Esophageal cancer
diseaseOn this page
Also known as Ca lower third esophagusCa lower third oesophagusCa middle third esophagusCa middle third oesophaguscancer of esophaguscancer of oesophagusesophageal cancer, somaticesophageal carcinoma, somaticesophageal squamous cell carcinoma, somaticesophagus cancermalignant esophageal neoplasmmalignant esophageal tumormalignant esophageal tumourmalignant esophagus neoplasmmalignant esophagus tumormalignant neoplasm of distal third of esophagusmalignant neoplasm of distal third of oesophagusmalignant neoplasm of esophagusmalignant neoplasm of lower third of esophagus
Summary
Esophageal cancer (MONDO:0007576) is a cancer (an umbrella term covering 7 Mondo subtypes) with 10 cohort genes (52 GWAS associations across 17 studies; 8 CIViC-evidence somatic drivers; 87 ClinVar predisposition records) and 1,301 clinical trials. Molecularly, GNAS c.393T>C is associated with resistance to Cisplatin + Fluorouracil in Esophageal Cancer (CIViC Level B); 7 further subtype–drug associations are mapped below. Top therapeutic interventions include irinotecan, bevacizumab, and epirubicin.
At a glance
- Classification: Cancer
- Umbrella term: 7 Mondo subtypes
- Cohort genes: 10
- GWAS associations: 52
- ClinVar variants: 87
- Clinical trials: 1,301
- Precision-medicine evidence (CIViC): 8 subtype–drug associations
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | esophageal cancer |
| Mondo ID | MONDO:0007576 |
| OMIM | 133239 |
| DOID | DOID:5041 |
| ICD-10-CM | C15 |
| ICD-11 | 669033105 |
| NCIT | C7478 |
| SNOMED CT | 363402007 |
| UMLS | C0546837 |
| MedGen | 107792 |
| GARD | 0027778 |
| Anatomy (UBERON) | UBERON:0001043 |
| Is cancer (heuristic) | yes |
Also known as: Ca lower third esophagus · Ca lower third oesophagus · Ca middle third esophagus · Ca middle third oesophagus · cancer of esophagus · cancer of oesophagus · esophageal cancer · esophageal cancer, somatic · esophageal carcinoma, somatic · esophageal squamous cell carcinoma, somatic · esophagus cancer · malignant esophageal neoplasm · malignant esophageal tumor · malignant esophageal tumour · malignant esophagus neoplasm · malignant esophagus tumor · malignant neoplasm of distal third of esophagus · malignant neoplasm of distal third of oesophagus · malignant neoplasm of esophagus · malignant neoplasm of lower third of esophagus (+25 more)
Data availability: 87 ClinVar variants · 52 GWAS associations (17 studies) · 2 GenCC gene-disease records.
Disease family
An umbrella term covering 7 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › digestive system disorder › digestive system cancer › esophageal cancer
Related subtypes (14): gastric cancer, jaw cancer, liver cancer, gastrointestinal lymphoma, gallbladder cancer, oral cavity cancer, pharynx cancer, intestinal cancer, spleen cancer, digestive system carcinoma, malignant pancreatic neoplasm, malignant tumor of floor of mouth, digestive system melanoma, gastroesophageal cancer
Subtypes (7): esophagus lymphoma, esophageal melanoma, esophagus sarcoma, carcinoma of esophagus, malignant neoplasm of abdominal esophagus, malignant neoplasm of thoracic esophagus, malignant neoplasm of cervical esophagus
Genetics & variants
GWAS landscape
52 GWAS associations across 17 studies. Top hits map to 35 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs1229984 | 3e-44 | ADH1B | C | 2.14 |
| rs12682374 | 9e-29 | PCAT1, CASC8, POU5F1B | ? | 0.93 |
| rs1219651 | 1e-25 | FGFR2 | ? | 1.09 |
| rs2981584 | 1e-21 | FGFR2 | ? | 0.94 |
| rs10908278 | 3e-21 | HNF1B | ? | 1.06 |
| rs112149573 | 2e-17 | TOX3 | ? | 1.08 |
| rs79105258 | 2e-17 | CUX2 | ? | 0.17 |
| rs78540526 | 1e-15 | LINC01488 - PNCRNA-D | ? | 1.13 |
| rs35409710 | 2e-15 | HLA-DQB1 | ? | 1.09 |
| rs7463708 | 2e-15 | PCAT1, PRNCR1, CASC19 | ? | 1.08 |
| rs11651755 | 1e-14 | HNF1B | ? | 1.06 |
| rs1485995 | 8e-14 | LINC01488 | ? | 0.95 |
| rs9273736 | 2e-13 | HLA-DQB1 | ? | 1.12 |
| rs2976384 | 3e-13 | PSCA, JRK | ? | 1.07 |
| rs2585181 | 3e-12 | PSCA - LY6K | ? | 1.05 |
| rs4007642 | 6e-11 | CDKN2B-AS1 | ? | 0.96 |
| rs10786774 | 1e-10 | STN1 | ? | 0.92 |
| rs2990223 | 1e-10 | GBA1LP, GBA1LP | ? | 1.09 |
| rs4442975 | 2e-10 | TESHL | ? | 0.96 |
| rs4630240 | 2e-10 | RPL23AP61 | ? | 0.96 |
| rs1859963 | 8e-10 | CASC17 | ? | 0.96 |
| rs11813268 | 8e-10 | STN1 - SLK | ? | 1.05 |
| rs10891246 | 2e-09 | POU2AF3, COLCA1 | ? | 0.96 |
| rs1827336845 | 2e-09 | CHCHD4P2 - RPL36P14 | ? | 1.05 |
| rs11065836 | 3e-09 | CUX2 | ? | 1.26 |
| rs6913578 | 3e-09 | CCDC170 - ESR1 | ? | 1.04 |
| rs2525548 | 3e-09 | Y_RNA - AZGP1 | ? | 0.96 |
| rs205780 | 3e-09 | LINC-PINT | ? | 1.05 |
| rs2237896 | 5e-09 | KCNQ1 | ? | 1.05 |
| rs778188682 | 7e-09 | C5orf67 - MAP3K1 | ? | 1.07 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90651054 | Sato G | 2023 | 43,098 | 334,343 | Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis. |
| GCST90308764 | Sato G | 2023 | 29,753 | 150,462 | Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis. |
| GCST90651069 | Sato G | 2023 | 29,753 | 150,462 | Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis. |
| GCST90477174 | Verma A | 2024 | 2,058 | 448,337 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90651045 | Sato G | 2023 | 1,387 | 334,343 | Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis. |
| GCST90308755 | Sato G | 2023 | 1,159 | 150,462 | Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis. |
| GCST90651060 | Sato G | 2023 | 1,159 | 150,462 | Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis. |
| GCST90503277 | Wilcox N | 2025 | 1,022 | 418,285 | The contribution of coding variants to the heritability of multiple cancer types using UK Biobank whole-exome sequencing data. |
| GCST90079575 | Backman JD | 2021 | 992 | 386,907 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083561 | Backman JD | 2021 | 992 | 386,907 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 42 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 42 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 3 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 31 |
| intergenic_variant | 8 |
| non_coding_transcript_exon_variant | 3 |
| missense_variant | 1 |
| regulatory_region_variant | 1 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs1229984 | 4 | 99318162 | T>A,C,G | 0.05 | missense_variant | ADH1B | 3e-44 | Tier 1: coding |
| rs12682374 | 8 | 127398703 | C>A,G,T | 0.05 | intron_variant | PCAT1, CASC8, POU5F1B | 9e-29 | Tier 4: intronic/intergenic |
| rs1219651 | 10 | 121584987 | G>A,C,T | 0.05 | intron_variant | FGFR2 | 1e-25 | Tier 4: intronic/intergenic |
| rs2981584 | 10 | 121590702 | A>C,G,T | 0.05 | intron_variant | FGFR2 | 1e-21 | Tier 4: intronic/intergenic |
| rs10908278 | 17 | 37739961 | A>C,G,T | 0.05 | intron_variant | HNF1B | 3e-21 | Tier 4: intronic/intergenic |
| rs112149573 | 16 | 52547333 | G>C,T | 0.05 | intron_variant | TOX3 | 2e-17 | Tier 4: intronic/intergenic |
| rs79105258 | 12 | 111280427 | C>A,T | 0.05 | intron_variant | CUX2 | 2e-17 | Tier 4: intronic/intergenic |
| rs78540526 | 11 | 69516650 | C>T | 0.05 | regulatory_region_variant | LINC01488 - PNCRNA-D | 1e-15 | Tier 3: regulatory |
| rs35409710 | 6 | 32661126 | G>A | 0.05 | intron_variant | HLA-DQB1 | 2e-15 | Tier 4: intronic/intergenic |
| rs7463708 | 8 | 127091810 | G>A,C,T | 0.05 | non_coding_transcript_exon_variant | PCAT1, PRNCR1, CASC19 | 2e-15 | Tier 4: intronic/intergenic |
| rs11651755 | 17 | 37739849 | T>C | 0.05 | intron_variant | HNF1B | 1e-14 | Tier 4: intronic/intergenic |
| rs1485995 | 11 | 69492939 | G>A,C | 0.05 | non_coding_transcript_exon_variant | LINC01488 | 8e-14 | Tier 4: intronic/intergenic |
| rs9273736 | 6 | 32661595 | G>A,C | 0.05 | intron_variant | HLA-DQB1 | 2e-13 | Tier 4: intronic/intergenic |
| rs2976384 | 8 | 142671576 | T>A,C | 0.05 | intergenic_variant | PSCA, JRK | 3e-13 | Tier 4: intronic/intergenic |
| rs2585181 | 8 | 142690296 | C>A | 0.05 | intergenic_variant | PSCA - LY6K | 3e-12 | Tier 4: intronic/intergenic |
| rs4007642 | 9 | 22093300 | A>C,T | 0.05 | intron_variant | CDKN2B-AS1 | 6e-11 | Tier 4: intronic/intergenic |
| rs10786774 | 10 | 103884565 | G>A,C,T | 0.05 | intron_variant | STN1 | 1e-10 | Tier 4: intronic/intergenic |
| rs2990223 | 1 | 155215184 | G>A,T | 0.05 | intron_variant | GBA1LP, GBA1LP | 1e-10 | Tier 4: intronic/intergenic |
| rs4442975 | 2 | 217056046 | G>A,C,T | 0.05 | intron_variant | TESHL | 2e-10 | Tier 4: intronic/intergenic |
| rs4630240 | 10 | 46063294 | C>A,T | 0.05 | non_coding_transcript_exon_variant | RPL23AP61 | 2e-10 | Tier 4: intronic/intergenic |
| rs1859963 | 17 | 71116966 | T>A,C | 0.05 | intron_variant | CASC17 | 8e-10 | Tier 4: intronic/intergenic |
| rs11813268 | 10 | 103922538 | C>T | 0.05 | intron_variant | STN1 - SLK | 8e-10 | Tier 4: intronic/intergenic |
| rs10891246 | 11 | 111299815 | A>G,T | 0.05 | intron_variant | POU2AF3, COLCA1 | 2e-09 | Tier 4: intronic/intergenic |
| rs1827336845 | 9 | 108131440 | GGTATT>G | intergenic_variant | CHCHD4P2 - RPL36P14 | 2e-09 | Tier 4: intronic/intergenic | |
| rs11065836 | 12 | 111233272 | G>A,C | 0.05 | intron_variant | CUX2 | 3e-09 | Tier 4: intronic/intergenic |
| rs6913578 | 6 | 151628671 | A>C,T | 0.05 | intergenic_variant | CCDC170 - ESR1 | 3e-09 | Tier 4: intronic/intergenic |
| rs2525548 | 7 | 99955544 | C>A,G,T | 0.05 | intergenic_variant | Y_RNA - AZGP1 | 3e-09 | Tier 4: intronic/intergenic |
| rs205780 | 7 | 130966100 | G>A | 0.05 | intron_variant | LINC-PINT | 3e-09 | Tier 4: intronic/intergenic |
| rs2237896 | 11 | 2837210 | G>A,T | 0.05 | intron_variant | KCNQ1 | 5e-09 | Tier 4: intronic/intergenic |
| rs778188682 | 5 | 56757919 | intergenic_variant | C5orf67 - MAP3K1 | 7e-09 | Tier 4: intronic/intergenic |
ClinVar germline variants
87 retrieved; paginated sample, class counts are floors:
32 uncertain significance, 19 conflicting classifications of pathogenicity, 11 benign/likely benign, 6 pathogenic/likely pathogenic, 6 pathogenic, 5 uncertain significance/uncertain risk allele, 4 likely benign, 3 benign, 1 likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1028591 | NM_003242.6(TGFBR2):c.1134G>C (p.Arg378Ser) | TGFBR2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12503 | NM_003242.6(TGFBR2):c.1576G>C (p.Glu526Gln) | TGFBR2 | Pathogenic | criteria provided, single submitter |
| 12519 | NM_003242.6(TGFBR2):c.1483C>T (p.Arg495Ter) | TGFBR2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1686258 | NM_003242.6(TGFBR2):c.1447del (p.Cys483fs) | TGFBR2 | Pathogenic | criteria provided, single submitter |
| 449834 | NM_003242.6(TGFBR2):c.913C>T (p.Leu305Phe) | TGFBR2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 811253 | NM_003242.6(TGFBR2):c.1561T>C (p.Trp521Arg) | TGFBR2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12374 | NM_000546.6(TP53):c.524G>A (p.Arg175His) | TP53 | Pathogenic | reviewed by expert panel |
| 634674 | NM_000546.6(TP53):c.298del (p.Gln100fs) | TP53 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 984966 | NM_000546.6(TP53):c.628_639del (p.Asn210_Arg213del) | TP53 | Pathogenic | criteria provided, single submitter |
| 1686306 | NM_016373.4(WWOX):c.1056G>C (p.Met352Ile) | WWOX | Pathogenic | criteria provided, single submitter |
| 241105 | NM_016373.4(WWOX):c.790C>T (p.Arg264Ter) | WWOX | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 813767 | NM_016373.4(WWOX):c.689A>C (p.Gln230Pro) | WWOX | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 804478 | NM_016373.4(WWOX):c.108-2A>T | WWOX | Likely pathogenic | criteria provided, single submitter |
| 344652 | NM_003242.6(TGFBR2):c.-193G>A | LOC129936399 | Uncertain significance/Uncertain risk allele | criteria provided, multiple submitters, no conflicts |
| 1001410 | NM_003242.6(TGFBR2):c.-337T>A | TGFBR2 | Uncertain significance/Uncertain risk allele | criteria provided, multiple submitters, no conflicts |
| 858705 | NM_003242.6(TGFBR2):c.76C>T (p.Pro26Ser) | TGFBR2 | Uncertain significance/Uncertain risk allele | criteria provided, multiple submitters, no conflicts |
| 920747 | NM_003242.6(TGFBR2):c.1A>G (p.Met1Val) | TGFBR2 | Uncertain significance/Uncertain risk allele | criteria provided, multiple submitters, no conflicts |
| 927079 | NM_003242.6(TGFBR2):c.340G>C (p.Glu114Gln) | TGFBR2 | Uncertain significance/Uncertain risk allele | criteria provided, multiple submitters, no conflicts |
| 1202728 | NM_003242.6(TGFBR2):c.1490G>A (p.Arg497Gln) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1363915 | NM_003242.6(TGFBR2):c.797A>G (p.Asn266Ser) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 213913 | NM_003242.6(TGFBR2):c.94+16293C>A | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 213915 | NM_003242.6(TGFBR2):c.412T>G (p.Cys138Gly) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 213942 | NM_003242.6(TGFBR2):c.760C>T (p.Arg254Cys) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 239526 | NM_003242.6(TGFBR2):c.116C>A (p.Thr39Asn) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 344646 | NM_003242.6(TGFBR2):c.-371A>C | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 344648 | NM_003242.6(TGFBR2):c.-307C>T | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 374980 | NM_003242.6(TGFBR2):c.1015C>T (p.Arg339Trp) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 408434 | NM_003242.6(TGFBR2):c.95-3C>A | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 408436 | NM_003242.6(TGFBR2):c.1126G>A (p.Val376Met) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 408442 | NM_003242.6(TGFBR2):c.215G>A (p.Ser72Asn) | TGFBR2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 13 · Orphanet: 64 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|---|---|---|
| DCC | LoF | COADREAD,ESCA,HCC,PAAD,PRAD | CIViC #1396 |
| RNF6 | LoF | COADREAD | |
| ERBB2 | Act | BLCA,BRCA,CESC,CHOL,COADREAD,EGC,ESCA,ESCC,LMS,LUAD,NSCLC,OVT,PRCC,READ,STAD,UCEC | CIViC #20 |
| GNAS | Act | BRCA,COADREAD,ESCA,HCC,LUAD,MBL,PAAD,PANCREAS | CIViC #2319 |
| BRCA2 | LoF | BLCA,BRCA,CESC,CHOL,HCC,HNSC,LUSC,MBL,OVT,PAAD,PRAD,PROSTATE,RCC,VULVA | CIViC #7 |
| TGFBR2 | LoF | CCRCC,CEAD,CESC,COADREAD,ESCA,HNSC,PAAD,PANCREAS,STAD | |
| TP53 | LoF | ACC,ALL,AML,ANGS,ANSC,BCC,BL,BLADDER,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,CHRCC,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,EGC,ES,ESCA,ESCC,GB,GBC,GBM,GIST,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LMS,LNM,LUAD,LUSC,MBL,MEL,MLYM,MT,NBL,NETNOS,NHL,NPC,NSCLC,OS,OVT,PAAD,PANCREAS,PAST,PCM,PLMESO,PRAD,PRCC,PROSTATE,RCC,READ,SACA,SARCNOS,SCLC,SIC,SKCM,SKIN,SOFT_TISSUE,STAD,STOMACH,THYM,UCEC,UCS,UTUC,VULVA,WDTC,WT | CIViC #45 |
| MAF | Act | PCM |
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 |
|---|---|---|---|---|
| DCC | No Known Disease Relationship | Unknown | esophageal cancer | 12 |
| RNF6 | No Known Disease Relationship | Unknown | esophageal cancer |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| DCC | Orphanet:238722 | Familial congenital mirror movements |
| DCC | Orphanet:2744 | Horizontal gaze palsy with progressive scoliosis |
| DCC | Orphanet:478 | Kallmann syndrome |
| RNF6 | Orphanet:99977 | Squamous cell carcinoma of the esophagus |
| ERBB2 | Orphanet:213726 | Serous carcinoma of the corpus uteri |
| ERBB2 | Orphanet:2800 | Extramammary Paget disease |
| ERBB2 | Orphanet:388 | Hirschsprung disease |
| ERBB2 | Orphanet:99976 | Adenocarcinoma of the oesophagus and oesophagogastric junction |
| GNAS | Orphanet:189427 | Cushing syndrome due to bilateral macronodular adrenocortical disease |
| GNAS | Orphanet:2762 | Progressive osseous heteroplasia |
| GNAS | Orphanet:562 | McCune-Albright syndrome |
| GNAS | Orphanet:57782 | Mazabraud syndrome |
| GNAS | Orphanet:79443 | Pseudohypoparathyroidism type 1A |
| GNAS | Orphanet:79444 | Pseudohypoparathyroidism type 1C |
| GNAS | Orphanet:79445 | Pseudopseudohypoparathyroidism |
| GNAS | Orphanet:93276 | Polyostotic fibrous dysplasia |
| GNAS | Orphanet:93277 | Monostotic fibrous dysplasia |
| GNAS | Orphanet:94089 | Pseudohypoparathyroidism type 1B |
| BRCA2 | Orphanet:1331 | Familial prostate cancer |
| BRCA2 | Orphanet:1333 | Familial pancreatic carcinoma |
| BRCA2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| BRCA2 | Orphanet:178 | Chordoma |
| BRCA2 | Orphanet:227535 | Hereditary breast cancer |
| BRCA2 | Orphanet:319462 | Inherited cancer-predisposing syndrome due to biallelic BRCA2 mutations |
| BRCA2 | Orphanet:440437 | Familial colorectal cancer Type X |
| BRCA2 | Orphanet:654 | Nephroblastoma |
| BRCA2 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| BRCA2 | Orphanet:694963 | Inflammatory breast cancer |
| BRCA2 | Orphanet:70567 | Cholangiocarcinoma |
| BRCA2 | Orphanet:84 | Fanconi anemia |
| TGFBR2 | Orphanet:144 | Lynch syndrome |
| TGFBR2 | Orphanet:284973 | Marfan syndrome type 2 |
| TGFBR2 | Orphanet:60030 | Loeys-Dietz syndrome |
| TGFBR2 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| TGFBR2 | Orphanet:99977 | Squamous cell carcinoma of the esophagus |
| TP53 | Orphanet:1333 | Familial pancreatic carcinoma |
| TP53 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| TP53 | Orphanet:1501 | Adrenocortical carcinoma |
| TP53 | Orphanet:210159 | Adult hepatocellular carcinoma |
| TP53 | Orphanet:251576 | Gliosarcoma |
| TP53 | Orphanet:251579 | Giant cell glioblastoma |
| TP53 | Orphanet:251899 | Choroid plexus carcinoma |
| TP53 | Orphanet:2807 | Papilloma of choroid plexus |
| TP53 | Orphanet:293199 | Pleomorphic rhabdomyosarcoma |
| TP53 | Orphanet:3318 | Essential thrombocythemia |
| TP53 | Orphanet:524 | Li-Fraumeni syndrome |
| TP53 | Orphanet:52688 | Myelodysplastic syndrome |
| TP53 | Orphanet:585909 | B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2) |
| TP53 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| TP53 | Orphanet:668 | Osteosarcoma |
Cohort genes → proteins
10 cohort genes, 10 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| civic_only | 2 |
| multi_evidence | 8 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| DCC | HGNC:2701 | ENSG00000187323 | P43146 | Netrin receptor DCC | gencc,clinvar |
| RNF6 | HGNC:10069 | ENSG00000127870 | Q9Y252 | E3 ubiquitin-protein ligase RNF6 | gencc |
| ERBB2 | HGNC:3430 | ENSG00000141736 | P04626 | Receptor tyrosine-protein kinase erbB-2 | civic_evidence |
| GNAS | HGNC:4392 | ENSG00000087460 | O95467 | Neuroendocrine secretory protein 55 | civic_evidence |
| BRCA2 | HGNC:1101 | ENSG00000139618 | P51587 | Breast cancer type 2 susceptibility protein | clinvar |
| TGFBR2 | HGNC:11773 | ENSG00000163513 | P37173 | TGF-beta receptor type-2 | clinvar |
| TP53 | HGNC:11998 | ENSG00000141510 | P04637 | Cellular tumor antigen p53 | clinvar |
| WWOX | HGNC:12799 | ENSG00000186153 | Q9NZC7 | WW domain-containing oxidoreductase | clinvar |
| DLEC1 | HGNC:2899 | ENSG00000008226 | Q9Y238 | Deleted in lung and esophageal cancer protein 1 | clinvar |
| MAF | HGNC:6776 | ENSG00000178573 | O75444 | Transcription factor Maf | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| DCC | Netrin receptor DCC | Receptor for netrin required for axon guidance. |
| RNF6 | E3 ubiquitin-protein ligase RNF6 | E3 ubiquitin-protein ligase mediating ‘Lys-48’-linked polyubiquitination of LIMK1 and its subsequent targeting to the proteasome for degradation. |
| ERBB2 | Receptor tyrosine-protein kinase erbB-2 | Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding. |
| BRCA2 | Breast cancer type 2 susceptibility protein | Involved in double-strand break repair and/or homologous recombination. |
| TGFBR2 | TGF-beta receptor type-2 | Transmembrane serine/threonine kinase forming with the TGF-beta type I serine/threonine kinase receptor, TGFBR1, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3. |
| TP53 | Cellular tumor antigen p53 | Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence. |
| WWOX | WW domain-containing oxidoreductase | Putative oxidoreductase. |
| DLEC1 | Deleted in lung and esophageal cancer protein 1 | Essential for spermatogenesis and male fertility. |
| MAF | Transcription factor Maf | Acts as a transcriptional activator or repressor. |
Protein-family classification
Druggable: 4 · Difficult: 4 · Unknown: 2 · Druggable fraction: 0.4
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 |
|---|---|---|---|
| Antibody/Immunoglobulin | 2 | 5.8× | 0.121 |
| Kinase | 2 | 5.5× | 0.121 |
| Transcription factor | 3 | 2.5× | 0.185 |
| Scaffold/PPI | 1 | 1.7× | 0.561 |
| Other/Unknown | 2 | 0.4× | 0.996 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| DCC | Antibody/Immunoglobulin | yes | Ig_sub2, Ig_sub, FN3_dom | |
| RNF6 | Transcription factor | no | Znf_RING, Znf_RING/FYVE/PHD, RING_finger_E3_ligase | |
| ERBB2 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| GNAS | Other/Unknown | no | NESP55, Gprotein_alpha_S, Gprotein_alpha_su | |
| BRCA2 | Other/Unknown | no | BRCA2_repeat, NA-bd_OB-fold, BRCA2_OB_1 | |
| TGFBR2 | Kinase | yes | 2.7.10.2 | TGFB_receptor, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| TP53 | Transcription factor | no | p53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn | |
| WWOX | Scaffold/PPI | no | WW_dom, SDR_fam, WW_dom_sf | |
| DLEC1 | Antibody/Immunoglobulin | yes | Ig-like_fold, DLEC1, Ig_DLEC1_1 | |
| MAF | Transcription factor | no | bZIP_Maf, bZIP, TF_DNA-bd_sf |
Expression context
Cohort genes with no expression data: 0.
10 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 10 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| bronchial epithelial cell | 2 |
| right uterine tube | 2 |
| ventricular zone | 2 |
| cortical plate | 1 |
| left testis | 1 |
| right testis | 1 |
| choroid plexus epithelium | 1 |
| epithelium of nasopharynx | 1 |
| lower esophagus mucosa | 1 |
| sural nerve | 1 |
| Brodmann (1909) area 46 | 1 |
| postcentral gyrus | 1 |
| type B pancreatic cell | 1 |
| male germ line stem cell (sensu Vertebrata) in testis | 1 |
| secondary oocyte | 1 |
| parietal pleura | 1 |
| pericardium | 1 |
| tibia | 1 |
| ganglionic eminence | 1 |
| tendon of biceps brachii | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| DCC | 154 | broad | marker | cortical plate, right testis, left testis |
| RNF6 | 294 | ubiquitous | marker | bronchial epithelial cell, epithelium of nasopharynx, choroid plexus epithelium |
| ERBB2 | 276 | ubiquitous | marker | lower esophagus mucosa, right uterine tube, sural nerve |
| GNAS | 312 | ubiquitous | marker | type B pancreatic cell, postcentral gyrus, Brodmann (1909) area 46 |
| BRCA2 | 184 | ubiquitous | marker | male germ line stem cell (sensu Vertebrata) in testis, secondary oocyte, ventricular zone |
| TGFBR2 | 289 | ubiquitous | marker | pericardium, tibia, parietal pleura |
| TP53 | 223 | ubiquitous | marker | ventricular zone, ganglionic eminence, tendon of biceps brachii |
| WWOX | 286 | ubiquitous | marker | parotid gland, cervix squamous epithelium, cranial nerve II |
| DLEC1 | 188 | broad | marker | right uterine tube, epithelium of bronchus, bronchial epithelial cell |
| MAF | 290 | ubiquitous | marker | jejunal mucosa, germinal epithelium of ovary, gingiva |
Protein interactions among cohort
Intra-cohort edges: 6.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| TP53 | 22,736 |
| ERBB2 | 9,659 |
| WWOX | 5,892 |
| TGFBR2 | 5,777 |
| BRCA2 | 4,839 |
| MAF | 4,111 |
| DCC | 1,333 |
| DLEC1 | 1,229 |
| RNF6 | 1,187 |
| GNAS | 410 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| BRCA2 | TP53 | string_interaction |
| DLEC1 | RNF6 | string_interaction |
| DLEC1 | WWOX | string_interaction |
| ERBB2 | TGFBR2 | biogrid_interaction |
| RNF6 | WWOX | string_interaction |
| TP53 | WWOX | string_interaction |
Structural data
PDB: 7 · AlphaFold-only: 3 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| GNAS | O95467 | 490 |
| TP53 | P04637 | 313 |
| ERBB2 | P04626 | 63 |
| TGFBR2 | P37173 | 22 |
| BRCA2 | P51587 | 14 |
| DCC | P43146 | 9 |
| WWOX | Q9NZC7 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| DLEC1 | Q9Y238 | 71.51 |
| MAF | O75444 | 62.21 |
| RNF6 | Q9Y252 | 49.92 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 162. Enrichment computed across 10 evidence-associated genes (9 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 9 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Loss of function of TP53 in cancer due to loss of tetramerization ability | 1 | 1268.9× | 0.026 | TP53 |
| TGFBR2 MSI Frameshift Mutants in Cancer | 1 | 634.4× | 0.026 | TGFBR2 |
| Regulation of TP53 Expression | 1 | 634.4× | 0.026 | TP53 |
| Loss of Function of TGFBR2 in Cancer | 1 | 423.0× | 0.026 | TGFBR2 |
| TGFBR2 Kinase Domain Mutants in Cancer | 1 | 423.0× | 0.026 | TGFBR2 |
| Impaired BRCA2 translocation to the nucleus | 1 | 423.0× | 0.026 | BRCA2 |
| Impaired BRCA2 binding to SEM1 (DSS1) | 1 | 423.0× | 0.026 | BRCA2 |
| PLCG1 events in ERBB2 signaling | 1 | 317.2× | 0.026 | ERBB2 |
| TGFBR1 LBD Mutants in Cancer | 1 | 317.2× | 0.026 | TGFBR2 |
| Transcriptional activation of cell cycle inhibitor p21 | 1 | 317.2× | 0.026 | TP53 |
| Drug-mediated inhibition of ERBB2 signaling | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to trastuzumab | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to sapitinib | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to tesevatinib | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to neratinib | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to osimertinib | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to afatinib | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to AEE788 | 1 | 317.2× | 0.026 | ERBB2 |
| Resistance of ERBB2 KD mutants to lapatinib | 1 | 317.2× | 0.026 | ERBB2 |
| Drug resistance in ERBB2 TMD/JMD mutants | 1 | 317.2× | 0.026 | ERBB2 |
| Loss of Function of TGFBR1 in Cancer | 1 | 253.8× | 0.027 | TGFBR2 |
| DSCAM interactions | 1 | 253.8× | 0.027 | DCC |
| Activation of NOXA and translocation to mitochondria | 1 | 211.5× | 0.027 | TP53 |
| GRB7 events in ERBB2 signaling | 1 | 211.5× | 0.027 | ERBB2 |
| Loss of Function of SMAD2/3 in Cancer | 1 | 211.5× | 0.027 | TGFBR2 |
| Signaling by TGF-beta Receptor Complex in Cancer | 1 | 211.5× | 0.027 | TGFBR2 |
| SMAD2/3 Phosphorylation Motif Mutants in Cancer | 1 | 211.5× | 0.027 | TGFBR2 |
| TGFBR1 KD Mutants in Cancer | 1 | 211.5× | 0.027 | TGFBR2 |
| RUNX3 regulates CDKN1A transcription | 1 | 181.3× | 0.031 | TP53 |
| TGFBR3 regulates TGF-beta signaling | 1 | 158.6× | 0.034 | TGFBR2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 10 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| response to X-ray | 2 | 177.4× | 0.009 | BRCA2, TP53 |
| gastrulation | 2 | 140.4× | 0.009 | TGFBR2, TP53 |
| response to gamma radiation | 2 | 116.2× | 0.009 | BRCA2, TP53 |
| intrinsic apoptotic signaling pathway by p53 class mediator | 2 | 116.2× | 0.009 | TP53, WWOX |
| positive regulation of reactive oxygen species metabolic process | 2 | 102.1× | 0.009 | TGFBR2, TP53 |
| intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator | 2 | 99.1× | 0.009 | BRCA2, TP53 |
| positive regulation of tolerance induction to self antigen | 1 | 1685.2× | 0.009 | TGFBR2 |
| positive regulation of B cell tolerance induction | 1 | 1685.2× | 0.009 | TGFBR2 |
| negative regulation of helicase activity | 1 | 1685.2× | 0.009 | TP53 |
| cellular response to actinomycin D | 1 | 1685.2× | 0.009 | TP53 |
| regulation of intrinsic apoptotic signaling pathway by p53 class mediator | 1 | 1685.2× | 0.009 | TP53 |
| negative regulation of G1 to G0 transition | 1 | 1685.2× | 0.009 | TP53 |
| inferior endocardial cushion morphogenesis | 1 | 1685.2× | 0.009 | TGFBR2 |
| cellular response to ionizing radiation | 2 | 82.2× | 0.009 | BRCA2, TP53 |
| nucleotide-excision repair | 2 | 76.6× | 0.009 | BRCA2, TP53 |
| DNA damage response, signal transduction by p53 class mediator | 2 | 71.7× | 0.009 | BRCA2, TP53 |
| cellular response to growth factor stimulus | 2 | 63.6× | 0.009 | TGFBR2, ERBB2 |
| cellular senescence | 2 | 59.1× | 0.009 | BRCA2, TP53 |
| in utero embryonic development | 3 | 21.6× | 0.009 | TGFBR2, TP53, MAF |
| positive regulation of mitochondrial membrane permeability | 1 | 842.6× | 0.013 | TP53 |
| bronchus morphogenesis | 1 | 842.6× | 0.013 | TGFBR2 |
| mammary gland morphogenesis | 1 | 842.6× | 0.013 | TGFBR2 |
| oligodendrocyte apoptotic process | 1 | 842.6× | 0.013 | TP53 |
| negative regulation of glucose catabolic process to lactate via pyruvate | 1 | 842.6× | 0.013 | TP53 |
| negative regulation of pentose-phosphate shunt | 1 | 842.6× | 0.013 | TP53 |
| mitotic recombination-dependent replication fork processing | 1 | 842.6× | 0.013 | BRCA2 |
| double-strand break repair | 2 | 40.6× | 0.013 | BRCA2, TP53 |
| obsolete homolactic fermentation | 1 | 561.7× | 0.015 | TP53 |
| spinal cord ventral commissure morphogenesis | 1 | 561.7× | 0.015 | DCC |
| adenylate cyclase-activating G protein-coupled bile acid receptor signaling pathway | 1 | 561.7× | 0.015 | GNAS |
Therapeutics
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 3 · Undrugged: 7
Druggability breadth: 4 of 10 evidence-associated genes (40%) 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 |
|---|---|
| ERBB2 | CLOTRIMAZOLE |
| TGFBR2 | PONATINIB |
| TP53 | NITROFURANTOIN |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| TP53 | 196 | 4 |
| ERBB2 | 83 | 4 |
| TGFBR2 | 22 | 4 |
| DCC | 0 | 0 |
| RNF6 | 0 | 0 |
| GNAS | 0 | 0 |
| BRCA2 | 0 | 0 |
| WWOX | 0 | 0 |
| DLEC1 | 0 | 0 |
| MAF | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| CLOTRIMAZOLE | 4 | ERBB2, TP53 |
| ERLOTINIB HYDROCHLORIDE | 4 | ERBB2 |
| PONATINIB | 4 | ERBB2, TGFBR2 |
| AFATINIB | 4 | ERBB2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| SORAFENIB | 4 | ERBB2, TGFBR2 |
| NERATINIB | 4 | ERBB2 |
| IBRUTINIB | 4 | ERBB2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
| VANDETANIB | 4 | ERBB2 |
| TRIBROMSALAN | 4 | ERBB2 |
| BOSUTINIB | 4 | ERBB2 |
| BITHIONOL | 4 | ERBB2 |
| ASTEMIZOLE | 4 | ERBB2, TP53 |
| EBASTINE | 4 | ERBB2 |
| OSIMERTINIB | 4 | ERBB2 |
| BRIGATINIB | 4 | ERBB2 |
| ACALABRUTINIB | 4 | ERBB2 |
| ZANUBRUTINIB | 4 | ERBB2 |
| TUCATINIB | 4 | ERBB2 |
| TIRABRUTINIB | 4 | ERBB2 |
| PACLITAXEL | 4 | ERBB2, TP53 |
| LAZERTINIB | 4 | ERBB2 |
| HEXACHLOROPHENE | 4 | ERBB2 |
| DOXORUBICIN | 4 | ERBB2 |
| DASATINIB | 4 | ERBB2, TGFBR2 |
| ERLOTINIB | 4 | ERBB2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 2.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| ERBB2 | 1,221 | Binding:1136, Functional:79, ADMET:6 |
| TP53 | 869 | Binding:775, ADMET:83, Functional:10, Toxicity:1 |
| TGFBR2 | 188 | Binding:188 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| ERBB2 | 2.7.10.1 | receptor protein-tyrosine kinase |
| TGFBR2 | 2.7.10.2 | non-specific protein-tyrosine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| ERBB2 | 1,221 |
| TGFBR2 | 188 |
| TP53 | 869 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 10; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
28 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| CLOTRIMAZOLE | 4 | ERBB2, TP53 |
| ERLOTINIB HYDROCHLORIDE | 4 | ERBB2 |
| PONATINIB | 4 | ERBB2, TGFBR2 |
| LAPATINIB DITOSYLATE | 4 | ERBB2 |
| SORAFENIB | 4 | ERBB2, TGFBR2 |
| NERATINIB | 4 | ERBB2 |
| IBRUTINIB | 4 | ERBB2 |
| AFATINIB DIMALEATE | 4 | ERBB2 |
| CABOZANTINIB | 4 | ERBB2 |
| DACOMITINIB | 4 | ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | ERBB2 |
| VANDETANIB | 4 | ERBB2 |
| TRIBROMSALAN | 4 | ERBB2 |
| BOSUTINIB | 4 | ERBB2 |
| BITHIONOL | 4 | ERBB2 |
| ASTEMIZOLE | 4 | ERBB2, TP53 |
| EBASTINE | 4 | ERBB2 |
| OSIMERTINIB | 4 | ERBB2 |
| BRIGATINIB | 4 | ERBB2 |
| ACALABRUTINIB | 4 | ERBB2 |
| ZANUBRUTINIB | 4 | ERBB2 |
| TUCATINIB | 4 | ERBB2 |
| TIRABRUTINIB | 4 | ERBB2 |
| PACLITAXEL | 4 | ERBB2, TP53 |
| LAZERTINIB | 4 | ERBB2 |
| HEXACHLOROPHENE | 4 | ERBB2 |
| DOXORUBICIN | 4 | ERBB2 |
| DASATINIB | 4 | ERBB2, TGFBR2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 3 | ERBB2, TGFBR2, TP53 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | DCC |
| D | Druggable family + AlphaFold only, no drug | 1 | DLEC1 |
| E | Difficult family or no structure, no drug | 5 | RNF6, GNAS, BRCA2, WWOX, MAF |
Undrugged target profiles
7 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| DCC | 0 | — |
| RNF6 | 0 | — |
| GNAS | 0 | — |
| BRCA2 | 0 | — |
| WWOX | 0 | — |
| DLEC1 | 0 | — |
| MAF | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 1,301.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 407 |
| PHASE2 | 312 |
| PHASE1 | 164 |
| PHASE1/PHASE2 | 94 |
| PHASE3 | 81 |
| PHASE4 | 19 |
| PHASE2/PHASE3 | 17 |
| EARLY_PHASE1 | 6 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05183126 | PHASE4 | RECRUITING | Pharmacokinetic Study of Skeletal Muscle Area-based Paclitaxel Infusion in Patients With Cancer |
| NCT06437288 | PHASE4 | ENROLLING_BY_INVITATION | Hematoporphyrin Photodynamic Therapy for Esophageal Cancer |
| NCT07124351 | PHASE4 | RECRUITING | Intraoperative Imaging of Gastrointestinal Malignancies Using Pafolacianine (CYTALUX™) |
| NCT00333099 | PHASE4 | COMPLETED | INEC Study: Immuno-modulating Enteral Nutrition in Cancer |
| NCT00365508 | PHASE4 | COMPLETED | Counseling and Nicotine Replacement Therapy in Helping Adult Smokers Quit Smoking |
| NCT00666978 | PHASE4 | COMPLETED | Health Education Counseling With or Without Bupropion in Helping African Americans Stop Smoking |
| NCT00754468 | PHASE4 | COMPLETED | Study of CryoSpray Ablation(TM)to Determine Treatment Effect, Depth of Injury, and Side Effects in the Esophagus. |
| NCT00790140 | PHASE4 | UNKNOWN | Trial of Enteral Nutrition Enriched With Eicosapentaenoic Acid (EPA) in Upper Gastrointestinal Cancer Surgery |
| NCT00911092 | PHASE4 | COMPLETED | Predictive Proteomic Factors of the Response to Concomitant Radiochemotherapy in Esophageal Cancer |
| NCT01038154 | PHASE4 | UNKNOWN | Study to Evaluate the Efficacy of Pravastatin on Survival and Recurrence of Advanced Gastroesophageal Cancer |
| NCT01416077 | PHASE4 | COMPLETED | Decreasing Postoperative Complications by Goal-Directed Fluid Therapy During Esophageal Resection |
| NCT01927328 | PHASE4 | UNKNOWN | Iron Replacement in Oesophagogastric Neoplasia |
| NCT01962272 | PHASE4 | COMPLETED | The Effect of Nutritional Counseling for Cancer Patients |
| NCT02042313 | PHASE4 | UNKNOWN | Postoperative Pain Management After Minimally Invasive Esophagectomy |
| NCT02320734 | PHASE4 | COMPLETED | Deep Neuromuscular Relaxation in Patients for Thoraco-laparoscopic Esophagectomy |
| NCT03384511 | PHASE4 | COMPLETED | The Use of 18F-ALF-NOTA-PRGD2 PET/CT Scan to Predict the Efficacy and Adverse Events of Apatinib in Malignancies. |
| NCT03413436 | PHASE4 | COMPLETED | Lobaplation or Cisplatin in Adjuvant Chemotherapy for Esophageal Carcinoma |
| NCT03642093 | PHASE4 | UNKNOWN | HOPE - A Study to Evaluate the Effect of a Prehabilitation Program on GI Cancer Patients Planning to Undergo Surgery |
| NCT04269369 | PHASE4 | UNKNOWN | Implementation of Pre-emptive Geno- and Phenotyping in 5-Fluorouracil- or Capecitabine-treated Patients |
| NCT03731442 | PHASE3 | RECRUITING | Salvage Chemoradiation Therapy for Recurrence After Radical Surgery or Palliative Surgery in Esophageal Cancer Patients |
| NCT04135664 | PHASE3 | RECRUITING | Comparison of Esophagectomy and Chemoradiation for Patients With cN0-pT1b Stage Esophageal Squamous Cell Carcinoma |
| NCT04280822 | PHASE3 | RECRUITING | Neo-adjuvant Immunochemotheray Versus Neo-adjuvant Chemotherapy for Resectable Esophageal Carcinoma |
| NCT04415853 | PHASE3 | RECRUITING | Study of Larotinib in Unresectable Advanced or Recurrent Esophageal Cancer |
| NCT04513808 | PHASE3 | RECRUITING | Total Intravenous Anesthesia and Recurrence Free Survival |
| NCT04821778 | PHASE3 | RECRUITING | Chemoradiotherapy in Esophageal or Esophagogastric Junction Cancer |
| NCT04821843 | PHASE3 | RECRUITING | Neoadjuvant Treatment Modalities in Esophageal Cancer |
| NCT04871412 | PHASE3 | RECRUITING | The Thoracic Peri-Operative Integrative Surgical Care Evaluation Trial - Stage III |
| NCT05055648 | PHASE3 | RECRUITING | PROton Versus Photon Therapy for Esophageal Cancer - a Trimodality Strategy |
| NCT05188313 | PHASE3 | RECRUITING | TRAstuzumab and Pertuzumab for HER2+ Resectable Oesophageal Cancer |
| NCT05357846 | PHASE3 | RECRUITING | PD-1 Inhibitor Combined With Neoadjuvant Chemoradiotherapy Plus Surgery for Locally Advanced ESCC (NEOCRTEC2101) |
| NCT05504265 | PHASE2/PHASE3 | RECRUITING | Perioperative Analgesia Modes in Minimally Invasive Esophagectomy |
| NCT05547529 | PHASE3 | RECRUITING | The Efficacy of Neoadjuvant Chemoradiotherapy in Comparison With Neoadjuvant Chemotherapy in Patients With Resectable Squamous Cell Esophageal Cancer |
| NCT05865743 | PHASE3 | RECRUITING | Perioperative SDD to Prevent Infectious Complications After Esophagectomy |
| NCT06115629 | PHASE3 | NOT_YET_RECRUITING | Surveillance After Resection of Oesophageal aNd Gastric Cancer (SARONG-II) Trial |
| NCT06339060 | PHASE3 | RECRUITING | An Organ Preservation Strategies After Chemoradiotherapy Combined With Immunotherapy for Esophageal Cancer (PALACE3). |
| NCT06501664 | PHASE3 | NOT_YET_RECRUITING | Liposomal Irinotecan and 5-FU as Second-line Therapy for Patients With ESCC |
| NCT06782412 | PHASE2/PHASE3 | RECRUITING | Multicenter Validation Trial of [18F]AlF-FAPI-74 for PET Imaging of Cancer-associated Fibroblasts Through Fibroblast Activation Protein Inhibitors (FAPI) in Different Tumor Types |
| NCT06914011 | PHASE3 | NOT_YET_RECRUITING | Circulating Tumor DNA MRD-Guided Adjuvant Therapy for Curatively Resected Locally Advanced Esophageal Squamous Cell Carcinoma |
| NCT07000253 | PHASE2/PHASE3 | RECRUITING | Timing of Minimally Invasive Local Treatment After First-Line Systemic Therapy in Oligometastatic Esophageal or Gastric Adenocarcinoma |
| NCT07177794 | PHASE3 | RECRUITING | Consolidation of Toripalimab and Capecitabine After Chemoradiotherapy in ESCC |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| IRINOTECAN | 4 | 46 |
| BEVACIZUMAB | 4 | 8 |
| EPIRUBICIN | 4 | 8 |
| CISPLATIN | 4 | 6 |
| ERLOTINIB | 4 | 6 |
| FLUOROURACIL | 4 | 6 |
| CETUXIMAB | 4 | 3 |
| FLOXURIDINE | 4 | 3 |
| HYDROXYUREA | 4 | 3 |
| LEUCOVORIN | 4 | 3 |
| NICOTINE | 4 | 3 |
| PANITUMUMAB | 4 | 3 |
| SUNITINIB MALATE | 4 | 3 |
| TORIPALIMAB | 4 | 3 |
| AFATINIB | 4 | 2 |
| EFLORNITHINE | 4 | 2 |
| FLUDEOXYGLUCOSE F 18 | 4 | 2 |
| IXABEPILONE | 4 | 2 |
| RAMUCIRUMAB | 4 | 2 |
| SARGRAMOSTIM | 4 | 2 |
| TEGAFUR | 4 | 2 |
| VINORELBINE | 4 | 2 |
| ALDESLEUKIN | 4 | 1 |
| ARMODAFINIL | 4 | 1 |
| ARSENIC TRIOXIDE | 4 | 1 |
| ATEZOLIZUMAB | 4 | 1 |
| BUPROPION HYDROCHLORIDE | 4 | 1 |
| CAPECITABINE | 4 | 1 |
| CETIRIZINE | 4 | 1 |
| CITALOPRAM | 4 | 1 |
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 8 predictive associations from 8 curated evidence items.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| GNAS c.393T>C | Cisplatin + Fluorouracil | Resistance | CIViC B | EID2895 |
| CDK9 Overexpression | Alvocidib + CAN508 | Sensitivity/Response | CIViC D | EID9311 |
| ERBB2 Amplification | Ibrutinib | Sensitivity/Response | CIViC D | EID6929 |
| HDAC6 Overexpression | Panobinostat + Trichostatin A + Vorinostat | Sensitivity/Response | CIViC D | EID9856 |
| HDAC9 Overexpression | HDAC Inhibitor REC-2282 | Sensitivity/Response | CIViC D | EID9855 |
| YAP1 Overexpression | Verteporfin | Sensitivity/Response | CIViC D | EID1983 |
| YAP1 Overexpression | Docetaxel + Verteporfin | Sensitivity/Response | CIViC D | EID9329 |
| YAP1 Overexpression | Docetaxel + Fluorouracil | Resistance | CIViC D | EID1982 |
Related Atlas pages
- Cohort genes: DCC, RNF6, ERBB2, GNAS, BRCA2, TGFBR2, TP53, MAF, WWOX, DLEC1
- Drugs: Irinotecan, Bevacizumab, Epirubicin, Cisplatin, Erlotinib, Fluorouracil, Cetuximab, Floxuridine, Hydroxyurea, Nicotine, Panitumumab, Sunitinib Malate, Toripalimab, Afatinib, Eflornithine, FLUDEOXYGLUCOSE F 18, Ixabepilone, Ramucirumab, Sargramostim, Tegafur, Vinorelbine, Aldesleukin, Armodafinil, Arsenic Trioxide, Atezolizumab, Bupropion, Capecitabine, Cetirizine, Citalopram, Ibrutinib, Verteporfin