Kidney disorder
diseaseOn this page
Also known as disease of kidneydisease or disorder of kidneydisorder of kidneykidney diseasekidney disease or disorderrenal diseaserenal disorder
Summary
Kidney disorder (MONDO:0005240) is a disease (an umbrella term covering 57 Mondo subtypes) with 74 cohort genes (81 GWAS associations across 99 studies) and 572 clinical trials. The dominant Reactome pathway is Regulation of Complement cascade (10 cohort genes). Top therapeutic interventions include cinacalcet, losartan, and darbepoetin alfa.
At a glance
- Umbrella term: 57 Mondo subtypes
- Cohort genes: 74
- GWAS associations: 81
- ClinVar variants: 331
- Clinical trials: 572
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | kidney disorder |
| Mondo ID | MONDO:0005240 |
| EFO | EFO:0003086 |
| MeSH | D007674 |
| DOID | DOID:557 |
| NCIT | C3149 |
| SNOMED CT | 90708001 |
| UMLS | C0022658 |
| MedGen | 9635 |
| Anatomy (UBERON) | UBERON:0002113 |
| Is cancer (heuristic) | no |
Also known as: disease of kidney · disease or disorder of kidney · disorder of kidney · kidney disease · kidney disease or disorder · kidney disorder · renal disease · renal disorder
Data availability: 331 ClinVar variants · 81 GWAS associations (99 studies) · 2 GenCC gene-disease records.
Disease family
An umbrella term covering 57 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › urinary system disorder › kidney disorder
Related subtypes (19): bacteriuria, ureteral disorder, pyuria, urinary tract obstruction, urethral disorder, urinary bladder disorder, hyperglycinuria, hypercalciuria, absorptive, 2, hypercalciuria, absorptive, 1, megacystis-megaureter syndrome, postorgasmic illness syndrome, congenital urachal anomaly, urinary system neoplasm, urothelial hyperplasia, urolithiasis, urinary tract infection, meningitis-retention syndrome, paraneoplastic renal syndrome, idiopathic hypercalciuria
Subtypes (57): renal hypertension, kidney failure, nephritis, impaired renal function disease, nephrocalcinosis, atheroembolism of kidney, renal artery disease, nephrosis, cystic kidney disease, anuria, stricture or kinking of ureter, proteinuria, renal infectious disease, diabetes insipidus, orthostatic proteinuria, kidney hypertrophy, chronic kidney disease, hydronephrosis, renal tubular transport disease, kidney cortex necrosis, kidney papillary necrosis, perinephritis, renal aminoaciduria, autosomal dominant progressive nephropathy with hypertension, nephrolithiasis, X-linked diffuse leiomyomatosis-Alport syndrome, tubulointerstitial nephritis and uveitis syndrome, distal renal tubular acidosis, oligomeganephronia, duplication of urethra, renal tubular dysgenesis, exstrophy-epispadias complex, fetal lower urinary tract obstruction, IgG4-related kidney disease, congenital primary megaureter, renal nutcracker syndrome, renal hypoplasia, renal dysplasia, congenital megacalycosis, glomerular disorder, congenital renal artery stenosis, kidney neoplasm, renal tubule disorder, pyonephrosis, Arnold stickler bourne syndrome, C1q nephropathy, hypertensive nephropathy, atypical Fanconi syndrome-neonatal hyperinsulinism syndrome, idiopathic non-lupus full-house nephropathy, lachiewicz sibley syndrome, crush syndrome, obstructive nephropathy, inherited kidney disorder, acute tubulointerstitial nephritis, kidney cortex disease, non-syndromic supernumerary kidneys, neonatal renal venous thrombosis
Genetics & variants
GWAS landscape
81 GWAS associations across 99 studies. Top hits map to 22 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| chr16:20381010 | 2e-45 | A | 0.13 | |
| rs36060036 | 2e-37 | UMOD | C | 0.11 |
| rs10857147 | 3e-35 | PRDM8 - FGF5 | ? | |
| rs77924615 | 4e-30 | PDILT | G | 0.1 |
| rs9275596 | 2e-26 | MTCO3P1 - HLA-DQB3 | ? | 1.59 |
| rs11642015 | 3e-25 | FTO | C | 0.06 |
| rs73885319 | 1e-22 | APOL1 | A | 0.31 |
| rs1421085 | 2e-19 | FTO | T | 0.06 |
| rs60910145 | 3e-18 | APOL1 | T | 0.12 |
| chr9:5073770 | 8e-18 | T | 1.02 | |
| rs6464165 | 4e-16 | PRKAG2 | T | 0.05 |
| rs10224210 | 6e-16 | PRKAG2 | T | 0.06 |
| rs3925584 | 3e-15 | MPPED2-AS1 - DCDC1 | T | 0.05 |
| chr7:151717243 | 6e-15 | C | 0.06 | |
| rs117026326 | 3e-14 | GTF2I-AS1, GTF2I | ? | |
| chr11:30727543 | 4e-14 | C | 0.05 | |
| chr11:65802675 | 2e-13 | G | 0.06 | |
| rs10846744 | 4e-13 | SCARB1 | G | 0.05 |
| rs569199361 | 1e-12 | CDH12 - Y_RNA | G | 4.53 |
| rs9357155 | 2e-12 | PSMB8 | ? | 1.41 |
| chr5:697277 | 2e-12 | C | 0.05 | |
| rs182226781 | 3e-12 | STARD13 | G | 2.83 |
| rs548186332 | 6e-12 | ADAMTSL1 | G | 2.16 |
| rs7903146 | 6e-12 | TCF7L2 | C | 0.04 |
| rs58384577 | 1e-11 | APOL1 | T | 0.39 |
| rs564490873 | 1e-11 | PCOLCE2 | T | 2.34 |
| rs138645155 | 1e-11 | HPRT1P2 - RPL19P11 | C | 1.88 |
| rs576354588 | 2e-11 | PKD2 | C | 2.77 |
| rs112341402 | 2e-11 | ACAP2 | T | 3.06 |
| rs192509901 | 2e-11 | DYNLL1P3 - PAX7 | C | 2.53 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90475924 | Verma A | 2024 | 60,962 | 358,617 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90474170 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 44,816 | 413,624 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90475923 | Verma A | 2024 | 22,462 | 90,187 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90475408 | Verma A | 2024 | 16,325 | 299,343 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90474187 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 11,171 | 447,269 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90474192 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 10,569 | 447,871 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90476676 | Verma A | 2024 | 7,696 | 307,972 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90476830 | Verma A | 2024 | 3,735 | 311,933 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90476112 | Verma A | 2024 | 2,669 | 116,910 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90038666 | Donertas HM | 2021 | 2,609 | 481,989 | Common genetic associations between age-related diseases. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 2 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 47 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 18 |
| low_freq (0.01-0.05) | 2 |
| rare (<0.01) | 12 |
| unknown | 18 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 22 |
| unknown | 18 |
| intergenic_variant | 6 |
| missense_variant | 2 |
| 3_prime_UTR_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| chr16:20381010 | 2e-45 | Tier 4: intronic/intergenic | ||||||
| rs36060036 | 16 | 20350628 | C>T | 0.163 | intron_variant | UMOD | 2e-37 | Tier 4: intronic/intergenic |
| rs10857147 | 4 | 80259918 | A>T | 0.05 | intergenic_variant | PRDM8 - FGF5 | 3e-35 | Tier 4: intronic/intergenic |
| rs77924615 | 16 | 20381010 | G>A | 0.174 | intron_variant | PDILT | 4e-30 | Tier 4: intronic/intergenic |
| rs9275596 | 6 | 32713854 | C>A,G,T | 0.27 | intergenic_variant | MTCO3P1 - HLA-DQB3 | 2e-26 | Tier 4: intronic/intergenic |
| rs11642015 | 16 | 53768582 | C>G,T | 0.402 | intron_variant | FTO | 3e-25 | Tier 4: intronic/intergenic |
| rs73885319 | 22 | 36265860 | A>G | 0.045 | missense_variant | APOL1 | 1e-22 | Tier 1: coding |
| rs1421085 | 16 | 53767042 | T>C | 0.332 | intron_variant | FTO | 2e-19 | Tier 4: intronic/intergenic |
| rs60910145 | 22 | 36265988 | T>C,G | 0.044 | missense_variant | APOL1 | 3e-18 | Tier 1: coding |
| chr9:5073770 | 8e-18 | Tier 4: intronic/intergenic | ||||||
| rs6464165 | 7 | 151716038 | T>C | 0.282 | intron_variant | PRKAG2 | 4e-16 | Tier 4: intronic/intergenic |
| rs10224210 | 7 | 151716108 | T>C | 0.233 | intron_variant | PRKAG2 | 6e-16 | Tier 4: intronic/intergenic |
| rs3925584 | 11 | 30738788 | T>A,C,G | 0.454 | intron_variant | MPPED2-AS1 - DCDC1 | 3e-15 | Tier 4: intronic/intergenic |
| chr7:151717243 | 6e-15 | Tier 4: intronic/intergenic | ||||||
| rs117026326 | 7 | 74711703 | C>T | 0.05 | intron_variant | GTF2I-AS1, GTF2I | 3e-14 | Tier 4: intronic/intergenic |
| chr11:30727543 | 4e-14 | Tier 4: intronic/intergenic | ||||||
| chr11:65802675 | 2e-13 | Tier 4: intronic/intergenic | ||||||
| rs10846744 | 12 | 124827879 | G>C,T | 0.26 | intron_variant | SCARB1 | 4e-13 | Tier 4: intronic/intergenic |
| rs569199361 | 5 | 23194671 | G>A | 0 | intergenic_variant | CDH12 - Y_RNA | 1e-12 | Tier 4: intronic/intergenic |
| rs9357155 | 6 | 32842071 | G>A,C | 0.13 | intron_variant | PSMB8 | 2e-12 | Tier 4: intronic/intergenic |
| chr5:697277 | 2e-12 | Tier 4: intronic/intergenic | ||||||
| rs182226781 | 13 | 33172984 | G>A | 0.001 | intron_variant | STARD13 | 3e-12 | Tier 4: intronic/intergenic |
| rs548186332 | 9 | 18766778 | G>A | 0.001 | intron_variant | ADAMTSL1 | 6e-12 | Tier 4: intronic/intergenic |
| rs7903146 | 10 | 112998590 | C>G,T | 0.289 | intron_variant | TCF7L2 | 6e-12 | Tier 4: intronic/intergenic |
| rs58384577 | 22 | 36267167 | T>C | 0.22 | 3_prime_UTR_variant | APOL1 | 1e-11 | Tier 2: splice/UTR |
| rs564490873 | 3 | 142826244 | T>C,G | 0.001 | intron_variant | PCOLCE2 | 1e-11 | Tier 4: intronic/intergenic |
| rs138645155 | 5 | 30778132 | C>T | 0.002 | intergenic_variant | HPRT1P2 - RPL19P11 | 1e-11 | Tier 4: intronic/intergenic |
| rs576354588 | 4 | 88050075 | C>T | 0.001 | intron_variant | PKD2 | 2e-11 | Tier 4: intronic/intergenic |
| rs112341402 | 3 | 195428186 | T>C | 0 | intron_variant | ACAP2 | 2e-11 | Tier 4: intronic/intergenic |
| rs192509901 | 1 | 18598524 | C>T | 0.001 | intergenic_variant | DYNLL1P3 - PAX7 | 2e-11 | Tier 4: intronic/intergenic |
ClinVar germline variants
331 retrieved; paginated sample, class counts are floors:
115 benign/likely benign, 87 conflicting classifications of pathogenicity, 70 uncertain significance, 29 benign, 12 pathogenic/likely pathogenic, 12 likely benign, 5 likely pathogenic, 1 pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 497937 | NM_025114.4(CEP290):c.6798G>A (p.Trp2266Ter) | CEP290 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 369964 | NM_000091.5(COL4A3):c.2083G>A (p.Gly695Arg) | COL4A3 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 24757 | NM_033380.3(COL4A5):c.4706G>A (p.Arg1569Gln) | COL4A5 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1051 | NM_022489.4(INF2):c.653G>A (p.Arg218Gln) | INF2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1053 | NM_022489.4(INF2):c.641G>A (p.Arg214His) | INF2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1712424 | NM_002292.4(LAMB2):c.2369C>G (p.Ser790Ter) | LAMB2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 867163 | NM_015102.5(NPHP4):c.3644+1G>A | NPHP4 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 931168 | NM_015102.5(NPHP4):c.12G>A (p.Trp4Ter) | NPHP4 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 552390 | NM_004646.4(NPHS1):c.3549C>A (p.Tyr1183Ter) | NPHS1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 56438 | NM_004646.4(NPHS1):c.1379G>A (p.Arg460Gln) | NPHS1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 18115 | NM_000341.4(SLC3A1):c.1400T>C (p.Met467Thr) | SLC3A1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 3487 | NM_024426.6(WT1):c.1399C>T (p.Arg467Trp) | WT1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 419332 | NM_024426.6(WT1):c.1400G>A (p.Arg467Gln) | WT1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1712416 | NM_000091.5(COL4A3):c.2656+1G>T | COL4A3 | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1712415 | NM_000092.5(COL4A4):c.4440C>A (p.Cys1480Ter) | COL4A4 | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1712353 | NM_033380.3(COL4A5):c.4184dup (p.Pro1396fs) | COL4A5 | Likely pathogenic | criteria provided, single submitter |
| 1712412 | NM_022489.4(INF2):c.451T>C (p.Cys151Arg) | INF2 | Likely pathogenic | criteria provided, single submitter |
| 4074831 | NM_000341.4(SLC3A1):c.761A>C (p.Asn254Thr) | SLC3A1 | Likely pathogenic | criteria provided, single submitter |
| 808577 | NM_004924.6(ACTN4):c.1443-4G>A | ACTN4 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 330316 | NM_000064.4(C3):c.1855G>A (p.Val619Met) | C3 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 777389 | NM_000064.4(C3):c.2354+9G>A | C3 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 294969 | NM_172351.3(CD46):c.574G>C (p.Asp192His) | CD46 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 791827 | NM_172351.3(CD46):c.796G>A (p.Asp266Asn) | CD46 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 126262 | NM_025114.4(CEP290):c.5237G>A (p.Arg1746Gln) | CEP290 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 136727 | NM_025114.4(CEP290):c.1624-5T>C | CEP290 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 136729 | NM_025114.4(CEP290):c.3465G>A (p.Leu1155=) | CEP290 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 136730 | NM_025114.4(CEP290):c.5199A>G (p.Gln1733=) | CEP290 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 281250 | NM_025114.4(CEP290):c.1092T>G (p.Ile364Met) | CEP290 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 310603 | NM_025114.4(CEP290):c.4087C>T (p.Arg1363Trp) | CEP290 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 697728 | NM_025114.4(CEP290):c.2638G>T (p.Ala880Ser) | CEP290 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 5 · Orphanet: 154 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 5
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|---|---|
| CFHR4 | CFHR4 | GWAS |
| CFHR3 | CFHR3 | GWAS, Orphanet |
| CFHR5 | CFHR5 | GWAS, Orphanet |
| CFH | CFH | GWAS, Orphanet |
| CFHR1 | CFHR1 | GWAS, Orphanet |
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| ANKFY1 | Limited | Autosomal recessive | kidney disorder | 2 |
| SLC41A1 | Limited | Autosomal recessive | kidney disorder | 3 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| CFHR3 | Orphanet:329931 | C3 glomerulonephritis |
| CFHR5 | Orphanet:329931 | C3 glomerulonephritis |
| CFH | Orphanet:200421 | Immunodeficiency with factor H anomaly |
| CFH | Orphanet:244242 | HELLP syndrome |
| CFH | Orphanet:244275 | De novo thrombotic microangiopathy after kidney transplantation |
| CFH | Orphanet:329903 | Immunoglobulin-mediated membranoproliferative glomerulonephritis |
| CFH | Orphanet:544472 | Atypical hemolytic uremic syndrome with complement gene abnormality |
| CFH | Orphanet:75376 | Familial drusen |
| CFH | Orphanet:93571 | Dense deposit disease |
| CFHR1 | Orphanet:329931 | C3 glomerulonephritis |
| CFHR1 | Orphanet:93571 | Dense deposit disease |
| ANKFY1 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| CFB | Orphanet:544472 | Atypical hemolytic uremic syndrome with complement gene abnormality |
| SDCCAG8 | Orphanet:110 | Bardet-Biedl syndrome |
| SDCCAG8 | Orphanet:3156 | Senior-Loken syndrome |
| SLC3A1 | Orphanet:163690 | Hypotonia-cystinuria syndrome |
| SLC3A1 | Orphanet:163693 | 2p21 microdeletion syndrome |
| SLC3A1 | Orphanet:238523 | Atypical hypotonia-cystinuria syndrome |
| SLC3A1 | Orphanet:93612 | Cystinuria type A |
| SMARCAL1 | Orphanet:1830 | Schimke immuno-osseous dysplasia |
| THBD | Orphanet:436169 | Thrombomodulin-related bleeding disorder |
| THBD | Orphanet:544472 | Atypical hemolytic uremic syndrome with complement gene abnormality |
| TRPC6 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| UMOD | Orphanet:88950 | UMOD-related autosomal dominant tubulointerstitial kidney disease |
| WT1 | Orphanet:220 | Denys-Drash syndrome |
| WT1 | Orphanet:242 | 46,XY complete gonadal dysgenesis |
| WT1 | Orphanet:251510 | 46,XY partial gonadal dysgenesis |
| WT1 | Orphanet:3097 | Meacham syndrome |
| WT1 | Orphanet:347 | Frasier syndrome |
| WT1 | Orphanet:654 | Nephroblastoma |
| WT1 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| WT1 | Orphanet:83469 | Desmoplastic small round cell tumor |
| WT1 | Orphanet:893 | WAGR syndrome |
| C3 | Orphanet:280133 | Complement component 3 deficiency |
| C3 | Orphanet:544472 | Atypical hemolytic uremic syndrome with complement gene abnormality |
| NEK8 | Orphanet:294415 | Renal-hepatic-pancreatic dysplasia |
| NEK8 | Orphanet:730 | Autosomal dominant polycystic kidney disease |
| NEK8 | Orphanet:93591 | Infantile nephronophthisis |
| NPHS2 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| CD2AP | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| NLRP3 | Orphanet:1451 | CINCA syndrome |
| NLRP3 | Orphanet:47045 | Familial cold urticaria |
| NLRP3 | Orphanet:575 | Muckle-Wells syndrome |
| NLRP3 | Orphanet:647815 | Keratitis fugax hereditaria |
| ACTN4 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| PLCE1 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| INVS | Orphanet:3156 | Senior-Loken syndrome |
| INVS | Orphanet:93591 | Infantile nephronophthisis |
| NEK9 | Orphanet:464366 | NEK9-related lethal skeletal dysplasia |
| NEK9 | Orphanet:64754 | Nevus comedonicus syndrome |
Cohort genes → proteins
74 cohort genes, 71 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 14 |
| gwas_and_clinvar | 5 |
| multi_evidence | 55 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| CFHR4 | HGNC:16979 | ENSG00000134365 | Q92496 | Complement factor H-related protein 4 | gwas,clinvar |
| CFHR3 | HGNC:16980 | ENSG00000116785 | Q02985 | Complement factor H-related protein 3 | gwas,clinvar |
| CFHR5 | HGNC:24668 | ENSG00000134389 | Q9BXR6 | Complement factor H-related protein 5 | gwas,clinvar |
| CFH | HGNC:4883 | ENSG00000000971 | P08603 | Complement factor H | gwas,clinvar |
| CFHR1 | HGNC:4888 | ENSG00000244414 | Q03591 | Complement factor H-related protein 1 | gwas,clinvar |
| SLC41A1 | HGNC:19429 | ENSG00000133065 | Q8IVJ1 | Solute carrier family 41 member 1 | gencc |
| ANKFY1 | HGNC:20763 | ENSG00000185722 | Q9P2R3 | Ankyrin repeat and FYVE domain-containing protein 1 | gencc |
| CFB | HGNC:1037 | ENSG00000243649 | P00751 | Complement factor B | clinvar |
| SDCCAG8 | HGNC:10671 | ENSG00000054282 | Q86SQ7 | Serologically defined colon cancer antigen 8 | clinvar |
| SLC3A1 | HGNC:11025 | ENSG00000138079 | Q07837 | Amino acid transporter heavy chain SLC3A1 | clinvar |
| SMARCAL1 | HGNC:11102 | ENSG00000138375 | Q9NZC9 | SNF2 related chromatin remodeling annealing helicase 1 | clinvar |
| THBD | HGNC:11784 | ENSG00000178726 | P07204 | Thrombomodulin | clinvar |
| TRPC6 | HGNC:12338 | ENSG00000137672 | Q9Y210 | Short transient receptor potential channel 6 | clinvar |
| UMOD | HGNC:12559 | ENSG00000169344 | P07911 | Uromodulin | clinvar |
| WT1 | HGNC:12796 | ENSG00000184937 | P19544 | Wilms tumor protein | clinvar |
| C3 | HGNC:1318 | ENSG00000125730 | P01024 | Complement C3 | clinvar |
| NEK8 | HGNC:13387 | ENSG00000160602 | Q86SG6 | Serine/threonine-protein kinase Nek8 | clinvar |
| NPHS2 | HGNC:13394 | ENSG00000116218 | Q9NP85 | Podocin | clinvar |
| CD2AP | HGNC:14258 | ENSG00000198087 | Q9Y5K6 | CD2-associated protein | clinvar |
| SLC25A21 | HGNC:14411 | ENSG00000183032 | Q9BQT8 | Mitochondrial 2-oxodicarboxylate carrier | clinvar |
| NLRP3 | HGNC:16400 | ENSG00000162711 | Q96P20 | NACHT, LRR and PYD domains-containing protein 3 | clinvar |
| ACTN4 | HGNC:166 | ENSG00000130402 | O43707 | Alpha-actinin-4 | clinvar |
| PLCE1 | HGNC:17175 | ENSG00000138193 | Q9P212 | 1-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1 | clinvar |
| INVS | HGNC:17870 | ENSG00000119509 | Q9Y283 | Inversin | clinvar |
| NEK9 | HGNC:18591 | ENSG00000119638 | Q8TD19 | Serine/threonine-protein kinase Nek9 | clinvar |
| COQ8B | HGNC:19041 | ENSG00000123815 | Q96D53 | Atypical kinase COQ8B, mitochondrial | clinvar |
| NPHP4 | HGNC:19104 | ENSG00000131697 | O75161 | Nephrocystin-4 | clinvar |
| SLC34A3 | HGNC:20305 | ENSG00000198569 | Q8N130 | Sodium-dependent phosphate transport protein 2C | clinvar |
| KCTD11 | HGNC:21302 | ENSG00000213859 | Q693B1 | BTB/POZ domain-containing protein KCTD11 | clinvar |
| CCM2 | HGNC:21708 | ENSG00000136280 | Q9BSQ5 | Cerebral cavernous malformations 2 protein | gwas |
| COL4A3 | HGNC:2204 | ENSG00000169031 | Q01955 | Collagen alpha-3(IV) chain | clinvar |
| COL4A4 | HGNC:2206 | ENSG00000081052 | P53420 | Collagen alpha-4(IV) chain | clinvar |
| COL4A5 | HGNC:2207 | ENSG00000188153 | P29400 | Collagen alpha-5(IV) chain | clinvar |
| PDSS2 | HGNC:23041 | ENSG00000164494 | Q86YH6 | All trans-polyprenyl-diphosphate synthase PDSS2 | clinvar |
| INF2 | HGNC:23791 | ENSG00000203485 | Q27J81 | Inverted formin-2 | clinvar |
| DNAJB7 | HGNC:24986 | ENSG00000172404 | Q7Z6W7 | DnaJ homolog subfamily B member 7 | clinvar |
| COQ2 | HGNC:25223 | ENSG00000173085 | Q96H96 | 4-hydroxybenzoate polyprenyltransferase, mitochondrial | clinvar |
| AXDND1 | HGNC:26564 | ENSG00000162779 | Q5T1B0 | Axonemal dynein light chain domain-containing protein 1 | clinvar |
| XPNPEP3 | HGNC:28052 | ENSG00000196236 | Q9NQH7 | Xaa-Pro aminopeptidase 3 | clinvar |
| HORMAD2 | HGNC:28383 | ENSG00000176635 | Q8N7B1 | HORMA domain-containing protein 2 | gwas |
| TMEM67 | HGNC:28396 | ENSG00000164953 | Q5HYA8 | Meckelin | clinvar |
| DGKE | HGNC:2852 | ENSG00000153933 | P52429 | Diacylglycerol kinase epsilon | clinvar |
| CEP290 | HGNC:29021 | ENSG00000198707 | O15078 | Centrosomal protein of 290 kDa | clinvar |
| IFT140 | HGNC:29077 | ENSG00000187535 | Q96RY7 | Intraflagellar transport protein 140 homolog | clinvar |
| RPGRIP1L | HGNC:29168 | ENSG00000103494 | Q68CZ1 | Protein fantom | clinvar |
| GLIS2 | HGNC:29450 | ENSG00000126603 | Q9BZE0 | Zinc finger protein GLIS2 | clinvar |
| PREPL | HGNC:30228 | ENSG00000138078 | Q4J6C6 | Prolyl endopeptidase-like | clinvar |
| MFF-DT | HGNC:41067 | ENSG00000236432 | MFF divergent transcript | clinvar | |
| TAP1 | HGNC:43 | ENSG00000168394 | Q03518 | Antigen peptide transporter 1 | gwas |
| TAP2 | HGNC:44 | ENSG00000204267 | Q03519 | Antigen peptide transporter 2 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| CFHR4 | Complement factor H-related protein 4 | Involved in complement regulation. |
| CFHR3 | Complement factor H-related protein 3 | Might be involved in complement regulation. |
| CFHR5 | Complement factor H-related protein 5 | Involved in complement regulation. |
| CFH | Complement factor H | Glycoprotein that plays an essential role in maintaining a well-balanced immune response by modulating complement activation. |
| CFHR1 | Complement factor H-related protein 1 | Involved in complement regulation. |
| SLC41A1 | Solute carrier family 41 member 1 | Na(+)/Mg(2+) ion exchanger that acts as a predominant Mg(2+) efflux system at the plasma membrane. |
| ANKFY1 | Ankyrin repeat and FYVE domain-containing protein 1 | Proposed effector of Rab5. |
| CFB | Complement factor B | Precursor of the catalytic component of the C3 and C5 convertase complexes of the alternative pathway of the complement system, a cascade of proteins that leads to phagocytosis and breakdown of pathogens and signaling that strengthens the… |
| SDCCAG8 | Serologically defined colon cancer antigen 8 | Plays a role in the establishment of cell polarity and epithelial lumen formation. |
| SLC3A1 | Amino acid transporter heavy chain SLC3A1 | Acts as a chaperone that facilitates biogenesis and trafficking of functional transporter heteromers to the plasma membrane. |
| SMARCAL1 | SNF2 related chromatin remodeling annealing helicase 1 | ATP-dependent annealing helicase that binds selectively to fork DNA relative to ssDNA or dsDNA and catalyzes the rewinding of the stably unwound DNA. |
| THBD | Thrombomodulin | Endothelial cell receptor that plays a critical role in regulating several physiological processes including hemostasis, coagulation, fibrinolysis, inflammation, and angiogenesis. |
| TRPC6 | Short transient receptor potential channel 6 | Forms a receptor-activated non-selective calcium permeant cation channel. |
| UMOD | Uromodulin | Functions 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… |
| WT1 | Wilms tumor protein | Transcription factor that plays an important role in cellular development and cell survival. |
| C3 | Complement C3 | Precursor of non-enzymatic components of the classical, alternative, lectin and GZMK complement pathways, which consist in a cascade of proteins that leads to phagocytosis and breakdown of pathogens and signaling that strengthens the adapt… |
| NEK8 | Serine/threonine-protein kinase Nek8 | Required for renal tubular integrity. |
| NPHS2 | Podocin | Plays a role in the regulation of glomerular permeability, acting probably as a linker between the plasma membrane and the cytoskeleton. |
| CD2AP | CD2-associated protein | Seems to act as an adapter protein between membrane proteins and the actin cytoskeleton. |
| SLC25A21 | Mitochondrial 2-oxodicarboxylate carrier | Transports dicarboxylates across the inner membranes of mitochondria by a counter-exchange mechanism. |
| NLRP3 | NACHT, LRR and PYD domains-containing protein 3 | Sensor component of the NLRP3 inflammasome, which mediates inflammasome activation in response to defects in membrane integrity, leading to secretion of inflammatory cytokines IL1B and IL18 and pyroptosis. |
| ACTN4 | Alpha-actinin-4 | F-actin cross-linking protein which is thought to anchor actin to a variety of intracellular structures. |
| PLCE1 | 1-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1 | The production of the second messenger molecules diacylglycerol (DAG) and inositol 1,4,5-trisphosphate (IP3) is mediated by activated phosphatidylinositol-specific phospholipase C enzymes. |
| INVS | Inversin | Required for normal renal development and establishment of left-right axis. |
| NEK9 | Serine/threonine-protein kinase Nek9 | Pleiotropic regulator of mitotic progression, participating in the control of spindle dynamics and chromosome separation. |
| COQ8B | Atypical kinase COQ8B, mitochondrial | Atypical kinase involved in the biosynthesis of coenzyme Q, also named ubiquinone, an essential lipid-soluble electron transporter for aerobic cellular respiration. |
| NPHP4 | Nephrocystin-4 | Involved in the organization of apical junctions; the function is proposed to implicate a NPHP1-4-8 module. |
| SLC34A3 | Sodium-dependent phosphate transport protein 2C | Involved in actively transporting phosphate into cells via Na(+) cotransport in the renal brush border membrane. |
| KCTD11 | BTB/POZ domain-containing protein KCTD11 | Plays a role as a marker and a regulator of neuronal differentiation; Up-regulated by a variety of neurogenic signals, such as retinoic acid, epidermal growth factor/EGF and NGFB/nerve growth factor. |
| CCM2 | Cerebral cavernous malformations 2 protein | Component of the CCM signaling pathway which is a crucial regulator of heart and vessel formation and integrity. |
| COL4A3 | Collagen alpha-3(IV) chain | Type IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen. |
| COL4A4 | Collagen alpha-4(IV) chain | Type IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen. |
| COL4A5 | Collagen alpha-5(IV) chain | Type IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen. |
| PDSS2 | All trans-polyprenyl-diphosphate synthase PDSS2 | Heterotetrameric enzyme that catalyzes the condensation of farnesyl diphosphate (FPP), which acts as a primer, and isopentenyl diphosphate (IPP) to produce prenyl diphosphates of varying chain lengths and participates in the determination… |
| INF2 | Inverted formin-2 | Severs actin filaments and accelerates their polymerization and depolymerization. |
| DNAJB7 | DnaJ homolog subfamily B member 7 | Probably acts as a co-chaperone. |
| COQ2 | 4-hydroxybenzoate polyprenyltransferase, mitochondrial | Mediates the second step in the final reaction sequence of coenzyme Q (CoQ) biosynthesis. |
| AXDND1 | Axonemal dynein light chain domain-containing protein 1 | May be essential for spermiogenesis and male fertility probably by regulating the manchette dynamics, spermatid head shaping and sperm flagellum assembly. |
| XPNPEP3 | Xaa-Pro aminopeptidase 3 | Catalyzes the removal of a penultimate prolyl residue from the N-termini of peptides, such as Leu-Pro-Ala. |
| HORMAD2 | HORMA domain-containing protein 2 | Essential for synapsis surveillance during meiotic prophase via the recruitment of ATR activity. |
| TMEM67 | Meckelin | Required for ciliary structure and function. |
| DGKE | Diacylglycerol kinase epsilon | Membrane-bound diacylglycerol kinase that converts diacylglycerol/DAG into phosphatidic acid/phosphatidate/PA and regulates the respective levels of these two bioactive lipids. |
| CEP290 | Centrosomal protein of 290 kDa | Involved in early and late steps in cilia formation. |
| IFT140 | Intraflagellar transport protein 140 homolog | Component of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs). |
| RPGRIP1L | Protein fantom | Negatively regulates signaling through the G-protein coupled thromboxane A2 receptor (TBXA2R). |
| GLIS2 | Zinc finger protein GLIS2 | Can act either as a transcriptional repressor or as a transcriptional activator, depending on the cell context. |
| PREPL | Prolyl endopeptidase-like | Serine peptidase whose precise substrate specificity remains unclear. |
| TAP1 | Antigen peptide transporter 1 | ABC transporter associated with antigen processing. |
| TAP2 | Antigen peptide transporter 2 | ABC transporter associated with antigen processing. |
| CFHR2 | Complement factor H-related protein 2 | Involved in complement regulation. |
Protein-family classification
Druggable: 30 · Difficult: 10 · Unknown: 34 · Druggable fraction: 0.41
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Complement | 8 | 29.0× | 3e-09 |
| Protease | 5 | 2.5× | 0.190 |
| Antibody/Immunoglobulin | 6 | 2.4× | 0.190 |
| Transporter | 2 | 2.1× | 0.509 |
| Kinase | 4 | 1.5× | 0.509 |
| Scaffold/PPI | 6 | 1.4× | 0.509 |
| Ion channel | 1 | 1.5× | 0.766 |
| Phosphatase | 1 | 1.1× | 0.810 |
| Other/Unknown | 34 | 0.8× | 0.984 |
| Enzyme (other) | 3 | 0.5× | 0.984 |
| Transcription factor | 4 | 0.5× | 0.984 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| CFHR4 | Complement | yes | Sushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med | |
| CFHR3 | Complement | yes | Sushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med | |
| CFHR5 | Complement | yes | Sushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med | |
| CFH | Complement | yes | Sushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med | |
| CFHR1 | Complement | yes | Sushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med | |
| SLC41A1 | Other/Unknown | no | SLC41_membr_dom, SLC41_membr_dom_sf, SLC41A1-3 | |
| ANKFY1 | Transcription factor | no | BTB/POZ_dom, Znf_FYVE, Ankyrin_rpt | |
| CFB | Protease | yes | 3.4.21.47 | Sushi_SCR_CCP_dom, Trypsin_dom, Peptidase_S1A |
| SDCCAG8 | Other/Unknown | no | SDCCAG8 | |
| SLC3A1 | Other/Unknown | no | GH13_cat_dom, Glyco_hydro_b, GH_hydrolase_sf | |
| SMARCAL1 | Other/Unknown | no | SNF2_N, Helicase_C-like, HARP_dom | |
| THBD | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, C-type_lectin-like | |
| TRPC6 | Ion channel | yes | Ankyrin_rpt, TRPC_channel, TRPC6_channel | |
| UMOD | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, ZP_dom | |
| WT1 | Transcription factor | no | Wilms_tumour_N, Znf_C2H2_type, Znf_C2H2_sf | |
| C3 | Complement | yes | 3.4.21.47 | Anaphylatoxin/fibulin, Netrin_domain, Macroglobln_a2 |
| NEK8 | Kinase | yes | Reg_chr_condens, Prot_kinase_dom, Ser/Thr_kinase_AS | |
| NPHS2 | Other/Unknown | no | Band_7, Stomatin_HflK_fam, Band_7/stomatin-like_CS | |
| CD2AP | Scaffold/PPI | no | SH3_domain, CD2AP_SH3_1, CD2AP_SH_2 | |
| SLC25A21 | Other/Unknown | no | MCP, MCP_transmembrane, MCP_dom_sf | |
| NLRP3 | Other/Unknown | no | Leu-rich_rpt, DAPIN, NACHT_NTPase | |
| ACTN4 | Other/Unknown | no | Actinin_actin-bd_CS, CH_dom, Spectrin_repeat | |
| PLCE1 | Enzyme (other) | yes | 3.1.4.11 | C2_dom, RA_dom, PLipase_C_PInositol-sp_X_dom |
| INVS | Scaffold/PPI | no | IQ_motif_EF-hand-BS, Ankyrin_rpt, Ankyrin_rpt-contain_sf | |
| NEK9 | Kinase | yes | Reg_chr_condens, Prot_kinase_dom, Ser/Thr_kinase_AS | |
| COQ8B | Kinase | yes | ABC1_dom, Kinase-like_dom_sf, ADCK3_dom | |
| NPHP4 | Other/Unknown | no | NPHP4, Ig_NPHP4_4th, Ig_NPHP4_3rd | |
| SLC34A3 | Other/Unknown | no | Na/Pi_transpt | |
| KCTD11 | Other/Unknown | no | T1-type_BTB, SKP1/BTB/POZ_sf, KCTD11/21_C | |
| CCM2 | Other/Unknown | no | PTB/PI_dom, PH-like_dom_sf, Malcavernin | |
| COL4A3 | Other/Unknown | no | Collagen_IV_NC, Collagen, CTDL_fold | |
| COL4A4 | Other/Unknown | no | Collagen_IV_NC, Collagen, CTDL_fold | |
| COL4A5 | Other/Unknown | no | Collagen_IV_NC, Collagen, CTDL_fold | |
| PDSS2 | Enzyme (other) | yes | 2.5.1.91 | Polyprenyl_synt, Isoprenoid_synthase_dom_sf |
| INF2 | Other/Unknown | no | WH2_dom, FH3_dom, GTPase-bd | |
| DNAJB7 | Other/Unknown | no | DnaJ_domain, DnaJ_domain_CS, J_dom_sf | |
| COQ2 | Enzyme (other) | yes | 2.5.1.39 | UbiA_prenyltransferase, HB_polyprenyltransferase-like, UbiA_prenylTrfase_CS |
| AXDND1 | Other/Unknown | no | Axonemal_dynein_light_chain, Axonemal_dynein_LC_domain | |
| XPNPEP3 | Protease | yes | 3.4.11.9 | Pept_M24, Aminopep_P_N, Creatin/AminoP/Spt16_N |
| HORMAD2 | Other/Unknown | no | HORMA_dom, HORMA_dom_sf, HORMA_MeioticProgression | |
| TMEM67 | Other/Unknown | no | Growth_fac_rcpt_cys_sf, Meckelin | |
| DGKE | Kinase | yes | 2.7.1.107 | Diacylglycerol_kin_accessory, Diacylglycerol_kinase_cat_dom, PKC_DAG/PE |
| CEP290 | Other/Unknown | no | Cep290, Cep209_CC5 | |
| IFT140 | Scaffold/PPI | no | WD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_dom_sf | |
| RPGRIP1L | Other/Unknown | no | C2_dom, C2-C2_1, RPGRIP1_fam | |
| GLIS2 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, GLI-like | |
| PREPL | Protease | yes | 3.4.21.26 | Peptidase_S9_cat, Peptidase_S9A, Pept_S9A_N |
| MFF-DT | Other/Unknown | no | ||
| TAP1 | Transporter | yes | 7.4.2.14 | ABC_transporter-like_ATP-bd, AAA+_ATPase, ABC1_TM_dom |
| TAP2 | Transporter | yes | 7.4.2.14 | ABC_transporter-like_ATP-bd, AAA+_ATPase, Tap2/ABCB3 |
Expression context
Cohort genes with no expression data: 0.
67 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 1 |
| broad (>20) | 73 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| male germ line stem cell (sensu Vertebrata) in testis | 12 |
| right lobe of liver | 8 |
| right uterine tube | 8 |
| granulocyte | 7 |
| liver | 6 |
| calcaneal tendon | 6 |
| buccal mucosa cell | 6 |
| gall bladder | 5 |
| primordial germ cell in gonad | 5 |
| stromal cell of endometrium | 5 |
| sural nerve | 5 |
| monocyte | 5 |
| parietal pleura | 4 |
| metanephros cortex | 4 |
| leukocyte | 4 |
| lymph node | 4 |
| vermiform appendix | 4 |
| body of pancreas | 3 |
| right lung | 3 |
| adult mammalian kidney | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| CFHR4 | 79 | tissue_specific | marker | right lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis |
| CFHR3 | 127 | tissue_specific | marker | right lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis |
| CFHR5 | 15 | tissue_specific | marker | right lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis |
| CFH | 267 | ubiquitous | marker | urethra, calcaneal tendon, right coronary artery |
| CFHR1 | 125 | marker | right lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis | |
| SLC41A1 | 241 | ubiquitous | marker | left ventricle myocardium, cardiac muscle of right atrium, myocardium |
| ANKFY1 | 265 | ubiquitous | marker | skin of hip, parietal pleura, corpus callosum |
| CFB | 134 | broad | marker | right lobe of liver, liver, gall bladder |
| SDCCAG8 | 134 | ubiquitous | marker | corpus callosum, calcaneal tendon, thyroid gland |
| SLC3A1 | 163 | tissue_specific | marker | body of pancreas, gall bladder, metanephros cortex |
| SMARCAL1 | 264 | ubiquitous | marker | primordial germ cell in gonad, stromal cell of endometrium, sural nerve |
| THBD | 259 | ubiquitous | marker | gingival epithelium, gingiva, vena cava |
| TRPC6 | 180 | broad | marker | right lung, lower esophagus muscularis layer, lower esophagus |
| UMOD | 104 | tissue_specific | marker | renal medulla, adult organism, adult mammalian kidney |
| WT1 | 168 | broad | marker | germinal epithelium of ovary, renal glomerulus, metanephric glomerulus |
| C3 | 289 | ubiquitous | marker | parietal pleura, right lobe of liver, palpebral conjunctiva |
| NEK8 | 196 | ubiquitous | marker | buccal mucosa cell, metanephros cortex, left lobe of thyroid gland |
| NPHS2 | 47 | tissue_specific | marker | renal glomerulus, metanephric glomerulus, kidney epithelium |
| CD2AP | 275 | ubiquitous | marker | jejunal mucosa, esophagus squamous epithelium, colonic mucosa |
| SLC25A21 | 165 | broad | marker | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, stromal cell of endometrium |
| NLRP3 | 172 | broad | marker | monocyte, mononuclear cell, leukocyte |
| ACTN4 | 145 | ubiquitous | marker | popliteal artery, tibial artery, smooth muscle tissue |
| PLCE1 | 271 | broad | marker | renal glomerulus, metanephric glomerulus, ventricular zone |
| INVS | 215 | ubiquitous | yes | calcaneal tendon, adrenal tissue, sural nerve |
| NEK9 | 296 | ubiquitous | marker | tibia, right uterine tube, left ovary |
| COQ8B | 227 | ubiquitous | marker | right uterine tube, adenohypophysis, pituitary gland |
| NPHP4 | 165 | ubiquitous | marker | right uterine tube, adenohypophysis, right lobe of thyroid gland |
| SLC34A3 | 147 | tissue_specific | yes | lower esophagus mucosa, right uterine tube, adult mammalian kidney |
| KCTD11 | 132 | ubiquitous | marker | lower esophagus mucosa, tibial nerve, esophagus mucosa |
| CCM2 | 243 | ubiquitous | marker | putamen, nucleus accumbens, anterior cingulate cortex |
Protein interactions among cohort
Intra-cohort edges: 161.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| MYH9 | 5,533 |
| WT1 | 3,938 |
| NLRP3 | 3,797 |
| HLA-DRB1 | 3,448 |
| ACTN4 | 3,303 |
| REN | 3,244 |
| C3 | 3,199 |
| PSMB8 | 3,188 |
| SLC34A3 | 3,023 |
| ANKFY1 | 2,929 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ACTN4 | CD2AP | string_interaction |
| ACTN4 | INF2 | string_interaction |
| ACTN4 | MYH9 | biogrid_interaction, string_interaction |
| ACTN4 | MYO1E | string_interaction |
| ACTN4 | NPHS1 | string_interaction |
| ACTN4 | NPHS2 | string_interaction |
| ACTN4 | PLCE1 | string_interaction |
| ACTN4 | TRPC6 | string_interaction |
| C3 | CD46 | intact, string_interaction |
| C3 | CFB | intact, string_interaction |
| C3 | CFH | biogrid_interaction, intact, string_interaction |
| C3 | CFHR1 | string_interaction |
| C3 | CFHR2 | intact, string_interaction |
| C3 | CFHR3 | biogrid_interaction, string_interaction |
| C3 | CFHR4 | biogrid_interaction, intact, string_interaction |
| C3 | CFHR5 | string_interaction |
| C3 | CFI | biogrid_interaction, intact, string_interaction |
| CD2AP | INF2 | string_interaction |
| CD2AP | LAMB2 | string_interaction |
| CD2AP | NPHS1 | string_interaction |
| CD2AP | NPHS2 | biogrid_interaction, string_interaction |
| CD2AP | PLCE1 | string_interaction |
| CD2AP | RPGRIP1L | biogrid_interaction |
| CD2AP | TRPC6 | string_interaction |
| CD46 | CFHR2 | string_interaction |
| CD46 | CFHR3 | string_interaction |
| CD46 | CFHR4 | string_interaction |
| CD46 | CFHR5 | string_interaction |
| CD46 | CFI | intact, string_interaction |
| CD46 | DGKE | string_interaction |
| CD46 | THBD | string_interaction |
| CEP290 | INVS | string_interaction |
| CEP290 | NEK8 | string_interaction |
| CEP290 | NPHP1 | string_interaction |
| CEP290 | NPHP3 | string_interaction |
| CEP290 | NPHP4 | string_interaction |
| CEP290 | RPGRIP1L | string_interaction |
| CEP290 | SDCCAG8 | string_interaction |
| CEP290 | TMEM67 | string_interaction |
| CEP290 | XPNPEP3 | string_interaction |
| CFB | CFHR1 | intact, string_interaction |
| CFB | CFHR2 | string_interaction |
| CFB | CFHR3 | string_interaction |
| CFB | CFHR4 | intact, string_interaction |
| CFB | CFHR5 | string_interaction |
| CFB | CFI | string_interaction |
| CFB | DGKE | string_interaction |
| CFH | CFHR1 | intact |
| CFH | CFHR3 | biogrid_interaction, intact |
| CFH | CFI | intact, string_interaction |
Structural data
PDB: 45 · AlphaFold-only: 26 · No structure: 3
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| HLA-DRB1 | P01911 | 108 |
| REN | P00797 | 91 |
| C3 | P01024 | 75 |
| CFH | P08603 | 51 |
| WT1 | P19544 | 28 |
| HLA-DQA1 | P01909 | 28 |
| CFB | P00751 | 26 |
| NLRP3 | Q96P20 | 24 |
| TAP1 | Q03518 | 22 |
| PSMB8 | P28062 | 22 |
| TAP2 | Q03519 | 21 |
| THBD | P07204 | 13 |
| CD2AP | Q9Y5K6 | 12 |
| UMOD | P07911 | 10 |
| INF2 | Q27J81 | 10 |
| HLA-DPA1 | P20036 | 10 |
| HLA-DPB1 | P04440 | 10 |
| HLA-DQB1 | P01920 | 10 |
| CCM2 | Q9BSQ5 | 8 |
| MYH9 | P35579 | 8 |
| CD46 | P15529 | 7 |
| PSMB9 | P28065 | 7 |
| TRPC6 | Q9Y210 | 6 |
| SLC3A1 | Q07837 | 5 |
| ACTN4 | O43707 | 5 |
| LIF | P15018 | 5 |
| IFT140 | Q96RY7 | 4 |
| CFHR2 | P36980 | 4 |
| PLCE1 | Q9P212 | 3 |
| CFHR1 | Q03591 | 2 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| CFHR3 | Q02985 | 91.93 |
| SLC25A21 | Q9BQT8 | 88.91 |
| CFHR4 | Q92496 | 87.75 |
| ANKFY1 | Q9P2R3 | 86.98 |
| DGKE | P52429 | 86.18 |
| COQ2 | Q96H96 | 85.64 |
| NEK8 | Q86SG6 | 85.23 |
| KCTD11 | Q693B1 | 85.00 |
| CFHR5 | Q9BXR6 | 83.76 |
| MYO1E | Q12965 | 80.46 |
| PDSS2 | Q86YH6 | 80.28 |
| SDCCAG8 | Q86SQ7 | 78.67 |
| SLC41A1 | Q8IVJ1 | 78.41 |
| COQ8B | Q96D53 | 77.00 |
| LAMB2 | P55268 | 75.94 |
| SLC34A3 | Q8N130 | 75.86 |
| NPHS2 | Q9NP85 | 75.00 |
| HORMAD2 | Q8N7B1 | 72.61 |
| NPHP4 | O75161 | 72.44 |
| AXDND1 | Q5T1B0 | 70.90 |
| LMX1B | O60663 | 70.79 |
| INVS | Q9Y283 | 70.76 |
| MTMR3 | Q13615 | 66.94 |
| CEP290 | O15078 | 60.90 |
| DNAJB7 | Q7Z6W7 | 59.38 |
| GLIS2 | Q9BZE0 | 55.47 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 177. Enrichment computed across 74 evidence-associated genes (57 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 57 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Regulation of Complement cascade | 10 | 40.9× | 5e-12 | CFHR4, CFHR3, CFHR5, CFH, CFHR1, CFB, C3, CFHR2 (+2 more) |
| Translocation of ZAP-70 to Immunological synapse | 4 | 44.5× | 1e-04 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1 |
| Phosphorylation of CD3 and TCR zeta chains | 4 | 38.2× | 2e-04 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1 |
| Co-inhibition by PD-1 | 4 | 36.4× | 2e-04 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1 |
| Attachment of bacteria to epithelial cells | 4 | 34.8× | 2e-04 | COL4A3, COL4A4, COL4A5, LAMB2 |
| Nephrin family interactions | 4 | 33.4× | 2e-04 | NPHS2, CD2AP, ACTN4, NPHS1 |
| Anchoring of the basal body to the plasma membrane | 6 | 11.9× | 3e-04 | SDCCAG8, NPHP4, TMEM67, CEP290, RPGRIP1L, NPHP1 |
| Laminin interactions | 4 | 26.7× | 3e-04 | COL4A3, COL4A4, COL4A5, LAMB2 |
| Generation of second messenger molecules | 4 | 24.3× | 4e-04 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1 |
| Ubiquinol biosynthesis | 3 | 46.2× | 6e-04 | COQ8B, PDSS2, COQ2 |
| Anchoring fibril formation | 3 | 40.1× | 8e-04 | COL4A3, COL4A4, COL4A5 |
| Interferon gamma signaling | 5 | 11.0× | 0.001 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1 |
| Fibronectin matrix formation | 3 | 30.1× | 0.002 | COL4A3, COL4A4, COL4A5 |
| Crosslinking of collagen fibrils | 3 | 30.1× | 0.002 | COL4A3, COL4A4, COL4A5 |
| Alternative complement activation | 2 | 80.1× | 0.003 | CFB, C3 |
| Non-integrin membrane-ECM interactions | 4 | 10.8× | 0.005 | COL4A3, COL4A4, COL4A5, LAMB2 |
| ECM proteoglycans | 4 | 10.5× | 0.006 | COL4A3, COL4A4, COL4A5, LAMB2 |
| Activation of C3 and C5 | 2 | 44.5× | 0.008 | CFB, C3 |
| ER-Phagosome pathway | 4 | 9.1× | 0.009 | TAP1, TAP2, PSMB8, PSMB9 |
| Downstream TCR signaling | 4 | 9.0× | 0.009 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1 |
| Collagen chain trimerization | 3 | 13.7× | 0.011 | COL4A3, COL4A4, COL4A5 |
| Signaling by PDGF | 3 | 13.4× | 0.012 | COL4A3, COL4A4, COL4A5 |
| NCAM1 interactions | 3 | 13.1× | 0.012 | COL4A3, COL4A4, COL4A5 |
| Assembly of collagen fibrils and other multimeric structures | 3 | 10.5× | 0.021 | COL4A3, COL4A4, COL4A5 |
| MHC class II antigen presentation | 4 | 6.3× | 0.027 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1 |
| Collagen degradation | 3 | 9.2× | 0.028 | COL4A3, COL4A4, COL4A5 |
| Antigen processing: Ub, ATP-independent proteasomal degradation | 2 | 20.0× | 0.028 | PSMB8, PSMB9 |
| Collagen biosynthesis and modifying enzymes | 3 | 9.0× | 0.028 | COL4A3, COL4A4, COL4A5 |
| Defective SLC34A3 causes Hereditary hypophosphatemic rickets with hypercalciuria (HHRH) | 1 | 200.3× | 0.030 | SLC34A3 |
| Effects of PIP2 hydrolysis | 2 | 16.0× | 0.040 | TRPC6, DGKE |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 70 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| complement activation | 8 | 71.3× | 7e-11 | CFHR4, CFHR3, CFHR5, CFH, CFHR1, CFB, C3, CFHR2 |
| glomerular basement membrane development | 5 | 109.4× | 1e-07 | WT1, COL4A3, COL4A4, MYO1E, NPHS1 |
| peptide antigen assembly with MHC class II protein complex | 5 | 75.2× | 8e-07 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1 |
| antigen processing and presentation of exogenous peptide antigen via MHC class II | 5 | 38.8× | 2e-05 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1 |
| positive regulation of immune response | 5 | 34.4× | 4e-05 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1 |
| positive regulation of T cell activation | 5 | 31.7× | 4e-05 | HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1 |
| complement activation, alternative pathway | 4 | 56.6× | 5e-05 | CFHR5, CFH, CFB, C3 |
| glomerular filtration | 4 | 53.5× | 6e-05 | UMOD, NPHS2, XPNPEP3, MYO1E |
| obsolete cytolysis by host of symbiont cells | 3 | 90.3× | 2e-04 | CFHR5, CFHR1, CFHR2 |
| kidney development | 6 | 12.0× | 6e-04 | WT1, INVS, CEP290, RPGRIP1L, NPHP3, REN |
| cytosol to endoplasmic reticulum transport | 2 | 240.7× | 8e-04 | TAP1, TAP2 |
| metanephric podocyte development | 2 | 240.7× | 8e-04 | NPHS2, LAMB2 |
| glomerulus development | 3 | 55.6× | 8e-04 | WT1, PLCE1, MYO1E |
| juxtaglomerular apparatus development | 2 | 160.5× | 0.002 | UMOD, REN |
| ubiquinone biosynthetic process | 3 | 40.1× | 0.002 | COQ8B, PDSS2, COQ2 |
| non-motile cilium assembly | 4 | 16.6× | 0.003 | CEP290, IFT140, RPGRIP1L, NPHP3 |
| determination of left/right symmetry | 4 | 14.6× | 0.005 | NEK8, IFT140, RPGRIP1L, NPHP3 |
| negative regulation of protein binding | 3 | 26.8× | 0.005 | CFHR5, CFHR1, CFHR2 |
| adaptive immune response | 6 | 7.2× | 0.005 | TAP1, HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, CD46 |
| visual behavior | 2 | 80.2× | 0.007 | NPHP4, NPHP1 |
| neural tube patterning | 2 | 80.2× | 0.007 | IFT140, RPGRIP1L |
| complement activation, classical pathway | 3 | 23.3× | 0.007 | C3, CFI, CD46 |
| antigen processing and presentation of endogenous peptide antigen via MHC class I | 2 | 60.2× | 0.011 | TAP1, TAP2 |
| positive regulation of memory T cell differentiation | 2 | 53.5× | 0.013 | HLA-DRB1, CD46 |
| pericardium development | 2 | 53.5× | 0.013 | CCM2, RPGRIP1L |
| isoprenoid biosynthetic process | 2 | 48.1× | 0.015 | PDSS2, COQ2 |
| positive regulation of bicellular tight junction assembly | 2 | 48.1× | 0.015 | NPHP4, NPHP1 |
| intracellular phosphate ion homeostasis | 2 | 43.8× | 0.018 | UMOD, SLC34A3 |
| podocyte development | 2 | 43.8× | 0.018 | MYO1E, NPHS1 |
| podocyte differentiation | 2 | 40.1× | 0.020 | WT1, CD2AP |
Therapeutics
Drugs indicated for this disease
2 approved, 27 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Bumetanide | Approved (phase 4) |
| Sevelamer Hydrochloride | Approved (phase 4) |
| Acetaminophen | Phase 3 (in late-stage trials) |
| Angiotensin | Phase 3 (in late-stage trials) |
| Atorvastatin | Phase 3 (in late-stage trials) |
| Azathioprine | Phase 3 (in late-stage trials) |
| Corticotropin | Phase 3 (in late-stage trials) |
| Cyclosporine | Phase 3 (in late-stage trials) |
| Darbepoetin Alfa | Phase 3 (in late-stage trials) |
| Diphenhydramine | Phase 3 (in late-stage trials) |
| Furosemide | Phase 3 (in late-stage trials) |
| Gemigliptin | Phase 3 (in late-stage trials) |
| Lipoic Acid, Alpha | Phase 3 (in late-stage trials) |
| Losartan | Phase 3 (in late-stage trials) |
| Methylprednisolone | Phase 3 (in late-stage trials) |
| Mycophenolate Mofetil | Phase 3 (in late-stage trials) |
| Nesiritide | Phase 3 (in late-stage trials) |
| Obinutuzumab | Phase 3 (in late-stage trials) |
| Olmesartan Medoxomil | Phase 3 (in late-stage trials) |
| Paricalcitol | Phase 3 (in late-stage trials) |
| Prednisolone | Phase 3 (in late-stage trials) |
| Prednisone | Phase 3 (in late-stage trials) |
| Rituximab | Phase 3 (in late-stage trials) |
| Sodium Bicarbonate | Phase 3 (in late-stage trials) |
| Sodium Chloride | Phase 3 (in late-stage trials) |
| Tacrolimus Anhydrous | Phase 3 (in late-stage trials) |
| Telmisartan | Phase 3 (in late-stage trials) |
| Valsartan | Phase 3 (in late-stage trials) |
| Vitamin E | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Acetazolamide, Acetylcysteine, Albumin Human, Aliskiren, Basiliximab, Belimumab, Bremelanotide, Carvedilol, Efgartigimod Alfa, Empagliflozin, Everolimus, Febuxostat, Felzartamab, Hydrochlorothiazide, Iohexol, Lanthanum Carbonate, Methoxy Polyethylene Glycol-Epoetin Beta, Neostigmine, PEGINTERFERON ALFA-2A, Ramipril, Rocuronium, Sargramostim, Setrusumab, Sorafenib, Sugammadex, Sulforaphane, Tolvaptan, Voclosporin, Zanubrutinib.
Drug target analysis
Approved (phase 4): 7 · Phase ≥3: 7 · Phased (≥1): 11 · Undrugged: 63
Druggability breadth: 30 of 74 evidence-associated genes (41%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| CFB | IPTACOPAN |
| NLRP3 | CLOMIPHENE |
| NEK9 | MOMELOTINIB |
| COQ8B | FEDRATINIB |
| PSMB8 | BORTEZOMIB |
| PSMB9 | BORTEZOMIB |
| REN | CAPTOPRIL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| NEK9 | 21 | 4 |
| REN | 13 | 4 |
| NLRP3 | 11 | 4 |
| COQ8B | 9 | 4 |
| PSMB8 | 7 | 4 |
| PSMB9 | 7 | 4 |
| CFB | 1 | 4 |
| TRPC6 | 1 | 2 |
| SLC25A21 | 1 | 2 |
| ACTN4 | 1 | 2 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| IPTACOPAN | 4 | CFB |
| CLOMIPHENE | 4 | NLRP3 |
| GLYBURIDE | 4 | NLRP3 |
| MOMELOTINIB | 4 | NEK9 |
| FEDRATINIB | 4 | COQ8B, NEK9 |
| DABRAFENIB | 4 | NEK9 |
| PACRITINIB | 4 | NEK9 |
| FOSTAMATINIB | 4 | NEK9 |
| CRIZOTINIB | 4 | COQ8B, NEK9 |
| VANDETANIB | 4 | COQ8B |
| ERLOTINIB | 4 | COQ8B |
| BORTEZOMIB | 4 | PSMB8, PSMB9 |
| CARFILZOMIB | 4 | PSMB8, PSMB9 |
| CAPTOPRIL | 4 | REN |
| ALISKIREN | 4 | REN |
| ALISKIREN FUMARATE | 4 | REN |
| CURCUMIN | 3 | NLRP3 |
| JT-001 | 3 | NLRP3 |
| DOVITINIB | 3 | NEK9 |
| LESTAURTINIB | 3 | NEK9 |
| CANERTINIB | 3 | COQ8B |
| IXAZOMIB | 3 | PSMB8, PSMB9 |
| MARIZOMIB | 3 | PSMB8, PSMB9 |
| SITOKIREN | 3 | REN |
| CLEMIZOLE | 2 | TRPC6 |
| ALLICIN | 2 | SLC25A21 |
| TRICLOCARBAN | 2 | NLRP3 |
| CLIOXANIDE | 2 | NLRP3 |
| DAPANSUTRILE | 2 | NLRP3 |
| USNOFLAST | 2 | NLRP3 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 13.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| REN | 541 | Binding:472, Functional:68, ADMET:1 |
| NLRP3 | 534 | Binding:527, Functional:6, ADMET:1 |
| PSMB8 | 262 | Binding:250, ADMET:9, Functional:3 |
| NEK9 | 254 | Binding:254 |
| PSMB9 | 220 | Binding:210, ADMET:7, Functional:3 |
| COQ8B | 77 | Binding:77 |
| NEK8 | 37 | Binding:37 |
| CFB | 33 | Binding:33 |
| TRPC6 | 30 | Binding:30 |
| HLA-DRB1 | 17 | Binding:17 |
| C3 | 15 | Binding:15 |
| MYH9 | 10 | Binding:10 |
| ACTN4 | 7 | Binding:7 |
| TAP1 | 4 | Binding:4 |
| TAP2 | 3 | Binding:3 |
| PLA2R1 | 3 | Binding:3 |
| SLC25A21 | 2 | Binding:2 |
| HLA-DQA1 | 2 | Binding:2 |
| CFH | 1 | Binding:1 |
| CD2AP | 1 | Binding:1 |
| SLC34A3 | 1 | Binding:1 |
| KCTD11 | 1 | Binding:1 |
| INF2 | 1 | Binding:1 |
| XPNPEP3 | 1 | ADMET:1 |
| DGKE | 1 | Binding:1 |
| PREPL | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| CFB | 3.4.21.47 | alternative-complement-pathway C3/C5 convertase |
| C3 | 3.4.21.47 | alternative-complement-pathway C3/C5 convertase |
| PLCE1 | 3.1.4.11 | phosphoinositide phospholipase C |
| PDSS2 | 2.5.1.91 | all-trans-decaprenyl-diphosphate synthase |
| COQ2 | 2.5.1.39 | 4-hydroxybenzoate polyprenyltransferase |
| XPNPEP3 | 3.4.11.9 | Xaa-Pro aminopeptidase |
| DGKE | 2.7.1.107 | diacylglycerol kinase (ATP) |
| PREPL | 3.4.21.26 | prolyl oligopeptidase |
| TAP1 | 7.4.2.14, 7.4.2.5 | ABC-type antigen peptide transporter, bacterial ABC-type protein transporter |
| TAP2 | 7.4.2.14, 7.4.2.5 | ABC-type antigen peptide transporter, bacterial ABC-type protein transporter |
| CFI | 3.4.21.45 | complement factor I |
| MTMR3 | 3.1.3.95 | phosphatidylinositol-3,5-bisphosphate 3-phosphatase |
| REN | 3.4.23.15 | renin |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| NLRP3 | 534 |
| NEK9 | 254 |
| PSMB8 | 262 |
| PSMB9 | 220 |
| REN | 541 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 72; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
29 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| IPTACOPAN | 4 | CFB |
| CLOMIPHENE | 4 | NLRP3 |
| GLYBURIDE | 4 | NLRP3 |
| MOMELOTINIB | 4 | NEK9 |
| FEDRATINIB | 4 | COQ8B, NEK9 |
| DABRAFENIB | 4 | NEK9 |
| PACRITINIB | 4 | NEK9 |
| FOSTAMATINIB | 4 | NEK9 |
| CRIZOTINIB | 4 | COQ8B, NEK9 |
| VANDETANIB | 4 | COQ8B |
| ERLOTINIB | 4 | COQ8B |
| BORTEZOMIB | 4 | PSMB8, PSMB9 |
| CARFILZOMIB | 4 | PSMB8, PSMB9 |
| CAPTOPRIL | 4 | REN |
| ALISKIREN FUMARATE | 4 | REN |
| CURCUMIN | 3 | NLRP3 |
| JT-001 | 3 | NLRP3 |
| DOVITINIB | 3 | NEK9 |
| LESTAURTINIB | 3 | NEK9 |
| CANERTINIB | 3 | COQ8B |
| IXAZOMIB | 3 | PSMB8, PSMB9 |
| MARIZOMIB | 3 | PSMB8, PSMB9 |
| SITOKIREN | 3 | REN |
| CLEMIZOLE | 2 | TRPC6 |
| ALLICIN | 2 | SLC25A21 |
| TRICLOCARBAN | 2 | NLRP3 |
| CLIOXANIDE | 2 | NLRP3 |
| DAPANSUTRILE | 2 | NLRP3 |
| USNOFLAST | 2 | NLRP3 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 7 | CFB, NLRP3, NEK9, COQ8B, PSMB8, PSMB9, REN |
| B | Phased (≥1) drug, not yet approved | 4 | TRPC6, SLC25A21, ACTN4, MYH9 |
| C | Druggable family + PDB, no drug | 17 | CFH, CFHR1, C3, PLCE1, XPNPEP3, PREPL, TAP1, TAP2, CFHR2, HLA-DPA1 (+7 more) |
| D | Druggable family + AlphaFold only, no drug | 8 | CFHR4, CFHR3, CFHR5, NEK8, PDSS2, COQ2, DGKE, MTMR3 |
| E | Difficult family or no structure, no drug | 38 | SLC41A1, ANKFY1, SDCCAG8, SLC3A1, SMARCAL1, THBD, UMOD, WT1, NPHS2, CD2AP (+28 more) |
Undrugged target profiles
63 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CFHR3 | 0 | CFB |
| CFHR5 | 0 | CFB |
| CFHR1 | 0 | CFB |
| C3 | 15 | CFB |
| NPHS2 | 0 | TRPC6 |
| PLCE1 | 0 | TRPC6 |
| COL4A4 | 0 | MYH9 |
| INF2 | 1 | ACTN4 |
| DGKE | 1 | CFB |
| TAP1 | 4 | PSMB9, PSMB8 |
| TAP2 | 3 | PSMB9, PSMB8 |
| CFI | 0 | CFB |
| MYO1E | 0 | ACTN4 |
| NPHP3 | 0 | NEK9 |
| CFHR4 | 0 | — |
| CFH | 1 | — |
| SLC41A1 | 0 | — |
| ANKFY1 | 0 | — |
| SDCCAG8 | 0 | — |
| SLC3A1 | 0 | — |
| SMARCAL1 | 0 | — |
| THBD | 0 | — |
| UMOD | 0 | — |
| WT1 | 0 | — |
| NEK8 | 37 | — |
| CD2AP | 1 | — |
| INVS | 0 | — |
| NPHP4 | 0 | — |
| SLC34A3 | 1 | — |
| KCTD11 | 1 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 572.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 359 |
| PHASE4 | 55 |
| PHASE3 | 50 |
| PHASE1 | 46 |
| PHASE2 | 44 |
| PHASE1/PHASE2 | 11 |
| PHASE2/PHASE3 | 4 |
| EARLY_PHASE1 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05096195 | PHASE4 | ACTIVE_NOT_RECRUITING | PRevEnting FracturEs in REnal Disease - 1 |
| NCT06291077 | PHASE4 | NOT_YET_RECRUITING | Comparison of the Effects of Belatacept and Anticalcineurins on Endothelial Function in Renal Transplant Patients - |
| NCT06625073 | PHASE4 | RECRUITING | Randomized Trial of SGLT2i in Heart Transplant Recipients |
| NCT06642623 | PHASE4 | RECRUITING | A Prospective Trial of Enavogliflozin to Evaluate Cardio-renal Outcome in Type 2 Diabetes Mellitus Patients |
| NCT07138521 | PHASE4 | NOT_YET_RECRUITING | Optimizing Linezolid Dosing in Patients With Advanced Renal Impairment: a Therapeutic Drug Monitoring-based Evaluation |
| NCT07182422 | PHASE4 | RECRUITING | AST-120 (Kremezin®) for the Renal Protection and Attenuation of Decline in Acute Kidney Disease |
| NCT00067990 | PHASE4 | COMPLETED | Angiotensin II Blockade for Chronic Allograft Nephropathy |
| NCT00117078 | PHASE4 | COMPLETED | Aranesp® Monthly Preference Study - 2 |
| NCT00117130 | PHASE4 | COMPLETED | Study to Evaluate Effectiveness of Aranesp® |
| NCT00132431 | PHASE4 | COMPLETED | START: Sensipar Treatment Algorithm to Reach K/DOQI Targets in Chronic Kidney Disease Subjects With Secondary Hyperparathyroidism |
| NCT00140985 | PHASE4 | COMPLETED | Antiproteinuric Efficacy of Losartan Potassium in Patients With Non-Diabetic Proteinuric Renal Diseases (0954-213) |
| NCT00246129 | PHASE4 | COMPLETED | CamTac Trial:Campath-Tacrolimus vs IL2R MoAb/Tacrolimus/MMF in Renal Transplantation |
| NCT00275535 | PHASE4 | COMPLETED | The Comparison of Tacrolimus and Sirolimus Immunosuppression Based Drug Regimens in Kidney Transplant Recipients |
| NCT00282217 | PHASE4 | COMPLETED | Study Evaluating Sirolimus in the Treatment of Kidney Transplant |
| NCT00289614 | PHASE4 | COMPLETED | Patients With Renal Impairment and Diabetes Undergoing Computed Tomography (CT) |
| NCT00290069 | PHASE4 | UNKNOWN | Renal Function Optimization With Mycophenolate Mofetil (MMF) Immunosuppressor Regimes (ALHAMBRA) |
| NCT00338468 | PHASE4 | TERMINATED | A Study to Assess Disability in Anemic Elderly Patients With Kidney Disease Receiving PROCRIT (Epoetin Alfa) |
| NCT00368901 | PHASE4 | COMPLETED | STAAR-2 Clinical Study |
| NCT00369733 | PHASE4 | COMPLETED | STAAR-3 Clinical Study |
| NCT00369772 | PHASE4 | COMPLETED | STAAR-1 Clinical Study |
| NCT00379899 | PHASE4 | COMPLETED | ADVANCE: Study to Evaluate Cinacalcet Plus Low Dose Vitamin D on Vascular Calcification in Subjects With Chronic Kidney Disease Receiving Hemodialysis |
| NCT00443508 | PHASE4 | UNKNOWN | Reduction or Discontinuation of CNI’s With Conversion to Everolimus-Based Immunosuppresion |
| NCT00452478 | PHASE4 | TERMINATED | Conversion From Standard Phosphate Binder Therapy to Fosrenol® (Lanthanum Carbonate) in Chronic Kidney Disease Stage 5 |
| NCT00492518 | PHASE4 | COMPLETED | Acetylcysteine, Theophylline, and a Combination of Both in the Prophylaxis of Contrast-Induced Nephropathy |
| NCT00505102 | PHASE4 | UNKNOWN | Safe Renal Function In Long Term Heart Transplanted Patients |
| NCT00526331 | PHASE4 | COMPLETED | Evaluation of Arterial Pressure Based Cardiac Output for Goal-Directed Perioperative Therapy |
| NCT00688480 | PHASE4 | COMPLETED | Do Xanthine Oxidase Inhibitors Reduce Both Left Ventricular Hypertrophy and Endothelial Dysfunction in Cardiovascular Patients With Renal Dysfunction? |
| NCT00863707 | PHASE4 | COMPLETED | A Study of the Safety and Tolerance of Regadenoson in Subjects With Renal Impairment |
| NCT01101698 | PHASE4 | UNKNOWN | Vitamin K2 and Vessel Calcification in Chronic Kidney Disease Patients |
| NCT01150201 | PHASE4 | COMPLETED | Aliskiren Combined With Losartan in Proteinuric, Non-diabetic Chronic Kidney Disease |
| NCT01155141 | PHASE4 | COMPLETED | Idiopathic Focal Segmental Glomerulosclerosis (FSGS) and Treatment With ACTH |
| NCT01228279 | PHASE4 | COMPLETED | Sympathetic Activity in Patients With End-stage Renal Disease on Peritoneal Dialysis |
| NCT01334333 | PHASE4 | COMPLETED | Comparison of Medication Adherence Between Once and Twice Daily Tacrolimus in Stable Renal Transplant Recipients |
| NCT01437943 | PHASE4 | TERMINATED | Effect of Short Term Aliskiren Treatment in Kidney Transplant Patients |
| NCT01545479 | PHASE4 | COMPLETED | Increased Renal Oxygenation and Angiotensin Converting Enzyme Inhibition |
| NCT01614431 | PHASE4 | COMPLETED | N Acetyl Cysteine for Cystinosis Patients |
| NCT01631149 | PHASE4 | COMPLETED | Effect of Deep BLock on Intraoperative Surgical Conditions |
| NCT01722513 | PHASE4 | UNKNOWN | Efficacy and Safety of Alprostadil Prevent Contrast Induced Nephropathy |
| NCT01985360 | PHASE4 | COMPLETED | ISCHEMIA-Chronic Kidney Disease Trial |
| NCT02311010 | PHASE4 | UNKNOWN | Practical Use of Advagraf de Novo After Kidney Transplantation According to Recipient Genetic Polymorphism |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CINACALCET | 4 | 11 |
| LOSARTAN | 4 | 10 |
| DARBEPOETIN ALFA | 4 | 8 |
| TACROLIMUS ANHYDROUS | 4 | 6 |
| IOPAMIDOL | 4 | 5 |
| IOHEXOL | 4 | 4 |
| LISINOPRIL ANHYDROUS | 4 | 4 |
| ACETYLCYSTEINE | 4 | 3 |
| ALEMTUZUMAB | 4 | 3 |
| CORTICOTROPIN | 4 | 3 |
| LANTHANUM CARBONATE | 4 | 3 |
| SIROLIMUS | 4 | 3 |
| THEOPHYLLINE ANHYDROUS | 4 | 3 |
| ALISKIREN | 4 | 2 |
| DACLIZUMAB | 4 | 2 |
| EPOETIN ALFA | 4 | 2 |
| GLECAPREVIR | 4 | 2 |
| GLUCAGON | 4 | 2 |
| NEDOSIRAN SODIUM | 4 | 2 |
| OLMESARTAN MEDOXOMIL | 4 | 2 |
| PARICALCITOL | 4 | 2 |
| PIBRENTASVIR | 4 | 2 |
| REGADENOSON ANHYDROUS | 4 | 2 |
| SODIUM BICARBONATE | 4 | 2 |
| SPARSENTAN | 4 | 2 |
| VADADUSTAT | 4 | 2 |
| ACYCLOVIR | 4 | 1 |
| ALLOPURINOL | 4 | 1 |
| ALPROSTADIL | 4 | 1 |
| ALTEPLASE | 4 | 1 |
Related Atlas pages
- Cohort genes: CFHR4, CFHR3, CFHR5, CFH, CFHR1, SLC41A1, ANKFY1, CFB, SDCCAG8, SLC3A1, SMARCAL1, THBD, TRPC6, UMOD, WT1, C3, NEK8, NPHS2, CD2AP, SLC25A21, NLRP3, ACTN4, PLCE1, INVS, NEK9, COQ8B, NPHP4, SLC34A3, KCTD11, CCM2, COL4A3, COL4A4, COL4A5, PDSS2, INF2, DNAJB7, COQ2, AXDND1, XPNPEP3, HORMAD2, TMEM67, DGKE, CEP290, IFT140, RPGRIP1L, GLIS2, PREPL, MFF-DT, TAP1, TAP2, CFHR2, HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1, CFI, LAMB2, LIF, LMX1B, CD46, MTMR3, MYH9, MYO1E, NPHP1, NPHP3, NPHS1, PLA2R1, PSMB8, PSMB9, REG1A, REN
- Drugs: Cinacalcet, Losartan, Darbepoetin Alfa, Tacrolimus, Iopamidol, Iohexol, Lisinopril, Acetylcysteine, Alemtuzumab, Corticotropin, Lanthanum Carbonate, Sirolimus, Theophylline, Aliskiren, Daclizumab, Epoetin Alfa, Glecaprevir, Glucagon, Nedosiran, Olmesartan Medoxomil, Paricalcitol, Pibrentasvir, Regadenoson, Sodium Bicarbonate, Sparsentan, Vadadustat, Acyclovir, Allopurinol, Alprostadil, Alteplase