Kallmann syndrome

disease
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Also known as congenital hypogonadotropic hypogonadism with anosmiahypogonadotropic hypogonadism with anosmiaOlfacto-genital pathological sequence

Summary

Kallmann syndrome (MONDO:0018800) is a disease (an umbrella term covering 18 Mondo subtypes) caused by TCF12 (GenCC Strong), with 28 cohort genes and 17 clinical trials. The dominant Reactome pathway is FGFR1c ligand binding and activation (4 cohort genes). Top therapeutic interventions include gonadorelin acetate, gonadotropin, chorionic, and anastrozole.

At a glance

  • Prevalence: 1-9 / 100 000 (Europe) [Orphanet-validated]
  • Causal gene: TCF12 (GenCC Strong)
  • Umbrella term: 18 Mondo subtypes
  • Cohort genes: 28
  • ClinVar variants: 9
  • Phenotypes (HPO): 44
  • Clinical trials: 17

Clinical features

Epidemiology

Prevalence records

4 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Point prevalence1-9 / 100 0003.75EuropeValidated
Annual incidence1-9 / 100 0005FranceValidated
Annual incidence1-9 / 100 0002.1FinlandValidated
Annual incidence1-9 / 1 000 0000.6Specific populationValidated

Signs & symptoms

Clinical features (HPO)

44 HPO clinical features (Orphanet curated; top 44 by frequency):

HPO IDTermFrequency
HP:0000044Hypogonadotropic hypogonadismVery frequent (80-99%)
HP:0000054MicropenisVery frequent (80-99%)
HP:0000144Decreased fertilityVery frequent (80-99%)
HP:0000458AnosmiaVery frequent (80-99%)
HP:0000823Delayed pubertyVery frequent (80-99%)
HP:0000830Anterior hypopituitarismVery frequent (80-99%)
HP:0003164Hypothalamic gonadotropin-releasing hormone (GNRH) deficiencyVery frequent (80-99%)
HP:0004409HyposmiaVery frequent (80-99%)
HP:0008734Decreased testicular sizeVery frequent (80-99%)
HP:0008736Hypoplasia of penisVery frequent (80-99%)
HP:0100639Erectile dysfunctionVery frequent (80-99%)
HP:0000028CryptorchidismFrequent (30-79%)
HP:0001608Abnormality of the voiceFrequent (30-79%)
HP:0003187Breast hypoplasiaFrequent (30-79%)
HP:0004349Reduced bone mineral densityFrequent (30-79%)
HP:0000008Abnormal morphology of female internal genitaliaOccasional (5-29%)
HP:0000104Renal agenesisOccasional (5-29%)
HP:0000175Cleft palateOccasional (5-29%)
HP:0000407Sensorineural hearing impairmentOccasional (5-29%)
HP:0000505Visual impairmentOccasional (5-29%)
HP:0000508PtosisOccasional (5-29%)
HP:0000551Color vision defectOccasional (5-29%)
HP:0000639NystagmusOccasional (5-29%)
HP:0000771GynecomastiaOccasional (5-29%)
HP:0000786Primary amenorrheaOccasional (5-29%)
HP:0001250SeizureOccasional (5-29%)
HP:0001251AtaxiaOccasional (5-29%)
HP:0001252HypotoniaOccasional (5-29%)
HP:0001260DysarthriaOccasional (5-29%)
HP:0001288Gait disturbanceOccasional (5-29%)
HP:0001324Muscle weaknessOccasional (5-29%)
HP:0001335Bimanual synkinesiaOccasional (5-29%)
HP:0001337TremorOccasional (5-29%)
HP:0001513ObesityOccasional (5-29%)
HP:0001761Pes cavusOccasional (5-29%)
HP:0001763Pes planusOccasional (5-29%)
HP:0002652Skeletal dysplasiaOccasional (5-29%)
HP:0002750Delayed skeletal maturationOccasional (5-29%)
HP:0002757Recurrent fracturesOccasional (5-29%)
HP:0008064IchthyosisOccasional (5-29%)
HP:0009804Tooth agenesisOccasional (5-29%)
HP:0010550ParaplegiaOccasional (5-29%)
HP:0030016DyspareuniaOccasional (5-29%)
HP:0030680Abnormal cardiovascular system morphologyOccasional (5-29%)

Identifiers

Disease identifiers

FieldValue
Canonical nameKallmann syndrome
Mondo IDMONDO:0018800
MeSHD017436
Orphanet478
DOIDDOID:3614
NCITC75479
SNOMED CT93559003
UMLSC0162809
MedGen102469
GARD0010771
MedDRA10053142
NORD1319
Is cancer (heuristic)no

Also known as: congenital hypogonadotropic hypogonadism with anosmia · hypogonadotropic hypogonadism with anosmia · Olfacto-genital pathological sequence

Data availability: 9 ClinVar variants · 25 GenCC gene-disease records · 2 cell lines.

Disease family

An umbrella term covering 18 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › syndromic diseaseKallmann syndrome

Related subtypes (1183): Neu-Laxova syndrome, inclusion body myopathy with Paget disease of bone and frontotemporal dementia, syndromic intellectual disability, abdominal obesity-metabolic syndrome, fibrogenesis imperfecta ossium, Fanconi renotubular syndrome, palindromic rheumatism, hepatorenal syndrome, Potter sequence, vertebral artery insufficiency, sick sinus syndrome, Tietze syndrome, toxic shock syndrome, capillary leak syndrome, dumping syndrome, FG syndrome, basilar artery insufficiency, long QT syndrome, Treacher-Collins syndrome, superior mesenteric artery syndrome, disappearing bone disease, Brown-Sequard syndrome, Froelich syndrome, diffuse infiltrative lymphocytosis syndrome, Capgras syndrome, compartment syndrome, central sleep apnea syndrome, irritable bowel syndrome, nephrotic syndrome, myalgic encephalomeyelitis/chronic fatigue syndrome, acute coronary syndrome, fibromyalgia, substance withdrawal syndrome, acute chest syndrome, Barre-Lieou syndrome, cauda equina syndrome, Kluver-Bucy syndrome, Miller Fisher syndrome, persian gulf syndrome, Reye syndrome, thoracic outlet syndrome, Waterhouse-Friderichsen syndrome, Wissler syndrome, acute respiratory distress syndrome, Achenbach syndrome, miliaria, anterior spinal artery syndrome, burning mouth syndrome, dry eye syndrome, empty sella syndrome, euthyroid sick syndrome, lateral medullary syndrome, subclavian steal syndrome, tarsal tunnel syndrome, tethered spinal cord syndrome, branchio-oto-renal syndrome, prune belly syndrome, Achard syndrome, alopecia-epilepsy-pyorrhea-intellectual disability syndrome, Finnish type amyloidosis, Angelman syndrome, aniridia-absent patella syndrome, ankyloblepharon filiforme adnatum-cleft palate syndrome, Townes-Brocks syndrome, obstructive sleep apnea syndrome, Lown-Ganong-Levine syndrome, Behcet disease, brachydactyly-arterial hypertension syndrome, brachydactyly type A2, fibular aplasia-ectrodactyly syndrome, brachydactyly-nystagmus-cerebellar ataxia syndrome, Sillence syndrome, Brachymorphism-onychodysplasia-dysphalangism syndrome, brachytelephalangy-dysmorphism-Kallmann syndrome, dilated cardiomyopathy 1A, cat-eye syndrome, cerebrocostomandibular syndrome, Alagille syndrome, autosomal dominant chondrodysplasia punctata, cleidocranial dysplasia 1, cleidorhizomelic syndrome, cochleosaccular degeneration-cataract syndrome, renal coloboma syndrome, Cri-du-chat syndrome, autosomal dominant deafness - onychodystrophy syndrome, cerebral arteriopathy with subcortical infarcts and leukoencephalopathy, Duane retraction syndrome, 3-M syndrome, dyschondrosteosis-nephritis syndrome, hereditary benign intraepithelial dyskeratosis, encephalopathy, recurrent, of childhood, Camurati-Engelmann disease, Felty syndrome, chromosome 16p12.1 deletion syndrome, 520kb, Frasier syndrome, Gamstorp-Wohlfart syndrome, Tourette syndrome, glaucoma-sleep apnea syndrome, renal cysts and diabetes syndrome, hypotrichosis-lymphedema-telangiectasia syndrome (grouping), GMS syndrome, gray platelet syndrome, hand-foot-genital syndrome, facial hemiatrophy, Bencze syndrome, alpha thalassemia-intellectual disability syndrome type 1, Gilbert syndrome, mullerian duct anomalies-limb anomalies syndrome, hypoparathyroidism-deafness-renal disease syndrome, chromosome 18p deletion syndrome, Pallister-Hall syndrome, ichthyosis-cheek-eyebrow syndrome, Jacobsen syndrome, palmoplantar keratoderma-hereditary motor and sensory neuropathy syndrome, palmoplantar keratoderma-esophageal carcinoma syndrome, Kleine-Levin syndrome, angioosteohypertrophic syndrome, congenital laryngeal web, Lenz-Majewski hyperostotic dwarfism, Noonan syndrome with multiple lentigines, lymphedema-cerebral arteriovenous anomaly syndrome, microcephaly with or without chorioretinopathy, lymphedema, or intellectual disability, yellow nail syndrome, lymphedema-distichiasis syndrome, Nager acrofacial dysostosis, jaw-winking syndrome, Marfan syndrome, Melkersson-Rosenthal syndrome, metaphyseal chondrodysplasia, Jansen type, Schmid metaphyseal chondrodysplasia, metaphyseal dysplasia-maxillary hypoplasia-brachydacty syndrome, microgastria-limb reduction defect syndrome, Mobius syndrome, muscular atrophy-ataxia-retinitis pigmentosa-diabetes mellitus syndrome, nail-patella syndrome, Schilbach-Rott syndrome, syndromic orbital border hypoplasia, Buschke-Ollendorff syndrome, nasopalpebral lipoma-coloboma syndrome, Perry syndrome, Poland syndrome, polydactyly-myopia syndrome, Greig cephalopolysyndactyly syndrome, Prader-Willi syndrome, Guttmacher syndrome, Currarino triad, Hutchinson-Gilford progeria syndrome, progeria-short stature-pigmented nevi syndrome, Liddle syndrome, exfoliation syndrome, ptosis-strabismus-ectopic pupils syndrome, radial hypoplasia-triphalangeal thumbs-hypospadias-maxillary diastema syndrome, radial ray hypoplasia-choanal atresia syndrome, Roussy-Levy syndrome, Silver-Russell syndrome, Ruvalcaba syndrome, oculodental syndrome, Rutherfurd type, aplasia of lacrimal and salivary glands, scalp defects-postaxial polydactyly syndrome, ulnar-mammary syndrome, septooptic dysplasia, Czeizel-Losonci syndrome, polycystic ovary syndrome, stiff-person syndrome, syndactyly-polydactyly-ear lobe syndrome, HELLP syndrome, double uterus-hemivagina-renal agenesis syndrome, VACTERL/vater association, posterior fusion of lumbosacral vertebrae-blepharoptosis syndrome, ptosis-vocal cord paralysis syndrome, Freeman-Sheldon syndrome, Williams syndrome, Denys-Drash syndrome, Wolf-Hirschhorn syndrome, ablepharon macrostomia syndrome, acrocallosal syndrome, PAGOD syndrome, alopecia - intellectual disability syndrome, mitochondrial DNA depletion syndrome 4a, Alstrom syndrome, aniridia-cerebellar ataxia-intellectual disability syndrome, aniridia-renal agenesis-psychomotor retardation syndrome, aplasia cutis congenita-intestinal lymphangiectasia syndrome, fetal akinesia deformation sequence, blepharophimosis-ptosis-esotropia-syndactyly-short stature syndrome, Bloom syndrome, Elsahy-Waters syndrome, campomelia, Cumming type, camptomelic syndrome, long-limb type, congenital cataract-ichthyosis syndrome, colobomatous optic disc-macular atrophy-chorioretinopathy syndrome, hepatic fibrosis-renal cysts-intellectual disability syndrome, Charcot-Marie-Tooth disease-hearing loss-intellectual disability syndrome, CHARGE syndrome, Aagenaes syndrome, infantile choroidocerebral calcification syndrome, Yunis-Varon syndrome, corneal dystrophy-perceptive deafness syndrome, cortical blindness-intellectual disability-polydactyly syndrome, Crigler-Najjar syndrome, cataract-nephropathy-encephalopathy syndrome, Fraser syndrome, cystic fibrosis-gastritis-megaloblastic anemia syndrome, cystinuria, DOORS syndrome, high myopia-sensorineural deafness syndrome, dermochondrocorneal dystrophy, nephrogenic diabetes insipidus-intracranial calcification syndrome, diverticulosis of bowel, hernia, and retinal detachment, Dyggve-Melchior-Clausen disease, cerebellar ataxia, intellectual disability, and dysequilibrium, ectrodactyly-polydactyly syndrome, Bonnemann-Meinecke-Reich syndrome, epidermolysis bullosa simplex 5B, with muscular dystrophy, Wolcott-Rallison syndrome, ermine phenotype, eyebrow duplication-syndactyly syndrome, Fanconi-like syndrome, gingival fibromatosis-facial dysmorphism syndrome, frontofacionasal dysplasia, Fryns syndrome, German syndrome, Bernard-Soulier syndrome, triple-A syndrome, Grubben-de Cock-Borghgraef syndrome, mullerian derivatives-lymphangiectasia-polydactyly syndrome, Hirschsprung disease-hearing loss-polydactyly syndrome, Hirschsprung disease-nail hypoplasia-dysmorphism syndrome, Holzgreve-Wagner-Rehder syndrome, multinucleated neurons-anhydramnios-renal dysplasia-cerebellar hypoplasia-hydranencephaly syndrome, growth delay-hydrocephaly-lung hypoplasia syndrome, Dubin-Johnson syndrome, ornithine translocase deficiency, acrofrontofacionasal dysostosis 2, hypertrichotic osteochondrodysplasia Cantu type, hypergonadotropic hypogonadism-cataract syndrome, primary hypergonadotropic hypogonadism-partial alopecia syndrome, hypoparathyroidism-retardation-dysmorphism syndrome, hypospadias-intellectual disability, Goldblatt type syndrome, Bamforth-Lazarus syndrome, ichthyosis-hepatosplenomegaly-cerebellar degeneration syndrome, ichthyosis-intellectual disability-dwarfism-renal impairment syndrome, Vici syndrome, channelopathy-associated congenital insensitivity to pain, autosomal recessive, Joubert syndrome with oculorenal defect, oculocerebrofacial syndrome, Kaufman type, Landau-Kleffner syndrome, laryngo-onycho-cutaneous syndrome, Laurence-Moon syndrome, Donohue syndrome, Miller-Dieker lissencephaly syndrome, Marinesco-Sjogren syndrome, Frank-Ter Haar syndrome, Mietens syndrome, mesomelic dwarfism-cleft palate-camptodactyly syndrome, metaphyseal chondrodysplasia-retinitis pigmentosa syndrome, metaphyseal dysostosis-intellectual disability-conductive deafness syndrome, microcephalic primordial dwarfism, Toriello type, Say-Barber-Miller syndrome, microcephaly and chorioretinopathy 1, Galloway-Mowat syndrome, microtia with meatal atresia and conductive deafness, mucopolysaccharidosis type 6, mulibrey nanism, lethal multiple pterygium syndrome, lethal congenital contracture syndrome 1, Schwartz-Jampel syndrome, Nathalie syndrome, nephronophthisis 1, nephropathy - deafness - hyperparathyroidism syndrome, nephrosis-deafness-urinary tract-digital malformations syndrome, Netherton syndrome, Norman-Roberts syndrome, cloacal exstrophy, ichthyosis-oral and digital anomalies syndrome, Primrose syndrome, familial osteodysplasia, Anderson type, multicentric osteolysis, nodulosis, and arthropathy, osteopenia-intellectual disability-sparse hair syndrome, osteoporosis-pseudoglioma syndrome, Shwachman-Diamond syndrome, Parana hard-skin syndrome, PEHO syndrome, Imerslund-Grasbeck syndrome, Peters plus syndrome, pili torti-developmental delay-neurological abnormalities syndrome, Rabson-Mendenhall syndrome, postaxial acrofacial dysostosis, Gitelman syndrome, Wiedemann-Rautenstrauch syndrome, Acrootoocular syndrome, holoprosencephaly-postaxial polydactyly syndrome, autosomal recessive multiple pterygium syndrome, Perlman syndrome, retinitis pigmentosa-intellectual disability-deafness-hypogenitalism syndrome, EEC syndrome, SHORT syndrome, Sjogren syndrome, spastic tetraplegia-retinitis pigmentosa-intellectual disability syndrome, corneal-cerebellar syndrome, spastic ataxia-corneal dystrophy syndrome, spondylocostal dysostosis-anal and genitourinary malformations syndrome, familial infantile bilateral striatal necrosis, subaortic stenosis-short stature syndrome, thrombocytopenia-absent radius syndrome, thyrocerebrorenal syndrome, Pendred syndrome, VACTERL with hydrocephalus, Weaver syndrome, Werner syndrome, Wernicke-Korsakoff syndrome, wooly hair-hypotrichosis-everted lower lip-outstanding ears syndrome, de Sanctis-Cacchione syndrome, corpus callosum agenesis-abnormal genitalia syndrome, Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome, X-linked lissencephaly with abnormal genitalia, X-linked myotubular myopathy-abnormal genitalia syndrome, Christianson syndrome, Armfield syndrome, Lesch-Nyhan syndrome, Atkin-Flaitz syndrome, alpha-thalassemia-myelodysplastic syndrome, deafness-intellectual disability, Martin-Probst type syndrome, fragile X-associated tremor/ataxia syndrome, fragile X syndrome, syndactyly-telecanthus-anogenital and renal malformations syndrome, X-linked dominant chondrodysplasia, Chassaing-Lacombe type, X-linked central congenital hypothyroidism with late-onset testicular enlargement, Meester-Loeys syndrome, Arts syndrome, X-linked mandibulofacial dysostosis, Abruzzo-Erickson syndrome, Aicardi syndrome, craniofrontonasal syndrome, deafness-hypogonadism syndrome, X-linked corneal dermoid, immune dysregulation-polyendocrinopathy-enteropathy-X-linked syndrome, hydrocephaly-cerebellar agenesis syndrome, keratosis follicularis-dwarfism-cerebral atrophy syndrome, laryngeal abductor paralysis-intellectual disability syndrome, oculocerebrorenal syndrome, Menkes disease, paraplegia-intellectual disability-hyperkeratosis syndrome, mucopolysaccharidosis type 2, orofaciodigital syndrome I, otopalatodigital syndrome type 1, Pallister-W syndrome, Rett syndrome, SCARF syndrome, Simpson-Golabi-Behmel syndrome, torticollis-keloids-cryptorchidism-renal dysplasia syndrome, trigonocephaly-short stature-developmental delay syndrome, ulnar hypoplasia-split foot syndrome, van den Bosch syndrome, Wildervanck syndrome, Kearns-Sayre syndrome, MELAS syndrome, MERRF syndrome, Pearson syndrome, proximal tubulopathy-diabetes mellitus-cerebellar ataxia syndrome, pancreatic hypoplasia-diabetes-congenital heart disease syndrome, chondrodysplasia-pseudohermaphroditism syndrome, Qazi Markouizos syndrome, familial developmental dysphasia, atrioventricular defect-blepharophimosis-radial and anal defect syndrome, CODAS syndrome, lethal hemolytic anemia-genital anomalies syndrome, HEC syndrome, anophthalmia plus syndrome, infundibulopelvic stenosis-multicystic kidney syndrome, Ayme-Gripp syndrome, dilated cardiomyopathy 1E, diaphragmatic defect-limb deficiency-skull defect syndrome, skeletal dysplasia-epilepsy-short stature syndrome, Potocki-Shaffer syndrome, amelia cleft lip palate hydrocephalus iris coloboma, human HOXA1 syndromes, dyssegmental dysplasia-glaucoma syndrome, lung agenesis-heart defect-thumb anomalies syndrome, tetrasomy 12p, chromosome 18q deletion syndrome, lymphedema-atrial septal defects-facial changes syndrome, infantile convulsions and choreoathetosis, RHYNS syndrome, Pierre Robin sequence with pectus excavatum and rib and scapular anomalies, colobomatous macrophthalmia-microcornea syndrome, Marshall-Smith syndrome, distal monosomy 13q, MPI-congenital disorder of glycosylation, camptodactyly, myopia, and fibrosis of the medial rectus muscle of eye, radioulnar synostosis-microcephaly-scoliosis syndrome, blepharophimosis - intellectual disability syndrome, SBBYS type, complex regional pain syndrome type 1, temtamy preaxial brachydactyly syndrome, Diamond-Blackfan anemia 2, genitopatellar syndrome, Phelan-McDermid syndrome, hypotonia-cystinuria syndrome, DNA ligase IV deficiency, Hurler syndrome, Hurler-Scheie syndrome, Scheie syndrome, Duane-radial ray syndrome, psoriatic arthritis, neonatal ichthyosis-sclerosing cholangitis syndrome, skin fragility-woolly hair-palmoplantar keratoderma syndrome, tubulointerstitial nephritis and uveitis syndrome, caudal duplication, sweet syndrome, ichthyosis prematurity syndrome, Meacham syndrome, BNAR syndrome, PCWH syndrome, foveal hypoplasia - optic nerve decussation defect - anterior segment dysgenesis syndrome, B-cell immunodeficiency, distal limb anomalies, and urogenital malformations, MEDNIK syndrome, Cerebrorenodigital syndrome, fetal valproate syndrome, Goldberg-Shprintzen syndrome, Al-Gazali syndrome, CEDNIK syndrome, osteosclerosis-ichthyosis-premature ovarian failure syndrome, cortical dysplasia-focal epilepsy syndrome, DK1-congenital disorder of glycosylation, Potocki-Lupski syndrome, Pitt-Hopkins syndrome, XFE progeroid syndrome, deafness-infertility syndrome, COG1-congenital disorder of glycosylation, autosomal dominant familial hematuria-retinal arteriolar tortuosity-contractures syndrome, microtia-eye coloboma-imperforation of the nasolacrimal duct syndrome, mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria, ANE syndrome, CLOVES syndrome, Hirschsprung disease-ganglioneuroblastoma syndrome, parkinsonism-dystonia, infantile, alpha 1-antitrypsin deficiency, COG5-congenital disorder of glycosylation, chromosome 13q14 deletion syndrome, deafness-lymphedema-leukemia syndrome, microcephaly-capillary malformation syndrome, EDICT syndrome, peripheral neuropathy-myopathy-hoarseness-hearing loss syndrome, hypomyelinating leukodystrophy 8 with or without oligodontia and-or hypogonadotropic hypogonadism, IMAGe syndrome, short stature-onychodysplasia-facial dysmorphism-hypotrichosis syndrome, microcephalic primordial dwarfism, Alazami type, intellectual disability-strabismus syndrome, estrogen resistance syndrome, Hartsfield-Bixler-Demyer syndrome, severe dermatitis-multiple allergies-metabolic wasting syndrome, alacrima, achalasia, and intellectual disability syndrome, familial episodic pain syndrome with predominantly lower limb involvement, congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome, diffuse cerebral and cerebellar atrophy - intractable seizures - progressive microcephaly syndrome, postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome, tall stature-scoliosis-macrodactyly of the great toes syndrome, intellectual disability, autosomal dominant 29, intellectual disability, autosomal dominant 30, congenital sideroblastic anemia-B-cell immunodeficiency-periodic fever-developmental delay syndrome, retinitis pigmentosa-juvenile cataract-short stature-intellectual disability syndrome, polyendocrine-polyneuropathy syndrome, chronic atrial and intestinal dysrhythmia, motor developmental delay due to 14q32.2 paternally expressed gene defect, peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome, mandibulofacial dysostosis with alopecia, epilepsy with myoclonic atonic seizures, short stature, microcephaly, and endocrine dysfunction, progressive microcephaly-seizures-cortical blindness-developmental delay syndrome, PMP22-RAI1 contiguous gene duplication syndrome, acute infantile liver failure-cerebellar ataxia-peripheral sensory motor neuropathy syndrome, familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome, macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndrome, Luscan-Lumish syndrome, even-plus syndrome, MIRAGE syndrome, growth retardation, intellectual developmental disorder, hypotonia, and hepatopathy, intellectual disability-epilepsy-extrapyramidal syndrome, 48,XXYY syndrome, FRAXF syndrome, complex hereditary spastic paraplegia, aniridia-ptosis-intellectual disability-familial obesity syndrome, aniridia - intellectual disability syndrome, ankyloblepharon filiforme-imperforate anus syndrome, pentasomy X, Bardet-Biedl syndrome, anophthalmia-megalocornea-cardiopathy-skeletal anomalies syndrome, Bartter syndrome, arachnodactyly-intellectual disability-dysmorphism syndrome, ataxia-photosensitivity-short stature syndrome, Brugada syndrome, Feingold syndrome, cardiomyopathy-cataract-hip spine disease syndrome, cataract - microcornea syndrome, autism-facial port-wine stain syndrome, cataract-intellectual disability-anal atresia-urinary defects syndrome, cataract-deafness-hypogonadism syndrome, syndromic craniosynostosis, drug rash with eosinophilia and systemic symptoms, multicentric reticulohistiocytosis, hereditary sensory and autonomic neuropathy with deafness and global delay, craniofacial microsomia, ring chromosome 10, Coffin-Siris syndrome, corpus callosum agenesis-double urinary collecting system syndrome, short rib-polydactyly syndrome, oromandibular-limb anomalies syndrome, hemophagocytic syndrome, cataract-glaucoma syndrome, diencephalic syndrome, hypereosinophilic syndrome, distal trisomy 14q, intellectual disability-cataracts-kyphosis syndrome, progressive familial intrahepatic cholestasis, thoraco-abdominal enteric duplication, oculomaxillofacial dysostosis, growth hormone insensitivity syndrome, syndromic dyslipidemia, macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss, epiphyseal dysplasia-hearing loss-dysmorphism syndrome, eosinophilic granulomatosis with polyangiitis, axial mesodermal dysplasia spectrum, fetal hydantoin syndrome, vitamin K-antagonist embryofetopathy, fetal alcohol syndrome, methimazole embryofetopathy, Evans syndrome, Cornelia de Lange syndrome, cleft lip-retinopathy syndrome, cleft lip/palate-deafness-sacral lipoma syndrome, Crandall syndrome, syndromic microphthalmia, Cole-Carpenter syndrome, myotonic syndrome, Guillain-Barre syndrome, atypical hemolytic-uremic syndrome, Hennekam syndrome, Hernández-Aguirre Negrete syndrome, nodular neuronal heterotopia, Hirschsprung disease-type D brachydactyly syndrome, holoprosencephaly, hydrocephalus-obesity-hypogonadism syndrome, hydrocephalus-blue sclerae-nephropathy syndrome, xeroderma pigmentosum-Cockayne syndrome complex, Joubert syndrome with ocular defect, hypogonadism-mitral valve prolapse-intellectual disability syndrome, hypogonadotropic hypogonadism-retinitis pigmentosa syndrome, hypotrichosis-intellectual disability, Lopes type, congenital ichthyosis-microcephalus-tetraplegia syndrome, Hughes-Stovin syndrome, heart-hand syndrome, ptosis-upper ocular movement limitation-absence of lacrimal punctum syndrome, syndromic agammaglobulinemia, isotretinoin syndrome, microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndrome, Kabuki syndrome, Kenny-Caffey syndrome, muscular pseudohypertrophy-hypothyroidism syndrome, Kousseff syndrome, limb body wall complex, Lennox-Gastaut syndrome, Lowe-Kohn-Cohen syndrome, macrocephaly-short stature-paraplegia syndrome, primary ciliary dyskinesia, familial intestinal malrotation-facial anomalies syndrome, primary hypertrophic osteoarthropathy, Melhem-Fahl syndrome, lower limb deficiency-hypospadias syndrome, 8p23.1 microdeletion syndrome, sickle cell-beta-thalassemia disease syndrome, sickle cell-hemoglobin c disease syndrome, sickle cell-hemoglobin d disease syndrome, sickle cell-hemoglobin E disease syndrome, hereditary persistence of fetal hemoglobin-sickle cell disease syndrome, microcephaly-brain defect-spasticity-hypernatremia syndrome, microcephaly-microcornea syndrome, Seemanova type, Meier-Gorlin syndrome, Mikati-Najjar-Sahli syndrome, shoulder and girdle defects-familial intellectual disability syndrome, myopathy-growth delay-intellectual disability-hypospadias syndrome, Fuchs heterochromic iridocyclitis, microcephalic osteodysplastic primordial dwarfism types I and III, osteochondrodysplatic nanism-deafness-retinitis pigmentosa syndrome, arthrogryposis-renal dysfunction-cholestasis syndrome, oculo-skeletal-renal syndrome, olivopontocerebellar atrophy-deafness syndrome, Opitz G/BBB syndrome, imperforate oropharynx-costo vetebral anomalies syndrome, Bruck syndrome, osteoporosis-macrocephaly-blindness-joint hyperlaxity syndrome, calciphylaxis, recessive intellectual disability-motor dysfunction-multiple joint contractures syndrome, X-linked ichthyosis syndrome, autoimmune polyendocrinopathy, renal caliceal diverticuli-deafness syndrome, tempi syndrome, syndromic oculocutaneous albinism, short stature-deafness-neutrophil dysfunction-dysmorphism syndrome, congenital varicella syndrome, polyneuropathy-intellectual disability-acromicria-premature menopause syndrome, celiac trunk compression syndrome, hypoplastic pancreas-intestinal atresia-hypoplastic gallbalder syndrome, fetal cytomegalovirus syndrome, Reunion island Larsen syndrome, 46,XX disorder of sex development-anorectal anomalies syndrome, mitochondrial neurogastrointestinal encephalomyopathy, Baraitser-Winter cerebrofrontofacial syndrome, mirror polydactyly-vertebral segmentation-limbs defects syndrome, intellectual disability-hypotonia-skin hyperpigmentation syndrome, congenital hereditary facial paralysis-variable hearing loss syndrome, intellectual disability-microcephaly-phalangeal-facial abnormalities syndrome, Mayer-Rokitansky-Kuster-Hauser syndrome, developmental and speech delay due to SOX5 deficiency, Spigelian hernia-cryptorchidism syndrome, autosomal recessive leukoencephalopathy-ischemic stroke-retinitis pigmentosa syndrome, severe neonatal hypotonia-seizures-encephalopathy syndrome due to 5q31.3 microdeletion, multiple sclerosis-ichthyosis-factor VIII deficiency syndrome, X-linked spasticity-intellectual disability-epilepsy syndrome, spina bifida-hypospadias syndrome, hantavirus pulmonary syndrome, white matter hypoplasia-corpus callosum agenesis-intellectual disability syndrome, deafness-genital anomalies-metacarpal and metatarsal synostosis syndrome, hearing loss-familial salivary gland insensitivity to aldosterone syndrome, multiple synostoses syndrome, central nervous system calcification-deafness-tubular acidosis-anemia syndrome, multiple paragangliomas associated with polycythemia, syngnathia multiple anomalies, Takayasu arteritis, severe early-onset obesity-insulin resistance syndrome due to SH2B1 deficiency, spondylocostal dysostosis-hypospadias-intellectual disability syndrome, hypotrichosis-deafness syndrome, thalidomide embryopathy, trisomy X, trisomy 13, trisomy 18, umbilical cord ulceration-intestinal atresia syndrome, microcephaly-brachydactyly-kyphoscoliosis syndrome, Waardenburg syndrome, Weill-Marchesani syndrome, infantile spasms, Wolfram syndrome, epidermal nevus syndrome, digital anomalies-intellectual disability-short stature syndrome, intellectual disability-obesity-brain malformations-facial dysmorphism syndrome, Erdheim-Chester disease, Stevens-Johnson syndrome, CADDS, finger hyperphalangy - toe anomalies - severe pectus excavatum syndrome, ataxia - telangiectasia variant, growth retardation-mild developmental delay-chronic hepatitis syndrome, primary microcephaly-mild intellectual disability-young-onset diabetes syndrome, ferro-cerebro-cutaneous syndrome, dystonia-aphonia syndrome, microcephaly-complex motor and sensory axonal neuropathy syndrome, X-linked microcephaly-growth retardation-prognathism-cryptorchidism syndrome, severe intellectual disability-hypotonia-strabismus-coarse face-planovalgus syndrome, intrauterine growth restriction-short stature-early adult-onset diabetes syndrome, pseudoxanthoma elasticum-like skin manifestations with retinitis pigmentosa, familial chylomicronemia syndrome, caudal regression-sirenomelia spectrum, visceral heterotaxy, Holmes-Adie syndrome, microcephalic primordial dwarfism due to RTTN deficiency, Joubert syndrome, congenital generalized hypercontractile muscle stiffness syndrome, Caroli syndrome, X-linked female restricted facial dysmorphism-short stature-choanal atresia-intellectual disability, microlissencephaly-micromelia syndrome, branchiootic syndrome, Plummer-Vinson syndrome, Cushing syndrome, McCune-Albright syndrome, Meckel syndrome, SUNCT syndrome, mucopolysaccharidosis type 3, mucopolysaccharidosis type 4, congenital myasthenic syndrome, Loeys-Dietz syndrome, Alport syndrome, schisis association, Tolosa-Hunt syndrome, iridocorneal endothelial syndrome, Noonan syndrome, short fifth metacarpals-insulin resistance syndrome, progressive supranuclear palsy, benign exophthalmos syndrome, Sandifer syndrome, global developmental delay-osteopenia-ectodermal defect syndrome, tubular renal disease-cardiomyopathy syndrome, angioosteohypotrophic syndrome, 6q terminal deletion syndrome, Axenfeld-Rieger syndrome, peroxisome biogenesis disorder, ectodermal dysplasia syndrome, Seckel syndrome, Sotos syndrome, Stickler syndrome, pelvis syndrome, Susac syndrome, ischio-vertebral syndrome, BRESEK syndrome, Turner syndrome, Usher syndrome, obesity-colitis-hypothyroidism-cardiac hypertrophy-developmental delay syndrome, CREST syndrome, Sheehan syndrome, polymyalgia rheumatica, autoinflammatory syndrome, neuroleptic malignant syndrome, pituitary stalk interruption syndrome, monosomy 13q34, ring chromosome 13, 48,XXXY syndrome, 49,XXXXY syndrome, hereditary continuous muscle fiber activity, Eisenmenger syndrome, Robinow syndrome, Ehlers-Danlos syndrome, hypoplastic right heart syndrome, shone complex, 48,XYYY syndrome, subcortical band heterotopia, complex regional pain syndrome type 2, faciodigitogenital syndrome, neoplastic syndrome, paraneoplastic syndrome, post-infectious syndrome, Achard-Thiers syndrome, acral dysostosis dyserythropoiesis syndrome, agnathia-microstomia-synotia, Aksu von Stockhausen syndrome, Aloi Tomasini Isaia syndrome, temporomandibular joint dysfunction syndrome, Apert-like polydactyly syndrome, arakawa syndrome 2, arena syndrome, Arnold stickler bourne syndrome, baetz-greenwalt syndrome, bagatelle Cassidy syndrome, baker Vinters syndrome, bobble-head doll syndrome, Boerhaave syndrome, Cantu Sanchez-Corona Fragoso syndrome, Cantu Sanchez-Corona Hernandez syndrome, carbon baby syndrome, Carnevale hernandez castillo syndrome, Cartwright Nelson Fryns syndrome, Charles bonnet syndrome, Parinaud syndrome, corticobasal degeneration disorder, hair defect with photosensitivity and intellectual disability syndrome, AIDS dysmorphic syndrome, congenital acardia, acute lymphoblastic leukemia congenital sporadic aniridia, aglossia and situs inversus, agyria pachygyria polymicrogyria, agyria-pachygyria type 1, Ahumada Del Castillo syndrome, alopecia congenita keratosis palmoplantaris, alpha-mannosidosis type 1, aluminosis, Mauriac syndrome, ankle defects short stature, ankyloblepharon filiforme imperforate anus, annular constricting bands, anophthalmia cleft palate micrognathia, anophthalmia esophageal atresia cryptorchidism, anotia facial palsy cardiac defect, aortic dissection lentiginosis, childhood aortic valve stenosis, arthrogryposis IUGR thoracic dystrophy, arthrogryposis multiplex congenita CNS calcification, arthrogryposis spinal muscular atrophy, asternia, atlanto-axial fusion, atrophoderma of Pierini and Pasini, Barnicoat Baraitser syndrome, Basedow’s coma, BD syndrome, Beardwell syndrome, bhaskar jagannathan syndrome, bidirectional tachycardia, bilirubin induced brain injury in the newborn, blepharo naso facial syndrome van Maldergem type, bone dysplasia corpus callosum agenesis, brachydactyly absence of distal phalanges, brachydactyly anonychia, brachydactyly small stature face anomalies, brachydactyly tibial hypoplasia, brittle bone syndrome lethal type, bronchiectasis oligospermia, Brunsting-Perry syndrome, bruyn scheltens syndrome, burn goodship syndrome, camptodactyly joint contractures and facial skeletal dysplasia, camptodactyly vertebral fusion, Cantu Sanchez-Corona Garcia-Cruz syndrome, cardiac hydatid cysts with intracavitary expansion, cardioencephalomyopathy, cardiofacial syndrome short limbs, cardiomelic syndrome stratton Koehler type, cardiomyopathy and deafness due to tRNA lysine gene mutation, cardiomyopathy diabetes deafness, cardiomyopathy hypogonadism collagenoma syndrome, cardiomyopathy hypogonadism metabolic anomalies, cardiomyopathy spherocytosis, carpo tarsal osteolysis recessive, autosomal dominant cataract, cataract skeletal anomalies, cennamo gangemi syndrome, cerebellar agenesis, cerebello-olivary atrophy, cerebral calcification cerebellar hypoplasia, cerebral calcifications opalescent teeth phosphaturia, oculo digital syndrome, chondrodysplasia, choreoacanthocytosis amyotrophic, chorioretinopathy dominant form microcephaly, Christian Demyer Franken syndrome, Christian Johnson angenieta syndrome, chromosome 3 duplication syndrome, chronic demyelinizing neuropathy with IgM monoclonal, ciliary dyskinesia-bronchiectasis, circumscribed cutaneous aplasia of the vertex, circumscribed disseminated keratosis Jadassohn lew type, cleft lip and palate malrotation cardiopathy, cleft lip and/or palate with mucous cysts of lower, cleft lip palate dysmorphism kumar type, cleft lip palate intellectual disability corneal opacity, cleft lip palate oligodontia syndactyly pili torti, cleft lip palate pituitary deficiency, cleft lip palate-tetraphocomelia, cleft lower lip cleft lateral canthi chorioretinal, cleft palate cardiac defect ectrodactyly, cleft palate colobomata radial synostosis deafness, cleft palate heart disease polydactyly absent tibia, cleft tongue, coarse face hypotonia constipation, Cohen Lockood Wyborney syndrome, type 2 collagenopathy, Collins-Sakati syndrome, coloboma porencephaly hydronephrosis, colobomata unilobar lung heart defect, colonic malakoplakia, Colver Steer Godman syndrome, Combarros Calleja Leno syndrome, complement receptor deficiency, congenital absence of the sternocleidomastoid muscle, congenital amputation, congenital aneurysms of the great vessels, congenital articular rigidity, congenital benign spinal muscular atrophy dominant, congenital cardiovascular shunt, congenital contractures, congenital craniosynostosis maternal hyperthyroiditis, congenital cystic eye, congenital heart disease ptosis hypodontia craniostosis, congenital heart disease radio ulnar synostosis intellectual disability, congenital mumps, congenital stenosis of cervical medullary canal, Dennis-Fairhurst-Moore syndrome, congenital unilateral pulmonary hypoplasia, congenital vagal hyperreflexivity, Cormier Rustin Munnich syndrome, corneal crystals myopathy neuropathy, corneal dystrophy ichthyosis microcephaly intellectual disability, corneal dystrophy pigmentary anomaly malabsorption, corpus callosum agenesis of blepharophimosis robin type, corpus callosum dysgenesis X-linked recessive, corpus callosum dysgenesis cleft spasm, corpus callosum dysgenesis hypopituitarism, cortada Koussef Matsumoto syndrome, Cortes Lacassie syndrome, craniofacial and skeletal defects, craniofacial dysostosis arthrogryposis progeroid appearance, craniofrontonasal syndrome Teebi type, craniostenosis with congenital heart disease intellectual disability, crawfurd syndrome, cutis gyratum acanthosis nigricans craniosynostosis, cutis laxa osteoporosis, Davenport-Donlan syndrome, Davis Lafer syndrome, de Hauwere Leroy adriaenssens syndrome, deafness conductive stapedial ear malformation facial palsy, deafness goiter stippled epiphyses, deafness hypospadias metacarpal and metatarsal syndrome, deafness mesenteric diverticula of small bowel neuropathy, deafness peripheral neuropathy arterial disease, deafness progressive cataract autosomal dominant, dermatocardioskeletal syndrome boronne type, dextrocardia with situs inversus, diabetes persistent mullerian ducts, diaphragmatic agenesis radial aplasia omphalocele, diaphragmatic hernia exomphalos corpus callosum agenesis, diaphragmatic hernia upper limb defects, die Smulders droog van dijk syndrome, diomedi bernardi placidi syndrome, diphallus rachischisis imperforate anus, distichiasis heart congenital anomalies, double discordia, double uterus-hemivagina-renal agenesis, Drachtman Weinblatt Sitarz syndrome, Duker-Weiss-Siber syndrome, duodenal atresia tetralogy of fallot, duplication of leg mirror foot, duplication of the thumb unilateral biphalangeal, dupont sellier chochillon syndrome, dwarfism bluish sclerae, dwarfism deafness retinitis pigmentosa, dwarfism lethal type advanced bone age, dwarfism thin bones multiple fractures, dysmorphism cleft palate loose skin, Eagle syndrome, ectrodactyly cardiopathy dysmorphism, Elliott ludman Teebi syndrome, enamel hypoplasia cataract hydrocephaly, encephalocele anencephaly, enchondromatosis dwarfism deafness, Engelhard Yatziv syndrome, enlarged vestibular aqueduct syndrome, epidermal nevus vitamin D resistant rickets, epimetaphyseal dysplasia cataract, epiphyseal dysplasia dysmorphism camptodactyly, esophageal atresia coloboma talipes, extrasystoles short stature hyperpigmentation microcephaly, facial clefting corpus callosum agenesis, facio digito genital syndrome recessive form, facio skeletal genital syndrome rippberger type, familial capillaro-venous leptomeningeal angiomatosis, Dursun syndrome, Faye-Petersen-Ward-Carey syndrome, feigenbaum Bergeron syndrome, Feingold trainer syndrome, fetal brain disruption sequence, fetal enterovirus syndrome, fetal parainfluenza virus type 3 syndrome, fetal phenothiazine syndrome, fibromatosis multiple non ossifying, fibula aplasia complex brachydactyly, fibular hypoplasia scapulo pelvic dysplasia absent, Fitz-Hugh-Curtis syndrome, focal alopecia congenital megalencephaly, focal or multifocal malformations in neuronal migration, foix chavany Marie syndrome, Fontaine farriaux blanckaert syndrome, Fraser Jequier Chen syndrome, Freiberg disease, Friedman Goodman syndrome, frontonasal malformation cloacal exstrophy, frontonasal dysplasia Klippel feil syndrome, frontonasal dysplasia phocomelic upper limbs, Fryns Fabry Remans syndrome, Fryns Smeets Thiry syndrome, Fuchs atrophia gyrata chorioideae et retinae, Fukuda-Miyanomae-Nakata syndrome, Fuqua Berkovitz syndrome, Garret-Tripp syndrome, gas bloat syndrome, Gaucher ichthyosis restrictive dermopathy, gershinibaruch Leibo syndrome, Ghose-Sachdev-Kumar syndrome, gigantism advanced bone age hoarse cry, glossopalatine ankylosis micrognathia ear anomalies, goldstein hutt syndrome, goniodysgenesis intellectual disability short stature, green sandford davison syndrome, grix Blankenship Peterson syndrome, Ho-Kaufman-McAlister syndrome, Jaffer-Beighton syndrome, Judge Misch wright syndrome, Kashani-Strom-Utley syndrome, Kasznica-Carlson-Coppedge syndrome, Katsantoni-Papadakou-Lagoyanni syndrome, Kocher-debre-Semelaigne syndrome, Koone-Rizzo-Elias syndrome, Kozlowski Brown Hardwick syndrome, Kozlowski Ouvrier syndrome, Kozlowski Rafinski Klicharska syndrome, Kozlowski Warren Fisher syndrome, Krauss Herman Holmes syndrome, Krieble Bixler syndrome, Kuster Majewski Hammerstein syndrome, Kuster syndrome, Laugier-Hunziker syndrome, Laurence-Prosser-Rocker syndrome, le Marec-Bracq-Picaud syndrome, levator syndrome, Marinesco-Sjogren-like syndrome, Milner-Khallouf-Gibson syndrome, radio-digito-facial dysplasia, Seckel like syndrome majoor-krakauer type, neonatal aspiration syndrome, muscular fibrosis multifocal obstructed vessels, short stature contractures hypotonia, Alice in Wonderland syndrome, megacystis-microcolon-intestinal hypoperistalsis syndrome, Basilicata-Akhtar syndrome, Liberfarb syndrome, craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development syndrome, cardiac, facial, and digital anomalies with developmental delay, fibrosis, neurodegeneration, and cerebral angiomatosis, Duane anomaly-myopathy-scoliosis syndrome, congenital cataract-severe neonatal hepatopathy-global developmental delay syndrome, infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome, acute radiation syndrome, monoclonal mast cell activation syndrome, oculocerebrodental syndrome, syndromic congenital sodium diarrhea, congenital brachyesophagus-intrathoracic stomach-vertebral anomalies syndrome, intellectual disability-cardiac anomalies-short stature-joint laxity syndrome, intrauterine growth restriction-congenital multiple café-au-lait macules-increased sister chromatid exchange syndrome, frontonasal dysplasia-bifid nose-upper limb anomalies syndrome, microcephaly-facial dysmorphism-ocular anomalies-multiple congenital anomalies syndrome, diaphragmatic hernia-short bowel-asplenia syndrome, warts-immunodeficiency-lymphedema-anogenital dysplasia syndrome, Cramp-fasciculation syndrome, choanal atresia-athelia-hypothyroidism-delayed puberty-short stature syndrome, blepharophimosis-intellectual disability syndrome/genitopatellar overlap syndrome, CCNK-related neurodevelopmental disorder-severe intellectual disability-facial dysmorphism syndrome, cerebellar hypoplasia-intellectual disability-congenital microcephaly-dystonia-anemia-growth retardation syndrome, KLHL7-related Bohring-Opitz-like syndrome, KLHL7-related cold-induced sweating-like syndrome, KAT6B-related multiple congenital anomalies syndrome, oculogastrointestinal-neurodevelopmental syndrome, spastic paraparesis-cataracts-speech delay syndrome, Ruzicka-Goerz-Anton syndrome, Sammartino-Decreccio syndrome, Samson-Gardner syndrome, Samson-Viljoen syndrome, Sanderson-Fraser syndrome, Sandhaus-Ben-Ami syndrome, prostatic malacoplakia associated with prostatic abscess, Saul-Wilkes-Stevenson syndrome, macrogyria, pseudobulbar palsy and intellectual disability, Schwartz-Cohen-addad-Lambert syndrome, Schlegelberger-Grote syndrome, Schrander-stumpel-Theunissen-Hulsmans syndrome, Saal-Bulas syndrome, Sackey-Sakati-Aur syndrome, Slti-Salem syndrome, Zerres Rietschel Majewski syndrome, Zazam Sheriff Phillips syndrome, Zadik-Barak-Levin syndrome, weinstein kliman scully syndrome, thickened earlobes with conductive deafness from incus-stapes abnormalities, ichthyosis linearis circumflexa, infantile striato thalamic degeneration, Landy-Donnai syndrome, merlob grunebaum reisner syndrome, Pavone Fiumara Rizzo syndrome, pfeiffer rockelein syndrome, Pfeiffer Tietze Welte syndrome, phosphoribosylpyrophosphate synthetase deficiency, piepkorn karp hickok syndrome, podder-tolmie syndrome, pointer syndrome, richieri-costa guion-almeida cohen syndrome, Rubinstein Taybi like syndrome, ruvalcaba churesigaew myhre syndrome, short limb dwarf lethal colavita kozlowski type, Mallory-Weiss syndrome, superior vena cava syndrome, piriformis syndrome, engraftment syndrome, Adams-Stokes syndrome, Leriche syndrome, multiple organ dysfunction syndrome, posterior leukoencephalopathy syndrome, cardio-renal syndrome, Rahman syndrome, X-linked keloid scarring-reduced joint mobility-increased optic cup-to-disc ratio syndrome, retinitis pigmentosa-hearing loss-premature aging-short stature-facial dysmorphism syndrome, congenital labioscrotal agenesis-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome, Lopes-Maciel-Rodan syndrome, Stankiewicz-Isidor syndrome, Skraban-Deardorff syndrome, joint laxity, short stature, and myopia, Sweeney-Cox syndrome, Alkuraya-Kucinskas syndrome, Jaberi-Elahi syndrome, neurodevelopmental disorder with regression, abnormal movements, loss of speech, and seizures, hearing impairment and infertile male syndrome, cardiocutaneous syndrome, neonatal diabetes, congenital sensorineural hearing loss and congenital cataracts, cardioectodermal syndrome, cannabinoid hyperemesis syndrome, retrograde cricopharyngeus dysfunction, Zinner syndrome, retinal dystrophy-ataxia-pituitary hormone abnormality-hypogonadism syndrome, IFAP syndrome, DICER1-related tumor predisposition, Roberts-SC phocomelia syndrome, carcinoid syndrome, Bonnevie-Ullrich syndrome, NKX2-1 related choreoathetosis and congenital hypothyroidism with or without pulmonary dysfunction, RNU4ATAC spectrum disorder, syndromic congenital heart disease, hand-foot syndrome, central hypoventilation syndrome, congenital, 1, with or without Hirschsprung disease, gastrointestinal defects and immunodeficiency syndrome 1, achalasia-alacrima syndrome, black locks with albinism and deafness syndrome, Birt-Hogg-Dube syndrome, trigeminal trophic syndrome, developmental and/or epileptic encephalopathy with spike-wave activation in sleep, syndromic microspherophakia, painful legs and moving toes syndrome, congenital aphakia-iris hypoplasia-microphthalmia-microcornea syndrome, hereditary persistence of fetal hemoglobin-intellectual disability syndrome, developmental delay-immunodeficiency-leukoencephalopathy-hypohomocysteinemia syndrome, primary hypomagnesemia-generalized seizures-intellectual disability-obesity syndrome, post-cardiac arrest syndrome, early-onset obesity-hyperphagia-severe developmental delay syndrome, hereditary alpha tryptasemia syndrome, KINSSHIP syndrome, developmental delay, hypotrophy, and dysmorphic features without moebius syndrome, breast implant illness, cataracts, hearing impairment, nephrotic syndrome, and enterocolitis, craniosynostosis-facial dysmorphism-chiari-1 malformation-developmental and language delay syndrome, MYT1L-related developmental delay-intellectual disability-obesity syndrome, Houge-Janssens syndrome, xerosis and growth failure with immune and pulmonary dysfunction syndrome, Fliedner-Zweier syndrome, Lui-Jee-Baron syndrome, Long-Olsen-Distelmaier syndrome, Tan-Almurshedi syndrome, diabetes, deafness, developmental delay, and short stature syndrome, Alfadhel syndrome, Hoxha-Aliu syndrome, cleft palate-congenital heart defect-intellectual disability syndrome, congenital insensitivity to pain syndrome, Marsili type, Yuksel-Vogel-Bauer syndrome, polydactyly-macrocephaly syndrome, pyoderma gangrenosum-acne-hidradenitis suppurativa-ankylosing spondylitis syndrome, psoriatic arthritis-pyoderma gangrenosum-acne-hidradenitis suppurativa syndrome, megalencephaly-polydactyly syndrome, Leigh syndrome, mitochondrial, auroneurodental syndrome, orofacial clefting-cardiac anomalies-facial dysmorphism syndrome, Grisel syndrome, arterial tortuosity-bone fragility syndrome, dialysis disequilibrium syndrome, brain abnormalities-severe developmental delay-facial dysmorphism-intellectual disability syndrome due to MEF2C mutation, Kariminejad neurodevelopmental syndrome, myelofibrosis, congenital, with anemia, neutropenia, developmental delay, and ocular abnormalities, brain malformation renal syndrome, myopathy with myalgia, increased serum creatine kinase, and with or without episodic rhabdomyolysis 2, Karayol-Borroto-Haghshenas neurodevelopmental syndrome, neurodegeneration, infantile-onset, with optic atrophy and brain abnormalities, Morimoto-Ryu-Malicdan neuromuscular syndrome, neurodevelopmental disorder with dysmorphic facies, absent speech and ambulation, and brain abnormalities, neurodevelopmental disorder with variable familial hypercholanemia, Pan-Chung-Bellen syndrome, telangiectasia, impaired intellectual development, microcephaly, metaphyseal dysplasia, eye abnormalities, and short stature, Muggenthaler-Chowdhury-Chioza syndrome, Tayoun-Maawali syndrome, ragopathy, cardiovascular-kidney-metabolic syndrome, craniofaciocardiohepatic syndrome, FICUS syndrome, Li-Takada-Miyake syndrome, Guillouet-Gordon syndrome, ICHAD syndrome, cataract, alopecia, oral mucosal disorder, and psoriasis-like syndrome, RAC2-related combined immunodeficiency-bronchiectasis-cancer-predisposing syndrome, oculovertebral syndrome, Alsahan-Harris syndrome, Ververi-Brady syndrome, Dursun-Ozgul neurodevelopmental syndrome, immune dysregulation, neurodevelopmental defects, and colitis, Harel-Tora neurodevelopmental syndrome, Valence-Farazi cerebellar ataxia syndrome, dyschromatosis, ichthyosis, deafness, and atopic disease, Ramond-Elliott neurodevelopmental syndrome, STAD syndrome, craniosynostosis-scoliosis syndrome, loin pain hematuria syndrome, IRF6-related condition, linkeropathy, NDUFB11-related disorders, CRYAB-related myofibrillar myopathy-cataract-cardiomyopathy spectrum disorder, TSEN2-related neurodevelopmental disorder with or without thrombotic microangiopathy, antiphospholipid syndrome

Subtypes (18): hypogonadotropic hypogonadism 2 with or without anosmia, hypogonadotropic hypogonadism 3 with or without anosmia, hypogonadotropic hypogonadism 1 with or without anosmia, hypogonadotropic hypogonadism 4 with or without anosmia, hypogonadotropic hypogonadism 5 with or without anosmia, hypogonadotropic hypogonadism 6 with or without anosmia, hypogonadotropic hypogonadism 8 with or without anosmia, hypogonadotropic hypogonadism 9 with or without anosmia, hypogonadotropic hypogonadism 11 with or without anosmia, hypogonadotropic hypogonadism 14 with or without anosmia, hypogonadotropic hypogonadism 15 with or without anosmia, hypogonadotropic hypogonadism 16 with or without anosmia, hypogonadotropic hypogonadism 17 with or without anosmia, hypogonadotropic hypogonadism 18 with or without anosmia, hypogonadotropic hypogonadism 19 with or without anosmia, hypogonadotropic hypogonadism 20 with or without anosmia, hypogonadotropic hypogonadism 21 with or without anosmia, hypogonadotropic hypogonadism 22 with or without anosmia

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

9 retrieved; paginated sample, class counts are floors:

4 pathogenic, 4 uncertain significance, 1 conflicting classifications of pathogenicity

ClinVarVariant (HGVS)GeneClassificationReview
635961NC_000008.11:g.38463238_38470748delFGFR1Pathogeniccriteria provided, single submitter
1172662NM_001166114.2(PNPLA6):c.3885dup (p.Ser1296fs)PNPLA6Pathogeniccriteria provided, single submitter
813829NM_006941.4(SOX10):c.125_132del (p.Leu42fs)POLR2FPathogeniccriteria provided, single submitter
871833NM_006941.4(SOX10):c.89C>A (p.Ser30Ter)POLR2FPathogeniccriteria provided, multiple submitters, no conflicts
3451NM_144773.4(PROKR2):c.254G>A (p.Arg85His)PROKR2Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
3773789NM_006941.4(SOX10):c.532C>T (p.Arg178Trp)POLR2FUncertain significancecriteria provided, single submitter
3780663NM_001127496.3(SPRY4):c.524C>T (p.Thr175Met)SPRY4Uncertain significancecriteria provided, multiple submitters, no conflicts
638187NM_001035235.4(SRA1):c.341G>A (p.Arg114His)SRA1Uncertain significanceno assertion criteria provided
1805150NM_207037.2(TCF12):c.20dup (p.Met8fs)TCF12Uncertain significancecriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 201 · Orphanet: 78 · 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
TCF12StrongAutosomal dominantKallmann syndrome11
ANOS1SupportiveAutosomal dominantKallmann syndrome4
CCDC141SupportiveAutosomal dominantKallmann syndrome2
CHD7SupportiveAutosomal dominantKallmann syndrome8
DCCSupportiveAutosomal dominantKallmann syndrome12
DUSP6SupportiveAutosomal dominantKallmann syndrome5
FEZF1SupportiveAutosomal dominantKallmann syndrome5
FGF17SupportiveAutosomal dominantKallmann syndrome4
FGF8SupportiveAutosomal dominantKallmann syndrome9
FGFR1SupportiveAutosomal dominantKallmann syndrome36
FLRT3SupportiveAutosomal dominantKallmann syndrome4
HESX1SupportiveAutosomal dominantKallmann syndrome12
HS6ST1SupportiveAutosomal dominantKallmann syndrome5
IL17RDSupportiveAutosomal dominantKallmann syndrome3
NDNFSupportiveAutosomal dominantKallmann syndrome3
PHIPSupportiveAutosomal dominantKallmann syndrome15
PROK2SupportiveAutosomal dominantKallmann syndrome7
PROKR2SupportiveAutosomal dominantKallmann syndrome8
SEMA3ASupportiveAutosomal dominantKallmann syndrome7
SOX10SupportiveAutosomal dominantKallmann syndrome15
SPRY4SupportiveAutosomal dominantKallmann syndrome5
TACR3SupportiveAutosomal dominantKallmann syndrome5
WDR11SupportiveAutosomal dominantKallmann syndrome10
AXLLimitedAutosomal dominantKallmann syndrome
SEMA3ELimitedAutosomal dominantKallmann syndrome5

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
TCF12Orphanet:209916Extraskeletal myxoid chondrosarcoma
TCF12Orphanet:35099Non-syndromic bicoronal craniosynostosis
SPRY4Orphanet:363494Non-seminomatous germ cell tumor of testis
SPRY4Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
SPRY4Orphanet:478Kallmann syndrome
PROKR2Orphanet:3157Septo-optic dysplasia spectrum
PROKR2Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
PROKR2Orphanet:478Kallmann syndrome
PROKR2Orphanet:95496Pituitary stalk interruption syndrome
FGFR1Orphanet:168953Myeloid/lymphoid neoplasm associated with FGFR1 rearrangement
FGFR1Orphanet:2117Hartsfield syndrome
FGFR1Orphanet:220386Semilobar holoprosencephaly
FGFR1Orphanet:2396Encephalocraniocutaneous lipomatosis
FGFR1Orphanet:251576Gliosarcoma
FGFR1Orphanet:251579Giant cell glioblastoma
FGFR1Orphanet:251615Pilomyxoid astrocytoma
FGFR1Orphanet:2645Osteoglosphonic dysplasia
FGFR1Orphanet:280200Microform holoprosencephaly
FGFR1Orphanet:314950Primary hypereosinophilic syndrome
FGFR1Orphanet:3157Septo-optic dysplasia spectrum
FGFR1Orphanet:3366Non-syndromic metopic craniosynostosis
FGFR1Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
FGFR1Orphanet:478Kallmann syndrome
FGFR1Orphanet:93258Pfeiffer syndrome type 1
FGFR1Orphanet:93924Lobar holoprosencephaly
FGFR1Orphanet:99798Oligodontia
SEMA3AOrphanet:130Brugada syndrome
SEMA3AOrphanet:478Kallmann syndrome
SEMA3EOrphanet:138CHARGE syndrome
SOX10Orphanet:163746Peripheral demyelinating neuropathy-central dysmyelinating leukodystrophy-Waardenburg syndrome-Hirschsprung disease
SOX10Orphanet:478Kallmann syndrome
SOX10Orphanet:895Waardenburg syndrome type 2
SOX10Orphanet:897Waardenburg-Shah syndrome
TACR3Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
TACR3Orphanet:478Kallmann syndrome
WDR11Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
WDR11Orphanet:478Kallmann syndrome
WDR11Orphanet:95496Pituitary stalk interruption syndrome
PHIPOrphanet:589905PHIP-related behavioral problems-intellectual disability-obesity-dysmorphic features syndrome
IL17RDOrphanet:478Kallmann syndrome
PROK2Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
PROK2Orphanet:478Kallmann syndrome
CHD7Orphanet:138CHARGE syndrome
CHD7Orphanet:39041Omenn syndrome
CHD7Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
CHD7Orphanet:478Kallmann syndrome
FEZF1Orphanet:478Kallmann syndrome
NDNFOrphanet:478Kallmann syndrome
CCDC141Orphanet:478Kallmann syndrome
DCCOrphanet:238722Familial congenital mirror movements

Cohort genes → proteins

28 cohort genes, 28 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence28

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
TCF12HGNC:11623ENSG00000140262Q99081Transcription factor 12gencc,clinvar
SPRY4HGNC:15533ENSG00000187678Q9C004Protein sprouty homolog 4gencc,clinvar
PROKR2HGNC:15836ENSG00000101292Q8NFJ6Prokineticin receptor 2gencc,clinvar
FGFR1HGNC:3688ENSG00000077782P11362Fibroblast growth factor receptor 1gencc,clinvar
SEMA3AHGNC:10723ENSG00000075213Q14563Semaphorin-3Agencc
SEMA3EHGNC:10727ENSG00000170381O15041Semaphorin-3Egencc
SOX10HGNC:11190ENSG00000100146P56693Transcription factor SOX-10gencc
TACR3HGNC:11528ENSG00000169836P29371Neuromedin-K receptorgencc
WDR11HGNC:13831ENSG00000120008Q9BZH6WD repeat-containing protein 11gencc
PHIPHGNC:15673ENSG00000146247Q8WWQ0PH-interacting proteingencc
IL17RDHGNC:17616ENSG00000144730Q8NFM7Interleukin-17 receptor Dgencc
PROK2HGNC:18455ENSG00000163421Q9HC23Prokineticin-2gencc
CHD7HGNC:20626ENSG00000171316Q9P2D1ATP-dependent chromatin remodeler CHD7gencc
FEZF1HGNC:22788ENSG00000128610A0PJY2Fez family zinc finger protein 1gencc
NDNFHGNC:26256ENSG00000173376Q8TB73Protein NDNFgencc
CCDC141HGNC:26821ENSG00000163492Q6ZP82Coiled-coil domain-containing protein 141gencc
DCCHGNC:2701ENSG00000187323P43146Netrin receptor DCCgencc
DUSP6HGNC:3072ENSG00000139318Q16828Dual specificity protein phosphatase 6gencc
FGF17HGNC:3673ENSG00000158815O60258Fibroblast growth factor 17gencc
FGF8HGNC:3686ENSG00000107831P55075Fibroblast growth factor 8gencc
FLRT3HGNC:3762ENSG00000125848Q9NZU0Leucine-rich repeat transmembrane protein FLRT3gencc
HESX1HGNC:4877ENSG00000163666Q9UBX0Homeobox expressed in ES cells 1gencc
HS6ST1HGNC:5201ENSG00000136720O60243Heparan-sulfate 6-O-sulfotransferase 1gencc
ANOS1HGNC:6211ENSG00000011201P23352Anosmin-1gencc
AXLHGNC:905ENSG00000167601P30530Tyrosine-protein kinase receptor UFOgencc
SRA1HGNC:11281ENSG00000213523Q9HD15Steroid receptor RNA activator 1clinvar
PNPLA6HGNC:16268ENSG00000032444Q8IY17Patatin-like phospholipase domain-containing protein 6clinvar
POLR2FHGNC:9193ENSG00000100142P61218DNA-directed RNA polymerases I, II, and III subunit RPABC2clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
TCF12Transcription factor 12Transcriptional regulator.
SPRY4Protein sprouty homolog 4Suppresses the insulin receptor and EGFR-transduced MAPK signaling pathway, but does not inhibit MAPK activation by a constitutively active mutant Ras.
PROKR2Prokineticin receptor 2Receptor for prokineticin 2.
FGFR1Fibroblast growth factor receptor 1Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of embryonic development, cell proliferation, differentiation and migration.
SEMA3ASemaphorin-3AInvolved in the development of the olfactory system and in neuronal control of puberty.
SEMA3ESemaphorin-3EPlays an important role in signaling via the cell surface receptor PLXND1.
SOX10Transcription factor SOX-10Transcription factor that plays a central role in developing and mature glia.
TACR3Neuromedin-K receptorReceptor for the tachykinin neuromedin-K (neurokinin B), also able to bind and respond to tachynins substance K/neurokinin A and substance P.
WDR11WD repeat-containing protein 11Involved in the Hedgehog (Hh) signaling pathway, is essential for normal ciliogenesis.
PHIPPH-interacting proteinProbable regulator of the insulin and insulin-like growth factor signaling pathways.
IL17RDInterleukin-17 receptor DFeedback inhibitor of fibroblast growth factor mediated Ras-MAPK signaling and ERK activation.
PROK2Prokineticin-2May function as an output molecule from the suprachiasmatic nucleus (SCN) that transmits behavioral circadian rhythm.
CHD7ATP-dependent chromatin remodeler CHD7ATP-dependent chromatin-remodeling factor, slides nucleosomes along DNA; nucleosome sliding requires ATP.
FEZF1Fez family zinc finger protein 1Transcription repressor.
NDNFProtein NDNFSecretory protein that plays a role in various cellular processes.
CCDC141Coiled-coil domain-containing protein 141Plays a critical role in cortical radial and GnRH neurons migration during brain development.
DCCNetrin receptor DCCReceptor for netrin required for axon guidance.
DUSP6Dual specificity protein phosphatase 6Dual specificity protein phosphatase, which mediates dephosphorylation and inactivation of MAP kinases.
FGF17Fibroblast growth factor 17Plays an important role in the regulation of embryonic development and as signaling molecule in the induction and patterning of the embryonic brain.
FGF8Fibroblast growth factor 8Plays an important role in the regulation of embryonic development, cell proliferation, cell differentiation and cell migration.
FLRT3Leucine-rich repeat transmembrane protein FLRT3Functions in cell-cell adhesion, cell migration and axon guidance, exerting an attractive or repulsive role depending on its interaction partners.
HESX1Homeobox expressed in ES cells 1Required for the normal development of the forebrain, eyes and other anterior structures such as the olfactory placodes and pituitary gland.
HS6ST1Heparan-sulfate 6-O-sulfotransferase 16-O-sulfation enzyme which catalyzes the transfer of sulfate from 3’-phosphoadenosine 5’-phosphosulfate (PAPS) to position 6 of the N-sulfoglucosamine residue (GlcNS) of heparan sulfate.
ANOS1Anosmin-1Has a dual branch-promoting and guidance activity, which may play an important role in the patterning of mitral and tufted cell collaterals to the olfactory cortex.
AXLTyrosine-protein kinase receptor UFOReceptor tyrosine kinase that transduces signals from the extracellular matrix into the cytoplasm by binding growth factor GAS6 and which is thus regulating many physiological processes including cell survival, cell proliferation, migratio…
SRA1Steroid receptor RNA activator 1Functional RNA which acts as a transcriptional coactivator that selectively enhances steroid receptor-mediated transactivation ligand-independently through a mechanism involving the modulating N-terminal domain (AF-1) of steroid receptors.
PNPLA6Patatin-like phospholipase domain-containing protein 6Phospholipase B that deacylates intracellular phosphatidylcholine (PtdCho), generating glycerophosphocholine (GroPtdCho).
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.

Protein-family classification

Druggable: 12 · Difficult: 6 · Unknown: 10 · Druggable fraction: 0.43

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
Antibody/Immunoglobulin77.3×2e-04
Phosphatase13.0×0.569
Kinase22.0×0.569
GPCR21.7×0.569
Scaffold/PPI21.2×0.569
Transcription factor41.2×0.569
Other/Unknown100.6×0.990

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
TCF12Transcription factornobHLH_dom, HLH_DNA-bd_sf, NeuroDiff_E-box_TFs
SPRY4Other/UnknownnoSprouty, Sprouty_domain
PROKR2GPCRyesGPCR_Rhodpsn, NPY_rcpt, GPCR_Rhodpsn_7TM
FGFR1Kinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2
SEMA3AAntibody/ImmunoglobulinyesSemap_dom, Ig_sub, Ig-like_dom
SEMA3EAntibody/ImmunoglobulinyesSemap_dom, Ig-like_dom, Immunoglobulin_dom
SOX10Transcription factornoHMG_box_dom, Sox_N, HMG_box_dom_sf
TACR3GPCRyesGPCR_Rhodpsn, NK3_rcpt, Neurokn_rcpt
WDR11Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_CS
PHIPScaffold/PPInoBromodomain, WD40_rpt, WD40/YVTN_repeat-like_dom_sf
IL17RDOther/UnknownnoSEFIR_dom, IL17R_D_N, Toll_tir_struct_dom_sf
PROK2Other/UnknownnoProkineticin, Prokineticin_domain
CHD7Other/UnknownnoSNF2_N, Chromo/chromo_shadow_dom, Helicase_C-like
FEZF1Transcription factornoZnf_C2H2_type, Znf_C2H2_sf
NDNFAntibody/ImmunoglobulinyesFN3_dom, Ig-like_fold, NDNF
CCDC141Antibody/ImmunoglobulinyesSpectrin_repeat, Ig_sub2, Ig_sub
DCCAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
DUSP6Phosphataseyes3.1.3.16Dual-sp_phosphatase_cat-dom, Tyr_Pase_dom, Rhodanese-like_dom
FGF17Other/UnknownnoFibroblast_GF_fam, IL1/FGF
FGF8Other/UnknownnoFibroblast_GF_fam, IL1/FGF
FLRT3Antibody/ImmunoglobulinyesLRRNT, Cys-rich_flank_reg_C, Leu-rich_rpt
HESX1Transcription factornoHD, Homeodomain-like_sf, Homeobox_CS
HS6ST1Other/UnknownnoSulfotransferase, Heparan_SO4-6-sulfoTrfase, P-loop_NTPase
ANOS1Antibody/ImmunoglobulinyesFN3_dom, WAP_dom, Ig-like_fold
AXLKinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub
SRA1Other/UnknownnoSRA1/Sec31, Steroid_recept_RNA_1
PNPLA6Other/UnknownnocNMP-bd_dom, LysoPLipase_patatin_CS, PNPLA_dom
POLR2FOther/UnknownnoPol_omega/Rpo6/RPB6, Rpo6/Rpb6, DNA-dir_RNA_polK_14-18kDa_CS

Expression context

Cohort genes with no expression data: 0.

25 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)28
unknown0

Top tissues across cohort

TissueCohort genes
cortical plate5
ganglionic eminence3
ventricular zone3
calcaneal tendon3
stromal cell of endometrium3
secondary oocyte3
buccal mucosa cell2
sural nerve2
hypothalamus2
male germ line stem cell (sensu Vertebrata) in testis2
metanephric glomerulus2
visceral pleura2
pericardium2
primordial germ cell in gonad2
pancreatic ductal cell2
periodontal ligament1
ascending aorta1
left coronary artery1
right lung1
colonic epithelium1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
TCF12295ubiquitousmarkerperiodontal ligament, ventricular zone, ganglionic eminence
SPRY4219ubiquitousmarkerleft coronary artery, right lung, ascending aorta
PROKR232tissue_specificyescortical plate, ganglionic eminence, ventricular zone
FGFR1292ubiquitousmarkerbuccal mucosa cell, stromal cell of endometrium, calcaneal tendon
SEMA3A194ubiquitousmarkerstromal cell of endometrium, cortical plate, colonic epithelium
SEMA3E197broadmarkercortical plate, calcaneal tendon, blood vessel layer
SOX10218broadmarkerinferior olivary complex, sural nerve, dorsal motor nucleus of vagus nerve
TACR343tissue_specificmarkercortical plate, secondary oocyte, hypothalamus
WDR11287ubiquitousmarkerepithelium of nasopharynx, nasopharynx, calcaneal tendon
PHIP302ubiquitousmarkerbronchial epithelial cell, epithelium of bronchus, ventricular zone
IL17RD236broadyessecondary oocyte, oocyte, mammary duct
PROK2159broadmarkerblood, bone marrow, trabecular bone tissue
CHD7269ubiquitousmarkersecondary oocyte, cerebellar vermis, sural nerve
FEZF152tissue_specificmarkermale germ line stem cell (sensu Vertebrata) in testis, hypothalamus, caudate nucleus
NDNF230broadmarkerrenal glomerulus, metanephric glomerulus, visceral pleura
CCDC141149broadmarkerheart left ventricle, adrenal tissue, right atrium auricular region
DCC154broadmarkercortical plate, right testis, left testis
DUSP6296ubiquitousmarkerparotid gland, pericardium, monocyte
FGF17154tissue_specificmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
FGF8109tissue_specificyesprimordial germ cell in gonad, metanephric glomerulus, endometrium epithelium
FLRT3248ubiquitousmarkerendothelial cell, lower lobe of lung, pericardium
HESX1167broadmarkerbuccal mucosa cell, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad
HS6ST1258ubiquitousmarkerkidney epithelium, pancreatic ductal cell, ganglionic eminence
ANOS1268broadmarkervisceral pleura, hair follicle, skeletal muscle tissue of rectus abdominis
AXL290ubiquitousmarkersynovial joint, saphenous vein, stromal cell of endometrium
SRA1254ubiquitousmarkerpancreatic ductal cell, left adrenal gland, left adrenal gland cortex
PNPLA6276ubiquitousmarkergranulocyte, metanephros cortex, upper lobe of left lung
POLR2F293ubiquitousmarkerC1 segment of cervical spinal cord, spinal cord, tibial nerve

Protein interactions among cohort

Intra-cohort edges: 55.

Hub genes (top 10 by interactor count)

SymbolInteractor count
FGFR15,693
CHD74,819
FGF84,536
AXL4,443
FGF173,908
SOX103,696
PHIP3,057
PNPLA62,676
DUSP62,421
SEMA3A2,069

Intra-cohort edges

ABSources
ANOS1CCDC141string_interaction
ANOS1CHD7string_interaction
ANOS1FEZF1string_interaction
ANOS1FGF8string_interaction
ANOS1FGFR1biogrid_interaction, intact, string_interaction
ANOS1FLRT3string_interaction
ANOS1HESX1string_interaction
ANOS1HS6ST1string_interaction
ANOS1NDNFintact
ANOS1PROK2string_interaction
ANOS1PROKR2string_interaction
ANOS1TACR3string_interaction
CCDC141FEZF1string_interaction
CCDC141HS6ST1string_interaction
CCDC141PROKR2string_interaction
CCDC141TACR3string_interaction
CHD7FEZF1string_interaction
CHD7PROK2string_interaction
CHD7PROKR2string_interaction
CHD7SEMA3Estring_interaction
CHD7SOX10biogrid_interaction
CHD7TACR3string_interaction
DUSP6SPRY4string_interaction
FEZF1FLRT3string_interaction
FEZF1HS6ST1string_interaction
FEZF1IL17RDstring_interaction
FEZF1PROK2string_interaction
FEZF1PROKR2string_interaction
FEZF1TACR3string_interaction
FGF17FGF8intact
FGF17FGFR1string_interaction
FGF17NDNFstring_interaction
FGF8FGFR1biogrid_interaction, intact, string_interaction
FGF8IL17RDstring_interaction
FGF8PROK2string_interaction
FGF8SPRY4string_interaction
FGF8WDR11biogrid_interaction
FGFR1PROK2string_interaction
FGFR1PROKR2string_interaction
FGFR1SPRY4string_interaction
FGFR1TACR3string_interaction
FLRT3IL17RDstring_interaction
FLRT3PROKR2string_interaction
FLRT3SPRY4string_interaction
HESX1PROKR2string_interaction
HS6ST1IL17RDstring_interaction
HS6ST1NDNFstring_interaction
HS6ST1PROKR2string_interaction
HS6ST1TACR3string_interaction
IL17RDNDNFstring_interaction

Structural data

PDB: 16 · AlphaFold-only: 12 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
PHIPQ8WWQ0146
FGFR1P1136283
POLR2FP6121860
DCCP431469
AXLP305304
TACR3P293713
CHD7Q9P2D13
FLRT3Q9NZU03
TCF12Q990812
WDR11Q9BZH62
DUSP6Q168282
SRA1Q9HD152
SPRY4Q9C0041
FGF8P550751
HESX1Q9UBX01
ANOS1P233521

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
HS6ST1O6024387.28
FGF17O6025886.39
SEMA3EO1504184.62
SEMA3AQ1456384.50
NDNFQ8TB7378.58
PROKR2Q8NFJ678.50
CCDC141Q6ZP8272.36
PNPLA6Q8IY1769.75
IL17RDQ8NFM769.68
PROK2Q9HC2369.22
SOX10P5669357.32
FEZF1A0PJY256.91

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 194. Enrichment computed across 28 evidence-associated genes (22 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 22 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
FGFR1c ligand binding and activation4138.4×3e-06FGFR1, FGF17, FGF8, ANOS1
Downstream signaling of activated FGFR1498.9×6e-06FGFR1, FGF17, FGF8, FLRT3
Negative regulation of FGFR1 signaling467.0×2e-05FGFR1, FGF17, FGF8, ANOS1
Signaling by activated point mutants of FGFR13129.8×7e-05FGFR1, FGF17, FGF8
Phospholipase C-mediated cascade: FGFR1391.6×2e-04FGFR1, FGF17, FGF8
PI-3K cascade:FGFR1370.8×3e-04FGFR1, FGF17, FGF8
SHC-mediated cascade:FGFR1367.7×3e-04FGFR1, FGF17, FGF8
FRS-mediated FGFR1 signaling362.3×3e-04FGFR1, FGF17, FGF8
Signaling by FGFR1 in disease339.9×0.001FGFR1, FGF17, FGF8
FGFR3b ligand binding and activation2148.3×0.001FGF17, FGF8
PI3K Cascade337.1×0.001FGFR1, FGF17, FGF8
Signaling by FGFR2 in disease336.2×0.001FGF17, FGF8, POLR2F
Signaling by activated point mutants of FGFR3286.5×0.003FGF17, FGF8
FGFR3c ligand binding and activation279.9×0.003FGF17, FGF8
FGFR2c ligand binding and activation279.9×0.003FGF17, FGF8
Phospholipase C-mediated cascade; FGFR3279.9×0.003FGF17, FGF8
FGFRL1 modulation of FGFR1 signaling279.9×0.003FGF17, FGF8
FGFR4 ligand binding and activation274.2×0.003FGF17, FGF8
Phospholipase C-mediated cascade; FGFR4269.2×0.004FGF17, FGF8
Activated point mutants of FGFR2261.1×0.005FGF17, FGF8
Phospholipase C-mediated cascade; FGFR2257.7×0.005FGF17, FGF8
PI-3K cascade:FGFR3257.7×0.005FGF17, FGF8
SHC-mediated cascade:FGFR3254.6×0.005FGF17, FGF8
PI-3K cascade:FGFR4251.9×0.005FGF17, FGF8
Constitutive Signaling by Aberrant PI3K in Cancer317.3×0.005FGFR1, FGF17, FGF8
FRS-mediated FGFR3 signaling249.4×0.005FGF17, FGF8
SHC-mediated cascade:FGFR4249.4×0.005FGF17, FGF8
PI-3K cascade:FGFR2245.1×0.006FGF17, FGF8
FRS-mediated FGFR4 signaling245.1×0.006FGF17, FGF8
Signaling by FGFR3 in disease245.1×0.006FGF17, FGF8

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 28 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
axon guidance619.4×2e-04SEMA3A, SEMA3E, FEZF1, DCC, FLRT3, ANOS1
fibroblast growth factor receptor signaling pathway440.8×3e-04FGFR1, FGF17, FGF8, FLRT3
neuron migration523.9×3e-04FGFR1, SEMA3A, NDNF, DCC, AXL
olfactory bulb development382.1×5e-04SEMA3A, CHD7, FEZF1
dorsal/ventral axon guidance2300.9×0.001DCC, FGF8
gonadotrophin-releasing hormone neuronal migration to the hypothalamus2200.6×0.002SEMA3E, NDNF
chordate embryonic development2200.6×0.002FGFR1, CHD7
cell maturation347.5×0.002FGFR1, SOX10, AXL
nose development2172.0×0.002CHD7, HESX1
blood vessel remodeling341.0×0.002CHD7, FGF8, AXL
otic vesicle formation2150.5×0.002FGF8, HESX1
neural crest cell migration336.1×0.002SEMA3A, SEMA3E, SOX10
negative regulation of neuron apoptotic process415.8×0.003SEMA3E, NDNF, FGF8, AXL
vagina development2109.4×0.004TACR3, AXL
forebrain morphogenesis2100.3×0.004FGF8, HESX1
branching involved in salivary gland morphogenesis2100.3×0.004FGFR1, FGF8
organ induction286.0×0.005FGFR1, FGF8
head development286.0×0.005WDR11, FLRT3
gonad development280.2×0.005FGF8, HESX1
positive regulation of neuron differentiation321.2×0.006TCF12, FGFR1, FEZF1
aorta morphogenesis263.4×0.007CHD7, FGF8
motor neuron axon guidance250.1×0.011SEMA3A, FGF8
MAPK cascade316.4×0.012FGFR1, DUSP6, FGF8
negative chemotaxis246.3×0.012SEMA3A, SEMA3E
angiogenesis48.9×0.014FGFR1, PROK2, NDNF, HS6ST1
embryonic hindlimb morphogenesis241.5×0.014CHD7, FGF8
thyroid gland development238.8×0.014FGF8, HESX1
cellular response to fibroblast growth factor stimulus238.8×0.014FGFR1, NDNF
positive regulation of mitotic nuclear division238.8×0.014PHIP, FGF8
branching involved in blood vessel morphogenesis237.6×0.014SEMA3E, FGF8

Therapeutics

Drugs indicated for this disease

No approved or late-stage (phase ≥3) drug is indicated for this disease; the following are in earlier-phase trials only.

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Menotropins.

Drug target analysis

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

Druggability breadth: 8 of 28 evidence-associated genes (29%) 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
FGFR1PONATINIB
TACR3APREPITANT
AXLGILTERITINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
FGFR1934
AXL594
TACR394
TCF1200
SPRY400
PROKR200
SEMA3A00
SEMA3E00
SOX1000
WDR1100

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PONATINIB4FGFR1
PEMIGATINIB4FGFR1
NINTEDANIB4AXL, FGFR1
FEDRATINIB4AXL, FGFR1
TIVOZANIB4FGFR1
LENVATINIB4FGFR1
AXITINIB4AXL, FGFR1
SORAFENIB4AXL, FGFR1
NICLOSAMIDE4FGFR1
INFIGRATINIB PHOSPHATE4FGFR1
INFIGRATINIB4FGFR1
REGORAFENIB4FGFR1
ENTRECTINIB4AXL, FGFR1
CABOZANTINIB4AXL, FGFR1
CAPIVASERTIB4FGFR1
VANDETANIB4AXL, FGFR1
NINTEDANIB ESYLATE4FGFR1
BRIGATINIB4FGFR1
ERDAFITINIB4FGFR1
UPADACITINIB4FGFR1
FUTIBATINIB4FGFR1
PAZOPANIB4FGFR1
SUNITINIB4AXL, FGFR1
DASATINIB4AXL, FGFR1
MIDOSTAURIN4AXL, FGFR1
APREPITANT4TACR3
FEZOLINETANT4TACR3
GILTERITINIB4AXL
AFATINIB4AXL
NERATINIB4AXL

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

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

SymbolAssaysType breakdown
FGFR11,465Binding:1428, Functional:24, ADMET:13
AXL701Binding:698, Functional:3
TACR3266Binding:217, Functional:48, ADMET:1
DUSP638Binding:37, ADMET:1
PHIP17Binding:17
PROKR29Functional:5, Binding:4
TCF121Binding:1
PNPLA61Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
FGFR12.7.10.1receptor protein-tyrosine kinase
DUSP63.1.3.16, 3.1.3.48protein-serine/threonine phosphatase, protein-tyrosine-phosphatase
AXL2.7.10.1receptor protein-tyrosine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
FGFR11,465
TACR3266
AXL701

Pharmacogenomics

Cohort genes with a PharmGKB record: 28; 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)
PONATINIB4FGFR1
PEMIGATINIB4FGFR1
NINTEDANIB4AXL, FGFR1
FEDRATINIB4AXL, FGFR1
TIVOZANIB4FGFR1
LENVATINIB4FGFR1
AXITINIB4AXL, FGFR1
SORAFENIB4AXL, FGFR1
NICLOSAMIDE4FGFR1
INFIGRATINIB PHOSPHATE4FGFR1
INFIGRATINIB4FGFR1
REGORAFENIB4FGFR1
ENTRECTINIB4AXL, FGFR1
CABOZANTINIB4AXL, FGFR1
CAPIVASERTIB4FGFR1
VANDETANIB4AXL, FGFR1
NINTEDANIB ESYLATE4FGFR1
BRIGATINIB4FGFR1
ERDAFITINIB4FGFR1
UPADACITINIB4FGFR1
FUTIBATINIB4FGFR1
PAZOPANIB4FGFR1
SUNITINIB4AXL, FGFR1
DASATINIB4AXL, FGFR1
MIDOSTAURIN4AXL, FGFR1
APREPITANT4TACR3
FEZOLINETANT4TACR3
GILTERITINIB4AXL
AFATINIB4AXL
NERATINIB4AXL

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)3FGFR1, TACR3, AXL
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug4DCC, DUSP6, FLRT3, ANOS1
DDruggable family + AlphaFold only, no drug5PROKR2, SEMA3A, SEMA3E, NDNF, CCDC141
EDifficult family or no structure, no drug16TCF12, SPRY4, SOX10, WDR11, PHIP, IL17RD, PROK2, CHD7, FEZF1, FGF17 (+6 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
FGF170FGFR1
FGF80FGFR1
ANOS10FGFR1
TCF121
SPRY40
PROKR29
SEMA3A0
SEMA3E0
SOX100
WDR110
PHIP17
IL17RD0
PROK20
CHD70
FEZF10
NDNF0
CCDC1410
DCC0
DUSP638
FLRT30
HESX10
HS6ST10
SRA10
PNPLA61
POLR2F0

Clinical trials & evidence

Clinical trials

Clinical trials: 17.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified8
PHASE15
PHASE43
PHASE21

Top trials by phase / activity

NCTPhaseStatusTitle
NCT01403532PHASE4COMPLETEDSequential Therapy for Hypogonadotropic Hypogonadism
NCT02880280PHASE4UNKNOWNHuman Menopausal Gonadotropin Combining With Human Chorionic Gonadotropin Treat Congenital Hypogonadotropic Hypogonadism
NCT03687606PHASE4UNKNOWNEfficacy and Safety of Long Term Use of hCG or hCG Plus hMG in Males With Isolated Hypogonadotropic Hypogonadism (IHH)
NCT00064987PHASE2TERMINATEDFollicle Stimulating Hormone (FSH) to Improve Testicular Development in Men With Hypogonadism
NCT00392756PHASE1COMPLETEDExamination of Idiopathic Hypogonadotropic Hypogonadism (IHH)and Kallmann Syndrome (KS)
NCT00493961PHASE1COMPLETEDStudying the Effects of 7 Days of Gonadotropin Releasing Hormone (GnRH) Treatment in Men With Hypogonadism
NCT00914823PHASE1COMPLETEDKisspeptin Administration in the Adult
NCT01438034PHASE1COMPLETEDKisspeptin in the Evaluation of Delayed Puberty
NCT03118479PHASE1TERMINATEDEffect of Varying Testosterone Levels on Insulin Sensitivity in Men With Idiopathic Hypogonadotropic Hypogonadism (IHH)
NCT01601171Not specifiedRECRUITINGGenetics of Reproductive Disorders (Including Kallmann Syndrome) and Cleft Lip and/or Palate
NCT04463316Not specifiedRECRUITINGGROWing Up With Rare GENEtic Syndromes
NCT04733274Not specifiedACTIVE_NOT_RECRUITINGPatient and Healthcare Professional Views on Genetic/Genomic Information and Testing
NCT05971836Not specifiedACTIVE_NOT_RECRUITINGThe Molecular Basis of Inherited Reproductive Disorders
NCT00392457Not specifiedCOMPLETEDInvestigating the Regulation of Reproductive Hormones in Adult Men
NCT00494169Not specifiedCOMPLETEDInvestigation of the Genetic Causes of Kallmann Syndrome and Reproductive Disorders
NCT00623116Not specifiedUNKNOWNA Study to Characterize Epidemiology, Clinical and Genetic Features of Kallmann Syndrome in Finland
NCT01914172Not specifiedCOMPLETEDHealth Needs of Patients With Kallmann Syndrome

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
GONADORELIN ACETATE42
GONADOTROPIN, CHORIONIC42
ANASTROZOLE41
MENOTROPINS41
KISSPEPTIN22
CHEMBL237064402