epidermolytic hyperkeratosis 2A, autosomal dominant

disease
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Summary

epidermolytic hyperkeratosis 2A, autosomal dominant (MONDO:0700248) is a disease caused by KRT10 (GenCC Strong), with 2 cohort genes.

At a glance

  • Causal gene: KRT10 (GenCC Strong)
  • Cohort genes: 2
  • ClinVar variants: 15

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameepidermolytic hyperkeratosis 2A, autosomal dominant
Mondo IDMONDO:0700248
OMIM620150
DOIDDOID:0061223
UMLSC5882671
MedGen1846123
GARD0026396
Is cancer (heuristic)no

Data availability: 15 ClinVar variants · 2 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary disease › autosomal genetic disease › autosomal dominant disease › autosomal dominant epidermolytic ichthyosisepidermolytic hyperkeratosis 2A, autosomal dominant

Related subtypes (1): annular epidermolytic ichthyosis

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

15 retrieved; paginated sample, class counts are floors:

8 pathogenic, 4 uncertain significance, 1 likely pathogenic, 1 pathogenic/likely pathogenic, 1 conflicting classifications of pathogenicity

ClinVarVariant (HGVS)GeneClassificationReview
14569NM_000421.5(KRT10):c.482T>C (p.Leu161Ser)KRT10Pathogenicno assertion criteria provided
14572NM_000421.5(KRT10):c.478T>G (p.Tyr160Asp)KRT10Pathogenicno assertion criteria provided
14575NM_000421.5(KRT10):c.1325T>A (p.Leu442Gln)KRT10Pathogenicno assertion criteria provided
14576NM_000421.5(KRT10):c.466C>T (p.Arg156Cys)KRT10Pathogeniccriteria provided, multiple submitters, no conflicts
14577NM_000421.5(KRT10):c.449T>G (p.Met150Arg)KRT10Pathogenicno assertion criteria provided
14579NM_000421.5(KRT10):c.449T>C (p.Met150Thr)KRT10Pathogeniccriteria provided, multiple submitters, no conflicts
3377268NM_000421.5(KRT10):c.1307T>C (p.Leu436Pro)KRT10Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14571NM_000421.5(KRT10):c.460A>C (p.Asn154His)KRT10-AS1Pathogenicno assertion criteria provided
14573NM_000421.5(KRT10):c.467G>A (p.Arg156His)KRT10-AS1Pathogeniccriteria provided, multiple submitters, no conflicts
2431374NM_000421.5(KRT10):c.1374-1G>AKRT10Likely pathogeniccriteria provided, multiple submitters, no conflicts
808260NM_000421.5(KRT10):c.1639_1653dup (p.543GGGSS[3])KRT10Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
3891517NM_000421.5(KRT10):c.1676G>T (p.Gly559Val)KRT10Uncertain significancecriteria provided, single submitter
3891518NM_000421.5(KRT10):c.1650_1667dup (p.Gly556_Tyr557insSerSerSerGlyGlyGly)KRT10Uncertain significancecriteria provided, single submitter
3891519NM_000421.5(KRT10):c.1460_1461insGTTC (p.His487fs)KRT10Uncertain significancecriteria provided, single submitter
66176NM_000421.5(KRT10):c.467G>T (p.Arg156Leu)KRT10Uncertain significancecriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 15 · Orphanet: 4 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
KRT10DefinitiveAutosomal dominantannular epidermolytic ichthyosis15

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
KRT10Orphanet:281139Annular epidermolytic ichthyosis
KRT10Orphanet:281190Congenital reticular ichthyosiform erythroderma
KRT10Orphanet:312Autosomal dominant epidermolytic ichthyosis
KRT10Orphanet:512103Autosomal recessive epidermolytic ichthyosis

Cohort genes → proteins

2 cohort genes, 2 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence2

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
KRT10HGNC:6413ENSG00000186395P13645Keratin, type I cytoskeletal 10gencc,clinvar
KRT10-AS1HGNC:28305ENSG00000167920Q8N816Uncharacterized protein KRT10-AS1clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
KRT10Keratin, type I cytoskeletal 10Plays a role in the establishment of the epidermal barrier on plantar skin.

Protein-family classification

Druggable: 0 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.0

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
Other/Unknown21.8×0.312

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
KRT10Other/UnknownnoKeratin_I, IF_conserved, IF_rod_dom
KRT10-AS1Other/Unknownno

Expression context

Cohort genes with no expression data: 0.

2 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)2
unknown0

Top tissues across cohort

TissueCohort genes
mammalian vulva1
penis1
upper leg skin1
left testis1
pancreatic ductal cell1
right testis1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
KRT10299broadmarkerupper leg skin, penis, mammalian vulva
KRT10-AS1234ubiquitousmarkerleft testis, right testis, pancreatic ductal cell

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
KRT102,304
KRT10-AS12

Structural data

PDB: 1 · AlphaFold-only: 1 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
KRT10P136456

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
KRT10-AS1Q8N81646.64

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 5. Enrichment computed across 2 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Differentiation of Keratinocytes in Interfollicular Epidermis in Mammalian Skin1278.5×0.011KRT10
Developmental Cell Lineages1223.9×0.011KRT10
Formation of the cornified envelope187.8×0.019KRT10
Keratinization155.7×0.022KRT10
Developmental Biology114.5×0.069KRT10

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
positive regulation of epidermis development13370.4×0.002KRT10
protein heterotetramerization11053.2×0.002KRT10
cornification11053.2×0.002KRT10
morphogenesis of an epithelium1343.9×0.004KRT10
keratinocyte differentiation1247.8×0.004KRT10
intermediate filament organization1240.7×0.004KRT10

Therapeutics

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 2

Druggability breadth: 0 of 2 evidence-associated genes (0%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

SymbolMoleculesMax phase
KRT1000
KRT10-AS100

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

Pharmacogenomics

Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

0 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.

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug2KRT10, KRT10-AS1

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
KRT100
KRT10-AS10

Clinical trials & evidence

Clinical trials

Clinical trials: 0.