Multiple self-healing squamous epithelioma

disease
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Also known as ESS1ESS1 (formerly)familial primary self-healing squamous epithelioma of the skin, Ferguson-Smith typeFerguson-Smith diseaseFerguson-Smith syndromeFerguson-Smith tumorFerguson-Smith tumourMSSEmultiple keratoacanthoma, Ferguson-Smith typemultiple self healing epithelioma of Ferguson-Smithmultiple self healing squamous epitheliomamultiple self-healing squamous epithelioma, susceptibility toself-healing squamous epithelioma type 1

Summary

Multiple self-healing squamous epithelioma (MONDO:0007566) is a disease caused by TGFBR1 (GenCC Definitive), with 1 cohort gene.

At a glance

  • Prevalence: Unknown (Worldwide) [Orphanet-validated]
  • Causal gene: TGFBR1 (GenCC Definitive)
  • Cohort genes: 1
  • ClinVar variants: 47

Clinical features

Epidemiology

Prevalence records

1 prevalence record(s), Orphanet:

TypeClassValueGeographyValidation
Cases/families100WorldwideValidated

Identifiers

Disease identifiers

FieldValue
Canonical namemultiple self-healing squamous epithelioma
Mondo IDMONDO:0007566
MeSHC536150
OMIM132800
Orphanet65748
DOIDDOID:5585
NCITC4461
SNOMED CT254659009
UMLSC0546476
MedGen154270
GARD0003090
Is cancer (heuristic)no

Also known as: ESS1 · ESS1 (formerly) · familial primary self-healing squamous epithelioma of the skin, Ferguson-Smith type · Ferguson-Smith disease · Ferguson-Smith syndrome · Ferguson-Smith tumor · Ferguson-Smith tumour · MSSE · multiple keratoacanthoma, Ferguson-Smith type · multiple self healing epithelioma of Ferguson-Smith · multiple self healing squamous epithelioma · multiple self-healing squamous epithelioma · multiple self-healing squamous epithelioma, susceptibility to · self-healing squamous epithelioma type 1

Data availability: 47 ClinVar variants · 5 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary diseasehereditary neoplastic syndromemultiple self-healing squamous epithelioma

Related subtypes (116): mosaic variegated aneuploidy syndrome, tuberous sclerosis, hereditary breast ovarian cancer syndrome, hereditary multiple osteochondromas, nevoid basal cell carcinoma syndrome, leukemia, chronic lymphocytic, susceptibility to, 2, blue rubber bleb nevus, cherubism, Beckwith-Wiedemann syndrome, erythroleukemia, familial, susceptibility to, goiter, multinodular 1, with or without Sertoli-Leydig cell tumors, hyperparathyroidism 2 with jaw tumors, Kaposi sarcoma, susceptibility to, hereditary leiomyomatosis and renal cell cancer, susceptibility to uveal melanoma, melanoma and neural system tumor syndrome, nasopharyngeal carcinoma, susceptibility to, 2, WAGR syndrome, neuroblastoma, susceptibility to, 1, Rothmund-Thomson syndrome, mismatch repair cancer syndrome 1, Wiskott-Aldrich syndrome, N syndrome, hereditary thrombocytopenia and hematologic cancer predisposition syndrome, prostate cancer/brain cancer susceptibility, Brooke-Spiegler syndrome, pancreatic cancer, susceptibility to, 1, Carney-Stratakis syndrome, nasopharyngeal carcinoma, susceptibility to, 1, ovarian cancer, susceptibility to, 1, colorectal cancer, susceptibility to, 1, lung cancer susceptibility 1, leukemia, chronic lymphocytic, susceptibility to, 1, Kostmann syndrome, colorectal cancer, susceptibility to, 2, colorectal cancer, susceptibility to, 3, colorectal cancer, susceptibility to, 5, colorectal cancer, susceptibility to, 6, colorectal cancer, susceptibility to, 7, leukemia, chronic lymphocytic, susceptibility to, 3, leukemia, chronic lymphocytic, susceptibility to, 4, leukemia, chronic lymphocytic, susceptibility to, 5, lung cancer susceptibility 3, colorectal cancer, susceptibility to, 8, colorectal cancer, susceptibility to, 9, colorectal cancer, susceptibility to, 10, colorectal cancer, susceptibility to, 11, lung cancer susceptibility 4, neuroblastoma, susceptibility to, 3, neuroblastoma, susceptibility to, 4, neuroblastoma, susceptibility to, 5, neuroblastoma, susceptibility to, 6, leukemia, acute lymphocytic, susceptibility to, 1, leukemia, acute lymphocytic, susceptibility to, 2, lung cancer susceptibility 5, BAP1-related tumor predisposition syndrome, familial cutaneous telangiectasia and oropharyngeal predisposition cancer syndrome, Maffucci syndrome, basal cell carcinoma, susceptibility to, 7, colorectal cancer, susceptibility to, 12, leukemia, acute lymphoblastic, susceptibility to, 3, cholangiocarcinoma, susceptibility to, progeroid features-hepatocellular carcinoma predisposition syndrome, neuroblastoma, susceptibility to, 7, DDX41-related hematologic malignancy predisposition syndrome, nasopharyngeal carcinoma, susceptibility to, 3, familial isolated hyperparathyroidism, intestinal polyposis syndrome, dyskeratosis congenita, familial rhabdoid tumor, multiple endocrine neoplasia, hereditary pheochromocytoma-paraganglioma, PTEN hamartoma tumor syndrome, familial multiple fibrofolliculoma, hereditary retinoblastoma, familial atypical multiple mole melanoma syndrome, hereditary nonpolyposis colon cancer, Li-Fraumeni syndrome, Cobb syndrome, neurofibromatosis, susceptibility to familial cutaneous melanoma, pancreatic cancer, susceptibility to, 5, leukemia, acute myeloid, susceptibility to, diffuse gastric and lobular breast cancer syndrome with or without cleft lip and/or palate, glioma susceptibility, hemangioma, capillary infantile, susceptibility to, CDH1-related diffuse gastric and lobular breast cancer syndrome, NTHL1-deficiency tumor predisposition syndrome, SAMD9-related spectrum and myeloid neoplasm risk, neuroblastoma, susceptibility to, 2, BARD1-related cancer predisposition, BRCA1-related cancer predisposition, BRCA2-related cancer predisposition, ATM-related cancer predisposition, CHEK2-related cancer predisposition, PALB2-related cancer predisposition, RAD51C-related cancer predisposition, RAD51D-related cancer predisposition, Li-fraumeni-like syndrome, breast cancer, familial, susceptibility to, 1, breast cancer, familial, susceptibility to, 2, breast cancer, familial, susceptibility to, 3, colorectal cancer, susceptibility to, 4, colorectal cancer, susceptibility to, on chromosome 15, ovarian cancer, familial, susceptibility to, 1, ovarian cancer, familial, susceptibility to, 2, ovarian cancer, familial, susceptibility to, 3, inherited hematologic cancer-predisposing syndrome, mosaic neurofibromatosis/schwannomatosis, tumor predisposition syndrome 2, prostate cancer, hereditary, X-linked 3, follicular lymphoma, susceptibility to, GPR161-related medulloblastoma predisposition, SAMD9L-related spectrum and myeloid neoplasm risk, HAVCR2-related cancer predisposition, EGLN1-related erythrocytosis and pheochromocytoma/paraganglioma predisposition

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

47 retrieved; paginated sample, class counts are floors:

16 uncertain significance, 11 conflicting classifications of pathogenicity, 6 benign/likely benign, 5 benign, 3 likely pathogenic, 3 pathogenic/likely pathogenic, 2 pathogenic, 1 likely benign

ClinVarVariant (HGVS)GeneClassificationReview
12524NM_004612.4(TGFBR1):c.722C>T (p.Ser241Leu)TGFBR1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
12526NM_004612.4(TGFBR1):c.1459C>T (p.Arg487Trp)TGFBR1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1805979NM_004612.4(TGFBR1):c.98-1G>ATGFBR1Pathogeniccriteria provided, single submitter
213882NM_004612.4(TGFBR1):c.934G>A (p.Gly312Ser)TGFBR1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
29918NM_004612.4(TGFBR1):c.1240C>T (p.Arg414Ter)TGFBR1Pathogeniccriteria provided, single submitter
1022363NM_004612.4(TGFBR1):c.791CAG[1] (p.Ala265del)TGFBR1Likely pathogeniccriteria provided, multiple submitters, no conflicts
1327058NM_004612.4(TGFBR1):c.1059_1062delinsCAATAA (p.Leu354fs)TGFBR1Likely pathogeniccriteria provided, single submitter
2582402NM_004612.4(TGFBR1):c.805+1G>TTGFBR1Likely pathogeniccriteria provided, single submitter
364096NM_004612.4(TGFBR1):c.-13T>CLOC130002223Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1081254NM_004612.4(TGFBR1):c.516A>G (p.Ser172=)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1512054NM_004612.4(TGFBR1):c.1256-3C>TTGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
161393NM_004612.4(TGFBR1):c.1433A>G (p.Asn478Ser)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
213864NM_004612.4(TGFBR1):c.52GCG[10] (p.Ala26dup)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
213881NM_004612.4(TGFBR1):c.844T>C (p.Tyr282His)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
213900NM_004612.4(TGFBR1):c.860C>T (p.Ser287Phe)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
408560NM_004612.4(TGFBR1):c.469C>T (p.Arg157Ter)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
45096NM_004612.4(TGFBR1):c.1387-4G>ATGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
618428NM_004612.4(TGFBR1):c.199C>T (p.His67Tyr)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
927276NM_004612.4(TGFBR1):c.1091C>G (p.Thr364Ser)TGFBR1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1356148NM_004612.4(TGFBR1):c.41T>C (p.Leu14Pro)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts
1425678NM_004612.4(TGFBR1):c.52GCG[3] (p.Ala21_Ala26del)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts
1527851NM_004612.4(TGFBR1):c.363_364insTCA (p.Leu121_Gly122insSer)TGFBR1Uncertain significancecriteria provided, single submitter
1698260NM_004612.4(TGFBR1):c.957G>T (p.Glu319Asp)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts
213899NM_004612.4(TGFBR1):c.613A>G (p.Ile205Val)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts
29915NM_004612.4(TGFBR1):c.134A>G (p.Asn45Ser)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts
29916NM_004612.4(TGFBR1):c.154G>C (p.Gly52Arg)TGFBR1Uncertain significancecriteria provided, single submitter
29917NM_004612.4(TGFBR1):c.806-2A>CTGFBR1Uncertain significancecriteria provided, single submitter
477564NM_004612.4(TGFBR1):c.889G>A (p.Val297Ile)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts
520216NM_004612.4(TGFBR1):c.929C>T (p.Ala310Val)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts
543893NM_004612.4(TGFBR1):c.52GCG[13] (p.Ala23_Ala26dup)TGFBR1Uncertain significancecriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 11 · 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.

GeneClassificationInheritanceDiseaseRecords
TGFBR1DefinitiveAutosomal dominantmultiple self-healing squamous epithelioma11

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
TGFBR1Orphanet:284973Marfan syndrome type 2
TGFBR1Orphanet:60030Loeys-Dietz syndrome
TGFBR1Orphanet:65748Multiple self-healing squamous epithelioma
TGFBR1Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
TGFBR1HGNC:11772ENSG00000106799P36897TGF-beta receptor type-1gencc,clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
TGFBR1TGF-beta receptor type-1Transmembrane serine/threonine kinase forming with the TGF-beta type II serine/threonine kinase receptor, TGFBR2, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3.

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.

FamilyGenesFoldFDR
Kinase127.7×0.036

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
TGFBR1Kinaseyes2.7.10.2TGFB_receptor, Activin_recp, Prot_kinase_dom

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

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

Top tissues across cohort

TissueCohort genes
saphenous vein1
tibia1
visceral pleura1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
TGFBR1269ubiquitousmarkersaphenous vein, tibia, visceral pleura

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
TGFBR14,828

Structural data

PDB: 1 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
TGFBR1P3689744

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 23. 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.

PathwayCohort genesFoldFDRSample cohort genes
Loss of Function of TGFBR2 in Cancer13806.7×0.002TGFBR1
TGFBR2 Kinase Domain Mutants in Cancer13806.7×0.002TGFBR1
TGFBR1 LBD Mutants in Cancer12855.0×0.002TGFBR1
Loss of Function of TGFBR1 in Cancer12284.0×0.002TGFBR1
Loss of Function of SMAD2/3 in Cancer11903.3×0.002TGFBR1
Signaling by TGF-beta Receptor Complex in Cancer11903.3×0.002TGFBR1
SMAD2/3 Phosphorylation Motif Mutants in Cancer11903.3×0.002TGFBR1
TGFBR1 KD Mutants in Cancer11903.3×0.002TGFBR1
TGFBR3 regulates TGF-beta signaling11427.5×0.002TGFBR1
TGF-beta receptor signaling in EMT (epithelial to mesenchymal transition)1671.8×0.003TGFBR1
Downregulation of TGF-beta receptor signaling1407.9×0.005TGFBR1
Signaling by TGFBR31368.4×0.005TGFBR1
TGF-beta receptor signaling activates SMADs1326.3×0.005TGFBR1
Signaling by TGF-beta Receptor Complex1200.3×0.008TGFBR1
Deubiquitination1124.1×0.012TGFBR1
UCH proteinases1124.1×0.012TGFBR1
Signaling by TGFB family members1115.3×0.012TGFBR1
Diseases of signal transduction by growth factor receptors and second messengers156.8×0.022TGFBR1
Ub-specific processing proteases153.1×0.023TGFBR1
Post-translational protein modification119.2×0.060TGFBR1
Disease113.1×0.084TGFBR1
Metabolism of proteins112.4×0.084TGFBR1
Signal Transduction110.2×0.098TGFBR1

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 termCohort genesFoldFDRSample cohort genes
extracellular structure organization116852.0×0.002TGFBR1
epicardium morphogenesis18426.0×0.002TGFBR1
angiogenesis involved in coronary vascular morphogenesis15617.3×0.002TGFBR1
vascular endothelial cell proliferation15617.3×0.002TGFBR1
positive regulation of vasculature development14213.0×0.002TGFBR1
positive regulation of epithelial to mesenchymal transition involved in endocardial cushion formation14213.0×0.002TGFBR1
myofibroblast differentiation13370.4×0.002TGFBR1
regulation of cardiac muscle cell proliferation13370.4×0.002TGFBR1
positive regulation of tight junction disassembly13370.4×0.002TGFBR1
ventricular compact myocardium morphogenesis12407.4×0.002TGFBR1
parathyroid gland development12407.4×0.002TGFBR1
trophoblast cell migration12407.4×0.002TGFBR1
mesenchymal cell differentiation12106.5×0.002TGFBR1
positive regulation of mesenchymal stem cell proliferation12106.5×0.002TGFBR1
primordial germ cell migration11872.4×0.002TGFBR1
coronary artery morphogenesis11872.4×0.002TGFBR1
positive regulation of extracellular matrix assembly11872.4×0.002TGFBR1
endothelial cell activation11685.2×0.002TGFBR1
response to cholesterol11685.2×0.002TGFBR1
regulation of epithelial to mesenchymal transition11532.0×0.002TGFBR1
cardiac epithelial to mesenchymal transition11203.7×0.003TGFBR1
ventricular trabecula myocardium morphogenesis11053.2×0.003TGFBR1
regulation of protein ubiquitination1887.0×0.003TGFBR1
activin receptor signaling pathway1887.0×0.003TGFBR1
neuron fate commitment1802.5×0.004TGFBR1
pharyngeal system development1802.5×0.004TGFBR1
blastocyst development1674.1×0.004TGFBR1
negative regulation of chondrocyte differentiation1674.1×0.004TGFBR1
artery morphogenesis1674.1×0.004TGFBR1
filopodium assembly1648.1×0.004TGFBR1

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.

SymbolExample approved molecule
TGFBR1MOMELOTINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
TGFBR1284

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
MOMELOTINIB4TGFBR1
DABRAFENIB4TGFBR1
NINTEDANIB4TGFBR1
DASATINIB4TGFBR1
CRIZOTINIB4TGFBR1
SARACATINIB3TGFBR1
CANERTINIB3TGFBR1
TESEVATINIB3TGFBR1
CEDIRANIB3TGFBR1
LESTAURTINIB3TGFBR1
GALUNISERTIB2TGFBR1
OSI-6322TGFBR1
OSI-0272TGFBR1
VACTOSERTIB2TGFBR1
BMS-6905142TGFBR1
DANUSERTIB2TGFBR1
R-4062TGFBR1
AT-92832TGFBR1
ZILURGISERTIB2TGFBR1
TOZASERTIB2TGFBR1
KER-0472TGFBR1
GSK-10709161TGFBR1
TAK-9011TGFBR1
XL-2281TGFBR1
MK-51081TGFBR1
LY-32008821TGFBR1
CYC-1161TGFBR1
PF-069522291TGFBR1

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 1.

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

SymbolAssaysType breakdown
TGFBR1541Binding:516, Functional:13, ADMET:12

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TGFBR12.7.10.2, 2.7.11.30non-specific protein-tyrosine kinase, receptor protein serine/threonine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
TGFBR1541

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

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

CompoundMax phaseCohort target (bioactivity)
MOMELOTINIB4TGFBR1
DABRAFENIB4TGFBR1
NINTEDANIB4TGFBR1
DASATINIB4TGFBR1
CRIZOTINIB4TGFBR1
SARACATINIB3TGFBR1
CANERTINIB3TGFBR1
TESEVATINIB3TGFBR1
CEDIRANIB3TGFBR1
LESTAURTINIB3TGFBR1
GALUNISERTIB2TGFBR1
OSI-6322TGFBR1
OSI-0272TGFBR1
VACTOSERTIB2TGFBR1
BMS-6905142TGFBR1
DANUSERTIB2TGFBR1
R-4062TGFBR1
AT-92832TGFBR1
ZILURGISERTIB2TGFBR1
TOZASERTIB2TGFBR1
KER-0472TGFBR1
GSK-10709161TGFBR1
TAK-9011TGFBR1
XL-2281TGFBR1
MK-51081TGFBR1
LY-32008821TGFBR1
CYC-1161TGFBR1
PF-069522291TGFBR1

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)1TGFBR1
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug0

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.