Malignant epithelial tumor of ovary

disease
On this page

Also known as epithelial cancer of ovarymalignant ovarian epithelial tumormalignant ovarian epithelial tumourmalignant ovarian surface epithelial-stromal neoplasmmalignant ovarian surface epithelial-stromal tumormalignant ovarian surface epithelial-stromal tumourovarian epithelial cancerovarian epithelial tumor, malignantovarian malignant epithelial tumorovarian malignant epithelial tumourovarian stromal cancer

Summary

Malignant epithelial tumor of ovary (MONDO:0018364) is a cancer (an umbrella term covering 6 Mondo subtypes) with 28 cohort genes (32 GWAS associations across 5 studies; 2 CIViC-evidence somatic drivers) and 130 clinical trials. Top therapeutic interventions include lapatinib, erlotinib, and sorafenib.

At a glance

  • Classification: Cancer
  • Prevalence: 1-9 / 100 000 (Europe) [Orphanet-validated]
  • Umbrella term: 6 Mondo subtypes
  • Cohort genes: 28
  • GWAS associations: 32
  • Clinical trials: 130

Clinical features

Epidemiology

Prevalence records

1 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Annual incidence1-9 / 100 0009.39EuropeValidated

Identifiers

Disease identifiers

FieldValue
Canonical namemalignant epithelial tumor of ovary
Mondo IDMONDO:0018364
MeSHC538090
Orphanet398934
DOIDDOID:2151
NCITC40026
SNOMED CT254849005
UMLSC0346161
MedGen577291
GARD0009362
Is cancer (heuristic)yes

Also known as: epithelial cancer of ovary · malignant ovarian epithelial tumor · malignant ovarian epithelial tumour · malignant ovarian surface epithelial-stromal neoplasm · malignant ovarian surface epithelial-stromal tumor · malignant ovarian surface epithelial-stromal tumour · ovarian epithelial cancer · ovarian epithelial tumor, malignant · ovarian malignant epithelial tumor · ovarian malignant epithelial tumour · ovarian stromal cancer

Data availability: 32 GWAS associations (5 studies) · 3 cell lines.

Disease family

An umbrella term covering 6 Mondo subtypes.

Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumorneoplastic disease or syndromeneoplasm › epithelial neoplasm › ovarian epithelial tumormalignant epithelial tumor of ovary

Related subtypes (10): ovarian Brenner tumor, ovarian squamous cell neoplasm, ovarian mucinous neoplasm, ovarian seromucinous tumor, ovarian papillary tumor, ovarian mucinous adenofibroma, ovarian adenoma benign, borderline epithelial tumor of ovary, ovarian clear cell tumor, ovarian serous tumor

Subtypes (6): ovarian clear cell cancer, malignant ovarian Brenner tumor, ovarian endometrial cancer, ovarian carcinoma, mucinous ovarian cancer, malignant ovarian serous tumor

Genetics & variants

GWAS landscape

32 GWAS associations across 5 studies. Top hits map to 23 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs76514466e-51TIPARP, TIPARP-AS1A1.59
rs38141136e-50BNC2 - RN7SL720PG1.27
rs100882181e-20LINC00824A1.3
rs93035425e-15SKAP1G1.14
rs81705e-14BABAM1, USHBP1A1.18
rs20725909e-14HAGLR, HAGLROSA1.14
rs1832112e-13NSFA1.11
rs120394311e-11RSPO1?1.11
rs117826523e-10CHMP4CG
rs12431801e-09MLLT10A1.1
rs100696909e-09TERTA1.14
rs80444771e-08RPL12P36 - Metazoa_SRP?1.1
rs14132992e-08COL15A1C1.2
rs38202822e-08WNT4?1.11
rs173298822e-08SYNPO2?1.09
rs7572102e-08HNF1BA1.11
rs11926913e-08Y_RNA - MKNK2P1C1.23
rs1153448523e-08GPX6?1.1
rs111751941e-07SRGAP1G1.19
rs45251195e-07AKR1C3C1.43
rs76434598e-07LMCD1-AS1T1.4
rs6338629e-07ABO - Y_RNAA1.19
rs42866049e-07UGT2B4 - UGT2A2G1.45
rs1420915449e-07TENM2-AS1 - WWC1T3.22
rs100171341e-06UGT2A1, UGT2A2C1.4
rs25004884e-06ZBTB18 - RN7SL148PC1.47
rs69767694e-06RAD23BP2 - SEMA3AC1.46

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST002748Kuchenbaecker KB20154,3689,123Identification of six new susceptibility loci for invasive epithelial ovarian cancer.
GCST002576Chen K20141,0441,172Genome-wide association study identifies new susceptibility loci for epithelial ovarian cancer in Han Chinese women.
GCST009008Manichaikul A20197551,235Identification of novel epithelial ovarian cancer loci in Women of African Ancestry.
GCST009896Grant DJ20197551,235Evaluation of vitamin D biosynthesis and pathway target genes reveals UGT2A1/2 and EGFR polymorphisms associated with epithelial ovarian cancer in African American Women.
GCST002267Earp MA2013840Genome-wide association study of subtype-specific epithelial ovarian cancer risk alleles using pooled DNA.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR0
Tier 3: regulatory0
Tier 4: intronic/intergenic27

MAF distribution

BucketVariants
common (>=0.05)25
low_freq (0.01-0.05)1
rare (<0.01)0
unknown1

Functional consequences

ConsequenceCount
intron_variant19
intergenic_variant6
synonymous_variant1
non_coding_transcript_exon_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs76514463156689208G>T0.05intron_variantTIPARP, TIPARP-AS16e-51Tier 4: intronic/intergenic
rs3814113916915023T>C0.32intergenic_variantBNC2 - RN7SL720P6e-50Tier 4: intronic/intergenic
rs100882188128531703G>A0.13intron_variantLINC008241e-20Tier 4: intronic/intergenic
rs93035421748334138A>G0.27intron_variantSKAP15e-15Tier 4: intronic/intergenic
rs81701917278895G>A,C,T0.19synonymous_variantBABAM1, USHBP15e-14Tier 4: intronic/intergenic
rs20725902176177905A>C,G,T0.32non_coding_transcript_exon_variantHAGLR, HAGLROS9e-14Tier 4: intronic/intergenic
rs1832111746710944G>A,C,T0.24intron_variantNSF2e-13Tier 4: intronic/intergenic
rs12039431137616450G>A0.05intron_variantRSPO11e-11Tier 4: intronic/intergenic
rs11782652881741409A>G,T0.07intron_variantCHMP4C3e-10Tier 4: intronic/intergenic
rs12431801021626690T>A,G0.31intron_variantMLLT101e-09Tier 4: intronic/intergenic
rs1006969051279675C>T0.26intron_variantTERT9e-09Tier 4: intronic/intergenic
rs80444771658942687A>C,G0.05intron_variantRPL12P36 - Metazoa_SRP1e-08Tier 4: intronic/intergenic
rs1413299998998959G>A,C,T0.38intron_variantCOL15A12e-08Tier 4: intronic/intergenic
rs3820282122141722C>A,G,T0.05intron_variantWNT42e-08Tier 4: intronic/intergenic
rs173298824119028805A>C,T0.05intron_variantSYNPO22e-08Tier 4: intronic/intergenic
rs7572101737736525C>A,G,T0.37intron_variantHNF1B2e-08Tier 4: intronic/intergenic
rs11926911036880367G>A,C,T0.46intergenic_variantY_RNA - MKNK2P13e-08Tier 4: intronic/intergenic
rs115344852628518321intergenic_variantGPX63e-08Tier 4: intronic/intergenic
rs111751941263871057G>A,C0.41intron_variantSRGAP11e-07Tier 4: intronic/intergenic
rs4525119105049762C>T0.331intron_variantAKR1C35e-07Tier 4: intronic/intergenic
rs764345937963141G>C,T0.362intron_variantLMCD1-AS18e-07Tier 4: intronic/intergenic
rs6338629133279871T>A,C0.46intergenic_variantABO - Y_RNA9e-07Tier 4: intronic/intergenic
rs4286604469576447A>G,T0.268intron_variantUGT2B4 - UGT2A29e-07Tier 4: intronic/intergenic
rs1420915445168286995C>A,G,T0.034intergenic_variantTENM2-AS1 - WWC19e-07Tier 4: intronic/intergenic
rs10017134469591303T>A,C0.27intron_variantUGT2A1, UGT2A21e-06Tier 4: intronic/intergenic
rs25004881244077146C>G,T0.33intron_variantZBTB18 - RN7SL148P4e-06Tier 4: intronic/intergenic
rs6976769783667946A>C,G0.05intergenic_variantRAD23BP2 - SEMA3A4e-06Tier 4: intronic/intergenic

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 34 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Somatic driver evidence (intOGen + CIViC, cohort fanout)

GeneintOGen roleCancer typesCIViC
TERTActPRCCCIViC #79
TGFBR1LoFESCA

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
SEMA3EOrphanet:138CHARGE syndrome
HNF1BOrphanet:1309Medullary sponge kidney
HNF1BOrphanet:1331Familial prostate cancer
HNF1BOrphanet:2578Mayer-Rokitansky-Küster-Hauser syndrome type 2
HNF1BOrphanet:26126517q12 microdeletion syndrome
HNF1BOrphanet:93111HNF1B-related autosomal dominant tubulointerstitial kidney disease
HNF1BOrphanet:93172Renal dysplasia, unilateral
HNF1BOrphanet:93173Renal dysplasia, bilateral
HNF1BOrphanet:97363Unilateral multicystic dysplastic kidney
HNF1BOrphanet:97364Bilateral multicystic dysplastic kidney
TERTOrphanet:146Differentiated thyroid carcinoma
TERTOrphanet:1501Adrenocortical carcinoma
TERTOrphanet:1775Dyskeratosis congenita
TERTOrphanet:2032Idiopathic pulmonary fibrosis
TERTOrphanet:2495Meningioma
TERTOrphanet:3322Hoyeraal-Hreidarsson syndrome
TERTOrphanet:457246Clear cell sarcoma of kidney
TERTOrphanet:618Familial melanoma
TERTOrphanet:88Idiopathic aplastic anemia
TGFBR1Orphanet:284973Marfan syndrome type 2
TGFBR1Orphanet:60030Loeys-Dietz syndrome
TGFBR1Orphanet:65748Multiple self-healing squamous epithelioma
TGFBR1Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
WNT4Orphanet:139466SERKAL syndrome
WNT4Orphanet:247768Müllerian aplasia and hyperandrogenism
WNT4Orphanet:2578Mayer-Rokitansky-Küster-Hauser syndrome type 2
ZBTB18Orphanet:36367Distal deletion 1q syndrome
MLLT10Orphanet:99861Precursor T-cell acute lymphoblastic leukemia
RSPO1Orphanet:85112Palmoplantar keratoderma-XX sex reversal-predisposition to squamous cell carcinoma syndrome
PLEKHM1Orphanet:210110Intermediate osteopetrosis
BNC2Orphanet:93110Posterior urethral valve
ABCB4Orphanet:69663Low phospholipid-associated cholelithiasis
ABCB4Orphanet:69665Intrahepatic cholestasis of pregnancy
ABCB4Orphanet:79305Progressive familial intrahepatic cholestasis type 3

Cohort genes → proteins

28 cohort genes, 27 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only28

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
SEMA3EHGNC:10727ENSG00000170381O15041Semaphorin-3Egwas
SURF6HGNC:11478ENSG00000148296O75683Surfeit locus protein 6gwas
HNF1BHGNC:11630ENSG00000275410P35680Hepatocyte nuclear factor 1-betagwas
TERTHGNC:11730ENSG00000164362O14746Telomerase reverse transcriptasegwas
TGFBR1HGNC:11772ENSG00000106799P36897TGF-beta receptor type-1gwas
WNT4HGNC:12783ENSG00000162552P56705Protein Wnt-4gwas
ZBTB18HGNC:13030ENSG00000179456Q99592Zinc finger and BTB domain-containing protein 18gwas
SKAP1HGNC:15605ENSG00000141293Q86WV1Src kinase-associated phosphoprotein 1gwas
MLLT10HGNC:16063ENSG00000078403P55197Protein AF-10gwas
ANKRD30AHGNC:17234ENSG00000148513Q9BXX3Ankyrin repeat domain-containing protein 30Agwas
SRGAP1HGNC:17382ENSG00000196935Q7Z6B7SLIT-ROBO Rho GTPase-activating protein 1gwas
NAMPTP1HGNC:17633ENSG00000229644nicotinamide phosphoribosyltransferase pseudogene 1gwas
SYNPO2HGNC:17732ENSG00000172403Q9UMS6Synaptopodin-2gwas
RSPO1HGNC:21679ENSG00000169218Q2MKA7R-spondin-1gwas
COL15A1HGNC:2192ENSG00000204291P39059Collagen alpha-1(XV) chaingwas
TIPARPHGNC:23696ENSG00000163659Q7Z3E1Protein mono-ADP-ribosyltransferase TIPARPgwas
BABAM1HGNC:25008ENSG00000105393Q9NWV8BRISC and BRCA1-A complex member 1gwas
UGT2A2HGNC:28183ENSG00000271271P0DTE5UDP-glucuronosyltransferase 2A2gwas
PLEKHM1HGNC:29017ENSG00000225190Q9Y4G2Pleckstrin homology domain-containing family M member 1gwas
ADSS2HGNC:292ENSG00000035687P30520Adenylosuccinate synthetase isozyme 2gwas
WWC1HGNC:29435ENSG00000113645Q8IX03Protein KIBRAgwas
CHMP4CHGNC:30599ENSG00000164695Q96CF2Charged multivesicular body protein 4cgwas
BNC2HGNC:30988ENSG00000173068Q6ZN30Zinc finger protein basonuclin-2gwas
AKR1C3HGNC:386ENSG00000196139P42330Aldo-keto reductase family 1 member C3gwas
ABCB4HGNC:45ENSG00000005471P21439Phosphatidylcholine translocator ABCB4gwas
GPX6HGNC:4558ENSG00000198704P59796Glutathione peroxidase 6gwas
HOXD1HGNC:5132ENSG00000128645Q9GZZ0Homeobox protein Hox-D1gwas
ABOHGNC:79ENSG00000175164P16442Histo-blood group ABO system transferasegwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
SEMA3ESemaphorin-3EPlays an important role in signaling via the cell surface receptor PLXND1.
SURF6Surfeit locus protein 6Binds to both DNA and RNA in vitro, with a stronger binding capacity for RNA.
HNF1BHepatocyte nuclear factor 1-betaTranscription factor that binds to the inverted palindrome 5’-GTTAATNATTAAC-3'.
TERTTelomerase reverse transcriptaseTelomerase is a ribonucleoprotein enzyme essential for the replication of chromosome termini in most eukaryotes.
TGFBR1TGF-beta receptor type-1Transmembrane serine/threonine kinase forming with the TGF-beta type II serine/threonine kinase receptor, TGFBR2, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3.
WNT4Protein Wnt-4Ligand for members of the frizzled family of seven transmembrane receptors.
ZBTB18Zinc finger and BTB domain-containing protein 18Transcriptional repressor that plays a role in various developmental processes such as myogenesis and brain development.
SKAP1Src kinase-associated phosphoprotein 1Positively regulates T-cell receptor signaling by enhancing the MAP kinase pathway.
MLLT10Protein AF-10Probably involved in transcriptional regulation.
SRGAP1SLIT-ROBO Rho GTPase-activating protein 1GTPase-activating protein for RhoA and Cdc42 small GTPases.
SYNPO2Synaptopodin-2Has an actin-binding and actin-bundling activity.
RSPO1R-spondin-1Activator of the canonical Wnt signaling pathway by acting as a ligand for LGR4-6 receptors.
COL15A1Collagen alpha-1(XV) chainStructural protein that stabilizes microvessels and muscle cells, both in heart and in skeletal muscle.
TIPARPProtein mono-ADP-ribosyltransferase TIPARPADP-ribosyltransferase that mediates mono-ADP-ribosylation of glutamate, aspartate and cysteine residues on target proteins.
BABAM1BRISC and BRCA1-A complex member 1Component of the BRCA1-A complex, a complex that specifically recognizes ‘Lys-63’-linked ubiquitinated histones H2A and H2AX at DNA lesions sites, leading to target the BRCA1-BARD1 heterodimer to sites of DNA damage at double-strand breaks…
UGT2A2UDP-glucuronosyltransferase 2A2UDP-glucuronosyltransferase (UGT) that catalyzes phase II biotransformation reactions in which lipophilic substrates are conjugated with glucuronic acid to increase the metabolite’s water solubility, thereby facilitating excretion into eit…
PLEKHM1Pleckstrin homology domain-containing family M member 1Acts as a multivalent adapter protein that regulates Rab7-dependent and HOPS complex-dependent fusion events in the endolysosomal system and couples autophagic and the endocytic trafficking pathways.
ADSS2Adenylosuccinate synthetase isozyme 2Plays an important role in the de novo pathway and in the salvage pathway of purine nucleotide biosynthesis.
WWC1Protein KIBRARegulator of the Hippo signaling pathway, also known as the Salvador-Warts-Hippo (SWH) pathway.
CHMP4CCharged multivesicular body protein 4cProbable core component of the endosomal sorting required for transport complex III (ESCRT-III) which is involved in multivesicular bodies (MVBs) formation and sorting of endosomal cargo proteins into MVBs.
BNC2Zinc finger protein basonuclin-2Probable transcription factor specific for skin keratinocytes.
AKR1C3Aldo-keto reductase family 1 member C3Cytosolic aldo-keto reductase that catalyzes NADPH-dependent reduction of ketosteroids to hydroxysteroids.
ABCB4Phosphatidylcholine translocator ABCB4Energy-dependent phospholipid efflux translocator that acts as a positive regulator of biliary lipid secretion.
HOXD1Homeobox protein Hox-D1Sequence-specific transcription factor which is part of a developmental regulatory system that provides cells with specific positional identities on the anterior-posterior axis.
ABOHisto-blood group ABO system transferaseThis protein is the basis of the ABO blood group system.

Protein-family classification

Druggable: 6 · Difficult: 12 · Unknown: 10 · Druggable fraction: 0.21

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Scaffold/PPI63.7×0.032
Transcription factor61.8×0.402
Transporter12.8×0.709
Enzyme (other)31.3×0.730
Antibody/Immunoglobulin11.0×0.750
Kinase11.0×0.750
Other/Unknown100.6×0.990

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
SEMA3EAntibody/ImmunoglobulinyesSemap_dom, Ig-like_dom, Immunoglobulin_dom
SURF6Other/UnknownnoSURF6, Rrp14/SURF6_C
HNF1BTranscription factornoHD, HNF1b_C, HNF-1_N
TERTOther/UnknownnoRT_dom, Telomerase_RT, Telomerase_RBD
TGFBR1Kinaseyes2.7.10.2TGFB_receptor, Activin_recp, Prot_kinase_dom
WNT4Other/UnknownnoWnt, Wnt4, Wnt_CS
ZBTB18Transcription factornoBTB/POZ_dom, SKP1/BTB/POZ_sf, Znf_C2H2_type
SKAP1Scaffold/PPInoSH3_domain, PH_domain, PH-like_dom_sf
MLLT10Transcription factornoZnf_PHD, Znf_FYVE_PHD, Znf_RING/FYVE/PHD
ANKRD30AScaffold/PPInoAnkyrin_rpt, Ankyrin_rpt-contain_sf, CC144C-like_CC_dom
SRGAP1Scaffold/PPInoRhoGAP_dom, FCH_dom, SH3_domain
NAMPTP1Other/Unknownno
SYNPO2Scaffold/PPInoPDZ, PDZ_sf, Synaptopodin_domain
RSPO1Other/UnknownnoTSP1_rpt, Furin_repeat, Growth_fac_rcpt_cys_sf
COL15A1Other/UnknownnoCollagen, Collagenase_NC10/endostatin, ConA-like_dom_sf
TIPARPTranscription factorno2.4.2.30Znf_CCCH, WWE_dom, Poly(ADP-ribose)pol_cat_dom
BABAM1Other/UnknownnoBABAM1, vWFA_dom_sf
UGT2A2Other/UnknownnoUDP_glucos_trans, UDP_glycos_trans_CS, UDP-glycosyltransferase
PLEKHM1Scaffold/PPInoPH_domain, PKC_DAG/PE, Run_dom
ADSS2Other/UnknownnoAdenylosuccinate_synthetase, Adenylosuccin_syn_GTP-bd, P-loop_NTPase
WWC1Scaffold/PPInoC2_dom, WW_dom, C2_domain_sf
CHMP4COther/UnknownnoSnf7_fam
BNC2Transcription factornoZnf_C2H2_type, Disconnected-like
AKR1C3Enzyme (other)yes1.1.1.188Aldo/ket_reductase_CS, AKR, NADP_OxRdtase_dom
ABCB4TransporteryesABC_transporter-like_ATP-bd, AAA+_ATPase, ABC1_TM_dom
GPX6Enzyme (other)yes1.11.1.9Glutathione_peroxidase, GPX_AS, GPX_CS
HOXD1Transcription factornoHD, Homeodomain-like_sf, Homeobox_CS
ABOEnzyme (other)yes2.4.1.37Glyco_trans_6, Nucleotide-diphossugar_trans

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)2
broad (>20)26
unknown0

Top tissues across cohort

TissueCohort genes
buccal mucosa cell4
cortical plate3
right lobe of liver3
male germ line stem cell (sensu Vertebrata) in testis3
sural nerve2
type B pancreatic cell2
saphenous vein2
blood2
germinal epithelium of ovary2
oocyte2
secondary oocyte2
olfactory segment of nasal mucosa2
jejunal mucosa2
primordial germ cell in gonad2
blood vessel layer1
calcaneal tendon1
gastrocnemius1
mucosa of transverse colon1
adult mammalian kidney1
kidney1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
SEMA3E197broadmarkercortical plate, calcaneal tendon, blood vessel layer
SURF6134ubiquitousmarkersural nerve, mucosa of transverse colon, gastrocnemius
HNF1B74broadmarkermetanephros cortex, adult mammalian kidney, kidney
TERT105broadyesstromal cell of endometrium, type B pancreatic cell, olfactory bulb
TGFBR1269ubiquitousmarkersaphenous vein, tibia, visceral pleura
WNT4177broadmarkerislet of Langerhans, decidua, type B pancreatic cell
ZBTB18292ubiquitousmarkercerebellar vermis, paraflocculus, cortical plate
SKAP1189broadmarkergranulocyte, right lobe of liver, right uterine tube
MLLT10275ubiquitousmarkerbuccal mucosa cell, adult organism, colonic epithelium
ANKRD30A69tissue_specificmarkerepithelium of mammary gland, mammary duct, male germ line stem cell (sensu Vertebrata) in testis
SRGAP1236ubiquitousmarkerbuccal mucosa cell, cortical plate, medial globus pallidus
NAMPTP1132markerblood, bone marrow cell, bone marrow
SYNPO2262ubiquitousmarkercauda epididymis, saphenous vein, seminal vesicle
RSPO1129tissue_specificyesendocervix, body of uterus, germinal epithelium of ovary
COL15A1249broadmarkerskin of hip, placenta, synovial joint
TIPARP283ubiquitousmarkersecondary oocyte, oocyte, upper leg skin
BABAM1278ubiquitousmarkerprefrontal cortex, right frontal lobe, anterior cingulate cortex
UGT2A217yesmale germ line stem cell (sensu Vertebrata) in testis, olfactory segment of nasal mucosa, right lobe of liver
PLEKHM1134broadyeslower esophagus mucosa, esophagus mucosa, blood
ADSS2285ubiquitousmarkermonocyte, mononuclear cell, leukocyte
WWC1268ubiquitousmarkerventricular zone, parotid gland, buccal mucosa cell
CHMP4C196ubiquitousmarkeramniotic fluid, jejunal mucosa, ileal mucosa
BNC2229ubiquitousmarkergerminal epithelium of ovary, sural nerve, parietal pleura
AKR1C3285ubiquitousmarkerjejunal mucosa, pancreatic ductal cell, gall bladder
ABCB4188broadmarkerright lobe of liver, secondary oocyte, oocyte
GPX612ubiquitousyesmale germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, olfactory segment of nasal mucosa
HOXD1185broadmarkercorpus epididymis, primordial germ cell in gonad, metanephric glomerulus
ABO169broadmarkertendon of biceps brachii, buccal mucosa cell, right lobe of thyroid gland

Protein interactions among cohort

Intra-cohort edges: 2.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TERT5,717
TGFBR14,828
GPX63,286
CHMP4C2,775
ADSS22,681
TIPARP2,481
SURF62,470
WNT42,347
ABCB42,333
RSPO12,160

Intra-cohort edges

ABSources
HNF1BMLLT10biogrid_interaction, intact
RSPO1WNT4string_interaction

Structural data

PDB: 18 · AlphaFold-only: 9 · No structure: 1

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
ABOP16442151
AKR1C3P4233067
TGFBR1P3689744
TERTO1474623
RSPO1Q2MKA712
MLLT10P551976
PLEKHM1Q9Y4G25
WWC1Q8IX035
SURF6O756834
CHMP4CQ96CF24
ABCB4P214394
HNF1BP356803
BABAM1Q9NWV83
ZBTB18Q995921
SKAP1Q86WV11
ANKRD30AQ9BXX31
COL15A1P390591
ADSS2P305201

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
UGT2A2P0DTE592.46
WNT4P5670591.41
SEMA3EO1504184.62
SRGAP1Q7Z6B773.49
TIPARPQ7Z3E170.00
HOXD1Q9GZZ061.63
BNC2Q6ZN3054.10
SYNPO2Q9UMS649.86
GPX6P59796

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 121. Enrichment computed across 28 evidence-associated genes (18 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 18 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Nephron development297.6×0.022HNF1B, WNT4
TCF dependent signaling in response to WNT319.6×0.027TERT, WNT4, RSPO1
Defective ABCB4 causes PFIC3, ICP3 and GBD11634.4×0.064ABCB4
Loss of Function of TGFBR2 in Cancer1211.5×0.084TGFBR1
TGFBR2 Kinase Domain Mutants in Cancer1211.5×0.084TGFBR1
TGFBR1 LBD Mutants in Cancer1158.6×0.084TGFBR1
Loss of Function of TGFBR1 in Cancer1126.9×0.084TGFBR1
Loss of Function of SMAD2/3 in Cancer1105.7×0.084TGFBR1
Signaling by TGF-beta Receptor Complex in Cancer1105.7×0.084TGFBR1
SMAD2/3 Phosphorylation Motif Mutants in Cancer1105.7×0.084TGFBR1
TGFBR1 KD Mutants in Cancer1105.7×0.084TGFBR1
Regulation of MITF-M-dependent genes involved in DNA replication, damage repair and senescence190.6×0.084TERT
Regulation of gene expression in early pancreatic precursor cells179.3×0.084HNF1B
Inactivation of CDC42 and RAC1179.3×0.084SRGAP1
TGFBR3 regulates TGF-beta signaling179.3×0.084TGFBR1
Deubiquitination213.8×0.084TGFBR1, BABAM1
Signaling by WNT212.4×0.084TERT, RSPO1
Signal Transduction63.4×0.084TERT, TGFBR1, SRGAP1, RSPO1, WWC1, AKR1C3
Purine ribonucleoside monophosphate biosynthesis157.7×0.103ADSS2
Synthesis of bile acids and bile salts via 24-hydroxycholesterol148.8×0.103AKR1C3
Translation of Replicase and Assembly of the Replication Transcription Complex148.8×0.103CHMP4C
Translation of Replicase and Assembly of the Replication Transcription Complex145.3×0.103CHMP4C
Glucuronidation142.3×0.103UGT2A2
Synthesis of bile acids and bile salts via 27-hydroxycholesterol142.3×0.103AKR1C3
Synthesis of Prostaglandins (PG) and Thromboxanes (TX)142.3×0.103AKR1C3
Regulation of gene expression in late stage (branching morphogenesis) pancreatic bud precursor cells139.6×0.103HNF1B
Negative regulation of TCF-dependent signaling by WNT ligand antagonists139.6×0.103WNT4
Transcriptional regulation of testis differentiation139.6×0.103WNT4
TGF-beta receptor signaling in EMT (epithelial to mesenchymal transition)137.3×0.103TGFBR1
Developmental Lineage of Mammary Gland Alveolar Cells135.2×0.103ANKRD30A

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 26 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
kidney development421.6×0.011HNF1B, TGFBR1, WNT4, TIPARP
RNA-templated transcription1648.1×0.018TERT
response to symbiont1648.1×0.018UGT2A2
DNA strand elongation1648.1×0.018TERT
female sex determination1648.1×0.018WNT4
regulation of pronephros size1648.1×0.018HNF1B
pronephric nephron tubule development1648.1×0.018HNF1B
extracellular structure organization1648.1×0.018TGFBR1
macromolecule metabolic process1648.1×0.018AKR1C3
response to ammonium ion1648.1×0.018ADSS2
ureteric bud elongation1648.1×0.018HNF1B
obsolete negative regulation of mesenchymal cell apoptotic process involved in mesonephric nephron morphogenesis1648.1×0.018HNF1B
negative regulation of testicular blood vessel morphogenesis1648.1×0.018WNT4
cellular response to prostaglandin stimulus1648.1×0.018AKR1C3
cellular response to corticosteroid stimulus1648.1×0.018AKR1C3
metanephric nephron morphogenesis1648.1×0.018WNT4
siRNA transcription1648.1×0.018TERT
mesenchymal cell apoptotic process involved in metanephros development1648.1×0.018HNF1B
positive regulation of transdifferentiation1648.1×0.018TERT
negative regulation of male gonad development1648.1×0.018WNT4
positive regulation of cortisol biosynthetic process1648.1×0.018WNT4
negative regulation of androgen biosynthetic process1648.1×0.018WNT4
obsolete regulation of Rho-dependent protein serine/threonine kinase activity1648.1×0.018SYNPO2
late endosome to lysosome transport276.2×0.018PLEKHM1, CHMP4C
female gonad development261.7×0.018WNT4, TIPARP
skeletal system morphogenesis238.1×0.018TGFBR1, TIPARP
roof of mouth development328.6×0.018TGFBR1, TIPARP, BNC2
male gonad development318.0×0.018TGFBR1, WNT4, AKR1C3
negative regulation of cell migration312.9×0.018TGFBR1, WNT4, SRGAP1
positive regulation of Wnt signaling pathway229.5×0.023TERT, RSPO1

Therapeutics

Drug target analysis

Approved (phase 4): 4 · Phase ≥3: 4 · Phased (≥1): 5 · Undrugged: 23

Druggability breadth: 8 of 28 evidence-associated genes (29%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
TERTBERBERINE
TGFBR1MOMELOTINIB
TIPARPOLAPARIB
AKR1C3DICLOFENAC SODIUM

Top cohort targets by molecule count

SymbolMoleculesMax phase
TGFBR1284
AKR1C3224
TERT104
TIPARP44
ABCB412
SEMA3E00
SURF600
HNF1B00
WNT400
ZBTB1800

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
BERBERINE4AKR1C3, TERT
DOXORUBICIN4TERT
MOMELOTINIB4TGFBR1
DABRAFENIB4TGFBR1
NINTEDANIB4TGFBR1
DASATINIB4TGFBR1
CRIZOTINIB4TGFBR1
OLAPARIB4TIPARP
DICLOFENAC SODIUM4AKR1C3
DIAZEPAM4AKR1C3
BIMATOPROST4AKR1C3
GLIMEPIRIDE4AKR1C3
NAPROXEN4AKR1C3
DEXIBUPROFEN4AKR1C3
GLICLAZIDE4AKR1C3
MECLOFENAMIC ACID4AKR1C3
IBUPROFEN4AKR1C3
FLURBIPROFEN4AKR1C3
INDOMETHACIN4AKR1C3
MEFENAMIC ACID4AKR1C3
MEDROXYPROGESTERONE ACETATE4AKR1C3
RESVERATROL3TERT
EPIGALOCATECHIN GALLATE3TERT
PERIFOSINE3TERT
SARACATINIB3TGFBR1
CANERTINIB3TGFBR1
TESEVATINIB3TGFBR1
CEDIRANIB3TGFBR1
LESTAURTINIB3TGFBR1
PAMIPARIB3TIPARP

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 5.

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

SymbolAssaysType breakdown
TGFBR1541Binding:516, Functional:13, ADMET:12
TERT391Binding:389, Functional:2
AKR1C3204Binding:197, ADMET:7
TIPARP48Binding:48
UGT2A235ADMET:35
ABO6Binding:6
ABCB44ADMET:3, Binding:1
ADSS22Binding:2

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TGFBR12.7.10.2, 2.7.11.30non-specific protein-tyrosine kinase, receptor protein serine/threonine kinase
TIPARP2.4.2.30NAD+ ADP-ribosyltransferase
AKR1C31.1.1.188, 1.1.1.21, 1.1.1.213, 1.1.1.239, 1.1.1.357, 1.1.1.51, 1.1.1.62, 1.1.1.64, 1.3.1.20prostaglandin-F synthase, aldose reductase, 3alpha-hydroxysteroid 3-dehydrogenase (Re-specific), 3alpha(17beta)-hydroxysteroid dehydrogenase (NAD+), 3alpha-hydroxysteroid 3-dehydrogenase, 3(or 17)beta-hydroxysteroid dehydrogenase, 17beta-estradiol 17-dehydrogenase, testosterone 17beta-dehydrogenase (NADP+), trans-1,2-dihydrobenzene-1,2-diol dehydrogenase
GPX61.11.1.9glutathione peroxidase
ABO2.4.1.37, 2.4.1.40, 2.4.1.88fucosylgalactoside 3-alpha-galactosyltransferase, glycoprotein-fucosylgalactoside alpha-N-acetylgalactosaminyltransferase, globoside alpha-N-acetylgalactosaminyltransferase

Cohort genes with high screening signal

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

SymbolChEMBL assays
TERT391
TGFBR1541
AKR1C3204

Pharmacogenomics

Cohort genes with a PharmGKB record: 27; with CPIC/DPWG dosing guidelines: 0.

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

Drug repurposing candidates

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

CompoundMax phaseCohort target (bioactivity)
BERBERINE4AKR1C3, TERT
DOXORUBICIN4TERT
MOMELOTINIB4TGFBR1
DABRAFENIB4TGFBR1
NINTEDANIB4TGFBR1
DASATINIB4TGFBR1
CRIZOTINIB4TGFBR1
DICLOFENAC SODIUM4AKR1C3
DIAZEPAM4AKR1C3
BIMATOPROST4AKR1C3
GLIMEPIRIDE4AKR1C3
NAPROXEN4AKR1C3
DEXIBUPROFEN4AKR1C3
GLICLAZIDE4AKR1C3
MECLOFENAMIC ACID4AKR1C3
IBUPROFEN4AKR1C3
FLURBIPROFEN4AKR1C3
INDOMETHACIN4AKR1C3
MEFENAMIC ACID4AKR1C3
MEDROXYPROGESTERONE ACETATE4AKR1C3
RESVERATROL3TERT
EPIGALOCATECHIN GALLATE3TERT
PERIFOSINE3TERT
SARACATINIB3TGFBR1
CANERTINIB3TGFBR1
TESEVATINIB3TGFBR1
CEDIRANIB3TGFBR1
LESTAURTINIB3TGFBR1
PAMIPARIB3TIPARP

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)4TERT, TGFBR1, TIPARP, AKR1C3
BPhased (≥1) drug, not yet approved1ABCB4
CDruggable family + PDB, no drug1ABO
DDruggable family + AlphaFold only, no drug2SEMA3E, GPX6
EDifficult family or no structure, no drug20SURF6, HNF1B, WNT4, ZBTB18, SKAP1, MLLT10, ANKRD30A, SRGAP1, NAMPTP1, SYNPO2 (+10 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
SEMA3E0
SURF60
HNF1B0
WNT40
ZBTB180
SKAP10
MLLT100
ANKRD30A0
SRGAP10
NAMPTP10
SYNPO20
RSPO10
COL15A10
BABAM10
UGT2A235
PLEKHM10
ADSS22
WWC10
CHMP4C0
BNC20
GPX60
HOXD10
ABO6

Clinical trials & evidence

Clinical trials

Clinical trials: 130.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE251
PHASE139
Not specified25
PHASE1/PHASE28
PHASE34
EARLY_PHASE12
PHASE41

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03349463PHASE4UNKNOWNEvaluation of Fluciclovine Uptake in Patients With Cervical, Ovarian Epithelial or Endometrial Cancers.
NCT01376752PHASE3ACTIVE_NOT_RECRUITINGHyperthermic Intra-Peritoneal Chemotherapy (HIPEC) in Relapse Ovarian Cancer Treatment
NCT00041080PHASE3COMPLETEDTamoxifen Compared With Thalidomide in Treating Women With Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer
NCT01611766PHASE3UNKNOWNSurgery or Chemotherapy in Recurrent Ovarian Cancer (SOC 1 Trial)?
NCT03220932PHASE3UNKNOWNCytoreductive Surgery and HIPEC in First or Secondary Platinum-resistant Recurrent Ovarian Epithelial Cancer
NCT04055649PHASE2RECRUITINGONC201 Plus Weekly Paclitaxel in Patients With Platinum Refractory or Resistant Ovarian Cancer
NCT05335993PHASE2ACTIVE_NOT_RECRUITINGA Clinical Study Evaluating a Combination of Oregovomab and Niraparib in Adult Women With Platinum Sensitive Recurrent Ovarian Cancer.
NCT06638931PHASE2RECRUITINGAgnostic Therapy in Rare Solid Tumors
NCT07341100PHASE2RECRUITINGStudy to Evaluate the Preliminary Efficacy of SKB264 and the Effect of Clarithromycin on the PK of SKB264 in OC
NCT00006942PHASE2COMPLETEDBryostatin 1 and Cisplatin in Treating Patients With Advanced Recurrent or Residual Ovarian Epithelial, Fallopian Tube, or Primary Peritoneal Cancer
NCT00016289PHASE2COMPLETEDInterleukin-12 in Treating Patients With Ovarian Epithelial Cancer or Primary Peritoneal Cancer
NCT00022659PHASE2COMPLETEDBevacizumab in Treating Patients With Persistent or Recurrent Ovarian Epithelial Cancer or Primary Peritoneal Cancer
NCT00023712PHASE2COMPLETEDBortezomib in Treating Patients With Persistent or Recurrent Ovarian Epithelial Cancer or Primary Peritoneal Cancer
NCT00025155PHASE2COMPLETEDIxabepilone in Treating Patients With Ovarian Epithelial or Primary Peritoneal Cancer That Has Not Responded to Previous Chemotherapy
NCT00026091PHASE2COMPLETEDFenretinide in Treating Patients With Recurrent or Metastatic Ovarian Epithelial or Primary Peritoneal Cancer
NCT00036751PHASE2COMPLETEDImatinib Mesylate in Treating Patients With Stage III or Stage IV Ovarian Epithelial or Primary Peritoneal Cancer
NCT00041041PHASE2COMPLETEDImatinib Mesylate in Treating Patients With Persistent or Recurrent Ovarian Epithelial or Primary Peritoneal Cancer
NCT00053365PHASE2COMPLETEDIrofulven in Treating Patients With Recurrent or Persistent Ovarian Epithelial or Primary Peritoneal Cancer
NCT00059787PHASE2COMPLETEDErlotinib Plus Carboplatin and Paclitaxel in Ovarian Carcinoma
NCT00063895PHASE1/PHASE2COMPLETEDErlotinib in Treating Patients With Advanced Non-Small Cell Lung Cancer, Ovarian Cancer, or Squamous Cell Carcinoma of the Head and Neck
NCT00081276PHASE2COMPLETED3-AP and Cisplatin in Treating Patients With Recurrent or Persistent Platinum-Resistant Ovarian Epithelial or Primary Peritoneal Cancer
NCT00083122PHASE2COMPLETEDCisplatin and Flavopiridol in Treating Patients With Advanced Ovarian Epithelial Cancer or Primary Peritoneal Cancer
NCT00091195PHASE2TERMINATEDDepsipeptide (Romidepsin) in Treating Patients With Recurrent Ovarian Epithelial or Peritoneal Cavity Cancer
NCT00093496PHASE2COMPLETEDGemcitabine Hydrochloride and Tanespimycin in Treating Patients With Recurrent Advanced Ovarian Epithelial or Peritoneal Cavity Cancer
NCT00096395PHASE2COMPLETEDSorafenib Tosylate and Gemcitabine Hydrochloride in Treating Patients With Recurrent Epithelial Ovarian Cancer
NCT00107445PHASE2COMPLETEDEF5 in Finding Oxygen in Tumor Cells of Patients Who Are Undergoing Surgery or Biopsy for Cervical, Endometrial, or Ovarian Epithelial Cancer
NCT00113373PHASE2COMPLETEDLapatinib in Treating Patients With Persistent or Recurrent Ovarian Epithelial or Peritoneal Cancer
NCT00126542PHASE2COMPLETEDBevacizumab and Erlotinib in Treating Patients With Recurrent or Metastatic Ovarian Epithelial, Fallopian Tube, or Primary Peritoneal Cavity Cancer
NCT00132067PHASE2COMPLETEDVorinostat in Treating Patients With Recurrent or Persistent Ovarian Epithelial or Primary Peritoneal Cavity Cancer
NCT00182767PHASE1/PHASE2COMPLETEDIxabepilone and Liposomal Doxorubicin in Advanced Ovarian Cancer
NCT00275028PHASE2COMPLETEDAZD2171 in Treating Patients With Recurrent Ovarian, Peritoneal, or Fallopian Tube Cancer
NCT00278343PHASE2COMPLETEDCediranib Maleate in Treating Patients With Persistent, Recurrent, or Refractory Advanced Ovarian Epithelial, Peritoneal Cavity, or Fallopian Tube Cancer
NCT00313612PHASE2TERMINATEDOxaliplatin and Topotecan in Advance Ovarian Cancer
NCT00316407PHASE1/PHASE2COMPLETEDLapatinib/Carboplatin/Paclitaxel in Previously Treated Ovarian or Breast Cancer Patients
NCT00334893PHASE2COMPLETEDEribulin Mesylate in Treating Patients With Recurrent Ovarian Epithelial, Primary Peritoneal Cavity, or Fallopian Tube Cancer
NCT00388037PHASE2COMPLETEDSunitinib Malate in Treating Patients With Recurrent Ovarian Epithelial, Fallopian Tube, or Primary Peritoneal Cancer
NCT00390234PHASE2COMPLETEDZiv-aflibercept in Treating Patients With Locally Advanced, Unresectable, or Metastatic Gynecologic Soft Tissue Sarcoma
NCT00429793PHASE2COMPLETEDTemsirolimus in Treating Patients With Refractory or Recurrent Ovarian Epithelial, Fallopian Tube, or Primary Peritoneal Cancer
NCT00436501PHASE1/PHASE2COMPLETEDVEGF Trap and Docetaxel in Treating Patients With Persistent or Recurrent Ovarian Epithelial Cancer, Primary Peritoneal Cancer, or Fallopian Tube Cancer
NCT00466960PHASE2COMPLETEDSargramostim and Paclitaxel Albumin-Stabilized Nanoparticle Formulation in Treating Patients With Advanced Ovarian Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer That Did Not Respond to Previous Chemotherapy

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
LAPATINIB46
ERLOTINIB43
SORAFENIB43
DENILEUKIN DIFTITOX42
IMATINIB MESYLATE42
IXABEPILONE42
METFORMIN HYDROCHLORIDE42
ONDANSETRON42
TRABECTEDIN42
AURANOFIN41
AVELUMAB41
BELINOSTAT41
CEFEPIME HYDROCHLORIDE41
DEFERASIROX41
ERIBULIN MESYLATE41
FLUCICLOVINE F1841
LITHIUM CARBONATE41
OLAPARIB41
PROPRANOLOL HYDROCHLORIDE41
ROMIDEPSIN41
SUNITINIB MALATE41
TAMOXIFEN CITRATE41
TEMSIROLIMUS41
THALIDOMIDE41
TOPOTECAN41
VORINOSTAT41
ALVOCIDIB33
CEDIRANIB MALEATE32
TRIAPINE32
VELIPARIB32