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:
| Type | Class | Value | Geography | Validation |
|---|
| Point prevalence | 1-5 / 10 000 | 10 | Worldwide | Validated |
| Point prevalence | 1-9 / 100 000 | 3 | Europe | Validated |
| Point prevalence | 1-9 / 100 000 | 9.59 | Denmark | Validated |
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | mastocytosis |
| Mondo ID | MONDO:0007950 |
| EFO | EFO:0009001 |
| MeSH | D008415 |
| Orphanet | 98292 |
| DOID | DOID:350 |
| ICD-11 | 691643472 |
| NCIT | C84269 |
| UMLS | C0024899 |
| MedGen | 9902 |
| GARD | 0006987 |
| MedDRA | 10026891 |
| NORD | 1408 |
| 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 tumor › neoplastic disease or syndrome › neoplasm › hematopoietic and lymphoid system neoplasm › hematopoietic and lymphoid cell neoplasm › myeloid 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
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs10838094 | 8e-35 | OR51B5, OR51Q1, HBG2, HBE1 | A | 0.21 |
| rs80138802 | 7e-33 | ABCA2 | C | 5.74 |
| rs11845537 | 6e-24 | RPL3P3, OTX2-AS1, LINC03059 | A | 5.62 |
| rs9828758 | 9e-24 | PRDX5P1 - LINC02005 | T | 0.15 |
| rs4616402 | 1e-15 | SLC7A10 - CEBPA | A | 1.52 |
| rs2279343 | 4e-15 | CYP2B6 | G | 0.28 |
| rs1611207 | 3e-13 | HLA-F-AS1, HCG4, HLA-V, HLA-V | A | 2.1 |
| rs4662380 | 2e-12 | LINC01412 | C | 1.46 |
| rs76015112 | 8e-12 | RPTN | G | 0.3 |
| rs1778155 | 1e-11 | PDE4DIP | T | 2.03 |
| rs61735841 | 1e-09 | FTCD | A | 0.03 |
| rs13077541 | 2e-09 | TBL1XR1 | G | 1.33 |
| rs34034473 | 6e-09 | ZNF134 | C | 2.38 |
| rs496250 | 3e-08 | FXR1 | T | 1.93 |
| rs3131382 | 3e-08 | MSH5, CLIC1 | A | 2.6 |
| rs4316218 | 7e-08 | RMRPP5 - RN7SKP120 | C | 1.67 |
| rs45487695 | 9e-08 | MOCS1 | T | 3.89 |
| rs8081489 | 9e-08 | POLRMTP1 - TBC1D3P2 | C | 3.17 |
| rs138366 | 2e-07 | TPTEP2-CSNK1E | A | 0.6 |
| rs13015643 | 2e-07 | NRXN1-DT | C | 2.02 |
| rs7931273 | 6e-07 | ARHGAP42 | T | 0.57 |
| rs3014818 | 8e-07 | S100A7A | C | 2.21 |
| rs4987668 | 1e-06 | TRPV6 | C | 2.6 |
| rs355214 | 1e-06 | LRRC4C | G | 1.42 |
| rs11131764 | 2e-06 | VEGFC - LINC02509 | C | 1.65 |
| rs7536189 | 2e-06 | TRABD2B | C | 0.65 |
| rs58124832 | 9e-06 | CACNA1H | A | 1.44 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST012017 | Galata G | 2021 | 414 | 9,504 | Genome-wide association study identifies novel susceptibility loci for KIT D816V positive mastocytosis. |
| GCST011383 | Nedoszytko B | 2020 | 234 | 5,606 | Results 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)
| Tier | Variants |
|---|
| Tier 1: coding | 7 |
| Tier 2: splice/UTR | 3 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 16 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 20 |
| low_freq (0.01-0.05) | 6 |
| rare (<0.01) | 1 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 9 |
| missense_variant | 7 |
| intergenic_variant | 5 |
| synonymous_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
| splice_polypyrimidine_tract_variant | 1 |
| regulatory_region_variant | 1 |
| 3_prime_UTR_variant | 1 |
| splice_region_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs10838094 | 11 | 5422663 | G>A,C | 0.411 | missense_variant | OR51B5, OR51Q1, HBG2, HBE1 | 8e-35 | Tier 1: coding |
| rs80138802 | 9 | 137021488 | A>C,G | 0.024 | synonymous_variant | ABCA2 | 7e-33 | Tier 4: intronic/intergenic |
| rs11845537 | 14 | 56979555 | G>A,C | 0.015 | non_coding_transcript_exon_variant | RPL3P3, OTX2-AS1, LINC03059 | 6e-24 | Tier 4: intronic/intergenic |
| rs9828758 | 3 | 73668985 | C>G,T | 0.293 | intergenic_variant | PRDX5P1 - LINC02005 | 9e-24 | Tier 4: intronic/intergenic |
| rs4616402 | 19 | 33262649 | A>C,G,T | 0.05 | intergenic_variant | SLC7A10 - CEBPA | 1e-15 | Tier 4: intronic/intergenic |
| rs2279343 | 19 | 41009358 | A>G,T | 0.248 | missense_variant | CYP2B6 | 4e-15 | Tier 1: coding |
| rs1611207 | 6 | 29792099 | G>A,C,T | 0.381 | splice_polypyrimidine_tract_variant | HLA-F-AS1, HCG4, HLA-V, HLA-V | 3e-13 | Tier 2: splice/UTR |
| rs4662380 | 2 | 144558840 | T>C | 0.05 | intron_variant | LINC01412 | 2e-12 | Tier 4: intronic/intergenic |
| rs76015112 | 1 | 152156618 | A>G,T | 0.214 | missense_variant | RPTN | 8e-12 | Tier 1: coding |
| rs1778155 | 1 | 149009657 | A>G | 0.454 | missense_variant | PDE4DIP | 1e-11 | Tier 1: coding |
| rs61735841 | 21 | 46138638 | G>A,T | 0.084 | missense_variant | FTCD | 1e-09 | Tier 1: coding |
| rs13077541 | 3 | 177207952 | G>A | 0.05 | intron_variant | TBL1XR1 | 2e-09 | Tier 4: intronic/intergenic |
| rs34034473 | 19 | 57620738 | A>C,G,T | 0.05 | missense_variant | ZNF134 | 6e-09 | Tier 1: coding |
| rs496250 | 3 | 180909515 | G>A,C,T | 0.132 | intron_variant | FXR1 | 3e-08 | Tier 4: intronic/intergenic |
| rs3131382 | 6 | 31739953 | T>A,C,G | 0.032 | regulatory_region_variant | MSH5, CLIC1 | 3e-08 | Tier 3: regulatory |
| rs4316218 | 9 | 24906804 | T>C | 0.298 | intergenic_variant | RMRPP5 - RN7SKP120 | 7e-08 | Tier 4: intronic/intergenic |
| rs45487695 | 6 | 39927524 | C>A,G,T | 0.009 | intron_variant | MOCS1 | 9e-08 | Tier 4: intronic/intergenic |
| rs8081489 | 17 | 62207844 | A>C,G | 0.016 | intergenic_variant | POLRMTP1 - TBC1D3P2 | 9e-08 | Tier 4: intronic/intergenic |
| rs138366 | 22 | 38393931 | G>A | 0.5 | intron_variant | TPTEP2-CSNK1E | 2e-07 | Tier 4: intronic/intergenic |
| rs13015643 | 2 | 52142599 | A>C | 0.076 | intron_variant | NRXN1-DT | 2e-07 | Tier 4: intronic/intergenic |
| rs7931273 | 11 | 100977284 | C>G,T | 0.324 | intron_variant | ARHGAP42 | 6e-07 | Tier 4: intronic/intergenic |
| rs3014818 | 1 | 153421078 | T>C | 0.045 | 3_prime_UTR_variant | S100A7A | 8e-07 | Tier 2: splice/UTR |
| rs4987668 | 7 | 142874896 | A>C,G | 0.025 | splice_region_variant | TRPV6 | 1e-06 | Tier 2: splice/UTR |
| rs355214 | 11 | 40983917 | A>C,G,T | 0.05 | intron_variant | LRRC4C | 1e-06 | Tier 4: intronic/intergenic |
| rs11131764 | 4 | 176799205 | C>A,G,T | 0.05 | intergenic_variant | VEGFC - LINC02509 | 2e-06 | Tier 4: intronic/intergenic |
| rs7536189 | 1 | 47865850 | C>G,T | 0.05 | intron_variant | TRABD2B | 2e-06 | Tier 4: intronic/intergenic |
| rs58124832 | 16 | 1218376 | G>A,T | 0.05 | missense_variant | CACNA1H | 9e-06 | Tier 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
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|
| 13862 | NM_000222.3(KIT):c.2515G>A (p.Glu839Lys) | KIT | Pathogenic | no assertion criteria provided |
| 134621 | NM_000222.3(KIT):c.1588G>A (p.Val530Ile) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 134629 | NM_000222.3(KIT):c.1195G>A (p.Val399Ile) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 161260 | NM_000222.3(KIT):c.952A>G (p.Met318Val) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 220634 | NM_000222.3(KIT):c.1674G>A (p.Lys558=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 220917 | NM_000222.3(KIT):c.2622G>A (p.Pro874=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 225286 | NM_000222.3(KIT):c.464C>T (p.Pro155Leu) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237242 | NM_000222.3(KIT):c.1383A>G (p.Thr461=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237248 | NM_000222.3(KIT):c.1594G>A (p.Val532Ile) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237252 | NM_000222.3(KIT):c.200C>G (p.Thr67Ser) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237254 | NM_000222.3(KIT):c.2118T>G (p.Leu706=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237260 | NM_000222.3(KIT):c.2349C>T (p.Leu783=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237263 | NM_000222.3(KIT):c.2484C>T (p.Asn828=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237268 | NM_000222.3(KIT):c.2670C>T (p.Leu890=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237270 | NM_000222.3(KIT):c.2802+9A>G | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237285 | NM_000222.3(KIT):c.878A>G (p.Asn293Ser) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 255567 | NM_000222.3(KIT):c.-14T>A | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 348954 | NM_000222.3(KIT):c.301C>T (p.His101Tyr) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 348960 | NM_000222.3(KIT):c.*252G>T | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 409716 | NM_000222.3(KIT):c.2848G>A (p.Val950Met) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 409722 | NM_000222.3(KIT):c.148G>T (p.Val50Leu) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 409741 | NM_000222.3(KIT):c.1618G>C (p.Val540Leu) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 409779 | NM_000222.3(KIT):c.2104C>G (p.Leu702Val) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 409785 | NM_000222.3(KIT):c.2234-3C>T | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 415776 | NM_000222.3(KIT):c.252G>A (p.Thr84=) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 41600 | NM_000222.3(KIT):c.1694G>T (p.Gly565Val) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 41601 | NM_000222.3(KIT):c.2263G>A (p.Ala755Thr) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 41604 | NM_000222.3(KIT):c.821C>T (p.Thr274Met) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 41606 | NM_000222.3(KIT):c.910A>G (p.Thr304Ala) | KIT | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 458940 | NM_000222.3(KIT):c.302A>G (p.His101Arg) | KIT | Conflicting classifications of pathogenicity | criteria 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.
| Gene | Classification | Inheritance | Disease | Records |
|---|
| KIT | Strong | Autosomal dominant | mastocytosis | 15 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| KIT | Orphanet:102724 | Acute myeloid leukemia with t(8;21)(q22;q22) translocation |
| KIT | Orphanet:158766 | Typical urticaria pigmentosa |
| KIT | Orphanet:158769 | Plaque-form urticaria pigmentosa |
| KIT | Orphanet:158772 | Nodular urticaria pigmentosa |
| KIT | Orphanet:158775 | Smoldering systemic mastocytosis |
| KIT | Orphanet:158778 | Isolated bone marrow mastocytosis |
| KIT | Orphanet:280785 | Bullous diffuse cutaneous mastocytosis |
| KIT | Orphanet:280794 | Pseudoxanthomatous diffuse cutaneous mastocytosis |
| KIT | Orphanet:2884 | Piebaldism |
| KIT | Orphanet:44890 | Gastrointestinal stromal tumor |
| KIT | Orphanet:566393 | Acute mast cell leukemia |
| KIT | Orphanet:566396 | Chronic mast cell leukemia |
| KIT | Orphanet:79455 | Cutaneous mastocytoma |
| KIT | Orphanet:842 | Testicular seminomatous germ cell tumor |
| KIT | Orphanet:90389 | Telangiectasia macularis eruptiva perstans |
| KIT | Orphanet:98829 | Acute myeloid leukemia with abnormal bone marrow eosinophils inv(16)(p13q22) or t(16;16)(p13;q22) |
| KIT | Orphanet:98834 | Acute myeloblastic leukemia with maturation |
| KIT | Orphanet:98849 | Systemic mastocytosis with associated hematologic neoplasm |
| VEGFC | Orphanet:569821 | Congenital primary lymphedema of Gordon |
| CACNA1H | Orphanet:642671 | Familial hyperaldosteronism type IV |
| CACNA1H | Orphanet:64280 | Childhood absence epilepsy |
| TRPV6 | Orphanet:417 | Neonatal severe primary hyperparathyroidism |
| TRPV6 | Orphanet:676 | Autosomal dominant hereditary chronic pancreatitis |
| PRPF31 | Orphanet:791 | Retinitis pigmentosa |
| CEBPA | Orphanet:102724 | Acute myeloid leukemia with t(8;21)(q22;q22) translocation |
| CEBPA | Orphanet:319465 | Inherited acute myeloid leukemia |
| CEBPA | Orphanet:319480 | Acute myeloid leukemia with CEBPA somatic mutations |
| TBL1XR1 | Orphanet:487825 | Pierpont syndrome |
| TBL1XR1 | Orphanet:520 | Acute promyelocytic leukemia |
| ABCA2 | Orphanet:88616 | Autosomal recessive non-syndromic intellectual disability |
| FTCD | Orphanet:51208 | Formiminoglutamic aciduria |
| MOCS1 | Orphanet:308386 | Sulfite oxidase deficiency due to molybdenum cofactor deficiency type A |
| MSH5 | Orphanet:399805 | Male infertility with azoospermia or oligozoospermia due to single gene mutation |
Cohort genes → proteins
28 cohort genes, 24 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 27 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| KIT | HGNC:6342 | ENSG00000157404 | P10721 | Mast/stem cell growth factor receptor Kit | gencc,clinvar |
| SLC7A10 | HGNC:11058 | ENSG00000130876 | Q9NS82 | Asc-type amino acid transporter 1 | gwas |
| VEGFC | HGNC:12682 | ENSG00000150630 | P49767 | Vascular endothelial growth factor C | gwas |
| ZNF134 | HGNC:12918 | ENSG00000213762 | P52741 | Zinc finger protein 134 | gwas |
| CACNA1H | HGNC:1395 | ENSG00000196557 | O95180 | Voltage-dependent T-type calcium channel subunit alpha-1H | gwas |
| TRPV6 | HGNC:14006 | ENSG00000165125 | Q9H1D0 | Transient receptor potential cation channel subfamily V member 6 | gwas |
| OR51Q1 | HGNC:14851 | ENSG00000167360 | Q8NH59 | Olfactory receptor 51Q1 | gwas |
| PRPF31 | HGNC:15446 | ENSG00000105618 | Q8WWY3 | U4/U6 small nuclear ribonucleoprotein Prp31 | gwas |
| PDE4DIP | HGNC:15580 | ENSG00000178104 | Q5VU43 | Myomegalin | gwas |
| CEBPA | HGNC:1833 | ENSG00000245848 | P49715 | CCAAT/enhancer-binding protein alpha | gwas |
| S100A7A | HGNC:21657 | ENSG00000184330 | Q86SG5 | Protein S100-A7A | gwas |
| HLA-V | HGNC:23482 | ENSG00000181126 | | major histocompatibility complex, class I, V (pseudogene) | gwas |
| CSNK1E | HGNC:2453 | ENSG00000213923 | P49674 | Casein kinase I isoform epsilon | gwas |
| NEIL3 | HGNC:24573 | ENSG00000109674 | Q8TAT5 | Endonuclease 8-like 3 | gwas |
| CYP2B6 | HGNC:2615 | ENSG00000197408 | P20813 | Cytochrome P450 2B6 | gwas |
| ARHGAP42 | HGNC:26545 | ENSG00000165895 | A6NI28 | Rho GTPase-activating protein 42 | gwas |
| RPTN | HGNC:26809 | ENSG00000215853 | Q6XPR3 | Repetin | gwas |
| LRRC4C | HGNC:29317 | ENSG00000148948 | Q9HCJ2 | Leucine-rich repeat-containing protein 4C | gwas |
| TBL1XR1 | HGNC:29529 | ENSG00000177565 | Q9BZK7 | F-box-like/WD repeat-containing protein TBL1XR1 | gwas |
| ABCA2 | HGNC:32 | ENSG00000107331 | Q9BZC7 | ATP-binding cassette sub-family A member 2 | gwas |
| FTCD | HGNC:3974 | ENSG00000160282 | O95954 | Formimidoyltransferase-cyclodeaminase | gwas |
| FXR1 | HGNC:4023 | ENSG00000114416 | P51114 | RNA-binding protein FXR1 | gwas |
| LINC00501 | HGNC:43439 | ENSG00000203645 | | long intergenic non-protein coding RNA 501 | gwas |
| OTX2-AS1 | HGNC:43906 | ENSG00000248550 | | OTX2 antisense RNA 1 | gwas |
| TRABD2B | HGNC:44200 | ENSG00000269113 | A6NFA1 | Metalloprotease TIKI2 | gwas |
| LINC01412 | HGNC:50704 | ENSG00000232606 | | long intergenic non-protein coding RNA 1412 | gwas |
| MOCS1 | HGNC:7190 | ENSG00000124615 | Q9NZB8 | Molybdenum cofactor biosynthesis protein 1 | gwas |
| MSH5 | HGNC:7328 | ENSG00000204410 | O43196 | MutS protein homolog 5 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| KIT | Mast/stem cell growth factor receptor Kit | Tyrosine-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… |
| SLC7A10 | Asc-type amino acid transporter 1 | Associates with SLC3A2/4F2hc to form a functional heterodimeric complex that translocates small neutral L- and D-amino acids across the plasma membrane. |
| VEGFC | Vascular endothelial growth factor C | Growth factor active in angiogenesis, and endothelial cell growth, stimulating their proliferation and migration and also has effects on the permeability of blood vessels. |
| ZNF134 | Zinc finger protein 134 | May be involved in transcriptional regulation. |
| CACNA1H | Voltage-dependent T-type calcium channel subunit alpha-1H | Voltage-sensitive calcium channel that gives rise to T-type calcium currents. |
| TRPV6 | Transient receptor potential cation channel subfamily V member 6 | Calcium selective cation channel that mediates Ca(2+) uptake in various tissues, including the intestine. |
| OR51Q1 | Olfactory receptor 51Q1 | Odorant receptor. |
| PRPF31 | U4/U6 small nuclear ribonucleoprotein Prp31 | Involved in pre-mRNA splicing as component of the spliceosome. |
| PDE4DIP | Myomegalin | Functions as an anchor sequestering components of the cAMP-dependent pathway to Golgi and/or centrosomes. |
| CEBPA | CCAAT/enhancer-binding protein alpha | Transcription factor that coordinates proliferation arrest and the differentiation of myeloid progenitors, adipocytes, hepatocytes, and cells of the lung and the placenta. |
| S100A7A | Protein S100-A7A | May be involved in epidermal differentiation and inflammation and might therefore be important for the pathogenesis of psoriasis and other diseases. |
| CSNK1E | Casein kinase I isoform epsilon | Casein kinases are operationally defined by their preferential utilization of acidic proteins such as caseins as substrates. |
| NEIL3 | Endonuclease 8-like 3 | DNA glycosylase which prefers single-stranded DNA (ssDNA), or partially ssDNA structures such as bubble and fork structures, to double-stranded DNA (dsDNA). |
| CYP2B6 | Cytochrome P450 2B6 | A cytochrome P450 monooxygenase involved in the metabolism of endocannabinoids and steroids. |
| ARHGAP42 | Rho GTPase-activating protein 42 | May influence blood pressure by functioning as a GTPase-activating protein for RHOA in vascular smooth muscle. |
| RPTN | Repetin | Involved in the cornified cell envelope formation. |
| LRRC4C | Leucine-rich repeat-containing protein 4C | May promote neurite outgrowth of developing thalamic neurons. |
| TBL1XR1 | F-box-like/WD repeat-containing protein TBL1XR1 | F-box-like protein involved in the recruitment of the ubiquitin/19S proteasome complex to nuclear receptor-regulated transcription units. |
| ABCA2 | ATP-binding cassette sub-family A member 2 | Probable lipid transporter that modulates cholesterol sequestration in the late endosome/lysosome by regulating the intracellular sphingolipid metabolism, in turn participates in cholesterol homeostasis. |
| FTCD | Formimidoyltransferase-cyclodeaminase | Folate-dependent enzyme, that displays both transferase and deaminase activity. |
| FXR1 | RNA-binding protein FXR1 | mRNA-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. |
| TRABD2B | Metalloprotease TIKI2 | Metalloprotease 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. |
| MOCS1 | Molybdenum cofactor biosynthesis protein 1 | Isoform MOCS1A and isoform MOCS1B probably form a complex that catalyzes the conversion of 5’-GTP to cyclic pyranopterin monophosphate (cPMP). |
| MSH5 | MutS protein homolog 5 | Involved 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.
| Family | Genes | Fold | FDR |
|---|
| Ion channel | 2 | 8.0× | 0.250 |
| Transporter | 2 | 5.6× | 0.250 |
| Complement | 1 | 9.6× | 0.332 |
| Kinase | 2 | 2.0× | 0.670 |
| Enzyme (other) | 3 | 1.3× | 0.812 |
| Scaffold/PPI | 2 | 1.2× | 0.812 |
| Antibody/Immunoglobulin | 1 | 1.0× | 0.872 |
| GPCR | 1 | 0.8× | 0.872 |
| Other/Unknown | 12 | 0.8× | 0.942 |
| Transcription factor | 2 | 0.6× | 0.942 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| KIT | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Tyr_kinase_rcpt_3_CS |
| SLC7A10 | Transporter | yes | | AA/rel_permease1, AminoAcid_Transporter |
| VEGFC | Other/Unknown | no | | PDGF/VEGF_dom, CXCXC_repeat, PD_growth_factor_CS |
| ZNF134 | Transcription factor | no | | Znf_C2H2_type, Znf_C2H2_sf, Krueppel_C2H2_ZnFinger |
| CACNA1H | Ion channel | yes | | VDCC_T_a1, Ion_trans_dom, Volt_channel_dom_sf |
| TRPV6 | Ion channel | yes | | Ankyrin_rpt, Ion_trans_dom, TRPV5/TRPV6 |
| OR51Q1 | GPCR | yes | | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM |
| PRPF31 | Other/Unknown | no | | Nop_dom, NOSIC, Prp31_C |
| PDE4DIP | Other/Unknown | no | | Olduvai_dom, Cnn_1N, MT-associated_AKAP9-binding |
| CEBPA | Other/Unknown | no | | bZIP, C/EBP_chordates, C/EBP |
| S100A7A | Other/Unknown | no | | S100/CaBP7/8-like_CS, EF_hand_dom, EF-hand-dom_pair |
| HLA-V | Other/Unknown | no | | |
| CSNK1E | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| NEIL3 | Transcription factor | no | | Znf_DNA_glyclase/AP_lyase, Znf_RanBP2, Znf_GRF |
| CYP2B6 | Enzyme (other) | yes | 1.14.14.1 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_E_grp-I_CYP2B-like |
| ARHGAP42 | Scaffold/PPI | no | | RhoGAP_dom, SH3_domain, PH_domain |
| RPTN | Other/Unknown | no | | S100/CaBP7/8-like_CS, EF_hand_dom, EF-hand-dom_pair |
| LRRC4C | Antibody/Immunoglobulin | yes | | LRRNT, Leu-rich_rpt, Leu-rich_rpt_typical-subtyp |
| TBL1XR1 | Scaffold/PPI | no | | WD40_rpt, LisH, WD40/YVTN_repeat-like_dom_sf |
| ABCA2 | Transporter | yes | | ABC_transporter-like_ATP-bd, AAA+_ATPase, ABC2_TM |
| FTCD | Enzyme (other) | yes | 2.1.2.5 | Formiminotransferase_cat, Cyclodeamin/CycHdrlase, Formiminotransferase_N |
| FXR1 | Complement | yes | | KH_dom, KH_dom_type_1, Agenet-like_dom |
| LINC00501 | Other/Unknown | no | | |
| OTX2-AS1 | Other/Unknown | no | | |
| TRABD2B | Other/Unknown | no | | TraB/PrgY/GumN_fam, TIKI1/2-like |
| LINC01412 | Other/Unknown | no | | |
| MOCS1 | Enzyme (other) | yes | 4.1.99.22 | MoaA_NifB_PqqE_Fe-S-bd_CS, Mopterin_CF_biosynth-C_dom, Elp3/MiaA/NifB-like_rSAM |
| MSH5 | Other/Unknown | no | | DNA_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)
| Bucket | Genes |
|---|
| narrow (1-5 tissues) | 1 |
| moderate (6-20) | 0 |
| broad (>20) | 27 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| male germ line stem cell (sensu Vertebrata) in testis | 7 |
| primordial germ cell in gonad | 4 |
| calcaneal tendon | 3 |
| apex of heart | 3 |
| buccal mucosa cell | 3 |
| right lobe of liver | 3 |
| secondary oocyte | 2 |
| stromal cell of endometrium | 2 |
| sural nerve | 2 |
| ventricular zone | 2 |
| gastrocnemius | 2 |
| hindlimb stylopod muscle | 2 |
| nipple | 2 |
| penis | 2 |
| sperm | 2 |
| liver | 2 |
| popliteal artery | 2 |
| tibial artery | 2 |
| lateral nuclear group of thalamus | 1 |
| oocyte | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| KIT | 263 | broad | marker | lateral nuclear group of thalamus, secondary oocyte, oocyte |
| SLC7A10 | 138 | broad | yes | omental fat pad, peritoneum, adipose tissue of abdominal region |
| VEGFC | 224 | ubiquitous | marker | stromal cell of endometrium, right lobe of thyroid gland, thyroid gland |
| ZNF134 | 245 | ubiquitous | yes | primordial germ cell in gonad, secondary oocyte, male germ line stem cell (sensu Vertebrata) in testis |
| CACNA1H | 166 | broad | marker | lower esophagus muscularis layer, muscle layer of sigmoid colon, lower esophagus |
| TRPV6 | 125 | tissue_specific | marker | body of pancreas, pancreas, duodenum |
| OR51Q1 | 2 | | yes | sural nerve, colonic epithelium, calcaneal tendon |
| PRPF31 | 134 | ubiquitous | marker | stromal cell of endometrium, granulocyte, ventricular zone |
| PDE4DIP | 292 | ubiquitous | marker | apex of heart, hindlimb stylopod muscle, gastrocnemius |
| CEBPA | 258 | ubiquitous | marker | nipple, upper arm skin, penis |
| S100A7A | 70 | tissue_specific | marker | male germ line stem cell (sensu Vertebrata) in testis, penis, sperm |
| HLA-V | 128 | tissue_specific | yes | apex of heart, male germ line stem cell (sensu Vertebrata) in testis, upper lobe of left lung |
| CSNK1E | 275 | ubiquitous | marker | cortical plate, ganglionic eminence, left ovary |
| NEIL3 | 127 | ubiquitous | yes | primordial germ cell in gonad, ventricular zone, male germ line stem cell (sensu Vertebrata) in testis |
| CYP2B6 | 106 | tissue_specific | marker | right lobe of liver, liver, buccal mucosa cell |
| ARHGAP42 | 224 | ubiquitous | marker | calcaneal tendon, jejunal mucosa, sural nerve |
| RPTN | 57 | tissue_specific | marker | gingiva, gingival epithelium, tongue |
| LRRC4C | 206 | broad | marker | middle temporal gyrus, buccal mucosa cell, Brodmann (1909) area 23 |
| TBL1XR1 | 284 | ubiquitous | marker | calcaneal tendon, nipple, tibia |
| ABCA2 | 234 | ubiquitous | marker | C1 segment of cervical spinal cord, spinal cord, right hemisphere of cerebellum |
| FTCD | 179 | tissue_specific | marker | right lobe of liver, liver, adult mammalian kidney |
| FXR1 | 299 | ubiquitous | marker | sperm, hindlimb stylopod muscle, gastrocnemius |
| LINC00501 | 87 | | marker | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, right lobe of liver |
| OTX2-AS1 | 104 | broad | marker | buccal mucosa cell, pigmented layer of retina, male germ line stem cell (sensu Vertebrata) in testis |
| TRABD2B | 148 | broad | yes | popliteal artery, tibial artery, right coronary artery |
| LINC01412 | 117 | broad | yes | male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, monocyte |
| MOCS1 | 245 | ubiquitous | marker | apex of heart, popliteal artery, tibial artery |
| MSH5 | 134 | ubiquitous | yes | right uterine tube, right testis, left testis |
Protein interactions among cohort
Intra-cohort edges: 5.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| KIT | 6,087 |
| CEBPA | 5,784 |
| FXR1 | 4,128 |
| TBL1XR1 | 4,066 |
| PRPF31 | 3,427 |
| VEGFC | 2,803 |
| CSNK1E | 2,391 |
| PDE4DIP | 2,146 |
| NEIL3 | 1,957 |
| CYP2B6 | 1,954 |
Intra-cohort edges
| A | B | Sources |
|---|
| ABCA2 | OR51Q1 | string_interaction |
| FTCD | OR51Q1 | string_interaction |
| OR51Q1 | PDE4DIP | string_interaction |
| OR51Q1 | RPTN | string_interaction |
| PDE4DIP | PRPF31 | biogrid_interaction, intact |
Structural data
PDB: 14 · AlphaFold-only: 10 · No structure: 4
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| KIT | P10721 | 52 |
| PRPF31 | Q8WWY3 | 30 |
| TRPV6 | Q9H1D0 | 24 |
| CYP2B6 | P20813 | 13 |
| CACNA1H | O95180 | 5 |
| SLC7A10 | Q9NS82 | 4 |
| VEGFC | P49767 | 4 |
| FXR1 | P51114 | 3 |
| CEBPA | P49715 | 2 |
| CSNK1E | P49674 | 2 |
| NEIL3 | Q8TAT5 | 2 |
| S100A7A | Q86SG5 | 1 |
| LRRC4C | Q9HCJ2 | 1 |
| TBL1XR1 | Q9BZK7 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| FTCD | O95954 | 95.30 |
| OR51Q1 | Q8NH59 | 85.83 |
| MSH5 | O43196 | 82.36 |
| MOCS1 | Q9NZB8 | 79.87 |
| ARHGAP42 | A6NI28 | 75.04 |
| ABCA2 | Q9BZC7 | 71.46 |
| TRABD2B | A6NFA1 | 70.11 |
| ZNF134 | P52741 | 66.14 |
| PDE4DIP | Q5VU43 | 58.74 |
| RPTN | Q6XPR3 | 42.63 |
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.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Defective Base Excision Repair Associated with NEIL3 | 1 | 571.0× | 0.021 | NEIL3 |
| NEIL3-mediated resolution of ICLs | 1 | 571.0× | 0.021 | NEIL3 |
| Dasatinib-resistant KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Imatinib-resistant KIT mutants | 1 | 571.0× | 0.021 | KIT |
| KIT mutants bind TKIs | 1 | 571.0× | 0.021 | KIT |
| Masitinib-resistant KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Nilotinib-resistant KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Regorafenib-resistant KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Signaling by kinase domain mutants of KIT | 1 | 571.0× | 0.021 | KIT |
| Sunitinib-resistant KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Signaling by juxtamembrane domain KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Sorafenib-resistant KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Drug resistance of KIT mutants | 1 | 571.0× | 0.021 | KIT |
| Signaling by extracellular domain mutants of KIT | 1 | 571.0× | 0.021 | KIT |
| R-HSA-400253 | 2 | 34.6× | 0.021 | CSNK1E, TBL1XR1 |
| Diseases of Base Excision Repair | 1 | 285.5× | 0.038 | NEIL3 |
| Epigenetic regulation of adipogenesis genes by MLL3 and MLL4 complexes | 2 | 21.6× | 0.039 | CEBPA, TBL1XR1 |
| Epigenetic regulation of gene expression by MLL3 and MLL4 complexes | 2 | 19.7× | 0.044 | CEBPA, TBL1XR1 |
| Adipogenesis | 2 | 15.6× | 0.064 | CEBPA, TBL1XR1 |
| Epigenetic regulation by WDR5-containing histone modifying complexes | 2 | 15.4× | 0.064 | CEBPA, TBL1XR1 |
| VEGF ligand-receptor interactions | 1 | 95.2× | 0.077 | VEGFC |
| Metal sequestration by antimicrobial proteins | 1 | 81.6× | 0.077 | S100A7A |
| Depurination | 1 | 81.6× | 0.077 | NEIL3 |
| Loss of MECP2 binding ability to the NCoR/SMRT complex | 1 | 81.6× | 0.077 | TBL1XR1 |
| Molybdenum cofactor biosynthesis | 1 | 81.6× | 0.077 | MOCS1 |
| WNT mediated activation of DVL | 1 | 71.4× | 0.077 | CSNK1E |
| Loss of function of MECP2 in Rett syndrome | 1 | 71.4× | 0.077 | TBL1XR1 |
| Pervasive developmental disorders | 1 | 71.4× | 0.077 | TBL1XR1 |
| Disorders of Developmental Biology | 1 | 71.4× | 0.077 | TBL1XR1 |
| Disorders of Nervous System Development | 1 | 71.4× | 0.077 | TBL1XR1 |
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 term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| glycosphingolipid metabolic process | 2 | 209.3× | 0.009 | KIT, ABCA2 |
| positive regulation of long-term neuronal synaptic plasticity | 2 | 162.8× | 0.009 | KIT, FXR1 |
| positive regulation of amyloid-beta formation | 2 | 77.1× | 0.024 | CSNK1E, ABCA2 |
| white fat cell differentiation | 2 | 73.3× | 0.024 | CEBPA, TBL1XR1 |
| negative regulation of intracellular cholesterol transport | 1 | 732.7× | 0.024 | ABCA2 |
| D-alanine transmembrane transport | 1 | 732.7× | 0.024 | SLC7A10 |
| D-serine transmembrane transport | 1 | 732.7× | 0.024 | SLC7A10 |
| positive regulation of synaptic transmission, glycinergic | 1 | 732.7× | 0.024 | SLC7A10 |
| negative regulation of phospholipid biosynthetic process | 1 | 732.7× | 0.024 | ABCA2 |
| ribonucleoprotein complex localization | 1 | 732.7× | 0.024 | PRPF31 |
| negative regulation of sphingolipid biosynthetic process | 1 | 732.7× | 0.024 | ABCA2 |
| melanocyte adhesion | 1 | 732.7× | 0.024 | KIT |
| positive regulation of pyloric antrum smooth muscle contraction | 1 | 732.7× | 0.024 | KIT |
| positive regulation of colon smooth muscle contraction | 1 | 732.7× | 0.024 | KIT |
| regulation of protein localization to cell periphery | 1 | 732.7× | 0.024 | ABCA2 |
| calcium ion import across plasma membrane | 2 | 47.3× | 0.024 | CACNA1H, TRPV6 |
| response to vitamin B2 | 1 | 366.4× | 0.031 | CEBPA |
| parathyroid hormone secretion | 1 | 366.4× | 0.031 | TRPV6 |
| negative regulation of steroid metabolic process | 1 | 366.4× | 0.031 | ABCA2 |
| response to phenylpropanoid | 1 | 366.4× | 0.031 | CEBPA |
| ceramide translocation | 1 | 366.4× | 0.031 | ABCA2 |
| regulation of post-translational protein modification | 1 | 366.4× | 0.031 | ABCA2 |
| positive regulation of vascular associated smooth muscle cell differentiation | 1 | 366.4× | 0.031 | KIT |
| negative regulation of receptor-mediated endocytosis involved in cholesterol transport | 1 | 366.4× | 0.031 | ABCA2 |
| negative regulation of Wnt signaling pathway | 2 | 29.9× | 0.031 | CSNK1E, TRABD2B |
| positive regulation of low-density lipoprotein particle receptor catabolic process | 1 | 244.2× | 0.032 | ABCA2 |
| Fc receptor signaling pathway | 1 | 244.2× | 0.032 | KIT |
| Kit signaling pathway | 1 | 244.2× | 0.032 | KIT |
| ketone metabolic process | 1 | 244.2× | 0.032 | CYP2B6 |
| melanocyte migration | 1 | 244.2× | 0.032 | KIT |
Therapeutics
Drugs indicated for this disease
1 approved. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
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.
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| KIT | 99 | 4 |
| CSNK1E | 37 | 4 |
| CYP2B6 | 28 | 4 |
| CACNA1H | 10 | 4 |
| TRPV6 | 3 | 4 |
| PRPF31 | 1 | 2 |
| SLC7A10 | 0 | 0 |
| VEGFC | 0 | 0 |
| ZNF134 | 0 | 0 |
| OR51Q1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 5.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| KIT | 2,305 | Binding:2242, ADMET:32, Functional:22, Toxicity:9 |
| CYP2B6 | 861 | ADMET:851, Binding:10 |
| CSNK1E | 420 | Binding:416, ADMET:2, Functional:2 |
| CACNA1H | 124 | Binding:102, Functional:17, ADMET:4, Toxicity:1 |
| TRPV6 | 32 | Binding:32 |
| PRPF31 | 6 | Binding:6 |
| FXR1 | 6 | Binding:6 |
| TBL1XR1 | 2 | Binding:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| KIT | 2.7.10.1 | receptor protein-tyrosine kinase |
| CSNK1E | 2.7.11.1 | non-specific serine/threonine protein kinase |
| CYP2B6 | 1.14.14.1 | unspecific monooxygenase |
| FTCD | 2.1.2.5, 4.3.1.4 | glutamate formimidoyltransferase, formimidoyltetrahydrofolate cyclodeaminase |
| MOCS1 | 4.1.99.22, 4.6.1.17 | GTP 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.
| Symbol | ChEMBL assays |
|---|
| KIT | 2,305 |
| CACNA1H | 124 |
| CSNK1E | 420 |
| CYP2B6 | 861 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 25; with CPIC/DPWG dosing guidelines: 1.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|
| CYP2B6 | 1 |
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.
| Compound | Max phase | Cohort target (bioactivity) |
|---|
| PONATINIB | 4 | KIT |
| FEDRATINIB | 4 | KIT |
| TIVOZANIB | 4 | KIT |
| LENVATINIB | 4 | KIT |
| AXITINIB | 4 | KIT |
| SORAFENIB | 4 | KIT |
| NICLOSAMIDE | 4 | KIT |
| IMATINIB MESYLATE | 4 | KIT |
| RUXOLITINIB | 4 | KIT |
| INFIGRATINIB PHOSPHATE | 4 | KIT |
| INFIGRATINIB | 4 | KIT |
| REGORAFENIB | 4 | KIT |
| ENTRECTINIB | 4 | KIT |
| CABOZANTINIB | 4 | KIT |
| CERITINIB | 4 | KIT |
| VANDETANIB | 4 | CSNK1E, KIT |
| NILOTINIB | 4 | KIT |
| BOSUTINIB | 4 | CSNK1E, KIT |
| BRIGATINIB | 4 | KIT |
| PEXIDARTINIB | 4 | KIT |
| AVAPRITINIB | 4 | KIT |
| RIPRETINIB | 4 | KIT |
| PAZOPANIB | 4 | CYP2B6, KIT |
| NINTEDANIB | 4 | CSNK1E, KIT |
| SUNITINIB | 4 | CSNK1E, KIT |
| DASATINIB | 4 | CSNK1E, KIT |
| ERLOTINIB | 4 | CSNK1E, KIT |
| QUIZARTINIB | 4 | KIT |
| CRIZOTINIB | 4 | KIT |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 5 | KIT, CACNA1H, TRPV6, CSNK1E, CYP2B6 |
| B | Phased (≥1) drug, not yet approved | 1 | PRPF31 |
| C | Druggable family + PDB, no drug | 3 | SLC7A10, LRRC4C, FXR1 |
| D | Druggable family + AlphaFold only, no drug | 4 | OR51Q1, ABCA2, FTCD, MOCS1 |
| E | Difficult family or no structure, no drug | 15 | VEGFC, 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).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| SLC7A10 | 0 | — |
| VEGFC | 0 | — |
| ZNF134 | 0 | — |
| OR51Q1 | 0 | — |
| PDE4DIP | 0 | — |
| CEBPA | 0 | — |
| S100A7A | 0 | — |
| HLA-V | 0 | — |
| NEIL3 | 0 | — |
| ARHGAP42 | 0 | — |
| RPTN | 0 | — |
| LRRC4C | 0 | — |
| TBL1XR1 | 2 | — |
| ABCA2 | 0 | — |
| FTCD | 0 | — |
| FXR1 | 6 | — |
| LINC00501 | 0 | — |
| OTX2-AS1 | 0 | — |
| TRABD2B | 0 | — |
| LINC01412 | 0 | — |
| MOCS1 | 0 | — |
| MSH5 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 34.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 23 |
| PHASE2 | 8 |
| PHASE2/PHASE3 | 3 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT01333293 | PHASE2/PHASE3 | COMPLETED | The Effect of Xolair ® (Omalizumab) in Mastocytosis Patients |
| NCT01481909 | PHASE2/PHASE3 | COMPLETED | Study on Mastocytosis for Rupatadine Treatment |
| NCT05084872 | PHASE2/PHASE3 | UNKNOWN | Hydroxychloroquine in Isolated Cutaneous Mastocytosis Patients or Indolent Systemic Mastocytosis With Associated Skin Involvement Patients |
| NCT05186753 | PHASE2 | ACTIVE_NOT_RECRUITING | (Summit) A Study to Evaluate the Efficacy and Safety of CGT9486 Versus Placebo in Patients With Indolent or Smoldering Systemic Mastocytosis |
| NCT00006413 | PHASE2 | COMPLETED | Stem Cell Transplantation to Treat Systemic Mastocytosis |
| NCT00255346 | PHASE2 | COMPLETED | Dasatinib as Therapy for Myeloproliferative Disorders (MPDs) |
| NCT00831974 | PHASE2 | COMPLETED | Efficacy of AB1010 in Patients With Systemic Indolent Mastocytosis |
| NCT01266369 | PHASE2 | COMPLETED | Masitinib in Patients With Mastocytosis With Handicap and Bearing the D816V Mutation |
| NCT01384513 | PHASE2 | COMPLETED | A Two-Step Approach to Reduced Intensity Bone Marrow Transplant for Patients With Hematological Malignancies |
| NCT01701843 | PHASE2 | TERMINATED | Cromoglicate in Mastocytosis |
| NCT02478957 | PHASE2 | COMPLETED | Treatment of Indolent Systemic Mastocytosis With PA101 |
| NCT00044122 | Not specified | RECRUITING | Study of Factors Regulating Mast Cell Proliferation |
| NCT02760238 | Not specified | RECRUITING | Myeloproliferative Neoplasms (MPNs) Patient Registry |
| NCT06432556 | Not specified | NOT_YET_RECRUITING | Study of Cellular Heterogeneity in Patients With Mastocytosis |
| NCT06440148 | Not specified | RECRUITING | Relationship Between Circulating Sclerostin and Bone Lesions in Patients With Mastocytosis |
| NCT06466889 | Not specified | RECRUITING | Mastocytosis Registry (of Zurich) |
| NCT06573723 | Not specified | RECRUITING | Institutional Registry of Rare Diseases |
| NCT07328178 | Not specified | RECRUITING | Analysis of the Role of IgE Proteoforms in Health and Disease |
| NCT00001356 | Not specified | COMPLETED | Characteristics of Mast Cells in Mastocytosis |
| NCT00001756 | Not specified | COMPLETED | Study of Mast Cell Precursors |
| NCT00001760 | Not specified | COMPLETED | Cytokine Production Patterns in Patients With Systemic Mastocytosis Compared With Atopic Dermatitis and Healthy Individuals |
| NCT00038675 | Not specified | COMPLETED | Therapy of HES, PV, Atypical Chronic Myelocytic Leukemia (CML) or Chronic Myelomonocytic Leukemia (CMML), and Mastocytosis With Imatinib Mesylate |
| NCT00047918 | Not specified | COMPLETED | Blood Factors in Mastocytosis and Unexplained Anaphylaxis and Flushing |
| NCT00050193 | Not specified | COMPLETED | Cause and Natural Course of Pediatric-Onset Mastocytosis |
| NCT00336076 | Not specified | COMPLETED | Molecular Mechanisms and Diagnosis of Mastocytosis |
| NCT00557895 | Not specified | TERMINATED | Evaluation and Long-Term Follow-Up of Patients With Allergic and Inflammatory Disorders |
| NCT02450396 | Not specified | WITHDRAWN | Pregnancy and Medically Assisted Conception in Rare Diseases |
| NCT02503800 | Not specified | COMPLETED | The Significance of Blood-tryptase and c-Kit Mutation in Insect Venom Immunotherapy |
| NCT02620254 | Not specified | COMPLETED | Mast Cell Connect: A Registry for Patients With Mastocytosis |
| NCT03340155 | Not specified | UNKNOWN | Mechanisms of Action of Photo(Chemo)Therapy in Skin Diseases |
| NCT03406325 | Not specified | COMPLETED | Mast Cell Activation Test in Allergic Disease |
| NCT04615663 | Not specified | UNKNOWN | Assessment of Burden Disease in Patients With Mast Cell Disorders |
| NCT04978740 | Not specified | COMPLETED | Ocular and Palpebral Manifestations of Mastocytosis (MOOMA) |
| NCT06210698 | Not specified | UNKNOWN | Angioedema Biomarker Research Study |
Drugs tested across these trials (top 30)
- Cohort genes: KIT, SLC7A10, VEGFC, ZNF134, CACNA1H, TRPV6, OR51Q1, PRPF31, PDE4DIP, CEBPA, S100A7A, CSNK1E, NEIL3, CYP2B6, ARHGAP42, RPTN, LRRC4C, TBL1XR1, ABCA2, FTCD, FXR1, LINC00501, OTX2-AS1, TRABD2B, LINC01412, MOCS1, MSH5
- Drugs: Dasatinib, Cromolyn, Hydroxychloroquine, Masitinib