Hereditary diffuse gastric adenocarcinoma
diseaseOn this page
Also known as diffuse gastric cancerfamilial diffuse cancer of stomachfamilial diffuse gastric cancerFDGCHDGChereditary diffuse cancer of stomachhereditary diffuse gastric cancersignet cell adenocarcinomasignet ring cell gastric carcinomasignet ring gastric carcinoma
Summary
Hereditary diffuse gastric adenocarcinoma (MONDO:0007648) is a disease caused by CDH1 (GenCC Definitive), with 6 cohort genes and 5 clinical trials.
At a glance
- Prevalence: Unknown (Worldwide)
- Causal gene: CDH1 (GenCC Definitive)
- Cohort genes: 6
- ClinVar variants: 4,701
- Clinical trials: 5
Clinical features
Epidemiology
Prevalence records
1 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Annual incidence | 1-9 / 100 000 | 1.5 | Europe | Not yet validated |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | hereditary diffuse gastric adenocarcinoma |
| Mondo ID | MONDO:0007648 |
| Orphanet | 26106 |
| DOID | DOID:0080764 |
| NCIT | C43295 |
| SNOMED CT | 716859000 |
| UMLS | C1708349 |
| MedGen | 310839 |
| GARD | 0010900 |
| Is cancer (heuristic) | no |
Also known as: diffuse gastric cancer · familial diffuse cancer of stomach · familial diffuse gastric cancer · FDGC · HDGC · hereditary diffuse cancer of stomach · hereditary diffuse gastric adenocarcinoma · hereditary diffuse gastric cancer · signet cell adenocarcinoma · signet ring cell gastric carcinoma · signet ring gastric carcinoma
Data availability: 4,701 ClinVar variants · 2 ClinGen variant curations · 4 GenCC gene-disease records · 1 cell line.
Disease family
Classification path: disease › human disease › disease by body system or component › digestive system disorder › digestive system cancer › gastric cancer › gastric carcinoma › gastric adenocarcinoma › diffuse gastric adenocarcinoma › hereditary diffuse gastric adenocarcinoma
Related subtypes (1): gastric linitis plastica
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
600 retrieved; paginated sample, class counts are floors:
184 uncertain significance, 155 benign/likely benign, 122 likely benign, 54 conflicting classifications of pathogenicity, 46 pathogenic, 30 benign, 5 pathogenic/likely pathogenic, 4 likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1066643 | NM_004360.5(CDH1):c.1008+1G>T | CDH1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1068969 | NM_004360.5(CDH1):c.1569T>G (p.Tyr523Ter) | CDH1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1069664 | NC_000016.10:g.68829654del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1069750 | NM_004360.5(CDH1):c.1641del (p.Glu547fs) | CDH1 | Pathogenic | criteria provided, single submitter |
| 1069973 | NM_004360.5(CDH1):c.1920dup (p.Gln641fs) | CDH1 | Pathogenic | criteria provided, single submitter |
| 1070687 | NM_004360.5(CDH1):c.1616del (p.Thr539fs) | CDH1 | Pathogenic | criteria provided, single submitter |
| 1071176 | NC_000016.9:g.(?68835563)(68863710_?)del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1071177 | NC_000016.9:g.(?68820946)(68842761_?)del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1071833 | NM_004360.5(CDH1):c.150_151dup (p.Val51fs) | CDH1 | Pathogenic | criteria provided, single submitter |
| 1072002 | NM_004360.5(CDH1):c.1711+1dup | CDH1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1072150 | NM_004360.5(CDH1):c.555del (p.Gly186fs) | CDH1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1072773 | NM_004360.5(CDH1):c.1356_1362del (p.His453fs) | CDH1 | Pathogenic | criteria provided, single submitter |
| 1072979 | NC_000016.9:g.(?68771319)(68835806_?)del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1072980 | NC_000016.9:g.(?_68857535)_68864666del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1072981 | NC_000016.9:g.(?68863547)(68867402_?)del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1072982 | NC_000016.9:g.(?68772190)(68849672_?)del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1074240 | NM_004360.5(CDH1):c.1695_1696insTT (p.Ile566fs) | CDH1 | Pathogenic | criteria provided, single submitter |
| 1074394 | NM_004360.5(CDH1):c.1878_1885del (p.Phe626fs) | CDH1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1075278 | NC_000016.10:g.68815516del | CDH1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1076986 | NC_000016.9:g.(?68867183)(68867402_?)del | CDH1 | Pathogenic | criteria provided, single submitter |
| 1196343 | NM_004360.5(CDH1):c.1577G>A (p.Trp526Ter) | CDH1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 12234 | NM_004360.5(CDH1):c.781G>T (p.Glu261Ter) | CDH1 | Pathogenic | reviewed by expert panel |
| 12237 | NM_004360.5(CDH1):c.2095C>T (p.Gln699Ter) | CDH1 | Pathogenic | reviewed by expert panel |
| 12239 | NM_004360.5(CDH1):c.59G>A (p.Trp20Ter) | CDH1 | Pathogenic | reviewed by expert panel |
| 12240 | NM_004360.5(CDH1):c.70G>T (p.Glu24Ter) | CDH1 | Pathogenic | reviewed by expert panel |
| 12241 | NM_004360.5(CDH1):c.1792C>T (p.Arg598Ter) | CDH1 | Pathogenic | reviewed by expert panel |
| 12244 | NM_004360.5(CDH1):c.1901C>T (p.Ala634Val) | CDH1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12251 | NC_000016.10:g.68602418_68796011del | CDH1 | Pathogenic | no assertion criteria provided |
| 12252 | NM_004360.5(CDH1):c.2440-396_*224delinsGGA | CDH1 | Pathogenic | no assertion criteria provided |
| 127915 | NM_004360.5(CDH1):c.1565+1G>A | CDH1 | Pathogenic | reviewed by expert panel |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 18 · Orphanet: 20 · 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.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| CDH1 | Definitive | Autosomal dominant | hereditary diffuse gastric adenocarcinoma | 15 |
| MAP3K6 | Supportive | Autosomal dominant | hereditary diffuse gastric adenocarcinoma | 2 |
| IL1B | No Known Disease Relationship | Unknown | hereditary diffuse gastric adenocarcinoma |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| CDH1 | Orphanet:1331 | Familial prostate cancer |
| CDH1 | Orphanet:199306 | Cleft lip/palate |
| CDH1 | Orphanet:1997 | Blepharo-cheilo-odontic syndrome |
| CDH1 | Orphanet:227535 | Hereditary breast cancer |
| CDH1 | Orphanet:26106 | Hereditary diffuse gastric cancer |
| MAP3K6 | Orphanet:26106 | Hereditary diffuse gastric cancer |
| CTNNA1 | Orphanet:26106 | Hereditary diffuse gastric cancer |
| CTNNA1 | Orphanet:99001 | Butterfly-shaped pigment dystrophy |
| KRAS | Orphanet:1333 | Familial pancreatic carcinoma |
| KRAS | Orphanet:1340 | Cardiofaciocutaneous syndrome |
| KRAS | Orphanet:144 | Lynch syndrome |
| KRAS | Orphanet:146 | Differentiated thyroid carcinoma |
| KRAS | Orphanet:2396 | Encephalocraniocutaneous lipomatosis |
| KRAS | Orphanet:251615 | Pilomyxoid astrocytoma |
| KRAS | Orphanet:2612 | Linear nevus sebaceus syndrome |
| KRAS | Orphanet:268114 | RAS-associated autoimmune leukoproliferative disease |
| KRAS | Orphanet:3339 | Oculoectodermal syndrome |
| KRAS | Orphanet:648 | Noonan syndrome |
| KRAS | Orphanet:86834 | Juvenile myelomonocytic leukemia |
| RAD54L | Orphanet:227535 | Hereditary breast cancer |
Cohort genes → proteins
6 cohort genes, 6 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 6 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| CDH1 | HGNC:1748 | ENSG00000039068 | P12830 | Cadherin-1 | gencc,clinvar |
| IL1B | HGNC:5992 | ENSG00000125538 | P01584 | Interleukin-1 beta | gencc |
| MAP3K6 | HGNC:6858 | ENSG00000142733 | O95382 | Mitogen-activated protein kinase kinase kinase 6 | gencc |
| CTNNA1 | HGNC:2509 | ENSG00000044115 | P35221 | Catenin alpha-1 | clinvar |
| KRAS | HGNC:6407 | ENSG00000133703 | P01116 | GTPase KRas | clinvar |
| RAD54L | HGNC:9826 | ENSG00000085999 | Q92698 | DNA repair and recombination protein RAD54-like | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| CDH1 | Cadherin-1 | Cadherins are calcium-dependent cell adhesion proteins. |
| IL1B | Interleukin-1 beta | Potent pro-inflammatory cytokine. |
| MAP3K6 | Mitogen-activated protein kinase kinase kinase 6 | Component of a protein kinase signal transduction cascade. |
| CTNNA1 | Catenin alpha-1 | Associates with the cytoplasmic domain of a variety of cadherins. |
| KRAS | GTPase KRas | Ras proteins bind GDP/GTP and possess intrinsic GTPase activity. |
| RAD54L | DNA repair and recombination protein RAD54-like | Multifunctional ATPase that plays a role in homologous recombination (HR) which is a major pathway for repairing DNA double-strand breaks (DSBs), single-stranded DNA (ssDNA) gaps, and stalled or collapsed replication forks. |
Protein-family classification
Druggable: 3 · Difficult: 0 · Unknown: 3 · Druggable fraction: 0.5
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 |
|---|---|---|---|
| Enzyme (other) | 2 | 4.0× | 0.249 |
| Kinase | 1 | 4.6× | 0.297 |
| Other/Unknown | 3 | 0.9× | 0.758 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| CDH1 | Other/Unknown | no | Cadherin_Y-type_LIR, Cadherin-like_dom, Cadherin_pro_dom | |
| IL1B | Other/Unknown | no | IL-1_fam, IL-1_propep, IL1/FGF | |
| MAP3K6 | Kinase | yes | 2.7.11.25 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| CTNNA1 | Other/Unknown | no | Vinculin_CS, Alpha_catenin, Vinculin/catenin | |
| KRAS | Enzyme (other) | yes | 3.6.5.2 | Small_GTPase, Small_GTP-bd, Small_GTPase_Ras-type |
| RAD54L | Enzyme (other) | yes | 3.6.4.B9 | SNF2_N, Helicase_C-like, Helicase_ATP-bd |
Expression context
Cohort genes with no expression data: 0.
5 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 6 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| esophagus squamous epithelium | 1 |
| gingival epithelium | 1 |
| jejunal mucosa | 1 |
| granulocyte | 1 |
| monocyte | 1 |
| periodontal ligament | 1 |
| lower esophagus mucosa | 1 |
| right lung | 1 |
| skin of abdomen | 1 |
| amniotic fluid | 1 |
| calcaneal tendon | 1 |
| colonic epithelium | 1 |
| nipple | 1 |
| pylorus | 1 |
| trigeminal ganglion | 1 |
| left testis | 1 |
| right testis | 1 |
| ventricular zone | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| CDH1 | 245 | broad | marker | jejunal mucosa, esophagus squamous epithelium, gingival epithelium |
| IL1B | 228 | ubiquitous | marker | periodontal ligament, granulocyte, monocyte |
| MAP3K6 | 227 | ubiquitous | marker | lower esophagus mucosa, right lung, skin of abdomen |
| CTNNA1 | 305 | ubiquitous | marker | colonic epithelium, calcaneal tendon, amniotic fluid |
| KRAS | 298 | ubiquitous | marker | trigeminal ganglion, pylorus, nipple |
| RAD54L | 173 | ubiquitous | yes | left testis, right testis, ventricular zone |
Protein interactions among cohort
Intra-cohort edges: 2.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| KRAS | 14,509 |
| CDH1 | 8,738 |
| IL1B | 8,564 |
| CTNNA1 | 3,128 |
| RAD54L | 2,927 |
| MAP3K6 | 941 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| CDH1 | CTNNA1 | intact, string_interaction |
| CTNNA1 | MAP3K6 | string_interaction |
Structural data
PDB: 5 · AlphaFold-only: 1 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| KRAS | P01116 | 511 |
| IL1B | P01584 | 64 |
| CDH1 | P12830 | 22 |
| CTNNA1 | P35221 | 10 |
| RAD54L | Q92698 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| MAP3K6 | O95382 | 75.36 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 129. Enrichment computed across 6 evidence-associated genes (4 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 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Regulation of CDH1 Function | 2 | 475.8× | 8e-04 | CDH1, CTNNA1 |
| SRC activates STAT3 in a quantitative manner, through Cadherin-11 (CDH11), RAC1 and gp130 (IL6ST) | 2 | 248.3× | 0.001 | CDH1, CTNNA1 |
| RHO GTPases activate IQGAPs | 2 | 173.0× | 0.002 | CDH1, CTNNA1 |
| Adherens junctions interactions | 2 | 124.1× | 0.003 | CDH1, CTNNA1 |
| Degradation of CDH1 | 2 | 98.5× | 0.004 | CDH1, CTNNA1 |
| Activation of STAT3 by cadherin engagement | 2 | 81.6× | 0.005 | CDH1, CTNNA1 |
| Signaling by RAS GAP mutants | 1 | 951.7× | 0.015 | KRAS |
| Signaling by RAS GTPase mutants | 1 | 951.7× | 0.015 | KRAS |
| Activation of RAS in B cells | 1 | 571.0× | 0.015 | KRAS |
| CASP4-mediated substrate cleavage | 1 | 571.0× | 0.015 | IL1B |
| CASP5-mediated substrate cleavage | 1 | 571.0× | 0.015 | IL1B |
| CLEC7A/inflammasome pathway | 1 | 475.8× | 0.015 | IL1B |
| RAS signaling downstream of NF1 loss-of-function variants | 1 | 407.9× | 0.015 | KRAS |
| Estrogen-stimulated signaling through PRKCZ | 1 | 407.9× | 0.015 | KRAS |
| CDH11 homotypic and heterotypic interactions | 1 | 407.9× | 0.015 | CTNNA1 |
| SOS-mediated signalling | 1 | 356.9× | 0.015 | KRAS |
| Epithelial-Mesenchymal Transition (EMT) during gastrulation | 1 | 356.9× | 0.015 | CDH1 |
| Regulation of CDH19 Expression and Function | 1 | 356.9× | 0.015 | CTNNA1 |
| Interleukin-1 processing | 1 | 317.2× | 0.015 | IL1B |
| InlA-mediated entry of Listeria monocytogenes into host cells | 1 | 317.2× | 0.015 | CDH1 |
| Activated NTRK3 signals through RAS | 1 | 317.2× | 0.015 | KRAS |
| EGFR Transactivation by Gastrin | 1 | 285.5× | 0.015 | KRAS |
| SHC-related events triggered by IGF1R | 1 | 285.5× | 0.015 | KRAS |
| RUNX3 regulates p14-ARF | 1 | 285.5× | 0.015 | KRAS |
| Activated NTRK2 signals through RAS | 1 | 285.5× | 0.015 | KRAS |
| Apoptotic cleavage of cell adhesion proteins | 1 | 259.6× | 0.015 | CDH1 |
| MET activates RAS signaling | 1 | 259.6× | 0.015 | KRAS |
| Listeria monocytogenes entry into host cells | 1 | 259.6× | 0.015 | CDH1 |
| Regulation of CDH11 function | 1 | 259.6× | 0.015 | CTNNA1 |
| Regulation of CDH1 mRNA translation by microRNAs | 1 | 259.6× | 0.015 | CDH1 |
GO biological processes 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.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| cellular response to indole-3-methanol | 2 | 1123.5× | 2e-04 | CDH1, CTNNA1 |
| positive regulation of glial cell proliferation | 2 | 234.1× | 0.003 | IL1B, KRAS |
| extrinsic apoptotic signaling pathway in absence of ligand | 2 | 156.0× | 0.004 | CTNNA1, IL1B |
| negative regulation of extrinsic apoptotic signaling pathway in absence of ligand | 2 | 137.0× | 0.004 | CTNNA1, IL1B |
| JNK cascade | 2 | 90.6× | 0.007 | IL1B, MAP3K6 |
| response to mineralocorticoid | 1 | 2808.7× | 0.009 | KRAS |
| positive regulation of cell adhesion molecule production | 1 | 2808.7× | 0.009 | IL1B |
| positive regulation of T cell mediated immunity | 1 | 1404.3× | 0.010 | IL1B |
| positive regulation of complement activation | 1 | 1404.3× | 0.010 | IL1B |
| regulation of nitric-oxide synthase activity | 1 | 1404.3× | 0.010 | IL1B |
| positive regulation of RNA biosynthetic process | 1 | 1404.3× | 0.010 | IL1B |
| negative regulation of gap junction assembly | 1 | 1404.3× | 0.010 | IL1B |
| fever generation | 1 | 936.2× | 0.010 | IL1B |
| forebrain astrocyte development | 1 | 936.2× | 0.010 | KRAS |
| monocyte aggregation | 1 | 936.2× | 0.010 | IL1B |
| response to heparin | 1 | 936.2× | 0.010 | CDH1 |
| smooth muscle adaptation | 1 | 702.2× | 0.010 | IL1B |
| positive regulation of fever generation | 1 | 702.2× | 0.010 | IL1B |
| response to isolation stress | 1 | 702.2× | 0.010 | KRAS |
| double-strand break repair via synthesis-dependent strand annealing | 1 | 702.2× | 0.010 | RAD54L |
| negative regulation of adiponectin secretion | 1 | 702.2× | 0.010 | IL1B |
| regulation of protein catabolic process at postsynapse, modulating synaptic transmission | 1 | 702.2× | 0.010 | CDH1 |
| negative regulation of integrin-mediated signaling pathway | 1 | 702.2× | 0.010 | CTNNA1 |
| cytokine-mediated signaling pathway | 2 | 43.5× | 0.010 | IL1B, KRAS |
| cell-cell adhesion | 2 | 33.8× | 0.010 | CDH1, CTNNA1 |
| positive regulation of platelet-derived growth factor receptor signaling pathway | 1 | 561.7× | 0.010 | IL1B |
| negative regulation of D-glucose transmembrane transport | 1 | 561.7× | 0.010 | IL1B |
| hyaluronan biosynthetic process | 1 | 561.7× | 0.010 | IL1B |
| negative regulation of lipid metabolic process | 1 | 561.7× | 0.010 | IL1B |
| positive regulation of tight junction disassembly | 1 | 561.7× | 0.010 | IL1B |
Therapeutics
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 4 · Undrugged: 2
Druggability breadth: 6 of 6 evidence-associated genes (100%) 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 |
|---|---|
| IL1B | POMALIDOMIDE |
| MAP3K6 | LENVATINIB |
| KRAS | VEMURAFENIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| KRAS | 11 | 4 |
| MAP3K6 | 6 | 4 |
| IL1B | 4 | 4 |
| RAD54L | 1 | 2 |
| CDH1 | 0 | 0 |
| CTNNA1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| POMALIDOMIDE | 4 | IL1B |
| LENALIDOMIDE | 4 | IL1B |
| LENVATINIB | 4 | MAP3K6 |
| VEMURAFENIB | 4 | KRAS |
| DABRAFENIB | 4 | KRAS |
| LONAFARNIB | 4 | KRAS |
| SOTORASIB | 4 | KRAS |
| ADAGRASIB | 4 | KRAS |
| IBERDOMIDE | 3 | IL1B |
| SELONSERTIB | 3 | MAP3K6 |
| LESTAURTINIB | 3 | MAP3K6 |
| OPNURASIB | 3 | KRAS |
| AVADOMIDE | 2 | IL1B |
| UCN-01 | 2 | MAP3K6 |
| DIVARASIB | 2 | KRAS |
| GLECIRASIB | 2 | KRAS |
| STREPTONIGRIN | 2 | RAD54L |
| PF-03814735 | 1 | MAP3K6 |
| AST-487 | 1 | MAP3K6 |
| BMS-214662 | 1 | KRAS |
| LY-3009120 | 1 | KRAS |
| MRTX-1133 | 1 | KRAS |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 3.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| KRAS | 861 | Binding:829, Functional:32 |
| MAP3K6 | 103 | Binding:103 |
| IL1B | 26 | Binding:26 |
| CDH1 | 18 | Binding:18 |
| RAD54L | 3 | Functional:2, Binding:1 |
| CTNNA1 | 2 | Binding:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| MAP3K6 | 2.7.11.25 | mitogen-activated protein kinase kinase kinase |
| KRAS | 3.6.5.2 | small monomeric GTPase |
| RAD54L | 3.6.4.B9 |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| MAP3K6 | 103 |
| KRAS | 861 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 6; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
22 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) |
|---|---|---|
| POMALIDOMIDE | 4 | IL1B |
| LENALIDOMIDE | 4 | IL1B |
| LENVATINIB | 4 | MAP3K6 |
| VEMURAFENIB | 4 | KRAS |
| DABRAFENIB | 4 | KRAS |
| LONAFARNIB | 4 | KRAS |
| SOTORASIB | 4 | KRAS |
| ADAGRASIB | 4 | KRAS |
| IBERDOMIDE | 3 | IL1B |
| SELONSERTIB | 3 | MAP3K6 |
| LESTAURTINIB | 3 | MAP3K6 |
| OPNURASIB | 3 | KRAS |
| AVADOMIDE | 2 | IL1B |
| UCN-01 | 2 | MAP3K6 |
| DIVARASIB | 2 | KRAS |
| GLECIRASIB | 2 | KRAS |
| STREPTONIGRIN | 2 | RAD54L |
| PF-03814735 | 1 | MAP3K6 |
| AST-487 | 1 | MAP3K6 |
| BMS-214662 | 1 | KRAS |
| LY-3009120 | 1 | KRAS |
| MRTX-1133 | 1 | KRAS |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 3 | IL1B, MAP3K6, KRAS |
| B | Phased (≥1) drug, not yet approved | 1 | RAD54L |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 2 | CDH1, CTNNA1 |
Undrugged target profiles
2 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CDH1 | 18 | — |
| CTNNA1 | 2 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 5.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 5 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00633607 | Not specified | COMPLETED | Hereditary Colorectal and Associated Tumor Registry Study |
| NCT03030404 | Not specified | COMPLETED | Hereditary Gastric Cancer Syndromes: An Integrated Genomic and Clinicopathologic Study of the Predisposition to Gastric Cancer |
| NCT03950908 | Not specified | COMPLETED | Biopsy Technique for Endoscopic Surveillance of Hereditary Diffuse Gastric Cancer |
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