Exudative vitreoretinopathy 1

disease
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Also known as EVR1exudative vitreoretinopathy type 1

Summary

Exudative vitreoretinopathy 1 (MONDO:0007589) is a disease caused by FZD4 (GenCC Definitive), with 7 cohort genes.

At a glance

  • Causal gene: FZD4 (GenCC Definitive)
  • Cohort genes: 7
  • ClinVar variants: 369

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameexudative vitreoretinopathy 1
Mondo IDMONDO:0007589
MeSHC536382
OMIM133780
DOIDDOID:0111412
NCITC175048
UMLSC1851402
MedGen343561
GARD0015068
Is cancer (heuristic)no

Also known as: EVR1 · exudative vitreoretinopathy 1 · exudative vitreoretinopathy type 1

Data availability: 369 ClinVar variants · 5 GenCC gene-disease records · 1 cell line.

Disease family

Classification path: disease › human disease › disease by body system or component › nervous system disorderretinal disorderretinal vascular disorderexudative vitreoretinopathy › FZD4-related exudative vitreoretinopathy › exudative vitreoretinopathy 1

Related subtypes (1): retinopathy of prematurity

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

369 retrieved; paginated sample, class counts are floors:

175 uncertain significance, 70 likely benign, 47 benign, 28 conflicting classifications of pathogenicity, 24 benign/likely benign, 13 pathogenic, 6 likely pathogenic, 5 pathogenic/likely pathogenic, 1 not provided

ClinVarVariant (HGVS)GeneClassificationReview
225170NM_001904.4(CTNNB1):c.1434_1435insC (p.Glu479fs)CTNNB1Pathogenicno assertion criteria provided
225172NM_001904.4(CTNNB1):c.2142_2157dup (p.His720Ter)CTNNB1Pathogenicno assertion criteria provided
560087Single alleleEEDPathogeniccriteria provided, single submitter
1706535NM_012193.4(FZD4):c.1273del (p.Thr425fs)FZD4Pathogeniccriteria provided, single submitter
1805086NM_012193.4(FZD4):c.244_245delinsG (p.Phe82fs)FZD4Pathogeniccriteria provided, single submitter
1806078NM_012193.4(FZD4):c.173A>G (p.Tyr58Cys)FZD4Pathogeniccriteria provided, single submitter
224624NM_012193.4(FZD4):c.313A>G (p.Met105Val)FZD4Pathogeniccriteria provided, multiple submitters, no conflicts
224625NM_012193.4(FZD4):c.1282_1285del (p.Asp428fs)FZD4Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
5484NM_012193.4(FZD4):c.1479_1484del (p.Met493_Trp494del)FZD4Pathogeniccriteria provided, single submitter
5485NM_012193.4(FZD4):c.1501_1502del (p.Leu501fs)FZD4Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
5488NM_012193.4(FZD4):c.1005G>C (p.Trp335Cys)FZD4Pathogenicno assertion criteria provided
1179140NM_002335.4(LRP5):c.2555C>T (p.Thr852Met)LRP5Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
2751235NM_002335.4(LRP5):c.1372del (p.Leu458fs)LRP5Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
520845NM_002335.4(LRP5):c.3232C>T (p.Arg1078Ter)LRP5Pathogeniccriteria provided, multiple submitters, no conflicts
6269NM_002335.4(LRP5):c.1282C>T (p.Arg428Ter)LRP5Pathogeniccriteria provided, multiple submitters, no conflicts
6274NM_002335.4(LRP5):c.1481G>A (p.Arg494Gln)LRP5Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
929300NM_002335.4(LRP5):c.1412+1G>ALRP5Pathogeniccriteria provided, multiple submitters, no conflicts
5486NM_012193.4(FZD4):c.1250G>A (p.Arg417Gln)PRSS23Pathogeniccriteria provided, single submitter
2572027NM_012193.4(FZD4):c.740G>A (p.Arg247Lys)FZD4Likely pathogeniccriteria provided, single submitter
929302NM_012193.4(FZD4):c.964A>T (p.Ile322Phe)FZD4Likely pathogeniccriteria provided, single submitter
929301NM_002335.4(LRP5):c.2585A>T (p.Asp862Val)LRP5Likely pathogeniccriteria provided, single submitter
3382395NM_012193.4(FZD4):c.1051G>C (p.Ala351Pro)PRSS23Likely pathogeniccriteria provided, single submitter
4293656NM_012193.4(FZD4):c.1512G>A (p.Trp504Ter)PRSS23Likely pathogeniccriteria provided, single submitter
929303NM_012193.4(FZD4):c.615del (p.Tyr206fs)PRSS23Likely pathogeniccriteria provided, single submitter
143141NM_012193.4(FZD4):c.205C>T (p.His69Tyr)FZD4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
306404NM_012193.4(FZD4):c.1517A>G (p.Lys506Arg)FZD4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
497650NM_012193.4(FZD4):c.1009C>A (p.His337Asn)FZD4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
836786NM_012193.4(FZD4):c.76C>A (p.Gln26Lys)FZD4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
882147NM_012193.4(FZD4):c.379C>T (p.Arg127Cys)FZD4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
882148NM_012193.4(FZD4):c.84G>C (p.Leu28=)FZD4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 7 · Orphanet: 28 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

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

GeneClassificationInheritanceDiseaseRecords
FZD4DefinitiveSemidominantexudative vitreoretinopathy 17

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
FZD4Orphanet:891Familial exudative vitreoretinopathy
FZD4Orphanet:90050Retinopathy of prematurity
FZD4Orphanet:91495Persistent hyperplastic primary vitreous
ZNF408Orphanet:791Retinitis pigmentosa
ZNF408Orphanet:891Familial exudative vitreoretinopathy
CTNNB1Orphanet:1501Adrenocortical carcinoma
CTNNB1Orphanet:210159Adult hepatocellular carcinoma
CTNNB1Orphanet:2780Osteopathia striata-cranial sclerosis syndrome
CTNNB1Orphanet:33402Pediatric hepatocellular carcinoma
CTNNB1Orphanet:404473Intellectual disability-eye abnormalities-microcephaly-peripheral spasticity syndrome
CTNNB1Orphanet:54595Craniopharyngioma
CTNNB1Orphanet:569248Microcystic stromal tumor
CTNNB1Orphanet:689430Adenoid ameloblastoma
CTNNB1Orphanet:873Desmoid tumor
CTNNB1Orphanet:891Familial exudative vitreoretinopathy
CTNNB1Orphanet:91414Pilomatrixoma
CTNNB1Orphanet:952Acrofacial dysostosis, Weyers type
EEDOrphanet:659396Cohen-Gibson syndrome
KIF11Orphanet:2526Microcephaly-lymphedema-chorioretinopathy syndrome
LRP5Orphanet:178377Osteosclerosis-developmental delay-craniosynostosis syndrome
LRP5Orphanet:2783Autosomal dominant osteopetrosis type 1
LRP5Orphanet:2788Osteoporosis-pseudoglioma syndrome
LRP5Orphanet:2790Endosteal hyperostosis, Worth type
LRP5Orphanet:2924Isolated polycystic liver disease
LRP5Orphanet:3416Hyperostosis corticalis generalisata
LRP5Orphanet:498481LRP5-related primary osteoporosis
LRP5Orphanet:891Familial exudative vitreoretinopathy
LRP5Orphanet:90050Retinopathy of prematurity

Cohort genes → proteins

7 cohort genes, 7 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence7

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
FZD4HGNC:4042ENSG00000174804Q9ULV1Frizzled-4gencc,clinvar
PRSS23HGNC:14370ENSG00000150687O95084Serine protease 23clinvar
ZNF408HGNC:20041ENSG00000175213Q9H9D4Zinc finger protein 408clinvar
CTNNB1HGNC:2514ENSG00000168036P35222Catenin beta-1clinvar
EEDHGNC:3188ENSG00000074266O75530Polycomb protein EEDclinvar
KIF11HGNC:6388ENSG00000138160P52732Kinesin-like protein KIF11clinvar
LRP5HGNC:6697ENSG00000162337O75197Low-density lipoprotein receptor-related protein 5clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
FZD4Frizzled-4Receptor for Wnt proteins.
ZNF408Zinc finger protein 408May be involved in transcriptional regulation.
CTNNB1Catenin beta-1Key downstream component of the canonical Wnt signaling pathway.
EEDPolycomb protein EEDPolycomb group (PcG) protein.
KIF11Kinesin-like protein KIF11Motor protein required for establishing a bipolar spindle and thus contributing to chromosome congression during mitosis.
LRP5Low-density lipoprotein receptor-related protein 5Acts as a coreceptor with members of the frizzled family of seven-transmembrane spanning receptors to transduce signal by Wnt proteins.

Protein-family classification

Druggable: 3 · Difficult: 2 · Unknown: 2 · Druggable fraction: 0.43

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
Protease15.2×0.682
GPCR13.4×0.682
Scaffold/PPI12.5×0.682
Enzyme (other)11.7×0.685
Transcription factor11.2×0.714
Other/Unknown20.5×0.968

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
FZD4GPCRyesFrizzled/Smoothened_7TM, Frizzled/SFRP, GPCR_2-like_7TM
PRSS23ProteaseyesTrypsin_dom, Peptidase_S1_PA, TRYPSIN_HIS
ZNF408Transcription factornoSET_dom, Znf_C2H2_type, Znf_C2H2_sf
CTNNB1Other/UnknownnoArmadillo, ARM-like, Beta-catenin
EEDScaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_CS
KIF11Enzyme (other)yes5.6.1.3Kinesin_motor_dom, Kinesin_motor_CS, Kinesin-assoc_MT-bd_dom
LRP5Other/UnknownnoLDLR_classB_rpt, EGF, LDrepeatLR_classA_rpt

Expression context

Cohort genes with no expression data: 0.

6 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)7
unknown0

Top tissues across cohort

TissueCohort genes
ventricular zone2
adipose tissue1
right lung1
subcutaneous adipose tissue1
mucosa of paranasal sinus1
nasal cavity epithelium1
nasal cavity mucosa1
cervix squamous epithelium1
endothelial cell1
tendon of biceps brachii1
adrenal tissue1
periodontal ligament1
endometrium1
endometrium epithelium1
lymph node1
embryo1
ganglionic eminence1
ascending aorta1
mucosa of transverse colon1
right lobe of liver1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
FZD4243ubiquitousmarkeradipose tissue, subcutaneous adipose tissue, right lung
PRSS23289ubiquitousmarkernasal cavity epithelium, nasal cavity mucosa, mucosa of paranasal sinus
ZNF408224ubiquitousyesendothelial cell, tendon of biceps brachii, cervix squamous epithelium
CTNNB1295ubiquitousmarkeradrenal tissue, ventricular zone, periodontal ligament
EED159ubiquitousmarkerendometrium epithelium, lymph node, endometrium
KIF11205ubiquitousmarkerventricular zone, ganglionic eminence, embryo
LRP5224ubiquitousmarkerright lobe of liver, mucosa of transverse colon, ascending aorta

Protein interactions among cohort

Intra-cohort edges: 4.

Hub genes (top 10 by interactor count)

SymbolInteractor count
CTNNB115,668
EED4,092
KIF113,788
LRP52,619
FZD41,869
ZNF4081,700
PRSS23982

Intra-cohort edges

ABSources
FZD4LRP5string_interaction
FZD4ZNF408string_interaction
KIF11ZNF408string_interaction
LRP5ZNF408string_interaction

Structural data

PDB: 4 · AlphaFold-only: 3 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
EEDO7553078
KIF11P5273262
CTNNB1P3522250
FZD4Q9ULV111

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
PRSS23O9508482.18
LRP5O7519778.65
ZNF408Q9H9D456.25

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 82. Enrichment computed across 7 evidence-associated genes (6 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 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Signaling by RNF43 mutants2423.0×7e-04FZD4, LRP5
Regulation of FZD by ubiquitination2173.0×0.002FZD4, LRP5
Disassembly of the destruction complex and recruitment of AXIN to the membrane2119.0×0.003CTNNB1, LRP5
Ca2+ pathway259.5×0.009FZD4, CTNNB1
TCF dependent signaling in response to WNT239.2×0.017CTNNB1, LRP5
Regulation of PD-L1(CD274) transcription236.2×0.017CTNNB1, EED
LRR FLII-interacting protein 1 (LRRFIP1) activates type I IFN production1380.7×0.027CTNNB1
Signaling by LRP5 mutants1271.9×0.027LRP5
CDH11 homotypic and heterotypic interactions1271.9×0.027CTNNB1
Regulation of CDH19 Expression and Function1237.9×0.027CTNNB1
InlA-mediated entry of Listeria monocytogenes into host cells1211.5×0.027CTNNB1
Binding of TCF/LEF:CTNNB1 to target gene promoters1190.3×0.027CTNNB1
RUNX3 regulates WNT signaling1190.3×0.027CTNNB1
Apoptotic cleavage of cell adhesion proteins1173.0×0.027CTNNB1
Regulation of CDH11 function1173.0×0.027CTNNB1
Regulation of CDH1 Function1158.6×0.027CTNNB1
Formation of axial mesoderm1135.9×0.027CTNNB1
WNT5A-dependent internalization of FZD41126.9×0.027FZD4
Signaling by GSK3beta mutants1126.9×0.027CTNNB1
CTNNB1 S33 mutants aren’t phosphorylated1126.9×0.027CTNNB1
CTNNB1 S37 mutants aren’t phosphorylated1126.9×0.027CTNNB1
CTNNB1 S45 mutants aren’t phosphorylated1126.9×0.027CTNNB1
CTNNB1 T41 mutants aren’t phosphorylated1126.9×0.027CTNNB1
Negative regulation of TCF-dependent signaling by WNT ligand antagonists1119.0×0.027LRP5
Formation of definitive endoderm1119.0×0.027CTNNB1
Beta-catenin phosphorylation cascade1112.0×0.027CTNNB1
Germ layer formation at gastrulation1112.0×0.027CTNNB1
Formation of the nephric duct1105.7×0.027CTNNB1
Specification of the neural plate border1105.7×0.027CTNNB1
Signaling by WNT in cancer1100.2×0.027LRP5

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
establishment of blood-brain barrier3601.9×2e-06FZD4, CTNNB1, LRP5
extracellular matrix-cell signaling2963.0×1e-04FZD4, LRP5
Norrin signaling pathway2963.0×1e-04FZD4, LRP5
establishment of blood-retinal barrier2802.5×1e-04CTNNB1, LRP5
retinal blood vessel morphogenesis2687.8×1e-04FZD4, LRP5
canonical Wnt signaling pathway365.7×4e-04FZD4, CTNNB1, LRP5
gastrulation with mouth forming second2267.5×8e-04CTNNB1, LRP5
positive regulation of mesenchymal cell proliferation2172.0×0.002CTNNB1, LRP5
oligodendrocyte differentiation2120.4×0.003CTNNB1, EED
embryonic digit morphogenesis286.0×0.005CTNNB1, LRP5
glial cell fate determination12407.4×0.006CTNNB1
canonical Wnt signaling pathway involved in mesenchymal stem cell differentiation12407.4×0.006CTNNB1
cerebellum vasculature morphogenesis12407.4×0.006FZD4
cranial ganglion development12407.4×0.006CTNNB1
neural plate development11203.7×0.006CTNNB1
negative regulation of mesenchymal to epithelial transition involved in metanephros morphogenesis11203.7×0.006CTNNB1
regulation of centriole-centriole cohesion11203.7×0.006CTNNB1
progesterone secretion11203.7×0.006FZD4
negative regulation of mitotic cell cycle, embryonic11203.7×0.006CTNNB1
regulation of timing of anagen11203.7×0.006CTNNB1
positive regulation of branching involved in lung morphogenesis11203.7×0.006CTNNB1
renal vesicle formation11203.7×0.006CTNNB1
renal inner medulla development11203.7×0.006CTNNB1
renal outer medulla development11203.7×0.006CTNNB1
nephron tubule formation11203.7×0.006CTNNB1
regulation of nephron tubule epithelial cell differentiation11203.7×0.006CTNNB1
mesenchymal stem cell differentiation11203.7×0.006CTNNB1
regulation of adaxial/abaxial pattern formation11203.7×0.006EED
positive regulation of determination of dorsal identity11203.7×0.006CTNNB1
positive regulation of osteoblast differentiation264.2×0.006CTNNB1, LRP5

Therapeutics

Drug target analysis

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

Druggability breadth: 5 of 7 evidence-associated genes (71%) 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
CTNNB1DITHIAZANINE IODIDE
EEDASTEMIZOLE

Top cohort targets by molecule count

SymbolMoleculesMax phase
KIF1163
EED54
CTNNB144
FZD400
PRSS2300
ZNF40800
LRP500

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
DITHIAZANINE IODIDE4CTNNB1
ASTEMIZOLE4EED
TAZEMETOSTAT4EED
QUERCETIN3CTNNB1
EPIGALOCATECHIN GALLATE3EED
GOSSYPOL3KIF11
SALINOMYCIN2CTNNB1
DALOSIRVAT2CTNNB1
POCIREDIR2EED
AZD-48772KIF11
LITRONESIB2KIF11
ISPINESIB2KIF11
FILANESIB2KIF11
GSK28161261EED
SB-7439211KIF11

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 1.

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

SymbolAssaysType breakdown
CTNNB1361Binding:358, Functional:3
KIF11193Binding:185, Functional:8
EED176Binding:170, Functional:6
FZD47Functional:6, Binding:1
LRP51Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
KIF115.6.1.3plus-end-directed kinesin ATPase

Cohort genes with high screening signal

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

SymbolChEMBL assays
CTNNB1361
EED176
KIF11193

Pharmacogenomics

Cohort genes with a PharmGKB record: 7; with CPIC/DPWG dosing guidelines: 0.

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

Chemical tractability of cohort targets

15 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.

CompoundMax phaseCohort target (bioactivity)
DITHIAZANINE IODIDE4CTNNB1
ASTEMIZOLE4EED
TAZEMETOSTAT4EED
QUERCETIN3CTNNB1
EPIGALOCATECHIN GALLATE3EED
GOSSYPOL3KIF11
SALINOMYCIN2CTNNB1
DALOSIRVAT2CTNNB1
POCIREDIR2EED
AZD-48772KIF11
LITRONESIB2KIF11
ISPINESIB2KIF11
FILANESIB2KIF11
GSK28161261EED
SB-7439211KIF11

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)2CTNNB1, EED
BPhased (≥1) drug, not yet approved1KIF11
CDruggable family + PDB, no drug1FZD4
DDruggable family + AlphaFold only, no drug1PRSS23
EDifficult family or no structure, no drug2ZNF408, LRP5

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
ZNF4080KIF11
FZD47
PRSS230
LRP51

Clinical trials & evidence

Clinical trials

Clinical trials: 0.