Leber congenital amaurosis
diseaseOn this page
Also known as amaurosis congenita of Lebercongenital absence of the rods and conescongenital retinal blindnessLeber's congenital tapetoretinal degenerationLeber's congenital tapetoretinal dysplasia
Summary
Leber congenital amaurosis (MONDO:0018998) is a disease (an umbrella term covering 21 Mondo subtypes) caused by variants in PRPH2, CCT2, and LRAT, with 67 cohort genes and 22 clinical trials. The dominant Reactome pathway is Inactivation, recovery and regulation of the phototransduction cascade (6 cohort genes). Top therapeutic interventions include voretigene neparvovec, polymyxin b, and trimethoprim.
At a glance
- Prevalence: 1-9 / 100 000 (Worldwide) [Orphanet-validated]
- Causal genes: PRPH2 (GenCC Definitive), CCT2 (GenCC Strong), LRAT (GenCC Strong)
- Umbrella term: 21 Mondo subtypes
- Cohort genes: 67
- ClinVar variants: 1,788
- Phenotypes (HPO): 25
- Clinical trials: 22
Clinical features
Epidemiology
Prevalence records
4 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | 1-9 / 100 000 | 2.5 | Worldwide | Validated |
| Point prevalence | 1-9 / 100 000 | Europe | Validated | |
| Point prevalence | 1-9 / 100 000 | 1.23 | United States | Validated |
| Prevalence at birth | 1-9 / 100 000 | 2.5 | Worldwide | Not yet validated |
Signs & symptoms
Clinical features (HPO)
25 HPO clinical features (Orphanet curated; top 25 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0001141 | Severely reduced visual acuity | Very frequent (80-99%) |
| HP:0007703 | Abnormality of retinal pigmentation | Very frequent (80-99%) |
| HP:0012795 | Abnormality of the optic disc | Very frequent (80-99%) |
| HP:0000512 | Abnormal electroretinogram | Frequent (30-79%) |
| HP:0000518 | Cataract | Frequent (30-79%) |
| HP:0000540 | Hypermetropia | Frequent (30-79%) |
| HP:0000563 | Keratoconus | Frequent (30-79%) |
| HP:0000613 | Photophobia | Frequent (30-79%) |
| HP:0000639 | Nystagmus | Frequent (30-79%) |
| HP:0001250 | Seizure | Frequent (30-79%) |
| HP:0001252 | Hypotonia | Frequent (30-79%) |
| HP:0001483 | Eye poking | Frequent (30-79%) |
| HP:0002084 | Encephalocele | Frequent (30-79%) |
| HP:0002269 | Abnormality of neuronal migration | Frequent (30-79%) |
| HP:0004374 | Hemiplegia/hemiparesis | Frequent (30-79%) |
| HP:0006817 | Aplasia/Hypoplasia of the cerebellar vermis | Frequent (30-79%) |
| HP:0030211 | Slow pupillary light response | Frequent (30-79%) |
| HP:0030466 | Abnormal full-field electroretinogram | Frequent (30-79%) |
| HP:0000365 | Hearing impairment | Occasional (5-29%) |
| HP:0000543 | Optic disc pallor | Occasional (5-29%) |
| HP:0000729 | Autistic behavior | Occasional (5-29%) |
| HP:0001249 | Intellectual disability | Occasional (5-29%) |
| HP:0001263 | Global developmental delay | Occasional (5-29%) |
| HP:0001270 | Motor delay | Occasional (5-29%) |
| HP:0012426 | Optic disc drusen | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Leber congenital amaurosis |
| Mondo ID | MONDO:0018998 |
| MeSH | D057130 |
| OMIM | 204000 |
| Orphanet | 65 |
| DOID | DOID:14791 |
| ICD-11 | 650490256 |
| NCIT | C129075 |
| SNOMED CT | 193413001 |
| UMLS | C0339527 |
| MedGen | 137922 |
| GARD | 0000634 |
| MedDRA | 10070667 |
| NORD | 1351 |
| Is cancer (heuristic) | no |
Also known as: amaurosis congenita of Leber · congenital absence of the rods and cones · congenital retinal blindness · Leber congenital amaurosis · Leber’s congenital tapetoretinal degeneration · Leber’s congenital tapetoretinal dysplasia
Data availability: 1,788 ClinVar variants · 27 GenCC gene-disease records · 22 cell lines.
Disease family
An umbrella term covering 21 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › nervous system disorder › congenital nervous system disorder › Leber congenital amaurosis
Related subtypes (216): polymicrogyria, congenital myasthenic syndrome with tubular aggregates, prenatal-onset spinal muscular atrophy with congenital bone fractures, anencephaly, cerebral cavernous malformation, meningocele, progressive external ophthalmoplegia, congenital nystagmus, congenital toxoplasmosis, congenital contractural arachnodactyly, congenital trigeminal anesthesia, familial congenital palsy of trochlear nerve, Myhre syndrome, Aase-Smith syndrome, KBG syndrome, autosomal dominant primary microcephaly, Mobius syndrome, MYH7-related skeletal myopathy, congenital stationary night blindness autosomal dominant 2, Prader-Willi syndrome, congenital myopathy 7A, myosin storage, autosomal dominant, Smith-Magenis syndrome, spina bifida, Freeman-Sheldon syndrome, isolated cerebellar hypoplasia/agenesis, Chediak-Higashi syndrome, Cohen syndrome, multiple pterygium-malignant hyperthermia syndrome, corpus callosum, agenesis of, congenital lactic acidosis, Saguenay-Lac-Saint-Jean type, facial dysmorphism-macrocephaly-myopia-Dandy-Walker malformation syndrome, diastematomyelia, EEM syndrome, Mowat-Wilson syndrome, Johanson-Blizzard syndrome, intellectual disability, Buenos-Aires type, myasthenia, congenital, refractory to acetylcholinesterase inhibitors, congenital myasthenic syndrome 6, Bailey-Bloch congenital myopathy, congenital stationary night blindness 1B, radioulnar synostosis-developmental delay-hypotonia syndrome, Schinzel-Giedion syndrome, schizencephaly, intellectual disability, Wolff type, X-linked intellectual disability-plagiocephaly syndrome, X-linked adrenal hypoplasia congenita, syndromic X-linked intellectual disability 7, syndromic X-linked intellectual disability Shashi type, syndromic X-linked intellectual disability Lubs type, syndromic X-linked intellectual disability Abidi type, syndromic X-linked intellectual disability Siderius type, X-linked intellectual disability, Cabezas type, X-linked intellectual disability-cubitus valgus-dysmorphism syndrome, syndromic X-linked intellectual disability Claes-Jensen type, moyamoya angiopathy-short stature-facial dysmorphism-hypergonadotropic hypogonadism syndrome, multiple congenital anomalies-hypotonia-seizures syndrome 2, developmental and epileptic encephalopathy, 36, blepharophimosis - intellectual disability syndrome, MKB type, X-linked intellectual disability-short stature-overweight syndrome, intellectual disability, X-linked, syndromic 33, syndromic X-linked intellectual disability 34, infantile-onset X-linked spinal muscular atrophy, syndromic X-linked intellectual disability 5, holoprosencephaly-hypokinesia-congenital contractures syndrome, X-linked intellectual disability with marfanoid habitus, Wieacker-Wolff syndrome, MERRF syndrome, macrocephaly-spastic paraplegia-dysmorphism syndrome, intellectual disability-sparse hair-brachydactyly syndrome, myofibrillar myopathy 1, isolated hereditary congenital facial paralysis, fibrosis of extraocular muscles, congenital, 2, Pierpont syndrome, congenital cataracts-facial dysmorphism-neuropathy syndrome, Bohring-Opitz syndrome, PHACE syndrome, B4GALT1-congenital disorder of glycosylation, developmental malformations-deafness-dystonia syndrome, sensory ataxic neuropathy, dysarthria, and ophthalmoparesis, AICA-ribosiduria, myofibrillar myopathy 3, fibrosis of extraocular muscles, congenital, 3c, myofibrillar myopathy 4, myofibrillar myopathy 5, cone-rod synaptic disorder, congenital nonprogressive, congenital stationary night blindness autosomal dominant 3, congenital stationary night blindness autosomal dominant 1, intellectual disability, autosomal recessive 12, progressive myoclonic epilepsy type 3, chromosome 15q13.3 microdeletion syndrome, combined pituitary hormone deficiencies, genetic form, congenital stationary night blindness 1D, DYRK1A-related intellectual disability syndrome, Pitt-Hopkins-like syndrome 2, developmental and epileptic encephalopathy, 15, Schuurs-Hoeijmakers syndrome, severe intellectual disability-poor language-strabismus-grimacing face-long fingers syndrome, severe intellectual disability-progressive spastic diplegia syndrome, hypotonia, infantile, with psychomotor retardation and characteristic facies, developmental and epileptic encephalopathy, 18, CTCF-related neurodevelopmental disorder, autism spectrum disorder due to AUTS2 deficiency, developmental and epileptic encephalopathy, 23, ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder, Bardet-Biedl syndrome 11, cerebellar-facial-dental syndrome, fibrosis of extraocular muscles, congenital, 5, congenital myasthenic syndrome 15, lethal fetal cerebrorenogenitourinary agenesis/hypoplasia syndrome, autosomal dominant intellectual disability-craniofacial anomalies-cardiac defects syndrome, congenital myasthenic syndrome 18, autosomal recessive spinocerebellar ataxia 20, Houge-Janssens syndrome 1, intellectual disability-microcephaly-strabismus-behavioral abnormalities syndrome, congenital stationary night blindness 1G, hypomyelinating leukodystrophy 10, developmental and epileptic encephalopathy, 50, congenital insensitivity to pain-hypohidrosis syndrome, macrocephaly-intellectual disability-neurodevelopmental disorder-small thorax syndrome, SLC39A8-CDG, spastic paraplegia-severe developmental delay-epilepsy syndrome, cardiac anomalies - developmental delay - facial dysmorphism syndrome, severe intellectual disability-corpus callosum agenesis-facial dysmorphism-cerebellar ataxia syndrome, intellectual disability, autosomal recessive 53, TELO2-related intellectual disability-neurodevelopmental disorder, micrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome, autosomal recessive limb-girdle muscular dystrophy type 2Y, myofibrillar myopathy 7, short stature-brachydactyly-obesity-global developmental delay syndrome, autosomal recessive limb-girdle muscular dystrophy type 2R1, severe microbrachycephaly-intellectual disability-athetoid cerebral palsy syndrome, congenital laryngeal palsy, congenital or early infantile CACH syndrome, congenital epulis, severe congenital nemaline myopathy, intermediate nemaline myopathy, typical nemaline myopathy, childhood-onset nemaline myopathy, adult-onset nemaline myopathy, qualitative or quantitative defects of protein involved in O-glycosylation of alpha-dystroglycan, holoprosencephaly, congenital insensitivity to pain with hyperhidrosis, congenital hydrocephalus, familial congenital mirror movements, macrocephaly-short stature-paraplegia syndrome, cephalocele, mitochondrial neurogastrointestinal encephalomyopathy, X-linked intellectual disability-hypogonadism-ichthyosis-obesity-short stature syndrome, 7p22.1 microduplication syndrome, congenital achiasma, congenital retinal arteriovenous communication, 3q27.3 microdeletion syndrome, Prader-Willi-like syndrome, 9q31.1q31.3 microdeletion syndrome, congenital oculomotor nerve palsy, congenital abducens nerve palsy, neurodevelopmental disorder-craniofacial dysmorphism-cardiac defect-hip dysplasia syndrome, congenital insensitivity to pain with severe intellectual disability, X-linked intellectual disability-cerebellar hypoplasia-spondylo-epiphyseal dysplasia syndrome, global developmental delay-visual anomalies-progressive cerebellar atrophy-truncal hypotonia syndrome, lissencephaly spectrum disorders, hyaline body myopathy, 22q11.2 deletion syndrome, craniorachischisis, Ritscher-Schinzel syndrome, Rubinstein-Taybi syndrome, X-linked intellectual disability-hypogammaglobulinemia-progressive neurological deterioration syndrome, X-linked intellectual disability-epilepsy-progressive joint contractures-dysmorphism syndrome, X-linked intellectual disability, Pai type, X-linked intellectual disability, Stevenson type, X-linked intellectual disability, Stoll type, congenital muscular dystrophy, congenital vitreoretinal dysplasia, periventricular nodular heterotopia, postsynaptic congenital myasthenic syndrome, subcortical band heterotopia, congenital fibrosis of extraocular muscles type 1, Al Gazali Khidr Prem Chandran syndrome, distal arthrogryposis Moore weaver type, congenital myotonic dystrophy, myasthenic syndrome, congenital, 7B, presynaptic, autosomal recessive, intellectual disability, autosomal dominant 47, intellectual disability, autosomal dominant 48, spondyloepiphyseal dysplasia, sensorineural hearing loss, impaired intellectual development, and leber congenital amaurosis, myasthenic syndrome, congenital, 23, presynaptic, myasthenic syndrome, congenital, 24, presynaptic, myasthenic syndrome, congenital, 25, presynaptic, developmental and epileptic encephalopathy, 77, night blindness, congenital stationary, type1i, neuropathy, congenital hypomelinating, congenital axonal neuropathy with encephalopathy, developmental and epileptic encephalopathy, 73, PHIP-related behavioral problems-intellectual disability-obesity-dysmorphic features syndrome, isolated exencephaly, myasthenic syndrome, congenital, 22, intellectual developmental disorder with gastrointestinal difficulties and high pain threshold, intellectual developmental disorder with dysmorphic facies, seizures, and distal limb anomalies, 9q33.3q34.11 microdeletion syndrome, congenital labioscrotal agenesis-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome, early-onset progressive diffuse brain atrophy-microcephaly-muscle weakness-optic atrophy syndrome, SIN3A-related intellectual disability syndrome, childhood-onset motor and cognitive regression syndrome with extrapyramidal movement disorder, X-linked congenital stationary night blindness, neurodevelopmental disorder with progressive microcephaly, spasticity, and brain anomalies, FOXG1 disorder, alpha-actinopathy, TPM3-related myopathy, X-linked recessive mitochondrial myopathy, RYR1-related myopathy, TTN-related myopathy, TPM2-related myopathy, myopathy caused by variation in POMGNT1, central hypoventilation syndrome, congenital, 1, with or without Hirschsprung disease, segmental spinal dysgenesis, myopathy, myofibrillar, 13, with rimmed vacuoles, congenital neuronal ceroid lipofuscinosis 10
Subtypes (21): retinal aplasia, Leber congenital amaurosis 1, Leber congenital amaurosis 2, Leber congenital amaurosis 3, Leber congenital amaurosis 4, Leber congenital amaurosis 5, Leber congenital amaurosis 9, Leber congenital amaurosis 12, Leber congenital amaurosis 10, Leber congenital amaurosis 13, Leber congenital amaurosis 14, Leber congenital amaurosis 6, Leber congenital amaurosis 7, Leber congenital amaurosis 8, Leber congenital amaurosis 11, Leber congenital amaurosis 15, Leber congenital amaurosis 16, Leber congenital amaurosis 17, Leber congenital amaurosis 19, Leber congenital amaurosis with early-onset deafness, Leber congenital amaurosis 18
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
600 retrieved; paginated sample, class counts are floors:
146 uncertain significance, 137 pathogenic/likely pathogenic, 98 pathogenic, 76 conflicting classifications of pathogenicity, 64 likely pathogenic, 61 likely benign, 12 benign, 6 benign/likely benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 156382 | NM_001134831.2(AHI1):c.2174G>A (p.Trp725Ter) | AHI1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2736405 | NM_014336.5(AIPL1):c.809G>A (p.Arg270His) | AIPL1 | Pathogenic | reviewed by expert panel |
| 1213956 | NM_001378454.1(ALMS1):c.10816C>T (p.Arg3606Trp) | ALMS1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1213958 | NM_001378454.1(ALMS1):c.7367_7370del (p.Ile2456fs) | ALMS1 | Pathogenic | criteria provided, single submitter |
| 1213959 | NM_001378454.1(ALMS1):c.8725C>T (p.Gln2909Ter) | ALMS1 | Pathogenic | criteria provided, single submitter |
| 18416 | NM_033100.4(CDHR1):c.524dup (p.Asn176fs) | CDHR1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1032903 | NM_025114.4(CEP290):c.2632del (p.Ile878fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1069579 | NM_025114.4(CEP290):c.5235_5238del (p.Ser1745fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1069582 | NM_025114.4(CEP290):c.4090G>T (p.Glu1364Ter) | CEP290 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1069639 | NM_025114.4(CEP290):c.1668del (p.Arg557fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1070079 | NM_025114.4(CEP290):c.3022G>T (p.Glu1008Ter) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1070250 | NM_025114.4(CEP290):c.3925C>T (p.Gln1309Ter) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071036 | NM_025114.4(CEP290):c.3708dup (p.Arg1237fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071060 | NM_025114.4(CEP290):c.2506_2507del (p.Glu836fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071248 | NM_025114.4(CEP290):c.5136_5139del (p.Glu1713fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071318 | NM_025114.4(CEP290):c.7287T>A (p.Tyr2429Ter) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071910 | NM_025114.4(CEP290):c.7324G>T (p.Glu2442Ter) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071911 | NM_025114.4(CEP290):c.1254_1255del (p.Lys419fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1072859 | NM_025114.4(CEP290):c.3922C>T (p.Gln1308Ter) | CEP290 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1073010 | NM_025114.4(CEP290):c.955del (p.Ser319fs) | CEP290 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1073163 | NM_025114.4(CEP290):c.307C>T (p.Gln103Ter) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1074481 | NM_025114.4(CEP290):c.1258dup (p.Thr420fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1074543 | NM_025114.4(CEP290):c.5788_5792del (p.Lys1930fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1075391 | NM_025114.4(CEP290):c.5941G>T (p.Glu1981Ter) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1075924 | NM_025114.4(CEP290):c.7282_7283dup (p.Tyr2429fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1098750 | NM_025114.4(CEP290):c.384_385del (p.Asp128fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1185813 | NM_025114.4(CEP290):c.712G>T (p.Glu238Ter) | CEP290 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 126260 | NM_025114.4(CEP290):c.4621del (p.Thr1541fs) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1333 | NM_025114.4(CEP290):c.5668G>T (p.Gly1890Ter) | CEP290 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1335 | NM_025114.4(CEP290):c.21G>T (p.Trp7Cys) | CEP290 | Pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 186 · Orphanet: 161 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| AIPL1 | Definitive | Autosomal recessive | Leber congenital amaurosis 4 | 4 |
| CRB1 | Definitive | Autosomal recessive | Leber congenital amaurosis 8 | 11 |
| CRX | Definitive | Semidominant | Leber congenital amaurosis 7 | 10 |
| GUCY2D | Definitive | Autosomal recessive | Leber congenital amaurosis 1 | 12 |
| IMPDH1 | Definitive | Autosomal dominant | Leber congenital amaurosis 11 | 8 |
| KCNJ13 | Definitive | Autosomal recessive | Leber congenital amaurosis 16 | 8 |
| LCA5 | Definitive | Autosomal recessive | Leber congenital amaurosis 5 | 6 |
| NMNAT1 | Definitive | Autosomal recessive | Leber congenital amaurosis 9 | 6 |
| PRPH2 | Definitive | Autosomal recessive | Leber congenital amaurosis | 21 |
| RD3 | Definitive | Autosomal recessive | Leber congenital amaurosis 12 | 5 |
| RDH12 | Definitive | Autosomal recessive | Leber congenital amaurosis 13 | 7 |
| RPE65 | Definitive | Autosomal recessive | Leber congenital amaurosis 2 | 13 |
| RPGRIP1 | Definitive | Autosomal recessive | Leber congenital amaurosis 6 | 6 |
| SPATA7 | Definitive | Autosomal recessive | Leber congenital amaurosis 3 | 7 |
| CCT2 | Strong | Autosomal recessive | Leber congenital amaurosis | 2 |
| CEP290 | Strong | Autosomal recessive | Leber congenital amaurosis 10 | 10 |
| LRAT | Strong | Autosomal recessive | Leber congenital amaurosis 14 | 7 |
| TULP1 | Strong | Autosomal recessive | Leber congenital amaurosis 15 | 7 |
| USP45 | Strong | Autosomal recessive | Leber congenital amaurosis 19 | 4 |
| GDF6 | Supportive | Autosomal dominant | Leber congenital amaurosis | 8 |
| IFT140 | Supportive | Autosomal dominant | Leber congenital amaurosis | 11 |
| IQCB1 | Supportive | Autosomal dominant | Leber congenital amaurosis | 5 |
| PCYT1A | Supportive | Autosomal dominant | Leber congenital amaurosis | 6 |
| IFT38 | Limited | Autosomal recessive | Leber congenital amaurosis | |
| NXNL1 | Limited | Unknown | Leber congenital amaurosis |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| RPE65 | Orphanet:364055 | Severe early-childhood-onset retinal dystrophy |
| RPE65 | Orphanet:65 | Leber congenital amaurosis |
| RPE65 | Orphanet:791 | Retinitis pigmentosa |
| TULP1 | Orphanet:65 | Leber congenital amaurosis |
| TULP1 | Orphanet:791 | Retinitis pigmentosa |
| RPGRIP1 | Orphanet:1872 | Cone rod dystrophy |
| RPGRIP1 | Orphanet:564 | Meckel syndrome |
| RPGRIP1 | Orphanet:65 | Leber congenital amaurosis |
| NMNAT1 | Orphanet:1872 | Cone rod dystrophy |
| NMNAT1 | Orphanet:65 | Leber congenital amaurosis |
| RD3 | Orphanet:65 | Leber congenital amaurosis |
| RDH12 | Orphanet:65 | Leber congenital amaurosis |
| RDH12 | Orphanet:791 | Retinitis pigmentosa |
| USP45 | Orphanet:65 | Leber congenital amaurosis |
| SPATA7 | Orphanet:364055 | Severe early-childhood-onset retinal dystrophy |
| SPATA7 | Orphanet:65 | Leber congenital amaurosis |
| SPATA7 | Orphanet:791 | Retinitis pigmentosa |
| CRB1 | Orphanet:251295 | Pigmented paravenous retinochoroidal atrophy |
| CRB1 | Orphanet:35612 | Nanophthalmos |
| CRB1 | Orphanet:65 | Leber congenital amaurosis |
| CRB1 | Orphanet:791 | Retinitis pigmentosa |
| CRX | Orphanet:1872 | Cone rod dystrophy |
| CRX | Orphanet:65 | Leber congenital amaurosis |
| CRX | Orphanet:791 | Retinitis pigmentosa |
| IQCB1 | Orphanet:3156 | Senior-Loken syndrome |
| IQCB1 | Orphanet:65 | Leber congenital amaurosis |
| CEP290 | Orphanet:110 | Bardet-Biedl syndrome |
| CEP290 | Orphanet:2318 | Joubert syndrome with oculorenal defect |
| CEP290 | Orphanet:3156 | Senior-Loken syndrome |
| CEP290 | Orphanet:564 | Meckel syndrome |
| CEP290 | Orphanet:65 | Leber congenital amaurosis |
| IFT140 | Orphanet:140969 | Saldino-Mainzer syndrome |
| IFT140 | Orphanet:474 | Jeune syndrome |
| IFT140 | Orphanet:65 | Leber congenital amaurosis |
| IFT140 | Orphanet:730 | Autosomal dominant polycystic kidney disease |
| IFT140 | Orphanet:791 | Retinitis pigmentosa |
| LCA5 | Orphanet:364055 | Severe early-childhood-onset retinal dystrophy |
| LCA5 | Orphanet:65 | Leber congenital amaurosis |
| AIPL1 | Orphanet:1872 | Cone rod dystrophy |
| AIPL1 | Orphanet:65 | Leber congenital amaurosis |
| GUCY2D | Orphanet:1872 | Cone rod dystrophy |
| GUCY2D | Orphanet:65 | Leber congenital amaurosis |
| GUCY2D | Orphanet:75377 | Central areolar choroidal dystrophy |
| IMPDH1 | Orphanet:65 | Leber congenital amaurosis |
| IMPDH1 | Orphanet:791 | Retinitis pigmentosa |
| LRAT | Orphanet:364055 | Severe early-childhood-onset retinal dystrophy |
| LRAT | Orphanet:65 | Leber congenital amaurosis |
| LRAT | Orphanet:791 | Retinitis pigmentosa |
| GDF6 | Orphanet:2345 | Isolated Klippel-Feil syndrome |
| GDF6 | Orphanet:3237 | Multiple synostoses syndrome |
Cohort genes → proteins
67 cohort genes, 66 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 67 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| RPE65 | HGNC:10294 | ENSG00000116745 | Q16518 | Retinoid isomerohydrolase | gencc,clinvar |
| TULP1 | HGNC:12423 | ENSG00000112041 | O00294 | Tubby-related protein 1 | gencc,clinvar |
| RPGRIP1 | HGNC:13436 | ENSG00000092200 | Q96KN7 | X-linked retinitis pigmentosa GTPase regulator-interacting protein 1 | gencc,clinvar |
| CCT2 | HGNC:1615 | ENSG00000166226 | P78371 | T-complex protein 1 subunit beta | gencc,clinvar |
| NMNAT1 | HGNC:17877 | ENSG00000173614 | Q9HAN9 | Nicotinamide/nicotinic acid mononucleotide adenylyltransferase 1 | gencc,clinvar |
| IFT38 | HGNC:19009 | ENSG00000103351 | Q96AJ1 | Clusterin-associated protein 1 | gencc,clinvar |
| RD3 | HGNC:19689 | ENSG00000198570 | Q7Z3Z2 | Protein RD3 | gencc,clinvar |
| RDH12 | HGNC:19977 | ENSG00000139988 | Q96NR8 | Retinol dehydrogenase 12 | gencc,clinvar |
| USP45 | HGNC:20080 | ENSG00000123552 | Q70EL2 | Ubiquitin carboxyl-terminal hydrolase 45 | gencc,clinvar |
| SPATA7 | HGNC:20423 | ENSG00000042317 | Q9P0W8 | Spermatogenesis-associated protein 7 | gencc,clinvar |
| CRB1 | HGNC:2343 | ENSG00000134376 | P82279 | Protein crumbs homolog 1 | gencc,clinvar |
| CRX | HGNC:2383 | ENSG00000105392 | O43186 | Cone-rod homeobox protein | gencc,clinvar |
| IQCB1 | HGNC:28949 | ENSG00000173226 | Q15051 | IQ calmodulin-binding motif-containing protein 1 | gencc,clinvar |
| CEP290 | HGNC:29021 | ENSG00000198707 | O15078 | Centrosomal protein of 290 kDa | gencc,clinvar |
| IFT140 | HGNC:29077 | ENSG00000187535 | Q96RY7 | Intraflagellar transport protein 140 homolog | gencc,clinvar |
| LCA5 | HGNC:31923 | ENSG00000135338 | Q86VQ0 | Lebercilin | gencc,clinvar |
| AIPL1 | HGNC:359 | ENSG00000129221 | Q9NZN9 | Aryl-hydrocarbon-interacting protein-like 1 | gencc,clinvar |
| GUCY2D | HGNC:4689 | ENSG00000132518 | Q02846 | Retinal guanylyl cyclase 1 | gencc,clinvar |
| IMPDH1 | HGNC:6052 | ENSG00000106348 | P20839 | Inosine-5’-monophosphate dehydrogenase 1 | gencc,clinvar |
| LRAT | HGNC:6685 | ENSG00000121207 | O95237 | Lecithin retinol acyltransferase | gencc,clinvar |
| NXNL1 | HGNC:25179 | ENSG00000171773 | Q96CM4 | Nucleoredoxin-like protein 1 | gencc |
| GDF6 | HGNC:4221 | ENSG00000156466 | Q6KF10 | Growth/differentiation factor 6 | gencc |
| KCNJ13 | HGNC:6259 | ENSG00000115474 | O60928 | Inward rectifier potassium channel 13 | gencc |
| PCYT1A | HGNC:8754 | ENSG00000161217 | P49585 | Choline-phosphate cytidylyltransferase A | gencc |
| PRPH2 | HGNC:9942 | ENSG00000112619 | P23942 | Peripherin-2 | gencc |
| RGS9 | HGNC:10004 | ENSG00000108370 | O75916 | Regulator of G-protein signaling 9 | clinvar |
| RHO | HGNC:10012 | ENSG00000163914 | P08100 | Rhodopsin | clinvar |
| RP2 | HGNC:10274 | ENSG00000102218 | O75695 | Protein XRP2 | clinvar |
| RPGR | HGNC:10295 | ENSG00000156313 | Q92834 | X-linked retinitis pigmentosa GTPase regulator | clinvar |
| TEAD3 | HGNC:11716 | ENSG00000007866 | Q99594 | Transcriptional enhancer factor TEF-5 | clinvar |
| GIGYF2 | HGNC:11960 | ENSG00000204120 | Q6Y7W6 | GRB10-interacting GYF protein 2 | clinvar |
| CFAP410 | HGNC:1260 | ENSG00000160226 | O43822 | Cilia- and flagella-associated protein 410 | clinvar |
| USH2A | HGNC:12601 | ENSG00000042781 | O75445 | Usherin | clinvar |
| CDHR1 | HGNC:14550 | ENSG00000148600 | Q96JP9 | Cadherin-related family member 1 | clinvar |
| PRPF31 | HGNC:15446 | ENSG00000105618 | Q8WWY3 | U4/U6 small nuclear ribonucleoprotein Prp31 | clinvar |
| GPHN | HGNC:15465 | ENSG00000171723 | Q9NQX3 | Gephyrin | clinvar |
| NBAS | HGNC:15625 | ENSG00000151779 | A2RRP1 | NBAS subunit of NRZ tethering complex | clinvar |
| PANK2 | HGNC:15894 | ENSG00000125779 | Q9BZ23 | Pantothenate kinase 2, mitochondrial | clinvar |
| ADAMTS18 | HGNC:17110 | ENSG00000140873 | Q8TE60 | A disintegrin and metalloproteinase with thrombospondin motifs 18 | clinvar |
| RIMS1 | HGNC:17282 | ENSG00000079841 | Q86UR5 | Regulating synaptic membrane exocytosis protein 1 | clinvar |
| WDR19 | HGNC:18340 | ENSG00000157796 | Q8NEZ3 | WD repeat-containing protein 19 | clinvar |
| PMPCA | HGNC:18667 | ENSG00000165688 | Q10713 | Mitochondrial-processing peptidase subunit alpha | clinvar |
| NPHP4 | HGNC:19104 | ENSG00000131697 | O75161 | Nephrocystin-4 | clinvar |
| TTC8 | HGNC:20087 | ENSG00000165533 | Q8TAM2 | Tetratricopeptide repeat protein 8 | clinvar |
| ZFYVE26 | HGNC:20761 | ENSG00000072121 | Q68DK2 | Zinc finger FYVE domain-containing protein 26 | clinvar |
| INPP5E | HGNC:21474 | ENSG00000148384 | Q9NRR6 | Phosphatidylinositol polyphosphate 5-phosphatase type IV | clinvar |
| CNGB3 | HGNC:2153 | ENSG00000170289 | Q9NQW8 | Cyclic nucleotide-gated channel beta-3 | clinvar |
| AHI1 | HGNC:21575 | ENSG00000135541 | Q8N157 | Jouberin | clinvar |
| RLIG1 | HGNC:25322 | ENSG00000133641 | Q8N999 | RNA ligase 1 | clinvar |
| RPGRIP1L | HGNC:29168 | ENSG00000103494 | Q68CZ1 | Protein fantom | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| RPE65 | Retinoid isomerohydrolase | Critical isomerohydrolase in the retinoid cycle involved in regeneration of 11-cis-retinal, the chromophore of rod and cone opsins. |
| TULP1 | Tubby-related protein 1 | Required for normal development of photoreceptor synapses. |
| RPGRIP1 | X-linked retinitis pigmentosa GTPase regulator-interacting protein 1 | May function as scaffolding protein. |
| CCT2 | T-complex protein 1 subunit beta | Component of the chaperonin-containing T-complex (TRiC), a molecular chaperone complex that assists the folding of actin, tubulin and other proteins upon ATP hydrolysis. |
| NMNAT1 | Nicotinamide/nicotinic acid mononucleotide adenylyltransferase 1 | Catalyzes the formation of NAD(+) from nicotinamide mononucleotide (NMN) and ATP. |
| IFT38 | Clusterin-associated protein 1 | Required for cilia biogenesis. |
| RD3 | Protein RD3 | Plays a critical role in the regulation of enzymes involved in nucleotide cycle in photoreceptors. |
| RDH12 | Retinol dehydrogenase 12 | Retinoids dehydrogenase/reductase with a clear preference for NADP. |
| USP45 | Ubiquitin carboxyl-terminal hydrolase 45 | Catalyzes the deubiquitination of SPDL1. |
| SPATA7 | Spermatogenesis-associated protein 7 | Involved in the maintenance of both rod and cone photoreceptor cells. |
| CRB1 | Protein crumbs homolog 1 | Plays a role in photoreceptor morphogenesis in the retina. |
| CRX | Cone-rod homeobox protein | Transcription factor that binds and transactivates the sequence 5’-TAATC[CA]-3’ which is found upstream of several photoreceptor-specific genes, including the opsin genes. |
| IQCB1 | IQ calmodulin-binding motif-containing protein 1 | Involved in ciliogenesis. |
| 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). |
| LCA5 | Lebercilin | Involved in intraflagellar protein (IFT) transport in photoreceptor cilia. |
| AIPL1 | Aryl-hydrocarbon-interacting protein-like 1 | May be important in protein trafficking and/or protein folding and stabilization. |
| GUCY2D | Retinal guanylyl cyclase 1 | Catalyzes the synthesis of cyclic GMP (cGMP) in rods and cones of photoreceptors. |
| IMPDH1 | Inosine-5’-monophosphate dehydrogenase 1 | Catalyzes the conversion of inosine 5’-phosphate (IMP) to xanthosine 5’-phosphate (XMP), the first committed and rate-limiting step in the de novo synthesis of guanine nucleotides, and therefore plays an important role in the regulation of… |
| LRAT | Lecithin retinol acyltransferase | Transfers the acyl group from the sn-1 position of phosphatidylcholine to all-trans retinol, producing all-trans retinyl esters. |
| NXNL1 | Nucleoredoxin-like protein 1 | Thioredoxin-like protein that protects retinal rod and cone photoreceptors against oxidative stress and photo-oxidative damage. |
| GDF6 | Growth/differentiation factor 6 | Growth factor that controls proliferation and cellular differentiation in the retina and bone formation. |
| KCNJ13 | Inward rectifier potassium channel 13 | Inward rectifier potassium channels are characterized by a greater tendency to allow potassium to flow into the cell rather than out of it. |
| PCYT1A | Choline-phosphate cytidylyltransferase A | Catalyzes the key rate-limiting step in the CDP-choline pathway for phosphatidylcholine biosynthesis. |
| PRPH2 | Peripherin-2 | Essential for retina photoreceptor outer segment disk morphogenesis, may also play a role with ROM1 in the maintenance of outer segment disk structure. |
| RGS9 | Regulator of G-protein signaling 9 | Inhibits signal transduction by increasing the GTPase activity of G protein alpha subunits thereby driving them into their inactive GDP-bound form. |
| RHO | Rhodopsin | Photoreceptor required for image-forming vision at low light intensity. |
| RP2 | Protein XRP2 | Acts as a GTPase-activating protein (GAP) involved in trafficking between the Golgi and the ciliary membrane. |
| RPGR | X-linked retinitis pigmentosa GTPase regulator | Acts as a guanine-nucleotide releasing factor (GEF) for RAB8A and RAB37 by promoting the conversion of inactive RAB-GDP to the active form RAB-GTP. |
| TEAD3 | Transcriptional enhancer factor TEF-5 | Transcription factor which plays a key role in the Hippo signaling pathway, a pathway involved in organ size control and tumor suppression by restricting proliferation and promoting apoptosis. |
| GIGYF2 | GRB10-interacting GYF protein 2 | Key component of the 4EHP-GYF2 complex, a multiprotein complex that acts as a repressor of translation initiation. |
| CFAP410 | Cilia- and flagella-associated protein 410 | Plays a role in cilia formation and/or maintenance. |
| USH2A | Usherin | Involved in hearing and vision as member of the USH2 complex. |
| CDHR1 | Cadherin-related family member 1 | Potential calcium-dependent cell-adhesion protein. |
| PRPF31 | U4/U6 small nuclear ribonucleoprotein Prp31 | Involved in pre-mRNA splicing as component of the spliceosome. |
| GPHN | Gephyrin | Microtubule-associated protein involved in membrane protein-cytoskeleton interactions. |
| NBAS | NBAS subunit of NRZ tethering complex | Involved in Golgi-to-endoplasmic reticulum (ER) retrograde transport; the function is proposed to depend on its association in the NRZ complex which is believed to play a role in SNARE assembly at the ER. |
| PANK2 | Pantothenate kinase 2, mitochondrial | Mitochondrial isoform that catalyzes the phosphorylation of pantothenate to generate 4’-phosphopantothenate in the first and rate-determining step of coenzyme A (CoA) synthesis. |
| RIMS1 | Regulating synaptic membrane exocytosis protein 1 | Rab effector involved in exocytosis. |
| WDR19 | WD repeat-containing protein 19 | As 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), it is involved in cilia function and/or assembly. |
| PMPCA | Mitochondrial-processing peptidase subunit alpha | Substrate recognition and binding subunit of the essential mitochondrial processing protease (MPP), which cleaves the mitochondrial sequence off newly imported precursors proteins. |
| NPHP4 | Nephrocystin-4 | Involved in the organization of apical junctions; the function is proposed to implicate a NPHP1-4-8 module. |
| TTC8 | Tetratricopeptide repeat protein 8 | The BBSome complex is thought to function as a coat complex required for sorting of specific membrane proteins to the primary cilia. |
| ZFYVE26 | Zinc finger FYVE domain-containing protein 26 | Phosphatidylinositol 3-phosphate-binding protein required for the abscission step in cytokinesis: recruited to the midbody during cytokinesis and acts as a regulator of abscission. |
| INPP5E | Phosphatidylinositol polyphosphate 5-phosphatase type IV | Phosphatidylinositol (PtdIns) phosphatase that specifically hydrolyzes the 5-phosphate of phosphatidylinositol-3,4,5-trisphosphate (PtdIns(3,4,5)P3), phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2) and phosphatidylinositol 3,5-bispho… |
| CNGB3 | Cyclic nucleotide-gated channel beta-3 | Pore-forming subunit of the cone cyclic nucleotide-gated channel. |
| AHI1 | Jouberin | Involved in vesicle trafficking and required for ciliogenesis, formation of primary non-motile cilium, and recruitment of RAB8A to the basal body of primary cilium. |
| RLIG1 | RNA ligase 1 | Functions as an RNA ligase, in vitro. |
| RPGRIP1L | Protein fantom | Negatively regulates signaling through the G-protein coupled thromboxane A2 receptor (TBXA2R). |
| SLC38A8 | Solute carrier family 38 member 8 | Electrogenic sodium-dependent amino acid transporter with a preference for L-glutamine, L-alanine, L-histidine, L-aspartate and L-arginine. |
Protein-family classification
Druggable: 21 · Difficult: 11 · Unknown: 35 · Druggable fraction: 0.31
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 |
|---|---|---|---|
| Enzyme (other) | 10 | 1.8× | 0.551 |
| Nuclear receptor | 1 | 5.8× | 0.586 |
| Ion channel | 2 | 3.3× | 0.586 |
| Protease | 3 | 1.6× | 0.761 |
| Transporter | 1 | 1.2× | 0.915 |
| Scaffold/PPI | 4 | 1.0× | 0.915 |
| Other/Unknown | 35 | 0.9× | 0.915 |
| Transcription factor | 7 | 0.9× | 0.915 |
| GPCR | 2 | 0.7× | 0.915 |
| Antibody/Immunoglobulin | 1 | 0.4× | 0.915 |
| Kinase | 1 | 0.4× | 0.915 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| RPE65 | Enzyme (other) | yes | 3.1.1.64 | Carotenoid_Oase |
| TULP1 | Other/Unknown | no | Tubby_C, Tubby_C_CS, Tubby-like_C | |
| RPGRIP1 | Other/Unknown | no | C2_dom, C2-C2_1, RPGRIP1_fam | |
| CCT2 | Enzyme (other) | yes | 3.6.4.B10 | Chaperonin_TCP-1_CS, Cpn60/GroEL/TCP-1, Chap_CCT_beta |
| NMNAT1 | Enzyme (other) | yes | 2.7.7.1 | Cyt_trans-like, NadD/NMNAT, Rossmann-like_a/b/a_fold |
| IFT38 | Other/Unknown | no | Clusterin-associated_protein-1 | |
| RD3 | Other/Unknown | no | RD3 | |
| RDH12 | Enzyme (other) | yes | 1.1.1.105 | SDR_fam, NAD(P)-bd_dom_sf |
| USP45 | Protease | yes | Peptidase_C19_UCH, Znf_UBP, Znf_RING/FYVE/PHD | |
| SPATA7 | Other/Unknown | no | SPATA7 | |
| CRB1 | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, Laminin_G | |
| CRX | Transcription factor | no | HD, Homeodomain-like_sf, Otx_TF_C | |
| IQCB1 | Other/Unknown | no | IQ_motif_EF-hand-BS, ARM-type_fold, P-loop_NTPase | |
| CEP290 | Other/Unknown | no | Cep290, Cep209_CC5 | |
| IFT140 | Scaffold/PPI | no | WD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_dom_sf | |
| LCA5 | Other/Unknown | no | Lebercilin-like, Lebercilin_dom | |
| AIPL1 | Other/Unknown | no | TPR-like_helical_dom_sf, TPR_rpt, AIP/AIPL1/TTC9 | |
| GUCY2D | Kinase | yes | 4.6.1.2 | Prot_kinase_dom, A/G_cyclase, Ser-Thr/Tyr_kinase_cat_dom |
| IMPDH1 | Enzyme (other) | yes | 1.1.1.205 | CBS_dom, IMP_DH_GMPRt, IMP_DH |
| LRAT | Enzyme (other) | yes | 2.3.1.135 | LRAT_dom, LRAT |
| NXNL1 | Other/Unknown | no | Thioredoxin-like_fold, Thioredoxin_domain, RdCVF | |
| GDF6 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, TGF-beta-like | |
| KCNJ13 | Ion channel | yes | KCNJ13, K_chnl_inward-rec_Kir_cyto, Ig_E-set | |
| PCYT1A | Enzyme (other) | yes | 2.7.7.15 | Cyt_trans-like, Rossmann-like_a/b/a_fold, CCT |
| PRPH2 | Other/Unknown | no | Peripherin/rom-1, Tetraspanin_EC2_sf, Peripherin/rom-1_CS | |
| RGS9 | Other/Unknown | no | DEP_dom, G-protein_gamma-like_dom, RGS | |
| RHO | GPCR | yes | GPCR_Rhodpsn, Rhodopsin, Opsin | |
| RP2 | Other/Unknown | no | CARP_motif, Tubulin-bd_cofactor_C_dom, CAP/MinC_C | |
| RPGR | Other/Unknown | no | Reg_chr_condens, RCC1/BLIP-II, Signaling_Regulatory_Domain | |
| TEAD3 | Other/Unknown | no | TEA/ATTS_dom, TEF_metazoa, TEF-5 | |
| GIGYF2 | Other/Unknown | no | GYF, GYF-like_dom_sf, GRB10-interact_GYF | |
| CFAP410 | Other/Unknown | no | Leu-rich_rpt, U2A’_phosphoprotein32A_C, LRR_dom_sf | |
| USH2A | Antibody/Immunoglobulin | yes | Laminin_G, LE_dom, FN3_dom | |
| CDHR1 | Other/Unknown | no | Cadherin-like_dom, Cadherin-like_sf, Cadherin_CS | |
| PRPF31 | Other/Unknown | no | Nop_dom, NOSIC, Prp31_C | |
| GPHN | Other/Unknown | no | MoaB/Mog_dom, MoeA_linker/N, MoeA_C_domain_IV | |
| NBAS | Scaffold/PPI | no | Quino_amine_DH_bsu, Sec39_domain, WD40/YVTN_repeat-like_dom_sf | |
| PANK2 | Enzyme (other) | yes | 2.7.1.33 | Type_II_PanK, ATPase_NBD |
| ADAMTS18 | Protease | yes | TSP1_rpt, Peptidase_M12B, Peptidase_M12B_N | |
| RIMS1 | Transcription factor | no | C2_dom, PDZ, Rab_BD | |
| WDR19 | Transcription factor | no | WD40_rpt, TPR-like_helical_dom_sf, WD40/YVTN_repeat-like_dom_sf | |
| PMPCA | Protease | yes | 3.4.24.64 | Pept_M16_Zn_BS, Peptidase_M16_C, Metalloenz_LuxS/M16 |
| NPHP4 | Other/Unknown | no | NPHP4, Ig_NPHP4_4th, Ig_NPHP4_3rd | |
| TTC8 | Other/Unknown | no | TPR-like_helical_dom_sf, TPR_rpt, BBS8 | |
| ZFYVE26 | Transcription factor | no | Znf_FYVE, Znf_FYVE_PHD, Znf_RING/FYVE/PHD | |
| INPP5E | Enzyme (other) | yes | 3.1.3.36 | IPPc, Endo/exonu/phosph_ase_sf, INPP5E |
| CNGB3 | Ion channel | yes | cNMP-bd_dom, Ion_trans_dom, RmlC-like_jellyroll | |
| AHI1 | Scaffold/PPI | no | SH3_domain, WD40_rpt, WD40/YVTN_repeat-like_dom_sf | |
| RLIG1 | Other/Unknown | no | RLIG1 | |
| RPGRIP1L | Other/Unknown | no | C2_dom, C2-C2_1, RPGRIP1_fam |
Expression context
Cohort genes with no expression data: 0.
61 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) | 0 |
| broad (>20) | 67 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| male germ line stem cell (sensu Vertebrata) in testis | 12 |
| primordial germ cell in gonad | 10 |
| right uterine tube | 10 |
| bronchial epithelial cell | 8 |
| pigmented layer of retina | 7 |
| buccal mucosa cell | 7 |
| calcaneal tendon | 6 |
| sperm | 5 |
| secondary oocyte | 5 |
| ventricular zone | 5 |
| retina | 4 |
| endothelial cell | 4 |
| oocyte | 4 |
| monocyte | 4 |
| left testis | 3 |
| right testis | 3 |
| skin of leg | 3 |
| sural nerve | 3 |
| adenohypophysis | 3 |
| right lobe of liver | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| RPE65 | 92 | tissue_specific | marker | pigmented layer of retina, retina, male germ line stem cell (sensu Vertebrata) in testis |
| TULP1 | 134 | tissue_specific | marker | primordial germ cell in gonad, tendon of biceps brachii, retina |
| RPGRIP1 | 168 | tissue_specific | marker | left testis, sperm, right testis |
| CCT2 | 301 | ubiquitous | marker | sperm, primordial germ cell in gonad, male germ cell |
| NMNAT1 | 225 | ubiquitous | yes | hindlimb stylopod muscle, muscle of leg, mucosa of transverse colon |
| IFT38 | 285 | ubiquitous | marker | bronchial epithelial cell, calcaneal tendon, epithelium of bronchus |
| RD3 | 90 | tissue_specific | yes | primordial germ cell in gonad, buccal mucosa cell, right lung |
| RDH12 | 180 | tissue_specific | marker | upper arm skin, skin of leg, mammalian vulva |
| USP45 | 225 | ubiquitous | marker | calcaneal tendon, secondary oocyte, epithelial cell of pancreas |
| SPATA7 | 263 | ubiquitous | marker | right testis, sperm, left testis |
| CRB1 | 163 | broad | marker | ganglionic eminence, ventricular zone, endothelial cell |
| CRX | 54 | tissue_specific | marker | pigmented layer of retina, retina, primordial germ cell in gonad |
| IQCB1 | 275 | ubiquitous | marker | oocyte, epithelium of nasopharynx, nasopharynx |
| CEP290 | 278 | ubiquitous | marker | right uterine tube, male germ line stem cell (sensu Vertebrata) in testis, ventricular zone |
| IFT140 | 214 | ubiquitous | marker | right uterine tube, right lobe of thyroid gland, left lobe of thyroid gland |
| LCA5 | 214 | ubiquitous | marker | mucosa of paranasal sinus, bronchial epithelial cell, bronchus |
| AIPL1 | 62 | tissue_specific | marker | buccal mucosa cell, pancreatic ductal cell, tendon of biceps brachii |
| GUCY2D | 121 | tissue_specific | marker | buccal mucosa cell, esophagus mucosa, lower esophagus mucosa |
| IMPDH1 | 249 | ubiquitous | marker | granulocyte, monocyte, leukocyte |
| LRAT | 149 | broad | marker | pigmented layer of retina, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad |
| NXNL1 | 92 | tissue_specific | yes | primordial germ cell in gonad, right adrenal gland cortex, left adrenal gland cortex |
| GDF6 | 104 | broad | marker | placenta, primordial germ cell in gonad, ventricular zone |
| KCNJ13 | 166 | broad | marker | choroid plexus epithelium, pigmented layer of retina, retina |
| PCYT1A | 274 | ubiquitous | marker | sural nerve, monocyte, skin of leg |
| PRPH2 | 176 | tissue_specific | marker | quadriceps femoris, vastus lateralis, hindlimb stylopod muscle |
| RGS9 | 178 | ubiquitous | marker | putamen, caudate nucleus, islet of Langerhans |
| RHO | 38 | tissue_specific | marker | optic choroid, neuron projection bundle connecting eye with brain, diaphragm |
| RP2 | 242 | ubiquitous | marker | monocyte, mononuclear cell, leukocyte |
| RPGR | 281 | ubiquitous | marker | sperm, bronchial epithelial cell, right uterine tube |
| TEAD3 | 247 | ubiquitous | marker | muscle layer of sigmoid colon, lower esophagus, lower esophagus muscularis layer |
Protein interactions among cohort
Intra-cohort edges: 219.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| CCT2 | 7,097 |
| PMPCA | 3,679 |
| RHO | 3,578 |
| IQCB1 | 3,562 |
| RDH12 | 3,526 |
| PRPF31 | 3,427 |
| PROM1 | 3,302 |
| IMPDH1 | 3,227 |
| ALMS1 | 2,976 |
| GIGYF2 | 2,914 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ABCA4 | CDHR1 | string_interaction |
| ABCA4 | CNGB3 | string_interaction |
| ABCA4 | GUCY2D | string_interaction |
| ABCA4 | NXNL1 | string_interaction |
| ABCA4 | PROM1 | string_interaction |
| ABCA4 | PRPH2 | string_interaction |
| ABCA4 | RDH12 | string_interaction |
| ABCA4 | RHO | string_interaction |
| ABCA4 | RPE65 | string_interaction |
| ABCA4 | RPGR | string_interaction |
| ABCA4 | TULP1 | string_interaction |
| ADAMTS18 | LRP5 | string_interaction |
| ADAMTS18 | USH2A | string_interaction |
| AHI1 | CEP290 | string_interaction |
| AHI1 | IQCB1 | biogrid_interaction, string_interaction |
| AHI1 | NPHP1 | intact, string_interaction |
| AHI1 | NPHP4 | string_interaction |
| AHI1 | RPGRIP1L | string_interaction |
| AHI1 | SPATA7 | intact |
| AIPL1 | CDHR1 | string_interaction |
| AIPL1 | CEP290 | string_interaction |
| AIPL1 | CRX | string_interaction |
| AIPL1 | DTHD1 | string_interaction |
| AIPL1 | GUCA1B | string_interaction |
| AIPL1 | GUCY2D | string_interaction |
| AIPL1 | IMPDH1 | string_interaction |
| AIPL1 | KCNJ13 | string_interaction |
| AIPL1 | LCA5 | string_interaction |
| AIPL1 | LRAT | string_interaction |
| AIPL1 | NMNAT1 | string_interaction |
| AIPL1 | PRPH2 | string_interaction |
| AIPL1 | RD3 | string_interaction |
| AIPL1 | RDH12 | string_interaction |
| AIPL1 | RPE65 | string_interaction |
| AIPL1 | RPGRIP1 | string_interaction |
| AIPL1 | SPATA7 | string_interaction |
| AIPL1 | TULP1 | string_interaction |
| ALMS1 | CEP290 | string_interaction |
| ALMS1 | RHO | string_interaction |
| CCT2 | RPE65 | biogrid_interaction, intact |
| CDHR1 | GUCY2D | string_interaction |
| CDHR1 | PROM1 | biogrid_interaction, string_interaction |
| CDHR1 | PRPH2 | string_interaction |
| CDHR1 | RIMS1 | string_interaction |
| CDHR1 | RPGRIP1 | string_interaction |
| CEP290 | CFAP410 | intact |
| CEP290 | INPP5E | string_interaction |
| CEP290 | IQCB1 | biogrid_interaction, intact, string_interaction |
| CEP290 | KCNJ13 | string_interaction |
| CEP290 | LCA5 | string_interaction |
Structural data
PDB: 33 · AlphaFold-only: 33 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| CCT2 | P78371 | 65 |
| PRPF31 | Q8WWY3 | 30 |
| IMPDH1 | P20839 | 18 |
| TEAD3 | Q99594 | 10 |
| CNGB3 | Q9NQW8 | 9 |
| ABCA4 | P78363 | 8 |
| NMNAT1 | Q9HAN9 | 6 |
| AIPL1 | Q9NZN9 | 6 |
| KCNJ13 | O60928 | 5 |
| GRM6 | O15303 | 5 |
| IFT140 | Q96RY7 | 4 |
| RHO | P08100 | 4 |
| WDR19 | Q8NEZ3 | 4 |
| RP2 | O75695 | 3 |
| RPGR | Q92834 | 3 |
| GIGYF2 | Q6Y7W6 | 3 |
| TULP1 | O00294 | 2 |
| NPHP1 | O15259 | 2 |
| RPGRIP1 | Q96KN7 | 1 |
| RD3 | Q7Z3Z2 | 1 |
| CRB1 | P82279 | 1 |
| CRX | O43186 | 1 |
| PRPH2 | P23942 | 1 |
| CFAP410 | O43822 | 1 |
| GPHN | Q9NQX3 | 1 |
| PANK2 | Q9BZ23 | 1 |
| RIMS1 | Q86UR5 | 1 |
| ZFYVE26 | Q68DK2 | 1 |
| INPP5E | Q9NRR6 | 1 |
| AHI1 | Q8N157 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| RPE65 | Q16518 | 95.34 |
| FSCN2 | O14926 | 93.79 |
| RDH12 | Q96NR8 | 92.21 |
| RLIG1 | Q8N999 | 92.03 |
| PDE6A | P16499 | 89.80 |
| PDE6B | P35913 | 89.72 |
| PMPCA | Q10713 | 88.46 |
| PROM1 | O43490 | 85.68 |
| TTC8 | Q8TAM2 | 84.48 |
| SLC38A8 | A6NNN8 | 83.83 |
| LRAT | O95237 | 83.69 |
| IQCB1 | Q15051 | 83.05 |
| GUCY2D | Q02846 | 82.37 |
| CDHR1 | Q96JP9 | 78.79 |
| LRP5 | O75197 | 78.65 |
| IFT38 | Q96AJ1 | 78.02 |
| PCYT1A | P49585 | 76.82 |
| NXNL1 | Q96CM4 | 74.82 |
| NBAS | A2RRP1 | 74.42 |
| RGS9 | O75916 | 74.35 |
| ADAMTS18 | Q8TE60 | 73.83 |
| NPHP4 | O75161 | 72.44 |
| GUCA1B | Q9UMX6 | 71.38 |
| GDF6 | Q6KF10 | 70.88 |
| DTHD1 | Q6ZMT9 | 69.99 |
| PEX1 | O43933 | 67.19 |
| USP45 | Q70EL2 | 66.28 |
| LCA5 | Q86VQ0 | 64.05 |
| OTX2 | P32243 | 60.99 |
| CEP290 | O15078 | 60.90 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 132. Enrichment computed across 67 evidence-associated genes (44 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 44 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Inactivation, recovery and regulation of the phototransduction cascade | 6 | 43.3× | 5e-07 | GUCY2D, RGS9, RHO, GUCA1B, PDE6A, PDE6B |
| The canonical retinoid cycle in rods (twilight vision) | 5 | 59.0× | 1e-06 | RPE65, RDH12, LRAT, RHO, ABCA4 |
| Anchoring of the basal body to the plasma membrane | 7 | 18.0× | 4e-06 | IQCB1, CEP290, NPHP4, AHI1, RPGRIP1L, ALMS1, NPHP1 |
| Cilium Assembly | 6 | 14.8× | 9e-05 | CCT2, IQCB1, CEP290, INPP5E, AHI1, ALMS1 |
| Activation of the phototransduction cascade | 3 | 64.9× | 3e-04 | RHO, PDE6A, PDE6B |
| Organelle biogenesis and maintenance | 6 | 9.0× | 0.001 | CCT2, IQCB1, CEP290, INPP5E, AHI1, ALMS1 |
| Retinoid cycle disease events | 2 | 129.8× | 0.001 | LRAT, ABCA4 |
| Diseases associated with visual transduction | 2 | 129.8× | 0.001 | LRAT, ABCA4 |
| Diseases of the neuronal system | 2 | 129.8× | 0.001 | LRAT, ABCA4 |
| Trafficking of myristoylated proteins to the cilium | 2 | 103.8× | 0.002 | RP2, NPHP3 |
| Visual phototransduction | 3 | 17.7× | 0.008 | RPE65, LRAT, ABCA4 |
| Intraflagellar transport | 3 | 13.7× | 0.015 | IFT38, IFT140, WDR19 |
| Hedgehog ‘off’ state | 3 | 12.2× | 0.019 | IFT140, WDR19, RPGRIP1L |
| Defective visual phototransduction due to RDH12 loss of function | 1 | 259.6× | 0.032 | RDH12 |
| Defective visual phototransduction due to ABCA4 loss of function | 1 | 259.6× | 0.032 | ABCA4 |
| BBSome-mediated cargo-targeting to cilium | 2 | 22.6× | 0.032 | CCT2, TTC8 |
| Nucleotide biosynthesis | 1 | 129.8× | 0.056 | IMPDH1 |
| Defective visual phototransduction due to LRAT loss of function | 1 | 129.8× | 0.056 | LRAT |
| Cooperation of PDCL (PhLP1) and TRiC/CCT in G-protein beta folding | 2 | 13.7× | 0.065 | CCT2, RGS9 |
| Sensory Perception | 3 | 6.5× | 0.072 | RPE65, LRAT, ABCA4 |
| ARL13B-mediated ciliary trafficking of INPP5E | 1 | 86.5× | 0.072 | INPP5E |
| Centrosome maturation | 2 | 11.5× | 0.077 | CEP290, ALMS1 |
| Cargo trafficking to the periciliary membrane | 2 | 11.3× | 0.077 | CCT2, INPP5E |
| Signaling by LRP5 mutants | 1 | 37.1× | 0.135 | LRP5 |
| Molybdenum cofactor biosynthesis | 1 | 37.1× | 0.135 | GPHN |
| Ca2+ pathway | 2 | 8.1× | 0.135 | PDE6A, PDE6B |
| Coenzyme A biosynthesis | 1 | 32.4× | 0.137 | PANK2 |
| RUNX3 regulates YAP1-mediated transcription | 1 | 32.4× | 0.137 | TEAD3 |
| Opsins | 1 | 28.8× | 0.137 | RHO |
| Signaling by RNF43 mutants | 1 | 28.8× | 0.137 | LRP5 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 66 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| visual perception | 25 | 30.1× | 2e-28 | RPE65, TULP1, RPGRIP1, RD3, RDH12, SPATA7, CRX, AIPL1 (+17 more) |
| photoreceptor cell maintenance | 15 | 81.5× | 2e-23 | TULP1, RDH12, USP45, SPATA7, CRB1, IQCB1, LCA5, RHO (+7 more) |
| retina development in camera-type eye | 10 | 38.7× | 1e-11 | TULP1, RD3, CRX, NPHP4, GRM6, NPHP1, NR2E3, PDE6A (+2 more) |
| photoreceptor cell outer segment organization | 6 | 95.8× | 2e-09 | CRB1, IFT140, CDHR1, NPHP4, AHI1, PRPH2 |
| cilium assembly | 12 | 13.4× | 6e-09 | IFT38, IQCB1, CEP290, IFT140, RP2, RPGR, CFAP410, WDR19 (+4 more) |
| eye photoreceptor cell development | 5 | 63.8× | 8e-07 | TULP1, CEP290, RPGR, FSCN2, NR2E3 |
| detection of light stimulus involved in visual perception | 5 | 49.1× | 3e-06 | RPE65, TULP1, CRB1, GRM6, PRPH2 |
| non-motile cilium assembly | 6 | 26.4× | 5e-06 | RPGRIP1, CEP290, IFT140, TTC8, RPGRIP1L, NPHP3 |
| phototransduction, visible light | 4 | 78.6× | 7e-06 | AIPL1, RHO, ABCA4, PDE6B |
| maintenance of animal organ identity | 3 | 153.2× | 2e-05 | IQCB1, USH2A, NPHP3 |
| retinoid metabolic process | 4 | 30.0× | 3e-04 | RPE65, RDH12, LRAT, ABCA4 |
| retinal cell apoptotic process | 2 | 255.3× | 5e-04 | GDF6, PDE6B |
| establishment or maintenance of cell polarity | 4 | 24.3× | 7e-04 | CRB1, RPGRIP1L, FSCN2, NPHP3 |
| retina homeostasis | 3 | 51.1× | 7e-04 | RPE65, TULP1, AIPL1 |
| camera-type eye photoreceptor cell differentiation | 2 | 102.1× | 0.004 | TTC8, PROM1 |
| regulation of smoothened signaling pathway | 3 | 28.4× | 0.004 | IFT140, RPGRIP1L, OTX2 |
| visual behavior | 2 | 85.1× | 0.005 | NPHP4, NPHP1 |
| neural tube patterning | 2 | 85.1× | 0.005 | IFT140, RPGRIP1L |
| vitamin A metabolic process | 2 | 73.0× | 0.006 | RPE65, LRAT |
| protein localization to photoreceptor outer segment | 2 | 73.0× | 0.006 | TULP1, SPATA7 |
| phototransduction | 3 | 22.5× | 0.006 | RHO, GUCA1B, NR2E3 |
| retina morphogenesis in camera-type eye | 2 | 56.7× | 0.010 | LRP5, PROM1 |
| regulation of opsin-mediated signaling pathway | 2 | 51.1× | 0.011 | AIPL1, GUCY2D |
| retinal rod cell development | 2 | 51.1× | 0.011 | RPGRIP1, RPGRIP1L |
| positive regulation of bicellular tight junction assembly | 2 | 51.1× | 0.011 | NPHP4, NPHP1 |
| receptor guanylyl cyclase signaling pathway | 2 | 39.3× | 0.018 | GUCY2D, GUCA1B |
| embryonic camera-type eye development | 2 | 36.5× | 0.020 | IFT140, WDR19 |
| intraciliary retrograde transport | 2 | 34.0× | 0.022 | IFT140, WDR19 |
| establishment of planar polarity | 2 | 31.9× | 0.024 | TTC8, RPGRIP1L |
| cellular response to light stimulus | 2 | 31.9× | 0.024 | CRB1, RHO |
Therapeutics
Drugs indicated for this disease
1 approved. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Voretigene Neparvovec | Approved (phase 4) |
Drug target analysis
Approved (phase 4): 5 · Phase ≥3: 6 · Phased (≥1): 9 · Undrugged: 58
Druggability breadth: 22 of 67 evidence-associated genes (33%) 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 |
|---|---|
| IMPDH1 | MYCOPHENOLIC ACID |
| PCYT1A | ENCORAFENIB |
| GRM6 | MICONAZOLE |
| PDE6A | VARDENAFIL |
| PDE6B | VARDENAFIL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| PDE6A | 8 | 4 |
| PDE6B | 6 | 4 |
| GRM6 | 3 | 4 |
| IMPDH1 | 2 | 4 |
| CCT2 | 1 | 2 |
| LRAT | 1 | 3 |
| PCYT1A | 1 | 4 |
| TEAD3 | 1 | 2 |
| PRPF31 | 1 | 2 |
| RPE65 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| MYCOPHENOLIC ACID | 4 | IMPDH1 |
| ENCORAFENIB | 4 | PCYT1A |
| MICONAZOLE | 4 | GRM6 |
| VARDENAFIL | 4 | PDE6A, PDE6B |
| SILDENAFIL | 4 | PDE6A, PDE6B |
| TADALAFIL | 4 | PDE6A, PDE6B |
| DIPYRIDAMOLE | 4 | PDE6A, PDE6B |
| ANTAZOLINE | 4 | PDE6A |
| FRAMYCETIN | 3 | LRAT |
| GLUTAMIC ACID | 3 | GRM6 |
| MOLIBRESIB | 2 | CCT2, PRPF31 |
| MERIMEPODIB | 2 | IMPDH1 |
| PIRLINDOLE | 2 | TEAD3 |
| EGLUMETAD | 2 | GRM6 |
| ZAPRINAST | 2 | PDE6A, PDE6B |
| TBA-7371 | 2 | PDE6A, PDE6B |
| JNJ-42396302 | 1 | PDE6A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 12.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| GRM6 | 103 | Functional:55, Binding:48 |
| PDE6A | 69 | Binding:65, ADMET:3, Functional:1 |
| PDE6B | 57 | Binding:54, ADMET:3 |
| IMPDH1 | 46 | Binding:40, Functional:6 |
| TEAD3 | 39 | Binding:39 |
| KCNJ13 | 9 | Binding:9 |
| CCT2 | 8 | Binding:8 |
| PRPF31 | 6 | Binding:6 |
| NR2E3 | 6 | Functional:5, Binding:1 |
| GIGYF2 | 5 | Binding:5 |
| NMNAT1 | 3 | Binding:3 |
| USP45 | 3 | Binding:3 |
| AIPL1 | 1 | Binding:1 |
| LRAT | 1 | Binding:1 |
| PCYT1A | 1 | Binding:1 |
| RHO | 1 | Binding:1 |
| CFAP410 | 1 | Binding:1 |
| NBAS | 1 | Binding:1 |
| PANK2 | 1 | Binding:1 |
| PMPCA | 1 | Binding:1 |
| LRP5 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| RPE65 | 3.1.1.64, 5.3.3.22 | retinoid isomerohydrolase, lutein isomerase |
| CCT2 | 3.6.4.B10 | |
| NMNAT1 | 2.7.7.1, 2.7.7.18 | nicotinamide-nucleotide adenylyltransferase, nicotinate-nucleotide adenylyltransferase |
| RDH12 | 1.1.1.105, 1.1.1.300 | all-trans-retinol dehydrogenase (NAD+), NADP-retinol dehydrogenase |
| GUCY2D | 4.6.1.2 | guanylate cyclase |
| IMPDH1 | 1.1.1.205 | IMP dehydrogenase |
| LRAT | 2.3.1.135 | phosphatidylcholine-retinol O-acyltransferase |
| PCYT1A | 2.7.7.15 | choline-phosphate cytidylyltransferase |
| PANK2 | 2.7.1.33 | pantothenate kinase |
| PMPCA | 3.4.24.64 | mitochondrial processing peptidase |
| INPP5E | 3.1.3.36 | phosphoinositide 5-phosphatase |
| PEX1 | 3.6.4.7 | peroxisome-assembly ATPase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| GRM6 | 103 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 66; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
17 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) |
|---|---|---|
| MYCOPHENOLIC ACID | 4 | IMPDH1 |
| ENCORAFENIB | 4 | PCYT1A |
| MICONAZOLE | 4 | GRM6 |
| VARDENAFIL | 4 | PDE6A, PDE6B |
| SILDENAFIL | 4 | PDE6A, PDE6B |
| TADALAFIL | 4 | PDE6A, PDE6B |
| DIPYRIDAMOLE | 4 | PDE6A, PDE6B |
| ANTAZOLINE | 4 | PDE6A |
| FRAMYCETIN | 3 | LRAT |
| GLUTAMIC ACID | 3 | GRM6 |
| MOLIBRESIB | 2 | CCT2, PRPF31 |
| MERIMEPODIB | 2 | IMPDH1 |
| PIRLINDOLE | 2 | TEAD3 |
| EGLUMETAD | 2 | GRM6 |
| ZAPRINAST | 2 | PDE6A, PDE6B |
| TBA-7371 | 2 | PDE6A, PDE6B |
| JNJ-42396302 | 1 | PDE6A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 5 | IMPDH1, PCYT1A, GRM6, PDE6A, PDE6B |
| B | Phased (≥1) drug, not yet approved | 4 | CCT2, LRAT, TEAD3, PRPF31 |
| C | Druggable family + PDB, no drug | 8 | NMNAT1, KCNJ13, RHO, PANK2, INPP5E, CNGB3, ABCA4, NR2E3 |
| D | Druggable family + AlphaFold only, no drug | 8 | RPE65, RDH12, USP45, GUCY2D, USH2A, ADAMTS18, PMPCA, PEX1 |
| E | Difficult family or no structure, no drug | 42 | TULP1, RPGRIP1, IFT38, RD3, SPATA7, CRB1, CRX, IQCB1, CEP290, IFT140 (+32 more) |
Undrugged target profiles
58 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| RPE65 | 0 | LRAT |
| TULP1 | 0 | LRAT |
| RD3 | 0 | PDE6B |
| RDH12 | 0 | IMPDH1 |
| SPATA7 | 0 | LRAT |
| NXNL1 | 0 | PDE6B |
| PRPH2 | 0 | PDE6B |
| FSCN2 | 0 | PRPF31 |
| GUCA1B | 0 | PDE6B |
| RPGRIP1 | 0 | — |
| NMNAT1 | 3 | — |
| IFT38 | 0 | — |
| USP45 | 3 | — |
| CRB1 | 0 | — |
| CRX | 0 | — |
| IQCB1 | 0 | — |
| CEP290 | 0 | — |
| IFT140 | 0 | — |
| LCA5 | 0 | — |
| AIPL1 | 1 | — |
| GUCY2D | 0 | — |
| GDF6 | 0 | — |
| KCNJ13 | 9 | — |
| RGS9 | 0 | — |
| RHO | 1 | — |
| RP2 | 0 | — |
| RPGR | 0 | — |
| GIGYF2 | 5 | — |
| CFAP410 | 1 | — |
| USH2A | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 22.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE1/PHASE2 | 8 |
| Not specified | 7 |
| PHASE3 | 2 |
| PHASE2/PHASE3 | 2 |
| PHASE1 | 2 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00999609 | PHASE3 | ACTIVE_NOT_RECRUITING | Safety and Efficacy Study in Subjects With Leber Congenital Amaurosis |
| NCT03913143 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Evaluate Efficacy, Safety, Tolerability and Exposure After a Repeat-dose of Sepofarsen (QR-110) in LCA10 (ILLUMINATE) |
| NCT06891443 | PHASE3 | RECRUITING | Study to Evaluate Sepofarsen in Subjects With Leber Congenital Amaurosis (LCA) Type 10 (HYPERION) |
| NCT04855045 | PHASE2/PHASE3 | UNKNOWN | An Open-label, Dose Escalation and Double-masked, Randomized, Controlled Trial Evaluating Safety and Tolerability of Sepofarsen in Children (<8 Years of Age) With LCA10 Caused by Mutations in the CEP290 Gene. |
| NCT01208389 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Phase 1 Follow-on Study of AAV2-hRPE65v2 Vector in Subjects With Leber Congenital Amaurosis (LCA) 2 |
| NCT03920007 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Study of Subretinally Injected ATSN-101 Administered in Patients With Leber Congenital Amaurosis Caused by Biallelic Mutations in GUCY2D |
| NCT05203939 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Study to Assess the Safety and Efficacy of OCU400 for Retinitis Pigmentosa and Leber Congenital Amaurosis |
| NCT05906953 | PHASE1/PHASE2 | RECRUITING | Safety and Efficacy Trial of HG004 for Leber Congenital Amaurosis Related to Rpe65 Gene Mutations (STAR) |
| NCT00749957 | PHASE1/PHASE2 | COMPLETED | Phase 1/2 Safety and Efficacy Study of AAV-RPE65 Vector to Treat Leber Congenital Amaurosis |
| NCT01496040 | PHASE1/PHASE2 | COMPLETED | Clinical Gene Therapy Protocol for the Treatment of Retinal Dystrophy Caused by Defects in RPE65 |
| NCT02781480 | PHASE1/PHASE2 | COMPLETED | Clinical Trial of Gene Therapy for the Treatment of Leber Congenital Amaurosis (LCA) |
| NCT03913130 | PHASE1/PHASE2 | TERMINATED | Extension Study to Study PQ-110-001 (NCT03140969) |
| NCT00516477 | PHASE1 | COMPLETED | Safety Study in Subjects With Leber Congenital Amaurosis |
| NCT00821340 | PHASE1 | COMPLETED | Clinical Trial of Gene Therapy for Leber Congenital Amaurosis Caused by RPE65 Mutations |
| NCT06088992 | EARLY_PHASE1 | ACTIVE_NOT_RECRUITING | Leber Congenital Amaurosis Inherited Blindness of Gene Therapy Trial(LIGHT) |
| NCT01793168 | Not specified | RECRUITING | Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford |
| NCT02435940 | Not specified | RECRUITING | Inherited Retinal Degenerative Disease Registry |
| NCT07026565 | Not specified | NOT_YET_RECRUITING | Psychotherapy Group for Parents of Children With LCA |
| NCT02575430 | Not specified | COMPLETED | Natural History Study in Inherited Retinal Disease Subjects Caused by Mutations in RPE65 or LRAT |
| NCT02714816 | Not specified | COMPLETED | Natural History Study of Patients With Leber Congenital Amaurosis Associated With Mutations in RPE65 |
| NCT02946879 | Not specified | COMPLETED | Long-Term Follow-Up Gene Therapy Study for Leber Congenital Amaurosis OPTIRPE65 (Retinal Dystrophy Associated With Defects in RPE65) |
| NCT02970266 | Not specified | COMPLETED | Genetic Decryption of Leber Congenital Amaurosis (LCA) in a Large Cohort of Independent Families. |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| VORETIGENE NEPARVOVEC | 4 | 3 |
| POLYMYXIN B | 4 | 1 |
| TRIMETHOPRIM | 4 | 1 |
| SEPOFARSEN | 2 | 4 |
| CHEMBL15720 | 0 | 1 |
| CHEMBL2397513 | 0 | 1 |
| CHEMBL373756 | 0 | 1 |
| CHEMBL3989738 | 0 | 1 |
| CHEMBL4636958 | 0 | 1 |
| CHEMBL5281080 | 0 | 1 |
Related Atlas pages
- Cohort genes: RPE65, TULP1, RPGRIP1, CCT2, NMNAT1, IFT38, RD3, RDH12, USP45, SPATA7, CRB1, CRX, IQCB1, CEP290, IFT140, LCA5, AIPL1, GUCY2D, IMPDH1, LRAT, NXNL1, GDF6, KCNJ13, PCYT1A, PRPH2, RGS9, RHO, RP2, RPGR, TEAD3, GIGYF2, CFAP410, USH2A, CDHR1, PRPF31, GPHN, NBAS, PANK2, ADAMTS18, RIMS1, WDR19, PMPCA, NPHP4, TTC8, ZFYVE26, INPP5E, CNGB3, AHI1, RLIG1, RPGRIP1L, SLC38A8, ABCA4, DTHD1, FSCN2, ALMS1, GRM6, GUCA1B, COPB2-DT, LRP5, NPHP1, NPHP3, NR2E3, OTX2, PDE6A, PDE6B, PEX1, PROM1
- Drugs: Voretigene Neparvovec, Polymyxin B, Trimethoprim