dilated cardiomyopathy 1A

disease
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Also known as cardiomyopathy dilated with conduction defect type 1cardiomyopathy, dilated, 1Acardiomyopathy, dilated, type 1ACDCD1dilated cardiomyopathy type 1Afamilial dilated cardiomyopathy with conduction defect due to LMNA mutationfamilial isolated dilated cardiomyopathy caused by mutation in LMNALMNA familial isolated dilated cardiomyopathy

Summary

dilated cardiomyopathy 1A (MONDO:0007269) is a disease caused by LMNA (GenCC Definitive), with 35 cohort genes and 1 clinical trial. The dominant Reactome pathway is Striated Muscle Contraction (8 cohort genes).

At a glance

  • Prevalence: Unknown (Worldwide)
  • Causal gene: LMNA (GenCC Definitive)
  • Cohort genes: 35
  • ClinVar variants: 391
  • Phenotypes (HPO): 17
  • Clinical trials: 1

Clinical features

Signs & symptoms

Clinical features (HPO)

17 HPO clinical features (Orphanet curated; top 17 by frequency):

HPO IDTermFrequency
HP:0001644Dilated cardiomyopathyVery frequent (80-99%)
HP:0031546Cardiac conduction abnormalityVery frequent (80-99%)
HP:0001279SyncopeFrequent (30-79%)
HP:0001637Abnormal myocardium morphologyFrequent (30-79%)
HP:0001645Sudden cardiac deathFrequent (30-79%)
HP:0005110Atrial fibrillationFrequent (30-79%)
HP:0005162Abnormal left ventricular functionFrequent (30-79%)
HP:0009125LipodystrophyFrequent (30-79%)
HP:0001635Congestive heart failureOccasional (5-29%)
HP:0001698Pericardial effusionOccasional (5-29%)
HP:0003560Muscular dystrophyOccasional (5-29%)
HP:0004308Ventricular arrhythmiaOccasional (5-29%)
HP:0004749Atrial flutterOccasional (5-29%)
HP:0004755Supraventricular tachycardiaOccasional (5-29%)
HP:0012722Heart blockOccasional (5-29%)
HP:0012723Sinoatrial blockOccasional (5-29%)
HP:0031409Abnormal lymphocyte physiologyOccasional (5-29%)

Identifiers

Disease identifiers

FieldValue
Canonical namedilated cardiomyopathy 1A
Mondo IDMONDO:0007269
OMIM115200
Orphanet300751
DOIDDOID:0110425
ICD-11884022112
SNOMED CT766883006
UMLSC5979868
MedGen1875382
GARD0018615
Is cancer (heuristic)no

Also known as: cardiomyopathy dilated with conduction defect type 1 · cardiomyopathy, dilated, 1A · cardiomyopathy, dilated, type 1A · CDCD1 · dilated cardiomyopathy 1A · dilated cardiomyopathy type 1A · familial dilated cardiomyopathy with conduction defect due to LMNA mutation · familial isolated dilated cardiomyopathy caused by mutation in LMNA · LMNA familial isolated dilated cardiomyopathy

Data availability: 391 ClinVar variants · 3 GenCC gene-disease records · 15 cell lines.

Disease family

Classification path: disease › human disease › disease by body system or component › syndromic diseasedilated cardiomyopathy 1A

Related subtypes (1183): Neu-Laxova syndrome, inclusion body myopathy with Paget disease of bone and frontotemporal dementia, syndromic intellectual disability, abdominal obesity-metabolic syndrome, fibrogenesis imperfecta ossium, Fanconi renotubular syndrome, palindromic rheumatism, hepatorenal syndrome, Potter sequence, vertebral artery insufficiency, sick sinus syndrome, Tietze syndrome, toxic shock syndrome, capillary leak syndrome, dumping syndrome, FG syndrome, basilar artery insufficiency, long QT syndrome, Treacher-Collins syndrome, superior mesenteric artery syndrome, disappearing bone disease, Brown-Sequard syndrome, Froelich syndrome, diffuse infiltrative lymphocytosis syndrome, Capgras syndrome, compartment syndrome, central sleep apnea syndrome, irritable bowel syndrome, nephrotic syndrome, myalgic encephalomeyelitis/chronic fatigue syndrome, acute coronary syndrome, fibromyalgia, substance withdrawal syndrome, acute chest syndrome, Barre-Lieou syndrome, cauda equina syndrome, Kluver-Bucy syndrome, Miller Fisher syndrome, persian gulf syndrome, Reye syndrome, thoracic outlet syndrome, Waterhouse-Friderichsen syndrome, Wissler syndrome, acute respiratory distress syndrome, Achenbach syndrome, miliaria, anterior spinal artery syndrome, burning mouth syndrome, dry eye syndrome, empty sella syndrome, euthyroid sick syndrome, lateral medullary syndrome, subclavian steal syndrome, tarsal tunnel syndrome, tethered spinal cord syndrome, branchio-oto-renal syndrome, prune belly syndrome, Achard syndrome, alopecia-epilepsy-pyorrhea-intellectual disability syndrome, Finnish type amyloidosis, Angelman syndrome, aniridia-absent patella syndrome, ankyloblepharon filiforme adnatum-cleft palate syndrome, Townes-Brocks syndrome, obstructive sleep apnea syndrome, Lown-Ganong-Levine syndrome, Behcet disease, brachydactyly-arterial hypertension syndrome, brachydactyly type A2, fibular aplasia-ectrodactyly syndrome, brachydactyly-nystagmus-cerebellar ataxia syndrome, Sillence syndrome, Brachymorphism-onychodysplasia-dysphalangism syndrome, brachytelephalangy-dysmorphism-Kallmann syndrome, cat-eye syndrome, cerebrocostomandibular syndrome, Alagille syndrome, autosomal dominant chondrodysplasia punctata, cleidocranial dysplasia 1, cleidorhizomelic syndrome, cochleosaccular degeneration-cataract syndrome, renal coloboma syndrome, Cri-du-chat syndrome, autosomal dominant deafness - onychodystrophy syndrome, cerebral arteriopathy with subcortical infarcts and leukoencephalopathy, Duane retraction syndrome, 3-M syndrome, dyschondrosteosis-nephritis syndrome, hereditary benign intraepithelial dyskeratosis, encephalopathy, recurrent, of childhood, Camurati-Engelmann disease, Felty syndrome, chromosome 16p12.1 deletion syndrome, 520kb, Frasier syndrome, Gamstorp-Wohlfart syndrome, Tourette syndrome, glaucoma-sleep apnea syndrome, renal cysts and diabetes syndrome, hypotrichosis-lymphedema-telangiectasia syndrome (grouping), GMS syndrome, gray platelet syndrome, hand-foot-genital syndrome, facial hemiatrophy, Bencze syndrome, alpha thalassemia-intellectual disability syndrome type 1, Gilbert syndrome, mullerian duct anomalies-limb anomalies syndrome, hypoparathyroidism-deafness-renal disease syndrome, chromosome 18p deletion syndrome, Pallister-Hall syndrome, ichthyosis-cheek-eyebrow syndrome, Jacobsen syndrome, palmoplantar keratoderma-hereditary motor and sensory neuropathy syndrome, palmoplantar keratoderma-esophageal carcinoma syndrome, Kleine-Levin syndrome, angioosteohypertrophic syndrome, congenital laryngeal web, Lenz-Majewski hyperostotic dwarfism, Noonan syndrome with multiple lentigines, lymphedema-cerebral arteriovenous anomaly syndrome, microcephaly with or without chorioretinopathy, lymphedema, or intellectual disability, yellow nail syndrome, lymphedema-distichiasis syndrome, Nager acrofacial dysostosis, jaw-winking syndrome, Marfan syndrome, Melkersson-Rosenthal syndrome, metaphyseal chondrodysplasia, Jansen type, Schmid metaphyseal chondrodysplasia, metaphyseal dysplasia-maxillary hypoplasia-brachydacty syndrome, microgastria-limb reduction defect syndrome, Mobius syndrome, muscular atrophy-ataxia-retinitis pigmentosa-diabetes mellitus syndrome, nail-patella syndrome, Schilbach-Rott syndrome, syndromic orbital border hypoplasia, Buschke-Ollendorff syndrome, nasopalpebral lipoma-coloboma syndrome, Perry syndrome, Poland syndrome, polydactyly-myopia syndrome, Greig cephalopolysyndactyly syndrome, Prader-Willi syndrome, Guttmacher syndrome, Currarino triad, Hutchinson-Gilford progeria syndrome, progeria-short stature-pigmented nevi syndrome, Liddle syndrome, exfoliation syndrome, ptosis-strabismus-ectopic pupils syndrome, radial hypoplasia-triphalangeal thumbs-hypospadias-maxillary diastema syndrome, radial ray hypoplasia-choanal atresia syndrome, Roussy-Levy syndrome, Silver-Russell syndrome, Ruvalcaba syndrome, oculodental syndrome, Rutherfurd type, aplasia of lacrimal and salivary glands, scalp defects-postaxial polydactyly syndrome, ulnar-mammary syndrome, septooptic dysplasia, Czeizel-Losonci syndrome, polycystic ovary syndrome, stiff-person syndrome, syndactyly-polydactyly-ear lobe syndrome, HELLP syndrome, double uterus-hemivagina-renal agenesis syndrome, VACTERL/vater association, posterior fusion of lumbosacral vertebrae-blepharoptosis syndrome, ptosis-vocal cord paralysis syndrome, Freeman-Sheldon syndrome, Williams syndrome, Denys-Drash syndrome, Wolf-Hirschhorn syndrome, ablepharon macrostomia syndrome, acrocallosal syndrome, PAGOD syndrome, alopecia - intellectual disability syndrome, mitochondrial DNA depletion syndrome 4a, Alstrom syndrome, aniridia-cerebellar ataxia-intellectual disability syndrome, aniridia-renal agenesis-psychomotor retardation syndrome, aplasia cutis congenita-intestinal lymphangiectasia syndrome, fetal akinesia deformation sequence, blepharophimosis-ptosis-esotropia-syndactyly-short stature syndrome, Bloom syndrome, Elsahy-Waters syndrome, campomelia, Cumming type, camptomelic syndrome, long-limb type, congenital cataract-ichthyosis syndrome, colobomatous optic disc-macular atrophy-chorioretinopathy syndrome, hepatic fibrosis-renal cysts-intellectual disability syndrome, Charcot-Marie-Tooth disease-hearing loss-intellectual disability syndrome, CHARGE syndrome, Aagenaes syndrome, infantile choroidocerebral calcification syndrome, Yunis-Varon syndrome, corneal dystrophy-perceptive deafness syndrome, cortical blindness-intellectual disability-polydactyly syndrome, Crigler-Najjar syndrome, cataract-nephropathy-encephalopathy syndrome, Fraser syndrome, cystic fibrosis-gastritis-megaloblastic anemia syndrome, cystinuria, DOORS syndrome, high myopia-sensorineural deafness syndrome, dermochondrocorneal dystrophy, nephrogenic diabetes insipidus-intracranial calcification syndrome, diverticulosis of bowel, hernia, and retinal detachment, Dyggve-Melchior-Clausen disease, cerebellar ataxia, intellectual disability, and dysequilibrium, ectrodactyly-polydactyly syndrome, Bonnemann-Meinecke-Reich syndrome, epidermolysis bullosa simplex 5B, with muscular dystrophy, Wolcott-Rallison syndrome, ermine phenotype, eyebrow duplication-syndactyly syndrome, Fanconi-like syndrome, gingival fibromatosis-facial dysmorphism syndrome, frontofacionasal dysplasia, Fryns syndrome, German syndrome, Bernard-Soulier syndrome, triple-A syndrome, Grubben-de Cock-Borghgraef syndrome, mullerian derivatives-lymphangiectasia-polydactyly syndrome, Hirschsprung disease-hearing loss-polydactyly syndrome, Hirschsprung disease-nail hypoplasia-dysmorphism syndrome, Holzgreve-Wagner-Rehder syndrome, multinucleated neurons-anhydramnios-renal dysplasia-cerebellar hypoplasia-hydranencephaly syndrome, growth delay-hydrocephaly-lung hypoplasia syndrome, Dubin-Johnson syndrome, ornithine translocase deficiency, acrofrontofacionasal dysostosis 2, hypertrichotic osteochondrodysplasia Cantu type, hypergonadotropic hypogonadism-cataract syndrome, primary hypergonadotropic hypogonadism-partial alopecia syndrome, hypoparathyroidism-retardation-dysmorphism syndrome, hypospadias-intellectual disability, Goldblatt type syndrome, Bamforth-Lazarus syndrome, ichthyosis-hepatosplenomegaly-cerebellar degeneration syndrome, ichthyosis-intellectual disability-dwarfism-renal impairment syndrome, Vici syndrome, channelopathy-associated congenital insensitivity to pain, autosomal recessive, Joubert syndrome with oculorenal defect, oculocerebrofacial syndrome, Kaufman type, Landau-Kleffner syndrome, laryngo-onycho-cutaneous syndrome, Laurence-Moon syndrome, Donohue syndrome, Miller-Dieker lissencephaly syndrome, Marinesco-Sjogren syndrome, Frank-Ter Haar syndrome, Mietens syndrome, mesomelic dwarfism-cleft palate-camptodactyly syndrome, metaphyseal chondrodysplasia-retinitis pigmentosa syndrome, metaphyseal dysostosis-intellectual disability-conductive deafness syndrome, microcephalic primordial dwarfism, Toriello type, Say-Barber-Miller syndrome, microcephaly and chorioretinopathy 1, Galloway-Mowat syndrome, microtia with meatal atresia and conductive deafness, mucopolysaccharidosis type 6, mulibrey nanism, lethal multiple pterygium syndrome, lethal congenital contracture syndrome 1, Schwartz-Jampel syndrome, Nathalie syndrome, nephronophthisis 1, nephropathy - deafness - hyperparathyroidism syndrome, nephrosis-deafness-urinary tract-digital malformations syndrome, Netherton syndrome, Norman-Roberts syndrome, cloacal exstrophy, ichthyosis-oral and digital anomalies syndrome, Primrose syndrome, familial osteodysplasia, Anderson type, multicentric osteolysis, nodulosis, and arthropathy, osteopenia-intellectual disability-sparse hair syndrome, osteoporosis-pseudoglioma syndrome, Shwachman-Diamond syndrome, Parana hard-skin syndrome, PEHO syndrome, Imerslund-Grasbeck syndrome, Peters plus syndrome, pili torti-developmental delay-neurological abnormalities syndrome, Rabson-Mendenhall syndrome, postaxial acrofacial dysostosis, Gitelman syndrome, Wiedemann-Rautenstrauch syndrome, Acrootoocular syndrome, holoprosencephaly-postaxial polydactyly syndrome, autosomal recessive multiple pterygium syndrome, Perlman syndrome, retinitis pigmentosa-intellectual disability-deafness-hypogenitalism syndrome, EEC syndrome, SHORT syndrome, Sjogren syndrome, spastic tetraplegia-retinitis pigmentosa-intellectual disability syndrome, corneal-cerebellar syndrome, spastic ataxia-corneal dystrophy syndrome, spondylocostal dysostosis-anal and genitourinary malformations syndrome, familial infantile bilateral striatal necrosis, subaortic stenosis-short stature syndrome, thrombocytopenia-absent radius syndrome, thyrocerebrorenal syndrome, Pendred syndrome, VACTERL with hydrocephalus, Weaver syndrome, Werner syndrome, Wernicke-Korsakoff syndrome, wooly hair-hypotrichosis-everted lower lip-outstanding ears syndrome, de Sanctis-Cacchione syndrome, corpus callosum agenesis-abnormal genitalia syndrome, Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome, X-linked lissencephaly with abnormal genitalia, X-linked myotubular myopathy-abnormal genitalia syndrome, Christianson syndrome, Armfield syndrome, Lesch-Nyhan syndrome, Atkin-Flaitz syndrome, alpha-thalassemia-myelodysplastic syndrome, deafness-intellectual disability, Martin-Probst type syndrome, fragile X-associated tremor/ataxia syndrome, fragile X syndrome, syndactyly-telecanthus-anogenital and renal malformations syndrome, X-linked dominant chondrodysplasia, Chassaing-Lacombe type, X-linked central congenital hypothyroidism with late-onset testicular enlargement, Meester-Loeys syndrome, Arts syndrome, X-linked mandibulofacial dysostosis, Abruzzo-Erickson syndrome, Aicardi syndrome, craniofrontonasal syndrome, deafness-hypogonadism syndrome, X-linked corneal dermoid, immune dysregulation-polyendocrinopathy-enteropathy-X-linked syndrome, hydrocephaly-cerebellar agenesis syndrome, keratosis follicularis-dwarfism-cerebral atrophy syndrome, laryngeal abductor paralysis-intellectual disability syndrome, oculocerebrorenal syndrome, Menkes disease, paraplegia-intellectual disability-hyperkeratosis syndrome, mucopolysaccharidosis type 2, orofaciodigital syndrome I, otopalatodigital syndrome type 1, Pallister-W syndrome, Rett syndrome, SCARF syndrome, Simpson-Golabi-Behmel syndrome, torticollis-keloids-cryptorchidism-renal dysplasia syndrome, trigonocephaly-short stature-developmental delay syndrome, ulnar hypoplasia-split foot syndrome, van den Bosch syndrome, Wildervanck syndrome, Kearns-Sayre syndrome, MELAS syndrome, MERRF syndrome, Pearson syndrome, proximal tubulopathy-diabetes mellitus-cerebellar ataxia syndrome, pancreatic hypoplasia-diabetes-congenital heart disease syndrome, chondrodysplasia-pseudohermaphroditism syndrome, Qazi Markouizos syndrome, familial developmental dysphasia, atrioventricular defect-blepharophimosis-radial and anal defect syndrome, CODAS syndrome, lethal hemolytic anemia-genital anomalies syndrome, HEC syndrome, anophthalmia plus syndrome, infundibulopelvic stenosis-multicystic kidney syndrome, Ayme-Gripp syndrome, dilated cardiomyopathy 1E, diaphragmatic defect-limb deficiency-skull defect syndrome, skeletal dysplasia-epilepsy-short stature syndrome, Potocki-Shaffer syndrome, amelia cleft lip palate hydrocephalus iris coloboma, human HOXA1 syndromes, dyssegmental dysplasia-glaucoma syndrome, lung agenesis-heart defect-thumb anomalies syndrome, tetrasomy 12p, chromosome 18q deletion syndrome, lymphedema-atrial septal defects-facial changes syndrome, infantile convulsions and choreoathetosis, RHYNS syndrome, Pierre Robin sequence with pectus excavatum and rib and scapular anomalies, colobomatous macrophthalmia-microcornea syndrome, Marshall-Smith syndrome, distal monosomy 13q, MPI-congenital disorder of glycosylation, camptodactyly, myopia, and fibrosis of the medial rectus muscle of eye, radioulnar synostosis-microcephaly-scoliosis syndrome, blepharophimosis - intellectual disability syndrome, SBBYS type, complex regional pain syndrome type 1, temtamy preaxial brachydactyly syndrome, Diamond-Blackfan anemia 2, genitopatellar syndrome, Phelan-McDermid syndrome, hypotonia-cystinuria syndrome, DNA ligase IV deficiency, Hurler syndrome, Hurler-Scheie syndrome, Scheie syndrome, Duane-radial ray syndrome, psoriatic arthritis, neonatal ichthyosis-sclerosing cholangitis syndrome, skin fragility-woolly hair-palmoplantar keratoderma syndrome, tubulointerstitial nephritis and uveitis syndrome, caudal duplication, sweet syndrome, ichthyosis prematurity syndrome, Meacham syndrome, BNAR syndrome, PCWH syndrome, foveal hypoplasia - optic nerve decussation defect - anterior segment dysgenesis syndrome, B-cell immunodeficiency, distal limb anomalies, and urogenital malformations, MEDNIK syndrome, Cerebrorenodigital syndrome, fetal valproate syndrome, Goldberg-Shprintzen syndrome, Al-Gazali syndrome, CEDNIK syndrome, osteosclerosis-ichthyosis-premature ovarian failure syndrome, cortical dysplasia-focal epilepsy syndrome, DK1-congenital disorder of glycosylation, Potocki-Lupski syndrome, Pitt-Hopkins syndrome, XFE progeroid syndrome, deafness-infertility syndrome, COG1-congenital disorder of glycosylation, autosomal dominant familial hematuria-retinal arteriolar tortuosity-contractures syndrome, microtia-eye coloboma-imperforation of the nasolacrimal duct syndrome, mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria, ANE syndrome, CLOVES syndrome, Hirschsprung disease-ganglioneuroblastoma syndrome, parkinsonism-dystonia, infantile, alpha 1-antitrypsin deficiency, COG5-congenital disorder of glycosylation, chromosome 13q14 deletion syndrome, deafness-lymphedema-leukemia syndrome, microcephaly-capillary malformation syndrome, EDICT syndrome, peripheral neuropathy-myopathy-hoarseness-hearing loss syndrome, hypomyelinating leukodystrophy 8 with or without oligodontia and-or hypogonadotropic hypogonadism, IMAGe syndrome, short stature-onychodysplasia-facial dysmorphism-hypotrichosis syndrome, microcephalic primordial dwarfism, Alazami type, intellectual disability-strabismus syndrome, estrogen resistance syndrome, Hartsfield-Bixler-Demyer syndrome, severe dermatitis-multiple allergies-metabolic wasting syndrome, alacrima, achalasia, and intellectual disability syndrome, familial episodic pain syndrome with predominantly lower limb involvement, congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome, diffuse cerebral and cerebellar atrophy - intractable seizures - progressive microcephaly syndrome, postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome, tall stature-scoliosis-macrodactyly of the great toes syndrome, intellectual disability, autosomal dominant 29, intellectual disability, autosomal dominant 30, congenital sideroblastic anemia-B-cell immunodeficiency-periodic fever-developmental delay syndrome, retinitis pigmentosa-juvenile cataract-short stature-intellectual disability syndrome, polyendocrine-polyneuropathy syndrome, chronic atrial and intestinal dysrhythmia, motor developmental delay due to 14q32.2 paternally expressed gene defect, peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome, mandibulofacial dysostosis with alopecia, epilepsy with myoclonic atonic seizures, short stature, microcephaly, and endocrine dysfunction, progressive microcephaly-seizures-cortical blindness-developmental delay syndrome, PMP22-RAI1 contiguous gene duplication syndrome, acute infantile liver failure-cerebellar ataxia-peripheral sensory motor neuropathy syndrome, familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome, macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndrome, Luscan-Lumish syndrome, even-plus syndrome, MIRAGE syndrome, growth retardation, intellectual developmental disorder, hypotonia, and hepatopathy, intellectual disability-epilepsy-extrapyramidal syndrome, 48,XXYY syndrome, FRAXF syndrome, complex hereditary spastic paraplegia, aniridia-ptosis-intellectual disability-familial obesity syndrome, aniridia - intellectual disability syndrome, ankyloblepharon filiforme-imperforate anus syndrome, pentasomy X, Bardet-Biedl syndrome, anophthalmia-megalocornea-cardiopathy-skeletal anomalies syndrome, Bartter syndrome, arachnodactyly-intellectual disability-dysmorphism syndrome, ataxia-photosensitivity-short stature syndrome, Brugada syndrome, Feingold syndrome, cardiomyopathy-cataract-hip spine disease syndrome, cataract - microcornea syndrome, autism-facial port-wine stain syndrome, cataract-intellectual disability-anal atresia-urinary defects syndrome, cataract-deafness-hypogonadism syndrome, syndromic craniosynostosis, drug rash with eosinophilia and systemic symptoms, multicentric reticulohistiocytosis, hereditary sensory and autonomic neuropathy with deafness and global delay, craniofacial microsomia, ring chromosome 10, Coffin-Siris syndrome, corpus callosum agenesis-double urinary collecting system syndrome, short rib-polydactyly syndrome, oromandibular-limb anomalies syndrome, hemophagocytic syndrome, cataract-glaucoma syndrome, diencephalic syndrome, hypereosinophilic syndrome, distal trisomy 14q, intellectual disability-cataracts-kyphosis syndrome, progressive familial intrahepatic cholestasis, thoraco-abdominal enteric duplication, oculomaxillofacial dysostosis, growth hormone insensitivity syndrome, syndromic dyslipidemia, macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss, epiphyseal dysplasia-hearing loss-dysmorphism syndrome, eosinophilic granulomatosis with polyangiitis, axial mesodermal dysplasia spectrum, fetal hydantoin syndrome, vitamin K-antagonist embryofetopathy, fetal alcohol syndrome, methimazole embryofetopathy, Evans syndrome, Cornelia de Lange syndrome, cleft lip-retinopathy syndrome, cleft lip/palate-deafness-sacral lipoma syndrome, Crandall syndrome, syndromic microphthalmia, Cole-Carpenter syndrome, myotonic syndrome, Guillain-Barre syndrome, atypical hemolytic-uremic syndrome, Hennekam syndrome, Hernández-Aguirre Negrete syndrome, nodular neuronal heterotopia, Hirschsprung disease-type D brachydactyly syndrome, holoprosencephaly, hydrocephalus-obesity-hypogonadism syndrome, hydrocephalus-blue sclerae-nephropathy syndrome, xeroderma pigmentosum-Cockayne syndrome complex, Joubert syndrome with ocular defect, hypogonadism-mitral valve prolapse-intellectual disability syndrome, hypogonadotropic hypogonadism-retinitis pigmentosa syndrome, hypotrichosis-intellectual disability, Lopes type, congenital ichthyosis-microcephalus-tetraplegia syndrome, Hughes-Stovin syndrome, heart-hand syndrome, ptosis-upper ocular movement limitation-absence of lacrimal punctum syndrome, syndromic agammaglobulinemia, isotretinoin syndrome, microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndrome, Kabuki syndrome, Kenny-Caffey syndrome, muscular pseudohypertrophy-hypothyroidism syndrome, Kousseff syndrome, limb body wall complex, Lennox-Gastaut syndrome, Lowe-Kohn-Cohen syndrome, macrocephaly-short stature-paraplegia syndrome, primary ciliary dyskinesia, familial intestinal malrotation-facial anomalies syndrome, primary hypertrophic osteoarthropathy, Melhem-Fahl syndrome, lower limb deficiency-hypospadias syndrome, 8p23.1 microdeletion syndrome, sickle cell-beta-thalassemia disease syndrome, sickle cell-hemoglobin c disease syndrome, sickle cell-hemoglobin d disease syndrome, sickle cell-hemoglobin E disease syndrome, hereditary persistence of fetal hemoglobin-sickle cell disease syndrome, microcephaly-brain defect-spasticity-hypernatremia syndrome, microcephaly-microcornea syndrome, Seemanova type, Meier-Gorlin syndrome, Mikati-Najjar-Sahli syndrome, shoulder and girdle defects-familial intellectual disability syndrome, myopathy-growth delay-intellectual disability-hypospadias syndrome, Fuchs heterochromic iridocyclitis, microcephalic osteodysplastic primordial dwarfism types I and III, osteochondrodysplatic nanism-deafness-retinitis pigmentosa syndrome, arthrogryposis-renal dysfunction-cholestasis syndrome, oculo-skeletal-renal syndrome, olivopontocerebellar atrophy-deafness syndrome, Opitz G/BBB syndrome, imperforate oropharynx-costo vetebral anomalies syndrome, Bruck syndrome, osteoporosis-macrocephaly-blindness-joint hyperlaxity syndrome, calciphylaxis, recessive intellectual disability-motor dysfunction-multiple joint contractures syndrome, X-linked ichthyosis syndrome, autoimmune polyendocrinopathy, renal caliceal diverticuli-deafness syndrome, tempi syndrome, syndromic oculocutaneous albinism, short stature-deafness-neutrophil dysfunction-dysmorphism syndrome, congenital varicella syndrome, polyneuropathy-intellectual disability-acromicria-premature menopause syndrome, celiac trunk compression syndrome, hypoplastic pancreas-intestinal atresia-hypoplastic gallbalder syndrome, fetal cytomegalovirus syndrome, Reunion island Larsen syndrome, 46,XX disorder of sex development-anorectal anomalies syndrome, mitochondrial neurogastrointestinal encephalomyopathy, Baraitser-Winter cerebrofrontofacial syndrome, mirror polydactyly-vertebral segmentation-limbs defects syndrome, intellectual disability-hypotonia-skin hyperpigmentation syndrome, congenital hereditary facial paralysis-variable hearing loss syndrome, intellectual disability-microcephaly-phalangeal-facial abnormalities syndrome, Mayer-Rokitansky-Kuster-Hauser syndrome, developmental and speech delay due to SOX5 deficiency, Spigelian hernia-cryptorchidism syndrome, autosomal recessive leukoencephalopathy-ischemic stroke-retinitis pigmentosa syndrome, severe neonatal hypotonia-seizures-encephalopathy syndrome due to 5q31.3 microdeletion, multiple sclerosis-ichthyosis-factor VIII deficiency syndrome, X-linked spasticity-intellectual disability-epilepsy syndrome, spina bifida-hypospadias syndrome, hantavirus pulmonary syndrome, white matter hypoplasia-corpus callosum agenesis-intellectual disability syndrome, deafness-genital anomalies-metacarpal and metatarsal synostosis syndrome, hearing loss-familial salivary gland insensitivity to aldosterone syndrome, multiple synostoses syndrome, central nervous system calcification-deafness-tubular acidosis-anemia syndrome, multiple paragangliomas associated with polycythemia, syngnathia multiple anomalies, Takayasu arteritis, severe early-onset obesity-insulin resistance syndrome due to SH2B1 deficiency, spondylocostal dysostosis-hypospadias-intellectual disability syndrome, hypotrichosis-deafness syndrome, thalidomide embryopathy, trisomy X, trisomy 13, trisomy 18, umbilical cord ulceration-intestinal atresia syndrome, microcephaly-brachydactyly-kyphoscoliosis syndrome, Waardenburg syndrome, Weill-Marchesani syndrome, infantile spasms, Wolfram syndrome, epidermal nevus syndrome, digital anomalies-intellectual disability-short stature syndrome, intellectual disability-obesity-brain malformations-facial dysmorphism syndrome, Erdheim-Chester disease, Stevens-Johnson syndrome, CADDS, finger hyperphalangy - toe anomalies - severe pectus excavatum syndrome, ataxia - telangiectasia variant, growth retardation-mild developmental delay-chronic hepatitis syndrome, primary microcephaly-mild intellectual disability-young-onset diabetes syndrome, ferro-cerebro-cutaneous syndrome, dystonia-aphonia syndrome, microcephaly-complex motor and sensory axonal neuropathy syndrome, X-linked microcephaly-growth retardation-prognathism-cryptorchidism syndrome, severe intellectual disability-hypotonia-strabismus-coarse face-planovalgus syndrome, intrauterine growth restriction-short stature-early adult-onset diabetes syndrome, pseudoxanthoma elasticum-like skin manifestations with retinitis pigmentosa, familial chylomicronemia syndrome, caudal regression-sirenomelia spectrum, visceral heterotaxy, Holmes-Adie syndrome, microcephalic primordial dwarfism due to RTTN deficiency, Joubert syndrome, congenital generalized hypercontractile muscle stiffness syndrome, Kallmann syndrome, Caroli syndrome, X-linked female restricted facial dysmorphism-short stature-choanal atresia-intellectual disability, microlissencephaly-micromelia syndrome, branchiootic syndrome, Plummer-Vinson syndrome, Cushing syndrome, McCune-Albright syndrome, Meckel syndrome, SUNCT syndrome, mucopolysaccharidosis type 3, mucopolysaccharidosis type 4, congenital myasthenic syndrome, Loeys-Dietz syndrome, Alport syndrome, schisis association, Tolosa-Hunt syndrome, iridocorneal endothelial syndrome, Noonan syndrome, short fifth metacarpals-insulin resistance syndrome, progressive supranuclear palsy, benign exophthalmos syndrome, Sandifer syndrome, global developmental delay-osteopenia-ectodermal defect syndrome, tubular renal disease-cardiomyopathy syndrome, angioosteohypotrophic syndrome, 6q terminal deletion syndrome, Axenfeld-Rieger syndrome, peroxisome biogenesis disorder, ectodermal dysplasia syndrome, Seckel syndrome, Sotos syndrome, Stickler syndrome, pelvis syndrome, Susac syndrome, ischio-vertebral syndrome, BRESEK syndrome, Turner syndrome, Usher syndrome, obesity-colitis-hypothyroidism-cardiac hypertrophy-developmental delay syndrome, CREST syndrome, Sheehan syndrome, polymyalgia rheumatica, autoinflammatory syndrome, neuroleptic malignant syndrome, pituitary stalk interruption syndrome, monosomy 13q34, ring chromosome 13, 48,XXXY syndrome, 49,XXXXY syndrome, hereditary continuous muscle fiber activity, Eisenmenger syndrome, Robinow syndrome, Ehlers-Danlos syndrome, hypoplastic right heart syndrome, shone complex, 48,XYYY syndrome, subcortical band heterotopia, complex regional pain syndrome type 2, faciodigitogenital syndrome, neoplastic syndrome, paraneoplastic syndrome, post-infectious syndrome, Achard-Thiers syndrome, acral dysostosis dyserythropoiesis syndrome, agnathia-microstomia-synotia, Aksu von Stockhausen syndrome, Aloi Tomasini Isaia syndrome, temporomandibular joint dysfunction syndrome, Apert-like polydactyly syndrome, arakawa syndrome 2, arena syndrome, Arnold stickler bourne syndrome, baetz-greenwalt syndrome, bagatelle Cassidy syndrome, baker Vinters syndrome, bobble-head doll syndrome, Boerhaave syndrome, Cantu Sanchez-Corona Fragoso syndrome, Cantu Sanchez-Corona Hernandez syndrome, carbon baby syndrome, Carnevale hernandez castillo syndrome, Cartwright Nelson Fryns syndrome, Charles bonnet syndrome, Parinaud syndrome, corticobasal degeneration disorder, hair defect with photosensitivity and intellectual disability syndrome, AIDS dysmorphic syndrome, congenital acardia, acute lymphoblastic leukemia congenital sporadic aniridia, aglossia and situs inversus, agyria pachygyria polymicrogyria, agyria-pachygyria type 1, Ahumada Del Castillo syndrome, alopecia congenita keratosis palmoplantaris, alpha-mannosidosis type 1, aluminosis, Mauriac syndrome, ankle defects short stature, ankyloblepharon filiforme imperforate anus, annular constricting bands, anophthalmia cleft palate micrognathia, anophthalmia esophageal atresia cryptorchidism, anotia facial palsy cardiac defect, aortic dissection lentiginosis, childhood aortic valve stenosis, arthrogryposis IUGR thoracic dystrophy, arthrogryposis multiplex congenita CNS calcification, arthrogryposis spinal muscular atrophy, asternia, atlanto-axial fusion, atrophoderma of Pierini and Pasini, Barnicoat Baraitser syndrome, Basedow’s coma, BD syndrome, Beardwell syndrome, bhaskar jagannathan syndrome, bidirectional tachycardia, bilirubin induced brain injury in the newborn, blepharo naso facial syndrome van Maldergem type, bone dysplasia corpus callosum agenesis, brachydactyly absence of distal phalanges, brachydactyly anonychia, brachydactyly small stature face anomalies, brachydactyly tibial hypoplasia, brittle bone syndrome lethal type, bronchiectasis oligospermia, Brunsting-Perry syndrome, bruyn scheltens syndrome, burn goodship syndrome, camptodactyly joint contractures and facial skeletal dysplasia, camptodactyly vertebral fusion, Cantu Sanchez-Corona Garcia-Cruz syndrome, cardiac hydatid cysts with intracavitary expansion, cardioencephalomyopathy, cardiofacial syndrome short limbs, cardiomelic syndrome stratton Koehler type, cardiomyopathy and deafness due to tRNA lysine gene mutation, cardiomyopathy diabetes deafness, cardiomyopathy hypogonadism collagenoma syndrome, cardiomyopathy hypogonadism metabolic anomalies, cardiomyopathy spherocytosis, carpo tarsal osteolysis recessive, autosomal dominant cataract, cataract skeletal anomalies, cennamo gangemi syndrome, cerebellar agenesis, cerebello-olivary atrophy, cerebral calcification cerebellar hypoplasia, cerebral calcifications opalescent teeth phosphaturia, oculo digital syndrome, chondrodysplasia, choreoacanthocytosis amyotrophic, chorioretinopathy dominant form microcephaly, Christian Demyer Franken syndrome, Christian Johnson angenieta syndrome, chromosome 3 duplication syndrome, chronic demyelinizing neuropathy with IgM monoclonal, ciliary dyskinesia-bronchiectasis, circumscribed cutaneous aplasia of the vertex, circumscribed disseminated keratosis Jadassohn lew type, cleft lip and palate malrotation cardiopathy, cleft lip and/or palate with mucous cysts of lower, cleft lip palate dysmorphism kumar type, cleft lip palate intellectual disability corneal opacity, cleft lip palate oligodontia syndactyly pili torti, cleft lip palate pituitary deficiency, cleft lip palate-tetraphocomelia, cleft lower lip cleft lateral canthi chorioretinal, cleft palate cardiac defect ectrodactyly, cleft palate colobomata radial synostosis deafness, cleft palate heart disease polydactyly absent tibia, cleft tongue, coarse face hypotonia constipation, Cohen Lockood Wyborney syndrome, type 2 collagenopathy, Collins-Sakati syndrome, coloboma porencephaly hydronephrosis, colobomata unilobar lung heart defect, colonic malakoplakia, Colver Steer Godman syndrome, Combarros Calleja Leno syndrome, complement receptor deficiency, congenital absence of the sternocleidomastoid muscle, congenital amputation, congenital aneurysms of the great vessels, congenital articular rigidity, congenital benign spinal muscular atrophy dominant, congenital cardiovascular shunt, congenital contractures, congenital craniosynostosis maternal hyperthyroiditis, congenital cystic eye, congenital heart disease ptosis hypodontia craniostosis, congenital heart disease radio ulnar synostosis intellectual disability, congenital mumps, congenital stenosis of cervical medullary canal, Dennis-Fairhurst-Moore syndrome, congenital unilateral pulmonary hypoplasia, congenital vagal hyperreflexivity, Cormier Rustin Munnich syndrome, corneal crystals myopathy neuropathy, corneal dystrophy ichthyosis microcephaly intellectual disability, corneal dystrophy pigmentary anomaly malabsorption, corpus callosum agenesis of blepharophimosis robin type, corpus callosum dysgenesis X-linked recessive, corpus callosum dysgenesis cleft spasm, corpus callosum dysgenesis hypopituitarism, cortada Koussef Matsumoto syndrome, Cortes Lacassie syndrome, craniofacial and skeletal defects, craniofacial dysostosis arthrogryposis progeroid appearance, craniofrontonasal syndrome Teebi type, craniostenosis with congenital heart disease intellectual disability, crawfurd syndrome, cutis gyratum acanthosis nigricans craniosynostosis, cutis laxa osteoporosis, Davenport-Donlan syndrome, Davis Lafer syndrome, de Hauwere Leroy adriaenssens syndrome, deafness conductive stapedial ear malformation facial palsy, deafness goiter stippled epiphyses, deafness hypospadias metacarpal and metatarsal syndrome, deafness mesenteric diverticula of small bowel neuropathy, deafness peripheral neuropathy arterial disease, deafness progressive cataract autosomal dominant, dermatocardioskeletal syndrome boronne type, dextrocardia with situs inversus, diabetes persistent mullerian ducts, diaphragmatic agenesis radial aplasia omphalocele, diaphragmatic hernia exomphalos corpus callosum agenesis, diaphragmatic hernia upper limb defects, die Smulders droog van dijk syndrome, diomedi bernardi placidi syndrome, diphallus rachischisis imperforate anus, distichiasis heart congenital anomalies, double discordia, double uterus-hemivagina-renal agenesis, Drachtman Weinblatt Sitarz syndrome, Duker-Weiss-Siber syndrome, duodenal atresia tetralogy of fallot, duplication of leg mirror foot, duplication of the thumb unilateral biphalangeal, dupont sellier chochillon syndrome, dwarfism bluish sclerae, dwarfism deafness retinitis pigmentosa, dwarfism lethal type advanced bone age, dwarfism thin bones multiple fractures, dysmorphism cleft palate loose skin, Eagle syndrome, ectrodactyly cardiopathy dysmorphism, Elliott ludman Teebi syndrome, enamel hypoplasia cataract hydrocephaly, encephalocele anencephaly, enchondromatosis dwarfism deafness, Engelhard Yatziv syndrome, enlarged vestibular aqueduct syndrome, epidermal nevus vitamin D resistant rickets, epimetaphyseal dysplasia cataract, epiphyseal dysplasia dysmorphism camptodactyly, esophageal atresia coloboma talipes, extrasystoles short stature hyperpigmentation microcephaly, facial clefting corpus callosum agenesis, facio digito genital syndrome recessive form, facio skeletal genital syndrome rippberger type, familial capillaro-venous leptomeningeal angiomatosis, Dursun syndrome, Faye-Petersen-Ward-Carey syndrome, feigenbaum Bergeron syndrome, Feingold trainer syndrome, fetal brain disruption sequence, fetal enterovirus syndrome, fetal parainfluenza virus type 3 syndrome, fetal phenothiazine syndrome, fibromatosis multiple non ossifying, fibula aplasia complex brachydactyly, fibular hypoplasia scapulo pelvic dysplasia absent, Fitz-Hugh-Curtis syndrome, focal alopecia congenital megalencephaly, focal or multifocal malformations in neuronal migration, foix chavany Marie syndrome, Fontaine farriaux blanckaert syndrome, Fraser Jequier Chen syndrome, Freiberg disease, Friedman Goodman syndrome, frontonasal malformation cloacal exstrophy, frontonasal dysplasia Klippel feil syndrome, frontonasal dysplasia phocomelic upper limbs, Fryns Fabry Remans syndrome, Fryns Smeets Thiry syndrome, Fuchs atrophia gyrata chorioideae et retinae, Fukuda-Miyanomae-Nakata syndrome, Fuqua Berkovitz syndrome, Garret-Tripp syndrome, gas bloat syndrome, Gaucher ichthyosis restrictive dermopathy, gershinibaruch Leibo syndrome, Ghose-Sachdev-Kumar syndrome, gigantism advanced bone age hoarse cry, glossopalatine ankylosis micrognathia ear anomalies, goldstein hutt syndrome, goniodysgenesis intellectual disability short stature, green sandford davison syndrome, grix Blankenship Peterson syndrome, Ho-Kaufman-McAlister syndrome, Jaffer-Beighton syndrome, Judge Misch wright syndrome, Kashani-Strom-Utley syndrome, Kasznica-Carlson-Coppedge syndrome, Katsantoni-Papadakou-Lagoyanni syndrome, Kocher-debre-Semelaigne syndrome, Koone-Rizzo-Elias syndrome, Kozlowski Brown Hardwick syndrome, Kozlowski Ouvrier syndrome, Kozlowski Rafinski Klicharska syndrome, Kozlowski Warren Fisher syndrome, Krauss Herman Holmes syndrome, Krieble Bixler syndrome, Kuster Majewski Hammerstein syndrome, Kuster syndrome, Laugier-Hunziker syndrome, Laurence-Prosser-Rocker syndrome, le Marec-Bracq-Picaud syndrome, levator syndrome, Marinesco-Sjogren-like syndrome, Milner-Khallouf-Gibson syndrome, radio-digito-facial dysplasia, Seckel like syndrome majoor-krakauer type, neonatal aspiration syndrome, muscular fibrosis multifocal obstructed vessels, short stature contractures hypotonia, Alice in Wonderland syndrome, megacystis-microcolon-intestinal hypoperistalsis syndrome, Basilicata-Akhtar syndrome, Liberfarb syndrome, craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development syndrome, cardiac, facial, and digital anomalies with developmental delay, fibrosis, neurodegeneration, and cerebral angiomatosis, Duane anomaly-myopathy-scoliosis syndrome, congenital cataract-severe neonatal hepatopathy-global developmental delay syndrome, infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome, acute radiation syndrome, monoclonal mast cell activation syndrome, oculocerebrodental syndrome, syndromic congenital sodium diarrhea, congenital brachyesophagus-intrathoracic stomach-vertebral anomalies syndrome, intellectual disability-cardiac anomalies-short stature-joint laxity syndrome, intrauterine growth restriction-congenital multiple café-au-lait macules-increased sister chromatid exchange syndrome, frontonasal dysplasia-bifid nose-upper limb anomalies syndrome, microcephaly-facial dysmorphism-ocular anomalies-multiple congenital anomalies syndrome, diaphragmatic hernia-short bowel-asplenia syndrome, warts-immunodeficiency-lymphedema-anogenital dysplasia syndrome, Cramp-fasciculation syndrome, choanal atresia-athelia-hypothyroidism-delayed puberty-short stature syndrome, blepharophimosis-intellectual disability syndrome/genitopatellar overlap syndrome, CCNK-related neurodevelopmental disorder-severe intellectual disability-facial dysmorphism syndrome, cerebellar hypoplasia-intellectual disability-congenital microcephaly-dystonia-anemia-growth retardation syndrome, KLHL7-related Bohring-Opitz-like syndrome, KLHL7-related cold-induced sweating-like syndrome, KAT6B-related multiple congenital anomalies syndrome, oculogastrointestinal-neurodevelopmental syndrome, spastic paraparesis-cataracts-speech delay syndrome, Ruzicka-Goerz-Anton syndrome, Sammartino-Decreccio syndrome, Samson-Gardner syndrome, Samson-Viljoen syndrome, Sanderson-Fraser syndrome, Sandhaus-Ben-Ami syndrome, prostatic malacoplakia associated with prostatic abscess, Saul-Wilkes-Stevenson syndrome, macrogyria, pseudobulbar palsy and intellectual disability, Schwartz-Cohen-addad-Lambert syndrome, Schlegelberger-Grote syndrome, Schrander-stumpel-Theunissen-Hulsmans syndrome, Saal-Bulas syndrome, Sackey-Sakati-Aur syndrome, Slti-Salem syndrome, Zerres Rietschel Majewski syndrome, Zazam Sheriff Phillips syndrome, Zadik-Barak-Levin syndrome, weinstein kliman scully syndrome, thickened earlobes with conductive deafness from incus-stapes abnormalities, ichthyosis linearis circumflexa, infantile striato thalamic degeneration, Landy-Donnai syndrome, merlob grunebaum reisner syndrome, Pavone Fiumara Rizzo syndrome, pfeiffer rockelein syndrome, Pfeiffer Tietze Welte syndrome, phosphoribosylpyrophosphate synthetase deficiency, piepkorn karp hickok syndrome, podder-tolmie syndrome, pointer syndrome, richieri-costa guion-almeida cohen syndrome, Rubinstein Taybi like syndrome, ruvalcaba churesigaew myhre syndrome, short limb dwarf lethal colavita kozlowski type, Mallory-Weiss syndrome, superior vena cava syndrome, piriformis syndrome, engraftment syndrome, Adams-Stokes syndrome, Leriche syndrome, multiple organ dysfunction syndrome, posterior leukoencephalopathy syndrome, cardio-renal syndrome, Rahman syndrome, X-linked keloid scarring-reduced joint mobility-increased optic cup-to-disc ratio syndrome, retinitis pigmentosa-hearing loss-premature aging-short stature-facial dysmorphism syndrome, congenital labioscrotal agenesis-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome, Lopes-Maciel-Rodan syndrome, Stankiewicz-Isidor syndrome, Skraban-Deardorff syndrome, joint laxity, short stature, and myopia, Sweeney-Cox syndrome, Alkuraya-Kucinskas syndrome, Jaberi-Elahi syndrome, neurodevelopmental disorder with regression, abnormal movements, loss of speech, and seizures, hearing impairment and infertile male syndrome, cardiocutaneous syndrome, neonatal diabetes, congenital sensorineural hearing loss and congenital cataracts, cardioectodermal syndrome, cannabinoid hyperemesis syndrome, retrograde cricopharyngeus dysfunction, Zinner syndrome, retinal dystrophy-ataxia-pituitary hormone abnormality-hypogonadism syndrome, IFAP syndrome, DICER1-related tumor predisposition, Roberts-SC phocomelia syndrome, carcinoid syndrome, Bonnevie-Ullrich syndrome, NKX2-1 related choreoathetosis and congenital hypothyroidism with or without pulmonary dysfunction, RNU4ATAC spectrum disorder, syndromic congenital heart disease, hand-foot syndrome, central hypoventilation syndrome, congenital, 1, with or without Hirschsprung disease, gastrointestinal defects and immunodeficiency syndrome 1, achalasia-alacrima syndrome, black locks with albinism and deafness syndrome, Birt-Hogg-Dube syndrome, trigeminal trophic syndrome, developmental and/or epileptic encephalopathy with spike-wave activation in sleep, syndromic microspherophakia, painful legs and moving toes syndrome, congenital aphakia-iris hypoplasia-microphthalmia-microcornea syndrome, hereditary persistence of fetal hemoglobin-intellectual disability syndrome, developmental delay-immunodeficiency-leukoencephalopathy-hypohomocysteinemia syndrome, primary hypomagnesemia-generalized seizures-intellectual disability-obesity syndrome, post-cardiac arrest syndrome, early-onset obesity-hyperphagia-severe developmental delay syndrome, hereditary alpha tryptasemia syndrome, KINSSHIP syndrome, developmental delay, hypotrophy, and dysmorphic features without moebius syndrome, breast implant illness, cataracts, hearing impairment, nephrotic syndrome, and enterocolitis, craniosynostosis-facial dysmorphism-chiari-1 malformation-developmental and language delay syndrome, MYT1L-related developmental delay-intellectual disability-obesity syndrome, Houge-Janssens syndrome, xerosis and growth failure with immune and pulmonary dysfunction syndrome, Fliedner-Zweier syndrome, Lui-Jee-Baron syndrome, Long-Olsen-Distelmaier syndrome, Tan-Almurshedi syndrome, diabetes, deafness, developmental delay, and short stature syndrome, Alfadhel syndrome, Hoxha-Aliu syndrome, cleft palate-congenital heart defect-intellectual disability syndrome, congenital insensitivity to pain syndrome, Marsili type, Yuksel-Vogel-Bauer syndrome, polydactyly-macrocephaly syndrome, pyoderma gangrenosum-acne-hidradenitis suppurativa-ankylosing spondylitis syndrome, psoriatic arthritis-pyoderma gangrenosum-acne-hidradenitis suppurativa syndrome, megalencephaly-polydactyly syndrome, Leigh syndrome, mitochondrial, auroneurodental syndrome, orofacial clefting-cardiac anomalies-facial dysmorphism syndrome, Grisel syndrome, arterial tortuosity-bone fragility syndrome, dialysis disequilibrium syndrome, brain abnormalities-severe developmental delay-facial dysmorphism-intellectual disability syndrome due to MEF2C mutation, Kariminejad neurodevelopmental syndrome, myelofibrosis, congenital, with anemia, neutropenia, developmental delay, and ocular abnormalities, brain malformation renal syndrome, myopathy with myalgia, increased serum creatine kinase, and with or without episodic rhabdomyolysis 2, Karayol-Borroto-Haghshenas neurodevelopmental syndrome, neurodegeneration, infantile-onset, with optic atrophy and brain abnormalities, Morimoto-Ryu-Malicdan neuromuscular syndrome, neurodevelopmental disorder with dysmorphic facies, absent speech and ambulation, and brain abnormalities, neurodevelopmental disorder with variable familial hypercholanemia, Pan-Chung-Bellen syndrome, telangiectasia, impaired intellectual development, microcephaly, metaphyseal dysplasia, eye abnormalities, and short stature, Muggenthaler-Chowdhury-Chioza syndrome, Tayoun-Maawali syndrome, ragopathy, cardiovascular-kidney-metabolic syndrome, craniofaciocardiohepatic syndrome, FICUS syndrome, Li-Takada-Miyake syndrome, Guillouet-Gordon syndrome, ICHAD syndrome, cataract, alopecia, oral mucosal disorder, and psoriasis-like syndrome, RAC2-related combined immunodeficiency-bronchiectasis-cancer-predisposing syndrome, oculovertebral syndrome, Alsahan-Harris syndrome, Ververi-Brady syndrome, Dursun-Ozgul neurodevelopmental syndrome, immune dysregulation, neurodevelopmental defects, and colitis, Harel-Tora neurodevelopmental syndrome, Valence-Farazi cerebellar ataxia syndrome, dyschromatosis, ichthyosis, deafness, and atopic disease, Ramond-Elliott neurodevelopmental syndrome, STAD syndrome, craniosynostosis-scoliosis syndrome, loin pain hematuria syndrome, IRF6-related condition, linkeropathy, NDUFB11-related disorders, CRYAB-related myofibrillar myopathy-cataract-cardiomyopathy spectrum disorder, TSEN2-related neurodevelopmental disorder with or without thrombotic microangiopathy, antiphospholipid syndrome

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

391 retrieved; paginated sample, class counts are floors:

148 uncertain significance, 102 conflicting classifications of pathogenicity, 37 pathogenic/likely pathogenic, 33 likely pathogenic, 32 pathogenic, 19 likely benign, 12 benign/likely benign, 4 benign, 3 uncertain significance/uncertain risk allele, 1 not provided

ClinVarVariant (HGVS)GeneClassificationReview
199884NM_004415.4(DSP):c.4198C>T (p.Arg1400Ter)DSPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
3366987NM_001458.5(FLNC):c.3838dup (p.Leu1280fs)FLNCPathogeniccriteria provided, single submitter
545687NM_021973.3(HAND2):c.199G>T (p.Glu67Ter)HAND2Pathogeniccriteria provided, single submitter
14478NM_170707.4(LMNA):c.1357C>T (p.Arg453Trp)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14479NM_170707.4(LMNA):c.178C>G (p.Arg60Gly)LMNAPathogenicno assertion criteria provided
14483NM_170707.4(LMNA):c.585C>G (p.Asn195Lys)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
14484NM_170707.4(LMNA):c.608A>G (p.Glu203Gly)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14489NM_170707.4(LMNA):c.1444C>T (p.Arg482Trp)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14491NM_170707.4(LMNA):c.960del (p.Arg321fs)LMNAPathogeniccriteria provided, single submitter
14495NM_170707.4(LMNA):c.1130G>A (p.Arg377His)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
14504NM_170707.4(LMNA):c.481G>A (p.Glu161Lys)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14514NM_170707.4(LMNA):c.1477C>T (p.Gln493Ter)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
1457399NM_170707.4(LMNA):c.822del (p.Arg275fs)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1467215NM_170707.4(LMNA):c.811-2A>GLMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1993558NM_170707.4(LMNA):c.707del (p.Glu236fs)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
200941NM_170707.4(LMNA):c.768G>A (p.Val256=)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
200942NM_170707.4(LMNA):c.871G>A (p.Glu291Lys)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
200965NM_170707.4(LMNA):c.1401G>A (p.Trp467Ter)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
222001NM_170707.4(LMNA):c.1228C>T (p.Gln410Ter)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
2573012NM_170707.4(LMNA):c.1641del (p.Thr548fs)LMNAPathogeniccriteria provided, single submitter
29775NM_170707.4(LMNA):c.1621C>G (p.Arg541Gly)LMNAPathogenicno assertion criteria provided
3068627NM_170707.4(LMNA):c.174del (p.Leu59fs)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
3376670NM_170707.4(LMNA):c.751del (p.Gln251fs)LMNAPathogeniccriteria provided, single submitter
3595598NM_170707.4(LMNA):c.5del (p.Glu2fs)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
36473NM_170707.4(LMNA):c.1003C>T (p.Arg335Trp)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
36476NM_170707.4(LMNA):c.1412G>A (p.Arg471His)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
4293040NM_170707.4(LMNA):c.1549C>T (p.Gln517Ter)LMNAPathogeniccriteria provided, single submitter
48031NM_170707.4(LMNA):c.1129C>T (p.Arg377Cys)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
48032NM_170707.4(LMNA):c.1146C>T (p.Gly382=)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
48046NM_170707.4(LMNA):c.1621C>T (p.Arg541Cys)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 40 · Orphanet: 120 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
LMNADefinitiveAutosomal dominantdilated cardiomyopathy 1A40

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
LMNAOrphanet:154Familial isolated dilated cardiomyopathy
LMNAOrphanet:157973Congenital muscular dystrophy due to LMNA mutation
LMNAOrphanet:1662Restrictive dermopathy
LMNAOrphanet:168796Heart-hand syndrome, Slovenian type
LMNAOrphanet:2229Dilated cardiomyopathy-hypergonadotropic hypogonadism syndrome
LMNAOrphanet:2348Familial partial lipodystrophy, Dunnigan type
LMNAOrphanet:280365Autosomal semi-dominant severe lipodystrophic laminopathy
LMNAOrphanet:293888Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant
LMNAOrphanet:293899Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant
LMNAOrphanet:293910Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant
LMNAOrphanet:300751Familial dilated cardiomyopathy with conduction defect due to LMNA mutation
LMNAOrphanet:363618LMNA-related cardiocutaneous progeria syndrome
LMNAOrphanet:54260Left ventricular noncompaction
LMNAOrphanet:675396Epithelioid hemangioma
LMNAOrphanet:740Hutchinson-Gilford progeria syndrome
LMNAOrphanet:79084Familial partial lipodystrophy, Köbberling type
LMNAOrphanet:79474Atypical Werner syndrome
LMNAOrphanet:90153Mandibuloacral dysplasia with type A lipodystrophy
LMNAOrphanet:98853Autosomal dominant Emery-Dreifuss muscular dystrophy
LMNAOrphanet:98855Autosomal recessive Emery-Dreifuss muscular dystrophy
LMNAOrphanet:98856Charcot-Marie-Tooth disease type 2B1
SCN5AOrphanet:101016Romano-Ward syndrome
SCN5AOrphanet:130Brugada syndrome
SCN5AOrphanet:1344Isolated atrial standstill
SCN5AOrphanet:154Familial isolated dilated cardiomyopathy
SCN5AOrphanet:166282Hereditary sick sinus syndrome
SCN5AOrphanet:228140Idiopathic ventricular fibrillation
SCN5AOrphanet:334Hereditary atrial fibrillation
SCN5AOrphanet:871Hereditary progressive cardiac conduction defect
SEMA3EOrphanet:138CHARGE syndrome
SGCDOrphanet:154Familial isolated dilated cardiomyopathy
SGCDOrphanet:219Delta-sarcoglycan-related limb-girdle muscular dystrophy R6
SLC22A5Orphanet:158Systemic primary carnitine deficiency
TAFAZZINOrphanet:111Barth syndrome
TAFAZZINOrphanet:154Familial isolated dilated cardiomyopathy
TNNI3Orphanet:154Familial isolated dilated cardiomyopathy
TNNI3Orphanet:75249Familial isolated restrictive cardiomyopathy
TTNOrphanet:140922Titin-related limb-girdle muscular dystrophy R10
TTNOrphanet:154Familial isolated dilated cardiomyopathy
TTNOrphanet:169186Autosomal recessive centronuclear myopathy
TTNOrphanet:178464Hereditary myopathy with early respiratory failure
TTNOrphanet:289377Early-onset myopathy with fatal cardiomyopathy
TTNOrphanet:293888Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant
TTNOrphanet:293899Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant
TTNOrphanet:293910Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant
TTNOrphanet:324604Classic multiminicore myopathy
TTNOrphanet:334Hereditary atrial fibrillation
TTNOrphanet:466921Childhood-onset progressive contractures-limb-girdle weakness-muscle dystrophy syndrome
TTNOrphanet:609Tibial muscular dystrophy
TTNOrphanet:707983Early-onset autosomal recessive TTN-related distal myopathy

Cohort genes → proteins

35 cohort genes, 34 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence35

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
LMNAHGNC:6636ENSG00000160789P02545Prelamin-A/Cgencc,clinvar
SCN5AHGNC:10593ENSG00000183873Q14524Sodium channel protein type 5 subunit alphaclinvar
SEMA3EHGNC:10727ENSG00000170381O15041Semaphorin-3Eclinvar
SGCDHGNC:10807ENSG00000170624Q92629Delta-sarcoglycanclinvar
SLC22A5HGNC:10969ENSG00000197375O76082Organic cation/carnitine transporter 2clinvar
TAFAZZINHGNC:11577ENSG00000102125Q16635Tafazzinclinvar
TNNI3HGNC:11947ENSG00000129991P19429Troponin I, cardiac muscleclinvar
TTNHGNC:12403ENSG00000155657Q8WZ42Titinclinvar
ACTC1HGNC:143ENSG00000159251P68032Actin, alpha cardiac muscle 1clinvar
UNC45BHGNC:14304ENSG00000141161Q8IWX7Protein unc-45 homolog Bclinvar
LDB3HGNC:15710ENSG00000122367O75112LIM domain-binding protein 3clinvar
ANKRD1HGNC:15819ENSG00000148677Q15327Ankyrin repeat domain-containing protein 1clinvar
ACTN2HGNC:164ENSG00000077522P35609Alpha-actinin-2clinvar
RAPGEF5HGNC:16862ENSG00000136237Q92565Rap guanine nucleotide exchange factor 5clinvar
SYNE1HGNC:17089ENSG00000131018Q8NF91Nesprin-1clinvar
CHRM2HGNC:1951ENSG00000181072P08172Muscarinic acetylcholine receptor M2clinvar
MYPNHGNC:23246ENSG00000138347Q86TC9Myopalladinclinvar
RBM20HGNC:27424ENSG00000203867Q5T481RNA-binding protein 20clinvar
DESHGNC:2770ENSG00000175084P17661Desminclinvar
DMDHGNC:2928ENSG00000198947P11532Dystrophinclinvar
NEXNHGNC:29557ENSG00000162614Q0ZGT2Nexilinclinvar
DSC2HGNC:3036ENSG00000134755Q02487Desmocollin-2clinvar
DSC3HGNC:3037ENSG00000134762Q14574Desmocollin-3clinvar
DSPHGNC:3052ENSG00000096696P15924Desmoplakinclinvar
FLNCHGNC:3756ENSG00000128591Q14315Filamin-Cclinvar
TTN-AS1HGNC:44124ENSG00000237298TTN antisense RNA 1clinvar
HAND2HGNC:4808ENSG00000164107P61296Heart- and neural crest derivatives-expressed protein 2clinvar
ABCC9HGNC:60ENSG00000069431O60706ATP-binding cassette sub-family C member 9clinvar
LPLHGNC:6677ENSG00000175445P06858Lipoprotein lipaseclinvar
MEFVHGNC:6998ENSG00000103313O15553Pyrinclinvar
MYBPC3HGNC:7551ENSG00000134571Q14896Myosin-binding protein C, cardiac-typeclinvar
MYH6HGNC:7576ENSG00000197616P13533Myosin-6clinvar
NFATC2HGNC:7776ENSG00000101096Q13469Nuclear factor of activated T-cells, cytoplasmic 2clinvar
PKP2HGNC:9024ENSG00000057294Q99959Plakophilin-2clinvar
ASIC2HGNC:99ENSG00000108684Q16515Acid-sensing ion channel 2clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
LMNAPrelamin-A/CLamins are intermediate filament proteins that assemble into a filamentous meshwork, and which constitute the major components of the nuclear lamina, a fibrous layer on the nucleoplasmic side of the inner nuclear membrane.
SCN5ASodium channel protein type 5 subunit alphaPore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes.
SEMA3ESemaphorin-3EPlays an important role in signaling via the cell surface receptor PLXND1.
SGCDDelta-sarcoglycanComponent of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix.
SLC22A5Organic cation/carnitine transporter 2Sodium-ion dependent, high affinity carnitine transporter.
TAFAZZINTafazzinAcyltransferase required to remodel newly synthesized phospholipid cardiolipin (1’,3’-bis-[1,2-diacyl-sn-glycero-3-phospho]-glycerol or CL), a key component of the mitochondrial inner membrane, with tissue specific acyl chains necessary fo…
TNNI3Troponin I, cardiac muscleTroponin I is the inhibitory subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity.
TTNTitinKey component in the assembly and functioning of vertebrate striated muscles.
ACTC1Actin, alpha cardiac muscle 1Actins are highly conserved proteins that are involved in various types of cell motility and are ubiquitously expressed in all eukaryotic cells.
UNC45BProtein unc-45 homolog BActs as a co-chaperone for HSP90 and is required for proper folding of the myosin motor domain.
LDB3LIM domain-binding protein 3May function as an adapter in striated muscle to couple protein kinase C-mediated signaling via its LIM domains to the cytoskeleton.
ANKRD1Ankyrin repeat domain-containing protein 1May play an important role in endothelial cell activation.
ACTN2Alpha-actinin-2F-actin cross-linking protein which is thought to anchor actin to a variety of intracellular structures.
RAPGEF5Rap guanine nucleotide exchange factor 5Guanine nucleotide exchange factor (GEF) for RAP1A, RAP2A and MRAS/M-Ras-GTP.
SYNE1Nesprin-1Multi-isomeric modular protein which forms a linking network between organelles and the actin cytoskeleton to maintain the subcellular spatial organization.
CHRM2Muscarinic acetylcholine receptor M2Muscarinic receptor for acetylcholine, a neurotransmitter found in the brain, neuromuscular junctions and the autonomic ganglia.
MYPNMyopalladinComponent of the sarcomere that tethers together nebulin (skeletal muscle) and nebulette (cardiac muscle) to alpha-actinin, at the Z lines.
RBM20RNA-binding protein 20RNA-binding protein that acts as a regulator of mRNA splicing of a subset of genes encoding key structural proteins involved in cardiac development, such as TTN (Titin), CACNA1C, CAMK2D or PDLIM5/ENH.
DESDesminMuscle-specific type III intermediate filament essential for proper muscular structure and function.
DMDDystrophinAnchors the extracellular matrix to the cytoskeleton via F-actin.
NEXNNexilinInvolved in regulating cell migration through association with the actin cytoskeleton.
DSC2Desmocollin-2A component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion.
DSC3Desmocollin-3A component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion.
DSPDesmoplakinA component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion.
FLNCFilamin-CMuscle-specific filamin, which plays a central role in sarcomere assembly and organization.
HAND2Heart- and neural crest derivatives-expressed protein 2Essential for cardiac morphogenesis, particularly for the formation of the right ventricle and of the aortic arch arteries.
ABCC9ATP-binding cassette sub-family C member 9Subunit of ATP-sensitive potassium channels (KATP).
LPLLipoprotein lipaseKey enzyme in triglyceride metabolism.
MEFVPyrinInvolved in the regulation of innate immunity and the inflammatory response in response to IFNG/IFN-gamma.
MYBPC3Myosin-binding protein C, cardiac-typeThick filament-associated protein located in the crossbridge region of vertebrate striated muscle a bands.
MYH6Myosin-6Muscle contraction.
NFATC2Nuclear factor of activated T-cells, cytoplasmic 2Plays a role in the inducible expression of cytokine genes in T-cells, especially in the induction of the IL-2, IL-3, IL-4, TNF or GM-CSF.
PKP2Plakophilin-2A component of desmosome cell-cell junctions which are required for positive regulation of cellular adhesion.
ASIC2Acid-sensing ion channel 2Forms pH-gated trimeric sodium channels that act as postsynaptic excitatory sensors in the nervous system.

Protein-family classification

Druggable: 11 · Difficult: 9 · Unknown: 15 · Druggable fraction: 0.31

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
Antibody/Immunoglobulin54.2×0.058
Transporter24.5×0.334
Ion channel13.2×0.594
Scaffold/PPI31.5×0.594
Transcription factor61.4×0.594
Kinase10.8×0.956
Other/Unknown150.8×0.956
GPCR10.7×0.956
Enzyme (other)10.3×0.956

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
LMNAOther/UnknownnoLamin_tail_dom, IF_conserved, Lamin_tail_dom_sf
SCN5AIon channelyesNa_channel_asu, Ion_trans_dom, Na_channel_a5su
SEMA3EAntibody/ImmunoglobulinyesSemap_dom, Ig-like_dom, Immunoglobulin_dom
SGCDOther/UnknownnoSarcoglycan, Sarcoglycan_gamma/delta/zeta
SLC22A5TransporteryesOrgcat_transp/SVOP, MFS_sugar_transport-like, Sugar_transporter_CS
TAFAZZINOther/UnknownnoTafazzin, Plipid/glycerol_acylTrfase
TNNI3Other/UnknownnoTroponin, Troponin-I_N, Troponin_sf
TTNKinaseyes2.7.11.1Prot_kinase_dom, Ig_sub2, Ig_sub
ACTC1Other/UnknownnoActin, Actin_CS, Actin/actin-like_CS
UNC45BOther/UnknownnoArmadillo, ARM-like, TPR-like_helical_dom_sf
LDB3Transcription factornoPDZ, Znf_LIM, Zasp-like_motif
ANKRD1Scaffold/PPInoAnkyrin_rpt, Ankyrin_rpt-contain_sf
ACTN2Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
RAPGEF5Other/UnknownnoRas-like_Gua-exchang_fac_N, RASGEF_cat_dom, Ras-like_GEF
SYNE1Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
CHRM2GPCRyesGPCR_Rhodpsn, Musac_Ach_rcpt, Musac_Ach_M2_rcpt
MYPNAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, Ig-like_dom
RBM20Transcription factornoRRM_dom, Matrin/U1-C_Znf_C2H2, Matrin/U1-like-C_Znf_C2H2
DESOther/UnknownnoIntermed_filament_DNA-bd, IF_conserved, IF_rod_dom
DMDTranscription factornoZnf_ZZ, WW_dom, Actinin_actin-bd_CS
NEXNAntibody/ImmunoglobulinyesIg_sub, Ig-like_dom, Ig_I-set
DSC2Other/UnknownnoCadherin_Y-type_LIR, Cadherin-like_dom, Desmosomal_cadherin
DSC3Other/UnknownnoCadherin_Y-type_LIR, Cadherin-like_dom, Desmosomal_cadherin
DSPScaffold/PPInoPlectin_repeat, SH3_domain, Spectrin/alpha-actinin
FLNCAntibody/ImmunoglobulinyesFilamin/ABP280_rpt, Actinin_actin-bd_CS, CH_dom
TTN-AS1Other/Unknownno
HAND2Transcription factornobHLH_dom, HLH_DNA-bd_sf, E-box_TF_Regulators
ABCC9TransporteryesABCC8/9, ABCC9, ABC_transporter-like_ATP-bd
LPLEnzyme (other)yes3.1.1.34TAG_lipase, PLAT/LH2_dom, Lipo_Lipase
MEFVTranscription factornoZnf_B-box, B30.2/SPRY, SPRY_dom
MYBPC3Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
MYH6Scaffold/PPInoMyosin_head_motor_dom-like, Myosin_tail, SH3_Myosin
NFATC2Transcription factornoIPT_dom, NFAT, p53-like_TF_DNA-bd_sf
PKP2Other/UnknownnoArmadillo, ARM-like, ARM-type_fold
ASIC2Other/UnknownnoENaC, ENaC_chordates, ENaC_CS

Expression context

Cohort genes with no expression data: 0.

32 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)35
unknown0

Top tissues across cohort

TissueCohort genes
apex of heart10
left ventricle myocardium7
gastrocnemius6
hindlimb stylopod muscle6
right atrium auricular region5
skeletal muscle tissue of rectus abdominis4
heart right ventricle3
skeletal muscle tissue of biceps brachii3
myocardium3
cardiac muscle of right atrium3
cardiac atrium3
calcaneal tendon2
muscle of leg2
tibialis anterior2
dorsal root ganglion2
trigeminal ganglion2
gingiva2
gingival epithelium2
upper leg skin2
vena cava2

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
LMNA295ubiquitousmarkernipple, mucosa of stomach, skin of abdomen
SCN5A161broadyesapex of heart, heart left ventricle, cardiac ventricle
SEMA3E197broadmarkercortical plate, calcaneal tendon, blood vessel layer
SGCD247broadmarkerleft ventricle myocardium, skeletal muscle tissue of rectus abdominis, heart right ventricle
SLC22A5235ubiquitousmarkergastrocnemius, mucosa of transverse colon, muscle of leg
TAFAZZIN238ubiquitousmarkerapex of heart, granulocyte, lower esophagus mucosa
TNNI3169broadmarkerapex of heart, left ventricle myocardium, right atrium auricular region
TTN223broadmarkerbiceps brachii, gluteal muscle, skeletal muscle tissue of biceps brachii
ACTC1224broadmarkerleft ventricle myocardium, heart right ventricle, myocardium
UNC45B111tissue_specificyesleft ventricle myocardium, cardiac muscle of right atrium, tibialis anterior
LDB3247broadmarkerskeletal muscle tissue of biceps brachii, hindlimb stylopod muscle, apex of heart
ANKRD1155ubiquitousmarkerapex of heart, right atrium auricular region, cardiac atrium
ACTN2226broadmarkerskeletal muscle tissue of rectus abdominis, skeletal muscle tissue of biceps brachii, hindlimb stylopod muscle
RAPGEF5275broadmarkerinferior vagus X ganglion, pons, inferior olivary complex
SYNE1275ubiquitousmarkercerebellar hemisphere, right hemisphere of cerebellum, calcaneal tendon
CHRM2107broadmarkerstromal cell of endometrium, right atrium auricular region, apex of heart
MYPN116broadmarkerhindlimb stylopod muscle, gastrocnemius, vastus lateralis
RBM20191broadmarkerleft ventricle myocardium, cardiac muscle of right atrium, myocardium
DES280broadmarkerapex of heart, saphenous vein, gastrocnemius
DMD295ubiquitousmarkertrigeminal ganglion, skeletal muscle tissue of rectus abdominis, dorsal root ganglion
NEXN229ubiquitousmarkerleft ventricle myocardium, skeletal muscle tissue of rectus abdominis, myocardium
DSC2256ubiquitousmarkergingival epithelium, gingiva, oral cavity
DSC3177broadmarkerupper leg skin, gingival epithelium, gingiva
DSP253ubiquitousmarkerskin of hip, upper leg skin, hair follicle
FLNC255ubiquitousmarkergastrocnemius, hindlimb stylopod muscle, tibialis anterior
TTN-AS1174ubiquitousmarkerhindlimb stylopod muscle, gastrocnemius, right atrium auricular region
HAND2147broadmarkermuscle layer of sigmoid colon, apex of heart, lower esophagus muscularis layer
ABCC9195broadmarkergastrocnemius, muscle of leg, hindlimb stylopod muscle
LPL272broadmarkerolfactory bulb, trigeminal ganglion, dorsal root ganglion
MEFV153broadmarkerbuccal mucosa cell, monocyte, mononuclear cell

Protein interactions among cohort

Intra-cohort edges: 53.

Hub genes (top 10 by interactor count)

SymbolInteractor count
LMNA7,173
TTN4,237
FLNC3,174
MYH63,119
DSP2,897
SYNE12,886
ACTN22,781
NFATC22,524
DES2,486
DMD2,479

Intra-cohort edges

ABSources
ABCC9ACTN2string_interaction
ABCC9LDB3string_interaction
ABCC9MYBPC3string_interaction
ABCC9NEXNstring_interaction
ABCC9RBM20string_interaction
ABCC9SCN5Astring_interaction
ABCC9SGCDstring_interaction
ACTC1MYBPC3intact
ACTN2LDB3biogrid_interaction, intact, string_interaction
ACTN2MYH6biogrid_interaction, string_interaction
ACTN2MYPNbiogrid_interaction, string_interaction
ACTN2NEXNstring_interaction
ACTN2TTNstring_interaction
ANKRD1MYPNbiogrid_interaction, string_interaction
ANKRD1TTNbiogrid_interaction, string_interaction
DESDMDstring_interaction
DESDSPstring_interaction
DMDFLNCstring_interaction
DMDSGCDstring_interaction
DMDTAFAZZINstring_interaction
DSC2DSPstring_interaction
DSC2LMNAstring_interaction
DSC2PKP2string_interaction
DSC3DSPstring_interaction
DSC3PKP2string_interaction
DSPPKP2string_interaction
FLNCLDB3string_interaction
FLNCMYBPC3intact
FLNCRAPGEF5biogrid_interaction
FLNCSGCDbiogrid_interaction, intact, string_interaction
LDB3MYBPC3string_interaction
LDB3MYPNintact
LDB3NEXNstring_interaction
LDB3RBM20string_interaction
LDB3TAFAZZINstring_interaction
LDB3TTNstring_interaction
LMNAPKP2string_interaction
LMNASGCDstring_interaction
LMNASYNE1string_interaction
MYBPC3MYH6string_interaction
MYBPC3RBM20string_interaction
MYBPC3TNNI3string_interaction
MYBPC3TTNstring_interaction
MYH6TNNI3string_interaction
MYH6TTNstring_interaction
MYPNTTNbiogrid_interaction, string_interaction
NEXNRBM20string_interaction
PKP2SCN5Astring_interaction
RBM20SCN5Astring_interaction
RBM20TNNI3string_interaction

Structural data

PDB: 21 · AlphaFold-only: 13 · No structure: 1

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
TTNQ8WZ4264
TNNI3P1942939
LMNAP0254528
CHRM2P0817217
MYBPC3Q1489617
SCN5AQ1452416
ACTC1P6803216
ACTN2P3560916
FLNCQ1431514
NFATC2Q1346912
MEFVO1555311
DMDP115326
LPLP068585
DSPP159244
SLC22A5O760823
SYNE1Q8NF913
DSC2Q024873
LDB3O751122
RAPGEF5Q925651
PKP2Q999591
ASIC2Q165151

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
TAFAZZINQ1663594.87
UNC45BQ8IWX788.38
SEMA3EO1504184.62
ANKRD1Q1532782.64
ABCC9O6070681.72
SGCDQ9262981.43
DESP1766177.73
DSC3Q1457475.53
MYH6P1353374.91
NEXNQ0ZGT270.78
HAND2P6129667.30
MYPNQ86TC952.71
RBM20Q5T48148.52

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 140. Enrichment computed across 35 evidence-associated genes (28 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 28 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Striated Muscle Contraction888.2×2e-12TNNI3, TTN, ACTC1, ACTN2, DES, DMD, MYBPC3, MYH6
Muscle contraction616.5×9e-05SCN5A, ACTC1, ACTN2, ABCC9, MYBPC3, MYH6
Formation of the dystrophin-glycoprotein complex (DGC)333.1×0.005SGCD, ACTC1, DMD
Formation of the cornified envelope412.6×0.009DSC2, DSC3, DSP, PKP2
Non-integrin membrane-ECM interactions316.5×0.021SGCD, ACTC1, DMD
Keratinization48.0×0.034DSC2, DSC3, DSP, PKP2
Defective SLC22A5 causes systemic primary carnitine deficiency (CDSP)1203.9×0.086SLC22A5
Defective ABCC9 causes CMD10, ATFB12 and Cantu syndrome1203.9×0.086ABCC9
Breakdown of the nuclear lamina1135.9×0.114LMNA
Ion homeostasis214.6×0.115TNNI3, ABCC9
ATP sensitive Potassium channels1102.0×0.124ABCC9
Muscarinic acetylcholine receptors181.6×0.142CHRM2
Acyl chain remodeling of CL168.0×0.157TAFAZZIN
Calcineurin activates NFAT145.3×0.158NFATC2
Inflammasomes140.8×0.158MEFV
RUNX1 and FOXP3 control the development of regulatory T lymphocytes (Tregs)140.8×0.158NFATC2
Chylomicron remodeling140.8×0.158LPL
Cell recruitment (pro-inflammatory response)140.8×0.158MEFV
Apoptotic cleavage of cell adhesion proteins137.1×0.158DSP
CLEC7A (Dectin-1) induces NFAT activation137.1×0.158NFATC2
Meiotic synapsis210.1×0.158LMNA, SYNE1
Disorders of transmembrane transporters29.9×0.158SLC22A5, ABCC9
Cardiac conduction27.8×0.158SCN5A, ABCC9
Transport of small molecules43.6×0.158SLC22A5, ABCC9, LPL, ASIC2
Regulation of CDH1 Function134.0×0.163ACTC1
CREB1 phosphorylation through NMDA receptor-mediated activation of RAS signaling131.4×0.168ACTN2
Carnitine shuttle127.2×0.168SLC22A5
Depolymerization of the Nuclear Lamina127.2×0.168LMNA
SLC-mediated transport of organic cations127.2×0.168SLC22A5
R-HSA-549132127.2×0.168SLC22A5

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 34 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
sarcomere organization890.1×7e-12TTN, LDB3, ANKRD1, ACTN2, MYPN, FLNC, MYBPC3, MYH6
cardiac muscle contraction782.6×4e-10SCN5A, TNNI3, TTN, ACTC1, DMD, MYBPC3, MYH6
ventricular cardiac muscle tissue morphogenesis482.6×2e-05TNNI3, MYBPC3, MYH6, PKP2
bundle of His cell-Purkinje myocyte adhesion involved in cell communication3212.4×2e-05DSC2, DSP, PKP2
cardiac muscle cell development473.4×2e-05SGCD, TTN, ACTN2, MYH6
cardiac muscle tissue morphogenesis3123.9×9e-05TTN, ACTC1, ANKRD1
regulation of ventricular cardiac muscle cell action potential3123.9×9e-05DSC2, DSP, PKP2
regulation of heart rate by cardiac conduction444.1×9e-05SCN5A, DSC2, DSP, PKP2
muscle filament sliding392.9×2e-04TNNI3, TTN, MYH6
heart contraction367.6×4e-04SGCD, TNNI3, ACTC1
regulation of heart contraction343.7×0.002CHRM2, DES, MYH6
regulation of heart rate341.3×0.002SCN5A, DMD, MYH6
muscle organ development419.6×0.002LMNA, SGCD, UNC45B, DMD
skeletal muscle thin filament assembly2165.2×0.002TTN, ACTC1
homophilic cell-cell adhesion416.5×0.002MYPN, NEXN, DSC2, DSC3
desmosome organization2123.9×0.003DSP, PKP2
cardiac muscle cell contraction299.1×0.004SGCD, ABCC9
cardiac myofibril assembly276.2×0.007TTN, ACTC1
regulation of smooth muscle contraction270.8×0.007TNNI3, CHRM2
adult heart development270.8×0.007HAND2, MYH6
cell-cell adhesion411.9×0.007DSC2, DSC3, DSP, PKP2
cellular response to xenobiotic stimulus321.2×0.007ANKRD1, ABCC9, ASIC2
regulation of cardiac muscle cell contraction266.1×0.007SCN5A, MYBPC3
dendrite self-avoidance262.0×0.007MYPN, NEXN
regulation of sodium ion transmembrane transport262.0×0.007SCN5A, DMD
nuclear envelope organization258.3×0.008LMNA, DES
ventricular cardiac muscle cell action potential258.3×0.008SCN5A, PKP2
muscle cell development255.1×0.008ACTN2, DMD
muscle contraction318.4×0.008TTN, DES, MYH6
cellular response to calcium ion317.7×0.008SCN5A, ABCC9, NFATC2

Therapeutics

Drug target analysis

Approved (phase 4): 5 · Phase ≥3: 5 · Phased (≥1): 5 · Undrugged: 30

Druggability breadth: 14 of 35 evidence-associated genes (40%) 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
LMNABEPRIDIL
SCN5ABEPRIDIL
CHRM2CARBACHOL
ABCC9PINACIDIL ANHYDROUS
LPLORLISTAT

Top cohort targets by molecule count

SymbolMoleculesMax phase
LMNA8234
CHRM23754
SCN5A1084
ABCC954
LPL14
SEMA3E00
SGCD00
SLC22A500
TAFAZZIN00
TNNI300

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
BEPRIDIL4LMNA, SCN5A
PHENYLBUTAZONE4LMNA
CEFOTAXIME SODIUM4LMNA
DIENESTROL4LMNA
IFOSFAMIDE4LMNA
PROGESTERONE4CHRM2, LMNA
CLOTRIMAZOLE4CHRM2, LMNA
DAPSONE4LMNA
AMINOCAPROIC ACID4LMNA
FLUCONAZOLE4LMNA
COLCHICINE4LMNA
NABUMETONE4LMNA
OXAPROZIN4CHRM2, LMNA
BUMETANIDE4LMNA
GLIPIZIDE4LMNA
BROMFENAC4LMNA
ROPIVACAINE4LMNA
TIZANIDINE4LMNA
METAXALONE4LMNA
CARBAMAZEPINE4LMNA, SCN5A
SALMETEROL XINAFOATE4LMNA
AMIODARONE HYDROCHLORIDE4LMNA
METHYL SALICYLATE4LMNA
DIBUCAINE4LMNA, SCN5A
PHENELZINE4LMNA
HYDROCORTISONE ACETATE4LMNA
BRETYLIUM TOSYLATE4LMNA
IMIPRAMINE4CHRM2, LMNA, SCN5A
FURAZOLIDONE4LMNA
DROPERIDOL4LMNA, SCN5A

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 2.

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

SymbolAssaysType breakdown
CHRM21,316Binding:958, Functional:339, ADMET:17, Unclassified:1, Toxicity:1
SCN5A594Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1
SLC22A597Functional:79, ADMET:18
ABCC961Functional:46, Binding:15
LPL16Binding:16
LMNA12Binding:9, Functional:3
ACTC16Binding:6
TNNI32Binding:2
DSP2Binding:2
TAFAZZIN1Binding:1
TTN1Binding:1
MEFV1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TTN2.7.11.1non-specific serine/threonine protein kinase
LPL3.1.1.34lipoprotein lipase

Cohort genes with high screening signal

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

SymbolChEMBL assays
SCN5A594
CHRM21,316

Pharmacogenomics

Cohort genes with a PharmGKB record: 34; 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)
BEPRIDIL4LMNA, SCN5A
PHENYLBUTAZONE4LMNA
CEFOTAXIME SODIUM4LMNA
DIENESTROL4LMNA
IFOSFAMIDE4LMNA
PROGESTERONE4CHRM2, LMNA
CLOTRIMAZOLE4CHRM2, LMNA
DAPSONE4LMNA
AMINOCAPROIC ACID4LMNA
FLUCONAZOLE4LMNA
COLCHICINE4LMNA
NABUMETONE4LMNA
OXAPROZIN4CHRM2, LMNA
BUMETANIDE4LMNA
GLIPIZIDE4LMNA
BROMFENAC4LMNA
ROPIVACAINE4LMNA
TIZANIDINE4LMNA
METAXALONE4LMNA
CARBAMAZEPINE4LMNA, SCN5A
SALMETEROL XINAFOATE4LMNA
AMIODARONE HYDROCHLORIDE4LMNA
METHYL SALICYLATE4LMNA
DIBUCAINE4LMNA, SCN5A
PHENELZINE4LMNA
HYDROCORTISONE ACETATE4LMNA
BRETYLIUM TOSYLATE4LMNA
IMIPRAMINE4CHRM2, LMNA, SCN5A
FURAZOLIDONE4LMNA
DROPERIDOL4LMNA, SCN5A

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)5LMNA, SCN5A, CHRM2, ABCC9, LPL
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug4SLC22A5, TTN, FLNC, MYBPC3
DDruggable family + AlphaFold only, no drug3SEMA3E, MYPN, NEXN
EDifficult family or no structure, no drug23SGCD, TAFAZZIN, TNNI3, ACTC1, UNC45B, LDB3, ANKRD1, ACTN2, RAPGEF5, SYNE1 (+13 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
SYNE10LMNA
RBM200ABCC9
PKP20SCN5A
SEMA3E0
SGCD0
SLC22A597
TAFAZZIN1
TNNI32
TTN1
ACTC16
UNC45B0
LDB30
ANKRD10
ACTN20
RAPGEF50
MYPN0
DES0
DMD0
NEXN0
DSC20
DSC30
DSP2
FLNC0
TTN-AS10
HAND20
MEFV1
MYBPC30
MYH60
NFATC20
ASIC20

Clinical trials & evidence

Clinical trials

Clinical trials: 1.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified1

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05394506Not specifiedRECRUITINGModifying Factors in Striated Muscle Laminopathies