Enophthalmos

disease
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Also known as enophthalmos (disease)

Summary

Enophthalmos (MONDO:0001210) is a disease with 8 cohort genes and 2 clinical trials.

At a glance

  • Cohort genes: 8
  • ClinVar variants: 23
  • Clinical trials: 2

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameenophthalmos
Mondo IDMONDO:0001210
MeSHD015841
DOIDDOID:11175
ICD-10-CMH05.4
ICD-111783631381
SNOMED CT80093006
UMLSC0423224
MedGen473112
Is cancer (heuristic)no

Also known as: enophthalmos · enophthalmos (disease)

Data availability: 23 ClinVar variants · 1 HPO phenotype.

Disease family

Classification path: disease › human disease › disease by body system or component › disorder of orbital regioneye adnexa disorderdisease of orbital part of eye adnexaenophthalmos

Related subtypes (8): acute orbital inflammation, endocrine exophthalmos, lateral displacement of eye, intermittent proptosis, pulsating exophthalmos, chronic orbital inflammation, orbital cyst, constant exophthalmos

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

23 retrieved; paginated sample, class counts are floors:

13 pathogenic, 4 uncertain significance, 3 pathogenic/likely pathogenic, 2 likely pathogenic, 1 conflicting classifications of pathogenicity

ClinVarVariant (HGVS)GeneClassificationReview
26781246;XY;t(3;7)(q23;p15.3);inv(10)(p11.23q25.3)dnPathogeniccriteria provided, single submitter
26783046;X;t(X;5)(q24;q13)dnPathogeniccriteria provided, single submitter
26803646;XX;t(2;10)(q22;22.3)dnPathogeniccriteria provided, single submitter
520596NM_001320.7(CSNK2B):c.94G>A (p.Asp32Asn)CSNK2BPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
162157NC_000021.8:g.(?38007970)(39747620_?)delDSCR4Pathogenicno assertion criteria provided
162152NM_001347721.2(DYRK1A):c.736C>T (p.Arg246Ter)DYRK1APathogeniccriteria provided, multiple submitters, no conflicts
162153NM_001347721.2(DYRK1A):c.586C>T (p.Arg196Ter)DYRK1APathogeniccriteria provided, multiple submitters, no conflicts
162154NM_001347721.2(DYRK1A):c.594_597delinsGAA (p.Glu199fs)DYRK1APathogeniccriteria provided, single submitter
162156NM_001347721.2(DYRK1A):c.918dup (p.Gln307fs)DYRK1APathogenicno assertion criteria provided
162158NM_001347721.2(DYRK1A):c.1282C>T (p.Arg428Ter)DYRK1APathogeniccriteria provided, multiple submitters, no conflicts
162159NM_001347721.2(DYRK1A):c.817dup (p.Ser273fs)DYRK1APathogenicno assertion criteria provided
162161NM_001347721.2(DYRK1A):c.1205dup (p.Arg404fs)DYRK1APathogeniccriteria provided, single submitter
1173069NM_005916.5(MCM7):c.776G>C (p.Gly259Ala)MCM7Pathogeniccriteria provided, multiple submitters, no conflicts
1804007NM_005916.5(MCM7):c.133C>T (p.Gln45Ter)MCM7Pathogeniccriteria provided, single submitter
3196NM_016038.4(SBDS):c.258+2T>CSBDSPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
449095NM_016038.4(SBDS):c.184A>T (p.Lys62Ter)SBDSPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
26801446;XY;inv(2)(q11.2q33)dnLikely pathogeniccriteria provided, single submitter
162155NM_001347721.2(DYRK1A):c.1009T>C (p.Ser337Pro)DYRK1ALikely pathogenicno assertion criteria provided
205066NM_000748.3(CHRNB2):c.329A>C (p.Lys110Thr)CHRNB2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
26783146;Y;inv(X)(q27q28)Uncertain significancecriteria provided, single submitter
162160NM_001347721.2(DYRK1A):c.1736C>A (p.Thr579Asn)DYRK1AUncertain significancecriteria provided, single submitter
523482NM_001374353.1(GLI2):c.2593A>T (p.Thr865Ser)GLI2Uncertain significancecriteria provided, single submitter
2571628NM_001352702.2(PTK2):c.2563C>T (p.Arg855Ter)PTK2Uncertain significancecriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 17 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
SBDSOrphanet:622934SBDS-related severe neonatal spondylometaphyseal dysplasia
SBDSOrphanet:811Shwachman-Diamond syndrome
SBDSOrphanet:88Idiopathic aplastic anemia
CHRNB2Orphanet:98784Sleep-related hypermotor epilepsy
CSNK2BOrphanet:178469Autosomal dominant non-syndromic intellectual disability
CSNK2BOrphanet:689397Poirier-Bienvenu neurodevelopmental syndrome
DYRK1AOrphanet:268261DYRK1A-related intellectual disability syndrome due to 21q22.13q22.2 microdeletion
DYRK1AOrphanet:464311Intellectual disability syndrome due to a DYRK1A point mutation
GLI2Orphanet:220386Semilobar holoprosencephaly
GLI2Orphanet:280195Septopreoptic holoprosencephaly
GLI2Orphanet:280200Microform holoprosencephaly
GLI2Orphanet:420584Postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome
GLI2Orphanet:93924Lobar holoprosencephaly
GLI2Orphanet:93925Alobar holoprosencephaly
GLI2Orphanet:93926Midline interhemispheric variant of holoprosencephaly
GLI2Orphanet:95494Combined pituitary hormone deficiencies, genetic forms
MCM7Orphanet:2512Autosomal recessive primary microcephaly

Cohort genes → proteins

8 cohort genes, 8 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence8

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
SBDSHGNC:19440ENSG00000126524Q9Y3A5Ribosome maturation protein SBDSclinvar
CHRNB2HGNC:1962ENSG00000160716P17787Neuronal acetylcholine receptor subunit beta-2clinvar
CSNK2BHGNC:2460ENSG00000204435P67870Casein kinase II subunit betaclinvar
DSCR4HGNC:3045ENSG00000184029P56555Down syndrome critical region protein 4clinvar
DYRK1AHGNC:3091ENSG00000157540Q13627Dual specificity tyrosine-phosphorylation-regulated kinase 1Aclinvar
GLI2HGNC:4318ENSG00000074047P10070Zinc finger protein GLI2clinvar
MCM7HGNC:6950ENSG00000166508P33993DNA replication licensing factor MCM7clinvar
PTK2HGNC:9611ENSG00000169398Q05397Focal adhesion kinase 1clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
SBDSRibosome maturation protein SBDSRequired for the assembly of mature ribosomes and ribosome biogenesis.
CHRNB2Neuronal acetylcholine receptor subunit beta-2Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection…
CSNK2BCasein kinase II subunit betaRegulatory subunit of casein kinase II/CK2.
DYRK1ADual specificity tyrosine-phosphorylation-regulated kinase 1ADual-specificity kinase which possesses both serine/threonine and tyrosine kinase activities.
GLI2Zinc finger protein GLI2Functions as a transcription regulator in the hedgehog (Hh) pathway.
MCM7DNA replication licensing factor MCM7Acts as a component of the MCM2-7 complex (MCM complex) which is the replicative helicase essential for ‘once per cell cycle’ DNA replication initiation and elongation in eukaryotic cells.
PTK2Focal adhesion kinase 1Non-receptor protein-tyrosine kinase that plays an essential role in regulating cell migration, adhesion, spreading, reorganization of the actin cytoskeleton, formation and disassembly of focal adhesions and cell protrusions, cell cycle pr…

Protein-family classification

Druggable: 3 · Difficult: 1 · Unknown: 4 · Druggable fraction: 0.38

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Kinase310.4×0.007
Transcription factor11.0×0.755
Other/Unknown40.9×0.755

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
SBDSOther/UnknownnoSdo1/SBDS, Ribosome_mat_SBDS_CS, SDO1/SBDS_central
CHRNB2Other/UnknownnoNicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel
CSNK2BKinaseyesCasein_kinase_II_reg-sub, Casein_kin_II_reg-sub_N, Casein_kinase_II_beta-like
DSCR4Other/Unknownno
DYRK1AKinaseyes2.7.12.1Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
GLI2Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, GLI-like
MCM7Other/UnknownnoMCM_dom, AAA+_ATPase, MCM7
PTK2Kinaseyes2.7.10.2FERM_domain, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)8
unknown0

Top tissues across cohort

TissueCohort genes
calcaneal tendon2
ventricular zone2
popliteal artery1
tibial artery1
cervix squamous epithelium1
tongue squamous epithelium1
type B pancreatic cell1
left testis1
right testis1
skin of leg1
adult mammalian kidney1
quadriceps femoris1
vastus lateralis1
Brodmann (1909) area 231
amniotic fluid1
biceps brachii1
germinal epithelium of ovary1
tibia1
embryo1
ganglionic eminence1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
SBDS144ubiquitousmarkerpopliteal artery, tibial artery, calcaneal tendon
CHRNB2208broadyestongue squamous epithelium, cervix squamous epithelium, type B pancreatic cell
CSNK2B134ubiquitousmarkerleft testis, right testis, skin of leg
DSCR437tissue_specificmarkeradult mammalian kidney, vastus lateralis, quadriceps femoris
DYRK1A294ubiquitousmarkeramniotic fluid, biceps brachii, Brodmann (1909) area 23
GLI2211ubiquitousmarkertibia, germinal epithelium of ovary, ventricular zone
MCM7143ubiquitousmarkerembryo, ganglionic eminence, ventricular zone
PTK2295ubiquitousmarkercorpus callosum, colonic epithelium, calcaneal tendon

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
MCM75,413
DYRK1A4,909
PTK24,342
GLI23,112
SBDS2,110
CHRNB21,547
CSNK2B1,486
DSCR423

Structural data

PDB: 6 · AlphaFold-only: 2 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
DYRK1AQ1362791
PTK2Q0539740
MCM7P3399328
CHRNB2P1778715
CSNK2BP6787010
SBDSQ9Y3A56

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
DSCR4P5655546.84
GLI2P1007042.68

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 65. Enrichment computed across 8 evidence-associated genes (6 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 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
RUNX2 regulates chondrocyte maturation1380.7×0.029GLI2
Phosphorylation and nuclear translocation of BMAL1 (ARNTL) and CLOCK1380.7×0.029CSNK2B
GLI proteins bind promoters of Hh responsive genes to promote transcription1271.9×0.029GLI2
Highly sodium permeable postsynaptic acetylcholine nicotinic receptors1271.9×0.029CHRNB2
WNT mediated activation of DVL1237.9×0.029CSNK2B
Highly calcium permeable nicotinic acetylcholine receptors1211.5×0.029CHRNB2
DNA strand elongation1190.3×0.029MCM7
Condensation of Prometaphase Chromosomes1173.0×0.029CSNK2B
Highly calcium permeable postsynaptic nicotinic acetylcholine receptors1173.0×0.029CHRNB2
Receptor Mediated Mitophagy1173.0×0.029CSNK2B
Presynaptic nicotinic acetylcholine receptors1158.6×0.029CHRNB2
Unwinding of DNA1146.4×0.029MCM7
Acetylcholine binding and downstream events1135.9×0.029CHRNB2
Postsynaptic nicotinic acetylcholine receptors1135.9×0.029CHRNB2
Phosphorylation and nuclear translocation of the CRY:PER:kinase complex1135.9×0.029CSNK2B
p130Cas linkage to MAPK signaling for integrins1126.9×0.029PTK2
Maturation of hRSV A proteins1126.9×0.029CSNK2B
GRB2:SOS provides linkage to MAPK signaling for Integrins1119.0×0.029PTK2
DCC mediated attractive signaling1119.0×0.029PTK2
Signal regulatory protein family interactions1112.0×0.029PTK2
Signal transduction by L1186.5×0.035CSNK2B
Apoptotic cleavage of cellular proteins179.3×0.035PTK2
G0 and Early G1173.2×0.035DYRK1A
Estrogen-dependent nuclear events downstream of ESR-membrane signaling173.2×0.035PTK2
Integrin signaling170.5×0.035PTK2
Synthesis of PC168.0×0.035CSNK2B
MET activates PTK2 signaling163.4×0.035PTK2
Turbulent (oscillatory, disturbed) flow shear stress activates signaling by PIEZO1 and integrins in endothelial cells159.5×0.035PTK2
Regulation of CDH1 posttranslational processing and trafficking to plasma membrane156.0×0.035CSNK2B
Activation of the pre-replicative complex154.4×0.035MCM7

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
lateral geniculate nucleus development12407.4×0.015CHRNB2
negative regulation of heterochromatin formation11203.7×0.015DYRK1A
regulation of circadian sleep/wake cycle, REM sleep11203.7×0.015CHRNB2
regulation of amyloid-beta formation11203.7×0.015DYRK1A
ventral midline development1802.5×0.015GLI2
floor plate formation1802.5×0.015GLI2
vestibulocochlear nerve development1802.5×0.015CHRNB2
spinal cord ventral commissure morphogenesis1802.5×0.015GLI2
netrin-activated signaling pathway1802.5×0.015PTK2
symbiont-mediated disruption of host cell PML body1802.5×0.015CSNK2B
regulation of neurofibrillary tangle assembly1802.5×0.015DYRK1A
hindgut morphogenesis1601.9×0.015GLI2
regulation of synaptic transmission, dopaminergic1601.9×0.015CHRNB2
tube development1601.9×0.015GLI2
negative regulation of action potential1601.9×0.015CHRNB2
synaptic transmission involved in micturition1601.9×0.015CHRNB2
negative regulation of viral life cycle1601.9×0.015CSNK2B
optic nerve morphogenesis1481.5×0.015CHRNB2
vascular endothelial cell response to oscillatory fluid shear stress1481.5×0.015PTK2
positive regulation of macrophage proliferation1481.5×0.015PTK2
regulation of substrate adhesion-dependent cell spreading1481.5×0.015PTK2
regulation of epithelial cell migration1401.2×0.015PTK2
cerebellar cortex morphogenesis1401.2×0.015GLI2
positive regulation of activin receptor signaling pathway1401.2×0.015CSNK2B
regulation of phosphorylation1401.2×0.015MCM7
detection of muscle stretch1343.9×0.015PTK2
cytosolic ribosome assembly1343.9×0.015SBDS
signal complex assembly1300.9×0.015PTK2
regulation of endothelial cell migration1300.9×0.015PTK2
spinal cord dorsal/ventral patterning1300.9×0.015GLI2

Therapeutics

Drug target analysis

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

Druggability breadth: 7 of 8 evidence-associated genes (88%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
CHRNB2VARENICLINE
CSNK2BPALBOCICLIB
DYRK1ANIRAPARIB
PTK2FEDRATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
PTK2564
DYRK1A484
CHRNB2264
CSNK2B144
SBDS00
DSCR400
GLI200
MCM700

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
VARENICLINE4CHRNB2
MECAMYLAMINE4CHRNB2
GRANISETRON4CHRNB2
NICOTINE4CHRNB2
ONDANSETRON4CHRNB2
TROPISETRON4CHRNB2
ACETYLCHOLINE4CHRNB2
BUPROPION4CHRNB2
CARBAMOYLCHOLINE4CHRNB2
PALBOCICLIB4CSNK2B, DYRK1A
MITOXANTRONE4CSNK2B
NIRAPARIB4DYRK1A
RUCAPARIB4DYRK1A
AFATINIB4DYRK1A
RUXOLITINIB4DYRK1A
BELUMOSUDIL4DYRK1A
AFATINIB DIMALEATE4DYRK1A
ABEMACICLIB4DYRK1A
TOVORAFENIB4DYRK1A
SUNITINIB4DYRK1A, PTK2
MIDOSTAURIN4DYRK1A
FEDRATINIB4PTK2
NERATINIB4PTK2
ENTRECTINIB4PTK2
FOSTAMATINIB4PTK2
CERITINIB4PTK2
BOSUTINIB4PTK2
LORLATINIB4PTK2
BRIGATINIB4PTK2
REPOTRECTINIB4PTK2

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 2.

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

SymbolAssaysType breakdown
PTK2990Binding:989, Functional:1
DYRK1A866Binding:855, Functional:7, ADMET:4
CHRNB2696Binding:567, Functional:127, Toxicity:1, ADMET:1
CSNK2B421Binding:419, Functional:2
MCM79Binding:9
GLI26Binding:6
SBDS1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
DYRK1A2.7.12.1dual-specificity kinase
PTK22.7.10.2non-specific protein-tyrosine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
CHRNB2696
CSNK2B421
DYRK1A866
PTK2990

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

30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
VARENICLINE4CHRNB2
MECAMYLAMINE4CHRNB2
GRANISETRON4CHRNB2
NICOTINE4CHRNB2
ONDANSETRON4CHRNB2
TROPISETRON4CHRNB2
ACETYLCHOLINE4CHRNB2
BUPROPION4CHRNB2
CARBAMOYLCHOLINE4CHRNB2
PALBOCICLIB4CSNK2B, DYRK1A
MITOXANTRONE4CSNK2B
NIRAPARIB4DYRK1A
RUCAPARIB4DYRK1A
AFATINIB4DYRK1A
RUXOLITINIB4DYRK1A
BELUMOSUDIL4DYRK1A
AFATINIB DIMALEATE4DYRK1A
ABEMACICLIB4DYRK1A
TOVORAFENIB4DYRK1A
SUNITINIB4DYRK1A, PTK2
MIDOSTAURIN4DYRK1A
FEDRATINIB4PTK2
NERATINIB4PTK2
ENTRECTINIB4PTK2
FOSTAMATINIB4PTK2
CERITINIB4PTK2
BOSUTINIB4PTK2
LORLATINIB4PTK2
BRIGATINIB4PTK2
REPOTRECTINIB4PTK2

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)4CHRNB2, CSNK2B, DYRK1A, PTK2
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug4SBDS, DSCR4, GLI2, MCM7

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
SBDS1
DSCR40
GLI26
MCM79

Clinical trials & evidence

Clinical trials

Clinical trials: 2.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE21
Not specified1

Top trials by phase / activity

NCTPhaseStatusTitle
NCT01119144PHASE2UNKNOWNPolycaprolactone / Tricalcium Phosphate (PCL/TCP) v Titanium Orbital Implant : Randomised Trial
NCT04271137Not specifiedUNKNOWNCorrection of Enophthalmos and Orbital Volume Using Pre-bent Mesh Versus 3d Printed Onlay in Orbital Fracture Cases