGOXIN4RORC, STAT3
TRETINOIN4RORC, RXRA
ALITRETINOIN4RORC, RXRA
GENTAMICIN SULFATE4RPL3, RPL7, RPS14

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)16NOD2, RIPK2, RORC, RPL3, RPL7, RPS14, RPS6KA4, RPS6KB1, RXRA, STAT3 (+6 more)
BPhased (≥1) drug, not yet approved7CCL2, BRD2, SNAPC4, STAT5B, MLX, TCOF1, TNFRSF1A
CDruggable family + PDB, no drug4SLC22A5, SULT1A2, SUOX, TMEM258
DDruggable family + AlphaFold only, no drug2SLC22A4, BTNL2
EDifficult family or no structure, no drug46RIT1, RNASE2, RNF7, CNNM1, RUNX3, ATXN2, SCAMP3, CCL1, CCL11, CCL13 (+36 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
CCL80CCL2
SLC22A429NOD2
SLC22A597NOD2
TNFRSF6B0TNFRSF1A
RIT10
RNASE22
RNF70
CNNM10
RUNX30
ATXN25
SCAMP31
CCL10
CCL111
CCL130
CCL200
CCL210
CCL72
STARD101
ENTR10
SDF2L10
SEC24C1
SLC25A150
BRAP2
ZFP36L10
SLC9A40
ZFP36L20
BSN0
SOX110
SSR20
STAU11

Clinical trials & evidence

Clinical trials

Clinical trials: 1,638.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified395
PHASE3201
PHASE2196
PHASE4128
PHASE180
PHASE1/PHASE260
PHASE2/PHASE323
EARLY_PHASE117

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03261206PHASE4ACTIVE_NOT_RECRUITINGStopping Aminosalicylate Therapy in Inactive Crohn’s Disease
NCT03917303PHASE4RECRUITINGControl Crohn Safe Trial
NCT04496063PHASE4ACTIVE_NOT_RECRUITINGUSTekinumab in Fistulising Perianal Crohn’s Disease (USTAP)
NCT04646187PHASE4ENROLLING_BY_INVITATIONDe-escalation of Anti-TNF Therapy in Inflammatory Bowel Disease
NCT04809363PHASE4ACTIVE_NOT_RECRUITINGA Study of CDPATH™ to Help Manage and Treat Crohn’s Disease
NCT04835506PHASE4ACTIVE_NOT_RECRUITINGProactive Infliximab Optimization Using a Pharmacokinetic Dashboard Versus Standard of Care in Patients With Inflammatory Bowel Disease: The OPTIMIZE Trial
NCT05043870PHASE4RECRUITINGCombined Immunosuppression for Pediatric Crohn’s Disease
NCT05169593PHASE4RECRUITINGPrevention of Postoperative Endoscopic Recurrence With Endoscopy-driven Versus Systematic Biological Therapy
NCT05552287PHASE4RECRUITINGPharmacokinetic Infliximab Data in Pediatric Crohn’s Disease
NCT05781152PHASE4RECRUITINGClinical, Imaging, and Endoscopic Outcomes of Children Newly Diagnosed With Crohn’s Disease
NCT05813860PHASE4NOT_YET_RECRUITINGHLADQA1*05 Genotype and the Efficacy of Treatment With Infliximab in Chinese Population Crohn’s Disease
NCT05906576PHASE4RECRUITINGPost-marketing Registry Study of Infliximab for Injection in Chinese Pediatric Crohn’s Disease Patients
NCT05928039PHASE4RECRUITINGPATHFINDER: Evaluating the Optimal First-Line Treatment Strategy for Moderate-to-Severely Active Ileal-dominant Crohn’s Disease
NCT06045754PHASE4RECRUITINGA Study of Vedolizumab Intravenous (IV) and Adalimumab or Vedolizumab and Ustekinumab in Adults With Crohn’s Disease
NCT06051253PHASE4RECRUITINGTDM-based Infliximab Treatment for Active Perianal Fistulizing Crohn’s Disease
NCT06113913PHASE4RECRUITINGSubcutaneous Infliximab After A Previous Intravenous Dose Optimization
NCT06180382PHASE4RECRUITINGComparison of Vedolizumab Treatment to Adalimumab Dose Intensification in Crohn’s Disease Patients With Loss of Response or Biomarker Activity to Adalimumab on First Line With Therapeutic Drug Concentration.
NCT06257706PHASE4RECRUITINGVECTORS - A Study to Evaluate Transmural Healing as a Treatment Target in Crohn’s Disease
NCT06298461PHASE4RECRUITINGBowel Preparation for Colonoscopy Among Individuals With Crohn’s and Ulcerative Colitis Disease.
NCT06520397PHASE4RECRUITINGEfficacy and Safety of Dual-targeted Therapy With Upadacitinib and Ustekinumab Versus Intensified Ustekinumab Therapy in Crohn’s Disease
NCT06581328PHASE4RECRUITINGA Study of Vedolizumab in Adults With Ulcerative Colitis or Crohn’s Disease in the Community Setting
NCT06774079PHASE4RECRUITINGGlucagon-like Peptide-1 Receptor Agonist (GLP-1 RA) and Diet in Inflammatory Bowel Disease (IBD) Patients
NCT06788340PHASE4NOT_YET_RECRUITINGMOdel-Informed Precision Dosing of Ustekinumab and VEdolizumab in Inflammatory Bowel Disease
NCT06997965PHASE4NOT_YET_RECRUITINGOpen-label Single-arm Study to Assess the Efficacy of Mirikizumab in Patients With Inflammatory Strictures Due to CD
NCT07059130PHASE4NOT_YET_RECRUITINGEvaluating the Efficacy and Safety of Mirikizumab in Adults Over 60 With Moderate to Severe Crohn’s Disease and Ulcerative Colitis
NCT07240649PHASE4NOT_YET_RECRUITINGOutcomes From Hyperbaric Oxygen (HBO2) Treatment for Emerging Indications
NCT07292012PHASE4RECRUITINGEfficacy of MIrikizumab to Achieve Transmural Healing in patiENTs With Crohn’s Disease
NCT07303686PHASE4RECRUITINGDe-escalation of Ustekinumab Therapy in Patients With Crohn’s Disease and Ulcerative Colitis
NCT07310095PHASE4RECRUITINGA Study to Evaluate the Efficacy of Guselkumab in Chinese Participants With Crohn’s Disease (CD)
NCT07415473PHASE4NOT_YET_RECRUITINGAkkermansia Muciniphila Combined With Infliximab for Promoting Intestinal Mucosal Healing in Crohn’s Disease
NCT07417696PHASE4NOT_YET_RECRUITINGPalmitoleic Acid Combined With Infliximab for Promoting Intestinal Mucosal Healing in Crohn’s Disease
NCT07510191PHASE4RECRUITINGTNFi Plus Low-Dose Upadacitinib vs TNFi Intensification in Crohn’s Disease With Suboptimal Response
NCT00114465PHASE4COMPLETEDVSL#3 Versus Placebo in Maintenance of Remission in Crohn’s Disease
NCT00167882PHASE4COMPLETEDThe Influence of 5-Aminosalicylates on Thiopurine Metabolite Levels
NCT00177866PHASE4TERMINATEDSafety of Celecoxib in Patients With Crohn’s Disease
NCT00225810PHASE4COMPLETEDA Study Comparing the Acceptability of Pentasa® Sachets Versus Pentasa® Tablets in Children With Crohn´s Disease
NCT00265772PHASE4UNKNOWNComparison of a Nutritional Anti-Inflammatory Treatment to Steroids for Pediatric Crohn’s Disease - the Molecular Basis
NCT00280956PHASE4COMPLETEDOpen Label Natalizumab Safety Extension Study for Subjects With Crohn’s Disease
NCT00367705PHASE4UNKNOWNVSL#3 Treatment in Children With Crohn’s Disease
NCT00462072PHASE4COMPLETEDCentocor Microarray Study of Patients

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
VEDOLIZUMAB431
CERTOLIZUMAB PEGOL429
INFLIXIMAB425
USTEKINUMAB422
AZATHIOPRINE413
ADALIMUMAB412
GUSELKUMAB49
UPADACITINIB49
MESALAMINE48
MIRIKIZUMAB48
NATALIZUMAB48
RIFAXIMIN47
DARVADSTROCEL46
DEXTROMETHORPHAN46
OZANIMOD46
RISANKIZUMAB46
CHOLECALCIFEROL45
CIPROFLOXACIN44
TOFACITINIB44
ERGOCALCIFEROL43
FILGOTINIB43
FLUCONAZOLE43
METHOTREXATE43
POLYETHYLENE GLYCOL 335043
SARGRAMOSTIM43
SOMATROPIN43
ALDESLEUKIN42
BRODALUMAB42
CANNABIDIOL42
DEUCRAVACITINIB42