Hirschsprung disease, susceptibility to, 1

disease
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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

FieldValue
Canonical nameHirschsprung disease, susceptibility to, 1
Mondo IDMONDO:0007723
OMIM142623
UMLSC3888239
MedGen854827
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

ClinVarVariant (HGVS)GeneClassificationReview
156718NM_001301131.1(POLR2F):c.294-27388_*10734delLOC126863146Pathogenicno assertion criteria provided
13905NM_020975.6(RET):c.1852T>G (p.Cys618Gly)RETPathogeniccriteria provided, multiple submitters, no conflicts
13909NM_020975.6(RET):c.1901G>A (p.Cys634Tyr)RETPathogeniccriteria provided, multiple submitters, no conflicts
13915NM_020975.6(RET):c.1858T>C (p.Cys620Arg)RETPathogeniccriteria provided, multiple submitters, no conflicts
13916NM_020975.6(RET):c.1859G>A (p.Cys620Tyr)RETPathogeniccriteria provided, multiple submitters, no conflicts
13917NM_020975.6(RET):c.1900T>C (p.Cys634Arg)RETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
13919NM_020975.6(RET):c.2753T>C (p.Met918Thr)RETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
13925NM_020975.6(RET):c.538C>T (p.Arg180Ter)RETPathogeniccriteria provided, single submitter
13928NM_020975.6(RET):c.1859G>T (p.Cys620Phe)RETPathogeniccriteria provided, multiple submitters, no conflicts
13933NM_020975.6(RET):c.1826G>A (p.Cys609Tyr)RETPathogeniccriteria provided, multiple submitters, no conflicts
13946NM_020975.6(RET):c.2410G>T (p.Val804Leu)RETPathogeniccriteria provided, multiple submitters, no conflicts
13951NM_020975.6(RET):c.2671T>G (p.Ser891Ala)RETPathogeniccriteria provided, multiple submitters, no conflicts
230926NM_020975.6(RET):c.1998G>C (p.Lys666Asn)RETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
24929NM_020975.6(RET):c.1947G>A (p.Ser649=)RETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
24931NM_020975.6(RET):c.1996A>G (p.Lys666Glu)RETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
24932NM_020975.6(RET):c.1998G>T (p.Lys666Asn)RETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
37102NM_020975.6(RET):c.2410G>A (p.Val804Met)RETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
38601NM_020975.6(RET):c.1852T>A (p.Cys618Ser)RETPathogeniccriteria provided, multiple submitters, no conflicts
38612NM_020975.6(RET):c.2370G>T (p.Leu790Phe)RETPathogeniccriteria provided, multiple submitters, no conflicts
4531443NM_020975.6(RET):c.754G>T (p.Glu252Ter)RETPathogeniccriteria provided, single submitter
590798NM_020975.6(RET):c.1280_1281del (p.Val427fs)RETPathogeniccriteria provided, single submitter
666595NM_020975.6(RET):c.1879+1G>ARETPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
692052NM_020975.6(RET):c.712G>T (p.Glu238Ter)RETPathogeniccriteria provided, single submitter
375278NM_001352890.3(DENND3):c.2160del (p.Lys720fs)DENND3Likely pathogenicno assertion criteria provided
273383NM_002181.4(IHH):c.151C>A (p.Gln51Lys)IHHLikely pathogeniccriteria provided, single submitter
375276NM_020170.4(NCLN):c.496C>T (p.Gln166Ter)NCLNLikely pathogenicno assertion criteria provided
375277NM_016320.5(NUP98):c.5207A>G (p.Asn1736Ser)NUP98Likely pathogenicno assertion criteria provided
156720NC_000022.11:g.38016208G>APOLR2FLikely pathogenicno assertion criteria provided
13922NM_020975.6(RET):c.2914A>G (p.Arg972Gly)RETLikely pathogeniccriteria provided, single submitter
13923NM_020975.6(RET):c.95C>T (p.Ser32Leu)RETLikely pathogeniccriteria 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.

GeneClassificationInheritanceDiseaseRecords
RETStrongAutosomal dominantHirschsprung disease, susceptibility to, 116

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
RETOrphanet:146Differentiated thyroid carcinoma
RETOrphanet:1848Renal agenesis, bilateral
RETOrphanet:247698Multiple endocrine neoplasia type 2A
RETOrphanet:247709Multiple endocrine neoplasia type 2B
RETOrphanet:276621Sporadic pheochromocytoma/secreting paraganglioma
RETOrphanet:29072Hereditary pheochromocytoma-paraganglioma
RETOrphanet:388Hirschsprung disease
RETOrphanet:93100Renal agenesis, unilateral
RETOrphanet:99361Isolated familial medullary thyroid carcinoma
RETOrphanet:99803Haddad syndrome
SEMA3DOrphanet:388Hirschsprung disease
TGFB2Orphanet:60030Loeys-Dietz syndrome
TGFB2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TSC2Orphanet:210159Adult hepatocellular carcinoma
TSC2Orphanet:269001Isolated focal cortical dysplasia type IIa
TSC2Orphanet:269008Isolated focal cortical dysplasia type IIb
TSC2Orphanet:538Lymphangioleiomyomatosis
TSC2Orphanet:805Tuberous sclerosis complex
TSC2Orphanet:88924Autosomal dominant polycystic kidney disease type 1 with tuberous sclerosis
LRBAOrphanet:445018Syndromic autoimmune enteropathy due to LRBA deficiency
CREBBPOrphanet:353277Rubinstein-Taybi syndrome due to CREBBP mutations
CREBBPOrphanet:353281Rubinstein-Taybi syndrome due to 16p13.3 microdeletion
CREBBPOrphanet:370026Acute myeloid leukemia with t(8;16)(p11;p13) translocation
CREBBPOrphanet:592574Menke-Hennekam syndrome
DYNC2H1Orphanet:474Jeune syndrome
DYNC2H1Orphanet:93269Short rib-polydactyly syndrome, Majewski type
DYNC2H1Orphanet:93270Short rib-polydactyly syndrome, Saldino-Noonan type
DYNC2H1Orphanet:93271Short rib-polydactyly syndrome, Verma-Naumoff type
DPYDOrphanet:1675Dihydropyrimidine dehydrogenase deficiency
DPYDOrphanet:2939481p21.3 microdeletion syndrome
FBN1Orphanet:1885Isolated ectopia lentis
FBN1Orphanet:2084Glaucoma-ectopia lentis-microspherophakia-stiff joints-short stature syndrome
FBN1Orphanet:2462Shprintzen-Goldberg syndrome
FBN1Orphanet:2623Geleophysic dysplasia
FBN1Orphanet:2833Stiff skin syndrome
FBN1Orphanet:284963Marfan syndrome type 1
FBN1Orphanet:284979Neonatal Marfan syndrome
FBN1Orphanet:300382Progeroid and marfanoid aspect-lipodystrophy syndrome
FBN1Orphanet:3449Weill-Marchesani syndrome
FBN1Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
FBN1Orphanet:969Acromicric dysplasia
GDNFOrphanet:388Hirschsprung disease
GDNFOrphanet:661Congenital central hypoventilation syndrome
GFRA1Orphanet:1848Renal agenesis, bilateral
GLI3Orphanet:36Acrocallosal syndrome
GLI3Orphanet:380Greig cephalopolysyndactyly syndrome
GLI3Orphanet:672Pallister-Hall syndrome
GLI3Orphanet:93322Isolated tibial hemimelia
GLI3Orphanet:93334Postaxial polydactyly type A
GLI3Orphanet:93335Postaxial polydactyly type B

Cohort genes → proteins

37 cohort genes, 36 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence37

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
RETHGNC:9967ENSG00000165731P07949Proto-oncogene tyrosine-protein kinase receptor Retgencc,clinvar
SEMA3DHGNC:10726ENSG00000153993O95025Semaphorin-3Dclinvar
TGFB2HGNC:11768ENSG00000092969P61812Transforming growth factor beta-2 proproteinclinvar
THBS4HGNC:11788ENSG00000113296P35443Thrombospondin-4clinvar
TSC2HGNC:12363ENSG00000103197P49815Tuberinclinvar
NAV2HGNC:15997ENSG00000166833Q8IVL1Neuron navigator 2clinvar
PGRMC2HGNC:16089ENSG00000164040O15173Membrane-associated progesterone receptor component 2clinvar
CCR9HGNC:1610ENSG00000173585P51686C-C chemokine receptor type 9clinvar
IRAK3HGNC:17020ENSG00000090376Q9Y616Interleukin-1 receptor-associated kinase 3clinvar
LRBAHGNC:1742ENSG00000198589P50851Lipopolysaccharide-responsive and beige-like anchor proteinclinvar
ZHX2HGNC:18513ENSG00000178764Q9Y6X8Zinc fingers and homeoboxes protein 2clinvar
CNTN5HGNC:2175ENSG00000149972O94779Contactin-5clinvar
FAT3HGNC:23112ENSG00000165323Q8TDW7Protocadherin Fat 3clinvar
CREBBPHGNC:2348ENSG00000005339Q92793CREB-binding proteinclinvar
TBATAHGNC:23511ENSG00000166220Q96M53Protein TBATAclinvar
NCLNHGNC:26923ENSG00000125912Q969V3BOS complex subunit NCLNclinvar
CLUHHGNC:29094ENSG00000132361O75153Clustered mitochondria protein homologclinvar
DENND3HGNC:29134ENSG00000105339A2RUS2DENN domain-containing protein 3clinvar
DYNC2H1HGNC:2962ENSG00000187240Q8NCM8Cytoplasmic dynein 2 heavy chain 1clinvar
DPYDHGNC:3012ENSG00000188641Q12882Dihydropyrimidine dehydrogenase [NADP(+)]clinvar
C10orf55HGNC:31008ENSG00000222047chromosome 10 putative open reading frame 55clinvar
AHNAKHGNC:347ENSG00000124942Q09666Neuroblast differentiation-associated protein AHNAKclinvar
FBN1HGNC:3603ENSG00000166147P35555Fibrillin-1clinvar
GDNFHGNC:4232ENSG00000168621P39905Glial cell line-derived neurotrophic factorclinvar
GFRA1HGNC:4243ENSG00000151892P56159GDNF family receptor alpha-1clinvar
GLI3HGNC:4319ENSG00000106571P10071Transcriptional activator GLI3clinvar
IHHHGNC:5956ENSG00000163501Q14623Indian hedgehog proteinclinvar
KDRHGNC:6307ENSG00000128052P35968Vascular endothelial growth factor receptor 2clinvar
NOTCH2HGNC:7882ENSG00000134250Q04721Neurogenic locus notch homolog protein 2clinvar
NRP2HGNC:8005ENSG00000118257O60462Neuropilin-2clinvar
NTF3HGNC:8023ENSG00000185652P20783Neurotrophin-3clinvar
NUP98HGNC:8068ENSG00000110713P52948Nuclear pore complex protein Nup98-Nup96clinvar
OR1F1HGNC:8194ENSG00000168124O43749Olfactory receptor 1F1clinvar
PCDHA4HGNC:8670ENSG00000204967Q9UN74Protocadherin alpha-4clinvar
SERPINF1HGNC:8824ENSG00000132386P36955Pigment epithelium-derived factorclinvar
POLR2FHGNC:9193ENSG00000100142P61218DNA-directed RNA polymerases I, II, and III subunit RPABC2clinvar
PTCH1HGNC:9585ENSG00000185920Q13635Protein patched homolog 1clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
RETProto-oncogene tyrosine-protein kinase receptor RetReceptor 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,…
SEMA3DSemaphorin-3DInduces the collapse and paralysis of neuronal growth cones.
TGFB2Transforming growth factor beta-2 proproteinPrecursor 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.
THBS4Thrombospondin-4Adhesive 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…
TSC2TuberinCatalytic 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…
NAV2Neuron navigator 2Possesses 3’ to 5’ helicase activity and exonuclease activity.
PGRMC2Membrane-associated progesterone receptor component 2Required for the maintenance of uterine histoarchitecture and normal female reproductive lifespan.
CCR9C-C chemokine receptor type 9Receptor for chemokine SCYA25/TECK.
IRAK3Interleukin-1 receptor-associated kinase 3Putative inactive protein kinase which regulates signaling downstream of immune receptors including IL1R and Toll-like receptors.
LRBALipopolysaccharide-responsive and beige-like anchor proteinInvolved in coupling signal transduction and vesicle trafficking to enable polarized secretion and/or membrane deposition of immune effector molecules.
ZHX2Zinc fingers and homeoboxes protein 2Acts as a transcriptional repressor.
CNTN5Contactin-5Contactins mediate cell surface interactions during nervous system development.
FAT3Protocadherin Fat 3May play a role in the interactions between neurites derived from specific subsets of neurons during development.
CREBBPCREB-binding proteinAcetylates histones, giving a specific tag for transcriptional activation.
TBATAProtein TBATAMay play a role in spermatid differentiation.
NCLNBOS complex subunit NCLNComponent of the multi-pass translocon (MPT) complex that mediates insertion of multi-pass membrane proteins into the lipid bilayer of membranes.
CLUHClustered mitochondria protein homologmRNA-binding protein involved in proper cytoplasmic distribution of mitochondria.
DENND3DENN domain-containing protein 3Guanine nucleotide exchange factor (GEF) activating RAB12.
DYNC2H1Cytoplasmic dynein 2 heavy chain 1May function as a motor for intraflagellar retrograde transport.
DPYDDihydropyrimidine dehydrogenase [NADP(+)]Involved in pyrimidine base degradation.
AHNAKNeuroblast differentiation-associated protein AHNAKMay be required for neuronal cell differentiation.
FBN1Fibrillin-1Structural component of the 10-12 nm diameter microfibrils of the extracellular matrix, which conveys both structural and regulatory properties to load-bearing connective tissues.
GDNFGlial cell line-derived neurotrophic factorNeurotrophic factor that enhances survival and morphological differentiation of dopaminergic neurons and increases their high-affinity dopamine uptake.
GFRA1GDNF family receptor alpha-1Coreceptor for GDNF, a neurotrophic factor that enhances survival and morphological differentiation of dopaminergic neurons and increases their high-affinity dopamine uptake.
GLI3Transcriptional activator GLI3Has a dual function as a transcriptional activator and a repressor of the sonic hedgehog (Shh) pathway, and plays a role in limb development.
IHHIndian hedgehog proteinPlays 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.
KDRVascular endothelial growth factor receptor 2Tyrosine-protein kinase that acts as a cell-surface receptor for VEGFA, VEGFC and VEGFD.
NOTCH2Neurogenic locus notch homolog protein 2Functions as a receptor for membrane-bound ligands Jagged-1 (JAG1), Jagged-2 (JAG2) and Delta-1 (DLL1) to regulate cell-fate determination.
NRP2Neuropilin-2High affinity receptor for semaphorins 3C, 3F, VEGF-165 and VEGF-145 isoforms of VEGF, and the PLGF-2 isoform of PGF.
NTF3Neurotrophin-3Seems to promote the survival of visceral and proprioceptive sensory neurons.
NUP98Nuclear pore complex protein Nup98-Nup96Plays a role in the nuclear pore complex (NPC) assembly and/or maintenance.
OR1F1Olfactory receptor 1F1Odorant receptor.
PCDHA4Protocadherin alpha-4Calcium-dependent cell-adhesion protein involved in cells self-recognition and non-self discrimination.
SERPINF1Pigment epithelium-derived factorNeurotrophic protein; induces extensive neuronal differentiation in retinoblastoma cells.
POLR2FDNA-directed RNA polymerases I, II, and III subunit RPABC2DNA-dependent RNA polymerase catalyzes the transcription of DNA into RNA using the four ribonucleoside triphosphates as substrates.
PTCH1Protein patched homolog 1Acts 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.

FamilyGenesFoldFDR
Kinase32.2×0.655
Scaffold/PPI41.9×0.655
Antibody/Immunoglobulin21.6×0.836
GPCR21.3×0.836
Other/Unknown211.0×0.836
Protease11.0×0.855
Transcription factor30.7×0.960
Enzyme (other)10.3×0.960

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
RETKinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Cadherin-like_dom
SEMA3DAntibody/ImmunoglobulinyesSemap_dom, Ig_sub, Ig-like_dom
TGFB2Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGFb2
THBS4Other/UnknownnoEGF, EGF-like_Ca-bd_dom, Thrombospondin_3-like_rpt
TSC2Other/UnknownnoRap/Ran_GAP_dom, Tuberin, ARM-like
NAV2Other/UnknownnoCH_dom, AAA+_ATPase, P-loop_NTPase
PGRMC2Other/UnknownnoCyt_B5-like_heme/steroid-bd, Cyt_B5-like_heme/steroid_sf, MAPR/NEUFC/NENF-like
CCR9GPCRyesGPCR_Rhodpsn, Chemokine_rcpt, Chemokine_CCR9
IRAK3KinaseyesDeath_dom, Prot_kinase_dom, Kinase-like_dom_sf
LRBAScaffold/PPInoBEACH_dom, WD40_rpt, NBEA-like_DUF1088
ZHX2Transcription factornoHD, Homeodomain-like_sf, Znf_C2H2_type
CNTN5Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
FAT3Other/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, Laminin_G
CREBBPTranscription factorno2.3.1.48Znf_TAZ, Znf_ZZ, Bromodomain
TBATAOther/UnknownnoTBATA-like
NCLNProteaseyesPeptidase_M28, Nicalin
CLUHOther/UnknownnoTPR-like_helical_dom_sf, GSKIP_dom_sf, CLU_dom
DENND3Scaffold/PPInocDENN_dom, WD40_rpt, dDENN_dom
DYNC2H1Other/UnknownnoAAA+_ATPase, Dhc_D6_P-loop, Dynein_heavy_tail
DPYDEnzyme (other)yes1.3.1.2Dihydroorotate_DH_cat, Helical_ferredxn, Aldolase_TIM
C10orf55Other/Unknownno
AHNAKScaffold/PPInoPDZ, PDZ_sf, Myelin_sheath_structural
FBN1Other/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom
GDNFOther/UnknownnoTGF-b_C, GDNF, Cystine-knot_cytokine
GFRA1Other/UnknownnoGDNF_rcpt, GDNF_rcpt_A1, GDNF/GAS1
GLI3Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, GLI-like
IHHOther/UnknownnoHedgehog_signalling_dom, Hedgehog, Hedgehog_Hint
KDRKinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Tyr_kinase_rcpt_3_CS
NOTCH2Scaffold/PPInoEGF-type_Asp/Asn_hydroxyl_site, EGF, Notch_dom
NRP2Other/UnknownnoFA58C, CUB_dom, MAM_dom
NTF3Other/UnknownnoNerve_growth_factor-rel, Neurotrophin-3, Nerve_growth_factor_CS
NUP98Other/UnknownnoNup98_auto-Pept-S59_dom, Nup98_C, Nup98_auto-Pept-S59_dom_sf
OR1F1GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
PCDHA4Other/UnknownnoCadherin-like_dom, Cadherin_N, Cadherin-like_sf
SERPINF1Other/UnknownnoSerpin_fam, Serpin_CS, Serpin_dom
POLR2FOther/UnknownnoPol_omega/Rpo6/RPB6, Rpo6/Rpb6, DNA-dir_RNA_polK_14-18kDa_CS
PTCH1Other/UnknownnoSSD, 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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)37
unknown0

Top tissues across cohort

TissueCohort genes
tendon of biceps brachii4
dorsal root ganglion3
calcaneal tendon3
islet of Langerhans3
stromal cell of endometrium3
left testis3
right testis3
olfactory bulb3
buccal mucosa cell2
cartilage tissue2
tendon2
thymus2
monocyte2
mononuclear cell2
bronchial epithelial cell2
primordial germ cell in gonad2
sural nerve2
tibia2
mucosa of transverse colon2
germinal epithelium of ovary2

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
RET193broadmarkersubstantia nigra pars reticulata, dorsal root ganglion, substantia nigra pars compacta
SEMA3D183ubiquitousmarkerbuccal mucosa cell, tendon of biceps brachii, spleen
TGFB2206ubiquitousmarkercalcaneal tendon, tendon, cartilage tissue
THBS4252broadmarkercalcaneal tendon, tendon, tendon of biceps brachii
TSC2282ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
NAV2275ubiquitousmarkerblood vessel layer, cartilage tissue, cauda epididymis
PGRMC2300ubiquitousmarkerjejunal mucosa, islet of Langerhans, stromal cell of endometrium
CCR9106tissue_specificyesthymus, duodenum, small intestine Peyer’s patch
IRAK3238ubiquitousmarkermonocyte, mononuclear cell, leukocyte
LRBA274ubiquitousmarkerupper leg skin, bronchial epithelial cell, epithelium of bronchus
ZHX2293ubiquitousmarkersuperficial temporal artery, dorsal motor nucleus of vagus nerve, saphenous vein
CNTN5130broadmarkeradrenal tissue, primordial germ cell in gonad, islet of Langerhans
FAT3194broadmarkerbuccal mucosa cell, Brodmann (1909) area 23, middle temporal gyrus
CREBBP297ubiquitousmarkersural nerve, tibia, amniotic fluid
TBATA67tissue_specificmarkerright testis, thymus, left testis
NCLN208ubiquitousmarkermucosa of transverse colon, stromal cell of endometrium, left adrenal gland
CLUH283ubiquitousmarkergingival epithelium, apex of heart, right lobe of liver
DENND3236ubiquitousmarkerright lung, upper lobe of left lung, upper lobe of lung
DYNC2H1230ubiquitousmarkersecondary oocyte, bronchial epithelial cell, right uterine tube
DPYD274ubiquitousmarkergerminal epithelium of ovary, monocyte, mononuclear cell
C10orf55122markersperm, left testis, right testis
AHNAK297ubiquitousmarkerolfactory bulb, calcaneal tendon, tendon of biceps brachii
FBN1275ubiquitousmarkersynovial joint, skin of hip, decidua
GDNF149tissue_specificyeshindlimb stylopod muscle, tibialis anterior, deltoid
GFRA1231broadmarkerendometrium epithelium, trigeminal ganglion, dorsal root ganglion
GLI3263ubiquitousmarkerventricular zone, olfactory bulb, tendon of biceps brachii
IHH94broadmarkermucosa of transverse colon, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad
KDR267broadmarkergerminal epithelium of ovary, lower lobe of lung, parietal pleura
NOTCH2294ubiquitousmarkerpigmented layer of retina, retina, skin of hip
NRP2238ubiquitousmarkersural nerve, mucosa of stomach, lower esophagus muscularis layer

Protein interactions among cohort

Intra-cohort edges: 15.

Hub genes (top 10 by interactor count)

SymbolInteractor count
CREBBP6,959
NOTCH25,266
KDR4,960
RET4,203
TSC24,135
NUP984,108
AHNAK4,006
FBN13,640
PTCH13,368
GLI32,825

Intra-cohort edges

ABSources
DENND3NCLNstring_interaction
DENND3TBATAstring_interaction
GDNFGFRA1biogrid_interaction, string_interaction
GDNFNTF3string_interaction
GDNFRETbiogrid_interaction, string_interaction
GFRA1RETstring_interaction
GLI3IHHstring_interaction
GLI3PTCH1string_interaction
IHHPTCH1string_interaction
KDRNRP2string_interaction
NCLNTBATAstring_interaction
NRP2SEMA3Dstring_interaction
NUP98TBATAstring_interaction
PTCH1RETstring_interaction
RETSERPINF1intact

Structural data

PDB: 26 · AlphaFold-only: 10 · No structure: 1

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
CREBBPQ92793144
POLR2FP6121860
KDRP3596854
RETP0794934
NUP98P5294822
NRP2O6046216
PTCH1Q1363516
TGFB2P6181211
FBN1P3555511
IHHQ146238
NTF3P207835
DYNC2H1Q8NCM84
GDNFP399054
IRAK3Q9Y6163
NCLNQ969V33
AHNAKQ096663
SERPINF1P369553
TSC2P498152
ZHX2Q9Y6X82
CNTN5O947792
NOTCH2Q047212
NAV2Q8IVL11
CCR9P516861
LRBAP508511
GFRA1P561591
GLI3P100711

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
DPYDQ1288296.23
OR1F1O4374986.00
THBS4P3544384.81
SEMA3DO9502584.10
CLUHO7515383.11
DENND3A2RUS281.23
PGRMC2O1517379.83
PCDHA4Q9UN7474.23
TBATAQ96M5360.70
FAT3Q8TDW7

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.

PathwayCohort genesFoldFDRSample cohort genes
Neuropilin interactions with VEGF and VEGFR2228.4×0.005KDR, NRP2
Formation of the ureteric bud359.6×0.005RET, GDNF, GFRA1
GLI proteins bind promoters of Hh responsive genes to promote transcription2130.5×0.008GLI3, PTCH1
Ligand-receptor interactions2114.2×0.008IHH, PTCH1
RET signaling331.1×0.008RET, GDNF, GFRA1
Hedgehog ‘off’ state321.4×0.019DYNC2H1, GLI3, PTCH1
Hedgehog ‘on’ state319.0×0.024GLI3, IHH, PTCH1
Activation of SMO250.8×0.028IHH, PTCH1
NOTCH4 Intracellular Domain Regulates Transcription245.7×0.031CREBBP, NOTCH2
NPAS4 regulates expression of target genes239.7×0.037RET, CREBBP
Activation of HOX genes during differentiation235.1×0.043CREBBP, POLR2F
Notch-HLH transcription pathway232.6×0.046CREBBP, NOTCH2
Elastic fibre formation226.9×0.062TGFB2, FBN1
TGF-beta receptor signaling activates SMADs226.1×0.062TGFB2, FBN1
Molecules associated with elastic fibres224.7×0.064TGFB2, FBN1
Cytosolic sensors of pathogen-associated DNA222.8×0.070CREBBP, POLR2F
NTF3 activates NTRK2 (TRKB) signaling1228.4×0.074NTF3
NTF3 activates NTRK3 signaling1228.4×0.074NTF3
Viral Messenger RNA Synthesis220.8×0.074NUP98, POLR2F
NCAM1 interactions219.9×0.074GDNF, GFRA1
Heme signaling217.2×0.093PGRMC2, CREBBP
Activated NTRK3 signals through PLCG11152.3×0.098NTF3
Class B/2 (Secretin family receptors)215.2×0.104IHH, PTCH1
RAF/MAP kinase cascade37.3×0.104RET, GDNF, GFRA1
Inhibition of TSC complex formation by AKT (PKB)191.4×0.109TSC2
LRR FLII-interacting protein 1 (LRRFIP1) activates type I IFN production191.4×0.109CREBBP
Defective LFNG causes SCDO3191.4×0.109NOTCH2
HHAT G278V doesn’t palmitoylate Hh-Np191.4×0.109IHH
RUNX2 regulates chondrocyte maturation191.4×0.109IHH
Signaling by membrane-tethered fusions of PDGFRA or PDGFRB191.4×0.109KDR

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 termCohort genesFoldFDRSample cohort genes
axon guidance717.6×6e-05RET, SEMA3D, TGFB2, CNTN5, GLI3, NOTCH2, NRP2
embryonic limb morphogenesis444.6×5e-04TGFB2, DYNC2H1, NOTCH2, PTCH1
glial cell-derived neurotrophic factor receptor signaling pathway3100.3×6e-04RET, GDNF, GFRA1
negative regulation of alpha-beta T cell differentiation2312.1×0.002GLI3, IHH
cell differentiation involved in kidney development2312.1×0.002GLI3, PTCH1
regulation of bone development2187.2×0.004GLI3, KDR
metanephros development342.6×0.004FBN1, GDNF, GLI3
semaphorin-plexin signaling pathway333.4×0.007SEMA3D, KDR, NRP2
branching involved in ureteric bud morphogenesis330.5×0.007GDNF, GLI3, PTCH1
kidney development415.6×0.007TGFB2, DYNC2H1, GFRA1, SERPINF1
nervous system development67.7×0.007NAV2, GDNF, GFRA1, NOTCH2, NTF3, PCDHA4
neural crest cell migration involved in autonomic nervous system development2104.0×0.007GDNF, NRP2
neural crest cell migration328.1×0.007RET, SEMA3D, GDNF
positive regulation of alpha-beta T cell differentiation293.6×0.008GLI3, IHH
stem cell proliferation326.0×0.008GLI3, KDR, PTCH1
positive regulation of extrinsic apoptotic signaling pathway in absence of ligand285.1×0.008RET, TGFB2
embryonic digit morphogenesis325.1×0.008CREBBP, GLI3, IHH
atrial septum morphogenesis272.0×0.011TGFB2, NOTCH2
negative regulation of macrophage cytokine production266.9×0.012TGFB2, IRAK3
somite development262.4×0.012IHH, PTCH1
positive regulation of cell adhesion mediated by integrin258.5×0.012RET, TGFB2
limb morphogenesis258.5×0.012GLI3, PTCH1
smooth muscle tissue development258.5×0.012IHH, PTCH1
enteric nervous system development255.1×0.012RET, GDNF
embryonic digestive tract development255.1×0.012TGFB2, GLI3
commissural neuron axon guidance255.1×0.012GDNF, PTCH1
cell fate determination252.0×0.012NOTCH2, PTCH1
pulmonary valve morphogenesis252.0×0.012TGFB2, NOTCH2
spinal cord motor neuron differentiation252.0×0.012DYNC2H1, PTCH1
nerve development252.0×0.012NRP2, 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.

SymbolExample approved molecule
RETPONATINIB
IRAK3FEDRATINIB
CREBBPCOLCHICINE
KDRVANDETANIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
KDR1724
RET1354
IRAK3354
CREBBP134
TGFB212
CCR913
DPYD13
SEMA3D00
THBS400
TSC200

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PONATINIB4KDR, RET
AFATINIB4RET
VEMURAFENIB4KDR, RET
FEDRATINIB4IRAK3, KDR, RET
TIVOZANIB4KDR, RET
LENVATINIB4KDR, RET
AXITINIB4KDR, RET
SORAFENIB4KDR, RET
DASATINIB ANHYDROUS4RET
ALECTINIB4KDR, RET
RUXOLITINIB4RET
INFIGRATINIB PHOSPHATE4KDR, RET
INFIGRATINIB4KDR, RET
IBRUTINIB4KDR, RET
PALBOCICLIB4RET
REGORAFENIB4KDR, RET
ENTRECTINIB4KDR, RET
TOFACITINIB CITRATE4RET
FOSTAMATINIB4IRAK3, RET
CABOZANTINIB4KDR, RET
BARICITINIB4RET
TOFACITINIB4KDR, RET
CAPIVASERTIB4RET
CERITINIB4KDR, RET
VANDETANIB4KDR, RET
NILOTINIB4RET
BOSUTINIB4RET
GILTERITINIB4IRAK3, RET
BRIGATINIB4KDR, RET
UPADACITINIB4KDR, RET

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 4.

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

SymbolAssaysType breakdown
KDR2,687Binding:2594, Functional:64, ADMET:27, Toxicity:2
RET1,586Binding:1573, Functional:10, ADMET:3
CREBBP687Binding:644, Functional:43
IRAK3147Binding:147
CCR930Binding:17, Functional:13
PTCH14Binding:4
TGFB23Binding:3
DPYD3Functional:2, Binding:1
NRP23Binding:3
AHNAK2Binding:2
GFRA12Binding:2
NOTCH22Binding:2
TSC21Binding:1
PGRMC21Binding:1
LRBA1Binding:1
NCLN1Binding:1
CLUH1Binding:1
SERPINF11Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
RET2.7.10.1receptor protein-tyrosine kinase
CREBBP2.3.1.48histone acetyltransferase
DPYD1.3.1.2dihydropyrimidine dehydrogenase (NADP+)
KDR2.7.10.1receptor protein-tyrosine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
RET1,586
IRAK3147
CREBBP687
KDR2,687

Pharmacogenomics

Cohort genes with a PharmGKB record: 37; with CPIC/DPWG dosing guidelines: 1.

Cohort genes with a CPIC/DPWG dosing guideline

SymbolCPIC guidelines
DPYD1

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.

CompoundMax phaseCohort target (bioactivity)
PONATINIB4KDR, RET
AFATINIB4RET
VEMURAFENIB4KDR, RET
FEDRATINIB4IRAK3, KDR, RET
TIVOZANIB4KDR, RET
LENVATINIB4KDR, RET
AXITINIB4KDR, RET
SORAFENIB4KDR, RET
DASATINIB ANHYDROUS4RET
ALECTINIB4KDR, RET
RUXOLITINIB4RET
INFIGRATINIB PHOSPHATE4KDR, RET
INFIGRATINIB4KDR, RET
IBRUTINIB4KDR, RET
PALBOCICLIB4RET
REGORAFENIB4KDR, RET
ENTRECTINIB4KDR, RET
TOFACITINIB CITRATE4RET
FOSTAMATINIB4IRAK3, RET
CABOZANTINIB4KDR, RET
BARICITINIB4RET
TOFACITINIB4KDR, RET
CAPIVASERTIB4RET
CERITINIB4KDR, RET
VANDETANIB4KDR, RET
NILOTINIB4RET
BOSUTINIB4RET
GILTERITINIB4IRAK3, RET
BRIGATINIB4KDR, RET
UPADACITINIB4KDR, RET

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)4RET, IRAK3, CREBBP, KDR
BPhased (≥1) drug, not yet approved3TGFB2, CCR9, DPYD
CDruggable family + PDB, no drug2CNTN5, NCLN
DDruggable family + AlphaFold only, no drug2SEMA3D, OR1F1
EDifficult family or no structure, no drug26THBS4, 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).

SymbolChEMBL assaysDrugged partners (top 3)
GDNF0RET
GFRA12RET
SEMA3D0
THBS40
TSC21
NAV20
PGRMC21
LRBA1
ZHX20
CNTN50
FAT30
TBATA0
NCLN1
CLUH1
DENND30
DYNC2H10
C10orf550
AHNAK2
FBN10
GLI30
IHH0
NOTCH22
NRP23
NTF30
NUP980
OR1F10
PCDHA40
SERPINF11
POLR2F0
PTCH14

Clinical trials & evidence

Clinical trials

Clinical trials: 48.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified43
PHASE42
PHASE31
PHASE21
EARLY_PHASE11

Top trials by phase / activity

NCTPhaseStatusTitle
NCT02343562PHASE4UNKNOWNProbiotics for Prophylaxis of Postoperative Hirschsprungs Associated Enterocolitis
NCT07186647PHASE4COMPLETEDLaparoscopic-Assisted Transanal Pull-Through for Hirschsprung Disease in Pediatric:Short and Intermediate Outcomes of Two Different Techniques
NCT04904081PHASE3UNKNOWNFeasibility of Use of Indocyanine Green in Pediatric Colorectal Surgery
NCT00630838PHASE2COMPLETEDProbiotic Prophylaxis of Hirschprung’s Disease Associated Enterocolitis (HAEC)
NCT01985646EARLY_PHASE1COMPLETEDA Trial on Conservative Treatment for Infants’ Hirschsprung Disease
NCT00478712Not specifiedRECRUITINGHirschsprung Disease Genetic Study
NCT01793168Not specifiedRECRUITINGRare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford
NCT04622410Not specifiedRECRUITINGRegistry for Hirschsprung Disease of the BELAPS
NCT05450991Not specifiedRECRUITINGLong-term Qualitative and Quantitative Outcomes of Children With Hirschsprung’s Disease and Anorectal Malformations
NCT06072976Not specifiedRECRUITINGThe Influence of Feeding Source on the Gut Microbiome and Time to Full Feeds in Neonates With Congenital Gastrointestinal Pathologies
NCT06573723Not specifiedRECRUITINGInstitutional Registry of Rare Diseases
NCT06590142Not specifiedRECRUITINGHirschsprung’s Advances; Working Towards Autologous tIssue therapIes
NCT06592534Not specifiedNOT_YET_RECRUITINGBabies With Enterocolitis - A Study of Faecal Calprotectin in Hirschsprung Disease (The BEACH Study)
NCT06650683Not specifiedRECRUITINGImpact of Providing Nursing Support on Parental Stress Related to Preoperative Care of a Newborn with Hirschsprung’s Disease
NCT07156981Not specifiedNOT_YET_RECRUITINGEffects of Physiotherapy in Children With Hirschsprung’s Disease
NCT07343622Not specifiedNOT_YET_RECRUITINGRobot/Laparoscopic-Assisted Transanal Transection Duhamel Versus Modified Soave Pull-Through for TCA
NCT07468565Not specifiedNOT_YET_RECRUITINGSurgical Approach for the Treatment of Hirschsprung Disease Using the Swenson Technique (SMILES)
NCT07519915Not specifiedRECRUITINGImprovement of Understanding of Pediatric Sacral Neuromodulation: Therapeutic Strategies and Outcome Variables
NCT07526636Not specifiedNOT_YET_RECRUITINGPattern And Outcome Of Neonatal Gastrointestinal Emergencies In Assiut University Children Hospital
NCT01515501Not specifiedCOMPLETEDEndoscopic Mucosal Resection for the Diagnosis of a-Ganglionosis, a Controlled Prospective Trial (EDGE Trial)
NCT01927809Not specifiedUNKNOWNGenetic Mosaicism in Hirschsprung’s Disease
NCT02193685Not specifiedUNKNOWNIdentification Genetic, Immunologic and Microbial Markers of Hirschsprung Associated Enterocolitis in Children With Hirschsprung Disease
NCT02216994Not specifiedUNKNOWNA New Scoring System Improves Diagnostic Accuracy of Intestinal Dysganglionosis –a Prospective Study
NCT02296008Not specifiedCOMPLETED3D High Resolution Anorectal Manometry in Children After Surgery for Anorectal Disorders
NCT02776176Not specifiedUNKNOWNEnhanced Recovery After Surgery In Hirschsprung Disease
NCT02857205Not specifiedCOMPLETEDMICROPRUNG : Intestinal Microbiota Analysis in Patients With or Without Hirschsprung’s Associated EnteroColitis
NCT03269812Not specifiedUNKNOWNLaparoscopic Assisted Pull-through Versus Other Surgical Procedures for Treatment of Hirschsprung Disease
NCT03666767Not specifiedCOMPLETEDManagement and Outcomes of Congenital Anomalies in Low-, Middle- and High-Income Countries
NCT04020939Not specifiedCOMPLETEDThe Role of Indocyanine Green Angiography Fluorescence on Intestinal Resections in Pediatric Surgery.
NCT04106947Not specifiedUNKNOWNTransition of Care for Patients With Hirschsprung Disease and Anorectal Malformations
NCT04149093Not specifiedUNKNOWNThe Association Between Calretinin and the Function of Ganglion Cells in Hirschsprung Disease
NCT04150120Not specifiedCOMPLETEDeHealth as an Aid for Facilitating and Supporting Self-management in Families With Long-term Childhood Illness
NCT04213976Not specifiedUNKNOWNOstomy in Continuity or Conventional Ileostomy: a Retrospective Multicentric Analysis
NCT04476225Not specifiedCOMPLETEDInduced Pluripotent Stem Cells for Disease Research
NCT04598841Not specifiedCOMPLETEDNutrition Support for Hirschsprung Disease
NCT04624334Not specifiedTERMINATEDNon-invasive Assessment of Colonic Motility
NCT04730128Not specifiedCOMPLETEDTranslation and Validation of a Disease-specific Questionnaire for Hirschsprung’s Disease in Danish Patients
NCT04837963Not specifiedCOMPLETEDDoes Hirschsprung Disease Increase the Risk of Febrile Urinary Tract Infection in Children
NCT04957667Not specifiedCOMPLETEDScintigraphic Defecography for Evaluation of Functional Outcome in an Adult Hirschsprung Population
NCT05038345Not specifiedTERMINATEDHirschsprung Disease Trends in the United States: Analysis of the National Inpatient Sample

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
INDOCYANINE GREEN ACID FORM43