Loeys-Dietz syndrome
diseaseOn 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:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Cases/families | 52 | Worldwide | Validated |
Signs & symptoms
Clinical features (HPO)
38 HPO clinical features (Orphanet curated; top 38 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0001643 | Patent ductus arteriosus | Very frequent (80-99%) |
| HP:0001763 | Pes planus | Very frequent (80-99%) |
| HP:0002617 | Dilatation | Very frequent (80-99%) |
| HP:0002647 | Aortic dissection | Very frequent (80-99%) |
| HP:0004942 | Aortic aneurysm | Very frequent (80-99%) |
| HP:0005116 | Arterial tortuosity | Very frequent (80-99%) |
| HP:0005294 | Arterial dissection | Very frequent (80-99%) |
| HP:0100718 | Uterine rupture | Very frequent (80-99%) |
| HP:0000098 | Tall stature | Frequent (30-79%) |
| HP:0000175 | Cleft palate | Frequent (30-79%) |
| HP:0000193 | Bifid uvula | Frequent (30-79%) |
| HP:0000202 | Orofacial cleft | Frequent (30-79%) |
| HP:0000272 | Malar flattening | Frequent (30-79%) |
| HP:0000316 | Hypertelorism | Frequent (30-79%) |
| HP:0000347 | Micrognathia | Frequent (30-79%) |
| HP:0000592 | Blue sclerae | Frequent (30-79%) |
| HP:0000964 | Eczematoid dermatitis | Frequent (30-79%) |
| HP:0000987 | Atypical scarring of skin | Frequent (30-79%) |
| HP:0001065 | Striae distensae | Frequent (30-79%) |
| HP:0001166 | Arachnodactyly | Frequent (30-79%) |
| HP:0001363 | Craniosynostosis | Frequent (30-79%) |
| HP:0001382 | Joint hypermobility | Frequent (30-79%) |
| HP:0001762 | Talipes equinovarus | Frequent (30-79%) |
| HP:0002099 | Asthma | Frequent (30-79%) |
| HP:0002650 | Scoliosis | Frequent (30-79%) |
| HP:0100490 | Camptodactyly of finger | Frequent (30-79%) |
| HP:0001382 | Joint hypermobility | Occasional (5-29%) |
| HP:0000545 | Myopia | Occasional (5-29%) |
| HP:0000767 | Pectus excavatum | Occasional (5-29%) |
| HP:0000768 | Pectus carinatum | Occasional (5-29%) |
| HP:0000963 | Thin skin | Occasional (5-29%) |
| HP:0000978 | Bruising susceptibility | Occasional (5-29%) |
| HP:0001373 | Joint dislocation | Occasional (5-29%) |
| HP:0001653 | Mitral regurgitation | Occasional (5-29%) |
| HP:0001695 | Cardiac arrest | Occasional (5-29%) |
| HP:0001892 | Abnormal bleeding | Occasional (5-29%) |
| HP:0002108 | Spontaneous pneumothorax | Occasional (5-29%) |
| HP:0410151 | Eosinophilic infiltration of the esophagus | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Loeys-Dietz syndrome |
| Mondo ID | MONDO:0018954 |
| MeSH | D055947 |
| OMIM | 609192 |
| Orphanet | 60030 |
| DOID | DOID:0050466 |
| NCIT | C75006 |
| SNOMED CT | 446263001 |
| UMLS | C2697932 |
| MedGen | 395827 |
| GARD | 0010788 |
| NORD | 91173 |
| 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
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1740383 | NM_001089.3(ABCA3):c.440C>T (p.Pro147Leu) | ABCA3 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 16457 | NM_000138.5(FBN1):c.3217G>A (p.Glu1073Lys) | FBN1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 2846439 | NM_005901.6(SMAD2):c.961C>T (p.Arg321Ter) | SMAD2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 155836 | NM_005902.4(SMAD3):c.364G>A (p.Val122Met) | SMAD3 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 180524 | NM_005902.4(SMAD3):c.860G>A (p.Arg287Gln) | SMAD3 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2780301 | NM_005902.4(SMAD3):c.770_771del (p.Val257fs) | SMAD3 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 642412 | NM_005902.4(SMAD3):c.946C>T (p.Gln316Ter) | SMAD3 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1451388 | NM_003238.6(TGFB2):c.145A>T (p.Lys49Ter) | TGFB2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 180536 | NM_003238.6(TGFB2):c.544C>T (p.Gln182Ter) | TGFB2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 222832 | NM_003238.6(TGFB2):c.391C>T (p.Arg131Ter) | TGFB2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 224872 | NM_003238.6(TGFB2):c.904C>T (p.Arg302Cys) | TGFB2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 381708 | NM_003238.6(TGFB2):c.896G>A (p.Arg299Gln) | TGFB2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 410268 | NM_003239.5(TGFB3):c.883_884del (p.Gly295fs) | TGFB3 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 477651 | NM_003239.5(TGFB3):c.973C>T (p.Arg325Ter) | TGFB3 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12524 | NM_004612.4(TGFBR1):c.722C>T (p.Ser241Leu) | TGFBR1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 12525 | NM_004612.4(TGFBR1):c.1460G>A (p.Arg487Gln) | TGFBR1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 12526 | NM_004612.4(TGFBR1):c.1459C>T (p.Arg487Trp) | TGFBR1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 180539 | NM_004612.4(TGFBR1):c.1444A>G (p.Arg482Gly) | TGFBR1 | Pathogenic | criteria provided, single submitter |
| 213882 | NM_004612.4(TGFBR1):c.934G>A (p.Gly312Ser) | TGFBR1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 213896 | NM_004612.4(TGFBR1):c.680AAG[1] (p.Glu228del) | TGFBR1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 263773 | NM_004612.4(TGFBR1):c.757A>G (p.Met253Val) | TGFBR1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 492846 | NM_004612.4(TGFBR1):c.1058G>T (p.Gly353Val) | TGFBR1 | Pathogenic | no assertion criteria provided |
| 12511 | NM_003242.6(TGFBR2):c.1583G>A (p.Arg528His) | TGFBR2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 12512 | NM_003242.6(TGFBR2):c.1582C>T (p.Arg528Cys) | TGFBR2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 12519 | NM_003242.6(TGFBR2):c.1483C>T (p.Arg495Ter) | TGFBR2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 165391 | NM_003242.6(TGFBR2):c.859T>C (p.Trp287Arg) | TGFBR2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 165398 | NM_003242.6(TGFBR2):c.1580C>T (p.Ala527Val) | TGFBR2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1687722 | NM_003242.6(TGFBR2):c.1301T>A (p.Met434Lys) | TGFBR2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 177704 | NM_003242.6(TGFBR2):c.1067G>C (p.Arg356Pro) | TGFBR2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 180541 | NM_003242.6(TGFBR2):c.1570G>A (p.Asp524Asn) | TGFBR2 | Pathogenic/Likely pathogenic | criteria 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.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| TGFBR1 | Definitive | Autosomal dominant | Loeys-Dietz syndrome 1 | 11 |
| TGFBR2 | Definitive | Autosomal dominant | Loeys-Dietz syndrome 2 | 6 |
| SMAD2 | Strong | Autosomal dominant | Loeys-Dietz syndrome 6 | 11 |
| TGFB3 | Limited | Autosomal recessive | Loeys-Dietz syndrome | 10 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| TGFB3 | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| TGFB3 | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| TGFB3 | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| TGFB3 | Orphanet:60030 | Loeys-Dietz syndrome |
| TGFB3 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| TGFBR1 | Orphanet:284973 | Marfan syndrome type 2 |
| TGFBR1 | Orphanet:60030 | Loeys-Dietz syndrome |
| TGFBR1 | Orphanet:65748 | Multiple self-healing squamous epithelioma |
| TGFBR1 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| TGFBR2 | Orphanet:144 | Lynch syndrome |
| TGFBR2 | Orphanet:284973 | Marfan syndrome type 2 |
| TGFBR2 | Orphanet:60030 | Loeys-Dietz syndrome |
| TGFBR2 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| TGFBR2 | Orphanet:99977 | Squamous cell carcinoma of the esophagus |
| SMAD2 | Orphanet:60030 | Loeys-Dietz syndrome |
| SMAD2 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| TGFB2 | Orphanet:60030 | Loeys-Dietz syndrome |
| TGFB2 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| COL3A1 | Orphanet:231160 | Familial cerebral saccular aneurysm |
| COL3A1 | Orphanet:2500 | Acrogeria |
| COL3A1 | Orphanet:286 | Vascular Ehlers-Danlos syndrome |
| COL3A1 | Orphanet:636941 | Vascular Ehlers-Danlos-polymicrogyria syndrome |
| COL3A1 | Orphanet:86 | Familial abdominal aortic aneurysm |
| COL5A1 | Orphanet:287 | Classical Ehlers-Danlos syndrome |
| COL5A2 | Orphanet:287 | Classical Ehlers-Danlos syndrome |
| ABCA3 | Orphanet:2032 | Idiopathic pulmonary fibrosis |
| ABCA3 | Orphanet:217563 | Neonatal acute respiratory distress syndrome |
| ABCA3 | Orphanet:440402 | Interstitial lung disease due to ABCA3 deficiency |
| ABCA3 | Orphanet:685082 | Pediatric acute respiratory distress syndrome |
| FBN1 | Orphanet:1885 | Isolated ectopia lentis |
| FBN1 | Orphanet:2084 | Glaucoma-ectopia lentis-microspherophakia-stiff joints-short stature syndrome |
| FBN1 | Orphanet:2462 | Shprintzen-Goldberg syndrome |
| FBN1 | Orphanet:2623 | Geleophysic dysplasia |
| FBN1 | Orphanet:2833 | Stiff skin syndrome |
| FBN1 | Orphanet:284963 | Marfan syndrome type 1 |
| FBN1 | Orphanet:284979 | Neonatal Marfan syndrome |
| FBN1 | Orphanet:300382 | Progeroid and marfanoid aspect-lipodystrophy syndrome |
| FBN1 | Orphanet:3449 | Weill-Marchesani syndrome |
| FBN1 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| FBN1 | Orphanet:969 | Acromicric dysplasia |
| FBN2 | Orphanet:115 | Congenital contractural arachnodactyly |
| SMAD3 | Orphanet:284984 | Aneurysm-osteoarthritis syndrome |
| SMAD3 | Orphanet:60030 | Loeys-Dietz syndrome |
| SMAD3 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| MYH11 | Orphanet:2241 | Megacystis-microcolon-intestinal hypoperistalsis syndrome |
| MYH11 | Orphanet:229 | Familial aortic dissection |
| MYH11 | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
| MYH11 | Orphanet:98829 | Acute myeloid leukemia with abnormal bone marrow eosinophils inv(16)(p13q22) or t(16;16)(p13;q22) |
| MYLK | Orphanet:2241 | Megacystis-microcolon-intestinal hypoperistalsis syndrome |
| MYLK | Orphanet:91387 | Familial thoracic aortic aneurysm and aortic dissection |
Cohort genes → proteins
14 cohort genes, 14 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 14 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| TGFB3 | HGNC:11769 | ENSG00000119699 | P10600 | Transforming growth factor beta-3 proprotein | gencc,clinvar |
| TGFBR1 | HGNC:11772 | ENSG00000106799 | P36897 | TGF-beta receptor type-1 | gencc,clinvar |
| TGFBR2 | HGNC:11773 | ENSG00000163513 | P37173 | TGF-beta receptor type-2 | gencc,clinvar |
| SMAD2 | HGNC:6768 | ENSG00000175387 | Q15796 | SMAD family member 2 | gencc,clinvar |
| TGFB2 | HGNC:11768 | ENSG00000092969 | P61812 | Transforming growth factor beta-2 proprotein | clinvar |
| COL3A1 | HGNC:2201 | ENSG00000168542 | P02461 | Collagen alpha-1(III) chain | clinvar |
| COL5A1 | HGNC:2209 | ENSG00000130635 | P20908 | Collagen alpha-1(V) chain | clinvar |
| COL5A2 | HGNC:2210 | ENSG00000204262 | P05997 | Collagen alpha-2(V) chain | clinvar |
| ABCA3 | HGNC:33 | ENSG00000167972 | Q99758 | Phospholipid-transporting ATPase ABCA3 | clinvar |
| FBN1 | HGNC:3603 | ENSG00000166147 | P35555 | Fibrillin-1 | clinvar |
| FBN2 | HGNC:3604 | ENSG00000138829 | P35556 | Fibrillin-2 | clinvar |
| SMAD3 | HGNC:6769 | ENSG00000166949 | P84022 | SMAD family member 3 | clinvar |
| MYH11 | HGNC:7569 | ENSG00000133392 | P35749 | Myosin-11 | clinvar |
| MYLK | HGNC:7590 | ENSG00000065534 | Q15746 | Myosin light chain kinase, smooth muscle | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| TGFB3 | Transforming growth factor beta-3 proprotein | Transforming 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. |
| TGFBR1 | TGF-beta receptor type-1 | Transmembrane 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. |
| TGFBR2 | TGF-beta receptor type-2 | Transmembrane 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. |
| SMAD2 | SMAD family member 2 | Receptor-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. |
| TGFB2 | Transforming growth factor beta-2 proprotein | Precursor 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. |
| COL3A1 | Collagen alpha-1(III) chain | Collagen type III occurs in most soft connective tissues along with type I collagen. |
| COL5A1 | Collagen alpha-1(V) chain | Type V collagen is a member of group I collagen (fibrillar forming collagen). |
| COL5A2 | Collagen alpha-2(V) chain | Type V collagen is a member of group I collagen (fibrillar forming collagen). |
| ABCA3 | Phospholipid-transporting ATPase ABCA3 | Catalyzes 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… |
| FBN1 | Fibrillin-1 | Structural component of the 10-12 nm diameter microfibrils of the extracellular matrix, which conveys both structural and regulatory properties to load-bearing connective tissues. |
| FBN2 | Fibrillin-2 | Fibrillins are structural components of 10-12 nm extracellular calcium-binding microfibrils, which occur either in association with elastin or in elastin-free bundles. |
| SMAD3 | SMAD family member 3 | Receptor-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. |
| MYH11 | Myosin-11 | Muscle contraction. |
| MYLK | Myosin light chain kinase, smooth muscle | Calcium/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.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 3 | 5.9× | 0.051 |
| Transporter | 1 | 5.6× | 0.331 |
| Other/Unknown | 9 | 1.1× | 0.480 |
| Scaffold/PPI | 1 | 1.2× | 0.566 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| TGFB3 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, TGF-beta-like | |
| TGFBR1 | Kinase | yes | 2.7.10.2 | TGFB_receptor, Activin_recp, Prot_kinase_dom |
| TGFBR2 | Kinase | yes | 2.7.10.2 | TGFB_receptor, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| SMAD2 | Other/Unknown | no | SMAD_dom, MAD_homology1_Dwarfin-type, SMAD_FHA_dom_sf | |
| TGFB2 | Other/Unknown | no | TGF-b_propeptide, TGF-b_C, TGFb2 | |
| COL3A1 | Other/Unknown | no | Fib_collagen_C, VWF_dom, Collagen | |
| COL5A1 | Other/Unknown | no | Fib_collagen_C, Laminin_G, Collagen | |
| COL5A2 | Other/Unknown | no | Fib_collagen_C, VWF_dom, Collagen | |
| ABCA3 | Transporter | yes | ABC_transporter-like_ATP-bd, AAA+_ATPase, ABC2_TM | |
| FBN1 | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom | |
| FBN2 | Other/Unknown | no | EGF-type_Asp/Asn_hydroxyl_site, EGF, EGF-like_Ca-bd_dom | |
| SMAD3 | Other/Unknown | no | SMAD_dom, MAD_homology1_Dwarfin-type, SMAD_FHA_dom_sf | |
| MYH11 | Scaffold/PPI | no | IQ_motif_EF-hand-BS, Myosin_head_motor_dom-like, Myosin_tail | |
| MYLK | Kinase | yes | 2.7.11.18 | Prot_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)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 14 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| saphenous vein | 3 |
| cartilage tissue | 3 |
| tendon of biceps brachii | 3 |
| tibia | 2 |
| visceral pleura | 2 |
| parietal pleura | 2 |
| calcaneal tendon | 2 |
| skin of hip | 2 |
| periodontal ligament | 2 |
| stromal cell of endometrium | 2 |
| endocervix | 1 |
| gall bladder | 1 |
| pericardium | 1 |
| male germ cell | 1 |
| sperm | 1 |
| tendon | 1 |
| lower lobe of lung | 1 |
| upper lobe of left lung | 1 |
| upper lobe of lung | 1 |
| decidua | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| TGFB3 | 244 | broad | marker | saphenous vein, endocervix, gall bladder |
| TGFBR1 | 269 | ubiquitous | marker | saphenous vein, tibia, visceral pleura |
| TGFBR2 | 289 | ubiquitous | marker | pericardium, tibia, parietal pleura |
| SMAD2 | 299 | ubiquitous | marker | calcaneal tendon, sperm, male germ cell |
| TGFB2 | 206 | ubiquitous | marker | calcaneal tendon, tendon, cartilage tissue |
| COL3A1 | 281 | ubiquitous | marker | skin of hip, parietal pleura, visceral pleura |
| COL5A1 | 248 | ubiquitous | marker | stromal cell of endometrium, periodontal ligament, tendon of biceps brachii |
| COL5A2 | 266 | ubiquitous | marker | tendon of biceps brachii, periodontal ligament, stromal cell of endometrium |
| ABCA3 | 222 | ubiquitous | marker | lower lobe of lung, upper lobe of lung, upper lobe of left lung |
| FBN1 | 275 | ubiquitous | marker | synovial joint, skin of hip, decidua |
| FBN2 | 194 | ubiquitous | marker | cartilage tissue, placenta, adrenal tissue |
| SMAD3 | 288 | ubiquitous | marker | tendon of biceps brachii, cartilage tissue, hindlimb stylopod muscle |
| MYH11 | 143 | broad | marker | right coronary artery, lower esophagus, lower esophagus muscularis layer |
| MYLK | 289 | ubiquitous | marker | cauda epididymis, saphenous vein, seminal vesicle |
Protein interactions among cohort
Intra-cohort edges: 23.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| SMAD3 | 6,440 |
| TGFBR2 | 5,777 |
| SMAD2 | 5,751 |
| TGFBR1 | 4,828 |
| MYH11 | 3,818 |
| FBN1 | 3,640 |
| COL3A1 | 3,629 |
| TGFB3 | 2,972 |
| MYLK | 2,763 |
| COL5A1 | 2,600 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| COL3A1 | COL5A1 | string_interaction |
| COL3A1 | COL5A2 | string_interaction |
| COL3A1 | FBN1 | string_interaction |
| COL3A1 | FBN2 | string_interaction |
| COL5A1 | COL5A2 | string_interaction |
| COL5A1 | FBN1 | string_interaction |
| FBN1 | FBN2 | intact, string_interaction |
| FBN1 | MYLK | string_interaction |
| FBN1 | TGFBR1 | string_interaction |
| FBN1 | TGFBR2 | string_interaction |
| FBN2 | TGFBR1 | string_interaction |
| FBN2 | TGFBR2 | string_interaction |
| MYH11 | MYLK | string_interaction |
| SMAD2 | SMAD3 | string_interaction |
| SMAD2 | TGFB3 | string_interaction |
| SMAD2 | TGFBR1 | string_interaction |
| SMAD2 | TGFBR2 | string_interaction |
| SMAD3 | TGFB3 | string_interaction |
| SMAD3 | TGFBR1 | string_interaction |
| SMAD3 | TGFBR2 | string_interaction |
| TGFB3 | TGFBR1 | intact, string_interaction |
| TGFB3 | TGFBR2 | biogrid_interaction, intact, string_interaction |
| TGFBR1 | TGFBR2 | string_interaction |
Structural data
PDB: 12 · AlphaFold-only: 2 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| TGFBR1 | P36897 | 44 |
| TGFBR2 | P37173 | 22 |
| SMAD3 | P84022 | 12 |
| TGFB3 | P10600 | 11 |
| TGFB2 | P61812 | 11 |
| COL3A1 | P02461 | 11 |
| FBN1 | P35555 | 11 |
| SMAD2 | Q15796 | 10 |
| MYLK | Q15746 | 8 |
| ABCA3 | Q99758 | 2 |
| COL5A1 | P20908 | 1 |
| MYH11 | P35749 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| COL5A2 | P05997 | 53.15 |
| FBN2 | P35556 |
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.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| TGF-beta receptor signaling activates SMADs | 7 | 163.1× | 5e-13 | TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, FBN1, SMAD3 |
| Loss of Function of TGFBR1 in Cancer | 4 | 652.6× | 4e-10 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| Loss of Function of SMAD2/3 in Cancer | 4 | 543.8× | 4e-10 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| Signaling by TGF-beta Receptor Complex in Cancer | 4 | 543.8× | 4e-10 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| SMAD2/3 Phosphorylation Motif Mutants in Cancer | 4 | 543.8× | 4e-10 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| TGFBR1 KD Mutants in Cancer | 4 | 543.8× | 4e-10 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| Signaling by TGF-beta Receptor Complex | 6 | 85.9× | 6e-10 | TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3 |
| Signaling by TGFB family members | 6 | 49.4× | 1e-08 | TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3 |
| ECM proteoglycans | 5 | 53.7× | 3e-07 | TGFB3, TGFB2, COL3A1, COL5A1, COL5A2 |
| Downregulation of TGF-beta receptor signaling | 4 | 116.5× | 3e-07 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| Signaling by TGFBR3 | 4 | 105.2× | 5e-07 | TGFBR1, TGFBR2, TGFB2, SMAD3 |
| Elastic fibre formation | 4 | 96.0× | 6e-07 | TGFB3, TGFB2, FBN1, FBN2 |
| TGFBR3 regulates TGF-beta signaling | 3 | 305.9× | 7e-07 | TGFBR1, TGFBR2, TGFB2 |
| Molecules associated with elastic fibres | 4 | 88.2× | 7e-07 | TGFB3, TGFB2, FBN1, FBN2 |
| Fibronectin matrix formation | 3 | 122.4× | 1e-05 | COL3A1, COL5A1, COL5A2 |
| Integrin cell surface interactions | 4 | 38.4× | 2e-05 | COL3A1, COL5A1, COL5A2, FBN1 |
| Loss of Function of SMAD4 in Cancer | 2 | 543.8× | 2e-05 | SMAD2, SMAD3 |
| SMAD4 MH2 Domain Mutants in Cancer | 2 | 543.8× | 2e-05 | SMAD2, SMAD3 |
| SMAD2/3 MH2 Domain Mutants in Cancer | 2 | 543.8× | 2e-05 | SMAD2, SMAD3 |
| Loss of Function of TGFBR2 in Cancer | 2 | 543.8× | 2e-05 | TGFBR1, TGFBR2 |
| TGFBR2 Kinase Domain Mutants in Cancer | 2 | 543.8× | 2e-05 | TGFBR1, TGFBR2 |
| Syndecan interactions | 3 | 90.6× | 2e-05 | COL3A1, COL5A1, COL5A2 |
| Deubiquitination | 4 | 35.5× | 2e-05 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| MET activates PTK2 signaling | 3 | 81.6× | 3e-05 | COL3A1, COL5A1, COL5A2 |
| TGFBR1 LBD Mutants in Cancer | 2 | 407.9× | 4e-05 | TGFBR1, TGFBR2 |
| Signal Transduction | 8 | 5.8× | 7e-05 | TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3, MYH11, MYLK |
| Collagen chain trimerization | 3 | 55.6× | 8e-05 | COL3A1, COL5A1, COL5A2 |
| Signaling by PDGF | 3 | 54.4× | 8e-05 | COL3A1, COL5A1, COL5A2 |
| NCAM1 interactions | 3 | 53.2× | 9e-05 | COL3A1, COL5A1, COL5A2 |
| Developmental Lineage of Pancreatic Ductal Cells | 3 | 48.9× | 1e-04 | COL3A1, 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 term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| transforming growth factor beta receptor signaling pathway | 7 | 79.5× | 4e-10 | TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, COL3A1, SMAD3 |
| positive regulation of epithelial to mesenchymal transition | 6 | 136.3× | 4e-10 | TGFB3, TGFBR1, TGFBR2, SMAD2, TGFB2, SMAD3 |
| positive regulation of SMAD protein signal transduction | 5 | 136.8× | 2e-08 | TGFB3, TGFBR1, TGFBR2, TGFB2, SMAD3 |
| secondary palate development | 4 | 343.9× | 3e-08 | TGFB3, TGFBR2, SMAD2, TGFB2 |
| activin receptor signaling pathway | 4 | 253.4× | 8e-08 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| positive regulation of epithelial to mesenchymal transition involved in endocardial cushion formation | 3 | 902.8× | 1e-07 | TGFBR1, TGFBR2, TGFB2 |
| collagen fibril organization | 5 | 80.2× | 2e-07 | TGFBR1, TGFB2, COL3A1, COL5A1, COL5A2 |
| embryonic cranial skeleton morphogenesis | 4 | 166.0× | 3e-07 | TGFBR1, TGFBR2, SMAD2, SMAD3 |
| heart development | 6 | 33.8× | 4e-07 | TGFB3, TGFBR1, TGFBR2, TGFB2, COL3A1, FBN1 |
| trophoblast cell migration | 3 | 515.9× | 6e-07 | TGFBR1, SMAD2, SMAD3 |
| in utero embryonic development | 6 | 30.9× | 6e-07 | TGFB3, TGFBR1, TGFBR2, SMAD2, COL3A1, SMAD3 |
| response to cholesterol | 3 | 361.1× | 2e-06 | TGFBR1, TGFBR2, SMAD2 |
| wound healing | 4 | 65.1× | 9e-06 | TGFBR1, TGFB2, COL3A1, SMAD3 |
| uterine wall breakdown | 2 | 1203.7× | 2e-05 | TGFB3, TGFB2 |
| negative regulation of endodermal cell differentiation | 2 | 1203.7× | 2e-05 | COL5A1, COL5A2 |
| SMAD protein signal transduction | 3 | 157.0× | 2e-05 | TGFBR2, SMAD2, SMAD3 |
| cell-cell junction organization | 3 | 133.8× | 3e-05 | TGFB3, TGFB2, SMAD3 |
| paraxial mesoderm morphogenesis | 2 | 802.5× | 4e-05 | SMAD2, SMAD3 |
| regulation of transforming growth factor beta2 production | 2 | 601.9× | 6e-05 | TGFB2, SMAD3 |
| obsolete sequestering of TGFbeta in extracellular matrix | 2 | 601.9× | 6e-05 | FBN1, FBN2 |
| eye morphogenesis | 2 | 601.9× | 6e-05 | COL5A1, COL5A2 |
| aorta smooth muscle tissue morphogenesis | 2 | 601.9× | 6e-05 | COL3A1, MYLK |
| skin development | 3 | 95.0× | 6e-05 | COL3A1, COL5A1, COL5A2 |
| skeletal system development | 4 | 35.9× | 6e-05 | TGFBR1, TGFB2, COL5A2, FBN1 |
| ventricular septum morphogenesis | 3 | 92.6× | 6e-05 | TGFBR1, TGFBR2, TGFB2 |
| endocardial cushion fusion | 2 | 481.5× | 9e-05 | TGFBR2, TGFB2 |
| positive regulation of tight junction disassembly | 2 | 481.5× | 9e-05 | TGFB3, TGFBR1 |
| epithelial to mesenchymal transition | 3 | 66.9× | 1e-04 | TGFBR1, TGFBR2, TGFB2 |
| positive regulation of stress fiber assembly | 3 | 66.9× | 1e-04 | TGFB3, TGFBR1, SMAD3 |
| salivary gland morphogenesis | 2 | 343.9× | 2e-04 | TGFB3, 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.
| Symbol | Example approved molecule |
|---|---|
| TGFBR1 | MOMELOTINIB |
| TGFBR2 | PONATINIB |
| SMAD3 | FLUORESCEIN |
| MYLK | PONATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| TGFBR1 | 28 | 4 |
| MYLK | 28 | 4 |
| TGFBR2 | 22 | 4 |
| SMAD3 | 2 | 4 |
| TGFB2 | 1 | 2 |
| TGFB3 | 0 | 0 |
| SMAD2 | 0 | 0 |
| COL3A1 | 0 | 0 |
| COL5A1 | 0 | 0 |
| COL5A2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| MOMELOTINIB | 4 | TGFBR1 |
| DABRAFENIB | 4 | TGFBR1, TGFBR2 |
| NINTEDANIB | 4 | MYLK, TGFBR1 |
| DASATINIB | 4 | MYLK, TGFBR1, TGFBR2 |
| CRIZOTINIB | 4 | TGFBR1 |
| PONATINIB | 4 | MYLK, TGFBR2 |
| VEMURAFENIB | 4 | TGFBR2 |
| FEDRATINIB | 4 | MYLK, TGFBR2 |
| SORAFENIB | 4 | TGFBR2 |
| TOVORAFENIB | 4 | MYLK, TGFBR2 |
| PAZOPANIB | 4 | TGFBR2 |
| FLUORESCEIN | 4 | SMAD3 |
| AFATINIB | 4 | MYLK |
| RUXOLITINIB | 4 | MYLK |
| NIFEDIPINE | 4 | MYLK |
| BOSUTINIB | 4 | MYLK |
| GILTERITINIB | 4 | MYLK |
| SUNITINIB | 4 | MYLK |
| QUIZARTINIB | 4 | MYLK |
| MIDOSTAURIN | 4 | MYLK |
| SARACATINIB | 3 | TGFBR1 |
| CANERTINIB | 3 | TGFBR1, TGFBR2 |
| TESEVATINIB | 3 | TGFBR1 |
| CEDIRANIB | 3 | TGFBR1 |
| LESTAURTINIB | 3 | MYLK, TGFBR1, TGFBR2 |
| ALVOCIDIB | 3 | TGFBR2 |
| FASUDIL | 3 | MYLK |
| DOVITINIB | 3 | MYLK |
| RUBOXISTAURIN | 3 | MYLK |
| GALUNISERTIB | 2 | TGFB2, TGFBR1, TGFBR2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 3.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| TGFBR1 | 541 | Binding:516, Functional:13, ADMET:12 |
| MYLK | 303 | Binding:303 |
| TGFBR2 | 188 | Binding:188 |
| SMAD3 | 24 | Binding:18, Functional:6 |
| SMAD2 | 20 | Binding:20 |
| TGFB2 | 3 | Binding:3 |
| TGFB3 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| TGFBR1 | 2.7.10.2, 2.7.11.30 | non-specific protein-tyrosine kinase, receptor protein serine/threonine kinase |
| TGFBR2 | 2.7.10.2 | non-specific protein-tyrosine kinase |
| MYLK | 2.7.11.18 | myosin-light-chain kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| TGFBR1 | 541 |
| TGFBR2 | 188 |
| MYLK | 303 |
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.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| MOMELOTINIB | 4 | TGFBR1 |
| DABRAFENIB | 4 | TGFBR1, TGFBR2 |
| NINTEDANIB | 4 | MYLK, TGFBR1 |
| DASATINIB | 4 | MYLK, TGFBR1, TGFBR2 |
| CRIZOTINIB | 4 | TGFBR1 |
| PONATINIB | 4 | MYLK, TGFBR2 |
| VEMURAFENIB | 4 | TGFBR2 |
| FEDRATINIB | 4 | MYLK, TGFBR2 |
| SORAFENIB | 4 | TGFBR2 |
| TOVORAFENIB | 4 | MYLK, TGFBR2 |
| PAZOPANIB | 4 | TGFBR2 |
| FLUORESCEIN | 4 | SMAD3 |
| AFATINIB | 4 | MYLK |
| RUXOLITINIB | 4 | MYLK |
| NIFEDIPINE | 4 | MYLK |
| BOSUTINIB | 4 | MYLK |
| GILTERITINIB | 4 | MYLK |
| SUNITINIB | 4 | MYLK |
| QUIZARTINIB | 4 | MYLK |
| MIDOSTAURIN | 4 | MYLK |
| SARACATINIB | 3 | TGFBR1 |
| CANERTINIB | 3 | TGFBR1, TGFBR2 |
| TESEVATINIB | 3 | TGFBR1 |
| CEDIRANIB | 3 | TGFBR1 |
| LESTAURTINIB | 3 | MYLK, TGFBR1, TGFBR2 |
| ALVOCIDIB | 3 | TGFBR2 |
| FASUDIL | 3 | MYLK |
| DOVITINIB | 3 | MYLK |
| RUBOXISTAURIN | 3 | MYLK |
| GALUNISERTIB | 2 | TGFB2, TGFBR1, TGFBR2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 4 | TGFBR1, TGFBR2, SMAD3, MYLK |
| B | Phased (≥1) drug, not yet approved | 1 | TGFB2 |
| C | Druggable family + PDB, no drug | 1 | ABCA3 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 8 | TGFB3, 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).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| TGFB3 | 1 | TGFBR1, TGFBR2 |
| SMAD2 | 20 | TGFBR1 |
| COL3A1 | 0 | — |
| COL5A1 | 0 | — |
| COL5A2 | 0 | — |
| ABCA3 | 0 | — |
| FBN1 | 0 | — |
| FBN2 | 0 | — |
| MYH11 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 10.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 10 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02050113 | Not specified | RECRUITING | Complex Aortic Aneurysm Repair Using Physician Modified Endografts and Custom Made Devices |
| NCT02504853 | Not specified | RECRUITING | Natural History and Genetics of Food Allergy and Related Conditions |
| NCT03440697 | Not specified | ACTIVE_NOT_RECRUITING | Pathogenetic Basis of Aortopathy and Aortic Valve Disease |
| NCT05389865 | Not specified | ACTIVE_NOT_RECRUITING | Proximal Aortopathy in Scotland - Epidemiology and Surgical Outcomes |
| NCT06546137 | Not specified | RECRUITING | National Network for Cardiovascular Genomics: Advancing Cardiovascular Healthcare for Hereditary Diseases in Brazil’s Unified Health System Through a Multicenter Registry |
| NCT01322165 | Not specified | COMPLETED | National Registry of Genetically Triggered Thoracic Aortic Aneurysms and Cardiovascular Conditions |
| NCT02213484 | Not specified | COMPLETED | Micro RNAs as a Marker of Aortic Aneurysm in Hereditary Aortopathy Syndromes |
| NCT05472519 | Not specified | COMPLETED | Immunopathology of Loeys-Dietz Syndrome |
| NCT05980104 | Not specified | COMPLETED | Single-Session Empowered Relief Class for Marfan Syndrome and Related Conditions |
| NCT07360704 | Not specified | COMPLETED | Genotypes and Craniofacial Phenotypes in Orthodontic Patients With Marfan and Loeys-Dietz Syndromes |