Kidney disorder

disease
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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

FieldValue
Canonical namekidney disorder
Mondo IDMONDO:0005240
EFOEFO:0003086
MeSHD007674
DOIDDOID:557
NCITC3149
SNOMED CT90708001
UMLSC0022658
MedGen9635
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 disorderkidney 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

rsIDp-valueGeneRisk alleleOdds ratio
chr16:203810102e-45A0.13
rs360600362e-37UMODC0.11
rs108571473e-35PRDM8 - FGF5?
rs779246154e-30PDILTG0.1
rs92755962e-26MTCO3P1 - HLA-DQB3?1.59
rs116420153e-25FTOC0.06
rs738853191e-22APOL1A0.31
rs14210852e-19FTOT0.06
rs609101453e-18APOL1T0.12
chr9:50737708e-18T1.02
rs64641654e-16PRKAG2T0.05
rs102242106e-16PRKAG2T0.06
rs39255843e-15MPPED2-AS1 - DCDC1T0.05
chr7:1517172436e-15C0.06
rs1170263263e-14GTF2I-AS1, GTF2I?
chr11:307275434e-14C0.05
chr11:658026752e-13G0.06
rs108467444e-13SCARB1G0.05
rs5691993611e-12CDH12 - Y_RNAG4.53
rs93571552e-12PSMB8?1.41
chr5:6972772e-12C0.05
rs1822267813e-12STARD13G2.83
rs5481863326e-12ADAMTSL1G2.16
rs79031466e-12TCF7L2C0.04
rs583845771e-11APOL1T0.39
rs5644908731e-11PCOLCE2T2.34
rs1386451551e-11HPRT1P2 - RPL19P11C1.88
rs5763545882e-11PKD2C2.77
rs1123414022e-11ACAP2T3.06
rs1925099012e-11DYNLL1P3 - PAX7C2.53

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90475924Verma A202460,962358,617Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90474170UK Biobank Whole-Genome Sequencing Consortium202544,816413,624Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90475923Verma A202422,46290,187Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90475408Verma A202416,325299,343Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90474187UK Biobank Whole-Genome Sequencing Consortium202511,171447,269Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90474192UK Biobank Whole-Genome Sequencing Consortium202510,569447,871Whole-genome sequencing of 490,640 UK Biobank participants.
GCST90476676Verma A20247,696307,972Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90476830Verma A20243,735311,933Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90476112Verma A20242,669116,910Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90038666Donertas HM20212,609481,989Common genetic associations between age-related diseases.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding2
Tier 2: splice/UTR1
Tier 3: regulatory0
Tier 4: intronic/intergenic47

MAF distribution

BucketVariants
common (>=0.05)18
low_freq (0.01-0.05)2
rare (<0.01)12
unknown18

Functional consequences

ConsequenceCount
intron_variant22
unknown18
intergenic_variant6
missense_variant2
3_prime_UTR_variant1
non_coding_transcript_exon_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
chr16:203810102e-45Tier 4: intronic/intergenic
rs360600361620350628C>T0.163intron_variantUMOD2e-37Tier 4: intronic/intergenic
rs10857147480259918A>T0.05intergenic_variantPRDM8 - FGF53e-35Tier 4: intronic/intergenic
rs779246151620381010G>A0.174intron_variantPDILT4e-30Tier 4: intronic/intergenic
rs9275596632713854C>A,G,T0.27intergenic_variantMTCO3P1 - HLA-DQB32e-26Tier 4: intronic/intergenic
rs116420151653768582C>G,T0.402intron_variantFTO3e-25Tier 4: intronic/intergenic
rs738853192236265860A>G0.045missense_variantAPOL11e-22Tier 1: coding
rs14210851653767042T>C0.332intron_variantFTO2e-19Tier 4: intronic/intergenic
rs609101452236265988T>C,G0.044missense_variantAPOL13e-18Tier 1: coding
chr9:50737708e-18Tier 4: intronic/intergenic
rs64641657151716038T>C0.282intron_variantPRKAG24e-16Tier 4: intronic/intergenic
rs102242107151716108T>C0.233intron_variantPRKAG26e-16Tier 4: intronic/intergenic
rs39255841130738788T>A,C,G0.454intron_variantMPPED2-AS1 - DCDC13e-15Tier 4: intronic/intergenic
chr7:1517172436e-15Tier 4: intronic/intergenic
rs117026326774711703C>T0.05intron_variantGTF2I-AS1, GTF2I3e-14Tier 4: intronic/intergenic
chr11:307275434e-14Tier 4: intronic/intergenic
chr11:658026752e-13Tier 4: intronic/intergenic
rs1084674412124827879G>C,T0.26intron_variantSCARB14e-13Tier 4: intronic/intergenic
rs569199361523194671G>A0intergenic_variantCDH12 - Y_RNA1e-12Tier 4: intronic/intergenic
rs9357155632842071G>A,C0.13intron_variantPSMB82e-12Tier 4: intronic/intergenic
chr5:6972772e-12Tier 4: intronic/intergenic
rs1822267811333172984G>A0.001intron_variantSTARD133e-12Tier 4: intronic/intergenic
rs548186332918766778G>A0.001intron_variantADAMTSL16e-12Tier 4: intronic/intergenic
rs790314610112998590C>G,T0.289intron_variantTCF7L26e-12Tier 4: intronic/intergenic
rs583845772236267167T>C0.223_prime_UTR_variantAPOL11e-11Tier 2: splice/UTR
rs5644908733142826244T>C,G0.001intron_variantPCOLCE21e-11Tier 4: intronic/intergenic
rs138645155530778132C>T0.002intergenic_variantHPRT1P2 - RPL19P111e-11Tier 4: intronic/intergenic
rs576354588488050075C>T0.001intron_variantPKD22e-11Tier 4: intronic/intergenic
rs1123414023195428186T>C0intron_variantACAP22e-11Tier 4: intronic/intergenic
rs192509901118598524C>T0.001intergenic_variantDYNLL1P3 - PAX72e-11Tier 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

ClinVarVariant (HGVS)GeneClassificationReview
497937NM_025114.4(CEP290):c.6798G>A (p.Trp2266Ter)CEP290Pathogeniccriteria provided, multiple submitters, no conflicts
369964NM_000091.5(COL4A3):c.2083G>A (p.Gly695Arg)COL4A3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
24757NM_033380.3(COL4A5):c.4706G>A (p.Arg1569Gln)COL4A5Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1051NM_022489.4(INF2):c.653G>A (p.Arg218Gln)INF2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1053NM_022489.4(INF2):c.641G>A (p.Arg214His)INF2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1712424NM_002292.4(LAMB2):c.2369C>G (p.Ser790Ter)LAMB2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
867163NM_015102.5(NPHP4):c.3644+1G>ANPHP4Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
931168NM_015102.5(NPHP4):c.12G>A (p.Trp4Ter)NPHP4Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
552390NM_004646.4(NPHS1):c.3549C>A (p.Tyr1183Ter)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56438NM_004646.4(NPHS1):c.1379G>A (p.Arg460Gln)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
18115NM_000341.4(SLC3A1):c.1400T>C (p.Met467Thr)SLC3A1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
3487NM_024426.6(WT1):c.1399C>T (p.Arg467Trp)WT1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
419332NM_024426.6(WT1):c.1400G>A (p.Arg467Gln)WT1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1712416NM_000091.5(COL4A3):c.2656+1G>TCOL4A3Likely pathogeniccriteria provided, multiple submitters, no conflicts
1712415NM_000092.5(COL4A4):c.4440C>A (p.Cys1480Ter)COL4A4Likely pathogeniccriteria provided, multiple submitters, no conflicts
1712353NM_033380.3(COL4A5):c.4184dup (p.Pro1396fs)COL4A5Likely pathogeniccriteria provided, single submitter
1712412NM_022489.4(INF2):c.451T>C (p.Cys151Arg)INF2Likely pathogeniccriteria provided, single submitter
4074831NM_000341.4(SLC3A1):c.761A>C (p.Asn254Thr)SLC3A1Likely pathogeniccriteria provided, single submitter
808577NM_004924.6(ACTN4):c.1443-4G>AACTN4Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
330316NM_000064.4(C3):c.1855G>A (p.Val619Met)C3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
777389NM_000064.4(C3):c.2354+9G>AC3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
294969NM_172351.3(CD46):c.574G>C (p.Asp192His)CD46Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
791827NM_172351.3(CD46):c.796G>A (p.Asp266Asn)CD46Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
126262NM_025114.4(CEP290):c.5237G>A (p.Arg1746Gln)CEP290Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
136727NM_025114.4(CEP290):c.1624-5T>CCEP290Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
136729NM_025114.4(CEP290):c.3465G>A (p.Leu1155=)CEP290Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
136730NM_025114.4(CEP290):c.5199A>G (p.Gln1733=)CEP290Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
281250NM_025114.4(CEP290):c.1092T>G (p.Ile364Met)CEP290Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
310603NM_025114.4(CEP290):c.4087C>T (p.Arg1363Trp)CEP290Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
697728NM_025114.4(CEP290):c.2638G>T (p.Ala880Ser)CEP290Conflicting classifications of pathogenicitycriteria 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)

GeneHGNCEvidence routes
CFHR4CFHR4GWAS
CFHR3CFHR3GWAS, Orphanet
CFHR5CFHR5GWAS, Orphanet
CFHCFHGWAS, Orphanet
CFHR1CFHR1GWAS, 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.

GeneClassificationInheritanceDiseaseRecords
ANKFY1LimitedAutosomal recessivekidney disorder2
SLC41A1LimitedAutosomal recessivekidney disorder3

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
CFHR3Orphanet:329931C3 glomerulonephritis
CFHR5Orphanet:329931C3 glomerulonephritis
CFHOrphanet:200421Immunodeficiency with factor H anomaly
CFHOrphanet:244242HELLP syndrome
CFHOrphanet:244275De novo thrombotic microangiopathy after kidney transplantation
CFHOrphanet:329903Immunoglobulin-mediated membranoproliferative glomerulonephritis
CFHOrphanet:544472Atypical hemolytic uremic syndrome with complement gene abnormality
CFHOrphanet:75376Familial drusen
CFHOrphanet:93571Dense deposit disease
CFHR1Orphanet:329931C3 glomerulonephritis
CFHR1Orphanet:93571Dense deposit disease
ANKFY1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
CFBOrphanet:544472Atypical hemolytic uremic syndrome with complement gene abnormality
SDCCAG8Orphanet:110Bardet-Biedl syndrome
SDCCAG8Orphanet:3156Senior-Loken syndrome
SLC3A1Orphanet:163690Hypotonia-cystinuria syndrome
SLC3A1Orphanet:1636932p21 microdeletion syndrome
SLC3A1Orphanet:238523Atypical hypotonia-cystinuria syndrome
SLC3A1Orphanet:93612Cystinuria type A
SMARCAL1Orphanet:1830Schimke immuno-osseous dysplasia
THBDOrphanet:436169Thrombomodulin-related bleeding disorder
THBDOrphanet:544472Atypical hemolytic uremic syndrome with complement gene abnormality
TRPC6Orphanet:656Hereditary steroid-resistant nephrotic syndrome
UMODOrphanet:88950UMOD-related autosomal dominant tubulointerstitial kidney disease
WT1Orphanet:220Denys-Drash syndrome
WT1Orphanet:24246,XY complete gonadal dysgenesis
WT1Orphanet:25151046,XY partial gonadal dysgenesis
WT1Orphanet:3097Meacham syndrome
WT1Orphanet:347Frasier syndrome
WT1Orphanet:654Nephroblastoma
WT1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
WT1Orphanet:83469Desmoplastic small round cell tumor
WT1Orphanet:893WAGR syndrome
C3Orphanet:280133Complement component 3 deficiency
C3Orphanet:544472Atypical hemolytic uremic syndrome with complement gene abnormality
NEK8Orphanet:294415Renal-hepatic-pancreatic dysplasia
NEK8Orphanet:730Autosomal dominant polycystic kidney disease
NEK8Orphanet:93591Infantile nephronophthisis
NPHS2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
CD2APOrphanet:656Hereditary steroid-resistant nephrotic syndrome
NLRP3Orphanet:1451CINCA syndrome
NLRP3Orphanet:47045Familial cold urticaria
NLRP3Orphanet:575Muckle-Wells syndrome
NLRP3Orphanet:647815Keratitis fugax hereditaria
ACTN4Orphanet:656Hereditary steroid-resistant nephrotic syndrome
PLCE1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
INVSOrphanet:3156Senior-Loken syndrome
INVSOrphanet:93591Infantile nephronophthisis
NEK9Orphanet:464366NEK9-related lethal skeletal dysplasia
NEK9Orphanet:64754Nevus comedonicus syndrome

Cohort genes → proteins

74 cohort genes, 71 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only14
gwas_and_clinvar5
multi_evidence55

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
CFHR4HGNC:16979ENSG00000134365Q92496Complement factor H-related protein 4gwas,clinvar
CFHR3HGNC:16980ENSG00000116785Q02985Complement factor H-related protein 3gwas,clinvar
CFHR5HGNC:24668ENSG00000134389Q9BXR6Complement factor H-related protein 5gwas,clinvar
CFHHGNC:4883ENSG00000000971P08603Complement factor Hgwas,clinvar
CFHR1HGNC:4888ENSG00000244414Q03591Complement factor H-related protein 1gwas,clinvar
SLC41A1HGNC:19429ENSG00000133065Q8IVJ1Solute carrier family 41 member 1gencc
ANKFY1HGNC:20763ENSG00000185722Q9P2R3Ankyrin repeat and FYVE domain-containing protein 1gencc
CFBHGNC:1037ENSG00000243649P00751Complement factor Bclinvar
SDCCAG8HGNC:10671ENSG00000054282Q86SQ7Serologically defined colon cancer antigen 8clinvar
SLC3A1HGNC:11025ENSG00000138079Q07837Amino acid transporter heavy chain SLC3A1clinvar
SMARCAL1HGNC:11102ENSG00000138375Q9NZC9SNF2 related chromatin remodeling annealing helicase 1clinvar
THBDHGNC:11784ENSG00000178726P07204Thrombomodulinclinvar
TRPC6HGNC:12338ENSG00000137672Q9Y210Short transient receptor potential channel 6clinvar
UMODHGNC:12559ENSG00000169344P07911Uromodulinclinvar
WT1HGNC:12796ENSG00000184937P19544Wilms tumor proteinclinvar
C3HGNC:1318ENSG00000125730P01024Complement C3clinvar
NEK8HGNC:13387ENSG00000160602Q86SG6Serine/threonine-protein kinase Nek8clinvar
NPHS2HGNC:13394ENSG00000116218Q9NP85Podocinclinvar
CD2APHGNC:14258ENSG00000198087Q9Y5K6CD2-associated proteinclinvar
SLC25A21HGNC:14411ENSG00000183032Q9BQT8Mitochondrial 2-oxodicarboxylate carrierclinvar
NLRP3HGNC:16400ENSG00000162711Q96P20NACHT, LRR and PYD domains-containing protein 3clinvar
ACTN4HGNC:166ENSG00000130402O43707Alpha-actinin-4clinvar
PLCE1HGNC:17175ENSG00000138193Q9P2121-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1clinvar
INVSHGNC:17870ENSG00000119509Q9Y283Inversinclinvar
NEK9HGNC:18591ENSG00000119638Q8TD19Serine/threonine-protein kinase Nek9clinvar
COQ8BHGNC:19041ENSG00000123815Q96D53Atypical kinase COQ8B, mitochondrialclinvar
NPHP4HGNC:19104ENSG00000131697O75161Nephrocystin-4clinvar
SLC34A3HGNC:20305ENSG00000198569Q8N130Sodium-dependent phosphate transport protein 2Cclinvar
KCTD11HGNC:21302ENSG00000213859Q693B1BTB/POZ domain-containing protein KCTD11clinvar
CCM2HGNC:21708ENSG00000136280Q9BSQ5Cerebral cavernous malformations 2 proteingwas
COL4A3HGNC:2204ENSG00000169031Q01955Collagen alpha-3(IV) chainclinvar
COL4A4HGNC:2206ENSG00000081052P53420Collagen alpha-4(IV) chainclinvar
COL4A5HGNC:2207ENSG00000188153P29400Collagen alpha-5(IV) chainclinvar
PDSS2HGNC:23041ENSG00000164494Q86YH6All trans-polyprenyl-diphosphate synthase PDSS2clinvar
INF2HGNC:23791ENSG00000203485Q27J81Inverted formin-2clinvar
DNAJB7HGNC:24986ENSG00000172404Q7Z6W7DnaJ homolog subfamily B member 7clinvar
COQ2HGNC:25223ENSG00000173085Q96H964-hydroxybenzoate polyprenyltransferase, mitochondrialclinvar
AXDND1HGNC:26564ENSG00000162779Q5T1B0Axonemal dynein light chain domain-containing protein 1clinvar
XPNPEP3HGNC:28052ENSG00000196236Q9NQH7Xaa-Pro aminopeptidase 3clinvar
HORMAD2HGNC:28383ENSG00000176635Q8N7B1HORMA domain-containing protein 2gwas
TMEM67HGNC:28396ENSG00000164953Q5HYA8Meckelinclinvar
DGKEHGNC:2852ENSG00000153933P52429Diacylglycerol kinase epsilonclinvar
CEP290HGNC:29021ENSG00000198707O15078Centrosomal protein of 290 kDaclinvar
IFT140HGNC:29077ENSG00000187535Q96RY7Intraflagellar transport protein 140 homologclinvar
RPGRIP1LHGNC:29168ENSG00000103494Q68CZ1Protein fantomclinvar
GLIS2HGNC:29450ENSG00000126603Q9BZE0Zinc finger protein GLIS2clinvar
PREPLHGNC:30228ENSG00000138078Q4J6C6Prolyl endopeptidase-likeclinvar
MFF-DTHGNC:41067ENSG00000236432MFF divergent transcriptclinvar
TAP1HGNC:43ENSG00000168394Q03518Antigen peptide transporter 1gwas
TAP2HGNC:44ENSG00000204267Q03519Antigen peptide transporter 2gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
CFHR4Complement factor H-related protein 4Involved in complement regulation.
CFHR3Complement factor H-related protein 3Might be involved in complement regulation.
CFHR5Complement factor H-related protein 5Involved in complement regulation.
CFHComplement factor HGlycoprotein that plays an essential role in maintaining a well-balanced immune response by modulating complement activation.
CFHR1Complement factor H-related protein 1Involved in complement regulation.
SLC41A1Solute carrier family 41 member 1Na(+)/Mg(2+) ion exchanger that acts as a predominant Mg(2+) efflux system at the plasma membrane.
ANKFY1Ankyrin repeat and FYVE domain-containing protein 1Proposed effector of Rab5.
CFBComplement factor BPrecursor 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…
SDCCAG8Serologically defined colon cancer antigen 8Plays a role in the establishment of cell polarity and epithelial lumen formation.
SLC3A1Amino acid transporter heavy chain SLC3A1Acts as a chaperone that facilitates biogenesis and trafficking of functional transporter heteromers to the plasma membrane.
SMARCAL1SNF2 related chromatin remodeling annealing helicase 1ATP-dependent annealing helicase that binds selectively to fork DNA relative to ssDNA or dsDNA and catalyzes the rewinding of the stably unwound DNA.
THBDThrombomodulinEndothelial cell receptor that plays a critical role in regulating several physiological processes including hemostasis, coagulation, fibrinolysis, inflammation, and angiogenesis.
TRPC6Short transient receptor potential channel 6Forms a receptor-activated non-selective calcium permeant cation channel.
UMODUromodulinFunctions in biogenesis and organization of the apical membrane of epithelial cells of the thick ascending limb of Henle’s loop (TALH), where it promotes formation of complex filamentous gel-like structure that may play a role in the water…
WT1Wilms tumor proteinTranscription factor that plays an important role in cellular development and cell survival.
C3Complement C3Precursor 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…
NEK8Serine/threonine-protein kinase Nek8Required for renal tubular integrity.
NPHS2PodocinPlays a role in the regulation of glomerular permeability, acting probably as a linker between the plasma membrane and the cytoskeleton.
CD2APCD2-associated proteinSeems to act as an adapter protein between membrane proteins and the actin cytoskeleton.
SLC25A21Mitochondrial 2-oxodicarboxylate carrierTransports dicarboxylates across the inner membranes of mitochondria by a counter-exchange mechanism.
NLRP3NACHT, LRR and PYD domains-containing protein 3Sensor 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.
ACTN4Alpha-actinin-4F-actin cross-linking protein which is thought to anchor actin to a variety of intracellular structures.
PLCE11-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1The production of the second messenger molecules diacylglycerol (DAG) and inositol 1,4,5-trisphosphate (IP3) is mediated by activated phosphatidylinositol-specific phospholipase C enzymes.
INVSInversinRequired for normal renal development and establishment of left-right axis.
NEK9Serine/threonine-protein kinase Nek9Pleiotropic regulator of mitotic progression, participating in the control of spindle dynamics and chromosome separation.
COQ8BAtypical kinase COQ8B, mitochondrialAtypical kinase involved in the biosynthesis of coenzyme Q, also named ubiquinone, an essential lipid-soluble electron transporter for aerobic cellular respiration.
NPHP4Nephrocystin-4Involved in the organization of apical junctions; the function is proposed to implicate a NPHP1-4-8 module.
SLC34A3Sodium-dependent phosphate transport protein 2CInvolved in actively transporting phosphate into cells via Na(+) cotransport in the renal brush border membrane.
KCTD11BTB/POZ domain-containing protein KCTD11Plays 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.
CCM2Cerebral cavernous malformations 2 proteinComponent of the CCM signaling pathway which is a crucial regulator of heart and vessel formation and integrity.
COL4A3Collagen alpha-3(IV) chainType IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen.
COL4A4Collagen alpha-4(IV) chainType IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen.
COL4A5Collagen alpha-5(IV) chainType IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen.
PDSS2All trans-polyprenyl-diphosphate synthase PDSS2Heterotetrameric 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…
INF2Inverted formin-2Severs actin filaments and accelerates their polymerization and depolymerization.
DNAJB7DnaJ homolog subfamily B member 7Probably acts as a co-chaperone.
COQ24-hydroxybenzoate polyprenyltransferase, mitochondrialMediates the second step in the final reaction sequence of coenzyme Q (CoQ) biosynthesis.
AXDND1Axonemal dynein light chain domain-containing protein 1May be essential for spermiogenesis and male fertility probably by regulating the manchette dynamics, spermatid head shaping and sperm flagellum assembly.
XPNPEP3Xaa-Pro aminopeptidase 3Catalyzes the removal of a penultimate prolyl residue from the N-termini of peptides, such as Leu-Pro-Ala.
HORMAD2HORMA domain-containing protein 2Essential for synapsis surveillance during meiotic prophase via the recruitment of ATR activity.
TMEM67MeckelinRequired for ciliary structure and function.
DGKEDiacylglycerol kinase epsilonMembrane-bound diacylglycerol kinase that converts diacylglycerol/DAG into phosphatidic acid/phosphatidate/PA and regulates the respective levels of these two bioactive lipids.
CEP290Centrosomal protein of 290 kDaInvolved in early and late steps in cilia formation.
IFT140Intraflagellar transport protein 140 homologComponent of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs).
RPGRIP1LProtein fantomNegatively regulates signaling through the G-protein coupled thromboxane A2 receptor (TBXA2R).
GLIS2Zinc finger protein GLIS2Can act either as a transcriptional repressor or as a transcriptional activator, depending on the cell context.
PREPLProlyl endopeptidase-likeSerine peptidase whose precise substrate specificity remains unclear.
TAP1Antigen peptide transporter 1ABC transporter associated with antigen processing.
TAP2Antigen peptide transporter 2ABC transporter associated with antigen processing.
CFHR2Complement factor H-related protein 2Involved 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.

FamilyGenesFoldFDR
Complement829.0×3e-09
Protease52.5×0.190
Antibody/Immunoglobulin62.4×0.190
Transporter22.1×0.509
Kinase41.5×0.509
Scaffold/PPI61.4×0.509
Ion channel11.5×0.766
Phosphatase11.1×0.810
Other/Unknown340.8×0.984
Enzyme (other)30.5×0.984
Transcription factor40.5×0.984

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
CFHR4ComplementyesSushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med
CFHR3ComplementyesSushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med
CFHR5ComplementyesSushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med
CFHComplementyesSushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med
CFHR1ComplementyesSushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, ComplSys_Reg/VirEntry_Med
SLC41A1Other/UnknownnoSLC41_membr_dom, SLC41_membr_dom_sf, SLC41A1-3
ANKFY1Transcription factornoBTB/POZ_dom, Znf_FYVE, Ankyrin_rpt
CFBProteaseyes3.4.21.47Sushi_SCR_CCP_dom, Trypsin_dom, Peptidase_S1A
SDCCAG8Other/UnknownnoSDCCAG8
SLC3A1Other/UnknownnoGH13_cat_dom, Glyco_hydro_b, GH_hydrolase_sf
SMARCAL1Other/UnknownnoSNF2_N, Helicase_C-like, HARP_dom
THBDOther/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, C-type_lectin-like
TRPC6Ion channelyesAnkyrin_rpt, TRPC_channel, TRPC6_channel
UMODOther/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, ZP_dom
WT1Transcription factornoWilms_tumour_N, Znf_C2H2_type, Znf_C2H2_sf
C3Complementyes3.4.21.47Anaphylatoxin/fibulin, Netrin_domain, Macroglobln_a2
NEK8KinaseyesReg_chr_condens, Prot_kinase_dom, Ser/Thr_kinase_AS
NPHS2Other/UnknownnoBand_7, Stomatin_HflK_fam, Band_7/stomatin-like_CS
CD2APScaffold/PPInoSH3_domain, CD2AP_SH3_1, CD2AP_SH_2
SLC25A21Other/UnknownnoMCP, MCP_transmembrane, MCP_dom_sf
NLRP3Other/UnknownnoLeu-rich_rpt, DAPIN, NACHT_NTPase
ACTN4Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
PLCE1Enzyme (other)yes3.1.4.11C2_dom, RA_dom, PLipase_C_PInositol-sp_X_dom
INVSScaffold/PPInoIQ_motif_EF-hand-BS, Ankyrin_rpt, Ankyrin_rpt-contain_sf
NEK9KinaseyesReg_chr_condens, Prot_kinase_dom, Ser/Thr_kinase_AS
COQ8BKinaseyesABC1_dom, Kinase-like_dom_sf, ADCK3_dom
NPHP4Other/UnknownnoNPHP4, Ig_NPHP4_4th, Ig_NPHP4_3rd
SLC34A3Other/UnknownnoNa/Pi_transpt
KCTD11Other/UnknownnoT1-type_BTB, SKP1/BTB/POZ_sf, KCTD11/21_C
CCM2Other/UnknownnoPTB/PI_dom, PH-like_dom_sf, Malcavernin
COL4A3Other/UnknownnoCollagen_IV_NC, Collagen, CTDL_fold
COL4A4Other/UnknownnoCollagen_IV_NC, Collagen, CTDL_fold
COL4A5Other/UnknownnoCollagen_IV_NC, Collagen, CTDL_fold
PDSS2Enzyme (other)yes2.5.1.91Polyprenyl_synt, Isoprenoid_synthase_dom_sf
INF2Other/UnknownnoWH2_dom, FH3_dom, GTPase-bd
DNAJB7Other/UnknownnoDnaJ_domain, DnaJ_domain_CS, J_dom_sf
COQ2Enzyme (other)yes2.5.1.39UbiA_prenyltransferase, HB_polyprenyltransferase-like, UbiA_prenylTrfase_CS
AXDND1Other/UnknownnoAxonemal_dynein_light_chain, Axonemal_dynein_LC_domain
XPNPEP3Proteaseyes3.4.11.9Pept_M24, Aminopep_P_N, Creatin/AminoP/Spt16_N
HORMAD2Other/UnknownnoHORMA_dom, HORMA_dom_sf, HORMA_MeioticProgression
TMEM67Other/UnknownnoGrowth_fac_rcpt_cys_sf, Meckelin
DGKEKinaseyes2.7.1.107Diacylglycerol_kin_accessory, Diacylglycerol_kinase_cat_dom, PKC_DAG/PE
CEP290Other/UnknownnoCep290, Cep209_CC5
IFT140Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_dom_sf
RPGRIP1LOther/UnknownnoC2_dom, C2-C2_1, RPGRIP1_fam
GLIS2Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, GLI-like
PREPLProteaseyes3.4.21.26Peptidase_S9_cat, Peptidase_S9A, Pept_S9A_N
MFF-DTOther/Unknownno
TAP1Transporteryes7.4.2.14ABC_transporter-like_ATP-bd, AAA+_ATPase, ABC1_TM_dom
TAP2Transporteryes7.4.2.14ABC_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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)1
broad (>20)73
unknown0

Top tissues across cohort

TissueCohort genes
male germ line stem cell (sensu Vertebrata) in testis12
right lobe of liver8
right uterine tube8
granulocyte7
liver6
calcaneal tendon6
buccal mucosa cell6
gall bladder5
primordial germ cell in gonad5
stromal cell of endometrium5
sural nerve5
monocyte5
parietal pleura4
metanephros cortex4
leukocyte4
lymph node4
vermiform appendix4
body of pancreas3
right lung3
adult mammalian kidney3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
CFHR479tissue_specificmarkerright lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis
CFHR3127tissue_specificmarkerright lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis
CFHR515tissue_specificmarkerright lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis
CFH267ubiquitousmarkerurethra, calcaneal tendon, right coronary artery
CFHR1125markerright lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis
SLC41A1241ubiquitousmarkerleft ventricle myocardium, cardiac muscle of right atrium, myocardium
ANKFY1265ubiquitousmarkerskin of hip, parietal pleura, corpus callosum
CFB134broadmarkerright lobe of liver, liver, gall bladder
SDCCAG8134ubiquitousmarkercorpus callosum, calcaneal tendon, thyroid gland
SLC3A1163tissue_specificmarkerbody of pancreas, gall bladder, metanephros cortex
SMARCAL1264ubiquitousmarkerprimordial germ cell in gonad, stromal cell of endometrium, sural nerve
THBD259ubiquitousmarkergingival epithelium, gingiva, vena cava
TRPC6180broadmarkerright lung, lower esophagus muscularis layer, lower esophagus
UMOD104tissue_specificmarkerrenal medulla, adult organism, adult mammalian kidney
WT1168broadmarkergerminal epithelium of ovary, renal glomerulus, metanephric glomerulus
C3289ubiquitousmarkerparietal pleura, right lobe of liver, palpebral conjunctiva
NEK8196ubiquitousmarkerbuccal mucosa cell, metanephros cortex, left lobe of thyroid gland
NPHS247tissue_specificmarkerrenal glomerulus, metanephric glomerulus, kidney epithelium
CD2AP275ubiquitousmarkerjejunal mucosa, esophagus squamous epithelium, colonic mucosa
SLC25A21165broadmarkerprimordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, stromal cell of endometrium
NLRP3172broadmarkermonocyte, mononuclear cell, leukocyte
ACTN4145ubiquitousmarkerpopliteal artery, tibial artery, smooth muscle tissue
PLCE1271broadmarkerrenal glomerulus, metanephric glomerulus, ventricular zone
INVS215ubiquitousyescalcaneal tendon, adrenal tissue, sural nerve
NEK9296ubiquitousmarkertibia, right uterine tube, left ovary
COQ8B227ubiquitousmarkerright uterine tube, adenohypophysis, pituitary gland
NPHP4165ubiquitousmarkerright uterine tube, adenohypophysis, right lobe of thyroid gland
SLC34A3147tissue_specificyeslower esophagus mucosa, right uterine tube, adult mammalian kidney
KCTD11132ubiquitousmarkerlower esophagus mucosa, tibial nerve, esophagus mucosa
CCM2243ubiquitousmarkerputamen, nucleus accumbens, anterior cingulate cortex

Protein interactions among cohort

Intra-cohort edges: 161.

Hub genes (top 10 by interactor count)

SymbolInteractor count
MYH95,533
WT13,938
NLRP33,797
HLA-DRB13,448
ACTN43,303
REN3,244
C33,199
PSMB83,188
SLC34A33,023
ANKFY12,929

Intra-cohort edges

ABSources
ACTN4CD2APstring_interaction
ACTN4INF2string_interaction
ACTN4MYH9biogrid_interaction, string_interaction
ACTN4MYO1Estring_interaction
ACTN4NPHS1string_interaction
ACTN4NPHS2string_interaction
ACTN4PLCE1string_interaction
ACTN4TRPC6string_interaction
C3CD46intact, string_interaction
C3CFBintact, string_interaction
C3CFHbiogrid_interaction, intact, string_interaction
C3CFHR1string_interaction
C3CFHR2intact, string_interaction
C3CFHR3biogrid_interaction, string_interaction
C3CFHR4biogrid_interaction, intact, string_interaction
C3CFHR5string_interaction
C3CFIbiogrid_interaction, intact, string_interaction
CD2APINF2string_interaction
CD2APLAMB2string_interaction
CD2APNPHS1string_interaction
CD2APNPHS2biogrid_interaction, string_interaction
CD2APPLCE1string_interaction
CD2APRPGRIP1Lbiogrid_interaction
CD2APTRPC6string_interaction
CD46CFHR2string_interaction
CD46CFHR3string_interaction
CD46CFHR4string_interaction
CD46CFHR5string_interaction
CD46CFIintact, string_interaction
CD46DGKEstring_interaction
CD46THBDstring_interaction
CEP290INVSstring_interaction
CEP290NEK8string_interaction
CEP290NPHP1string_interaction
CEP290NPHP3string_interaction
CEP290NPHP4string_interaction
CEP290RPGRIP1Lstring_interaction
CEP290SDCCAG8string_interaction
CEP290TMEM67string_interaction
CEP290XPNPEP3string_interaction
CFBCFHR1intact, string_interaction
CFBCFHR2string_interaction
CFBCFHR3string_interaction
CFBCFHR4intact, string_interaction
CFBCFHR5string_interaction
CFBCFIstring_interaction
CFBDGKEstring_interaction
CFHCFHR1intact
CFHCFHR3biogrid_interaction, intact
CFHCFIintact, string_interaction

Structural data

PDB: 45 · AlphaFold-only: 26 · No structure: 3

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
HLA-DRB1P01911108
RENP0079791
C3P0102475
CFHP0860351
WT1P1954428
HLA-DQA1P0190928
CFBP0075126
NLRP3Q96P2024
TAP1Q0351822
PSMB8P2806222
TAP2Q0351921
THBDP0720413
CD2APQ9Y5K612
UMODP0791110
INF2Q27J8110
HLA-DPA1P2003610
HLA-DPB1P0444010
HLA-DQB1P0192010
CCM2Q9BSQ58
MYH9P355798
CD46P155297
PSMB9P280657
TRPC6Q9Y2106
SLC3A1Q078375
ACTN4O437075
LIFP150185
IFT140Q96RY74
CFHR2P369804
PLCE1Q9P2123
CFHR1Q035912

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
CFHR3Q0298591.93
SLC25A21Q9BQT888.91
CFHR4Q9249687.75
ANKFY1Q9P2R386.98
DGKEP5242986.18
COQ2Q96H9685.64
NEK8Q86SG685.23
KCTD11Q693B185.00
CFHR5Q9BXR683.76
MYO1EQ1296580.46
PDSS2Q86YH680.28
SDCCAG8Q86SQ778.67
SLC41A1Q8IVJ178.41
COQ8BQ96D5377.00
LAMB2P5526875.94
SLC34A3Q8N13075.86
NPHS2Q9NP8575.00
HORMAD2Q8N7B172.61
NPHP4O7516172.44
AXDND1Q5T1B070.90
LMX1BO6066370.79
INVSQ9Y28370.76
MTMR3Q1361566.94
CEP290O1507860.90
DNAJB7Q7Z6W759.38
GLIS2Q9BZE055.47

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.

PathwayCohort genesFoldFDRSample cohort genes
Regulation of Complement cascade1040.9×5e-12CFHR4, CFHR3, CFHR5, CFH, CFHR1, CFB, C3, CFHR2 (+2 more)
Translocation of ZAP-70 to Immunological synapse444.5×1e-04HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1
Phosphorylation of CD3 and TCR zeta chains438.2×2e-04HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1
Co-inhibition by PD-1436.4×2e-04HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1
Attachment of bacteria to epithelial cells434.8×2e-04COL4A3, COL4A4, COL4A5, LAMB2
Nephrin family interactions433.4×2e-04NPHS2, CD2AP, ACTN4, NPHS1
Anchoring of the basal body to the plasma membrane611.9×3e-04SDCCAG8, NPHP4, TMEM67, CEP290, RPGRIP1L, NPHP1
Laminin interactions426.7×3e-04COL4A3, COL4A4, COL4A5, LAMB2
Generation of second messenger molecules424.3×4e-04HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1
Ubiquinol biosynthesis346.2×6e-04COQ8B, PDSS2, COQ2
Anchoring fibril formation340.1×8e-04COL4A3, COL4A4, COL4A5
Interferon gamma signaling511.0×0.001HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1
Fibronectin matrix formation330.1×0.002COL4A3, COL4A4, COL4A5
Crosslinking of collagen fibrils330.1×0.002COL4A3, COL4A4, COL4A5
Alternative complement activation280.1×0.003CFB, C3
Non-integrin membrane-ECM interactions410.8×0.005COL4A3, COL4A4, COL4A5, LAMB2
ECM proteoglycans410.5×0.006COL4A3, COL4A4, COL4A5, LAMB2
Activation of C3 and C5244.5×0.008CFB, C3
ER-Phagosome pathway49.1×0.009TAP1, TAP2, PSMB8, PSMB9
Downstream TCR signaling49.0×0.009HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1
Collagen chain trimerization313.7×0.011COL4A3, COL4A4, COL4A5
Signaling by PDGF313.4×0.012COL4A3, COL4A4, COL4A5
NCAM1 interactions313.1×0.012COL4A3, COL4A4, COL4A5
Assembly of collagen fibrils and other multimeric structures310.5×0.021COL4A3, COL4A4, COL4A5
MHC class II antigen presentation46.3×0.027HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DRB1
Collagen degradation39.2×0.028COL4A3, COL4A4, COL4A5
Antigen processing: Ub, ATP-independent proteasomal degradation220.0×0.028PSMB8, PSMB9
Collagen biosynthesis and modifying enzymes39.0×0.028COL4A3, COL4A4, COL4A5
Defective SLC34A3 causes Hereditary hypophosphatemic rickets with hypercalciuria (HHRH)1200.3×0.030SLC34A3
Effects of PIP2 hydrolysis216.0×0.040TRPC6, 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 termCohort genesFoldFDRSample cohort genes
complement activation871.3×7e-11CFHR4, CFHR3, CFHR5, CFH, CFHR1, CFB, C3, CFHR2
glomerular basement membrane development5109.4×1e-07WT1, COL4A3, COL4A4, MYO1E, NPHS1
peptide antigen assembly with MHC class II protein complex575.2×8e-07HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1
antigen processing and presentation of exogenous peptide antigen via MHC class II538.8×2e-05HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1
positive regulation of immune response534.4×4e-05HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1
positive regulation of T cell activation531.7×4e-05HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRB1
complement activation, alternative pathway456.6×5e-05CFHR5, CFH, CFB, C3
glomerular filtration453.5×6e-05UMOD, NPHS2, XPNPEP3, MYO1E
obsolete cytolysis by host of symbiont cells390.3×2e-04CFHR5, CFHR1, CFHR2
kidney development612.0×6e-04WT1, INVS, CEP290, RPGRIP1L, NPHP3, REN
cytosol to endoplasmic reticulum transport2240.7×8e-04TAP1, TAP2
metanephric podocyte development2240.7×8e-04NPHS2, LAMB2
glomerulus development355.6×8e-04WT1, PLCE1, MYO1E
juxtaglomerular apparatus development2160.5×0.002UMOD, REN
ubiquinone biosynthetic process340.1×0.002COQ8B, PDSS2, COQ2
non-motile cilium assembly416.6×0.003CEP290, IFT140, RPGRIP1L, NPHP3
determination of left/right symmetry414.6×0.005NEK8, IFT140, RPGRIP1L, NPHP3
negative regulation of protein binding326.8×0.005CFHR5, CFHR1, CFHR2
adaptive immune response67.2×0.005TAP1, HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, CD46
visual behavior280.2×0.007NPHP4, NPHP1
neural tube patterning280.2×0.007IFT140, RPGRIP1L
complement activation, classical pathway323.3×0.007C3, CFI, CD46
antigen processing and presentation of endogenous peptide antigen via MHC class I260.2×0.011TAP1, TAP2
positive regulation of memory T cell differentiation253.5×0.013HLA-DRB1, CD46
pericardium development253.5×0.013CCM2, RPGRIP1L
isoprenoid biosynthetic process248.1×0.015PDSS2, COQ2
positive regulation of bicellular tight junction assembly248.1×0.015NPHP4, NPHP1
intracellular phosphate ion homeostasis243.8×0.018UMOD, SLC34A3
podocyte development243.8×0.018MYO1E, NPHS1
podocyte differentiation240.1×0.020WT1, 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.

DrugDevelopment status
BumetanideApproved (phase 4)
Sevelamer HydrochlorideApproved (phase 4)
AcetaminophenPhase 3 (in late-stage trials)
AngiotensinPhase 3 (in late-stage trials)
AtorvastatinPhase 3 (in late-stage trials)
AzathioprinePhase 3 (in late-stage trials)
CorticotropinPhase 3 (in late-stage trials)
CyclosporinePhase 3 (in late-stage trials)
Darbepoetin AlfaPhase 3 (in late-stage trials)
DiphenhydraminePhase 3 (in late-stage trials)
FurosemidePhase 3 (in late-stage trials)
GemigliptinPhase 3 (in late-stage trials)
Lipoic Acid, AlphaPhase 3 (in late-stage trials)
LosartanPhase 3 (in late-stage trials)
MethylprednisolonePhase 3 (in late-stage trials)
Mycophenolate MofetilPhase 3 (in late-stage trials)
NesiritidePhase 3 (in late-stage trials)
ObinutuzumabPhase 3 (in late-stage trials)
Olmesartan MedoxomilPhase 3 (in late-stage trials)
ParicalcitolPhase 3 (in late-stage trials)
PrednisolonePhase 3 (in late-stage trials)
PrednisonePhase 3 (in late-stage trials)
RituximabPhase 3 (in late-stage trials)
Sodium BicarbonatePhase 3 (in late-stage trials)
Sodium ChloridePhase 3 (in late-stage trials)
Tacrolimus AnhydrousPhase 3 (in late-stage trials)
TelmisartanPhase 3 (in late-stage trials)
ValsartanPhase 3 (in late-stage trials)
Vitamin EPhase 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.

SymbolExample approved molecule
CFBIPTACOPAN
NLRP3CLOMIPHENE
NEK9MOMELOTINIB
COQ8BFEDRATINIB
PSMB8BORTEZOMIB
PSMB9BORTEZOMIB
RENCAPTOPRIL

Top cohort targets by molecule count

SymbolMoleculesMax phase
NEK9214
REN134
NLRP3114
COQ8B94
PSMB874
PSMB974
CFB14
TRPC612
SLC25A2112
ACTN412

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
IPTACOPAN4CFB
CLOMIPHENE4NLRP3
GLYBURIDE4NLRP3
MOMELOTINIB4NEK9
FEDRATINIB4COQ8B, NEK9
DABRAFENIB4NEK9
PACRITINIB4NEK9
FOSTAMATINIB4NEK9
CRIZOTINIB4COQ8B, NEK9
VANDETANIB4COQ8B
ERLOTINIB4COQ8B
BORTEZOMIB4PSMB8, PSMB9
CARFILZOMIB4PSMB8, PSMB9
CAPTOPRIL4REN
ALISKIREN4REN
ALISKIREN FUMARATE4REN
CURCUMIN3NLRP3
JT-0013NLRP3
DOVITINIB3NEK9
LESTAURTINIB3NEK9
CANERTINIB3COQ8B
IXAZOMIB3PSMB8, PSMB9
MARIZOMIB3PSMB8, PSMB9
SITOKIREN3REN
CLEMIZOLE2TRPC6
ALLICIN2SLC25A21
TRICLOCARBAN2NLRP3
CLIOXANIDE2NLRP3
DAPANSUTRILE2NLRP3
USNOFLAST2NLRP3

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 13.

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

SymbolAssaysType breakdown
REN541Binding:472, Functional:68, ADMET:1
NLRP3534Binding:527, Functional:6, ADMET:1
PSMB8262Binding:250, ADMET:9, Functional:3
NEK9254Binding:254
PSMB9220Binding:210, ADMET:7, Functional:3
COQ8B77Binding:77
NEK837Binding:37
CFB33Binding:33
TRPC630Binding:30
HLA-DRB117Binding:17
C315Binding:15
MYH910Binding:10
ACTN47Binding:7
TAP14Binding:4
TAP23Binding:3
PLA2R13Binding:3
SLC25A212Binding:2
HLA-DQA12Binding:2
CFH1Binding:1
CD2AP1Binding:1
SLC34A31Binding:1
KCTD111Binding:1
INF21Binding:1
XPNPEP31ADMET:1
DGKE1Binding:1
PREPL1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
CFB3.4.21.47alternative-complement-pathway C3/C5 convertase
C33.4.21.47alternative-complement-pathway C3/C5 convertase
PLCE13.1.4.11phosphoinositide phospholipase C
PDSS22.5.1.91all-trans-decaprenyl-diphosphate synthase
COQ22.5.1.394-hydroxybenzoate polyprenyltransferase
XPNPEP33.4.11.9Xaa-Pro aminopeptidase
DGKE2.7.1.107diacylglycerol kinase (ATP)
PREPL3.4.21.26prolyl oligopeptidase
TAP17.4.2.14, 7.4.2.5ABC-type antigen peptide transporter, bacterial ABC-type protein transporter
TAP27.4.2.14, 7.4.2.5ABC-type antigen peptide transporter, bacterial ABC-type protein transporter
CFI3.4.21.45complement factor I
MTMR33.1.3.95phosphatidylinositol-3,5-bisphosphate 3-phosphatase
REN3.4.23.15renin

Cohort genes with high screening signal

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

SymbolChEMBL assays
NLRP3534
NEK9254
PSMB8262
PSMB9220
REN541

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.

CompoundMax phaseCohort target (bioactivity)
IPTACOPAN4CFB
CLOMIPHENE4NLRP3
GLYBURIDE4NLRP3
MOMELOTINIB4NEK9
FEDRATINIB4COQ8B, NEK9
DABRAFENIB4NEK9
PACRITINIB4NEK9
FOSTAMATINIB4NEK9
CRIZOTINIB4COQ8B, NEK9
VANDETANIB4COQ8B
ERLOTINIB4COQ8B
BORTEZOMIB4PSMB8, PSMB9
CARFILZOMIB4PSMB8, PSMB9
CAPTOPRIL4REN
ALISKIREN FUMARATE4REN
CURCUMIN3NLRP3
JT-0013NLRP3
DOVITINIB3NEK9
LESTAURTINIB3NEK9
CANERTINIB3COQ8B
IXAZOMIB3PSMB8, PSMB9
MARIZOMIB3PSMB8, PSMB9
SITOKIREN3REN
CLEMIZOLE2TRPC6
ALLICIN2SLC25A21
TRICLOCARBAN2NLRP3
CLIOXANIDE2NLRP3
DAPANSUTRILE2NLRP3
USNOFLAST2NLRP3

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)7CFB, NLRP3, NEK9, COQ8B, PSMB8, PSMB9, REN
BPhased (≥1) drug, not yet approved4TRPC6, SLC25A21, ACTN4, MYH9
CDruggable family + PDB, no drug17CFH, CFHR1, C3, PLCE1, XPNPEP3, PREPL, TAP1, TAP2, CFHR2, HLA-DPA1 (+7 more)
DDruggable family + AlphaFold only, no drug8CFHR4, CFHR3, CFHR5, NEK8, PDSS2, COQ2, DGKE, MTMR3
EDifficult family or no structure, no drug38SLC41A1, 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).

SymbolChEMBL assaysDrugged partners (top 3)
CFHR30CFB
CFHR50CFB
CFHR10CFB
C315CFB
NPHS20TRPC6
PLCE10TRPC6
COL4A40MYH9
INF21ACTN4
DGKE1CFB
TAP14PSMB9, PSMB8
TAP23PSMB9, PSMB8
CFI0CFB
MYO1E0ACTN4
NPHP30NEK9
CFHR40
CFH1
SLC41A10
ANKFY10
SDCCAG80
SLC3A10
SMARCAL10
THBD0
UMOD0
WT10
NEK837
CD2AP1
INVS0
NPHP40
SLC34A31
KCTD111

Clinical trials & evidence

Clinical trials

Clinical trials: 572.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified359
PHASE455
PHASE350
PHASE146
PHASE244
PHASE1/PHASE211
PHASE2/PHASE34
EARLY_PHASE13

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05096195PHASE4ACTIVE_NOT_RECRUITINGPRevEnting FracturEs in REnal Disease - 1
NCT06291077PHASE4NOT_YET_RECRUITINGComparison of the Effects of Belatacept and Anticalcineurins on Endothelial Function in Renal Transplant Patients -
NCT06625073PHASE4RECRUITINGRandomized Trial of SGLT2i in Heart Transplant Recipients
NCT06642623PHASE4RECRUITINGA Prospective Trial of Enavogliflozin to Evaluate Cardio-renal Outcome in Type 2 Diabetes Mellitus Patients
NCT07138521PHASE4NOT_YET_RECRUITINGOptimizing Linezolid Dosing in Patients With Advanced Renal Impairment: a Therapeutic Drug Monitoring-based Evaluation
NCT07182422PHASE4RECRUITINGAST-120 (Kremezin®) for the Renal Protection and Attenuation of Decline in Acute Kidney Disease
NCT00067990PHASE4COMPLETEDAngiotensin II Blockade for Chronic Allograft Nephropathy
NCT00117078PHASE4COMPLETEDAranesp® Monthly Preference Study - 2
NCT00117130PHASE4COMPLETEDStudy to Evaluate Effectiveness of Aranesp®
NCT00132431PHASE4COMPLETEDSTART: Sensipar Treatment Algorithm to Reach K/DOQI Targets in Chronic Kidney Disease Subjects With Secondary Hyperparathyroidism
NCT00140985PHASE4COMPLETEDAntiproteinuric Efficacy of Losartan Potassium in Patients With Non-Diabetic Proteinuric Renal Diseases (0954-213)
NCT00246129PHASE4COMPLETEDCamTac Trial:Campath-Tacrolimus vs IL2R MoAb/Tacrolimus/MMF in Renal Transplantation
NCT00275535PHASE4COMPLETEDThe Comparison of Tacrolimus and Sirolimus Immunosuppression Based Drug Regimens in Kidney Transplant Recipients
NCT00282217PHASE4COMPLETEDStudy Evaluating Sirolimus in the Treatment of Kidney Transplant
NCT00289614PHASE4COMPLETEDPatients With Renal Impairment and Diabetes Undergoing Computed Tomography (CT)
NCT00290069PHASE4UNKNOWNRenal Function Optimization With Mycophenolate Mofetil (MMF) Immunosuppressor Regimes (ALHAMBRA)
NCT00338468PHASE4TERMINATEDA Study to Assess Disability in Anemic Elderly Patients With Kidney Disease Receiving PROCRIT (Epoetin Alfa)
NCT00368901PHASE4COMPLETEDSTAAR-2 Clinical Study
NCT00369733PHASE4COMPLETEDSTAAR-3 Clinical Study
NCT00369772PHASE4COMPLETEDSTAAR-1 Clinical Study
NCT00379899PHASE4COMPLETEDADVANCE: Study to Evaluate Cinacalcet Plus Low Dose Vitamin D on Vascular Calcification in Subjects With Chronic Kidney Disease Receiving Hemodialysis
NCT00443508PHASE4UNKNOWNReduction or Discontinuation of CNI’s With Conversion to Everolimus-Based Immunosuppresion
NCT00452478PHASE4TERMINATEDConversion From Standard Phosphate Binder Therapy to Fosrenol® (Lanthanum Carbonate) in Chronic Kidney Disease Stage 5
NCT00492518PHASE4COMPLETEDAcetylcysteine, Theophylline, and a Combination of Both in the Prophylaxis of Contrast-Induced Nephropathy
NCT00505102PHASE4UNKNOWNSafe Renal Function In Long Term Heart Transplanted Patients
NCT00526331PHASE4COMPLETEDEvaluation of Arterial Pressure Based Cardiac Output for Goal-Directed Perioperative Therapy
NCT00688480PHASE4COMPLETEDDo Xanthine Oxidase Inhibitors Reduce Both Left Ventricular Hypertrophy and Endothelial Dysfunction in Cardiovascular Patients With Renal Dysfunction?
NCT00863707PHASE4COMPLETEDA Study of the Safety and Tolerance of Regadenoson in Subjects With Renal Impairment
NCT01101698PHASE4UNKNOWNVitamin K2 and Vessel Calcification in Chronic Kidney Disease Patients
NCT01150201PHASE4COMPLETEDAliskiren Combined With Losartan in Proteinuric, Non-diabetic Chronic Kidney Disease
NCT01155141PHASE4COMPLETEDIdiopathic Focal Segmental Glomerulosclerosis (FSGS) and Treatment With ACTH
NCT01228279PHASE4COMPLETEDSympathetic Activity in Patients With End-stage Renal Disease on Peritoneal Dialysis
NCT01334333PHASE4COMPLETEDComparison of Medication Adherence Between Once and Twice Daily Tacrolimus in Stable Renal Transplant Recipients
NCT01437943PHASE4TERMINATEDEffect of Short Term Aliskiren Treatment in Kidney Transplant Patients
NCT01545479PHASE4COMPLETEDIncreased Renal Oxygenation and Angiotensin Converting Enzyme Inhibition
NCT01614431PHASE4COMPLETEDN Acetyl Cysteine for Cystinosis Patients
NCT01631149PHASE4COMPLETEDEffect of Deep BLock on Intraoperative Surgical Conditions
NCT01722513PHASE4UNKNOWNEfficacy and Safety of Alprostadil Prevent Contrast Induced Nephropathy
NCT01985360PHASE4COMPLETEDISCHEMIA-Chronic Kidney Disease Trial
NCT02311010PHASE4UNKNOWNPractical Use of Advagraf de Novo After Kidney Transplantation According to Recipient Genetic Polymorphism

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
CINACALCET411
LOSARTAN410
DARBEPOETIN ALFA48
TACROLIMUS ANHYDROUS46
IOPAMIDOL45
IOHEXOL44
LISINOPRIL ANHYDROUS44
ACETYLCYSTEINE43
ALEMTUZUMAB43
CORTICOTROPIN43
LANTHANUM CARBONATE43
SIROLIMUS43
THEOPHYLLINE ANHYDROUS43
ALISKIREN42
DACLIZUMAB42
EPOETIN ALFA42
GLECAPREVIR42
GLUCAGON42
NEDOSIRAN SODIUM42
OLMESARTAN MEDOXOMIL42
PARICALCITOL42
PIBRENTASVIR42
REGADENOSON ANHYDROUS42
SODIUM BICARBONATE42
SPARSENTAN42
VADADUSTAT42
ACYCLOVIR41
ALLOPURINOL41
ALPROSTADIL41
ALTEPLASE41