Summary
Drug-induced dyskinesia (MONDO:0006732) is a disease with 10 cohort genes (62 GWAS associations across 6 studies) and 1 clinical trial. Top therapeutic interventions include amantadine and topiramate.
At a glance
- Cohort genes: 10
- GWAS associations: 62
- Clinical trials: 1
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | drug-induced dyskinesia |
| Mondo ID | MONDO:0006732 |
| EFO | EFO:1000904 |
| MeSH | D004409 |
| SNOMED CT | 102448004 |
| UMLS | C0013386 |
| MedGen | 3935 |
| MedDRA | 10013916 |
| Is cancer (heuristic) | no |
Data availability: 62 GWAS associations (6 studies).
Disease family
Classification path: disease › human disease › disease by body system or component › nervous system disorder › drug-induced dyskinesia
Related subtypes (71): congenital nervous system disorder, central nervous system disorder, autoimmune disorder of the nervous system, cranial nerve neuropathy, peripheral nervous system disorder, neuronitis, diplegia of upper limb, retinal disorder, developmental disability, restless legs syndrome, movement disorder, toxic encephalopathy, Barre-Lieou syndrome, Gerstmann syndrome, drug-induced akathisia, stiff-person syndrome, Worster-Drought syndrome, corneal-cerebellar syndrome, pachygyria-intellectual disability-epilepsy syndrome, porencephaly-cerebellar hypoplasia-internal malformations syndrome, symmetrical thalamic calcifications, neonatal brainstem dysfunction, primary orthostatic hypotension, rippling muscle disease with myasthenia gravis, periodic paralysis, qualitative or quantitative protein defects in neuromuscular diseases, specific learning disability, cerebellar hypoplasia-tapetoretinal degeneration syndrome, locked-in syndrome, dopa-responsive dystonia, idiopathic recurrent stupor, chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids, spontaneous periodic hypothermia, Sydenham chorea, duplication of the pituitary gland, Balint syndrome, paraneoplastic neurologic syndrome, persistent idiopathic facial pain, serotonin syndrome, hypothalamic adipsic hypernatraemia syndrome, exercise-induced malignant hyperthermia, perineural cyst, neuromuscular disease, neuromyelitis optica, AL amyloidosis, AA amyloidosis, neuroleptic malignant syndrome, infectious disorder of the nervous system, central nervous system malformation, synaptopathy, nervous system neoplasm, sensory ganglionopathy, radiculitis, wet beriberi, perceptual disorders, prepubertal anorexia nervosa, neurocutaneous syndrome, neurovascular disorder, Wallerian degeneration, nervous system injury, neurosarcoidosis, neuroendocrine disorder, tubulinopathy, atactic disorder, hereditary neurological disease, meningitis-retention syndrome, KIF1A related neurological disorder, neurological pain disorder, neurodevelopmental disorder, post 5-alpha-reductase inhibitors treatment syndrome, post-selective serotonin reuptake inhibitor sexual dysfunction
Genetics & variants
GWAS landscape
62 GWAS associations across 6 studies. Top hits map to 11 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs189093213 | 2e-09 | LINC02353 - MAPRE1P2 | ? | 3.08 |
| rs150874134 | 3e-09 | LINC02353 - MAPRE1P2 | ? | 3.09 |
| rs180924818 | 6e-09 | PLA2G10FP - SPRING1P3 | ? | 0.32 |
| rs144125291 | 8e-09 | CAPN13 - GALNT14 | T | 5.45 |
| rs7027509 | 2e-08 | BRD3 | ? | 0.71 |
| rs72673189 | 2e-08 | LRP8 | ? | 2.76 |
| rs12380892 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs138047589 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs140803269 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs145587141 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs148398679 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs150430050 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs2078778 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs549613294 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs9657703 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs9657704 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs10821545 | 5e-08 | BRD3 - ARF4P1 | ? | 0.72 |
| rs142792919 | 5e-08 | BRD3 - ARF4P1 | ? | 0.72 |
| rs145845084 | 5e-08 | BRD3 - ARF4P1 | ? | 0.72 |
| rs146585356 | 5e-08 | BRD3 - ARF4P1 | ? | 0.72 |
| rs148939577 | 5e-08 | BRD3 - ARF4P1 | ? | 0.72 |
| rs10821552 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs10821554 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs10821555 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs10821556 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs10993905 | 5e-08 | BRD3 | ? | 0.73 |
| rs10993918 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs12377089 | 5e-08 | BRD3 - ARF4P1 | ? | 0.73 |
| rs1400463140 | 5e-08 | IGBP1P1 - SRP54-AS1 | ? | 0.73 |
| chr14:34945505 | 5e-08 | | ? | 0.73 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90281037 | Sosero YL | 2024 | 1,612 | 3,175 | Dopamine Pathway and Parkinson’s Risk Variants Are Associated with Levodopa-Induced Dyskinesia. |
| GCST011065 | Ryu HS | 2020 | 172 | 0 | Genomic Analysis Identifies New Loci Associated With Motor Complications in Parkinson’s Disease. |
| GCST90624185 | Wan Y | 2025 | 46 | 0 | Integrative Approaches Identify Genetic Determinants of Levodopa Induced Dyskinesia. |
| GCST90624186 | Wan Y | 2025 | 46 | 0 | Integrative Approaches Identify Genetic Determinants of Levodopa Induced Dyskinesia. |
| GCST90281038 | Sosero YL | 2024 | 0 | 0 | Dopamine Pathway and Parkinson’s Risk Variants Are Associated with Levodopa-Induced Dyskinesia. |
| GCST90428054 | Martinez-Carrasco A | 2023 | 0 | 0 | Genetic meta-analysis of levodopa induced dyskinesia in Parkinson’s disease. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 45 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 40 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 5 |
Functional consequences
| Consequence | Count |
|---|
| intergenic_variant | 30 |
| intron_variant | 14 |
| regulatory_region_variant | 1 |
| unknown | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs189093213 | 4 | 32433662 | G>A | | intergenic_variant | LINC02353 - MAPRE1P2 | 2e-09 | Tier 4: intronic/intergenic |
| rs150874134 | 4 | 32375035 | T>A,C | | intergenic_variant | LINC02353 - MAPRE1P2 | 3e-09 | Tier 4: intronic/intergenic |
| rs180924818 | 16 | 16951118 | A>G,T | 0.05 | intergenic_variant | PLA2G10FP - SPRING1P3 | 6e-09 | Tier 4: intronic/intergenic |
| rs144125291 | 2 | 30883189 | C>T | 0.07 | intergenic_variant | CAPN13 - GALNT14 | 8e-09 | Tier 4: intronic/intergenic |
| rs7027509 | 9 | 134062754 | C>G,T | 0.05 | intron_variant | BRD3 | 2e-08 | Tier 4: intronic/intergenic |
| rs72673189 | 1 | 53312628 | G>A | 0.05 | intron_variant | LRP8 | 2e-08 | Tier 4: intronic/intergenic |
| rs12380892 | 9 | 134075958 | G>A,C | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs138047589 | 9 | 134075920 | C>A,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs140803269 | 9 | 134075927 | C>G,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs145587141 | 9 | 134075966 | G>A,C,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs148398679 | 9 | 134076084 | C>G,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs150430050 | 9 | 134075208 | C>A,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs2078778 | 9 | 134073839 | G>A | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs549613294 | 9 | 134075985 | | | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs9657703 | 9 | 134077301 | G>A,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs9657704 | 9 | 134077438 | T>A | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs10821545 | 9 | 134068979 | T>G | 0.05 | regulatory_region_variant | BRD3 - ARF4P1 | 5e-08 | Tier 3: regulatory |
| rs142792919 | 9 | 134075772 | T>C,G | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs145845084 | 9 | 134075767 | C>A,G,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs146585356 | 9 | 134075775 | T>A,C | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs148939577 | 9 | 134075768 | A>C,G,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs10821552 | 9 | 134074870 | C>A | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs10821554 | 9 | 134076657 | C>A,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs10821555 | 9 | 134076668 | C>A,G | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs10821556 | 9 | 134077014 | C>A | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs10993905 | 9 | 134061966 | G>T | 0.05 | intron_variant | BRD3 | 5e-08 | Tier 4: intronic/intergenic |
| rs10993918 | 9 | 134076423 | G>A,C,T | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs12377089 | 9 | 134076173 | A>C,G | 0.05 | intergenic_variant | BRD3 - ARF4P1 | 5e-08 | Tier 4: intronic/intergenic |
| rs1400463140 | 14 | 34945504 | TCACA>T | | intron_variant | IGBP1P1 - SRP54-AS1 | 5e-08 | Tier 4: intronic/intergenic |
| chr14:34945505 | | | | | | | 5e-08 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 4 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| CBFA2T3 | Orphanet:329469 | Acute megakaryoblastic leukemia in children without Down syndrome |
| LRPPRC | Orphanet:70472 | Congenital lactic acidosis, Saguenay-Lac-Saint-Jean type |
| ADAM10 | Orphanet:178307 | Reticulate acropigmentation of Kitamura |
| EXTL3 | Orphanet:508533 | Skeletal dysplasia-T-cell immunodeficiency-developmental delay syndrome |
Cohort genes → proteins
10 cohort genes, 10 distinct canonical proteins.
Evidence partition
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| LINC01549 | HGNC:1277 | ENSG00000232560 | A6NIU2 | Putative uncharacterized protein encoded by LINC01549 | gwas |
| CBFA2T3 | HGNC:1537 | ENSG00000129993 | O75081 | Transcriptional corepressor CBFA2T3 | gwas |
| LRPPRC | HGNC:15714 | ENSG00000138095 | P42704 | Leucine-rich PPR motif-containing protein, mitochondrial | gwas |
| ADAM10 | HGNC:188 | ENSG00000137845 | O14672 | Disintegrin and metalloproteinase domain-containing protein 10 | gwas |
| GALNT14 | HGNC:22946 | ENSG00000158089 | Q96FL9 | Polypeptide N-acetylgalactosaminyltransferase 14 | gwas |
| TMEM132C | HGNC:25436 | ENSG00000181234 | Q8N3T6 | Transmembrane protein 132C | gwas |
| LINC02693 | HGNC:27904 | ENSG00000212719 | A8MQB3 | Putative uncharacterized protein LINC02693 | gwas |
| TMEM158 | HGNC:30293 | ENSG00000249992 | Q8WZ71 | Transmembrane protein 158 | gwas |
| SCGB1D4 | HGNC:31748 | ENSG00000197745 | Q6XE38 | Secretoglobin family 1D member 4 | gwas |
| EXTL3 | HGNC:3518 | ENSG00000012232 | O43909 | Exostosin-like 3 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| CBFA2T3 | Transcriptional corepressor CBFA2T3 | Transcriptional corepressor which facilitates transcriptional repression via its association with DNA-binding transcription factors and recruitment of other corepressors and histone-modifying enzymes. |
| LRPPRC | Leucine-rich PPR motif-containing protein, mitochondrial | May play a role in RNA metabolism in both nuclei and mitochondria. |
| ADAM10 | Disintegrin and metalloproteinase domain-containing protein 10 | Transmembrane metalloprotease which mediates the ectodomain shedding of a myriad of transmembrane proteins, including adhesion proteins, growth factor precursors and cytokines being essential for development and tissue homeostasis. |
| GALNT14 | Polypeptide N-acetylgalactosaminyltransferase 14 | Catalyzes the initial reaction in O-linked oligosaccharide biosynthesis, the transfer of an N-acetyl-D-galactosamine residue to a serine or threonine residue on the protein receptor. |
| TMEM158 | Transmembrane protein 158 | Receptor for brain injury-derived neurotrophic peptide (BINP), a synthetic 13-mer peptide. |
| SCGB1D4 | Secretoglobin family 1D member 4 | Seems to be involved in the regulation of chemotactic cell migration and invasion. |
| EXTL3 | Exostosin-like 3 | Glycosyltransferase which regulates the biosynthesis of heparan sulfate (HS). |
Protein-family classification
Druggable: 3 · Difficult: 1 · Unknown: 6 · Druggable fraction: 0.3
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 |
|---|
| Protease | 1 | 3.7× | 0.484 |
| Enzyme (other) | 2 | 2.4× | 0.484 |
| Other/Unknown | 6 | 1.1× | 0.701 |
| Transcription factor | 1 | 0.8× | 0.725 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| LINC01549 | Other/Unknown | no | | |
| CBFA2T3 | Transcription factor | no | | Znf_MYND, TAFH_NHR1, CBFA2T1/2/3 |
| LRPPRC | Other/Unknown | no | | PPR_rpt, TPR-like_helical_dom_sf, PROP1-like_PPR_dom |
| ADAM10 | Protease | yes | 3.4.24.81 | Peptidase_M12B, Disintegrin_dom, MetalloPept_cat_dom_sf |
| GALNT14 | Enzyme (other) | yes | 2.4.1.41 | Ricin_B_lectin, Glyco_trans_2-like, Nucleotide-diphossugar_trans |
| TMEM132C | Other/Unknown | no | | TMEM132, TMEM132_N, TMEM132_C |
| LINC02693 | Other/Unknown | no | | DUF5545 |
| TMEM158 | Other/Unknown | no | | TMEM158 |
| SCGB1D4 | Other/Unknown | no | | Secretoglobin, Secretoglobin_sf |
| EXTL3 | Enzyme (other) | yes | 2.4.1.223 | Exostosin, GT64_dom, Nucleotide-diphossugar_trans |
Expression context
Cohort genes with no expression data: 0.
9 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) | 0 |
| broad (>20) | 10 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| buccal mucosa cell | 2 |
| cerebellar hemisphere | 2 |
| right hemisphere of cerebellum | 2 |
| stromal cell of endometrium | 2 |
| C1 segment of cervical spinal cord | 1 |
| spinal cord | 1 |
| endometrium epithelium | 1 |
| adrenal tissue | 1 |
| biceps brachii | 1 |
| skeletal muscle tissue of rectus abdominis | 1 |
| amniotic fluid | 1 |
| trigeminal ganglion | 1 |
| adult mammalian kidney | 1 |
| lower esophagus mucosa | 1 |
| nephron tubule | 1 |
| decidua | 1 |
| upper arm skin | 1 |
| cerebellar cortex | 1 |
| nucleus accumbens | 1 |
| putamen | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| LINC01549 | 173 | tissue_specific | marker | buccal mucosa cell, spinal cord, C1 segment of cervical spinal cord |
| CBFA2T3 | 197 | broad | marker | endometrium epithelium, right hemisphere of cerebellum, cerebellar hemisphere |
| LRPPRC | 303 | ubiquitous | marker | skeletal muscle tissue of rectus abdominis, biceps brachii, adrenal tissue |
| ADAM10 | 298 | ubiquitous | marker | stromal cell of endometrium, amniotic fluid, trigeminal ganglion |
| GALNT14 | 194 | broad | marker | lower esophagus mucosa, adult mammalian kidney, nephron tubule |
| TMEM132C | 199 | broad | marker | decidua, buccal mucosa cell, upper arm skin |
| LINC02693 | 242 | ubiquitous | marker | cerebellar hemisphere, cerebellar cortex, right hemisphere of cerebellum |
| TMEM158 | 217 | ubiquitous | marker | seminal vesicle, nucleus accumbens, putamen |
| SCGB1D4 | 44 | tissue_specific | yes | right uterine tube, endometrium, fallopian tube |
| EXTL3 | 210 | ubiquitous | marker | stromal cell of endometrium, ventricular zone, cortical plate |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| ADAM10 | 3,603 |
| LRPPRC | 3,567 |
| CBFA2T3 | 2,092 |
| EXTL3 | 1,202 |
| TMEM132C | 852 |
| GALNT14 | 809 |
| TMEM158 | 509 |
| SCGB1D4 | 333 |
| LINC02693 | 7 |
| LINC01549 | 0 |
Structural data
PDB: 4 · AlphaFold-only: 6 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| EXTL3 | O43909 | 4 |
| ADAM10 | O14672 | 3 |
| LRPPRC | P42704 | 2 |
| CBFA2T3 | O75081 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| GALNT14 | Q96FL9 | 89.23 |
| SCGB1D4 | Q6XE38 | 87.72 |
| TMEM132C | Q8N3T6 | 69.84 |
| LINC01549 | A6NIU2 | 64.51 |
| TMEM158 | Q8WZ71 | 58.36 |
| LINC02693 | A8MQB3 | 39.55 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 45. Enrichment computed across 10 evidence-associated genes (4 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 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Signaling by NOTCH1 t(7;9)(NOTCH1:M1580_K2555) Translocation Mutant | 1 | 713.8× | 0.029 | ADAM10 |
| Constitutive Signaling by NOTCH1 t(7;9)(NOTCH1:M1580_K2555) Translocation Mutant | 1 | 407.9× | 0.029 | ADAM10 |
| Mitochondrial RNA degradation | 1 | 407.9× | 0.029 | LRPPRC |
| Signaling by NOTCH1 HD Domain Mutants in Cancer | 1 | 317.2× | 0.029 | ADAM10 |
| NOTCH4 Activation and Transmission of Signal to the Nucleus | 1 | 259.6× | 0.029 | ADAM10 |
| Mitochondrial mRNA modification | 1 | 259.6× | 0.029 | LRPPRC |
| Constitutive Signaling by NOTCH1 HD Domain Mutants | 1 | 190.3× | 0.029 | ADAM10 |
| Signaling by NOTCH2 | 1 | 178.4× | 0.029 | ADAM10 |
| Signaling by NOTCH3 | 1 | 129.8× | 0.029 | ADAM10 |
| Signaling by NOTCH4 | 1 | 124.1× | 0.029 | ADAM10 |
| NOTCH3 Activation and Transmission of Signal to the Nucleus | 1 | 119.0× | 0.029 | ADAM10 |
| NOTCH2 Activation and Transmission of Signal to the Nucleus | 1 | 109.8× | 0.029 | ADAM10 |
| Signaling by NOTCH1 PEST Domain Mutants in Cancer | 1 | 102.0× | 0.029 | ADAM10 |
| Signaling by NOTCH1 in Cancer | 1 | 102.0× | 0.029 | ADAM10 |
| Signaling by NOTCH1 HD+PEST Domain Mutants in Cancer | 1 | 102.0× | 0.029 | ADAM10 |
| Signaling by NOTCH1 | 1 | 89.2× | 0.029 | ADAM10 |
| Activated NOTCH1 Transmits Signal to the Nucleus | 1 | 89.2× | 0.029 | ADAM10 |
| HS-GAG biosynthesis | 1 | 86.5× | 0.029 | EXTL3 |
| Signaling by EGFR | 1 | 81.6× | 0.029 | ADAM10 |
| EPH-ephrin mediated repulsion of cells | 1 | 54.9× | 0.039 | ADAM10 |
| XBP1(S) activates chaperone genes | 1 | 53.9× | 0.039 | EXTL3 |
| Constitutive Signaling by NOTCH1 PEST Domain Mutants | 1 | 49.2× | 0.039 | ADAM10 |
| Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants | 1 | 49.2× | 0.039 | ADAM10 |
| O-linked glycosylation of mucins | 1 | 46.0× | 0.039 | GALNT14 |
| Collagen degradation | 1 | 43.9× | 0.039 | ADAM10 |
| Signaling by NOTCH | 1 | 43.9× | 0.039 | ADAM10 |
| EPH-Ephrin signaling | 1 | 41.4× | 0.040 | ADAM10 |
| Degradation of the extracellular matrix | 1 | 29.4× | 0.054 | ADAM10 |
| Amyloid fiber formation | 1 | 25.7× | 0.059 | ADAM10 |
| Post-translational protein phosphorylation | 1 | 25.0× | 0.059 | ADAM10 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 5 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| constitutive protein ectodomain proteolysis | 1 | 3370.4× | 0.006 | ADAM10 |
| regulation of vasculature development | 1 | 3370.4× | 0.006 | ADAM10 |
| epidermal growth factor receptor ligand maturation | 1 | 1685.2× | 0.006 | ADAM10 |
| negative regulation of mitochondrial mRNA catabolic process | 1 | 1685.2× | 0.006 | LRPPRC |
| positive regulation of detection of glucose | 1 | 1685.2× | 0.006 | EXTL3 |
| positive regulation of cell growth | 2 | 73.3× | 0.006 | ADAM10, EXTL3 |
| protein catabolic process at postsynapse | 1 | 1123.5× | 0.007 | ADAM10 |
| mitochondrial mRNA polyadenylation | 1 | 842.6× | 0.008 | LRPPRC |
| mitochondrial RNA catabolic process | 1 | 561.7× | 0.011 | LRPPRC |
| regulation of mitochondrial translation | 1 | 481.5× | 0.011 | LRPPRC |
| postsynapse organization | 1 | 481.5× | 0.011 | ADAM10 |
| regulation of aerobic respiration | 1 | 421.3× | 0.011 | CBFA2T3 |
| monocyte activation | 1 | 374.5× | 0.011 | ADAM10 |
| pore complex assembly | 1 | 374.5× | 0.011 | ADAM10 |
| negative regulation of keratinocyte differentiation | 1 | 337.0× | 0.011 | EXTL3 |
| negative regulation of inflammatory response to wounding | 1 | 337.0× | 0.011 | EXTL3 |
| quinolinate biosynthetic process | 1 | 306.4× | 0.011 | EXTL3 |
| mitochondrion transport along microtubule | 1 | 280.9× | 0.011 | LRPPRC |
| granulocyte differentiation | 1 | 240.7× | 0.012 | CBFA2T3 |
| amyloid precursor protein catabolic process | 1 | 240.7× | 0.012 | ADAM10 |
| positive regulation of T cell chemotaxis | 1 | 224.7× | 0.012 | ADAM10 |
| negative regulation of glycolytic process | 1 | 210.7× | 0.012 | CBFA2T3 |
| positive regulation of tumor necrosis factor-mediated signaling pathway | 1 | 210.7× | 0.012 | ADAM10 |
| positive regulation of keratinocyte proliferation | 1 | 198.3× | 0.012 | EXTL3 |
| regulation of neurotransmitter receptor localization to postsynaptic specialization membrane | 1 | 177.4× | 0.013 | ADAM10 |
| regulation of Notch signaling pathway | 1 | 168.5× | 0.013 | ADAM10 |
| membrane protein ectodomain proteolysis | 1 | 129.6× | 0.016 | ADAM10 |
| response to tumor necrosis factor | 1 | 124.8× | 0.016 | ADAM10 |
| heparan sulfate proteoglycan biosynthetic process | 1 | 112.3× | 0.017 | EXTL3 |
| regulation of postsynapse organization | 1 | 105.3× | 0.018 | ADAM10 |
Therapeutics
Drugs indicated for this disease
No approved or late-stage (phase ≥3) drug is indicated for this disease; the following are in earlier-phase trials only.
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Levetiracetam.
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 1 · Undrugged: 9
Druggability breadth: 3 of 10 evidence-associated genes (30%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| ADAM10 | 2 | 2 |
| LINC01549 | 0 | 0 |
| CBFA2T3 | 0 | 0 |
| LRPPRC | 0 | 0 |
| GALNT14 | 0 | 0 |
| TMEM132C | 0 | 0 |
| LINC02693 | 0 | 0 |
| TMEM158 | 0 | 0 |
| SCGB1D4 | 0 | 0 |
| EXTL3 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|
| ILOMASTAT | 2 | ADAM10 |
| APRATASTAT | 2 | ADAM10 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 3.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| ADAM10 | 64 | Binding:60, ADMET:4 |
| LRPPRC | 4 | Binding:4 |
| GALNT14 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| ADAM10 | 3.4.24.81 | ADAM10 endopeptidase |
| GALNT14 | 2.4.1.41 | polypeptide N-acetylgalactosaminyltransferase |
| EXTL3 | 2.4.1.223 | glucuronosyl-galactosyl-proteoglycan 4-alpha-N-acetylglucosaminyltransferase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 8; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
2 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) |
|---|
| ILOMASTAT | 2 | ADAM10 |
| APRATASTAT | 2 | ADAM10 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 1 | ADAM10 |
| C | Druggable family + PDB, no drug | 1 | EXTL3 |
| D | Druggable family + AlphaFold only, no drug | 1 | GALNT14 |
| E | Difficult family or no structure, no drug | 7 | LINC01549, CBFA2T3, LRPPRC, TMEM132C, LINC02693, TMEM158, SCGB1D4 |
Undrugged target profiles
9 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| LINC01549 | 0 | — |
| CBFA2T3 | 0 | — |
| LRPPRC | 4 | — |
| GALNT14 | 1 | — |
| TMEM132C | 0 | — |
| LINC02693 | 0 | — |
| TMEM158 | 0 | — |
| SCGB1D4 | 0 | — |
| EXTL3 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 1.
Phase distribution (across all retrieved trials)
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT01789047 | PHASE2 | TERMINATED | Topiramate as an Adjunct to Amantadine in the Treatment of Dyskinesia in Parkinson’s Disease |
Drugs tested across these trials (top 30)
- Cohort genes: LINC01549, CBFA2T3, LRPPRC, ADAM10, GALNT14, TMEM132C, LINC02693, TMEM158, SCGB1D4, EXTL3
- Drugs: Amantadine, Topiramate