Esophageal cancer

disease
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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

FieldValue
Canonical nameesophageal cancer
Mondo IDMONDO:0007576
OMIM133239
DOIDDOID:5041
ICD-10-CMC15
ICD-11669033105
NCITC7478
SNOMED CT363402007
UMLSC0546837
MedGen107792
GARD0027778
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 disorderdigestive system canceresophageal 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

rsIDp-valueGeneRisk alleleOdds ratio
rs12299843e-44ADH1BC2.14
rs126823749e-29PCAT1, CASC8, POU5F1B?0.93
rs12196511e-25FGFR2?1.09
rs29815841e-21FGFR2?0.94
rs109082783e-21HNF1B?1.06
rs1121495732e-17TOX3?1.08
rs791052582e-17CUX2?0.17
rs785405261e-15LINC01488 - PNCRNA-D?1.13
rs354097102e-15HLA-DQB1?1.09
rs74637082e-15PCAT1, PRNCR1, CASC19?1.08
rs116517551e-14HNF1B?1.06
rs14859958e-14LINC01488?0.95
rs92737362e-13HLA-DQB1?1.12
rs29763843e-13PSCA, JRK?1.07
rs25851813e-12PSCA - LY6K?1.05
rs40076426e-11CDKN2B-AS1?0.96
rs107867741e-10STN1?0.92
rs29902231e-10GBA1LP, GBA1LP?1.09
rs44429752e-10TESHL?0.96
rs46302402e-10RPL23AP61?0.96
rs18599638e-10CASC17?0.96
rs118132688e-10STN1 - SLK?1.05
rs108912462e-09POU2AF3, COLCA1?0.96
rs18273368452e-09CHCHD4P2 - RPL36P14?1.05
rs110658363e-09CUX2?1.26
rs69135783e-09CCDC170 - ESR1?1.04
rs25255483e-09Y_RNA - AZGP1?0.96
rs2057803e-09LINC-PINT?1.05
rs22378965e-09KCNQ1?1.05
rs7781886827e-09C5orf67 - MAP3K1?1.07

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90651054Sato G202343,098334,343Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis.
GCST90308764Sato G202329,753150,462Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis.
GCST90651069Sato G202329,753150,462Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis.
GCST90477174Verma A20242,058448,337Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90651045Sato G20231,387334,343Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis.
GCST90308755Sato G20231,159150,462Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis.
GCST90651060Sato G20231,159150,462Pan-cancer and cross-population genome-wide association studies dissect shared genetic backgrounds underlying carcinogenesis.
GCST90503277Wilcox N20251,022418,285The contribution of coding variants to the heritability of multiple cancer types using UK Biobank whole-exome sequencing data.
GCST90079575Backman JD2021992386,907Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083561Backman JD2021992386,907Exome sequencing and analysis of 454,787 UK Biobank participants.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding1
Tier 2: splice/UTR1
Tier 3: regulatory1
Tier 4: intronic/intergenic42

MAF distribution

BucketVariants
common (>=0.05)42
low_freq (0.01-0.05)0
rare (<0.01)0
unknown3

Functional consequences

ConsequenceCount
intron_variant31
intergenic_variant8
non_coding_transcript_exon_variant3
missense_variant1
regulatory_region_variant1
3_prime_UTR_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs1229984499318162T>A,C,G0.05missense_variantADH1B3e-44Tier 1: coding
rs126823748127398703C>A,G,T0.05intron_variantPCAT1, CASC8, POU5F1B9e-29Tier 4: intronic/intergenic
rs121965110121584987G>A,C,T0.05intron_variantFGFR21e-25Tier 4: intronic/intergenic
rs298158410121590702A>C,G,T0.05intron_variantFGFR21e-21Tier 4: intronic/intergenic
rs109082781737739961A>C,G,T0.05intron_variantHNF1B3e-21Tier 4: intronic/intergenic
rs1121495731652547333G>C,T0.05intron_variantTOX32e-17Tier 4: intronic/intergenic
rs7910525812111280427C>A,T0.05intron_variantCUX22e-17Tier 4: intronic/intergenic
rs785405261169516650C>T0.05regulatory_region_variantLINC01488 - PNCRNA-D1e-15Tier 3: regulatory
rs35409710632661126G>A0.05intron_variantHLA-DQB12e-15Tier 4: intronic/intergenic
rs74637088127091810G>A,C,T0.05non_coding_transcript_exon_variantPCAT1, PRNCR1, CASC192e-15Tier 4: intronic/intergenic
rs116517551737739849T>C0.05intron_variantHNF1B1e-14Tier 4: intronic/intergenic
rs14859951169492939G>A,C0.05non_coding_transcript_exon_variantLINC014888e-14Tier 4: intronic/intergenic
rs9273736632661595G>A,C0.05intron_variantHLA-DQB12e-13Tier 4: intronic/intergenic
rs29763848142671576T>A,C0.05intergenic_variantPSCA, JRK3e-13Tier 4: intronic/intergenic
rs25851818142690296C>A0.05intergenic_variantPSCA - LY6K3e-12Tier 4: intronic/intergenic
rs4007642922093300A>C,T0.05intron_variantCDKN2B-AS16e-11Tier 4: intronic/intergenic
rs1078677410103884565G>A,C,T0.05intron_variantSTN11e-10Tier 4: intronic/intergenic
rs29902231155215184G>A,T0.05intron_variantGBA1LP, GBA1LP1e-10Tier 4: intronic/intergenic
rs44429752217056046G>A,C,T0.05intron_variantTESHL2e-10Tier 4: intronic/intergenic
rs46302401046063294C>A,T0.05non_coding_transcript_exon_variantRPL23AP612e-10Tier 4: intronic/intergenic
rs18599631771116966T>A,C0.05intron_variantCASC178e-10Tier 4: intronic/intergenic
rs1181326810103922538C>T0.05intron_variantSTN1 - SLK8e-10Tier 4: intronic/intergenic
rs1089124611111299815A>G,T0.05intron_variantPOU2AF3, COLCA12e-09Tier 4: intronic/intergenic
rs18273368459108131440GGTATT>Gintergenic_variantCHCHD4P2 - RPL36P142e-09Tier 4: intronic/intergenic
rs1106583612111233272G>A,C0.05intron_variantCUX23e-09Tier 4: intronic/intergenic
rs69135786151628671A>C,T0.05intergenic_variantCCDC170 - ESR13e-09Tier 4: intronic/intergenic
rs2525548799955544C>A,G,T0.05intergenic_variantY_RNA - AZGP13e-09Tier 4: intronic/intergenic
rs2057807130966100G>A0.05intron_variantLINC-PINT3e-09Tier 4: intronic/intergenic
rs2237896112837210G>A,T0.05intron_variantKCNQ15e-09Tier 4: intronic/intergenic
rs778188682556757919intergenic_variantC5orf67 - MAP3K17e-09Tier 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

ClinVarVariant (HGVS)GeneClassificationReview
1028591NM_003242.6(TGFBR2):c.1134G>C (p.Arg378Ser)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12503NM_003242.6(TGFBR2):c.1576G>C (p.Glu526Gln)TGFBR2Pathogeniccriteria provided, single submitter
12519NM_003242.6(TGFBR2):c.1483C>T (p.Arg495Ter)TGFBR2Pathogeniccriteria provided, multiple submitters, no conflicts
1686258NM_003242.6(TGFBR2):c.1447del (p.Cys483fs)TGFBR2Pathogeniccriteria provided, single submitter
449834NM_003242.6(TGFBR2):c.913C>T (p.Leu305Phe)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
811253NM_003242.6(TGFBR2):c.1561T>C (p.Trp521Arg)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12374NM_000546.6(TP53):c.524G>A (p.Arg175His)TP53Pathogenicreviewed by expert panel
634674NM_000546.6(TP53):c.298del (p.Gln100fs)TP53Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
984966NM_000546.6(TP53):c.628_639del (p.Asn210_Arg213del)TP53Pathogeniccriteria provided, single submitter
1686306NM_016373.4(WWOX):c.1056G>C (p.Met352Ile)WWOXPathogeniccriteria provided, single submitter
241105NM_016373.4(WWOX):c.790C>T (p.Arg264Ter)WWOXPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
813767NM_016373.4(WWOX):c.689A>C (p.Gln230Pro)WWOXPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
804478NM_016373.4(WWOX):c.108-2A>TWWOXLikely pathogeniccriteria provided, single submitter
344652NM_003242.6(TGFBR2):c.-193G>ALOC129936399Uncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
1001410NM_003242.6(TGFBR2):c.-337T>ATGFBR2Uncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
858705NM_003242.6(TGFBR2):c.76C>T (p.Pro26Ser)TGFBR2Uncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
920747NM_003242.6(TGFBR2):c.1A>G (p.Met1Val)TGFBR2Uncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
927079NM_003242.6(TGFBR2):c.340G>C (p.Glu114Gln)TGFBR2Uncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
1202728NM_003242.6(TGFBR2):c.1490G>A (p.Arg497Gln)TGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1363915NM_003242.6(TGFBR2):c.797A>G (p.Asn266Ser)TGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
213913NM_003242.6(TGFBR2):c.94+16293C>ATGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
213915NM_003242.6(TGFBR2):c.412T>G (p.Cys138Gly)TGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
213942NM_003242.6(TGFBR2):c.760C>T (p.Arg254Cys)TGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
239526NM_003242.6(TGFBR2):c.116C>A (p.Thr39Asn)TGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
344646NM_003242.6(TGFBR2):c.-371A>CTGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
344648NM_003242.6(TGFBR2):c.-307C>TTGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
374980NM_003242.6(TGFBR2):c.1015C>T (p.Arg339Trp)TGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
408434NM_003242.6(TGFBR2):c.95-3C>ATGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
408436NM_003242.6(TGFBR2):c.1126G>A (p.Val376Met)TGFBR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
408442NM_003242.6(TGFBR2):c.215G>A (p.Ser72Asn)TGFBR2Conflicting classifications of pathogenicitycriteria 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)

GeneintOGen roleCancer typesCIViC
DCCLoFCOADREAD,ESCA,HCC,PAAD,PRADCIViC #1396
RNF6LoFCOADREAD
ERBB2ActBLCA,BRCA,CESC,CHOL,COADREAD,EGC,ESCA,ESCC,LMS,LUAD,NSCLC,OVT,PRCC,READ,STAD,UCECCIViC #20
GNASActBRCA,COADREAD,ESCA,HCC,LUAD,MBL,PAAD,PANCREASCIViC #2319
BRCA2LoFBLCA,BRCA,CESC,CHOL,HCC,HNSC,LUSC,MBL,OVT,PAAD,PRAD,PROSTATE,RCC,VULVACIViC #7
TGFBR2LoFCCRCC,CEAD,CESC,COADREAD,ESCA,HNSC,PAAD,PANCREAS,STAD
TP53LoFACC,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,WTCIViC #45
MAFActPCM

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
DCCNo Known Disease RelationshipUnknownesophageal cancer12
RNF6No Known Disease RelationshipUnknownesophageal cancer

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
DCCOrphanet:238722Familial congenital mirror movements
DCCOrphanet:2744Horizontal gaze palsy with progressive scoliosis
DCCOrphanet:478Kallmann syndrome
RNF6Orphanet:99977Squamous cell carcinoma of the esophagus
ERBB2Orphanet:213726Serous carcinoma of the corpus uteri
ERBB2Orphanet:2800Extramammary Paget disease
ERBB2Orphanet:388Hirschsprung disease
ERBB2Orphanet:99976Adenocarcinoma of the oesophagus and oesophagogastric junction
GNASOrphanet:189427Cushing syndrome due to bilateral macronodular adrenocortical disease
GNASOrphanet:2762Progressive osseous heteroplasia
GNASOrphanet:562McCune-Albright syndrome
GNASOrphanet:57782Mazabraud syndrome
GNASOrphanet:79443Pseudohypoparathyroidism type 1A
GNASOrphanet:79444Pseudohypoparathyroidism type 1C
GNASOrphanet:79445Pseudopseudohypoparathyroidism
GNASOrphanet:93276Polyostotic fibrous dysplasia
GNASOrphanet:93277Monostotic fibrous dysplasia
GNASOrphanet:94089Pseudohypoparathyroidism type 1B
BRCA2Orphanet:1331Familial prostate cancer
BRCA2Orphanet:1333Familial pancreatic carcinoma
BRCA2Orphanet:145Hereditary breast and/or ovarian cancer syndrome
BRCA2Orphanet:178Chordoma
BRCA2Orphanet:227535Hereditary breast cancer
BRCA2Orphanet:319462Inherited cancer-predisposing syndrome due to biallelic BRCA2 mutations
BRCA2Orphanet:440437Familial colorectal cancer Type X
BRCA2Orphanet:654Nephroblastoma
BRCA2Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
BRCA2Orphanet:694963Inflammatory breast cancer
BRCA2Orphanet:70567Cholangiocarcinoma
BRCA2Orphanet:84Fanconi anemia
TGFBR2Orphanet:144Lynch syndrome
TGFBR2Orphanet:284973Marfan syndrome type 2
TGFBR2Orphanet:60030Loeys-Dietz syndrome
TGFBR2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFBR2Orphanet:99977Squamous cell carcinoma of the esophagus
TP53Orphanet:1333Familial pancreatic carcinoma
TP53Orphanet:145Hereditary breast and/or ovarian cancer syndrome
TP53Orphanet:1501Adrenocortical carcinoma
TP53Orphanet:210159Adult hepatocellular carcinoma
TP53Orphanet:251576Gliosarcoma
TP53Orphanet:251579Giant cell glioblastoma
TP53Orphanet:251899Choroid plexus carcinoma
TP53Orphanet:2807Papilloma of choroid plexus
TP53Orphanet:293199Pleomorphic rhabdomyosarcoma
TP53Orphanet:3318Essential thrombocythemia
TP53Orphanet:524Li-Fraumeni syndrome
TP53Orphanet:52688Myelodysplastic syndrome
TP53Orphanet:585909B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2)
TP53Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
TP53Orphanet:668Osteosarcoma

Cohort genes → proteins

10 cohort genes, 10 distinct canonical proteins.

Evidence partition

SubsetGenes
civic_only2
multi_evidence8

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
DCCHGNC:2701ENSG00000187323P43146Netrin receptor DCCgencc,clinvar
RNF6HGNC:10069ENSG00000127870Q9Y252E3 ubiquitin-protein ligase RNF6gencc
ERBB2HGNC:3430ENSG00000141736P04626Receptor tyrosine-protein kinase erbB-2civic_evidence
GNASHGNC:4392ENSG00000087460O95467Neuroendocrine secretory protein 55civic_evidence
BRCA2HGNC:1101ENSG00000139618P51587Breast cancer type 2 susceptibility proteinclinvar
TGFBR2HGNC:11773ENSG00000163513P37173TGF-beta receptor type-2clinvar
TP53HGNC:11998ENSG00000141510P04637Cellular tumor antigen p53clinvar
WWOXHGNC:12799ENSG00000186153Q9NZC7WW domain-containing oxidoreductaseclinvar
DLEC1HGNC:2899ENSG00000008226Q9Y238Deleted in lung and esophageal cancer protein 1clinvar
MAFHGNC:6776ENSG00000178573O75444Transcription factor Mafclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
DCCNetrin receptor DCCReceptor for netrin required for axon guidance.
RNF6E3 ubiquitin-protein ligase RNF6E3 ubiquitin-protein ligase mediating ‘Lys-48’-linked polyubiquitination of LIMK1 and its subsequent targeting to the proteasome for degradation.
ERBB2Receptor tyrosine-protein kinase erbB-2Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding.
BRCA2Breast cancer type 2 susceptibility proteinInvolved in double-strand break repair and/or homologous recombination.
TGFBR2TGF-beta receptor type-2Transmembrane 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.
TP53Cellular tumor antigen p53Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence.
WWOXWW domain-containing oxidoreductasePutative oxidoreductase.
DLEC1Deleted in lung and esophageal cancer protein 1Essential for spermatogenesis and male fertility.
MAFTranscription factor MafActs 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.

FamilyGenesFoldFDR
Antibody/Immunoglobulin25.8×0.121
Kinase25.5×0.121
Transcription factor32.5×0.185
Scaffold/PPI11.7×0.561
Other/Unknown20.4×0.996

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
DCCAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
RNF6Transcription factornoZnf_RING, Znf_RING/FYVE/PHD, RING_finger_E3_ligase
ERBB2Kinaseyes2.7.10.1Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
GNASOther/UnknownnoNESP55, Gprotein_alpha_S, Gprotein_alpha_su
BRCA2Other/UnknownnoBRCA2_repeat, NA-bd_OB-fold, BRCA2_OB_1
TGFBR2Kinaseyes2.7.10.2TGFB_receptor, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
TP53Transcription factornop53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn
WWOXScaffold/PPInoWW_dom, SDR_fam, WW_dom_sf
DLEC1Antibody/ImmunoglobulinyesIg-like_fold, DLEC1, Ig_DLEC1_1
MAFTranscription factornobZIP_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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)10
unknown0

Top tissues across cohort

TissueCohort genes
bronchial epithelial cell2
right uterine tube2
ventricular zone2
cortical plate1
left testis1
right testis1
choroid plexus epithelium1
epithelium of nasopharynx1
lower esophagus mucosa1
sural nerve1
Brodmann (1909) area 461
postcentral gyrus1
type B pancreatic cell1
male germ line stem cell (sensu Vertebrata) in testis1
secondary oocyte1
parietal pleura1
pericardium1
tibia1
ganglionic eminence1
tendon of biceps brachii1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
DCC154broadmarkercortical plate, right testis, left testis
RNF6294ubiquitousmarkerbronchial epithelial cell, epithelium of nasopharynx, choroid plexus epithelium
ERBB2276ubiquitousmarkerlower esophagus mucosa, right uterine tube, sural nerve
GNAS312ubiquitousmarkertype B pancreatic cell, postcentral gyrus, Brodmann (1909) area 46
BRCA2184ubiquitousmarkermale germ line stem cell (sensu Vertebrata) in testis, secondary oocyte, ventricular zone
TGFBR2289ubiquitousmarkerpericardium, tibia, parietal pleura
TP53223ubiquitousmarkerventricular zone, ganglionic eminence, tendon of biceps brachii
WWOX286ubiquitousmarkerparotid gland, cervix squamous epithelium, cranial nerve II
DLEC1188broadmarkerright uterine tube, epithelium of bronchus, bronchial epithelial cell
MAF290ubiquitousmarkerjejunal mucosa, germinal epithelium of ovary, gingiva

Protein interactions among cohort

Intra-cohort edges: 6.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TP5322,736
ERBB29,659
WWOX5,892
TGFBR25,777
BRCA24,839
MAF4,111
DCC1,333
DLEC11,229
RNF61,187
GNAS410

Intra-cohort edges

ABSources
BRCA2TP53string_interaction
DLEC1RNF6string_interaction
DLEC1WWOXstring_interaction
ERBB2TGFBR2biogrid_interaction
RNF6WWOXstring_interaction
TP53WWOXstring_interaction

Structural data

PDB: 7 · AlphaFold-only: 3 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
GNASO95467490
TP53P04637313
ERBB2P0462663
TGFBR2P3717322
BRCA2P5158714
DCCP431469
WWOXQ9NZC71

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
DLEC1Q9Y23871.51
MAFO7544462.21
RNF6Q9Y25249.92

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.

PathwayCohort genesFoldFDRSample cohort genes
Loss of function of TP53 in cancer due to loss of tetramerization ability11268.9×0.026TP53
TGFBR2 MSI Frameshift Mutants in Cancer1634.4×0.026TGFBR2
Regulation of TP53 Expression1634.4×0.026TP53
Loss of Function of TGFBR2 in Cancer1423.0×0.026TGFBR2
TGFBR2 Kinase Domain Mutants in Cancer1423.0×0.026TGFBR2
Impaired BRCA2 translocation to the nucleus1423.0×0.026BRCA2
Impaired BRCA2 binding to SEM1 (DSS1)1423.0×0.026BRCA2
PLCG1 events in ERBB2 signaling1317.2×0.026ERBB2
TGFBR1 LBD Mutants in Cancer1317.2×0.026TGFBR2
Transcriptional activation of cell cycle inhibitor p211317.2×0.026TP53
Drug-mediated inhibition of ERBB2 signaling1317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to trastuzumab1317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to sapitinib1317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to tesevatinib1317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to neratinib1317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to osimertinib1317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to afatinib1317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to AEE7881317.2×0.026ERBB2
Resistance of ERBB2 KD mutants to lapatinib1317.2×0.026ERBB2
Drug resistance in ERBB2 TMD/JMD mutants1317.2×0.026ERBB2
Loss of Function of TGFBR1 in Cancer1253.8×0.027TGFBR2
DSCAM interactions1253.8×0.027DCC
Activation of NOXA and translocation to mitochondria1211.5×0.027TP53
GRB7 events in ERBB2 signaling1211.5×0.027ERBB2
Loss of Function of SMAD2/3 in Cancer1211.5×0.027TGFBR2
Signaling by TGF-beta Receptor Complex in Cancer1211.5×0.027TGFBR2
SMAD2/3 Phosphorylation Motif Mutants in Cancer1211.5×0.027TGFBR2
TGFBR1 KD Mutants in Cancer1211.5×0.027TGFBR2
RUNX3 regulates CDKN1A transcription1181.3×0.031TP53
TGFBR3 regulates TGF-beta signaling1158.6×0.034TGFBR2

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 termCohort genesFoldFDRSample cohort genes
response to X-ray2177.4×0.009BRCA2, TP53
gastrulation2140.4×0.009TGFBR2, TP53
response to gamma radiation2116.2×0.009BRCA2, TP53
intrinsic apoptotic signaling pathway by p53 class mediator2116.2×0.009TP53, WWOX
positive regulation of reactive oxygen species metabolic process2102.1×0.009TGFBR2, TP53
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator299.1×0.009BRCA2, TP53
positive regulation of tolerance induction to self antigen11685.2×0.009TGFBR2
positive regulation of B cell tolerance induction11685.2×0.009TGFBR2
negative regulation of helicase activity11685.2×0.009TP53
cellular response to actinomycin D11685.2×0.009TP53
regulation of intrinsic apoptotic signaling pathway by p53 class mediator11685.2×0.009TP53
negative regulation of G1 to G0 transition11685.2×0.009TP53
inferior endocardial cushion morphogenesis11685.2×0.009TGFBR2
cellular response to ionizing radiation282.2×0.009BRCA2, TP53
nucleotide-excision repair276.6×0.009BRCA2, TP53
DNA damage response, signal transduction by p53 class mediator271.7×0.009BRCA2, TP53
cellular response to growth factor stimulus263.6×0.009TGFBR2, ERBB2
cellular senescence259.1×0.009BRCA2, TP53
in utero embryonic development321.6×0.009TGFBR2, TP53, MAF
positive regulation of mitochondrial membrane permeability1842.6×0.013TP53
bronchus morphogenesis1842.6×0.013TGFBR2
mammary gland morphogenesis1842.6×0.013TGFBR2
oligodendrocyte apoptotic process1842.6×0.013TP53
negative regulation of glucose catabolic process to lactate via pyruvate1842.6×0.013TP53
negative regulation of pentose-phosphate shunt1842.6×0.013TP53
mitotic recombination-dependent replication fork processing1842.6×0.013BRCA2
double-strand break repair240.6×0.013BRCA2, TP53
obsolete homolactic fermentation1561.7×0.015TP53
spinal cord ventral commissure morphogenesis1561.7×0.015DCC
adenylate cyclase-activating G protein-coupled bile acid receptor signaling pathway1561.7×0.015GNAS

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.

SymbolExample approved molecule
ERBB2CLOTRIMAZOLE
TGFBR2PONATINIB
TP53NITROFURANTOIN

Top cohort targets by molecule count

SymbolMoleculesMax phase
TP531964
ERBB2834
TGFBR2224
DCC00
RNF600
GNAS00
BRCA200
WWOX00
DLEC100
MAF00

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
CLOTRIMAZOLE4ERBB2, TP53
ERLOTINIB HYDROCHLORIDE4ERBB2
PONATINIB4ERBB2, TGFBR2
AFATINIB4ERBB2
LAPATINIB DITOSYLATE4ERBB2
SORAFENIB4ERBB2, TGFBR2
NERATINIB4ERBB2
IBRUTINIB4ERBB2
AFATINIB DIMALEATE4ERBB2
CABOZANTINIB4ERBB2
DACOMITINIB4ERBB2
DACOMITINIB ANHYDROUS4ERBB2
VANDETANIB4ERBB2
TRIBROMSALAN4ERBB2
BOSUTINIB4ERBB2
BITHIONOL4ERBB2
ASTEMIZOLE4ERBB2, TP53
EBASTINE4ERBB2
OSIMERTINIB4ERBB2
BRIGATINIB4ERBB2
ACALABRUTINIB4ERBB2
ZANUBRUTINIB4ERBB2
TUCATINIB4ERBB2
TIRABRUTINIB4ERBB2
PACLITAXEL4ERBB2, TP53
LAZERTINIB4ERBB2
HEXACHLOROPHENE4ERBB2
DOXORUBICIN4ERBB2
DASATINIB4ERBB2, TGFBR2
ERLOTINIB4ERBB2

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 2.

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

SymbolAssaysType breakdown
ERBB21,221Binding:1136, Functional:79, ADMET:6
TP53869Binding:775, ADMET:83, Functional:10, Toxicity:1
TGFBR2188Binding:188

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
ERBB22.7.10.1receptor protein-tyrosine kinase
TGFBR22.7.10.2non-specific protein-tyrosine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
ERBB21,221
TGFBR2188
TP53869

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.

CompoundMax phaseCohort target (bioactivity)
CLOTRIMAZOLE4ERBB2, TP53
ERLOTINIB HYDROCHLORIDE4ERBB2
PONATINIB4ERBB2, TGFBR2
LAPATINIB DITOSYLATE4ERBB2
SORAFENIB4ERBB2, TGFBR2
NERATINIB4ERBB2
IBRUTINIB4ERBB2
AFATINIB DIMALEATE4ERBB2
CABOZANTINIB4ERBB2
DACOMITINIB4ERBB2
DACOMITINIB ANHYDROUS4ERBB2
VANDETANIB4ERBB2
TRIBROMSALAN4ERBB2
BOSUTINIB4ERBB2
BITHIONOL4ERBB2
ASTEMIZOLE4ERBB2, TP53
EBASTINE4ERBB2
OSIMERTINIB4ERBB2
BRIGATINIB4ERBB2
ACALABRUTINIB4ERBB2
ZANUBRUTINIB4ERBB2
TUCATINIB4ERBB2
TIRABRUTINIB4ERBB2
PACLITAXEL4ERBB2, TP53
LAZERTINIB4ERBB2
HEXACHLOROPHENE4ERBB2
DOXORUBICIN4ERBB2
DASATINIB4ERBB2, TGFBR2

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)3ERBB2, TGFBR2, TP53
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug1DCC
DDruggable family + AlphaFold only, no drug1DLEC1
EDifficult family or no structure, no drug5RNF6, GNAS, BRCA2, WWOX, MAF

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
DCC0
RNF60
GNAS0
BRCA20
WWOX0
DLEC10
MAF0

Clinical trials & evidence

Clinical trials

Clinical trials: 1,301.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified407
PHASE2312
PHASE1164
PHASE1/PHASE294
PHASE381
PHASE419
PHASE2/PHASE317
EARLY_PHASE16

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05183126PHASE4RECRUITINGPharmacokinetic Study of Skeletal Muscle Area-based Paclitaxel Infusion in Patients With Cancer
NCT06437288PHASE4ENROLLING_BY_INVITATIONHematoporphyrin Photodynamic Therapy for Esophageal Cancer
NCT07124351PHASE4RECRUITINGIntraoperative Imaging of Gastrointestinal Malignancies Using Pafolacianine (CYTALUX™)
NCT00333099PHASE4COMPLETEDINEC Study: Immuno-modulating Enteral Nutrition in Cancer
NCT00365508PHASE4COMPLETEDCounseling and Nicotine Replacement Therapy in Helping Adult Smokers Quit Smoking
NCT00666978PHASE4COMPLETEDHealth Education Counseling With or Without Bupropion in Helping African Americans Stop Smoking
NCT00754468PHASE4COMPLETEDStudy of CryoSpray Ablation(TM)to Determine Treatment Effect, Depth of Injury, and Side Effects in the Esophagus.
NCT00790140PHASE4UNKNOWNTrial of Enteral Nutrition Enriched With Eicosapentaenoic Acid (EPA) in Upper Gastrointestinal Cancer Surgery
NCT00911092PHASE4COMPLETEDPredictive Proteomic Factors of the Response to Concomitant Radiochemotherapy in Esophageal Cancer
NCT01038154PHASE4UNKNOWNStudy to Evaluate the Efficacy of Pravastatin on Survival and Recurrence of Advanced Gastroesophageal Cancer
NCT01416077PHASE4COMPLETEDDecreasing Postoperative Complications by Goal-Directed Fluid Therapy During Esophageal Resection
NCT01927328PHASE4UNKNOWNIron Replacement in Oesophagogastric Neoplasia
NCT01962272PHASE4COMPLETEDThe Effect of Nutritional Counseling for Cancer Patients
NCT02042313PHASE4UNKNOWNPostoperative Pain Management After Minimally Invasive Esophagectomy
NCT02320734PHASE4COMPLETEDDeep Neuromuscular Relaxation in Patients for Thoraco-laparoscopic Esophagectomy
NCT03384511PHASE4COMPLETEDThe Use of 18F-ALF-NOTA-PRGD2 PET/CT Scan to Predict the Efficacy and Adverse Events of Apatinib in Malignancies.
NCT03413436PHASE4COMPLETEDLobaplation or Cisplatin in Adjuvant Chemotherapy for Esophageal Carcinoma
NCT03642093PHASE4UNKNOWNHOPE - A Study to Evaluate the Effect of a Prehabilitation Program on GI Cancer Patients Planning to Undergo Surgery
NCT04269369PHASE4UNKNOWNImplementation of Pre-emptive Geno- and Phenotyping in 5-Fluorouracil- or Capecitabine-treated Patients
NCT03731442PHASE3RECRUITINGSalvage Chemoradiation Therapy for Recurrence After Radical Surgery or Palliative Surgery in Esophageal Cancer Patients
NCT04135664PHASE3RECRUITINGComparison of Esophagectomy and Chemoradiation for Patients With cN0-pT1b Stage Esophageal Squamous Cell Carcinoma
NCT04280822PHASE3RECRUITINGNeo-adjuvant Immunochemotheray Versus Neo-adjuvant Chemotherapy for Resectable Esophageal Carcinoma
NCT04415853PHASE3RECRUITINGStudy of Larotinib in Unresectable Advanced or Recurrent Esophageal Cancer
NCT04513808PHASE3RECRUITINGTotal Intravenous Anesthesia and Recurrence Free Survival
NCT04821778PHASE3RECRUITINGChemoradiotherapy in Esophageal or Esophagogastric Junction Cancer
NCT04821843PHASE3RECRUITINGNeoadjuvant Treatment Modalities in Esophageal Cancer
NCT04871412PHASE3RECRUITINGThe Thoracic Peri-Operative Integrative Surgical Care Evaluation Trial - Stage III
NCT05055648PHASE3RECRUITINGPROton Versus Photon Therapy for Esophageal Cancer - a Trimodality Strategy
NCT05188313PHASE3RECRUITINGTRAstuzumab and Pertuzumab for HER2+ Resectable Oesophageal Cancer
NCT05357846PHASE3RECRUITINGPD-1 Inhibitor Combined With Neoadjuvant Chemoradiotherapy Plus Surgery for Locally Advanced ESCC (NEOCRTEC2101)
NCT05504265PHASE2/PHASE3RECRUITINGPerioperative Analgesia Modes in Minimally Invasive Esophagectomy
NCT05547529PHASE3RECRUITINGThe Efficacy of Neoadjuvant Chemoradiotherapy in Comparison With Neoadjuvant Chemotherapy in Patients With Resectable Squamous Cell Esophageal Cancer
NCT05865743PHASE3RECRUITINGPerioperative SDD to Prevent Infectious Complications After Esophagectomy
NCT06115629PHASE3NOT_YET_RECRUITINGSurveillance After Resection of Oesophageal aNd Gastric Cancer (SARONG-II) Trial
NCT06339060PHASE3RECRUITINGAn Organ Preservation Strategies After Chemoradiotherapy Combined With Immunotherapy for Esophageal Cancer (PALACE3).
NCT06501664PHASE3NOT_YET_RECRUITINGLiposomal Irinotecan and 5-FU as Second-line Therapy for Patients With ESCC
NCT06782412PHASE2/PHASE3RECRUITINGMulticenter Validation Trial of [18F]AlF-FAPI-74 for PET Imaging of Cancer-associated Fibroblasts Through Fibroblast Activation Protein Inhibitors (FAPI) in Different Tumor Types
NCT06914011PHASE3NOT_YET_RECRUITINGCirculating Tumor DNA MRD-Guided Adjuvant Therapy for Curatively Resected Locally Advanced Esophageal Squamous Cell Carcinoma
NCT07000253PHASE2/PHASE3RECRUITINGTiming of Minimally Invasive Local Treatment After First-Line Systemic Therapy in Oligometastatic Esophageal or Gastric Adenocarcinoma
NCT07177794PHASE3RECRUITINGConsolidation of Toripalimab and Capecitabine After Chemoradiotherapy in ESCC

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
IRINOTECAN446
BEVACIZUMAB48
EPIRUBICIN48
CISPLATIN46
ERLOTINIB46
FLUOROURACIL46
CETUXIMAB43
FLOXURIDINE43
HYDROXYUREA43
LEUCOVORIN43
NICOTINE43
PANITUMUMAB43
SUNITINIB MALATE43
TORIPALIMAB43
AFATINIB42
EFLORNITHINE42
FLUDEOXYGLUCOSE F 1842
IXABEPILONE42
RAMUCIRUMAB42
SARGRAMOSTIM42
TEGAFUR42
VINORELBINE42
ALDESLEUKIN41
ARMODAFINIL41
ARSENIC TRIOXIDE41
ATEZOLIZUMAB41
BUPROPION HYDROCHLORIDE41
CAPECITABINE41
CETIRIZINE41
CITALOPRAM41

Precision-medicine subtype map (CIViC)

Drug × molecular subtype: 8 predictive associations from 8 curated evidence items.

Molecular subtypeTherapyEffectLevelCIViC
GNAS c.393T>CCisplatin + FluorouracilResistanceCIViC BEID2895
CDK9 OverexpressionAlvocidib + CAN508Sensitivity/ResponseCIViC DEID9311
ERBB2 AmplificationIbrutinibSensitivity/ResponseCIViC DEID6929
HDAC6 OverexpressionPanobinostat + Trichostatin A + VorinostatSensitivity/ResponseCIViC DEID9856
HDAC9 OverexpressionHDAC Inhibitor REC-2282Sensitivity/ResponseCIViC DEID9855
YAP1 OverexpressionVerteporfinSensitivity/ResponseCIViC DEID1983
YAP1 OverexpressionDocetaxel + VerteporfinSensitivity/ResponseCIViC DEID9329
YAP1 OverexpressionDocetaxel + FluorouracilResistanceCIViC DEID1982