Familial idiopathic steroid-resistant nephrotic syndrome

disease
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Also known as familial idiopathic nephrotic syndrome

Summary

Familial idiopathic steroid-resistant nephrotic syndrome (MONDO:0019006) is a disease (an umbrella term covering 14 Mondo subtypes) with 30 cohort genes. The dominant Reactome pathway is Postmitotic nuclear pore complex (NPC) reformation (7 cohort genes).

At a glance

  • Prevalence: Unknown (Worldwide)
  • Umbrella term: 14 Mondo subtypes
  • Cohort genes: 30
  • ClinVar variants: 8
  • Phenotypes (HPO): 17

Clinical features

Signs & symptoms

Clinical features (HPO)

17 HPO clinical features (Orphanet curated; top 17 by frequency):

HPO IDTermFrequency
HP:0000093ProteinuriaObligate (100%)
HP:0000969EdemaVery frequent (80-99%)
HP:0000097Focal segmental glomerulosclerosisFrequent (30-79%)
HP:0003774Stage 5 chronic kidney diseaseFrequent (30-79%)
HP:0012622Chronic kidney diseaseFrequent (30-79%)
HP:0100539Periorbital edemaFrequent (30-79%)
HP:0000737IrritabilityOccasional (5-29%)
HP:0001945FeverOccasional (5-29%)
HP:0001967Diffuse mesangial sclerosisOccasional (5-29%)
HP:0002027Abdominal painOccasional (5-29%)
HP:0002315HeadacheOccasional (5-29%)
HP:0003073HypoalbuminemiaOccasional (5-29%)
HP:0011947Respiratory tract infectionOccasional (5-29%)
HP:0012579Minimal change glomerulonephritisOccasional (5-29%)
HP:0031504Foamy urineOccasional (5-29%)
HP:0000707Abnormality of the nervous systemVery rare (<1-4%)
HP:0002586PeritonitisVery rare (<1-4%)

Identifiers

Disease identifiers

FieldValue
Canonical namefamilial idiopathic steroid-resistant nephrotic syndrome
Mondo IDMONDO:0019006
Orphanet656
ICD-111385860879
SNOMED CT718141008
UMLSC4273714
MedGen902527
GARD0003946
Is cancer (heuristic)no

Also known as: familial idiopathic nephrotic syndrome

Data availability: 8 ClinVar variants · 28 GenCC gene-disease records.

Disease family

An umbrella term covering 14 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › syndromic diseasenephrotic syndromefamilial nephrotic syndromefamilial idiopathic steroid-resistant nephrotic syndrome

Related subtypes (17): congenital nephrotic syndrome, Finnish type, nephrotic syndrome, type 4, LAMB2-related infantile-onset nephrotic syndrome, immunoglobulin-mediated membranoproliferative glomerulonephritis, nephrotic syndrome, type 20, nephrotic syndrome, type 22, nephrotic syndrome, type 23, nephrotic syndrome, type 24, nephrotic syndrome, IIa 26, nephrotic syndrome, type 17, nephrotic syndrome, type 18, nephrotic syndrome, type 19, nephrotic syndrome, type 21, nephrotic syndrome 14, nephrotic syndrome 15, nephrotic syndrome 16, idiopathic multidrug-resistant nephrotic syndrome

Subtypes (14): nephrotic syndrome, type 2, focal segmental glomerulosclerosis 1, nephrotic syndrome, type 3, nephrotic syndrome, type 6, familial steroid-resistant nephrotic syndrome with sensorineural deafness, nephrotic syndrome, type 8, nephrotic syndrome, type 9, nephrotic syndrome, type 10, nephrotic syndrome, type 11, nephrotic syndrome, type 12, nephrotic syndrome, type 13, familial idiopathic steroid-resistant nephrotic syndrome with diffuse mesangial proliferation, familial idiopathic steroid-resistant nephrotic syndrome with minimal changes, familial idiopathic steroid-resistant nephrotic syndrome with diffuse mesangial sclerosis

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

8 retrieved; paginated sample, class counts are floors:

2 conflicting classifications of pathogenicity, 2 pathogenic, 2 pathogenic/likely pathogenic, 1 likely pathogenic, 1 uncertain significance

ClinVarVariant (HGVS)GeneClassificationReview
546072NM_173689.7(CRB2):c.2400C>G (p.Asn800Lys)CRB2Pathogeniccriteria provided, multiple submitters, no conflicts
504890NM_014625.4(NPHS2):c.535-1G>TNPHS2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
3493NM_024426.6(WT1):c.1447+5G>AWT1Pathogeniccriteria provided, multiple submitters, no conflicts
3500NM_024426.6(WT1):c.1447+4C>TWT1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
222890NM_024426.6(WT1):c.1265G>T (p.Gly422Val)WT1Likely pathogeniccriteria provided, multiple submitters, no conflicts
180466NM_004646.4(NPHS1):c.3173C>T (p.Ser1058Leu)NPHS1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
222761NM_004646.4(NPHS1):c.2398C>T (p.Arg800Cys)NPHS1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
3377412NM_005245.4(FAT1):c.748G>A (p.Ala250Thr)FAT1Uncertain significancecriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 140 · Orphanet: 47 · 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
COQ8BDefinitiveAutosomal recessivenephrotic syndrome, type 93
NPHS1DefinitiveAutosomal recessivecongenital nephrotic syndrome, Finnish type6
NPHS2DefinitiveAutosomal recessivenephrotic syndrome, type 27
NUP93DefinitiveAutosomal recessivenephrotic syndrome, type 126
PLCE1DefinitiveAutosomal recessivenephrotic syndrome, type 35
ARHGDIAStrongAutosomal recessivenephrotic syndrome, type 85
EMP2StrongAutosomal recessivenephrotic syndrome, type 104
MAGI2StrongAutosomal recessivenephrotic syndrome 155
NUP107StrongAutosomal recessivenephrotic syndrome, type 1111
NUP133StrongAutosomal recessivenephrotic syndrome, type 188
NUP160StrongAutosomal recessivenephrotic syndrome, type 194
NUP205StrongAutosomal recessivenephrotic syndrome, type 134
NUP85StrongAutosomal recessivenephrotic syndrome, type 175
PTPROStrongAutosomal recessivenephrotic syndrome, type 64
PTPRUStrongAutosomal recessivenephrotic syndrome, type 64
TBC1D8BStrongX-linkednephrotic syndrome, type 204
ACTN4SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome4
ANKFY1SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome2
ANLNSupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome4
ARHGAP24SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome2
CD2APSupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome3
CRB2SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome7
GAPVD1SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome
INF2SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome7
MYO1ESupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome6
NUP37SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome2
PAX2SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome6
TRPC6SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome4
WT1SupportiveAutosomal dominantfamilial idiopathic steroid-resistant nephrotic syndrome7

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
WT1Orphanet:220Denys-Drash syndrome
WT1Orphanet:24246,XY complete gonadal dysgenesis
WT1Orphanet:25151046,XY partial gonadal dysgenesis
WT1Orphanet:3097Meacham syndrome
WT1Orphanet:347Frasier syndrome
WT1Orphanet:654Nephroblastoma
WT1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
WT1Orphanet:83469Desmoplastic small round cell tumor
WT1Orphanet:893WAGR syndrome
NPHS2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
CRB2Orphanet:443988Ventriculomegaly-cystic kidney disease
CRB2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NPHS1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NPHS1Orphanet:839Congenital nephrotic syndrome, Finnish type
TRPC6Orphanet:656Hereditary steroid-resistant nephrotic syndrome
ANLNOrphanet:656Hereditary steroid-resistant nephrotic syndrome
CD2APOrphanet:656Hereditary steroid-resistant nephrotic syndrome
ACTN4Orphanet:656Hereditary steroid-resistant nephrotic syndrome
PLCE1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NUP133Orphanet:2065Galloway-Mowat syndrome
NUP133Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NUP160Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NUP205Orphanet:656Hereditary steroid-resistant nephrotic syndrome
MAGI2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
COQ8BOrphanet:656Hereditary steroid-resistant nephrotic syndrome
COQ8BOrphanet:791Retinitis pigmentosa
ANKFY1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
GAPVD1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
INF2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
INF2Orphanet:93114Autosomal dominant intermediate Charcot-Marie-Tooth disease type E
TBC1D8BOrphanet:656Hereditary steroid-resistant nephrotic syndrome
ARHGAP24Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NUP93Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NUP107Orphanet:2065Galloway-Mowat syndrome
NUP107Orphanet:24346,XX gonadal dysgenesis
NUP107Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NUP37Orphanet:2512Autosomal recessive primary microcephaly
NUP37Orphanet:656Hereditary steroid-resistant nephrotic syndrome
EMP2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
ARHGDIAOrphanet:656Hereditary steroid-resistant nephrotic syndrome
MYO1EOrphanet:656Hereditary steroid-resistant nephrotic syndrome
PAX2Orphanet:1475Renal coloboma syndrome
PAX2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
PAX2Orphanet:97362Renal hypoplasia, bilateral
NUP85Orphanet:656Hereditary steroid-resistant nephrotic syndrome
NUP85Orphanet:808Seckel syndrome
PTPROOrphanet:656Hereditary steroid-resistant nephrotic syndrome

Cohort genes → proteins

30 cohort genes, 30 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence30

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
WT1HGNC:12796ENSG00000184937P19544Wilms tumor proteingencc,clinvar
NPHS2HGNC:13394ENSG00000116218Q9NP85Podocingencc,clinvar
CRB2HGNC:18688ENSG00000148204Q5IJ48Protein crumbs homolog 2gencc,clinvar
NPHS1HGNC:7908ENSG00000161270O60500Nephringencc,clinvar
TRPC6HGNC:12338ENSG00000137672Q9Y210Short transient receptor potential channel 6gencc
ANLNHGNC:14082ENSG00000011426Q9NQW6Anillingencc
CD2APHGNC:14258ENSG00000198087Q9Y5K6CD2-associated proteingencc
ACTN4HGNC:166ENSG00000130402O43707Alpha-actinin-4gencc
PLCE1HGNC:17175ENSG00000138193Q9P2121-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1gencc
NUP133HGNC:18016ENSG00000069248Q8WUM0Nuclear pore complex protein Nup133gencc
NUP160HGNC:18017ENSG00000030066Q12769Nuclear pore complex protein Nup160gencc
NUP205HGNC:18658ENSG00000155561Q92621Nuclear pore complex protein Nup205gencc
MAGI2HGNC:18957ENSG00000187391Q86UL8Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 2gencc
COQ8BHGNC:19041ENSG00000123815Q96D53Atypical kinase COQ8B, mitochondrialgencc
ANKFY1HGNC:20763ENSG00000185722Q9P2R3Ankyrin repeat and FYVE domain-containing protein 1gencc
GAPVD1HGNC:23375ENSG00000165219Q14C86GTPase-activating protein and VPS9 domain-containing protein 1gencc
INF2HGNC:23791ENSG00000203485Q27J81Inverted formin-2gencc
TBC1D8BHGNC:24715ENSG00000133138Q0IIM8TBC1 domain family member 8Bgencc
ARHGAP24HGNC:25361ENSG00000138639Q8N264Rho GTPase-activating protein 24gencc
NUP93HGNC:28958ENSG00000102900Q8N1F7Nuclear pore complex protein Nup93gencc
NUP107HGNC:29914ENSG00000111581P57740Nuclear pore complex protein Nup107gencc
NUP37HGNC:29929ENSG00000075188Q8NFH4Nucleoporin Nup37gencc
EMP2HGNC:3334ENSG00000213853P54851Epithelial membrane protein 2gencc
ARHGDIAHGNC:678ENSG00000141522P52565Rho GDP-dissociation inhibitor 1gencc
MYO1EHGNC:7599ENSG00000157483Q12965Unconventional myosin-Iegencc
PAX2HGNC:8616ENSG00000075891Q02962Paired box protein Pax-2gencc
NUP85HGNC:8734ENSG00000125450Q9BW27Nuclear pore complex protein Nup85gencc
PTPROHGNC:9678ENSG00000151490Q16827Receptor-type tyrosine-protein phosphatase Ogencc
PTPRUHGNC:9683ENSG00000060656Q92729Receptor-type tyrosine-protein phosphatase Ugencc
FAT1HGNC:3595ENSG00000083857Q14517Protocadherin Fat 1clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
WT1Wilms tumor proteinTranscription factor that plays an important role in cellular development and cell survival.
NPHS2PodocinPlays a role in the regulation of glomerular permeability, acting probably as a linker between the plasma membrane and the cytoskeleton.
CRB2Protein crumbs homolog 2Apical polarity protein that plays a central role during the epithelial-to-mesenchymal transition (EMT) at gastrulation, when newly specified mesodermal cells move inside the embryo.
NPHS1NephrinSeems to play a role in the development or function of the kidney glomerular filtration barrier.
TRPC6Short transient receptor potential channel 6Forms a receptor-activated non-selective calcium permeant cation channel.
ANLNAnillinRequired for cytokinesis.
CD2APCD2-associated proteinSeems to act as an adapter protein between membrane proteins and the actin cytoskeleton.
ACTN4Alpha-actinin-4F-actin cross-linking protein which is thought to anchor actin to a variety of intracellular structures.
PLCE11-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1The production of the second messenger molecules diacylglycerol (DAG) and inositol 1,4,5-trisphosphate (IP3) is mediated by activated phosphatidylinositol-specific phospholipase C enzymes.
NUP133Nuclear pore complex protein Nup133Involved in poly(A)+ RNA transport.
NUP160Nuclear pore complex protein Nup160Functions as a component of the nuclear pore complex (NPC).
NUP205Nuclear pore complex protein Nup205Plays a role in the nuclear pore complex (NPC) assembly and/or maintenance.
MAGI2Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 2Seems to act as a scaffold molecule at synaptic junctions by assembling neurotransmitter receptors and cell adhesion proteins.
COQ8BAtypical kinase COQ8B, mitochondrialAtypical kinase involved in the biosynthesis of coenzyme Q, also named ubiquinone, an essential lipid-soluble electron transporter for aerobic cellular respiration.
ANKFY1Ankyrin repeat and FYVE domain-containing protein 1Proposed effector of Rab5.
GAPVD1GTPase-activating protein and VPS9 domain-containing protein 1Acts both as a GTPase-activating protein (GAP) and a guanine nucleotide exchange factor (GEF), and participates in various processes such as endocytosis, insulin receptor internalization or LC2A4/GLUT4 trafficking.
INF2Inverted formin-2Severs actin filaments and accelerates their polymerization and depolymerization.
TBC1D8BTBC1 domain family member 8BInvolved in vesicular recycling, probably as a RAB11B GTPase-activating protein.
ARHGAP24Rho GTPase-activating protein 24Rho GTPase-activating protein involved in cell polarity, cell morphology and cytoskeletal organization.
NUP93Nuclear pore complex protein Nup93Plays a role in the nuclear pore complex (NPC) assembly and/or maintenance.
NUP107Nuclear pore complex protein Nup107Plays a role in the nuclear pore complex (NPC) assembly and/or maintenance.
NUP37Nucleoporin Nup37Component of the Nup107-160 subcomplex of the nuclear pore complex (NPC).
EMP2Epithelial membrane protein 2Functions as a key regulator of cell membrane composition by regulating protein surface expression.
ARHGDIARho GDP-dissociation inhibitor 1Controls Rho proteins homeostasis.
MYO1EUnconventional myosin-IeActin-based motor molecule with ATPase activity.
PAX2Paired box protein Pax-2Transcription factor that may have a role in kidney cell differentiation.
NUP85Nuclear pore complex protein Nup85Essential component of the nuclear pore complex (NPC) that seems to be required for NPC assembly and maintenance.
PTPROReceptor-type tyrosine-protein phosphatase OPossesses tyrosine phosphatase activity.
PTPRUReceptor-type tyrosine-protein phosphatase UTyrosine-protein phosphatase which dephosphorylates CTNNB1.
FAT1Protocadherin Fat 1Plays an essential role for cellular polarization, directed cell migration and modulating cell-cell contact.

Protein-family classification

Druggable: 7 · Difficult: 9 · Unknown: 14 · Druggable fraction: 0.23

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
Scaffold/PPI63.5×0.053
Phosphatase25.6×0.198
Ion channel13.7×0.590
Kinase21.9×0.590
Antibody/Immunoglobulin11.0×0.927
Other/Unknown140.8×0.927
Transcription factor30.8×0.927
Enzyme (other)10.4×0.927

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
WT1Transcription factornoWilms_tumour_N, Znf_C2H2_type, Znf_C2H2_sf
NPHS2Other/UnknownnoBand_7, Stomatin_HflK_fam, Band_7/stomatin-like_CS
CRB2Other/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, Laminin_G
NPHS1Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
TRPC6Ion channelyesAnkyrin_rpt, TRPC_channel, TRPC6_channel
ANLNScaffold/PPInoPH_domain, PH-like_dom_sf, AHD
CD2APScaffold/PPInoSH3_domain, CD2AP_SH3_1, CD2AP_SH_2
ACTN4Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
PLCE1Enzyme (other)yes3.1.4.11C2_dom, RA_dom, PLipase_C_PInositol-sp_X_dom
NUP133Scaffold/PPInoNucleoporin_Nup133/Nup155_C, WD40/YVTN_repeat-like_dom_sf, Nup133-like
NUP160Other/UnknownnoNucleoporin_Nup160, TPR_NUP160_M, TPR_NUP160_C
NUP205Other/UnknownnoNup186/Nup192/Nup205
MAGI2KinaseyesWW_dom, PDZ, Guanylate_kin-like_dom
COQ8BKinaseyesABC1_dom, Kinase-like_dom_sf, ADCK3_dom
ANKFY1Transcription factornoBTB/POZ_dom, Znf_FYVE, Ankyrin_rpt
GAPVD1Other/UnknownnoRasGAP_dom, VPS9, Rho_GTPase_activation_prot
INF2Other/UnknownnoWH2_dom, FH3_dom, GTPase-bd
TBC1D8BOther/UnknownnoRab-GAP-TBC_dom, EF_hand_dom, GRAM
ARHGAP24Scaffold/PPInoRhoGAP_dom, PH_domain, Rho_GTPase_activation_prot
NUP93Other/UnknownnoNucleoporin_int_Nup93/Nic96
NUP107Other/UnknownnoNup84/Nup107
NUP37Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_CS
EMP2Other/UnknownnoEMP-2, PMP22/EMP/MP20/Claudin, PMP22_EMP_MP20
ARHGDIAOther/UnknownnoRho_GDI, Ig_E-set, RhoGDI_dom_sf
MYO1EScaffold/PPInoSH3_domain, Myosin_head_motor_dom-like, Myosin_TH1
PAX2Transcription factornoPaired_dom, Homeodomain-like_sf, Pax2_C
NUP85Other/UnknownnoNucleoporin_Nup85
PTPROPhosphataseyes3.1.3.48PTP_cat, Tyr_Pase_dom, Tyr_Pase_cat
PTPRUPhosphataseyes3.1.3.48PTP_cat, Tyr_Pase_dom, MAM_dom
FAT1Other/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, Laminin_G

Expression context

Cohort genes with no expression data: 0.

30 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)30
unknown0

Top tissues across cohort

TissueCohort genes
ventricular zone6
metanephric glomerulus5
renal glomerulus4
oocyte4
secondary oocyte4
ganglionic eminence3
corpus callosum3
calcaneal tendon2
sural nerve2
metanephros cortex2
renal medulla2
germinal epithelium of ovary1
kidney epithelium1
male germ line stem cell (sensu Vertebrata) in testis1
body of pancreas1
buccal mucosa cell1
vena cava1
lower esophagus1
lower esophagus muscularis layer1
right lung1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
WT1168broadmarkergerminal epithelium of ovary, renal glomerulus, metanephric glomerulus
NPHS247tissue_specificmarkerrenal glomerulus, metanephric glomerulus, kidney epithelium
CRB299broadmarkerventricular zone, ganglionic eminence, male germ line stem cell (sensu Vertebrata) in testis
NPHS1147tissue_specificmarkerbuccal mucosa cell, body of pancreas, vena cava
TRPC6180broadmarkerright lung, lower esophagus muscularis layer, lower esophagus
ANLN222ubiquitousmarkercorpus callosum, inferior vagus X ganglion, C1 segment of cervical spinal cord
CD2AP275ubiquitousmarkerjejunal mucosa, esophagus squamous epithelium, colonic mucosa
ACTN4145ubiquitousmarkerpopliteal artery, tibial artery, smooth muscle tissue
PLCE1271broadmarkerrenal glomerulus, metanephric glomerulus, ventricular zone
NUP133297ubiquitousmarkersecondary oocyte, oocyte, ventricular zone
NUP160278ubiquitousmarkeroocyte, mucosa of paranasal sinus, secondary oocyte
NUP205265ubiquitousmarkerventricular zone, ganglionic eminence, embryo
MAGI2267ubiquitousmarkercalcaneal tendon, corpus callosum, Brodmann (1909) area 23
COQ8B227ubiquitousmarkerright uterine tube, adenohypophysis, pituitary gland
ANKFY1265ubiquitousmarkerskin of hip, parietal pleura, corpus callosum
GAPVD1299ubiquitousmarkerbronchial epithelial cell, epithelium of bronchus, bronchus
INF2260ubiquitousmarkersural nerve, nerve, tibial nerve
TBC1D8B237ubiquitousmarkerright adrenal gland cortex, right adrenal gland, left adrenal gland cortex
ARHGAP24263ubiquitousmarkerrenal medulla, pons, metanephros cortex
NUP93285ubiquitousmarkerventricular zone, ganglionic eminence, left lobe of thyroid gland
NUP107283ubiquitousmarkersecondary oocyte, oocyte, ventricular zone
NUP37265ubiquitousmarkeroocyte, secondary oocyte, primordial germ cell in gonad
EMP2273ubiquitousmarkerupper leg skin, upper arm skin, lower lobe of lung
ARHGDIA292ubiquitousmarkergranulocyte, colonic epithelium, mucosa of transverse colon
MYO1E235ubiquitousmarkercalcaneal tendon, sural nerve, gall bladder
PAX292broadmarkermetanephros cortex, renal medulla, adult mammalian kidney
NUP85258ubiquitousmarkercerebellar hemisphere, cerebellar cortex, right hemisphere of cerebellum
PTPRO214broadmarkerrenal glomerulus, metanephric glomerulus, cortical plate
PTPRU239ubiquitousmarkerendocervix, olfactory segment of nasal mucosa, ectocervix
FAT1288ubiquitousmarkerchoroid plexus epithelium, tibia, metanephric glomerulus

Protein interactions among cohort

Intra-cohort edges: 84.

Hub genes (top 10 by interactor count)

SymbolInteractor count
ANLN6,413
WT13,938
NUP1073,524
NUP1333,453
ACTN43,303
MAGI23,246
GAPVD13,119
NUP933,031
ANKFY12,929
NUP2052,881

Intra-cohort edges

ABSources
ACTN4ANLNbiogrid_interaction, string_interaction
ACTN4CD2APstring_interaction
ACTN4INF2string_interaction
ACTN4MYO1Estring_interaction
ACTN4NPHS1string_interaction
ACTN4NPHS2string_interaction
ACTN4PLCE1string_interaction
ACTN4PTPROstring_interaction
ACTN4TRPC6string_interaction
ANKFY1GAPVD1string_interaction
ANKFY1TBC1D8Bstring_interaction
ANLNCD2APstring_interaction
ANLNINF2intact, string_interaction
ANLNMYO1Eintact, string_interaction
ARHGAP24ARHGDIAstring_interaction
ARHGAP24INF2string_interaction
ARHGAP24NPHS1string_interaction
ARHGAP24NPHS2string_interaction
CD2APFAT1string_interaction
CD2APINF2string_interaction
CD2APNPHS1string_interaction
CD2APNPHS2biogrid_interaction, string_interaction
CD2APPLCE1string_interaction
CD2APPTPROstring_interaction
CD2APTRPC6string_interaction
COQ8BEMP2string_interaction
COQ8BINF2string_interaction
COQ8BMYO1Estring_interaction
COQ8BNPHS1string_interaction
COQ8BNPHS2string_interaction
COQ8BPLCE1string_interaction
EMP2NPHS1string_interaction
EMP2NPHS2string_interaction
EMP2PLCE1string_interaction
FAT1NPHS1string_interaction
FAT1NPHS2string_interaction
GAPVD1TBC1D8Bstring_interaction
INF2MYO1Estring_interaction
INF2NPHS1string_interaction
INF2NPHS2string_interaction
INF2PLCE1string_interaction
INF2PTPROstring_interaction
INF2TRPC6string_interaction
INF2WT1string_interaction
MYO1ENPHS1string_interaction
MYO1ENPHS2string_interaction
MYO1EPLCE1string_interaction
MYO1EPTPROstring_interaction
MYO1ETRPC6string_interaction
NPHS1NPHS2biogrid_interaction, string_interaction

Structural data

PDB: 20 · AlphaFold-only: 10 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
WT1P1954428
ARHGDIAP5256521
CD2APQ9Y5K612
INF2Q27J8110
NUP133Q8WUM08
NUP93Q8N1F77
NUP107P577407
TRPC6Q9Y2106
ACTN4O437075
NUP205Q926215
MAGI2Q86UL85
NUP160Q127694
NUP37Q8NFH44
NUP85Q9BW274
ANLNQ9NQW63
PLCE1Q9P2123
PTPROQ168272
PTPRUQ927292
CRB2Q5IJ481
NPHS1O605001

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
EMP2P5485194.89
ANKFY1Q9P2R386.98
MYO1EQ1296580.46
TBC1D8BQ0IIM879.33
COQ8BQ96D5377.00
NPHS2Q9NP8575.00
ARHGAP24Q8N26466.68
GAPVD1Q14C8663.17
PAX2Q0296261.52
FAT1Q14517

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 78. Enrichment computed across 30 evidence-associated genes (25 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 25 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Postmitotic nuclear pore complex (NPC) reformation7114.2×3e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
IPs transport between nucleus and cytosol7106.6×3e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
IP3 and IP4 transport between cytosol and nucleus7106.6×3e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
IP6 and IP7 transport between cytosol and nucleus7106.6×3e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Transport of Ribonucleoproteins into the Host Nucleus799.9×3e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Regulation of Glucokinase by Glucokinase Regulatory Protein799.9×3e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Defective TPR may confer susceptibility towards thyroid papillary carcinoma (TPC)799.9×3e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
NEP/NS2 Interacts with the Cellular Export Machinery796.9×4e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Nuclear import of Rev protein794.0×4e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Vpr-mediated nuclear import of PICs794.0×4e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Transport of the SLBP independent Mature mRNA791.4×4e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
SUMOylation of SUMOylation proteins791.4×4e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Transport of the SLBP Dependant Mature mRNA788.8×4e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Rev-mediated nuclear export of HIV RNA788.8×4e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Nuclear Pore Complex (NPC) Disassembly786.4×5e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
SUMOylation of ubiquitinylation proteins782.0×7e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
NS1 Mediated Effects on Host Pathways779.9×8e-12NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Transport of Mature mRNA Derived from an Intronless Transcript776.1×1e-11NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Viral Messenger RNA Synthesis772.7×1e-11NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
SUMOylation of DNA replication proteins769.5×2e-11NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
SUMOylation of RNA binding proteins766.6×2e-11NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
snRNP Assembly759.2×6e-11NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
tRNA processing in the nucleus755.1×9e-11NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
SUMOylation of chromatin organization proteins744.4×4e-10NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Transport of Mature mRNA derived from an Intron-Containing Transcript742.6×5e-10NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
ISG15 antiviral mechanism742.1×6e-10NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
SUMOylation of DNA damage response and repair proteins741.0×7e-10NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Regulation of HSF1-mediated heat shock response739.0×9e-10NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
Nephrin family interactions595.2×4e-09NPHS2, NPHS1, CD2AP, ACTN4, MAGI2
HCMV Late Events727.6×1e-08NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 30 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
nucleocytoplasmic transport791.4×3e-10NUP133, NUP160, NUP205, NUP93, NUP107, NUP37, NUP85
nephron development4249.7×2e-07NUP133, NUP160, NUP107, NUP85
glomerulus development4172.8×6e-07WT1, PLCE1, MYO1E, PTPRO
nuclear pore complex assembly3168.5×4e-05NUP205, NUP93, NUP107
glomerular basement membrane development3153.2×4e-05WT1, NPHS1, MYO1E
podocyte development3153.2×4e-05NPHS1, MAGI2, MYO1E
podocyte differentiation3140.4×5e-05WT1, CD2AP, PTPRO
slit diaphragm assembly2561.7×1e-04NPHS1, PTPRO
mRNA export from nucleus439.4×1e-04NUP133, NUP160, NUP107, NUP85
glomerular filtration393.6×1e-04NPHS2, TBC1D8B, MYO1E
regulation of glomerular filtration2280.9×5e-04EMP2, PTPRO
metanephric epithelium development2224.7×8e-04WT1, PAX2
protein import into nucleus419.2×0.001NUP133, NUP93, NUP107, NUP85
metanephric mesenchyme development2160.5×0.001WT1, PAX2
nuclear pore organization2140.4×0.002NUP133, NUP205
actin filament organization415.8×0.002CD2AP, EMP2, FAT1, MYO1E
mesenchymal to epithelial transition2102.1×0.003WT1, PAX2
nerve growth factor signaling pathway286.4×0.004CD2AP, MAGI2
poly(A)+ mRNA export from nucleus244.9×0.015NUP133, NUP93
septin ring assembly1561.7×0.021ANLN
establishment of epithelial cell apical/basal polarity involved in camera-type eye morphogenesis1561.7×0.021FAT1
positive regulation of ion transmembrane transporter activity1561.7×0.021TRPC6
ingression involved in gastrulation with mouth forming second1561.7×0.021CRB2
optic chiasma development1561.7×0.021PAX2
negative regulation of metanephric glomerular mesangial cell proliferation1561.7×0.021WT1
positive regulation of optic nerve formation1561.7×0.021PAX2
protein localization to cell surface233.0×0.021EMP2, PTPRU
actin filament polymerization232.1×0.021CD2AP, INF2
optic cup morphogenesis involved in camera-type eye development1280.9×0.022PAX2
regulation of animal organ formation1280.9×0.022WT1

Therapeutics

Drug target analysis

Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 5 · Undrugged: 25

Druggability breadth: 14 of 30 evidence-associated genes (47%) 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
COQ8BFEDRATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
COQ8B94
TRPC612
ACTN412
NUP20512
NUP9312
WT100
NPHS200
CRB200
NPHS100
ANLN00

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
FEDRATINIB4COQ8B
VANDETANIB4COQ8B
ERLOTINIB4COQ8B
CRIZOTINIB4COQ8B
CANERTINIB3COQ8B
CLEMIZOLE2TRPC6
MOLIBRESIB2ACTN4, NUP205, NUP93
TG100-1152COQ8B
R-4062COQ8B
PELITINIB2COQ8B
BMS-3870321COQ8B

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

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

SymbolAssaysType breakdown
COQ8B77Binding:77
TRPC630Binding:30
ACTN47Binding:7
NUP2057Binding:7
NUP937Binding:7
PTPRO7Binding:7
ARHGDIA2Binding:2
CD2AP1Binding:1
NUP1601Binding:1
GAPVD11Binding:1
INF21Binding:1
PAX21Binding:1
PTPRU1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
PLCE13.1.4.11phosphoinositide phospholipase C
PTPRO3.1.3.48protein-tyrosine-phosphatase
PTPRU3.1.3.48protein-tyrosine-phosphatase

Pharmacogenomics

Cohort genes with a PharmGKB record: 30; with CPIC/DPWG dosing guidelines: 0.

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

Chemical tractability of cohort targets

11 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)
FEDRATINIB4COQ8B
VANDETANIB4COQ8B
ERLOTINIB4COQ8B
CRIZOTINIB4COQ8B
CANERTINIB3COQ8B
CLEMIZOLE2TRPC6
MOLIBRESIB2ACTN4, NUP205, NUP93
TG100-1152COQ8B
R-4062COQ8B
PELITINIB2COQ8B
BMS-3870321COQ8B

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)1COQ8B
BPhased (≥1) drug, not yet approved4TRPC6, ACTN4, NUP205, NUP93
CDruggable family + PDB, no drug5NPHS1, PLCE1, MAGI2, PTPRO, PTPRU
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug20WT1, NPHS2, CRB2, ANLN, CD2AP, NUP133, NUP160, ANKFY1, GAPVD1, INF2 (+10 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
NPHS20TRPC6
PLCE10TRPC6
INF21ACTN4
EMP20COQ8B
MYO1E0ACTN4
WT10
CRB20
NPHS10
ANLN0
CD2AP1
NUP1330
NUP1601
MAGI20
ANKFY10
GAPVD11
TBC1D8B0
ARHGAP240
NUP1070
NUP370
ARHGDIA2
PAX21
NUP850
PTPRO7
PTPRU1
FAT10

Clinical trials & evidence

Clinical trials

Clinical trials: 0.