Muscular dystrophy
diseaseOn this page
Summary
Muscular dystrophy (MONDO:0020121) is a disease (an umbrella term covering 11 Mondo subtypes) caused by DTNA (GenCC Strong), with 32 cohort genes and 130 clinical trials. The dominant Reactome pathway is Formation of the dystrophin-glycoprotein complex (DGC) (5 cohort genes). Top therapeutic interventions include ataluren, enalapril, and artenimol.
At a glance
- Causal gene: DTNA (GenCC Strong)
- Umbrella term: 11 Mondo subtypes
- Cohort genes: 32
- ClinVar variants: 75
- Clinical trials: 130
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | muscular dystrophy |
| Mondo ID | MONDO:0020121 |
| MeSH | D009136 |
| Orphanet | 98473 |
| DOID | DOID:9884 |
| ICD-10-CM | G71.0 |
| ICD-11 | 1464662404 |
| NCIT | C84910 |
| SNOMED CT | 73297009 |
| UMLS | C0026850 |
| MedGen | 44527 |
| GARD | 0007922 |
| MedDRA | 10028356 |
| Is cancer (heuristic) | no |
Data availability: 75 ClinVar variants · 2 GenCC gene-disease records · 3 cell lines.
Disease family
An umbrella term covering 11 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › musculoskeletal system disorder › muscle tissue disorder › skeletal muscle disorder › myopathy › muscular dystrophy
Related subtypes (31): polyglucosan body myopathy, muscular atrophy, myopathy of extraocular muscle, acute quadriplegic myopathy, myofascial pain syndrome, myopathy with abnormal lipid metabolism, proximal myopathy with focal depletion of mitochondria, Brody myopathy, rippling muscle disease, myopathy due to myoadenylate deaminase deficiency, proximal myopathy with extrapyramidal signs, intermediate nemaline myopathy, hereditary inclusion-body myopathy, hereditary continuous muscle fiber activity, congenital myopathy, metabolic myopathy, myositis disease, collagen 6-related myopathy, myopathy caused by variation in CRPPA, drug-induced myopathy, myopathy caused by variation in FKRP, myopathy caused by variation in FKTN, myopathy caused by variation in POMGNT1, myopathy caused by variation in POMGNT2, myopathy caused by variation in POMT1, myopathy caused by variation in POMT2, myopathy caused by variation in GMPPB, FHL1-related myopathy, myopathy, sarcoplasmic body, myopathy with myalgia, increased serum creatine kinase, and with or without episodic rhabdomyolysis 2, myopathy with myalgia, increased serum creatine kinase, and with or without episodic rhabdomyolysis
Subtypes (11): muscular dystrophy, Barnes type, muscular dystrophy, cardiac type, muscular dystrophy, Hemizygous lethal type, muscular dystrophy, Mabry type, muscular dystrophy, progressive Pectorodorsal, progressive muscular dystrophy, distal myopathy, congenital muscular dystrophy, Fukuda-Miyanomae-Nakata syndrome, LAMA2-related muscular dystrophy, DMD-related muscular dystrophy
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
75 retrieved; paginated sample, class counts are floors:
18 pathogenic/likely pathogenic, 18 pathogenic, 13 uncertain significance, 13 conflicting classifications of pathogenicity, 11 likely pathogenic, 1 benign/likely benign, 1 benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 267841 | 46;XX;t(7;13)(p13;q34)dn | Pathogenic | criteria provided, single submitter | |
| 285742 | NM_213599.3(ANO5):c.1213C>T (p.Gln405Ter) | ANO5 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 17621 | NM_000070.3(CAPN3):c.550del (p.Thr184fs) | CAPN3 | Pathogenic | reviewed by expert panel |
| 281062 | NM_000070.3(CAPN3):c.1322del (p.Gly441fs) | CAPN3 | Pathogenic | reviewed by expert panel |
| 374143 | NM_001849.4(COL6A2):c.736-2A>G | COL6A2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 228331 | NC_000023.11:g.(?31663473)(31993012_?)del | DMD | Pathogenic | criteria provided, single submitter |
| 2502344 | NM_004006.3(DMD):c.5048del (p.Thr1683fs) | DMD | Pathogenic | criteria provided, single submitter |
| 2502887 | NM_004006.3(DMD):c.1150-14_1158dup | DMD | Pathogenic | no assertion criteria provided |
| 505317 | NM_004006.2(DMD):c.(?32)(649_?)del | DMD | Pathogenic | criteria provided, single submitter |
| 989453 | NM_004006.3(DMD):c.4271T>A (p.Leu1424Ter) | DMD | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1321153 | NM_001130987.2(DYSF):c.3931C>T (p.Gln1311Ter) | DYSF | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 4235 | NM_024301.5(FKRP):c.1387A>G (p.Asn463Asp) | FKRP | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 225925 | NM_021971.4(GMPPB):c.859C>T (p.Arg287Trp) | GMPPB | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 60546 | NM_021971.4(GMPPB):c.79G>C (p.Asp27His) | GMPPB | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 30406 | NM_004287.5(GOSR2):c.430G>T (p.Gly144Trp) | GOSR2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14478 | NM_170707.4(LMNA):c.1357C>T (p.Arg453Trp) | LMNA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14495 | NM_170707.4(LMNA):c.1130G>A (p.Arg377His) | LMNA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14525 | NM_170707.4(LMNA):c.1072G>A (p.Glu358Lys) | LMNA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 435769 | NM_170707.4(LMNA):c.832G>C (p.Ala278Pro) | LMNA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 435773 | NM_170707.4(LMNA):c.1588C>T (p.Leu530Phe) | LMNA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 435777 | NM_170707.4(LMNA):c.840_845del (p.Arg280_Asn281del) | LMNA | Pathogenic | criteria provided, single submitter |
| 66765 | NM_170707.4(LMNA):c.104T>C (p.Leu35Pro) | LMNA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 66772 | NM_170707.4(LMNA):c.1081G>A (p.Glu361Lys) | LMNA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 66931 | NM_170707.4(LMNA):c.746G>A (p.Arg249Gln) | LMNA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 211951 | NM_013382.7(POMT2):c.678del (p.Trp226fs) | LOC130056175 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 405440 | NM_004287.5(GOSR2):c.22dup (p.Thr8fs) | LRRC37A2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 7706 | NM_000303.3(PMM2):c.422G>A (p.Arg141His) | PMM2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 211950 | NM_013382.7(POMT2):c.1577-5_1577-1delinsTGA | POMT2 | Pathogenic | criteria provided, single submitter |
| 3221 | NM_013382.7(POMT2):c.1997A>G (p.Tyr666Cys) | POMT2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 4492 | NM_206926.2(SELENON):c.1295G>A (p.Arg432Gln) | SELENON | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 6 · Orphanet: 121 · 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 |
|---|---|---|---|---|
| DTNA | Strong | Autosomal dominant | muscular dystrophy | 5 |
| MAMDC2 | Moderate | Autosomal dominant | muscular dystrophy |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| DTNA | Orphanet:54260 | Left ventricular noncompaction |
| SGCA | Orphanet:62 | Alpha-sarcoglycan-related limb-girdle muscular dystrophy R3 |
| SGCD | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| SGCD | Orphanet:219 | Delta-sarcoglycan-related limb-girdle muscular dystrophy R6 |
| TTN | Orphanet:140922 | Titin-related limb-girdle muscular dystrophy R10 |
| TTN | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| TTN | Orphanet:169186 | Autosomal recessive centronuclear myopathy |
| TTN | Orphanet:178464 | Hereditary myopathy with early respiratory failure |
| TTN | Orphanet:289377 | Early-onset myopathy with fatal cardiomyopathy |
| TTN | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| TTN | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| TTN | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| TTN | Orphanet:324604 | Classic multiminicore myopathy |
| TTN | Orphanet:334 | Hereditary atrial fibrillation |
| TTN | Orphanet:466921 | Childhood-onset progressive contractures-limb-girdle weakness-muscle dystrophy syndrome |
| TTN | Orphanet:609 | Tibial muscular dystrophy |
| TTN | Orphanet:707983 | Early-onset autosomal recessive TTN-related distal myopathy |
| CAPN3 | Orphanet:267 | Calpain-3-related limb-girdle muscular dystrophy R1 |
| CAPN3 | Orphanet:565909 | Calpain-3-related limb-girdle muscular dystrophy D4 |
| TP63 | Orphanet:1072 | Ankyloblepharon filiforme adnatum-cleft palate syndrome |
| TP63 | Orphanet:141291 | Cleft lip and alveolus |
| TP63 | Orphanet:1896 | EEC syndrome |
| TP63 | Orphanet:199302 | Isolated cleft lip |
| TP63 | Orphanet:199306 | Cleft lip/palate |
| TP63 | Orphanet:2440 | Isolated split hand-split foot malformation |
| TP63 | Orphanet:69085 | Limb-mammary syndrome |
| TP63 | Orphanet:93930 | Classic bladder exstrophy |
| TP63 | Orphanet:978 | ADULT syndrome |
| SELENON | Orphanet:2020 | Congenital fiber-type disproportion myopathy |
| SELENON | Orphanet:324604 | Classic multiminicore myopathy |
| SELENON | Orphanet:84132 | Desmin-related myopathy with Mallory body-like inclusions |
| SELENON | Orphanet:97244 | Rigid spine syndrome |
| FKRP | Orphanet:34515 | FKRP-related limb-girdle muscular dystrophy R9 |
| FKRP | Orphanet:370959 | Congenital muscular dystrophy with cerebellar involvement |
| FKRP | Orphanet:370968 | Congenital muscular dystrophy with intellectual disability |
| FKRP | Orphanet:370980 | Congenital muscular dystrophy without intellectual disability |
| FKRP | Orphanet:588 | Muscle-eye-brain disease |
| FKRP | Orphanet:899 | Walker-Warburg syndrome |
| CHKB | Orphanet:280671 | Megaconial congenital muscular dystrophy |
| CHKB | Orphanet:521305 | Proximal myopathy with focal depletion of mitochondria |
| POMT2 | Orphanet:206559 | POMT2-related limb-girdle muscular dystrophy R14 |
| POMT2 | Orphanet:370959 | Congenital muscular dystrophy with cerebellar involvement |
| POMT2 | Orphanet:370968 | Congenital muscular dystrophy with intellectual disability |
| POMT2 | Orphanet:588 | Muscle-eye-brain disease |
| POMT2 | Orphanet:899 | Walker-Warburg syndrome |
| COL6A2 | Orphanet:289380 | Myosclerosis |
| COL6A2 | Orphanet:610 | Bethlem muscular dystrophy |
| COL6A2 | Orphanet:646113 | Intermediate collagen VI-related muscular dystrophy |
| COL6A2 | Orphanet:75840 | Ullrich congenital muscular dystrophy |
| COL6A3 | Orphanet:464440 | Primary dystonia, DYT27 type |
Cohort genes → proteins
32 cohort genes, 32 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 32 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| MAMDC2 | HGNC:23673 | ENSG00000165072 | Q7Z304 | MAM domain-containing protein 2 | gencc |
| DTNA | HGNC:3057 | ENSG00000134769 | Q9Y4J8 | Dystrobrevin alpha | gencc |
| SGCA | HGNC:10805 | ENSG00000108823 | Q16586 | Alpha-sarcoglycan | clinvar |
| SGCD | HGNC:10807 | ENSG00000170624 | Q92629 | Delta-sarcoglycan | clinvar |
| TTN | HGNC:12403 | ENSG00000155657 | Q8WZ42 | Titin | clinvar |
| CAPN3 | HGNC:1480 | ENSG00000092529 | P20807 | Calpain-3 | clinvar |
| TP63 | HGNC:15979 | ENSG00000073282 | Q9H3D4 | Tumor protein 63 | clinvar |
| SELENON | HGNC:15999 | ENSG00000162430 | Q9NZV5 | Selenoprotein N | clinvar |
| FKRP | HGNC:17997 | ENSG00000181027 | Q9H9S5 | Ribitol 5-phosphate transferase FKRP | clinvar |
| CHKB | HGNC:1938 | ENSG00000100288 | Q9Y259 | Choline/ethanolamine kinase | clinvar |
| POMT2 | HGNC:19743 | ENSG00000009830 | Q9UKY4 | Protein O-mannosyl-transferase 2 | clinvar |
| COL6A2 | HGNC:2212 | ENSG00000142173 | P12110 | Collagen alpha-2(VI) chain | clinvar |
| COL6A3 | HGNC:2213 | ENSG00000163359 | P12111 | Collagen alpha-3(VI) chain | clinvar |
| GMPPB | HGNC:22932 | ENSG00000173540 | Q9Y5P6 | Mannose-1-phosphate guanylyltransferase catalytic subunit beta | clinvar |
| TRAPPC11 | HGNC:25751 | ENSG00000168538 | Q7Z392 | Trafficking protein particle complex subunit 11 | clinvar |
| ANO5 | HGNC:27337 | ENSG00000171714 | Q75V66 | Anoctamin-5 | clinvar |
| SMCHD1 | HGNC:29090 | ENSG00000101596 | A6NHR9 | Structural maintenance of chromosomes flexible hinge domain-containing protein 1 | clinvar |
| DMD | HGNC:2928 | ENSG00000198947 | P11532 | Dystrophin | clinvar |
| DYSF | HGNC:3097 | ENSG00000135636 | O75923 | Dysferlin | clinvar |
| LRRC37A2 | HGNC:32404 | ENSG00000238083 | A6NM11 | Leucine-rich repeat-containing protein 37A2 | clinvar |
| DTHD1 | HGNC:37261 | ENSG00000197057 | Q6ZMT9 | Death domain-containing protein 1 | clinvar |
| CRPPA | HGNC:37276 | ENSG00000214960 | A4D126 | D-ribitol-5-phosphate cytidylyltransferase | clinvar |
| GAA | HGNC:4065 | ENSG00000171298 | P10253 | Lysosomal alpha-glucosidase | clinvar |
| GOSR2 | HGNC:4431 | ENSG00000108433 | O14653 | Golgi SNAP receptor complex member 2 | clinvar |
| HMGCR | HGNC:5006 | ENSG00000113161 | P04035 | 3-hydroxy-3-methylglutaryl-coenzyme A reductase | clinvar |
| LAMA2 | HGNC:6482 | ENSG00000196569 | P24043 | Laminin subunit alpha-2 | clinvar |
| LARGE1 | HGNC:6511 | ENSG00000133424 | O95461 | Xylosyl- and glucuronyltransferase LARGE1 | clinvar |
| LMNA | HGNC:6636 | ENSG00000160789 | P02545 | Prelamin-A/C | clinvar |
| MYH2 | HGNC:7572 | ENSG00000125414 | Q9UKX2 | Myosin-2 | clinvar |
| NEB | HGNC:7720 | ENSG00000183091 | P20929 | Nebulin | clinvar |
| PMM2 | HGNC:9115 | ENSG00000140650 | O15305 | Phosphomannomutase 2 | clinvar |
| PSMB4 | HGNC:9541 | ENSG00000159377 | P28070 | Proteasome subunit beta type-4 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| DTNA | Dystrobrevin alpha | May be involved in the formation and stability of synapses as well as being involved in the clustering of nicotinic acetylcholine receptors. |
| SGCA | Alpha-sarcoglycan | Component of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix. |
| SGCD | Delta-sarcoglycan | Component of the sarcoglycan complex, a subcomplex of the dystrophin-glycoprotein complex which forms a link between the F-actin cytoskeleton and the extracellular matrix. |
| TTN | Titin | Key component in the assembly and functioning of vertebrate striated muscles. |
| CAPN3 | Calpain-3 | Calcium-regulated non-lysosomal thiol-protease. |
| TP63 | Tumor protein 63 | Acts as a sequence specific DNA binding transcriptional activator or repressor. |
| SELENON | Selenoprotein N | Plays an important role in cell protection against oxidative stress and in the regulation of redox-related calcium homeostasis. |
| FKRP | Ribitol 5-phosphate transferase FKRP | Catalyzes the transfer of a ribitol 5-phosphate from CDP-L-ribitol to the ribitol 5-phosphate previously attached by FKTN/fukutin to the phosphorylated O-mannosyl trisaccharide (N-acetylgalactosamine-beta-3-N-acetylglucosamine-beta-4-(phos… |
| CHKB | Choline/ethanolamine kinase | Has a key role in phospholipid metabolism, and catalyzes the first step of phosphatidylethanolamine and phosphatidylcholine biosynthesis. |
| POMT2 | Protein O-mannosyl-transferase 2 | Transfers mannosyl residues to the hydroxyl group of serine or threonine residues. |
| COL6A2 | Collagen alpha-2(VI) chain | Collagen VI acts as a cell-binding protein. |
| COL6A3 | Collagen alpha-3(VI) chain | Collagen VI acts as a cell-binding protein. |
| GMPPB | Mannose-1-phosphate guanylyltransferase catalytic subunit beta | Catalytic subunit of the GMPPA-GMPPB mannose-1-phosphate guanylyltransferase complex. |
| TRAPPC11 | Trafficking protein particle complex subunit 11 | Involved in endoplasmic reticulum to Golgi apparatus trafficking at a very early stage. |
| ANO5 | Anoctamin-5 | Plays a role in plasma membrane repair in a process involving annexins. |
| SMCHD1 | Structural maintenance of chromosomes flexible hinge domain-containing protein 1 | Non-canonical member of the structural maintenance of chromosomes (SMC) protein family that plays a key role in epigenetic silencing by regulating chromatin architecture. |
| DMD | Dystrophin | Anchors the extracellular matrix to the cytoskeleton via F-actin. |
| DYSF | Dysferlin | Key calcium ion sensor involved in the Ca(2+)-triggered synaptic vesicle-plasma membrane fusion. |
| CRPPA | D-ribitol-5-phosphate cytidylyltransferase | Cytidylyltransferase required for protein O-linked mannosylation. |
| GAA | Lysosomal alpha-glucosidase | Essential for the degradation of glycogen in lysosomes. |
| GOSR2 | Golgi SNAP receptor complex member 2 | Involved in transport of proteins from the cis/medial-Golgi to the trans-Golgi network. |
| HMGCR | 3-hydroxy-3-methylglutaryl-coenzyme A reductase | Catalyzes the conversion of (3S)-hydroxy-3-methylglutaryl-CoA (HMG-CoA) to mevalonic acid, the rate-limiting step in the synthesis of cholesterol and other isoprenoids, thus plays a critical role in cellular cholesterol homeostasis. |
| LAMA2 | Laminin subunit alpha-2 | Binding to cells via a high affinity receptor, laminin is thought to mediate the attachment, migration and organization of cells into tissues during embryonic development by interacting with other extracellular matrix components. |
| LARGE1 | Xylosyl- and glucuronyltransferase LARGE1 | Bifunctional glycosyltransferase with both alpha-1,3-xylosyltransferase and beta-1,3-glucuronyltransferase activities involved in the maturation of alpha-dystroglycan (DAG1) by glycosylation leading to DAG1 binding to laminin G-like domain… |
| LMNA | Prelamin-A/C | Lamins are intermediate filament proteins that assemble into a filamentous meshwork, and which constitute the major components of the nuclear lamina, a fibrous layer on the nucleoplasmic side of the inner nuclear membrane. |
| MYH2 | Myosin-2 | Myosins are actin-based motor molecules with ATPase activity essential for muscle contraction. |
| NEB | Nebulin | This giant muscle protein may be involved in maintaining the structural integrity of sarcomeres and the membrane system associated with the myofibrils. |
| PMM2 | Phosphomannomutase 2 | Involved in the synthesis of the GDP-mannose and dolichol-phosphate-mannose required for a number of critical mannosyl transfer reactions. |
| PSMB4 | Proteasome subunit beta type-4 | Non-catalytic component of the 20S core proteasome complex involved in the proteolytic degradation of most intracellular proteins. |
Protein-family classification
Druggable: 11 · Difficult: 5 · Unknown: 16 · Druggable fraction: 0.34
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 |
|---|---|---|---|
| Enzyme (other) | 7 | 2.6× | 0.102 |
| Kinase | 2 | 1.7× | 0.800 |
| Protease | 1 | 1.1× | 0.800 |
| Scaffold/PPI | 2 | 1.1× | 0.800 |
| Antibody/Immunoglobulin | 1 | 0.9× | 0.800 |
| Other/Unknown | 16 | 0.9× | 0.800 |
| Transcription factor | 3 | 0.8× | 0.800 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| MAMDC2 | Other/Unknown | no | MAM_dom, ConA-like_dom_sf, MAM_domain-containing | |
| DTNA | Transcription factor | no | Znf_ZZ, EF-hand-dom_pair, EF-hand_dom_typ1 | |
| SGCA | Other/Unknown | no | Cadg, Sarcoglycan_alpha/epsilon, Cadherin-like_sf | |
| SGCD | Other/Unknown | no | Sarcoglycan, Sarcoglycan_gamma/delta/zeta | |
| TTN | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, Ig_sub2, Ig_sub |
| CAPN3 | Protease | yes | 3.4.22.54 | Pept_cys_AS, Peptidase_C2_calpain_cat, EF_hand_dom |
| TP63 | Transcription factor | no | SAM, p53_tumour_suppressor, p53-like_TF_DNA-bd_sf | |
| SELENON | Other/Unknown | no | EF_hand_dom | |
| FKRP | Other/Unknown | no | LicD/FKTN/FKRP_NTP_transf, LicD_transferase, FKRP_N | |
| CHKB | Kinase | yes | 2.7.1.32 | Kinase-like_dom_sf |
| POMT2 | Enzyme (other) | yes | 2.4.1.109 | ArnT-like_N, MIR_motif, PMT-like |
| COL6A2 | Other/Unknown | no | VWF_A, Collagen, vWFA_dom_sf | |
| COL6A3 | Antibody/Immunoglobulin | yes | VWF_A, Kunitz_BPTI, FN3_dom | |
| GMPPB | Enzyme (other) | yes | 2.7.7.13 | NTP_transferase_dom, Hexapep_transf_CS, Nucleotide-diphossugar_trans |
| TRAPPC11 | Other/Unknown | no | TPC11, TRAPPC11_C | |
| ANO5 | Other/Unknown | no | Anoctamin, Anoct_dimer, Anoctamin_TM | |
| SMCHD1 | Other/Unknown | no | SMC_hinge, SMC_hinge_sf, HATPase_C_sf | |
| DMD | Transcription factor | no | Znf_ZZ, WW_dom, Actinin_actin-bd_CS | |
| DYSF | Other/Unknown | no | C2_dom, Peroxin/Ferlin, Ferlin_A-domain | |
| LRRC37A2 | Other/Unknown | no | Leu-rich_rpt, Leu-rich_rpt_typical-subtyp, LRRC37 | |
| DTHD1 | Other/Unknown | no | Death_dom, ZU5_dom, DEATH-like_dom_sf | |
| CRPPA | Enzyme (other) | yes | 2.7.7.40 | ISPD_synthase_CS, Nucleotide-diphossugar_trans, IspD/TarI |
| GAA | Enzyme (other) | yes | 3.2.1.20 | Glyco_hydro_31_TIM, P_trefoil_dom, Gal_mutarotase_sf_dom |
| GOSR2 | Other/Unknown | no | SNARE, GOSR2/Membrin/Bos1, v-SNARE_N_sf | |
| HMGCR | Enzyme (other) | yes | 1.1.1.34 | SSD, HMG_CoA_Rdtase, HMG_CoA_Rdtase_eu_arc |
| LAMA2 | Other/Unknown | no | Laminin_IV, EGF, Laminin_G | |
| LARGE1 | Enzyme (other) | yes | 2.4.1.B80 | Glyco_trans_8, Nucleotide-diphossugar_trans, Xyl/GlcA_transferase |
| LMNA | Other/Unknown | no | Lamin_tail_dom, IF_conserved, Lamin_tail_dom_sf | |
| MYH2 | Scaffold/PPI | no | IQ_motif_EF-hand-BS, Myosin_head_motor_dom-like, Myosin_tail | |
| NEB | Scaffold/PPI | no | Nebulin_repeat, SH3_domain, Nebulin-like | |
| PMM2 | Enzyme (other) | yes | 5.4.2.8 | PMM, HAD-SF_hydro_IIB, HAD_sf |
| PSMB4 | Other/Unknown | no | Proteasome_sua/b, Proteasome_bsu_CS, Proteasome_beta4 |
Expression context
Cohort genes with no expression data: 0.
29 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) | 32 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| calcaneal tendon | 5 |
| hindlimb stylopod muscle | 4 |
| skeletal muscle tissue of rectus abdominis | 4 |
| right testis | 4 |
| mucosa of stomach | 3 |
| left ventricle myocardium | 3 |
| biceps brachii | 3 |
| stromal cell of endometrium | 3 |
| left testis | 3 |
| C1 segment of cervical spinal cord | 2 |
| apex of heart | 2 |
| gluteal muscle | 2 |
| skeletal muscle tissue of biceps brachii | 2 |
| skin of hip | 2 |
| ventricular zone | 2 |
| cardiac muscle of right atrium | 2 |
| adenohypophysis | 2 |
| granulocyte | 2 |
| body of pancreas | 2 |
| adrenal tissue | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| MAMDC2 | 221 | ubiquitous | marker | mucosa of stomach, synovial joint, lower lobe of lung |
| DTNA | 266 | ubiquitous | marker | medial globus pallidus, globus pallidus, C1 segment of cervical spinal cord |
| SGCA | 190 | broad | marker | hindlimb stylopod muscle, gastrocnemius, apex of heart |
| SGCD | 247 | broad | marker | left ventricle myocardium, skeletal muscle tissue of rectus abdominis, heart right ventricle |
| TTN | 223 | broad | marker | biceps brachii, gluteal muscle, skeletal muscle tissue of biceps brachii |
| CAPN3 | 134 | broad | marker | hindlimb stylopod muscle, skeletal muscle tissue, C1 segment of cervical spinal cord |
| TP63 | 207 | broad | marker | upper leg skin, skin of hip, upper arm skin |
| SELENON | 244 | ubiquitous | marker | stromal cell of endometrium, ventricular zone, ganglionic eminence |
| FKRP | 230 | ubiquitous | marker | left ventricle myocardium, cardiac muscle of right atrium, hindlimb stylopod muscle |
| CHKB | 134 | ubiquitous | marker | pituitary gland, granulocyte, adenohypophysis |
| POMT2 | 222 | ubiquitous | yes | right testis, left testis, testis |
| COL6A2 | 263 | ubiquitous | marker | stromal cell of endometrium, right coronary artery, descending thoracic aorta |
| COL6A3 | 264 | broad | marker | stromal cell of endometrium, visceral pleura, skin of hip |
| GMPPB | 172 | ubiquitous | marker | body of pancreas, adenohypophysis, mucosa of transverse colon |
| TRAPPC11 | 277 | ubiquitous | marker | calcaneal tendon, adrenal tissue, primordial germ cell in gonad |
| ANO5 | 220 | broad | marker | cardiac muscle of right atrium, left ventricle myocardium, vastus lateralis |
| SMCHD1 | 290 | ubiquitous | marker | calcaneal tendon, colonic epithelium, blood |
| DMD | 295 | ubiquitous | marker | trigeminal ganglion, skeletal muscle tissue of rectus abdominis, dorsal root ganglion |
| DYSF | 257 | ubiquitous | marker | blood, hindlimb stylopod muscle, skeletal muscle tissue of rectus abdominis |
| LRRC37A2 | 134 | yes | right uterine tube, right testis, cerebellar hemisphere | |
| DTHD1 | 128 | tissue_specific | marker | right uterine tube, olfactory segment of nasal mucosa, bronchial epithelial cell |
| CRPPA | 134 | ubiquitous | yes | corpus callosum, male germ line stem cell (sensu Vertebrata) in testis, calcaneal tendon |
| GAA | 261 | ubiquitous | marker | granulocyte, left testis, right testis |
| GOSR2 | 289 | ubiquitous | marker | buccal mucosa cell, left testis, right testis |
| HMGCR | 286 | ubiquitous | marker | adrenal tissue, ventricular zone, cortical plate |
| LAMA2 | 272 | ubiquitous | marker | mucosa of stomach, calcaneal tendon, right ovary |
| LARGE1 | 233 | tissue_specific | marker | heart left ventricle, cardiac ventricle, apex of heart |
| LMNA | 295 | ubiquitous | marker | nipple, mucosa of stomach, skin of abdomen |
| MYH2 | 163 | tissue_specific | marker | skeletal muscle tissue of rectus abdominis, biceps brachii, skeletal muscle tissue of biceps brachii |
| NEB | 204 | tissue_specific | marker | gluteal muscle, tibialis anterior, biceps brachii |
Protein interactions among cohort
Intra-cohort edges: 48.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| LMNA | 7,173 |
| HMGCR | 5,062 |
| TTN | 4,237 |
| PSMB4 | 3,606 |
| TP63 | 2,893 |
| COL6A2 | 2,786 |
| LAMA2 | 2,688 |
| GMPPB | 2,559 |
| DMD | 2,479 |
| COL6A3 | 2,267 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ANO5 | DYSF | string_interaction |
| ANO5 | FKRP | string_interaction |
| ANO5 | POMT2 | string_interaction |
| ANO5 | SGCA | string_interaction |
| ANO5 | SGCD | string_interaction |
| CAPN3 | DMD | string_interaction |
| CAPN3 | DYSF | string_interaction |
| CAPN3 | FKRP | string_interaction |
| CAPN3 | TTN | biogrid_interaction, intact, string_interaction |
| COL6A2 | COL6A3 | string_interaction |
| COL6A2 | DMD | string_interaction |
| COL6A3 | DYSF | intact |
| CRPPA | FKRP | string_interaction |
| CRPPA | GMPPB | string_interaction |
| CRPPA | LARGE1 | string_interaction |
| CRPPA | POMT2 | string_interaction |
| DMD | DTNA | biogrid_interaction, intact, string_interaction |
| DMD | DYSF | string_interaction |
| DMD | LAMA2 | string_interaction |
| DMD | NEB | string_interaction |
| DMD | SGCA | string_interaction |
| DMD | SGCD | string_interaction |
| DTNA | SGCA | string_interaction |
| DTNA | SGCD | string_interaction |
| DYSF | FKRP | string_interaction |
| DYSF | LAMA2 | string_interaction |
| DYSF | NEB | biogrid_interaction, intact |
| DYSF | SGCA | string_interaction |
| DYSF | SGCD | string_interaction |
| DYSF | TTN | biogrid_interaction, intact |
| FKRP | GMPPB | string_interaction |
| FKRP | LAMA2 | string_interaction |
| FKRP | LARGE1 | string_interaction |
| FKRP | POMT2 | string_interaction |
| FKRP | SGCA | string_interaction |
| GMPPB | LARGE1 | string_interaction |
| GMPPB | POMT2 | string_interaction |
| GMPPB | TRAPPC11 | string_interaction |
| GOSR2 | TRAPPC11 | string_interaction |
| LAMA2 | POMT2 | string_interaction |
| LAMA2 | SELENON | string_interaction |
| LAMA2 | SGCA | string_interaction |
| LAMA2 | SGCD | string_interaction |
| LARGE1 | POMT2 | string_interaction |
| LMNA | SGCD | string_interaction |
| MYH2 | TTN | string_interaction |
| NEB | TTN | intact, string_interaction |
| SGCA | SGCD | string_interaction |
Structural data
PDB: 22 · AlphaFold-only: 10 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PSMB4 | P28070 | 146 |
| TTN | Q8WZ42 | 64 |
| LMNA | P02545 | 28 |
| TP63 | Q9H3D4 | 26 |
| HMGCR | P04035 | 24 |
| GAA | P10253 | 19 |
| DYSF | O75923 | 11 |
| FKRP | Q9H9S5 | 8 |
| PMM2 | O15305 | 7 |
| COL6A3 | P12111 | 6 |
| DMD | P11532 | 6 |
| CAPN3 | P20807 | 5 |
| LARGE1 | O95461 | 4 |
| CHKB | Q9Y259 | 3 |
| GMPPB | Q9Y5P6 | 3 |
| NEB | P20929 | 3 |
| LAMA2 | P24043 | 2 |
| DTNA | Q9Y4J8 | 1 |
| COL6A2 | P12110 | 1 |
| SMCHD1 | A6NHR9 | 1 |
| CRPPA | A4D126 | 1 |
| GOSR2 | O14653 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| POMT2 | Q9UKY4 | 87.96 |
| TRAPPC11 | Q7Z392 | 87.76 |
| MAMDC2 | Q7Z304 | 84.97 |
| ANO5 | Q75V66 | 82.22 |
| SGCD | Q92629 | 81.43 |
| SGCA | Q16586 | 80.15 |
| MYH2 | Q9UKX2 | 73.51 |
| DTHD1 | Q6ZMT9 | 69.99 |
| LRRC37A2 | A6NM11 | 42.32 |
| SELENON | Q9NZV5 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 175. Enrichment computed across 32 evidence-associated genes (27 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 27 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Formation of the dystrophin-glycoprotein complex (DGC) | 5 | 57.2× | 4e-06 | SGCA, SGCD, DMD, DTNA, LAMA2 |
| Matriglycan biosynthesis on DAG1 | 3 | 90.6× | 4e-04 | FKRP, CRPPA, LARGE1 |
| Non-integrin membrane-ECM interactions | 4 | 22.9× | 0.001 | SGCA, SGCD, DMD, LAMA2 |
| Synthesis of GDP-mannose | 2 | 141.0× | 0.003 | GMPPB, PMM2 |
| Striated Muscle Contraction | 3 | 34.3× | 0.003 | TTN, DMD, NEB |
| ECM proteoglycans | 3 | 16.7× | 0.020 | COL6A2, COL6A3, LAMA2 |
| Extracellular matrix organization | 4 | 9.3× | 0.020 | SGCA, SGCD, CAPN3, LAMA2 |
| Defective PMM2 causes PMM2-CDG | 1 | 423.0× | 0.047 | PMM2 |
| EGR2 and SOX10-mediated initiation of Schwann cell myelination | 2 | 27.3× | 0.047 | HMGCR, LAMA2 |
| Glycogen storage diseases | 1 | 211.5× | 0.065 | GAA |
| Glycogen storage disease type II (GAA) | 1 | 211.5× | 0.065 | GAA |
| Breakdown of the nuclear lamina | 1 | 141.0× | 0.065 | LMNA |
| Defective LARGE causes MDDGA6 and MDDGB6 | 1 | 141.0× | 0.065 | LARGE1 |
| Defective POMT2 causes MDDGA2, MDDGB2 and MDDGC2 | 1 | 141.0× | 0.065 | POMT2 |
| Defective POMT1 causes MDDGA1, MDDGB1 and MDDGC1 | 1 | 141.0× | 0.065 | POMT2 |
| Collagen chain trimerization | 2 | 19.2× | 0.065 | COL6A2, COL6A3 |
| Signaling by PDGF | 2 | 18.8× | 0.065 | COL6A2, COL6A3 |
| NCAM1 interactions | 2 | 18.4× | 0.065 | COL6A2, COL6A3 |
| XBP1(S) activates chaperone genes | 2 | 16.0× | 0.065 | GOSR2, LMNA |
| Assembly of collagen fibrils and other multimeric structures | 2 | 14.8× | 0.069 | COL6A2, COL6A3 |
| DAG1 core M1 glycosylations | 1 | 105.7× | 0.079 | POMT2 |
| Collagen degradation | 2 | 13.0× | 0.081 | COL6A2, COL6A3 |
| Collagen biosynthesis and modifying enzymes | 2 | 12.6× | 0.082 | COL6A2, COL6A3 |
| DAG1 core M2 glycosylations | 1 | 84.6× | 0.086 | POMT2 |
| DAG1 core M3 glycosylations | 1 | 70.5× | 0.095 | POMT2 |
| Glycogen metabolism | 1 | 70.5× | 0.095 | GAA |
| Integrin cell surface interactions | 2 | 9.9× | 0.110 | COL6A2, COL6A3 |
| Activation of PUMA and translocation to mitochondria | 1 | 42.3× | 0.146 | TP63 |
| TP53 Regulates Transcription of Caspase Activators and Caspases | 1 | 35.2× | 0.157 | TP63 |
| TP53 Regulates Transcription of Death Receptors and Ligands | 1 | 35.2× | 0.157 | TP63 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 30 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| muscle organ development | 9 | 50.1× | 3e-11 | SGCA, SGCD, CAPN3, CHKB, COL6A3, DMD, LAMA2, LMNA (+1 more) |
| protein O-linked glycosylation via mannose | 4 | 124.8× | 4e-06 | FKRP, POMT2, CRPPA, LARGE1 |
| muscle cell cellular homeostasis | 4 | 86.4× | 1e-05 | CAPN3, DMD, GAA, LARGE1 |
| striated muscle contraction | 3 | 84.3× | 5e-04 | TTN, DTNA, LARGE1 |
| obsolete GDP-mannose biosynthetic process from mannose | 2 | 374.5× | 6e-04 | GMPPB, PMM2 |
| diaphragm contraction | 2 | 280.9× | 6e-04 | SELENON, GAA |
| connective tissue development | 2 | 280.9× | 6e-04 | FKRP, LARGE1 |
| cardiac muscle cell development | 3 | 62.4× | 6e-04 | SGCD, TTN, LARGE1 |
| muscle contraction | 4 | 27.7× | 6e-04 | SGCA, TTN, FKRP, MYH2 |
| basement membrane organization | 3 | 51.1× | 9e-04 | FKRP, POMT2, LARGE1 |
| GDP-mannose biosynthetic process | 2 | 187.2× | 0.001 | GMPPB, PMM2 |
| localization of cell | 2 | 187.2× | 0.001 | FKRP, LARGE1 |
| cardiac muscle contraction | 3 | 40.1× | 0.001 | TTN, DMD, GAA |
| reactive gliosis | 2 | 160.5× | 0.001 | POMT2, LARGE1 |
| isoprenoid biosynthetic process | 2 | 112.3× | 0.003 | CRPPA, HMGCR |
| skeletal muscle fiber differentiation | 2 | 112.3× | 0.003 | FKRP, LARGE1 |
| synaptic signaling | 2 | 102.1× | 0.003 | DMD, DTNA |
| muscle filament sliding | 2 | 70.2× | 0.006 | TTN, MYH2 |
| neuromuscular process controlling posture | 2 | 70.2× | 0.006 | GAA, LARGE1 |
| phosphatidylinositol 3-kinase/protein kinase B signal transduction | 3 | 21.1× | 0.006 | FKRP, COL6A2, COL6A3 |
| skeletal muscle tissue regeneration | 2 | 59.1× | 0.008 | FKRP, LARGE1 |
| neuron apoptotic process | 3 | 18.5× | 0.008 | TP63, COL6A2, COL6A3 |
| dentate gyrus development | 2 | 41.6× | 0.014 | POMT2, LARGE1 |
| protein tetramerization | 2 | 41.6× | 0.014 | TP63, FKRP |
| neuromuscular synaptic transmission | 2 | 40.1× | 0.014 | DTNA, LARGE1 |
| maltose metabolic process | 1 | 561.7× | 0.015 | GAA |
| monocyte activation involved in immune response | 1 | 561.7× | 0.015 | DYSF |
| sucrose metabolic process | 1 | 561.7× | 0.015 | GAA |
| ectoderm and mesoderm interaction | 1 | 561.7× | 0.015 | TP63 |
| epidermal cell division | 1 | 561.7× | 0.015 | TP63 |
Therapeutics
Drugs indicated for this disease
5 approved, 2 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Casimersen | Approved (phase 4) |
| Deflazacort | Approved (phase 4) |
| Eteplirsen | Approved (phase 4) |
| Golodirsen | Approved (phase 4) |
| Viltolarsen | Approved (phase 4) |
| Drisapersen | Phase 3 (in late-stage trials) |
| Metformin | Phase 3 (in late-stage trials) |
Drug target analysis
Approved (phase 4): 4 · Phase ≥3: 5 · Phased (≥1): 6 · Undrugged: 26
Druggability breadth: 14 of 32 evidence-associated genes (44%) 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 |
|---|---|
| GAA | DIENESTROL |
| HMGCR | SIMVASTATIN |
| LMNA | BEPRIDIL |
| PSMB4 | BORTEZOMIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| LMNA | 823 | 4 |
| GAA | 112 | 4 |
| HMGCR | 15 | 4 |
| PSMB4 | 5 | 4 |
| SMCHD1 | 1 | 2 |
| PMM2 | 1 | 3 |
| MAMDC2 | 0 | 0 |
| DTNA | 0 | 0 |
| SGCA | 0 | 0 |
| SGCD | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| DIENESTROL | 4 | GAA, LMNA |
| MIGLUSTAT | 4 | GAA |
| DICLOFENAC SODIUM | 4 | GAA |
| DIBUCAINE | 4 | GAA, LMNA |
| AMLEXANOX | 4 | GAA |
| MIGALASTAT | 4 | GAA |
| ARIPIPRAZOLE | 4 | GAA |
| DULOXETINE | 4 | GAA |
| LABETALOL HYDROCHLORIDE | 4 | GAA, LMNA |
| MORICIZINE HYDROCHLORIDE | 4 | GAA, LMNA |
| PHENYLEPHRINE HYDROCHLORIDE | 4 | GAA, LMNA |
| DEMECLOCYCLINE HYDROCHLORIDE | 4 | GAA |
| DOXAZOSIN MESYLATE | 4 | GAA, LMNA |
| PRILOCAINE HYDROCHLORIDE | 4 | GAA, LMNA |
| FLUOROMETHOLONE | 4 | GAA |
| PHENELZINE SULFATE | 4 | GAA, LMNA |
| RABEPRAZOLE SODIUM | 4 | GAA |
| METHYSERGIDE MALEATE | 4 | GAA |
| ACRISORCIN | 4 | GAA |
| ECONAZOLE NITRATE | 4 | GAA, LMNA |
| ISOETHARINE MESYLATE | 4 | GAA, LMNA |
| QUINESTROL | 4 | GAA, LMNA |
| DEFEROXAMINE MESYLATE | 4 | GAA, LMNA |
| MAPROTILINE HYDROCHLORIDE | 4 | GAA, LMNA |
| EPINEPHRINE BITARTRATE | 4 | GAA |
| PROCHLORPERAZINE MALEATE | 4 | GAA, LMNA |
| IRBESARTAN | 4 | GAA, LMNA |
| OXYTETRACYCLINE | 4 | GAA |
| DOPAMINE HYDROCHLORIDE | 4 | GAA, LMNA |
| PRAZOSIN HYDROCHLORIDE | 4 | GAA, LMNA |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 10.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| GAA | 280 | Binding:267, Functional:13 |
| PSMB4 | 171 | Binding:162, ADMET:6, Functional:3 |
| HMGCR | 153 | Binding:148, Functional:5 |
| LMNA | 12 | Binding:9, Functional:3 |
| CHKB | 11 | Binding:11 |
| SMCHD1 | 7 | Binding:7 |
| PMM2 | 3 | Binding:3 |
| LARGE1 | 2 | Functional:2 |
| TTN | 1 | Binding:1 |
| MYH2 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| TTN | 2.7.11.1 | non-specific serine/threonine protein kinase |
| CAPN3 | 3.4.22.54, 3.4.22.56 | calpain-3, caspase-3 |
| CHKB | 2.7.1.32 | choline kinase |
| POMT2 | 2.4.1.109 | dolichyl-phosphate-mannose-protein mannosyltransferase |
| GMPPB | 2.7.7.13 | mannose-1-phosphate guanylyltransferase |
| CRPPA | 2.7.7.40 | D-ribitol-5-phosphate cytidylyltransferase |
| GAA | 3.2.1.20 | alpha-glucosidase |
| HMGCR | 1.1.1.34 | hydroxymethylglutaryl-CoA reductase (NADPH) |
| LARGE1 | 2.4.1.B80, 2.4.2.B18 | , |
| PMM2 | 5.4.2.8 | phosphomannomutase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| GAA | 280 |
| HMGCR | 153 |
| PSMB4 | 171 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 32; with CPIC/DPWG dosing guidelines: 1.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|---|
| HMGCR | 1 |
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) |
|---|---|---|
| DIENESTROL | 4 | GAA, LMNA |
| MIGLUSTAT | 4 | GAA |
| DICLOFENAC SODIUM | 4 | GAA |
| DIBUCAINE | 4 | GAA, LMNA |
| AMLEXANOX | 4 | GAA |
| MIGALASTAT | 4 | GAA |
| ARIPIPRAZOLE | 4 | GAA |
| DULOXETINE | 4 | GAA |
| LABETALOL HYDROCHLORIDE | 4 | GAA, LMNA |
| MORICIZINE HYDROCHLORIDE | 4 | GAA, LMNA |
| PHENYLEPHRINE HYDROCHLORIDE | 4 | GAA, LMNA |
| DEMECLOCYCLINE HYDROCHLORIDE | 4 | GAA |
| DOXAZOSIN MESYLATE | 4 | GAA, LMNA |
| PRILOCAINE HYDROCHLORIDE | 4 | GAA, LMNA |
| FLUOROMETHOLONE | 4 | GAA |
| PHENELZINE SULFATE | 4 | GAA, LMNA |
| RABEPRAZOLE SODIUM | 4 | GAA |
| METHYSERGIDE MALEATE | 4 | GAA |
| ACRISORCIN | 4 | GAA |
| ECONAZOLE NITRATE | 4 | GAA, LMNA |
| ISOETHARINE MESYLATE | 4 | GAA, LMNA |
| QUINESTROL | 4 | GAA, LMNA |
| DEFEROXAMINE MESYLATE | 4 | GAA, LMNA |
| MAPROTILINE HYDROCHLORIDE | 4 | GAA, LMNA |
| EPINEPHRINE BITARTRATE | 4 | GAA |
| PROCHLORPERAZINE MALEATE | 4 | GAA, LMNA |
| IRBESARTAN | 4 | GAA, LMNA |
| OXYTETRACYCLINE | 4 | GAA |
| DOPAMINE HYDROCHLORIDE | 4 | GAA, LMNA |
| PRAZOSIN HYDROCHLORIDE | 4 | GAA, LMNA |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 4 | GAA, HMGCR, LMNA, PSMB4 |
| B | Phased (≥1) drug, not yet approved | 2 | SMCHD1, PMM2 |
| C | Druggable family + PDB, no drug | 7 | TTN, CAPN3, CHKB, COL6A3, GMPPB, CRPPA, LARGE1 |
| D | Druggable family + AlphaFold only, no drug | 1 | POMT2 |
| E | Difficult family or no structure, no drug | 18 | MAMDC2, DTNA, SGCA, SGCD, TP63, SELENON, FKRP, COL6A2, TRAPPC11, ANO5 (+8 more) |
Undrugged target profiles
26 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| MAMDC2 | 0 | — |
| DTNA | 0 | — |
| SGCA | 0 | — |
| SGCD | 0 | — |
| TTN | 1 | — |
| CAPN3 | 0 | — |
| TP63 | 0 | — |
| SELENON | 0 | — |
| FKRP | 0 | — |
| CHKB | 11 | — |
| POMT2 | 0 | — |
| COL6A2 | 0 | — |
| COL6A3 | 0 | — |
| GMPPB | 0 | — |
| TRAPPC11 | 0 | — |
| ANO5 | 0 | — |
| DMD | 0 | — |
| DYSF | 0 | — |
| LRRC37A2 | 0 | — |
| DTHD1 | 0 | — |
| CRPPA | 0 | — |
| GOSR2 | 0 | — |
| LAMA2 | 0 | — |
| LARGE1 | 2 | — |
| MYH2 | 1 | — |
| NEB | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 130.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 96 |
| PHASE3 | 11 |
| PHASE2 | 8 |
| PHASE1 | 8 |
| PHASE1/PHASE2 | 5 |
| PHASE4 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01882400 | PHASE4 | COMPLETED | Assessment of Response to Treatment of Osteoporosis With Oral Bisphosphonates in Patients With Muscular Dystrophy |
| NCT05126758 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Deramiocel (CAP-1002) in Ambulatory and Non-Ambulatory Patients With Duchenne Muscular Dystrophy |
| NCT07587242 | PHASE3 | NOT_YET_RECRUITING | A Phase 3 Study to Evaluate the Safety and Efficacy of AOC 1044 (Also Referred to as Delpacibart Zotadirsen) in Participants With DMD With Gene Mutations Amenable to Exon 44 Skipping |
| NCT07608432 | PHASE3 | RECRUITING | Efficacy, Safety, and Tolerability of Zeleciment Rostudirsen (DYNE-251) Administered Intravenously Every 4 Weeks in Ambulatory Participants With Duchenne Muscular Dystrophy (FORZETTO) |
| NCT01254019 | PHASE3 | COMPLETED | A Clinical Study to Assess the Efficacy and Safety of GSK2402968 in Subjects With Duchenne Muscular Dystrophy |
| NCT01480245 | PHASE3 | TERMINATED | Open Label Study of GSK2402968 in Subjects With Duchenne Muscular Dystrophy |
| NCT01803412 | PHASE3 | TERMINATED | A Study of the Safety, Tolerability & Efficacy of Long-term Administration of Drisapersen in US & Canadian Subjects |
| NCT01826487 | PHASE3 | COMPLETED | Phase 3 Study of Ataluren in Participants With Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD) |
| NCT01890798 | PHASE3 | WITHDRAWN | Drisapersen Duchenne Muscular Dystrophy (DMD) Treatment Protocol |
| NCT02090959 | PHASE3 | TERMINATED | An Extension Study of Ataluren (PTC124) in Participants With Nonsense Mutation Dystrophinopathy |
| NCT02432885 | PHASE3 | COMPLETED | Myocardial Fibrosis Progression in Duchenne and Becker Muscular Dystrophy - ACE Inhibitor Therapy Trial |
| NCT03179631 | PHASE3 | COMPLETED | Long-Term Outcomes of Ataluren in Duchenne Muscular Dystrophy |
| NCT05230459 | PHASE1/PHASE2 | RECRUITING | A Study to Evaluate the Safety of AB-1003 (Previously LION-101) in Subjects With Genetic Confirmation of LGMD2I/R9 (Part1) |
| NCT06290713 | PHASE2 | RECRUITING | Vasodilator and Exercise Study for DMD (VASO-REx) |
| NCT06547216 | PHASE2 | ACTIVE_NOT_RECRUITING | Phase 2 Open-label Extension Study of AOC 1020 in Participants With Facioscapulohumeral Muscular Dystrophy (FSHD) |
| NCT07287189 | PHASE2 | RECRUITING | Phase 2 Study of SAT-3247 in Pediatric Ambulatory Patients |
| NCT01153932 | PHASE2 | COMPLETED | Phase II Doubleblind Exploratory Study of GSK2402968 in Ambulant Subjects With Duchenne Muscular Dystrophy |
| NCT01462292 | PHASE2 | COMPLETED | A Clinical Study to Assess Two Doses of GSK2402968 in Subjects With Duchenne Muscular Dystrophy (DMD) |
| NCT01834040 | PHASE1/PHASE2 | UNKNOWN | Study Safety and Efficacy of BMMNC for the Patient With Duchenne Muscular Dystrophy |
| NCT01834066 | PHASE1/PHASE2 | UNKNOWN | Study Safety and Efficacy of Bone Marrow Derived Autologous Cells for the Treatment of Muscular Dystrophy. |
| NCT01910649 | PHASE2 | TERMINATED | A Phase I/II, Open Label, Escalating Dose, Pilot Study to Assess Effect, Safety, Tolerability and PK of Multiple SC Doses of Drisapersen in Patients With Duchenne Muscular Dystrophy and to Assess the Potential for IV Dosing as an Alternative Route of Administration |
| NCT02515669 | PHASE1/PHASE2 | TERMINATED | Study of an Investigational Drug, RO7239361 (BMS-986089), in Ambulatory Boys With DMD |
| NCT03406780 | PHASE2 | COMPLETED | A Study of CAP-1002 in Ambulatory and Non-Ambulatory Patients With Duchenne Muscular Dystrophy |
| NCT05479981 | PHASE2 | COMPLETED | Extension of AOC 1001-CS1 (MARINA) Study in Adult Myotonic Dystrophy Type 1 (DM1) Patients |
| NCT05747924 | PHASE1/PHASE2 | COMPLETED | Phase 1/2 Study of AOC 1020 in Participants With Facioscapulohumeral Muscular Dystrophy (FSHD) |
| NCT00494195 | PHASE1 | COMPLETED | Gene Transfer Therapy for Treating Children and Adults With Limb Girdle Muscular Dystrophy Type 2D (LGMD2D) |
| NCT00674843 | PHASE1 | UNKNOWN | The Efficacy of Using Far Infrared Radiation to Manage Muscular Dystrophies |
| NCT00873782 | PHASE1 | COMPLETED | Safety Study of Transvenous Limb Perfusion in Human Muscular Dystrophy |
| NCT01128855 | PHASE1 | COMPLETED | A Double-blind, Escalating Dose, Randomized, Placebo-controlled Study Assessing PK, Safety, Tolerability in Non-ambulant DMD Subjects |
| NCT02241928 | PHASE1 | WITHDRAWN | Stem Cell Therapy in Muscular Dystrophy |
| NCT03627494 | PHASE1 | COMPLETED | First Time in Human (FTIH) Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Single and Repeat Doses of GSK3439171A in Healthy Subjects and to Assess Food Effect |
| NCT05492734 | PHASE1 | COMPLETED | A Study to Assess the Feasibility of Non-invasive Dried Blood Sampling |
| NCT05730842 | PHASE1 | COMPLETED | Absorption, Metabolism, Excretion and Absolute Bioavailability of EDG-5506 in Healthy Volunteers |
| NCT02653833 | EARLY_PHASE1 | TERMINATED | The Study of Skeletal Muscle Blood Flow in Becker Muscular Dystrophy |
| NCT00004568 | Not specified | RECRUITING | Study of Inherited Neurological Disorders |
| NCT00082108 | Not specified | RECRUITING | Myotonic Dystrophy and Facioscapulohumeral Muscular Dystrophy Registry |
| NCT00138931 | Not specified | RECRUITING | Genetics of Cardiovascular and Neuromuscular Disease |
| NCT00313677 | Not specified | RECRUITING | Clinical Trial Readiness for the Dystroglycanopathies |
| NCT00912041 | Not specified | RECRUITING | BrainGate2: Feasibility Study of an Intracortical Neural Interface System for Persons With Tetraplegia |
| NCT01568658 | Not specified | ACTIVE_NOT_RECRUITING | Genetic and Physical Study of Childhood Nerve and Muscle Disorders |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ATALUREN | 4 | 3 |
| ENALAPRIL | 4 | 3 |
| ARTENIMOL | 4 | 1 |
| OXANDROLONE | 4 | 1 |
| DRISAPERSEN | 3 | 7 |
| DOCONEXENT | 3 | 1 |
| MEDRONIC ACID | 3 | 1 |
| TALDEFGROBEP ALFA | 3 | 1 |
| SEVASEMTEN | 2 | 2 |
| DELPACIBART ZOTADIRSEN | 2 | 1 |
| DERAMIOCEL | 2 | 1 |
| ZELECIMENT ROSTUDIRSEN | 2 | 1 |
| CHEMBL139521 | 0 | 2 |
Related Atlas pages
- Cohort genes: MAMDC2, DTNA, SGCA, SGCD, TTN, CAPN3, TP63, SELENON, FKRP, CHKB, POMT2, COL6A2, COL6A3, GMPPB, TRAPPC11, ANO5, SMCHD1, DMD, DYSF, LRRC37A2, DTHD1, CRPPA, GAA, GOSR2, HMGCR, LAMA2, LARGE1, LMNA, MYH2, NEB, PMM2, PSMB4
- Drugs: Ataluren, Enalapril, Artenimol, Oxandrolone, Drisapersen, Doconexent, Medronic Acid, Taldefgrobep Alfa