Dilated cardiomyopathy

disease
On this page

Also known as familial dilated cardiomyopathyidiopathic dilation cardiomyopathy

Summary

Dilated cardiomyopathy (MONDO:0005021) is a disease caused by variants in FLNC, PPP1R13L, RBM20, and 5 other genes, with 75 cohort genes (66 GWAS associations across 12 studies) and 158 clinical trials. The dominant Reactome pathway is Striated Muscle Contraction (15 cohort genes). Top therapeutic interventions include perindopril, metoprolol, and benazepril.

At a glance

  • Causal genes: FLNC (GenCC Definitive), PPP1R13L (GenCC Definitive), RBM20 (GenCC Definitive), ACTC1 (GenCC Strong) (+4 more)
  • Cohort genes: 75
  • GWAS associations: 66
  • ClinVar variants: 4,219
  • Clinical trials: 158

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namedilated cardiomyopathy
Mondo IDMONDO:0005021
EFOEFO:0000407
MeSHD002311
Orphanet217604
DOIDDOID:12930
ICD-10-CMI42.0
ICD-111916294688
NCITC84673
SNOMED CT195021004
UMLSC0007193
MedGen2880
GARD0000221
MedDRA10056370
Is cancer (heuristic)no

Also known as: dilated cardiomyopathy · familial dilated cardiomyopathy · idiopathic dilation cardiomyopathy

Data availability: 4,219 ClinVar variants · 22 ClinGen variant curations · 66 GWAS associations (12 studies) · 36 GenCC gene-disease records · 1 HPO phenotype · 355 cell lines.

Disease family

An umbrella term covering 3 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › musculoskeletal system disordermuscle tissue disordercardiomyopathyintrinsic cardiomyopathydilated cardiomyopathy

Related subtypes (5): myocarditis, hypertrophic cardiomyopathy, restrictive cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, left ventricular noncompaction

Subtypes (3): viral dilated cardiomyopathy, familial dilated cardiomyopathy, non-familial dilated cardiomyopathy

Genetics & variants

GWAS landscape

66 GWAS associations across 12 studies. Top hits map to 29 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs22349627e-38BAG3T1.21
rs728422073e-25BAG3T0.19
rs728407884e-25BAG3A0.19
rs109278758e-25ZBTB17C1.14
rs31763263e-19CDKN1AA0.15
rs172264761e-17LSM3 - LINC01267A0.13
rs17636052e-16SRARP - HSPB7G0.12
rs171651912e-14CCDC136C0.14
rs47139997e-14RNU1-88P - Y_RNAG1.11
rs20429951e-13TTN-AS1, TTNT1.11
rs47315174e-13CCDC136A0.14
rs622328705e-13LSM3 - LINC01267A1.36
rs22915699e-12FLNCG1.16
rs125415952e-11LINC00964G1.1
rs76051462e-11SPATS2LA0.09
rs10511683e-11NMBT1.09
rs21863704e-11SMARCB1G1.12
rs72848775e-10SMARCB1C1.33
rs622224249e-10MAP3K7CLA0.15
rs21824002e-09SVIL-AS1G1.1
rs74611292e-09LINC00964T0.09
rs168664002e-09TTN-AS1, TTNA0.1
rs129883073e-09TTN-AS1, TTNC0.1
rs23035104e-09FHOD3G1.08
rs98926515e-09PRKCAC1.08
rs132659895e-09OR7E158P - OR7E161PG1.09
rs116607487e-09NEDD4LG0.13
rs68072759e-09LSM3 - LINC01267G1.08
rs57600541e-08SMARCB1T0.1
rs728014742e-08HSPA4 - RPL6P15A0.14

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90624428Jurgens SJ20249,365946,368Genome-wide association study reveals mechanisms underlying dilated cardiomyopathy and myocardial resilience.
GCST90624429Jurgens SJ20249,365946,368Genome-wide association study reveals mechanisms underlying dilated cardiomyopathy and myocardial resilience.
GCST011202Tadros R20215,521397,323Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect.
GCST011210Tadros R20215,521397,323Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect.
GCST012211Garnier S20212,6514,329Genome-wide association analysis in dilated cardiomyopathy reveals two new players in systolic heart failure on chromosomes 3p25.1 and 22q11.23.
GCST90018834Sakaue S20211,444353,937A cross-population atlas of genetic associations for 220 human phenotypes.
GCST90296097Ning C20231,3035,281Genome-wide association analysis of left ventricular imaging-derived phenotypes identifies 72 risk loci and yields genetic insights into hypertrophic cardiomyopathy.
GCST001023Villard E20111,1791,108A genome-wide association study identifies two loci associated with heart failure due to dilated cardiomyopathy.
GCST002093Meder B20139092,120A genome-wide association study identifies 6p21 as novel risk locus for dilated cardiomyopathy.
GCST90079998Backman JD2021858387,072Exome sequencing and analysis of 454,787 UK Biobank participants.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding5
Tier 2: splice/UTR1
Tier 3: regulatory4
Tier 4: intronic/intergenic39

MAF distribution

BucketVariants
common (>=0.05)49
low_freq (0.01-0.05)0
rare (<0.01)0
unknown0

Functional consequences

ConsequenceCount
intron_variant34
missense_variant5
regulatory_region_variant4
intergenic_variant4
3_prime_UTR_variant1
non_coding_transcript_exon_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs223496210119670121T>C,G0.222missense_variantBAG37e-38Tier 1: coding
rs7284220710119674163C>T0.188intron_variantBAG33e-25Tier 4: intronic/intergenic
rs7284078810119656173G>A,T0.188intron_variantBAG34e-25Tier 4: intronic/intergenic
rs10927875115972817C>T0.327intron_variantZBTB178e-25Tier 4: intronic/intergenic
rs3176326636679512G>A0.202intron_variantCDKN1A3e-19Tier 4: intronic/intergenic
rs17226476314235482G>A0.204regulatory_region_variantLSM3 - LINC012671e-17Tier 3: regulatory
rs1763605116012430T>A,C,G0.315intergenic_variantSRARP - HSPB72e-16Tier 4: intronic/intergenic
rs171651917128810950T>A,C,G0.153intron_variantCCDC1362e-14Tier 4: intronic/intergenic
rs4713999636665292A>C,G,T0.332intron_variantRNU1-88P - Y_RNA7e-14Tier 4: intronic/intergenic
rs20429952178693639T>C0.224missense_variantTTN-AS1, TTN1e-13Tier 1: coding
rs47315177128818595C>A0.138intron_variantCCDC1364e-13Tier 4: intronic/intergenic
rs62232870314216209G>A0.23regulatory_region_variantLSM3 - LINC012675e-13Tier 3: regulatory
rs22915697128848680G>A,C,T0.084missense_variantFLNC9e-12Tier 1: coding
rs125415958124845117G>A,T0.31intron_variantLINC009642e-11Tier 4: intronic/intergenic
rs76051462200319165G>A,C,T0.375intron_variantSPATS2L2e-11Tier 4: intronic/intergenic
rs10511681584657289G>A,C,T0.259missense_variantNMB3e-11Tier 1: coding
rs21863702223829118A>G,T0.191intron_variantSMARCB14e-11Tier 4: intronic/intergenic
rs72848772223812924G>A,C,T0.19intron_variantSMARCB15e-10Tier 4: intronic/intergenic
rs622224242129157810G>A,T0.086intron_variantMAP3K7CL9e-10Tier 4: intronic/intergenic
rs21824001029418622A>G0.242intron_variantSVIL-AS12e-09Tier 4: intronic/intergenic
rs74611298124849132C>A,T0.297intron_variantLINC009642e-09Tier 4: intronic/intergenic
rs168664002178584184G>A,C0.208intron_variantTTN-AS1, TTN2e-09Tier 4: intronic/intergenic
rs129883072178625751T>A,C0.216intron_variantTTN-AS1, TTN3e-09Tier 4: intronic/intergenic
rs23035101836744128G>A,C0.321missense_variantFHOD34e-09Tier 1: coding
rs98926511766307675C>G,T0.416intron_variantPRKCA5e-09Tier 4: intronic/intergenic
rs13265989811922131A>G0.293intron_variantOR7E158P - OR7E161P5e-09Tier 4: intronic/intergenic
rs116607481858252666A>G,T0.104intron_variantNEDD4L7e-09Tier 4: intronic/intergenic
rs6807275314232951G>A0.341regulatory_region_variantLSM3 - LINC012679e-09Tier 3: regulatory
rs57600542223819530C>T0.245intron_variantSMARCB11e-08Tier 4: intronic/intergenic
rs728014745133108436G>A0.083regulatory_region_variantHSPA4 - RPL6P152e-08Tier 3: regulatory

ClinVar germline variants

600 retrieved; paginated sample, class counts are floors:

326 uncertain significance, 157 likely benign, 44 conflicting classifications of pathogenicity, 18 pathogenic, 16 likely pathogenic, 15 benign/likely benign, 12 pathogenic/likely pathogenic, 12 benign

ClinVarVariant (HGVS)GeneClassificationReview
1175188NM_001079843.3(CASZ1):c.2443_2459del (p.Val815fs)CASZ1Pathogeniccriteria provided, single submitter
143947NM_004415.4(DSP):c.2131_2132delDSPPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1012342NM_002294.3(LAMP2):c.139C>T (p.Gln47Ter)LAMP2Pathogeniccriteria provided, single submitter
14481NM_170707.4(LMNA):c.1580G>C (p.Arg527Pro)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
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
14500NM_170707.4(LMNA):c.1824C>T (p.Gly608=)LMNAPathogeniccriteria provided, multiple submitters, no conflicts
14504NM_170707.4(LMNA):c.481G>A (p.Glu161Lys)LMNAPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
155806NM_170707.4(LMNA):c.1086del (p.Leu363fs)LMNAPathogeniccriteria provided, single submitter
1027651NM_001267550.2(TTN):c.68022del (p.Glu22675fs)LOC126806423Pathogenicno assertion criteria provided
1454884NM_001292034.3(TAB2):c.1354C>T (p.Arg452Ter)LOC126859827Pathogeniccriteria provided, multiple submitters, no conflicts
14477NM_170707.4(LMNA):c.16C>T (p.Gln6Ter)LOC129931597Pathogeniccriteria provided, single submitter
132925NM_000257.4(MYH7):c.1573G>A (p.Glu525Lys)MYH7Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14089NM_000257.4(MYH7):c.1357C>T (p.Arg453Cys)MYH7Pathogenicreviewed by expert panel
14108NM_000257.4(MYH7):c.1594T>C (p.Ser532Pro)MYH7Pathogenicreviewed by expert panel
13636NM_002667.5(PLN):c.25C>T (p.Arg9Cys)PLNPathogeniccriteria provided, multiple submitters, no conflicts
13637NM_002667.5(PLN):c.116T>G (p.Leu39Ter)PLNPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1012346NM_181486.4(TBX5):c.652C>T (p.Gln218Ter)TBX5Pathogeniccriteria provided, single submitter
12414NM_001276345.2(TNNT2):c.451C>T (p.Arg151Trp)TNNT2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12415NM_001276345.2(TNNT2):c.421C>T (p.Arg141Trp)TNNT2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12456NM_001018005.2(TPM1):c.523G>A (p.Asp175Asn)TPM1Pathogeniccriteria provided, multiple submitters, no conflicts
155718NM_005726.6(TSFM):c.856C>T (p.Gln286Ter)TSFMPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1065188NM_001267550.2(TTN):c.83497G>T (p.Gly27833Ter)TTNPathogeniccriteria provided, single submitter
1065189NM_001267550.2(TTN):c.69522T>G (p.Tyr23174Ter)TTNPathogeniccriteria provided, single submitter
1065191NM_001267550.2(TTN):c.13592C>G (p.Ser4531Ter)TTNPathogeniccriteria provided, multiple submitters, no conflicts
1065192NM_001267550.2(TTN):c.80514del (p.Val26839fs)TTNPathogeniccriteria provided, single submitter
130666NM_001267550.2(TTN):c.40558G>C (p.Val13520Leu)TTNPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1061173NM_001267550.2(TTN):c.46603C>T (p.Arg15535Ter)TTN-AS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1065190NM_001267550.2(TTN):c.53918del (p.Gly17973fs)TTN-AS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1284567NM_001267550.2(TTN):c.52903C>T (p.Arg17635Ter)TTN-AS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 151 · Orphanet: 161 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 5

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

GeneHGNCEvidence routes
FLNCFLNCGWAS, GenCC, Orphanet
TTNTTNGWAS, Orphanet
ZBTB17ZBTB17GWAS
FHOD3FHOD3GWAS
BAG3BAG3GWAS, Orphanet

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
ACTC1DefinitiveAutosomal dominanthypertrophic cardiomyopathy12
FLNCDefinitiveAutosomal dominantdilated cardiomyopathy14
LMOD2DefinitiveAutosomal recessivecardiomyopathy, dilated, 2G4
MYBPC3DefinitiveAutosomal dominanthypertrophic cardiomyopathy 413
MYL2DefinitiveAutosomal dominanthypertrophic cardiomyopathy 105
PPP1R13LDefinitiveAutosomal recessivearrhythmogenic cardiomyopathy with variable ectodermal abnormalities3
RBM20DefinitiveAutosomal dominantdilated cardiomyopathy7
MYPNStrongAutosomal dominantdilated cardiomyopathy12
MYZAPStrongAutosomal recessivecardiomyopathy, dilated, 2K2
NOL6StrongAutosomal recessivedilated cardiomyopathy
NRAPStrongAutosomal recessivedilated cardiomyopathy
PRDM16StrongAutosomal dominantdilated cardiomyopathy6
RPL3LStrongAutosomal recessivecardiomyopathy, dilated, 2D6
GCOM1ModerateAutosomal recessivedilated cardiomyopathy
MYLK3ModerateAutosomal recessivedilated cardiomyopathy3
NEBLModerateAutosomal dominantdilated cardiomyopathy2
PLEKHM2ModerateAutosomal recessivedilated cardiomyopathy2
RHBDF1ModerateAutosomal recessivedilated cardiomyopathy
SLC30A5ModerateAutosomal recessivecardiomyopathy2
TMPOSupportiveAutosomal dominantfamilial isolated dilated cardiomyopathy4
TXNRD2SupportiveAutosomal dominantfamilial isolated dilated cardiomyopathy5
BMP10LimitedAutosomal dominantdilated cardiomyopathy4
C10orf71LimitedAutosomal dominantdilated cardiomyopathy
FBXO32LimitedAutosomal recessivedilated cardiomyopathy
GATA4LimitedAutosomal dominantdilated cardiomyopathy15
GATA6LimitedAutosomal dominantdilated cardiomyopathy16
ILKLimitedAutosomal dominantdilated cardiomyopathy
PHACTR2LimitedAutosomal recessivedilated cardiomyopathy
PPCDCLimitedAutosomal recessivedilated cardiomyopathy
SOD2LimitedAutosomal recessivecardiomyopathy3

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
FLNCOrphanet:171445Muscle filaminopathy
FLNCOrphanet:63273FLNC-related handgrip and calf weakness-distal myopathy
FLNCOrphanet:75249Familial isolated restrictive cardiomyopathy
TMPOOrphanet:154Familial isolated dilated 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
PRDM16Orphanet:154Familial isolated dilated cardiomyopathy
PRDM16Orphanet:16061p36 deletion syndrome
PRDM16Orphanet:54260Left ventricular noncompaction
ACTC1Orphanet:154Familial isolated dilated cardiomyopathy
ACTC1Orphanet:54260Left ventricular noncompaction
ACTC1Orphanet:99103Atrial septal defect, ostium secundum type
TXNRD2Orphanet:154Familial isolated dilated cardiomyopathy
TXNRD2Orphanet:361Familial glucocorticoid deficiency
MYPNOrphanet:154Familial isolated dilated cardiomyopathy
MYPNOrphanet:171439Childhood-onset nemaline myopathy
MYPNOrphanet:171881Cap myopathy
MYPNOrphanet:75249Familial isolated restrictive cardiomyopathy
C10orf71Orphanet:154Familial isolated dilated cardiomyopathy
RBM20Orphanet:154Familial isolated dilated cardiomyopathy
GATA4Orphanet:2510718p23.1 microdeletion syndrome
GATA4Orphanet:25151046,XY partial gonadal dysgenesis
GATA4Orphanet:3303Tetralogy of Fallot
GATA4Orphanet:334Hereditary atrial fibrillation
GATA4Orphanet:576232Partial atrioventricular septal defect with ventricular hypoplasia
GATA4Orphanet:99067Complete atrioventricular septal defect with ventricular hypoplasia
GATA4Orphanet:99068Complete atrioventricular septal defect-tetralogy of Fallot
GATA4Orphanet:99103Atrial septal defect, ostium secundum type
GATA6Orphanet:2140Congenital diaphragmatic hernia
GATA6Orphanet:2255Pancreatic hypoplasia-diabetes-congenital heart disease syndrome
GATA6Orphanet:3303Tetralogy of Fallot
GATA6Orphanet:334Hereditary atrial fibrillation
GATA6Orphanet:665044Common arterial trunk with aortic dominance
GATA6Orphanet:665058Common arterial trunk with pulmonary dominance and interrupted aortic arch
GATA6Orphanet:99067Complete atrioventricular septal defect with ventricular hypoplasia
GATA6Orphanet:99103Atrial septal defect, ostium secundum type
MYBPC3Orphanet:154Familial isolated dilated cardiomyopathy
MYBPC3Orphanet:54260Left ventricular noncompaction
MYL2Orphanet:2020Congenital fiber-type disproportion myopathy

Cohort genes → proteins

75 cohort genes, 74 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only2
gwas_and_clinvar4
multi_evidence69

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
FLNCHGNC:3756ENSG00000128591Q14315Filamin-Cgwas,gencc,clinvar
TMPOHGNC:11875ENSG00000120802P42166Lamina-associated polypeptide 2, isoform alphagencc,clinvar
TTNHGNC:12403ENSG00000155657Q8WZ42Titingwas,clinvar
ZBTB17HGNC:12936ENSG00000116809Q13105Zinc finger and BTB domain-containing protein 17gwas,clinvar
PRDM16HGNC:14000ENSG00000142611Q9HAZ2Histone-lysine N-methyltransferase PRDM16gencc,clinvar
ACTC1HGNC:143ENSG00000159251P68032Actin, alpha cardiac muscle 1gencc,clinvar
NEBLHGNC:16932ENSG00000078114O76041Nebulettegencc,clinvar
TXNRD2HGNC:18155ENSG00000184470Q9NNW7Thioredoxin reductase 2, mitochondrialgencc,clinvar
PPP1R13LHGNC:18838ENSG00000104881Q8WUF5RelA-associated inhibitorgencc,clinvar
NOL6HGNC:19910ENSG00000165271Q9H6R4Nucleolar protein 6gencc,clinvar
MYPNHGNC:23246ENSG00000138347Q86TC9Myopalladingencc,clinvar
FHOD3HGNC:26178ENSG00000134775Q2V2M9FH1/FH2 domain-containing protein 3gwas,clinvar
GCOM1HGNC:26424ENSG00000137878GCOM1, MYZAP-POLR2M combined locusgencc,clinvar
C10orf71HGNC:26973ENSG00000177354Q711Q0Cardiac-enriched FHL2-interacting proteingencc,clinvar
RBM20HGNC:27424ENSG00000203867Q5T481RNA-binding protein 20gencc,clinvar
MYLK3HGNC:29826ENSG00000140795Q32MK0Myosin light chain kinase 3gencc,clinvar
GATA4HGNC:4173ENSG00000136574P43694Transcription factor GATA-4gencc,clinvar
GATA6HGNC:4174ENSG00000141448Q92908Transcription factor GATA-6gencc,clinvar
MYZAPHGNC:43444ENSG00000263155P0CAP1Myocardial zonula adherens proteingencc,clinvar
ILKHGNC:6040ENSG00000166333Q13418Scaffold protein ILKgencc,clinvar
MYBPC3HGNC:7551ENSG00000134571Q14896Myosin-binding protein C, cardiac-typegencc,clinvar
MYL2HGNC:7583ENSG00000111245P10916Myosin regulatory light chain 2, ventricular/cardiac muscle isoformgencc,clinvar
NRAPHGNC:7988ENSG00000197893Q86VF7Nebulin-related-anchoring proteingencc,clinvar
BAG3HGNC:939ENSG00000151929O95817BAG family molecular chaperone regulator 3gwas,clinvar
RPL3LHGNC:10351ENSG00000140986Q92901Ribosomal protein uL3-likegencc
SOD2HGNC:11180ENSG00000291237P04179Superoxide dismutase [Mn], mitochondrialgencc
FBXO32HGNC:16731ENSG00000156804Q969P5F-box only protein 32gencc
SLC30A5HGNC:19089ENSG00000145740Q8TAD4Proton-coupled zinc antiporter SLC30A5gencc
RTKN2HGNC:19364ENSG00000182010Q8IZC4Rhotekin-2gencc
LRRC10HGNC:20264ENSG00000198812Q5BKY1Leucine-rich repeat-containing protein 10gencc
RHBDF1HGNC:20561ENSG00000007384Q96CC6Inactive rhomboid protein 1gencc
BMP10HGNC:20869ENSG00000163217O95393Bone morphogenetic protein 10gencc
PHACTR2HGNC:20956ENSG00000112419O75167Phosphatase and actin regulator 2gencc
PPCDCHGNC:28107ENSG00000138621Q96CD2Phosphopantothenoylcysteine decarboxylasegencc
PLEKHM2HGNC:29131ENSG00000116786Q8IWE5Pleckstrin homology domain-containing family M member 2gencc
LMOD2HGNC:6648ENSG00000170807Q6P5Q4Leiomodin-2gencc
RYR2HGNC:10484ENSG00000198626Q92736Ryanodine receptor 2clinvar
SCN2BHGNC:10589ENSG00000149575O60939Sodium channel regulatory subunit beta-2clinvar
SCN5AHGNC:10593ENSG00000183873Q14524Sodium channel protein type 5 subunit alphaclinvar
SCO2HGNC:10604ENSG00000284194O43819Cytochrome c oxidase assembly factor SCO2clinvar
SDHAHGNC:10680ENSG00000073578P31040Succinate dehydrogenase [ubiquinone] flavoprotein subunit, mitochondrialclinvar
SGCBHGNC:10806ENSG00000163069Q16585Beta-sarcoglycanclinvar
SGCDHGNC:10807ENSG00000170624Q92629Delta-sarcoglycanclinvar
SGCGHGNC:10809ENSG00000102683Q13326Gamma-sarcoglycanclinvar
BRAFHGNC:1097ENSG00000157764P15056Serine/threonine-protein kinase B-rafclinvar
SMARCB1HGNC:11103ENSG00000099956Q12824SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily B member 1gwas
SNTA1HGNC:11167ENSG00000101400Q13424Alpha-1-syntrophinclinvar
SOS1HGNC:11187ENSG00000115904Q07889Son of sevenless homolog 1clinvar
SVILHGNC:11480ENSG00000197321O95425Supervillingwas
TAF1AHGNC:11532ENSG00000143498Q15573TATA box-binding protein-associated factor RNA polymerase I subunit Aclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
FLNCFilamin-CMuscle-specific filamin, which plays a central role in sarcomere assembly and organization.
TMPOLamina-associated polypeptide 2, isoform alphaMay be involved in the structural organization of the nucleus and in the post-mitotic nuclear assembly.
TTNTitinKey component in the assembly and functioning of vertebrate striated muscles.
ZBTB17Zinc finger and BTB domain-containing protein 17Transcription factor that can function as an activator or repressor depending on its binding partners, and by targeting negative regulators of cell cycle progression.
PRDM16Histone-lysine N-methyltransferase PRDM16Transcription regulator that acts both as a histone methyltransferase or chromatin adapter, depending on the context.
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.
NEBLNebuletteBinds to actin and plays an important role in the assembly of the Z-disk.
TXNRD2Thioredoxin reductase 2, mitochondrialInvolved in the control of reactive oxygen species levels and the regulation of mitochondrial redox homeostasis.
PPP1R13LRelA-associated inhibitorRegulator that plays a central role in regulation of apoptosis and transcription via its interaction with NF-kappa-B and p53/TP53 proteins.
NOL6Nucleolar protein 6Part of the small subunit (SSU) processome, first precursor of the small eukaryotic ribosomal subunit.
MYPNMyopalladinComponent of the sarcomere that tethers together nebulin (skeletal muscle) and nebulette (cardiac muscle) to alpha-actinin, at the Z lines.
FHOD3FH1/FH2 domain-containing protein 3Actin-organizing protein that may cause stress fiber formation together with cell elongation.
C10orf71Cardiac-enriched FHL2-interacting proteinIs an activator of the calcineurin/NFAT signaling pathway in cardiomyocytes, and is involved in myocardium morphogenesis, and regulation of myocardium mass and cardiac contractile function.
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.
MYLK3Myosin light chain kinase 3Kinase that phosphorylates MYL2 in vitro.
GATA4Transcription factor GATA-4Transcriptional activator that binds to the consensus sequence 5’-AGATAG-3’ and plays a key role in cardiac development and function.
GATA6Transcription factor GATA-6Transcriptional activator.
MYZAPMyocardial zonula adherens proteinPlays a role in cellular signaling via Rho-related GTP-binding proteins and subsequent activation of transcription factor SRF.
ILKScaffold protein ILKScaffold protein which mediates protein-protein interactions during a range of cellular events including focal adhesion assembly, cell adhesion and cell migration.
MYBPC3Myosin-binding protein C, cardiac-typeThick filament-associated protein located in the crossbridge region of vertebrate striated muscle a bands.
MYL2Myosin regulatory light chain 2, ventricular/cardiac muscle isoformContractile protein that plays a role in heart development and function.
NRAPNebulin-related-anchoring proteinMay be involved in anchoring the terminal actin filaments in the myofibril to the membrane and in transmitting tension from the myofibrils to the extracellular matrix.
BAG3BAG family molecular chaperone regulator 3Co-chaperone and adapter protein that connects different classes of molecular chaperones including heat shock proteins 70 (HSP70s), e.g.
RPL3LRibosomal protein uL3-likeHeart- and skeletal muscle-specific component of the ribosome, which regulates muscle function.
SOD2Superoxide dismutase [Mn], mitochondrialDestroys superoxide anion radicals which are normally produced within the cells and which are toxic to biological systems.
FBXO32F-box only protein 32Substrate recognition component of a SCF (SKP1-CUL1-F-box protein) E3 ubiquitin-protein ligase complex which mediates the ubiquitination and subsequent proteasomal degradation of target proteins.
SLC30A5Proton-coupled zinc antiporter SLC30A5Together with SLC30A6 forms a functional proton-coupled zinc ion antiporter mediating zinc entry into the lumen of organelles along the secretory pathway.
RTKN2Rhotekin-2May play an important role in lymphopoiesis.
LRRC10Leucine-rich repeat-containing protein 10May play important roles in cardiac development and/or cardiac function.
RHBDF1Inactive rhomboid protein 1Regulates ADAM17 protease, a sheddase of the epidermal growth factor (EGF) receptor ligands and TNF, thereby plays a role in sleep, cell survival, proliferation, migration and inflammation.
BMP10Bone morphogenetic protein 10Required for maintaining the proliferative activity of embryonic cardiomyocytes by preventing premature activation of the negative cell cycle regulator CDKN1C/p57KIP and maintaining the required expression levels of cardiogenic factors suc…
PPCDCPhosphopantothenoylcysteine decarboxylaseCatalyzes the decarboxylation of the cysteine moiety of 4-phosphopantothenoylcysteine to form 4’-phosphopantotheine and this reaction forms part of the biosynthesis of coenzyme A.
PLEKHM2Pleckstrin homology domain-containing family M member 2Plays a role in lysosomes movement and localization at the cell periphery acting as an effector of ARL8B.
LMOD2Leiomodin-2Mediates nucleation of actin filaments and thereby promotes actin polymerization.
RYR2Ryanodine receptor 2Cytosolic calcium-activated calcium channel that mediates the release of Ca(2+) from the sarcoplasmic reticulum into the cytosol and thereby plays a key role in triggering cardiac muscle contraction.
SCN2BSodium channel regulatory subunit beta-2Regulatory subunit of multiple voltage-gated sodium (Nav) channels directly mediating the depolarization of excitable membranes.
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.
SCO2Cytochrome c oxidase assembly factor SCO2Copper metallochaperone essential for the synthesis and maturation of cytochrome c oxidase subunit II (MT-CO2/COX2); together with SCO1, facilitates the incorporation of copper into the Cu(A) site of MT-CO2/COX2.
SDHASuccinate dehydrogenase [ubiquinone] flavoprotein subunit, mitochondrialFlavoprotein (FP) subunit of succinate dehydrogenase (SDH) that is involved in complex II of the mitochondrial electron transport chain and is responsible for transferring electrons from succinate to ubiquinone (coenzyme Q).
SGCBBeta-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.
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.
SGCGGamma-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.
BRAFSerine/threonine-protein kinase B-rafProtein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus.
SMARCB1SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily B member 1Core component of the BAF (hSWI/SNF) complex.
SNTA1Alpha-1-syntrophinAdapter protein that binds to and probably organizes the subcellular localization of a variety of membrane proteins.
SOS1Son of sevenless homolog 1Promotes the exchange of Ras-bound GDP by GTP.
SVILSupervillinForms a high-affinity link between the actin cytoskeleton and the membrane.
TAF1ATATA box-binding protein-associated factor RNA polymerase I subunit AComponent of the transcription factor SL1/TIF-IB complex, which is involved in the assembly of the PIC (pre-initiation complex) during RNA polymerase I-dependent transcription.
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…
TBX20T-box transcription factor TBX20Acts as a transcriptional activator and repressor required for cardiac development and may have key roles in the maintenance of functional and structural phenotypes in adult heart.

Protein-family classification

Druggable: 17 · Difficult: 19 · Unknown: 39 · Druggable fraction: 0.23

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
Ion channel46.0×0.037
Scaffold/PPI102.3×0.044
Kinase51.9×0.357
Antibody/Immunoglobulin41.6×0.511
Transcription factor91.0×0.904
Other/Unknown390.9×0.955
Protease10.5×0.955
Enzyme (other)30.5×0.955

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
FLNCAntibody/ImmunoglobulinyesFilamin/ABP280_rpt, Actinin_actin-bd_CS, CH_dom
TMPOOther/UnknownnoLEM_dom, LEM/LEM-like_dom_sf, LEM-like_dom
TTNKinaseyes2.7.11.1Prot_kinase_dom, Ig_sub2, Ig_sub
ZBTB17Transcription factornoBTB/POZ_dom, SKP1/BTB/POZ_sf, Znf_C2H2_type
PRDM16Transcription factorno2.1.1.367SET_dom, Znf_C2H2_type, Znf_C2H2_sf
ACTC1Other/UnknownnoActin, Actin_CS, Actin/actin-like_CS
NEBLScaffold/PPInoNebulin_repeat, SH3_domain, Nebulette_SH3
TXNRD2Enzyme (other)yes1.8.1.9Pyr_nuc-diS_OxRdtase, Pyr_nucl-diS_OxRdtase_dimer, Thioredoxin/glutathione_Rdtase
PPP1R13LScaffold/PPInoSH3_domain, Ankyrin_rpt, iASPP
NOL6Other/UnknownnoNOL6/Upt22, Nrap_D1, Nrap_D2
MYPNAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, Ig-like_dom
FHOD3Other/UnknownnoARM-like, DAD_dom, GBD/FH3_dom
GCOM1Other/Unknownno
C10orf71Other/UnknownnoDUF4585, CEFIP
RBM20Transcription factornoRRM_dom, Matrin/U1-C_Znf_C2H2, Matrin/U1-like-C_Znf_C2H2
MYLK3KinaseyesProt_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
GATA4Transcription factornoZnf_GATA, GATA_N, Znf_NHR/GATA
GATA6Transcription factornoZnf_GATA, GATA_N, Znf_NHR/GATA
MYZAPOther/UnknownnoTuftelin_GRINL1A/MYZAP/CCD68
ILKKinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ankyrin_rpt
MYBPC3Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
MYL2Other/UnknownnoEF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS
NRAPTranscription factornoNebulin_repeat, Znf_LIM, Nebulin-like
BAG3Scaffold/PPInoWW_dom, BAG_domain, WW_dom_sf
RPL3LOther/UnknownnoRibosomal_uL3, Transl_B-barrel_sf, Ribosomal_uL3_CS
SOD2Enzyme (other)yes1.15.1.1Mn/Fe_SOD, Mn/Fe_SOD_N, Mn/Fe_SOD_C
FBXO32Other/UnknownnoF-box-like_dom_sf, FBX25/32
SLC30A5Other/UnknownnoCation_efflux, Cation_efflux_TMD_sf, Msc2-like
RTKN2Scaffold/PPInoPH_domain, HR1_rho-bd, PH-like_dom_sf
LRRC10Other/UnknownnoLeu-rich_rpt, Leu-rich_rpt_typical-subtyp, LRR_dom_sf
RHBDF1ProteaseyesiRhom1_2_N, Peptidase_S54_rhomboid_dom, Rhomboid-like_sf
BMP10Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGF-beta-like
PHACTR2Other/UnknownnoRPEL_repeat
PPCDCOther/UnknownnoFlavoprotein, Flavin_trans-like
PLEKHM2Scaffold/PPInoPH_domain, Run_dom, PH-like_dom_sf
LMOD2Other/UnknownnoWH2_dom, TMOD, LRR_dom_sf
RYR2Ion channelyesRIH_dom, B30.2/SPRY, EF_hand_dom
SCN2BAntibody/ImmunoglobulinyesMyelin_P0-rel, Ig_sub, Ig-like_dom
SCN5AIon channelyesNa_channel_asu, Ion_trans_dom, Na_channel_a5su
SCO2Other/UnknownnoSCO1/SenC, Thioredoxin_domain, Synth_of_cyt-c-oxidase_Sco1/2
SDHAOther/UnknownnoFRD_SDH_FAD_BS, FAD-dep_OxRdtase_2_FAD-bd, Succ_DH_flav_su_fwd
SGCBOther/UnknownnoSarcoglycan, Sgcb
SGCDOther/UnknownnoSarcoglycan, Sarcoglycan_gamma/delta/zeta
SGCGOther/UnknownnoSarcoglycan, Sarcoglycan_gamma/delta/zeta
BRAFKinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE
SMARCB1Other/UnknownnoSNF5, Sfh1/SNF5, INI1_DNA-bd
SNTA1Scaffold/PPInoPDZ, PH_domain, PH-like_dom_sf
SOS1Scaffold/PPInoDH_dom, Ras-like_Gua-exchang_fac_N, PH_domain
SVILOther/UnknownnoVillin_headpiece, Villin/Gelsolin, Gelsolin-like_dom
TAF1AOther/UnknownnoRNA_pol_I_TAF1A/TAFI48_chr, TAF1A, SL1/TIF-IB_Component

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)1
broad (>20)73
unknown1

Top tissues across cohort

TissueCohort genes
apex of heart17
left ventricle myocardium11
skeletal muscle tissue of rectus abdominis11
hindlimb stylopod muscle10
heart right ventricle9
right atrium auricular region9
myocardium8
cardiac muscle of right atrium7
gastrocnemius6
gluteal muscle6
skeletal muscle tissue of biceps brachii6
lower esophagus mucosa6
cardiac atrium6
tendon of biceps brachii5
heart left ventricle5
tibialis anterior4
ventricular zone4
buccal mucosa cell4
ganglionic eminence3
sural nerve3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
FLNC255ubiquitousmarkergastrocnemius, hindlimb stylopod muscle, tibialis anterior
TMPO287ubiquitousmarkerventricular zone, ganglionic eminence, embryo
TTN223broadmarkerbiceps brachii, gluteal muscle, skeletal muscle tissue of biceps brachii
ZBTB17255ubiquitousyeslower esophagus mucosa, sural nerve, tendon of biceps brachii
PRDM16202broadmarkersural nerve, pigmented layer of retina, ascending aorta
ACTC1224broadmarkerleft ventricle myocardium, heart right ventricle, myocardium
NEBL282broadmarkerheart right ventricle, myocardium, cranial nerve II
TXNRD2264ubiquitousmarkerright lobe of liver, right adrenal gland cortex, apex of heart
PPP1R13L223ubiquitousmarkerlower esophagus mucosa, skin of abdomen, skin of leg
NOL6278ubiquitousmarkertongue squamous epithelium, lower esophagus mucosa, apex of heart
MYPN116broadmarkerhindlimb stylopod muscle, gastrocnemius, vastus lateralis
FHOD3244ubiquitousmarkerapex of heart, left ventricle myocardium, ventricular zone
GCOM1136broadmarkercerebellar vermis, heart left ventricle, lower esophagus mucosa
C10orf71112tissue_specificyesskeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, skeletal muscle tissue
RBM20191broadmarkerleft ventricle myocardium, cardiac muscle of right atrium, myocardium
MYLK3194tissue_specificmarkercardiac muscle of right atrium, myocardium, heart right ventricle
GATA485broadmarkerright atrium auricular region, heart left ventricle, duodenum
GATA6204ubiquitousmarkergerminal epithelium of ovary, parietal pleura, jejunal mucosa
MYZAP227broadmarkerleft ventricle myocardium, cardiac muscle of right atrium, myocardium
ILK287ubiquitousmarkerbody of uterus, popliteal artery, tibial artery
MYBPC3149tissue_specificmarkerapex of heart, right atrium auricular region, cardiac atrium
MYL2179tissue_specificmarkerheart right ventricle, diaphragm, apex of heart
NRAP157tissue_specificmarkerskeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, gastrocnemius
BAG3286ubiquitousmarkergastrocnemius, skeletal muscle tissue of rectus abdominis, body of tongue
RPL3L156tissue_specificmarkerskeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, vastus lateralis
SOD2ubiquitous
FBXO32257ubiquitousmarkercardiac muscle of right atrium, deltoid, tibialis anterior
SLC30A5281ubiquitousmarkerbuccal mucosa cell, stromal cell of endometrium, tendon of biceps brachii
RTKN2152ubiquitousmarkerright lung, ventricular zone, primordial germ cell in gonad
LRRC1013tissue_specificyesapex of heart, heart left ventricle, right atrium auricular region

Protein interactions among cohort

Intra-cohort edges: 113.

Hub genes (top 10 by interactor count)

SymbolInteractor count
KDM6A8,825
BRAF7,394
SOD26,580
SDHA6,141
TJP15,826
SMARCB15,083
GATA44,994
BAG34,957
RPL3L4,559
VCL4,495

Intra-cohort edges

ABSources
ACTC1MYBPC3intact
ACTC1PHACTR2biogrid_interaction, intact
ACTC1SMARCB1intact
ACTN2CACNA1Cbiogrid_interaction
ACTN2LDB3biogrid_interaction, intact, string_interaction
ACTN2MYPNbiogrid_interaction, string_interaction
ACTN2NEBLstring_interaction
ACTN2NRAPintact
ACTN2TCAPstring_interaction
ACTN2TNNT2string_interaction
ACTN2TPM1biogrid_interaction, string_interaction
ACTN2TTNstring_interaction
ACTN2VCLstring_interaction
ALPK3MYBPC3string_interaction
ALPK3TNNT2string_interaction
ANKRD1MYPNbiogrid_interaction, string_interaction
ANKRD1NEBLstring_interaction
ANKRD1TCAPstring_interaction
ANKRD1TTNbiogrid_interaction, string_interaction
BAG3FLNCstring_interaction
BAG3LDB3string_interaction
BRAFSOD2intact
BRAFSOS1string_interaction
CACNA1CCACNB2intact, string_interaction
CACNA1CCASQ2string_interaction
CACNA1CHCN4string_interaction
CACNA1CJPH2string_interaction
CACNA1CRYR2biogrid_interaction, string_interaction
CACNB2HCN4string_interaction
CACNB2SCN5Astring_interaction
CASQ2JPH2string_interaction
CASQ2RYR2string_interaction
CASQ2SCN5Astring_interaction
FHOD3RBM20string_interaction
FHOD3TTNstring_interaction
FLNCLDB3string_interaction
FLNCMYBPC3intact
FLNCNEBLstring_interaction
FLNCSGCDbiogrid_interaction, intact, string_interaction
FLNCSGCGbiogrid_interaction, intact, string_interaction
FLNCTCAPstring_interaction
FLNCVCLstring_interaction
GATA4NEBLstring_interaction
GATA4TBX20string_interaction
GATA4TBX5biogrid_interaction, string_interaction
GCOM1MYZAPbiogrid_interaction
HCN4SCN5Astring_interaction
ILKSCO2intact
JPH2RYR2string_interaction
JPH2TCAPstring_interaction

Structural data

PDB: 50 · AlphaFold-only: 24 · No structure: 1

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
BRAFP15056131
SOS1Q0788991
TTNQ8WZ4264
TNNC1P6331661
SOD2P0417948
TNNI3P1942939
VCLP1820637
SCN2BO6093935
CACNA1CQ1393633
RYR2Q9273626
TNNT2P4537925
ZBTB17Q1310519
TJP1Q0715719
ILKQ1341817
MYBPC3Q1489617
SMARCB1Q1282417
ACTC1P6803216
SCN5AQ1452416
ACTN2P3560916
FLNCQ1431514
TMPOP4216614
TPM1P0949314
TGFB3P1060011
BMP10O953938
HCN4Q9Y3Q48
PPP1R13LQ8WUF55
SDHAP310405
KDM6AO155505
ACTA1P681335
PLEKHM2Q8IWE54

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
TAFAZZINQ1663594.87
RPL3LQ9290194.79
LRRC10Q5BKY186.54
TAF1AQ1557386.29
ANKRD1Q1532782.64
SGCDQ9262981.43
SGCGQ1332680.24
FBXO32Q969P580.15
SNTA1Q1342480.00
SLC30A5Q8TAD476.95
SGCBQ1658576.67
RTKN2Q8IZC470.33
TBX20Q9UMR367.87
FHOD3Q2V2M964.62
MYLK3Q32MK063.26
PHACTR2O7516761.66
BAG3O9581757.98
GATA6Q9290853.48
MYPNQ86TC952.71
NRAPQ86VF751.98
ALPK3Q96L9649.15
RBM20Q5T48148.52
C10orf71Q711Q042.08
TXNRD2Q9NNW7

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 644. Enrichment computed across 175 evidence-associated genes (126 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 126 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Striated Muscle Contraction1536.7×9e-18TTN, ACTC1, MYBPC3, MYL2, TCAP, TNNC1, TNNI3, TNNT2 (+7 more)
Muscle contraction2012.2×4e-14ACTC1, MYBPC3, MYL2, RYR2, SCN2B, SCN5A, TBX5, TCAP (+12 more)
Formation of the dystrophin-glycoprotein complex (DGC)1024.5×1e-09ACTC1, SGCB, SGCD, SGCG, SNTA1, ACTA1, DMD, DTNA (+2 more)
Non-integrin membrane-ECM interactions1113.5×7e-08ACTC1, SGCB, SGCD, SGCG, SNTA1, ACTA1, COL1A1, DMD (+3 more)
Cardiac conduction1210.4×2e-07RYR2, SCN2B, SCN5A, TBX5, CACNA1C, CACNB2, CASQ2, AKAP9 (+4 more)
Extracellular matrix organization126.0×8e-05ACTC1, SGCB, SGCD, SGCG, SNTA1, TGFB3, ACTA1, BMP10 (+4 more)
Regulation of CDH1 Function430.2×6e-04ACTC1, VCL, ACTA1, JUP
Cardiogenesis516.8×8e-04GATA4, GATA6, TBX20, TBX5, NKX2-5
Depolymerization of the Nuclear Lamina424.2×0.001TMPO, EMD, LMNA, PRKCA
Phase 2 - plateau phase424.2×0.001CACNA1C, CACNB2, AKAP9, KCNE1
Phase 3 - rapid repolarisation327.2×0.008AKAP9, KCNE1, KCNH2
Nuclear Envelope Breakdown414.5×0.008TMPO, EMD, LMNA, PRKCA
Apoptotic cleavage of cell adhesion proteins324.7×0.010TJP1, DSG2, DSP
Ion homeostasis58.1×0.017RYR2, TNNI3, CASQ2, ABCC9, PLN
Phase 0 - rapid depolarisation411.0×0.019SCN2B, SCN5A, CACNA1C, CACNB2
Elastic fibre formation410.7×0.020TGFB3, BMP10, FBN1, FBN2
YAP1- and WWTR1 (TAZ)-stimulated gene expression318.1×0.021GATA4, TBX5, NKX2-5
Molecules associated with elastic fibres49.8×0.025TGFB3, BMP10, FBN1, FBN2
Physiological factors316.0×0.027GATA4, TBX5, NKX2-5
Signaling by BRAF and RAF1 fusions56.8×0.027BRAF, VCL, AKAP9, LMNA, RAF1
Initiation of Nuclear Envelope (NE) Reformation314.3×0.034TMPO, EMD, LMNA
ECM proteoglycans56.0×0.044TGFB3, COL1A1, COL6A3, LAMA2, LAMA4
Negative feedback regulation of MAPK pathway230.2×0.049BRAF, RAF1
NOTCH3 Activation and Transmission of Signal to the Nucleus311.3×0.058MIB1, PSEN1, PSEN2
Developmental Lineage of Pancreatic Ductal Cells47.2×0.058GATA4, COL1A1, LAMA2, LAMA4
Noncanonical activation of NOTCH3222.7×0.063PSEN1, PSEN2
SHOC2 M1731 mutant abolishes MRAS complex function222.7×0.063BRAF, RAF1
Gain-of-function MRAS complexes activate RAF signaling222.7×0.063BRAF, RAF1
NOTCH2 Activation and Transmission of Signal to the Nucleus310.5×0.063MIB1, PSEN1, PSEN2
XBP1(S) activates chaperone genes46.8×0.063ZBTB17, GSK3A, LMNA, ACADVL

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 159 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
cardiac muscle contraction2153.0×5e-29TTN, ACTC1, PPP1R13L, MYBPC3, MYL2, RYR2, SCN2B, SCN5A (+13 more)
sarcomere organization1945.8×9e-25FLNC, TTN, MYPN, FHOD3, MYLK3, MYBPC3, TCAP, TNNT2 (+11 more)
regulation of heart rate by cardiac conduction1842.4×8e-23SCN2B, SCN5A, CACNA1C, CACNB2, HCN4, TRPM4, CTNNA3, DSC2 (+10 more)
regulation of ventricular cardiac muscle cell action potential979.5×4e-14RYR2, CACNA1C, TRPM4, CTNNA3, DSC2, DSG2, DSP, JUP (+1 more)
muscle filament sliding959.6×1e-12TTN, TCAP, TNNC1, TNNI3, TNNT2, TPM1, MYH6, MYH7 (+1 more)
ventricular cardiac muscle tissue morphogenesis1044.2×2e-12MYBPC3, MYL2, TNNC1, TNNI3, TNNT2, TPM1, BMP10, MYH6 (+2 more)
ventricular cardiac muscle cell action potential956.1×2e-12RYR2, SCN5A, SNTA1, GPD1L, ANK2, KCNE1, KCNH2, NEDD4L (+1 more)
muscle contraction1418.3×5e-12TTN, SNTA1, TBX20, ACTA1, HCN4, FKRP, CRYAB, DES (+6 more)
cardiac muscle cell development1039.2×5e-12TTN, SGCB, SGCD, TCAP, ACTN2, ALPK3, LRRC10, NKX2-5 (+2 more)
regulation of heart rate1029.4×1e-10RYR2, SCN5A, SNTA1, CASQ2, HCN4, GPD1L, DMD, ANK2 (+2 more)
bundle of His cell-Purkinje myocyte adhesion involved in cell communication690.8×6e-10CTNNA3, DSC2, DSG2, DSP, JUP, PKP2
cardiac myofibril assembly757.1×1e-09TTN, ACTC1, FHOD3, MYLK3, MYL2, TCAP, CSRP3
muscle organ development1212.6×2e-08SGCB, SGCD, SGCG, COL6A3, CRYAB, CTF1, DMD, EMD (+4 more)
cardiac muscle tissue morphogenesis653.0×6e-08TTN, ACTC1, TBX20, TCAP, ANKRD1, NKX2-5
adult heart development645.4×2e-07TCAP, CHD7, BMP10, NKX2-5, MYH6, MYH7
regulation of the force of heart contraction637.4×6e-07MYL2, CSRP3, GAA, MYH6, MYH7, PLN
heart development146.9×1e-06MYL2, SOD2, TBX5, TGFB3, TNNI3, KDM6A, CACNA1C, LDB3 (+6 more)
cardiac muscle cell contraction553.0×1e-06C10orf71, SGCD, TNNC1, ABCC9, KCNE1
striated muscle contraction631.8×1e-06TTN, RYR2, CASQ2, DTNA, MYH6, MYH7
regulation of ventricular cardiac muscle cell membrane repolarization631.8×1e-06SCN5A, SNTA1, AKAP9, ANK2, KCNE1, KCNH2
skeletal muscle contraction722.5×1e-06TTN, TCAP, TNNC1, TNNI3, MYH14, MYH7, MYH8
atrioventricular canal development548.2×2e-06GATA4, GATA6, TBX20, CHD7, PTPN11
membrane depolarization during AV node cell action potential484.8×2e-06SCN5A, CACNA1C, CACNB2, TRPM4
heart contraction628.9×2e-06ACTC1, GATA6, MYL2, SGCD, SGCG, TNNI3
regulation of cardiac muscle contraction by regulation of the release of sequestered calcium ion625.4×6e-06RYR2, CACNA1C, CASQ2, DMD, ANK2, PLN
skeletal muscle thin filament assembly470.7×6e-06TTN, ACTC1, TCAP, ACTA1
muscle cell cellular homeostasis624.5×7e-06BAG3, CSRP3, DMD, GAA, LAMP2, PLN
regulation of cardiac muscle cell contraction535.3×1e-05GATA4, MYBPC3, SCN5A, ANK2, PLN
heart morphogenesis716.5×1e-05C10orf71, MYBPC3, FKRP, CHD7, NKX2-5, GAA, ABCC9
detection of muscle stretch460.6×1e-05TTN, TCAP, CDH2, CSRP3

Therapeutics

Drugs indicated for this disease

0 approved, 5 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
ARRY-797Phase 3 (in late-stage trials)
CandesartanPhase 3 (in late-stage trials)
PerindoprilPhase 3 (in late-stage trials)
ResveratrolPhase 3 (in late-stage trials)
RosuvastatinPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Filgrastim, Honey, Ixmyelocel-T, Ranolazine, Simvastatin, Sodium Chloride.

Drug target analysis

Approved (phase 4): 11 · Phase ≥3: 12 · Phased (≥1): 14 · Undrugged: 61

Druggability breadth: 81 of 175 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
MYLK3FEDRATINIB
ILKNILOTINIB
SCN5ABEPRIDIL
SDHALINEZOLID
BRAFVEMURAFENIB
SOS1IDARUBICIN
TNNC1FINGOLIMOD
KDM6ADEFERIPRONE
CACNA1CREMIFENTANIL
CACNB2NIMODIPINE
HCN4IVABRADINE

Top cohort targets by molecule count

SymbolMoleculesMax phase
SCN5A1084
CACNA1C854
BRAF484
MYLK3244
SOS154
ILK44
TXNRD233
SCN2B22
TNNC124
CACNB224

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
FEDRATINIB4BRAF, MYLK3, SCN5A
AXITINIB4MYLK3
SORAFENIB4BRAF, MYLK3
NINTEDANIB4MYLK3, SCN5A
SUNITINIB4CACNA1C, MYLK3, SCN5A
QUIZARTINIB4MYLK3
MIDOSTAURIN4MYLK3
NILOTINIB4BRAF, CACNA1C, ILK
ERLOTINIB4BRAF, ILK
BEPRIDIL4CACNA1C, SCN5A
CANDESARTAN CILEXETIL4SCN5A
TELMISARTAN4SCN5A
CARBAMAZEPINE4SCN5A
DIBUCAINE4CACNA1C, SCN5A
IMIPRAMINE4CACNA1C, SCN5A
DROPERIDOL4CACNA1C, SCN5A
PONATINIB4BRAF, SCN5A
DULOXETINE4CACNA1C, SCN5A
PALONOSETRON4SCN5A
VILANTEROL4SCN5A
MEXILETINE HYDROCHLORIDE4SCN5A
UNOPROSTONE ISOPROPYL4SCN5A
LURASIDONE4SCN5A
LETERMOVIR4SCN5A
SERTINDOLE4CACNA1C, SCN5A
QUINIDINE4CACNA1C, SCN5A
DARUNAVIR4SCN5A
DARIFENACIN4SCN5A
BENZONATATE4SCN5A
TOLTERODINE4CACNA1C, SCN5A

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 7.

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

SymbolAssaysType breakdown
BRAF1,442Binding:1400, Functional:37, ADMET:5
SCN5A594Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1
CACNA1C575Binding:319, Functional:211, Toxicity:26, ADMET:19
SOS1421Binding:409, Functional:12
MYLK395Binding:95
TXNRD291Binding:76, Functional:15
ILK71Binding:71
KDM6A40Binding:36, Functional:4
HCN430Binding:20, ADMET:5, Functional:4, Toxicity:1
CACNB222Binding:20, ADMET:1, Toxicity:1
RYR215Binding:15
ALPK310Binding:10
SCN2B9ADMET:4, Binding:3, Toxicity:2
BAG38Binding:8
TNNC18Binding:8
TMPO7Binding:7
SMARCB17Binding:7
ACTC16Binding:6
GATA45Binding:5
ZBTB174Binding:4
SDHA3Binding:3
TPM13Binding:3
PRDM162Binding:2
SOD22Binding:2
TAF1A2Binding:2
TNNI32Binding:2
TNNT22Binding:2
VCL2Binding:2
TTN1Binding:1
SLC30A51Binding:1
SCO21Binding:1
TAFAZZIN1Binding:1
TBX51Binding:1
TGFB31Binding:1
TJP11Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TTN2.7.11.1non-specific serine/threonine protein kinase
PRDM162.1.1.367, 2.1.1.370[histone H3]-lysine9 N-methyltransferase, [histone H3]-lysine4 N-dimethyltransferase
TXNRD21.8.1.9thioredoxin-disulfide reductase (NADPH)
ILK2.7.10.2non-specific protein-tyrosine kinase
SOD21.15.1.1superoxide dismutase
BRAF2.7.10.2, 2.7.11.1non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase
KDM6A1.14.11.68[histone H3]-trimethyl-L-lysine27 demethylase

Cohort genes with high screening signal

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

SymbolChEMBL assays
SCN5A594
BRAF1,442
SOS1421
CACNA1C575

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)
FEDRATINIB4BRAF, MYLK3, SCN5A
AXITINIB4MYLK3
SORAFENIB4BRAF, MYLK3
NINTEDANIB4MYLK3, SCN5A
SUNITINIB4CACNA1C, MYLK3, SCN5A
QUIZARTINIB4MYLK3
MIDOSTAURIN4MYLK3
NILOTINIB4BRAF, CACNA1C, ILK
ERLOTINIB4BRAF, ILK
BEPRIDIL4CACNA1C, SCN5A
CANDESARTAN CILEXETIL4SCN5A
TELMISARTAN4SCN5A
CARBAMAZEPINE4SCN5A
DIBUCAINE4CACNA1C, SCN5A
IMIPRAMINE4CACNA1C, SCN5A
DROPERIDOL4CACNA1C, SCN5A
PONATINIB4BRAF, SCN5A
DULOXETINE4CACNA1C, SCN5A
PALONOSETRON4SCN5A
VILANTEROL4SCN5A
MEXILETINE HYDROCHLORIDE4SCN5A
UNOPROSTONE ISOPROPYL4SCN5A
LURASIDONE4SCN5A
LETERMOVIR4SCN5A
SERTINDOLE4CACNA1C, SCN5A
QUINIDINE4CACNA1C, SCN5A
DARUNAVIR4SCN5A
DARIFENACIN4SCN5A
BENZONATATE4SCN5A
TOLTERODINE4CACNA1C, SCN5A

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)11MYLK3, ILK, SCN5A, SDHA, BRAF, SOS1, TNNC1, KDM6A, CACNA1C, CACNB2 (+1 more)
BPhased (≥1) drug, not yet approved3TXNRD2, RYR2, SCN2B
CDruggable family + PDB, no drug5FLNC, TTN, MYBPC3, SOD2, RHBDF1
DDruggable family + AlphaFold only, no drug2MYPN, ALPK3
EDifficult family or no structure, no drug54TMPO, ZBTB17, PRDM16, ACTC1, NEBL, PPP1R13L, NOL6, FHOD3, GCOM1, C10orf71 (+44 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
SNTA10SCN5A
JPH20RYR2
CASQ20RYR2, CACNA1C
FLNC0
TMPO7
TTN1
ZBTB174
PRDM162
ACTC16
NEBL0
PPP1R13L0
NOL60
MYPN0
FHOD30
GCOM10
C10orf710
RBM200
GATA45
GATA60
MYZAP0
MYBPC30
MYL20
NRAP0
BAG38
RPL3L0
SOD22
FBXO320
SLC30A51
RTKN20
LRRC100

Clinical trials & evidence

Clinical trials

Clinical trials: 158.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified103
PHASE214
PHASE111
PHASE310
PHASE1/PHASE28
PHASE46
PHASE2/PHASE35
EARLY_PHASE11

Top trials by phase / activity

NCTPhaseStatusTitle
NCT06236022PHASE4RECRUITINGThe Effects of Sirolimus in Patients With Dilated Cardiomyopathy Infected With Kaposi Sarcoma-associated Virus
NCT00374465PHASE4UNKNOWNTherapy With Verapamil or Carvedilol in Chronic Heart Failure
NCT01293903PHASE4COMPLETEDStudy of Qiliqiangxin Capsule to Treat Dilated Cardiomyopathy
NCT01557140PHASE4COMPLETEDA Randomized Trial of Carvedilol in Chronic Chagas Cardiomyopathy
NCT01917149PHASE4COMPLETEDSupramaximal Titrated Inhibition of RAAS in Dilated Cardiomyopathy
NCT02115581PHASE4COMPLETEDCoenzyme Q10 Supplementation in Children With Idiopathic Dilated Cardiomyopathy
NCT06250257PHASE3RECRUITINGBromocriptine in Dilated Cardiomyopathy Among Women of Reproductive Age
NCT00333827PHASE3COMPLETEDCell Therapy In Dilated Cardiomyopathy
NCT00505154PHASE3COMPLETEDEffect of Rosuvastatin on Left Ventricular Remodeling
NCT00743639PHASE2/PHASE3COMPLETEDAutologous Transplantation of Bone Marrow Mononuclear Stem-Cells for Dilated Cardiomyopathy
NCT01223703PHASE3COMPLETEDPUFAs and Left Ventricular Function in Heart Failure
NCT01311791PHASE2/PHASE3COMPLETEDA Randomized, Controlled Study to Evaluate Algisyl-LVR™ as a Method of Left Ventricular Augmentation for Heart Failure
NCT01583114PHASE3TERMINATEDPREclinical Mutation CARriers From Families With DIlated Cardiomyopathy and ACE Inhibitors
NCT01914081PHASE3UNKNOWNResveratrol: A Potential Anti- Remodeling Agent in Heart Failure, From Bench to Bedside
NCT02248532PHASE2/PHASE3COMPLETEDRepetitive Intramyocardial CD34+ Cell Therapy in Dilated Cardiomyopathy (REMEDIUM)
NCT02652728PHASE2/PHASE3UNKNOWNOrodispersible Minitablets of Enalapril in Children With Heart Failure Due to Dilated Cardiomyopathy
NCT02654678PHASE2/PHASE3UNKNOWNFollow-up Safety Trial in Children With Chronic Heart Failure Therapy Receiving Orodispersible Minitablets of Enalapril
NCT02989181PHASE3UNKNOWNContinues Positive Airway Pressure Treatment for Patients With Dilated Cardiomyopathy and Obstructive Sleep Apnea
NCT03439514PHASE3TERMINATEDA Study of ARRY-371797 (PF-07265803) in Patients With Symptomatic Dilated Cardiomyopathy Due to a Lamin A/C Gene Mutation
NCT05237323PHASE3COMPLETEDMicophenolate Mofetil Versus Azathioprine in Myocarditis
NCT05849766PHASE3COMPLETEDEffect of Dapagliflozin on Cardiac Structure, Function and Secondary Mitral Regurgitation in Patients with Left Ventricle Dysfunction
NCT03572660PHASE2ACTIVE_NOT_RECRUITINGUse of Bone Marrow Derived Stem Cell and G-CSF With Circulatory Assistance in the Treatment of DCM
NCT06632834PHASE2RECRUITINGOutcome-targeted Therapy: Principle and Outcome Evaluation: Clinical Study and Phenotype-genotype Correlation
NCT07347197PHASE1/PHASE2NOT_YET_RECRUITINGEndocardial Delivery for Myocardial Regeneration Using Allogeneic iPSC-derived Cardiomyocyte Spheroids for HF With Systolic Dysfunction (EMERALD Study)
NCT07426419PHASE1/PHASE2NOT_YET_RECRUITINGAn AAV Gene Therapy Trial of AFTX-201 in Adults With BAG3-Associated Dilated Cardiomyopathy (DCM)
NCT00454818PHASE1/PHASE2COMPLETEDEfficacy and Safety Study of Genetically Targeted Enzyme Replacement Therapy for Advanced Heart Failure
NCT00615394PHASE1/PHASE2COMPLETEDAutologous Transplantation of Bone Marrow Mononuclear Stem-Cells by Mini-Thoracotomy
NCT00629018PHASE2COMPLETEDSafety and Efficacy Study of Stem Cell Transplantation to Treat Dilated Cardiomyopathy
NCT00629096PHASE2COMPLETEDIntracoronary Infusion of Autologous Bone Marrow Cells for Treatment of Idiopathic Dilated Cardiomyopathy
NCT00765518PHASE2COMPLETEDUse of Ixmyelocel-T (Formerly Cardiac Repair Cell [CRC] Treatment) in Patients With Heart Failure Due to Dilated Cardiomyopathy (IMPACT-DCM)
NCT00847964PHASE2COMPLETEDSafety and Feasibility of Algisyl-LVR™ as a Method of Left Ventricular Restoration in Patients With DCM Undergoing Open-heart Surgery
NCT01020968PHASE2COMPLETEDUse of Ixmyelocel-T (Formerly Catheter-based Cardiac Repair Cell [CRC]) Treatment in Patients With Heart Failure Due to Dilated Cardiomyopathy
NCT01219452PHASE1/PHASE2UNKNOWNIntramuscular Injection of Mesenchymal Stem Cell for Treatment of Children With Idiopathic Dilated Cardiomyopathy
NCT01290822PHASE1/PHASE2TERMINATEDOptimized Biventricular Pacing Allograft Recipients
NCT01302171PHASE2COMPLETEDBone Marrow Derived Adult Stem Cells for Dilated Cardiomyopathy
NCT01350310PHASE2COMPLETEDSafety and Efficacy Study of Intramyocardial Stem Cell Therapy in Patients With Dilated Cardiomyopathy
NCT01739777PHASE1/PHASE2COMPLETEDRandomized Clinical Trial of Intravenous Infusion Umbilical Cord Mesenchymal Stem Cells on Cardiopathy
NCT02133911PHASE2COMPLETEDA Pilot Trial of Ranolazine to Treat Patients With Dilated Cardiomyopathy
NCT03071653PHASE2SUSPENDEDLeft Cardiac Sympathetic Denervation for Cardiomyopathy Feasibility Pilot Study
NCT03447990PHASE1/PHASE2COMPLETEDv4 Study Evaluating the Safety, Tolerability and Preliminary Pharmacokinetics and Pharmacodynamics of MYK-491

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
PERINDOPRIL43
METOPROLOL42
BENAZEPRIL41
CARVEDILOL41
MANGAFODIPIR TRISODIUM41
NESIRITIDE41
RANOLAZINE41
SIROLIMUS41
VALSARTAN41
VERAPAMIL41
IXMYELOCEL-T32
ARRY-79731
RESVERATROL31
UBIDECARENONE31
CLENBUTEROL21
DANICAMTIV21
DEXVERAPAMIL21
MITOQUINONE MESYLATE21
CHEMBL11562201
CHEMBL407132701
CHEMBL45429901
(R)-Carvedilol01