Mastocytosis

disease
On this page

Also known as Mast cell disease

Summary

Mastocytosis (MONDO:0007950) is a disease (an umbrella term covering 5 Mondo subtypes) caused by KIT (GenCC Strong), with 28 cohort genes (27 GWAS associations across 2 studies) and 34 clinical trials. Top therapeutic interventions include dasatinib anhydrous, cromolyn, and hydroxychloroquine.

At a glance

  • Prevalence: 1-5 / 10 000 (Worldwide) [Orphanet-validated]
  • Causal gene: KIT (GenCC Strong)
  • Umbrella term: 5 Mondo subtypes
  • Cohort genes: 28
  • GWAS associations: 27
  • ClinVar variants: 101
  • Clinical trials: 34

Clinical features

Epidemiology

Prevalence records

3 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Point prevalence1-5 / 10 00010WorldwideValidated
Point prevalence1-9 / 100 0003EuropeValidated
Point prevalence1-9 / 100 0009.59DenmarkValidated

Identifiers

Disease identifiers

FieldValue
Canonical namemastocytosis
Mondo IDMONDO:0007950
EFOEFO:0009001
MeSHD008415
Orphanet98292
DOIDDOID:350
ICD-11691643472
NCITC84269
UMLSC0024899
MedGen9902
GARD0006987
MedDRA10026891
NORD1408
Is cancer (heuristic)no

Also known as: Mast cell disease · mastocytosis

Data availability: 101 ClinVar variants · 27 GWAS associations (2 studies) · 2 GenCC gene-disease records.

Disease family

An umbrella term covering 5 Mondo subtypes.

Classification path: disease › human disease › disease by etiologic mechanism › cancer or benign tumorneoplastic disease or syndromeneoplasmhematopoietic and lymphoid system neoplasmhematopoietic and lymphoid cell neoplasmmyeloid neoplasm › mast cell neoplasm › mastocytosis

Related subtypes (1): mastocytoma

Subtypes (5): systemic mastocytosis, cutaneous mastocytosis, mast cell sarcoma, acute mast cell leukemia, chronic mast cell leukemia

Genetics & variants

GWAS landscape

27 GWAS associations across 2 studies. Top hits map to 31 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs108380948e-35OR51B5, OR51Q1, HBG2, HBE1A0.21
rs801388027e-33ABCA2C5.74
rs118455376e-24RPL3P3, OTX2-AS1, LINC03059A5.62
rs98287589e-24PRDX5P1 - LINC02005T0.15
rs46164021e-15SLC7A10 - CEBPAA1.52
rs22793434e-15CYP2B6G0.28
rs16112073e-13HLA-F-AS1, HCG4, HLA-V, HLA-VA2.1
rs46623802e-12LINC01412C1.46
rs760151128e-12RPTNG0.3
rs17781551e-11PDE4DIPT2.03
rs617358411e-09FTCDA0.03
rs130775412e-09TBL1XR1G1.33
rs340344736e-09ZNF134C2.38
rs4962503e-08FXR1T1.93
rs31313823e-08MSH5, CLIC1A2.6
rs43162187e-08RMRPP5 - RN7SKP120C1.67
rs454876959e-08MOCS1T3.89
rs80814899e-08POLRMTP1 - TBC1D3P2C3.17
rs1383662e-07TPTEP2-CSNK1EA0.6
rs130156432e-07NRXN1-DTC2.02
rs79312736e-07ARHGAP42T0.57
rs30148188e-07S100A7AC2.21
rs49876681e-06TRPV6C2.6
rs3552141e-06LRRC4CG1.42
rs111317642e-06VEGFC - LINC02509C1.65
rs75361892e-06TRABD2BC0.65
rs581248329e-06CACNA1HA1.44

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST012017Galata G20214149,504Genome-wide association study identifies novel susceptibility loci for KIT D816V positive mastocytosis.
GCST011383Nedoszytko B20202345,606Results from a Genome-Wide Association Study (GWAS) in Mastocytosis Reveal New Gene Polymorphisms Associated with WHO Subgroups.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding7
Tier 2: splice/UTR3
Tier 3: regulatory1
Tier 4: intronic/intergenic16

MAF distribution

BucketVariants
common (>=0.05)20
low_freq (0.01-0.05)6
rare (<0.01)1
unknown0

Functional consequences

ConsequenceCount
intron_variant9
missense_variant7
intergenic_variant5
synonymous_variant1
non_coding_transcript_exon_variant1
splice_polypyrimidine_tract_variant1
regulatory_region_variant1
3_prime_UTR_variant1
splice_region_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs10838094115422663G>A,C0.411missense_variantOR51B5, OR51Q1, HBG2, HBE18e-35Tier 1: coding
rs801388029137021488A>C,G0.024synonymous_variantABCA27e-33Tier 4: intronic/intergenic
rs118455371456979555G>A,C0.015non_coding_transcript_exon_variantRPL3P3, OTX2-AS1, LINC030596e-24Tier 4: intronic/intergenic
rs9828758373668985C>G,T0.293intergenic_variantPRDX5P1 - LINC020059e-24Tier 4: intronic/intergenic
rs46164021933262649A>C,G,T0.05intergenic_variantSLC7A10 - CEBPA1e-15Tier 4: intronic/intergenic
rs22793431941009358A>G,T0.248missense_variantCYP2B64e-15Tier 1: coding
rs1611207629792099G>A,C,T0.381splice_polypyrimidine_tract_variantHLA-F-AS1, HCG4, HLA-V, HLA-V3e-13Tier 2: splice/UTR
rs46623802144558840T>C0.05intron_variantLINC014122e-12Tier 4: intronic/intergenic
rs760151121152156618A>G,T0.214missense_variantRPTN8e-12Tier 1: coding
rs17781551149009657A>G0.454missense_variantPDE4DIP1e-11Tier 1: coding
rs617358412146138638G>A,T0.084missense_variantFTCD1e-09Tier 1: coding
rs130775413177207952G>A0.05intron_variantTBL1XR12e-09Tier 4: intronic/intergenic
rs340344731957620738A>C,G,T0.05missense_variantZNF1346e-09Tier 1: coding
rs4962503180909515G>A,C,T0.132intron_variantFXR13e-08Tier 4: intronic/intergenic
rs3131382631739953T>A,C,G0.032regulatory_region_variantMSH5, CLIC13e-08Tier 3: regulatory
rs4316218924906804T>C0.298intergenic_variantRMRPP5 - RN7SKP1207e-08Tier 4: intronic/intergenic
rs45487695639927524C>A,G,T0.009intron_variantMOCS19e-08Tier 4: intronic/intergenic
rs80814891762207844A>C,G0.016intergenic_variantPOLRMTP1 - TBC1D3P29e-08Tier 4: intronic/intergenic
rs1383662238393931G>A0.5intron_variantTPTEP2-CSNK1E2e-07Tier 4: intronic/intergenic
rs13015643252142599A>C0.076intron_variantNRXN1-DT2e-07Tier 4: intronic/intergenic
rs793127311100977284C>G,T0.324intron_variantARHGAP426e-07Tier 4: intronic/intergenic
rs30148181153421078T>C0.0453_prime_UTR_variantS100A7A8e-07Tier 2: splice/UTR
rs49876687142874896A>C,G0.025splice_region_variantTRPV61e-06Tier 2: splice/UTR
rs3552141140983917A>C,G,T0.05intron_variantLRRC4C1e-06Tier 4: intronic/intergenic
rs111317644176799205C>A,G,T0.05intergenic_variantVEGFC - LINC025092e-06Tier 4: intronic/intergenic
rs7536189147865850C>G,T0.05intron_variantTRABD2B2e-06Tier 4: intronic/intergenic
rs58124832161218376G>A,T0.05missense_variantCACNA1H9e-06Tier 1: coding

ClinVar germline variants

101 retrieved; paginated sample, class counts are floors:

39 conflicting classifications of pathogenicity, 38 uncertain significance, 19 benign/likely benign, 4 benign, 1 pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
13862NM_000222.3(KIT):c.2515G>A (p.Glu839Lys)KITPathogenicno assertion criteria provided
134621NM_000222.3(KIT):c.1588G>A (p.Val530Ile)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
134629NM_000222.3(KIT):c.1195G>A (p.Val399Ile)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
161260NM_000222.3(KIT):c.952A>G (p.Met318Val)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
220634NM_000222.3(KIT):c.1674G>A (p.Lys558=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
220917NM_000222.3(KIT):c.2622G>A (p.Pro874=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
225286NM_000222.3(KIT):c.464C>T (p.Pro155Leu)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237242NM_000222.3(KIT):c.1383A>G (p.Thr461=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237248NM_000222.3(KIT):c.1594G>A (p.Val532Ile)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237252NM_000222.3(KIT):c.200C>G (p.Thr67Ser)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237254NM_000222.3(KIT):c.2118T>G (p.Leu706=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237260NM_000222.3(KIT):c.2349C>T (p.Leu783=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237263NM_000222.3(KIT):c.2484C>T (p.Asn828=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237268NM_000222.3(KIT):c.2670C>T (p.Leu890=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237270NM_000222.3(KIT):c.2802+9A>GKITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
237285NM_000222.3(KIT):c.878A>G (p.Asn293Ser)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
255567NM_000222.3(KIT):c.-14T>AKITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
348954NM_000222.3(KIT):c.301C>T (p.His101Tyr)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
348960NM_000222.3(KIT):c.*252G>TKITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
409716NM_000222.3(KIT):c.2848G>A (p.Val950Met)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
409722NM_000222.3(KIT):c.148G>T (p.Val50Leu)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
409741NM_000222.3(KIT):c.1618G>C (p.Val540Leu)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
409779NM_000222.3(KIT):c.2104C>G (p.Leu702Val)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
409785NM_000222.3(KIT):c.2234-3C>TKITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
415776NM_000222.3(KIT):c.252G>A (p.Thr84=)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
41600NM_000222.3(KIT):c.1694G>T (p.Gly565Val)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
41601NM_000222.3(KIT):c.2263G>A (p.Ala755Thr)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
41604NM_000222.3(KIT):c.821C>T (p.Thr274Met)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
41606NM_000222.3(KIT):c.910A>G (p.Thr304Ala)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications
458940NM_000222.3(KIT):c.302A>G (p.His101Arg)KITConflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 15 · Orphanet: 33 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

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

GeneClassificationInheritanceDiseaseRecords
KITStrongAutosomal dominantmastocytosis15

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
KITOrphanet:102724Acute myeloid leukemia with t(8;21)(q22;q22) translocation
KITOrphanet:158766Typical urticaria pigmentosa
KITOrphanet:158769Plaque-form urticaria pigmentosa
KITOrphanet:158772Nodular urticaria pigmentosa
KITOrphanet:158775Smoldering systemic mastocytosis
KITOrphanet:158778Isolated bone marrow mastocytosis
KITOrphanet:280785Bullous diffuse cutaneous mastocytosis
KITOrphanet:280794Pseudoxanthomatous diffuse cutaneous mastocytosis
KITOrphanet:2884Piebaldism
KITOrphanet:44890Gastrointestinal stromal tumor
KITOrphanet:566393Acute mast cell leukemia
KITOrphanet:566396Chronic mast cell leukemia
KITOrphanet:79455Cutaneous mastocytoma
KITOrphanet:842Testicular seminomatous germ cell tumor
KITOrphanet:90389Telangiectasia macularis eruptiva perstans
KITOrphanet:98829Acute myeloid leukemia with abnormal bone marrow eosinophils inv(16)(p13q22) or t(16;16)(p13;q22)
KITOrphanet:98834Acute myeloblastic leukemia with maturation
KITOrphanet:98849Systemic mastocytosis with associated hematologic neoplasm
VEGFCOrphanet:569821Congenital primary lymphedema of Gordon
CACNA1HOrphanet:642671Familial hyperaldosteronism type IV
CACNA1HOrphanet:64280Childhood absence epilepsy
TRPV6Orphanet:417Neonatal severe primary hyperparathyroidism
TRPV6Orphanet:676Autosomal dominant hereditary chronic pancreatitis
PRPF31Orphanet:791Retinitis pigmentosa
CEBPAOrphanet:102724Acute myeloid leukemia with t(8;21)(q22;q22) translocation
CEBPAOrphanet:319465Inherited acute myeloid leukemia
CEBPAOrphanet:319480Acute myeloid leukemia with CEBPA somatic mutations
TBL1XR1Orphanet:487825Pierpont syndrome
TBL1XR1Orphanet:520Acute promyelocytic leukemia
ABCA2Orphanet:88616Autosomal recessive non-syndromic intellectual disability
FTCDOrphanet:51208Formiminoglutamic aciduria
MOCS1Orphanet:308386Sulfite oxidase deficiency due to molybdenum cofactor deficiency type A
MSH5Orphanet:399805Male infertility with azoospermia or oligozoospermia due to single gene mutation

Cohort genes → proteins

28 cohort genes, 24 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only27
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
KITHGNC:6342ENSG00000157404P10721Mast/stem cell growth factor receptor Kitgencc,clinvar
SLC7A10HGNC:11058ENSG00000130876Q9NS82Asc-type amino acid transporter 1gwas
VEGFCHGNC:12682ENSG00000150630P49767Vascular endothelial growth factor Cgwas
ZNF134HGNC:12918ENSG00000213762P52741Zinc finger protein 134gwas
CACNA1HHGNC:1395ENSG00000196557O95180Voltage-dependent T-type calcium channel subunit alpha-1Hgwas
TRPV6HGNC:14006ENSG00000165125Q9H1D0Transient receptor potential cation channel subfamily V member 6gwas
OR51Q1HGNC:14851ENSG00000167360Q8NH59Olfactory receptor 51Q1gwas
PRPF31HGNC:15446ENSG00000105618Q8WWY3U4/U6 small nuclear ribonucleoprotein Prp31gwas
PDE4DIPHGNC:15580ENSG00000178104Q5VU43Myomegalingwas
CEBPAHGNC:1833ENSG00000245848P49715CCAAT/enhancer-binding protein alphagwas
S100A7AHGNC:21657ENSG00000184330Q86SG5Protein S100-A7Agwas
HLA-VHGNC:23482ENSG00000181126major histocompatibility complex, class I, V (pseudogene)gwas
CSNK1EHGNC:2453ENSG00000213923P49674Casein kinase I isoform epsilongwas
NEIL3HGNC:24573ENSG00000109674Q8TAT5Endonuclease 8-like 3gwas
CYP2B6HGNC:2615ENSG00000197408P20813Cytochrome P450 2B6gwas
ARHGAP42HGNC:26545ENSG00000165895A6NI28Rho GTPase-activating protein 42gwas
RPTNHGNC:26809ENSG00000215853Q6XPR3Repetingwas
LRRC4CHGNC:29317ENSG00000148948Q9HCJ2Leucine-rich repeat-containing protein 4Cgwas
TBL1XR1HGNC:29529ENSG00000177565Q9BZK7F-box-like/WD repeat-containing protein TBL1XR1gwas
ABCA2HGNC:32ENSG00000107331Q9BZC7ATP-binding cassette sub-family A member 2gwas
FTCDHGNC:3974ENSG00000160282O95954Formimidoyltransferase-cyclodeaminasegwas
FXR1HGNC:4023ENSG00000114416P51114RNA-binding protein FXR1gwas
LINC00501HGNC:43439ENSG00000203645long intergenic non-protein coding RNA 501gwas
OTX2-AS1HGNC:43906ENSG00000248550OTX2 antisense RNA 1gwas
TRABD2BHGNC:44200ENSG00000269113A6NFA1Metalloprotease TIKI2gwas
LINC01412HGNC:50704ENSG00000232606long intergenic non-protein coding RNA 1412gwas
MOCS1HGNC:7190ENSG00000124615Q9NZB8Molybdenum cofactor biosynthesis protein 1gwas
MSH5HGNC:7328ENSG00000204410O43196MutS protein homolog 5gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
KITMast/stem cell growth factor receptor KitTyrosine-protein kinase that acts as a cell-surface receptor for the cytokine KITLG/SCF and plays an essential role in the regulation of cell survival and proliferation, hematopoiesis, stem cell maintenance, gametogenesis, mast cell develo…
SLC7A10Asc-type amino acid transporter 1Associates with SLC3A2/4F2hc to form a functional heterodimeric complex that translocates small neutral L- and D-amino acids across the plasma membrane.
VEGFCVascular endothelial growth factor CGrowth factor active in angiogenesis, and endothelial cell growth, stimulating their proliferation and migration and also has effects on the permeability of blood vessels.
ZNF134Zinc finger protein 134May be involved in transcriptional regulation.
CACNA1HVoltage-dependent T-type calcium channel subunit alpha-1HVoltage-sensitive calcium channel that gives rise to T-type calcium currents.
TRPV6Transient receptor potential cation channel subfamily V member 6Calcium selective cation channel that mediates Ca(2+) uptake in various tissues, including the intestine.
OR51Q1Olfactory receptor 51Q1Odorant receptor.
PRPF31U4/U6 small nuclear ribonucleoprotein Prp31Involved in pre-mRNA splicing as component of the spliceosome.
PDE4DIPMyomegalinFunctions as an anchor sequestering components of the cAMP-dependent pathway to Golgi and/or centrosomes.
CEBPACCAAT/enhancer-binding protein alphaTranscription factor that coordinates proliferation arrest and the differentiation of myeloid progenitors, adipocytes, hepatocytes, and cells of the lung and the placenta.
S100A7AProtein S100-A7AMay be involved in epidermal differentiation and inflammation and might therefore be important for the pathogenesis of psoriasis and other diseases.
CSNK1ECasein kinase I isoform epsilonCasein kinases are operationally defined by their preferential utilization of acidic proteins such as caseins as substrates.
NEIL3Endonuclease 8-like 3DNA glycosylase which prefers single-stranded DNA (ssDNA), or partially ssDNA structures such as bubble and fork structures, to double-stranded DNA (dsDNA).
CYP2B6Cytochrome P450 2B6A cytochrome P450 monooxygenase involved in the metabolism of endocannabinoids and steroids.
ARHGAP42Rho GTPase-activating protein 42May influence blood pressure by functioning as a GTPase-activating protein for RHOA in vascular smooth muscle.
RPTNRepetinInvolved in the cornified cell envelope formation.
LRRC4CLeucine-rich repeat-containing protein 4CMay promote neurite outgrowth of developing thalamic neurons.
TBL1XR1F-box-like/WD repeat-containing protein TBL1XR1F-box-like protein involved in the recruitment of the ubiquitin/19S proteasome complex to nuclear receptor-regulated transcription units.
ABCA2ATP-binding cassette sub-family A member 2Probable lipid transporter that modulates cholesterol sequestration in the late endosome/lysosome by regulating the intracellular sphingolipid metabolism, in turn participates in cholesterol homeostasis.
FTCDFormimidoyltransferase-cyclodeaminaseFolate-dependent enzyme, that displays both transferase and deaminase activity.
FXR1RNA-binding protein FXR1mRNA-binding protein that acts as a regulator of mRNAs translation and/or stability, and which is required for various processes, such as neurogenesis, muscle development and spermatogenesis.
TRABD2BMetalloprotease TIKI2Metalloprotease that acts as a negative regulator of the Wnt signaling pathway by mediating the cleavage of the 8 N-terminal residues of a subset of Wnt proteins.
MOCS1Molybdenum cofactor biosynthesis protein 1Isoform MOCS1A and isoform MOCS1B probably form a complex that catalyzes the conversion of 5’-GTP to cyclic pyranopterin monophosphate (cPMP).
MSH5MutS protein homolog 5Involved in DNA mismatch repair and meiotic recombination processes.

Protein-family classification

Druggable: 12 · Difficult: 4 · Unknown: 12 · Druggable fraction: 0.43

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
Ion channel28.0×0.250
Transporter25.6×0.250
Complement19.6×0.332
Kinase22.0×0.670
Enzyme (other)31.3×0.812
Scaffold/PPI21.2×0.812
Antibody/Immunoglobulin11.0×0.872
GPCR10.8×0.872
Other/Unknown120.8×0.942
Transcription factor20.6×0.942

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
KITKinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Tyr_kinase_rcpt_3_CS
SLC7A10TransporteryesAA/rel_permease1, AminoAcid_Transporter
VEGFCOther/UnknownnoPDGF/VEGF_dom, CXCXC_repeat, PD_growth_factor_CS
ZNF134Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Krueppel_C2H2_ZnFinger
CACNA1HIon channelyesVDCC_T_a1, Ion_trans_dom, Volt_channel_dom_sf
TRPV6Ion channelyesAnkyrin_rpt, Ion_trans_dom, TRPV5/TRPV6
OR51Q1GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
PRPF31Other/UnknownnoNop_dom, NOSIC, Prp31_C
PDE4DIPOther/UnknownnoOlduvai_dom, Cnn_1N, MT-associated_AKAP9-binding
CEBPAOther/UnknownnobZIP, C/EBP_chordates, C/EBP
S100A7AOther/UnknownnoS100/CaBP7/8-like_CS, EF_hand_dom, EF-hand-dom_pair
HLA-VOther/Unknownno
CSNK1EKinaseyes2.7.11.1Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
NEIL3Transcription factornoZnf_DNA_glyclase/AP_lyase, Znf_RanBP2, Znf_GRF
CYP2B6Enzyme (other)yes1.14.14.1Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_E_grp-I_CYP2B-like
ARHGAP42Scaffold/PPInoRhoGAP_dom, SH3_domain, PH_domain
RPTNOther/UnknownnoS100/CaBP7/8-like_CS, EF_hand_dom, EF-hand-dom_pair
LRRC4CAntibody/ImmunoglobulinyesLRRNT, Leu-rich_rpt, Leu-rich_rpt_typical-subtyp
TBL1XR1Scaffold/PPInoWD40_rpt, LisH, WD40/YVTN_repeat-like_dom_sf
ABCA2TransporteryesABC_transporter-like_ATP-bd, AAA+_ATPase, ABC2_TM
FTCDEnzyme (other)yes2.1.2.5Formiminotransferase_cat, Cyclodeamin/CycHdrlase, Formiminotransferase_N
FXR1ComplementyesKH_dom, KH_dom_type_1, Agenet-like_dom
LINC00501Other/Unknownno
OTX2-AS1Other/Unknownno
TRABD2BOther/UnknownnoTraB/PrgY/GumN_fam, TIKI1/2-like
LINC01412Other/Unknownno
MOCS1Enzyme (other)yes4.1.99.22MoaA_NifB_PqqE_Fe-S-bd_CS, Mopterin_CF_biosynth-C_dom, Elp3/MiaA/NifB-like_rSAM
MSH5Other/UnknownnoDNA_mismatch_repair_MutS_C, DNA_mismatch_repair_MutS_core, DNA_mismatch_repair_MutS_clamp

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)1
moderate (6-20)0
broad (>20)27
unknown0

Top tissues across cohort

TissueCohort genes
male germ line stem cell (sensu Vertebrata) in testis7
primordial germ cell in gonad4
calcaneal tendon3
apex of heart3
buccal mucosa cell3
right lobe of liver3
secondary oocyte2
stromal cell of endometrium2
sural nerve2
ventricular zone2
gastrocnemius2
hindlimb stylopod muscle2
nipple2
penis2
sperm2
liver2
popliteal artery2
tibial artery2
lateral nuclear group of thalamus1
oocyte1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
KIT263broadmarkerlateral nuclear group of thalamus, secondary oocyte, oocyte
SLC7A10138broadyesomental fat pad, peritoneum, adipose tissue of abdominal region
VEGFC224ubiquitousmarkerstromal cell of endometrium, right lobe of thyroid gland, thyroid gland
ZNF134245ubiquitousyesprimordial germ cell in gonad, secondary oocyte, male germ line stem cell (sensu Vertebrata) in testis
CACNA1H166broadmarkerlower esophagus muscularis layer, muscle layer of sigmoid colon, lower esophagus
TRPV6125tissue_specificmarkerbody of pancreas, pancreas, duodenum
OR51Q12yessural nerve, colonic epithelium, calcaneal tendon
PRPF31134ubiquitousmarkerstromal cell of endometrium, granulocyte, ventricular zone
PDE4DIP292ubiquitousmarkerapex of heart, hindlimb stylopod muscle, gastrocnemius
CEBPA258ubiquitousmarkernipple, upper arm skin, penis
S100A7A70tissue_specificmarkermale germ line stem cell (sensu Vertebrata) in testis, penis, sperm
HLA-V128tissue_specificyesapex of heart, male germ line stem cell (sensu Vertebrata) in testis, upper lobe of left lung
CSNK1E275ubiquitousmarkercortical plate, ganglionic eminence, left ovary
NEIL3127ubiquitousyesprimordial germ cell in gonad, ventricular zone, male germ line stem cell (sensu Vertebrata) in testis
CYP2B6106tissue_specificmarkerright lobe of liver, liver, buccal mucosa cell
ARHGAP42224ubiquitousmarkercalcaneal tendon, jejunal mucosa, sural nerve
RPTN57tissue_specificmarkergingiva, gingival epithelium, tongue
LRRC4C206broadmarkermiddle temporal gyrus, buccal mucosa cell, Brodmann (1909) area 23
TBL1XR1284ubiquitousmarkercalcaneal tendon, nipple, tibia
ABCA2234ubiquitousmarkerC1 segment of cervical spinal cord, spinal cord, right hemisphere of cerebellum
FTCD179tissue_specificmarkerright lobe of liver, liver, adult mammalian kidney
FXR1299ubiquitousmarkersperm, hindlimb stylopod muscle, gastrocnemius
LINC0050187markerprimordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, right lobe of liver
OTX2-AS1104broadmarkerbuccal mucosa cell, pigmented layer of retina, male germ line stem cell (sensu Vertebrata) in testis
TRABD2B148broadyespopliteal artery, tibial artery, right coronary artery
LINC01412117broadyesmale germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, monocyte
MOCS1245ubiquitousmarkerapex of heart, popliteal artery, tibial artery
MSH5134ubiquitousyesright uterine tube, right testis, left testis

Protein interactions among cohort

Intra-cohort edges: 5.

Hub genes (top 10 by interactor count)

SymbolInteractor count
KIT6,087
CEBPA5,784
FXR14,128
TBL1XR14,066
PRPF313,427
VEGFC2,803
CSNK1E2,391
PDE4DIP2,146
NEIL31,957
CYP2B61,954

Intra-cohort edges

ABSources
ABCA2OR51Q1string_interaction
FTCDOR51Q1string_interaction
OR51Q1PDE4DIPstring_interaction
OR51Q1RPTNstring_interaction
PDE4DIPPRPF31biogrid_interaction, intact

Structural data

PDB: 14 · AlphaFold-only: 10 · No structure: 4

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
KITP1072152
PRPF31Q8WWY330
TRPV6Q9H1D024
CYP2B6P2081313
CACNA1HO951805
SLC7A10Q9NS824
VEGFCP497674
FXR1P511143
CEBPAP497152
CSNK1EP496742
NEIL3Q8TAT52
S100A7AQ86SG51
LRRC4CQ9HCJ21
TBL1XR1Q9BZK71

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
FTCDO9595495.30
OR51Q1Q8NH5985.83
MSH5O4319682.36
MOCS1Q9NZB879.87
ARHGAP42A6NI2875.04
ABCA2Q9BZC771.46
TRABD2BA6NFA170.11
ZNF134P5274166.14
PDE4DIPQ5VU4358.74
RPTNQ6XPR342.63

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 176. Enrichment computed across 28 evidence-associated genes (20 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 20 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Defective Base Excision Repair Associated with NEIL31571.0×0.021NEIL3
NEIL3-mediated resolution of ICLs1571.0×0.021NEIL3
Dasatinib-resistant KIT mutants1571.0×0.021KIT
Imatinib-resistant KIT mutants1571.0×0.021KIT
KIT mutants bind TKIs1571.0×0.021KIT
Masitinib-resistant KIT mutants1571.0×0.021KIT
Nilotinib-resistant KIT mutants1571.0×0.021KIT
Regorafenib-resistant KIT mutants1571.0×0.021KIT
Signaling by kinase domain mutants of KIT1571.0×0.021KIT
Sunitinib-resistant KIT mutants1571.0×0.021KIT
Signaling by juxtamembrane domain KIT mutants1571.0×0.021KIT
Sorafenib-resistant KIT mutants1571.0×0.021KIT
Drug resistance of KIT mutants1571.0×0.021KIT
Signaling by extracellular domain mutants of KIT1571.0×0.021KIT
R-HSA-400253234.6×0.021CSNK1E, TBL1XR1
Diseases of Base Excision Repair1285.5×0.038NEIL3
Epigenetic regulation of adipogenesis genes by MLL3 and MLL4 complexes221.6×0.039CEBPA, TBL1XR1
Epigenetic regulation of gene expression by MLL3 and MLL4 complexes219.7×0.044CEBPA, TBL1XR1
Adipogenesis215.6×0.064CEBPA, TBL1XR1
Epigenetic regulation by WDR5-containing histone modifying complexes215.4×0.064CEBPA, TBL1XR1
VEGF ligand-receptor interactions195.2×0.077VEGFC
Metal sequestration by antimicrobial proteins181.6×0.077S100A7A
Depurination181.6×0.077NEIL3
Loss of MECP2 binding ability to the NCoR/SMRT complex181.6×0.077TBL1XR1
Molybdenum cofactor biosynthesis181.6×0.077MOCS1
WNT mediated activation of DVL171.4×0.077CSNK1E
Loss of function of MECP2 in Rett syndrome171.4×0.077TBL1XR1
Pervasive developmental disorders171.4×0.077TBL1XR1
Disorders of Developmental Biology171.4×0.077TBL1XR1
Disorders of Nervous System Development171.4×0.077TBL1XR1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 23 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
glycosphingolipid metabolic process2209.3×0.009KIT, ABCA2
positive regulation of long-term neuronal synaptic plasticity2162.8×0.009KIT, FXR1
positive regulation of amyloid-beta formation277.1×0.024CSNK1E, ABCA2
white fat cell differentiation273.3×0.024CEBPA, TBL1XR1
negative regulation of intracellular cholesterol transport1732.7×0.024ABCA2
D-alanine transmembrane transport1732.7×0.024SLC7A10
D-serine transmembrane transport1732.7×0.024SLC7A10
positive regulation of synaptic transmission, glycinergic1732.7×0.024SLC7A10
negative regulation of phospholipid biosynthetic process1732.7×0.024ABCA2
ribonucleoprotein complex localization1732.7×0.024PRPF31
negative regulation of sphingolipid biosynthetic process1732.7×0.024ABCA2
melanocyte adhesion1732.7×0.024KIT
positive regulation of pyloric antrum smooth muscle contraction1732.7×0.024KIT
positive regulation of colon smooth muscle contraction1732.7×0.024KIT
regulation of protein localization to cell periphery1732.7×0.024ABCA2
calcium ion import across plasma membrane247.3×0.024CACNA1H, TRPV6
response to vitamin B21366.4×0.031CEBPA
parathyroid hormone secretion1366.4×0.031TRPV6
negative regulation of steroid metabolic process1366.4×0.031ABCA2
response to phenylpropanoid1366.4×0.031CEBPA
ceramide translocation1366.4×0.031ABCA2
regulation of post-translational protein modification1366.4×0.031ABCA2
positive regulation of vascular associated smooth muscle cell differentiation1366.4×0.031KIT
negative regulation of receptor-mediated endocytosis involved in cholesterol transport1366.4×0.031ABCA2
negative regulation of Wnt signaling pathway229.9×0.031CSNK1E, TRABD2B
positive regulation of low-density lipoprotein particle receptor catabolic process1244.2×0.032ABCA2
Fc receptor signaling pathway1244.2×0.032KIT
Kit signaling pathway1244.2×0.032KIT
ketone metabolic process1244.2×0.032CYP2B6
melanocyte migration1244.2×0.032KIT

Therapeutics

Drugs indicated for this disease

1 approved. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
MidostaurinApproved (phase 4)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Cromolyn, Hydroxychloroquine, Masitinib, Palmidrol, Rupatadine.

Drug target analysis

Approved (phase 4): 5 · Phase ≥3: 5 · Phased (≥1): 6 · Undrugged: 22

Druggability breadth: 9 of 28 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.

SymbolExample approved molecule
KITPONATINIB
CACNA1HPIMOZIDE
TRPV6ECONAZOLE
CSNK1EAFATINIB
CYP2B6PAZOPANIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
KIT994
CSNK1E374
CYP2B6284
CACNA1H104
TRPV634
PRPF3112
SLC7A1000
VEGFC00
ZNF13400
OR51Q100

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PONATINIB4KIT
FEDRATINIB4KIT
TIVOZANIB4KIT
LENVATINIB4KIT
AXITINIB4KIT
SORAFENIB4KIT
DASATINIB ANHYDROUS4KIT
NICLOSAMIDE4KIT
IMATINIB MESYLATE4KIT
RUXOLITINIB4KIT
INFIGRATINIB PHOSPHATE4KIT
INFIGRATINIB4KIT
REGORAFENIB4KIT
ENTRECTINIB4KIT
CABOZANTINIB4KIT
CERITINIB4KIT
VANDETANIB4CSNK1E, KIT
NILOTINIB4KIT
BOSUTINIB4CSNK1E, KIT
BRIGATINIB4KIT
PEXIDARTINIB4KIT
AVAPRITINIB4KIT
RIPRETINIB4KIT
PAZOPANIB4CYP2B6, KIT
NINTEDANIB4CSNK1E, KIT
SUNITINIB4CSNK1E, KIT
DASATINIB4CSNK1E, KIT
ERLOTINIB4CSNK1E, KIT
QUIZARTINIB4KIT
CRIZOTINIB4KIT

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 5.

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

SymbolAssaysType breakdown
KIT2,305Binding:2242, ADMET:32, Functional:22, Toxicity:9
CYP2B6861ADMET:851, Binding:10
CSNK1E420Binding:416, ADMET:2, Functional:2
CACNA1H124Binding:102, Functional:17, ADMET:4, Toxicity:1
TRPV632Binding:32
PRPF316Binding:6
FXR16Binding:6
TBL1XR12Binding:2

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
KIT2.7.10.1receptor protein-tyrosine kinase
CSNK1E2.7.11.1non-specific serine/threonine protein kinase
CYP2B61.14.14.1unspecific monooxygenase
FTCD2.1.2.5, 4.3.1.4glutamate formimidoyltransferase, formimidoyltetrahydrofolate cyclodeaminase
MOCS14.1.99.22, 4.6.1.17GTP 3’,8-cyclase, cyclic pyranopterin monophosphate synthase

Cohort genes with high screening signal

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

SymbolChEMBL assays
KIT2,305
CACNA1H124
CSNK1E420
CYP2B6861

Pharmacogenomics

Cohort genes with a PharmGKB record: 25; with CPIC/DPWG dosing guidelines: 1.

Cohort genes with a CPIC/DPWG dosing guideline

SymbolCPIC guidelines
CYP2B61

Chemical tractability of cohort targets

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

CompoundMax phaseCohort target (bioactivity)
PONATINIB4KIT
FEDRATINIB4KIT
TIVOZANIB4KIT
LENVATINIB4KIT
AXITINIB4KIT
SORAFENIB4KIT
NICLOSAMIDE4KIT
IMATINIB MESYLATE4KIT
RUXOLITINIB4KIT
INFIGRATINIB PHOSPHATE4KIT
INFIGRATINIB4KIT
REGORAFENIB4KIT
ENTRECTINIB4KIT
CABOZANTINIB4KIT
CERITINIB4KIT
VANDETANIB4CSNK1E, KIT
NILOTINIB4KIT
BOSUTINIB4CSNK1E, KIT
BRIGATINIB4KIT
PEXIDARTINIB4KIT
AVAPRITINIB4KIT
RIPRETINIB4KIT
PAZOPANIB4CYP2B6, KIT
NINTEDANIB4CSNK1E, KIT
SUNITINIB4CSNK1E, KIT
DASATINIB4CSNK1E, KIT
ERLOTINIB4CSNK1E, KIT
QUIZARTINIB4KIT
CRIZOTINIB4KIT

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)5KIT, CACNA1H, TRPV6, CSNK1E, CYP2B6
BPhased (≥1) drug, not yet approved1PRPF31
CDruggable family + PDB, no drug3SLC7A10, LRRC4C, FXR1
DDruggable family + AlphaFold only, no drug4OR51Q1, ABCA2, FTCD, MOCS1
EDifficult family or no structure, no drug15VEGFC, ZNF134, PDE4DIP, CEBPA, S100A7A, HLA-V, NEIL3, ARHGAP42, RPTN, TBL1XR1 (+5 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
SLC7A100
VEGFC0
ZNF1340
OR51Q10
PDE4DIP0
CEBPA0
S100A7A0
HLA-V0
NEIL30
ARHGAP420
RPTN0
LRRC4C0
TBL1XR12
ABCA20
FTCD0
FXR16
LINC005010
OTX2-AS10
TRABD2B0
LINC014120
MOCS10
MSH50

Clinical trials & evidence

Clinical trials

Clinical trials: 34.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified23
PHASE28
PHASE2/PHASE33

Top trials by phase / activity

NCTPhaseStatusTitle
NCT01333293PHASE2/PHASE3COMPLETEDThe Effect of Xolair ® (Omalizumab) in Mastocytosis Patients
NCT01481909PHASE2/PHASE3COMPLETEDStudy on Mastocytosis for Rupatadine Treatment
NCT05084872PHASE2/PHASE3UNKNOWNHydroxychloroquine in Isolated Cutaneous Mastocytosis Patients or Indolent Systemic Mastocytosis With Associated Skin Involvement Patients
NCT05186753PHASE2ACTIVE_NOT_RECRUITING(Summit) A Study to Evaluate the Efficacy and Safety of CGT9486 Versus Placebo in Patients With Indolent or Smoldering Systemic Mastocytosis
NCT00006413PHASE2COMPLETEDStem Cell Transplantation to Treat Systemic Mastocytosis
NCT00255346PHASE2COMPLETEDDasatinib as Therapy for Myeloproliferative Disorders (MPDs)
NCT00831974PHASE2COMPLETEDEfficacy of AB1010 in Patients With Systemic Indolent Mastocytosis
NCT01266369PHASE2COMPLETEDMasitinib in Patients With Mastocytosis With Handicap and Bearing the D816V Mutation
NCT01384513PHASE2COMPLETEDA Two-Step Approach to Reduced Intensity Bone Marrow Transplant for Patients With Hematological Malignancies
NCT01701843PHASE2TERMINATEDCromoglicate in Mastocytosis
NCT02478957PHASE2COMPLETEDTreatment of Indolent Systemic Mastocytosis With PA101
NCT00044122Not specifiedRECRUITINGStudy of Factors Regulating Mast Cell Proliferation
NCT02760238Not specifiedRECRUITINGMyeloproliferative Neoplasms (MPNs) Patient Registry
NCT06432556Not specifiedNOT_YET_RECRUITINGStudy of Cellular Heterogeneity in Patients With Mastocytosis
NCT06440148Not specifiedRECRUITINGRelationship Between Circulating Sclerostin and Bone Lesions in Patients With Mastocytosis
NCT06466889Not specifiedRECRUITINGMastocytosis Registry (of Zurich)
NCT06573723Not specifiedRECRUITINGInstitutional Registry of Rare Diseases
NCT07328178Not specifiedRECRUITINGAnalysis of the Role of IgE Proteoforms in Health and Disease
NCT00001356Not specifiedCOMPLETEDCharacteristics of Mast Cells in Mastocytosis
NCT00001756Not specifiedCOMPLETEDStudy of Mast Cell Precursors
NCT00001760Not specifiedCOMPLETEDCytokine Production Patterns in Patients With Systemic Mastocytosis Compared With Atopic Dermatitis and Healthy Individuals
NCT00038675Not specifiedCOMPLETEDTherapy of HES, PV, Atypical Chronic Myelocytic Leukemia (CML) or Chronic Myelomonocytic Leukemia (CMML), and Mastocytosis With Imatinib Mesylate
NCT00047918Not specifiedCOMPLETEDBlood Factors in Mastocytosis and Unexplained Anaphylaxis and Flushing
NCT00050193Not specifiedCOMPLETEDCause and Natural Course of Pediatric-Onset Mastocytosis
NCT00336076Not specifiedCOMPLETEDMolecular Mechanisms and Diagnosis of Mastocytosis
NCT00557895Not specifiedTERMINATEDEvaluation and Long-Term Follow-Up of Patients With Allergic and Inflammatory Disorders
NCT02450396Not specifiedWITHDRAWNPregnancy and Medically Assisted Conception in Rare Diseases
NCT02503800Not specifiedCOMPLETEDThe Significance of Blood-tryptase and c-Kit Mutation in Insect Venom Immunotherapy
NCT02620254Not specifiedCOMPLETEDMast Cell Connect: A Registry for Patients With Mastocytosis
NCT03340155Not specifiedUNKNOWNMechanisms of Action of Photo(Chemo)Therapy in Skin Diseases
NCT03406325Not specifiedCOMPLETEDMast Cell Activation Test in Allergic Disease
NCT04615663Not specifiedUNKNOWNAssessment of Burden Disease in Patients With Mast Cell Disorders
NCT04978740Not specifiedCOMPLETEDOcular and Palpebral Manifestations of Mastocytosis (MOOMA)
NCT06210698Not specifiedUNKNOWNAngioedema Biomarker Research Study

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
DASATINIB ANHYDROUS42
CROMOLYN41
HYDROXYCHLOROQUINE41
MASITINIB32
CHEMBL458319601
CHEMBL408867901