Loeys-Dietz syndrome

disease
On this page

Also known as aortic aneurysm syndrome due to TGF-beta receptors anomaliesaortic aneurysm syndrome, Loeys-Dietz type

Summary

Loeys-Dietz syndrome (MONDO:0018954) is a disease (an umbrella term covering 6 Mondo subtypes) caused by SMAD2 (GenCC Strong), with 14 cohort genes and 10 clinical trials. The dominant Reactome pathway is TGF-beta receptor signaling activates SMADs (7 cohort genes).

At a glance

  • Prevalence: Unknown (Worldwide) [Orphanet-validated]
  • Causal gene: SMAD2 (GenCC Strong)
  • Umbrella term: 6 Mondo subtypes
  • Cohort genes: 14
  • ClinVar variants: 282
  • Phenotypes (HPO): 38
  • Clinical trials: 10

Clinical features

Epidemiology

Prevalence records

1 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Cases/families52WorldwideValidated

Signs & symptoms

Clinical features (HPO)

38 HPO clinical features (Orphanet curated; top 38 by frequency):

HPO IDTermFrequency
HP:0001643Patent ductus arteriosusVery frequent (80-99%)
HP:0001763Pes planusVery frequent (80-99%)
HP:0002617DilatationVery frequent (80-99%)
HP:0002647Aortic dissectionVery frequent (80-99%)
HP:0004942Aortic aneurysmVery frequent (80-99%)
HP:0005116Arterial tortuosityVery frequent (80-99%)
HP:0005294Arterial dissectionVery frequent (80-99%)
HP:0100718Uterine ruptureVery frequent (80-99%)
HP:0000098Tall statureFrequent (30-79%)
HP:0000175Cleft palateFrequent (30-79%)
HP:0000193Bifid uvulaFrequent (30-79%)
HP:0000202Orofacial cleftFrequent (30-79%)
HP:0000272Malar flatteningFrequent (30-79%)
HP:0000316HypertelorismFrequent (30-79%)
HP:0000347MicrognathiaFrequent (30-79%)
HP:0000592Blue scleraeFrequent (30-79%)
HP:0000964Eczematoid dermatitisFrequent (30-79%)
HP:0000987Atypical scarring of skinFrequent (30-79%)
HP:0001065Striae distensaeFrequent (30-79%)
HP:0001166ArachnodactylyFrequent (30-79%)
HP:0001363CraniosynostosisFrequent (30-79%)
HP:0001382Joint hypermobilityFrequent (30-79%)
HP:0001762Talipes equinovarusFrequent (30-79%)
HP:0002099AsthmaFrequent (30-79%)
HP:0002650ScoliosisFrequent (30-79%)
HP:0100490Camptodactyly of fingerFrequent (30-79%)
HP:0001382Joint hypermobilityOccasional (5-29%)
HP:0000545MyopiaOccasional (5-29%)
HP:0000767Pectus excavatumOccasional (5-29%)
HP:0000768Pectus carinatumOccasional (5-29%)
HP:0000963Thin skinOccasional (5-29%)
HP:0000978Bruising susceptibilityOccasional (5-29%)
HP:0001373Joint dislocationOccasional (5-29%)
HP:0001653Mitral regurgitationOccasional (5-29%)
HP:0001695Cardiac arrestOccasional (5-29%)
HP:0001892Abnormal bleedingOccasional (5-29%)
HP:0002108Spontaneous pneumothoraxOccasional (5-29%)
HP:0410151Eosinophilic infiltration of the esophagusOccasional (5-29%)

Identifiers

Disease identifiers

FieldValue
Canonical nameLoeys-Dietz syndrome
Mondo IDMONDO:0018954
MeSHD055947
OMIM609192
Orphanet60030
DOIDDOID:0050466
NCITC75006
SNOMED CT446263001
UMLSC2697932
MedGen395827
GARD0010788
NORD91173
Is cancer (heuristic)no

Also known as: aortic aneurysm syndrome due to TGF-beta receptors anomalies · aortic aneurysm syndrome, Loeys-Dietz type · Loeys-Dietz syndrome

Data availability: 282 ClinVar variants · 4 GenCC gene-disease records · 8 cell lines.

Disease family

An umbrella term covering 6 Mondo subtypes.

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary disease › autosomal genetic disease › autosomal dominant disease › Loeys-Dietz syndrome

Related subtypes (191): autosomal dominant polycystic liver disease, cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1, tuberous sclerosis, Treacher-Collins syndrome, hereditary breast ovarian cancer syndrome, autosomal dominant polycystic kidney disease, Lynch syndrome, branchio-oto-renal syndrome, autosomal dominant Aarskog syndrome, acroosteolysis dominant type, ADULT syndrome, autosomal dominant Alport syndrome, amelogenesis imperfecta type 1B, Townes-Brocks syndrome, nevoid basal cell carcinoma syndrome, blepharophimosis, ptosis, and epicanthus inversus syndrome, autosomal dominant brachyolmia, branchiooculofacial syndrome, pheochromocytoma/paraganglioma syndrome 4, cataract-aberrant oral frenula-growth delay syndrome, cherubism, autosomal dominant chondrodysplasia punctata, autosomal dominant popliteal pterygium syndrome, blepharocheilodontic syndrome, cochleosaccular degeneration-cataract syndrome, renal coloboma syndrome, Beare-Stevenson cutis gyrata syndrome, autosomal dominant vibratory urticaria, neurohypophyseal diabetes insipidus, autosomal dominant Kenny-Caffey syndrome, Rapp-Hodgkin syndrome, Ehlers-Danlos syndrome, classic type, autosomal dominant Ehlers-Danlos syndrome, vascular type, multiple endocrine neoplasia type 1, Coffin-Siris syndrome 1, isolated congenital adermatoglyphia, Flynn-Aird syndrome, Frasier syndrome, hand-foot-genital syndrome, Holt-Oram syndrome, hyperkeratosis-hyperpigmentation syndrome, autosomal dominant ichthyosis vulgaris, hyper-IgE recurrent infection syndrome 1, autosomal dominant, autosomal dominant keratitis, autosomal dominant keratitis-ichthyosis-hearing loss syndrome, LADD syndrome, trichorhinophalangeal syndrome type II, Noonan syndrome with multiple lentigines, microcephaly with or without chorioretinopathy, lymphedema, or intellectual disability, Marfan syndrome, melanoma, cutaneous malignant, susceptibility to, 2, autosomal dominant primary microcephaly, autosomal dominant progressive external ophthalmoplegia, monilethrix, Muir-Torre syndrome, autosomal dominant myoglobinuria, autosomal dominant centronuclear myopathy, nail-patella syndrome, multiple endocrine neoplasia type 2B, autosomal dominant omodysplasia, pheochromocytoma/paraganglioma syndrome 1, Pelger-Huet anomaly, multiple endocrine neoplasia type 2A, piebaldism, autosomal dominant medullary cystic kidney disease with or without hyperuricemia, generalized juvenile polyposis/juvenile polyposis coli, juvenile polyposis/hereditary hemorrhagic telangiectasia syndrome, Peutz-Jeghers syndrome, contractures, pterygia, and spondylocarpotarsal fusion syndrome 1A, autosomal dominant distal renal tubular acidosis, retinoschisis, autosomal dominant, autosomal dominant Robinow syndrome, scapuloperoneal spinal muscular atrophy, autosomal dominant, autosomal dominant sideroblastic anemia, spondyloepiphyseal dysplasia tarda, autosomal dominant, proximal symphalangism, calcaneonavicular coalition, thanatophoric dysplasia type 1, trichorhinophalangeal syndrome type I, Muckle-Wells syndrome, autosomal dominant hypophosphatemic rickets, von Hippel-Lindau disease, Denys-Drash syndrome, autosomal dominant severe congenital neutropenia, Costello syndrome, EEC syndrome, multiple cutaneous and mucosal venous malformations, diffuse nonepidermolytic palmoplantar keratoderma, Timothy syndrome, pheochromocytoma/paraganglioma syndrome 2, spondyloepimetaphyseal dysplasia with multiple dislocations, Brooke-Spiegler syndrome, macrocephaly-autism syndrome, pheochromocytoma/paraganglioma syndrome 3, Duane-radial ray syndrome, PCWH syndrome, heart-hand syndrome, Slovenian type, congenital stationary night blindness autosomal dominant 3, mandibulofacial dysostosis-microcephaly syndrome, multiple endocrine neoplasia type 4, juvenile cataract-microcornea-renal glucosuria syndrome, Crouzon syndrome-acanthosis nigricans syndrome, Birk-Barel syndrome, thrombophilia due to protein S deficiency, autosomal dominant, dyskeratosis congenita, autosomal dominant 2, dyskeratosis congenita, autosomal dominant 3, colorectal cancer, hereditary nonpolyposis, type 6, colorectal cancer, hereditary nonpolyposis, type 7, brain small vessel disease 2A, autosomal dominant, intellectual disability, autosomal dominant 14, intellectual disability, autosomal dominant 15, intellectual disability, autosomal dominant 16, hypopigmentation-punctate palmoplantar keratoderma syndrome, intellectual disability-facial dysmorphism syndrome due to SETD5 haploinsufficiency, postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome, intellectual developmental disorder with microcephaly and with or without ocular malformations or hypogonadotropic hypogonadism, intellectual disability, autosomal dominant 29, intellectual disability, autosomal dominant 30, Houge-Janssens syndrome 2, severe achondroplasia-developmental delay-acanthosis nigricans syndrome, dyskeratosis congenita, autosomal dominant 6, epidermolysis bullosa simplex 6, generalized, with scarring and hair loss, autosomal dominant complex spastic paraplegia, early-onset autosomal dominant Alzheimer disease, muscular dystrophy, limb-girdle, autosomal dominant, Feingold syndrome, Carney complex, neuronopathy, distal hereditary motor, autosomal dominant, autosomal dominant coarctation of aorta, autosomal dominant spondylocostal dysostosis, autosomal dominant hypohidrotic ectodermal dysplasia, Cowden disease, autosomal dominant distal myopathy, autosomal dominant rhegmatogenous retinal detachment, palmoplantar keratoderma-spastic paralysis syndrome, Alagille syndrome due to a JAG1 point mutation, PTEN hamartoma tumor syndrome, gastric adenocarcinoma and proximal polyposis of the stomach, autosomal dominant proximal renal tubular acidosis, autosomal dominant spastic ataxia, Waardenburg syndrome, hereditary retinoblastoma, autosomal dominant hypocalcemia, Li-Fraumeni syndrome, hereditary hemorrhagic telangiectasia, hereditary inclusion body myopathy-joint contractures-ophthalmoplegia syndrome, microcephalic osteodysplastic dysplasia, Saul-Wilson type, autosomal dominant intermediate Charcot-Marie-Tooth disease, autosomal dominant cutis laxa, autosomal dominant nonsyndromic hearing loss, autosomal dominant optic atrophy, autosomal dominant Emery-Dreifuss muscular dystrophy, autosomal dominant cerebellar ataxia, autosomal dominant osteopetrosis, autosomal dominant epidermolytic ichthyosis, ventricular arrhythmias due to cardiac ryanodine receptor calcium release deficiency syndrome, distal arthrogryposis type 2B1, neurofibromatosis, autosomal dominant cataract, arthrogryposis, distal, type 2B2, arthrogryposis, distal, type 2B3, Charcot-Marie-Tooth disease, demyelinating, type 1G, Delpire-McNeill syndrome, LAMA5-related multisystemic syndrome, autosomal dominant oculocutaneous albinism, Charcot-Marie-tooth disease, axonal, type 2DD, Pilarowski-Bjornsson syndrome, intellectual disability, autosomal dominant, fatty acyl-CoA reductase 1 upregulation, GUCY2D-related dominant retinopathy, RPE65-related dominant retinopathy, autosomal dominant titinopathy, NOG-related symphalangism spectrum disorder, ALPL-related autosomal dominant hypophosphatasia, MYH10-related neurodevelopmental disorder with congenital anomalies, spastic paraplegia 30A, autosomal dominant, TMEM127-related tumor predisposition, MAX-related tumor predisposition, BMPR1A-related juvenile polyposis syndrome, RP1-related dominant retinopathy, Birt-Hogg-Dube syndrome, inclusion body myopathy and brain white matter abnormalities, KINSSHIP syndrome, autosomal dominant nebulin-related myopathy, IMPG1-related dominant retinopathy, PROM1-related dominant retinopathy, PURA-related severe neonatal hypotonia-seizures-encephalopathy syndrome, ALG8-related autosomal dominant polycystic kidney and/or liver disease, NOTCH1-related AOS spectrum disorder, FLNB-associated autosomal dominant filamin related bone disorder, familial antiphospholipid syndrome

Subtypes (6): Loeys-Dietz syndrome 1, Loeys-Dietz syndrome 2, aneurysm-osteoarthritis syndrome, Loeys-Dietz syndrome 4, Rienhoff syndrome, Loeys-Dietz syndrome 6

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

282 retrieved; paginated sample, class counts are floors:

123 uncertain significance, 57 likely benign, 46 conflicting classifications of pathogenicity, 19 pathogenic/likely pathogenic, 13 likely pathogenic, 12 pathogenic, 9 benign/likely benign, 3 benign

ClinVarVariant (HGVS)GeneClassificationReview
1740383NM_001089.3(ABCA3):c.440C>T (p.Pro147Leu)ABCA3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
16457NM_000138.5(FBN1):c.3217G>A (p.Glu1073Lys)FBN1Pathogeniccriteria provided, multiple submitters, no conflicts
2846439NM_005901.6(SMAD2):c.961C>T (p.Arg321Ter)SMAD2Pathogeniccriteria provided, multiple submitters, no conflicts
155836NM_005902.4(SMAD3):c.364G>A (p.Val122Met)SMAD3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
180524NM_005902.4(SMAD3):c.860G>A (p.Arg287Gln)SMAD3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
2780301NM_005902.4(SMAD3):c.770_771del (p.Val257fs)SMAD3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
642412NM_005902.4(SMAD3):c.946C>T (p.Gln316Ter)SMAD3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1451388NM_003238.6(TGFB2):c.145A>T (p.Lys49Ter)TGFB2Pathogeniccriteria provided, multiple submitters, no conflicts
180536NM_003238.6(TGFB2):c.544C>T (p.Gln182Ter)TGFB2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
222832NM_003238.6(TGFB2):c.391C>T (p.Arg131Ter)TGFB2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
224872NM_003238.6(TGFB2):c.904C>T (p.Arg302Cys)TGFB2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
381708NM_003238.6(TGFB2):c.896G>A (p.Arg299Gln)TGFB2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
410268NM_003239.5(TGFB3):c.883_884del (p.Gly295fs)TGFB3Pathogeniccriteria provided, multiple submitters, no conflicts
477651NM_003239.5(TGFB3):c.973C>T (p.Arg325Ter)TGFB3Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12524NM_004612.4(TGFBR1):c.722C>T (p.Ser241Leu)TGFBR1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12525NM_004612.4(TGFBR1):c.1460G>A (p.Arg487Gln)TGFBR1Pathogeniccriteria provided, multiple submitters, no conflicts
12526NM_004612.4(TGFBR1):c.1459C>T (p.Arg487Trp)TGFBR1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
180539NM_004612.4(TGFBR1):c.1444A>G (p.Arg482Gly)TGFBR1Pathogeniccriteria provided, single submitter
213882NM_004612.4(TGFBR1):c.934G>A (p.Gly312Ser)TGFBR1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
213896NM_004612.4(TGFBR1):c.680AAG[1] (p.Glu228del)TGFBR1Pathogeniccriteria provided, multiple submitters, no conflicts
263773NM_004612.4(TGFBR1):c.757A>G (p.Met253Val)TGFBR1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
492846NM_004612.4(TGFBR1):c.1058G>T (p.Gly353Val)TGFBR1Pathogenicno assertion criteria provided
12511NM_003242.6(TGFBR2):c.1583G>A (p.Arg528His)TGFBR2Pathogeniccriteria provided, multiple submitters, no conflicts
12512NM_003242.6(TGFBR2):c.1582C>T (p.Arg528Cys)TGFBR2Pathogeniccriteria provided, multiple submitters, no conflicts
12519NM_003242.6(TGFBR2):c.1483C>T (p.Arg495Ter)TGFBR2Pathogeniccriteria provided, multiple submitters, no conflicts
165391NM_003242.6(TGFBR2):c.859T>C (p.Trp287Arg)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
165398NM_003242.6(TGFBR2):c.1580C>T (p.Ala527Val)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1687722NM_003242.6(TGFBR2):c.1301T>A (p.Met434Lys)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
177704NM_003242.6(TGFBR2):c.1067G>C (p.Arg356Pro)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
180541NM_003242.6(TGFBR2):c.1570G>A (p.Asp524Asn)TGFBR2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 38 · Orphanet: 50 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
TGFBR1DefinitiveAutosomal dominantLoeys-Dietz syndrome 111
TGFBR2DefinitiveAutosomal dominantLoeys-Dietz syndrome 26
SMAD2StrongAutosomal dominantLoeys-Dietz syndrome 611
TGFB3LimitedAutosomal recessiveLoeys-Dietz syndrome10

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
TGFB3Orphanet:293888Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant
TGFB3Orphanet:293899Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant
TGFB3Orphanet:293910Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant
TGFB3Orphanet:60030Loeys-Dietz syndrome
TGFB3Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFBR1Orphanet:284973Marfan syndrome type 2
TGFBR1Orphanet:60030Loeys-Dietz syndrome
TGFBR1Orphanet:65748Multiple self-healing squamous epithelioma
TGFBR1Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFBR2Orphanet:144Lynch syndrome
TGFBR2Orphanet:284973Marfan syndrome type 2
TGFBR2Orphanet:60030Loeys-Dietz syndrome
TGFBR2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFBR2Orphanet:99977Squamous cell carcinoma of the esophagus
SMAD2Orphanet:60030Loeys-Dietz syndrome
SMAD2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
TGFB2Orphanet:60030Loeys-Dietz syndrome
TGFB2Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
COL3A1Orphanet:231160Familial cerebral saccular aneurysm
COL3A1Orphanet:2500Acrogeria
COL3A1Orphanet:286Vascular Ehlers-Danlos syndrome
COL3A1Orphanet:636941Vascular Ehlers-Danlos-polymicrogyria syndrome
COL3A1Orphanet:86Familial abdominal aortic aneurysm
COL5A1Orphanet:287Classical Ehlers-Danlos syndrome
COL5A2Orphanet:287Classical Ehlers-Danlos syndrome
ABCA3Orphanet:2032Idiopathic pulmonary fibrosis
ABCA3Orphanet:217563Neonatal acute respiratory distress syndrome
ABCA3Orphanet:440402Interstitial lung disease due to ABCA3 deficiency
ABCA3Orphanet:685082Pediatric acute respiratory distress syndrome
FBN1Orphanet:1885Isolated ectopia lentis
FBN1Orphanet:2084Glaucoma-ectopia lentis-microspherophakia-stiff joints-short stature syndrome
FBN1Orphanet:2462Shprintzen-Goldberg syndrome
FBN1Orphanet:2623Geleophysic dysplasia
FBN1Orphanet:2833Stiff skin syndrome
FBN1Orphanet:284963Marfan syndrome type 1
FBN1Orphanet:284979Neonatal Marfan syndrome
FBN1Orphanet:300382Progeroid and marfanoid aspect-lipodystrophy syndrome
FBN1Orphanet:3449Weill-Marchesani syndrome
FBN1Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
FBN1Orphanet:969Acromicric dysplasia
FBN2Orphanet:115Congenital contractural arachnodactyly
SMAD3Orphanet:284984Aneurysm-osteoarthritis syndrome
SMAD3Orphanet:60030Loeys-Dietz syndrome
SMAD3Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
MYH11Orphanet:2241Megacystis-microcolon-intestinal hypoperistalsis syndrome
MYH11Orphanet:229Familial aortic dissection
MYH11Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
MYH11Orphanet:98829Acute myeloid leukemia with abnormal bone marrow eosinophils inv(16)(p13q22) or t(16;16)(p13;q22)
MYLKOrphanet:2241Megacystis-microcolon-intestinal hypoperistalsis syndrome
MYLKOrphanet:91387Familial thoracic aortic aneurysm and aortic dissection

Cohort genes → proteins

14 cohort genes, 14 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence14

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
TGFB3HGNC:11769ENSG00000119699P10600Transforming growth factor beta-3 proproteingencc,clinvar
TGFBR1HGNC:11772ENSG00000106799P36897TGF-beta receptor type-1gencc,clinvar
TGFBR2HGNC:11773ENSG00000163513P37173TGF-beta receptor type-2gencc,clinvar
SMAD2HGNC:6768ENSG00000175387Q15796SMAD family member 2gencc,clinvar
TGFB2HGNC:11768ENSG00000092969P61812Transforming growth factor beta-2 proproteinclinvar
COL3A1HGNC:2201ENSG00000168542P02461Collagen alpha-1(III) chainclinvar
COL5A1HGNC:2209ENSG00000130635P20908Collagen alpha-1(V) chainclinvar
COL5A2HGNC:2210ENSG00000204262P05997Collagen alpha-2(V) chainclinvar
ABCA3HGNC:33ENSG00000167972Q99758Phospholipid-transporting ATPase ABCA3clinvar
FBN1HGNC:3603ENSG00000166147P35555Fibrillin-1clinvar
FBN2HGNC:3604ENSG00000138829P35556Fibrillin-2clinvar
SMAD3HGNC:6769ENSG00000166949P84022SMAD family member 3clinvar
MYH11HGNC:7569ENSG00000133392P35749Myosin-11clinvar
MYLKHGNC:7590ENSG00000065534Q15746Myosin light chain kinase, smooth muscleclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
TGFB3Transforming growth factor beta-3 proproteinTransforming growth factor beta-3 proprotein: Precursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-3 (TGF-beta-3) chains, which constitute the regulatory and active subunit of TGF-beta-3, respectively.
TGFBR1TGF-beta receptor type-1Transmembrane serine/threonine kinase forming with the TGF-beta type II serine/threonine kinase receptor, TGFBR2, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3.
TGFBR2TGF-beta receptor type-2Transmembrane serine/threonine kinase forming with the TGF-beta type I serine/threonine kinase receptor, TGFBR1, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3.
SMAD2SMAD family member 2Receptor-regulated SMAD (R-SMAD) that is an intracellular signal transducer and transcriptional modulator activated by TGF-beta (transforming growth factor) and activin type 1 receptor kinases.
TGFB2Transforming growth factor beta-2 proproteinPrecursor of the Latency-associated peptide (LAP) and Transforming growth factor beta-2 (TGF-beta-2) chains, which constitute the regulatory and active subunit of TGF-beta-2, respectively.
COL3A1Collagen alpha-1(III) chainCollagen type III occurs in most soft connective tissues along with type I collagen.
COL5A1Collagen alpha-1(V) chainType V collagen is a member of group I collagen (fibrillar forming collagen).
COL5A2Collagen alpha-2(V) chainType V collagen is a member of group I collagen (fibrillar forming collagen).
ABCA3Phospholipid-transporting ATPase ABCA3Catalyzes the ATP-dependent transport of phospholipids such as phosphatidylcholine and phosphoglycerol from the cytoplasm into the lumen side of lamellar bodies, in turn participates in the lamellar bodies biogenesis and homeostasis of pul…
FBN1Fibrillin-1Structural component of the 10-12 nm diameter microfibrils of the extracellular matrix, which conveys both structural and regulatory properties to load-bearing connective tissues.
FBN2Fibrillin-2Fibrillins are structural components of 10-12 nm extracellular calcium-binding microfibrils, which occur either in association with elastin or in elastin-free bundles.
SMAD3SMAD family member 3Receptor-regulated SMAD (R-SMAD) that is an intracellular signal transducer and transcriptional modulator activated by TGF-beta (transforming growth factor) and activin type 1 receptor kinases.
MYH11Myosin-11Muscle contraction.
MYLKMyosin light chain kinase, smooth muscleCalcium/calmodulin-dependent myosin light chain kinase implicated in smooth muscle contraction via phosphorylation of myosin light chains (MLC).

Protein-family classification

Druggable: 4 · Difficult: 1 · Unknown: 9 · Druggable fraction: 0.29

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
Kinase35.9×0.051
Transporter15.6×0.331
Other/Unknown91.1×0.480
Scaffold/PPI11.2×0.566

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
TGFB3Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGF-beta-like
TGFBR1Kinaseyes2.7.10.2TGFB_receptor, Activin_recp, Prot_kinase_dom
TGFBR2Kinaseyes2.7.10.2TGFB_receptor, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom
SMAD2Other/UnknownnoSMAD_dom, MAD_homology1_Dwarfin-type, SMAD_FHA_dom_sf
TGFB2Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGFb2
COL3A1Other/UnknownnoFib_collagen_C, VWF_dom, Collagen
COL5A1Other/UnknownnoFib_collagen_C, Laminin_G, Collagen
COL5A2Other/UnknownnoFib_collagen_C, VWF_dom, Collagen
ABCA3TransporteryesABC_transporter-like_ATP-bd, AAA+_ATPase, ABC2_TM
FBN1Other/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom
FBN2Other/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom
SMAD3Other/UnknownnoSMAD_dom, MAD_homology1_Dwarfin-type, SMAD_FHA_dom_sf
MYH11Scaffold/PPInoIQ_motif_EF-hand-BS, Myosin_head_motor_dom-like, Myosin_tail
MYLKKinaseyes2.7.11.18Prot_kinase_dom, Ig_sub2, Ig_sub

Expression context

Cohort genes with no expression data: 0.

14 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)14
unknown0

Top tissues across cohort

TissueCohort genes
saphenous vein3
cartilage tissue3
tendon of biceps brachii3
tibia2
visceral pleura2
parietal pleura2
calcaneal tendon2
skin of hip2
periodontal ligament2
stromal cell of endometrium2
endocervix1
gall bladder1
pericardium1
male germ cell1
sperm1
tendon1
lower lobe of lung1
upper lobe of left lung1
upper lobe of lung1
decidua1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
TGFB3244broadmarkersaphenous vein, endocervix, gall bladder
TGFBR1269ubiquitousmarkersaphenous vein, tibia, visceral pleura
TGFBR2289ubiquitousmarkerpericardium, tibia, parietal pleura
SMAD2299ubiquitousmarkercalcaneal tendon, sperm, male germ cell
TGFB2206ubiquitousmarkercalcaneal tendon, tendon, cartilage tissue
COL3A1281ubiquitousmarkerskin of hip, parietal pleura, visceral pleura
COL5A1248ubiquitousmarkerstromal cell of endometrium, periodontal ligament, tendon of biceps brachii
COL5A2266ubiquitousmarkertendon of biceps brachii, periodontal ligament, stromal cell of endometrium
ABCA3222ubiquitousmarkerlower lobe of lung, upper lobe of lung, upper lobe of left lung
FBN1275ubiquitousmarkersynovial joint, skin of hip, decidua
FBN2194ubiquitousmarkercartilage tissue, placenta, adrenal tissue
SMAD3288ubiquitousmarkertendon of biceps brachii, cartilage tissue, hindlimb stylopod muscle
MYH11143broadmarkerright coronary artery, lower esophagus, lower esophagus muscularis layer
MYLK289ubiquitousmarkercauda epididymis, saphenous vein, seminal vesicle

Protein interactions among cohort

Intra-cohort edges: 23.

Hub genes (top 10 by interactor count)

SymbolInteractor count
SMAD36,440
TGFBR25,777
SMAD25,751
TGFBR14,828
MYH113,818
FBN13,640
COL3A13,629
TGFB32,972
MYLK2,763
COL5A12,600

Intra-cohort edges

ABSources
COL3A1COL5A1string_interaction
COL3A1COL5A2string_interaction
COL3A1FBN1string_interaction
COL3A1FBN2string_interaction
COL5A1COL5A2string_interaction
COL5A1FBN1string_interaction
FBN1FBN2intact, string_interaction
FBN1MYLKstring_interaction
FBN1TGFBR1string_interaction
FBN1TGFBR2string_interaction
FBN2TGFBR1string_interaction
FBN2TGFBR2string_interaction
MYH11MYLKstring_interaction
SMAD2SMAD3string_interaction
SMAD2TGFB3string_interaction
SMAD2TGFBR1string_interaction
SMAD2TGFBR2string_interaction
SMAD3TGFB3string_interaction
SMAD3TGFBR1string_interaction
SMAD3TGFBR2string_interaction
TGFB3TGFBR1intact, string_interaction
TGFB3TGFBR2biogrid_interaction, intact, string_interaction
TGFBR1TGFBR2string_interaction

Structural data

PDB: 12 · AlphaFold-only: 2 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
TGFBR1P3689744
TGFBR2P3717322
SMAD3P8402212
TGFB3P1060011
TGFB2P6181211
COL3A1P0246111
FBN1P3555511
SMAD2Q1579610
MYLKQ157468
ABCA3Q997582
COL5A1P209081
MYH11P357491

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
COL5A2P0599753.15
FBN2P35556

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 115. Enrichment computed across 14 evidence-associated genes (14 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 14 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
TGF-beta receptor signaling activates SMADs7163.1×5e-13TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, FBN1, SMAD3
Loss of Function of TGFBR1 in Cancer4652.6×4e-10TGFBR1, TGFBR2, SMAD2, SMAD3
Loss of Function of SMAD2/3 in Cancer4543.8×4e-10TGFBR1, TGFBR2, SMAD2, SMAD3
Signaling by TGF-beta Receptor Complex in Cancer4543.8×4e-10TGFBR1, TGFBR2, SMAD2, SMAD3
SMAD2/3 Phosphorylation Motif Mutants in Cancer4543.8×4e-10TGFBR1, TGFBR2, SMAD2, SMAD3
TGFBR1 KD Mutants in Cancer4543.8×4e-10TGFBR1, TGFBR2, SMAD2, SMAD3
Signaling by TGF-beta Receptor Complex685.9×6e-10TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3
Signaling by TGFB family members649.4×1e-08TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3
ECM proteoglycans553.7×3e-07TGFB3, TGFB2, COL3A1, COL5A1, COL5A2
Downregulation of TGF-beta receptor signaling4116.5×3e-07TGFBR1, TGFBR2, SMAD2, SMAD3
Signaling by TGFBR34105.2×5e-07TGFBR1, TGFBR2, TGFB2, SMAD3
Elastic fibre formation496.0×6e-07TGFB3, TGFB2, FBN1, FBN2
TGFBR3 regulates TGF-beta signaling3305.9×7e-07TGFBR1, TGFBR2, TGFB2
Molecules associated with elastic fibres488.2×7e-07TGFB3, TGFB2, FBN1, FBN2
Fibronectin matrix formation3122.4×1e-05COL3A1, COL5A1, COL5A2
Integrin cell surface interactions438.4×2e-05COL3A1, COL5A1, COL5A2, FBN1
Loss of Function of SMAD4 in Cancer2543.8×2e-05SMAD2, SMAD3
SMAD4 MH2 Domain Mutants in Cancer2543.8×2e-05SMAD2, SMAD3
SMAD2/3 MH2 Domain Mutants in Cancer2543.8×2e-05SMAD2, SMAD3
Loss of Function of TGFBR2 in Cancer2543.8×2e-05TGFBR1, TGFBR2
TGFBR2 Kinase Domain Mutants in Cancer2543.8×2e-05TGFBR1, TGFBR2
Syndecan interactions390.6×2e-05COL3A1, COL5A1, COL5A2
Deubiquitination435.5×2e-05TGFBR1, TGFBR2, SMAD2, SMAD3
MET activates PTK2 signaling381.6×3e-05COL3A1, COL5A1, COL5A2
TGFBR1 LBD Mutants in Cancer2407.9×4e-05TGFBR1, TGFBR2
Signal Transduction85.8×7e-05TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3, MYH11, MYLK
Collagen chain trimerization355.6×8e-05COL3A1, COL5A1, COL5A2
Signaling by PDGF354.4×8e-05COL3A1, COL5A1, COL5A2
NCAM1 interactions353.2×9e-05COL3A1, COL5A1, COL5A2
Developmental Lineage of Pancreatic Ductal Cells348.9×1e-04COL3A1, COL5A1, COL5A2

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 14 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
transforming growth factor beta receptor signaling pathway779.5×4e-10TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, COL3A1, SMAD3
positive regulation of epithelial to mesenchymal transition6136.3×4e-10TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3
positive regulation of SMAD protein signal transduction5136.8×2e-08TGFB3, TGFBR1, TGFBR2, TGFB2, SMAD3
secondary palate development4343.9×3e-08TGFB3, TGFBR2, SMAD2, TGFB2
activin receptor signaling pathway4253.4×8e-08TGFBR1, TGFBR2, SMAD2, SMAD3
positive regulation of epithelial to mesenchymal transition involved in endocardial cushion formation3902.8×1e-07TGFBR1, TGFBR2, TGFB2
collagen fibril organization580.2×2e-07TGFBR1, TGFB2, COL3A1, COL5A1, COL5A2
embryonic cranial skeleton morphogenesis4166.0×3e-07TGFBR1, TGFBR2, SMAD2, SMAD3
heart development633.8×4e-07TGFB3, TGFBR1, TGFBR2, TGFB2, COL3A1, FBN1
trophoblast cell migration3515.9×6e-07TGFBR1, SMAD2, SMAD3
in utero embryonic development630.9×6e-07TGFB3, TGFBR1, TGFBR2, SMAD2, COL3A1, SMAD3
response to cholesterol3361.1×2e-06TGFBR1, TGFBR2, SMAD2
wound healing465.1×9e-06TGFBR1, TGFB2, COL3A1, SMAD3
uterine wall breakdown21203.7×2e-05TGFB3, TGFB2
negative regulation of endodermal cell differentiation21203.7×2e-05COL5A1, COL5A2
SMAD protein signal transduction3157.0×2e-05TGFBR2, SMAD2, SMAD3
cell-cell junction organization3133.8×3e-05TGFB3, TGFB2, SMAD3
paraxial mesoderm morphogenesis2802.5×4e-05SMAD2, SMAD3
regulation of transforming growth factor beta2 production2601.9×6e-05TGFB2, SMAD3
obsolete sequestering of TGFbeta in extracellular matrix2601.9×6e-05FBN1, FBN2
eye morphogenesis2601.9×6e-05COL5A1, COL5A2
aorta smooth muscle tissue morphogenesis2601.9×6e-05COL3A1, MYLK
skin development395.0×6e-05COL3A1, COL5A1, COL5A2
skeletal system development435.9×6e-05TGFBR1, TGFB2, COL5A2, FBN1
ventricular septum morphogenesis392.6×6e-05TGFBR1, TGFBR2, TGFB2
endocardial cushion fusion2481.5×9e-05TGFBR2, TGFB2
positive regulation of tight junction disassembly2481.5×9e-05TGFB3, TGFBR1
epithelial to mesenchymal transition366.9×1e-04TGFBR1, TGFBR2, TGFB2
positive regulation of stress fiber assembly366.9×1e-04TGFB3, TGFBR1, SMAD3
salivary gland morphogenesis2343.9×2e-04TGFB3, TGFB2

Therapeutics

Drug target analysis

Approved (phase 4): 4 · Phase ≥3: 4 · Phased (≥1): 5 · Undrugged: 9

Druggability breadth: 10 of 14 evidence-associated genes (71%) 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
TGFBR1MOMELOTINIB
TGFBR2PONATINIB
SMAD3FLUORESCEIN
MYLKPONATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
TGFBR1284
MYLK284
TGFBR2224
SMAD324
TGFB212
TGFB300
SMAD200
COL3A100
COL5A100
COL5A200

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
MOMELOTINIB4TGFBR1
DABRAFENIB4TGFBR1, TGFBR2
NINTEDANIB4MYLK, TGFBR1
DASATINIB4MYLK, TGFBR1, TGFBR2
CRIZOTINIB4TGFBR1
PONATINIB4MYLK, TGFBR2
VEMURAFENIB4TGFBR2
FEDRATINIB4MYLK, TGFBR2
SORAFENIB4TGFBR2
TOVORAFENIB4MYLK, TGFBR2
PAZOPANIB4TGFBR2
FLUORESCEIN4SMAD3
AFATINIB4MYLK
RUXOLITINIB4MYLK
NIFEDIPINE4MYLK
BOSUTINIB4MYLK
GILTERITINIB4MYLK
SUNITINIB4MYLK
QUIZARTINIB4MYLK
MIDOSTAURIN4MYLK
SARACATINIB3TGFBR1
CANERTINIB3TGFBR1, TGFBR2
TESEVATINIB3TGFBR1
CEDIRANIB3TGFBR1
LESTAURTINIB3MYLK, TGFBR1, TGFBR2
ALVOCIDIB3TGFBR2
FASUDIL3MYLK
DOVITINIB3MYLK
RUBOXISTAURIN3MYLK
GALUNISERTIB2TGFB2, TGFBR1, TGFBR2

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

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

SymbolAssaysType breakdown
TGFBR1541Binding:516, Functional:13, ADMET:12
MYLK303Binding:303
TGFBR2188Binding:188
SMAD324Binding:18, Functional:6
SMAD220Binding:20
TGFB23Binding:3
TGFB31Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TGFBR12.7.10.2, 2.7.11.30non-specific protein-tyrosine kinase, receptor protein serine/threonine kinase
TGFBR22.7.10.2non-specific protein-tyrosine kinase
MYLK2.7.11.18myosin-light-chain kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
TGFBR1541
TGFBR2188
MYLK303

Pharmacogenomics

Cohort genes with a PharmGKB record: 14; with CPIC/DPWG dosing guidelines: 0.

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

Chemical tractability of cohort targets

30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
MOMELOTINIB4TGFBR1
DABRAFENIB4TGFBR1, TGFBR2
NINTEDANIB4MYLK, TGFBR1
DASATINIB4MYLK, TGFBR1, TGFBR2
CRIZOTINIB4TGFBR1
PONATINIB4MYLK, TGFBR2
VEMURAFENIB4TGFBR2
FEDRATINIB4MYLK, TGFBR2
SORAFENIB4TGFBR2
TOVORAFENIB4MYLK, TGFBR2
PAZOPANIB4TGFBR2
FLUORESCEIN4SMAD3
AFATINIB4MYLK
RUXOLITINIB4MYLK
NIFEDIPINE4MYLK
BOSUTINIB4MYLK
GILTERITINIB4MYLK
SUNITINIB4MYLK
QUIZARTINIB4MYLK
MIDOSTAURIN4MYLK
SARACATINIB3TGFBR1
CANERTINIB3TGFBR1, TGFBR2
TESEVATINIB3TGFBR1
CEDIRANIB3TGFBR1
LESTAURTINIB3MYLK, TGFBR1, TGFBR2
ALVOCIDIB3TGFBR2
FASUDIL3MYLK
DOVITINIB3MYLK
RUBOXISTAURIN3MYLK
GALUNISERTIB2TGFB2, TGFBR1, TGFBR2

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)4TGFBR1, TGFBR2, SMAD3, MYLK
BPhased (≥1) drug, not yet approved1TGFB2
CDruggable family + PDB, no drug1ABCA3
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug8TGFB3, SMAD2, COL3A1, COL5A1, COL5A2, FBN1, FBN2, MYH11

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
TGFB31TGFBR1, TGFBR2
SMAD220TGFBR1
COL3A10
COL5A10
COL5A20
ABCA30
FBN10
FBN20
MYH110

Clinical trials & evidence

Clinical trials

Clinical trials: 10.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified10

Top trials by phase / activity

NCTPhaseStatusTitle
NCT02050113Not specifiedRECRUITINGComplex Aortic Aneurysm Repair Using Physician Modified Endografts and Custom Made Devices
NCT02504853Not specifiedRECRUITINGNatural History and Genetics of Food Allergy and Related Conditions
NCT03440697Not specifiedACTIVE_NOT_RECRUITINGPathogenetic Basis of Aortopathy and Aortic Valve Disease
NCT05389865Not specifiedACTIVE_NOT_RECRUITINGProximal Aortopathy in Scotland - Epidemiology and Surgical Outcomes
NCT06546137Not specifiedRECRUITINGNational Network for Cardiovascular Genomics: Advancing Cardiovascular Healthcare for Hereditary Diseases in Brazil’s Unified Health System Through a Multicenter Registry
NCT01322165Not specifiedCOMPLETEDNational Registry of Genetically Triggered Thoracic Aortic Aneurysms and Cardiovascular Conditions
NCT02213484Not specifiedCOMPLETEDMicro RNAs as a Marker of Aortic Aneurysm in Hereditary Aortopathy Syndromes
NCT05472519Not specifiedCOMPLETEDImmunopathology of Loeys-Dietz Syndrome
NCT05980104Not specifiedCOMPLETEDSingle-Session Empowered Relief Class for Marfan Syndrome and Related Conditions
NCT07360704Not specifiedCOMPLETEDGenotypes and Craniofacial Phenotypes in Orthodontic Patients With Marfan and Loeys-Dietz Syndromes