Menstrual cycle-dependent periodic fever
diseaseOn this page
Also known as luteal-phase-dependent febrile episodeluteal-phase-dependent periodic fevermenstrual cycle-dependent febrile episodeperiodic fever, menstrual cycle dependentperiodic fever, menstrual cycle-dependent
Summary
Menstrual cycle-dependent periodic fever (MONDO:0044660) is a disease with 1 cohort gene.
At a glance
- Prevalence: <1 / 1 000 000 (Worldwide) [Orphanet-validated]
- Cohort genes: 1
- ClinVar variants: 3
Clinical features
Epidemiology
Prevalence records
2 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Cases/families | 5 | Worldwide | Validated | |
| Point prevalence | <1 / 1 000 000 | Worldwide | Validated |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | menstrual cycle-dependent periodic fever |
| Mondo ID | MONDO:0044660 |
| OMIM | 614674 |
| Orphanet | 498251 |
| UMLS | C3553418 |
| MedGen | 766332 |
| GARD | 0022017 |
| Is cancer (heuristic) | no |
Also known as: luteal-phase-dependent febrile episode · luteal-phase-dependent periodic fever · menstrual cycle-dependent febrile episode · periodic fever, menstrual cycle dependent · periodic fever, menstrual cycle-dependent
Data availability: 3 ClinVar variants · 2 GenCC gene-disease records.
Disease family
Classification path: disease › human disease › disease by body system or component › reproductive system disorder › female reproductive system disorder › menstrual cycle-dependent periodic fever
Related subtypes (33): ectopic pregnancy, pelvic inflammatory disease, endosalpingiosis, vaginal disorder, prolapse of female genital organ, Allen-Masters syndrome, fallopian tube disorder, vulvar disease, uterine disorder, gynatresia, Bartholin duct cyst, ovarian disorder, hymen, imperforate, preterm premature rupture of the membranes, mammary-digital-nail syndrome, Asherman syndrome, uterine cervical aplasia and agenesis, longitudinal vaginal septum, transverse vaginal septum, polycystic ovaries-urethral sphincter dysfunction syndrome, granulomatous mastitis, vaginal atresia, mullerian aplasia, vulvovaginal gingival syndrome, isolated partial vaginal agenesis, female infertility, female reproductive system neoplasm, polyp of vulva, vulval varices, vulvodynia, Bartholin’s gland disease, delayed puberty, self-limited, menstrual disorder
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
3 retrieved; paginated sample, class counts are floors:
2 conflicting classifications of pathogenicity, 1 uncertain significance
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 2655491 | NM_000524.4(HTR1A):c.709G>A (p.Gly237Arg) | HTR1A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 31658 | NM_000524.4(HTR1A):c.-480del | HTR1A | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 2431430 | NM_000524.4(HTR1A):c.980_1039del (p.Arg327_Thr346del) | HTR1A | Uncertain significance | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 2 · Orphanet: 1 · 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 |
|---|---|---|---|---|
| HTR1A | Limited | Autosomal dominant | menstrual cycle-dependent periodic fever | 2 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| HTR1A | Orphanet:498251 | Menstrual cycle-dependent periodic fever |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| HTR1A | HGNC:5286 | ENSG00000178394 | P08908 | 5-hydroxytryptamine receptor 1A | gencc,clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| HTR1A | 5-hydroxytryptamine receptor 1A | G-protein coupled receptor for 5-hydroxytryptamine (serotonin). |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
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 |
|---|---|---|---|
| GPCR | 1 | 23.9× | 0.042 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| HTR1A | GPCR | yes | GPCR_Rhodpsn, 5HT1A_rcpt, 5HT_rcpt |
Expression context
Cohort genes with no expression data: 0.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cortical plate | 1 |
| entorhinal cortex | 1 |
| middle temporal gyrus | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| HTR1A | 66 | tissue_specific | yes | entorhinal cortex, middle temporal gyrus, cortical plate |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| HTR1A | 1,946 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| HTR1A | P08908 | 30 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 6. Enrichment computed across 1 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Serotonin receptors | 1 | 951.7× | 0.006 | HTR1A |
| Amine ligand-binding receptors | 1 | 346.1× | 0.009 | HTR1A |
| Class A/1 (Rhodopsin-like receptors) | 1 | 74.2× | 0.023 | HTR1A |
| GPCR ligand binding | 1 | 64.2× | 0.023 | HTR1A |
| Signaling by GPCR | 1 | 40.1× | 0.030 | HTR1A |
| Signal Transduction | 1 | 10.2× | 0.098 | HTR1A |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| regulation of serotonin secretion | 1 | 8426.0× | 0.002 | HTR1A |
| regulation of hormone secretion | 1 | 4213.0× | 0.002 | HTR1A |
| serotonin receptor signaling pathway | 1 | 1872.4× | 0.002 | HTR1A |
| adenylate cyclase-inhibiting serotonin receptor signaling pathway | 1 | 1685.2× | 0.002 | HTR1A |
| regulation of dopamine metabolic process | 1 | 1685.2× | 0.002 | HTR1A |
| serotonin metabolic process | 1 | 1685.2× | 0.002 | HTR1A |
| regulation of behavior | 1 | 1404.3× | 0.002 | HTR1A |
| regulation of vasoconstriction | 1 | 802.5× | 0.002 | HTR1A |
| exploration behavior | 1 | 648.1× | 0.003 | HTR1A |
| gamma-aminobutyric acid signaling pathway | 1 | 543.6× | 0.003 | HTR1A |
| adult behavior | 1 | 468.1× | 0.003 | HTR1A |
| behavioral fear response | 1 | 432.1× | 0.003 | HTR1A |
| G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger | 1 | 312.1× | 0.004 | HTR1A |
| chemical synaptic transmission | 1 | 77.3× | 0.015 | HTR1A |
| G protein-coupled receptor signaling pathway | 1 | 36.2× | 0.029 | HTR1A |
| positive regulation of cell population proliferation | 1 | 33.6× | 0.030 | HTR1A |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 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 |
|---|---|
| HTR1A | IMIPRAMINE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| HTR1A | 401 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| IMIPRAMINE | 4 | HTR1A |
| CANDESARTAN CILEXETIL | 4 | HTR1A |
| BEXAROTENE | 4 | HTR1A |
| METHYSERGIDE | 4 | HTR1A |
| GLIPIZIDE | 4 | HTR1A |
| MORICIZINE | 4 | HTR1A |
| ACETOPHENAZINE | 4 | HTR1A |
| MESORIDAZINE | 4 | HTR1A |
| PHENELZINE | 4 | HTR1A |
| ARTICAINE | 4 | HTR1A |
| EPINASTINE | 4 | HTR1A |
| ARIPIPRAZOLE | 4 | HTR1A |
| AMOXAPINE | 4 | HTR1A |
| SAQUINAVIR | 4 | HTR1A |
| DESLORATADINE | 4 | HTR1A |
| PRUCALOPRIDE | 4 | HTR1A |
| DULOXETINE | 4 | HTR1A |
| TETRABENAZINE | 4 | HTR1A |
| ZOLMITRIPTAN | 4 | HTR1A |
| TRIMETREXATE | 4 | HTR1A |
| DIHYDROERGOTAMINE MESYLATE | 4 | HTR1A |
| CHLOROXINE | 4 | HTR1A |
| CALCIPOTRIENE | 4 | HTR1A |
| CINACALCET HYDROCHLORIDE | 4 | HTR1A |
| OXYMETAZOLINE HYDROCHLORIDE | 4 | HTR1A |
| METHYSERGIDE MALEATE | 4 | HTR1A |
| THIOTHIXENE | 4 | HTR1A |
| CABERGOLINE | 4 | HTR1A |
| SERTACONAZOLE | 4 | HTR1A |
| PROPIOMAZINE | 4 | HTR1A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| HTR1A | 1,750 | Binding:1235, Functional:504, ADMET:10, Toxicity:1 |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| HTR1A | 1,750 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 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) |
|---|---|---|
| IMIPRAMINE | 4 | HTR1A |
| CANDESARTAN CILEXETIL | 4 | HTR1A |
| BEXAROTENE | 4 | HTR1A |
| METHYSERGIDE | 4 | HTR1A |
| GLIPIZIDE | 4 | HTR1A |
| MORICIZINE | 4 | HTR1A |
| ACETOPHENAZINE | 4 | HTR1A |
| MESORIDAZINE | 4 | HTR1A |
| PHENELZINE | 4 | HTR1A |
| ARTICAINE | 4 | HTR1A |
| EPINASTINE | 4 | HTR1A |
| ARIPIPRAZOLE | 4 | HTR1A |
| AMOXAPINE | 4 | HTR1A |
| SAQUINAVIR | 4 | HTR1A |
| DESLORATADINE | 4 | HTR1A |
| PRUCALOPRIDE | 4 | HTR1A |
| DULOXETINE | 4 | HTR1A |
| TETRABENAZINE | 4 | HTR1A |
| ZOLMITRIPTAN | 4 | HTR1A |
| TRIMETREXATE | 4 | HTR1A |
| DIHYDROERGOTAMINE MESYLATE | 4 | HTR1A |
| CHLOROXINE | 4 | HTR1A |
| CALCIPOTRIENE | 4 | HTR1A |
| CINACALCET HYDROCHLORIDE | 4 | HTR1A |
| OXYMETAZOLINE HYDROCHLORIDE | 4 | HTR1A |
| METHYSERGIDE MALEATE | 4 | HTR1A |
| THIOTHIXENE | 4 | HTR1A |
| CABERGOLINE | 4 | HTR1A |
| SERTACONAZOLE | 4 | HTR1A |
| PROPIOMAZINE | 4 | HTR1A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | HTR1A |
| 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.
Related Atlas pages
- Cohort genes: HTR1A