Eosinophilic esophagitis
diseaseOn this page
Also known as EoE
Summary
Eosinophilic esophagitis (MONDO:0005361) is a disease with 37 cohort genes (124 GWAS associations across 9 studies) and 207 clinical trials. The dominant Reactome pathway is Differentiation of naive CD4+ T cells to T helper 2 cells (Th2 cells) (3 cohort genes). Top therapeutic interventions include dupilumab, budesonide, and fluticasone propionate.
At a glance
- Cohort genes: 37
- GWAS associations: 124
- Clinical trials: 207
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | eosinophilic esophagitis |
| Mondo ID | MONDO:0005361 |
| EFO | EFO:0004232 |
| MeSH | D057765 |
| Orphanet | 73247 |
| DOID | DOID:13922 |
| ICD-10-CM | K20.0 |
| NCIT | C27105 |
| SNOMED CT | 235599003 |
| UMLS | C0341106 |
| MedGen | 83318 |
| GARD | 0027720 |
| MedDRA | 10064212 |
| Is cancer (heuristic) | no |
Also known as: EoE
Data availability: 124 GWAS associations (9 studies).
Disease family
An umbrella term covering 3 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › digestive system disorder › upper digestive tract disorder › esophageal disorder › esophagitis › eosinophilic esophagitis
Related subtypes (5): fungal esophagitis, bacterial esophagitis, viral esophagitis, peptic esophagitis, Crohn disease of the esophagus
Subtypes (3): childhood eosinophilic esophagitis, esophagitis, eosinophilic, 1, esophagitis, eosinophilic, 2
Genetics & variants
GWAS landscape
124 GWAS associations across 9 studies. Top hits map to 34 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs17131726 | 2e-27 | DDAH1 | ? | |
| rs1438673 | 6e-22 | WDR36 - RPS3AP21 | C | 0.7 |
| rs143457389 | 3e-16 | PRKD3 | A | 1.77 |
| rs143457388 | 3e-16 | CAPN14 | A | 1.77 |
| rs61894547 | 5e-15 | EMSY | T | 1.79 |
| rs252716 | 4e-14 | TSLP - WDR36 | C | 1.52 |
| rs35099084 | 2e-12 | CLEC16A | T | 0.72 |
| rs2279293 | 5e-11 | RORA | G | 0.69 |
| rs77569859 | 3e-10 | CAPN14 | G | 1.98 |
| rs887992 | 4e-10 | TMEM182 | C | 0.75 |
| rs56062135 | 4e-10 | SMAD3 | T | 1.29 |
| rs149864795 | 5e-10 | CAPN14 | A | 2.22 |
| rs8041227 | 6e-10 | LINC03034 - KLF13 | G | 1.52 |
| rs182139615 | 1e-09 | SHANK2 | T | 6.62 |
| rs3815700 | 2e-09 | ANKRD27 | C | 1.62 |
| rs3806932 | 3e-09 | BCLAF1P1 - TSLP | ? | 1.85 |
| rs599707 | 3e-09 | SNHG32 - NEU1 | ? | 1.69 |
| rs146034499 | 3e-09 | WASF3 - GPR12 | A | 5.92 |
| rs2513845 | 7e-09 | MATN2 | T | 4.18 |
| rs188483654 | 9e-09 | URGCP-MRPS24, URGCP | C | 5.68 |
| rs147307036 | 1e-08 | LARP1BP2 - CTB-30L5.1 | A | 8.04 |
| rs185811602 | 1e-08 | PRKG1, PRKG1-AS1 | T | 6.37 |
| rs147702004 | 1e-08 | RHOG - STIM1-AS1 | T | 1.95 |
| rs371915 | 2e-08 | MEAK7 | ? | 1.9 |
| rs3806933 | 2e-08 | TSLP | G | 1.37 |
| rs534845465 | 2e-08 | INO80C - GALNT1 | A | 5.78 |
| rs1620996 | 3e-08 | BOLA2P3 | T | 0.69 |
| rs62541556 | 4e-08 | JAK2 | T | 1.61 |
| rs191051238 | 4e-08 | CCNY | C | 13.2 |
| rs554318837 | 4e-08 | CPNE4 | C | 2.88 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90027899 | Chang X | 2021 | 1,930 | 13,634 | A genome-wide association meta-analysis identifies new Eosinophilic esophagitis loci. |
| GCST012381 | Chang X | 2021 | 1,288 | 6,548 | A genome-wide association meta-analysis identifies new Eosinophilic esophagitis loci. |
| GCST009070 | Kottyan LC | 2018 | 1,210 | 3,734 | Genetic variants at the 16p13 locus confer risk for eosinophilic esophagitis. |
| GCST90482132 | Verma A | 2024 | 756 | 450,273 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST002527 | Kottyan LC | 2014 | 657 | 9,296 | Genome-wide association analysis of eosinophilic esophagitis provides insight into the tissue specificity of this allergic disease. |
| GCST002697 | Sleiman PM | 2014 | 603 | 3,637 | GWAS identifies four novel eosinophilic esophagitis loci. |
| GCST012380 | Chang X | 2021 | 542 | 7,146 | A genome-wide association meta-analysis identifies new Eosinophilic esophagitis loci. |
| GCST000620 | Rothenberg ME | 2010 | 181 | 1,974 | Common variants at 5q22 associate with pediatric eosinophilic esophagitis. |
| GCST90270131 | Gautam Y | 2022 | 137 | 1,465 | Genome-wide admixture and association analysis identifies African ancestry specific risk loci of eosinophilic esophagitis in African American. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 3 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 3 |
| Tier 4: intronic/intergenic | 43 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 27 |
| low_freq (0.01-0.05) | 11 |
| rare (<0.01) | 9 |
| unknown | 3 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 29 |
| intergenic_variant | 11 |
| non_coding_transcript_exon_variant | 3 |
| regulatory_region_variant | 3 |
| missense_variant | 3 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs17131726 | 1 | 85520457 | A>G | intron_variant | DDAH1 | 2e-27 | Tier 4: intronic/intergenic | |
| rs1438673 | 5 | 111131801 | C>A,G,T | 0.498 | intergenic_variant | WDR36 - RPS3AP21 | 6e-22 | Tier 4: intronic/intergenic |
| rs143457389 | 2 | 37301765 | T>C | 0.046 | intron_variant | PRKD3 | 3e-16 | Tier 4: intronic/intergenic |
| rs143457388 | 2 | 31179504 | T>A,G | 0.047 | intron_variant | CAPN14 | 3e-16 | Tier 4: intronic/intergenic |
| rs61894547 | 11 | 76537586 | C>G,T | 0.04 | intron_variant | EMSY | 5e-15 | Tier 4: intronic/intergenic |
| rs252716 | 5 | 111089365 | G>A,C,T | 0.447 | intron_variant | TSLP - WDR36 | 4e-14 | Tier 4: intronic/intergenic |
| rs35099084 | 16 | 11095760 | C>G,T | 0.22 | intron_variant | CLEC16A | 2e-12 | Tier 4: intronic/intergenic |
| rs2279293 | 15 | 60765158 | C>G,T | 0.145 | non_coding_transcript_exon_variant | RORA | 5e-11 | Tier 4: intronic/intergenic |
| rs77569859 | 2 | 31188421 | T>C,G | 0.05 | intron_variant | CAPN14 | 3e-10 | Tier 4: intronic/intergenic |
| rs887992 | 2 | 102908473 | C>A,T | 0.362 | intergenic_variant | TMEM182 | 4e-10 | Tier 4: intronic/intergenic |
| rs56062135 | 15 | 67163292 | C>T | 0.228 | intron_variant | SMAD3 | 4e-10 | Tier 4: intronic/intergenic |
| rs149864795 | 2 | 31179541 | G>A | 0.052 | intron_variant | CAPN14 | 5e-10 | Tier 4: intronic/intergenic |
| rs8041227 | 15 | 31246339 | G>A | 0.28 | intergenic_variant | LINC03034 - KLF13 | 6e-10 | Tier 4: intronic/intergenic |
| rs182139615 | 11 | 70682745 | C>T | 0.001 | intron_variant | SHANK2 | 1e-09 | Tier 4: intronic/intergenic |
| rs3815700 | 19 | 32602346 | T>A,C,G | 0.14 | intron_variant | ANKRD27 | 2e-09 | Tier 4: intronic/intergenic |
| rs3806932 | 5 | 111069977 | A>G | 0.46 | regulatory_region_variant | BCLAF1P1 - TSLP | 3e-09 | Tier 3: regulatory |
| rs599707 | 6 | 31840659 | C>G,T | 0.114 | intergenic_variant | SNHG32 - NEU1 | 3e-09 | Tier 4: intronic/intergenic |
| rs146034499 | 13 | 26752208 | G>A,C | 0.001 | intergenic_variant | WASF3 - GPR12 | 3e-09 | Tier 4: intronic/intergenic |
| rs2513845 | 8 | 97941784 | T>A,C | 0.003 | missense_variant | MATN2 | 7e-09 | Tier 1: coding |
| rs188483654 | 7 | 43894035 | T>C | 0.002 | intron_variant | URGCP-MRPS24, URGCP | 9e-09 | Tier 4: intronic/intergenic |
| rs147307036 | 7 | 106409865 | C>A,T | 0.003 | intron_variant | LARP1BP2 - CTB-30L5.1 | 1e-08 | Tier 4: intronic/intergenic |
| rs185811602 | 10 | 52207157 | A>T | 0.001 | non_coding_transcript_exon_variant | PRKG1, PRKG1-AS1 | 1e-08 | Tier 4: intronic/intergenic |
| rs147702004 | 11 | 3844266 | A>T | 0.018 | intergenic_variant | RHOG - STIM1-AS1 | 1e-08 | Tier 4: intronic/intergenic |
| rs371915 | 16 | 84544635 | A>C,G,T | 0.13 | regulatory_region_variant | MEAK7 | 2e-08 | Tier 3: regulatory |
| rs3806933 | 5 | 111071044 | C>A,T | 0.44 | regulatory_region_variant | TSLP | 2e-08 | Tier 3: regulatory |
| rs534845465 | 18 | 35558053 | G>A | 0.002 | intergenic_variant | INO80C - GALNT1 | 2e-08 | Tier 4: intronic/intergenic |
| rs1620996 | 6 | 21602321 | T>C | 0.117 | non_coding_transcript_exon_variant | BOLA2P3 | 3e-08 | Tier 4: intronic/intergenic |
| rs62541556 | 9 | 5049092 | G>A,T | 0.251 | intron_variant | JAK2 | 4e-08 | Tier 4: intronic/intergenic |
| rs191051238 | 10 | 35530442 | G>C | 0.001 | intron_variant | CCNY | 4e-08 | Tier 4: intronic/intergenic |
| rs554318837 | 3 | 132064434 | A>C | 0.008 | intergenic_variant | CPNE4 | 4e-08 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 23 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| RORA | Orphanet:528084 | Non-specific syndromic intellectual disability |
| SOX4 | Orphanet:1465 | Coffin-Siris syndrome |
| STAT6 | Orphanet:2126 | Solitary fibrous tumor |
| SLC25A24 | Orphanet:2095 | Gorlin-Chaudhry-Moss syndrome |
| SLC25A24 | Orphanet:2963 | Progeroid syndrome, Petty type |
| JAZF1 | Orphanet:213711 | Endometrial stromal sarcoma |
| JAZF1 | Orphanet:536 | Systemic lupus erythematosus |
| DSG1 | Orphanet:369992 | Severe dermatitis-multiple allergies-metabolic wasting syndrome |
| DSG1 | Orphanet:369999 | Diffuse palmoplantar keratoderma with painful fissures |
| DSG1 | Orphanet:370002 | Focal palmoplantar keratoderma with joint keratoses |
| DSG1 | Orphanet:50942 | Striate palmoplantar keratoderma |
| JAK2 | Orphanet:131 | Budd-Chiari syndrome |
| JAK2 | Orphanet:3318 | Essential thrombocythemia |
| JAK2 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| JAK2 | Orphanet:71493 | Familial thrombocytosis |
| JAK2 | Orphanet:729 | Polycythemia vera |
| JAK2 | Orphanet:824 | Primary myelofibrosis |
| SMAD3 | Orphanet:284984 | Aneurysm-osteoarthritis syndrome |
| SMAD3 | Orphanet:60030 | Loeys-Dietz syndrome |
| SMAD3 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| PRKG1 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| RAD50 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| RAD50 | Orphanet:240760 | Nijmegen breakage syndrome-like disorder |
Cohort genes → proteins
37 cohort genes, 35 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 37 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| RORA | HGNC:10258 | ENSG00000069667 | P35398 | Nuclear receptor ROR-alpha | gwas |
| SEMA6A | HGNC:10738 | ENSG00000092421 | Q9H2E6 | Semaphorin-6A | gwas |
| SOX4 | HGNC:11200 | ENSG00000124766 | Q06945 | Transcription factor SOX-4 | gwas |
| STAT6 | HGNC:11368 | ENSG00000166888 | P42226 | Signal transducer and activator of transcription 6 | gwas |
| DEXI | HGNC:13267 | ENSG00000182108 | O95424 | Dexamethasone-induced protein | gwas |
| KLF13 | HGNC:13672 | ENSG00000169926 | Q9Y2Y9 | Krueppel-like factor 13 | gwas |
| SHANK2 | HGNC:14295 | ENSG00000162105 | Q9UPX8 | SH3 and multiple ankyrin repeat domains protein 2 | gwas |
| CAPN14 | HGNC:16664 | ENSG00000214711 | A8MX76 | Calpain-14 | gwas |
| EMSY | HGNC:18071 | ENSG00000158636 | Q7Z589 | BRCA2-interacting transcriptional repressor EMSY | gwas |
| SNHG32 | HGNC:19078 | ENSG00000204387 | small nucleolar RNA host gene 32 | gwas | |
| SLC25A24 | HGNC:20662 | ENSG00000085491 | Q6NUK1 | Mitochondrial adenyl nucleotide antiporter SLC25A24 | gwas |
| CPNE4 | HGNC:2317 | ENSG00000196353 | Q96A23 | Copine-4 | gwas |
| CCNY | HGNC:23354 | ENSG00000108100 | Q8ND76 | Cyclin-Y | gwas |
| ANKRD27 | HGNC:25310 | ENSG00000105186 | Q96NW4 | Ankyrin repeat domain-containing protein 27 | gwas |
| CCDC81 | HGNC:26281 | ENSG00000149201 | Q6ZN84 | Coiled-coil domain-containing protein 81 | gwas |
| TMEM182 | HGNC:26391 | ENSG00000170417 | Q6ZP80 | Transmembrane protein 182 | gwas |
| XKR6 | HGNC:27806 | ENSG00000171044 | Q5GH73 | XK-related protein 6 | gwas |
| JAZF1 | HGNC:28917 | ENSG00000153814 | Q86VZ6 | Juxtaposed with another zinc finger protein 1 | gwas |
| CLEC16A | HGNC:29013 | ENSG00000038532 | Q2KHT3 | Protein CLEC16A | gwas |
| NAMPT | HGNC:30092 | ENSG00000105835 | P43490 | Nicotinamide phosphoribosyltransferase | gwas |
| DSG1 | HGNC:3048 | ENSG00000134760 | Q02413 | Desmoglein-1 | gwas |
| WDR36 | HGNC:30696 | ENSG00000134987 | Q8NI36 | WD repeat-containing protein 36 | gwas |
| TSLP | HGNC:30743 | ENSG00000145777 | Q969D9 | Thymic stromal lymphopoietin | gwas |
| URGCP | HGNC:30890 | ENSG00000106608 | Q8TCY9 | Up-regulator of cell proliferation | gwas |
| GALNT1 | HGNC:4123 | ENSG00000141429 | Q10472 | Polypeptide N-acetylgalactosaminyltransferase 1 | gwas |
| LRRC32 | HGNC:4161 | ENSG00000137507 | Q14392 | Transforming growth factor beta activator LRRC32 | gwas |
| MIR4675 | HGNC:41619 | ENSG00000265372 | microRNA 4675 | gwas | |
| GPR12 | HGNC:4466 | ENSG00000132975 | P47775 | G-protein coupled receptor 12 | gwas |
| HSF2BP | HGNC:5226 | ENSG00000160207 | O75031 | Heat shock factor 2-binding protein | gwas |
| HSPA1B | HGNC:5233 | ENSG00000204388 | P0DMV9 | Heat shock 70 kDa protein 1B | gwas |
| JAK2 | HGNC:6192 | ENSG00000096968 | O60674 | Tyrosine-protein kinase JAK2 | gwas |
| RHOG | HGNC:672 | ENSG00000177105 | P84095 | Rho-related GTP-binding protein RhoG | gwas |
| SMAD3 | HGNC:6769 | ENSG00000166949 | P84022 | SMAD family member 3 | gwas |
| MATN2 | HGNC:6908 | ENSG00000132561 | O00339 | Matrilin-2 | gwas |
| NOVA1 | HGNC:7886 | ENSG00000139910 | P51513 | RNA-binding protein Nova-1 | gwas |
| PRKG1 | HGNC:9414 | ENSG00000185532 | Q13976 | cGMP-dependent protein kinase 1 | gwas |
| RAD50 | HGNC:9816 | ENSG00000113522 | Q92878 | DNA repair protein RAD50 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| RORA | Nuclear receptor ROR-alpha | Nuclear receptor that binds DNA as a monomer to ROR response elements (RORE) containing a single core motif half-site 5’-AGGTCA-3’ preceded by a short A-T-rich sequence. |
| SEMA6A | Semaphorin-6A | Cell surface receptor for PLXNA2 that plays an important role in cell-cell signaling. |
| SOX4 | Transcription factor SOX-4 | Transcriptional activator that binds with high affinity to the T-cell enhancer motif 5’-AACAAAG-3’ motif. |
| STAT6 | Signal transducer and activator of transcription 6 | Carries out a dual function: signal transduction and activation of transcription. |
| KLF13 | Krueppel-like factor 13 | Transcription factor that activates expression from GC-rich minimal promoter regions, including genes in the cells of the erythroid lineage. |
| SHANK2 | SH3 and multiple ankyrin repeat domains protein 2 | Seems to be an adapter protein in the postsynaptic density (PSD) of excitatory synapses that interconnects receptors of the postsynaptic membrane including NMDA-type and metabotropic glutamate receptors, and the actin-based cytoskeleton. |
| CAPN14 | Calpain-14 | Calcium-regulated non-lysosomal thiol-protease. |
| EMSY | BRCA2-interacting transcriptional repressor EMSY | Regulator which is able to repress transcription, possibly via its interaction with a multiprotein chromatin remodeling complex that modifies the chromatin. |
| SLC25A24 | Mitochondrial adenyl nucleotide antiporter SLC25A24 | Electroneutral antiporter that mediates the transport of adenyl nucleotides through the inner mitochondrial membrane. |
| CPNE4 | Copine-4 | Probable calcium-dependent phospholipid-binding protein that may play a role in calcium-mediated intracellular processes. |
| CCNY | Cyclin-Y | Positive regulatory subunit of the cyclin-dependent kinases CDK14/PFTK1 and CDK16. |
| ANKRD27 | Ankyrin repeat domain-containing protein 27 | May be a guanine exchange factor (GEF) for Rab21, Rab32 and Rab38 and regulate endosome dynamics. |
| TMEM182 | Transmembrane protein 182 | Negatively regulates myogenesis and skeletal muscle regeneration via its association with ITGB1. |
| JAZF1 | Juxtaposed with another zinc finger protein 1 | Acts as a transcriptional corepressor of orphan nuclear receptor NR2C2. |
| CLEC16A | Protein CLEC16A | Regulator of mitophagy through the upstream regulation of the RNF41/NRDP1-PRKN pathway. |
| NAMPT | Nicotinamide phosphoribosyltransferase | Catalyzes the condensation of nicotinamide with 5-phosphoribosyl-1-pyrophosphate to yield nicotinamide mononucleotide, an intermediate in the biosynthesis of NAD. |
| DSG1 | Desmoglein-1 | Component of intercellular desmosome junctions. |
| WDR36 | WD repeat-containing protein 36 | Part of the small subunit (SSU) processome, first precursor of the small eukaryotic ribosomal subunit. |
| TSLP | Thymic stromal lymphopoietin | Cytokine that induces the release of T-cell-attracting chemokines from monocytes and, in particular, enhances the maturation of CD11c(+) dendritic cells. |
| URGCP | Up-regulator of cell proliferation | May be involved in cell cycle progression through the regulation of cyclin D1 expression. |
| GALNT1 | Polypeptide N-acetylgalactosaminyltransferase 1 | 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. |
| LRRC32 | Transforming growth factor beta activator LRRC32 | Key regulator of transforming growth factor beta (TGFB1, TGFB2 and TGFB3) that controls TGF-beta activation by maintaining it in a latent state during storage in extracellular space. |
| GPR12 | G-protein coupled receptor 12 | Brain-specific G protein-coupled receptor involved in regulating diverse physiological processes including neurite outgrowth, meiotic arrest, and lipid and carbohydrate metabolism. |
| HSF2BP | Heat shock factor 2-binding protein | Meiotic recombination factor component of recombination bridges involved in meiotic double-strand break repair. |
| HSPA1B | Heat shock 70 kDa protein 1B | Molecular chaperone implicated in a wide variety of cellular processes, including protection of the proteome from stress, folding and transport of newly synthesized polypeptides, activation of proteolysis of misfolded proteins and the form… |
| JAK2 | Tyrosine-protein kinase JAK2 | Non-receptor tyrosine kinase involved in various processes such as cell growth, development, differentiation or histone modifications. |
| RHOG | Rho-related GTP-binding protein RhoG | Plays a role in immunological synaptic F-actin density and architecture organization. |
| SMAD3 | SMAD family member 3 | Receptor-regulated SMAD (R-SMAD) that is an intracellular signal transducer and transcriptional modulator activated by TGF-beta (transforming growth factor) and activin type 1 receptor kinases. |
| MATN2 | Matrilin-2 | Involved in matrix assembly. |
| NOVA1 | RNA-binding protein Nova-1 | RNA-binding protein which regulates alternative splicing of pre-mRNAs in the brain and spinal cord in a sequence-specific manner. |
| PRKG1 | cGMP-dependent protein kinase 1 | Serine/threonine protein kinase that acts as a key mediator of the nitric oxide (NO)/cGMP signaling pathway. |
| RAD50 | DNA repair protein RAD50 | Component of the MRN complex, which plays a central role in double-strand break (DSB) repair, DNA recombination, maintenance of telomere integrity and meiosis. |
Protein-family classification
Druggable: 7 · Difficult: 8 · Unknown: 22 · Druggable fraction: 0.19
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 |
|---|---|---|---|
| Nuclear receptor | 1 | 10.4× | 0.655 |
| Scaffold/PPI | 4 | 1.9× | 0.655 |
| Kinase | 2 | 1.5× | 0.784 |
| Other/Unknown | 22 | 1.1× | 0.784 |
| Protease | 1 | 1.0× | 0.826 |
| Transcription factor | 4 | 0.9× | 0.826 |
| Enzyme (other) | 2 | 0.7× | 0.826 |
| GPCR | 1 | 0.7× | 0.826 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| RORA | Nuclear receptor | yes | Nucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt, Nuclear_hrmn_rcpt | |
| SEMA6A | Scaffold/PPI | no | Semap_dom, Plexin_repeat, WD40/YVTN_repeat-like_dom_sf | |
| SOX4 | Transcription factor | no | HMG_box_dom, SOX-12/11/4, HMG_box_dom_sf | |
| STAT6 | Transcription factor | no | SH2, STAT, p53-like_TF_DNA-bd_sf | |
| DEXI | Other/Unknown | no | Dexamethasone-induced | |
| KLF13 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf | |
| SHANK2 | Scaffold/PPI | no | SH3_domain, PDZ, SAM | |
| CAPN14 | Protease | yes | Pept_cys_AS, Peptidase_C2_calpain_cat, EF_hand_dom | |
| EMSY | Other/Unknown | no | ENT_dom, EMSY, ENT_dom-like_sf | |
| SNHG32 | Other/Unknown | no | ||
| SLC25A24 | Other/Unknown | no | EF_hand_dom, MCP, GDC-like | |
| CPNE4 | Other/Unknown | no | C2_dom, VWF_A, Copine_C | |
| CCNY | Other/Unknown | no | Cyclin_N, Cyclin_Y, Cyclin-like_dom | |
| ANKRD27 | Scaffold/PPI | no | Ankyrin_rpt, VPS9, Ankyrin_rpt-contain_sf | |
| CCDC81 | Other/Unknown | no | CCD81, HU-CCDC81, CCDC81_HU_dom_2 | |
| TMEM182 | Other/Unknown | no | PMP22/EMP/MP20/Claudin, TMEM182 | |
| XKR6 | Other/Unknown | no | XK-rel, XK-related_scramblase | |
| JAZF1 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, ZnF-Chromatin_assoc | |
| CLEC16A | Other/Unknown | no | CLEC16A/TT9_N, CLEC16A/TT9, CLEC16A/TT9_C | |
| NAMPT | Enzyme (other) | yes | 2.4.2.12 | Aldolase_TIM, Nicotinamide_PRibTrfase, Nicotinate_pribotase-like_C |
| DSG1 | Other/Unknown | no | Cadherin_Y-type_LIR, Cadherin-like_dom, Desmosomal_cadherin | |
| WDR36 | Scaffold/PPI | no | WD40_rpt, WDR36/Utp21_C, WD40/YVTN_repeat-like_dom_sf | |
| TSLP | Other/Unknown | no | TSLP, TSLP_sf | |
| URGCP | Other/Unknown | no | GTP-bd, P-loop_NTPase, G_VLIG_dom | |
| GALNT1 | Enzyme (other) | yes | 2.4.1.41 | Ricin_B_lectin, Glyco_trans_2-like, Nucleotide-diphossugar_trans |
| LRRC32 | Other/Unknown | no | LRRNT, Leu-rich_rpt, Leu-rich_rpt_typical-subtyp | |
| MIR4675 | Other/Unknown | no | ||
| GPR12 | GPCR | yes | GPCR_Rhodpsn, GPR12, GPR_3/6/12_orphan | |
| HSF2BP | Other/Unknown | no | ARM-like, ARM-type_fold, HSF2BP | |
| HSPA1B | Other/Unknown | no | Hsp_70_fam, Heat_shock_70_CS, HSP70_peptide-bd_sf | |
| JAK2 | Kinase | yes | 2.7.10.2 | FERM_domain, Prot_kinase_dom, SH2 |
| RHOG | Other/Unknown | no | Small_GTPase, Small_GTPase_Rho, Small_GTP-bd | |
| SMAD3 | Other/Unknown | no | SMAD_dom, MAD_homology1_Dwarfin-type, SMAD_FHA_dom_sf | |
| MATN2 | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom | |
| NOVA1 | Other/Unknown | no | KH_dom, KH_dom_type_1, KH_dom_type_1_sf | |
| PRKG1 | Kinase | yes | 2.7.11.12 | cNMP-bd_dom, Prot_kinase_dom, AGC-kinase_C |
| RAD50 | Other/Unknown | no | Rad50_eukaryotes, Zn_hook_RAD50, P-loop_NTPase |
Expression context
Cohort genes with no expression data: 0.
30 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) | 37 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| calcaneal tendon | 5 |
| cortical plate | 4 |
| upper leg skin | 3 |
| cerebellar hemisphere | 3 |
| left testis | 3 |
| lateral nuclear group of thalamus | 2 |
| skin of hip | 2 |
| ganglionic eminence | 2 |
| granulocyte | 2 |
| left ovary | 2 |
| right ovary | 2 |
| hindlimb stylopod muscle | 2 |
| bronchial epithelial cell | 2 |
| middle temporal gyrus | 2 |
| lower esophagus mucosa | 2 |
| pharyngeal mucosa | 2 |
| ventricular zone | 2 |
| left ventricle myocardium | 2 |
| right testis | 2 |
| buccal mucosa cell | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| RORA | 284 | ubiquitous | marker | upper leg skin, lateral nuclear group of thalamus, skin of hip |
| SEMA6A | 266 | ubiquitous | marker | inferior vagus X ganglion, adrenal tissue, lateral globus pallidus |
| SOX4 | 295 | ubiquitous | marker | cortical plate, ganglionic eminence, embryo |
| STAT6 | 292 | ubiquitous | marker | granulocyte, right ovary, left ovary |
| DEXI | 282 | ubiquitous | yes | apex of heart, hindlimb stylopod muscle, left adrenal gland cortex |
| KLF13 | 169 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| SHANK2 | 240 | broad | marker | Brodmann (1909) area 23, bronchial epithelial cell, middle temporal gyrus |
| CAPN14 | 116 | tissue_specific | yes | lower esophagus mucosa, pharyngeal mucosa, esophagus mucosa |
| EMSY | 260 | ubiquitous | marker | ventricular zone, calcaneal tendon, cortical plate |
| SNHG32 | 134 | ubiquitous | marker | left ovary, ovary, right ovary |
| SLC25A24 | 138 | ubiquitous | yes | rectum, duodenum, islet of Langerhans |
| CPNE4 | 182 | broad | marker | lateral nuclear group of thalamus, left ventricle myocardium, endothelial cell |
| CCNY | 260 | ubiquitous | marker | sperm, left testis, right testis |
| ANKRD27 | 284 | ubiquitous | marker | choroid plexus epithelium, amniotic fluid, upper leg skin |
| CCDC81 | 173 | tissue_specific | marker | right uterine tube, bronchial epithelial cell, epithelium of bronchus |
| TMEM182 | 205 | ubiquitous | yes | cardiac muscle of right atrium, left ventricle myocardium, myocardium |
| XKR6 | 167 | ubiquitous | yes | buccal mucosa cell, primordial germ cell in gonad, middle temporal gyrus |
| JAZF1 | 251 | ubiquitous | marker | trabecular bone tissue, cauda epididymis, right adrenal gland cortex |
| CLEC16A | 225 | ubiquitous | marker | left testis, right testis, testis |
| NAMPT | 291 | ubiquitous | marker | blood, pericardium, mucosa of stomach |
| DSG1 | 152 | tissue_specific | marker | upper arm skin, upper leg skin, skin of hip |
| WDR36 | 249 | ubiquitous | marker | calcaneal tendon, tibialis anterior, deltoid |
| TSLP | 173 | ubiquitous | marker | epithelial cell of pancreas, gall bladder, cartilage tissue |
| URGCP | 274 | ubiquitous | marker | right adrenal gland cortex, right adrenal gland, left adrenal gland |
| GALNT1 | 299 | ubiquitous | marker | buccal mucosa cell, esophagus squamous epithelium, pharyngeal mucosa |
| LRRC32 | 220 | ubiquitous | marker | right coronary artery, left coronary artery, right lung |
| MIR4675 | 37 | yes | calcaneal tendon, gastrocnemius, kidney | |
| GPR12 | 102 | tissue_specific | marker | cortical plate, ganglionic eminence, cerebellar hemisphere |
| HSF2BP | 124 | ubiquitous | yes | primordial germ cell in gonad, left testis, testis |
| HSPA1B | 134 | ubiquitous | marker | lower esophagus mucosa, ventricular zone, gall bladder |
Protein interactions among cohort
Intra-cohort edges: 11.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| SMAD3 | 6,440 |
| JAK2 | 6,197 |
| NAMPT | 3,509 |
| STAT6 | 3,345 |
| WDR36 | 3,290 |
| SOX4 | 2,846 |
| RAD50 | 2,552 |
| CLEC16A | 2,028 |
| ANKRD27 | 1,937 |
| SHANK2 | 1,920 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ANKRD27 | CAPN14 | string_interaction |
| CAPN14 | DSG1 | string_interaction |
| CAPN14 | EMSY | string_interaction |
| CAPN14 | LRRC32 | string_interaction |
| CAPN14 | TSLP | string_interaction |
| CAPN14 | WDR36 | string_interaction |
| CLEC16A | DEXI | string_interaction |
| EMSY | LRRC32 | string_interaction |
| EMSY | WDR36 | string_interaction |
| JAK2 | STAT6 | string_interaction |
| LRRC32 | WDR36 | string_interaction |
Structural data
PDB: 21 · AlphaFold-only: 14 · No structure: 2
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| JAK2 | O60674 | 164 |
| NAMPT | P43490 | 84 |
| PRKG1 | Q13976 | 26 |
| SMAD3 | P84022 | 12 |
| STAT6 | P42226 | 7 |
| LRRC32 | Q14392 | 6 |
| RHOG | P84095 | 6 |
| RAD50 | Q92878 | 6 |
| TSLP | Q969D9 | 5 |
| HSPA1B | P0DMV9 | 5 |
| ANKRD27 | Q96NW4 | 4 |
| HSF2BP | O75031 | 4 |
| RORA | P35398 | 3 |
| EMSY | Q7Z589 | 3 |
| SLC25A24 | Q6NUK1 | 3 |
| WDR36 | Q8NI36 | 3 |
| NOVA1 | P51513 | 3 |
| SHANK2 | Q9UPX8 | 2 |
| CCNY | Q8ND76 | 2 |
| SEMA6A | Q9H2E6 | 1 |
| GPR12 | P47775 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| GALNT1 | Q10472 | 91.66 |
| CPNE4 | Q96A23 | 87.42 |
| TMEM182 | Q6ZP80 | 87.24 |
| CAPN14 | A8MX76 | 86.02 |
| URGCP | Q8TCY9 | 76.78 |
| MATN2 | O00339 | 75.94 |
| CLEC16A | Q2KHT3 | 72.17 |
| CCDC81 | Q6ZN84 | 71.04 |
| JAZF1 | Q86VZ6 | 70.25 |
| DEXI | O95424 | 69.88 |
| XKR6 | Q5GH73 | 64.85 |
| DSG1 | Q02413 | 62.93 |
| KLF13 | Q9Y2Y9 | 58.91 |
| SOX4 | Q06945 | 55.71 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 211. Enrichment computed across 37 evidence-associated genes (19 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 19 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Differentiation of naive CD4+ T cells to T helper 2 cells (Th2 cells) | 3 | 23.1× | 0.029 | STAT6, KLF13, RAD50 |
| Signaling by Interleukins | 4 | 13.5× | 0.029 | RORA, STAT6, JAK2, SMAD3 |
| Interleukin-4 and Interleukin-13 signaling | 3 | 16.2× | 0.054 | RORA, STAT6, JAK2 |
| Cytokine Signaling in Immune system | 4 | 8.6× | 0.054 | RORA, STAT6, JAK2, SMAD3 |
| R-HSA-400253 | 2 | 36.4× | 0.057 | RORA, NAMPT |
| STAT6-mediated induction of chemokines | 1 | 200.3× | 0.106 | STAT6 |
| Loss of Function of SMAD4 in Cancer | 1 | 200.3× | 0.106 | SMAD3 |
| SMAD4 MH2 Domain Mutants in Cancer | 1 | 200.3× | 0.106 | SMAD3 |
| SMAD2/3 MH2 Domain Mutants in Cancer | 1 | 200.3× | 0.106 | SMAD3 |
| R-HSA-197264 | 1 | 150.3× | 0.106 | NAMPT |
| Loss of Function of TGFBR1 in Cancer | 1 | 120.2× | 0.106 | SMAD3 |
| RUNX3 regulates BCL2L11 (BIM) transcription | 1 | 120.2× | 0.106 | SMAD3 |
| Loss of Function of SMAD2/3 in Cancer | 1 | 100.2× | 0.106 | SMAD3 |
| Signaling by TGF-beta Receptor Complex in Cancer | 1 | 100.2× | 0.106 | SMAD3 |
| SMAD2/3 Phosphorylation Motif Mutants in Cancer | 1 | 100.2× | 0.106 | SMAD3 |
| TGFBR1 KD Mutants in Cancer | 1 | 100.2× | 0.106 | SMAD3 |
| Sensing of DNA Double Strand Breaks | 1 | 100.2× | 0.106 | RAD50 |
| RUNX3 regulates CDKN1A transcription | 1 | 85.9× | 0.106 | SMAD3 |
| Erythropoietin activates Phospholipase C gamma (PLCG) | 1 | 85.9× | 0.106 | JAK2 |
| Erythropoietin activates STAT5 | 1 | 85.9× | 0.106 | JAK2 |
| Interleukin-6 family signaling | 1 | 75.1× | 0.106 | JAK2 |
| IFNG signaling activates MAPKs | 1 | 75.1× | 0.106 | JAK2 |
| Interleukin-23 signaling | 1 | 66.8× | 0.106 | JAK2 |
| Maturation of protein 3a | 1 | 66.8× | 0.106 | GALNT1 |
| MAPK1 (ERK2) activation | 1 | 60.1× | 0.106 | JAK2 |
| Signaling by KIT in disease | 1 | 60.1× | 0.106 | JAK2 |
| MAPK3 (ERK1) activation | 1 | 54.6× | 0.106 | JAK2 |
| STING mediated induction of host immune responses | 1 | 54.6× | 0.106 | STAT6 |
| Signaling by Leptin | 1 | 54.6× | 0.106 | JAK2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 32 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| growth hormone receptor signaling pathway via JAK-STAT | 2 | 95.8× | 0.040 | STAT6, JAK2 |
| cell surface receptor signaling pathway via JAK-STAT | 3 | 27.2× | 0.040 | STAT6, TSLP, JAK2 |
| positive regulation of circadian rhythm | 2 | 75.2× | 0.044 | RORA, PRKG1 |
| myotube cell development involved in skeletal muscle regeneration | 1 | 526.6× | 0.054 | TMEM182 |
| nuclear receptor-mediated mineralocorticoid signaling pathway | 1 | 526.6× | 0.054 | JAK2 |
| symbiont-induced defense-related programmed cell death | 1 | 526.6× | 0.054 | JAK2 |
| negative regulation of lung blood pressure | 1 | 526.6× | 0.054 | SMAD3 |
| regulation of mast cell proliferation | 1 | 526.6× | 0.054 | STAT6 |
| interleukin-35-mediated signaling pathway | 1 | 526.6× | 0.054 | JAK2 |
| positive regulation of chemokine (C-C motif) ligand 1 production | 1 | 526.6× | 0.054 | TSLP |
| negative regulation of cell adhesion involved in sprouting angiogenesis | 1 | 526.6× | 0.054 | SEMA6A |
| regulation of miRNA transcription | 1 | 526.6× | 0.054 | SMAD3 |
| negative regulation of myoblast differentiation | 2 | 39.0× | 0.054 | SOX4, TMEM182 |
| cytokine-mediated signaling pathway | 3 | 12.2× | 0.054 | STAT6, TSLP, JAK2 |
| protein stabilization | 4 | 8.4× | 0.054 | SOX4, DSG1, HSPA1B, SMAD3 |
| regulation of mitotic recombination | 1 | 263.3× | 0.055 | RAD50 |
| negative regulation of inositol phosphate biosynthetic process | 1 | 263.3× | 0.055 | PRKG1 |
| dendrite regeneration | 1 | 263.3× | 0.055 | MATN2 |
| positive regulation of transforming growth factor beta3 production | 1 | 263.3× | 0.055 | SMAD3 |
| negative regulation of SNARE complex assembly | 1 | 263.3× | 0.055 | ANKRD27 |
| establishment of protein localization to extracellular region | 1 | 263.3× | 0.055 | LRRC32 |
| mammary gland morphogenesis | 1 | 263.3× | 0.055 | STAT6 |
| response to interleukin-12 | 1 | 263.3× | 0.055 | JAK2 |
| positive regulation of growth factor dependent skeletal muscle satellite cell proliferation | 1 | 263.3× | 0.055 | JAK2 |
| regulation of postsynapse to nucleus signaling pathway | 1 | 263.3× | 0.055 | JAK2 |
| positive regulation of nitric oxide biosynthetic process | 2 | 28.5× | 0.055 | JAK2, SMAD3 |
| positive regulation of protein import into nucleus | 2 | 26.3× | 0.055 | JAK2, SMAD3 |
| positive regulation of SMAD protein signal transduction | 2 | 23.9× | 0.055 | JAK2, SMAD3 |
| positive regulation of cell population proliferation | 5 | 5.3× | 0.055 | SOX4, SHANK2, NAMPT, TSLP, RHOG |
| glial cell development | 1 | 175.5× | 0.057 | SOX4 |
Therapeutics
Drugs indicated for this disease
0 approved, 9 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Benralizumab | Phase 3 (in late-stage trials) |
| Budesonide | Phase 3 (in late-stage trials) |
| Cendakimab | Phase 3 (in late-stage trials) |
| Dupilumab | Phase 3 (in late-stage trials) |
| Fluticasone | Phase 3 (in late-stage trials) |
| Fluticasone Propionate | Phase 3 (in late-stage trials) |
| Montelukast | Phase 3 (in late-stage trials) |
| Reslizumab | Phase 3 (in late-stage trials) |
| Tezepelumab | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Barzolvolimab, Bethanechol, Esomeprazole, Etrasimod, Famotidine, Infliximab, Lansoprazole, Lirentelimab, Loratadine, Mepolizumab, Mesalamine, Mometasone Furoate, Omalizumab, Sodium Chloride, Timapiprant.
Drug target analysis
Approved (phase 4): 5 · Phase ≥3: 6 · Phased (≥1): 9 · Undrugged: 28
Druggability breadth: 15 of 37 evidence-associated genes (41%) 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 |
|---|---|
| RORA | TRETINOIN |
| STAT6 | THIORIDAZINE HYDROCHLORIDE |
| JAK2 | FEDRATINIB |
| SMAD3 | FLUORESCEIN |
| PRKG1 | FEDRATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| JAK2 | 100 | 4 |
| PRKG1 | 15 | 4 |
| STAT6 | 11 | 4 |
| NAMPT | 4 | 3 |
| RORA | 2 | 4 |
| CCNY | 2 | 2 |
| SMAD3 | 2 | 4 |
| DSG1 | 1 | 2 |
| RAD50 | 1 | 2 |
| SEMA6A | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| TRETINOIN | 4 | RORA |
| THIORIDAZINE HYDROCHLORIDE | 4 | STAT6 |
| DOXORUBICIN HYDROCHLORIDE | 4 | STAT6 |
| AMSACRINE | 4 | STAT6 |
| ADENOSINE | 4 | STAT6 |
| AMANTADINE | 4 | STAT6 |
| BISACODYL | 4 | STAT6 |
| FEDRATINIB | 4 | JAK2, PRKG1 |
| RUXOLITINIB | 4 | JAK2 |
| TOFACITINIB | 4 | JAK2 |
| UPADACITINIB | 4 | JAK2 |
| MOMELOTINIB | 4 | JAK2 |
| PONATINIB | 4 | JAK2 |
| AXITINIB | 4 | JAK2 |
| NICLOSAMIDE | 4 | JAK2 |
| RUXOLITINIB PHOSPHATE | 4 | JAK2 |
| INFIGRATINIB PHOSPHATE | 4 | JAK2 |
| INFIGRATINIB | 4 | JAK2 |
| ENTRECTINIB | 4 | JAK2 |
| DABRAFENIB | 4 | JAK2 |
| PACRITINIB | 4 | JAK2, PRKG1 |
| TOFACITINIB CITRATE | 4 | JAK2 |
| BARICITINIB | 4 | JAK2 |
| CERITINIB | 4 | JAK2 |
| BOSUTINIB | 4 | JAK2 |
| PEFICITINIB | 4 | JAK2 |
| LORLATINIB | 4 | JAK2 |
| FILGOTINIB | 4 | JAK2 |
| BRIGATINIB | 4 | JAK2 |
| ABROCITINIB | 4 | JAK2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 4.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| JAK2 | 2,018 | Binding:1911, Functional:51, ADMET:48, Unclassified:4, Toxicity:4 |
| PRKG1 | 356 | Binding:355, Functional:1 |
| NAMPT | 299 | Binding:299 |
| CCNY | 196 | Binding:196 |
| RORA | 115 | Binding:111, Functional:3, Unclassified:1 |
| STAT6 | 81 | Binding:77, Functional:4 |
| SMAD3 | 24 | Binding:18, Functional:6 |
| TSLP | 12 | Binding:12 |
| DSG1 | 8 | Binding:8 |
| RAD50 | 7 | Binding:7 |
| GPR12 | 4 | Binding:2, Functional:2 |
| HSPA1B | 3 | Binding:3 |
| CPNE4 | 1 | Binding:1 |
| WDR36 | 1 | Binding:1 |
| GALNT1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| NAMPT | 2.4.2.12 | nicotinamide phosphoribosyltransferase |
| GALNT1 | 2.4.1.41 | polypeptide N-acetylgalactosaminyltransferase |
| JAK2 | 2.7.10.2 | non-specific protein-tyrosine kinase |
| PRKG1 | 2.7.11.12 | cGMP-dependent protein kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| RORA | 115 |
| CCNY | 196 |
| NAMPT | 299 |
| JAK2 | 2,018 |
| PRKG1 | 356 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 36; 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) |
|---|---|---|
| TRETINOIN | 4 | RORA |
| THIORIDAZINE HYDROCHLORIDE | 4 | STAT6 |
| DOXORUBICIN HYDROCHLORIDE | 4 | STAT6 |
| AMSACRINE | 4 | STAT6 |
| ADENOSINE | 4 | STAT6 |
| AMANTADINE | 4 | STAT6 |
| BISACODYL | 4 | STAT6 |
| FEDRATINIB | 4 | JAK2, PRKG1 |
| RUXOLITINIB | 4 | JAK2 |
| TOFACITINIB | 4 | JAK2 |
| UPADACITINIB | 4 | JAK2 |
| MOMELOTINIB | 4 | JAK2 |
| PONATINIB | 4 | JAK2 |
| AXITINIB | 4 | JAK2 |
| NICLOSAMIDE | 4 | JAK2 |
| RUXOLITINIB PHOSPHATE | 4 | JAK2 |
| INFIGRATINIB PHOSPHATE | 4 | JAK2 |
| INFIGRATINIB | 4 | JAK2 |
| ENTRECTINIB | 4 | JAK2 |
| DABRAFENIB | 4 | JAK2 |
| PACRITINIB | 4 | JAK2, PRKG1 |
| TOFACITINIB CITRATE | 4 | JAK2 |
| BARICITINIB | 4 | JAK2 |
| CERITINIB | 4 | JAK2 |
| BOSUTINIB | 4 | JAK2 |
| PEFICITINIB | 4 | JAK2 |
| LORLATINIB | 4 | JAK2 |
| FILGOTINIB | 4 | JAK2 |
| BRIGATINIB | 4 | JAK2 |
| ABROCITINIB | 4 | JAK2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 5 | RORA, STAT6, JAK2, SMAD3, PRKG1 |
| B | Phased (≥1) drug, not yet approved | 4 | CCNY, NAMPT, DSG1, RAD50 |
| C | Druggable family + PDB, no drug | 1 | GPR12 |
| D | Druggable family + AlphaFold only, no drug | 2 | CAPN14, GALNT1 |
| E | Difficult family or no structure, no drug | 25 | SEMA6A, SOX4, DEXI, KLF13, SHANK2, EMSY, SNHG32, SLC25A24, CPNE4, ANKRD27 (+15 more) |
Undrugged target profiles
28 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CAPN14 | 0 | DSG1 |
| SEMA6A | 0 | — |
| SOX4 | 0 | — |
| DEXI | 0 | — |
| KLF13 | 0 | — |
| SHANK2 | 0 | — |
| EMSY | 0 | — |
| SNHG32 | 0 | — |
| SLC25A24 | 0 | — |
| CPNE4 | 1 | — |
| ANKRD27 | 0 | — |
| CCDC81 | 0 | — |
| TMEM182 | 0 | — |
| XKR6 | 0 | — |
| JAZF1 | 0 | — |
| CLEC16A | 0 | — |
| WDR36 | 1 | — |
| TSLP | 12 | — |
| URGCP | 0 | — |
| GALNT1 | 1 | — |
| LRRC32 | 0 | — |
| MIR4675 | 0 | — |
| GPR12 | 4 | — |
| HSF2BP | 0 | — |
| HSPA1B | 3 | — |
| RHOG | 0 | — |
| MATN2 | 0 | — |
| NOVA1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 207.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 122 |
| PHASE2 | 33 |
| PHASE3 | 19 |
| PHASE4 | 10 |
| PHASE1 | 10 |
| PHASE2/PHASE3 | 5 |
| PHASE1/PHASE2 | 5 |
| EARLY_PHASE1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04149470 | PHASE4 | ACTIVE_NOT_RECRUITING | Proton Pump Inhibitor (PPI) Response in Eosinophilic Esophagitis Assessed by Transnasal Endoscopy (TNE) |
| NCT06352073 | PHASE4 | ACTIVE_NOT_RECRUITING | Dupilumab for Eosinophilic Esophagitis With Severe Strictures |
| NCT06665971 | PHASE4 | RECRUITING | Effect of Dupilumab on the Muscle Function of the Esophagus (food Pipe) in Participants with Eosinophilic Esophagitis (EoE) |
| NCT01404832 | PHASE4 | TERMINATED | The Frequency of Eosinophilic Esophagitis in Patients With Heartburn That is Refractory to Proton Pump Inhibitors |
| NCT01846962 | PHASE4 | COMPLETED | Dietetic Versus Topical Steroids for Pediatric Eosinophilic Esophagitis |
| NCT02019758 | PHASE4 | COMPLETED | Budesonide Versus Fluticasone for Treatment of Eosinophilic Esophagitis |
| NCT02371941 | PHASE4 | COMPLETED | Oral Cromolyn Sodium for the Treatment of Eosinophilic Esophagitis |
| NCT03781596 | PHASE4 | UNKNOWN | EoE RCT Fluticasone and Omeprazole vs Fluticasone Alone |
| NCT05247866 | PHASE4 | COMPLETED | Efficacy of Dupilumab on Facilitated Food Introduction in Eosinophilic Esophagitis |
| NCT05444543 | PHASE4 | COMPLETED | Cycling of Topical Steroids for Treatment of EoE (Eosinopilic Esophagitis) |
| NCT05583227 | PHASE3 | ACTIVE_NOT_RECRUITING | Efficacy and Safety of Tezepelumab in Patients With Eosinophilic Esophagitis |
| NCT06596252 | PHASE3 | RECRUITING | Once Daily Versus Twice Daily Budesonide Orodispersible Tablets for Induction of Remission in EoE |
| NCT07112378 | PHASE3 | RECRUITING | A Study of Dupilumab in Small Children With an Allergic Condition of the Esophagus (Food Pipe): Eosinophilic Esophagitis |
| NCT00266578 | PHASE3 | COMPLETED | A Study Comparing Swallowed Flovent and Placebo in Patients With Eosinophilic Disorders |
| NCT00538434 | PHASE2/PHASE3 | COMPLETED | Efficacy and Safety Study of Reslizumab to Treat Eosinophilic Esophagitis in Subjects Aged 5 to 18 Years |
| NCT00635089 | PHASE3 | COMPLETED | Open-Label Extension Study of Reslizumab in Pediatric Subjects With Eosinophilic Esophagitis |
| NCT00728481 | PHASE2/PHASE3 | COMPLETED | The Role Of Gastroesophageal Reflux Disease (GERD) in Eosinophilic Esophagitis |
| NCT01702701 | PHASE3 | WITHDRAWN | Eosinophilic Esophagitis Treatment: Montelukast vs Fluticasone |
| NCT02434029 | PHASE3 | COMPLETED | Budesonide Orodispersible Tablet vs. Placebo in Active Eosinophilic Esophagitis |
| NCT02493335 | PHASE3 | COMPLETED | Maintenance of Remission With Budesonide Orodispersible Tablets vs. Placebo in Eosinophilic Esophagitis |
| NCT02605837 | PHASE3 | COMPLETED | A Study in Adolescents and Adults With Eosinophilic Esophagitis (EoE) Measuring Histologic Response and Determine if Reduction in Dysphagia is Achieved |
| NCT02610816 | PHASE2/PHASE3 | COMPLETED | Eosinophilic Esophagitis Intervention Trial-1 Food vs. 4 Food Elimination Diet Followed by Swallowed Glucocorticoids |
| NCT02736409 | PHASE3 | COMPLETED | An Extension Study to Evaluate Maintenance of Efficacy and Long-term Treatment Effect of Oral Budesonide Suspension (OBS) in Adults and Adolescents With Eosinophilic Esophagitis (EoE) |
| NCT02778867 | PHASE2/PHASE3 | COMPLETED | SOFEED: Six Food vs. One Food Eosinophilic Esophagitis Diet Study |
| NCT03245840 | PHASE3 | TERMINATED | Continuation Study With Budesonide Oral Suspension (BOS) for Adolescent and Adult Participants With Eosinophilic Esophagitis (EoE) |
| NCT03633617 | PHASE3 | COMPLETED | Study to Determine the Efficacy and Safety of Dupilumab in Adult and Adolescent Patients With Eosinophilic Esophagitis (EoE) |
| NCT04281108 | PHASE3 | COMPLETED | Efficacy and Safety APT-1011 in Adult Subjects With Eosinophilic Esophagitis (EoE) (FLUTE-2) |
| NCT04322708 | PHASE2/PHASE3 | COMPLETED | A Study of Lirentelimab (AK002) in Patients With Active Eosinophilic Esophagitis |
| NCT04394351 | PHASE3 | COMPLETED | Study to Investigate the Efficacy and Safety of Dupilumab in Pediatric Patients With Active Eosinophilic Esophagitis (EoE) |
| NCT04543409 | PHASE3 | TERMINATED | A Study of Benralizumab in Patients With Eosinophilic Esophagitis |
| NCT04753697 | PHASE3 | COMPLETED | A Study to Evaluate the Efficacy and Safety of CC-93538 in Adult and Adolescent Participants With Eosinophilic Esophagitis |
| NCT04991935 | PHASE3 | COMPLETED | Safety Study of CC-93538 in Adult and Adolescent Participants With Eosinophilic Esophagitis |
| NCT05083312 | PHASE3 | COMPLETED | Efficacy and Safety APT-1011 in Adolescent Subjects With Eosinophilic Esophagitis (EoE) - A Sub-Study of the FLUTE-2 Trial |
| NCT05634746 | PHASE3 | COMPLETED | 24-Week Induction Study of APT-1011 in Adult Subjects With Eosinophilic Esophagitis (EoE) (FLUTE 3) |
| NCT05485155 | PHASE2 | RECRUITING | Zemaira Eosinophilic Esophagitis Pilot Study |
| NCT05608681 | PHASE1/PHASE2 | RECRUITING | A Trial to Evaluate EP-104GI in Adults With Eosinophilic Esophagitis (EoE). |
| NCT06598462 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study to Investigate the Efficacy and Safety of NSI-8226 in Adults With Eosinophilic Esophagitis |
| NCT06705387 | PHASE2 | RECRUITING | Dupilumab Versus Topical Corticosteroid Effectiveness - Comparison in the Treatment of Stenotic EoE |
| NCT06851559 | PHASE2 | RECRUITING | A Study in Adult Participants With EoE to Evaluate Vonoprazan 20 mg Compared to Placebo After 12 Weeks and to Evaluate Vonoprazan 20 mg Up to 24 Weeks |
| NCT07588568 | PHASE2 | NOT_YET_RECRUITING | A Trial of Upadacitinib for Non-responsive Eosinophilic Esophagitis |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| DUPILUMAB | 4 | 5 |
| BUDESONIDE | 4 | 3 |
| FLUTICASONE PROPIONATE | 4 | 2 |
| MEPOLIZUMAB | 4 | 2 |
| RESLIZUMAB | 4 | 2 |
| BECLOMETHASONE DIPROPIONATE | 4 | 1 |
| BENRALIZUMAB | 4 | 1 |
| BETHANECHOL | 4 | 1 |
| CROMOLYN SODIUM | 4 | 1 |
| DEXLANSOPRAZOLE | 4 | 1 |
| ETRASIMOD | 4 | 1 |
| FAMOTIDINE | 4 | 1 |
| LORATADINE | 4 | 1 |
| MESALAMINE | 4 | 1 |
| MOMETASONE FUROATE | 4 | 1 |
| OMEPRAZOLE | 4 | 1 |
| SUCRALFATE | 4 | 1 |
| TEZEPELUMAB | 4 | 1 |
| VONOPRAZAN | 4 | 1 |
| XYLOSE | 4 | 1 |
| FLUTICASONE | 3 | 7 |
| CENDAKIMAB | 3 | 3 |
| BARIUM | 3 | 1 |
| BARZOLVOLIMAB | 3 | 1 |
| HONEY | 3 | 1 |
| LIRENTELIMAB | 3 | 1 |
| TECHNETIUM TC-99M | 3 | 1 |
| TIMAPIPRANT | 3 | 1 |
| IRL-201104 | 2 | 1 |
| OMILANCOR | 2 | 1 |
Related Atlas pages
- Cohort genes: RORA, SEMA6A, SOX4, STAT6, DEXI, KLF13, SHANK2, CAPN14, EMSY, SNHG32, SLC25A24, CPNE4, CCNY, ANKRD27, CCDC81, TMEM182, XKR6, JAZF1, CLEC16A, NAMPT, DSG1, WDR36, TSLP, URGCP, GALNT1, LRRC32, MIR4675, GPR12, HSF2BP, HSPA1B, JAK2, RHOG, SMAD3, MATN2, NOVA1, PRKG1, RAD50
- Drugs: Dupilumab, Budesonide, Fluticasone Propionate, Mepolizumab, Reslizumab, Beclomethasone Dipropionate, Benralizumab, Bethanechol, Cromolyn, Dexlansoprazole, Etrasimod, Famotidine, Loratadine, Mesalamine, Mometasone Furoate, Omeprazole, Sucralfate, Tezepelumab, Vonoprazan, Fluticasone, Cendakimab, Barium, Barzolvolimab, Honey, Lirentelimab, TECHNETIUM TC-99M, Timapiprant