Dilated cardiomyopathy
diseaseOn 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
| Field | Value |
|---|---|
| Canonical name | dilated cardiomyopathy |
| Mondo ID | MONDO:0005021 |
| EFO | EFO:0000407 |
| MeSH | D002311 |
| Orphanet | 217604 |
| DOID | DOID:12930 |
| ICD-10-CM | I42.0 |
| ICD-11 | 1916294688 |
| NCIT | C84673 |
| SNOMED CT | 195021004 |
| UMLS | C0007193 |
| MedGen | 2880 |
| GARD | 0000221 |
| MedDRA | 10056370 |
| 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 disorder › muscle tissue disorder › cardiomyopathy › intrinsic cardiomyopathy › dilated 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
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs2234962 | 7e-38 | BAG3 | T | 1.21 |
| rs72842207 | 3e-25 | BAG3 | T | 0.19 |
| rs72840788 | 4e-25 | BAG3 | A | 0.19 |
| rs10927875 | 8e-25 | ZBTB17 | C | 1.14 |
| rs3176326 | 3e-19 | CDKN1A | A | 0.15 |
| rs17226476 | 1e-17 | LSM3 - LINC01267 | A | 0.13 |
| rs1763605 | 2e-16 | SRARP - HSPB7 | G | 0.12 |
| rs17165191 | 2e-14 | CCDC136 | C | 0.14 |
| rs4713999 | 7e-14 | RNU1-88P - Y_RNA | G | 1.11 |
| rs2042995 | 1e-13 | TTN-AS1, TTN | T | 1.11 |
| rs4731517 | 4e-13 | CCDC136 | A | 0.14 |
| rs62232870 | 5e-13 | LSM3 - LINC01267 | A | 1.36 |
| rs2291569 | 9e-12 | FLNC | G | 1.16 |
| rs12541595 | 2e-11 | LINC00964 | G | 1.1 |
| rs7605146 | 2e-11 | SPATS2L | A | 0.09 |
| rs1051168 | 3e-11 | NMB | T | 1.09 |
| rs2186370 | 4e-11 | SMARCB1 | G | 1.12 |
| rs7284877 | 5e-10 | SMARCB1 | C | 1.33 |
| rs62222424 | 9e-10 | MAP3K7CL | A | 0.15 |
| rs2182400 | 2e-09 | SVIL-AS1 | G | 1.1 |
| rs7461129 | 2e-09 | LINC00964 | T | 0.09 |
| rs16866400 | 2e-09 | TTN-AS1, TTN | A | 0.1 |
| rs12988307 | 3e-09 | TTN-AS1, TTN | C | 0.1 |
| rs2303510 | 4e-09 | FHOD3 | G | 1.08 |
| rs9892651 | 5e-09 | PRKCA | C | 1.08 |
| rs13265989 | 5e-09 | OR7E158P - OR7E161P | G | 1.09 |
| rs11660748 | 7e-09 | NEDD4L | G | 0.13 |
| rs6807275 | 9e-09 | LSM3 - LINC01267 | G | 1.08 |
| rs5760054 | 1e-08 | SMARCB1 | T | 0.1 |
| rs72801474 | 2e-08 | HSPA4 - RPL6P15 | A | 0.14 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90624428 | Jurgens SJ | 2024 | 9,365 | 946,368 | Genome-wide association study reveals mechanisms underlying dilated cardiomyopathy and myocardial resilience. |
| GCST90624429 | Jurgens SJ | 2024 | 9,365 | 946,368 | Genome-wide association study reveals mechanisms underlying dilated cardiomyopathy and myocardial resilience. |
| GCST011202 | Tadros R | 2021 | 5,521 | 397,323 | Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect. |
| GCST011210 | Tadros R | 2021 | 5,521 | 397,323 | Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect. |
| GCST012211 | Garnier S | 2021 | 2,651 | 4,329 | Genome-wide association analysis in dilated cardiomyopathy reveals two new players in systolic heart failure on chromosomes 3p25.1 and 22q11.23. |
| GCST90018834 | Sakaue S | 2021 | 1,444 | 353,937 | A cross-population atlas of genetic associations for 220 human phenotypes. |
| GCST90296097 | Ning C | 2023 | 1,303 | 5,281 | Genome-wide association analysis of left ventricular imaging-derived phenotypes identifies 72 risk loci and yields genetic insights into hypertrophic cardiomyopathy. |
| GCST001023 | Villard E | 2011 | 1,179 | 1,108 | A genome-wide association study identifies two loci associated with heart failure due to dilated cardiomyopathy. |
| GCST002093 | Meder B | 2013 | 909 | 2,120 | A genome-wide association study identifies 6p21 as novel risk locus for dilated cardiomyopathy. |
| GCST90079998 | Backman JD | 2021 | 858 | 387,072 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 5 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 4 |
| Tier 4: intronic/intergenic | 39 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 49 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 34 |
| missense_variant | 5 |
| regulatory_region_variant | 4 |
| intergenic_variant | 4 |
| 3_prime_UTR_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs2234962 | 10 | 119670121 | T>C,G | 0.222 | missense_variant | BAG3 | 7e-38 | Tier 1: coding |
| rs72842207 | 10 | 119674163 | C>T | 0.188 | intron_variant | BAG3 | 3e-25 | Tier 4: intronic/intergenic |
| rs72840788 | 10 | 119656173 | G>A,T | 0.188 | intron_variant | BAG3 | 4e-25 | Tier 4: intronic/intergenic |
| rs10927875 | 1 | 15972817 | C>T | 0.327 | intron_variant | ZBTB17 | 8e-25 | Tier 4: intronic/intergenic |
| rs3176326 | 6 | 36679512 | G>A | 0.202 | intron_variant | CDKN1A | 3e-19 | Tier 4: intronic/intergenic |
| rs17226476 | 3 | 14235482 | G>A | 0.204 | regulatory_region_variant | LSM3 - LINC01267 | 1e-17 | Tier 3: regulatory |
| rs1763605 | 1 | 16012430 | T>A,C,G | 0.315 | intergenic_variant | SRARP - HSPB7 | 2e-16 | Tier 4: intronic/intergenic |
| rs17165191 | 7 | 128810950 | T>A,C,G | 0.153 | intron_variant | CCDC136 | 2e-14 | Tier 4: intronic/intergenic |
| rs4713999 | 6 | 36665292 | A>C,G,T | 0.332 | intron_variant | RNU1-88P - Y_RNA | 7e-14 | Tier 4: intronic/intergenic |
| rs2042995 | 2 | 178693639 | T>C | 0.224 | missense_variant | TTN-AS1, TTN | 1e-13 | Tier 1: coding |
| rs4731517 | 7 | 128818595 | C>A | 0.138 | intron_variant | CCDC136 | 4e-13 | Tier 4: intronic/intergenic |
| rs62232870 | 3 | 14216209 | G>A | 0.23 | regulatory_region_variant | LSM3 - LINC01267 | 5e-13 | Tier 3: regulatory |
| rs2291569 | 7 | 128848680 | G>A,C,T | 0.084 | missense_variant | FLNC | 9e-12 | Tier 1: coding |
| rs12541595 | 8 | 124845117 | G>A,T | 0.31 | intron_variant | LINC00964 | 2e-11 | Tier 4: intronic/intergenic |
| rs7605146 | 2 | 200319165 | G>A,C,T | 0.375 | intron_variant | SPATS2L | 2e-11 | Tier 4: intronic/intergenic |
| rs1051168 | 15 | 84657289 | G>A,C,T | 0.259 | missense_variant | NMB | 3e-11 | Tier 1: coding |
| rs2186370 | 22 | 23829118 | A>G,T | 0.191 | intron_variant | SMARCB1 | 4e-11 | Tier 4: intronic/intergenic |
| rs7284877 | 22 | 23812924 | G>A,C,T | 0.19 | intron_variant | SMARCB1 | 5e-10 | Tier 4: intronic/intergenic |
| rs62222424 | 21 | 29157810 | G>A,T | 0.086 | intron_variant | MAP3K7CL | 9e-10 | Tier 4: intronic/intergenic |
| rs2182400 | 10 | 29418622 | A>G | 0.242 | intron_variant | SVIL-AS1 | 2e-09 | Tier 4: intronic/intergenic |
| rs7461129 | 8 | 124849132 | C>A,T | 0.297 | intron_variant | LINC00964 | 2e-09 | Tier 4: intronic/intergenic |
| rs16866400 | 2 | 178584184 | G>A,C | 0.208 | intron_variant | TTN-AS1, TTN | 2e-09 | Tier 4: intronic/intergenic |
| rs12988307 | 2 | 178625751 | T>A,C | 0.216 | intron_variant | TTN-AS1, TTN | 3e-09 | Tier 4: intronic/intergenic |
| rs2303510 | 18 | 36744128 | G>A,C | 0.321 | missense_variant | FHOD3 | 4e-09 | Tier 1: coding |
| rs9892651 | 17 | 66307675 | C>G,T | 0.416 | intron_variant | PRKCA | 5e-09 | Tier 4: intronic/intergenic |
| rs13265989 | 8 | 11922131 | A>G | 0.293 | intron_variant | OR7E158P - OR7E161P | 5e-09 | Tier 4: intronic/intergenic |
| rs11660748 | 18 | 58252666 | A>G,T | 0.104 | intron_variant | NEDD4L | 7e-09 | Tier 4: intronic/intergenic |
| rs6807275 | 3 | 14232951 | G>A | 0.341 | regulatory_region_variant | LSM3 - LINC01267 | 9e-09 | Tier 3: regulatory |
| rs5760054 | 22 | 23819530 | C>T | 0.245 | intron_variant | SMARCB1 | 1e-08 | Tier 4: intronic/intergenic |
| rs72801474 | 5 | 133108436 | G>A | 0.083 | regulatory_region_variant | HSPA4 - RPL6P15 | 2e-08 | Tier 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
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1175188 | NM_001079843.3(CASZ1):c.2443_2459del (p.Val815fs) | CASZ1 | Pathogenic | criteria provided, single submitter |
| 143947 | NM_004415.4(DSP):c.2131_2132del | DSP | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1012342 | NM_002294.3(LAMP2):c.139C>T (p.Gln47Ter) | LAMP2 | Pathogenic | criteria provided, single submitter |
| 14481 | NM_170707.4(LMNA):c.1580G>C (p.Arg527Pro) | LMNA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14483 | NM_170707.4(LMNA):c.585C>G (p.Asn195Lys) | LMNA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14484 | NM_170707.4(LMNA):c.608A>G (p.Glu203Gly) | LMNA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14500 | NM_170707.4(LMNA):c.1824C>T (p.Gly608=) | LMNA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14504 | NM_170707.4(LMNA):c.481G>A (p.Glu161Lys) | LMNA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 155806 | NM_170707.4(LMNA):c.1086del (p.Leu363fs) | LMNA | Pathogenic | criteria provided, single submitter |
| 1027651 | NM_001267550.2(TTN):c.68022del (p.Glu22675fs) | LOC126806423 | Pathogenic | no assertion criteria provided |
| 1454884 | NM_001292034.3(TAB2):c.1354C>T (p.Arg452Ter) | LOC126859827 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14477 | NM_170707.4(LMNA):c.16C>T (p.Gln6Ter) | LOC129931597 | Pathogenic | criteria provided, single submitter |
| 132925 | NM_000257.4(MYH7):c.1573G>A (p.Glu525Lys) | MYH7 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14089 | NM_000257.4(MYH7):c.1357C>T (p.Arg453Cys) | MYH7 | Pathogenic | reviewed by expert panel |
| 14108 | NM_000257.4(MYH7):c.1594T>C (p.Ser532Pro) | MYH7 | Pathogenic | reviewed by expert panel |
| 13636 | NM_002667.5(PLN):c.25C>T (p.Arg9Cys) | PLN | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13637 | NM_002667.5(PLN):c.116T>G (p.Leu39Ter) | PLN | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1012346 | NM_181486.4(TBX5):c.652C>T (p.Gln218Ter) | TBX5 | Pathogenic | criteria provided, single submitter |
| 12414 | NM_001276345.2(TNNT2):c.451C>T (p.Arg151Trp) | TNNT2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12415 | NM_001276345.2(TNNT2):c.421C>T (p.Arg141Trp) | TNNT2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12456 | NM_001018005.2(TPM1):c.523G>A (p.Asp175Asn) | TPM1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 155718 | NM_005726.6(TSFM):c.856C>T (p.Gln286Ter) | TSFM | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1065188 | NM_001267550.2(TTN):c.83497G>T (p.Gly27833Ter) | TTN | Pathogenic | criteria provided, single submitter |
| 1065189 | NM_001267550.2(TTN):c.69522T>G (p.Tyr23174Ter) | TTN | Pathogenic | criteria provided, single submitter |
| 1065191 | NM_001267550.2(TTN):c.13592C>G (p.Ser4531Ter) | TTN | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1065192 | NM_001267550.2(TTN):c.80514del (p.Val26839fs) | TTN | Pathogenic | criteria provided, single submitter |
| 130666 | NM_001267550.2(TTN):c.40558G>C (p.Val13520Leu) | TTN | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1061173 | NM_001267550.2(TTN):c.46603C>T (p.Arg15535Ter) | TTN-AS1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1065190 | NM_001267550.2(TTN):c.53918del (p.Gly17973fs) | TTN-AS1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1284567 | NM_001267550.2(TTN):c.52903C>T (p.Arg17635Ter) | TTN-AS1 | Pathogenic/Likely pathogenic | criteria 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)
| Gene | HGNC | Evidence routes |
|---|---|---|
| FLNC | FLNC | GWAS, GenCC, Orphanet |
| TTN | TTN | GWAS, Orphanet |
| ZBTB17 | ZBTB17 | GWAS |
| FHOD3 | FHOD3 | GWAS |
| BAG3 | BAG3 | GWAS, 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.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| ACTC1 | Definitive | Autosomal dominant | hypertrophic cardiomyopathy | 12 |
| FLNC | Definitive | Autosomal dominant | dilated cardiomyopathy | 14 |
| LMOD2 | Definitive | Autosomal recessive | cardiomyopathy, dilated, 2G | 4 |
| MYBPC3 | Definitive | Autosomal dominant | hypertrophic cardiomyopathy 4 | 13 |
| MYL2 | Definitive | Autosomal dominant | hypertrophic cardiomyopathy 10 | 5 |
| PPP1R13L | Definitive | Autosomal recessive | arrhythmogenic cardiomyopathy with variable ectodermal abnormalities | 3 |
| RBM20 | Definitive | Autosomal dominant | dilated cardiomyopathy | 7 |
| MYPN | Strong | Autosomal dominant | dilated cardiomyopathy | 12 |
| MYZAP | Strong | Autosomal recessive | cardiomyopathy, dilated, 2K | 2 |
| NOL6 | Strong | Autosomal recessive | dilated cardiomyopathy | |
| NRAP | Strong | Autosomal recessive | dilated cardiomyopathy | |
| PRDM16 | Strong | Autosomal dominant | dilated cardiomyopathy | 6 |
| RPL3L | Strong | Autosomal recessive | cardiomyopathy, dilated, 2D | 6 |
| GCOM1 | Moderate | Autosomal recessive | dilated cardiomyopathy | |
| MYLK3 | Moderate | Autosomal recessive | dilated cardiomyopathy | 3 |
| NEBL | Moderate | Autosomal dominant | dilated cardiomyopathy | 2 |
| PLEKHM2 | Moderate | Autosomal recessive | dilated cardiomyopathy | 2 |
| RHBDF1 | Moderate | Autosomal recessive | dilated cardiomyopathy | |
| SLC30A5 | Moderate | Autosomal recessive | cardiomyopathy | 2 |
| TMPO | Supportive | Autosomal dominant | familial isolated dilated cardiomyopathy | 4 |
| TXNRD2 | Supportive | Autosomal dominant | familial isolated dilated cardiomyopathy | 5 |
| BMP10 | Limited | Autosomal dominant | dilated cardiomyopathy | 4 |
| C10orf71 | Limited | Autosomal dominant | dilated cardiomyopathy | |
| FBXO32 | Limited | Autosomal recessive | dilated cardiomyopathy | |
| GATA4 | Limited | Autosomal dominant | dilated cardiomyopathy | 15 |
| GATA6 | Limited | Autosomal dominant | dilated cardiomyopathy | 16 |
| ILK | Limited | Autosomal dominant | dilated cardiomyopathy | |
| PHACTR2 | Limited | Autosomal recessive | dilated cardiomyopathy | |
| PPCDC | Limited | Autosomal recessive | dilated cardiomyopathy | |
| SOD2 | Limited | Autosomal recessive | cardiomyopathy | 3 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| FLNC | Orphanet:171445 | Muscle filaminopathy |
| FLNC | Orphanet:63273 | FLNC-related handgrip and calf weakness-distal myopathy |
| FLNC | Orphanet:75249 | Familial isolated restrictive cardiomyopathy |
| TMPO | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| TTN | Orphanet:140922 | Titin-related limb-girdle muscular dystrophy R10 |
| TTN | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| TTN | Orphanet:169186 | Autosomal recessive centronuclear myopathy |
| TTN | Orphanet:178464 | Hereditary myopathy with early respiratory failure |
| TTN | Orphanet:289377 | Early-onset myopathy with fatal cardiomyopathy |
| TTN | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| TTN | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| TTN | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| TTN | Orphanet:324604 | Classic multiminicore myopathy |
| TTN | Orphanet:334 | Hereditary atrial fibrillation |
| TTN | Orphanet:466921 | Childhood-onset progressive contractures-limb-girdle weakness-muscle dystrophy syndrome |
| TTN | Orphanet:609 | Tibial muscular dystrophy |
| TTN | Orphanet:707983 | Early-onset autosomal recessive TTN-related distal myopathy |
| PRDM16 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| PRDM16 | Orphanet:1606 | 1p36 deletion syndrome |
| PRDM16 | Orphanet:54260 | Left ventricular noncompaction |
| ACTC1 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| ACTC1 | Orphanet:54260 | Left ventricular noncompaction |
| ACTC1 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| TXNRD2 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| TXNRD2 | Orphanet:361 | Familial glucocorticoid deficiency |
| MYPN | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| MYPN | Orphanet:171439 | Childhood-onset nemaline myopathy |
| MYPN | Orphanet:171881 | Cap myopathy |
| MYPN | Orphanet:75249 | Familial isolated restrictive cardiomyopathy |
| C10orf71 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| RBM20 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| GATA4 | Orphanet:251071 | 8p23.1 microdeletion syndrome |
| GATA4 | Orphanet:251510 | 46,XY partial gonadal dysgenesis |
| GATA4 | Orphanet:3303 | Tetralogy of Fallot |
| GATA4 | Orphanet:334 | Hereditary atrial fibrillation |
| GATA4 | Orphanet:576232 | Partial atrioventricular septal defect with ventricular hypoplasia |
| GATA4 | Orphanet:99067 | Complete atrioventricular septal defect with ventricular hypoplasia |
| GATA4 | Orphanet:99068 | Complete atrioventricular septal defect-tetralogy of Fallot |
| GATA4 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| GATA6 | Orphanet:2140 | Congenital diaphragmatic hernia |
| GATA6 | Orphanet:2255 | Pancreatic hypoplasia-diabetes-congenital heart disease syndrome |
| GATA6 | Orphanet:3303 | Tetralogy of Fallot |
| GATA6 | Orphanet:334 | Hereditary atrial fibrillation |
| GATA6 | Orphanet:665044 | Common arterial trunk with aortic dominance |
| GATA6 | Orphanet:665058 | Common arterial trunk with pulmonary dominance and interrupted aortic arch |
| GATA6 | Orphanet:99067 | Complete atrioventricular septal defect with ventricular hypoplasia |
| GATA6 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| MYBPC3 | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| MYBPC3 | Orphanet:54260 | Left ventricular noncompaction |
| MYL2 | Orphanet:2020 | Congenital fiber-type disproportion myopathy |
Cohort genes → proteins
75 cohort genes, 74 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 2 |
| gwas_and_clinvar | 4 |
| multi_evidence | 69 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| FLNC | HGNC:3756 | ENSG00000128591 | Q14315 | Filamin-C | gwas,gencc,clinvar |
| TMPO | HGNC:11875 | ENSG00000120802 | P42166 | Lamina-associated polypeptide 2, isoform alpha | gencc,clinvar |
| TTN | HGNC:12403 | ENSG00000155657 | Q8WZ42 | Titin | gwas,clinvar |
| ZBTB17 | HGNC:12936 | ENSG00000116809 | Q13105 | Zinc finger and BTB domain-containing protein 17 | gwas,clinvar |
| PRDM16 | HGNC:14000 | ENSG00000142611 | Q9HAZ2 | Histone-lysine N-methyltransferase PRDM16 | gencc,clinvar |
| ACTC1 | HGNC:143 | ENSG00000159251 | P68032 | Actin, alpha cardiac muscle 1 | gencc,clinvar |
| NEBL | HGNC:16932 | ENSG00000078114 | O76041 | Nebulette | gencc,clinvar |
| TXNRD2 | HGNC:18155 | ENSG00000184470 | Q9NNW7 | Thioredoxin reductase 2, mitochondrial | gencc,clinvar |
| PPP1R13L | HGNC:18838 | ENSG00000104881 | Q8WUF5 | RelA-associated inhibitor | gencc,clinvar |
| NOL6 | HGNC:19910 | ENSG00000165271 | Q9H6R4 | Nucleolar protein 6 | gencc,clinvar |
| MYPN | HGNC:23246 | ENSG00000138347 | Q86TC9 | Myopalladin | gencc,clinvar |
| FHOD3 | HGNC:26178 | ENSG00000134775 | Q2V2M9 | FH1/FH2 domain-containing protein 3 | gwas,clinvar |
| GCOM1 | HGNC:26424 | ENSG00000137878 | GCOM1, MYZAP-POLR2M combined locus | gencc,clinvar | |
| C10orf71 | HGNC:26973 | ENSG00000177354 | Q711Q0 | Cardiac-enriched FHL2-interacting protein | gencc,clinvar |
| RBM20 | HGNC:27424 | ENSG00000203867 | Q5T481 | RNA-binding protein 20 | gencc,clinvar |
| MYLK3 | HGNC:29826 | ENSG00000140795 | Q32MK0 | Myosin light chain kinase 3 | gencc,clinvar |
| GATA4 | HGNC:4173 | ENSG00000136574 | P43694 | Transcription factor GATA-4 | gencc,clinvar |
| GATA6 | HGNC:4174 | ENSG00000141448 | Q92908 | Transcription factor GATA-6 | gencc,clinvar |
| MYZAP | HGNC:43444 | ENSG00000263155 | P0CAP1 | Myocardial zonula adherens protein | gencc,clinvar |
| ILK | HGNC:6040 | ENSG00000166333 | Q13418 | Scaffold protein ILK | gencc,clinvar |
| MYBPC3 | HGNC:7551 | ENSG00000134571 | Q14896 | Myosin-binding protein C, cardiac-type | gencc,clinvar |
| MYL2 | HGNC:7583 | ENSG00000111245 | P10916 | Myosin regulatory light chain 2, ventricular/cardiac muscle isoform | gencc,clinvar |
| NRAP | HGNC:7988 | ENSG00000197893 | Q86VF7 | Nebulin-related-anchoring protein | gencc,clinvar |
| BAG3 | HGNC:939 | ENSG00000151929 | O95817 | BAG family molecular chaperone regulator 3 | gwas,clinvar |
| RPL3L | HGNC:10351 | ENSG00000140986 | Q92901 | Ribosomal protein uL3-like | gencc |
| SOD2 | HGNC:11180 | ENSG00000291237 | P04179 | Superoxide dismutase [Mn], mitochondrial | gencc |
| FBXO32 | HGNC:16731 | ENSG00000156804 | Q969P5 | F-box only protein 32 | gencc |
| SLC30A5 | HGNC:19089 | ENSG00000145740 | Q8TAD4 | Proton-coupled zinc antiporter SLC30A5 | gencc |
| RTKN2 | HGNC:19364 | ENSG00000182010 | Q8IZC4 | Rhotekin-2 | gencc |
| LRRC10 | HGNC:20264 | ENSG00000198812 | Q5BKY1 | Leucine-rich repeat-containing protein 10 | gencc |
| RHBDF1 | HGNC:20561 | ENSG00000007384 | Q96CC6 | Inactive rhomboid protein 1 | gencc |
| BMP10 | HGNC:20869 | ENSG00000163217 | O95393 | Bone morphogenetic protein 10 | gencc |
| PHACTR2 | HGNC:20956 | ENSG00000112419 | O75167 | Phosphatase and actin regulator 2 | gencc |
| PPCDC | HGNC:28107 | ENSG00000138621 | Q96CD2 | Phosphopantothenoylcysteine decarboxylase | gencc |
| PLEKHM2 | HGNC:29131 | ENSG00000116786 | Q8IWE5 | Pleckstrin homology domain-containing family M member 2 | gencc |
| LMOD2 | HGNC:6648 | ENSG00000170807 | Q6P5Q4 | Leiomodin-2 | gencc |
| RYR2 | HGNC:10484 | ENSG00000198626 | Q92736 | Ryanodine receptor 2 | clinvar |
| SCN2B | HGNC:10589 | ENSG00000149575 | O60939 | Sodium channel regulatory subunit beta-2 | clinvar |
| SCN5A | HGNC:10593 | ENSG00000183873 | Q14524 | Sodium channel protein type 5 subunit alpha | clinvar |
| SCO2 | HGNC:10604 | ENSG00000284194 | O43819 | Cytochrome c oxidase assembly factor SCO2 | clinvar |
| SDHA | HGNC:10680 | ENSG00000073578 | P31040 | Succinate dehydrogenase [ubiquinone] flavoprotein subunit, mitochondrial | clinvar |
| SGCB | HGNC:10806 | ENSG00000163069 | Q16585 | Beta-sarcoglycan | clinvar |
| SGCD | HGNC:10807 | ENSG00000170624 | Q92629 | Delta-sarcoglycan | clinvar |
| SGCG | HGNC:10809 | ENSG00000102683 | Q13326 | Gamma-sarcoglycan | clinvar |
| BRAF | HGNC:1097 | ENSG00000157764 | P15056 | Serine/threonine-protein kinase B-raf | clinvar |
| SMARCB1 | HGNC:11103 | ENSG00000099956 | Q12824 | SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily B member 1 | gwas |
| SNTA1 | HGNC:11167 | ENSG00000101400 | Q13424 | Alpha-1-syntrophin | clinvar |
| SOS1 | HGNC:11187 | ENSG00000115904 | Q07889 | Son of sevenless homolog 1 | clinvar |
| SVIL | HGNC:11480 | ENSG00000197321 | O95425 | Supervillin | gwas |
| TAF1A | HGNC:11532 | ENSG00000143498 | Q15573 | TATA box-binding protein-associated factor RNA polymerase I subunit A | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| FLNC | Filamin-C | Muscle-specific filamin, which plays a central role in sarcomere assembly and organization. |
| TMPO | Lamina-associated polypeptide 2, isoform alpha | May be involved in the structural organization of the nucleus and in the post-mitotic nuclear assembly. |
| TTN | Titin | Key component in the assembly and functioning of vertebrate striated muscles. |
| ZBTB17 | Zinc finger and BTB domain-containing protein 17 | Transcription factor that can function as an activator or repressor depending on its binding partners, and by targeting negative regulators of cell cycle progression. |
| PRDM16 | Histone-lysine N-methyltransferase PRDM16 | Transcription regulator that acts both as a histone methyltransferase or chromatin adapter, depending on the context. |
| ACTC1 | Actin, alpha cardiac muscle 1 | Actins are highly conserved proteins that are involved in various types of cell motility and are ubiquitously expressed in all eukaryotic cells. |
| NEBL | Nebulette | Binds to actin and plays an important role in the assembly of the Z-disk. |
| TXNRD2 | Thioredoxin reductase 2, mitochondrial | Involved in the control of reactive oxygen species levels and the regulation of mitochondrial redox homeostasis. |
| PPP1R13L | RelA-associated inhibitor | Regulator that plays a central role in regulation of apoptosis and transcription via its interaction with NF-kappa-B and p53/TP53 proteins. |
| NOL6 | Nucleolar protein 6 | Part of the small subunit (SSU) processome, first precursor of the small eukaryotic ribosomal subunit. |
| MYPN | Myopalladin | Component of the sarcomere that tethers together nebulin (skeletal muscle) and nebulette (cardiac muscle) to alpha-actinin, at the Z lines. |
| FHOD3 | FH1/FH2 domain-containing protein 3 | Actin-organizing protein that may cause stress fiber formation together with cell elongation. |
| C10orf71 | Cardiac-enriched FHL2-interacting protein | Is 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. |
| RBM20 | RNA-binding protein 20 | RNA-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. |
| MYLK3 | Myosin light chain kinase 3 | Kinase that phosphorylates MYL2 in vitro. |
| GATA4 | Transcription factor GATA-4 | Transcriptional activator that binds to the consensus sequence 5’-AGATAG-3’ and plays a key role in cardiac development and function. |
| GATA6 | Transcription factor GATA-6 | Transcriptional activator. |
| MYZAP | Myocardial zonula adherens protein | Plays a role in cellular signaling via Rho-related GTP-binding proteins and subsequent activation of transcription factor SRF. |
| ILK | Scaffold protein ILK | Scaffold protein which mediates protein-protein interactions during a range of cellular events including focal adhesion assembly, cell adhesion and cell migration. |
| MYBPC3 | Myosin-binding protein C, cardiac-type | Thick filament-associated protein located in the crossbridge region of vertebrate striated muscle a bands. |
| MYL2 | Myosin regulatory light chain 2, ventricular/cardiac muscle isoform | Contractile protein that plays a role in heart development and function. |
| NRAP | Nebulin-related-anchoring protein | May 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. |
| BAG3 | BAG family molecular chaperone regulator 3 | Co-chaperone and adapter protein that connects different classes of molecular chaperones including heat shock proteins 70 (HSP70s), e.g. |
| RPL3L | Ribosomal protein uL3-like | Heart- and skeletal muscle-specific component of the ribosome, which regulates muscle function. |
| SOD2 | Superoxide dismutase [Mn], mitochondrial | Destroys superoxide anion radicals which are normally produced within the cells and which are toxic to biological systems. |
| FBXO32 | F-box only protein 32 | Substrate 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. |
| SLC30A5 | Proton-coupled zinc antiporter SLC30A5 | Together with SLC30A6 forms a functional proton-coupled zinc ion antiporter mediating zinc entry into the lumen of organelles along the secretory pathway. |
| RTKN2 | Rhotekin-2 | May play an important role in lymphopoiesis. |
| LRRC10 | Leucine-rich repeat-containing protein 10 | May play important roles in cardiac development and/or cardiac function. |
| RHBDF1 | Inactive rhomboid protein 1 | Regulates 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. |
| BMP10 | Bone morphogenetic protein 10 | Required 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… |
| PPCDC | Phosphopantothenoylcysteine decarboxylase | Catalyzes the decarboxylation of the cysteine moiety of 4-phosphopantothenoylcysteine to form 4’-phosphopantotheine and this reaction forms part of the biosynthesis of coenzyme A. |
| PLEKHM2 | Pleckstrin homology domain-containing family M member 2 | Plays a role in lysosomes movement and localization at the cell periphery acting as an effector of ARL8B. |
| LMOD2 | Leiomodin-2 | Mediates nucleation of actin filaments and thereby promotes actin polymerization. |
| RYR2 | Ryanodine receptor 2 | Cytosolic 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. |
| SCN2B | Sodium channel regulatory subunit beta-2 | Regulatory subunit of multiple voltage-gated sodium (Nav) channels directly mediating the depolarization of excitable membranes. |
| SCN5A | Sodium channel protein type 5 subunit alpha | Pore-forming subunit of Nav1.5, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. |
| SCO2 | Cytochrome c oxidase assembly factor SCO2 | Copper 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. |
| SDHA | Succinate dehydrogenase [ubiquinone] flavoprotein subunit, mitochondrial | Flavoprotein (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). |
| SGCB | Beta-sarcoglycan | Component of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix. |
| SGCD | Delta-sarcoglycan | Component of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix. |
| SGCG | Gamma-sarcoglycan | Component of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix. |
| BRAF | Serine/threonine-protein kinase B-raf | Protein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus. |
| SMARCB1 | SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily B member 1 | Core component of the BAF (hSWI/SNF) complex. |
| SNTA1 | Alpha-1-syntrophin | Adapter protein that binds to and probably organizes the subcellular localization of a variety of membrane proteins. |
| SOS1 | Son of sevenless homolog 1 | Promotes the exchange of Ras-bound GDP by GTP. |
| SVIL | Supervillin | Forms a high-affinity link between the actin cytoskeleton and the membrane. |
| TAF1A | TATA box-binding protein-associated factor RNA polymerase I subunit A | Component 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. |
| TAFAZZIN | Tafazzin | Acyltransferase 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… |
| TBX20 | T-box transcription factor TBX20 | Acts 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.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Ion channel | 4 | 6.0× | 0.037 |
| Scaffold/PPI | 10 | 2.3× | 0.044 |
| Kinase | 5 | 1.9× | 0.357 |
| Antibody/Immunoglobulin | 4 | 1.6× | 0.511 |
| Transcription factor | 9 | 1.0× | 0.904 |
| Other/Unknown | 39 | 0.9× | 0.955 |
| Protease | 1 | 0.5× | 0.955 |
| Enzyme (other) | 3 | 0.5× | 0.955 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| FLNC | Antibody/Immunoglobulin | yes | Filamin/ABP280_rpt, Actinin_actin-bd_CS, CH_dom | |
| TMPO | Other/Unknown | no | LEM_dom, LEM/LEM-like_dom_sf, LEM-like_dom | |
| TTN | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, Ig_sub2, Ig_sub |
| ZBTB17 | Transcription factor | no | BTB/POZ_dom, SKP1/BTB/POZ_sf, Znf_C2H2_type | |
| PRDM16 | Transcription factor | no | 2.1.1.367 | SET_dom, Znf_C2H2_type, Znf_C2H2_sf |
| ACTC1 | Other/Unknown | no | Actin, Actin_CS, Actin/actin-like_CS | |
| NEBL | Scaffold/PPI | no | Nebulin_repeat, SH3_domain, Nebulette_SH3 | |
| TXNRD2 | Enzyme (other) | yes | 1.8.1.9 | Pyr_nuc-diS_OxRdtase, Pyr_nucl-diS_OxRdtase_dimer, Thioredoxin/glutathione_Rdtase |
| PPP1R13L | Scaffold/PPI | no | SH3_domain, Ankyrin_rpt, iASPP | |
| NOL6 | Other/Unknown | no | NOL6/Upt22, Nrap_D1, Nrap_D2 | |
| MYPN | Antibody/Immunoglobulin | yes | Ig_sub2, Ig_sub, Ig-like_dom | |
| FHOD3 | Other/Unknown | no | ARM-like, DAD_dom, GBD/FH3_dom | |
| GCOM1 | Other/Unknown | no | ||
| C10orf71 | Other/Unknown | no | DUF4585, CEFIP | |
| RBM20 | Transcription factor | no | RRM_dom, Matrin/U1-C_Znf_C2H2, Matrin/U1-like-C_Znf_C2H2 | |
| MYLK3 | Kinase | yes | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf | |
| GATA4 | Transcription factor | no | Znf_GATA, GATA_N, Znf_NHR/GATA | |
| GATA6 | Transcription factor | no | Znf_GATA, GATA_N, Znf_NHR/GATA | |
| MYZAP | Other/Unknown | no | Tuftelin_GRINL1A/MYZAP/CCD68 | |
| ILK | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ankyrin_rpt |
| MYBPC3 | Antibody/Immunoglobulin | yes | Ig_sub2, Ig_sub, FN3_dom | |
| MYL2 | Other/Unknown | no | EF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS | |
| NRAP | Transcription factor | no | Nebulin_repeat, Znf_LIM, Nebulin-like | |
| BAG3 | Scaffold/PPI | no | WW_dom, BAG_domain, WW_dom_sf | |
| RPL3L | Other/Unknown | no | Ribosomal_uL3, Transl_B-barrel_sf, Ribosomal_uL3_CS | |
| SOD2 | Enzyme (other) | yes | 1.15.1.1 | Mn/Fe_SOD, Mn/Fe_SOD_N, Mn/Fe_SOD_C |
| FBXO32 | Other/Unknown | no | F-box-like_dom_sf, FBX25/32 | |
| SLC30A5 | Other/Unknown | no | Cation_efflux, Cation_efflux_TMD_sf, Msc2-like | |
| RTKN2 | Scaffold/PPI | no | PH_domain, HR1_rho-bd, PH-like_dom_sf | |
| LRRC10 | Other/Unknown | no | Leu-rich_rpt, Leu-rich_rpt_typical-subtyp, LRR_dom_sf | |
| RHBDF1 | Protease | yes | iRhom1_2_N, Peptidase_S54_rhomboid_dom, Rhomboid-like_sf | |
| BMP10 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, TGF-beta-like | |
| PHACTR2 | Other/Unknown | no | RPEL_repeat | |
| PPCDC | Other/Unknown | no | Flavoprotein, Flavin_trans-like | |
| PLEKHM2 | Scaffold/PPI | no | PH_domain, Run_dom, PH-like_dom_sf | |
| LMOD2 | Other/Unknown | no | WH2_dom, TMOD, LRR_dom_sf | |
| RYR2 | Ion channel | yes | RIH_dom, B30.2/SPRY, EF_hand_dom | |
| SCN2B | Antibody/Immunoglobulin | yes | Myelin_P0-rel, Ig_sub, Ig-like_dom | |
| SCN5A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_channel_a5su | |
| SCO2 | Other/Unknown | no | SCO1/SenC, Thioredoxin_domain, Synth_of_cyt-c-oxidase_Sco1/2 | |
| SDHA | Other/Unknown | no | FRD_SDH_FAD_BS, FAD-dep_OxRdtase_2_FAD-bd, Succ_DH_flav_su_fwd | |
| SGCB | Other/Unknown | no | Sarcoglycan, Sgcb | |
| SGCD | Other/Unknown | no | Sarcoglycan, Sarcoglycan_gamma/delta/zeta | |
| SGCG | Other/Unknown | no | Sarcoglycan, Sarcoglycan_gamma/delta/zeta | |
| BRAF | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE |
| SMARCB1 | Other/Unknown | no | SNF5, Sfh1/SNF5, INI1_DNA-bd | |
| SNTA1 | Scaffold/PPI | no | PDZ, PH_domain, PH-like_dom_sf | |
| SOS1 | Scaffold/PPI | no | DH_dom, Ras-like_Gua-exchang_fac_N, PH_domain | |
| SVIL | Other/Unknown | no | Villin_headpiece, Villin/Gelsolin, Gelsolin-like_dom | |
| TAF1A | Other/Unknown | no | RNA_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)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 1 |
| broad (>20) | 73 |
| unknown | 1 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| apex of heart | 17 |
| left ventricle myocardium | 11 |
| skeletal muscle tissue of rectus abdominis | 11 |
| hindlimb stylopod muscle | 10 |
| heart right ventricle | 9 |
| right atrium auricular region | 9 |
| myocardium | 8 |
| cardiac muscle of right atrium | 7 |
| gastrocnemius | 6 |
| gluteal muscle | 6 |
| skeletal muscle tissue of biceps brachii | 6 |
| lower esophagus mucosa | 6 |
| cardiac atrium | 6 |
| tendon of biceps brachii | 5 |
| heart left ventricle | 5 |
| tibialis anterior | 4 |
| ventricular zone | 4 |
| buccal mucosa cell | 4 |
| ganglionic eminence | 3 |
| sural nerve | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| FLNC | 255 | ubiquitous | marker | gastrocnemius, hindlimb stylopod muscle, tibialis anterior |
| TMPO | 287 | ubiquitous | marker | ventricular zone, ganglionic eminence, embryo |
| TTN | 223 | broad | marker | biceps brachii, gluteal muscle, skeletal muscle tissue of biceps brachii |
| ZBTB17 | 255 | ubiquitous | yes | lower esophagus mucosa, sural nerve, tendon of biceps brachii |
| PRDM16 | 202 | broad | marker | sural nerve, pigmented layer of retina, ascending aorta |
| ACTC1 | 224 | broad | marker | left ventricle myocardium, heart right ventricle, myocardium |
| NEBL | 282 | broad | marker | heart right ventricle, myocardium, cranial nerve II |
| TXNRD2 | 264 | ubiquitous | marker | right lobe of liver, right adrenal gland cortex, apex of heart |
| PPP1R13L | 223 | ubiquitous | marker | lower esophagus mucosa, skin of abdomen, skin of leg |
| NOL6 | 278 | ubiquitous | marker | tongue squamous epithelium, lower esophagus mucosa, apex of heart |
| MYPN | 116 | broad | marker | hindlimb stylopod muscle, gastrocnemius, vastus lateralis |
| FHOD3 | 244 | ubiquitous | marker | apex of heart, left ventricle myocardium, ventricular zone |
| GCOM1 | 136 | broad | marker | cerebellar vermis, heart left ventricle, lower esophagus mucosa |
| C10orf71 | 112 | tissue_specific | yes | skeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, skeletal muscle tissue |
| RBM20 | 191 | broad | marker | left ventricle myocardium, cardiac muscle of right atrium, myocardium |
| MYLK3 | 194 | tissue_specific | marker | cardiac muscle of right atrium, myocardium, heart right ventricle |
| GATA4 | 85 | broad | marker | right atrium auricular region, heart left ventricle, duodenum |
| GATA6 | 204 | ubiquitous | marker | germinal epithelium of ovary, parietal pleura, jejunal mucosa |
| MYZAP | 227 | broad | marker | left ventricle myocardium, cardiac muscle of right atrium, myocardium |
| ILK | 287 | ubiquitous | marker | body of uterus, popliteal artery, tibial artery |
| MYBPC3 | 149 | tissue_specific | marker | apex of heart, right atrium auricular region, cardiac atrium |
| MYL2 | 179 | tissue_specific | marker | heart right ventricle, diaphragm, apex of heart |
| NRAP | 157 | tissue_specific | marker | skeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, gastrocnemius |
| BAG3 | 286 | ubiquitous | marker | gastrocnemius, skeletal muscle tissue of rectus abdominis, body of tongue |
| RPL3L | 156 | tissue_specific | marker | skeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, vastus lateralis |
| SOD2 | ubiquitous | |||
| FBXO32 | 257 | ubiquitous | marker | cardiac muscle of right atrium, deltoid, tibialis anterior |
| SLC30A5 | 281 | ubiquitous | marker | buccal mucosa cell, stromal cell of endometrium, tendon of biceps brachii |
| RTKN2 | 152 | ubiquitous | marker | right lung, ventricular zone, primordial germ cell in gonad |
| LRRC10 | 13 | tissue_specific | yes | apex of heart, heart left ventricle, right atrium auricular region |
Protein interactions among cohort
Intra-cohort edges: 113.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| KDM6A | 8,825 |
| BRAF | 7,394 |
| SOD2 | 6,580 |
| SDHA | 6,141 |
| TJP1 | 5,826 |
| SMARCB1 | 5,083 |
| GATA4 | 4,994 |
| BAG3 | 4,957 |
| RPL3L | 4,559 |
| VCL | 4,495 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ACTC1 | MYBPC3 | intact |
| ACTC1 | PHACTR2 | biogrid_interaction, intact |
| ACTC1 | SMARCB1 | intact |
| ACTN2 | CACNA1C | biogrid_interaction |
| ACTN2 | LDB3 | biogrid_interaction, intact, string_interaction |
| ACTN2 | MYPN | biogrid_interaction, string_interaction |
| ACTN2 | NEBL | string_interaction |
| ACTN2 | NRAP | intact |
| ACTN2 | TCAP | string_interaction |
| ACTN2 | TNNT2 | string_interaction |
| ACTN2 | TPM1 | biogrid_interaction, string_interaction |
| ACTN2 | TTN | string_interaction |
| ACTN2 | VCL | string_interaction |
| ALPK3 | MYBPC3 | string_interaction |
| ALPK3 | TNNT2 | string_interaction |
| ANKRD1 | MYPN | biogrid_interaction, string_interaction |
| ANKRD1 | NEBL | string_interaction |
| ANKRD1 | TCAP | string_interaction |
| ANKRD1 | TTN | biogrid_interaction, string_interaction |
| BAG3 | FLNC | string_interaction |
| BAG3 | LDB3 | string_interaction |
| BRAF | SOD2 | intact |
| BRAF | SOS1 | string_interaction |
| CACNA1C | CACNB2 | intact, string_interaction |
| CACNA1C | CASQ2 | string_interaction |
| CACNA1C | HCN4 | string_interaction |
| CACNA1C | JPH2 | string_interaction |
| CACNA1C | RYR2 | biogrid_interaction, string_interaction |
| CACNB2 | HCN4 | string_interaction |
| CACNB2 | SCN5A | string_interaction |
| CASQ2 | JPH2 | string_interaction |
| CASQ2 | RYR2 | string_interaction |
| CASQ2 | SCN5A | string_interaction |
| FHOD3 | RBM20 | string_interaction |
| FHOD3 | TTN | string_interaction |
| FLNC | LDB3 | string_interaction |
| FLNC | MYBPC3 | intact |
| FLNC | NEBL | string_interaction |
| FLNC | SGCD | biogrid_interaction, intact, string_interaction |
| FLNC | SGCG | biogrid_interaction, intact, string_interaction |
| FLNC | TCAP | string_interaction |
| FLNC | VCL | string_interaction |
| GATA4 | NEBL | string_interaction |
| GATA4 | TBX20 | string_interaction |
| GATA4 | TBX5 | biogrid_interaction, string_interaction |
| GCOM1 | MYZAP | biogrid_interaction |
| HCN4 | SCN5A | string_interaction |
| ILK | SCO2 | intact |
| JPH2 | RYR2 | string_interaction |
| JPH2 | TCAP | string_interaction |
Structural data
PDB: 50 · AlphaFold-only: 24 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| BRAF | P15056 | 131 |
| SOS1 | Q07889 | 91 |
| TTN | Q8WZ42 | 64 |
| TNNC1 | P63316 | 61 |
| SOD2 | P04179 | 48 |
| TNNI3 | P19429 | 39 |
| VCL | P18206 | 37 |
| SCN2B | O60939 | 35 |
| CACNA1C | Q13936 | 33 |
| RYR2 | Q92736 | 26 |
| TNNT2 | P45379 | 25 |
| ZBTB17 | Q13105 | 19 |
| TJP1 | Q07157 | 19 |
| ILK | Q13418 | 17 |
| MYBPC3 | Q14896 | 17 |
| SMARCB1 | Q12824 | 17 |
| ACTC1 | P68032 | 16 |
| SCN5A | Q14524 | 16 |
| ACTN2 | P35609 | 16 |
| FLNC | Q14315 | 14 |
| TMPO | P42166 | 14 |
| TPM1 | P09493 | 14 |
| TGFB3 | P10600 | 11 |
| BMP10 | O95393 | 8 |
| HCN4 | Q9Y3Q4 | 8 |
| PPP1R13L | Q8WUF5 | 5 |
| SDHA | P31040 | 5 |
| KDM6A | O15550 | 5 |
| ACTA1 | P68133 | 5 |
| PLEKHM2 | Q8IWE5 | 4 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| TAFAZZIN | Q16635 | 94.87 |
| RPL3L | Q92901 | 94.79 |
| LRRC10 | Q5BKY1 | 86.54 |
| TAF1A | Q15573 | 86.29 |
| ANKRD1 | Q15327 | 82.64 |
| SGCD | Q92629 | 81.43 |
| SGCG | Q13326 | 80.24 |
| FBXO32 | Q969P5 | 80.15 |
| SNTA1 | Q13424 | 80.00 |
| SLC30A5 | Q8TAD4 | 76.95 |
| SGCB | Q16585 | 76.67 |
| RTKN2 | Q8IZC4 | 70.33 |
| TBX20 | Q9UMR3 | 67.87 |
| FHOD3 | Q2V2M9 | 64.62 |
| MYLK3 | Q32MK0 | 63.26 |
| PHACTR2 | O75167 | 61.66 |
| BAG3 | O95817 | 57.98 |
| GATA6 | Q92908 | 53.48 |
| MYPN | Q86TC9 | 52.71 |
| NRAP | Q86VF7 | 51.98 |
| ALPK3 | Q96L96 | 49.15 |
| RBM20 | Q5T481 | 48.52 |
| C10orf71 | Q711Q0 | 42.08 |
| TXNRD2 | Q9NNW7 |
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.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Striated Muscle Contraction | 15 | 36.7× | 9e-18 | TTN, ACTC1, MYBPC3, MYL2, TCAP, TNNC1, TNNI3, TNNT2 (+7 more) |
| Muscle contraction | 20 | 12.2× | 4e-14 | ACTC1, MYBPC3, MYL2, RYR2, SCN2B, SCN5A, TBX5, TCAP (+12 more) |
| Formation of the dystrophin-glycoprotein complex (DGC) | 10 | 24.5× | 1e-09 | ACTC1, SGCB, SGCD, SGCG, SNTA1, ACTA1, DMD, DTNA (+2 more) |
| Non-integrin membrane-ECM interactions | 11 | 13.5× | 7e-08 | ACTC1, SGCB, SGCD, SGCG, SNTA1, ACTA1, COL1A1, DMD (+3 more) |
| Cardiac conduction | 12 | 10.4× | 2e-07 | RYR2, SCN2B, SCN5A, TBX5, CACNA1C, CACNB2, CASQ2, AKAP9 (+4 more) |
| Extracellular matrix organization | 12 | 6.0× | 8e-05 | ACTC1, SGCB, SGCD, SGCG, SNTA1, TGFB3, ACTA1, BMP10 (+4 more) |
| Regulation of CDH1 Function | 4 | 30.2× | 6e-04 | ACTC1, VCL, ACTA1, JUP |
| Cardiogenesis | 5 | 16.8× | 8e-04 | GATA4, GATA6, TBX20, TBX5, NKX2-5 |
| Depolymerization of the Nuclear Lamina | 4 | 24.2× | 0.001 | TMPO, EMD, LMNA, PRKCA |
| Phase 2 - plateau phase | 4 | 24.2× | 0.001 | CACNA1C, CACNB2, AKAP9, KCNE1 |
| Phase 3 - rapid repolarisation | 3 | 27.2× | 0.008 | AKAP9, KCNE1, KCNH2 |
| Nuclear Envelope Breakdown | 4 | 14.5× | 0.008 | TMPO, EMD, LMNA, PRKCA |
| Apoptotic cleavage of cell adhesion proteins | 3 | 24.7× | 0.010 | TJP1, DSG2, DSP |
| Ion homeostasis | 5 | 8.1× | 0.017 | RYR2, TNNI3, CASQ2, ABCC9, PLN |
| Phase 0 - rapid depolarisation | 4 | 11.0× | 0.019 | SCN2B, SCN5A, CACNA1C, CACNB2 |
| Elastic fibre formation | 4 | 10.7× | 0.020 | TGFB3, BMP10, FBN1, FBN2 |
| YAP1- and WWTR1 (TAZ)-stimulated gene expression | 3 | 18.1× | 0.021 | GATA4, TBX5, NKX2-5 |
| Molecules associated with elastic fibres | 4 | 9.8× | 0.025 | TGFB3, BMP10, FBN1, FBN2 |
| Physiological factors | 3 | 16.0× | 0.027 | GATA4, TBX5, NKX2-5 |
| Signaling by BRAF and RAF1 fusions | 5 | 6.8× | 0.027 | BRAF, VCL, AKAP9, LMNA, RAF1 |
| Initiation of Nuclear Envelope (NE) Reformation | 3 | 14.3× | 0.034 | TMPO, EMD, LMNA |
| ECM proteoglycans | 5 | 6.0× | 0.044 | TGFB3, COL1A1, COL6A3, LAMA2, LAMA4 |
| Negative feedback regulation of MAPK pathway | 2 | 30.2× | 0.049 | BRAF, RAF1 |
| NOTCH3 Activation and Transmission of Signal to the Nucleus | 3 | 11.3× | 0.058 | MIB1, PSEN1, PSEN2 |
| Developmental Lineage of Pancreatic Ductal Cells | 4 | 7.2× | 0.058 | GATA4, COL1A1, LAMA2, LAMA4 |
| Noncanonical activation of NOTCH3 | 2 | 22.7× | 0.063 | PSEN1, PSEN2 |
| SHOC2 M1731 mutant abolishes MRAS complex function | 2 | 22.7× | 0.063 | BRAF, RAF1 |
| Gain-of-function MRAS complexes activate RAF signaling | 2 | 22.7× | 0.063 | BRAF, RAF1 |
| NOTCH2 Activation and Transmission of Signal to the Nucleus | 3 | 10.5× | 0.063 | MIB1, PSEN1, PSEN2 |
| XBP1(S) activates chaperone genes | 4 | 6.8× | 0.063 | ZBTB17, 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 term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| cardiac muscle contraction | 21 | 53.0× | 5e-29 | TTN, ACTC1, PPP1R13L, MYBPC3, MYL2, RYR2, SCN2B, SCN5A (+13 more) |
| sarcomere organization | 19 | 45.8× | 9e-25 | FLNC, TTN, MYPN, FHOD3, MYLK3, MYBPC3, TCAP, TNNT2 (+11 more) |
| regulation of heart rate by cardiac conduction | 18 | 42.4× | 8e-23 | SCN2B, SCN5A, CACNA1C, CACNB2, HCN4, TRPM4, CTNNA3, DSC2 (+10 more) |
| regulation of ventricular cardiac muscle cell action potential | 9 | 79.5× | 4e-14 | RYR2, CACNA1C, TRPM4, CTNNA3, DSC2, DSG2, DSP, JUP (+1 more) |
| muscle filament sliding | 9 | 59.6× | 1e-12 | TTN, TCAP, TNNC1, TNNI3, TNNT2, TPM1, MYH6, MYH7 (+1 more) |
| ventricular cardiac muscle tissue morphogenesis | 10 | 44.2× | 2e-12 | MYBPC3, MYL2, TNNC1, TNNI3, TNNT2, TPM1, BMP10, MYH6 (+2 more) |
| ventricular cardiac muscle cell action potential | 9 | 56.1× | 2e-12 | RYR2, SCN5A, SNTA1, GPD1L, ANK2, KCNE1, KCNH2, NEDD4L (+1 more) |
| muscle contraction | 14 | 18.3× | 5e-12 | TTN, SNTA1, TBX20, ACTA1, HCN4, FKRP, CRYAB, DES (+6 more) |
| cardiac muscle cell development | 10 | 39.2× | 5e-12 | TTN, SGCB, SGCD, TCAP, ACTN2, ALPK3, LRRC10, NKX2-5 (+2 more) |
| regulation of heart rate | 10 | 29.4× | 1e-10 | RYR2, SCN5A, SNTA1, CASQ2, HCN4, GPD1L, DMD, ANK2 (+2 more) |
| bundle of His cell-Purkinje myocyte adhesion involved in cell communication | 6 | 90.8× | 6e-10 | CTNNA3, DSC2, DSG2, DSP, JUP, PKP2 |
| cardiac myofibril assembly | 7 | 57.1× | 1e-09 | TTN, ACTC1, FHOD3, MYLK3, MYL2, TCAP, CSRP3 |
| muscle organ development | 12 | 12.6× | 2e-08 | SGCB, SGCD, SGCG, COL6A3, CRYAB, CTF1, DMD, EMD (+4 more) |
| cardiac muscle tissue morphogenesis | 6 | 53.0× | 6e-08 | TTN, ACTC1, TBX20, TCAP, ANKRD1, NKX2-5 |
| adult heart development | 6 | 45.4× | 2e-07 | TCAP, CHD7, BMP10, NKX2-5, MYH6, MYH7 |
| regulation of the force of heart contraction | 6 | 37.4× | 6e-07 | MYL2, CSRP3, GAA, MYH6, MYH7, PLN |
| heart development | 14 | 6.9× | 1e-06 | MYL2, SOD2, TBX5, TGFB3, TNNI3, KDM6A, CACNA1C, LDB3 (+6 more) |
| cardiac muscle cell contraction | 5 | 53.0× | 1e-06 | C10orf71, SGCD, TNNC1, ABCC9, KCNE1 |
| striated muscle contraction | 6 | 31.8× | 1e-06 | TTN, RYR2, CASQ2, DTNA, MYH6, MYH7 |
| regulation of ventricular cardiac muscle cell membrane repolarization | 6 | 31.8× | 1e-06 | SCN5A, SNTA1, AKAP9, ANK2, KCNE1, KCNH2 |
| skeletal muscle contraction | 7 | 22.5× | 1e-06 | TTN, TCAP, TNNC1, TNNI3, MYH14, MYH7, MYH8 |
| atrioventricular canal development | 5 | 48.2× | 2e-06 | GATA4, GATA6, TBX20, CHD7, PTPN11 |
| membrane depolarization during AV node cell action potential | 4 | 84.8× | 2e-06 | SCN5A, CACNA1C, CACNB2, TRPM4 |
| heart contraction | 6 | 28.9× | 2e-06 | ACTC1, GATA6, MYL2, SGCD, SGCG, TNNI3 |
| regulation of cardiac muscle contraction by regulation of the release of sequestered calcium ion | 6 | 25.4× | 6e-06 | RYR2, CACNA1C, CASQ2, DMD, ANK2, PLN |
| skeletal muscle thin filament assembly | 4 | 70.7× | 6e-06 | TTN, ACTC1, TCAP, ACTA1 |
| muscle cell cellular homeostasis | 6 | 24.5× | 7e-06 | BAG3, CSRP3, DMD, GAA, LAMP2, PLN |
| regulation of cardiac muscle cell contraction | 5 | 35.3× | 1e-05 | GATA4, MYBPC3, SCN5A, ANK2, PLN |
| heart morphogenesis | 7 | 16.5× | 1e-05 | C10orf71, MYBPC3, FKRP, CHD7, NKX2-5, GAA, ABCC9 |
| detection of muscle stretch | 4 | 60.6× | 1e-05 | TTN, 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.
| Drug | Development status |
|---|---|
| ARRY-797 | Phase 3 (in late-stage trials) |
| Candesartan | Phase 3 (in late-stage trials) |
| Perindopril | Phase 3 (in late-stage trials) |
| Resveratrol | Phase 3 (in late-stage trials) |
| Rosuvastatin | Phase 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.
| Symbol | Example approved molecule |
|---|---|
| MYLK3 | FEDRATINIB |
| ILK | NILOTINIB |
| SCN5A | BEPRIDIL |
| SDHA | LINEZOLID |
| BRAF | VEMURAFENIB |
| SOS1 | IDARUBICIN |
| TNNC1 | FINGOLIMOD |
| KDM6A | DEFERIPRONE |
| CACNA1C | REMIFENTANIL |
| CACNB2 | NIMODIPINE |
| HCN4 | IVABRADINE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SCN5A | 108 | 4 |
| CACNA1C | 85 | 4 |
| BRAF | 48 | 4 |
| MYLK3 | 24 | 4 |
| SOS1 | 5 | 4 |
| ILK | 4 | 4 |
| TXNRD2 | 3 | 3 |
| SCN2B | 2 | 2 |
| TNNC1 | 2 | 4 |
| CACNB2 | 2 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| FEDRATINIB | 4 | BRAF, MYLK3, SCN5A |
| AXITINIB | 4 | MYLK3 |
| SORAFENIB | 4 | BRAF, MYLK3 |
| NINTEDANIB | 4 | MYLK3, SCN5A |
| SUNITINIB | 4 | CACNA1C, MYLK3, SCN5A |
| QUIZARTINIB | 4 | MYLK3 |
| MIDOSTAURIN | 4 | MYLK3 |
| NILOTINIB | 4 | BRAF, CACNA1C, ILK |
| ERLOTINIB | 4 | BRAF, ILK |
| BEPRIDIL | 4 | CACNA1C, SCN5A |
| CANDESARTAN CILEXETIL | 4 | SCN5A |
| TELMISARTAN | 4 | SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | CACNA1C, SCN5A |
| IMIPRAMINE | 4 | CACNA1C, SCN5A |
| DROPERIDOL | 4 | CACNA1C, SCN5A |
| PONATINIB | 4 | BRAF, SCN5A |
| DULOXETINE | 4 | CACNA1C, SCN5A |
| PALONOSETRON | 4 | SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | SCN5A |
| LETERMOVIR | 4 | SCN5A |
| SERTINDOLE | 4 | CACNA1C, SCN5A |
| QUINIDINE | 4 | CACNA1C, SCN5A |
| DARUNAVIR | 4 | SCN5A |
| DARIFENACIN | 4 | SCN5A |
| BENZONATATE | 4 | SCN5A |
| TOLTERODINE | 4 | CACNA1C, SCN5A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 7.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| BRAF | 1,442 | Binding:1400, Functional:37, ADMET:5 |
| SCN5A | 594 | Binding:380, Functional:98, ADMET:72, Toxicity:43, Unclassified:1 |
| CACNA1C | 575 | Binding:319, Functional:211, Toxicity:26, ADMET:19 |
| SOS1 | 421 | Binding:409, Functional:12 |
| MYLK3 | 95 | Binding:95 |
| TXNRD2 | 91 | Binding:76, Functional:15 |
| ILK | 71 | Binding:71 |
| KDM6A | 40 | Binding:36, Functional:4 |
| HCN4 | 30 | Binding:20, ADMET:5, Functional:4, Toxicity:1 |
| CACNB2 | 22 | Binding:20, ADMET:1, Toxicity:1 |
| RYR2 | 15 | Binding:15 |
| ALPK3 | 10 | Binding:10 |
| SCN2B | 9 | ADMET:4, Binding:3, Toxicity:2 |
| BAG3 | 8 | Binding:8 |
| TNNC1 | 8 | Binding:8 |
| TMPO | 7 | Binding:7 |
| SMARCB1 | 7 | Binding:7 |
| ACTC1 | 6 | Binding:6 |
| GATA4 | 5 | Binding:5 |
| ZBTB17 | 4 | Binding:4 |
| SDHA | 3 | Binding:3 |
| TPM1 | 3 | Binding:3 |
| PRDM16 | 2 | Binding:2 |
| SOD2 | 2 | Binding:2 |
| TAF1A | 2 | Binding:2 |
| TNNI3 | 2 | Binding:2 |
| TNNT2 | 2 | Binding:2 |
| VCL | 2 | Binding:2 |
| TTN | 1 | Binding:1 |
| SLC30A5 | 1 | Binding:1 |
| SCO2 | 1 | Binding:1 |
| TAFAZZIN | 1 | Binding:1 |
| TBX5 | 1 | Binding:1 |
| TGFB3 | 1 | Binding:1 |
| TJP1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| TTN | 2.7.11.1 | non-specific serine/threonine protein kinase |
| PRDM16 | 2.1.1.367, 2.1.1.370 | [histone H3]-lysine9 N-methyltransferase, [histone H3]-lysine4 N-dimethyltransferase |
| TXNRD2 | 1.8.1.9 | thioredoxin-disulfide reductase (NADPH) |
| ILK | 2.7.10.2 | non-specific protein-tyrosine kinase |
| SOD2 | 1.15.1.1 | superoxide dismutase |
| BRAF | 2.7.10.2, 2.7.11.1 | non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase |
| KDM6A | 1.14.11.68 | [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.
| Symbol | ChEMBL assays |
|---|---|
| SCN5A | 594 |
| BRAF | 1,442 |
| SOS1 | 421 |
| CACNA1C | 575 |
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.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| FEDRATINIB | 4 | BRAF, MYLK3, SCN5A |
| AXITINIB | 4 | MYLK3 |
| SORAFENIB | 4 | BRAF, MYLK3 |
| NINTEDANIB | 4 | MYLK3, SCN5A |
| SUNITINIB | 4 | CACNA1C, MYLK3, SCN5A |
| QUIZARTINIB | 4 | MYLK3 |
| MIDOSTAURIN | 4 | MYLK3 |
| NILOTINIB | 4 | BRAF, CACNA1C, ILK |
| ERLOTINIB | 4 | BRAF, ILK |
| BEPRIDIL | 4 | CACNA1C, SCN5A |
| CANDESARTAN CILEXETIL | 4 | SCN5A |
| TELMISARTAN | 4 | SCN5A |
| CARBAMAZEPINE | 4 | SCN5A |
| DIBUCAINE | 4 | CACNA1C, SCN5A |
| IMIPRAMINE | 4 | CACNA1C, SCN5A |
| DROPERIDOL | 4 | CACNA1C, SCN5A |
| PONATINIB | 4 | BRAF, SCN5A |
| DULOXETINE | 4 | CACNA1C, SCN5A |
| PALONOSETRON | 4 | SCN5A |
| VILANTEROL | 4 | SCN5A |
| MEXILETINE HYDROCHLORIDE | 4 | SCN5A |
| UNOPROSTONE ISOPROPYL | 4 | SCN5A |
| LURASIDONE | 4 | SCN5A |
| LETERMOVIR | 4 | SCN5A |
| SERTINDOLE | 4 | CACNA1C, SCN5A |
| QUINIDINE | 4 | CACNA1C, SCN5A |
| DARUNAVIR | 4 | SCN5A |
| DARIFENACIN | 4 | SCN5A |
| BENZONATATE | 4 | SCN5A |
| TOLTERODINE | 4 | CACNA1C, SCN5A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 11 | MYLK3, ILK, SCN5A, SDHA, BRAF, SOS1, TNNC1, KDM6A, CACNA1C, CACNB2 (+1 more) |
| B | Phased (≥1) drug, not yet approved | 3 | TXNRD2, RYR2, SCN2B |
| C | Druggable family + PDB, no drug | 5 | FLNC, TTN, MYBPC3, SOD2, RHBDF1 |
| D | Druggable family + AlphaFold only, no drug | 2 | MYPN, ALPK3 |
| E | Difficult family or no structure, no drug | 54 | TMPO, 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).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| SNTA1 | 0 | SCN5A |
| JPH2 | 0 | RYR2 |
| CASQ2 | 0 | RYR2, CACNA1C |
| FLNC | 0 | — |
| TMPO | 7 | — |
| TTN | 1 | — |
| ZBTB17 | 4 | — |
| PRDM16 | 2 | — |
| ACTC1 | 6 | — |
| NEBL | 0 | — |
| PPP1R13L | 0 | — |
| NOL6 | 0 | — |
| MYPN | 0 | — |
| FHOD3 | 0 | — |
| GCOM1 | 0 | — |
| C10orf71 | 0 | — |
| RBM20 | 0 | — |
| GATA4 | 5 | — |
| GATA6 | 0 | — |
| MYZAP | 0 | — |
| MYBPC3 | 0 | — |
| MYL2 | 0 | — |
| NRAP | 0 | — |
| BAG3 | 8 | — |
| RPL3L | 0 | — |
| SOD2 | 2 | — |
| FBXO32 | 0 | — |
| SLC30A5 | 1 | — |
| RTKN2 | 0 | — |
| LRRC10 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 158.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 103 |
| PHASE2 | 14 |
| PHASE1 | 11 |
| PHASE3 | 10 |
| PHASE1/PHASE2 | 8 |
| PHASE4 | 6 |
| PHASE2/PHASE3 | 5 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06236022 | PHASE4 | RECRUITING | The Effects of Sirolimus in Patients With Dilated Cardiomyopathy Infected With Kaposi Sarcoma-associated Virus |
| NCT00374465 | PHASE4 | UNKNOWN | Therapy With Verapamil or Carvedilol in Chronic Heart Failure |
| NCT01293903 | PHASE4 | COMPLETED | Study of Qiliqiangxin Capsule to Treat Dilated Cardiomyopathy |
| NCT01557140 | PHASE4 | COMPLETED | A Randomized Trial of Carvedilol in Chronic Chagas Cardiomyopathy |
| NCT01917149 | PHASE4 | COMPLETED | Supramaximal Titrated Inhibition of RAAS in Dilated Cardiomyopathy |
| NCT02115581 | PHASE4 | COMPLETED | Coenzyme Q10 Supplementation in Children With Idiopathic Dilated Cardiomyopathy |
| NCT06250257 | PHASE3 | RECRUITING | Bromocriptine in Dilated Cardiomyopathy Among Women of Reproductive Age |
| NCT00333827 | PHASE3 | COMPLETED | Cell Therapy In Dilated Cardiomyopathy |
| NCT00505154 | PHASE3 | COMPLETED | Effect of Rosuvastatin on Left Ventricular Remodeling |
| NCT00743639 | PHASE2/PHASE3 | COMPLETED | Autologous Transplantation of Bone Marrow Mononuclear Stem-Cells for Dilated Cardiomyopathy |
| NCT01223703 | PHASE3 | COMPLETED | PUFAs and Left Ventricular Function in Heart Failure |
| NCT01311791 | PHASE2/PHASE3 | COMPLETED | A Randomized, Controlled Study to Evaluate Algisyl-LVR™ as a Method of Left Ventricular Augmentation for Heart Failure |
| NCT01583114 | PHASE3 | TERMINATED | PREclinical Mutation CARriers From Families With DIlated Cardiomyopathy and ACE Inhibitors |
| NCT01914081 | PHASE3 | UNKNOWN | Resveratrol: A Potential Anti- Remodeling Agent in Heart Failure, From Bench to Bedside |
| NCT02248532 | PHASE2/PHASE3 | COMPLETED | Repetitive Intramyocardial CD34+ Cell Therapy in Dilated Cardiomyopathy (REMEDIUM) |
| NCT02652728 | PHASE2/PHASE3 | UNKNOWN | Orodispersible Minitablets of Enalapril in Children With Heart Failure Due to Dilated Cardiomyopathy |
| NCT02654678 | PHASE2/PHASE3 | UNKNOWN | Follow-up Safety Trial in Children With Chronic Heart Failure Therapy Receiving Orodispersible Minitablets of Enalapril |
| NCT02989181 | PHASE3 | UNKNOWN | Continues Positive Airway Pressure Treatment for Patients With Dilated Cardiomyopathy and Obstructive Sleep Apnea |
| NCT03439514 | PHASE3 | TERMINATED | A Study of ARRY-371797 (PF-07265803) in Patients With Symptomatic Dilated Cardiomyopathy Due to a Lamin A/C Gene Mutation |
| NCT05237323 | PHASE3 | COMPLETED | Micophenolate Mofetil Versus Azathioprine in Myocarditis |
| NCT05849766 | PHASE3 | COMPLETED | Effect of Dapagliflozin on Cardiac Structure, Function and Secondary Mitral Regurgitation in Patients with Left Ventricle Dysfunction |
| NCT03572660 | PHASE2 | ACTIVE_NOT_RECRUITING | Use of Bone Marrow Derived Stem Cell and G-CSF With Circulatory Assistance in the Treatment of DCM |
| NCT06632834 | PHASE2 | RECRUITING | Outcome-targeted Therapy: Principle and Outcome Evaluation: Clinical Study and Phenotype-genotype Correlation |
| NCT07347197 | PHASE1/PHASE2 | NOT_YET_RECRUITING | Endocardial Delivery for Myocardial Regeneration Using Allogeneic iPSC-derived Cardiomyocyte Spheroids for HF With Systolic Dysfunction (EMERALD Study) |
| NCT07426419 | PHASE1/PHASE2 | NOT_YET_RECRUITING | An AAV Gene Therapy Trial of AFTX-201 in Adults With BAG3-Associated Dilated Cardiomyopathy (DCM) |
| NCT00454818 | PHASE1/PHASE2 | COMPLETED | Efficacy and Safety Study of Genetically Targeted Enzyme Replacement Therapy for Advanced Heart Failure |
| NCT00615394 | PHASE1/PHASE2 | COMPLETED | Autologous Transplantation of Bone Marrow Mononuclear Stem-Cells by Mini-Thoracotomy |
| NCT00629018 | PHASE2 | COMPLETED | Safety and Efficacy Study of Stem Cell Transplantation to Treat Dilated Cardiomyopathy |
| NCT00629096 | PHASE2 | COMPLETED | Intracoronary Infusion of Autologous Bone Marrow Cells for Treatment of Idiopathic Dilated Cardiomyopathy |
| NCT00765518 | PHASE2 | COMPLETED | Use of Ixmyelocel-T (Formerly Cardiac Repair Cell [CRC] Treatment) in Patients With Heart Failure Due to Dilated Cardiomyopathy (IMPACT-DCM) |
| NCT00847964 | PHASE2 | COMPLETED | Safety and Feasibility of Algisyl-LVR™ as a Method of Left Ventricular Restoration in Patients With DCM Undergoing Open-heart Surgery |
| NCT01020968 | PHASE2 | COMPLETED | Use of Ixmyelocel-T (Formerly Catheter-based Cardiac Repair Cell [CRC]) Treatment in Patients With Heart Failure Due to Dilated Cardiomyopathy |
| NCT01219452 | PHASE1/PHASE2 | UNKNOWN | Intramuscular Injection of Mesenchymal Stem Cell for Treatment of Children With Idiopathic Dilated Cardiomyopathy |
| NCT01290822 | PHASE1/PHASE2 | TERMINATED | Optimized Biventricular Pacing Allograft Recipients |
| NCT01302171 | PHASE2 | COMPLETED | Bone Marrow Derived Adult Stem Cells for Dilated Cardiomyopathy |
| NCT01350310 | PHASE2 | COMPLETED | Safety and Efficacy Study of Intramyocardial Stem Cell Therapy in Patients With Dilated Cardiomyopathy |
| NCT01739777 | PHASE1/PHASE2 | COMPLETED | Randomized Clinical Trial of Intravenous Infusion Umbilical Cord Mesenchymal Stem Cells on Cardiopathy |
| NCT02133911 | PHASE2 | COMPLETED | A Pilot Trial of Ranolazine to Treat Patients With Dilated Cardiomyopathy |
| NCT03071653 | PHASE2 | SUSPENDED | Left Cardiac Sympathetic Denervation for Cardiomyopathy Feasibility Pilot Study |
| NCT03447990 | PHASE1/PHASE2 | COMPLETED | v4 Study Evaluating the Safety, Tolerability and Preliminary Pharmacokinetics and Pharmacodynamics of MYK-491 |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| PERINDOPRIL | 4 | 3 |
| METOPROLOL | 4 | 2 |
| BENAZEPRIL | 4 | 1 |
| CARVEDILOL | 4 | 1 |
| MANGAFODIPIR TRISODIUM | 4 | 1 |
| NESIRITIDE | 4 | 1 |
| RANOLAZINE | 4 | 1 |
| SIROLIMUS | 4 | 1 |
| VALSARTAN | 4 | 1 |
| VERAPAMIL | 4 | 1 |
| IXMYELOCEL-T | 3 | 2 |
| ARRY-797 | 3 | 1 |
| RESVERATROL | 3 | 1 |
| UBIDECARENONE | 3 | 1 |
| CLENBUTEROL | 2 | 1 |
| DANICAMTIV | 2 | 1 |
| DEXVERAPAMIL | 2 | 1 |
| MITOQUINONE MESYLATE | 2 | 1 |
| CHEMBL115622 | 0 | 1 |
| CHEMBL4071327 | 0 | 1 |
| CHEMBL454299 | 0 | 1 |
| (R)-Carvedilol | 0 | 1 |
Related Atlas pages
- Cohort genes: FLNC, TMPO, PRDM16, ACTC1, NEBL, TXNRD2, PPP1R13L, NOL6, MYPN, C10orf71, RBM20, MYLK3, GATA4, GATA6, MYZAP, ILK, MYBPC3, MYL2, NRAP, TTN, ZBTB17, FHOD3, BAG3, RPL3L, SOD2, FBXO32, SLC30A5, RTKN2, LRRC10, RHBDF1, BMP10, PHACTR2, PPCDC, PLEKHM2, LMOD2, RYR2, SCN2B, SCN5A, SCO2, SDHA, SGCB, SGCD, SGCG, BRAF, SMARCB1, SNTA1, SOS1, SVIL, TAF1A, TAFAZZIN, TBX20, TBX5, TCAP, TGFB3, TJP1, TNNC1, TNNI3, TNNT2, TPM1, TSFM, KDM6A, VCL, ACTA1, CACNA1C, CACNB2, JPH2, CASQ2, LDB3, ANKRD1, ACTN2, HCN4, SYNE2, SYNE1, ALPK3
- Drugs: Perindopril, Metoprolol, Benazepril, Carvedilol, Mangafodipir Trisodium, Nesiritide, Ranolazine, Sirolimus, Valsartan, Verapamil, Ixmyelocel-T, ARRY-797, Resveratrol, Ubidecarenone
- Associated genes: CDH2, CTF1, DTNA, MIB1, MYL3, NPPA, OBSCN, PDLIM3, PKP2, PPA2, TMOD1, TNNI3K