Hirschsprung disease, susceptibility to, 1
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Also known as aganglionic megacolonHirschsprung diseaseHirschsprung disease caused by mutation in RETHirschsprung disease, susceptibility to, type 1HSCR1megacolon, aganglionicRET Hirschsprung diseasesusceptibility to Hirschsprung disease 1
Summary
Hirschsprung disease, susceptibility to, 1 (MONDO:0007723) is a disease caused by RET (GenCC Strong), with 37 cohort genes and 48 clinical trials. Top therapeutic interventions include indocyanine green acid form.
At a glance
- Causal gene: RET (GenCC Strong)
- Cohort genes: 37
- ClinVar variants: 624
- Clinical trials: 48
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Hirschsprung disease, susceptibility to, 1 |
| Mondo ID | MONDO:0007723 |
| OMIM | 142623 |
| UMLS | C3888239 |
| MedGen | 854827 |
| Is cancer (heuristic) | no |
Also known as: aganglionic megacolon · Hirschsprung disease · Hirschsprung disease caused by mutation in RET · Hirschsprung disease, susceptibility to, 1 · Hirschsprung disease, susceptibility to, type 1 · HSCR1 · megacolon, aganglionic · RET Hirschsprung disease · susceptibility to Hirschsprung disease 1
Data availability: 624 ClinVar variants · 1 GenCC gene-disease record · 9 cell lines.
Disease family
Classification path: disease susceptibility › inherited disease susceptibility › Hirschsprung disease, susceptibility to › Hirschsprung disease, susceptibility to, 1
Related subtypes (8): Hirschsprung disease, susceptibility to, 2, Hirschsprung disease, susceptibility to, 5, Hirschsprung disease, susceptibility to, 6, Hirschsprung disease, susceptibility to, 7, Hirschsprung disease, susceptibility to, 8, Hirschsprung disease, susceptibility to, 9, Hirschsprung disease, susceptibility to, 3, Hirschsprung disease, susceptibility to, 4
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:
249 uncertain significance, 205 conflicting classifications of pathogenicity, 55 benign/likely benign, 34 likely benign, 18 likely pathogenic, 15 pathogenic, 8 pathogenic/likely pathogenic, 8 benign, 6 risk factor, 1 benign; risk factor, 1 drug response
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 156718 | NM_001301131.1(POLR2F):c.294-27388_*10734del | LOC126863146 | Pathogenic | no assertion criteria provided |
| 13905 | NM_020975.6(RET):c.1852T>G (p.Cys618Gly) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13909 | NM_020975.6(RET):c.1901G>A (p.Cys634Tyr) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13915 | NM_020975.6(RET):c.1858T>C (p.Cys620Arg) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13916 | NM_020975.6(RET):c.1859G>A (p.Cys620Tyr) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13917 | NM_020975.6(RET):c.1900T>C (p.Cys634Arg) | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 13919 | NM_020975.6(RET):c.2753T>C (p.Met918Thr) | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 13925 | NM_020975.6(RET):c.538C>T (p.Arg180Ter) | RET | Pathogenic | criteria provided, single submitter |
| 13928 | NM_020975.6(RET):c.1859G>T (p.Cys620Phe) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13933 | NM_020975.6(RET):c.1826G>A (p.Cys609Tyr) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13946 | NM_020975.6(RET):c.2410G>T (p.Val804Leu) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13951 | NM_020975.6(RET):c.2671T>G (p.Ser891Ala) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 230926 | NM_020975.6(RET):c.1998G>C (p.Lys666Asn) | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 24929 | NM_020975.6(RET):c.1947G>A (p.Ser649=) | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 24931 | NM_020975.6(RET):c.1996A>G (p.Lys666Glu) | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 24932 | NM_020975.6(RET):c.1998G>T (p.Lys666Asn) | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 37102 | NM_020975.6(RET):c.2410G>A (p.Val804Met) | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 38601 | NM_020975.6(RET):c.1852T>A (p.Cys618Ser) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 38612 | NM_020975.6(RET):c.2370G>T (p.Leu790Phe) | RET | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 4531443 | NM_020975.6(RET):c.754G>T (p.Glu252Ter) | RET | Pathogenic | criteria provided, single submitter |
| 590798 | NM_020975.6(RET):c.1280_1281del (p.Val427fs) | RET | Pathogenic | criteria provided, single submitter |
| 666595 | NM_020975.6(RET):c.1879+1G>A | RET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 692052 | NM_020975.6(RET):c.712G>T (p.Glu238Ter) | RET | Pathogenic | criteria provided, single submitter |
| 375278 | NM_001352890.3(DENND3):c.2160del (p.Lys720fs) | DENND3 | Likely pathogenic | no assertion criteria provided |
| 273383 | NM_002181.4(IHH):c.151C>A (p.Gln51Lys) | IHH | Likely pathogenic | criteria provided, single submitter |
| 375276 | NM_020170.4(NCLN):c.496C>T (p.Gln166Ter) | NCLN | Likely pathogenic | no assertion criteria provided |
| 375277 | NM_016320.5(NUP98):c.5207A>G (p.Asn1736Ser) | NUP98 | Likely pathogenic | no assertion criteria provided |
| 156720 | NC_000022.11:g.38016208G>A | POLR2F | Likely pathogenic | no assertion criteria provided |
| 13922 | NM_020975.6(RET):c.2914A>G (p.Arg972Gly) | RET | Likely pathogenic | criteria provided, single submitter |
| 13923 | NM_020975.6(RET):c.95C>T (p.Ser32Leu) | RET | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 16 · Orphanet: 67 · 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 |
|---|---|---|---|---|
| RET | Strong | Autosomal dominant | Hirschsprung disease, susceptibility to, 1 | 16 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| RET | Orphanet:146 | Differentiated thyroid carcinoma |
| RET | Orphanet:1848 | Renal agenesis, bilateral |
| RET | Orphanet:247698 | Multiple endocrine neoplasia type 2A |
| RET | Orphanet:247709 | Multiple endocrine neoplasia type 2B |
| RET | Orphanet:276621 | Sporadic pheochromocytoma/secreting paraganglioma |
| RET | Orphanet:29072 | Hereditary pheochromocytoma-paraganglioma |
| RET | Orphanet:388 | Hirschsprung disease |
| RET | Orphanet:93100 | Renal agenesis, unilateral |
| RET | Orphanet:99361 | Isolated familial medullary thyroid carcinoma |
| RET | Orphanet:99803 | Haddad syndrome |
| SEMA3D | Orphanet:388 | Hirschsprung disease |
| TGFB2 | Orphanet:60030 | Loeys-Dietz syndrome |
| TGFB2 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| TSC2 | Orphanet:210159 | Adult hepatocellular carcinoma |
| TSC2 | Orphanet:269001 | Isolated focal cortical dysplasia type IIa |
| TSC2 | Orphanet:269008 | Isolated focal cortical dysplasia type IIb |
| TSC2 | Orphanet:538 | Lymphangioleiomyomatosis |
| TSC2 | Orphanet:805 | Tuberous sclerosis complex |
| TSC2 | Orphanet:88924 | Autosomal dominant polycystic kidney disease type 1 with tuberous sclerosis |
| LRBA | Orphanet:445018 | Syndromic autoimmune enteropathy due to LRBA deficiency |
| CREBBP | Orphanet:353277 | Rubinstein-Taybi syndrome due to CREBBP mutations |
| CREBBP | Orphanet:353281 | Rubinstein-Taybi syndrome due to 16p13.3 microdeletion |
| CREBBP | Orphanet:370026 | Acute myeloid leukemia with t(8;16)(p11;p13) translocation |
| CREBBP | Orphanet:592574 | Menke-Hennekam syndrome |
| DYNC2H1 | Orphanet:474 | Jeune syndrome |
| DYNC2H1 | Orphanet:93269 | Short rib-polydactyly syndrome, Majewski type |
| DYNC2H1 | Orphanet:93270 | Short rib-polydactyly syndrome, Saldino-Noonan type |
| DYNC2H1 | Orphanet:93271 | Short rib-polydactyly syndrome, Verma-Naumoff type |
| DPYD | Orphanet:1675 | Dihydropyrimidine dehydrogenase deficiency |
| DPYD | Orphanet:293948 | 1p21.3 microdeletion syndrome |
| FBN1 | Orphanet:1885 | Isolated ectopia lentis |
| FBN1 | Orphanet:2084 | Glaucoma-ectopia lentis-microspherophakia-stiff joints-short stature syndrome |
| FBN1 | Orphanet:2462 | Shprintzen-Goldberg syndrome |
| FBN1 | Orphanet:2623 | Geleophysic dysplasia |
| FBN1 | Orphanet:2833 | Stiff skin syndrome |
| FBN1 | Orphanet:284963 | Marfan syndrome type 1 |
| FBN1 | Orphanet:284979 | Neonatal Marfan syndrome |
| FBN1 | Orphanet:300382 | Progeroid and marfanoid aspect-lipodystrophy syndrome |
| FBN1 | Orphanet:3449 | Weill-Marchesani syndrome |
| FBN1 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| FBN1 | Orphanet:969 | Acromicric dysplasia |
| GDNF | Orphanet:388 | Hirschsprung disease |
| GDNF | Orphanet:661 | Congenital central hypoventilation syndrome |
| GFRA1 | Orphanet:1848 | Renal agenesis, bilateral |
| GLI3 | Orphanet:36 | Acrocallosal syndrome |
| GLI3 | Orphanet:380 | Greig cephalopolysyndactyly syndrome |
| GLI3 | Orphanet:672 | Pallister-Hall syndrome |
| GLI3 | Orphanet:93322 | Isolated tibial hemimelia |
| GLI3 | Orphanet:93334 | Postaxial polydactyly type A |
| GLI3 | Orphanet:93335 | Postaxial polydactyly type B |
Cohort genes → proteins
37 cohort genes, 36 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 37 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| RET | HGNC:9967 | ENSG00000165731 | P07949 | Proto-oncogene tyrosine-protein kinase receptor Ret | gencc,clinvar |
| SEMA3D | HGNC:10726 | ENSG00000153993 | O95025 | Semaphorin-3D | clinvar |
| TGFB2 | HGNC:11768 | ENSG00000092969 | P61812 | Transforming growth factor beta-2 proprotein | clinvar |
| THBS4 | HGNC:11788 | ENSG00000113296 | P35443 | Thrombospondin-4 | clinvar |
| TSC2 | HGNC:12363 | ENSG00000103197 | P49815 | Tuberin | clinvar |
| NAV2 | HGNC:15997 | ENSG00000166833 | Q8IVL1 | Neuron navigator 2 | clinvar |
| PGRMC2 | HGNC:16089 | ENSG00000164040 | O15173 | Membrane-associated progesterone receptor component 2 | clinvar |
| CCR9 | HGNC:1610 | ENSG00000173585 | P51686 | C-C chemokine receptor type 9 | clinvar |
| IRAK3 | HGNC:17020 | ENSG00000090376 | Q9Y616 | Interleukin-1 receptor-associated kinase 3 | clinvar |
| LRBA | HGNC:1742 | ENSG00000198589 | P50851 | Lipopolysaccharide-responsive and beige-like anchor protein | clinvar |
| ZHX2 | HGNC:18513 | ENSG00000178764 | Q9Y6X8 | Zinc fingers and homeoboxes protein 2 | clinvar |
| CNTN5 | HGNC:2175 | ENSG00000149972 | O94779 | Contactin-5 | clinvar |
| FAT3 | HGNC:23112 | ENSG00000165323 | Q8TDW7 | Protocadherin Fat 3 | clinvar |
| CREBBP | HGNC:2348 | ENSG00000005339 | Q92793 | CREB-binding protein | clinvar |
| TBATA | HGNC:23511 | ENSG00000166220 | Q96M53 | Protein TBATA | clinvar |
| NCLN | HGNC:26923 | ENSG00000125912 | Q969V3 | BOS complex subunit NCLN | clinvar |
| CLUH | HGNC:29094 | ENSG00000132361 | O75153 | Clustered mitochondria protein homolog | clinvar |
| DENND3 | HGNC:29134 | ENSG00000105339 | A2RUS2 | DENN domain-containing protein 3 | clinvar |
| DYNC2H1 | HGNC:2962 | ENSG00000187240 | Q8NCM8 | Cytoplasmic dynein 2 heavy chain 1 | clinvar |
| DPYD | HGNC:3012 | ENSG00000188641 | Q12882 | Dihydropyrimidine dehydrogenase [NADP(+)] | clinvar |
| C10orf55 | HGNC:31008 | ENSG00000222047 | chromosome 10 putative open reading frame 55 | clinvar | |
| AHNAK | HGNC:347 | ENSG00000124942 | Q09666 | Neuroblast differentiation-associated protein AHNAK | clinvar |
| FBN1 | HGNC:3603 | ENSG00000166147 | P35555 | Fibrillin-1 | clinvar |
| GDNF | HGNC:4232 | ENSG00000168621 | P39905 | Glial cell line-derived neurotrophic factor | clinvar |
| GFRA1 | HGNC:4243 | ENSG00000151892 | P56159 | GDNF family receptor alpha-1 | clinvar |
| GLI3 | HGNC:4319 | ENSG00000106571 | P10071 | Transcriptional activator GLI3 | clinvar |
| IHH | HGNC:5956 | ENSG00000163501 | Q14623 | Indian hedgehog protein | clinvar |
| KDR | HGNC:6307 | ENSG00000128052 | P35968 | Vascular endothelial growth factor receptor 2 | clinvar |
| NOTCH2 | HGNC:7882 | ENSG00000134250 | Q04721 | Neurogenic locus notch homolog protein 2 | clinvar |
| NRP2 | HGNC:8005 | ENSG00000118257 | O60462 | Neuropilin-2 | clinvar |
| NTF3 | HGNC:8023 | ENSG00000185652 | P20783 | Neurotrophin-3 | clinvar |
| NUP98 | HGNC:8068 | ENSG00000110713 | P52948 | Nuclear pore complex protein Nup98-Nup96 | clinvar |
| OR1F1 | HGNC:8194 | ENSG00000168124 | O43749 | Olfactory receptor 1F1 | clinvar |
| PCDHA4 | HGNC:8670 | ENSG00000204967 | Q9UN74 | Protocadherin alpha-4 | clinvar |
| SERPINF1 | HGNC:8824 | ENSG00000132386 | P36955 | Pigment epithelium-derived factor | clinvar |
| POLR2F | HGNC:9193 | ENSG00000100142 | P61218 | DNA-directed RNA polymerases I, II, and III subunit RPABC2 | clinvar |
| PTCH1 | HGNC:9585 | ENSG00000185920 | Q13635 | Protein patched homolog 1 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| RET | Proto-oncogene tyrosine-protein kinase receptor Ret | Receptor tyrosine-protein kinase involved in numerous cellular mechanisms including cell proliferation, neuronal navigation, cell migration, and cell differentiation in response to glia cell line-derived growth family factors (GDNF, NRTN,… |
| SEMA3D | Semaphorin-3D | Induces the collapse and paralysis of neuronal growth cones. |
| TGFB2 | Transforming growth factor beta-2 proprotein | Precursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-2 (TGF-beta-2) chains, which constitute the regulatory and active subunit of TGF-beta-2, respectively. |
| THBS4 | Thrombospondin-4 | Adhesive glycoprotein that mediates cell-to-cell and cell-to-matrix interactions and is involved in various processes including cellular proliferation, migration, adhesion and attachment, inflammatory response to CNS injury, regulation of… |
| TSC2 | Tuberin | Catalytic component of the TSC-TBC complex, a multiprotein complex that acts as a negative regulator of the canonical mTORC1 complex, an evolutionarily conserved central nutrient sensor that stimulates anabolic reactions and macromolecule… |
| NAV2 | Neuron navigator 2 | Possesses 3’ to 5’ helicase activity and exonuclease activity. |
| PGRMC2 | Membrane-associated progesterone receptor component 2 | Required for the maintenance of uterine histoarchitecture and normal female reproductive lifespan. |
| CCR9 | C-C chemokine receptor type 9 | Receptor for chemokine SCYA25/TECK. |
| IRAK3 | Interleukin-1 receptor-associated kinase 3 | Putative inactive protein kinase which regulates signaling downstream of immune receptors including IL1R and Toll-like receptors. |
| LRBA | Lipopolysaccharide-responsive and beige-like anchor protein | Involved in coupling signal transduction and vesicle trafficking to enable polarized secretion and/or membrane deposition of immune effector molecules. |
| ZHX2 | Zinc fingers and homeoboxes protein 2 | Acts as a transcriptional repressor. |
| CNTN5 | Contactin-5 | Contactins mediate cell surface interactions during nervous system development. |
| FAT3 | Protocadherin Fat 3 | May play a role in the interactions between neurites derived from specific subsets of neurons during development. |
| CREBBP | CREB-binding protein | Acetylates histones, giving a specific tag for transcriptional activation. |
| TBATA | Protein TBATA | May play a role in spermatid differentiation. |
| NCLN | BOS complex subunit NCLN | Component of the multi-pass translocon (MPT) complex that mediates insertion of multi-pass membrane proteins into the lipid bilayer of membranes. |
| CLUH | Clustered mitochondria protein homolog | mRNA-binding protein involved in proper cytoplasmic distribution of mitochondria. |
| DENND3 | DENN domain-containing protein 3 | Guanine nucleotide exchange factor (GEF) activating RAB12. |
| DYNC2H1 | Cytoplasmic dynein 2 heavy chain 1 | May function as a motor for intraflagellar retrograde transport. |
| DPYD | Dihydropyrimidine dehydrogenase [NADP(+)] | Involved in pyrimidine base degradation. |
| AHNAK | Neuroblast differentiation-associated protein AHNAK | May be required for neuronal cell differentiation. |
| FBN1 | Fibrillin-1 | Structural component of the 10-12 nm diameter microfibrils of the extracellular matrix, which conveys both structural and regulatory properties to load-bearing connective tissues. |
| GDNF | Glial cell line-derived neurotrophic factor | Neurotrophic factor that enhances survival and morphological differentiation of dopaminergic neurons and increases their high-affinity dopamine uptake. |
| GFRA1 | GDNF family receptor alpha-1 | Coreceptor for GDNF, a neurotrophic factor that enhances survival and morphological differentiation of dopaminergic neurons and increases their high-affinity dopamine uptake. |
| GLI3 | Transcriptional activator GLI3 | Has a dual function as a transcriptional activator and a repressor of the sonic hedgehog (Shh) pathway, and plays a role in limb development. |
| IHH | Indian hedgehog protein | Plays a role in embryonic morphogenesis; it is involved in the regulation of endochondral skeleton formation, and the development of retinal pigment epithelium (RPE), photoreceptors and periocular tissues. |
| KDR | Vascular endothelial growth factor receptor 2 | Tyrosine-protein kinase that acts as a cell-surface receptor for VEGFA, VEGFC and VEGFD. |
| NOTCH2 | Neurogenic locus notch homolog protein 2 | Functions as a receptor for membrane-bound ligands Jagged-1 (JAG1), Jagged-2 (JAG2) and Delta-1 (DLL1) to regulate cell-fate determination. |
| NRP2 | Neuropilin-2 | High affinity receptor for semaphorins 3C, 3F, VEGF-165 and VEGF-145 isoforms of VEGF, and the PLGF-2 isoform of PGF. |
| NTF3 | Neurotrophin-3 | Seems to promote the survival of visceral and proprioceptive sensory neurons. |
| NUP98 | Nuclear pore complex protein Nup98-Nup96 | Plays a role in the nuclear pore complex (NPC) assembly and/or maintenance. |
| OR1F1 | Olfactory receptor 1F1 | Odorant receptor. |
| PCDHA4 | Protocadherin alpha-4 | Calcium-dependent cell-adhesion protein involved in cells self-recognition and non-self discrimination. |
| SERPINF1 | Pigment epithelium-derived factor | Neurotrophic protein; induces extensive neuronal differentiation in retinoblastoma cells. |
| POLR2F | DNA-directed RNA polymerases I, II, and III subunit RPABC2 | DNA-dependent RNA polymerase catalyzes the transcription of DNA into RNA using the four ribonucleoside triphosphates as substrates. |
| PTCH1 | Protein patched homolog 1 | Acts as a receptor for sonic hedgehog (SHH), indian hedgehog (IHH) and desert hedgehog (DHH). |
Protein-family classification
Druggable: 9 · Difficult: 7 · Unknown: 21 · Druggable fraction: 0.24
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 |
|---|---|---|---|
| Kinase | 3 | 2.2× | 0.655 |
| Scaffold/PPI | 4 | 1.9× | 0.655 |
| Antibody/Immunoglobulin | 2 | 1.6× | 0.836 |
| GPCR | 2 | 1.3× | 0.836 |
| Other/Unknown | 21 | 1.0× | 0.836 |
| Protease | 1 | 1.0× | 0.855 |
| Transcription factor | 3 | 0.7× | 0.960 |
| Enzyme (other) | 1 | 0.3× | 0.960 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| RET | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Cadherin-like_dom |
| SEMA3D | Antibody/Immunoglobulin | yes | Semap_dom, Ig_sub, Ig-like_dom | |
| TGFB2 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, TGFb2 | |
| THBS4 | Other/Unknown | no | EGF, EGF-like_Ca-bd_dom, Thrombospondin_3-like_rpt | |
| TSC2 | Other/Unknown | no | Rap/Ran_GAP_dom, Tuberin, ARM-like | |
| NAV2 | Other/Unknown | no | CH_dom, AAA+_ATPase, P-loop_NTPase | |
| PGRMC2 | Other/Unknown | no | Cyt_B5-like_heme/steroid-bd, Cyt_B5-like_heme/steroid_sf, MAPR/NEUFC/NENF-like | |
| CCR9 | GPCR | yes | GPCR_Rhodpsn, Chemokine_rcpt, Chemokine_CCR9 | |
| IRAK3 | Kinase | yes | Death_dom, Prot_kinase_dom, Kinase-like_dom_sf | |
| LRBA | Scaffold/PPI | no | BEACH_dom, WD40_rpt, NBEA-like_DUF1088 | |
| ZHX2 | Transcription factor | no | HD, Homeodomain-like_sf, Znf_C2H2_type | |
| CNTN5 | Antibody/Immunoglobulin | yes | Ig_sub2, Ig_sub, FN3_dom | |
| FAT3 | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, Laminin_G | |
| CREBBP | Transcription factor | no | 2.3.1.48 | Znf_TAZ, Znf_ZZ, Bromodomain |
| TBATA | Other/Unknown | no | TBATA-like | |
| NCLN | Protease | yes | Peptidase_M28, Nicalin | |
| CLUH | Other/Unknown | no | TPR-like_helical_dom_sf, GSKIP_dom_sf, CLU_dom | |
| DENND3 | Scaffold/PPI | no | cDENN_dom, WD40_rpt, dDENN_dom | |
| DYNC2H1 | Other/Unknown | no | AAA+_ATPase, Dhc_D6_P-loop, Dynein_heavy_tail | |
| DPYD | Enzyme (other) | yes | 1.3.1.2 | Dihydroorotate_DH_cat, Helical_ferredxn, Aldolase_TIM |
| C10orf55 | Other/Unknown | no | ||
| AHNAK | Scaffold/PPI | no | PDZ, PDZ_sf, Myelin_sheath_structural | |
| FBN1 | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom | |
| GDNF | Other/Unknown | no | TGF-b_C, GDNF, Cystine-knot_cytokine | |
| GFRA1 | Other/Unknown | no | GDNF_rcpt, GDNF_rcpt_A1, GDNF/GAS1 | |
| GLI3 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, GLI-like | |
| IHH | Other/Unknown | no | Hedgehog_signalling_dom, Hedgehog, Hedgehog_Hint | |
| KDR | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Tyr_kinase_rcpt_3_CS |
| NOTCH2 | Scaffold/PPI | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, Notch_dom | |
| NRP2 | Other/Unknown | no | FA58C, CUB_dom, MAM_dom | |
| NTF3 | Other/Unknown | no | Nerve_growth_factor-rel, Neurotrophin-3, Nerve_growth_factor_CS | |
| NUP98 | Other/Unknown | no | Nup98_auto-Pept-S59_dom, Nup98_C, Nup98_auto-Pept-S59_dom_sf | |
| OR1F1 | GPCR | yes | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM | |
| PCDHA4 | Other/Unknown | no | Cadherin-like_dom, Cadherin_N, Cadherin-like_sf | |
| SERPINF1 | Other/Unknown | no | Serpin_fam, Serpin_CS, Serpin_dom | |
| POLR2F | Other/Unknown | no | Pol_omega/Rpo6/RPB6, Rpo6/Rpb6, DNA-dir_RNA_polK_14-18kDa_CS | |
| PTCH1 | Other/Unknown | no | SSD, TM_rcpt_patched, HMGCR/SNAP/NPC1-like_SSD |
Expression context
Cohort genes with no expression data: 0.
34 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) | 37 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| tendon of biceps brachii | 4 |
| dorsal root ganglion | 3 |
| calcaneal tendon | 3 |
| islet of Langerhans | 3 |
| stromal cell of endometrium | 3 |
| left testis | 3 |
| right testis | 3 |
| olfactory bulb | 3 |
| buccal mucosa cell | 2 |
| cartilage tissue | 2 |
| tendon | 2 |
| thymus | 2 |
| monocyte | 2 |
| mononuclear cell | 2 |
| bronchial epithelial cell | 2 |
| primordial germ cell in gonad | 2 |
| sural nerve | 2 |
| tibia | 2 |
| mucosa of transverse colon | 2 |
| germinal epithelium of ovary | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| RET | 193 | broad | marker | substantia nigra pars reticulata, dorsal root ganglion, substantia nigra pars compacta |
| SEMA3D | 183 | ubiquitous | marker | buccal mucosa cell, tendon of biceps brachii, spleen |
| TGFB2 | 206 | ubiquitous | marker | calcaneal tendon, tendon, cartilage tissue |
| THBS4 | 252 | broad | marker | calcaneal tendon, tendon, tendon of biceps brachii |
| TSC2 | 282 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| NAV2 | 275 | ubiquitous | marker | blood vessel layer, cartilage tissue, cauda epididymis |
| PGRMC2 | 300 | ubiquitous | marker | jejunal mucosa, islet of Langerhans, stromal cell of endometrium |
| CCR9 | 106 | tissue_specific | yes | thymus, duodenum, small intestine Peyer’s patch |
| IRAK3 | 238 | ubiquitous | marker | monocyte, mononuclear cell, leukocyte |
| LRBA | 274 | ubiquitous | marker | upper leg skin, bronchial epithelial cell, epithelium of bronchus |
| ZHX2 | 293 | ubiquitous | marker | superficial temporal artery, dorsal motor nucleus of vagus nerve, saphenous vein |
| CNTN5 | 130 | broad | marker | adrenal tissue, primordial germ cell in gonad, islet of Langerhans |
| FAT3 | 194 | broad | marker | buccal mucosa cell, Brodmann (1909) area 23, middle temporal gyrus |
| CREBBP | 297 | ubiquitous | marker | sural nerve, tibia, amniotic fluid |
| TBATA | 67 | tissue_specific | marker | right testis, thymus, left testis |
| NCLN | 208 | ubiquitous | marker | mucosa of transverse colon, stromal cell of endometrium, left adrenal gland |
| CLUH | 283 | ubiquitous | marker | gingival epithelium, apex of heart, right lobe of liver |
| DENND3 | 236 | ubiquitous | marker | right lung, upper lobe of left lung, upper lobe of lung |
| DYNC2H1 | 230 | ubiquitous | marker | secondary oocyte, bronchial epithelial cell, right uterine tube |
| DPYD | 274 | ubiquitous | marker | germinal epithelium of ovary, monocyte, mononuclear cell |
| C10orf55 | 122 | marker | sperm, left testis, right testis | |
| AHNAK | 297 | ubiquitous | marker | olfactory bulb, calcaneal tendon, tendon of biceps brachii |
| FBN1 | 275 | ubiquitous | marker | synovial joint, skin of hip, decidua |
| GDNF | 149 | tissue_specific | yes | hindlimb stylopod muscle, tibialis anterior, deltoid |
| GFRA1 | 231 | broad | marker | endometrium epithelium, trigeminal ganglion, dorsal root ganglion |
| GLI3 | 263 | ubiquitous | marker | ventricular zone, olfactory bulb, tendon of biceps brachii |
| IHH | 94 | broad | marker | mucosa of transverse colon, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad |
| KDR | 267 | broad | marker | germinal epithelium of ovary, lower lobe of lung, parietal pleura |
| NOTCH2 | 294 | ubiquitous | marker | pigmented layer of retina, retina, skin of hip |
| NRP2 | 238 | ubiquitous | marker | sural nerve, mucosa of stomach, lower esophagus muscularis layer |
Protein interactions among cohort
Intra-cohort edges: 15.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| CREBBP | 6,959 |
| NOTCH2 | 5,266 |
| KDR | 4,960 |
| RET | 4,203 |
| TSC2 | 4,135 |
| NUP98 | 4,108 |
| AHNAK | 4,006 |
| FBN1 | 3,640 |
| PTCH1 | 3,368 |
| GLI3 | 2,825 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| DENND3 | NCLN | string_interaction |
| DENND3 | TBATA | string_interaction |
| GDNF | GFRA1 | biogrid_interaction, string_interaction |
| GDNF | NTF3 | string_interaction |
| GDNF | RET | biogrid_interaction, string_interaction |
| GFRA1 | RET | string_interaction |
| GLI3 | IHH | string_interaction |
| GLI3 | PTCH1 | string_interaction |
| IHH | PTCH1 | string_interaction |
| KDR | NRP2 | string_interaction |
| NCLN | TBATA | string_interaction |
| NRP2 | SEMA3D | string_interaction |
| NUP98 | TBATA | string_interaction |
| PTCH1 | RET | string_interaction |
| RET | SERPINF1 | intact |
Structural data
PDB: 26 · AlphaFold-only: 10 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| CREBBP | Q92793 | 144 |
| POLR2F | P61218 | 60 |
| KDR | P35968 | 54 |
| RET | P07949 | 34 |
| NUP98 | P52948 | 22 |
| NRP2 | O60462 | 16 |
| PTCH1 | Q13635 | 16 |
| TGFB2 | P61812 | 11 |
| FBN1 | P35555 | 11 |
| IHH | Q14623 | 8 |
| NTF3 | P20783 | 5 |
| DYNC2H1 | Q8NCM8 | 4 |
| GDNF | P39905 | 4 |
| IRAK3 | Q9Y616 | 3 |
| NCLN | Q969V3 | 3 |
| AHNAK | Q09666 | 3 |
| SERPINF1 | P36955 | 3 |
| TSC2 | P49815 | 2 |
| ZHX2 | Q9Y6X8 | 2 |
| CNTN5 | O94779 | 2 |
| NOTCH2 | Q04721 | 2 |
| NAV2 | Q8IVL1 | 1 |
| CCR9 | P51686 | 1 |
| LRBA | P50851 | 1 |
| GFRA1 | P56159 | 1 |
| GLI3 | P10071 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| DPYD | Q12882 | 96.23 |
| OR1F1 | O43749 | 86.00 |
| THBS4 | P35443 | 84.81 |
| SEMA3D | O95025 | 84.10 |
| CLUH | O75153 | 83.11 |
| DENND3 | A2RUS2 | 81.23 |
| PGRMC2 | O15173 | 79.83 |
| PCDHA4 | Q9UN74 | 74.23 |
| TBATA | Q96M53 | 60.70 |
| FAT3 | Q8TDW7 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 329. Enrichment computed across 37 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.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Neuropilin interactions with VEGF and VEGFR | 2 | 228.4× | 0.005 | KDR, NRP2 |
| Formation of the ureteric bud | 3 | 59.6× | 0.005 | RET, GDNF, GFRA1 |
| GLI proteins bind promoters of Hh responsive genes to promote transcription | 2 | 130.5× | 0.008 | GLI3, PTCH1 |
| Ligand-receptor interactions | 2 | 114.2× | 0.008 | IHH, PTCH1 |
| RET signaling | 3 | 31.1× | 0.008 | RET, GDNF, GFRA1 |
| Hedgehog ‘off’ state | 3 | 21.4× | 0.019 | DYNC2H1, GLI3, PTCH1 |
| Hedgehog ‘on’ state | 3 | 19.0× | 0.024 | GLI3, IHH, PTCH1 |
| Activation of SMO | 2 | 50.8× | 0.028 | IHH, PTCH1 |
| NOTCH4 Intracellular Domain Regulates Transcription | 2 | 45.7× | 0.031 | CREBBP, NOTCH2 |
| NPAS4 regulates expression of target genes | 2 | 39.7× | 0.037 | RET, CREBBP |
| Activation of HOX genes during differentiation | 2 | 35.1× | 0.043 | CREBBP, POLR2F |
| Notch-HLH transcription pathway | 2 | 32.6× | 0.046 | CREBBP, NOTCH2 |
| Elastic fibre formation | 2 | 26.9× | 0.062 | TGFB2, FBN1 |
| TGF-beta receptor signaling activates SMADs | 2 | 26.1× | 0.062 | TGFB2, FBN1 |
| Molecules associated with elastic fibres | 2 | 24.7× | 0.064 | TGFB2, FBN1 |
| Cytosolic sensors of pathogen-associated DNA | 2 | 22.8× | 0.070 | CREBBP, POLR2F |
| NTF3 activates NTRK2 (TRKB) signaling | 1 | 228.4× | 0.074 | NTF3 |
| NTF3 activates NTRK3 signaling | 1 | 228.4× | 0.074 | NTF3 |
| Viral Messenger RNA Synthesis | 2 | 20.8× | 0.074 | NUP98, POLR2F |
| NCAM1 interactions | 2 | 19.9× | 0.074 | GDNF, GFRA1 |
| Heme signaling | 2 | 17.2× | 0.093 | PGRMC2, CREBBP |
| Activated NTRK3 signals through PLCG1 | 1 | 152.3× | 0.098 | NTF3 |
| Class B/2 (Secretin family receptors) | 2 | 15.2× | 0.104 | IHH, PTCH1 |
| RAF/MAP kinase cascade | 3 | 7.3× | 0.104 | RET, GDNF, GFRA1 |
| Inhibition of TSC complex formation by AKT (PKB) | 1 | 91.4× | 0.109 | TSC2 |
| LRR FLII-interacting protein 1 (LRRFIP1) activates type I IFN production | 1 | 91.4× | 0.109 | CREBBP |
| Defective LFNG causes SCDO3 | 1 | 91.4× | 0.109 | NOTCH2 |
| HHAT G278V doesn’t palmitoylate Hh-Np | 1 | 91.4× | 0.109 | IHH |
| RUNX2 regulates chondrocyte maturation | 1 | 91.4× | 0.109 | IHH |
| Signaling by membrane-tethered fusions of PDGFRA or PDGFRB | 1 | 91.4× | 0.109 | KDR |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 36 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| axon guidance | 7 | 17.6× | 6e-05 | RET, SEMA3D, TGFB2, CNTN5, GLI3, NOTCH2, NRP2 |
| embryonic limb morphogenesis | 4 | 44.6× | 5e-04 | TGFB2, DYNC2H1, NOTCH2, PTCH1 |
| glial cell-derived neurotrophic factor receptor signaling pathway | 3 | 100.3× | 6e-04 | RET, GDNF, GFRA1 |
| negative regulation of alpha-beta T cell differentiation | 2 | 312.1× | 0.002 | GLI3, IHH |
| cell differentiation involved in kidney development | 2 | 312.1× | 0.002 | GLI3, PTCH1 |
| regulation of bone development | 2 | 187.2× | 0.004 | GLI3, KDR |
| metanephros development | 3 | 42.6× | 0.004 | FBN1, GDNF, GLI3 |
| semaphorin-plexin signaling pathway | 3 | 33.4× | 0.007 | SEMA3D, KDR, NRP2 |
| branching involved in ureteric bud morphogenesis | 3 | 30.5× | 0.007 | GDNF, GLI3, PTCH1 |
| kidney development | 4 | 15.6× | 0.007 | TGFB2, DYNC2H1, GFRA1, SERPINF1 |
| nervous system development | 6 | 7.7× | 0.007 | NAV2, GDNF, GFRA1, NOTCH2, NTF3, PCDHA4 |
| neural crest cell migration involved in autonomic nervous system development | 2 | 104.0× | 0.007 | GDNF, NRP2 |
| neural crest cell migration | 3 | 28.1× | 0.007 | RET, SEMA3D, GDNF |
| positive regulation of alpha-beta T cell differentiation | 2 | 93.6× | 0.008 | GLI3, IHH |
| stem cell proliferation | 3 | 26.0× | 0.008 | GLI3, KDR, PTCH1 |
| positive regulation of extrinsic apoptotic signaling pathway in absence of ligand | 2 | 85.1× | 0.008 | RET, TGFB2 |
| embryonic digit morphogenesis | 3 | 25.1× | 0.008 | CREBBP, GLI3, IHH |
| atrial septum morphogenesis | 2 | 72.0× | 0.011 | TGFB2, NOTCH2 |
| negative regulation of macrophage cytokine production | 2 | 66.9× | 0.012 | TGFB2, IRAK3 |
| somite development | 2 | 62.4× | 0.012 | IHH, PTCH1 |
| positive regulation of cell adhesion mediated by integrin | 2 | 58.5× | 0.012 | RET, TGFB2 |
| limb morphogenesis | 2 | 58.5× | 0.012 | GLI3, PTCH1 |
| smooth muscle tissue development | 2 | 58.5× | 0.012 | IHH, PTCH1 |
| enteric nervous system development | 2 | 55.1× | 0.012 | RET, GDNF |
| embryonic digestive tract development | 2 | 55.1× | 0.012 | TGFB2, GLI3 |
| commissural neuron axon guidance | 2 | 55.1× | 0.012 | GDNF, PTCH1 |
| cell fate determination | 2 | 52.0× | 0.012 | NOTCH2, PTCH1 |
| pulmonary valve morphogenesis | 2 | 52.0× | 0.012 | TGFB2, NOTCH2 |
| spinal cord motor neuron differentiation | 2 | 52.0× | 0.012 | DYNC2H1, PTCH1 |
| nerve development | 2 | 52.0× | 0.012 | NRP2, NTF3 |
Therapeutics
Drug target analysis
Approved (phase 4): 4 · Phase ≥3: 6 · Phased (≥1): 7 · Undrugged: 30
Druggability breadth: 18 of 37 evidence-associated genes (49%) 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 |
|---|---|
| RET | PONATINIB |
| IRAK3 | FEDRATINIB |
| CREBBP | COLCHICINE |
| KDR | VANDETANIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| KDR | 172 | 4 |
| RET | 135 | 4 |
| IRAK3 | 35 | 4 |
| CREBBP | 13 | 4 |
| TGFB2 | 1 | 2 |
| CCR9 | 1 | 3 |
| DPYD | 1 | 3 |
| SEMA3D | 0 | 0 |
| THBS4 | 0 | 0 |
| TSC2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PONATINIB | 4 | KDR, RET |
| AFATINIB | 4 | RET |
| VEMURAFENIB | 4 | KDR, RET |
| FEDRATINIB | 4 | IRAK3, KDR, RET |
| TIVOZANIB | 4 | KDR, RET |
| LENVATINIB | 4 | KDR, RET |
| AXITINIB | 4 | KDR, RET |
| SORAFENIB | 4 | KDR, RET |
| DASATINIB ANHYDROUS | 4 | RET |
| ALECTINIB | 4 | KDR, RET |
| RUXOLITINIB | 4 | RET |
| INFIGRATINIB PHOSPHATE | 4 | KDR, RET |
| INFIGRATINIB | 4 | KDR, RET |
| IBRUTINIB | 4 | KDR, RET |
| PALBOCICLIB | 4 | RET |
| REGORAFENIB | 4 | KDR, RET |
| ENTRECTINIB | 4 | KDR, RET |
| TOFACITINIB CITRATE | 4 | RET |
| FOSTAMATINIB | 4 | IRAK3, RET |
| CABOZANTINIB | 4 | KDR, RET |
| BARICITINIB | 4 | RET |
| TOFACITINIB | 4 | KDR, RET |
| CAPIVASERTIB | 4 | RET |
| CERITINIB | 4 | KDR, RET |
| VANDETANIB | 4 | KDR, RET |
| NILOTINIB | 4 | RET |
| BOSUTINIB | 4 | RET |
| GILTERITINIB | 4 | IRAK3, RET |
| BRIGATINIB | 4 | KDR, RET |
| UPADACITINIB | 4 | KDR, RET |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 4.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| KDR | 2,687 | Binding:2594, Functional:64, ADMET:27, Toxicity:2 |
| RET | 1,586 | Binding:1573, Functional:10, ADMET:3 |
| CREBBP | 687 | Binding:644, Functional:43 |
| IRAK3 | 147 | Binding:147 |
| CCR9 | 30 | Binding:17, Functional:13 |
| PTCH1 | 4 | Binding:4 |
| TGFB2 | 3 | Binding:3 |
| DPYD | 3 | Functional:2, Binding:1 |
| NRP2 | 3 | Binding:3 |
| AHNAK | 2 | Binding:2 |
| GFRA1 | 2 | Binding:2 |
| NOTCH2 | 2 | Binding:2 |
| TSC2 | 1 | Binding:1 |
| PGRMC2 | 1 | Binding:1 |
| LRBA | 1 | Binding:1 |
| NCLN | 1 | Binding:1 |
| CLUH | 1 | Binding:1 |
| SERPINF1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| RET | 2.7.10.1 | receptor protein-tyrosine kinase |
| CREBBP | 2.3.1.48 | histone acetyltransferase |
| DPYD | 1.3.1.2 | dihydropyrimidine dehydrogenase (NADP+) |
| KDR | 2.7.10.1 | receptor protein-tyrosine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| RET | 1,586 |
| IRAK3 | 147 |
| CREBBP | 687 |
| KDR | 2,687 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 37; with CPIC/DPWG dosing guidelines: 1.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|---|
| DPYD | 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) |
|---|---|---|
| PONATINIB | 4 | KDR, RET |
| AFATINIB | 4 | RET |
| VEMURAFENIB | 4 | KDR, RET |
| FEDRATINIB | 4 | IRAK3, KDR, RET |
| TIVOZANIB | 4 | KDR, RET |
| LENVATINIB | 4 | KDR, RET |
| AXITINIB | 4 | KDR, RET |
| SORAFENIB | 4 | KDR, RET |
| DASATINIB ANHYDROUS | 4 | RET |
| ALECTINIB | 4 | KDR, RET |
| RUXOLITINIB | 4 | RET |
| INFIGRATINIB PHOSPHATE | 4 | KDR, RET |
| INFIGRATINIB | 4 | KDR, RET |
| IBRUTINIB | 4 | KDR, RET |
| PALBOCICLIB | 4 | RET |
| REGORAFENIB | 4 | KDR, RET |
| ENTRECTINIB | 4 | KDR, RET |
| TOFACITINIB CITRATE | 4 | RET |
| FOSTAMATINIB | 4 | IRAK3, RET |
| CABOZANTINIB | 4 | KDR, RET |
| BARICITINIB | 4 | RET |
| TOFACITINIB | 4 | KDR, RET |
| CAPIVASERTIB | 4 | RET |
| CERITINIB | 4 | KDR, RET |
| VANDETANIB | 4 | KDR, RET |
| NILOTINIB | 4 | RET |
| BOSUTINIB | 4 | RET |
| GILTERITINIB | 4 | IRAK3, RET |
| BRIGATINIB | 4 | KDR, RET |
| UPADACITINIB | 4 | KDR, RET |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 4 | RET, IRAK3, CREBBP, KDR |
| B | Phased (≥1) drug, not yet approved | 3 | TGFB2, CCR9, DPYD |
| C | Druggable family + PDB, no drug | 2 | CNTN5, NCLN |
| D | Druggable family + AlphaFold only, no drug | 2 | SEMA3D, OR1F1 |
| E | Difficult family or no structure, no drug | 26 | THBS4, TSC2, NAV2, PGRMC2, LRBA, ZHX2, FAT3, TBATA, CLUH, DENND3 (+16 more) |
Undrugged target profiles
30 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| GDNF | 0 | RET |
| GFRA1 | 2 | RET |
| SEMA3D | 0 | — |
| THBS4 | 0 | — |
| TSC2 | 1 | — |
| NAV2 | 0 | — |
| PGRMC2 | 1 | — |
| LRBA | 1 | — |
| ZHX2 | 0 | — |
| CNTN5 | 0 | — |
| FAT3 | 0 | — |
| TBATA | 0 | — |
| NCLN | 1 | — |
| CLUH | 1 | — |
| DENND3 | 0 | — |
| DYNC2H1 | 0 | — |
| C10orf55 | 0 | — |
| AHNAK | 2 | — |
| FBN1 | 0 | — |
| GLI3 | 0 | — |
| IHH | 0 | — |
| NOTCH2 | 2 | — |
| NRP2 | 3 | — |
| NTF3 | 0 | — |
| NUP98 | 0 | — |
| OR1F1 | 0 | — |
| PCDHA4 | 0 | — |
| SERPINF1 | 1 | — |
| POLR2F | 0 | — |
| PTCH1 | 4 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 48.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 43 |
| PHASE4 | 2 |
| PHASE3 | 1 |
| PHASE2 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02343562 | PHASE4 | UNKNOWN | Probiotics for Prophylaxis of Postoperative Hirschsprungs Associated Enterocolitis |
| NCT07186647 | PHASE4 | COMPLETED | Laparoscopic-Assisted Transanal Pull-Through for Hirschsprung Disease in Pediatric:Short and Intermediate Outcomes of Two Different Techniques |
| NCT04904081 | PHASE3 | UNKNOWN | Feasibility of Use of Indocyanine Green in Pediatric Colorectal Surgery |
| NCT00630838 | PHASE2 | COMPLETED | Probiotic Prophylaxis of Hirschprung’s Disease Associated Enterocolitis (HAEC) |
| NCT01985646 | EARLY_PHASE1 | COMPLETED | A Trial on Conservative Treatment for Infants’ Hirschsprung Disease |
| NCT00478712 | Not specified | RECRUITING | Hirschsprung Disease Genetic Study |
| NCT01793168 | Not specified | RECRUITING | Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford |
| NCT04622410 | Not specified | RECRUITING | Registry for Hirschsprung Disease of the BELAPS |
| NCT05450991 | Not specified | RECRUITING | Long-term Qualitative and Quantitative Outcomes of Children With Hirschsprung’s Disease and Anorectal Malformations |
| NCT06072976 | Not specified | RECRUITING | The Influence of Feeding Source on the Gut Microbiome and Time to Full Feeds in Neonates With Congenital Gastrointestinal Pathologies |
| NCT06573723 | Not specified | RECRUITING | Institutional Registry of Rare Diseases |
| NCT06590142 | Not specified | RECRUITING | Hirschsprung’s Advances; Working Towards Autologous tIssue therapIes |
| NCT06592534 | Not specified | NOT_YET_RECRUITING | Babies With Enterocolitis - A Study of Faecal Calprotectin in Hirschsprung Disease (The BEACH Study) |
| NCT06650683 | Not specified | RECRUITING | Impact of Providing Nursing Support on Parental Stress Related to Preoperative Care of a Newborn with Hirschsprung’s Disease |
| NCT07156981 | Not specified | NOT_YET_RECRUITING | Effects of Physiotherapy in Children With Hirschsprung’s Disease |
| NCT07343622 | Not specified | NOT_YET_RECRUITING | Robot/Laparoscopic-Assisted Transanal Transection Duhamel Versus Modified Soave Pull-Through for TCA |
| NCT07468565 | Not specified | NOT_YET_RECRUITING | Surgical Approach for the Treatment of Hirschsprung Disease Using the Swenson Technique (SMILES) |
| NCT07519915 | Not specified | RECRUITING | Improvement of Understanding of Pediatric Sacral Neuromodulation: Therapeutic Strategies and Outcome Variables |
| NCT07526636 | Not specified | NOT_YET_RECRUITING | Pattern And Outcome Of Neonatal Gastrointestinal Emergencies In Assiut University Children Hospital |
| NCT01515501 | Not specified | COMPLETED | Endoscopic Mucosal Resection for the Diagnosis of a-Ganglionosis, a Controlled Prospective Trial (EDGE Trial) |
| NCT01927809 | Not specified | UNKNOWN | Genetic Mosaicism in Hirschsprung’s Disease |
| NCT02193685 | Not specified | UNKNOWN | Identification Genetic, Immunologic and Microbial Markers of Hirschsprung Associated Enterocolitis in Children With Hirschsprung Disease |
| NCT02216994 | Not specified | UNKNOWN | A New Scoring System Improves Diagnostic Accuracy of Intestinal Dysganglionosis –a Prospective Study |
| NCT02296008 | Not specified | COMPLETED | 3D High Resolution Anorectal Manometry in Children After Surgery for Anorectal Disorders |
| NCT02776176 | Not specified | UNKNOWN | Enhanced Recovery After Surgery In Hirschsprung Disease |
| NCT02857205 | Not specified | COMPLETED | MICROPRUNG : Intestinal Microbiota Analysis in Patients With or Without Hirschsprung’s Associated EnteroColitis |
| NCT03269812 | Not specified | UNKNOWN | Laparoscopic Assisted Pull-through Versus Other Surgical Procedures for Treatment of Hirschsprung Disease |
| NCT03666767 | Not specified | COMPLETED | Management and Outcomes of Congenital Anomalies in Low-, Middle- and High-Income Countries |
| NCT04020939 | Not specified | COMPLETED | The Role of Indocyanine Green Angiography Fluorescence on Intestinal Resections in Pediatric Surgery. |
| NCT04106947 | Not specified | UNKNOWN | Transition of Care for Patients With Hirschsprung Disease and Anorectal Malformations |
| NCT04149093 | Not specified | UNKNOWN | The Association Between Calretinin and the Function of Ganglion Cells in Hirschsprung Disease |
| NCT04150120 | Not specified | COMPLETED | eHealth as an Aid for Facilitating and Supporting Self-management in Families With Long-term Childhood Illness |
| NCT04213976 | Not specified | UNKNOWN | Ostomy in Continuity or Conventional Ileostomy: a Retrospective Multicentric Analysis |
| NCT04476225 | Not specified | COMPLETED | Induced Pluripotent Stem Cells for Disease Research |
| NCT04598841 | Not specified | COMPLETED | Nutrition Support for Hirschsprung Disease |
| NCT04624334 | Not specified | TERMINATED | Non-invasive Assessment of Colonic Motility |
| NCT04730128 | Not specified | COMPLETED | Translation and Validation of a Disease-specific Questionnaire for Hirschsprung’s Disease in Danish Patients |
| NCT04837963 | Not specified | COMPLETED | Does Hirschsprung Disease Increase the Risk of Febrile Urinary Tract Infection in Children |
| NCT04957667 | Not specified | COMPLETED | Scintigraphic Defecography for Evaluation of Functional Outcome in an Adult Hirschsprung Population |
| NCT05038345 | Not specified | TERMINATED | Hirschsprung Disease Trends in the United States: Analysis of the National Inpatient Sample |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| INDOCYANINE GREEN ACID FORM | 4 | 3 |
Related Atlas pages
- Cohort genes: RET, SEMA3D, TGFB2, THBS4, TSC2, NAV2, PGRMC2, CCR9, IRAK3, LRBA, ZHX2, CNTN5, FAT3, CREBBP, TBATA, NCLN, CLUH, DENND3, DYNC2H1, DPYD, AHNAK, FBN1, GDNF, GFRA1, GLI3, IHH, KDR, NOTCH2, NRP2, NTF3, NUP98, OR1F1, SERPINF1, POLR2F, PTCH1
- Drugs: Indocyanine Green Acid Form
- Associated genes: ABCD1, ATP7A, ERBB2, ERBB3, NRG1, SMO, SMOX, SREBF1