Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome
diseaseOn this page
Also known as megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalusmegalencephaly, polymicrogyria, and hydrocephalus (MPPH) syndromemegalencephaly-polymicrogyria-polydactyly-hydrocephalus syndromeMPPH syndrome
Summary
Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome (MONDO:0019375) is a disease with 3 cohort genes.
At a glance
- Prevalence: <1 / 1 000 000 (Worldwide) [Orphanet-validated]
- Cohort genes: 3
- ClinVar variants: 339
- Phenotypes (HPO): 16
Clinical features
Epidemiology
Prevalence records
2 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Cases/families | 62 | Worldwide | Validated | |
| Point prevalence | <1 / 1 000 000 | Worldwide | Validated |
Signs & symptoms
Clinical features (HPO)
16 HPO clinical features (Orphanet curated; top 16 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000238 | Hydrocephalus | Very frequent (80-99%) |
| HP:0000256 | Macrocephaly | Very frequent (80-99%) |
| HP:0001162 | Postaxial hand polydactyly | Very frequent (80-99%) |
| HP:0001355 | Megalencephaly | Very frequent (80-99%) |
| HP:0002126 | Polymicrogyria | Very frequent (80-99%) |
| HP:0000160 | Narrow mouth | Frequent (30-79%) |
| HP:0000316 | Hypertelorism | Frequent (30-79%) |
| HP:0000348 | High forehead | Frequent (30-79%) |
| HP:0000506 | Telecanthus | Frequent (30-79%) |
| HP:0001250 | Seizure | Frequent (30-79%) |
| HP:0001629 | Ventricular septal defect | Frequent (30-79%) |
| HP:0001653 | Mitral regurgitation | Frequent (30-79%) |
| HP:0001671 | Abnormal cardiac septum morphology | Frequent (30-79%) |
| HP:0005105 | Abnormal nasal morphology | Frequent (30-79%) |
| HP:0005280 | Depressed nasal bridge | Frequent (30-79%) |
| HP:0100542 | Abnormal localization of kidney | Frequent (30-79%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome |
| Mondo ID | MONDO:0019375 |
| OMIM | 603387 |
| Orphanet | 83473 |
| SNOMED CT | 722036008 |
| UMLS | C1863924 |
| MedGen | 355095 |
| GARD | 0010341 |
| Is cancer (heuristic) | no |
Also known as: megalencephaly and perisylvian polymicrogyria with postaxial polydactyly and hydrocephalus · megalencephaly, polymicrogyria, and hydrocephalus (MPPH) syndrome · megalencephaly-polymicrogyria-polydactyly-hydrocephalus syndrome · MPPH syndrome
Data availability: 339 ClinVar variants · 3 GenCC gene-disease records · 6 cell lines.
Disease family
An umbrella term covering 3 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › nervous system disorder › central nervous system disorder › brain disorder › hydrocephalus › megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome
Related subtypes (6): obstructive hydrocephalus, communicating hydrocephalus, craniosynostosis-Dandy-Walker malformation-hydrocephalus syndrome, congenital hydrocephalus, baker Vinters syndrome, palmer pagon syndrome
Subtypes (3): megalencephaly-polymicrogyria-polydactyly-hydrocephalus syndrome 1, megalencephaly-polymicrogyria-polydactyly-hydrocephalus syndrome 2, megalencephaly-polymicrogyria-polydactyly-hydrocephalus syndrome 3
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
339 retrieved; paginated sample, class counts are floors:
158 likely benign, 101 uncertain significance, 50 benign, 17 conflicting classifications of pathogenicity, 12 benign/likely benign, 1 pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 39808 | NM_005027.4(PIK3R2):c.1117G>A (p.Gly373Arg) | PIK3R2 | Pathogenic | reviewed by expert panel |
| 856239 | NM_005027.4(PIK3R2):c.706G>A (p.Ala236Thr) | LOC130063979 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 2109735 | NM_005027.4(PIK3R2):c.1766A>G (p.Lys589Arg) | LOC130063980 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1190673 | NM_005027.4(PIK3R2):c.734C>A (p.Ala245Asp) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1296705 | NM_005027.4(PIK3R2):c.1243G>A (p.Ala415Thr) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1319057 | NM_005027.4(PIK3R2):c.1217G>A (p.Arg406His) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1381828 | NM_005027.4(PIK3R2):c.527G>A (p.Ser176Asn) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1392796 | NM_005027.4(PIK3R2):c.271C>T (p.Arg91Trp) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1565321 | NM_005027.4(PIK3R2):c.46C>T (p.Arg16Cys) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1600096 | NM_005027.4(PIK3R2):c.2171C>T (p.Pro724Leu) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 2077921 | NM_005027.4(PIK3R2):c.1987G>C (p.Gly663Arg) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 2086146 | NM_005027.4(PIK3R2):c.827G>A (p.Ser276Asn) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 2212053 | NM_005027.4(PIK3R2):c.517G>A (p.Gly173Ser) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 2387831 | NM_005027.4(PIK3R2):c.1522C>T (p.Arg508Cys) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 429932 | NM_005027.4(PIK3R2):c.1694C>G (p.Pro565Arg) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 661297 | NM_005027.4(PIK3R2):c.1076G>C (p.Ser359Thr) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 859412 | NM_005027.4(PIK3R2):c.107C>T (p.Ala36Val) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 864121 | NM_005027.4(PIK3R2):c.380T>C (p.Leu127Pro) | PIK3R2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1711475 | NM_005027.4(PIK3R2):c.811G>T (p.Asp271Tyr) | LOC130063979 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1925630 | NM_005027.4(PIK3R2):c.766_783dup (p.Pro261_Ser262insArgAlaProProProPro) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 1954122 | NM_005027.4(PIK3R2):c.595C>T (p.Arg199Trp) | LOC130063979 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 2737997 | NM_005027.4(PIK3R2):c.565G>A (p.Glu189Lys) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 3698949 | NM_005027.4(PIK3R2):c.560C>A (p.Thr187Asn) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 3710461 | NM_005027.4(PIK3R2):c.755C>A (p.Pro252Gln) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 3718370 | NM_005027.4(PIK3R2):c.655G>A (p.Ala219Thr) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 3719478 | NM_005027.4(PIK3R2):c.583C>T (p.Arg195Cys) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 3725567 | NM_005027.4(PIK3R2):c.576dup (p.Glu193fs) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 4136879 | NM_005027.4(PIK3R2):c.572C>T (p.Ser191Leu) | LOC130063979 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 4751733 | NM_005027.4(PIK3R2):c.700_701delinsCA (p.Ser234His) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
| 536232 | NM_005027.4(PIK3R2):c.721C>A (p.Pro241Thr) | LOC130063979 | Uncertain significance | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 20 · Orphanet: 4 · 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 |
|---|---|---|---|---|
| CCND2 | Definitive | Autosomal dominant | megalencephaly-polymicrogyria-polydactyly-hydrocephalus syndrome 3 | 5 |
| PIK3R2 | Definitive | Autosomal dominant | megalencephaly-polymicrogyria-polydactyly-hydrocephalus syndrome 1 | 7 |
| AKT3 | Strong | Autosomal dominant | megalencephaly-polymicrogyria-polydactyly-hydrocephalus syndrome 2 | 8 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| PIK3R2 | Orphanet:83473 | Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome |
| CCND2 | Orphanet:83473 | Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome |
| AKT3 | Orphanet:83473 | Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome |
| AKT3 | Orphanet:99802 | Hemimegalencephaly |
Cohort genes → proteins
3 cohort genes, 3 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 3 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| PIK3R2 | HGNC:8980 | ENSG00000105647 | O00459 | Phosphatidylinositol 3-kinase regulatory subunit beta | gencc,clinvar |
| CCND2 | HGNC:1583 | ENSG00000118971 | P30279 | G1/S-specific cyclin-D2 | gencc |
| AKT3 | HGNC:393 | ENSG00000117020 | Q9Y243 | RAC-gamma serine/threonine-protein kinase | gencc |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| PIK3R2 | Phosphatidylinositol 3-kinase regulatory subunit beta | Regulatory subunit of phosphoinositide-3-kinase (PI3K), a kinase that phosphorylates PtdIns(4,5)P2 (Phosphatidylinositol 4,5-bisphosphate) to generate phosphatidylinositol 3,4,5-trisphosphate (PIP3). |
| CCND2 | G1/S-specific cyclin-D2 | Regulatory component of the cyclin D2-CDK4 (DC) complex that phosphorylates and inhibits members of the retinoblastoma (RB) protein family including RB1 and regulates the cell-cycle during G(1)/S transition. |
| AKT3 | RAC-gamma serine/threonine-protein kinase | AKT3 is one of 3 closely related serine/threonine-protein kinases (AKT1, AKT2 and AKT3) called the AKT kinase, and which regulate many processes including metabolism, proliferation, cell survival, growth and angiogenesis. |
Protein-family classification
Druggable: 2 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.67
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 2 | 18.5× | 0.008 |
| Other/Unknown | 1 | 0.6× | 0.914 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| PIK3R2 | Kinase | yes | 2.7.1.137 | RhoGAP_dom, SH2, SH3_domain |
| CCND2 | Other/Unknown | no | Cyclin_C-dom, Cyclin_N, Cyclin-like_dom | |
| AKT3 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, AGC-kinase_C, PH_domain |
Expression context
Cohort genes with no expression data: 0.
3 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 3 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cortical plate | 2 |
| ganglionic eminence | 1 |
| stromal cell of endometrium | 1 |
| adrenal tissue | 1 |
| cauda epididymis | 1 |
| seminal vesicle | 1 |
| calcaneal tendon | 1 |
| embryo | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| PIK3R2 | 138 | ubiquitous | marker | cortical plate, ganglionic eminence, stromal cell of endometrium |
| CCND2 | 293 | ubiquitous | marker | adrenal tissue, seminal vesicle, cauda epididymis |
| AKT3 | 231 | ubiquitous | marker | cortical plate, calcaneal tendon, embryo |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| CCND2 | 3,569 |
| AKT3 | 3,392 |
| PIK3R2 | 2,751 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| AKT3 | PIK3R2 | string_interaction |
Structural data
PDB: 3 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PIK3R2 | O00459 | 8 |
| AKT3 | Q9Y243 | 2 |
| CCND2 | P30279 | 1 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 136. Enrichment computed across 3 evidence-associated genes (3 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 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| CD28 dependent PI3K/Akt signaling | 2 | 262.5× | 0.003 | PIK3R2, AKT3 |
| Mitotic G1 phase and G1/S transition | 2 | 122.8× | 0.005 | CCND2, AKT3 |
| Extra-nuclear estrogen signaling | 2 | 113.6× | 0.005 | PIK3R2, AKT3 |
| VEGFA-VEGFR2 Pathway | 2 | 92.8× | 0.005 | PIK3R2, AKT3 |
| PIP3 activates AKT signaling | 2 | 44.5× | 0.018 | PIK3R2, AKT3 |
| AKT-mediated inactivation of FOXO1A | 1 | 951.7× | 0.019 | AKT3 |
| Inhibition of TSC complex formation by AKT (PKB) | 1 | 761.3× | 0.019 | AKT3 |
| Drug-mediated inhibition of CDK4/CDK6 activity | 1 | 761.3× | 0.019 | CCND2 |
| G-protein beta:gamma signalling | 1 | 634.4× | 0.019 | AKT3 |
| Signaling by LTK in cancer | 1 | 543.8× | 0.019 | PIK3R2 |
| RUNX2 regulates genes involved in cell migration | 1 | 475.8× | 0.019 | AKT3 |
| PI3K/AKT activation | 1 | 423.0× | 0.019 | PIK3R2 |
| AKT phosphorylates targets in the nucleus | 1 | 380.7× | 0.019 | AKT3 |
| IRS-mediated signalling | 1 | 346.1× | 0.019 | PIK3R2 |
| Co-stimulation by ICOS | 1 | 346.1× | 0.019 | PIK3R2 |
| Regulation of localization of FOXO transcription factors | 1 | 317.2× | 0.019 | AKT3 |
| Aberrant regulation of mitotic G1/S transition in cancer due to RB1 defects | 1 | 292.8× | 0.019 | CCND2 |
| Signaling by PDGFRA transmembrane, juxtamembrane and kinase domain mutants | 1 | 292.8× | 0.019 | PIK3R2 |
| Signaling by PDGFRA extracellular domain mutants | 1 | 292.8× | 0.019 | PIK3R2 |
| SARS-CoV-2 targets host intracellular signalling and regulatory pathways | 1 | 292.8× | 0.019 | AKT3 |
| Signaling by LTK | 1 | 292.8× | 0.019 | PIK3R2 |
| Downregulation of ERBB2:ERBB3 signaling | 1 | 271.9× | 0.019 | AKT3 |
| AKT phosphorylates targets in the cytosol | 1 | 271.9× | 0.019 | AKT3 |
| Regulation of TP53 Activity through Association with Co-factors | 1 | 271.9× | 0.019 | AKT3 |
| Activation of BAD and translocation to mitochondria | 1 | 253.8× | 0.019 | AKT3 |
| Regulation of beta-cell development | 1 | 237.9× | 0.019 | AKT3 |
| Regulation of RUNX1 Expression and Activity | 1 | 223.9× | 0.019 | CCND2 |
| Defective binding of RB1 mutants to E2F1,(E2F2, E2F3) | 1 | 211.5× | 0.019 | CCND2 |
| Tie2 Signaling | 1 | 200.3× | 0.019 | PIK3R2 |
| Role of LAT2/NTAL/LAB on calcium mobilization | 1 | 200.3× | 0.019 | PIK3R2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| insulin receptor signaling pathway | 2 | 147.8× | 0.002 | PIK3R2, AKT3 |
| positive regulation of artery morphogenesis | 1 | 1123.5× | 0.014 | AKT3 |
| cellular response to X-ray | 1 | 561.7× | 0.014 | CCND2 |
| negative regulation of PERK-mediated unfolded protein response | 1 | 468.1× | 0.014 | AKT3 |
| positive regulation of cell size | 1 | 432.1× | 0.014 | AKT3 |
| regulation of stress fiber assembly | 1 | 330.4× | 0.014 | PIK3R2 |
| regulation of mitochondrion organization | 1 | 280.9× | 0.014 | AKT3 |
| positive regulation of vascular endothelial cell proliferation | 1 | 280.9× | 0.014 | AKT3 |
| brain morphogenesis | 1 | 244.2× | 0.014 | AKT3 |
| positive regulation of cell migration involved in sprouting angiogenesis | 1 | 244.2× | 0.014 | AKT3 |
| regulation of protein localization to plasma membrane | 1 | 216.1× | 0.014 | PIK3R2 |
| negative regulation of cellular senescence | 1 | 216.1× | 0.014 | AKT3 |
| intracellular glucose homeostasis | 1 | 193.7× | 0.014 | PIK3R2 |
| regulation of actin filament polymerization | 1 | 193.7× | 0.014 | PIK3R2 |
| negative regulation of apoptotic process | 2 | 23.2× | 0.014 | CCND2, AKT3 |
| positive regulation of TOR signaling | 1 | 165.2× | 0.014 | AKT3 |
| homeostasis of number of cells within a tissue | 1 | 147.8× | 0.014 | AKT3 |
| long-term memory | 1 | 140.4× | 0.014 | CCND2 |
| positive regulation of protein import into nucleus | 1 | 140.4× | 0.014 | PIK3R2 |
| positive regulation of G1/S transition of mitotic cell cycle | 1 | 133.8× | 0.014 | CCND2 |
| positive regulation of blood vessel endothelial cell migration | 1 | 130.6× | 0.014 | AKT3 |
| T cell differentiation | 1 | 127.7× | 0.014 | PIK3R2 |
| adult locomotory behavior | 1 | 100.3× | 0.017 | CCND2 |
| negative regulation of MAPK cascade | 1 | 100.3× | 0.017 | PIK3R2 |
| positive regulation of cell adhesion | 1 | 90.6× | 0.018 | PIK3R2 |
| regulation of autophagy | 1 | 80.2× | 0.019 | PIK3R2 |
| positive regulation of endothelial cell proliferation | 1 | 77.0× | 0.019 | AKT3 |
| B cell differentiation | 1 | 73.0× | 0.019 | PIK3R2 |
| phosphatidylinositol 3-kinase/protein kinase B signal transduction | 1 | 70.2× | 0.020 | PIK3R2 |
| G1/S transition of mitotic cell cycle | 1 | 66.9× | 0.020 | CCND2 |
Therapeutics
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 3 · Undrugged: 0
Druggability breadth: 3 of 3 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| PIK3R2 | IDELALISIB |
| CCND2 | PALBOCICLIB |
| AKT3 | CAPIVASERTIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| AKT3 | 18 | 4 |
| PIK3R2 | 6 | 4 |
| CCND2 | 3 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| IDELALISIB | 4 | PIK3R2 |
| INAVOLISIB | 4 | PIK3R2 |
| PALBOCICLIB | 4 | CCND2 |
| CAPIVASERTIB | 4 | AKT3 |
| MIDOSTAURIN | 4 | AKT3 |
| TASELISIB | 3 | PIK3R2 |
| ALVOCIDIB | 3 | CCND2 |
| IPATASERTIB | 3 | AKT3 |
| AFURESERTIB | 3 | AKT3 |
| ENZASTAURIN | 3 | AKT3 |
| FASUDIL | 3 | AKT3 |
| LESTAURTINIB | 3 | AKT3 |
| RUBOXISTAURIN | 3 | AKT3 |
| ROGINOLISIB | 2 | PIK3R2 |
| AMDIZALISIB | 2 | PIK3R2 |
| PICTILISIB | 2 | PIK3R2 |
| MIRANSERTIB | 2 | AKT3 |
| MK-2206 | 2 | AKT3 |
| UPROSERTIB | 2 | AKT3 |
| BMS-387032 | 1 | CCND2 |
| AT-13148 | 1 | AKT3 |
| GSK-690693 | 1 | AKT3 |
| GSK-1070916 | 1 | AKT3 |
| JNJ-26483327 | 1 | AKT3 |
| PF-03758309 | 1 | AKT3 |
| BAY-1125976 | 1 | AKT3 |
| VEVORISERTIB | 1 | AKT3 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 2.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| AKT3 | 660 | Binding:644, Functional:16 |
| CCND2 | 28 | Binding:28 |
| PIK3R2 | 27 | Binding:27 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| PIK3R2 | 2.7.1.137 | phosphatidylinositol 3-kinase |
| AKT3 | 2.7.11.1 | non-specific serine/threonine protein kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| AKT3 | 660 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 3; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
27 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) |
|---|---|---|
| IDELALISIB | 4 | PIK3R2 |
| INAVOLISIB | 4 | PIK3R2 |
| PALBOCICLIB | 4 | CCND2 |
| CAPIVASERTIB | 4 | AKT3 |
| MIDOSTAURIN | 4 | AKT3 |
| TASELISIB | 3 | PIK3R2 |
| ALVOCIDIB | 3 | CCND2 |
| IPATASERTIB | 3 | AKT3 |
| AFURESERTIB | 3 | AKT3 |
| ENZASTAURIN | 3 | AKT3 |
| FASUDIL | 3 | AKT3 |
| LESTAURTINIB | 3 | AKT3 |
| RUBOXISTAURIN | 3 | AKT3 |
| ROGINOLISIB | 2 | PIK3R2 |
| AMDIZALISIB | 2 | PIK3R2 |
| PICTILISIB | 2 | PIK3R2 |
| MIRANSERTIB | 2 | AKT3 |
| MK-2206 | 2 | AKT3 |
| UPROSERTIB | 2 | AKT3 |
| BMS-387032 | 1 | CCND2 |
| AT-13148 | 1 | AKT3 |
| GSK-690693 | 1 | AKT3 |
| GSK-1070916 | 1 | AKT3 |
| JNJ-26483327 | 1 | AKT3 |
| PF-03758309 | 1 | AKT3 |
| BAY-1125976 | 1 | AKT3 |
| VEVORISERTIB | 1 | AKT3 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 3 | PIK3R2, CCND2, AKT3 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 0.