Episodic pain syndrome, familial, 2
diseaseOn this page
Also known as episodic pain syndrome, familial, type 2familial episodic pain syndrome caused by mutation in SCN10AFEPS2SCN10A familial episodic pain syndrome
Summary
Episodic pain syndrome, familial, 2 (MONDO:0014246) is a disease caused by SCN10A (GenCC Strong), with 1 cohort gene.
At a glance
- Causal gene: SCN10A (GenCC Strong)
- Cohort genes: 1
- ClinVar variants: 136
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | episodic pain syndrome, familial, 2 |
| Mondo ID | MONDO:0014246 |
| OMIM | 615551 |
| DOID | DOID:0111730 |
| UMLS | C3809893 |
| MedGen | 816223 |
| GARD | 0018440 |
| Is cancer (heuristic) | no |
Also known as: episodic pain syndrome, familial, 2 · episodic pain syndrome, familial, type 2 · familial episodic pain syndrome caused by mutation in SCN10A · FEPS2 · SCN10A familial episodic pain syndrome
Data availability: 136 ClinVar variants · 4 GenCC gene-disease records.
Disease family
Classification path: disease › human disease › disease by body system or component › nervous system disorder › peripheral nervous system disorder › peripheral neuropathy › hereditary peripheral neuropathy › familial episodic pain syndrome › episodic pain syndrome, familial, 2
Related subtypes (2): familial episodic pain syndrome with predominantly upper body involvement, familial episodic pain syndrome with predominantly lower limb involvement
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
136 retrieved; paginated sample, class counts are floors:
64 uncertain significance, 41 conflicting classifications of pathogenicity, 12 benign/likely benign, 11 benign, 7 likely benign, 1 likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 4688148 | NM_006514.4(SCN10A):c.2231T>A (p.Leu744Gln) | SCN10A | Likely pathogenic | criteria provided, single submitter |
| 1042304 | NM_006514.4(SCN10A):c.2965G>A (p.Ala989Thr) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 407748 | NM_006514.4(SCN10A):c.2842G>C (p.Val948Leu) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 463247 | NM_006514.4(SCN10A):c.3238G>A (p.Asp1080Asn) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 463249 | NM_006514.4(SCN10A):c.3482T>C (p.Met1161Thr) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 532064 | NM_006514.4(SCN10A):c.3417G>C (p.Trp1139Cys) | LOC110121288 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1006881 | NM_006514.4(SCN10A):c.2616G>A (p.Thr872=) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1046224 | NM_006514.4(SCN10A):c.2221C>G (p.Leu741Val) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1310896 | NM_006514.4(SCN10A):c.5023C>A (p.Pro1675Thr) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1380283 | NM_006514.4(SCN10A):c.5588G>A (p.Arg1863Gln) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1429429 | NM_006514.4(SCN10A):c.4607C>G (p.Thr1536Arg) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1429567 | NM_006514.4(SCN10A):c.3727G>A (p.Val1243Met) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1524842 | NM_006514.4(SCN10A):c.4657+5G>A | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 240671 | NM_006514.4(SCN10A):c.365C>T (p.Thr122Met) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 240673 | NM_006514.4(SCN10A):c.3803G>A (p.Arg1268Gln) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 373688 | NM_006514.4(SCN10A):c.3474C>G (p.Ile1158Met) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 376797 | NM_006514.4(SCN10A):c.905G>A (p.Arg302Gln) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 407745 | NM_006514.4(SCN10A):c.1858G>A (p.Val620Ile) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 414629 | NM_006514.4(SCN10A):c.1138G>A (p.Val380Ile) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 418471 | NM_006514.4(SCN10A):c.4849G>T (p.Val1617Phe) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 420025 | NM_006514.4(SCN10A):c.2441G>A (p.Arg814His) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 430247 | NM_006514.4(SCN10A):c.5548C>T (p.Gln1850Ter) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 449360 | NM_006514.4(SCN10A):c.724T>A (p.Ser242Thr) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 463232 | NM_006514.4(SCN10A):c.1370A>G (p.Glu457Gly) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 463239 | NM_006514.4(SCN10A):c.2428G>T (p.Gly810Trp) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 463259 | NM_006514.4(SCN10A):c.4709C>T (p.Thr1570Met) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 463260 | NM_006514.4(SCN10A):c.472T>G (p.Tyr158Asp) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 463273 | NM_006514.4(SCN10A):c.883C>T (p.Pro295Ser) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 532059 | NM_006514.4(SCN10A):c.2266C>T (p.Arg756Trp) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 532083 | NM_006514.4(SCN10A):c.5200G>A (p.Glu1734Lys) | SCN10A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 6 · Orphanet: 6 · 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.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| SCN10A | Strong | Autosomal dominant | episodic pain syndrome, familial, 2 | 6 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SCN10A | Orphanet:101016 | Romano-Ward syndrome |
| SCN10A | Orphanet:130 | Brugada syndrome |
| SCN10A | Orphanet:306577 | Hereditary sodium channelopathy-related small fibers neuropathy |
| SCN10A | Orphanet:46348 | Paroxysmal extreme pain disorder |
| SCN10A | Orphanet:88642 | Congenital insensitivity to pain-anosmia-neuropathic arthropathy |
| SCN10A | Orphanet:90026 | Primary erythromelalgia |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SCN10A | HGNC:10582 | ENSG00000185313 | Q9Y5Y9 | Sodium channel protein type 10 subunit alpha | gencc,clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SCN10A | Sodium channel protein type 10 subunit alpha | Tetrodotoxin-resistant channel that mediates the voltage-dependent sodium ion permeability of excitable membranes. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
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.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Ion channel | 1 | 111.5× | 0.009 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SCN10A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_trans_assoc_dom |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene 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) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| diaphragm | 1 |
| olfactory bulb | 1 |
| type B pancreatic cell | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SCN10A | 21 | marker | type B pancreatic cell, olfactory bulb, diaphragm |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| SCN10A | 1,802 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| SCN10A | Q9Y5Y9 | 8 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 8. Enrichment computed across 1 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.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Interaction between L1 and Ankyrins | 1 | 368.4× | 0.012 | SCN10A |
| Phase 0 - rapid depolarisation | 1 | 346.1× | 0.012 | SCN10A |
| L1CAM interactions | 1 | 120.2× | 0.018 | SCN10A |
| Cardiac conduction | 1 | 108.8× | 0.018 | SCN10A |
| Muscle contraction | 1 | 77.2× | 0.021 | SCN10A |
| Axon guidance | 1 | 45.1× | 0.027 | SCN10A |
| Nervous system development | 1 | 42.9× | 0.027 | SCN10A |
| Developmental Biology | 1 | 14.5× | 0.069 | SCN10A |
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 term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| bundle of His cell action potential | 1 | 8426.0× | 0.001 | SCN10A |
| AV node cell action potential | 1 | 4213.0× | 0.001 | SCN10A |
| regulation of atrial cardiac muscle cell membrane depolarization | 1 | 1872.4× | 0.002 | SCN10A |
| membrane depolarization during action potential | 1 | 1685.2× | 0.002 | SCN10A |
| sensory perception | 1 | 1404.3× | 0.002 | SCN10A |
| regulation of cardiac muscle contraction | 1 | 887.0× | 0.002 | SCN10A |
| regulation of monoatomic ion transmembrane transport | 1 | 732.7× | 0.002 | SCN10A |
| cardiac muscle cell action potential involved in contraction | 1 | 702.2× | 0.002 | SCN10A |
| regulation of heart rate | 1 | 468.1× | 0.003 | SCN10A |
| odontogenesis of dentin-containing tooth | 1 | 300.9× | 0.004 | SCN10A |
| sodium ion transmembrane transport | 1 | 203.0× | 0.005 | SCN10A |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) 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 |
|---|---|
| SCN10A | IMIPRAMINE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SCN10A | 21 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| IMIPRAMINE | 4 | SCN10A |
| SERTINDOLE | 4 | SCN10A |
| PIMOZIDE | 4 | SCN10A |
| NIFEDIPINE | 4 | SCN10A |
| DILTIAZEM | 4 | SCN10A |
| MIBEFRADIL | 4 | SCN10A |
| HALOPERIDOL | 4 | SCN10A |
| MEXILETINE | 4 | SCN10A |
| AMITRIPTYLINE | 4 | SCN10A |
| AMIODARONE | 4 | SCN10A |
| CHLORPROMAZINE | 4 | SCN10A |
| LAMOTRIGINE | 4 | SCN10A |
| TEDISAMIL | 3 | SCN10A |
| NITRENDIPINE | 3 | SCN10A |
| AJMALINE | 3 | SCN10A |
| VIXOTRIGINE | 3 | SCN10A |
| ELECLAZINE | 3 | SCN10A |
| CIFENLINE | 2 | SCN10A |
| PF-04531083 | 2 | SCN10A |
| FUNAPIDE | 2 | SCN10A |
| PF-06305591 | 1 | SCN10A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| SCN10A | 144 | Binding:124, Functional:16, ADMET:4 |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| SCN10A | 144 |
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
21 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) |
|---|---|---|
| IMIPRAMINE | 4 | SCN10A |
| SERTINDOLE | 4 | SCN10A |
| PIMOZIDE | 4 | SCN10A |
| NIFEDIPINE | 4 | SCN10A |
| DILTIAZEM | 4 | SCN10A |
| MIBEFRADIL | 4 | SCN10A |
| HALOPERIDOL | 4 | SCN10A |
| MEXILETINE | 4 | SCN10A |
| AMITRIPTYLINE | 4 | SCN10A |
| AMIODARONE | 4 | SCN10A |
| CHLORPROMAZINE | 4 | SCN10A |
| LAMOTRIGINE | 4 | SCN10A |
| TEDISAMIL | 3 | SCN10A |
| NITRENDIPINE | 3 | SCN10A |
| AJMALINE | 3 | SCN10A |
| VIXOTRIGINE | 3 | SCN10A |
| ELECLAZINE | 3 | SCN10A |
| CIFENLINE | 2 | SCN10A |
| PF-04531083 | 2 | SCN10A |
| FUNAPIDE | 2 | SCN10A |
| PF-06305591 | 1 | SCN10A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | SCN10A |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 0.
Related Atlas pages
- Cohort genes: SCN10A