Lip and oral cavity carcinoma

disease
On this page

Also known as lip and oral cavity canceroral canceroral carcinoma

Summary

Lip and oral cavity carcinoma (MONDO:0023644) is a cancer with 20 cohort genes (12 CIViC-evidence somatic drivers; 47 ClinVar predisposition records) and 211 clinical trials. The dominant Reactome pathway is Constitutive Signaling by EGFRvIII (3 cohort genes). Top therapeutic interventions include cetuximab, atezolizumab, and brodalumab.

At a glance

  • Classification: Cancer
  • Cohort genes: 20
  • ClinVar variants: 47
  • Clinical trials: 211

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namelip and oral cavity carcinoma
Mondo IDMONDO:0023644
NCITC9315
UMLSC0220641
MedGen67387
GARD0009342
Is cancer (heuristic)yes

Also known as: lip and oral cavity cancer · lip and oral cavity carcinoma · oral cancer · oral carcinoma

Data availability: 47 ClinVar variants.

Disease family

An umbrella term covering 2 Mondo subtypes.

Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumorneoplastic disease or syndromeneoplasmcancercarcinomahead and neck carcinomalip and oral cavity carcinoma

Related subtypes (15): eye carcinoma, external ear carcinoma, middle ear carcinoma, nasal cavity carcinoma, growth hormone-producing pituitary gland carcinoma, hypopharyngeal carcinoma, ameloblastic carcinoma, laryngeal small cell carcinoma, pharyngeal adenoid cystic carcinoma, head and neck squamous cell carcinoma, nasopharyngeal carcinoma, pituitary adenocarcinoma, carcinoma of floor of mouth, oropharyngeal carcinoma, nasal cavity and paranasal sinus carcinoma

Subtypes (2): lip and oral cavity squamous cell carcinoma, oral cavity carcinoma

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

47 retrieved; paginated sample, class counts are floors:

17 pathogenic, 10 pathogenic/likely pathogenic, 8 association, 3 uncertain significance, 3 conflicting classifications of pathogenicity, 2 association not found, 2 likely pathogenic, 1 benign, 1 benign/likely benign

ClinVarVariant (HGVS)GeneClassificationReview
376091NM_005157.6(ABL1):c.764A>T (p.Glu255Val)ABL1Pathogenicno assertion criteria provided
376097NM_005157.6(ABL1):c.1187A>G (p.His396Arg)ABL1Pathogenicno assertion criteria provided
977765NM_004333.6(BRAF):c.1277G>C (p.Arg426Thr)BRAFPathogenicno assertion criteria provided
376303NM_000077.5(CDKN2A):c.330G>A (p.Trp110Ter)CDKN2APathogeniccriteria provided, multiple submitters, no conflicts
9409NM_000077.5(CDKN2A):c.238C>T (p.Arg80Ter)CDKN2APathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12601NM_005343.4(HRAS):c.181C>A (p.Gln61Lys)HRASPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12602NM_005343.4(HRAS):c.34G>A (p.Gly12Ser)HRASPathogenicreviewed by expert panel
12612NM_005343.4(HRAS):c.35G>A (p.Gly12Asp)HRASPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
35554NM_005343.4(HRAS):c.37G>C (p.Gly13Arg)HRASPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
180848NM_005343.4(HRAS):c.38G>T (p.Gly13Val)LRRC56Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
13652NM_006218.4(PIK3CA):c.3140A>G (p.His1047Arg)PIK3CAPathogenicreviewed by expert panel
31944NM_006218.4(PIK3CA):c.1624G>A (p.Glu542Lys)PIK3CAPathogenicreviewed by expert panel
376473NM_006218.4(PIK3CA):c.1625A>C (p.Glu542Ala)PIK3CAPathogenicno assertion criteria provided
12347NM_000546.6(TP53):c.742C>T (p.Arg248Trp)TP53Pathogenicreviewed by expert panel
12356NM_000546.6(TP53):c.743G>A (p.Arg248Gln)TP53Pathogenicreviewed by expert panel
12359NM_000546.6(TP53):c.722C>T (p.Ser241Phe)TP53Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12374NM_000546.6(TP53):c.524G>A (p.Arg175His)TP53Pathogenicreviewed by expert panel
135359NM_000546.6(TP53):c.638G>A (p.Arg213Gln)TP53Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
141764NM_000546.6(TP53):c.799C>T (p.Arg267Trp)TP53Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
142144NM_000546.6(TP53):c.916C>T (p.Arg306Ter)TP53Pathogeniccriteria provided, multiple submitters, no conflicts
142766NM_000546.6(TP53):c.455C>T (p.Pro152Leu)TP53Pathogenicreviewed by expert panel
182930NM_000546.6(TP53):c.493C>T (p.Gln165Ter)TP53Pathogeniccriteria provided, multiple submitters, no conflicts
233908NM_000546.6(TP53):c.902del (p.Pro301fs)TP53Pathogeniccriteria provided, multiple submitters, no conflicts
233951NM_000546.6(TP53):c.517G>A (p.Val173Met)TP53Pathogenicreviewed by expert panel
458560NM_000546.6(TP53):c.731G>C (p.Gly244Ala)TP53Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
481003NM_000546.6(TP53):c.376-1G>ATP53Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
977783NM_000546.6(TP53):c.610G>T (p.Glu204Ter)TP53Pathogeniccriteria provided, multiple submitters, no conflicts
977782NM_000077.5(CDKN2A):c.233_234del (p.Leu78fs)CDKN2ALikely pathogenicno assertion criteria provided
977766NM_005228.5(EGFR):c.2235_2237del (p.Glu746del)EGFRLikely pathogenicno assertion criteria provided
412537NM_000455.5(STK11):c.1071G>T (p.Glu357Asp)LOC130062899Conflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 94 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Somatic driver evidence (intOGen + CIViC, cohort fanout)

GeneintOGen roleCancer typesCIViC
BRAFActBLCA,BRCA,CHOL,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,GBM,GIST,HGGNOS,LGGNOS,LUAD,MEL,MLYM,NSCLC,OVT,PAST,PCM,PRAD,PRCC,PROSTATE,READ,SACA,SKCM,STAD,UCEC,WDTCCIViC #5
TP53LoFACC,ALL,AML,ANGS,ANSC,BCC,BL,BLADDER,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,CHRCC,CLLSLL,COAD,COADREAD,CSCC,DLBCLNOS,EGC,ES,ESCA,ESCC,GB,GBC,GBM,GIST,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LMS,LNM,LUAD,LUSC,MBL,MEL,MLYM,MT,NBL,NETNOS,NHL,NPC,NSCLC,OS,OVT,PAAD,PANCREAS,PAST,PCM,PLMESO,PRAD,PRCC,PROSTATE,RCC,READ,SACA,SARCNOS,SCLC,SIC,SKCM,SKIN,SOFT_TISSUE,STAD,STOMACH,THYM,UCEC,UCS,UTUC,VULVA,WDTC,WTCIViC #45
CDKN2ALoFACYC,BLCA,BRCA,CHOL,COAD,COADREAD,CSCC,EGC,ESCA,ESCC,GBM,HCC,HNSC,LGGNOS,LUAD,LUSC,MEL,MLYM,NPC,NSCLC,OS,PAAD,PANCREAS,RCC,SKCM,SKIN,STAD,STOMACH,WDTCCIViC #14
PREX2ActBLCA,BRCA,COAD,DLBCLNOS,ESCA,ESCC,HCC,MEL,OVT,PANCREAS,PRAD,STADCIViC #15344
EGFRActBRCA,COADREAD,GB,GBM,HGGNOS,LGGNOS,LUAD,LUSC,NSCLC,PAST,PCM,READ,SICCIViC #19
FHITActDLBCLNOSCIViC #1893
HRASActANGS,BLCA,BRCA,COADREAD,CSCC,HNSC,LUSC,NPC,PGNG,PRAD,PROSTATE,THYM,UTUC,WDTCCIViC #2747
KITActAML,GIST,MEL,MGCTCIViC #29
MMP2CIViC #3549
ABL1LoFUCECCIViC #4
PIK3CAActACYC,ANGS,ANSC,BCC,BLADDER,BLCA,BRCA,CCRCC,CEAD,CESC,CHOL,COAD,COADREAD,EPM,ESCA,ESCC,GB,GBM,HCC,HGGNOS,HNSC,LGGNOS,LIPO,LMS,LUAD,LUSC,MBL,MGCT,NPC,NSCLC,OVT,PAAD,PAST,PLMESO,PRAD,PRCC,PROSTATE,RCC,SACA,SKCM,SOFT_TISSUE,STAD,UCEC,UCS,UTUC,VULVA,WDTCCIViC #37
RB1LoFACC,BLADDER,BLCA,BRCA,CESC,ESCA,GB,GBM,GIST,HCC,HNSC,LGGNOS,LIPO,LMS,LUAD,LUSC,MEL,MT,NSCLC,OS,OVT,PANCREAS,PCM,PRAD,PROSTATE,RBL,SCLC,SKCM,SOFT_TISSUE,STAD,STOMACH,UCEC,UCSCIViC #4795

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
BRAFOrphanet:1340Cardiofaciocutaneous syndrome
BRAFOrphanet:146Differentiated thyroid carcinoma
BRAFOrphanet:251615Pilomyxoid astrocytoma
BRAFOrphanet:389Langerhans cell histiocytosis
BRAFOrphanet:500Noonan syndrome with multiple lentigines
BRAFOrphanet:54595Craniopharyngioma
BRAFOrphanet:58017Classic hairy cell leukemia
BRAFOrphanet:626Large/giant congenital melanocytic nevus
BRAFOrphanet:648Noonan syndrome
BRAFOrphanet:840Syringocystadenoma papilliferum
BRAFOrphanet:96253Cushing disease
TP53Orphanet:1333Familial pancreatic carcinoma
TP53Orphanet:145Hereditary breast and/or ovarian cancer syndrome
TP53Orphanet:1501Adrenocortical carcinoma
TP53Orphanet:210159Adult hepatocellular carcinoma
TP53Orphanet:251576Gliosarcoma
TP53Orphanet:251579Giant cell glioblastoma
TP53Orphanet:251899Choroid plexus carcinoma
TP53Orphanet:2807Papilloma of choroid plexus
TP53Orphanet:293199Pleomorphic rhabdomyosarcoma
TP53Orphanet:3318Essential thrombocythemia
TP53Orphanet:524Li-Fraumeni syndrome
TP53Orphanet:52688Myelodysplastic syndrome
TP53Orphanet:585909B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2)
TP53Orphanet:667662Breast implant-associated anaplastic large cell lymphoma
TP53Orphanet:668Osteosarcoma
TP53Orphanet:67038B-cell chronic lymphocytic leukemia
TP53Orphanet:70573Small cell lung cancer
TP53Orphanet:96253Cushing disease
TP53Orphanet:99756Alveolar rhabdomyosarcoma
TP53Orphanet:99757Embryonal rhabdomyosarcoma
CDKN2AOrphanet:1333Familial pancreatic carcinoma
CDKN2AOrphanet:1501Adrenocortical carcinoma
CDKN2AOrphanet:252206Melanoma and neural system tumor syndrome
CDKN2AOrphanet:404560Familial atypical multiple mole melanoma syndrome
CDKN2AOrphanet:524Li-Fraumeni syndrome
CDKN2AOrphanet:585909B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2)
CDKN2AOrphanet:618Familial melanoma
CDKN2AOrphanet:99861Precursor T-cell acute lymphoblastic leukemia
ANKRD17Orphanet:528084Non-specific syndromic intellectual disability
LRRC56Orphanet:244Primary ciliary dyskinesia
EGFROrphanet:251576Gliosarcoma
EGFROrphanet:251579Giant cell glioblastoma
FHITOrphanet:422526Hereditary clear cell renal cell carcinoma
GRIK2Orphanet:528084Non-specific syndromic intellectual disability
GRIK2Orphanet:88616Autosomal recessive non-syndromic intellectual disability
HRASOrphanet:146Differentiated thyroid carcinoma
HRASOrphanet:2612Linear nevus sebaceus syndrome
HRASOrphanet:2874Phakomatosis pigmentokeratotica
HRASOrphanet:3071Costello syndrome

Cohort genes → proteins

20 cohort genes, 20 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence20

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
BRAFHGNC:1097ENSG00000157764P15056Serine/threonine-protein kinase B-rafclinvar
SNTB1HGNC:11168ENSG00000172164Q13884Beta-1-syntrophinclinvar
TP53HGNC:11998ENSG00000141510P04637Cellular tumor antigen p53clinvar
CDKN2AHGNC:1787ENSG00000147889P42771Cyclin-dependent kinase inhibitor 2Aclinvar
CNTN4HGNC:2174ENSG00000144619Q8IWV2Contactin-4clinvar
PREX2HGNC:22950ENSG00000046889Q70Z35Phosphatidylinositol 3,4,5-trisphosphate-dependent Rac exchanger 2 proteinclinvar
SAMD4AHGNC:23023ENSG00000020577Q9UPU9Protein Smaug homolog 1clinvar
ANKRD17HGNC:23575ENSG00000132466O75179Ankyrin repeat domain-containing protein 17clinvar
CCDC3HGNC:23813ENSG00000151468Q9BQI4Coiled-coil domain-containing protein 3clinvar
LRRC56HGNC:25430ENSG00000161328Q8IYG6Leucine-rich repeat-containing protein 56clinvar
EGFRHGNC:3236ENSG00000146648P00533Epidermal growth factor receptorclinvar
FHITHGNC:3701ENSG00000189283P49789Bis(5’-adenosyl)-triphosphataseclinvar
GRIK2HGNC:4580ENSG00000164418Q13002Glutamate receptor ionotropic, kainate 2clinvar
HRASHGNC:5173ENSG00000174775P01112GTPase HRasclinvar
KITHGNC:6342ENSG00000157404P10721Mast/stem cell growth factor receptor Kitclinvar
LNX1HGNC:6657ENSG00000072201Q8TBB1E3 ubiquitin-protein ligase LNXclinvar
MMP2HGNC:7166ENSG00000087245P0825372 kDa type IV collagenaseclinvar
ABL1HGNC:76ENSG00000097007P00519Tyrosine-protein kinase ABL1clinvar
PIK3CAHGNC:8975ENSG00000121879P42336Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoformclinvar
RB1HGNC:9884ENSG00000139687P06400Retinoblastoma-associated proteinclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
BRAFSerine/threonine-protein kinase B-rafProtein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus.
SNTB1Beta-1-syntrophinAdapter protein that binds to and probably organizes the subcellular localization of a variety of membrane proteins.
TP53Cellular tumor antigen p53Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence.
CDKN2ACyclin-dependent kinase inhibitor 2AActs as a negative regulator of the proliferation of normal cells by interacting strongly with CDK4 and CDK6.
CNTN4Contactin-4Contactins mediate cell surface interactions during nervous system development.
PREX2Phosphatidylinositol 3,4,5-trisphosphate-dependent Rac exchanger 2 proteinFunctions as a RAC1 guanine nucleotide exchange factor (GEF), activating Rac proteins by exchanging bound GDP for free GTP.
SAMD4AProtein Smaug homolog 1Acts as a translational repressor of SRE-containing messengers.
ANKRD17Ankyrin repeat domain-containing protein 17Could play pivotal roles in cell cycle and DNA regulation.
CCDC3Coiled-coil domain-containing protein 3Negatively regulates TNF-induced pro-inflammatory response in endothelial cells (ECs) via inhibition of TNF-induced NF-kappaB activation in ECs.
LRRC56Leucine-rich repeat-containing protein 56Required for the assembly of dynein arms.
EGFREpidermal growth factor receptorReceptor tyrosine kinase binding ligands of the EGF family and activating several signaling cascades to convert extracellular cues into appropriate cellular responses.
FHITBis(5’-adenosyl)-triphosphatasePossesses dinucleoside triphosphate hydrolase activity.
GRIK2Glutamate receptor ionotropic, kainate 2Ionotropic glutamate receptor that functions as a cation-permeable ligand-gated ion channel, gated by L-glutamate and the glutamatergic agonist kainic acid.
HRASGTPase HRasInvolved in the activation of Ras protein signal transduction.
KITMast/stem cell growth factor receptor KitTyrosine-protein kinase that acts as a cell-surface receptor for the cytokine KITLG/SCF and plays an essential role in the regulation of cell survival and proliferation, hematopoiesis, stem cell maintenance, gametogenesis, mast cell develo…
LNX1E3 ubiquitin-protein ligase LNXE3 ubiquitin-protein ligase that mediates ubiquitination and subsequent proteasomal degradation of NUMB.
MMP272 kDa type IV collagenaseUbiquitinous metalloproteinase that is involved in diverse functions such as remodeling of the vasculature, angiogenesis, tissue repair, tumor invasion, inflammation, and atherosclerotic plaque rupture.
ABL1Tyrosine-protein kinase ABL1Non-receptor tyrosine-protein kinase that plays a role in many key processes linked to cell growth and survival such as cytoskeleton remodeling in response to extracellular stimuli, cell motility and adhesion, receptor endocytosis, autopha…
PIK3CAPhosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoformPhosphoinositide-3-kinase (PI3K) phosphorylates phosphatidylinositol (PI) and its phosphorylated derivatives at position 3 of the inositol ring to produce 3-phosphoinositides.
RB1Retinoblastoma-associated proteinTumor suppressor that is a key regulator of the G1/S transition of the cell cycle.

Protein-family classification

Druggable: 9 · Difficult: 6 · Unknown: 5 · Druggable fraction: 0.45

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
Kinase56.9×0.004
Scaffold/PPI43.5×0.090
Protease11.8×0.708
Antibody/Immunoglobulin11.5×0.708
Enzyme (other)21.2×0.708
Transcription factor20.8×0.835
Other/Unknown50.5×0.999

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
BRAFKinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE
SNTB1Scaffold/PPInoPDZ, PH_domain, PH-like_dom_sf
TP53Transcription factornop53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn
CDKN2AScaffold/PPInoAnkyrin_rpt-contain_sf, Ank_Repeat/CDKN_Inhibitor, Tumor_suppres_ARF
CNTN4Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
PREX2Scaffold/PPInoDH_dom, DEP_dom, GDS_CDC24_CS
SAMD4AOther/UnknownnoSAM, SAM/pointed_sf, PHAT_dom_sf
ANKRD17Scaffold/PPInoAnkyrin_rpt, KH_dom, KH_dom_type_1
CCDC3Other/UnknownnoCCDC3
LRRC56Other/UnknownnoLeu-rich_rpt, Leu-rich_rpt_4, LRR_dom_sf
EGFRKinaseyes2.7.10.1Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
FHITEnzyme (other)yes3.6.1.29HIT-like, Histidine_triad_CS, HIT-like_sf
GRIK2Other/UnknownnoIontro_rcpt_C, Iono_Glu_rcpt_met, ANF_lig-bd_rcpt
HRASEnzyme (other)yes3.6.5.2Small_GTPase, Small_GTP-bd, Small_GTPase_Ras-type
KITKinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Tyr_kinase_rcpt_3_CS
LNX1Transcription factornoPDZ, Znf_RING, Znf_RING/FYVE/PHD
MMP2Proteaseyes3.4.24.24FN_type2_dom, Hemopexin-like_dom, Pept_M10_metallopeptidase
ABL1Kinaseyes2.7.10.2Prot_kinase_dom, SH2, Ser-Thr/Tyr_kinase_cat_dom
PIK3CAKinaseyes2.7.1.137PI3K_Ras-bd_dom, PI3/4_kinase_cat_dom, PI3K_accessory_dom
RB1Other/UnknownnoRB_B, RB_A, Cyclin-like_dom

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

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

Top tissues across cohort

TissueCohort genes
calcaneal tendon3
visceral pleura3
buccal mucosa cell2
right adrenal gland2
right adrenal gland cortex2
parotid gland2
lateral nuclear group of thalamus2
secondary oocyte2
colonic epithelium1
left adrenal gland1
ganglionic eminence1
tendon of biceps brachii1
ventricular zone1
cervix squamous epithelium1
pituitary gland1
sperm1
endothelial cell1
dorsal motor nucleus of vagus nerve1
heart right ventricle1
inferior olivary complex1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
BRAF265ubiquitousmarkerbuccal mucosa cell, colonic epithelium, calcaneal tendon
SNTB1245ubiquitousmarkerright adrenal gland, right adrenal gland cortex, left adrenal gland
TP53223ubiquitousmarkerventricular zone, ganglionic eminence, tendon of biceps brachii
CDKN2A220ubiquitousmarkerparotid gland, cervix squamous epithelium, pituitary gland
CNTN4214broadmarkersperm, buccal mucosa cell, lateral nuclear group of thalamus
PREX2241broadmarkercalcaneal tendon, endothelial cell, visceral pleura
SAMD4A288ubiquitousmarkerdorsal motor nucleus of vagus nerve, inferior olivary complex, heart right ventricle
ANKRD17292ubiquitousmarkersecondary oocyte, sural nerve, visceral pleura
CCDC3231broadmarkersaphenous vein, right coronary artery, upper arm skin
LRRC56129broadmarkerright uterine tube, right testis, left testis
EGFR285ubiquitousmarkernipple, gingiva, gingival epithelium
FHIT188ubiquitousmarkerright adrenal gland, right adrenal gland cortex, left adrenal gland cortex
GRIK2213broadmarkercerebellar vermis, cerebellar cortex, cerebellar hemisphere
HRAS139ubiquitousmarkerskin of abdomen, skin of leg, zone of skin
KIT263broadmarkerlateral nuclear group of thalamus, secondary oocyte, oocyte
LNX1256broadmarkeresophagus squamous epithelium, middle temporal gyrus, parotid gland
MMP2262ubiquitousmarkerstromal cell of endometrium, gall bladder, mucosa of stomach
ABL1283ubiquitousmarkerfrontal pole, paraflocculus, middle frontal gyrus
PIK3CA284ubiquitousmarkercalcaneal tendon, adrenal tissue, tendon
RB1287ubiquitousmarkerepithelium of nasopharynx, choroid plexus epithelium, visceral pleura

Protein interactions among cohort

Intra-cohort edges: 22.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TP5322,736
EGFR18,421
CDKN2A9,311
HRAS8,064
BRAF7,394
ABL16,937
KIT6,087
LNX15,295
PIK3CA5,157
MMP24,603

Intra-cohort edges

ABSources
ABL1EGFRintact
ABL1RB1biogrid_interaction
ABL1TP53string_interaction
BRAFCDKN2Astring_interaction
BRAFEGFRbiogrid_interaction
BRAFHRASintact, string_interaction
BRAFPIK3CAbiogrid_interaction, string_interaction
BRAFPREX2intact
BRAFTP53string_interaction
CCDC3TP53biogrid_interaction
CDKN2AFHITstring_interaction
CDKN2AHRASstring_interaction
CDKN2ARB1string_interaction
CDKN2ATP53string_interaction
EGFRHRASstring_interaction
EGFRPIK3CAstring_interaction
FHITTP53string_interaction
HRASTP53string_interaction
KITPIK3CAbiogrid_interaction
KITTP53biogrid_interaction
PIK3CAPREX2string_interaction
RB1TP53string_interaction

Structural data

PDB: 16 · AlphaFold-only: 4 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
EGFRP00533388
TP53P04637313
HRASP01112246
PIK3CAP42336135
BRAFP15056131
ABL1P0051985
KITP1072152
RB1P0640019
MMP2P0825314
FHITP497899
CDKN2AP427715
LNX1Q8TBB13
SNTB1Q138842
GRIK2Q130022
PREX2Q70Z351
SAMD4AQ9UPU91

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
CNTN4Q8IWV286.72
CCDC3Q9BQI476.13
LRRC56Q8IYG656.07
ANKRD17O7517953.73

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 350. Enrichment computed across 20 evidence-associated genes (15 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 15 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Constitutive Signaling by EGFRvIII3142.8×2e-04EGFR, HRAS, PIK3CA
Signaling by ERBB2 ECD mutants3134.3×2e-04EGFR, HRAS, PIK3CA
Constitutive Signaling by Ligand-Responsive EGFR Cancer Variants3114.2×2e-04EGFR, HRAS, PIK3CA
Signaling by phosphorylated juxtamembrane, extracellular and kinase domain KIT mutants3103.8×2e-04HRAS, KIT, PIK3CA
RAF/MAP kinase cascade520.4×2e-04BRAF, EGFR, HRAS, KIT, PIK3CA
Signaling by ERBB2 KD Mutants384.6×3e-04EGFR, HRAS, PIK3CA
Oncogene Induced Senescence367.2×5e-04TP53, CDKN2A, RB1
Signaling by SCF-KIT349.6×0.001HRAS, KIT, PIK3CA
Cyclin D associated events in G1346.6×0.001CDKN2A, ABL1, RB1
EGFR Transactivation by Gastrin2152.3×0.003EGFR, HRAS
Extra-nuclear estrogen signaling334.1×0.003EGFR, MMP2, PIK3CA
Signaling by FGFR4 in disease2126.9×0.003HRAS, PIK3CA
Signaling by PDGFRA transmembrane, juxtamembrane and kinase domain mutants2117.1×0.003HRAS, PIK3CA
Signaling by PDGFRA extracellular domain mutants2117.1×0.003HRAS, PIK3CA
GRB2 events in EGFR signaling2101.5×0.003EGFR, HRAS
Stabilization of p532101.5×0.003TP53, CDKN2A
TFAP2 (AP-2) family regulates transcription of growth factors and their receptors2101.5×0.003EGFR, KIT
Signaling by FLT3 ITD and TKD mutants2101.5×0.003HRAS, PIK3CA
SHC1 events in EGFR signaling295.2×0.003EGFR, HRAS
PI3K events in ERBB2 signaling289.6×0.003EGFR, PIK3CA
Formation of Senescence-Associated Heterochromatin Foci (SAHF)289.6×0.003TP53, RB1
Constitutive Signaling by Aberrant PI3K in Cancer325.4×0.003EGFR, KIT, PIK3CA
GAB1 signalosome284.6×0.004EGFR, PIK3CA
GRB2 events in ERBB2 signaling284.6×0.004EGFR, HRAS
Tie2 Signaling280.1×0.004HRAS, PIK3CA
SUMOylation of transcription factors276.1×0.004TP53, CDKN2A
Signaling by FLT3 fusion proteins276.1×0.004HRAS, PIK3CA
Signaling by FGFR3 in disease266.2×0.005HRAS, PIK3CA
SHC1 events in ERBB2 signaling263.4×0.005EGFR, HRAS
Signaling by ERBB2 TMD/JMD mutants263.4×0.005EGFR, HRAS

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 20 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
neuron apoptotic process546.3×3e-05TP53, GRIK2, HRAS, ABL1, RB1
cellular senescence459.1×2e-04TP53, CDKN2A, HRAS, ABL1
epidermal growth factor receptor signaling pathway449.6×2e-04BRAF, EGFR, ABL1, PIK3CA
Ras protein signal transduction441.1×3e-04TP53, CDKN2A, HRAS, RB1
regulation of cell cycle518.6×6e-04TP53, CDKN2A, HRAS, ABL1, RB1
positive regulation of extracellular matrix organization2421.3×6e-04ABL1, RB1
T cell receptor signaling pathway430.4×6e-04BRAF, HRAS, ABL1, PIK3CA
myeloid progenitor cell differentiation2240.7×0.001BRAF, KIT
mitochondrial depolarization2240.7×0.001CDKN2A, ABL1
oncogene-induced cell senescence2240.7×0.001CDKN2A, HRAS
negative regulation of neuron apoptotic process422.2×0.001BRAF, GRIK2, HRAS, PIK3CA
epithelial cell proliferation346.8×0.002EGFR, KIT, RB1
positive regulation of fibroblast proliferation344.4×0.002EGFR, HRAS, ABL1
positive regulation of neuron apoptotic process340.8×0.002TP53, GRIK2, ABL1
negative regulation of glial cell proliferation2168.5×0.002TP53, RB1
somatic stem cell population maintenance337.2×0.002BRAF, CDKN2A, KIT
cellular response to xenobiotic stimulus336.1×0.002BRAF, TP53, RB1
positive regulation of ERK1 and ERK2 cascade417.0×0.002BRAF, EGFR, HRAS, ABL1
phosphatidylinositol 3-kinase/protein kinase B signal transduction331.6×0.003PREX2, EGFR, PIK3CA
regulation of T cell differentiation2120.4×0.003BRAF, ABL1
rRNA transcription299.1×0.004TP53, CDKN2A
regulation of long-term neuronal synaptic plasticity299.1×0.004GRIK2, HRAS
replicative senescence299.1×0.004TP53, CDKN2A
negative regulation of gene expression413.8×0.004CCDC3, HRAS, PIK3CA, RB1
glial cell proliferation288.7×0.005TP53, RB1
positive regulation of cell migration412.3×0.006EGFR, HRAS, KIT, MMP2
positive regulation of peptidyl-serine phosphorylation276.6×0.006BRAF, EGFR
negative regulation of cell growth321.6×0.007TP53, CDKN2A, RB1
cellular response to gamma radiation260.2×0.010TP53, HRAS
chromosome organization258.1×0.010TP53, RB1

Therapeutics

Drug target analysis

Approved (phase 4): 8 · Phase ≥3: 10 · Phased (≥1): 11 · Undrugged: 9

Druggability breadth: 12 of 20 evidence-associated genes (60%) 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
BRAFVEMURAFENIB
TP53NITROFURANTOIN
EGFRLEVODOPA
HRASLONAFARNIB
KITPONATINIB
MMP2DOXYCYCLINE
ABL1PONATINIB
PIK3CAIDELALISIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
TP531964
EGFR1754
ABL11224
KIT994
PIK3CA674
BRAF484
MMP2264
HRAS44
GRIK223
FHIT13

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
VEMURAFENIB4BRAF, EGFR
PONATINIB4ABL1, BRAF, EGFR, KIT
FEDRATINIB4ABL1, BRAF, EGFR, KIT, PIK3CA
SORAFENIB4ABL1, BRAF, EGFR, KIT
DASATINIB ANHYDROUS4ABL1, BRAF, EGFR, KIT
RUXOLITINIB4ABL1, BRAF, KIT
INFIGRATINIB PHOSPHATE4ABL1, BRAF, KIT
INFIGRATINIB4ABL1, BRAF, KIT
REGORAFENIB4ABL1, BRAF, KIT
DABRAFENIB4ABL1, BRAF
COBIMETINIB4BRAF
NILOTINIB4ABL1, BRAF, KIT
ABEMACICLIB4BRAF, EGFR
ENCORAFENIB4BRAF
TOVORAFENIB4ABL1, BRAF
PAZOPANIB4ABL1, BRAF, KIT
DASATINIB4ABL1, BRAF, EGFR, KIT, PIK3CA
ERLOTINIB4ABL1, BRAF, EGFR, KIT
GEFITINIB4ABL1, BRAF, EGFR, KIT
IMATINIB4ABL1, BRAF, EGFR, KIT
NITROFURANTOIN4TP53
DIOSMIN4TP53
VERTEPORFIN4TP53
CANDESARTAN CILEXETIL4TP53
DIENESTROL4TP53
CLOTRIMAZOLE4EGFR, TP53
COLCHICINE4TP53
NABUMETONE4TP53
SALMETEROL XINAFOATE4TP53
AMIODARONE HYDROCHLORIDE4TP53

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 8.

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

SymbolAssaysType breakdown
EGFR6,531Binding:6211, Functional:173, ADMET:138, Toxicity:9
ABL13,282Binding:3254, ADMET:16, Functional:10, Toxicity:2
KIT2,305Binding:2242, ADMET:32, Functional:22, Toxicity:9
PIK3CA2,034Binding:2009, ADMET:19, Toxicity:4, Functional:2
BRAF1,442Binding:1400, Functional:37, ADMET:5
TP53869Binding:775, ADMET:83, Functional:10, Toxicity:1
MMP2771Binding:735, ADMET:28, Functional:7, Unclassified:1
GRIK292Binding:66, Functional:26
RB159Binding:59
HRAS48Binding:45, Functional:3
FHIT21Binding:19, ADMET:2
CDKN2A2Binding:2

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
BRAF2.7.10.2, 2.7.11.1non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase
EGFR2.7.10.1receptor protein-tyrosine kinase
FHIT3.6.1.29bis(5’-adenosyl)-triphosphatase
HRAS3.6.5.2small monomeric GTPase
KIT2.7.10.1receptor protein-tyrosine kinase
MMP23.4.24.24gelatinase A
ABL12.7.10.2non-specific protein-tyrosine kinase
PIK3CA2.7.1.137, 2.7.1.153, 2.7.11.1phosphatidylinositol 3-kinase, phosphatidylinositol-4,5-bisphosphate 3-kinase, non-specific serine/threonine protein kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
BRAF1,442
TP53869
EGFR6,531
KIT2,305
MMP2771
ABL13,282
PIK3CA2,034

Pharmacogenomics

Cohort genes with a PharmGKB record: 20; with CPIC/DPWG dosing guidelines: 0.

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

Drug repurposing candidates

29 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.

CompoundMax phaseCohort target (bioactivity)
VEMURAFENIB4BRAF, EGFR
PONATINIB4ABL1, BRAF, EGFR, KIT
FEDRATINIB4ABL1, BRAF, EGFR, KIT, PIK3CA
SORAFENIB4ABL1, BRAF, EGFR, KIT
DASATINIB ANHYDROUS4ABL1, BRAF, EGFR, KIT
RUXOLITINIB4ABL1, BRAF, KIT
INFIGRATINIB PHOSPHATE4ABL1, BRAF, KIT
INFIGRATINIB4ABL1, BRAF, KIT
REGORAFENIB4ABL1, BRAF, KIT
DABRAFENIB4ABL1, BRAF
COBIMETINIB4BRAF
NILOTINIB4ABL1, BRAF, KIT
ABEMACICLIB4BRAF, EGFR
ENCORAFENIB4BRAF
TOVORAFENIB4ABL1, BRAF
PAZOPANIB4ABL1, BRAF, KIT
DASATINIB4ABL1, BRAF, EGFR, KIT, PIK3CA
GEFITINIB4ABL1, BRAF, EGFR, KIT
IMATINIB4ABL1, BRAF, EGFR, KIT
NITROFURANTOIN4TP53
DIOSMIN4TP53
VERTEPORFIN4TP53
CANDESARTAN CILEXETIL4TP53
DIENESTROL4TP53
CLOTRIMAZOLE4EGFR, TP53
COLCHICINE4TP53
NABUMETONE4TP53
SALMETEROL XINAFOATE4TP53
AMIODARONE HYDROCHLORIDE4TP53

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)8BRAF, TP53, EGFR, HRAS, KIT, MMP2, ABL1, PIK3CA
BPhased (≥1) drug, not yet approved3FHIT, GRIK2, RB1
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug1CNTN4
EDifficult family or no structure, no drug8SNTB1, CDKN2A, PREX2, SAMD4A, ANKRD17, CCDC3, LRRC56, LNX1

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
PREX20PIK3CA
SNTB10
CDKN2A2
CNTN40
SAMD4A0
ANKRD170
CCDC30
LRRC560
LNX10

Clinical trials & evidence

Clinical trials

Clinical trials: 211.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified132
PHASE230
PHASE117
PHASE313
PHASE2/PHASE37
PHASE1/PHASE26
PHASE43
EARLY_PHASE13

Top trials by phase / activity

NCTPhaseStatusTitle
NCT01418118PHASE4COMPLETEDAssessment of the Effects of Pressors on Graft Blood Flow After Free Tissue Transfer Surgery
NCT03017053PHASE4UNKNOWNThe Optimal Neck Treatments Strategy of Early Oral Cancer Based on Adverse Pathological Factor
NCT03684707PHASE4UNKNOWNCancer Chemoprevention by Metformin Hydrochloride Compared to Placebo in Oral Potentially Malignant Lesions
NCT04333537PHASE2/PHASE3RECRUITINGComparing Sentinel Lymph Node (SLN) Biopsy With Standard Neck Dissection for Patients With Early-Stage Oral Cavity Cancer
NCT05063552PHASE2/PHASE3ACTIVE_NOT_RECRUITINGTesting the Use of Investigational Drugs Atezolizumab and/or Bevacizumab With or Without Standard Chemotherapy in the Second-Line Treatment of Advanced-Stage Head and Neck Cancers
NCT05429099PHASE2/PHASE3RECRUITINGMandibular Reconstruction Preplanning (ViPMR)
NCT05721755PHASE3ACTIVE_NOT_RECRUITINGCombining Radiation Therapy With Immunotherapy for the Treatment of Metastatic Squamous Cell Carcinoma of the Head and Neck
NCT06589804PHASE3RECRUITINGTesting the Addition of Anti-Cancer Drug, Cetuximab, to Standard of Care Treatment (Pembrolizumab) for Returning or Spreading Head and Neck Cancer After Previous Treatment
NCT06737822PHASE3RECRUITINGUpfront Surgery Vs Induction Chemotherapy Followed By Surgery In Oral Cancers:
NCT07402538PHASE3NOT_YET_RECRUITINGSurgery With or Without Neoadjuvant Treatment of SBRT Plus Chemoimmunotherapy in Resectable Locally Advanced Oral and HPV-unrelated Oropharyngeal Squamous Cell Carcinoma
NCT07441681PHASE3NOT_YET_RECRUITINGComparing Radiation Plus Cetuximab to Radiation Plus Chemotherapy in People With Head and Neck Cancer Who Cannot Receive Cisplatin
NCT00158652PHASE3COMPLETEDAccelerated Radiotherapy and Concomitant Chemo-radiotherapy in HNSCC
NCT00158678PHASE3COMPLETEDIMRT Plus Cisplatin Versus Conventional Radiotherapy Plus Cisplatin in Stage III-IV HNSCC
NCT00162708PHASE2/PHASE3COMPLETEDVery Intense Radiotherapy-Chemotherapy Regimen in Advanced HNSCC
NCT00402779PHASE3COMPLETEDErlotinib Prevention of Oral Cancer (EPOC)
NCT00655421PHASE3UNKNOWNOral Cancer Screening in Mumbai, India by Primary Health Care Workers
NCT00750503PHASE3COMPLETEDWorkplace Tobacco Cessation And Oral Cancer Screening Study
NCT00964977PHASE3COMPLETEDEffectiveness of Adjuvant Radiotherapy in Small Oropharyngeal Squamous Cell Cancer and Single Lymph Node Metastasis.
NCT01039298PHASE3UNKNOWNEfficacy of Optically-guided Surgery in the Management of Early-staged Oral Cancer - COOLS TRIAL
NCT01434394PHASE2/PHASE3COMPLETEDNeoadjuvant Erbitux Based Chemotherapy for Locally Advanced Oral/Oropharyngeal Cancer
NCT03258554PHASE2/PHASE3COMPLETEDRadiation Therapy With Durvalumab or Cetuximab in Treating Patients With Locoregionally Advanced Head and Neck Cancer Who Cannot Take Cisplatin
NCT03685409PHASE3UNKNOWNCancer Chemoprevention by Metformin Hydrochloride in Oral Potentially Malignant Lesions
NCT05865548PHASE2/PHASE3COMPLETEDAddition of Aspirin to Standard of Care in Oral Cancer
NCT02734537PHASE2RECRUITINGRadiation Therapy With or Without Cisplatin in Treating Patients With Stage III-IVA Squamous Cell Carcinoma of the Head and Neck Who Have Undergone Surgery
NCT03174275PHASE2ACTIVE_NOT_RECRUITINGCarboplatin, Nab-Paclitaxel, Durvalumab Before Surgery and Adjuvant Therapy in Head and Neck Squamous Cell Carcinoma
NCT03383094PHASE2ACTIVE_NOT_RECRUITINGChemoradiation vs Immunotherapy and Radiation for Head and Neck Cancer
NCT03529422PHASE2ACTIVE_NOT_RECRUITINGDurvalumab With Radiotherapy for Adjuvant Treatment of Intermediate Risk SCCHN
NCT04191460PHASE2RECRUITINGFluorescence-guided Surgery Using cRGD-ZW800-1 in Oral Cancer
NCT04862650PHASE2ACTIVE_NOT_RECRUITINGCemiplimab, Low-Dose Paclitaxel and Carboplatin for the Treatment of Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck
NCT05136196PHASE2RECRUITINGBiCaZO: A Study Combining Two Immunotherapies (Cabozantinib and Nivolumab) to Treat Patients With Advanced Melanoma or Squamous Cell Head and Neck Cancer, an immunoMATCH Pilot Study
NCT05172258PHASE2ACTIVE_NOT_RECRUITINGTesting the Addition of an Anti-cancer Drug, Ipatasertib, to the Usual Immunotherapy Treatment (Pembrolizumab) in Patients With Recurrent or Metastatic Squamous Cell Cancer of the Head and Neck
NCT05941338PHASE2RECRUITINGTirelizumab in Combination With Carboplatin and Albumin-binding Paclitaxel for Neoadjuvant Therapy in HNSCC
NCT05980702PHASE2RECRUITING4 Courses vs 2 Courses of Pembrolizumab Combined With Carboplatin and Albumin-binding Paclitaxel of Neoadjuvant Therapy in HNSCC
NCT06130332PHASE2RECRUITINGNeoadjuvant Tirellizumab Combined With Chemotherapy for Early Oral Squamous Cell Carcinoma(HNC-SYSU-004)
NCT06532279PHASE2RECRUITINGTesting the Addition of the Drug BMX-001, a Radioprotector, or a Placebo to the Usual Chemoradiation Therapy for Patients With Head and Neck Cancer
NCT06627270PHASE2RECRUITINGAntibiotic Treatment Effects on Intratumoral Bacteria Modulation in Surgical Patients With Oral Cancer
NCT06636734PHASE2RECRUITINGLovastatin and Pembrolizumab for the Treatment of Patients With Recurrent or Metastatic Head and Neck Cancer, LAPP Trial
NCT06876038PHASE2NOT_YET_RECRUITINGLow-cost Screening and Image-guided Photodynamic Therapy (PDT) of Premalignant and Malignant Oral Lesions
NCT06980038PHASE2RECRUITINGTesting Whether Cemiplimab (REGN2810) Plus CDX-1140 Given Prior to Surgery Are Better Than Cemiplimab (REGN2810) Alone in Patients With Stage III-IV Head and Neck Cancer
NCT06997068PHASE2RECRUITINGMethotrexate, Erlotinib, and Celecoxib for the Treatment of Recurrent/Metastatic Head and Neck Cancer in a Rural Midwest United States Population

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
CETUXIMAB43
ATEZOLIZUMAB41
BRODALUMAB41
CABOZANTINIB41
CEMIPLIMAB41
CHLORHEXIDINE41
DEZOCINE41
DOBUTAMINE41
DURVALUMAB41
EPINEPHRINE41
ERLOTINIB41
FLUDEOXYGLUCOSE F 1841
LOVASTATIN41
MOGAMULIZUMAB41
NALBUPHINE41
NAPROXEN SODIUM41
NOREPINEPHRINE41
SODIUM THIOSULFATE41
TECHNETIUM TC 99M SULFUR COLLOID41
TEMSIROLIMUS41
IPATASERTIB32
QUERCETIN31
STARCH31
XEVINAPANT31
PROFLAVINE24
CAMONSERTIB21
CONTUSUGENE LADENOVEC21
DOPEXAMINE21
RACEPINEPHRINE21
TOZULERISTIDE21