Lung carcinoma
diseaseOn this page
Also known as cancer of lungcancer of the lungcarcinoma of lungcarcinoma of the lunglung cancerlung cancer, NOS
Summary
Lung carcinoma (MONDO:0005138) is a cancer (an umbrella term covering 10 Mondo subtypes) with 70 cohort genes (638 GWAS associations across 66 studies; 18 CIViC-evidence somatic drivers; 51 ClinVar predisposition records) and 3,807 clinical trials. The dominant Reactome pathway is Highly calcium permeable nicotinic acetylcholine receptors (4 cohort genes). Molecularly, BRCA1 Mutation OR BRCA2 Mutation confers sensitivity to Olaparib in Lung Carcinoma (CIViC Level B); 33 further subtype–drug associations are mapped below. Top therapeutic interventions include paclitaxel, vinorelbine, and docetaxel anhydrous.
At a glance
- Classification: Cancer
- Umbrella term: 10 Mondo subtypes
- Cohort genes: 70
- GWAS associations: 638
- ClinVar variants: 51
- Clinical trials: 3,807
- Precision-medicine evidence (CIViC): 34 subtype–drug associations
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | lung carcinoma |
| Mondo ID | MONDO:0005138 |
| EFO | EFO:0001071 |
| DOID | DOID:3905 |
| ICD-11 | 947165291 |
| NCIT | C4878 |
| UMLS | C0684249 |
| MedGen | 195765 |
| Anatomy (UBERON) | UBERON:0002048 |
| Is cancer (heuristic) | yes |
Also known as: cancer of lung · cancer of the lung · carcinoma of lung · carcinoma of the lung · lung cancer · lung cancer, NOS · lung carcinoma
Data availability: 51 ClinVar variants · 638 GWAS associations (66 studies) · 39 cell lines.
Disease family
An umbrella term covering 10 Mondo subtypes.
Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumor › neoplastic disease or syndrome › neoplasm › cancer › carcinoma › lung carcinoma
Related subtypes (48): retroperitoneum carcinoma, head and neck carcinoma, peritoneal carcinoma, neuroendocrine carcinoma, laryngeal carcinoma, bone carcinoma, carcinoma ex pleomorphic adenoma, scrotal carcinoma, skin carcinoma, malignant myoepithelioma, trachea carcinoma, epithelial-myoepithelial carcinoma, lipid-rich carcinoma, comedocarcinoma, in situ carcinoma, adenocarcinoma, urinary bladder carcinoma, breast carcinoma, squamous cell carcinoma, prostate carcinoma, renal carcinoma, uterine carcinoma, vulvar carcinoma, large cell carcinoma, undifferentiated carcinoma, basaloid carcinoma, cribriform carcinoma, digestive system carcinoma, fallopian tube carcinoma, penile carcinoma, sarcomatoid carcinoma, thymic carcinoma, transitional cell carcinoma, ureter carcinoma, papillary carcinoma, Krebs 2 carcinoma, thyroid gland carcinoma, vaginal carcinoma, choroid plexus carcinoma, malignant epithelial tumor of ovary, mucin-producing carcinoma, basal cell carcinoma, carcinoma of urethra, combined carcinoid and adenocarcinoma, secondary carcinoma, invasive carcinoma, glycogen-rich carcinoma, lymph node carcinoma
Subtypes (10): bronchogenic carcinoma, asbestos-related lung carcinoma, lung hilum carcinoma, lung carcinoma in situ, squamous cell lung carcinoma, non-small cell lung carcinoma, combined lung carcinoma, lung inflammatory myofibroblastic tumor, small cell lung carcinoma, lung epithelial-myoepithelial carcinoma
Genetics & variants
GWAS landscape
638 GWAS associations across 66 studies. Top hits map to 30 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs55781567 | 6e-106 | CHRNA5 | ? | 0.19 |
| rs2853677 | 1e-97 | TERT | ? | 0.19 |
| chr15:78601997 | 3e-65 | A | 0.27 | |
| rs577626090 | 1e-63 | CHRNA5 | D | 1.29 |
| rs16969968 | 2e-54 | CHRNA5 | A | 0.22 |
| rs11639372 | 3e-52 | CHRNB4 | T | 1.2 |
| rs1051730 | 3e-52 | CHRNA3 | T | 1.34 |
| rs7726159 | 1e-46 | TERT | A | 1.42 |
| rs61655864 | 6e-37 | CHRNA5 | D | 0.81 |
| rs36108040 | 5e-35 | TPRG1 - TP63 | ? | 0.1 |
| rs11200014 | 8e-35 | FGFR2 | A | |
| rs4886591 | 4e-34 | ADAMTS7 | A | 1.17 |
| rs380286 | 2e-32 | CLPTM1L | G | 1.15 |
| chr15:78771801 | 2e-28 | G | 0.17 | |
| rs12601991 | 7e-28 | HNF1B | T | |
| rs2736100 | 1e-27 | TERT | C | 1.27 |
| rs56113850 | 8e-27 | CYP2A6 | ? | 0.08 |
| rs8034191 | 3e-26 | HYKK | ? | 1.29 |
| rs4488809 | 7e-26 | TP63 | C | 1.26 |
| rs11607355 | 1e-21 | JAML | T | 0.08 |
| rs11196063 | 2e-21 | VTI1A | C | 1.27 |
| chr5:1287194 | 1e-20 | ? | 0.25 | |
| rs2413932 | 7e-20 | SECISBP2L - COPS2 | T | 0.08 |
| rs11571833 | 2e-19 | BRCA2 | T | 1.83 |
| rs1885281 | 2e-19 | VTI1A | A | 0.08 |
| rs116822326 | 5e-19 | HCP5 | G | 1.15 |
| rs116551911 | 7e-19 | DDR1 | T | 1.18 |
| rs115870917 | 7e-19 | SUMO2P1 - MOG | C | 1.2 |
| rs147680653 | 7e-19 | HLA-F-AS1 | G | 1.22 |
| rs501942 | 8e-19 | SLC44A4 | T | 1.19 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST005267 | Zuber V | 2018 | 32,405 | 59,059 | Identification of shared genetic variants between schizophrenia and lung cancer. |
| GCST004748 | McKay JD | 2017 | 29,266 | 56,450 | Large-scale association analysis identifies new lung cancer susceptibility loci and heterogeneity in genetic susceptibility across histological subtypes. |
| GCST90134661 | Byun J | 2022 | 26,683 | 25,278 | Cross-ancestry genome-wide meta-analysis of 61,047 cases and 947,237 controls identifies new susceptibility loci contributing to lung cancer. |
| GCST004749 | McKay JD | 2017 | 23,223 | 16,964 | Large-scale association analysis identifies new lung cancer susceptibility loci and heterogeneity in genetic susceptibility across histological subtypes. |
| GCST011656 | Dai J | 2019 | 20,871 | 15,971 | Genome-wide association study of INDELs identified four novel susceptibility loci associated with lung cancer risk. |
| GCST001638 | Timofeeva MN | 2012 | 14,900 | 29,485 | Influence of common genetic variation on lung cancer risk: meta-analysis of 14 900 cases and 29 485 controls. |
| GCST003325 | Wang Z | 2016 | 6,877 | 6,277 | Meta-analysis of genome-wide association studies identifies multiple lung cancer susceptibility loci in never-smoking Asian women. |
| GCST001740 | Lan Q | 2012 | 5,510 | 4,544 | Genome-wide association analysis identifies new lung cancer susceptibility loci in never-smoking women in Asia. |
| GCST000257 | Wang Y | 2008 | 5,095 | 5,200 | Common 5p15.33 and 6p21.33 variants influence lung cancer risk. |
| GCST003587 | Fehringer G | 2016 | 5,020 | 61,820 | Cross-Cancer Genome-Wide Analysis of Lung, Ovary, Breast, Prostate, and Colorectal Cancer Reveals Novel Pleiotropic Associations. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 3 |
| Tier 2: splice/UTR | 3 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 43 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 48 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 1 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 31 |
| intergenic_variant | 7 |
| unknown | 3 |
| 5_prime_UTR_variant | 2 |
| missense_variant | 2 |
| synonymous_variant | 2 |
| stop_gained | 1 |
| 3_prime_UTR_variant | 1 |
| regulatory_region_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs55781567 | 15 | 78565644 | C>G | 0.05 | 5_prime_UTR_variant | CHRNA5 | 6e-106 | Tier 2: splice/UTR |
| rs2853677 | 5 | 1287079 | G>A,C,T | 0.05 | intron_variant | TERT | 1e-97 | Tier 4: intronic/intergenic |
| chr15:78601997 | 0.328 | 3e-65 | Tier 4: intronic/intergenic | |||||
| rs577626090 | 15 | 78567264 | AAAAAGAAAAG>A,AAAAAG,AAAAAGAAAAGAAAAG | 0.37 | intron_variant | CHRNA5 | 1e-63 | Tier 4: intronic/intergenic |
| rs16969968 | 15 | 78590583 | G>A | 0.331 | missense_variant | CHRNA5 | 2e-54 | Tier 1: coding |
| rs11639372 | 15 | 78674313 | C>T | 0.409 | intron_variant | CHRNB4 | 3e-52 | Tier 4: intronic/intergenic |
| rs1051730 | 15 | 78601997 | G>A,C,T | 0.05 | synonymous_variant | CHRNA3 | 3e-52 | Tier 4: intronic/intergenic |
| rs7726159 | 5 | 1282204 | C>A | 0.38 | intron_variant | TERT | 1e-46 | Tier 4: intronic/intergenic |
| rs61655864 | 15 | 78574381 | CAAAAAAA>C,CAA,CAAA,CAAAA,CAAAAA,CAAAAAA,CAAAAAAAA,CAAAAAAAAA,CAAAAAAAAAA,CAAAAAAAAAAAAAAAA | 0.29 | intron_variant | CHRNA5 | 6e-37 | Tier 4: intronic/intergenic |
| rs36108040 | 3 | 189618055 | A>G | 0.05 | intron_variant | TPRG1 - TP63 | 5e-35 | Tier 4: intronic/intergenic |
| rs11200014 | 10 | 121575416 | G>A,T | 0.05 | intron_variant | FGFR2 | 8e-35 | Tier 4: intronic/intergenic |
| rs4886591 | 15 | 78782176 | G>A,C | 0.437 | intron_variant | ADAMTS7 | 4e-34 | Tier 4: intronic/intergenic |
| rs380286 | 5 | 1320132 | G>A | 0.423 | intron_variant | CLPTM1L | 2e-32 | Tier 4: intronic/intergenic |
| chr15:78771801 | 0.427 | 2e-28 | Tier 4: intronic/intergenic | |||||
| rs12601991 | 17 | 37741642 | T>A,G | 0.05 | intron_variant | HNF1B | 7e-28 | Tier 4: intronic/intergenic |
| rs2736100 | 5 | 1286401 | C>A,G,T | 0.41 | intron_variant | TERT | 1e-27 | Tier 4: intronic/intergenic |
| rs56113850 | 19 | 40847202 | T>C | 0.05 | intron_variant | CYP2A6 | 8e-27 | Tier 4: intronic/intergenic |
| rs8034191 | 15 | 78513681 | T>C | 0.05 | intron_variant | HYKK | 3e-26 | Tier 4: intronic/intergenic |
| rs4488809 | 3 | 189638472 | T>C | 0.47 | intron_variant | TP63 | 7e-26 | Tier 4: intronic/intergenic |
| rs11607355 | 11 | 118222832 | C>T | 0.05 | intron_variant | JAML | 1e-21 | Tier 4: intronic/intergenic |
| rs11196063 | 10 | 112700254 | A>C | 0.28 | intron_variant | VTI1A | 2e-21 | Tier 4: intronic/intergenic |
| chr5:1287194 | 1e-20 | Tier 4: intronic/intergenic | ||||||
| rs2413932 | 15 | 49091284 | C>T | 0.05 | intergenic_variant | SECISBP2L - COPS2 | 7e-20 | Tier 4: intronic/intergenic |
| rs11571833 | 13 | 32398489 | A>T | 0.011 | stop_gained | BRCA2 | 2e-19 | Tier 1: coding |
| rs1885281 | 10 | 112733139 | A>G,T | 0.05 | intron_variant | VTI1A | 2e-19 | Tier 4: intronic/intergenic |
| rs116822326 | 6 | 31466334 | 0.161 | intron_variant | HCP5 | 5e-19 | Tier 4: intronic/intergenic | |
| rs116551911 | 6 | 30896502 | 0.112 | intron_variant | DDR1 | 7e-19 | Tier 4: intronic/intergenic | |
| rs115870917 | 6 | 29639324 | 0.088 | intron_variant | SUMO2P1 - MOG | 7e-19 | Tier 4: intronic/intergenic | |
| rs147680653 | 6 | 29785031 | 0.083 | intron_variant | HLA-F-AS1 | 7e-19 | Tier 4: intronic/intergenic | |
| rs501942 | 6 | 31872700 | C>A,T | 0.099 | intron_variant | SLC44A4 | 8e-19 | Tier 4: intronic/intergenic |
ClinVar germline variants
51 retrieved; paginated sample, class counts are floors:
16 conflicting classifications of pathogenicity, 12 uncertain significance, 8 pathogenic, 5 pathogenic/likely pathogenic, 5 likely benign, 2 drug response, 1 likely pathogenic, 1 benign, 1 benign/likely benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 627530 | t(2;3)(p12;p14.3) | ALK | Pathogenic | no assertion criteria provided |
| 13981 | NM_004333.6(BRAF):c.1914T>A (p.Asp638Glu) | BRAF | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 29805 | NM_004333.6(BRAF):c.722C>T (p.Thr241Met) | BRAF | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 29807 | NM_004333.6(BRAF):c.721A>C (p.Thr241Pro) | BRAF | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 40347 | NM_004333.6(BRAF):c.735A>C (p.Leu245Phe) | BRAF | Pathogenic | reviewed by expert panel |
| 44811 | NM_004333.6(BRAF):c.1743T>A (p.Asn581Lys) | BRAF | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1703 | NM_000124.4(ERCC6):c.1357C>T (p.Arg453Ter) | ERCC6 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 190163 | NM_000124.4(ERCC6):c.2830-2A>G | ERCC6 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 12587 | NM_004985.5(KRAS):c.458A>T (p.Asp153Val) | KRAS | Pathogenic | reviewed by expert panel |
| 39705 | NM_006218.4(PIK3CA):c.3139C>T (p.His1047Tyr) | PIK3CA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 6621 | NM_002716.5(PPP2R1B):c.269G>A (p.Gly90Asp) | PPP2R1B | Pathogenic | no assertion criteria provided |
| 7050 | NM_004562.3(PRKN):c.823C>T (p.Arg275Trp) | PRKN | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 6978 | NM_002555.6(SLC22A18):c.698C>T (p.Ser233Phe) | SLC22A18 | Pathogenic | no assertion criteria provided |
| 12578 | NM_004985.5(KRAS):c.34G>T (p.Gly12Cys) | KRAS | Likely pathogenic | criteria provided, single submitter |
| 163335 | NM_005228.5(EGFR):c.2126A>G (p.Glu709Gly) | EGFR | drug response | criteria provided, single submitter |
| 16609 | NM_005228.5(EGFR):c.2573T>G (p.Leu858Arg) | EGFR | drug response | reviewed by expert panel |
| 372564 | NM_004333.6(BRAF):c.437G>A (p.Arg146Gln) | BRAF | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 128059 | NM_007194.4(CHEK2):c.1420C>T (p.Arg474Cys) | CHEK2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 45280 | NM_005228.5(EGFR):c.2504A>T (p.His835Leu) | EGFR | Conflicting classifications of pathogenicity | no assertion criteria provided |
| 45282 | NM_005228.5(EGFR):c.2543C>T (p.Pro848Leu) | EGFR | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 584686 | NM_005228.5(EGFR):c.509G>A (p.Ser170Asn) | EGFR | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 802312 | NM_005228.5(EGFR):c.59C>A (p.Pro20Gln) | EGFR | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 802313 | NM_005228.5(EGFR):c.551T>A (p.Leu184Gln) | EGFR | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 802314 | NM_005228.5(EGFR):c.551T>C (p.Leu184Pro) | EGFR | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 802317 | NM_005228.5(EGFR):c.1840G>A (p.Gly614Ser) | EGFR | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 802320 | NM_005228.5(EGFR):c.2896A>G (p.Ile966Val) | EGFR | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 208821 | NM_005228.5(EGFR):c.2305G>A (p.Val769Met) | EGFR-AS1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 802319 | NM_005228.5(EGFR):c.2469+8G>A | EGFR-AS1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 190156 | NM_000124.4(ERCC6):c.1996C>T (p.Arg666Cys) | ERCC6 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 190164 | NM_000124.4(ERCC6):c.3122A>C (p.Gln1041Pro) | ERCC6 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 132 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 1
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|---|---|
| CHEK2 | CHEK2 | GWAS, Orphanet |
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|---|---|---|
| BRCA2 | LoF | BLCA,BRCA,CESC,CHOL,HCC,HNSC,LUSC,MBL,OVT,PAAD,PRAD,PROSTATE,RCC,VULVA | CIViC #7 |
| CHEK2 | Act | BRCA | CIViC #8950 |
| EGFR | Act | BRCA,COADREAD,GB,GBM,HGGNOS,LGGNOS,LUAD,LUSC,NSCLC,PAST,PCM,READ,SIC | CIViC #19 |
| KRAS | Act | ALL,AML,ANSC,BLADDER,BLCA,BRCA,CEAD,CESC,CHOL,CLLSLL,COAD,COADREAD,DLBCLNOS,EGC,ESCA,ESCC,HCC,LUAD,LUSC,MEL,MGCT,MT,NSCLC,OVT,PAAD,PANCREAS,PAST,PCM,PRAD,PRCC,READ,STAD,STOMACH,UCEC,UCS,WDTC | CIViC #30 |
| BRCA1 | LoF | BLCA,BRCA,MEL,OVT | CIViC #6 |
| TP53 | LoF | ACC,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,WT | CIViC #45 |
| SLTM | Act | CCRCC,LGGNOS,LUAD,NSCLC,OS,PRCC,RCC | CIViC #52 |
| NQO1 | CIViC #1463 | ||
| ERBB2 | Act | BLCA,BRCA,CESC,CHOL,COADREAD,EGC,ESCA,ESCC,LMS,LUAD,NSCLC,OVT,PRCC,READ,STAD,UCEC | CIViC #20 |
| ETV4 | Act | NBL | CIViC #1767 |
| ROS1 | LoF | HCC,HNSC,OVT,PRAD,STAD | CIViC #4941 |
| BRAF | Act | BLCA,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,WDTC | CIViC #5 |
| SOX9 | LoF | COAD,COADREAD | |
| STAT1 | CIViC #5514 | ||
| STAT6 | Act | DLBCLNOS,MLYM,NHL | CIViC #5520 |
| TERT | Act | PRCC | CIViC #79 |
| TP53BP1 | CIViC #5852 | ||
| WNK1 | CIViC #14591 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| BRCA2 | Orphanet:1331 | Familial prostate cancer |
| BRCA2 | Orphanet:1333 | Familial pancreatic carcinoma |
| BRCA2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| BRCA2 | Orphanet:178 | Chordoma |
| BRCA2 | Orphanet:227535 | Hereditary breast cancer |
| BRCA2 | Orphanet:319462 | Inherited cancer-predisposing syndrome due to biallelic BRCA2 mutations |
| BRCA2 | Orphanet:440437 | Familial colorectal cancer Type X |
| BRCA2 | Orphanet:654 | Nephroblastoma |
| BRCA2 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| BRCA2 | Orphanet:694963 | Inflammatory breast cancer |
| BRCA2 | Orphanet:70567 | Cholangiocarcinoma |
| BRCA2 | Orphanet:84 | Fanconi anemia |
| CHEK2 | Orphanet:1331 | Familial prostate cancer |
| CHEK2 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| CHEK2 | Orphanet:440437 | Familial colorectal cancer Type X |
| CHEK2 | Orphanet:524 | Li-Fraumeni syndrome |
| CHEK2 | Orphanet:668 | Osteosarcoma |
| EGFR | Orphanet:251576 | Gliosarcoma |
| EGFR | Orphanet:251579 | Giant cell glioblastoma |
| KRAS | Orphanet:1333 | Familial pancreatic carcinoma |
| KRAS | Orphanet:1340 | Cardiofaciocutaneous syndrome |
| KRAS | Orphanet:144 | Lynch syndrome |
| KRAS | Orphanet:146 | Differentiated thyroid carcinoma |
| KRAS | Orphanet:2396 | Encephalocraniocutaneous lipomatosis |
| KRAS | Orphanet:251615 | Pilomyxoid astrocytoma |
| KRAS | Orphanet:2612 | Linear nevus sebaceus syndrome |
| KRAS | Orphanet:268114 | RAS-associated autoimmune leukoproliferative disease |
| KRAS | Orphanet:3339 | Oculoectodermal syndrome |
| KRAS | Orphanet:648 | Noonan syndrome |
| KRAS | Orphanet:86834 | Juvenile myelomonocytic leukemia |
| BRCA1 | Orphanet:1331 | Familial prostate cancer |
| BRCA1 | Orphanet:1333 | Familial pancreatic carcinoma |
| BRCA1 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| BRCA1 | Orphanet:168829 | Primary peritoneal carcinoma |
| BRCA1 | Orphanet:227535 | Hereditary breast cancer |
| BRCA1 | Orphanet:667662 | Breast implant-associated anaplastic large cell lymphoma |
| BRCA1 | Orphanet:694963 | Inflammatory breast cancer |
| BRCA1 | Orphanet:70567 | Cholangiocarcinoma |
| BRCA1 | Orphanet:84 | Fanconi anemia |
| TP53 | Orphanet:1333 | Familial pancreatic carcinoma |
| TP53 | Orphanet:145 | Hereditary breast and/or ovarian cancer syndrome |
| TP53 | Orphanet:1501 | Adrenocortical carcinoma |
| TP53 | Orphanet:210159 | Adult hepatocellular carcinoma |
| TP53 | Orphanet:251576 | Gliosarcoma |
| TP53 | Orphanet:251579 | Giant cell glioblastoma |
| TP53 | Orphanet:251899 | Choroid plexus carcinoma |
| TP53 | Orphanet:2807 | Papilloma of choroid plexus |
| TP53 | Orphanet:293199 | Pleomorphic rhabdomyosarcoma |
| TP53 | Orphanet:3318 | Essential thrombocythemia |
| TP53 | Orphanet:524 | Li-Fraumeni syndrome |
Cohort genes → proteins
70 cohort genes, 66 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 58 |
| gwas_and_clinvar | 1 |
| civic_only | 6 |
| multi_evidence | 5 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| BRCA2 | HGNC:1101 | ENSG00000139618 | P51587 | Breast cancer type 2 susceptibility protein | gwas,civic_evidence |
| CHEK2 | HGNC:16627 | ENSG00000183765 | O96017 | Serine/threonine-protein kinase Chk2 | gwas,clinvar |
| EGFR | HGNC:3236 | ENSG00000146648 | P00533 | Epidermal growth factor receptor | clinvar,civic_evidence |
| KRAS | HGNC:6407 | ENSG00000133703 | P01116 | GTPase KRas | clinvar,civic_evidence |
| BRCA1 | HGNC:1100 | ENSG00000012048 | P38398 | Breast cancer type 1 susceptibility protein | civic_evidence |
| TP53 | HGNC:11998 | ENSG00000141510 | P04637 | Cellular tumor antigen p53 | civic_evidence |
| SLTM | HGNC:20709 | ENSG00000137776 | Q9NWH9 | SAFB-like transcription modulator | civic_evidence |
| NQO1 | HGNC:2874 | ENSG00000181019 | P15559 | NAD(P)H dehydrogenase [quinone] 1 | civic_evidence |
| ERBB2 | HGNC:3430 | ENSG00000141736 | P04626 | Receptor tyrosine-protein kinase erbB-2 | civic_evidence |
| ETV4 | HGNC:3493 | ENSG00000175832 | P43268 | ETS translocation variant 4 | civic_evidence |
| TRIM38 | HGNC:10059 | ENSG00000112343 | O00635 | E3 ubiquitin-protein ligase TRIM38 | gwas |
| ROS1 | HGNC:10261 | ENSG00000047936 | P08922 | Proto-oncogene tyrosine-protein kinase ROS | gwas |
| XCL2 | HGNC:10646 | ENSG00000143185 | Q9UBD3 | Cytokine SCM-1 beta | gwas |
| SHOX2 | HGNC:10854 | ENSG00000168779 | O60902 | Short stature homeobox protein 2 | gwas |
| SIX2 | HGNC:10888 | ENSG00000170577 | Q9NPC8 | Homeobox protein SIX2 | gwas |
| SIX3 | HGNC:10889 | ENSG00000138083 | O95343 | Homeobox protein SIX3 | gwas |
| SLC12A7 | HGNC:10915 | ENSG00000113504 | Q9Y666 | Solute carrier family 12 member 7 | gwas |
| SLC17A4 | HGNC:10932 | ENSG00000146039 | Q9Y2C5 | Probable small intestine urate exporter | gwas |
| SLC67A1 | HGNC:10964 | ENSG00000110628 | Q96BI1 | Solute carrier family 67 member A1 | clinvar |
| BRAF | HGNC:1097 | ENSG00000157764 | P15056 | Serine/threonine-protein kinase B-raf | clinvar |
| SLK | HGNC:11088 | ENSG00000065613 | Q9H2G2 | STE20-like serine/threonine-protein kinase | gwas |
| SNRPA1 | HGNC:11152 | ENSG00000131876 | P09661 | U2 small nuclear ribonucleoprotein A' | gwas |
| SOX9 | HGNC:11204 | ENSG00000125398 | P48436 | Transcription factor SOX-9 | gwas |
| SP3 | HGNC:11208 | ENSG00000172845 | Q02447 | Transcription factor Sp3 | gwas |
| SP4 | HGNC:11209 | ENSG00000105866 | Q02446 | Transcription factor Sp4 | gwas |
| TRIM21 | HGNC:11312 | ENSG00000132109 | P19474 | E3 ubiquitin-protein ligase TRIM21 | gwas |
| BTN2A1 | HGNC:1136 | ENSG00000112763 | Q7KYR7 | Butyrophilin subfamily 2 member A1 | gwas |
| STAT1 | HGNC:11362 | ENSG00000115415 | P42224 | Signal transducer and activator of transcription 1-alpha/beta | gwas |
| STAT6 | HGNC:11368 | ENSG00000166888 | P42226 | Signal transducer and activator of transcription 6 | gwas |
| BTN3A1 | HGNC:1138 | ENSG00000026950 | O00481 | Butyrophilin subfamily 3 member A1 | gwas |
| BTN3A2 | HGNC:1139 | ENSG00000186470 | P78410 | Butyrophilin subfamily 3 member A2 | gwas |
| BTNL2 | HGNC:1142 | ENSG00000204290 | Q9UIR0 | Butyrophilin-like protein 2 | gwas |
| SYNGR2 | HGNC:11499 | ENSG00000108639 | O43760 | Synaptogyrin-2 | gwas |
| HNF1B | HGNC:11630 | ENSG00000275410 | P35680 | Hepatocyte nuclear factor 1-beta | gwas |
| TERT | HGNC:11730 | ENSG00000164362 | O14746 | Telomerase reverse transcriptase | gwas |
| TGM5 | HGNC:11781 | ENSG00000104055 | O43548 | Protein-glutamine gamma-glutamyltransferase 5 | gwas |
| TNFAIP6 | HGNC:11898 | ENSG00000123610 | P98066 | Tumor necrosis factor-inducible gene 6 protein | gwas |
| TNXB | HGNC:11976 | ENSG00000168477 | P22105 | Tenascin-X | gwas |
| TP53BP1 | HGNC:11999 | ENSG00000067369 | Q12888 | TP53-binding protein 1 | gwas |
| LINC00470 | HGNC:1225 | ENSG00000132204 | Q9BZP3 | Putative uncharacterized protein encoded by LINC00470 | gwas |
| TUB | HGNC:12406 | ENSG00000166402 | P50607 | Tubby protein homolog | gwas |
| C1S | HGNC:1247 | ENSG00000182326 | P09871 | Complement C1s subcomponent | gwas |
| TRIM26 | HGNC:12962 | ENSG00000234127 | Q12899 | Tripartite motif-containing protein 26 | gwas |
| ZNF184 | HGNC:12975 | ENSG00000096654 | Q99676 | Zinc finger protein 184 | gwas |
| ZNF204P | HGNC:12995 | ENSG00000204789 | zinc finger protein 204, pseudogene | gwas | |
| ZSCAN12 | HGNC:13172 | ENSG00000158691 | O43309 | Zinc finger and SCAN domain-containing protein 12 | gwas |
| IKZF2 | HGNC:13177 | ENSG00000030419 | Q9UKS7 | Zinc finger protein Helios | gwas |
| POLR1H | HGNC:13182 | ENSG00000066379 | Q9P1U0 | DNA-directed RNA polymerase I subunit RPA12 | gwas |
| NID2 | HGNC:13389 | ENSG00000087303 | Q14112 | Nidogen-2 | gwas |
| RBMS3 | HGNC:13427 | ENSG00000144642 | Q6XE24 | RNA-binding motif, single-stranded-interacting protein 3 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| BRCA2 | Breast cancer type 2 susceptibility protein | Involved in double-strand break repair and/or homologous recombination. |
| CHEK2 | Serine/threonine-protein kinase Chk2 | Serine/threonine-protein kinase which is required for checkpoint-mediated cell cycle arrest, activation of DNA repair and apoptosis in response to the presence of DNA double-strand breaks. |
| EGFR | Epidermal growth factor receptor | Receptor tyrosine kinase binding ligands of the EGF family and activating several signaling cascades to convert extracellular cues into appropriate cellular responses. |
| KRAS | GTPase KRas | Ras proteins bind GDP/GTP and possess intrinsic GTPase activity. |
| BRCA1 | Breast cancer type 1 susceptibility protein | E3 ubiquitin-protein ligase that specifically mediates the formation of ‘Lys-6’-linked polyubiquitin chains and plays a central role in DNA repair by facilitating cellular responses to DNA damage. |
| TP53 | Cellular tumor antigen p53 | Multifunctional transcription factor that induces cell cycle arrest, DNA repair or apoptosis upon binding to its target DNA sequence. |
| SLTM | SAFB-like transcription modulator | When overexpressed, acts as a general inhibitor of transcription that eventually leads to apoptosis. |
| NQO1 | NAD(P)H dehydrogenase [quinone] 1 | Flavin-containing quinone reductase that catalyzes two-electron reduction of quinones to hydroquinones using either NADH or NADPH as electron donors. |
| ERBB2 | Receptor tyrosine-protein kinase erbB-2 | Protein tyrosine kinase that is part of several cell surface receptor complexes, but that apparently needs a coreceptor for ligand binding. |
| ETV4 | ETS translocation variant 4 | Transcriptional activator. |
| TRIM38 | E3 ubiquitin-protein ligase TRIM38 | E3 ubiquitin-protein and E3 SUMO-protein ligase that acts as a regulator of innate immunity. |
| ROS1 | Proto-oncogene tyrosine-protein kinase ROS | Receptor tyrosine kinase (RTK) that plays a role in epithelial cell differentiation and regionalization of the proximal epididymal epithelium. |
| XCL2 | Cytokine SCM-1 beta | Chemotactic activity for lymphocytes but not for monocytes or neutrophils. |
| SHOX2 | Short stature homeobox protein 2 | May be a growth regulator and have a role in specifying neural systems involved in processing somatosensory information, as well as in face and body structure formation. |
| SIX2 | Homeobox protein SIX2 | Transcription factor that plays an important role in the development of several organs, including kidney, skull and stomach. |
| SIX3 | Homeobox protein SIX3 | Transcriptional regulator which can act as both a transcriptional repressor and activator by binding a ATTA homeodomain core recognition sequence on these target genes. |
| SLC12A7 | Solute carrier family 12 member 7 | Mediates electroneutral potassium-chloride cotransport when activated by cell swelling. |
| SLC17A4 | Probable small intestine urate exporter | Acts as a membrane potential-dependent organic anion transporter, the transport requires a low concentration of chloride ions. |
| SLC67A1 | Solute carrier family 67 member A1 | May act as a transporter of organic cations based on a proton efflux antiport mechanism. |
| BRAF | Serine/threonine-protein kinase B-raf | Protein kinase involved in the transduction of mitogenic signals from the cell membrane to the nucleus. |
| SLK | STE20-like serine/threonine-protein kinase | Mediates apoptosis and actin stress fiber dissolution. |
| SNRPA1 | U2 small nuclear ribonucleoprotein A’ | Involved in pre-mRNA splicing as component of the spliceosome. |
| SOX9 | Transcription factor SOX-9 | Transcription factor that plays a key role in chondrocytes differentiation and skeletal development. |
| SP3 | Transcription factor Sp3 | Transcriptional factor that can act as an activator or repressor depending on isoform and/or post-translational modifications. |
| SP4 | Transcription factor Sp4 | Binds to GT and GC boxes promoters elements. |
| TRIM21 | E3 ubiquitin-protein ligase TRIM21 | E3 ubiquitin-protein ligase whose activity is dependent on E2 enzymes, UBE2D1, UBE2D2, UBE2E1 and UBE2E2. |
| STAT1 | Signal transducer and activator of transcription 1-alpha/beta | Signal transducer and transcription activator that mediates cellular responses to interferons (IFNs), cytokine KITLG/SCF and other cytokines and other growth factors. |
| STAT6 | Signal transducer and activator of transcription 6 | Carries out a dual function: signal transduction and activation of transcription. |
| BTN3A1 | Butyrophilin subfamily 3 member A1 | Plays a role in T-cell activation and in the adaptive immune response. |
| BTN3A2 | Butyrophilin subfamily 3 member A2 | Plays a role in T-cell responses in the adaptive immune response. |
| BTNL2 | Butyrophilin-like protein 2 | Negative regulator of T-cell proliferation. |
| SYNGR2 | Synaptogyrin-2 | May play a role in regulated exocytosis. |
| HNF1B | Hepatocyte nuclear factor 1-beta | Transcription factor that binds to the inverted palindrome 5’-GTTAATNATTAAC-3'. |
| TERT | Telomerase reverse transcriptase | Telomerase is a ribonucleoprotein enzyme essential for the replication of chromosome termini in most eukaryotes. |
| TGM5 | Protein-glutamine gamma-glutamyltransferase 5 | Catalyzes the cross-linking of proteins and the conjugation of polyamines to proteins. |
| TNFAIP6 | Tumor necrosis factor-inducible gene 6 protein | Major regulator of extracellular matrix organization during tissue remodeling. |
| TNXB | Tenascin-X | Appears to mediate interactions between cells and the extracellular matrix. |
| TP53BP1 | TP53-binding protein 1 | Double-strand break (DSB) repair protein involved in response to DNA damage, telomere dynamics and class-switch recombination (CSR) during antibody genesis. |
| TUB | Tubby protein homolog | Functions in signal transduction from heterotrimeric G protein-coupled receptors. |
| C1S | Complement C1s subcomponent | Component of the complement C1 complex, a multiprotein complex that initiates the classical pathway of the complement system, a cascade of proteins that leads to phagocytosis and breakdown of pathogens and signaling that strengthens the ad… |
| TRIM26 | Tripartite motif-containing protein 26 | E3 ubiquitin-protein ligase which regulates the IFN-beta production and antiviral response downstream of various DNA-encoded pattern-recognition receptors (PRRs). |
| ZNF184 | Zinc finger protein 184 | May be involved in transcriptional regulation. |
| ZSCAN12 | Zinc finger and SCAN domain-containing protein 12 | May be involved in transcriptional regulation. |
| IKZF2 | Zinc finger protein Helios | Transcription factor, which stabilizes the noninflammatory phenotype of regulatory T cells (Tregs). |
| POLR1H | DNA-directed RNA polymerase I subunit RPA12 | Core component of RNA polymerase I (Pol I), a DNA-dependent RNA polymerase which synthesizes ribosomal RNA precursors using the four ribonucleoside triphosphates as substrates. |
| NID2 | Nidogen-2 | Cell adhesion glycoprotein which is widely distributed in basement membranes. |
| RBMS3 | RNA-binding motif, single-stranded-interacting protein 3 | Binds poly(A) and poly(U) oligoribonucleotides. |
| ATP8B4 | Probable phospholipid-transporting ATPase IM | Component of a P4-ATPase flippase complex which catalyzes the hydrolysis of ATP coupled to the transport of aminophospholipids from the outer to the inner leaflet of various membranes and ensures the maintenance of asymmetric distribution… |
| TCIM | Transcriptional and immune response regulator | Seems to be involved in the regulation of cell growth an differentiation, may play different and opposite roles depending on the tissue or cell type. |
| ZNF311 | Zinc finger protein 311 | May be involved in transcriptional regulation. |
Protein-family classification
Druggable: 20 · Difficult: 23 · Unknown: 27 · 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 |
|---|---|---|---|
| Transcription factor | 23 | 2.7× | 4e-05 |
| Kinase | 7 | 2.8× | 0.052 |
| Antibody/Immunoglobulin | 6 | 2.5× | 0.087 |
| Transporter | 2 | 2.2× | 0.454 |
| Other/Unknown | 27 | 0.7× | 0.999 |
| GPCR | 2 | 0.7× | 0.999 |
| Protease | 1 | 0.5× | 0.999 |
| Enzyme (other) | 2 | 0.3× | 0.999 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| BRCA2 | Other/Unknown | no | BRCA2_repeat, NA-bd_OB-fold, BRCA2_OB_1 | |
| CHEK2 | Kinase | yes | 2.7.11.1 | FHA_dom, Prot_kinase_dom, Ser/Thr_kinase_AS |
| EGFR | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| KRAS | Enzyme (other) | yes | 3.6.5.2 | Small_GTPase, Small_GTP-bd, Small_GTPase_Ras-type |
| BRCA1 | Transcription factor | no | 2.3.2.27 | BRCT_dom, Znf_RING, BRCA1 |
| TP53 | Transcription factor | no | p53_tumour_suppressor, p53-like_TF_DNA-bd_sf, p53_tetrameristn | |
| SLTM | Other/Unknown | no | RRM_dom, SAP_dom, Nucleotide-bd_a/b_plait_sf | |
| NQO1 | Enzyme (other) | yes | 1.6.5.2 | Flavodoxin_fold, Flavoprotein-like_sf, NAD(P)H_dehydrogenase_qn |
| ERBB2 | Kinase | yes | 2.7.10.1 | Rcpt_L-dom, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| ETV4 | Other/Unknown | no | Ets_dom, ETS_PEA3_N, WH-like_DNA-bd_sf | |
| TRIM38 | Transcription factor | no | Znf_B-box, Znf_RING, B30.2/SPRY | |
| ROS1 | Kinase | yes | 2.7.10.1 | LDLR_classB_rpt, Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom |
| XCL2 | Other/Unknown | no | Chemokine_IL8-like_dom, Chemokine_XCL1/XCL2, Interleukin_8-like_sf | |
| SHOX2 | Transcription factor | no | HTH_motif, HD, OAR_dom | |
| SIX2 | Transcription factor | no | HD, Homeodomain-like_sf, Homeobox_CS | |
| SIX3 | Transcription factor | no | HD, Homeodomain-like_sf, SIX1_SD | |
| SLC12A7 | Other/Unknown | no | KCL_cotranspt, AA-permease/SLC12A_dom, SLC12A_fam | |
| SLC17A4 | Transporter | yes | MFS, MFS_dom, MFS_trans_sf | |
| SLC67A1 | Transporter | yes | Tet-R_TetA/multi-R_MdtG-like, MFS, MFS_dom | |
| BRAF | Kinase | yes | 2.7.10.2 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE |
| SLK | Kinase | yes | Prot_kinase_dom, UVR_dom, Ser/Thr_kinase_AS | |
| SNRPA1 | Other/Unknown | no | Leu-rich_rpt, U2A’_phosphoprotein32A_C, LRR_dom_sf | |
| SOX9 | Transcription factor | no | HMG_box_dom, Sox_N, HMG_box_dom_sf | |
| SP3 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf | |
| SP4 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, Sp4-like | |
| TRIM21 | Transcription factor | no | Znf_B-box, Znf_RING, B30.2/SPRY | |
| BTN2A1 | Antibody/Immunoglobulin | yes | B30.2/SPRY, Ig_sub, SPRY_dom | |
| STAT1 | Transcription factor | no | SH2, STAT, p53-like_TF_DNA-bd_sf | |
| STAT6 | Transcription factor | no | SH2, STAT, p53-like_TF_DNA-bd_sf | |
| BTN3A1 | Antibody/Immunoglobulin | yes | B30.2/SPRY, Ig_sub, SPRY_dom | |
| BTN3A2 | Antibody/Immunoglobulin | yes | Ig_sub, Ig-like_dom, Ig_V-set | |
| BTNL2 | Antibody/Immunoglobulin | yes | Ig_C1-set, Ig_sub, Ig-like_dom | |
| SYNGR2 | Other/Unknown | no | Marvel, Synaptogyrin | |
| HNF1B | Transcription factor | no | HD, HNF1b_C, HNF-1_N | |
| TERT | Other/Unknown | no | RT_dom, Telomerase_RT, Telomerase_RBD | |
| TGM5 | Antibody/Immunoglobulin | yes | 2.3.2.13 | Transglutaminase_N, Transglutaminase-like, Transglutaminase_C |
| TNFAIP6 | Other/Unknown | no | Link_dom, CUB_dom, C-type_lectin-like/link_sf | |
| TNXB | Antibody/Immunoglobulin | yes | EGF, Fibrinogen_a/b/g_C_dom, FN3_dom | |
| TP53BP1 | Other/Unknown | no | BRCT_dom, Rib_uL2_dom2, 53-BP1_Tudor | |
| LINC00470 | Other/Unknown | no | ||
| TUB | Other/Unknown | no | Tubby_C, Tubby_N, Tubby_C_CS | |
| C1S | Protease | yes | 3.4.21.42 | EGF-type_Asp/Asn_hydroxyl_site, Sushi_SCR_CCP_dom, CUB_dom |
| TRIM26 | Transcription factor | no | Znf_B-box, Znf_RING, B30.2/SPRY | |
| ZNF184 | Transcription factor | no | KRAB, Znf_C2H2_type, KRAB_dom_sf | |
| ZNF204P | Other/Unknown | no | ||
| ZSCAN12 | Transcription factor | no | SCAN_dom, Znf_C2H2_type, Znf_C2H2_sf | |
| IKZF2 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, Ikaros_C2H2-ZF | |
| POLR1H | Transcription factor | no | Znf_TFIIS, Rpa12/Rpb9/Rpc10/TFS, DNA-dir_RNA_pol-M_15_CS | |
| NID2 | Other/Unknown | no | LDLR_classB_rpt, EGF-type_Asp/Asn_hydroxyl_site, Thyroglobulin_1 | |
| RBMS3 | Other/Unknown | no | RRM_dom, Hud_Sxl_RNA, Nucleotide-bd_a/b_plait_sf |
Expression context
Cohort genes with no expression data: 0.
58 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 1 |
| moderate (6-20) | 2 |
| broad (>20) | 67 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| ventricular zone | 9 |
| primordial germ cell in gonad | 9 |
| male germ line stem cell (sensu Vertebrata) in testis | 8 |
| granulocyte | 8 |
| calcaneal tendon | 5 |
| mucosa of transverse colon | 5 |
| left testis | 5 |
| sural nerve | 4 |
| buccal mucosa cell | 4 |
| testis | 4 |
| stromal cell of endometrium | 3 |
| right uterine tube | 3 |
| spleen | 3 |
| right lobe of liver | 3 |
| skin of leg | 3 |
| zone of skin | 3 |
| hair follicle | 3 |
| leukocyte | 3 |
| bone marrow cell | 3 |
| right testis | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| BRCA2 | 184 | ubiquitous | marker | male germ line stem cell (sensu Vertebrata) in testis, secondary oocyte, ventricular zone |
| CHEK2 | 183 | ubiquitous | marker | primordial germ cell in gonad, lower esophagus mucosa, male germ line stem cell (sensu Vertebrata) in testis |
| EGFR | 285 | ubiquitous | marker | nipple, gingiva, gingival epithelium |
| KRAS | 298 | ubiquitous | marker | trigeminal ganglion, pylorus, nipple |
| BRCA1 | 208 | ubiquitous | marker | ventricular zone, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad |
| TP53 | 223 | ubiquitous | marker | ventricular zone, ganglionic eminence, tendon of biceps brachii |
| SLTM | 291 | ubiquitous | marker | calcaneal tendon, sural nerve, tibia |
| NQO1 | 285 | ubiquitous | marker | endometrium epithelium, gall bladder, stromal cell of endometrium |
| ERBB2 | 276 | ubiquitous | marker | lower esophagus mucosa, right uterine tube, sural nerve |
| ETV4 | 171 | ubiquitous | marker | primordial germ cell in gonad, type B pancreatic cell, olfactory bulb |
| TRIM38 | 285 | ubiquitous | marker | cardia of stomach, renal medulla, pylorus |
| ROS1 | 79 | tissue_specific | marker | upper lobe of left lung, upper lobe of lung, corpus epididymis |
| XCL2 | 119 | tissue_specific | marker | granulocyte, spleen, blood |
| SHOX2 | 167 | broad | marker | buccal mucosa cell, lateral nuclear group of thalamus, saphenous vein |
| SIX2 | 156 | broad | marker | olfactory segment of nasal mucosa, gastrocnemius, parotid gland |
| SIX3 | 92 | broad | marker | pigmented layer of retina, retina, nasal cavity epithelium |
| SLC12A7 | 140 | ubiquitous | marker | apex of heart, heart left ventricle, metanephros cortex |
| SLC17A4 | 60 | tissue_specific | marker | mucosa of transverse colon, jejunal mucosa, rectum |
| SLC67A1 | 132 | ubiquitous | marker | mucosa of transverse colon, duodenum, right lobe of liver |
| BRAF | 265 | ubiquitous | marker | buccal mucosa cell, colonic epithelium, calcaneal tendon |
| SLK | 293 | ubiquitous | marker | esophagus squamous epithelium, endothelial cell, amniotic fluid |
| SNRPA1 | 141 | ubiquitous | marker | left testis, skin of leg, zone of skin |
| SOX9 | 274 | ubiquitous | marker | ventricular zone, cranial nerve II, hair follicle |
| SP3 | 299 | ubiquitous | marker | hair follicle, germinal epithelium of ovary, sural nerve |
| SP4 | 265 | ubiquitous | marker | cerebellar vermis, germinal epithelium of ovary, superficial temporal artery |
| TRIM21 | 193 | ubiquitous | marker | granulocyte, leukocyte, monocyte |
| BTN2A1 | 286 | ubiquitous | marker | granulocyte, spleen, cerebellar hemisphere |
| STAT1 | 294 | ubiquitous | marker | epithelium of nasopharynx, vermiform appendix, mononuclear cell |
| STAT6 | 292 | ubiquitous | marker | granulocyte, right ovary, left ovary |
| BTN3A1 | 272 | ubiquitous | marker | granulocyte, spleen, pancreatic ductal cell |
Protein interactions among cohort
Intra-cohort edges: 38.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| TP53 | 22,736 |
| EGFR | 18,421 |
| KRAS | 14,509 |
| ERBB2 | 9,659 |
| BRCA1 | 9,064 |
| BRAF | 7,394 |
| STAT1 | 6,459 |
| TERT | 5,717 |
| SOX9 | 4,935 |
| BRCA2 | 4,839 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| BRAF | BRCA2 | biogrid_interaction |
| BRAF | EGFR | biogrid_interaction |
| BRAF | KRAS | biogrid_interaction, intact, string_interaction |
| BRAF | ROS1 | intact |
| BRAF | TCIM | intact |
| BRAF | TP53 | string_interaction |
| BRCA1 | BRCA2 | string_interaction |
| BRCA1 | CHEK2 | string_interaction |
| BRCA1 | TP53 | string_interaction |
| BRCA1 | TP53BP1 | intact, string_interaction |
| BRCA2 | CHEK2 | string_interaction |
| BRCA2 | TP53 | string_interaction |
| BTN3A1 | BTN3A2 | biogrid_interaction, intact |
| BTN3A2 | TRIM21 | string_interaction |
| BTNL2 | TSBP1 | string_interaction |
| C6orf15 | OR14J1 | string_interaction |
| CDCA7 | SP3 | string_interaction |
| CHEK2 | TP53 | intact, string_interaction |
| CHEK2 | TP53BP1 | string_interaction |
| EGFR | ERBB2 | intact, string_interaction |
| EGFR | STAT1 | intact |
| EGFR | TCIM | intact |
| EGFR | TRIM21 | string_interaction |
| ERBB2 | KRAS | string_interaction |
| ERBB2 | SLK | string_interaction |
| ERBB2 | STAT1 | biogrid_interaction |
| ERBB2 | TRIM21 | string_interaction |
| KRAS | ROS1 | string_interaction |
| KRAS | TMEM237 | intact |
| KRAS | TP53 | string_interaction |
| KRAS | TUB | intact |
| NQO1 | TP53 | biogrid_interaction, string_interaction |
| OR14J1 | TSBP1 | string_interaction |
| OR14J1 | ZNF311 | string_interaction |
| SP3 | TP53 | biogrid_interaction |
| TCIM | TP53 | intact |
| TNXB | TSBP1 | string_interaction |
| TP53 | TP53BP1 | intact, string_interaction |
Structural data
PDB: 35 · AlphaFold-only: 31 · No structure: 4
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| KRAS | P01116 | 511 |
| EGFR | P00533 | 388 |
| TP53 | P04637 | 313 |
| BRAF | P15056 | 131 |
| MRPL32 | Q9BYC8 | 86 |
| ERBB2 | P04626 | 63 |
| SNRPA1 | P09661 | 50 |
| TP53BP1 | Q12888 | 45 |
| BTN3A1 | O00481 | 44 |
| CHEK2 | O96017 | 38 |
| BRCA1 | P38398 | 33 |
| BTN2A1 | Q7KYR7 | 33 |
| NQO1 | P15559 | 28 |
| TERT | O14746 | 23 |
| TRIM21 | P19474 | 20 |
| BTN3A2 | P78410 | 18 |
| BRCA2 | P51587 | 14 |
| C1S | P09871 | 14 |
| STAT1 | P42224 | 10 |
| BAG6 | P46379 | 10 |
| SLK | Q9H2G2 | 7 |
| STAT6 | P42226 | 7 |
| IKZF2 | Q9UKS7 | 7 |
| POLR1H | Q9P1U0 | 7 |
| ROS1 | P08922 | 5 |
| TNFAIP6 | P98066 | 5 |
| WNK1 | Q9H4A3 | 5 |
| ETV4 | P43268 | 3 |
| HNF1B | P35680 | 3 |
| TNXB | P22105 | 3 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| TGM5 | O43548 | 91.68 |
| OR14J1 | Q9UGF5 | 87.60 |
| XPO7 | Q9UIA9 | 87.45 |
| TRIM38 | O00635 | 87.31 |
| SLC67A1 | Q96BI1 | 86.91 |
| BTNL2 | Q9UIR0 | 85.97 |
| SLC17A4 | Q9Y2C5 | 83.87 |
| SLC44A4 | Q53GD3 | 83.79 |
| TRIM26 | Q12899 | 83.49 |
| ATP8B4 | Q8TF62 | 82.12 |
| SYNGR2 | O43760 | 81.52 |
| XCL2 | Q9UBD3 | 81.47 |
| OR2B2 | Q9GZK3 | 79.53 |
| TCIM | Q9NR00 | 79.01 |
| SIX2 | Q9NPC8 | 75.99 |
| NID2 | Q14112 | 74.40 |
| ZNF184 | Q99676 | 72.56 |
| SCAND3 | Q6R2W3 | 72.39 |
| SIX3 | O95343 | 70.38 |
| ZSCAN12 | O43309 | 70.20 |
| ZSCAN31 | Q96LW9 | 67.96 |
| ZNF311 | Q5JNZ3 | 65.02 |
| TMEM237 | Q96Q45 | 63.79 |
| RBMS3 | Q6XE24 | 63.30 |
| SHOX2 | O60902 | 61.50 |
| LINC00470 | Q9BZP3 | 60.83 |
| SLTM | Q9NWH9 | 52.38 |
| TSBP1 | Q5SRN2 | 45.58 |
| C6orf15 | Q6UXA7 | 43.65 |
| SP4 | Q02446 | 39.58 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 730. Enrichment computed across 250 evidence-associated genes (139 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 139 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Highly calcium permeable nicotinic acetylcholine receptors | 4 | 36.5× | 0.002 | CHRNA2, CHRNA3, CHRNA5, CHRNB4 |
| Highly calcium permeable postsynaptic nicotinic acetylcholine receptors | 4 | 29.9× | 0.002 | CHRNA2, CHRNA3, CHRNA5, CHRNB4 |
| Presynaptic nicotinic acetylcholine receptors | 4 | 27.4× | 0.002 | CHRNA2, CHRNA3, CHRNA5, CHRNB4 |
| Butyrophilin (BTN) family interactions | 4 | 25.3× | 0.002 | BTN2A1, BTN3A1, BTN3A2, BTNL2 |
| Acetylcholine binding and downstream events | 4 | 23.5× | 0.002 | CHRNA2, CHRNA3, CHRNA5, CHRNB4 |
| Postsynaptic nicotinic acetylcholine receptors | 4 | 23.5× | 0.002 | CHRNA2, CHRNA3, CHRNA5, CHRNB4 |
| Signaling by PDGF | 5 | 9.1× | 0.021 | STAT1, STAT6, COL6A3, COL6A5, COL6A6 |
| PLCG1 events in ERBB2 signaling | 2 | 41.1× | 0.079 | EGFR, ERBB2 |
| Signaling by ERBB2 ECD mutants | 3 | 14.5× | 0.086 | EGFR, KRAS, ERBB2 |
| Classical antibody-mediated complement activation | 2 | 27.4× | 0.087 | C1S, CRP |
| Highly sodium permeable postsynaptic acetylcholine nicotinic receptors | 2 | 23.5× | 0.087 | CHRNA3, CHRNB4 |
| RAS signaling downstream of NF1 loss-of-function variants | 2 | 23.5× | 0.087 | KRAS, SPRED2 |
| Regulation of MITF-M-dependent genes involved in DNA replication, damage repair and senescence | 2 | 23.5× | 0.087 | BRCA1, TERT |
| CDH11 homotypic and heterotypic interactions | 2 | 23.5× | 0.087 | CDH11, CDH8 |
| SLC-mediated bile acid transport | 2 | 23.5× | 0.087 | SLC44A4, SLC44A1 |
| GRB2 events in ERBB2 signaling | 3 | 13.7× | 0.087 | EGFR, KRAS, ERBB2 |
| Developmental Lineage of Multipotent Pancreatic Progenitor Cells | 3 | 13.0× | 0.087 | SOX9, HNF1B, SOX17 |
| SUMOylation of transcription factors | 3 | 12.3× | 0.087 | SP3, TP53, TP53BP1 |
| Developmental Lineage of Mammary Gland Myoepithelial Cells | 3 | 11.7× | 0.087 | EGFR, TP63, ERBB2 |
| SHC1 events in ERBB2 signaling | 3 | 10.3× | 0.087 | EGFR, KRAS, ERBB2 |
| Signaling by ERBB2 TMD/JMD mutants | 3 | 10.3× | 0.087 | EGFR, KRAS, ERBB2 |
| Collagen chain trimerization | 4 | 7.5× | 0.087 | COL11A2, COL6A3, COL6A5, COL6A6 |
| Recruitment and ATM-mediated phosphorylation of repair and signaling proteins at DNA double strand breaks | 5 | 5.3× | 0.087 | CHEK2, BRCA1, TP53, TP53BP1, BABAM1 |
| Neurotransmitter receptors and postsynaptic signal transmission | 6 | 4.3× | 0.087 | CHRNA2, CHRNA3, CHRNA5, CHRNB4, TUBA1C, ADCY8 |
| Transmission across Chemical Synapses | 7 | 3.8× | 0.087 | CACNA2D3, CHRNA2, CHRNA3, CHRNA5, CHRNB4, TUBA1C, ADCY8 |
| Synthesis of epoxy (EET) and dihydroxyeicosatrienoic acids (DHET) | 2 | 20.5× | 0.104 | CYP1A2, EPHX2 |
| Acyl chain remodelling of PC | 3 | 9.1× | 0.104 | MBOAT2, LPCAT1, LPCAT3 |
| Signaling by ERBB2 KD Mutants | 3 | 9.1× | 0.104 | EGFR, KRAS, ERBB2 |
| Formation of TC-NER Pre-Incision Complex | 4 | 6.1× | 0.104 | COPS8, COPS2, ERCC2, ERCC6 |
| Neuronal System | 9 | 2.9× | 0.104 | CACNA2D3, SYT9, CHRNA2, CHRNA3, CHRNA5, CHRNB4, TUBA1C, LRFN2 (+1 more) |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 202 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| synaptic transmission, cholinergic | 5 | 19.9× | 0.003 | CHRNA2, CHRNA3, CHRNA5, CHRNB4, NQO1 |
| intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator | 6 | 14.7× | 0.003 | BRCA2, CHEK2, TP53, BAG6, TP63, ATAD5 |
| regulation of DNA damage checkpoint | 4 | 22.2× | 0.012 | BRCA2, BRCA1, ETAA1, WDR76 |
| T cell receptor signaling pathway | 8 | 6.0× | 0.021 | BRAF, BTN2A1, BTN3A1, BTN3A2, BTNL2, WNK1, CD3E, CSK |
| phosphatidylcholine biosynthetic process | 4 | 15.9× | 0.030 | SLC44A4, SLC44A1, LPCAT1, LPCAT3 |
| behavioral response to nicotine | 3 | 27.8× | 0.033 | CHRNA3, CHRNA5, CHRNB4 |
| acetylcholine receptor signaling pathway | 4 | 12.4× | 0.052 | CHRNA2, CHRNA3, CHRNA5, CHRNB4 |
| positive regulation of gene expression | 15 | 2.9× | 0.052 | KRAS, BRAF, BRCA1, SOX9, HNF1B, TP53, RBMS3, CD3E (+7 more) |
| regulation of chondrocyte differentiation | 3 | 20.9× | 0.056 | SHOX2, SIX2, MBOAT2 |
| regulation of cell population proliferation | 8 | 4.6× | 0.056 | SIX3, BRAF, SOX9, STAT1, STAT6, CDCA7, PDS5B, CLU |
| regulation of smooth muscle contraction | 3 | 17.9× | 0.064 | CHRNA3, CHRNB4, ADRA2C |
| negative regulation of epithelial cell differentiation | 3 | 17.9× | 0.064 | KRAS, SIX2, SOX9 |
| positive regulation of stem cell proliferation | 4 | 10.4× | 0.064 | SHOX2, SOX9, TERT, TP63 |
| phosphatidylcholine acyl-chain remodeling | 3 | 16.7× | 0.065 | MBOAT2, LPCAT1, LPCAT3 |
| membrane depolarization | 4 | 10.1× | 0.065 | CHRNA2, CHRNA3, CHRNA5, CHRNB4 |
| retinol metabolic process | 4 | 9.8× | 0.065 | ADH1B, ADH1C, CYP1A2, SDR9C7 |
| regulation of apoptotic process | 9 | 3.7× | 0.066 | SLK, SOX9, STAT1, TP53, TP63, CD3E, MORF4L1, CLU (+1 more) |
| synaptic transmission involved in micturition | 2 | 41.7× | 0.066 | CHRNA3, CHRNB4 |
| protein phosphorylation | 10 | 3.4× | 0.066 | CHEK2, ROS1, BRAF, WNK1, MAP3K20, NEK10, COPS8, CSK (+2 more) |
| suppression of viral release by host | 3 | 14.7× | 0.072 | TRIM21, TRIM26, TRIM35 |
| replicative senescence | 3 | 14.7× | 0.072 | CHEK2, TERT, TP53 |
| endocrine pancreas development | 3 | 13.9× | 0.075 | SOX9, HNF1B, RFX6 |
| reverse cholesterol transport | 3 | 13.9× | 0.075 | APOM, CLU, ABCA1 |
| embryonic digestive tract morphogenesis | 3 | 13.9× | 0.075 | SHOX2, SIX2, HNF1B |
| adenosine to inosine editing | 2 | 33.4× | 0.078 | ADAR, ADARB2 |
| response to X-ray | 3 | 13.2× | 0.078 | BRCA2, TP53, ERCC6 |
| epidermal growth factor receptor signaling pathway | 5 | 6.1× | 0.078 | EGFR, BRAF, SOX9, ADRA2C, ERBB2 |
| DNA damage checkpoint signaling | 4 | 7.8× | 0.091 | CHEK2, TP53BP1, MAP3K20, ERCC6 |
| mitotic G2/M transition checkpoint | 3 | 11.9× | 0.098 | BRCA1, ETAA1, BABAM1 |
| endodermal cell fate specification | 2 | 27.8× | 0.102 | HNF1B, SOX17 |
Therapeutics
Drugs indicated for this disease
0 approved, 8 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Canakinumab | Phase 3 (in late-stage trials) |
| Catequentinib | Phase 3 (in late-stage trials) |
| Cisplatin | Phase 3 (in late-stage trials) |
| Durvalumab | Phase 3 (in late-stage trials) |
| Gefitinib | Phase 3 (in late-stage trials) |
| Pembrolizumab | Phase 3 (in late-stage trials) |
| Varenicline | Phase 3 (in late-stage trials) |
| Vinorelbine | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Arsenic Trioxide, Camrelizumab, Dexamethasone, Everolimus, Famitinib, Ferumoxytol, Iloprost, Pasireotide, Porfimer Sodium, Ramucirumab, Rivoceranib, Vitespen.
Drug target analysis
Approved (phase 4): 15 · Phase ≥3: 16 · Phased (≥1): 17 · Undrugged: 53
Druggability breadth: 81 of 250 evidence-associated genes (32%) 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 |
|---|---|
| CHEK2 | NERATINIB |
| EGFR | LEVODOPA |
| KRAS | VEMURAFENIB |
| BRCA1 | RIBOFLAVIN |
| TP53 | NITROFURANTOIN |
| SLTM | CABOZANTINIB |
| NQO1 | DICUMAROL |
| ERBB2 | CLOTRIMAZOLE |
| ROS1 | LORLATINIB |
| BRAF | VEMURAFENIB |
| SLK | AFATINIB |
| STAT1 | FILGOTINIB |
| STAT6 | THIORIDAZINE HYDROCHLORIDE |
| BTN3A1 | ZOLEDRONIC ACID |
| TERT | BERBERINE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| TP53 | 196 | 4 |
| EGFR | 175 | 4 |
| ERBB2 | 83 | 4 |
| SLK | 81 | 4 |
| BRAF | 48 | 4 |
| ROS1 | 41 | 4 |
| CHEK2 | 30 | 4 |
| BRCA1 | 12 | 4 |
| KRAS | 11 | 4 |
| STAT6 | 11 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| NERATINIB | 4 | CHEK2, EGFR, ERBB2, SLK |
| BOSUTINIB | 4 | CHEK2, EGFR, ERBB2, SLK |
| BRIGATINIB | 4 | CHEK2, EGFR, ERBB2, ROS1 |
| SUNITINIB | 4 | CHEK2, EGFR, SLK |
| GEFITINIB | 4 | BRAF, CHEK2, EGFR, ERBB2, SLK |
| LEVODOPA | 4 | EGFR |
| CLOTRIMAZOLE | 4 | EGFR, ERBB2, TP53 |
| ERLOTINIB HYDROCHLORIDE | 4 | EGFR, ERBB2 |
| CISPLATIN | 4 | EGFR |
| PONATINIB | 4 | BRAF, EGFR, ERBB2 |
| AFATINIB | 4 | EGFR, ERBB2, SLK |
| CHROMIC CHLORIDE | 4 | EGFR |
| BACITRACIN | 4 | EGFR |
| ZINC CHLORIDE | 4 | EGFR |
| LAPATINIB DITOSYLATE | 4 | EGFR, ERBB2 |
| VEMURAFENIB | 4 | BRAF, EGFR, KRAS |
| FEDRATINIB | 4 | BRAF, EGFR, ROS1, SLK |
| AXITINIB | 4 | EGFR, ROS1, SLK |
| SORAFENIB | 4 | BRAF, EGFR, ERBB2, SLK |
| DASATINIB ANHYDROUS | 4 | BRAF, EGFR |
| NICLOSAMIDE | 4 | EGFR, TP53 |
| SELUMETINIB | 4 | EGFR |
| TERFENADINE | 4 | EGFR |
| ALECTINIB | 4 | EGFR, ROS1 |
| IBRUTINIB | 4 | EGFR, ERBB2 |
| AFATINIB DIMALEATE | 4 | EGFR, ERBB2 |
| CABOZANTINIB | 4 | EGFR, ERBB2, SLTM |
| DACOMITINIB | 4 | EGFR, ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | EGFR, ERBB2 |
| CERITINIB | 4 | EGFR, ROS1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 10.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| EGFR | 6,531 | Binding:6211, Functional:173, ADMET:138, Toxicity:9 |
| BRAF | 1,442 | Binding:1400, Functional:37, ADMET:5 |
| ERBB2 | 1,221 | Binding:1136, Functional:79, ADMET:6 |
| TP53 | 869 | Binding:775, ADMET:83, Functional:10, Toxicity:1 |
| KRAS | 861 | Binding:829, Functional:32 |
| CHEK2 | 690 | Binding:687, Functional:2, ADMET:1 |
| ROS1 | 461 | Binding:459, Functional:2 |
| TERT | 391 | Binding:389, Functional:2 |
| SLK | 280 | Binding:279, Functional:1 |
| NQO1 | 279 | Binding:227, ADMET:48, Functional:4 |
| WNK1 | 165 | Binding:165 |
| STAT1 | 147 | Binding:137, Functional:8, Unclassified:2 |
| STAT6 | 81 | Binding:77, Functional:4 |
| BTN3A1 | 75 | Binding:75 |
| C1S | 30 | Binding:28, Functional:2 |
| IKZF2 | 26 | Binding:26 |
| TP53BP1 | 24 | Binding:24 |
| SLTM | 14 | Binding:14 |
| BRCA1 | 13 | Binding:9, Functional:4 |
| SNRPA1 | 7 | Binding:7 |
| SOX9 | 3 | Binding:3 |
| SLC67A1 | 1 | Binding:1 |
| BTN2A1 | 1 | Binding:1 |
| SYNGR2 | 1 | Binding:1 |
| BAG6 | 1 | Binding:1 |
| XPO7 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| CHEK2 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| EGFR | 2.7.10.1 | receptor protein-tyrosine kinase |
| KRAS | 3.6.5.2 | small monomeric GTPase |
| BRCA1 | 2.3.2.27 | RING-type E3 ubiquitin transferase |
| NQO1 | 1.6.5.2 | NAD(P)H dehydrogenase (quinone) |
| ERBB2 | 2.7.10.1 | receptor protein-tyrosine kinase |
| ROS1 | 2.7.10.1 | receptor protein-tyrosine kinase |
| BRAF | 2.7.10.2, 2.7.11.1 | non-specific protein-tyrosine kinase, non-specific serine/threonine protein kinase |
| TGM5 | 2.3.2.13 | protein-glutamine gamma-glutamyltransferase |
| C1S | 3.4.21.42 | complement subcomponent C1s |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| CHEK2 | 690 |
| EGFR | 6,531 |
| KRAS | 861 |
| TP53 | 869 |
| NQO1 | 279 |
| ERBB2 | 1,221 |
| ROS1 | 461 |
| BRAF | 1,442 |
| SLK | 280 |
| STAT1 | 147 |
| TERT | 391 |
| WNK1 | 165 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 69; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
27 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.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| NERATINIB | 4 | CHEK2, EGFR, ERBB2, SLK |
| BOSUTINIB | 4 | CHEK2, EGFR, ERBB2, SLK |
| BRIGATINIB | 4 | CHEK2, EGFR, ERBB2, ROS1 |
| SUNITINIB | 4 | CHEK2, EGFR, SLK |
| LEVODOPA | 4 | EGFR |
| CLOTRIMAZOLE | 4 | EGFR, ERBB2, TP53 |
| ERLOTINIB HYDROCHLORIDE | 4 | EGFR, ERBB2 |
| PONATINIB | 4 | BRAF, EGFR, ERBB2 |
| AFATINIB | 4 | EGFR, ERBB2, SLK |
| CHROMIC CHLORIDE | 4 | EGFR |
| BACITRACIN | 4 | EGFR |
| ZINC CHLORIDE | 4 | EGFR |
| LAPATINIB DITOSYLATE | 4 | EGFR, ERBB2 |
| VEMURAFENIB | 4 | BRAF, EGFR, KRAS |
| FEDRATINIB | 4 | BRAF, EGFR, ROS1, SLK |
| AXITINIB | 4 | EGFR, ROS1, SLK |
| SORAFENIB | 4 | BRAF, EGFR, ERBB2, SLK |
| DASATINIB ANHYDROUS | 4 | BRAF, EGFR |
| NICLOSAMIDE | 4 | EGFR, TP53 |
| SELUMETINIB | 4 | EGFR |
| TERFENADINE | 4 | EGFR |
| IBRUTINIB | 4 | EGFR, ERBB2 |
| AFATINIB DIMALEATE | 4 | EGFR, ERBB2 |
| CABOZANTINIB | 4 | EGFR, ERBB2, SLTM |
| DACOMITINIB | 4 | EGFR, ERBB2 |
| DACOMITINIB ANHYDROUS | 4 | EGFR, ERBB2 |
| CERITINIB | 4 | EGFR, ROS1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 15 | CHEK2, EGFR, KRAS, BRCA1, TP53, SLTM, NQO1, ERBB2, ROS1, BRAF (+5 more) |
| B | Phased (≥1) drug, not yet approved | 2 | SNRPA1, C1S |
| C | Druggable family + PDB, no drug | 4 | BTN2A1, BTN3A2, TNXB, WNK1 |
| D | Druggable family + AlphaFold only, no drug | 6 | SLC17A4, SLC67A1, BTNL2, TGM5, OR2B2, OR14J1 |
| E | Difficult family or no structure, no drug | 43 | BRCA2, ETV4, TRIM38, XCL2, SHOX2, SIX2, SIX3, SLC12A7, SOX9, SP3 (+33 more) |
Undrugged target profiles
53 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| BRCA2 | 0 | BRCA1 |
| TRIM21 | 0 | ERBB2 |
| TP53BP1 | 24 | BRCA1, TP53 |
| WNK1 | 165 | — |
| ETV4 | 0 | — |
| TRIM38 | 0 | — |
| XCL2 | 0 | — |
| SHOX2 | 0 | — |
| SIX2 | 0 | — |
| SIX3 | 0 | — |
| SLC12A7 | 0 | — |
| SLC17A4 | 0 | — |
| SLC67A1 | 1 | — |
| SOX9 | 3 | — |
| SP3 | 0 | — |
| SP4 | 0 | — |
| BTN2A1 | 1 | — |
| BTN3A2 | 0 | — |
| BTNL2 | 0 | — |
| SYNGR2 | 1 | — |
| HNF1B | 0 | — |
| TGM5 | 0 | — |
| TNFAIP6 | 0 | — |
| TNXB | 0 | — |
| LINC00470 | 0 | — |
| TUB | 0 | — |
| TRIM26 | 0 | — |
| ZNF184 | 0 | — |
| ZNF204P | 0 | — |
| ZSCAN12 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 3,807.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 651 |
| PHASE3 | 214 |
| PHASE1/PHASE2 | 166 |
| PHASE4 | 37 |
| PHASE2/PHASE3 | 32 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05463913 | PHASE4 | RECRUITING | Lung Nodule Detection Using Ultra-long FOV PET/CT |
| NCT05521789 | PHASE4 | RECRUITING | Erector Spinae Block for Thoracic Surgery |
| NCT05525338 | PHASE4 | RECRUITING | Comparison of Standard Dose Alectinib to Alectinib in Adjusted Dose Based on Alectinib Bloodlevels |
| NCT05663242 | PHASE4 | RECRUITING | The Effects of Using Different Anesthetics on the Prognosis of Primary Lung Tumors and Its Mechanism of Action |
| NCT05926336 | PHASE4 | RECRUITING | The Effects of Using Different Anesthetics on the Prognosis of Primary Tumors and Its Mechanism of Action |
| NCT06105801 | PHASE4 | RECRUITING | EBUS-TBNA vs Transbronchial Mediastinal Cryobiopsy for Adequacy of Next Generation Sequencing |
| NCT06276933 | PHASE4 | NOT_YET_RECRUITING | A Study of Camrelizumab Combined With Chemotherapy ± Thalidomide in First-line Treatment of Patients With Advanced Non-small Cell Lung Cancer (NSCLC) |
| NCT06646471 | PHASE4 | RECRUITING | PROspective Master-protocol for Evaluation of Systemic THErapeutics in Elderly With Thoracic Malignancies |
| NCT07405086 | PHASE4 | RECRUITING | Morning Versus Afternoon Administration of Immunotherapy for the Treatment of Advanced or Metastatic Solid Tumors, The Knight SHIFT Study |
| NCT00158041 | PHASE4 | COMPLETED | Subcutaneous Amifostine Safety Study |
| NCT00277160 | PHASE4 | COMPLETED | A Study of Primary Prophylaxis With Neulasta (Pegfilgrastim) Versus Secondary Prophylaxis After Chemotherapy in Elderly Subjects (>/= 65 Years Old) With Cancer |
| NCT00365508 | PHASE4 | COMPLETED | Counseling and Nicotine Replacement Therapy in Helping Adult Smokers Quit Smoking |
| NCT00440960 | PHASE4 | COMPLETED | Anesthesia in Flexible Bronchoscopy for Lung Cancer Diagnostic |
| NCT00492843 | PHASE4 | TERMINATED | Loading Dose or Standard Dose of Intravenous Ibandronate in Treating Patients With Lung Cancer and Skeletal Metastasis |
| NCT00666978 | PHASE4 | COMPLETED | Health Education Counseling With or Without Bupropion in Helping African Americans Stop Smoking |
| NCT00675168 | PHASE4 | UNKNOWN | Positron Emission Tomography (PET)/Computed Tomography (CT) and Roentgen in Lung Cancer: Evaluation of Patients in General Practice |
| NCT00712647 | PHASE4 | COMPLETED | Carotene and Retinol Efficacy Trial |
| NCT00747773 | PHASE4 | COMPLETED | Cryospray Ablation of Surgical Resection Specimens To Determine Safety And Histological Effect In The Lung |
| NCT01060137 | PHASE4 | COMPLETED | Fentanyl Matrix in Lung Cancer Pain |
| NCT01381627 | PHASE4 | UNKNOWN | Safety Evaluation of Dexmedetomidine for EBUS-TBNA |
| NCT01741506 | PHASE4 | COMPLETED | Coagulation Profile in Patients Undergoing Video Assisted Thorascopic Surgery (VATS) for Lung Cancer |
| NCT02246023 | PHASE4 | COMPLETED | Fractionated Versus Target-controlled Propofol Administration in Bronchoscopy |
| NCT02275702 | PHASE4 | COMPLETED | Randomized Study of Preoperative Dexamethasone for Quality of Recovery in VATS Lung Resection Patients |
| NCT02346318 | PHASE4 | UNKNOWN | The Randomized Controlled Clinical Trial of Kushen Injection |
| NCT02476526 | PHASE4 | COMPLETED | Safety of Low Dose IV Contrast CT Scanning in Chronic Kidney Disease |
| NCT02490059 | PHASE4 | COMPLETED | Ultrathin Bronchoscopy for Solitary Pulmonary Nodules |
| NCT02504801 | PHASE4 | UNKNOWN | Efficacy of Nebulized Pulmicort Respules in Primary Lung Cancer Patients With COPD |
| NCT02869789 | PHASE4 | COMPLETED | An Investigational Immuno-therapy Study for Safety of Nivolumab in Combination With Ipilimumab to Treat Advanced Cancers |
| NCT03302221 | PHASE4 | WITHDRAWN | Regional Haemodynamic Changes in Radial Artery Assessment With Continuous Pulsed-wave Doppler Ultrasound |
| NCT03313544 | PHASE4 | UNKNOWN | Evolution of the Heart Function When Monitoring Immunotherapies Anti-cancerous Inhibiting PD-1 |
| NCT03394222 | PHASE4 | COMPLETED | Effect of Preoperative Budesonide Inhalation on Arterial Blood Oxygenation and Intrapulmonary Shunt During OLV |
| NCT03570645 | PHASE4 | COMPLETED | Comparison of the Duration of Ropivacaine Combined With Dexmedetomidine or Dexamethasone on Paravertebral Block |
| NCT03571126 | PHASE4 | UNKNOWN | Olanzapine for the Prevention and Treatment of Nausea and Vomiting Induced by Chemotherapy of Lung Cancer |
| NCT03642457 | PHASE4 | TERMINATED | Efficacy Between Serratus Plane Block And Local Infiltration In Vats |
| NCT04145570 | PHASE4 | COMPLETED | A Single-Dose,ComparativeBioavailability Study ofTwo Formulations ofErlotinib150mgTabletsunderFastingConditions |
| NCT04155008 | PHASE4 | TERMINATED | Nutrition and Pharmacological Algorithm for Oncology Patients Study |
| NCT04613284 | PHASE4 | UNKNOWN | Rh-Endostatin Combined With CCRT(50 Gy) Followed by Durvalumab Maintenance for the Treatment of Specific Phase III NSCLC |
| NCT01394679 | PHASE3 | NOT_YET_RECRUITING | A Phase 3 Study of 99mTC-EC-DG SPECT/CT Versus PET/CT in Lung Cancer |
| NCT03390686 | PHASE3 | ACTIVE_NOT_RECRUITING | A Trial to Compare the Efficacy, Safety, Pharmacokinetics and Immunogenicity of HD204 to Avastin® in Advanced Non-squamous Non-small Cell Lung Cancer Patients |
| NCT03391869 | PHASE3 | ACTIVE_NOT_RECRUITING | Nivolumab and Ipilimumab With or Without Local Consolidation Therapy in Treating Patients With Stage IV Non-Small Cell Lung Cancer |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| PACLITAXEL | 4 | 131 |
| VINORELBINE | 4 | 34 |
| DOCETAXEL ANHYDROUS | 4 | 26 |
| GEMCITABINE | 4 | 25 |
| CARBOPLATIN | 4 | 24 |
| CISPLATIN | 4 | 18 |
| TOPOTECAN HYDROCHLORIDE | 4 | 15 |
| AMIFOSTINE | 4 | 10 |
| ETOPOSIDE | 4 | 10 |
| FLUDEOXYGLUCOSE F 18 | 4 | 9 |
| GEFITINIB | 4 | 9 |
| NIVOLUMAB | 4 | 8 |
| VINBLASTINE SULFATE | 4 | 6 |
| IFOSFAMIDE | 4 | 5 |
| MITOMYCIN | 4 | 5 |
| PEGFILGRASTIM | 4 | 5 |
| DOXORUBICIN HYDROCHLORIDE | 4 | 4 |
| ERLOTINIB | 4 | 4 |
| ISOTRETINOIN | 4 | 4 |
| BUPROPION HYDROCHLORIDE | 4 | 3 |
| DALTEPARIN SODIUM | 4 | 3 |
| DEXMEDETOMIDINE | 4 | 3 |
| EPOETIN ALFA | 4 | 3 |
| NICOTINE | 4 | 3 |
| ALECTINIB | 4 | 2 |
| EPIRUBICIN HYDROCHLORIDE | 4 | 2 |
| ETOPOSIDE PHOSPHATE | 4 | 2 |
| FILGRASTIM | 4 | 2 |
| THALIDOMIDE | 4 | 2 |
| VINCRISTINE SULFATE | 4 | 2 |
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 34 predictive associations from 42 curated evidence items; also 11 oncogenic, 4 prognostic, 2 diagnostic, 1 predisposing.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| BRCA1 Mutation OR BRCA2 Mutation | Olaparib | Sensitivity/Response | CIViC B | EID12765 |
| EGFR Mutation | Gefitinib | Sensitivity/Response | CIViC B | EID2939 |
| EGFR Mutation | Erlotinib | Sensitivity/Response | CIViC B | EID3864 |
| KIF5B::RET Fusion | Selpercatinib | Sensitivity/Response | CIViC B | EID7067 |
| PDCD4 EXPRESSION | Paclitaxel | Sensitivity/Response | CIViC B | EID821 |
| KRAS G12D | Gefitinib | Resistance | CIViC B | EID2240 +4 |
| KRAS G12D | Erlotinib | Resistance | CIViC B | EID3951 +4 |
| KRAS G12 | Gefitinib | Resistance | CIViC B | EID2938 |
| KRAS G12A | Gefitinib | Resistance | CIViC B | EID2008 |
| KRAS G12C | Gefitinib | Resistance | CIViC B | EID2257 |
| KRAS G12S | Gefitinib | Resistance | CIViC B | EID2273 |
| TPM3::NTRK1 Fusion | Larotrectinib | Sensitivity/Response | CIViC C | EID11692 |
| KRAS G12A | Erlotinib | Resistance | CIViC C | EID3712 |
| KRAS G12V | Gefitinib | Resistance | CIViC C | EID2268 |
| ROS1 D2033N | Crizotinib | Resistance | CIViC C | EID7685 |
| MET Exon 14 Skipping Mutation | Capmatinib | Adverse Response | CIViC C | EID11459 |
| ATM F858L | Selumetinib | Sensitivity/Response | CIViC D | EID5127 |
| ATM Loss | Trametinib | Sensitivity/Response | CIViC D | EID5126 |
| B2M High Expression | Anti-PD-L1 Monoclonal Antibody | Sensitivity/Response | CIViC D | EID12151 |
| ERBB2 Y772_A775DUP | Afatinib | Sensitivity/Response | CIViC D | EID1047 |
| FGFR1 Amplification | Erdafitinib | Sensitivity/Response | CIViC D | EID7954 |
| FGFR1 Expression | Ponatinib | Sensitivity/Response | CIViC D | EID681 |
| FGFR1 Overexpression | Docetaxel + Rogaratinib | Sensitivity/Response | CIViC D | EID7831 |
| NQO1 P187S | Amrubicin | Sensitivity/Response | CIViC D | EID941 |
| CIC Loss | Trametinib | Resistance | CIViC D | EID5109 |
| CIC Loss | Vemurafenib | Resistance | CIViC D | EID5110 |
| CIC Loss | Selumetinib | Resistance | CIViC D | EID5116 |
| EGFR T790M | Gefitinib + Multikinase Inhibitor AEE788 | Resistance | CIViC D | EID642 |
| ERBB2 Amplification AND YES1 Amplification | Neratinib | Resistance | CIViC D | EID12096 |
| ETV1 Overexpression | Trametinib | Resistance | CIViC D | EID5118 |
+4 more predictive associations (showing top 30 by evidence level).
Related Atlas pages
- Cohort genes: BRCA2, CHEK2, EGFR, KRAS, BRCA1, TP53, SLTM, NQO1, ERBB2, ETV4, ROS1, BRAF, SOX9, STAT1, STAT6, TERT, TP53BP1, WNK1, TRIM38, XCL2, SHOX2, SIX2, SIX3, SLC12A7, SLC17A4, SLC67A1, SLK, SNRPA1, SP3, SP4, TRIM21, BTN2A1, BTN3A1, BTN3A2, BTNL2, SYNGR2, HNF1B, TGM5, TNFAIP6, TNXB, LINC00470, TUB, C1S, TRIM26, ZNF184, ZSCAN12, IKZF2, POLR1H, NID2, RBMS3, ATP8B4, TCIM, ZNF311, SCAND3, APOM, BAG6, TSBP1, C6orf15, SLC44A4, OR2B2, OR14J1, MRPL32, ZSCAN31, XPO7, TMEM237, CDCA7
- Drugs: Paclitaxel, Vinorelbine, Docetaxel, Gemcitabine, Carboplatin, Cisplatin, Topotecan, Amifostine, Etoposide, FLUDEOXYGLUCOSE F 18, Gefitinib, Nivolumab, Vinblastine, Ifosfamide, Mitomycin, Pegfilgrastim, Doxorubicin, Erlotinib, Isotretinoin, Bupropion, Dalteparin, Dexmedetomidine, Epoetin Alfa, Nicotine, Alectinib, Epirubicin, Etoposide Phosphate, Filgrastim, Thalidomide, Vincristine, Olaparib, Selpercatinib, Larotrectinib, Crizotinib, Capmatinib, Selumetinib, Trametinib, Afatinib, Erdafitinib, Ponatinib, Amrubicin, Vemurafenib, Neratinib
- Associated genes: CHRNB4, CMTR2, FGFR1, PDCD4