Movement disorder
diseaseOn this page
Also known as movement diseasemovement disorders
Summary
Movement disorder (MONDO:0005395) is a disease (an umbrella term covering 54 Mondo subtypes) caused by GNAO1 (GenCC Definitive), with 18 cohort genes (32 GWAS associations across 13 studies) and 184 clinical trials. Top therapeutic interventions include levodopa, buspirone, and haloperidol.
At a glance
- Causal gene: GNAO1 (GenCC Definitive)
- Umbrella term: 54 Mondo subtypes
- Cohort genes: 18
- GWAS associations: 32
- ClinVar variants: 24
- Clinical trials: 184
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | movement disorder |
| Mondo ID | MONDO:0005395 |
| EFO | EFO:0004280 |
| MeSH | D009069 |
| DOID | DOID:480 |
| NCIT | C116757 |
| SNOMED CT | 60342002 |
| UMLS | C0026650 |
| MedGen | 10113 |
| Is cancer (heuristic) | no |
Also known as: movement disease · movement disorder · movement disorders
Data availability: 24 ClinVar variants · 32 GWAS associations (13 studies) · 4 GenCC gene-disease records.
Disease family
An umbrella term covering 54 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › nervous system disorder › movement disorder
Related subtypes (71): congenital nervous system disorder, central nervous system disorder, autoimmune disorder of the nervous system, cranial nerve neuropathy, peripheral nervous system disorder, neuronitis, diplegia of upper limb, retinal disorder, developmental disability, restless legs syndrome, toxic encephalopathy, Barre-Lieou syndrome, Gerstmann syndrome, drug-induced akathisia, drug-induced dyskinesia, stiff-person syndrome, Worster-Drought syndrome, corneal-cerebellar syndrome, pachygyria-intellectual disability-epilepsy syndrome, porencephaly-cerebellar hypoplasia-internal malformations syndrome, symmetrical thalamic calcifications, neonatal brainstem dysfunction, primary orthostatic hypotension, rippling muscle disease with myasthenia gravis, periodic paralysis, qualitative or quantitative protein defects in neuromuscular diseases, specific learning disability, cerebellar hypoplasia-tapetoretinal degeneration syndrome, locked-in syndrome, dopa-responsive dystonia, idiopathic recurrent stupor, chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids, spontaneous periodic hypothermia, Sydenham chorea, duplication of the pituitary gland, Balint syndrome, paraneoplastic neurologic syndrome, persistent idiopathic facial pain, serotonin syndrome, hypothalamic adipsic hypernatraemia syndrome, exercise-induced malignant hyperthermia, perineural cyst, neuromuscular disease, neuromyelitis optica, AL amyloidosis, AA amyloidosis, neuroleptic malignant syndrome, infectious disorder of the nervous system, central nervous system malformation, synaptopathy, nervous system neoplasm, sensory ganglionopathy, radiculitis, wet beriberi, perceptual disorders, prepubertal anorexia nervosa, neurocutaneous syndrome, neurovascular disorder, Wallerian degeneration, nervous system injury, neurosarcoidosis, neuroendocrine disorder, tubulinopathy, atactic disorder, hereditary neurological disease, meningitis-retention syndrome, KIF1A related neurological disorder, neurological pain disorder, neurodevelopmental disorder, post 5-alpha-reductase inhibitors treatment syndrome, post-selective serotonin reuptake inhibitor sexual dysfunction
Subtypes (54): cerebellar ataxia, chronic tic disorder, choreatic disease, extrapyramidal and movement disease, benign shuddering attacks, transient tic disorder, essential tremor, lingual-facial-buccal dyskinesia, kuru, inherited Creutzfeldt-Jakob disease, Tourette syndrome, clonic hemifacial spasm, Huntington disease, multiple system atrophy, spinal muscular atrophy-progressive myoclonic epilepsy syndrome, benign paroxysmal tonic upgaze of childhood with ataxia, hereditary geniospasm, tremor-nystagmus-duodenal ulcer syndrome, arthrogryposis, Lafora disease, Unverricht-Lundborg syndrome, neuronal intranuclear inclusion disease, Huntington disease-like 3, brain-lung-thyroid syndrome, myoclonus, familial, proximal myopathy with extrapyramidal signs, progressive myoclonic epilepsy type 7, progressive essential tremor-speech impairment-facial dysmorphism-intellectual disability-abnormal behavior syndrome, progressive non-fluent aphasia, opsoclonus-myoclonus syndrome, isolated facial myokymia, primary orthostatic tremor, familial congenital mirror movements, neuroacanthocytosis, behavioral variant of frontotemporal dementia, frontotemporal dementia with motor neuron disease, hyperekplexia, intellectual disability-hyperkinetic movement-truncal ataxia syndrome, neurodegeneration with brain iron accumulation, Huntington disease-like syndrome due to C9ORF72 expansions, variably protease-sensitive prionopathy, corticobasal syndrome, sensorineural hearing loss-early graying-essential tremor syndrome, progressive supranuclear palsy, Sandifer syndrome, psychogenic movement disorders, epilepsy with myoclonic absences, infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome, childhood-onset benign chorea with striatal involvement, childhood-onset motor and cognitive regression syndrome with extrapyramidal movement disorder, PRRT2-associated paroxysmal movement disorder, SLC6A3-related dopamine transporter deficiency syndrome, dyskinesia with orofacial involvement, autosomal dominant, complex movement disorder with or without neurodevelopmental features
Genetics & variants
GWAS landscape
32 GWAS associations across 13 studies. Top hits map to 9 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs113851554 | 1e-200 | MEIS1 | G | 0.63 |
| chr6:38438771 | 3e-87 | T | 0.22 | |
| rs6920488 | 2e-80 | BTBD9 | A | 0.21 |
| chr20:62795405 | 1e-31 | A | 0.13 | |
| rs10116689 | 9e-28 | PTPRD | C | 0.11 |
| rs3112621 | 1e-26 | CASC16 | A | 0.1 |
| chr16:52642377 | 2e-26 | A | 0.11 | |
| rs560776 | 1e-25 | MYT1 | T | 0.12 |
| rs7048788 | 3e-25 | PTPRD | C | 0.1 |
| chr1:107199284 | 2e-24 | C | 0.1 | |
| chr2:159292522 | 2e-24 | C | 0.12 | |
| rs9677434 | 1e-22 | CCDC148 | A | 0.12 |
| rs4776967 | 2e-22 | MAP2K5 | T | 0.1 |
| chr2:68071204 | 2e-22 | G | 0.1 | |
| rs6747972 | 1e-21 | LINC01812 - FBXL12P1 | A | 0.09 |
| rs12022398 | 4e-20 | LINC01677 - MTATP6P14 | C | 0.09 |
| rs1468123 | 8e-19 | EEF1A1P28 - COX6A1P7 | T | 0.11 |
| chr7:88368906 | 4e-18 | A | 0.12 | |
| chr2:4043620 | 6e-16 | T | 0.08 | |
| rs903235 | 8e-15 | LINC01304 - NPM1P48 | T | 0.08 |
| rs77614227 | 9e-15 | DPH6-DT - LINC02853 | T | 0.16 |
| rs996064 | 4e-14 | DPH6-DT - LINC02853 | A | 0.16 |
| chr2:124932091 | 7e-14 | A | 0.1 | |
| rs7102266 | 3e-13 | LMO1 - STK33 | C | 0.08 |
| chr4:38932096 | 8e-13 | T | 0.07 | |
| chr17:46715759 | 6e-12 | T | 0.07 | |
| rs11689747 | 2e-11 | CNTNAP5 | G | 0.08 |
| rs146922515 | 4e-08 | C10orf67-AS1 - OTUD1 | CA | 1.8 |
| rs6977820 | 5e-06 | DPP6 | ? | 2.32 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90475827 | Verma A | 2024 | 21,024 | 414,231 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477502 | Verma A | 2024 | 2,613 | 115,714 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480004 | Verma A | 2024 | 2,613 | 115,714 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477501 | Verma A | 2024 | 2,129 | 55,494 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90079818 | Backman JD | 2021 | 1,721 | 384,069 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083804 | Backman JD | 2021 | 1,721 | 384,069 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90726786 | Kim HI | 2026 | 375 | 43,651 | Exome sequencing and analysis of 44,028 British South Asians enriched for high autozygosity. |
| GCST000831 | Greenbaum L | 2010 | 88 | 0 | Evidence for association of the GLI2 gene with tardive dyskinesia in patients with chronic schizophrenia. |
| GCST001196 | Tanaka S | 2011 | 61 | 0 | DPP6 as a candidate gene for neuroleptic-induced tardive dyskinesia. |
| GCST90449147 | Nogawa S | 2023 | 0 | 0 | A web-based genome-wide association study reveals the susceptibility loci of common adverse events following COVID-19 vaccination in the Japanese population. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 29 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 28 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 12 |
| unknown | 11 |
| intergenic_variant | 6 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs113851554 | 2 | 66523432 | G>A,T | 0.051 | intron_variant | MEIS1 | 1e-200 | Tier 4: intronic/intergenic |
| chr6:38438771 | 0.296 | 3e-87 | Tier 4: intronic/intergenic | |||||
| rs6920488 | 6 | 38476264 | A>G,T | 0.265 | intron_variant | BTBD9 | 2e-80 | Tier 4: intronic/intergenic |
| chr20:62795405 | 0.265 | 1e-31 | Tier 4: intronic/intergenic | |||||
| rs10116689 | 9 | 8826788 | C>T | 0.494 | intron_variant | PTPRD | 9e-28 | Tier 4: intronic/intergenic |
| rs3112621 | 16 | 52596437 | A>C,G,T | 0.441 | intron_variant | CASC16 | 1e-26 | Tier 4: intronic/intergenic |
| chr16:52642377 | 0.419 | 2e-26 | Tier 4: intronic/intergenic | |||||
| rs560776 | 20 | 64157974 | T>C | 0.245 | intron_variant | MYT1 | 1e-25 | Tier 4: intronic/intergenic |
| rs7048788 | 9 | 8832169 | C>A,T | 0.442 | intron_variant | PTPRD | 3e-25 | Tier 4: intronic/intergenic |
| chr1:107199284 | 0.402 | 2e-24 | Tier 4: intronic/intergenic | |||||
| chr2:159292522 | 0.244 | 2e-24 | Tier 4: intronic/intergenic | |||||
| rs9677434 | 2 | 158352467 | A>G,T | 0.195 | intron_variant | CCDC148 | 1e-22 | Tier 4: intronic/intergenic |
| rs4776967 | 15 | 67741584 | T>A,C | 0.332 | intron_variant | MAP2K5 | 2e-22 | Tier 4: intronic/intergenic |
| chr2:68071204 | 0.45 | 2e-22 | Tier 4: intronic/intergenic | |||||
| rs6747972 | 2 | 67843093 | A>C,G | 0.374 | intergenic_variant | LINC01812 - FBXL12P1 | 1e-21 | Tier 4: intronic/intergenic |
| rs12022398 | 1 | 106641848 | C>A,G,T | 0.347 | intron_variant | LINC01677 - MTATP6P14 | 4e-20 | Tier 4: intronic/intergenic |
| rs1468123 | 7 | 88739852 | T>G | 0.204 | intron_variant | EEF1A1P28 - COX6A1P7 | 8e-19 | Tier 4: intronic/intergenic |
| chr7:88368906 | 0.139 | 4e-18 | Tier 4: intronic/intergenic | |||||
| chr2:4043620 | 0.398 | 6e-16 | Tier 4: intronic/intergenic | |||||
| rs903235 | 2 | 3981166 | T>C | 0.432 | intergenic_variant | LINC01304 - NPM1P48 | 8e-15 | Tier 4: intronic/intergenic |
| rs77614227 | 15 | 35889353 | T>G | 0.046 | intergenic_variant | DPH6-DT - LINC02853 | 9e-15 | Tier 4: intronic/intergenic |
| rs996064 | 15 | 35916797 | A>G,T | 0.054 | intergenic_variant | DPH6-DT - LINC02853 | 4e-14 | Tier 4: intronic/intergenic |
| chr2:124932091 | 0.216 | 7e-14 | Tier 4: intronic/intergenic | |||||
| rs7102266 | 11 | 8313294 | C>A | 0.472 | intergenic_variant | LMO1 - STK33 | 3e-13 | Tier 4: intronic/intergenic |
| chr4:38932096 | 0.479 | 8e-13 | Tier 4: intronic/intergenic | |||||
| chr17:46715759 | 0.342 | 6e-12 | Tier 4: intronic/intergenic | |||||
| rs11689747 | 2 | 124171252 | G>C,T | 0.235 | intron_variant | CNTNAP5 | 2e-11 | Tier 4: intronic/intergenic |
| rs146922515 | 10 | 23369893 | CAAA>C,CA,CAA,CAAAA,CAAAAA,CAAAAAA,CAAAAAAA,CAAAAAAAA | 0.419 | intergenic_variant | C10orf67-AS1 - OTUD1 | 4e-08 | Tier 4: intronic/intergenic |
| rs6977820 | 7 | 154374935 | T>A,C | 0.05 | intron_variant | DPP6 | 5e-06 | Tier 4: intronic/intergenic |
ClinVar germline variants
24 retrieved; paginated sample, class counts are floors:
8 likely pathogenic, 5 uncertain significance, 4 conflicting classifications of pathogenicity, 3 pathogenic, 2 pathogenic/likely pathogenic, 1 likely benign, 1 conflicting classifications of pathogenicity; risk factor
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 625207 | NM_001079866.2(BCS1L):c.268C>T (p.Arg90Cys) | BCS1L | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 4530566 | NM_001438.4(ESRRG):c.550C>T (p.Arg184Cys) | ESRRG | Pathogenic | criteria provided, single submitter |
| 265350 | NM_020988.3(GNAO1):c.625C>T (p.Arg209Cys) | GNAO1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 445922 | NM_007055.4(POLR3A):c.1909+22G>A | POLR3A | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 996741 | NM_012233.3(RAB3GAP1):c.151-5T>G | RAB3GAP1 | Pathogenic | no assertion criteria provided |
| 4530564 | NM_001438.4(ESRRG):c.446A>G (p.Lys149Arg) | ESRRG | Likely pathogenic | criteria provided, single submitter |
| 4530565 | NM_001438.4(ESRRG):c.539G>A (p.Cys180Tyr) | ESRRG | Likely pathogenic | criteria provided, single submitter |
| 4530567 | NM_001438.4(ESRRG):c.1346T>G (p.Leu449Arg) | ESRRG | Likely pathogenic | criteria provided, single submitter |
| 4530568 | NM_001438.4(ESRRG):c.1352dup (p.Leu451fs) | ESRRG | Likely pathogenic | criteria provided, single submitter |
| 2687758 | NM_020988.3(GNAO1):c.616C>G (p.Arg206Gly) | GNAO1 | Likely pathogenic | criteria provided, single submitter |
| 812987 | NM_001040142.2(SCN2A):c.1270G>T (p.Val424Leu) | SCN2A | Likely pathogenic | no assertion criteria provided |
| 812998 | NM_001199107.2(TBC1D24):c.901C>T (p.Gln301Ter) | TBC1D24 | Likely pathogenic | no assertion criteria provided |
| 381536 | NM_006009.4(TUBA1A):c.455T>A (p.Leu152Gln) | TUBA1A | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 625208 | NM_001079866.2(BCS1L):c.518G>A (p.Gly173Asp) | BCS1L | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 847690 | NM_003919.3(SGCE):c.788G>A (p.Arg263His) | CASD1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 974617 | NM_001286.5(CLCN6):c.1658A>G (p.Tyr553Cys) | CLCN6 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 4530563 | NM_001438.4(ESRRG):c.410G>A (p.Gly137Glu) | ESRRG | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 4288 | NM_000157.4(GBA1):c.1448T>C (p.Leu483Pro) | GBA1 | Conflicting classifications of pathogenicity; risk factor | criteria provided, conflicting classifications |
| 267836 | 46;XY;t(1;6)(q23;q13)dn | Uncertain significance | criteria provided, single submitter | |
| 523421 | NM_001378452.1(ITPR1):c.2477C>T (p.Ser826Phe) | ITPR1 | Uncertain significance | criteria provided, single submitter |
| 1710147 | NM_001303512.2(PDZD4):c.10_16del (p.Asn4fs) | PDZD4 | Uncertain significance | no assertion criteria provided |
| 1467419 | NM_020708.5(SLC12A5):c.355C>T (p.Arg119Trp) | SLC12A5 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 207501 | NM_001199107.2(TBC1D24):c.605C>T (p.Ser202Leu) | TBC1D24 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 3338131 | NM_000153.4(GALC):c.1161+3946G>A | GALC | Likely benign | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 13 · Orphanet: 50 · 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 |
|---|---|---|---|---|
| GNAO1 | Definitive | Autosomal dominant | movement disorder | 10 |
| RIC3 | Limited | Autosomal recessive | movement disorder | 2 |
| TLE1 | Limited | Autosomal recessive | movement disorder |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| GNAO1 | Orphanet:1934 | Early infantile developmental and epileptic encephalopathy |
| GNAO1 | Orphanet:592564 | GNAO1-related developmental delay-seizures-movement disorder spectrum |
| BCS1L | Orphanet:123 | Björnstad syndrome |
| BCS1L | Orphanet:1460 | Isolated complex III deficiency |
| BCS1L | Orphanet:254902 | Renal tubulopathy-encephalopathy-liver failure syndrome |
| BCS1L | Orphanet:53693 | GRACILE syndrome |
| SCN2A | Orphanet:140927 | Self-limited neonatal-infantile epilepsy |
| SCN2A | Orphanet:1934 | Early infantile developmental and epileptic encephalopathy |
| SCN2A | Orphanet:2131 | Alternating hemiplegia of childhood |
| SCN2A | Orphanet:293181 | Epilepsy of infancy with migrating focal seizures |
| SCN2A | Orphanet:306 | Self-limited infantile epilepsy |
| SCN2A | Orphanet:33069 | Dravet syndrome |
| SCN2A | Orphanet:36387 | Genetic epilepsy with febrile seizure plus |
| SCN2A | Orphanet:697160 | Infantile epileptic spasms syndrome |
| SLC12A5 | Orphanet:293181 | Epilepsy of infancy with migrating focal seizures |
| RAB3GAP1 | Orphanet:1387 | Cataract-intellectual disability-hypogonadism syndrome |
| RAB3GAP1 | Orphanet:2510 | Micro syndrome |
| CLCN6 | Orphanet:610573 | CLCN6-related childhood-onset progressive neurodegeneration-peripheral neuropathy syndrome |
| TUBA1A | Orphanet:171680 | Lissencephaly due to TUBA1A mutation |
| TUBA1A | Orphanet:45358 | Congenital fibrosis of extraocular muscles |
| TUBA1A | Orphanet:467166 | Tubulinopathy-associated dysgyria |
| TUBA1A | Orphanet:994 | Fetal akinesia deformation sequence |
| TBC1D24 | Orphanet:163727 | Rolandic epilepsy-paroxysmal exercise-induced dystonia-writer’s cramp syndrome |
| TBC1D24 | Orphanet:293181 | Epilepsy of infancy with migrating focal seizures |
| TBC1D24 | Orphanet:352582 | Familial infantile myoclonic epilepsy |
| TBC1D24 | Orphanet:352587 | Focal epilepsy-intellectual disability-cerebro-cerebellar malformation |
| TBC1D24 | Orphanet:352596 | Progressive myoclonic epilepsy with dystonia |
| TBC1D24 | Orphanet:79500 | DOORS syndrome |
| TBC1D24 | Orphanet:90635 | Rare autosomal dominant non-syndromic sensorineural deafness type DFNA |
| TBC1D24 | Orphanet:90636 | Rare autosomal recessive non-syndromic sensorineural deafness type DFNB |
| POLR3A | Orphanet:137639 | Hypomyelinating leukodystrophy-ataxia-hypodontia-hypomyelination syndrome |
| POLR3A | Orphanet:3455 | Wiedemann-Rautenstrauch syndrome |
| POLR3A | Orphanet:447893 | Hypomyelination-cerebellar atrophy-hypoplasia of the corpus callosum syndrome |
| POLR3A | Orphanet:447896 | Tremor-ataxia-central hypomyelination syndrome |
| POLR3A | Orphanet:77295 | Odontoleukodystrophy |
| POLR3A | Orphanet:88637 | Hypomyelination-hypogonadotropic hypogonadism-hypodontia syndrome |
| DPP6 | Orphanet:228140 | Idiopathic ventricular fibrillation |
| DPP6 | Orphanet:2514 | Autosomal dominant primary microcephaly |
| GALC | Orphanet:206436 | Infantile Krabbe disease |
| GALC | Orphanet:206443 | Late-infantile/juvenile Krabbe disease |
| GALC | Orphanet:206448 | Adult Krabbe disease |
| GBA1 | Orphanet:2072 | Gaucher disease-ophthalmoplegia-cardiovascular calcification syndrome |
| GBA1 | Orphanet:411602 | Hereditary late-onset Parkinson disease |
| GBA1 | Orphanet:77259 | Gaucher disease type 1 |
| GBA1 | Orphanet:77260 | Gaucher disease type 2 |
| GBA1 | Orphanet:77261 | Gaucher disease type 3 |
| GBA1 | Orphanet:85212 | Fetal Gaucher disease |
| ITPR1 | Orphanet:1065 | Aniridia-cerebellar ataxia-intellectual disability syndrome |
| ITPR1 | Orphanet:208513 | Spinocerebellar ataxia type 29 |
| ITPR1 | Orphanet:98769 | Spinocerebellar ataxia type 15/16 |
Cohort genes → proteins
18 cohort genes, 18 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 1 |
| multi_evidence | 17 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| GNAO1 | HGNC:4389 | ENSG00000087258 | P09471 | Guanine nucleotide-binding protein G(o) subunit alpha | gencc,clinvar |
| TLE1 | HGNC:11837 | ENSG00000196781 | Q04724 | Transducin-like enhancer protein 1 | gencc |
| RIC3 | HGNC:30338 | ENSG00000166405 | Q7Z5B4 | Protein RIC-3 | gencc |
| BCS1L | HGNC:1020 | ENSG00000074582 | Q9Y276 | Mitochondrial chaperone BCS1 | clinvar |
| SCN2A | HGNC:10588 | ENSG00000136531 | Q99250 | Sodium channel protein type 2 subunit alpha | clinvar |
| SLC12A5 | HGNC:13818 | ENSG00000124140 | Q9H2X9 | Solute carrier family 12 member 5 | clinvar |
| CASD1 | HGNC:16014 | ENSG00000127995 | Q96PB1 | N-acetylneuraminate (7)9-O-acetyltransferase | clinvar |
| RAB3GAP1 | HGNC:17063 | ENSG00000115839 | Q15042 | Rab3 GTPase-activating protein catalytic subunit | clinvar |
| CLCN6 | HGNC:2024 | ENSG00000011021 | P51797 | H(+)/Cl(-) exchange transporter 6 | clinvar |
| TUBA1A | HGNC:20766 | ENSG00000167552 | Q71U36 | Tubulin alpha-1A chain | clinvar |
| PDZD4 | HGNC:21167 | ENSG00000067840 | Q76G19 | PDZ domain-containing protein 4 | clinvar |
| TBC1D24 | HGNC:29203 | ENSG00000162065 | Q9ULP9 | TBC1 domain family member 24 | clinvar |
| POLR3A | HGNC:30074 | ENSG00000148606 | O14802 | DNA-directed RNA polymerase III subunit RPC1 | clinvar |
| DPP6 | HGNC:3010 | ENSG00000130226 | P42658 | A-type potassium channel modulatory protein DPP6 | gwas |
| ESRRG | HGNC:3474 | ENSG00000196482 | P62508 | Estrogen-related receptor gamma | clinvar |
| GALC | HGNC:4115 | ENSG00000054983 | P54803 | Galactocerebrosidase | clinvar |
| GBA1 | HGNC:4177 | ENSG00000177628 | P04062 | Lysosomal acid glucosylceramidase | clinvar |
| ITPR1 | HGNC:6180 | ENSG00000150995 | Q14643 | Inositol 1,4,5-trisphosphate-gated calcium channel ITPR1 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| GNAO1 | Guanine nucleotide-binding protein G(o) subunit alpha | Guanine nucleotide-binding proteins (G proteins) function as transducers downstream of G protein-coupled receptors (GPCRs) in numerous signaling cascades. |
| TLE1 | Transducin-like enhancer protein 1 | Transcriptional corepressor that binds to a number of transcription factors. |
| RIC3 | Protein RIC-3 | Molecular chaperone which facilitates proper subunit assembly and surface trafficking of alpha-7 (CHRNA7) and alpha-8 (CHRNA8) nicotinic acetylcholine receptors. |
| BCS1L | Mitochondrial chaperone BCS1 | Chaperone necessary for the incorporation of Rieske iron-sulfur protein UQCRFS1 into the mitochondrial respiratory chain complex III. |
| SCN2A | Sodium channel protein type 2 subunit alpha | Mediates the voltage-dependent sodium ion permeability of excitable membranes. |
| SLC12A5 | Solute carrier family 12 member 5 | Mediates electroneutral potassium-chloride cotransport in mature neurons and is required for neuronal Cl(-) homeostasis. |
| CASD1 | N-acetylneuraminate (7)9-O-acetyltransferase | Key enzyme in the biosynthesis of O-acetylated (O-Ac) sialoglycans such as gangliosides O-AcGD3 and O-AcGD2, which affect various processes such as cell-cell interactions, host-pathogen recognition. |
| RAB3GAP1 | Rab3 GTPase-activating protein catalytic subunit | Catalytic subunit of the Rab3 GTPase-activating (Rab3GAP) complex composed of RAB3GAP1 and RAB3GAP2, which accelerates the otherwise slow GTP hydrolysis catalyzed by Rab proteins. |
| CLCN6 | H(+)/Cl(-) exchange transporter 6 | Voltage-gated channel mediating the exchange of chloride ions against protons. |
| TUBA1A | Tubulin alpha-1A chain | Tubulin is the major constituent of microtubules, a cylinder consisting of laterally associated linear protofilaments composed of alpha- and beta-tubulin heterodimers. |
| TBC1D24 | TBC1 domain family member 24 | May act as a GTPase-activating protein for Rab family protein(s). |
| POLR3A | DNA-directed RNA polymerase III subunit RPC1 | Catalytic core component of RNA polymerase III (Pol III), a DNA-dependent RNA polymerase which synthesizes small non-coding RNAs using the four ribonucleoside triphosphates as substrates. |
| DPP6 | A-type potassium channel modulatory protein DPP6 | Promotes cell surface expression of the potassium channel KCND2. |
| ESRRG | Estrogen-related receptor gamma | Orphan receptor that acts as a transcription activator in the absence of bound ligand. |
| GALC | Galactocerebrosidase | Hydrolyzes the galactose ester bonds of glycolipids such as galactosylceramide and galactosylsphingosine. |
| GBA1 | Lysosomal acid glucosylceramidase | Glucosylceramidase that catalyzes, within the lysosomal compartment, the hydrolysis of glucosylceramides/GlcCers (such as beta-D-glucosyl-(1<->1’)-N-acylsphing-4-enine) into free ceramides (such as N-acylsphing-4-enine) and glucose. |
| ITPR1 | Inositol 1,4,5-trisphosphate-gated calcium channel ITPR1 | Inositol 1,4,5-trisphosphate-gated calcium channel that, upon inositol 1,4,5-trisphosphate binding, mediates calcium release from the endoplasmic reticulum (ER). |
Protein-family classification
Druggable: 7 · Difficult: 2 · Unknown: 9 · Druggable fraction: 0.39
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 | 12.4× | 0.067 |
| Nuclear receptor | 1 | 21.4× | 0.137 |
| Enzyme (other) | 3 | 2.0× | 0.371 |
| Scaffold/PPI | 2 | 1.9× | 0.420 |
| Protease | 1 | 2.0× | 0.471 |
| Other/Unknown | 9 | 0.9× | 0.770 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| GNAO1 | Other/Unknown | no | Gprotein_alpha_su, Gprotein_alpha_I, GproteinA_insert | |
| TLE1 | Scaffold/PPI | no | WD40_rpt, Groucho/TLE_N, Groucho_enhance | |
| RIC3 | Other/Unknown | no | Ric3, RIC3_N | |
| BCS1L | Other/Unknown | no | AAA+_ATPase, ATPase_AAA_core, ATPase_AAA_CS | |
| SCN2A | Ion channel | yes | IQ_motif_EF-hand-BS, Na_channel_asu, Ion_trans_dom | |
| SLC12A5 | Other/Unknown | no | KCL_cotranspt, AA-permease/SLC12A_dom, SLC12A_fam | |
| CASD1 | Enzyme (other) | yes | 2.3.1.45 | Cas1_AcylTrans_dom, Cyclin-like_sf, NXPE4_C |
| RAB3GAP1 | Other/Unknown | no | Rab3GAP1_conserved, Rab3GAP1_C, Rab3GAP1 | |
| CLCN6 | Other/Unknown | no | CBS_dom, ClC, Cl_channel-6 | |
| TUBA1A | Other/Unknown | no | Tubulin, Alpha_tubulin, Tubulin_FtsZ_GTPase | |
| PDZD4 | Scaffold/PPI | no | PDZ, PDZ_sf, E3_ubiquitin-PDZ_ligase | |
| TBC1D24 | Other/Unknown | no | Rab-GAP-TBC_dom, TLDc_dom, Rab-GAP_TBC_sf | |
| POLR3A | Other/Unknown | no | RNA_pol_asu, RNA_pol_N, RNA_pol_Rpb1_3 | |
| DPP6 | Protease | yes | Peptidase_S9_cat, Peptidase_S9B_N, AB_hydrolase_fold | |
| ESRRG | Nuclear receptor | yes | Nucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt, Nuclear_hrmn_rcpt | |
| GALC | Enzyme (other) | yes | 3.2.1.46 | Glyco_hydro_59, Aldolase_TIM, GH_hydrolase_sf |
| GBA1 | Enzyme (other) | yes | 3.2.1.45 | Glyco_hydro_30, GH_hydrolase_sf, GH30_C |
| ITPR1 | Ion channel | yes | InsP3_rcpt, RIH_dom, Ion_trans_dom |
Expression context
Cohort genes with no expression data: 0.
17 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) | 18 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| Brodmann (1909) area 23 | 5 |
| middle temporal gyrus | 4 |
| adrenal tissue | 3 |
| endothelial cell | 3 |
| cortical plate | 2 |
| cerebellar cortex | 2 |
| cerebellar hemisphere | 2 |
| right hemisphere of cerebellum | 2 |
| secondary oocyte | 2 |
| entorhinal cortex | 1 |
| superficial temporal artery | 1 |
| sural nerve | 1 |
| ventricular zone | 1 |
| adenohypophysis | 1 |
| left lobe of thyroid gland | 1 |
| right lobe of thyroid gland | 1 |
| apex of heart | 1 |
| body of pancreas | 1 |
| metanephros cortex | 1 |
| cerebellar vermis | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| GNAO1 | 261 | broad | marker | cortical plate, superficial temporal artery, entorhinal cortex |
| TLE1 | 293 | ubiquitous | marker | ventricular zone, adrenal tissue, sural nerve |
| RIC3 | 178 | broad | marker | adenohypophysis, left lobe of thyroid gland, right lobe of thyroid gland |
| BCS1L | 279 | ubiquitous | marker | body of pancreas, metanephros cortex, apex of heart |
| SCN2A | 187 | broad | marker | middle temporal gyrus, Brodmann (1909) area 23, cerebellar vermis |
| SLC12A5 | 205 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| CASD1 | 278 | ubiquitous | marker | adrenal tissue, postcentral gyrus, Ammon’s horn |
| RAB3GAP1 | 300 | ubiquitous | marker | hair follicle, Brodmann (1909) area 23, secondary oocyte |
| CLCN6 | 239 | ubiquitous | marker | right testis, left testis, right atrium auricular region |
| TUBA1A | 288 | ubiquitous | marker | endothelial cell, cortical plate, ganglionic eminence |
| PDZD4 | 203 | broad | yes | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| TBC1D24 | 227 | ubiquitous | marker | parotid gland, Brodmann (1909) area 23, middle temporal gyrus |
| POLR3A | 242 | ubiquitous | marker | buccal mucosa cell, middle temporal gyrus, secondary oocyte |
| DPP6 | 221 | broad | marker | middle temporal gyrus, Brodmann (1909) area 23, endothelial cell |
| ESRRG | 250 | broad | marker | pons, nephron tubule, endothelial cell |
| GALC | 295 | ubiquitous | marker | adrenal tissue, bronchial epithelial cell, jejunal mucosa |
| GBA1 | 134 | ubiquitous | marker | stromal cell of endometrium, islet of Langerhans, placenta |
| ITPR1 | 284 | ubiquitous | marker | cauda epididymis, Brodmann (1909) area 23, primary visual cortex |
Protein interactions among cohort
Intra-cohort edges: 3.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| POLR3A | 4,915 |
| BCS1L | 3,789 |
| ITPR1 | 3,483 |
| GNAO1 | 3,437 |
| SCN2A | 2,810 |
| GBA1 | 2,568 |
| SLC12A5 | 2,287 |
| DPP6 | 2,224 |
| TLE1 | 2,118 |
| RAB3GAP1 | 2,039 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ESRRG | TLE1 | string_interaction |
| GALC | GBA1 | string_interaction |
| SCN2A | TBC1D24 | string_interaction |
Structural data
PDB: 11 · AlphaFold-only: 7 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| GNAO1 | P09471 | 86 |
| GBA1 | P04062 | 58 |
| ESRRG | P62508 | 43 |
| POLR3A | O14802 | 29 |
| TUBA1A | Q71U36 | 15 |
| DPP6 | P42658 | 8 |
| TLE1 | Q04724 | 6 |
| SCN2A | Q99250 | 5 |
| CLCN6 | P51797 | 3 |
| SLC12A5 | Q9H2X9 | 2 |
| RAB3GAP1 | Q15042 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| GALC | P54803 | 94.56 |
| CASD1 | Q96PB1 | 87.87 |
| BCS1L | Q9Y276 | 87.10 |
| TBC1D24 | Q9ULP9 | 84.46 |
| RIC3 | Q7Z5B4 | 58.55 |
| PDZD4 | Q76G19 | 57.41 |
| ITPR1 | Q14643 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 175. Enrichment computed across 18 evidence-associated genes (14 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 14 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Cation-coupled Chloride cotransporters | 1 | 116.5× | 0.132 | SLC12A5 |
| CLEC7A (Dectin-1) induces NFAT activation | 1 | 74.2× | 0.132 | ITPR1 |
| Nitric oxide stimulates guanylate cyclase | 1 | 58.3× | 0.132 | ITPR1 |
| Elevation of cytosolic Ca2+ levels | 1 | 51.0× | 0.132 | ITPR1 |
| Platelet calcium homeostasis | 1 | 51.0× | 0.132 | ITPR1 |
| cGMP effects | 1 | 51.0× | 0.132 | ITPR1 |
| Repression of WNT target genes | 1 | 51.0× | 0.132 | TLE1 |
| RNA Polymerase III Chain Elongation | 1 | 45.3× | 0.132 | POLR3A |
| Glycosphingolipid catabolism | 2 | 41.8× | 0.132 | GALC, GBA1 |
| VEGFR2 mediated cell proliferation | 1 | 40.8× | 0.132 | ITPR1 |
| Microtubule-dependent trafficking of connexons from Golgi to the plasma membrane | 1 | 38.8× | 0.132 | TUBA1A |
| Transport of connexons to the plasma membrane | 1 | 38.8× | 0.132 | TUBA1A |
| RNA Polymerase III Transcription Termination | 1 | 35.5× | 0.132 | POLR3A |
| Gap junction trafficking and regulation | 1 | 34.0× | 0.132 | TUBA1A |
| Gap junction trafficking | 1 | 34.0× | 0.132 | TUBA1A |
| Post-chaperonin tubulin folding pathway | 1 | 34.0× | 0.132 | TUBA1A |
| Effects of PIP2 hydrolysis | 1 | 32.6× | 0.132 | ITPR1 |
| Role of phospholipids in phagocytosis | 1 | 32.6× | 0.132 | ITPR1 |
| Complex III assembly | 1 | 31.4× | 0.132 | BCS1L |
| Formation of tubulin folding intermediates by CCT/TriC | 1 | 30.2× | 0.132 | TUBA1A |
| RNA Polymerase III Transcription Initiation From Type 2 Promoter | 1 | 30.2× | 0.132 | POLR3A |
| COPI-independent Golgi-to-ER retrograde traffic | 2 | 29.7× | 0.132 | RAB3GAP1, TUBA1A |
| Cooperation of Prefoldin and TriC/CCT in actin and tubulin folding | 1 | 29.1× | 0.132 | TUBA1A |
| RNA Polymerase III Transcription Initiation From Type 1 Promoter | 1 | 29.1× | 0.132 | POLR3A |
| RNA Polymerase III Transcription Initiation From Type 3 Promoter | 1 | 29.1× | 0.132 | POLR3A |
| Prefoldin mediated transfer of substrate to CCT/TriC | 1 | 28.1× | 0.132 | TUBA1A |
| Anti-inflammatory response favouring Leishmania parasite infection | 1 | 28.1× | 0.132 | ITPR1 |
| Leishmania parasite growth and survival | 1 | 28.1× | 0.132 | ITPR1 |
| Activation of AMPK downstream of NMDARs | 1 | 27.2× | 0.132 | TUBA1A |
| Interaction between L1 and Ankyrins | 1 | 26.3× | 0.132 | SCN2A |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 17 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| pyramidal neuron differentiation | 2 | 396.5× | 0.002 | TUBA1A, GBA1 |
| neuron apoptotic process | 3 | 32.7× | 0.010 | SCN2A, TUBA1A, GBA1 |
| cell volume homeostasis | 2 | 70.8× | 0.020 | SLC12A5, CLCN6 |
| motor behavior | 2 | 66.1× | 0.020 | TUBA1A, GBA1 |
| positive regulation of neuronal action potential | 1 | 991.3× | 0.025 | GBA1 |
| galactosylceramide catabolic process | 1 | 495.6× | 0.025 | GALC |
| hypotonic response | 1 | 495.6× | 0.025 | SLC12A5 |
| intrinsic apoptotic signaling pathway in response to osmotic stress | 1 | 495.6× | 0.025 | SCN2A |
| cerebellar Purkinje cell layer formation | 1 | 495.6× | 0.025 | GBA1 |
| thermosensory behavior | 1 | 495.6× | 0.025 | SLC12A5 |
| positive regulation of glutamate neurotransmitter secretion in response to membrane depolarization | 1 | 495.6× | 0.025 | RAB3GAP1 |
| beta-glucoside catabolic process | 1 | 495.6× | 0.025 | GBA1 |
| regulation of calcium ion-dependent exocytosis of neurotransmitter | 1 | 495.6× | 0.025 | RAB3GAP1 |
| release of sequestered calcium ion into cytosol by endoplasmic reticulum | 1 | 495.6× | 0.025 | ITPR1 |
| response to mechanical stimulus | 2 | 35.4× | 0.025 | CLCN6, TUBA1A |
| myelination | 2 | 29.6× | 0.025 | SCN2A, GALC |
| glucosylceramide catabolic process | 1 | 330.4× | 0.030 | GBA1 |
| termination of signal transduction | 1 | 330.4× | 0.030 | GBA1 |
| establishment of protein localization to endoplasmic reticulum membrane | 1 | 330.4× | 0.030 | RAB3GAP1 |
| regulation of lysosomal protein catabolic process | 1 | 330.4× | 0.030 | GBA1 |
| negative regulation of cellular response to oxidative stress | 1 | 247.8× | 0.033 | TBC1D24 |
| positive regulation of protein lipidation | 1 | 247.8× | 0.033 | RAB3GAP1 |
| positive regulation of endoplasmic reticulum tubular network organization | 1 | 247.8× | 0.033 | RAB3GAP1 |
| memory | 2 | 21.6× | 0.033 | SCN2A, TUBA1A |
| protein insertion into mitochondrial inner membrane from matrix | 1 | 198.3× | 0.039 | BCS1L |
| autophagosome organization | 1 | 198.3× | 0.039 | GBA1 |
| response to pH | 1 | 165.2× | 0.041 | GBA1 |
| cerebellar cortex morphogenesis | 1 | 165.2× | 0.041 | TUBA1A |
| voluntary musculoskeletal movement | 1 | 165.2× | 0.041 | ITPR1 |
| lymphocyte migration | 1 | 141.6× | 0.044 | GBA1 |
Therapeutics
Drugs indicated for this disease
1 approved, 6 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Penicillamine | Approved (phase 4) |
| Levetiracetam | Phase 3 (in late-stage trials) |
| Piracetam | Phase 3 (in late-stage trials) |
| Pyridoxine | Phase 3 (in late-stage trials) |
| Sarizotan | Phase 3 (in late-stage trials) |
| Tetrabenazine | Phase 3 (in late-stage trials) |
| Valbenazine | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Carisbamate, Famotidine.
Drug target analysis
Approved (phase 4): 4 · Phase ≥3: 4 · Phased (≥1): 4 · Undrugged: 14
Druggability breadth: 9 of 18 evidence-associated genes (50%) 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 |
|---|---|
| SCN2A | BEPRIDIL |
| TUBA1A | COLCHICINE |
| ESRRG | DIETHYLSTILBESTROL |
| GBA1 | MIGALASTAT |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SCN2A | 99 | 4 |
| TUBA1A | 22 | 4 |
| GBA1 | 12 | 4 |
| ESRRG | 2 | 4 |
| GNAO1 | 0 | 0 |
| TLE1 | 0 | 0 |
| RIC3 | 0 | 0 |
| BCS1L | 0 | 0 |
| SLC12A5 | 0 | 0 |
| CASD1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| BEPRIDIL | 4 | SCN2A |
| DIBUCAINE | 4 | SCN2A |
| ARTICAINE | 4 | SCN2A |
| BUPIVACAINE | 4 | SCN2A |
| IMIPRAMINE | 4 | SCN2A |
| DROPERIDOL | 4 | SCN2A |
| DICYCLOMINE | 4 | SCN2A |
| TETRABENAZINE | 4 | SCN2A |
| PHENIRAMINE | 4 | SCN2A |
| PRILOCAINE | 4 | SCN2A |
| PROPOXYCAINE | 4 | SCN2A |
| PROPARACAINE | 4 | SCN2A |
| HEXYLCAINE | 4 | SCN2A |
| PRAMOXINE | 4 | SCN2A |
| BENOXINATE | 4 | SCN2A |
| QUINIDINE | 4 | SCN2A |
| FELODIPINE | 4 | SCN2A |
| PHENYTOIN | 4 | SCN2A |
| QUININE | 4 | SCN2A |
| NISOLDIPINE | 4 | SCN2A |
| NIFEDIPINE | 4 | SCN2A |
| PRAZOSIN | 4 | SCN2A |
| DILTIAZEM | 4 | SCN2A |
| PRENYLAMINE | 4 | SCN2A |
| COCAINE | 4 | SCN2A |
| TRIFLUOPERAZINE | 4 | SCN2A |
| CINNARIZINE | 4 | SCN2A |
| THIORIDAZINE | 4 | SCN2A |
| ETIDOCAINE | 4 | SCN2A |
| CHLORPHENIRAMINE | 4 | SCN2A |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 3.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| TUBA1A | 1,696 | Binding:1655, Functional:35, ADMET:6 |
| GBA1 | 436 | Binding:403, Functional:33 |
| SCN2A | 203 | Binding:172, Functional:20, ADMET:10, Toxicity:1 |
| ESRRG | 135 | Binding:121, Functional:13, ADMET:1 |
| ITPR1 | 13 | Binding:12, Functional:1 |
| GNAO1 | 12 | Functional:10, Binding:2 |
| SLC12A5 | 6 | Functional:4, Binding:2 |
| GALC | 3 | Binding:2, Functional:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| CASD1 | 2.3.1.45 | N-acetylneuraminate 9-O-acetyltransferase |
| GALC | 3.2.1.46 | galactosylceramidase |
| GBA1 | 3.2.1.45 | glucosylceramidase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| SCN2A | 203 |
| TUBA1A | 1,696 |
| ESRRG | 135 |
| GBA1 | 436 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 18; 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) |
|---|---|---|
| BEPRIDIL | 4 | SCN2A |
| DIBUCAINE | 4 | SCN2A |
| ARTICAINE | 4 | SCN2A |
| BUPIVACAINE | 4 | SCN2A |
| IMIPRAMINE | 4 | SCN2A |
| DROPERIDOL | 4 | SCN2A |
| DICYCLOMINE | 4 | SCN2A |
| TETRABENAZINE | 4 | SCN2A |
| PHENIRAMINE | 4 | SCN2A |
| PRILOCAINE | 4 | SCN2A |
| PROPOXYCAINE | 4 | SCN2A |
| PROPARACAINE | 4 | SCN2A |
| HEXYLCAINE | 4 | SCN2A |
| PRAMOXINE | 4 | SCN2A |
| BENOXINATE | 4 | SCN2A |
| QUINIDINE | 4 | SCN2A |
| FELODIPINE | 4 | SCN2A |
| PHENYTOIN | 4 | SCN2A |
| QUININE | 4 | SCN2A |
| NISOLDIPINE | 4 | SCN2A |
| NIFEDIPINE | 4 | SCN2A |
| PRAZOSIN | 4 | SCN2A |
| DILTIAZEM | 4 | SCN2A |
| PRENYLAMINE | 4 | SCN2A |
| COCAINE | 4 | SCN2A |
| TRIFLUOPERAZINE | 4 | SCN2A |
| CINNARIZINE | 4 | SCN2A |
| THIORIDAZINE | 4 | SCN2A |
| ETIDOCAINE | 4 | SCN2A |
| CHLORPHENIRAMINE | 4 | SCN2A |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 4 | SCN2A, TUBA1A, ESRRG, GBA1 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | DPP6 |
| D | Druggable family + AlphaFold only, no drug | 3 | CASD1, GALC, ITPR1 |
| E | Difficult family or no structure, no drug | 10 | GNAO1, TLE1, RIC3, BCS1L, SLC12A5, RAB3GAP1, CLCN6, PDZD4, TBC1D24, POLR3A |
Undrugged target profiles
14 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| TLE1 | 0 | ESRRG |
| GNAO1 | 12 | — |
| RIC3 | 0 | — |
| BCS1L | 0 | — |
| SLC12A5 | 6 | — |
| CASD1 | 0 | — |
| RAB3GAP1 | 0 | — |
| CLCN6 | 0 | — |
| PDZD4 | 0 | — |
| TBC1D24 | 0 | — |
| POLR3A | 0 | — |
| DPP6 | 0 | — |
| GALC | 3 | — |
| ITPR1 | 13 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 184.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 157 |
| PHASE2 | 12 |
| PHASE1/PHASE2 | 6 |
| PHASE1 | 4 |
| PHASE4 | 3 |
| PHASE3 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06710574 | PHASE4 | RECRUITING | Multimodal Image Technologies Investigate the Role and Mechanism of Probiotics in Improving RBD with Parkinson’s Disease |
| NCT01662414 | PHASE4 | COMPLETED | Effect of Undenatured Cysteine-Rich Whey Protein Isolate (HMS 90®) in Patients With Parkinson’s Disease |
| NCT04871464 | PHASE4 | UNKNOWN | Role and Mechanism of Probiotics in Improving Motor Symptoms in Mild to Moderate Parkinson’s Disease |
| NCT01838278 | PHASE3 | UNKNOWN | Effectiveness of Vojta Therapy in Motor Development of Preterm Children |
| NCT06948019 | PHASE1/PHASE2 | NOT_YET_RECRUITING | Safety and Efficacy of AAV9/AP4B1 (BFB-101) For Patients With AP4B1-related Hereditary Spastic Paraplegia Type 47 (SPG47) |
| NCT00001929 | PHASE2 | COMPLETED | Treatment of Parkinson’s Disease With Eliprodil |
| NCT00036296 | PHASE1/PHASE2 | COMPLETED | Effects of Talampanel on Patients With Advanced Parkinson’s Disease |
| NCT00037167 | PHASE1/PHASE2 | COMPLETED | Effects of Exercise Poles on Older Adults During Exercise Walking |
| NCT00331669 | PHASE2 | UNKNOWN | Efficacy and Safety of Deep Brain Stimulation (DBS) of the Pallidal (GPi) in Patients With Tardive Dystonia |
| NCT00406029 | PHASE2 | COMPLETED | Dyskinesia in Parkinson’s Disease (Study P04501) |
| NCT00537017 | PHASE2 | COMPLETED | Follow Up Safety Study of SCH 420814 in Subjects With Parkinson’s Disease (P05175) |
| NCT00693472 | PHASE2 | TERMINATED | Study of Preladenant for the Treatment of Neuroleptic Induced Akathisia (Study P05145) |
| NCT01385592 | PHASE2 | COMPLETED | Evaluation of the Efficacy and Safety of AFQ056 in Parkinson’s Patients With L-dopa Induced Dyskinesias |
| NCT01491529 | PHASE2 | COMPLETED | Evaluation of the Efficacy and Safety of Modified Release AFQ056 in Parkinson’s Patients With L-dopa Induced Dyskinesias |
| NCT01491932 | PHASE2 | COMPLETED | Open-label, Long-term Safety Extension Study of AFQ056 in Parkinson’s Patients With L-dopa Induced Dyskinesias |
| NCT02500628 | PHASE2 | COMPLETED | Heart Rate Variability in Response to Metformin Challenge |
| NCT03295786 | PHASE1/PHASE2 | COMPLETED | Clinical Study to Test the Safety of CDNF by Brain Infusion in Patients With Parkinson’s Disease |
| NCT03775538 | PHASE1/PHASE2 | COMPLETED | Safety of CDNF by Brain Infusion in Patients With Parkinson’s Disease. Extension to HP-CD-CL-2002 Clinical Study |
| NCT04228653 | PHASE1/PHASE2 | UNKNOWN | Long-Term Follow-up Safety After DDS Implantation With/Without CDNF Infusions |
| NCT04536987 | PHASE2 | COMPLETED | Robot Therapy for Rehabilitation of Hand Movement After Stroke |
| NCT04912115 | PHASE2 | SUSPENDED | Randomized, Double-Blind, Active Placebo-Controlled Study of Ketamine to Treat Levodopa-Induced Dyskinesia |
| NCT05636852 | PHASE2 | TERMINATED | Altropane Dose for Imaging Patients With Suspected Parkinson’s Disease |
| NCT07232147 | PHASE1 | NOT_YET_RECRUITING | Clinical Research on Stem Cell Therapy for Parkinson’s Disease |
| NCT00001663 | PHASE1 | COMPLETED | Treatment of Cortical Myoclonus With Repetitive Transcranial Magnetic Stimulation |
| NCT02589340 | PHASE1 | TERMINATED | Buspirone, in Combination With Amantadine, for the Treatment of Levodopa-induced Dyskinesia |
| NCT03065192 | PHASE1 | COMPLETED | Safety and Efficacy Study of VY-AADC01 for Advanced Parkinson’s Disease |
| NCT00500994 | EARLY_PHASE1 | COMPLETED | Neurobiology of Functional Movement Disorder and Non-Epileptic Seizures |
| NCT00001208 | Not specified | RECRUITING | Botulinum Toxin for the Treatment of Involuntary Movement Disorders |
| NCT00001252 | Not specified | RECRUITING | Human Movement Database |
| NCT00018889 | Not specified | RECRUITING | Phenotype/Genotype Correlations in Movement Disorders |
| NCT02014246 | Not specified | RECRUITING | Genetic Characterization of Movement Disorders and Dementias |
| NCT02252380 | Not specified | ACTIVE_NOT_RECRUITING | ExAblate Transcranial MRgFUS for the Management of Treatment-Refractory Movement Disorders |
| NCT02696603 | Not specified | ACTIVE_NOT_RECRUITING | Mobile Parkinson Observatory for Worldwide, Evidence-based Research (mPower) |
| NCT03100474 | Not specified | ACTIVE_NOT_RECRUITING | Global Registry: ExAblate Neuro MR Guided Focused Ultrasound (MRgFUS) of Neurological Disorders: |
| NCT04061135 | Not specified | RECRUITING | Neurophysiological, Behavioral, and Cognitive Networks in Movement Disorders |
| NCT04071847 | Not specified | RECRUITING | Abbott DBS Post-Market Study of Outcomes for Indications Over Time |
| NCT04681781 | Not specified | ENROLLING_BY_INVITATION | SLC13A5 Deficiency Natural History Study - Remote Only |
| NCT04784494 | Not specified | ACTIVE_NOT_RECRUITING | MST for Parkinson’s Disease |
| NCT04848077 | Not specified | RECRUITING | STEPWISE Parkinson: A Smartphone Based Exercise Solution for Patients With Parkinson’s Disease |
| NCT04985539 | Not specified | ACTIVE_NOT_RECRUITING | The Personalized Parkinson Project De Novo Cohort |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| LEVODOPA | 4 | 2 |
| BUSPIRONE | 4 | 1 |
| HALOPERIDOL | 4 | 1 |
| IOFLUPANE | 4 | 1 |
| PRELADENANT | 3 | 3 |
| ALTROPANE | 3 | 1 |
| MAVOGLURANT | 2 | 3 |
| ELIPRODIL | 2 | 1 |
| ISOXAFLUTOLE | 2 | 1 |
| TALAMPANEL | 2 | 1 |
| CHEMBL280974 | 0 | 1 |