Essential hypertension
diseaseOn this page
Also known as idiopathic hypertensionprimary hypertension
Summary
Essential hypertension (MONDO:0001134) is a disease with 41 cohort genes (633 GWAS associations across 34 studies) and 306 clinical trials. Top therapeutic interventions include olmesartan medoxomil, perindopril, and azilsartan medoxomil.
At a glance
- Cohort genes: 41
- GWAS associations: 633
- ClinVar variants: 6
- Clinical trials: 306
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | essential hypertension |
| Mondo ID | MONDO:0001134 |
| MeSH | D000075222 |
| Orphanet | 243761 |
| DOID | DOID:10825 |
| ICD-11 | 761947693 |
| SNOMED CT | 59621000 |
| UMLS | C0085580 |
| MedGen | 88442 |
| Is cancer (heuristic) | no |
Also known as: idiopathic hypertension · primary hypertension
Data availability: 6 ClinVar variants · 633 GWAS associations (34 studies).
Disease family
An umbrella term covering 3 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › vascular disorder › arterial disorder › hypertensive disorder › essential hypertension
Related subtypes (11): secondary hypertension, pulmonary hypertension, early onset hypertension, chemotherapy-induced hypertension, intracranial hypertension, malignant hypertension, ocular hypertension, kallikrein hypertension, hypertension, pregnancy-induced, resistant hypertension, hypertensive urgency
Subtypes (3): malignant essential hypertension, benign essential hypertension, essential hypertension, genetic
Genetics & variants
GWAS landscape
633 GWAS associations across 34 studies. Top hits map to 9 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| chr4:80261400 | 7e-90 | C | 0.1 | |
| rs12509595 | 2e-83 | PRDM8 - FGF5 | T | 0.1 |
| chr7:150993088 | 3e-70 | T | 0.15 | |
| chr2:26691496 | 4e-61 | T | 0.08 | |
| rs1558902 | 2e-57 | FTO | T | 0.08 |
| chr12:111446804 | 6e-55 | C | 0.07 | |
| chr10:61751548 | 3e-53 | A | 0.1 | |
| chr11:100767524 | 3e-53 | A | 0.08 | |
| chr5:32831833 | 6e-50 | C | 0.07 | |
| chr1:10736809 | 2e-48 | C | 0.07 | |
| rs16998073 | 2e-47 | PRDM8 - FGF5 | ? | |
| chr6:126840925 | 3e-47 | T | 0.07 | |
| chr15:90885291 | 7e-46 | C | 0.07 | |
| chr11:1865986 | 2e-43 | C | 0.06 | |
| chr19:7257979 | 8e-43 | G | 0.09 | |
| rs1421085 | 2e-41 | FTO | T | 0.08 |
| chr12:115114632 | 2e-41 | G | 0.06 | |
| chr1:11835738 | 2e-41 | A | 0.08 | |
| chr1:11858036 | 2e-39 | A | 0.09 | |
| chr20:10986566 | 3e-39 | G | 0.06 | |
| chr11:1866576 | 4e-37 | ? | 0.06 | |
| chr5:158391010 | 5e-37 | G | 0.06 | |
| chr20:8635941 | 1e-35 | G | 0.06 | |
| chr19:11416089 | 2e-35 | G | 0.06 | |
| chr15:90885060 | 5e-35 | ? | 0.06 | |
| rs12978472 | 6e-35 | INSR | C | 0.09 |
| chr20:59159857 | 7e-35 | A | 0.09 | |
| chr12:89631845 | 8e-35 | A | 0.06 | |
| chr5:32819073 | 3e-34 | T | 0.06 | |
| rs1275923 | 4e-34 | KCNK3 | C | 0.06 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90475922 | Verma A | 2024 | 320,429 | 107,275 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90473522 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 184,088 | 274,352 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90667950 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 184,088 | 274,352 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90079962 | Backman JD | 2021 | 105,117 | 269,090 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083948 | Backman JD | 2021 | 105,117 | 269,090 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90297593 | Auwerx C | 2024 | 97,860 | 179,146 | Rare copy-number variants as modulators of common disease susceptibility. |
| GCST90297647 | Auwerx C | 2024 | 97,860 | 179,146 | Rare copy-number variants as modulators of common disease susceptibility. |
| GCST90297697 | Auwerx C | 2024 | 97,860 | 179,146 | Rare copy-number variants as modulators of common disease susceptibility. |
| GCST90297742 | Auwerx C | 2024 | 97,860 | 179,146 | Rare copy-number variants as modulators of common disease susceptibility. |
| GCST90691960 | Karczewski KJ | 2025 | 94,062 | 325,488 | Pan-UK Biobank genome-wide association analyses enhance discovery and resolution of ancestry-enriched effects. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 49 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 16 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 33 |
Functional consequences
| Consequence | Count |
|---|---|
| unknown | 38 |
| intron_variant | 9 |
| intergenic_variant | 2 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| chr4:80261400 | 7e-90 | Tier 4: intronic/intergenic | ||||||
| rs12509595 | 4 | 80261400 | T>C,G | 0.286 | intergenic_variant | PRDM8 - FGF5 | 2e-83 | Tier 4: intronic/intergenic |
| chr7:150993088 | 3e-70 | Tier 4: intronic/intergenic | ||||||
| chr2:26691496 | 4e-61 | Tier 4: intronic/intergenic | ||||||
| rs1558902 | 16 | 53769662 | T>A | 0.404 | intron_variant | FTO | 2e-57 | Tier 4: intronic/intergenic |
| chr12:111446804 | 6e-55 | Tier 4: intronic/intergenic | ||||||
| chr10:61751548 | 3e-53 | Tier 4: intronic/intergenic | ||||||
| chr11:100767524 | 3e-53 | Tier 4: intronic/intergenic | ||||||
| chr5:32831833 | 6e-50 | Tier 4: intronic/intergenic | ||||||
| chr1:10736809 | 2e-48 | Tier 4: intronic/intergenic | ||||||
| rs16998073 | 4 | 80263187 | A>C,G,T | 0.05 | intergenic_variant | PRDM8 - FGF5 | 2e-47 | Tier 4: intronic/intergenic |
| chr6:126840925 | 3e-47 | Tier 4: intronic/intergenic | ||||||
| chr15:90885291 | 7e-46 | Tier 4: intronic/intergenic | ||||||
| chr11:1865986 | 2e-43 | Tier 4: intronic/intergenic | ||||||
| chr19:7257979 | 8e-43 | Tier 4: intronic/intergenic | ||||||
| rs1421085 | 16 | 53767042 | T>C | 0.333 | intron_variant | FTO | 2e-41 | Tier 4: intronic/intergenic |
| chr12:115114632 | 2e-41 | Tier 4: intronic/intergenic | ||||||
| chr1:11835738 | 2e-41 | Tier 4: intronic/intergenic | ||||||
| chr1:11858036 | 0.159 | 2e-39 | Tier 4: intronic/intergenic | |||||
| chr20:10986566 | 3e-39 | Tier 4: intronic/intergenic | ||||||
| chr11:1866576 | 4e-37 | Tier 4: intronic/intergenic | ||||||
| chr5:158391010 | 5e-37 | Tier 4: intronic/intergenic | ||||||
| chr20:8635941 | 1e-35 | Tier 4: intronic/intergenic | ||||||
| chr19:11416089 | 2e-35 | Tier 4: intronic/intergenic | ||||||
| chr15:90885060 | 5e-35 | Tier 4: intronic/intergenic | ||||||
| rs12978472 | 19 | 7257979 | C>A,G,T | 0.121 | intron_variant | INSR | 6e-35 | Tier 4: intronic/intergenic |
| chr20:59159857 | 7e-35 | Tier 4: intronic/intergenic | ||||||
| chr12:89631845 | 8e-35 | Tier 4: intronic/intergenic | ||||||
| chr5:32819073 | 0.412 | 3e-34 | Tier 4: intronic/intergenic | |||||
| rs1275923 | 2 | 26709928 | C>T | 0.404 | intron_variant | KCNK3 | 4e-34 | Tier 4: intronic/intergenic |
ClinVar germline variants
6 retrieved; paginated sample, class counts are floors:
2 uncertain significance, 1 likely pathogenic, 1 association, 1 not provided, 1 pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 7864 | NM_000961.4(PTGIS):c.1358+2T>C | PTGIS | Pathogenic | no assertion criteria provided |
| 1179033 | NM_000685.5(AGTR1):c.599dup (p.Asn200fs) | AGTR1 | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 931540 | NM_000603.5(NOS3):c.284C>T (p.Thr95Ile) | NOS3 | Uncertain significance | criteria provided, single submitter |
| 1033155 | NM_000961.4(PTGIS):c.283G>A (p.Asp95Asn) | PTGIS | Uncertain significance | criteria provided, single submitter |
| 219224 | NC_000016.10:g.20354332A>G | UMOD | association | no assertion criteria provided |
| 585032 | NM_000777.5(CYP3A5):c.1165C>T (p.Pro389Ser) | CYP3A5 | not provided | no classification provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 19 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SALL1 | Orphanet:857 | Townes-Brocks syndrome |
| UMOD | Orphanet:88950 | UMOD-related autosomal dominant tubulointerstitial kidney disease |
| PRDM8 | Orphanet:324290 | PRDM8-related progressive myoclonus epilepsy |
| CHEK2 | Orphanet:1331 | Familial prostate cancer |
| CHEK2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| CHEK2 | Orphanet:440437 | Familial colorectal cancer Type X |
| CHEK2 | Orphanet:524 | Li-Fraumeni syndrome |
| CHEK2 | Orphanet:668 | Osteosarcoma |
| B3GLCT | Orphanet:709 | Peters plus syndrome |
| ANTXR2 | Orphanet:2028 | Juvenile hyaline fibromatosis |
| ANTXR2 | Orphanet:2176 | Infantile systemic hyalinosis |
| AGTR1 | Orphanet:97369 | Renal tubular dysgenesis of genetic origin |
| FOXC1 | Orphanet:250923 | Isolated aniridia |
| FOXC1 | Orphanet:708 | Peters anomaly |
| FOXC1 | Orphanet:782 | Axenfeld-Rieger syndrome |
| FOXC1 | Orphanet:91483 | Rieger anomaly |
| FOXC1 | Orphanet:98978 | Axenfeld anomaly |
| GUCY1A1 | Orphanet:401945 | Moyamoya disease with early-onset achalasia |
| MRAS | Orphanet:648 | Noonan syndrome |
Cohort genes → proteins
41 cohort genes, 35 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 35 |
| multi_evidence | 6 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SALL1 | HGNC:10524 | ENSG00000103449 | Q9NSC2 | Sal-like protein 1 | gwas |
| SLC22A1 | HGNC:10963 | ENSG00000175003 | O15245 | Solute carrier family 22 member 1 | gwas |
| UMOD | HGNC:12559 | ENSG00000169344 | P07911 | Uromodulin | clinvar |
| PRDM8 | HGNC:13993 | ENSG00000152784 | Q9NQV8 | PR domain zinc finger protein 8 | gwas |
| PCDH18 | HGNC:14268 | ENSG00000189184 | Q9HCL0 | Protocadherin-18 | gwas |
| CHORDC1 | HGNC:14525 | ENSG00000110172 | Q9UHD1 | Cysteine and histidine-rich domain-containing protein 1 | gwas |
| MTMR9 | HGNC:14596 | ENSG00000104643 | Q96QG7 | Myotubularin-related protein 9 | gwas |
| OR4C3 | HGNC:14697 | ENSG00000176547 | Q8NH37 | Olfactory receptor 4C3 | gwas |
| PPP1R3B | HGNC:14942 | ENSG00000173281 | Q86XI6 | Protein phosphatase 1 regulatory subunit 3B | gwas |
| OR4X2 | HGNC:15184 | ENSG00000172208 | Q8NGF9 | Olfactory receptor 4X2 | gwas |
| CHEK2 | HGNC:16627 | ENSG00000183765 | O96017 | Serine/threonine-protein kinase Chk2 | gwas |
| RXFP2 | HGNC:17318 | ENSG00000133105 | Q8WXD0 | Relaxin receptor 2 | gwas |
| PURG | HGNC:17930 | ENSG00000172733 | Q9UJV8 | Purine-rich element-binding protein gamma | gwas |
| HSD17B12 | HGNC:18646 | ENSG00000149084 | Q53GQ0 | Very-long-chain 3-oxoacyl-CoA reductase | gwas |
| UNC79 | HGNC:19966 | ENSG00000133958 | Q9P2D8 | Protein unc-79 homolog | gwas |
| DNAJC1 | HGNC:20090 | ENSG00000136770 | Q96KC8 | DnaJ homolog subfamily C member 1 | gwas |
| B3GLCT | HGNC:20207 | ENSG00000187676 | Q6Y288 | Beta-1,3-glucosyltransferase | gwas |
| ILRUN | HGNC:21215 | ENSG00000196821 | Q9H6K1 | Protein ILRUN | gwas |
| NME9 | HGNC:21343 | ENSG00000181322 | Q86XW9 | Thioredoxin domain-containing protein 6 | gwas |
| ANTXR2 | HGNC:21732 | ENSG00000163297 | P58335 | Anthrax toxin receptor 2 | gwas |
| HERPUD2 | HGNC:21915 | ENSG00000122557 | Q9BSE4 | Homocysteine-responsive endoplasmic reticulum-resident ubiquitin-like domain member 2 protein | gwas |
| NANOS3 | HGNC:22048 | ENSG00000187556 | P60323 | Nanos homolog 3 | clinvar |
| REXO1 | HGNC:24616 | ENSG00000079313 | Q8N1G1 | RNA exonuclease 1 homolog | gwas |
| MAP9 | HGNC:26118 | ENSG00000164114 | Q49MG5 | Microtubule-associated protein 9 | gwas |
| CYP3A5 | HGNC:2638 | ENSG00000106258 | P20815 | Cytochrome P450 3A5 | clinvar |
| GXYLT1 | HGNC:27482 | ENSG00000151233 | Q4G148 | Glucoside xylosyltransferase 1 | gwas |
| BAHCC1 | HGNC:29279 | ENSG00000266074 | Q9P281 | BAH and coiled-coil domain-containing protein 1 | gwas |
| OR4C45 | HGNC:31270 | ENSG00000260811 | A6NMZ5 | Olfactory receptor 4C45 | gwas |
| AGTR1 | HGNC:336 | ENSG00000144891 | P30556 | Type-1 angiotensin II receptor | clinvar |
| FOXC1 | HGNC:3800 | ENSG00000054598 | Q12948 | Forkhead box protein C1 | gwas |
| MIR9-2HG | HGNC:42810 | ENSG00000245526 | MIR9-2 host gene | gwas | |
| GUCY1A1 | HGNC:4685 | ENSG00000164116 | Q02108 | Guanylate cyclase soluble subunit alpha-1 | gwas |
| PTPRD-DT | HGNC:49754 | ENSG00000226717 | PTPRD divergent transcript | gwas | |
| MIR4713HG | HGNC:53124 | ENSG00000259240 | MIR4713 host gene | gwas | |
| LINC02400 | HGNC:53327 | ENSG00000257784 | long intergenic non-protein coding RNA 2400 | gwas | |
| LINC02468 | HGNC:53406 | ENSG00000256499 | long intergenic non-protein coding RNA 2468 | gwas | |
| LINC02510 | HGNC:53499 | ENSG00000250341 | long intergenic non-protein coding RNA 2510 | gwas | |
| MRAS | HGNC:7227 | ENSG00000158186 | O14807 | Ras-related protein M-Ras | gwas |
| NOS3 | HGNC:7876 | ENSG00000164867 | P29474 | Nitric oxide synthase 3 | clinvar |
| OR4B1 | HGNC:8290 | ENSG00000175619 | Q8NGF8 | Olfactory receptor 4B1 | gwas |
| PTGIS | HGNC:9603 | ENSG00000124212 | Q16647 | Prostacyclin synthase | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SALL1 | Sal-like protein 1 | Transcriptional repressor involved in organogenesis. |
| SLC22A1 | Solute carrier family 22 member 1 | Electrogenic voltage-dependent transporter that mediates the transport of a variety of organic cations such as endogenous bioactive amines, cationic drugs and xenobiotics. |
| UMOD | Uromodulin | Functions in biogenesis and organization of the apical membrane of epithelial cells of the thick ascending limb of Henle’s loop (TALH), where it promotes formation of complex filamentous gel-like structure that may play a role in the water… |
| PRDM8 | PR domain zinc finger protein 8 | Probable histone methyltransferase, preferentially acting on ‘Lys-9’ of histone H3. |
| PCDH18 | Protocadherin-18 | Potential calcium-dependent cell-adhesion protein. |
| CHORDC1 | Cysteine and histidine-rich domain-containing protein 1 | Regulates centrosome duplication, probably by inhibiting the kinase activity of ROCK2. |
| MTMR9 | Myotubularin-related protein 9 | Acts as an adapter for myotubularin-related phosphatases. |
| OR4C3 | Olfactory receptor 4C3 | Odorant receptor. |
| PPP1R3B | Protein phosphatase 1 regulatory subunit 3B | Acts as a glycogen-targeting subunit for phosphatase PP1. |
| OR4X2 | Olfactory receptor 4X2 | Odorant receptor. |
| CHEK2 | Serine/threonine-protein kinase Chk2 | Serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks. |
| RXFP2 | Relaxin receptor 2 | Receptor for relaxin. |
| HSD17B12 | Very-long-chain 3-oxoacyl-CoA reductase | Catalyzes the second of the four reactions of the long-chain fatty acids elongation cycle. |
| UNC79 | Protein unc-79 homolog | Auxiliary subunit of the NALCN sodium channel complex, a voltage-gated ion channel responsible for the resting Na(+) permeability that controls neuronal excitability. |
| DNAJC1 | DnaJ homolog subfamily C member 1 | May modulate protein synthesis. |
| B3GLCT | Beta-1,3-glucosyltransferase | Beta-1,3-glucosyltransferase involved in one of the two pathways responsible for protein O-linked fucosylation, a unique post-translational modification of cysteine-knotted proteins that regulates various biological processes. |
| ILRUN | Protein ILRUN | Negative regulator of innate antiviral response. |
| NME9 | Thioredoxin domain-containing protein 6 | May be a regulator of microtubule physiology. |
| ANTXR2 | Anthrax toxin receptor 2 | Necessary for cellular interactions with laminin and the extracellular matrix. |
| HERPUD2 | Homocysteine-responsive endoplasmic reticulum-resident ubiquitin-like domain member 2 protein | Could be involved in the unfolded protein response (UPR) pathway. |
| NANOS3 | Nanos homolog 3 | Plays a role in the maintenance of the undifferentiated state of germ cells regulating the spermatogonia cell cycle and inducing a prolonged transit in G1 phase. |
| REXO1 | RNA exonuclease 1 homolog | Seems to have no detectable effect on transcription elongation in vitro. |
| MAP9 | Microtubule-associated protein 9 | Involved in organization of the bipolar mitotic spindle. |
| CYP3A5 | Cytochrome P450 3A5 | A cytochrome P450 monooxygenase involved in the metabolism of steroid hormones and vitamins. |
| GXYLT1 | Glucoside xylosyltransferase 1 | Glycosyltransferase which elongates the O-linked glucose attached to EGF-like repeats in the extracellular domain of Notch proteins by catalyzing the addition of xylose. |
| OR4C45 | Olfactory receptor 4C45 | Odorant receptor. |
| AGTR1 | Type-1 angiotensin II receptor | Receptor for angiotensin II, a vasoconstricting peptide, which acts as a key regulator of blood pressure and sodium retention by the kidney. |
| FOXC1 | Forkhead box protein C1 | DNA-binding transcriptional factor that plays a role in a broad range of cellular and developmental processes such as eye, bones, cardiovascular, kidney and skin development. |
| MRAS | Ras-related protein M-Ras | Signal transducer in the Ras-MAPK signaling pathway that regulates cell proliferation and survival. |
| NOS3 | Nitric oxide synthase 3 | Produces nitric oxide (NO) which is implicated in vascular smooth muscle relaxation through a cGMP-mediated signal transduction pathway. |
| OR4B1 | Olfactory receptor 4B1 | Odorant receptor. |
| PTGIS | Prostacyclin synthase | Catalyzes the biosynthesis and metabolism of eicosanoids. |
Protein-family classification
Druggable: 16 · Difficult: 6 · Unknown: 19 · Druggable fraction: 0.39
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 |
|---|---|---|---|
| GPCR | 6 | 3.5× | 0.061 |
| Phosphatase | 1 | 2.0× | 0.789 |
| Transporter | 1 | 1.9× | 0.789 |
| Enzyme (other) | 5 | 1.5× | 0.789 |
| Kinase | 2 | 1.4× | 0.789 |
| Transcription factor | 5 | 1.0× | 0.847 |
| Other/Unknown | 19 | 0.8× | 0.916 |
| Antibody/Immunoglobulin | 1 | 0.7× | 0.916 |
| Scaffold/PPI | 1 | 0.4× | 0.916 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SALL1 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, Sal_C2H2-zinc-finger | |
| SLC22A1 | Transporter | yes | Orgcat_transp/SVOP, MFS_sugar_transport-like, Sugar_transporter_CS | |
| UMOD | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, ZP_dom | |
| PRDM8 | Transcription factor | no | SET_dom, Znf_C2H2_type, Znf_C2H2_sf | |
| PCDH18 | Other/Unknown | no | Cadherin-like_dom, Cadherin_N, Cadherin-like_sf | |
| CHORDC1 | Other/Unknown | no | CHORD_dom, CS_dom, HSP20-like_chaperone | |
| MTMR9 | Phosphatase | yes | Myotubularin-like_Pase_dom, PH-like_dom_sf, Prot-tyrosine_phosphatase-like | |
| OR4C3 | GPCR | yes | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM | |
| PPP1R3B | Other/Unknown | no | CBM21_dom, Pase-1_reg-su_3B/C/D_met, PP1_3B | |
| OR4X2 | GPCR | yes | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM | |
| CHEK2 | Kinase | yes | 2.7.11.1 | FHA_dom, Prot_kinase_dom, Ser/Thr_kinase_AS |
| RXFP2 | GPCR | yes | GPCR_Rhodpsn, Leu-rich_rpt, LDrepeatLR_classA_rpt | |
| PURG | Other/Unknown | no | PUR-bd_fam | |
| HSD17B12 | Enzyme (other) | yes | 1.1.1.62 | SDR_fam, Sc_DH/Rdtase_CS, NAD(P)-bd_dom_sf |
| UNC79 | Other/Unknown | no | ARM-type_fold, UNC79 | |
| DNAJC1 | Transcription factor | no | SANT/Myb, DnaJ_domain, Homeodomain-like_sf | |
| B3GLCT | Other/Unknown | no | Fringe-like_glycosylTrfase, Nucleotide-diphossugar_trans | |
| ILRUN | Antibody/Immunoglobulin | yes | UBA-like_sf, Ig-like_fold, Nbr1_FW | |
| NME9 | Kinase | yes | Nucleoside_diP_kinase, Thioredoxin_domain, Thioredoxin_CS | |
| ANTXR2 | Other/Unknown | no | VWF_A, Anthrax_toxin_rcpt_C, Anthrax_toxin_rcpt_extracel | |
| HERPUD2 | Other/Unknown | no | Ubiquitin-like_dom, Ubiquitin-like_domsf, HERPUD1/2 | |
| NANOS3 | Transcription factor | no | Nanos/Xcar2, Znf_nanos-typ, Nanos_sf | |
| REXO1 | Other/Unknown | no | RNaseH-like_sf, Ribonucl_H, REXO1-like_dom | |
| MAP9 | Other/Unknown | no | MAP9 | |
| CYP3A5 | Enzyme (other) | yes | 1.14.14.1 | Cyt_P450, Cyt_P450_E_grp-II, Cyt_P450_E_CYP3A |
| GXYLT1 | Other/Unknown | no | Glyco_trans_8, Nucleotide-diphossugar_trans, Glycosyltransferase_8 | |
| BAHCC1 | Scaffold/PPI | no | BAH_dom, BAH_sf, Tudor_BAHCC1 | |
| OR4C45 | GPCR | yes | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM | |
| AGTR1 | GPCR | yes | ATII_AT1_rcpt, ATII_rcpt, GPCR_Rhodpsn | |
| FOXC1 | Transcription factor | no | Fork_head_dom, TF_fork_head_CS_1, TF_fork_head_CS_2 | |
| MIR9-2HG | Other/Unknown | no | ||
| GUCY1A1 | Enzyme (other) | yes | 4.6.1.2 | A/G_cyclase, HNOB_dom_associated, A/G_cyclase_CS |
| PTPRD-DT | Other/Unknown | no | ||
| MIR4713HG | Other/Unknown | no | ||
| LINC02400 | Other/Unknown | no | ||
| LINC02468 | Other/Unknown | no | ||
| LINC02510 | Other/Unknown | no | ||
| MRAS | Other/Unknown | no | Small_GTPase, Small_GTP-bd, Small_GTPase_Ras-type | |
| NOS3 | Enzyme (other) | yes | 1.14.13.39 | Flavdoxin-like, OxRdtase_FAD/NAD-bd, Flavoprot_Pyr_Nucl_cyt_Rdtase |
| OR4B1 | GPCR | yes | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM | |
| PTGIS | Enzyme (other) | yes | 5.3.99.4 | Cyt_P450, Cyt_P450_E_grp-IV, Cyt_P450_CYP7A1-type |
Expression context
Cohort genes with no expression data: 0.
29 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 4 |
| moderate (6-20) | 1 |
| broad (>20) | 36 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| ventricular zone | 7 |
| male germ line stem cell (sensu Vertebrata) in testis | 7 |
| colonic epithelium | 4 |
| liver | 3 |
| cortical plate | 3 |
| parietal pleura | 3 |
| primordial germ cell in gonad | 3 |
| renal medulla | 2 |
| right lobe of liver | 2 |
| ganglionic eminence | 2 |
| mucosa of stomach | 2 |
| calcaneal tendon | 2 |
| endothelial cell | 2 |
| hindlimb stylopod muscle | 2 |
| granulocyte | 2 |
| lower esophagus mucosa | 2 |
| buccal mucosa cell | 2 |
| Brodmann (1909) area 23 | 2 |
| sperm | 2 |
| pigmented layer of retina | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SALL1 | 195 | broad | marker | ventricular zone, inferior vagus X ganglion, renal medulla |
| SLC22A1 | 163 | tissue_specific | marker | right lobe of liver, liver, cartilage tissue |
| UMOD | 104 | tissue_specific | marker | renal medulla, adult organism, adult mammalian kidney |
| PRDM8 | 159 | ubiquitous | marker | cortical plate, ganglionic eminence, mucosa of stomach |
| PCDH18 | 238 | ubiquitous | marker | stromal cell of endometrium, calcaneal tendon, parietal pleura |
| CHORDC1 | 134 | ubiquitous | marker | corpus callosum, endometrium, ventricular zone |
| MTMR9 | 289 | broad | marker | endothelial cell, Brodmann (1909) area 46, substantia nigra pars compacta |
| OR4C3 | 1 | yes | colonic epithelium, sural nerve, ventricular zone | |
| PPP1R3B | 141 | ubiquitous | marker | skeletal muscle tissue, liver, hindlimb stylopod muscle |
| OR4X2 | 1 | yes | granulocyte, colonic epithelium, ventricular zone | |
| CHEK2 | 183 | ubiquitous | marker | primordial germ cell in gonad, lower esophagus mucosa, male germ line stem cell (sensu Vertebrata) in testis |
| RXFP2 | 61 | tissue_specific | yes | male germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell, monocyte |
| PURG | 173 | broad | yes | sperm, middle temporal gyrus, Brodmann (1909) area 23 |
| HSD17B12 | 295 | ubiquitous | marker | endothelial cell, pigmented layer of retina, retina |
| UNC79 | 106 | broad | marker | right hemisphere of cerebellum, cerebellar cortex, cerebellar hemisphere |
| DNAJC1 | 278 | ubiquitous | marker | secondary oocyte, pylorus, cardia of stomach |
| B3GLCT | 218 | ubiquitous | marker | left ventricle myocardium, calcaneal tendon, cardiac muscle of right atrium |
| ILRUN | 290 | ubiquitous | marker | gastrocnemius, tendon of biceps brachii, muscle of leg |
| NME9 | 161 | broad | marker | right uterine tube, olfactory segment of nasal mucosa, male germ line stem cell (sensu Vertebrata) in testis |
| ANTXR2 | 243 | ubiquitous | marker | mucosa of stomach, decidua, smooth muscle tissue |
| HERPUD2 | 260 | ubiquitous | marker | cauda epididymis, caput epididymis, buccal mucosa cell |
| NANOS3 | 129 | broad | yes | primordial germ cell in gonad, prefrontal cortex, amygdala |
| REXO1 | 173 | ubiquitous | marker | right testis, left testis, right adrenal gland cortex |
| MAP9 | 265 | ubiquitous | marker | lateral nuclear group of thalamus, Brodmann (1909) area 23, pons |
| CYP3A5 | 243 | tissue_specific | marker | jejunal mucosa, right lobe of liver, liver |
| GXYLT1 | 236 | ubiquitous | yes | pigmented layer of retina, parietal pleura, adrenal tissue |
| BAHCC1 | 190 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| OR4C45 | 3 | yes | male germ line stem cell (sensu Vertebrata) in testis, colonic epithelium, ventricular zone | |
| AGTR1 | 224 | marker | skin of hip, placenta, subcutaneous adipose tissue | |
| FOXC1 | 267 | ubiquitous | marker | parotid gland, vena cava, trigeminal ganglion |
Protein interactions among cohort
Intra-cohort edges: 5.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| CHEK2 | 4,795 |
| NOS3 | 3,606 |
| HSD17B12 | 2,937 |
| FOXC1 | 2,896 |
| AGTR1 | 2,651 |
| MRAS | 2,391 |
| DNAJC1 | 2,375 |
| SALL1 | 2,189 |
| UMOD | 2,084 |
| PTGIS | 2,053 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ANTXR2 | PRDM8 | string_interaction |
| B3GLCT | RXFP2 | string_interaction |
| CYP3A5 | PTGIS | string_interaction |
| FOXC1 | SALL1 | intact |
| NOS3 | PTGIS | string_interaction |
Structural data
PDB: 19 · AlphaFold-only: 16 · No structure: 6
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| NOS3 | P29474 | 105 |
| CHEK2 | O96017 | 38 |
| SLC22A1 | O15245 | 16 |
| ANTXR2 | P58335 | 14 |
| GUCY1A1 | Q02108 | 12 |
| AGTR1 | P30556 | 11 |
| MRAS | O14807 | 11 |
| UMOD | P07911 | 10 |
| CYP3A5 | P20815 | 6 |
| UNC79 | Q9P2D8 | 3 |
| PPP1R3B | Q86XI6 | 2 |
| DNAJC1 | Q96KC8 | 2 |
| PTGIS | Q16647 | 2 |
| PCDH18 | Q9HCL0 | 1 |
| CHORDC1 | Q9UHD1 | 1 |
| RXFP2 | Q8WXD0 | 1 |
| ILRUN | Q9H6K1 | 1 |
| NME9 | Q86XW9 | 1 |
| HERPUD2 | Q9BSE4 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| MTMR9 | Q96QG7 | 95.16 |
| HSD17B12 | Q53GQ0 | 94.55 |
| OR4C3 | Q8NH37 | 89.61 |
| OR4C45 | A6NMZ5 | 88.01 |
| OR4B1 | Q8NGF8 | 87.12 |
| B3GLCT | Q6Y288 | 86.94 |
| OR4X2 | Q8NGF9 | 85.13 |
| GXYLT1 | Q4G148 | 85.06 |
| PURG | Q9UJV8 | 72.82 |
| NANOS3 | P60323 | 71.75 |
| MAP9 | Q49MG5 | 62.53 |
| REXO1 | Q8N1G1 | 59.13 |
| FOXC1 | Q12948 | 56.09 |
| PRDM8 | Q9NQV8 | 55.64 |
| SALL1 | Q9NSC2 | 49.54 |
| BAHCC1 | Q9P281 | 40.51 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 85. Enrichment computed across 41 evidence-associated genes (23 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 23 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Nitric oxide stimulates guanylate cyclase | 2 | 70.9× | 0.030 | GUCY1A1, NOS3 |
| Formation of the ureteric bud | 2 | 43.2× | 0.041 | SALL1, FOXC1 |
| NOSIP mediated eNOS trafficking | 1 | 248.3× | 0.090 | NOS3 |
| NOSTRIN mediated eNOS trafficking | 1 | 99.3× | 0.090 | NOS3 |
| Abacavir transmembrane transport | 1 | 99.3× | 0.090 | SLC22A1 |
| Ciprofloxacin ADME | 1 | 99.3× | 0.090 | SLC22A1 |
| Abacavir ADME | 1 | 62.1× | 0.090 | SLC22A1 |
| SHOC2 M1731 mutant abolishes MRAS complex function | 1 | 62.1× | 0.090 | MRAS |
| Gain-of-function MRAS complexes activate RAF signaling | 1 | 62.1× | 0.090 | MRAS |
| Formation of intermediate mesoderm | 1 | 62.1× | 0.090 | FOXC1 |
| Neurotransmitter clearance | 1 | 55.2× | 0.090 | SLC22A1 |
| Relaxin receptors | 1 | 55.2× | 0.090 | RXFP2 |
| Tetrahydrobiopterin (BH4) synthesis, recycling, salvage and regulation | 1 | 49.6× | 0.090 | NOS3 |
| Androgen biosynthesis | 1 | 45.1× | 0.090 | HSD17B12 |
| Regulation of CDH11 gene transcription | 1 | 45.1× | 0.090 | PRDM8 |
| Synthesis of PIPs at the late endosome membrane | 1 | 41.4× | 0.090 | MTMR9 |
| Eicosanoids | 1 | 41.4× | 0.090 | PTGIS |
| Uptake and function of anthrax toxins | 1 | 41.4× | 0.090 | ANTXR2 |
| eNOS activation | 1 | 38.2× | 0.090 | NOS3 |
| POU5F1 (OCT4), SOX2, NANOG activate genes related to proliferation | 1 | 38.2× | 0.090 | SALL1 |
| Specification of primordial germ cells | 1 | 38.2× | 0.090 | NANOS3 |
| Kidney development | 1 | 35.5× | 0.090 | SALL1 |
| Synthesis of IP2, IP, and Ins in the cytosol | 1 | 33.1× | 0.090 | MTMR9 |
| Synthesis of Prostaglandins (PG) and Thromboxanes (TX) | 1 | 33.1× | 0.090 | PTGIS |
| SLC-mediated transport of organic cations | 1 | 33.1× | 0.090 | SLC22A1 |
| R-HSA-549132 | 1 | 33.1× | 0.090 | SLC22A1 |
| Stabilization of p53 | 1 | 33.1× | 0.090 | CHEK2 |
| Expression and translocation of olfactory receptors | 4 | 4.9× | 0.090 | OR4C3, OR4X2, OR4C45, OR4B1 |
| Chk1/Chk2(Cds1) mediated inactivation of Cyclin B:Cdk1 complex | 1 | 29.2× | 0.098 | CHEK2 |
| Norepinephrine Neurotransmitter Release Cycle | 1 | 27.6× | 0.098 | SLC22A1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 29 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| blood vessel diameter maintenance | 3 | 64.6× | 0.004 | AGTR1, FOXC1, NOS3 |
| obsolete nitric oxide mediated signal transduction | 2 | 89.4× | 0.025 | GUCY1A1, NOS3 |
| apoptotic signaling pathway | 3 | 23.2× | 0.025 | UMOD, NANOS3, PTGIS |
| regulation of blood pressure | 3 | 22.9× | 0.025 | UMOD, GUCY1A1, NOS3 |
| inductive cell-cell signaling | 1 | 581.1× | 0.033 | SALL1 |
| citric acid secretion | 1 | 581.1× | 0.033 | UMOD |
| glomerular epithelium development | 1 | 581.1× | 0.033 | FOXC1 |
| retrograde trans-synaptic signaling by nitric oxide, modulating synaptic transmission | 1 | 581.1× | 0.033 | GUCY1A1 |
| positive regulation of hematopoietic stem cell differentiation | 1 | 581.1× | 0.033 | FOXC1 |
| O-acyl-L-carnitine transmembrane transport | 1 | 581.1× | 0.033 | SLC22A1 |
| organ or tissue specific immune response | 1 | 290.6× | 0.033 | UMOD |
| regulation of the force of heart contraction by chemical signal | 1 | 290.6× | 0.033 | NOS3 |
| apoptotic process involved in outflow tract morphogenesis | 1 | 290.6× | 0.033 | FOXC1 |
| response to water deprivation | 1 | 290.6× | 0.033 | UMOD |
| negative regulation of muscle hyperplasia | 1 | 290.6× | 0.033 | NOS3 |
| smooth muscle hyperplasia | 1 | 290.6× | 0.033 | NOS3 |
| acetylcholine transport | 1 | 290.6× | 0.033 | SLC22A1 |
| protein transport into plasma membrane raft | 1 | 290.6× | 0.033 | UMOD |
| negative regulation of glycogen catabolic process | 1 | 290.6× | 0.033 | PPP1R3B |
| tetrahydrobiopterin metabolic process | 1 | 290.6× | 0.033 | NOS3 |
| olfactory bulb mitral cell layer development | 1 | 290.6× | 0.033 | SALL1 |
| protein localization to extracellular region | 1 | 290.6× | 0.033 | UMOD |
| kidney epithelium development | 1 | 290.6× | 0.033 | SALL1 |
| ureteric bud invasion | 1 | 290.6× | 0.033 | SALL1 |
| metanephric thick ascending limb development | 1 | 290.6× | 0.033 | UMOD |
| protein localization to vacuole | 1 | 290.6× | 0.033 | UMOD |
| negative regulation of apoptotic process involved in outflow tract morphogenesis | 1 | 290.6× | 0.033 | FOXC1 |
| positive regulation of core promoter binding | 1 | 290.6× | 0.033 | FOXC1 |
| ureteric bud development | 2 | 31.4× | 0.033 | SALL1, FOXC1 |
| limb development | 2 | 28.4× | 0.033 | SALL1, B3GLCT |
Therapeutics
Drugs indicated for this disease
1 approved, 26 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Spironolactone | Approved (phase 4) |
| Aliskiren | Phase 3 (in late-stage trials) |
| Amlodipine | Phase 3 (in late-stage trials) |
| Atenolol | Phase 3 (in late-stage trials) |
| Azilsartan | Phase 3 (in late-stage trials) |
| Azilsartan Medoxomil | Phase 3 (in late-stage trials) |
| Candesartan | Phase 3 (in late-stage trials) |
| Candesartan Cilexetil | Phase 3 (in late-stage trials) |
| Captopril | Phase 3 (in late-stage trials) |
| Carvedilol | Phase 3 (in late-stage trials) |
| Chlorthalidone | Phase 3 (in late-stage trials) |
| Eplerenone | Phase 3 (in late-stage trials) |
| Eprosartan | Phase 3 (in late-stage trials) |
| Fimasartan | Phase 3 (in late-stage trials) |
| Furosemide | Phase 3 (in late-stage trials) |
| Hydrochlorothiazide | Phase 3 (in late-stage trials) |
| Imidapril | Phase 3 (in late-stage trials) |
| Indapamide | Phase 3 (in late-stage trials) |
| Irbesartan | Phase 3 (in late-stage trials) |
| Losartan | Phase 3 (in late-stage trials) |
| Olmesartan | Phase 3 (in late-stage trials) |
| Olmesartan Medoxomil | Phase 3 (in late-stage trials) |
| Simvastatin | Phase 3 (in late-stage trials) |
| Sitokiren | Phase 3 (in late-stage trials) |
| Telmisartan | Phase 3 (in late-stage trials) |
| Valsartan | Phase 3 (in late-stage trials) |
| XL550 | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Alcohol, Allopurinol, Aprocitentan, Arginine, Bexagliflozin, Enalapril, Firibastat, Lercanidipine, Lisinopril Anhydrous, Melatonin, Nebivolol, Osilodrostat, Sacubitril, Tadalafil.
Drug target analysis
Approved (phase 4): 6 · Phase ≥3: 6 · Phased (≥1): 8 · Undrugged: 33
Druggability breadth: 11 of 41 evidence-associated genes (27%) 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 |
|---|---|
| SLC22A1 | PROGESTERONE |
| CHEK2 | NERATINIB |
| CYP3A5 | KETOCONAZOLE |
| AGTR1 | IRBESARTAN |
| GUCY1A1 | BENZYDAMINE |
| NOS3 | CHLORZOXAZONE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| AGTR1 | 88 | 4 |
| SLC22A1 | 86 | 4 |
| CHEK2 | 30 | 4 |
| CYP3A5 | 17 | 4 |
| NOS3 | 6 | 4 |
| GUCY1A1 | 2 | 4 |
| HSD17B12 | 1 | 2 |
| PTGIS | 1 | 2 |
| SALL1 | 0 | 0 |
| UMOD | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PROGESTERONE | 4 | SLC22A1 |
| CLOTRIMAZOLE | 4 | AGTR1, SLC22A1 |
| IMIPRAMINE | 4 | SLC22A1 |
| TAPENTADOL | 4 | SLC22A1 |
| ETHOPROPAZINE | 4 | SLC22A1 |
| TRAMADOL | 4 | SLC22A1 |
| REPAGLINIDE | 4 | SLC22A1 |
| QUINIDINE | 4 | SLC22A1 |
| CLONIDINE | 4 | SLC22A1 |
| ESTRADIOL | 4 | SLC22A1 |
| KETOCONAZOLE | 4 | CYP3A5, SLC22A1 |
| CLEMASTINE | 4 | SLC22A1 |
| DOXEPIN | 4 | SLC22A1 |
| RITONAVIR | 4 | AGTR1, CYP3A5, SLC22A1 |
| QUININE | 4 | SLC22A1 |
| PHENFORMIN | 4 | SLC22A1 |
| MEPENZOLATE BROMIDE | 4 | SLC22A1 |
| RANITIDINE | 4 | SLC22A1 |
| PRAZOSIN | 4 | AGTR1, SLC22A1 |
| TRIMETHOPRIM | 4 | SLC22A1 |
| DILTIAZEM | 4 | SLC22A1 |
| PROPRANOLOL | 4 | AGTR1, SLC22A1 |
| BITHIONOL | 4 | SLC22A1 |
| MEPTAZINOL | 4 | SLC22A1 |
| PYRIMETHAMINE | 4 | SLC22A1 |
| CLOMIPRAMINE | 4 | SLC22A1 |
| GUANABENZ | 4 | SLC22A1 |
| AMSACRINE | 4 | SLC22A1 |
| ONDANSETRON | 4 | SLC22A1 |
| IRINOTECAN | 4 | SLC22A1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 6.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| CHEK2 | 690 | Binding:687, Functional:2, ADMET:1 |
| CYP3A5 | 604 | ADMET:585, Binding:19 |
| AGTR1 | 421 | Binding:315, Functional:105, ADMET:1 |
| NOS3 | 188 | Binding:178, ADMET:6, Functional:4 |
| SLC22A1 | 97 | Functional:41, Binding:35, ADMET:21 |
| GUCY1A1 | 45 | Binding:40, Functional:5 |
| HSD17B12 | 12 | Binding:12 |
| PTGIS | 12 | Binding:12 |
| RXFP2 | 5 | Functional:3, Binding:2 |
| ANTXR2 | 3 | Binding:3 |
| PRDM8 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| CHEK2 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| HSD17B12 | 1.1.1.62 | 17beta-estradiol 17-dehydrogenase |
| CYP3A5 | 1.14.14.1 | unspecific monooxygenase |
| GUCY1A1 | 4.6.1.2 | guanylate cyclase |
| NOS3 | 1.14.13.39 | nitric-oxide synthase (NADPH) |
| PTGIS | 5.3.99.4 | prostaglandin-I synthase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| CHEK2 | 690 |
| CYP3A5 | 604 |
| AGTR1 | 421 |
| NOS3 | 188 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 35; with CPIC/DPWG dosing guidelines: 1.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|---|
| CYP3A5 | 1 |
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| PROGESTERONE | 4 | SLC22A1 |
| CLOTRIMAZOLE | 4 | AGTR1, SLC22A1 |
| IMIPRAMINE | 4 | SLC22A1 |
| TAPENTADOL | 4 | SLC22A1 |
| ETHOPROPAZINE | 4 | SLC22A1 |
| TRAMADOL | 4 | SLC22A1 |
| REPAGLINIDE | 4 | SLC22A1 |
| QUINIDINE | 4 | SLC22A1 |
| CLONIDINE | 4 | SLC22A1 |
| ESTRADIOL | 4 | SLC22A1 |
| KETOCONAZOLE | 4 | CYP3A5, SLC22A1 |
| CLEMASTINE | 4 | SLC22A1 |
| DOXEPIN | 4 | SLC22A1 |
| RITONAVIR | 4 | AGTR1, CYP3A5, SLC22A1 |
| QUININE | 4 | SLC22A1 |
| PHENFORMIN | 4 | SLC22A1 |
| MEPENZOLATE BROMIDE | 4 | SLC22A1 |
| RANITIDINE | 4 | SLC22A1 |
| PRAZOSIN | 4 | AGTR1, SLC22A1 |
| TRIMETHOPRIM | 4 | SLC22A1 |
| DILTIAZEM | 4 | SLC22A1 |
| PROPRANOLOL | 4 | AGTR1, SLC22A1 |
| BITHIONOL | 4 | SLC22A1 |
| MEPTAZINOL | 4 | SLC22A1 |
| PYRIMETHAMINE | 4 | SLC22A1 |
| CLOMIPRAMINE | 4 | SLC22A1 |
| GUANABENZ | 4 | SLC22A1 |
| AMSACRINE | 4 | SLC22A1 |
| ONDANSETRON | 4 | SLC22A1 |
| IRINOTECAN | 4 | SLC22A1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 6 | SLC22A1, CHEK2, CYP3A5, AGTR1, GUCY1A1, NOS3 |
| B | Phased (≥1) drug, not yet approved | 2 | HSD17B12, PTGIS |
| C | Druggable family + PDB, no drug | 3 | RXFP2, ILRUN, NME9 |
| D | Druggable family + AlphaFold only, no drug | 5 | MTMR9, OR4C3, OR4X2, OR4C45, OR4B1 |
| E | Difficult family or no structure, no drug | 25 | SALL1, UMOD, PRDM8, PCDH18, CHORDC1, PPP1R3B, PURG, UNC79, DNAJC1, B3GLCT (+15 more) |
Undrugged target profiles
33 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| SALL1 | 0 | — |
| UMOD | 0 | — |
| PRDM8 | 1 | — |
| PCDH18 | 0 | — |
| CHORDC1 | 0 | — |
| MTMR9 | 0 | — |
| OR4C3 | 0 | — |
| PPP1R3B | 0 | — |
| OR4X2 | 0 | — |
| RXFP2 | 5 | — |
| PURG | 0 | — |
| UNC79 | 0 | — |
| DNAJC1 | 0 | — |
| B3GLCT | 0 | — |
| ILRUN | 0 | — |
| NME9 | 0 | — |
| ANTXR2 | 3 | — |
| HERPUD2 | 0 | — |
| NANOS3 | 0 | — |
| REXO1 | 0 | — |
| MAP9 | 0 | — |
| GXYLT1 | 0 | — |
| BAHCC1 | 0 | — |
| OR4C45 | 0 | — |
| FOXC1 | 0 | — |
| MIR9-2HG | 0 | — |
| PTPRD-DT | 0 | — |
| MIR4713HG | 0 | — |
| LINC02400 | 0 | — |
| LINC02468 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 306.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 100 |
| PHASE3 | 83 |
| PHASE4 | 45 |
| PHASE1 | 37 |
| PHASE2 | 31 |
| PHASE2/PHASE3 | 5 |
| EARLY_PHASE1 | 3 |
| PHASE1/PHASE2 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05880056 | PHASE4 | RECRUITING | Study of Bisoprolol (Nerkardou - Nerhadou International) 5 and 10 mg Oral Dissolvable Film (ODF) Treatment in Egyptian Patients With Essential Hypertension |
| NCT05917275 | PHASE4 | RECRUITING | Multi-Omics to Predict the Blood Pressure Response to Antihypertensives |
| NCT06041529 | PHASE4 | ACTIVE_NOT_RECRUITING | Study to Evaluate the Efficacy and Safety of TEL/AML/CTD in Elderly Patients With Essential Hypertension |
| NCT06501651 | PHASE4 | NOT_YET_RECRUITING | Sacubitril/Valsartan Treats Patients With Essential Hypertension and Type 2 Diabetic Nephropathy |
| NCT07607275 | PHASE4 | NOT_YET_RECRUITING | Effect of the Traditional Chinese Medicine Yufeng Ningxin in Patients With Hypertension |
| NCT00157963 | PHASE4 | COMPLETED | Hydrochlorothiazide (+) Losartan Potassium vs. Amlodipine Comparative Study (0954A-314) |
| NCT00295555 | PHASE4 | COMPLETED | Doxazosin Effects on ABPM in Hypertensive Patients With Diabetic Nephropathy |
| NCT00311155 | PHASE4 | COMPLETED | Olmesartan and an add-on Treatment in Patients With Mild to Moderate Hypertension |
| NCT00328965 | PHASE4 | COMPLETED | Lacidipine In Mild To Moderate Essential Hypertension Patients With Type 2 Diabetes In Korea |
| NCT00366119 | PHASE4 | UNKNOWN | Safety and Efficacy of Ramipril in the Treatment of Essential Hypertension |
| NCT00408512 | PHASE4 | COMPLETED | Pharmacosurveillance and Pharmacogenetics of First-line Diuretics in Hypertension: The StayOnDiur Study |
| NCT00438945 | PHASE4 | COMPLETED | The Effect of Eprosartan on Hormones and Kidney Function in Patients With Essential Hypertension |
| NCT00457483 | PHASE4 | COMPLETED | Nijmegen Antihypertensive Management Improvement Study |
| NCT00509470 | PHASE4 | COMPLETED | Evaluation of Effect of Combination With Telmisartan and Hydrochlorothiazide in Hypertensives Uncontrolled on Amlodipine |
| NCT00654875 | PHASE4 | COMPLETED | Efficacy and Safety of Once Daily Dosing of Aliskiren (300 mg (qd) Once a Day) to Twice Daily Dosing of Aliskiren (150 mg (Bid) Twice a Day) in Treating Moderate Hypertension. |
| NCT00716950 | PHASE4 | UNKNOWN | Valsartan and Amlodipine Compared to Losartan and Amlodipine in Hypertensive Patients |
| NCT00741585 | PHASE4 | COMPLETED | Prognostic Value of the Circadian Pattern of Ambulatory Blood Pressure for Multiple Risk Assessment |
| NCT00765947 | PHASE4 | COMPLETED | Efficacy and Tolerability of an Aliskiren-based Treatment Algorithm in Patients With Mild to Moderate Hypertension |
| NCT00794885 | PHASE4 | COMPLETED | China Stroke Primary Prevention Trial |
| NCT00819104 | PHASE4 | COMPLETED | A Study to Compare the Efficacy, Safety and Tolerability of Selomax With Its Individual Components |
| NCT00841308 | PHASE4 | UNKNOWN | Home Blood Pressure in Hypertension Management |
| NCT00890591 | PHASE4 | COMPLETED | Efficacy and Safety of Olmesartan Medoxomil in Stage 1 and 2 Essential Hypertension |
| NCT00994617 | PHASE4 | UNKNOWN | Monotherapy Versus Dual Therapy for Initial Treatment for Hypertension |
| NCT01011660 | PHASE4 | UNKNOWN | Effects of Angiotensin II Receptor Blocker Compared With Diuretics in High-risk Hypertensive Patients |
| NCT01042392 | PHASE4 | COMPLETED | Efficacy of Aliskiren Compared to Ramipril in the Treatment of Moderate Systolic Hypertensive Patients |
| NCT01120990 | PHASE4 | COMPLETED | Hybrid Blood Pressure Monitor Validation |
| NCT01131546 | PHASE4 | COMPLETED | Efficacy and Safety of Levamlodipine Besylate Compared to Amlodipine Maleate in Patients With Essential Hypertension |
| NCT01132768 | PHASE4 | TERMINATED | The Confirmatory Olmesartan Plaque Regression Study |
| NCT01180413 | PHASE4 | COMPLETED | Intensive Vasodilator Therapy in Patients With Essential Hypertension |
| NCT01241487 | PHASE4 | COMPLETED | A National Multicentre Study to Assess the Efficacy of the Fixed Combination of Valsartan and Amlodipine in Hypertensive Patients Not Controlled by Monotherapy |
| NCT01629225 | PHASE4 | UNKNOWN | GRK4 Polymorphisms Blood Pressure Response to Candesartan |
| NCT01825759 | PHASE4 | UNKNOWN | Danshen Dropping Pill for Coronary Heart Disease Heart and Artery Structure and Function |
| NCT02031861 | PHASE4 | COMPLETED | Efficacy Study of Nifedipine Controlled-Release Tablets (Xin Ran) to Treat Mild to Moderate Essential Hypertension |
| NCT02058446 | PHASE4 | COMPLETED | PMS Study of Amlodipine/Valsartan for the Treatment of Hypertension |
| NCT02062645 | PHASE4 | COMPLETED | Study of Efficacy and Safety of CVAA489 in Hypertensive Patients |
| NCT02184858 | PHASE4 | COMPLETED | Dose Titration of Lisinopril in Children Aged 1 to 18 Years With Primary or Secondary Hypertension |
| NCT02214498 | PHASE4 | UNKNOWN | Treatment of HYpertension: Morning Versus Evening |
| NCT02357615 | PHASE4 | UNKNOWN | Efficacy Study of Nifedipine Controlled-Release Tablets (Xin Ran) to Treat Early Morning Blood Pressure and Central Arterial Pressure |
| NCT02517866 | PHASE4 | COMPLETED | Azilsartan Medoxomil in the Treatment of Essential Hypertension and Type 2 Diabetes in Asia |
| NCT02612298 | PHASE4 | COMPLETED | Efficacy and Safety of Arotinolol Hydrochloride on Morning Blood Pressure and Heart Rate |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| OLMESARTAN MEDOXOMIL | 4 | 26 |
| PERINDOPRIL | 4 | 21 |
| AZILSARTAN MEDOXOMIL | 4 | 18 |
| LOSARTAN | 4 | 17 |
| AMLODIPINE | 4 | 10 |
| ENALAPRIL | 4 | 9 |
| HYDROCHLOROTHIAZIDE | 4 | 9 |
| CHLORTHALIDONE | 4 | 7 |
| ALISKIREN | 4 | 6 |
| LISINOPRIL ANHYDROUS | 4 | 6 |
| EPLERENONE | 4 | 5 |
| CANDESARTAN CILEXETIL | 4 | 4 |
| IRBESARTAN | 4 | 4 |
| TELMISARTAN | 4 | 4 |
| VALSARTAN | 4 | 4 |
| EPROSARTAN | 4 | 3 |
| RAMIPRIL | 4 | 3 |
| AMILORIDE | 4 | 2 |
| ATENOLOL | 4 | 2 |
| INDAPAMIDE | 4 | 2 |
| LEVAMLODIPINE | 4 | 2 |
| SACUBITRIL | 4 | 2 |
| ALLOPURINOL | 4 | 1 |
| APROCITENTAN | 4 | 1 |
| BEXAGLIFLOZIN | 4 | 1 |
| CANRENONE | 4 | 1 |
| CARVEDILOL | 4 | 1 |
| DIGOXIN | 4 | 1 |
| FOLIC ACID | 4 | 1 |
| FOSINOPRIL | 4 | 1 |
Related Atlas pages
- Cohort genes: SALL1, SLC22A1, UMOD, PRDM8, PCDH18, CHORDC1, MTMR9, OR4C3, PPP1R3B, OR4X2, CHEK2, RXFP2, PURG, HSD17B12, UNC79, DNAJC1, B3GLCT, ILRUN, NME9, ANTXR2, HERPUD2, NANOS3, REXO1, MAP9, CYP3A5, GXYLT1, BAHCC1, OR4C45, AGTR1, FOXC1, MIR9-2HG, GUCY1A1, PTPRD-DT, MIR4713HG, LINC02400, LINC02468, LINC02510, MRAS, NOS3, OR4B1, PTGIS
- Drugs: Olmesartan Medoxomil, Perindopril, Azilsartan Medoxomil, Losartan, Amlodipine, Enalapril, Hydrochlorothiazide, Chlorthalidone, Aliskiren, Lisinopril, Eplerenone, Candesartan Cilexetil, Irbesartan, Telmisartan, Valsartan, Eprosartan, Ramipril, Amiloride, Atenolol, Indapamide, Levamlodipine, Sacubitril, Allopurinol, Aprocitentan, Bexagliflozin, Canrenone, Carvedilol, Digoxin, Folic Acid, Fosinopril