Hypertensive disorder

disease
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Also known as blood pressure, highblood pressure, increasedhigh blood pressureHTNhypertensive diseaseincreased blood pressurepressure, high bloodvascular hypertensive disorder

Summary

Hypertensive disorder (MONDO:0005044) is a disease (an umbrella term covering 12 Mondo subtypes) with 75 cohort genes (2,084 GWAS associations across 176 studies) and 4,735 clinical trials. The dominant Reactome pathway is NCAM1 interactions (7 cohort genes). Top therapeutic interventions include losartan, amlodipine, and hydrochlorothiazide.

At a glance

  • Umbrella term: 12 Mondo subtypes
  • Cohort genes: 75
  • GWAS associations: 2,084
  • ClinVar variants: 29
  • Clinical trials: 4,735

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namehypertensive disorder
Mondo IDMONDO:0005044
EFOEFO:0000537
MeSHD006973
DOIDDOID:10763
ICD-10-CMI10-I16, I15
NCITC3117
SNOMED CT38341003
UMLSC0020538
MedGen6969
Anatomy (UBERON)UBERON:0004573
Is cancer (heuristic)no

Also known as: blood pressure, high · blood pressure, increased · high blood pressure · HTN · hypertensive disease · increased blood pressure · pressure, high blood · vascular hypertensive disorder

Data availability: 29 ClinVar variants · 2,084 GWAS associations (176 studies) · 1 HPO phenotype · 6 cell lines.

Disease family

An umbrella term covering 12 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › cardiovascular disordervascular disorderarterial disorderhypertensive disorder

Related subtypes (29): vertebral artery insufficiency, splenic artery aneurysm, basilar artery insufficiency, arteriosclerosis disorder, subclavian artery aneurysm, pulmonary artery choriocarcinoma, pulmonary artery leiomyosarcoma, coronary artery disorder, carotid artery disorder, pulmonary embolism, peripheral arterial disease, hypotensive disorder, large artery stroke, aortic disorder, cervical artery dissection, anterior spinal artery syndrome, fibromuscular dysplasia, retinal arterial tortuosity, Sneddon syndrome, celiac trunk compression syndrome, pediatric arterial ischemic stroke, absence of the pulmonary artery, arterial occlusion, aberrant subclavian artery, anterior spinal artery stroke, arteritis, pulmonary artery disease, fibromuscular dysplasia, multifocal, carotid web

Subtypes (12): essential hypertension, secondary hypertension, pulmonary hypertension, early onset hypertension, chemotherapy-induced hypertension, intracranial hypertension, malignant hypertension, ocular hypertension, kallikrein hypertension, hypertension, pregnancy-induced, resistant hypertension, hypertensive urgency

Genetics & variants

GWAS landscape

2,084 GWAS associations across 176 studies. Top hits map to 27 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs108571474e-121PRDM8 - FGF5?0.11
rs111053789e-54ATP2B1?0.09
rs14210853e-51FTO?
rs31845042e-49ATXN2, SH2B3?
rs131251015e-49PRDM8 - FGF5?
rs110990972e-48PRDM8 - FGF5?
rs78275452e-44ZFAT x ZFATG
rs110142672e-43CACNB2?0.06
rs126564975e-43NPR3 - LINC02120?
rs12759787e-43KCNK3?0.06
rs558232232e-41TRIM65A
rs39182262e-39NOS3?
chr4:811843414e-37?0.19
rs6047231e-36ARHGAP42?
rs169980736e-36PRDM8 - FGF5T1.2
rs80274506e-36FURIN?
rs8803159e-36CASZ1?0.05
rs12759881e-35RPL37P11 - KCNK3?
rs558573064e-35CLCN6?
rs1988511e-34H2BC4?
rs173675044e-34MTHFR?0.1
rs14019824e-32ATP2B1G0.94
rs791052589e-31CUX2A0.17
rs354411e-28TBX3-AS1 - UBA52P7T0.94
rs5923732e-27LSP1?
rs1674794e-27RGL3?
rs23015977e-27NMT1?
rs114511302e-26TBX3-AS1 - UBA52P7?
rs129784729e-26INSR?
rs21373201e-25LSP1A1.06

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST007610Zhu Z2019144,793313,761Genetic overlap of chronic obstructive pulmonary disease and cardiovascular disease-related traits: a large-scale genome-wide cross-trait analysis.
GCST90038604Donertas HM2021129,909354,689Common genetic associations between age-related diseases.
GCST90042688Jiang L2021128,883291,510A generalized linear mixed model association tool for biobank-scale data.
GCST90042675Jiang L202189,851307,528A generalized linear mixed model association tool for biobank-scale data.
GCST006023Surendran P201683,33073,760Trans-ancestry meta-analyses identify rare and common variants associated with blood pressure and hypertension.
GCST90042702Jiang L202175,869283,494A generalized linear mixed model association tool for biobank-scale data.
GCST007707Takeuchi F201822,56628,226Interethnic analyses of blood pressure loci in populations of East Asian and European descent.
GCST007611Zhu Z201912,55046,368Genetic overlap of chronic obstructive pulmonary disease and cardiovascular disease-related traits: a large-scale genome-wide cross-trait analysis.
GCST008036Wojcik GL201911,8635,289Genetic analyses of diverse populations improves discovery for complex traits.
GCST011141Jeong H20208,1789,558Identifying Interactions between Dietary Sodium, Potassium, Sodium-Potassium Ratios, and FGF5 rs16998073 Variants and Their Associated Risk for Hypertension in Korean Adults.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding3
Tier 2: splice/UTR0
Tier 3: regulatory0
Tier 4: intronic/intergenic47

MAF distribution

BucketVariants
common (>=0.05)46
low_freq (0.01-0.05)0
rare (<0.01)0
unknown4

Functional consequences

ConsequenceCount
intron_variant32
intergenic_variant11
missense_variant3
unknown3
intron_variant x intron_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs10857147480259918A>T0.05intergenic_variantPRDM8 - FGF54e-121Tier 4: intronic/intergenic
rs111053781289696964C>T0.05intron_variantATP2B19e-54Tier 4: intronic/intergenic
rs14210851653767042T>C0.05intron_variantFTO3e-51Tier 4: intronic/intergenic
rs318450412111446804T>A,C,G0.05missense_variantATXN2, SH2B32e-49Tier 1: coding
rs13125101480253438G>A0.05intergenic_variantPRDM8 - FGF55e-49Tier 4: intronic/intergenic
rs11099097480246155C>G,T0.05intergenic_variantPRDM8 - FGF52e-48Tier 4: intronic/intergenic
rs78275458 x 8134554324C>A,T0.05intron_variant x intron_variantZFAT x ZFAT2e-44Tier 4: intronic/intergenic
rs110142671018448045G>A,T0.05intron_variantCACNB22e-43Tier 4: intronic/intergenic
rs12656497532831833T>A,C,G0.05intergenic_variantNPR3 - LINC021205e-43Tier 4: intronic/intergenic
rs1275978226700227C>T0.05intron_variantKCNK37e-43Tier 4: intronic/intergenic
rs558232231775894282G>A,C0.14intron_variantTRIM652e-41Tier 4: intronic/intergenic
rs39182267150993088C>T0.05intron_variantNOS32e-39Tier 4: intronic/intergenic
chr4:811843414e-37Tier 4: intronic/intergenic
rs60472311100739815T>C0.05intron_variantARHGAP421e-36Tier 4: intronic/intergenic
rs16998073480263187A>C,G,T0.05intergenic_variantPRDM8 - FGF56e-36Tier 4: intronic/intergenic
rs80274501590875164C>A,T0.05intron_variantFURIN6e-36Tier 4: intronic/intergenic
rs880315110736809T>C,G0.05intron_variantCASZ19e-36Tier 4: intronic/intergenic
rs1275988226691496C>T0.05intron_variantRPL37P11 - KCNK31e-35Tier 4: intronic/intergenic
rs55857306111835738G>A,C,T0.05intron_variantCLCN64e-35Tier 4: intronic/intergenic
rs198851626104404T>A,C,G0.05intergenic_variantH2BC41e-34Tier 4: intronic/intergenic
rs17367504111802721A>G0.05intron_variantMTHFR4e-34Tier 4: intronic/intergenic
rs14019821289595822G>A,T0.05intron_variantATP2B14e-32Tier 4: intronic/intergenic
rs7910525812111280427C>A,T0.253intron_variantCUX29e-31Tier 4: intronic/intergenic
rs3544112115115310C>A,G,T0.05intron_variantTBX3-AS1 - UBA52P71e-28Tier 4: intronic/intergenic
rs592373111869760G>A,C,T0.05intron_variantLSP12e-27Tier 4: intronic/intergenic
rs1674791911416089T>A,C,G0.05missense_variantRGL34e-27Tier 1: coding
rs23015971745095905T>A,C0.05intron_variantNMT17e-27Tier 4: intronic/intergenic
rs1145113012115116281AT>A,ATT0.05intron_variantTBX3-AS1 - UBA52P72e-26Tier 4: intronic/intergenic
rs12978472197257979C>A,G,T0.05intron_variantINSR9e-26Tier 4: intronic/intergenic
rs2137320111863112G>A,C0.05intron_variantLSP11e-25Tier 4: intronic/intergenic

ClinVar germline variants

29 retrieved; paginated sample, class counts are floors:

12 pathogenic, 5 uncertain significance, 4 pathogenic/likely pathogenic, 3 conflicting classifications of pathogenicity, 3 likely pathogenic, 1 benign, 1 conflicting classifications of pathogenicity; risk factor

ClinVarVariant (HGVS)GeneClassificationReview
633592NM_033440.3(CELA2A):c.361G>A (p.Asp121Asn)CELA2APathogenicno assertion criteria provided
633594NM_033440.3(CELA2A):c.639+1G>CCELA2APathogenicno assertion criteria provided
633595NM_033440.3(CELA2A):c.209C>T (p.Thr70Met)CELA2APathogeniccriteria provided, multiple submitters, no conflicts
24455NM_033380.3(COL4A5):c.1871G>A (p.Gly624Asp)COL4A5Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
2504113NM_006587.4(CORIN):c.684dup (p.Met229fs)CORINPathogeniccriteria provided, single submitter
523249GRCh37/hg19 15q11.2(chr15:22765628-23300287)CYFIP1Pathogeniccriteria provided, single submitter
1057NM_018122.5(DARS2):c.228-21_228-20delinsCDARS2Pathogeniccriteria provided, multiple submitters, no conflicts
1062NM_018122.5(DARS2):c.492+2T>CDARS2Pathogeniccriteria provided, multiple submitters, no conflicts
1170NM_000505.4(F12):c.983C>G (p.Thr328Arg)F12Pathogeniccriteria provided, single submitter
523533NM_022489.4(INF2):c.658G>A (p.Glu220Lys)INF2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
373955NM_000297.4(PKD2):c.357_364delinsTAGGACG (p.Pro120fs)LOC129992813Pathogeniccriteria provided, single submitter
374107NM_001370259.2(MEN1):c.654+1delMEN1Pathogeniccriteria provided, single submitter
827676NM_006554.5(MTX2):c.295_296del (p.Ser98_Leu99insTer)MTX2Pathogenicno assertion criteria provided
374097NM_001009944.3(PKD1):c.8311G>A (p.Glu2771Lys)PKD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
374102NM_001009944.3(PKD1):c.3520C>T (p.Gln1174Ter)PKD1Pathogeniccriteria provided, multiple submitters, no conflicts
374187NM_001009944.3(PKD1):c.11524T>C (p.Trp3842Arg)PKD1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
633593NM_033440.3(CELA2A):c.253C>A (p.Leu85Met)CELA2ALikely pathogeniccriteria provided, multiple submitters, no conflicts
523453NM_002473.6(MYH9):c.4271A>G (p.Asp1424Gly)MYH9Likely pathogeniccriteria provided, multiple submitters, no conflicts
374044NM_001009944.3(PKD1):c.9185T>A (p.Val3062Asp)PKD1Likely pathogeniccriteria provided, single submitter
242442NM_000092.5(COL4A4):c.2320G>C (p.Gly774Arg)COL4A4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
255039NM_000092.5(COL4A4):c.4217-15T>CCOL4A4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
523324NM_000092.5(COL4A4):c.4394G>A (p.Gly1465Asp)COL4A4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
199044NM_000157.4(GBA1):c.1093G>A (p.Glu365Lys)GBA1Conflicting classifications of pathogenicity; risk factorcriteria provided, conflicting classifications
374041NM_000092.5(COL4A4):c.3055G>C (p.Glu1019Gln)COL4A4Uncertain significancecriteria provided, single submitter
2570686NM_005245.4(FAT1):c.10513A>T (p.Arg3505Trp)FAT1Uncertain significancecriteria provided, multiple submitters, no conflicts
2570687NM_005245.4(FAT1):c.11518G>A (p.Val3840Met)FAT1Uncertain significancecriteria provided, single submitter
1338787NM_173598.6(KSR2):c.2512C>T (p.Arg838Cys)KSR2Uncertain significancecriteria provided, single submitter
374128NM_016203.4(PRKAG2):c.590C>G (p.Pro197Arg)PRKAG2Uncertain significancecriteria provided, multiple submitters, no conflicts
18068NC_000001.11:g.230710048A>GAGTBenigncriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 45 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
RIT1Orphanet:648Noonan syndrome
CNNM2Orphanet:620363Primary hypomagnesemia-generalized seizures-intellectual disability-obesity syndrome
RYR2Orphanet:293888Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant
RYR2Orphanet:293899Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant
RYR2Orphanet:293910Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant
RYR2Orphanet:3286Catecholaminergic polymorphic ventricular tachycardia
SALL1Orphanet:857Townes-Brocks syndrome
ATXN2Orphanet:803Amyotrophic lateral sclerosis
ATXN2Orphanet:98756Spinocerebellar ataxia type 2
TBX3Orphanet:3138Ulnar-mammary syndrome
TBX5Orphanet:101016Romano-Ward syndrome
TBX5Orphanet:392Holt-Oram syndrome
TNNT3Orphanet:1146Distal arthrogryposis type 1
TNNT3Orphanet:1147Sheldon-Hall syndrome
UMODOrphanet:88950UMOD-related autosomal dominant tubulointerstitial kidney disease
VPS33BOrphanet:2697Arthrogryposis-renal dysfunction-cholestasis syndrome
WNT2BOrphanet:714487Congenital diarrhea-chronic gastrointestinal inflammation-ocular dysgenesis syndrome
YWHAEOrphanet:213711Endometrial stromal sarcoma
YWHAEOrphanet:21738517p13.3 microduplication syndrome
YWHAEOrphanet:261257Distal 17p13.3 microdeletion syndrome
YWHAEOrphanet:457246Clear cell sarcoma of kidney
YWHAEOrphanet:531Miller-Dieker syndrome
CACNA1DOrphanet:324321Sinoatrial node dysfunction and deafness
CACNA1DOrphanet:369929Primary hyperaldosteronism-seizures-neurological abnormalities syndrome
ABHD16AOrphanet:631085Autosomal recessive spastic paraplegia type 86
SLC44A4Orphanet:90635Rare autosomal dominant non-syndromic sensorineural deafness type DFNA
PRDM8Orphanet:324290PRDM8-related progressive myoclonus epilepsy
PRDM16Orphanet:154Familial isolated dilated cardiomyopathy
PRDM16Orphanet:16061p36 deletion syndrome
PRDM16Orphanet:54260Left ventricular noncompaction
CACNB2Orphanet:130Brugada syndrome
RNF213Orphanet:2573Moyamoya disease
CALCRLOrphanet:363999Non-immune hydrops fetalis
PLCE1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
BANK1Orphanet:536Systemic lupus erythematosus
CORINOrphanet:275555Preeclampsia
CUX2Orphanet:2382Lennox-Gastaut syndrome
CHRM3Orphanet:2970Prune belly syndrome
CCDC88COrphanet:269510Congenital non-communicating hydrocephalus
CCDC88COrphanet:423275Spinocerebellar ataxia type 40
SLC39A8Orphanet:468699SLC39A8-CDG
PHACTR1Orphanet:697160Infantile epileptic spasms syndrome
SBF2Orphanet:99956Charcot-Marie-Tooth disease type 4B2
COL4A2Orphanet:36383COL4A1/2-related familial vascular leukoencephalopathy
COL4A2Orphanet:99810Familial porencephaly

Cohort genes → proteins

75 cohort genes, 74 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only72
multi_evidence3

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
RIT1HGNC:10023ENSG00000143622Q92963GTP-binding protein Rit1gwas
CNNM2HGNC:103ENSG00000148842Q9H8M5Metal transporter CNNM2gwas
RYR2HGNC:10484ENSG00000198626Q92736Ryanodine receptor 2gwas
SALL1HGNC:10524ENSG00000103449Q9NSC2Sal-like protein 1gwas
ATXN2HGNC:10555ENSG00000204842Q99700Ataxin-2gwas
SEMA7AHGNC:10741ENSG00000138623O75326Semaphorin-7Agwas
SLC22A7HGNC:10971ENSG00000137204Q9Y694Solute carrier family 22 member 7gwas
SLC30A1HGNC:11012ENSG00000170385Q9Y6M5Proton-coupled zinc antiporter SLC30A1gwas
SLC4A7HGNC:11033ENSG00000033867Q9Y6M7Sodium bicarbonate cotransporter 3gwas
TARBP1HGNC:11568ENSG00000059588Q13395tRNA (guanosine(18)-2’-O)-methyltransferase TARBP1gwas
TBX18HGNC:11595ENSG00000112837O95935T-box transcription factor TBX18gwas
TBX2HGNC:11597ENSG00000121068Q13207T-box transcription factor TBX2gwas
TBX3HGNC:11602ENSG00000135111O15119T-box transcription factor TBX3gwas
TBX5HGNC:11604ENSG00000089225Q99593T-box transcription factor TBX5gwas
TCF21HGNC:11632ENSG00000118526O43680Transcription factor 21gwas
TMOD4HGNC:11874ENSG00000163157Q9NZQ9Tropomodulin-4gwas
TNKSHGNC:11941ENSG00000173273O95271Poly [ADP-ribose] polymerase tankyrase-1gwas
TNNT3HGNC:11950ENSG00000130595P45378Troponin T, fast skeletal musclegwas
UMODHGNC:12559ENSG00000169344P07911Uromodulingwas
VPS33BHGNC:12712ENSG00000184056Q9H267Vacuolar protein sorting-associated protein 33Bgwas
WNT2BHGNC:12781ENSG00000134245Q93097Protein Wnt-2bgwas
YES1HGNC:12841ENSG00000176105P07947Tyrosine-protein kinase Yesgwas
YWHAEHGNC:12851ENSG00000108953P6225814-3-3 protein epsilongwas
ZNF107HGNC:12887ENSG00000196247Q9UII5Zinc finger protein 107gwas
RIBC2HGNC:13241ENSG00000128408Q9H4K1RIB43A-like with coiled-coils protein 2gwas
FIGNHGNC:13285ENSG00000182263Q5HY92Fidgetingwas
MS4A6AHGNC:13375ENSG00000110077Q9H2W1Membrane-spanning 4-domains subfamily A member 6Agwas
NID2HGNC:13389ENSG00000087303Q14112Nidogen-2gwas
ZNF318HGNC:13578ENSG00000171467Q5VUA4Zinc finger protein 318gwas
CYFIP1HGNC:13759ENSG00000273749Q7L576Cytoplasmic FMR1-interacting protein 1clinvar
DMRTA1HGNC:13826ENSG00000176399Q5VZB9Doublesex- and mab-3-related transcription factor A1gwas
CACNA1DHGNC:1391ENSG00000157388Q01668Voltage-dependent L-type calcium channel subunit alpha-1Dgwas
PRRC2AHGNC:13918ENSG00000204469P48634Protein PRRC2Agwas
ABHD16AHGNC:13921ENSG00000204427O95870Phosphatidylserine lipase ABHD16Agwas
MPIG6BHGNC:13937ENSG00000204420O95866Megakaryocyte and platelet inhibitory receptor G6bgwas
SLC44A4HGNC:13941ENSG00000204385Q53GD3Choline transporter-like protein 4gwas
PRDM8HGNC:13993ENSG00000152784Q9NQV8PR domain zinc finger protein 8gwas
PRDM16HGNC:14000ENSG00000142611Q9HAZ2Histone-lysine N-methyltransferase PRDM16gwas
CACNB2HGNC:1402ENSG00000165995Q08289Voltage-dependent L-type calcium channel subunit beta-2gwas
RNF213HGNC:14539ENSG00000173821Q63HN8E3 ubiquitin-protein ligase RNF213gwas
OR4X1HGNC:14854ENSG00000176567Q8NH49Olfactory receptor 4X1gwas
CAPZA1HGNC:1488ENSG00000116489P52907F-actin-capping protein subunit alpha-1gwas
OR5B12HGNC:15432ENSG00000172362Q96R08Olfactory receptor 5B12gwas
ALDH1A2HGNC:15472ENSG00000128918O94788Retinal dehydrogenase 2gwas
ZP4HGNC:15770ENSG00000116996Q12836Zona pellucida sperm-binding protein 4gwas
ULK4HGNC:15784ENSG00000168038Q96C45Serine/threonine-protein kinase ULK4gwas
ZNF831HGNC:16167ENSG00000124203Q5JPB2Zinc finger protein 831gwas
LINC02871HGNC:16180ENSG00000125899long intergenic non-protein coding RNA 2871gwas
SOX6HGNC:16421ENSG00000110693P35712Transcription factor SOX-6gwas
SORCS2HGNC:16698ENSG00000184985Q96PQ0VPS10 domain-containing receptor SorCS2gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
RIT1GTP-binding protein Rit1Plays a crucial role in coupling NGF stimulation to the activation of both EPHB2 and MAPK14 signaling pathways and in NGF-dependent neuronal differentiation.
CNNM2Metal transporter CNNM2Divalent metal cation transporter.
RYR2Ryanodine receptor 2Cytosolic calcium-activated calcium channel that mediates the release of Ca(2+) from the sarcoplasmic reticulum into the cytosol and thereby plays a key role in triggering cardiac muscle contraction.
SALL1Sal-like protein 1Transcriptional repressor involved in organogenesis.
ATXN2Ataxin-2Involved in EGFR trafficking, acting as negative regulator of endocytic EGFR internalization at the plasma membrane.
SEMA7ASemaphorin-7APlays an important role in integrin-mediated signaling and functions both in regulating cell migration and immune responses.
SLC22A7Solute carrier family 22 member 7Functions as a Na(+)-independent bidirectional multispecific transporter.
SLC30A1Proton-coupled zinc antiporter SLC30A1Zinc ion:proton antiporter that could function at the plasma membrane mediating zinc efflux from cells against its electrochemical gradient protecting them from intracellular zinc accumulation and toxicity.
SLC4A7Sodium bicarbonate cotransporter 3Electroneutral sodium- and bicarbonate-dependent cotransporter with a Na(+):HCO3(-) 1:1 stoichiometry.
TARBP1tRNA (guanosine(18)-2’-O)-methyltransferase TARBP1S-adenosyl-L-methionine-dependent 2’-O-ribose methyltransferase that catalyzes the formation of 2’-O-methylguanosine at position 18 (Gm18) in a subset of tRNA.
TBX18T-box transcription factor TBX18Acts as a transcriptional repressor involved in developmental processes of a variety of tissues and organs, including the heart and coronary vessels, the ureter and the vertebral column.
TBX2T-box transcription factor TBX2Transcription factor which acts as a transcriptional repressor.
TBX3T-box transcription factor TBX3Transcriptional repressor involved in developmental processes.
TBX5T-box transcription factor TBX5DNA-binding protein that regulates the transcription of several genes and is involved in heart development and limb pattern formation.
TCF21Transcription factor 21Involved in epithelial-mesenchymal interactions in kidney and lung morphogenesis that include epithelial differentiation and branching morphogenesis.
TMOD4Tropomodulin-4Blocks the elongation and depolymerization of the actin filaments at the pointed end.
TNKSPoly [ADP-ribose] polymerase tankyrase-1Poly-ADP-ribosyltransferase involved in various processes such as Wnt signaling pathway, telomere length and vesicle trafficking.
TNNT3Troponin T, fast skeletal muscleTroponin T is the tropomyosin-binding subunit of troponin, the thin filament regulatory complex which confers calcium-sensitivity to striated muscle actomyosin ATPase activity.
UMODUromodulinFunctions in biogenesis and organization of the apical membrane of epithelial cells of the thick ascending limb of Henle’s loop (TALH), where it promotes formation of complex filamentous gel-like structure that may play a role in the water…
VPS33BVacuolar protein sorting-associated protein 33BMay play a role in vesicle-mediated protein trafficking to lysosomal compartments and in membrane docking/fusion reactions of late endosomes/lysosomes.
WNT2BProtein Wnt-2bLigand for members of the frizzled family of seven transmembrane receptors.
YES1Tyrosine-protein kinase YesNon-receptor protein tyrosine kinase that is involved in the regulation of cell growth and survival, apoptosis, cell-cell adhesion, cytoskeleton remodeling, and differentiation.
YWHAE14-3-3 protein epsilonAdapter protein implicated in the regulation of a large spectrum of both general and specialized signaling pathways.
ZNF107Zinc finger protein 107May be involved in transcriptional regulation.
RIBC2RIB43A-like with coiled-coils protein 2Microtubule inner protein (MIP) part of the dynein-decorated doublet microtubules (DMTs) in cilia axoneme, which is required for motile cilia beating.
FIGNFidgetinATP-dependent microtubule severing protein.
MS4A6AMembrane-spanning 4-domains subfamily A member 6AMay be involved in signal transduction as a component of a multimeric receptor complex.
NID2Nidogen-2Cell adhesion glycoprotein which is widely distributed in basement membranes.
ZNF318Zinc finger protein 318Acts as a transcriptional corepressor for AR-mediated transactivation function.
CYFIP1Cytoplasmic FMR1-interacting protein 1Component of the CYFIP1-EIF4E-FMR1 complex which binds to the mRNA cap and mediates translational repression.
CACNA1DVoltage-dependent L-type calcium channel subunit alpha-1DVoltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hormone or neurotransmitter release, gene exp…
PRRC2AProtein PRRC2AMay play a role in the regulation of pre-mRNA splicing.
ABHD16APhosphatidylserine lipase ABHD16APhosphatidylserine (PS) lipase that mediates the hydrolysis of phosphatidylserine to generate lysophosphatidylserine (LPS).
MPIG6BMegakaryocyte and platelet inhibitory receptor G6bInhibitory receptor that acts as a critical regulator of hematopoietic lineage differentiation, megakaryocyte function and platelet production.
SLC44A4Choline transporter-like protein 4Choline transporter that plays a role in the choline-acetylcholine system and is required to the efferent innervation of hair cells in the olivocochlear bundle for the maintenance of physiological function of outer hair cells and the prote…
PRDM8PR domain zinc finger protein 8Probable histone methyltransferase, preferentially acting on ‘Lys-9’ of histone H3.
PRDM16Histone-lysine N-methyltransferase PRDM16Transcription regulator that acts both as a histone methyltransferase or chromatin adapter, depending on the context.
CACNB2Voltage-dependent L-type calcium channel subunit beta-2Beta subunit of voltage-dependent calcium channels which contributes to the function of the calcium channel by increasing peak calcium current.
RNF213E3 ubiquitin-protein ligase RNF213Atypical E3 ubiquitin ligase that can catalyze ubiquitination of both proteins and lipids, and which is involved in various processes, such as lipid metabolism, angiogenesis and cell-autonomous immunity.
OR4X1Olfactory receptor 4X1Odorant receptor.
CAPZA1F-actin-capping protein subunit alpha-1F-actin-capping proteins bind in a Ca(2+)-independent manner to the fast growing ends of actin filaments (barbed end) thereby blocking the exchange of subunits at these ends.
OR5B12Olfactory receptor 5B12Odorant receptor.
ALDH1A2Retinal dehydrogenase 2Catalyzes the NAD-dependent oxidation of aldehyde substrates, such as all-trans-retinal and all-trans-13,14-dihydroretinal, to their corresponding carboxylic acids, all-trans-retinoate and all-trans-13,14-dihydroretinoate, respectively.
ZP4Zona pellucida sperm-binding protein 4Component of the zona pellucida, an extracellular matrix surrounding oocytes which mediates sperm binding, induction of the acrosome reaction and prevents post-fertilization polyspermy.
ULK4Serine/threonine-protein kinase ULK4May be involved in the remodeling of cytoskeletal components, such as alpha-tubulin, and in this way regulates neurite branching and elongation, as well as cell motility.
SOX6Transcription factor SOX-6Transcription factor that plays a key role in several developmental processes, including neurogenesis, chondrocytes differentiation and cartilage formation.
SORCS2VPS10 domain-containing receptor SorCS2The heterodimer formed by NGFR and SORCS2 functions as receptor for the precursor forms of NGF (proNGF) and BDNF (proBDNF).
CALCRLCalcitonin gene-related peptide type 1 receptorG protein-coupled receptor which specificity is determined by its interaction with receptor-activity-modifying proteins (RAMPs).
SWAP70Switch-associated protein 70Phosphatidylinositol 3,4,5-trisphosphate-dependent guanine nucleotide exchange factor (GEF) which, independently of RAS, transduces signals from tyrosine kinase receptors to RAC.
PLCE11-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1The production of the second messenger molecules diacylglycerol (DAG) and inositol 1,4,5-trisphosphate (IP3) is mediated by activated phosphatidylinositol-specific phospholipase C enzymes.

Protein-family classification

Druggable: 21 · Difficult: 23 · Unknown: 31 · Druggable fraction: 0.28

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
Transcription factor161.8×0.180
Ion channel23.0×0.400
Antibody/Immunoglobulin51.9×0.400
Scaffold/PPI71.6×0.400
Transporter22.1×0.552
GPCR41.3×0.702
Kinase31.1×0.803
Phosphatase11.1×0.817
Other/Unknown310.7×0.996
Protease10.5×0.996
Enzyme (other)30.5×0.996

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
RIT1Other/UnknownnoSmall_GTPase, Small_GTP-bd, Small_GTPase_Ras-type
CNNM2Other/UnknownnoCBS_dom, CNNM, RmlC-like_jellyroll
RYR2Ion channelyesRIH_dom, B30.2/SPRY, EF_hand_dom
SALL1Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Sal_C2H2-zinc-finger
ATXN2Other/UnknownnoLsmAD_domain, PAM2_motif, LSM_dom_sf
SEMA7AAntibody/ImmunoglobulinyesSemap_dom, Plexin_repeat, Ig-like_dom
SLC22A7TransporteryesOrgcat_transp/SVOP, MFS, MFS_dom
SLC30A1Other/UnknownnoCation_efflux, Cation_efflux_TMD_sf, Cation_efflux_CTD
SLC4A7Other/UnknownnoHCO3_transpt_euk, HCO3_transpt-like_TM_dom, Band3_cytoplasmic_dom
TARBP1Enzyme (other)yes2.1.1.34SpoU_MeTrfase, ARM-type_fold, TARBP1
TBX18Transcription factornoTF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS
TBX2Transcription factornoTF_T-box, TF_Brachyury, p53-like_TF_DNA-bd_sf
TBX3Transcription factornoTF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS
TBX5Transcription factornoTF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS
TCF21Transcription factornobHLH_dom, HLH_DNA-bd_sf, E-box_TF_Regulators
TMOD4Other/UnknownnoTMOD, LRR_dom_sf
TNKSScaffold/PPIno2.4.2.30SAM, Ankyrin_rpt, Poly(ADP-ribose)pol_cat_dom
TNNT3Other/UnknownnoTroponin, TNNT, Troponin_sf
UMODOther/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, ZP_dom
VPS33BOther/UnknownnoSec1-like, Sec1-like_dom2, Sec1-like_sf
WNT2BOther/UnknownnoWnt, Wnt2, Wnt_CS
YES1Kinaseyes2.7.10.2Prot_kinase_dom, SH2, Ser-Thr/Tyr_kinase_cat_dom
YWHAEOther/Unknownno14-3-3, 14-3-3_CS, 14-3-3_domain
ZNF107Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Zinc_finger_PRDM4/PRDM1/PRDM14
RIBC2Other/UnknownnoRIB43A
FIGNOther/UnknownnoAAA+_ATPase, ATPase_AAA_core, ATPase_AAA_CS
MS4A6AOther/UnknownnoCD20-like_TM, MS4A
NID2Other/UnknownnoLDLR_classB_rpt, EGF-type_Asp/Asn_hydroxyl_site, Thyroglobulin_1
ZNF318Transcription factornoMatrin/U1-like-C_Znf_C2H2, Znf318-like
CYFIP1Other/UnknownnoCytoplasmic_FMR1-int, CYRIA/CYRIB_Rac1-bd
DMRTA1Other/UnknownnoDM_DNA-bd, DMA, UBA-like_sf
CACNA1DIon channelyesVDCCAlpha1, VDCC_L_a1su, LVDCC_a1dsu
PRRC2AOther/UnknownnoBAT2_N, PRRC2
ABHD16AOther/UnknownnoAB_hydrolase_1, AB_hydrolase_fold, ABHD16_N
MPIG6BOther/UnknownnoG6B, G6B_V-set
SLC44A4Other/UnknownnoCholine_transptr-like
PRDM8Transcription factornoSET_dom, Znf_C2H2_type, Znf_C2H2_sf
PRDM16Transcription factorno2.1.1.367SET_dom, Znf_C2H2_type, Znf_C2H2_sf
CACNB2Scaffold/PPInoVDCC_L_bsu, SH3_domain, VDCC_L_b2su
RNF213Transcription factornoZnf_RING, AAA+_ATPase, Znf_RING/FYVE/PHD
OR4X1GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
CAPZA1Other/UnknownnoCapZ_alpha, F-actin_cap_asu_CS, CapZ_alpha/beta
OR5B12GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
ALDH1A2Enzyme (other)yes1.2.1.36Aldehyde_DH_dom, Ald_DH_CS_CYS, Ald_DH/histidinol_DH
ZP4Antibody/ImmunoglobulinyesP_trefoil_dom, ZP_dom, P_trefoil_CS
ULK4KinaseyesProt_kinase_dom, Kinase-like_dom_sf, ARM-like
ZNF831Transcription factornoZnf_C2H2_type, Znf_C2H2_sf
LINC02871Other/Unknownno
SOX6Transcription factornoHMG_box_dom, HMG_box_dom_sf, SOX/SOX-like_TF
SORCS2Antibody/ImmunoglobulinyesPKD_dom, VPS10, Ig-like_fold

Expression context

Cohort genes with no expression data: 0.

66 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)1
moderate (6-20)2
broad (>20)72
unknown0

Top tissues across cohort

TissueCohort genes
buccal mucosa cell9
oocyte6
secondary oocyte6
Brodmann (1909) area 236
ventricular zone5
colonic epithelium5
middle temporal gyrus5
cortical plate5
granulocyte5
monocyte4
calcaneal tendon4
right uterine tube4
right lung4
lymph node4
left testis4
right testis4
male germ line stem cell (sensu Vertebrata) in testis4
leukocyte3
mononuclear cell3
spleen3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
RIT1268ubiquitousmarkermonocyte, mononuclear cell, leukocyte
CNNM2234ubiquitousmarkersecondary oocyte, oocyte, right adrenal gland
RYR2210broadmarkerheart right ventricle, left ventricle myocardium, myocardium
SALL1195broadmarkerventricular zone, inferior vagus X ganglion, renal medulla
ATXN2286ubiquitousmarkerbuccal mucosa cell, colonic epithelium, olfactory bulb
SEMA7A136ubiquitousyesspleen, C1 segment of cervical spinal cord, primary visual cortex
SLC22A7170tissue_specificyesright lobe of liver, liver, adult mammalian kidney
SLC30A1287ubiquitousmarkerjejunal mucosa, choroid plexus epithelium, caput epididymis
SLC4A7284ubiquitousmarkeroocyte, duodenum, calcaneal tendon
TARBP1290ubiquitousmarkerright hemisphere of cerebellum, right uterine tube, cerebellar hemisphere
TBX18162ubiquitousmarkerright coronary artery, popliteal artery, tibial artery
TBX2236ubiquitousmarkerright lung, right coronary artery, upper lobe of left lung
TBX3243ubiquitousmarkerright adrenal gland cortex, right adrenal gland, adrenal cortex
TBX5129broadmarkertendon of biceps brachii, cardiac muscle of right atrium, buccal mucosa cell
TCF21175broadmarkerprimordial germ cell in gonad, right lung, upper lobe of left lung
TMOD4176tissue_specificyesvastus lateralis, quadriceps femoris, skeletal muscle tissue of rectus abdominis
TNKS295ubiquitousyesmiddle temporal gyrus, medial globus pallidus, Brodmann (1909) area 23
TNNT3135broadmarkerhindlimb stylopod muscle, skeletal muscle tissue, gastrocnemius
UMOD104tissue_specificmarkerrenal medulla, adult organism, adult mammalian kidney
VPS33B277ubiquitousyespancreatic ductal cell, Brodmann (1909) area 23, middle temporal gyrus
WNT2B231broadmarkergerminal epithelium of ovary, buccal mucosa cell, parietal pleura
YES1295ubiquitousmarkersecondary oocyte, oocyte, jejunal mucosa
YWHAE155ubiquitousmarkersuperior frontal gyrus, ventricular zone, cortical plate
ZNF107253ubiquitousmarkersecondary oocyte, oocyte, lymph node
RIBC2175broadmarkerbronchial epithelial cell, epithelium of bronchus, right uterine tube
FIGN225ubiquitousmarkerbuccal mucosa cell, dorsal root ganglion, endothelial cell
MS4A6A259broadmarkermonocyte, mononuclear cell, leukocyte
NID2236ubiquitousmarkercartilage tissue, stromal cell of endometrium, tibia
ZNF318274ubiquitousmarkerleft testis, right testis, testis
CYFIP1295ubiquitousmarkeresophagus squamous epithelium, germinal epithelium of ovary, epithelium of esophagus

Protein interactions among cohort

Intra-cohort edges: 21.

Hub genes (top 10 by interactor count)

SymbolInteractor count
CDH174,513
ALDH1A24,289
YES13,542
ATXN23,360
RIT13,298
YWHAE3,177
CAPZA13,048
TNKS2,828
COL4A22,746
ZNF3182,705

Intra-cohort edges

ABSources
ABHD16APRRC2Astring_interaction
ALDH1A2TBX18string_interaction
ALDH1A2TCF21string_interaction
ATXN2CUX2string_interaction
CACNA1DCACNB2string_interaction
CACNA1DLRRC7string_interaction
CACNA1DRYR2string_interaction
CAPZA1TMOD4string_interaction
CHRM3SLC4A7biogrid_interaction
COL4A2NID2string_interaction
CYFIP1PRDM16biogrid_interaction
KSR2RIT1string_interaction
KSR2YWHAEbiogrid_interaction
PRDM16PRDM8string_interaction
PRDM16SOX6biogrid_interaction, intact
SALL1TBX5string_interaction
SEMA7ASLC12A9biogrid_interaction, intact
SLC30A1SLC39A8string_interaction
TBX18TCF21string_interaction
TBX3TBX5string_interaction
TBX5YES1string_interaction

Structural data

PDB: 40 · AlphaFold-only: 34 · No structure: 1

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
TNKSO9527142
RYR2Q9273626
CALCRLQ1660225
SLC30A1Q9Y6M512
YWHAEP6225811
UMODP0791110
CAPZA1P5290710
KSR2Q6VAB69
CNNM2Q9H8M57
ALDH1A2O947887
CACNA1DQ016686
PHACTR1Q9C0D06
CYFIP1Q7L5765
CHRM3P203095
TBX5Q995934
RNF213Q63HN84
NCR3O149314
COL4A2P085724
RIT1Q929633
CACNB2Q082893
PLCE1Q9P2123
CDH17Q128643
MTCH2Q9Y6C93
CUX2O145293
RIBC2Q9H4K12
PRDM16Q9HAZ22
ULK4Q96C452
LRRC7Q96NW72
ATXN2Q997001
SEMA7AO753261

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
VPS33BQ9H26791.82
ABHD16AO9587089.90
OR5B12Q96R0889.47
OR4X1Q8NH4988.10
WNT2BQ9309786.85
TMOD4Q9NZQ986.28
SLC22A7Q9Y69484.93
SLC44A4Q53GD383.79
SLC12A9Q9BXP282.25
FSTL4Q6MZW281.18
TNNT3P4537877.99
NBEAL1Q6ZS3075.20
ZP4Q1283674.90
CRIP3Q6Q6R574.81
NID2Q1411274.40
ZNF107Q9UII574.23
MS4A6AQ9H2W173.84
SBF2Q86WG573.74
SLC39A8Q9C0K173.46
CORINQ9Y5Q570.20
MBIPQ9NS7368.83
TCF21O4368066.67
CCDC88CQ9P21965.69
FIGNQ5HY9262.06
BANK1Q8NDB261.25
TBX18O9593561.09
TBX2Q1320758.13
DMRTA1Q5VZB957.14
SOX6P3571256.48
PRDM8Q9NQV855.64

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 646. Enrichment computed across 206 evidence-associated genes (133 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 133 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
NCAM1 interactions713.1×6e-04CACNA1D, CACNB2, COL4A2, COL4A4, COL4A5, COL6A3, COL6A5
Glucocorticoid biosynthesis426.4×0.003CYP11B1, CYP11B2, CYP17A1, CYP21A2
Signaling by PDGF611.4×0.003COL4A2, COL4A4, COL4A5, COL6A3, COL6A5, FURIN
Sensory processing of sound511.6×0.010CACNA1D, CACNB2, CAPZA1, MYH9, ATP2B1
Collagen degradation67.9×0.014COL4A2, COL4A4, COL4A5, COL6A3, COL6A5, FURIN
Collagen chain trimerization59.8×0.016COL4A2, COL4A4, COL4A5, COL6A3, COL6A5
Muscle contraction84.6×0.030RYR2, TBX5, CACNB2, ALDH2, KCNK3, KCNK5, MYL2, ATP2B1
Laminin interactions411.4×0.031NID2, COL4A2, COL4A4, COL4A5
Assembly of collagen fibrils and other multimeric structures57.5×0.037COL4A2, COL4A4, COL4A5, COL6A3, COL6A5
Anchoring fibril formation317.2×0.041COL4A2, COL4A4, COL4A5
Fibronectin matrix formation312.9×0.061COL4A2, COL4A4, COL4A5
Crosslinking of collagen fibrils312.9×0.061COL4A2, COL4A4, COL4A5
Signaling by ALK in cancer48.2×0.061RNF213, MCL1, MOV10, MYH9
Collagen biosynthesis and modifying enzymes56.4×0.061COL4A2, COL4A4, COL4A5, COL6A3, COL6A5
Sensory processing of sound by inner hair cells of the cochlea56.1×0.061CACNA1D, CACNB2, CAPZA1, MYH9, ATP2B1
Cardiac conduction64.9×0.061RYR2, TBX5, CACNB2, KCNK3, KCNK5, ATP2B1
ECM proteoglycans55.7×0.072COL4A2, COL4A4, COL4A5, COL6A3, COL6A5
Attachment of bacteria to epithelial cells311.2×0.083COL4A2, COL4A4, COL4A5
Phase I - Functionalization of compounds46.6×0.100ADH7, CYP11B1, CYP11B2, ALDH2
Integrin cell surface interactions55.0×0.100COL4A2, COL4A4, COL4A5, COL6A3, COL6A5
Mineralocorticoid biosynthesis221.5×0.108CYP11B2, CYP21A2
Synthesis of IP3 and IP4 in the cytosol39.5×0.108PLCE1, PLCB2, PLCD3
Endogenous sterols38.9×0.127CYP11B1, CYP11B2, CYP21A2
Acetylcholine regulates insulin secretion217.2×0.147CHRM3, PLCB2
CD163 mediating an anti-inflammatory response217.2×0.147MYH9, FURIN
Integration of energy metabolism45.3×0.171CACNA1D, CACNB2, CHRM3, PRKAG2
Ethanol oxidation214.3×0.197ADH7, ALDH2
Striated Muscle Contraction37.0×0.200TMOD4, TNNT3, MYL2
NR1H3 & NR1H2 regulate gene expression linked to cholesterol transport and efflux37.0×0.200KDM4A, MOV10, NR1H3
Metabolic disorders of biological oxidation enzymes213.2×0.208CYP11B1, CYP11B2

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 182 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
cortisol biosynthetic process446.3×0.001CYP11B1, CYP11B2, CYP17A1, CYP21A2
glucocorticoid biosynthetic process433.7×0.003CYP11B1, CYP11B2, CYP17A1, CYP21A2
angiogenesis134.5×0.004RNF213, CALCRL, COL4A2, ENPEP, EPHB3, HOXA3, HOXB3, CXCL8 (+5 more)
regulation of blood pressure78.5×0.007UMOD, CORIN, CYP11B1, AGT, GUCY1A1, NPR3, ATP2B1
smooth muscle cell differentiation419.5×0.013TBX18, TBX2, TBX3, NPNT
ureteric peristalsis292.6×0.029TBX2, TBX3
atrioventricular bundle cell differentiation261.7×0.037TBX3, TBX5
specification of animal organ position261.7×0.037TBX3, HOXA3
mammary placode formation261.7×0.037TBX2, TBX3
regulation of ribonuclease activity261.7×0.037OAS3, PDE3A
cardiac jelly development261.7×0.037TBX2, TBX3
nitric oxide-cGMP-mediated signaling325.2×0.037AGT, GUCY1A1, GUCY1B1
glomerulus development321.4×0.037TCF21, PLCE1, ENPEP
negative regulation of cytosolic calcium ion concentration321.4×0.037KCNK3, ATP2B1, OPRM1
cell fate specification411.6×0.037TBX18, TBX2, TBX3, TBX5
adherens junction organization411.2×0.039CDH13, CDH17, CSK, NUMB
embryonic forelimb morphogenesis410.9×0.039TBX3, TBX5, ALDH1A2, HOXA9
positive regulation of MAPK cascade94.0×0.039BANK1, KSR2, LPAR1, EDN3, FGF5, GRM5, IGFBP3, INSR (+1 more)
calcium ion transport66.0×0.040RYR2, CACNA1D, CACNB2, CALCRL, HOXA3, PKD1
mineralocorticoid biosynthetic process246.3×0.041CYP11B2, CYP21A2
glossopharyngeal nerve morphogenesis246.3×0.041HOXA3, HOXB3
regulation of renal sodium excretion246.3×0.041CORIN, AGT
response to oxygen levels246.3×0.041GUCY1A1, GUCY1B1
metanephric ascending thin limb development246.3×0.041UMOD, PKD1
atrioventricular canal morphogenesis246.3×0.041TBX2, TBX3
embryonic digestive tract development316.3×0.043SALL1, ALDH1A2, CXCL8
positive regulation of smooth muscle contraction315.4×0.050CHRM3, NPNT, EDN3
aldosterone biosynthetic process237.0×0.054CYP11B1, CYP11B2
cadmium ion transmembrane transport237.0×0.054SLC30A1, SLC39A8
positive regulation of the force of heart contraction237.0×0.054RYR2, MYL2

Therapeutics

Drugs indicated for this disease

60 approved, 77 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
AmbrisentanApproved (phase 4)
AprocitentanApproved (phase 4)
AtenololApproved (phase 4)
BendroflumethiazideApproved (phase 4)
BethanidineApproved (phase 4)
BosentanApproved (phase 4)
Candesartan CilexetilApproved (phase 4)
CaptoprilApproved (phase 4)
CarvedilolApproved (phase 4)
ChlorothiazideApproved (phase 4)
ChlorthalidoneApproved (phase 4)
ClonidineApproved (phase 4)
DebrisoquinApproved (phase 4)
DeserpidineApproved (phase 4)
DiazoxideApproved (phase 4)
DoxazosinApproved (phase 4)
EplerenoneApproved (phase 4)
FelodipineApproved (phase 4)
FurosemideApproved (phase 4)
GuanethidineApproved (phase 4)
GuanfacineApproved (phase 4)
HydralazineApproved (phase 4)
HydrochlorothiazideApproved (phase 4)
IndapamideApproved (phase 4)
IndoraminApproved (phase 4)
IrbesartanApproved (phase 4)
IsradipineApproved (phase 4)
KetanserinApproved (phase 4)
LatanoprostApproved (phase 4)
MacitentanApproved (phase 4)
MecamylamineApproved (phase 4)
MethyldopaApproved (phase 4)
MetolazoneApproved (phase 4)
MetyrosineApproved (phase 4)
MinoxidilApproved (phase 4)
MoxonidineApproved (phase 4)
NadololApproved (phase 4)
NifedipineApproved (phase 4)
NisoldipineApproved (phase 4)
NitroglycerinApproved (phase 4)
NitroprussideApproved (phase 4)
Olmesartan MedoxomilApproved (phase 4)
PargylineApproved (phase 4)
PrazosinApproved (phase 4)
RamiprilApproved (phase 4)
Rauwolfia SerpentinaApproved (phase 4)
RescinnamineApproved (phase 4)
ReserpineApproved (phase 4)
RilmenidineApproved (phase 4)
RiociguatApproved (phase 4)
SitaxentanApproved (phase 4)
SotaterceptApproved (phase 4)
SpironolactoneApproved (phase 4)
TelmisartanApproved (phase 4)
TorsemideApproved (phase 4)
TrandolaprilApproved (phase 4)
TriamtereneApproved (phase 4)
TrimethaphanApproved (phase 4)
ValsartanApproved (phase 4)
Veratrum Viride RootApproved (phase 4)
AcarbosePhase 3 (in late-stage trials)
AlcoholPhase 3 (in late-stage trials)
AliskirenPhase 3 (in late-stage trials)
AllopurinolPhase 3 (in late-stage trials)
AmiloridePhase 3 (in late-stage trials)
AmlodipinePhase 3 (in late-stage trials)
AngiotensinPhase 3 (in late-stage trials)
Angiotensin IiPhase 3 (in late-stage trials)
AspirinPhase 3 (in late-stage trials)
AtorvastatinPhase 3 (in late-stage trials)
AzilsartanPhase 3 (in late-stage trials)
Azilsartan MedoxomilPhase 3 (in late-stage trials)
BenazeprilPhase 3 (in late-stage trials)
BisoprololPhase 3 (in late-stage trials)
CandesartanPhase 3 (in late-stage trials)
CelecoxibPhase 3 (in late-stage trials)
CilexetilPhase 3 (in late-stage trials)
CilnidipinePhase 3 (in late-stage trials)
ClevidipinePhase 3 (in late-stage trials)
DarusentanPhase 3 (in late-stage trials)
DelaprilPhase 3 (in late-stage trials)
DexmedetomidinePhase 3 (in late-stage trials)
DihydralazinePhase 3 (in late-stage trials)
DiltiazemPhase 3 (in late-stage trials)
EnalaprilPhase 3 (in late-stage trials)
Estrogens, ConjugatedPhase 3 (in late-stage trials)
EtomidatePhase 3 (in late-stage trials)
EzetimibePhase 3 (in late-stage trials)
FenofibratePhase 3 (in late-stage trials)
FimasartanPhase 3 (in late-stage trials)
FiribastatPhase 3 (in late-stage trials)
Folic AcidPhase 3 (in late-stage trials)
FospropofolPhase 3 (in late-stage trials)
Ginseng, AmericanPhase 3 (in late-stage trials)
GlimepiridePhase 3 (in late-stage trials)
Insulin AspartPhase 3 (in late-stage trials)
Insulin DetemirPhase 3 (in late-stage trials)
Insulin GlarginePhase 3 (in late-stage trials)
Insulin HumanPhase 3 (in late-stage trials)
Insulin Susp Isophane Recombinant HumanPhase 3 (in late-stage trials)
Insulin Susp Isophane Semisynthetic Purified HumanPhase 3 (in late-stage trials)
LabetalolPhase 3 (in late-stage trials)
LacidipinePhase 3 (in late-stage trials)
LercanidipinePhase 3 (in late-stage trials)
LevamlodipinePhase 3 (in late-stage trials)
Lisinopril AnhydrousPhase 3 (in late-stage trials)
LosartanPhase 3 (in late-stage trials)
MANIDIPINE 6300Phase 3 (in late-stage trials)
Medroxyprogesterone AcetatePhase 3 (in late-stage trials)
MetforminPhase 3 (in late-stage trials)
MetoprololPhase 3 (in late-stage trials)
MidazolamPhase 3 (in late-stage trials)
MinocyclinePhase 3 (in late-stage trials)
NebivololPhase 3 (in late-stage trials)
NicardipinePhase 3 (in late-stage trials)
NitrendipinePhase 3 (in late-stage trials)
OMEGA-3-ACID ETHYL ESTERSPhase 3 (in late-stage trials)
OlmesartanPhase 3 (in late-stage trials)
PerindoprilPhase 3 (in late-stage trials)
PioglitazonePhase 3 (in late-stage trials)
Potassium ChloridePhase 3 (in late-stage trials)
PravastatinPhase 3 (in late-stage trials)
ProgesteronePhase 3 (in late-stage trials)
PropofolPhase 3 (in late-stage trials)
RepaglinidePhase 3 (in late-stage trials)
RosiglitazonePhase 3 (in late-stage trials)
RosuvastatinPhase 3 (in late-stage trials)
SacubitrilPhase 3 (in late-stage trials)
SildenafilPhase 3 (in late-stage trials)
SimvastatinPhase 3 (in late-stage trials)
SpermidinePhase 3 (in late-stage trials)
TamoxifenPhase 3 (in late-stage trials)
TaurinePhase 3 (in late-stage trials)
TerazosinPhase 3 (in late-stage trials)
TopiramatePhase 3 (in late-stage trials)
UrapidilPhase 3 (in late-stage trials)
XL550Phase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Abatacept, Acebutolol, Acetaminophen, Baxdrostat, Calcitriol, Colchicine, Febuxostat, Fosinopril, Glycine, Ibuprofen, Isosorbide, Isosorbide Mononitrate, Magnesium Citrate, Melatonin, Menthol, Microcrystalline Cellulose, Osilodrostat, Propranolol, Sirolimus, Sitokiren, Sparsentan, Starch, Tadalafil.

Drug target analysis

Approved (phase 4): 7 · Phase ≥3: 7 · Phased (≥1): 8 · Undrugged: 67

Druggability breadth: 82 of 206 evidence-associated genes (40%) 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
TNKSNIRAPARIB
YES1PONATINIB
CACNA1DBEPRIDIL
ABHD16AORLISTAT
CACNB2NIMODIPINE
CALCRLPRAMLINTIDE
CHRM3CARBACHOL

Top cohort targets by molecule count

SymbolMoleculesMax phase
CHRM32074
YES1664
CACNA1D484
CALCRL124
TNKS94
CACNB224
RYR212
ABHD16A14
RIT100
CNNM200

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
NIRAPARIB4TNKS
RUCAPARIB4TNKS
TALAZOPARIB4TNKS
OLAPARIB4TNKS
PONATINIB4YES1
FEDRATINIB4CHRM3, YES1
AXITINIB4YES1
DASATINIB ANHYDROUS4YES1
NERATINIB4YES1
INFIGRATINIB PHOSPHATE4YES1
INFIGRATINIB4YES1
IBRUTINIB4YES1
DABRAFENIB4YES1
VANDETANIB4CHRM3, YES1
NILOTINIB4CACNA1D, YES1
BOSUTINIB4YES1
GILTERITINIB4YES1
BRIGATINIB4YES1
PAZOPANIB4YES1
NINTEDANIB4YES1
SUNITINIB4CACNA1D, CHRM3, YES1
DASATINIB4CACNA1D, YES1
ERLOTINIB4YES1
QUIZARTINIB4YES1
CRIZOTINIB4YES1
MIDOSTAURIN4YES1
BEPRIDIL4CACNA1D, CHRM3
IMIPRAMINE4CACNA1D, CHRM3
HALOFANTRINE4CACNA1D
DROPERIDOL4CACNA1D

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 7.

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

SymbolAssaysType breakdown
CHRM31,026Binding:764, Functional:244, ADMET:17, Unclassified:1
YES1514Binding:509, ADMET:3, Functional:2
CACNA1D233Binding:145, Functional:81, Toxicity:5, ADMET:2
TNKS226Binding:223, Functional:3
CALCRL196Binding:131, Functional:65
ALDH1A232Binding:32
KSR228Binding:28
SLC22A724Functional:18, ADMET:5, Binding:1
CACNB222Binding:20, ADMET:1, Toxicity:1
RYR215Binding:15
ABHD16A13Binding:13
CAPZA18Binding:8
CYFIP17Binding:7
ATXN25Binding:3, Functional:2
YWHAE4Binding:4
MTCH23Binding:3
TARBP12Binding:2
PRDM162Binding:2
SLC4A71Binding:1
TBX51Binding:1
PRRC2A1Binding:1
PRDM81Binding:1
RNF2131Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TARBP12.1.1.34tRNA (guanosine18-2’-O)-methyltransferase
TNKS2.4.2.30NAD+ ADP-ribosyltransferase
YES12.7.10.2non-specific protein-tyrosine kinase
PRDM162.1.1.367, 2.1.1.370[histone H3]-lysine9 N-methyltransferase, [histone H3]-lysine4 N-dimethyltransferase
ALDH1A21.2.1.36retinal dehydrogenase
PLCE13.1.4.11phosphoinositide phospholipase C
KSR22.7.11.25mitogen-activated protein kinase kinase kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
TNKS226
YES1514
CACNA1D233
CALCRL196
CHRM31,026

Pharmacogenomics

Cohort genes with a PharmGKB record: 74; with CPIC/DPWG dosing guidelines: 0.

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

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)
NIRAPARIB4TNKS
RUCAPARIB4TNKS
TALAZOPARIB4TNKS
OLAPARIB4TNKS
PONATINIB4YES1
FEDRATINIB4CHRM3, YES1
AXITINIB4YES1
DASATINIB ANHYDROUS4YES1
NERATINIB4YES1
INFIGRATINIB PHOSPHATE4YES1
INFIGRATINIB4YES1
IBRUTINIB4YES1
DABRAFENIB4YES1
VANDETANIB4CHRM3, YES1
NILOTINIB4CACNA1D, YES1
BOSUTINIB4YES1
GILTERITINIB4YES1
BRIGATINIB4YES1
PAZOPANIB4YES1
NINTEDANIB4YES1
SUNITINIB4CACNA1D, CHRM3, YES1
DASATINIB4CACNA1D, YES1
ERLOTINIB4YES1
QUIZARTINIB4YES1
CRIZOTINIB4YES1
MIDOSTAURIN4YES1
BEPRIDIL4CACNA1D, CHRM3
IMIPRAMINE4CACNA1D, CHRM3
HALOFANTRINE4CACNA1D
DROPERIDOL4CACNA1D

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)7TNKS, YES1, CACNA1D, ABHD16A, CACNB2, CALCRL, CHRM3
BPhased (≥1) drug, not yet approved1RYR2
CDruggable family + PDB, no drug8SEMA7A, TARBP1, ALDH1A2, ULK4, SORCS2, PLCE1, KSR2, NCR3
DDruggable family + AlphaFold only, no drug8SLC22A7, OR4X1, OR5B12, ZP4, CORIN, SLC39A8, SBF2, FSTL4
EDifficult family or no structure, no drug51RIT1, CNNM2, SALL1, ATXN2, SLC30A1, SLC4A7, TBX18, TBX2, TBX3, TBX5 (+41 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
PRRC2A1ABHD16A
LRRC70CACNA1D
RIT10
CNNM20
SALL10
ATXN25
SEMA7A0
SLC22A724
SLC30A10
SLC4A71
TARBP12
TBX180
TBX20
TBX30
TBX51
TCF210
TMOD40
TNNT30
UMOD0
VPS33B0
WNT2B0
YWHAE4
ZNF1070
RIBC20
FIGN0
MS4A6A0
NID20
ZNF3180
CYFIP17
DMRTA10

Clinical trials & evidence

Clinical trials

Clinical trials: 4,735.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE4590
PHASE3461
PHASE2/PHASE336
PHASE213

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03713515PHASE4RECRUITINGBridging the Evidence-to-practice Gap
NCT04111419PHASE4ACTIVE_NOT_RECRUITINGIntensive Management of Blood Pressure and Cholesterol in Elderly Chinese With Hypertension and Atrial Fibrillation
NCT04715568PHASE4RECRUITINGSecondhand Tobacco Smoke and Cardiovascular Disease
NCT04840342PHASE4ACTIVE_NOT_RECRUITINGMR Antagonist and LSD1
NCT04974138PHASE4RECRUITINGChina Stroke Primary Prevention Trial 2 for Participants With H-type Hypertension and MTHFR 677 CC/CT Genotype (CSPPT2-CC/CT)
NCT04974151PHASE4RECRUITINGChina Stroke Primary Prevention Trial 2 for Participants With Hypertension and MTHFR 677 TT Genotype
NCT05030545PHASE4RECRUITINGCardiovascular Manifestations of MR Activation in Primary Aldosteronism: Pilot Clinical Study
NCT05089448PHASE4RECRUITINGMorning Versus Bedtime Dosing of Antihypertensive Medication
NCT05416840PHASE4NOT_YET_RECRUITINGEffects and Safety of Clonidine Patch on Young and Middle-aged Smokers With Mild Hypertension
NCT05421767PHASE4RECRUITINGRenal Nerve Stimulation in Uncontrolled Hypertensive Patients Undergoing Renal Denervation
NCT05593055PHASE4RECRUITINGMineralocorticoid Receptor, Coronary Microvascular Function, and Cardiac Efficiency in Hypertension
NCT05688579PHASE4ENROLLING_BY_INVITATIONEffect of MRA on Cardiovascular Disease in Patients With Hypertension and Hyperaldosteronemia
NCT05749874PHASE4ACTIVE_NOT_RECRUITINGEffects of Berberine on Preventing Cardiovascular Disease and Diabetes Mellitus
NCT06055452PHASE4RECRUITINGEffects of SGLT2 Inhibitors in Pre-heart Failure Populations With Hypertension
NCT06063772PHASE4NOT_YET_RECRUITINGEffect of Treatment of Pre-induction Hypertension on Hemodynamic Stability During Induction of General Anesthesia
NCT06132477PHASE4RECRUITINGImpact GLP-1 Agonists Following Bariatric
NCT06256991PHASE4RECRUITINGPotassium Correction for RAAS Optimization in Chronic Kidney Disease
NCT06281665PHASE4RECRUITINGTreatment With Aspirin After Preeclampsia: TAP Trial
NCT06431477PHASE4RECRUITINGEfficacy and Safety of Telmisartan Compared With Losartan
NCT06523465PHASE4RECRUITINGStatin Combined with Amlodipine Treats Primary Aldosteronism
NCT06676553PHASE4RECRUITINGINtraprocedural Feedback-Optimized Renal Denervation Based on Measurements Obtained Through Renal Artery Stimulation: a Randomized Controlled Trial (INFORM)
NCT06760078PHASE4NOT_YET_RECRUITINGTranexamic Acid with Intensive Blood Pressure Management in Ultra-Early Intracerebral Hemorrhage
NCT06834230PHASE4RECRUITINGEffect of Dotinurad in Hyperuricemia With Hypertension
NCT06845345PHASE4ENROLLING_BY_INVITATIONEffect of an Early Time Restricted Eating Mediterranean Diet Compared to Naltrexone/Bupropion on Liver Fibrosis in People With Cardiometabolic Risk Factors in a Hospital Outpatient Clinic (MEDFAST-study)
NCT07018557PHASE4RECRUITINGImpact of Eszopiclone on Blood Pressure in Patients With Insomnia and Hypertension (PRYSMA-HTN)
NCT07240909PHASE4NOT_YET_RECRUITINGAntihypertensive Drug Selection Based on Hemodynamic Phenotypes
NCT07241338PHASE4NOT_YET_RECRUITINGSacubitril/Allisartan for Hypertensive Patients With Overweight or Obesity
NCT07247162PHASE4NOT_YET_RECRUITINGOsilodrostat in Patients With Hypertension Caused by Hypercortisolaemia Due to Cushing’s Syndrome
NCT07271420PHASE4RECRUITINGBlood Pressure Control With Thiazide Diuretics in Peritoneal Dialysis Patients
NCT07293728PHASE4NOT_YET_RECRUITINGA Randomized Feasibility Trial Comparing Drospirenone and Norethindrone for Postpartum Hypertension Management in Preeclampsia
NCT07607275PHASE4NOT_YET_RECRUITINGEffect of the Traditional Chinese Medicine Yufeng Ningxin in Patients With Hypertension
NCT00000521PHASE4COMPLETEDSodium-Potassium Blood Pressure Trial in Children
NCT00018759PHASE4COMPLETEDTreatment Effects on Platelet Calcium in Hypertensive and Depressed Patients
NCT00034840PHASE4COMPLETEDTelmisartan vs. Valsartan in Patients With Mild to Moderate Hypertension Following a Missed Dose
NCT00044265PHASE4COMPLETEDTreatment of Pediatric Hypertension With Altace Trial
NCT00060918PHASE4COMPLETEDGlycemic Control Of Carvedilol Versus Metoprolol In Patients With Type II Diabetes Mellitus And Hypertension
NCT00060931PHASE4COMPLETEDEffect Of Carvedilol Versus Metoprolol On Glycemic Control In Patients With Type II Diabetes And Hypertension
NCT00110422PHASE4COMPLETEDIrbesartan in the Treatment of Hypertensive Patients With Metabolic Syndrome
NCT00115726PHASE4COMPLETEDTrial Assessing the Effect of Preoperative Furosemide on Intraoperative Blood Pressure
NCT00120380PHASE4TERMINATEDCombination Therapy of Bosentan and Aerosolized Iloprost in Idiopathic Pulmonary Arterial Hypertension (IPAH)

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
LOSARTAN485
AMLODIPINE481
HYDROCHLOROTHIAZIDE469
TELMISARTAN469
ALISKIREN465
VALSARTAN460
METOPROLOL454
ENALAPRIL448
NEBIVOLOL441
OLMESARTAN MEDOXOMIL434
BISOPROLOL433
IRBESARTAN432
PERINDOPRIL428
RAMIPRIL427
DOXAZOSIN424
LISINOPRIL ANHYDROUS424
CHLORTHALIDONE423
ATENOLOL422
AZILSARTAN MEDOXOMIL422
BENAZEPRIL415
CANDESARTAN CILEXETIL415
CLEVIDIPINE413
EPLERENONE412
NIFEDIPINE411
CARVEDILOL49
TRANDOLAPRIL48
SPIRONOLACTONE47
ATORVASTATIN46
INDAPAMIDE46
ALCOHOL45