Nephrotic syndrome

disease
On this page

Also known as nephrotic syndromessyndrome, nephroticsyndromes, nephrotic

Summary

Nephrotic syndrome (MONDO:0005377) is a disease caused by variants in DLC1, ITSN1, ITSN2, and 2 other genes, with 74 cohort genes (114 GWAS associations across 40 studies) and 104 clinical trials. The dominant Reactome pathway is Laminin interactions (7 cohort genes). Top therapeutic interventions include tacrolimus anhydrous, corticotropin, and furosemide.

At a glance

  • Causal genes: DLC1 (GenCC Strong), ITSN1 (GenCC Strong), ITSN2 (GenCC Strong), PODXL (GenCC Strong) (+1 more)
  • Cohort genes: 74
  • GWAS associations: 114
  • ClinVar variants: 184
  • Clinical trials: 104

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namenephrotic syndrome
Mondo IDMONDO:0005377
EFOEFO:0004255
MeSHD009404
DOIDDOID:1184
ICD-10-CMN04
ICD-111184209951
NCITC34845
SNOMED CT52254009
UMLSC0027726
MedGen10308
GARD0027721
Is cancer (heuristic)no

Also known as: nephrotic syndrome · nephrotic syndromes · syndrome, nephrotic · syndromes, nephrotic

Data availability: 184 ClinVar variants · 114 GWAS associations (40 studies) · 10 GenCC gene-disease records · 1 cell line.

Disease family

An umbrella term covering 4 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › syndromic diseasenephrotic syndrome

Related subtypes (1183): Neu-Laxova syndrome, inclusion body myopathy with Paget disease of bone and frontotemporal dementia, syndromic intellectual disability, abdominal obesity-metabolic syndrome, fibrogenesis imperfecta ossium, Fanconi renotubular syndrome, palindromic rheumatism, hepatorenal syndrome, Potter sequence, vertebral artery insufficiency, sick sinus syndrome, Tietze syndrome, toxic shock syndrome, capillary leak syndrome, dumping syndrome, FG syndrome, basilar artery insufficiency, long QT syndrome, Treacher-Collins syndrome, superior mesenteric artery syndrome, disappearing bone disease, Brown-Sequard syndrome, Froelich syndrome, diffuse infiltrative lymphocytosis syndrome, Capgras syndrome, compartment syndrome, central sleep apnea syndrome, irritable bowel syndrome, myalgic encephalomeyelitis/chronic fatigue syndrome, acute coronary syndrome, fibromyalgia, substance withdrawal syndrome, acute chest syndrome, Barre-Lieou syndrome, cauda equina syndrome, Kluver-Bucy syndrome, Miller Fisher syndrome, persian gulf syndrome, Reye syndrome, thoracic outlet syndrome, Waterhouse-Friderichsen syndrome, Wissler syndrome, acute respiratory distress syndrome, Achenbach syndrome, miliaria, anterior spinal artery syndrome, burning mouth syndrome, dry eye syndrome, empty sella syndrome, euthyroid sick syndrome, lateral medullary syndrome, subclavian steal syndrome, tarsal tunnel syndrome, tethered spinal cord syndrome, branchio-oto-renal syndrome, prune belly syndrome, Achard syndrome, alopecia-epilepsy-pyorrhea-intellectual disability syndrome, Finnish type amyloidosis, Angelman syndrome, aniridia-absent patella syndrome, ankyloblepharon filiforme adnatum-cleft palate syndrome, Townes-Brocks syndrome, obstructive sleep apnea syndrome, Lown-Ganong-Levine syndrome, Behcet disease, brachydactyly-arterial hypertension syndrome, brachydactyly type A2, fibular aplasia-ectrodactyly syndrome, brachydactyly-nystagmus-cerebellar ataxia syndrome, Sillence syndrome, Brachymorphism-onychodysplasia-dysphalangism syndrome, brachytelephalangy-dysmorphism-Kallmann syndrome, dilated cardiomyopathy 1A, cat-eye syndrome, cerebrocostomandibular syndrome, Alagille syndrome, autosomal dominant chondrodysplasia punctata, cleidocranial dysplasia 1, cleidorhizomelic syndrome, cochleosaccular degeneration-cataract syndrome, renal coloboma syndrome, Cri-du-chat syndrome, autosomal dominant deafness - onychodystrophy syndrome, cerebral arteriopathy with subcortical infarcts and leukoencephalopathy, Duane retraction syndrome, 3-M syndrome, dyschondrosteosis-nephritis syndrome, hereditary benign intraepithelial dyskeratosis, encephalopathy, recurrent, of childhood, Camurati-Engelmann disease, Felty syndrome, chromosome 16p12.1 deletion syndrome, 520kb, Frasier syndrome, Gamstorp-Wohlfart syndrome, Tourette syndrome, glaucoma-sleep apnea syndrome, renal cysts and diabetes syndrome, hypotrichosis-lymphedema-telangiectasia syndrome (grouping), GMS syndrome, gray platelet syndrome, hand-foot-genital syndrome, facial hemiatrophy, Bencze syndrome, alpha thalassemia-intellectual disability syndrome type 1, Gilbert syndrome, mullerian duct anomalies-limb anomalies syndrome, hypoparathyroidism-deafness-renal disease syndrome, chromosome 18p deletion syndrome, Pallister-Hall syndrome, ichthyosis-cheek-eyebrow syndrome, Jacobsen syndrome, palmoplantar keratoderma-hereditary motor and sensory neuropathy syndrome, palmoplantar keratoderma-esophageal carcinoma syndrome, Kleine-Levin syndrome, angioosteohypertrophic syndrome, congenital laryngeal web, Lenz-Majewski hyperostotic dwarfism, Noonan syndrome with multiple lentigines, lymphedema-cerebral arteriovenous anomaly syndrome, microcephaly with or without chorioretinopathy, lymphedema, or intellectual disability, yellow nail syndrome, lymphedema-distichiasis syndrome, Nager acrofacial dysostosis, jaw-winking syndrome, Marfan syndrome, Melkersson-Rosenthal syndrome, metaphyseal chondrodysplasia, Jansen type, Schmid metaphyseal chondrodysplasia, metaphyseal dysplasia-maxillary hypoplasia-brachydacty syndrome, microgastria-limb reduction defect syndrome, Mobius syndrome, muscular atrophy-ataxia-retinitis pigmentosa-diabetes mellitus syndrome, nail-patella syndrome, Schilbach-Rott syndrome, syndromic orbital border hypoplasia, Buschke-Ollendorff syndrome, nasopalpebral lipoma-coloboma syndrome, Perry syndrome, Poland syndrome, polydactyly-myopia syndrome, Greig cephalopolysyndactyly syndrome, Prader-Willi syndrome, Guttmacher syndrome, Currarino triad, Hutchinson-Gilford progeria syndrome, progeria-short stature-pigmented nevi syndrome, Liddle syndrome, exfoliation syndrome, ptosis-strabismus-ectopic pupils syndrome, radial hypoplasia-triphalangeal thumbs-hypospadias-maxillary diastema syndrome, radial ray hypoplasia-choanal atresia syndrome, Roussy-Levy syndrome, Silver-Russell syndrome, Ruvalcaba syndrome, oculodental syndrome, Rutherfurd type, aplasia of lacrimal and salivary glands, scalp defects-postaxial polydactyly syndrome, ulnar-mammary syndrome, septooptic dysplasia, Czeizel-Losonci syndrome, polycystic ovary syndrome, stiff-person syndrome, syndactyly-polydactyly-ear lobe syndrome, HELLP syndrome, double uterus-hemivagina-renal agenesis syndrome, VACTERL/vater association, posterior fusion of lumbosacral vertebrae-blepharoptosis syndrome, ptosis-vocal cord paralysis syndrome, Freeman-Sheldon syndrome, Williams syndrome, Denys-Drash syndrome, Wolf-Hirschhorn syndrome, ablepharon macrostomia syndrome, acrocallosal syndrome, PAGOD syndrome, alopecia - intellectual disability syndrome, mitochondrial DNA depletion syndrome 4a, Alstrom syndrome, aniridia-cerebellar ataxia-intellectual disability syndrome, aniridia-renal agenesis-psychomotor retardation syndrome, aplasia cutis congenita-intestinal lymphangiectasia syndrome, fetal akinesia deformation sequence, blepharophimosis-ptosis-esotropia-syndactyly-short stature syndrome, Bloom syndrome, Elsahy-Waters syndrome, campomelia, Cumming type, camptomelic syndrome, long-limb type, congenital cataract-ichthyosis syndrome, colobomatous optic disc-macular atrophy-chorioretinopathy syndrome, hepatic fibrosis-renal cysts-intellectual disability syndrome, Charcot-Marie-Tooth disease-hearing loss-intellectual disability syndrome, CHARGE syndrome, Aagenaes syndrome, infantile choroidocerebral calcification syndrome, Yunis-Varon syndrome, corneal dystrophy-perceptive deafness syndrome, cortical blindness-intellectual disability-polydactyly syndrome, Crigler-Najjar syndrome, cataract-nephropathy-encephalopathy syndrome, Fraser syndrome, cystic fibrosis-gastritis-megaloblastic anemia syndrome, cystinuria, DOORS syndrome, high myopia-sensorineural deafness syndrome, dermochondrocorneal dystrophy, nephrogenic diabetes insipidus-intracranial calcification syndrome, diverticulosis of bowel, hernia, and retinal detachment, Dyggve-Melchior-Clausen disease, cerebellar ataxia, intellectual disability, and dysequilibrium, ectrodactyly-polydactyly syndrome, Bonnemann-Meinecke-Reich syndrome, epidermolysis bullosa simplex 5B, with muscular dystrophy, Wolcott-Rallison syndrome, ermine phenotype, eyebrow duplication-syndactyly syndrome, Fanconi-like syndrome, gingival fibromatosis-facial dysmorphism syndrome, frontofacionasal dysplasia, Fryns syndrome, German syndrome, Bernard-Soulier syndrome, triple-A syndrome, Grubben-de Cock-Borghgraef syndrome, mullerian derivatives-lymphangiectasia-polydactyly syndrome, Hirschsprung disease-hearing loss-polydactyly syndrome, Hirschsprung disease-nail hypoplasia-dysmorphism syndrome, Holzgreve-Wagner-Rehder syndrome, multinucleated neurons-anhydramnios-renal dysplasia-cerebellar hypoplasia-hydranencephaly syndrome, growth delay-hydrocephaly-lung hypoplasia syndrome, Dubin-Johnson syndrome, ornithine translocase deficiency, acrofrontofacionasal dysostosis 2, hypertrichotic osteochondrodysplasia Cantu type, hypergonadotropic hypogonadism-cataract syndrome, primary hypergonadotropic hypogonadism-partial alopecia syndrome, hypoparathyroidism-retardation-dysmorphism syndrome, hypospadias-intellectual disability, Goldblatt type syndrome, Bamforth-Lazarus syndrome, ichthyosis-hepatosplenomegaly-cerebellar degeneration syndrome, ichthyosis-intellectual disability-dwarfism-renal impairment syndrome, Vici syndrome, channelopathy-associated congenital insensitivity to pain, autosomal recessive, Joubert syndrome with oculorenal defect, oculocerebrofacial syndrome, Kaufman type, Landau-Kleffner syndrome, laryngo-onycho-cutaneous syndrome, Laurence-Moon syndrome, Donohue syndrome, Miller-Dieker lissencephaly syndrome, Marinesco-Sjogren syndrome, Frank-Ter Haar syndrome, Mietens syndrome, mesomelic dwarfism-cleft palate-camptodactyly syndrome, metaphyseal chondrodysplasia-retinitis pigmentosa syndrome, metaphyseal dysostosis-intellectual disability-conductive deafness syndrome, microcephalic primordial dwarfism, Toriello type, Say-Barber-Miller syndrome, microcephaly and chorioretinopathy 1, Galloway-Mowat syndrome, microtia with meatal atresia and conductive deafness, mucopolysaccharidosis type 6, mulibrey nanism, lethal multiple pterygium syndrome, lethal congenital contracture syndrome 1, Schwartz-Jampel syndrome, Nathalie syndrome, nephronophthisis 1, nephropathy - deafness - hyperparathyroidism syndrome, nephrosis-deafness-urinary tract-digital malformations syndrome, Netherton syndrome, Norman-Roberts syndrome, cloacal exstrophy, ichthyosis-oral and digital anomalies syndrome, Primrose syndrome, familial osteodysplasia, Anderson type, multicentric osteolysis, nodulosis, and arthropathy, osteopenia-intellectual disability-sparse hair syndrome, osteoporosis-pseudoglioma syndrome, Shwachman-Diamond syndrome, Parana hard-skin syndrome, PEHO syndrome, Imerslund-Grasbeck syndrome, Peters plus syndrome, pili torti-developmental delay-neurological abnormalities syndrome, Rabson-Mendenhall syndrome, postaxial acrofacial dysostosis, Gitelman syndrome, Wiedemann-Rautenstrauch syndrome, Acrootoocular syndrome, holoprosencephaly-postaxial polydactyly syndrome, autosomal recessive multiple pterygium syndrome, Perlman syndrome, retinitis pigmentosa-intellectual disability-deafness-hypogenitalism syndrome, EEC syndrome, SHORT syndrome, Sjogren syndrome, spastic tetraplegia-retinitis pigmentosa-intellectual disability syndrome, corneal-cerebellar syndrome, spastic ataxia-corneal dystrophy syndrome, spondylocostal dysostosis-anal and genitourinary malformations syndrome, familial infantile bilateral striatal necrosis, subaortic stenosis-short stature syndrome, thrombocytopenia-absent radius syndrome, thyrocerebrorenal syndrome, Pendred syndrome, VACTERL with hydrocephalus, Weaver syndrome, Werner syndrome, Wernicke-Korsakoff syndrome, wooly hair-hypotrichosis-everted lower lip-outstanding ears syndrome, de Sanctis-Cacchione syndrome, corpus callosum agenesis-abnormal genitalia syndrome, Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome, X-linked lissencephaly with abnormal genitalia, X-linked myotubular myopathy-abnormal genitalia syndrome, Christianson syndrome, Armfield syndrome, Lesch-Nyhan syndrome, Atkin-Flaitz syndrome, alpha-thalassemia-myelodysplastic syndrome, deafness-intellectual disability, Martin-Probst type syndrome, fragile X-associated tremor/ataxia syndrome, fragile X syndrome, syndactyly-telecanthus-anogenital and renal malformations syndrome, X-linked dominant chondrodysplasia, Chassaing-Lacombe type, X-linked central congenital hypothyroidism with late-onset testicular enlargement, Meester-Loeys syndrome, Arts syndrome, X-linked mandibulofacial dysostosis, Abruzzo-Erickson syndrome, Aicardi syndrome, craniofrontonasal syndrome, deafness-hypogonadism syndrome, X-linked corneal dermoid, immune dysregulation-polyendocrinopathy-enteropathy-X-linked syndrome, hydrocephaly-cerebellar agenesis syndrome, keratosis follicularis-dwarfism-cerebral atrophy syndrome, laryngeal abductor paralysis-intellectual disability syndrome, oculocerebrorenal syndrome, Menkes disease, paraplegia-intellectual disability-hyperkeratosis syndrome, mucopolysaccharidosis type 2, orofaciodigital syndrome I, otopalatodigital syndrome type 1, Pallister-W syndrome, Rett syndrome, SCARF syndrome, Simpson-Golabi-Behmel syndrome, torticollis-keloids-cryptorchidism-renal dysplasia syndrome, trigonocephaly-short stature-developmental delay syndrome, ulnar hypoplasia-split foot syndrome, van den Bosch syndrome, Wildervanck syndrome, Kearns-Sayre syndrome, MELAS syndrome, MERRF syndrome, Pearson syndrome, proximal tubulopathy-diabetes mellitus-cerebellar ataxia syndrome, pancreatic hypoplasia-diabetes-congenital heart disease syndrome, chondrodysplasia-pseudohermaphroditism syndrome, Qazi Markouizos syndrome, familial developmental dysphasia, atrioventricular defect-blepharophimosis-radial and anal defect syndrome, CODAS syndrome, lethal hemolytic anemia-genital anomalies syndrome, HEC syndrome, anophthalmia plus syndrome, infundibulopelvic stenosis-multicystic kidney syndrome, Ayme-Gripp syndrome, dilated cardiomyopathy 1E, diaphragmatic defect-limb deficiency-skull defect syndrome, skeletal dysplasia-epilepsy-short stature syndrome, Potocki-Shaffer syndrome, amelia cleft lip palate hydrocephalus iris coloboma, human HOXA1 syndromes, dyssegmental dysplasia-glaucoma syndrome, lung agenesis-heart defect-thumb anomalies syndrome, tetrasomy 12p, chromosome 18q deletion syndrome, lymphedema-atrial septal defects-facial changes syndrome, infantile convulsions and choreoathetosis, RHYNS syndrome, Pierre Robin sequence with pectus excavatum and rib and scapular anomalies, colobomatous macrophthalmia-microcornea syndrome, Marshall-Smith syndrome, distal monosomy 13q, MPI-congenital disorder of glycosylation, camptodactyly, myopia, and fibrosis of the medial rectus muscle of eye, radioulnar synostosis-microcephaly-scoliosis syndrome, blepharophimosis - intellectual disability syndrome, SBBYS type, complex regional pain syndrome type 1, temtamy preaxial brachydactyly syndrome, Diamond-Blackfan anemia 2, genitopatellar syndrome, Phelan-McDermid syndrome, hypotonia-cystinuria syndrome, DNA ligase IV deficiency, Hurler syndrome, Hurler-Scheie syndrome, Scheie syndrome, Duane-radial ray syndrome, psoriatic arthritis, neonatal ichthyosis-sclerosing cholangitis syndrome, skin fragility-woolly hair-palmoplantar keratoderma syndrome, tubulointerstitial nephritis and uveitis syndrome, caudal duplication, sweet syndrome, ichthyosis prematurity syndrome, Meacham syndrome, BNAR syndrome, PCWH syndrome, foveal hypoplasia - optic nerve decussation defect - anterior segment dysgenesis syndrome, B-cell immunodeficiency, distal limb anomalies, and urogenital malformations, MEDNIK syndrome, Cerebrorenodigital syndrome, fetal valproate syndrome, Goldberg-Shprintzen syndrome, Al-Gazali syndrome, CEDNIK syndrome, osteosclerosis-ichthyosis-premature ovarian failure syndrome, cortical dysplasia-focal epilepsy syndrome, DK1-congenital disorder of glycosylation, Potocki-Lupski syndrome, Pitt-Hopkins syndrome, XFE progeroid syndrome, deafness-infertility syndrome, COG1-congenital disorder of glycosylation, autosomal dominant familial hematuria-retinal arteriolar tortuosity-contractures syndrome, microtia-eye coloboma-imperforation of the nasolacrimal duct syndrome, mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria, ANE syndrome, CLOVES syndrome, Hirschsprung disease-ganglioneuroblastoma syndrome, parkinsonism-dystonia, infantile, alpha 1-antitrypsin deficiency, COG5-congenital disorder of glycosylation, chromosome 13q14 deletion syndrome, deafness-lymphedema-leukemia syndrome, microcephaly-capillary malformation syndrome, EDICT syndrome, peripheral neuropathy-myopathy-hoarseness-hearing loss syndrome, hypomyelinating leukodystrophy 8 with or without oligodontia and-or hypogonadotropic hypogonadism, IMAGe syndrome, short stature-onychodysplasia-facial dysmorphism-hypotrichosis syndrome, microcephalic primordial dwarfism, Alazami type, intellectual disability-strabismus syndrome, estrogen resistance syndrome, Hartsfield-Bixler-Demyer syndrome, severe dermatitis-multiple allergies-metabolic wasting syndrome, alacrima, achalasia, and intellectual disability syndrome, familial episodic pain syndrome with predominantly lower limb involvement, congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome, diffuse cerebral and cerebellar atrophy - intractable seizures - progressive microcephaly syndrome, postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome, tall stature-scoliosis-macrodactyly of the great toes syndrome, intellectual disability, autosomal dominant 29, intellectual disability, autosomal dominant 30, congenital sideroblastic anemia-B-cell immunodeficiency-periodic fever-developmental delay syndrome, retinitis pigmentosa-juvenile cataract-short stature-intellectual disability syndrome, polyendocrine-polyneuropathy syndrome, chronic atrial and intestinal dysrhythmia, motor developmental delay due to 14q32.2 paternally expressed gene defect, peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome, mandibulofacial dysostosis with alopecia, epilepsy with myoclonic atonic seizures, short stature, microcephaly, and endocrine dysfunction, progressive microcephaly-seizures-cortical blindness-developmental delay syndrome, PMP22-RAI1 contiguous gene duplication syndrome, acute infantile liver failure-cerebellar ataxia-peripheral sensory motor neuropathy syndrome, familial progressive retinal dystrophy-iris coloboma-congenital cataract syndrome, macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndrome, Luscan-Lumish syndrome, even-plus syndrome, MIRAGE syndrome, growth retardation, intellectual developmental disorder, hypotonia, and hepatopathy, intellectual disability-epilepsy-extrapyramidal syndrome, 48,XXYY syndrome, FRAXF syndrome, complex hereditary spastic paraplegia, aniridia-ptosis-intellectual disability-familial obesity syndrome, aniridia - intellectual disability syndrome, ankyloblepharon filiforme-imperforate anus syndrome, pentasomy X, Bardet-Biedl syndrome, anophthalmia-megalocornea-cardiopathy-skeletal anomalies syndrome, Bartter syndrome, arachnodactyly-intellectual disability-dysmorphism syndrome, ataxia-photosensitivity-short stature syndrome, Brugada syndrome, Feingold syndrome, cardiomyopathy-cataract-hip spine disease syndrome, cataract - microcornea syndrome, autism-facial port-wine stain syndrome, cataract-intellectual disability-anal atresia-urinary defects syndrome, cataract-deafness-hypogonadism syndrome, syndromic craniosynostosis, drug rash with eosinophilia and systemic symptoms, multicentric reticulohistiocytosis, hereditary sensory and autonomic neuropathy with deafness and global delay, craniofacial microsomia, ring chromosome 10, Coffin-Siris syndrome, corpus callosum agenesis-double urinary collecting system syndrome, short rib-polydactyly syndrome, oromandibular-limb anomalies syndrome, hemophagocytic syndrome, cataract-glaucoma syndrome, diencephalic syndrome, hypereosinophilic syndrome, distal trisomy 14q, intellectual disability-cataracts-kyphosis syndrome, progressive familial intrahepatic cholestasis, thoraco-abdominal enteric duplication, oculomaxillofacial dysostosis, growth hormone insensitivity syndrome, syndromic dyslipidemia, macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss, epiphyseal dysplasia-hearing loss-dysmorphism syndrome, eosinophilic granulomatosis with polyangiitis, axial mesodermal dysplasia spectrum, fetal hydantoin syndrome, vitamin K-antagonist embryofetopathy, fetal alcohol syndrome, methimazole embryofetopathy, Evans syndrome, Cornelia de Lange syndrome, cleft lip-retinopathy syndrome, cleft lip/palate-deafness-sacral lipoma syndrome, Crandall syndrome, syndromic microphthalmia, Cole-Carpenter syndrome, myotonic syndrome, Guillain-Barre syndrome, atypical hemolytic-uremic syndrome, Hennekam syndrome, Hernández-Aguirre Negrete syndrome, nodular neuronal heterotopia, Hirschsprung disease-type D brachydactyly syndrome, holoprosencephaly, hydrocephalus-obesity-hypogonadism syndrome, hydrocephalus-blue sclerae-nephropathy syndrome, xeroderma pigmentosum-Cockayne syndrome complex, Joubert syndrome with ocular defect, hypogonadism-mitral valve prolapse-intellectual disability syndrome, hypogonadotropic hypogonadism-retinitis pigmentosa syndrome, hypotrichosis-intellectual disability, Lopes type, congenital ichthyosis-microcephalus-tetraplegia syndrome, Hughes-Stovin syndrome, heart-hand syndrome, ptosis-upper ocular movement limitation-absence of lacrimal punctum syndrome, syndromic agammaglobulinemia, isotretinoin syndrome, microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndrome, Kabuki syndrome, Kenny-Caffey syndrome, muscular pseudohypertrophy-hypothyroidism syndrome, Kousseff syndrome, limb body wall complex, Lennox-Gastaut syndrome, Lowe-Kohn-Cohen syndrome, macrocephaly-short stature-paraplegia syndrome, primary ciliary dyskinesia, familial intestinal malrotation-facial anomalies syndrome, primary hypertrophic osteoarthropathy, Melhem-Fahl syndrome, lower limb deficiency-hypospadias syndrome, 8p23.1 microdeletion syndrome, sickle cell-beta-thalassemia disease syndrome, sickle cell-hemoglobin c disease syndrome, sickle cell-hemoglobin d disease syndrome, sickle cell-hemoglobin E disease syndrome, hereditary persistence of fetal hemoglobin-sickle cell disease syndrome, microcephaly-brain defect-spasticity-hypernatremia syndrome, microcephaly-microcornea syndrome, Seemanova type, Meier-Gorlin syndrome, Mikati-Najjar-Sahli syndrome, shoulder and girdle defects-familial intellectual disability syndrome, myopathy-growth delay-intellectual disability-hypospadias syndrome, Fuchs heterochromic iridocyclitis, microcephalic osteodysplastic primordial dwarfism types I and III, osteochondrodysplatic nanism-deafness-retinitis pigmentosa syndrome, arthrogryposis-renal dysfunction-cholestasis syndrome, oculo-skeletal-renal syndrome, olivopontocerebellar atrophy-deafness syndrome, Opitz G/BBB syndrome, imperforate oropharynx-costo vetebral anomalies syndrome, Bruck syndrome, osteoporosis-macrocephaly-blindness-joint hyperlaxity syndrome, calciphylaxis, recessive intellectual disability-motor dysfunction-multiple joint contractures syndrome, X-linked ichthyosis syndrome, autoimmune polyendocrinopathy, renal caliceal diverticuli-deafness syndrome, tempi syndrome, syndromic oculocutaneous albinism, short stature-deafness-neutrophil dysfunction-dysmorphism syndrome, congenital varicella syndrome, polyneuropathy-intellectual disability-acromicria-premature menopause syndrome, celiac trunk compression syndrome, hypoplastic pancreas-intestinal atresia-hypoplastic gallbalder syndrome, fetal cytomegalovirus syndrome, Reunion island Larsen syndrome, 46,XX disorder of sex development-anorectal anomalies syndrome, mitochondrial neurogastrointestinal encephalomyopathy, Baraitser-Winter cerebrofrontofacial syndrome, mirror polydactyly-vertebral segmentation-limbs defects syndrome, intellectual disability-hypotonia-skin hyperpigmentation syndrome, congenital hereditary facial paralysis-variable hearing loss syndrome, intellectual disability-microcephaly-phalangeal-facial abnormalities syndrome, Mayer-Rokitansky-Kuster-Hauser syndrome, developmental and speech delay due to SOX5 deficiency, Spigelian hernia-cryptorchidism syndrome, autosomal recessive leukoencephalopathy-ischemic stroke-retinitis pigmentosa syndrome, severe neonatal hypotonia-seizures-encephalopathy syndrome due to 5q31.3 microdeletion, multiple sclerosis-ichthyosis-factor VIII deficiency syndrome, X-linked spasticity-intellectual disability-epilepsy syndrome, spina bifida-hypospadias syndrome, hantavirus pulmonary syndrome, white matter hypoplasia-corpus callosum agenesis-intellectual disability syndrome, deafness-genital anomalies-metacarpal and metatarsal synostosis syndrome, hearing loss-familial salivary gland insensitivity to aldosterone syndrome, multiple synostoses syndrome, central nervous system calcification-deafness-tubular acidosis-anemia syndrome, multiple paragangliomas associated with polycythemia, syngnathia multiple anomalies, Takayasu arteritis, severe early-onset obesity-insulin resistance syndrome due to SH2B1 deficiency, spondylocostal dysostosis-hypospadias-intellectual disability syndrome, hypotrichosis-deafness syndrome, thalidomide embryopathy, trisomy X, trisomy 13, trisomy 18, umbilical cord ulceration-intestinal atresia syndrome, microcephaly-brachydactyly-kyphoscoliosis syndrome, Waardenburg syndrome, Weill-Marchesani syndrome, infantile spasms, Wolfram syndrome, epidermal nevus syndrome, digital anomalies-intellectual disability-short stature syndrome, intellectual disability-obesity-brain malformations-facial dysmorphism syndrome, Erdheim-Chester disease, Stevens-Johnson syndrome, CADDS, finger hyperphalangy - toe anomalies - severe pectus excavatum syndrome, ataxia - telangiectasia variant, growth retardation-mild developmental delay-chronic hepatitis syndrome, primary microcephaly-mild intellectual disability-young-onset diabetes syndrome, ferro-cerebro-cutaneous syndrome, dystonia-aphonia syndrome, microcephaly-complex motor and sensory axonal neuropathy syndrome, X-linked microcephaly-growth retardation-prognathism-cryptorchidism syndrome, severe intellectual disability-hypotonia-strabismus-coarse face-planovalgus syndrome, intrauterine growth restriction-short stature-early adult-onset diabetes syndrome, pseudoxanthoma elasticum-like skin manifestations with retinitis pigmentosa, familial chylomicronemia syndrome, caudal regression-sirenomelia spectrum, visceral heterotaxy, Holmes-Adie syndrome, microcephalic primordial dwarfism due to RTTN deficiency, Joubert syndrome, congenital generalized hypercontractile muscle stiffness syndrome, Kallmann syndrome, Caroli syndrome, X-linked female restricted facial dysmorphism-short stature-choanal atresia-intellectual disability, microlissencephaly-micromelia syndrome, branchiootic syndrome, Plummer-Vinson syndrome, Cushing syndrome, McCune-Albright syndrome, Meckel syndrome, SUNCT syndrome, mucopolysaccharidosis type 3, mucopolysaccharidosis type 4, congenital myasthenic syndrome, Loeys-Dietz syndrome, Alport syndrome, schisis association, Tolosa-Hunt syndrome, iridocorneal endothelial syndrome, Noonan syndrome, short fifth metacarpals-insulin resistance syndrome, progressive supranuclear palsy, benign exophthalmos syndrome, Sandifer syndrome, global developmental delay-osteopenia-ectodermal defect syndrome, tubular renal disease-cardiomyopathy syndrome, angioosteohypotrophic syndrome, 6q terminal deletion syndrome, Axenfeld-Rieger syndrome, peroxisome biogenesis disorder, ectodermal dysplasia syndrome, Seckel syndrome, Sotos syndrome, Stickler syndrome, pelvis syndrome, Susac syndrome, ischio-vertebral syndrome, BRESEK syndrome, Turner syndrome, Usher syndrome, obesity-colitis-hypothyroidism-cardiac hypertrophy-developmental delay syndrome, CREST syndrome, Sheehan syndrome, polymyalgia rheumatica, autoinflammatory syndrome, neuroleptic malignant syndrome, pituitary stalk interruption syndrome, monosomy 13q34, ring chromosome 13, 48,XXXY syndrome, 49,XXXXY syndrome, hereditary continuous muscle fiber activity, Eisenmenger syndrome, Robinow syndrome, Ehlers-Danlos syndrome, hypoplastic right heart syndrome, shone complex, 48,XYYY syndrome, subcortical band heterotopia, complex regional pain syndrome type 2, faciodigitogenital syndrome, neoplastic syndrome, paraneoplastic syndrome, post-infectious syndrome, Achard-Thiers syndrome, acral dysostosis dyserythropoiesis syndrome, agnathia-microstomia-synotia, Aksu von Stockhausen syndrome, Aloi Tomasini Isaia syndrome, temporomandibular joint dysfunction syndrome, Apert-like polydactyly syndrome, arakawa syndrome 2, arena syndrome, Arnold stickler bourne syndrome, baetz-greenwalt syndrome, bagatelle Cassidy syndrome, baker Vinters syndrome, bobble-head doll syndrome, Boerhaave syndrome, Cantu Sanchez-Corona Fragoso syndrome, Cantu Sanchez-Corona Hernandez syndrome, carbon baby syndrome, Carnevale hernandez castillo syndrome, Cartwright Nelson Fryns syndrome, Charles bonnet syndrome, Parinaud syndrome, corticobasal degeneration disorder, hair defect with photosensitivity and intellectual disability syndrome, AIDS dysmorphic syndrome, congenital acardia, acute lymphoblastic leukemia congenital sporadic aniridia, aglossia and situs inversus, agyria pachygyria polymicrogyria, agyria-pachygyria type 1, Ahumada Del Castillo syndrome, alopecia congenita keratosis palmoplantaris, alpha-mannosidosis type 1, aluminosis, Mauriac syndrome, ankle defects short stature, ankyloblepharon filiforme imperforate anus, annular constricting bands, anophthalmia cleft palate micrognathia, anophthalmia esophageal atresia cryptorchidism, anotia facial palsy cardiac defect, aortic dissection lentiginosis, childhood aortic valve stenosis, arthrogryposis IUGR thoracic dystrophy, arthrogryposis multiplex congenita CNS calcification, arthrogryposis spinal muscular atrophy, asternia, atlanto-axial fusion, atrophoderma of Pierini and Pasini, Barnicoat Baraitser syndrome, Basedow’s coma, BD syndrome, Beardwell syndrome, bhaskar jagannathan syndrome, bidirectional tachycardia, bilirubin induced brain injury in the newborn, blepharo naso facial syndrome van Maldergem type, bone dysplasia corpus callosum agenesis, brachydactyly absence of distal phalanges, brachydactyly anonychia, brachydactyly small stature face anomalies, brachydactyly tibial hypoplasia, brittle bone syndrome lethal type, bronchiectasis oligospermia, Brunsting-Perry syndrome, bruyn scheltens syndrome, burn goodship syndrome, camptodactyly joint contractures and facial skeletal dysplasia, camptodactyly vertebral fusion, Cantu Sanchez-Corona Garcia-Cruz syndrome, cardiac hydatid cysts with intracavitary expansion, cardioencephalomyopathy, cardiofacial syndrome short limbs, cardiomelic syndrome stratton Koehler type, cardiomyopathy and deafness due to tRNA lysine gene mutation, cardiomyopathy diabetes deafness, cardiomyopathy hypogonadism collagenoma syndrome, cardiomyopathy hypogonadism metabolic anomalies, cardiomyopathy spherocytosis, carpo tarsal osteolysis recessive, autosomal dominant cataract, cataract skeletal anomalies, cennamo gangemi syndrome, cerebellar agenesis, cerebello-olivary atrophy, cerebral calcification cerebellar hypoplasia, cerebral calcifications opalescent teeth phosphaturia, oculo digital syndrome, chondrodysplasia, choreoacanthocytosis amyotrophic, chorioretinopathy dominant form microcephaly, Christian Demyer Franken syndrome, Christian Johnson angenieta syndrome, chromosome 3 duplication syndrome, chronic demyelinizing neuropathy with IgM monoclonal, ciliary dyskinesia-bronchiectasis, circumscribed cutaneous aplasia of the vertex, circumscribed disseminated keratosis Jadassohn lew type, cleft lip and palate malrotation cardiopathy, cleft lip and/or palate with mucous cysts of lower, cleft lip palate dysmorphism kumar type, cleft lip palate intellectual disability corneal opacity, cleft lip palate oligodontia syndactyly pili torti, cleft lip palate pituitary deficiency, cleft lip palate-tetraphocomelia, cleft lower lip cleft lateral canthi chorioretinal, cleft palate cardiac defect ectrodactyly, cleft palate colobomata radial synostosis deafness, cleft palate heart disease polydactyly absent tibia, cleft tongue, coarse face hypotonia constipation, Cohen Lockood Wyborney syndrome, type 2 collagenopathy, Collins-Sakati syndrome, coloboma porencephaly hydronephrosis, colobomata unilobar lung heart defect, colonic malakoplakia, Colver Steer Godman syndrome, Combarros Calleja Leno syndrome, complement receptor deficiency, congenital absence of the sternocleidomastoid muscle, congenital amputation, congenital aneurysms of the great vessels, congenital articular rigidity, congenital benign spinal muscular atrophy dominant, congenital cardiovascular shunt, congenital contractures, congenital craniosynostosis maternal hyperthyroiditis, congenital cystic eye, congenital heart disease ptosis hypodontia craniostosis, congenital heart disease radio ulnar synostosis intellectual disability, congenital mumps, congenital stenosis of cervical medullary canal, Dennis-Fairhurst-Moore syndrome, congenital unilateral pulmonary hypoplasia, congenital vagal hyperreflexivity, Cormier Rustin Munnich syndrome, corneal crystals myopathy neuropathy, corneal dystrophy ichthyosis microcephaly intellectual disability, corneal dystrophy pigmentary anomaly malabsorption, corpus callosum agenesis of blepharophimosis robin type, corpus callosum dysgenesis X-linked recessive, corpus callosum dysgenesis cleft spasm, corpus callosum dysgenesis hypopituitarism, cortada Koussef Matsumoto syndrome, Cortes Lacassie syndrome, craniofacial and skeletal defects, craniofacial dysostosis arthrogryposis progeroid appearance, craniofrontonasal syndrome Teebi type, craniostenosis with congenital heart disease intellectual disability, crawfurd syndrome, cutis gyratum acanthosis nigricans craniosynostosis, cutis laxa osteoporosis, Davenport-Donlan syndrome, Davis Lafer syndrome, de Hauwere Leroy adriaenssens syndrome, deafness conductive stapedial ear malformation facial palsy, deafness goiter stippled epiphyses, deafness hypospadias metacarpal and metatarsal syndrome, deafness mesenteric diverticula of small bowel neuropathy, deafness peripheral neuropathy arterial disease, deafness progressive cataract autosomal dominant, dermatocardioskeletal syndrome boronne type, dextrocardia with situs inversus, diabetes persistent mullerian ducts, diaphragmatic agenesis radial aplasia omphalocele, diaphragmatic hernia exomphalos corpus callosum agenesis, diaphragmatic hernia upper limb defects, die Smulders droog van dijk syndrome, diomedi bernardi placidi syndrome, diphallus rachischisis imperforate anus, distichiasis heart congenital anomalies, double discordia, double uterus-hemivagina-renal agenesis, Drachtman Weinblatt Sitarz syndrome, Duker-Weiss-Siber syndrome, duodenal atresia tetralogy of fallot, duplication of leg mirror foot, duplication of the thumb unilateral biphalangeal, dupont sellier chochillon syndrome, dwarfism bluish sclerae, dwarfism deafness retinitis pigmentosa, dwarfism lethal type advanced bone age, dwarfism thin bones multiple fractures, dysmorphism cleft palate loose skin, Eagle syndrome, ectrodactyly cardiopathy dysmorphism, Elliott ludman Teebi syndrome, enamel hypoplasia cataract hydrocephaly, encephalocele anencephaly, enchondromatosis dwarfism deafness, Engelhard Yatziv syndrome, enlarged vestibular aqueduct syndrome, epidermal nevus vitamin D resistant rickets, epimetaphyseal dysplasia cataract, epiphyseal dysplasia dysmorphism camptodactyly, esophageal atresia coloboma talipes, extrasystoles short stature hyperpigmentation microcephaly, facial clefting corpus callosum agenesis, facio digito genital syndrome recessive form, facio skeletal genital syndrome rippberger type, familial capillaro-venous leptomeningeal angiomatosis, Dursun syndrome, Faye-Petersen-Ward-Carey syndrome, feigenbaum Bergeron syndrome, Feingold trainer syndrome, fetal brain disruption sequence, fetal enterovirus syndrome, fetal parainfluenza virus type 3 syndrome, fetal phenothiazine syndrome, fibromatosis multiple non ossifying, fibula aplasia complex brachydactyly, fibular hypoplasia scapulo pelvic dysplasia absent, Fitz-Hugh-Curtis syndrome, focal alopecia congenital megalencephaly, focal or multifocal malformations in neuronal migration, foix chavany Marie syndrome, Fontaine farriaux blanckaert syndrome, Fraser Jequier Chen syndrome, Freiberg disease, Friedman Goodman syndrome, frontonasal malformation cloacal exstrophy, frontonasal dysplasia Klippel feil syndrome, frontonasal dysplasia phocomelic upper limbs, Fryns Fabry Remans syndrome, Fryns Smeets Thiry syndrome, Fuchs atrophia gyrata chorioideae et retinae, Fukuda-Miyanomae-Nakata syndrome, Fuqua Berkovitz syndrome, Garret-Tripp syndrome, gas bloat syndrome, Gaucher ichthyosis restrictive dermopathy, gershinibaruch Leibo syndrome, Ghose-Sachdev-Kumar syndrome, gigantism advanced bone age hoarse cry, glossopalatine ankylosis micrognathia ear anomalies, goldstein hutt syndrome, goniodysgenesis intellectual disability short stature, green sandford davison syndrome, grix Blankenship Peterson syndrome, Ho-Kaufman-McAlister syndrome, Jaffer-Beighton syndrome, Judge Misch wright syndrome, Kashani-Strom-Utley syndrome, Kasznica-Carlson-Coppedge syndrome, Katsantoni-Papadakou-Lagoyanni syndrome, Kocher-debre-Semelaigne syndrome, Koone-Rizzo-Elias syndrome, Kozlowski Brown Hardwick syndrome, Kozlowski Ouvrier syndrome, Kozlowski Rafinski Klicharska syndrome, Kozlowski Warren Fisher syndrome, Krauss Herman Holmes syndrome, Krieble Bixler syndrome, Kuster Majewski Hammerstein syndrome, Kuster syndrome, Laugier-Hunziker syndrome, Laurence-Prosser-Rocker syndrome, le Marec-Bracq-Picaud syndrome, levator syndrome, Marinesco-Sjogren-like syndrome, Milner-Khallouf-Gibson syndrome, radio-digito-facial dysplasia, Seckel like syndrome majoor-krakauer type, neonatal aspiration syndrome, muscular fibrosis multifocal obstructed vessels, short stature contractures hypotonia, Alice in Wonderland syndrome, megacystis-microcolon-intestinal hypoperistalsis syndrome, Basilicata-Akhtar syndrome, Liberfarb syndrome, craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development syndrome, cardiac, facial, and digital anomalies with developmental delay, fibrosis, neurodegeneration, and cerebral angiomatosis, Duane anomaly-myopathy-scoliosis syndrome, congenital cataract-severe neonatal hepatopathy-global developmental delay syndrome, infantile hypotonia-oculomotor anomalies-hyperkinetic movements-developmental delay syndrome, acute radiation syndrome, monoclonal mast cell activation syndrome, oculocerebrodental syndrome, syndromic congenital sodium diarrhea, congenital brachyesophagus-intrathoracic stomach-vertebral anomalies syndrome, intellectual disability-cardiac anomalies-short stature-joint laxity syndrome, intrauterine growth restriction-congenital multiple café-au-lait macules-increased sister chromatid exchange syndrome, frontonasal dysplasia-bifid nose-upper limb anomalies syndrome, microcephaly-facial dysmorphism-ocular anomalies-multiple congenital anomalies syndrome, diaphragmatic hernia-short bowel-asplenia syndrome, warts-immunodeficiency-lymphedema-anogenital dysplasia syndrome, Cramp-fasciculation syndrome, choanal atresia-athelia-hypothyroidism-delayed puberty-short stature syndrome, blepharophimosis-intellectual disability syndrome/genitopatellar overlap syndrome, CCNK-related neurodevelopmental disorder-severe intellectual disability-facial dysmorphism syndrome, cerebellar hypoplasia-intellectual disability-congenital microcephaly-dystonia-anemia-growth retardation syndrome, KLHL7-related Bohring-Opitz-like syndrome, KLHL7-related cold-induced sweating-like syndrome, KAT6B-related multiple congenital anomalies syndrome, oculogastrointestinal-neurodevelopmental syndrome, spastic paraparesis-cataracts-speech delay syndrome, Ruzicka-Goerz-Anton syndrome, Sammartino-Decreccio syndrome, Samson-Gardner syndrome, Samson-Viljoen syndrome, Sanderson-Fraser syndrome, Sandhaus-Ben-Ami syndrome, prostatic malacoplakia associated with prostatic abscess, Saul-Wilkes-Stevenson syndrome, macrogyria, pseudobulbar palsy and intellectual disability, Schwartz-Cohen-addad-Lambert syndrome, Schlegelberger-Grote syndrome, Schrander-stumpel-Theunissen-Hulsmans syndrome, Saal-Bulas syndrome, Sackey-Sakati-Aur syndrome, Slti-Salem syndrome, Zerres Rietschel Majewski syndrome, Zazam Sheriff Phillips syndrome, Zadik-Barak-Levin syndrome, weinstein kliman scully syndrome, thickened earlobes with conductive deafness from incus-stapes abnormalities, ichthyosis linearis circumflexa, infantile striato thalamic degeneration, Landy-Donnai syndrome, merlob grunebaum reisner syndrome, Pavone Fiumara Rizzo syndrome, pfeiffer rockelein syndrome, Pfeiffer Tietze Welte syndrome, phosphoribosylpyrophosphate synthetase deficiency, piepkorn karp hickok syndrome, podder-tolmie syndrome, pointer syndrome, richieri-costa guion-almeida cohen syndrome, Rubinstein Taybi like syndrome, ruvalcaba churesigaew myhre syndrome, short limb dwarf lethal colavita kozlowski type, Mallory-Weiss syndrome, superior vena cava syndrome, piriformis syndrome, engraftment syndrome, Adams-Stokes syndrome, Leriche syndrome, multiple organ dysfunction syndrome, posterior leukoencephalopathy syndrome, cardio-renal syndrome, Rahman syndrome, X-linked keloid scarring-reduced joint mobility-increased optic cup-to-disc ratio syndrome, retinitis pigmentosa-hearing loss-premature aging-short stature-facial dysmorphism syndrome, congenital labioscrotal agenesis-cerebellar malformation-corneal dystrophy-facial dysmorphism syndrome, Lopes-Maciel-Rodan syndrome, Stankiewicz-Isidor syndrome, Skraban-Deardorff syndrome, joint laxity, short stature, and myopia, Sweeney-Cox syndrome, Alkuraya-Kucinskas syndrome, Jaberi-Elahi syndrome, neurodevelopmental disorder with regression, abnormal movements, loss of speech, and seizures, hearing impairment and infertile male syndrome, cardiocutaneous syndrome, neonatal diabetes, congenital sensorineural hearing loss and congenital cataracts, cardioectodermal syndrome, cannabinoid hyperemesis syndrome, retrograde cricopharyngeus dysfunction, Zinner syndrome, retinal dystrophy-ataxia-pituitary hormone abnormality-hypogonadism syndrome, IFAP syndrome, DICER1-related tumor predisposition, Roberts-SC phocomelia syndrome, carcinoid syndrome, Bonnevie-Ullrich syndrome, NKX2-1 related choreoathetosis and congenital hypothyroidism with or without pulmonary dysfunction, RNU4ATAC spectrum disorder, syndromic congenital heart disease, hand-foot syndrome, central hypoventilation syndrome, congenital, 1, with or without Hirschsprung disease, gastrointestinal defects and immunodeficiency syndrome 1, achalasia-alacrima syndrome, black locks with albinism and deafness syndrome, Birt-Hogg-Dube syndrome, trigeminal trophic syndrome, developmental and/or epileptic encephalopathy with spike-wave activation in sleep, syndromic microspherophakia, painful legs and moving toes syndrome, congenital aphakia-iris hypoplasia-microphthalmia-microcornea syndrome, hereditary persistence of fetal hemoglobin-intellectual disability syndrome, developmental delay-immunodeficiency-leukoencephalopathy-hypohomocysteinemia syndrome, primary hypomagnesemia-generalized seizures-intellectual disability-obesity syndrome, post-cardiac arrest syndrome, early-onset obesity-hyperphagia-severe developmental delay syndrome, hereditary alpha tryptasemia syndrome, KINSSHIP syndrome, developmental delay, hypotrophy, and dysmorphic features without moebius syndrome, breast implant illness, cataracts, hearing impairment, nephrotic syndrome, and enterocolitis, craniosynostosis-facial dysmorphism-chiari-1 malformation-developmental and language delay syndrome, MYT1L-related developmental delay-intellectual disability-obesity syndrome, Houge-Janssens syndrome, xerosis and growth failure with immune and pulmonary dysfunction syndrome, Fliedner-Zweier syndrome, Lui-Jee-Baron syndrome, Long-Olsen-Distelmaier syndrome, Tan-Almurshedi syndrome, diabetes, deafness, developmental delay, and short stature syndrome, Alfadhel syndrome, Hoxha-Aliu syndrome, cleft palate-congenital heart defect-intellectual disability syndrome, congenital insensitivity to pain syndrome, Marsili type, Yuksel-Vogel-Bauer syndrome, polydactyly-macrocephaly syndrome, pyoderma gangrenosum-acne-hidradenitis suppurativa-ankylosing spondylitis syndrome, psoriatic arthritis-pyoderma gangrenosum-acne-hidradenitis suppurativa syndrome, megalencephaly-polydactyly syndrome, Leigh syndrome, mitochondrial, auroneurodental syndrome, orofacial clefting-cardiac anomalies-facial dysmorphism syndrome, Grisel syndrome, arterial tortuosity-bone fragility syndrome, dialysis disequilibrium syndrome, brain abnormalities-severe developmental delay-facial dysmorphism-intellectual disability syndrome due to MEF2C mutation, Kariminejad neurodevelopmental syndrome, myelofibrosis, congenital, with anemia, neutropenia, developmental delay, and ocular abnormalities, brain malformation renal syndrome, myopathy with myalgia, increased serum creatine kinase, and with or without episodic rhabdomyolysis 2, Karayol-Borroto-Haghshenas neurodevelopmental syndrome, neurodegeneration, infantile-onset, with optic atrophy and brain abnormalities, Morimoto-Ryu-Malicdan neuromuscular syndrome, neurodevelopmental disorder with dysmorphic facies, absent speech and ambulation, and brain abnormalities, neurodevelopmental disorder with variable familial hypercholanemia, Pan-Chung-Bellen syndrome, telangiectasia, impaired intellectual development, microcephaly, metaphyseal dysplasia, eye abnormalities, and short stature, Muggenthaler-Chowdhury-Chioza syndrome, Tayoun-Maawali syndrome, ragopathy, cardiovascular-kidney-metabolic syndrome, craniofaciocardiohepatic syndrome, FICUS syndrome, Li-Takada-Miyake syndrome, Guillouet-Gordon syndrome, ICHAD syndrome, cataract, alopecia, oral mucosal disorder, and psoriasis-like syndrome, RAC2-related combined immunodeficiency-bronchiectasis-cancer-predisposing syndrome, oculovertebral syndrome, Alsahan-Harris syndrome, Ververi-Brady syndrome, Dursun-Ozgul neurodevelopmental syndrome, immune dysregulation, neurodevelopmental defects, and colitis, Harel-Tora neurodevelopmental syndrome, Valence-Farazi cerebellar ataxia syndrome, dyschromatosis, ichthyosis, deafness, and atopic disease, Ramond-Elliott neurodevelopmental syndrome, STAD syndrome, craniosynostosis-scoliosis syndrome, loin pain hematuria syndrome, IRF6-related condition, linkeropathy, NDUFB11-related disorders, CRYAB-related myofibrillar myopathy-cataract-cardiomyopathy spectrum disorder, TSEN2-related neurodevelopmental disorder with or without thrombotic microangiopathy, antiphospholipid syndrome

Subtypes (4): familial nephrotic syndrome, idiopathic nephrotic syndrome, nephrotic syndrome ocular anomalies, steroid-resistant nephrotic syndrome

Genetics & variants

GWAS landscape

114 GWAS associations across 40 studies. Top hits map to 21 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs10633555e-81HLA-DQB1, HLA-DQB1-AS1T0.46
rs28566962e-68HLA-DQB1 - MTCO3P1T2.8
rs28566652e-68HLA-DQB1 - MTCO3P1G4.06
HLA_DQA1*023e-59T2.49
rs17944977e-52HLA-DQB1 - MTCO3P1C2.04
rs287551813e-51HLA-DQB1 - MTCO3P1?3.35
rs92717476e-51HLA-DRB1 - HLA-DQA1T3.3
rs92735422e-43HLA-DQB1T3.39
rs92747401e-39HLA-DQB1 - MTCO3P1A0.41
rs92734791e-33HLA-DQB1-AS1, HLA-DQB1T0.49
HLA-DQA1*02:011e-32DQA1*02:013.42
HLA-DQA1*012e-31DQA1*01
rs28583174e-31HLA-DQB1 - MTCO3P1?
HLA_DQA1*014e-29T0.53
rs22854507e-28NPHS1A1.88
rs92716021e-27HLA-DRB1 - HLA-DQA1G2.75
rs26376782e-27CALHM6 - TRAPPC3LT1.74
rs4121757e-25NPHS1T0.53
rs10633489e-23HLA-DQB1-AS1, HLA-DQB1G3.33
rs283662664e-20HLA-DRB1 - HLA-DQA1C3.03
rs22563181e-17MICAA1.49
rs12658892e-16TNXBA0.52
rs25964852e-15MICA-AS1T0.61
rs1884686263e-14ARID3BA3.54
rs31297134e-14HLA-DQB1 - MTCO3P1T2.36
rs1907893985e-14DOCK8C2.9
rs77599711e-13AHI1T1.34
rs28576071e-13NFKBIL1T1.95
rs5668841783e-13HMG20AC2.5
rs46425167e-13HLA-DQB1 - MTCO3P1T3.03

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90018664Sakaue S20211,314177,412A cross-population atlas of genetic associations for 220 human phenotypes.
GCST90269967Barry A20231,3117,780Multi-population genome-wide association study implicates immune and non-immune factors in pediatric steroid-sensitive nephrotic syndrome.
GCST90651595Liu TY20251,208202,534Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population.
GCST90269968Barry A20231,09612,459Multi-population genome-wide association study implicates immune and non-immune factors in pediatric steroid-sensitive nephrotic syndrome.
GCST90478512Verma A20241,068449,105Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST010731Jia X20209873,206Common risk variants in NPHS1 and TNFSF15 are associated with childhood steroid-sensitive nephrotic syndrome.
GCST90013716Ishigaki K2020957211,496Large-scale genome-wide association study in a Japanese population identifies novel susceptibility loci across different diseases.
GCST90018884Sakaue S2021775475,255A cross-population atlas of genetic associations for 220 human phenotypes.
GCST90258619Barry A20236746,817Multi-population genome-wide association study implicates immune and non-immune factors in pediatric steroid-sensitive nephrotic syndrome.
GCST90013752Ishigaki K2020583108,764Large-scale genome-wide association study in a Japanese population identifies novel susceptibility loci across different diseases.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding1
Tier 2: splice/UTR3
Tier 3: regulatory1
Tier 4: intronic/intergenic45

MAF distribution

BucketVariants
common (>=0.05)32
low_freq (0.01-0.05)0
rare (<0.01)15
unknown3

Functional consequences

ConsequenceCount
intron_variant21
intergenic_variant17
unknown5
3_prime_UTR_variant2
synonymous_variant1
splice_polypyrimidine_tract_variant1
non_coding_transcript_exon_variant1
missense_variant1
regulatory_region_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs1063355632659937T>C,G0.053_prime_UTR_variantHLA-DQB1, HLA-DQB1-AS15e-81Tier 2: splice/UTR
rs2856696632684091A>T0.05intergenic_variantHLA-DQB1 - MTCO3P12e-68Tier 4: intronic/intergenic
rs2856665632697820A>G,T0.05intergenic_variantHLA-DQB1 - MTCO3P12e-68Tier 4: intronic/intergenic
HLA_DQA1*023e-59Tier 4: intronic/intergenic
rs1794497632681403T>C,G0.05intergenic_variantHLA-DQB1 - MTCO3P17e-52Tier 4: intronic/intergenic
rs28755181632674236C>A,T0.05intergenic_variantHLA-DQB1 - MTCO3P13e-51Tier 4: intronic/intergenic
rs9271747632626037T>C0.05intergenic_variantHLA-DRB1 - HLA-DQA16e-51Tier 4: intronic/intergenic
rs9273542632661035C>A,T0.24intron_variantHLA-DQB12e-43Tier 4: intronic/intergenic
rs9274740632670191A>T0.05intergenic_variantHLA-DQB1 - MTCO3P11e-39Tier 4: intronic/intergenic
rs9273479632660316T>C,G0.05intron_variantHLA-DQB1-AS1, HLA-DQB11e-33Tier 4: intronic/intergenic
HLA-DQA1*02:010.151e-32Tier 4: intronic/intergenic
HLA-DQA1*010.382e-31Tier 4: intronic/intergenic
rs2858317632694503C>A,T0.05intergenic_variantHLA-DQB1 - MTCO3P14e-31Tier 4: intronic/intergenic
HLA_DQA1*014e-29Tier 4: intronic/intergenic
rs22854501935851365G>A0.05synonymous_variantNPHS17e-28Tier 4: intronic/intergenic
rs9271602632623606T>A,C,G0.05intergenic_variantHLA-DRB1 - HLA-DQA11e-27Tier 4: intronic/intergenic
rs26376786116466215T>C0.05intergenic_variantCALHM6 - TRAPPC3L2e-27Tier 4: intronic/intergenic
rs4121751935851201T>C0.05intron_variantNPHS17e-25Tier 4: intronic/intergenic
rs1063348632660146A>C,G,T0.43_prime_UTR_variantHLA-DQB1-AS1, HLA-DQB19e-23Tier 2: splice/UTR
rs28366266632591976T>C0.17intergenic_variantHLA-DRB1 - HLA-DQA14e-20Tier 4: intronic/intergenic
rs2256318631413742G>A0.05intron_variantMICA1e-17Tier 4: intronic/intergenic
rs1265889632065839G>A0.05intron_variantTNXB2e-16Tier 4: intronic/intergenic
rs2596485631397093T>A,C0.05splice_polypyrimidine_tract_variantMICA-AS12e-15Tier 2: splice/UTR
rs1884686261574588259A>G0intron_variantARID3B3e-14Tier 4: intronic/intergenic
rs3129713632689478C>T0.21intergenic_variantHLA-DQB1 - MTCO3P14e-14Tier 4: intronic/intergenic
rs1907893989277780C>T0.001intron_variantDOCK85e-14Tier 4: intronic/intergenic
rs77599716135425746C>T0.05intron_variantAHI11e-13Tier 4: intronic/intergenic
rs2857607631549471C>T0.05intron_variantNFKBIL11e-13Tier 4: intronic/intergenic
rs5668841781577469913C>A,T0.001intron_variantHMG20A3e-13Tier 4: intronic/intergenic
rs4642516632689766G>A,T0.27non_coding_transcript_exon_variantHLA-DQB1 - MTCO3P17e-13Tier 4: intronic/intergenic

ClinVar germline variants

184 retrieved; paginated sample, class counts are floors:

56 likely pathogenic, 44 uncertain significance, 27 pathogenic/likely pathogenic, 26 conflicting classifications of pathogenicity, 25 pathogenic, 3 likely benign, 1 benign, 1 benign/likely benign, 1 vus-high

ClinVarVariant (HGVS)GeneClassificationReview
140583NM_000030.3(AGXT):c.33dup (p.Lys12fs)AGXTPathogeniccriteria provided, multiple submitters, no conflicts
370718NM_014625.4(NPHS2):c.890C>T (p.Ala297Val)AXDND1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
988248NM_001127898.4(CLCN5):c.604-2A>GCLCN5Pathogenicno assertion criteria provided
447178NM_000092.5(COL4A4):c.1045C>T (p.Arg349Ter)COL4A4Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
24591NM_033380.3(COL4A5):c.3088G>A (p.Gly1030Ser)COL4A5Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
934057NM_033380.3(COL4A5):c.3722G>A (p.Gly1241Asp)COL4A5Pathogeniccriteria provided, single submitter
988185NM_033380.3(COL4A5):c.2387G>A (p.Gly796Glu)COL4A5Pathogenicno assertion criteria provided
189020NM_004937.3(CTNS):c.809_811del (p.Ser270del)CTNSPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
39579NM_003647.3(DGKE):c.610del (p.Thr204fs)DGKEPathogeniccriteria provided, multiple submitters, no conflicts
1344883NM_000169.3(GLA):c.504A>C (p.Lys168Asn)GLAPathogeniccriteria provided, single submitter
35572NM_002204.4(ITGA3):c.1883G>C (p.Arg628Pro)ITGA3Pathogenic/Likely pathogenicno assertion criteria provided
56440NM_004646.4(NPHS1):c.139del (p.Ala47fs)KIRREL2Pathogeniccriteria provided, multiple submitters, no conflicts
1344739NM_002292.4(LAMB2):c.4573C>T (p.Gln1525Ter)LAMB2Pathogeniccriteria provided, multiple submitters, no conflicts
14530NM_002292.4(LAMB2):c.736C>T (p.Arg246Trp)LAMB2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
974626NM_002292.4(LAMB2):c.4519C>T (p.Gln1507Ter)LAMB2Pathogeniccriteria provided, single submitter
498798NM_001174147.2(LMX1B):c.737G>A (p.Arg246Gln)LMX1BPathogeniccriteria provided, multiple submitters, no conflicts
444889NM_017807.4(OSGEP):c.40A>T (p.Ile14Phe)LOC107372315Pathogeniccriteria provided, single submitter
3655NM_018714.3(COG1):c.1070+5G>ALOC126862634Pathogeniccriteria provided, single submitter
1065992NM_004646.4(NPHS1):c.2728T>C (p.Ser910Pro)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
188761NM_004646.4(NPHS1):c.2928G>T (p.Arg976Ser)NPHS1Pathogeniccriteria provided, multiple submitters, no conflicts
370188NM_004646.4(NPHS1):c.619del (p.Arg207fs)NPHS1Pathogeniccriteria provided, multiple submitters, no conflicts
56419NM_004646.4(NPHS1):c.1048T>C (p.Ser350Pro)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56438NM_004646.4(NPHS1):c.1379G>A (p.Arg460Gln)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56450NM_004646.4(NPHS1):c.1760T>G (p.Leu587Arg)NPHS1Pathogeniccriteria provided, single submitter
56453NM_004646.4(NPHS1):c.1868G>T (p.Cys623Phe)NPHS1Pathogeniccriteria provided, multiple submitters, no conflicts
56469NM_004646.4(NPHS1):c.2227C>T (p.Arg743Cys)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56471NM_004646.4(NPHS1):c.2404C>T (p.Arg802Trp)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56481NM_004646.4(NPHS1):c.2596C>T (p.Arg866Ter)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56497NM_004646.4(NPHS1):c.3250dup (p.Val1084fs)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
56518NM_004646.4(NPHS1):c.614_621delinsTT (p.Thr205_Arg207delinsIle)NPHS1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 21 · Orphanet: 108 · 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
DLC1StrongAutosomal recessivenephrotic syndrome3
ITSN1StrongAutosomal recessivenephrotic syndrome2
ITSN2StrongAutosomal recessivenephrotic syndrome
PODXLStrongAutosomal dominantnephrotic syndrome5
TNS2StrongAutosomal recessivenephrotic syndrome2
KANK4ModerateAutosomal recessivenephrotic syndrome
KANK1LimitedAutosomal recessivenephrotic syndrome6
XPO5LimitedAutosomal recessivenephrotic syndrome

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
ITSN1Orphanet:178469Autosomal dominant non-syndromic intellectual disability
PODXLOrphanet:2828Young-onset Parkinson disease
PODXLOrphanet:391411Atypical juvenile parkinsonism
KANK1Orphanet:210141Inherited congenital spastic tetraplegia
RUNX2Orphanet:1452Cleidocranial dysplasia
RUNX2Orphanet:2504Metaphyseal dysplasia-maxillary hypoplasia-brachydacty syndrome
SGPL1Orphanet:506334Familial steroid-resistant nephrotic syndrome with adrenal insufficiency
SMARCAL1Orphanet:1830Schimke immuno-osseous dysplasia
BTNL2Orphanet:797Sarcoidosis
TRPC6Orphanet:656Hereditary steroid-resistant nephrotic syndrome
WT1Orphanet:220Denys-Drash syndrome
WT1Orphanet:24246,XY complete gonadal dysgenesis
WT1Orphanet:25151046,XY partial gonadal dysgenesis
WT1Orphanet:3097Meacham syndrome
WT1Orphanet:347Frasier syndrome
WT1Orphanet:654Nephroblastoma
WT1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
WT1Orphanet:83469Desmoplastic small round cell tumor
WT1Orphanet:893WAGR syndrome
NPHS2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
ANLNOrphanet:656Hereditary steroid-resistant nephrotic syndrome
AVILOrphanet:656Hereditary steroid-resistant nephrotic syndrome
TP53RKOrphanet:2065Galloway-Mowat syndrome
ACTN4Orphanet:656Hereditary steroid-resistant nephrotic syndrome
PLCE1Orphanet:656Hereditary steroid-resistant nephrotic syndrome
OSGEPOrphanet:2065Galloway-Mowat syndrome
COQ8BOrphanet:656Hereditary steroid-resistant nephrotic syndrome
COQ8BOrphanet:791Retinitis pigmentosa
CLCN5Orphanet:93622Dent disease type 1
COL4A3Orphanet:653722Digenic Alport syndrome
COL4A3Orphanet:656Hereditary steroid-resistant nephrotic syndrome
COL4A3Orphanet:88918Autosomal dominant Alport syndrome
COL4A3Orphanet:88919Autosomal recessive Alport syndrome
COL4A4Orphanet:653722Digenic Alport syndrome
COL4A4Orphanet:88918Autosomal dominant Alport syndrome
COL4A4Orphanet:88919Autosomal recessive Alport syndrome
COL4A5Orphanet:1018X-linked Alport syndrome-diffuse leiomyomatosis
COL4A5Orphanet:653722Digenic Alport syndrome
COL4A5Orphanet:88917X-linked Alport syndrome
DHTKD1Orphanet:329258Autosomal dominant Charcot-Marie-Tooth disease type 2Q
DHTKD1Orphanet:791542-aminoadipic 2-oxoadipic aciduria
INF2Orphanet:656Hereditary steroid-resistant nephrotic syndrome
INF2Orphanet:93114Autosomal dominant intermediate Charcot-Marie-Tooth disease type E
TPRKBOrphanet:2065Galloway-Mowat syndrome
TBC1D8BOrphanet:656Hereditary steroid-resistant nephrotic syndrome
CTNSOrphanet:411629Infantile nephropathic cystinosis
CTNSOrphanet:411634Juvenile nephropathic cystinosis
CTNSOrphanet:411641Ocular cystinosis
COQ2Orphanet:227510Multiple system atrophy, cerebellar type
COQ2Orphanet:98933Multiple system atrophy, parkinsonian type

Cohort genes → proteins

74 cohort genes, 70 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only10
multi_evidence64

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
TNS2HGNC:19737ENSG00000111077Q63HR2Tensin-2gencc,clinvar
KANK4HGNC:27263ENSG00000132854Q5T7N3KN motif and ankyrin repeat domain-containing protein 4gencc,clinvar
ITSN1HGNC:6183ENSG00000205726Q15811Intersectin-1gencc,clinvar
PODXLHGNC:9171ENSG00000128567O00592Podocalyxingencc,clinvar
XPO5HGNC:17675ENSG00000124571Q9HAV4Exportin-5gencc
KANK1HGNC:19309ENSG00000107104Q14678KN motif and ankyrin repeat domain-containing protein 1gencc
DLC1HGNC:2897ENSG00000164741Q96QB1Rho GTPase-activating protein 7gencc
ITSN2HGNC:6184ENSG00000198399Q9NZM3Intersectin-2gencc
RUNX2HGNC:10472ENSG00000124813Q13950Runt-related transcription factor 2clinvar
SGPL1HGNC:10817ENSG00000166224O95470Sphingosine-1-phosphate lyase 1clinvar
SMARCAL1HGNC:11102ENSG00000138375Q9NZC9SNF2 related chromatin remodeling annealing helicase 1clinvar
BTNL2HGNC:1142ENSG00000204290Q9UIR0Butyrophilin-like protein 2gwas
TRPC6HGNC:12338ENSG00000137672Q9Y210Short transient receptor potential channel 6clinvar
WT1HGNC:12796ENSG00000184937P19544Wilms tumor proteinclinvar
NPHS2HGNC:13394ENSG00000116218Q9NP85Podocinclinvar
ANLNHGNC:14082ENSG00000011426Q9NQW6Anillinclinvar
AVILHGNC:14188ENSG00000135407O75366Advillinclinvar
TP53RKHGNC:16197ENSG00000172315Q96S44EKC/KEOPS complex subunit TP53RKclinvar
ACTN4HGNC:166ENSG00000130402O43707Alpha-actinin-4clinvar
PLCE1HGNC:17175ENSG00000138193Q9P2121-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1clinvar
OSGEPHGNC:18028ENSG00000092094Q9NPF4tRNA N6-adenosine threonylcarbamoyltransferaseclinvar
KIRREL2HGNC:18816ENSG00000126259Q6UWL6Kin of IRRE-like protein 2clinvar
COQ8BHGNC:19041ENSG00000123815Q96D53Atypical kinase COQ8B, mitochondrialclinvar
HCG23HGNC:19713HLA complex group 23gwas
DDX53HGNC:20083ENSG00000184735Q86TM3Probable ATP-dependent RNA helicase DDX53clinvar
CLCN5HGNC:2023ENSG00000171365P51795H(+)/Cl(-) exchange transporter 5clinvar
SULF2HGNC:20392ENSG00000196562Q8IWU5Extracellular sulfatase Sulf-2gwas
KCTD11HGNC:21302ENSG00000213859Q693B1BTB/POZ domain-containing protein KCTD11clinvar
CDK20HGNC:21420ENSG00000156345Q8IZL9Cyclin-dependent kinase 20clinvar
SLC35F1HGNC:21483ENSG00000196376Q5T1Q4Solute carrier family 35 member F1clinvar
COL4A3HGNC:2204ENSG00000169031Q01955Collagen alpha-3(IV) chainclinvar
COL4A4HGNC:2206ENSG00000081052P53420Collagen alpha-4(IV) chainclinvar
COL4A5HGNC:2207ENSG00000188153P29400Collagen alpha-5(IV) chainclinvar
PDSS2HGNC:23041ENSG00000164494Q86YH6All trans-polyprenyl-diphosphate synthase PDSS2clinvar
DHTKD1HGNC:23537ENSG00000181192Q96HY72-oxoadipate dehydrogenase complex component E1clinvar
INF2HGNC:23791ENSG00000203485Q27J81Inverted formin-2clinvar
TPRKBHGNC:24259ENSG00000144034Q9Y3C4EKC/KEOPS complex subunit TPRKBclinvar
PARM1HGNC:24536ENSG00000169116Q6UWI2Prostate androgen-regulated mucin-like protein 1gwas
TBC1D8BHGNC:24715ENSG00000133138Q0IIM8TBC1 domain family member 8Bclinvar
CTNSHGNC:2518ENSG00000040531O60931Cystinosinclinvar
COQ2HGNC:25223ENSG00000173085Q96H964-hydroxybenzoate polyprenyltransferase, mitochondrialclinvar
ARHGAP24HGNC:25361ENSG00000138639Q8N264Rho GTPase-activating protein 24clinvar
TTC21BHGNC:25660ENSG00000123607Q7Z4L5Tetratricopeptide repeat protein 21Bclinvar
WDR73HGNC:25928ENSG00000177082Q6P4I2Integrator complex assembly factor WDR73clinvar
AXDND1HGNC:26564ENSG00000162779Q5T1B0Axonemal dynein light chain domain-containing protein 1clinvar
DGKEHGNC:2852ENSG00000153933P52429Diacylglycerol kinase epsilonclinvar
NUP93HGNC:28958ENSG00000102900Q8N1F7Nuclear pore complex protein Nup93clinvar
SYNPOHGNC:30672ENSG00000171992Q8N3V7Synaptopodinclinvar
PREX1HGNC:32594ENSG00000124126Q8TCU6Phosphatidylinositol 3,4,5-trisphosphate-dependent Rac exchanger 1 proteingwas
CALHM6HGNC:33391ENSG00000188820Q5R3K3Calcium homeostasis modulator protein 6gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
TNS2Tensin-2Tyrosine-protein phosphatase which regulates cell motility, proliferation and muscle-response to insulin.
KANK4KN motif and ankyrin repeat domain-containing protein 4May be involved in the control of cytoskeleton formation by regulating actin polymerization.
ITSN1Intersectin-1Adapter protein that provides a link between the endocytic membrane traffic and the actin assembly machinery.
PODXLPodocalyxinInvolved in the regulation of both adhesion and cell morphology and cancer progression.
XPO5Exportin-5Mediates the nuclear export of proteins bearing a double-stranded RNA binding domain (dsRBD) and double-stranded RNAs (cargos).
KANK1KN motif and ankyrin repeat domain-containing protein 1Adapter protein that links structural and signaling protein complexes positioned to guide microtubule and actin cytoskeleton dynamics during cell morphogenesis.
DLC1Rho GTPase-activating protein 7Functions as a GTPase-activating protein for the small GTPases RHOA, RHOB, RHOC and CDC42, terminating their downstream signaling.
ITSN2Intersectin-2Adapter protein that may provide indirect link between the endocytic membrane traffic and the actin assembly machinery.
RUNX2Runt-related transcription factor 2Transcription factor involved in osteoblastic differentiation and skeletal morphogenesis.
SGPL1Sphingosine-1-phosphate lyase 1Cleaves phosphorylated sphingoid bases (PSBs), such as sphingosine-1-phosphate, into fatty aldehydes and phosphoethanolamine.
SMARCAL1SNF2 related chromatin remodeling annealing helicase 1ATP-dependent annealing helicase that binds selectively to fork DNA relative to ssDNA or dsDNA and catalyzes the rewinding of the stably unwound DNA.
BTNL2Butyrophilin-like protein 2Negative regulator of T-cell proliferation.
TRPC6Short transient receptor potential channel 6Forms a receptor-activated non-selective calcium permeant cation channel.
WT1Wilms tumor proteinTranscription factor that plays an important role in cellular development and cell survival.
NPHS2PodocinPlays a role in the regulation of glomerular permeability, acting probably as a linker between the plasma membrane and the cytoskeleton.
ANLNAnillinRequired for cytokinesis.
AVILAdvillinCa(2+)-regulated actin-binding protein which plays an important role in actin bundling.
TP53RKEKC/KEOPS complex subunit TP53RKComponent of the EKC/KEOPS complex that is required for the formation of a threonylcarbamoyl group on adenosine at position 37 (t(6)A37) in tRNAs that read codons beginning with adenine.
ACTN4Alpha-actinin-4F-actin cross-linking protein which is thought to anchor actin to a variety of intracellular structures.
PLCE11-phosphatidylinositol 4,5-bisphosphate phosphodiesterase epsilon-1The production of the second messenger molecules diacylglycerol (DAG) and inositol 1,4,5-trisphosphate (IP3) is mediated by activated phosphatidylinositol-specific phospholipase C enzymes.
OSGEPtRNA N6-adenosine threonylcarbamoyltransferaseComponent of the EKC/KEOPS complex that is required for the formation of a threonylcarbamoyl group on adenosine at position 37 (t(6)A37) in tRNAs that read codons beginning with adenine.
KIRREL2Kin of IRRE-like protein 2May regulate basal insulin secretion.
COQ8BAtypical kinase COQ8B, mitochondrialAtypical kinase involved in the biosynthesis of coenzyme Q, also named ubiquinone, an essential lipid-soluble electron transporter for aerobic cellular respiration.
CLCN5H(+)/Cl(-) exchange transporter 5Proton-coupled chloride transporter.
SULF2Extracellular sulfatase Sulf-2Exhibits arylsulfatase activity and highly specific endoglucosamine-6-sulfatase activity.
KCTD11BTB/POZ domain-containing protein KCTD11Plays a role as a marker and a regulator of neuronal differentiation; Up-regulated by a variety of neurogenic signals, such as retinoic acid, epidermal growth factor/EGF and NGFB/nerve growth factor.
CDK20Cyclin-dependent kinase 20Required for high-level Shh responses in the developing neural tube.
SLC35F1Solute carrier family 35 member F1Putative solute transporter.
COL4A3Collagen alpha-3(IV) chainType IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen.
COL4A4Collagen alpha-4(IV) chainType IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen.
COL4A5Collagen alpha-5(IV) chainType IV collagen is the major structural component of glomerular basement membranes (GBM), forming a ‘chicken-wire’ meshwork together with laminins, proteoglycans and entactin/nidogen.
PDSS2All trans-polyprenyl-diphosphate synthase PDSS2Heterotetrameric enzyme that catalyzes the condensation of farnesyl diphosphate (FPP), which acts as a primer, and isopentenyl diphosphate (IPP) to produce prenyl diphosphates of varying chain lengths and participates in the determination…
DHTKD12-oxoadipate dehydrogenase complex component E12-oxoadipate dehydrogenase (E1a) component of the 2-oxoadipate dehydrogenase complex (OADHC).
INF2Inverted formin-2Severs actin filaments and accelerates their polymerization and depolymerization.
TPRKBEKC/KEOPS complex subunit TPRKBComponent of the EKC/KEOPS complex that is required for the formation of a threonylcarbamoyl group on adenosine at position 37 (t(6)A37) in tRNAs that read codons beginning with adenine.
PARM1Prostate androgen-regulated mucin-like protein 1May regulate TLP1 expression and telomerase activity, thus enabling certain prostatic cells to resist apoptosis.
TBC1D8BTBC1 domain family member 8BInvolved in vesicular recycling, probably as a RAB11B GTPase-activating protein.
CTNSCystinosinCystine/H(+) symporter that mediates export of cystine, the oxidized dimer of cysteine, from lysosomes.
COQ24-hydroxybenzoate polyprenyltransferase, mitochondrialMediates the second step in the final reaction sequence of coenzyme Q (CoQ) biosynthesis.
ARHGAP24Rho GTPase-activating protein 24Rho GTPase-activating protein involved in cell polarity, cell morphology and cytoskeletal organization.
TTC21BTetratricopeptide repeat protein 21BComponent of the IFT complex A (IFT-A), a complex required for retrograde ciliary transport and entry into cilia of G protein-coupled receptors (GPCRs).
WDR73Integrator complex assembly factor WDR73Component of a multiprotein complex required for the assembly of the RNA endonuclease module of the integrator complex.
AXDND1Axonemal dynein light chain domain-containing protein 1May be essential for spermiogenesis and male fertility probably by regulating the manchette dynamics, spermatid head shaping and sperm flagellum assembly.
DGKEDiacylglycerol kinase epsilonMembrane-bound diacylglycerol kinase that converts diacylglycerol/DAG into phosphatidic acid/phosphatidate/PA and regulates the respective levels of these two bioactive lipids.
NUP93Nuclear pore complex protein Nup93Plays a role in the nuclear pore complex (NPC) assembly and/or maintenance.
SYNPOSynaptopodinActin-associated protein that may play a role in modulating actin-based shape and motility of dendritic spines and renal podocyte foot processes.
PREX1Phosphatidylinositol 3,4,5-trisphosphate-dependent Rac exchanger 1 proteinFunctions as a RAC guanine nucleotide exchange factor (GEF), which activates the Rac proteins by exchanging bound GDP for free GTP.
CALHM6Calcium homeostasis modulator protein 6Pore-forming subunit of an ATP-permeable channel.
AGXTAlanine–glyoxylate aminotransferasePeroxisomal aminotransferase that catalyzes the transamination of glyoxylate to glycine and contributes to the glyoxylate detoxification.
FAT1Protocadherin Fat 1Plays an essential role for cellular polarization, directed cell migration and modulating cell-cell contact.

Protein-family classification

Druggable: 28 · Difficult: 15 · Unknown: 31 · Druggable fraction: 0.38

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
Antibody/Immunoglobulin103.9×0.002
Scaffold/PPI102.3×0.050
Phosphatase22.3×0.555
Transporter22.1×0.555
Kinase41.5×0.555
Ion channel11.5×0.696
Enzyme (other)71.1×0.696
Protease21.0×0.755
Other/Unknown310.8×0.994
Transcription factor50.6×0.994

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
TNS2PhosphataseyesSH2, PKC_DAG/PE, PTB/PI_dom
KANK4Scaffold/PPInoAnkyrin_rpt, KN_motif, Ankyrin_rpt-contain_sf
ITSN1Scaffold/PPInoC2_dom, DH_dom, EH_dom
PODXLOther/UnknownnoCD34/Podocalyxin, PODXL
XPO5Other/UnknownnoImportin-beta_N, ARM-like, Exportin-1/Importin-b-like
KANK1Scaffold/PPInoAnkyrin_rpt, KN_motif, Ankyrin_rpt-contain_sf
DLC1Other/UnknownnoRhoGAP_dom, SAM, START_lipid-bd_dom
ITSN2Scaffold/PPInoC2_dom, DH_dom, EH_dom
RUNX2Transcription factornoAML1_Runt, p53-like_TF_DNA-bd_sf, p53/RUNT-type_TF_DNA-bd_sf
SGPL1Enzyme (other)yes4.1.2.27PyrdxlP-dep_de-COase, PyrdxlP-dep_Trfase_major, PyrdxlP-dep_Trfase_small
SMARCAL1Other/UnknownnoSNF2_N, Helicase_C-like, HARP_dom
BTNL2Antibody/ImmunoglobulinyesIg_C1-set, Ig_sub, Ig-like_dom
TRPC6Ion channelyesAnkyrin_rpt, TRPC_channel, TRPC6_channel
WT1Transcription factornoWilms_tumour_N, Znf_C2H2_type, Znf_C2H2_sf
NPHS2Other/UnknownnoBand_7, Stomatin_HflK_fam, Band_7/stomatin-like_CS
ANLNScaffold/PPInoPH_domain, PH-like_dom_sf, AHD
AVILOther/UnknownnoVillin_headpiece, Villin/Gelsolin, Gelsolin-like_dom
TP53RKKinaseyes2.7.11.1Prot_kinase_dom, Tyr_kinase_AS, Kinase-like_dom_sf
ACTN4Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
PLCE1Enzyme (other)yes3.1.4.11C2_dom, RA_dom, PLipase_C_PInositol-sp_X_dom
OSGEPProteaseyesGcp-like_dom, Peptidase_M22_CS, KAE1/TsaD
KIRREL2Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, Ig-like_dom
COQ8BKinaseyesABC1_dom, Kinase-like_dom_sf, ADCK3_dom
HCG23Other/Unknownno
DDX53Other/UnknownnoRNA-helicase_DEAD-box_CS, Helicase_C-like, KH_dom
CLCN5Other/UnknownnoCBS_dom, ClC, Cl_channel-5
SULF2PhosphataseyesSulfatase_N, Extracellular_sulfatase, Alkaline_phosphatase_core_sf
KCTD11Other/UnknownnoT1-type_BTB, SKP1/BTB/POZ_sf, KCTD11/21_C
CDK20KinaseyesProt_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
SLC35F1TransporteryesSLC35_F1/F2/F6, EmrE-like, SLC35F_Transporter
COL4A3Other/UnknownnoCollagen_IV_NC, Collagen, CTDL_fold
COL4A4Other/UnknownnoCollagen_IV_NC, Collagen, CTDL_fold
COL4A5Other/UnknownnoCollagen_IV_NC, Collagen, CTDL_fold
PDSS2Enzyme (other)yes2.5.1.91Polyprenyl_synt, Isoprenoid_synthase_dom_sf
DHTKD1Enzyme (other)yes1.2.1.105DH_E1, Transketolase-like_Pyr-bd, 2oxoglutarate_DH_E1
INF2Other/UnknownnoWH2_dom, FH3_dom, GTPase-bd
TPRKBOther/UnknownnoCGI121/TPRKB, CGI121/TPRKB_sf
PARM1Other/UnknownnoPARM1
TBC1D8BOther/UnknownnoRab-GAP-TBC_dom, EF_hand_dom, GRAM
CTNSTransporteryesLC_transporter, PQ-loop_rpt
COQ2Enzyme (other)yes2.5.1.39UbiA_prenyltransferase, HB_polyprenyltransferase-like, UbiA_prenylTrfase_CS
ARHGAP24Scaffold/PPInoRhoGAP_dom, PH_domain, Rho_GTPase_activation_prot
TTC21BOther/UnknownnoTPR-like_helical_dom_sf, TPR_rpt, TTC21A/TTC21B
WDR73Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_dom_sf
AXDND1Other/UnknownnoAxonemal_dynein_light_chain, Axonemal_dynein_LC_domain
DGKEKinaseyes2.7.1.107Diacylglycerol_kin_accessory, Diacylglycerol_kinase_cat_dom, PKC_DAG/PE
NUP93Other/UnknownnoNucleoporin_int_Nup93/Nic96
SYNPOOther/UnknownnoSynaptopodin_domain
PREX1Scaffold/PPInoDH_dom, DEP_dom, GDS_CDC24_CS
CALHM6Other/UnknownnoCALHM

Expression context

Cohort genes with no expression data: 1.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)1
broad (>20)72
unknown1

Top tissues across cohort

TissueCohort genes
sural nerve7
primordial germ cell in gonad7
ventricular zone7
metanephric glomerulus6
right uterine tube6
male germ line stem cell (sensu Vertebrata) in testis6
buccal mucosa cell5
renal glomerulus4
stromal cell of endometrium4
renal medulla4
decidua4
tibial nerve4
metanephros cortex4
apex of heart3
tibia3
right lung3
cerebellar hemisphere3
ganglionic eminence3
secondary oocyte3
right adrenal gland3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
TNS2276ubiquitousmarkerapex of heart, peripheral nervous system, mucosa of stomach
KANK4198broadmarkertrigeminal ganglion, dorsal root ganglion, substantia nigra pars compacta
ITSN1293ubiquitousmarkersural nerve, tibia, cortical plate
PODXL276ubiquitousmarkerrenal glomerulus, metanephric glomerulus, germinal epithelium of ovary
XPO5250ubiquitousmarkeradrenal tissue, primordial germ cell in gonad, upper arm skin
KANK1291ubiquitousmarkerblood vessel layer, cartilage tissue, descending thoracic aorta
DLC1268ubiquitousmarkeradrenal tissue, lower lobe of lung, sural nerve
ITSN2292ubiquitousmarkerbuccal mucosa cell, parietal pleura, visceral pleura
RUNX2241ubiquitousmarkertibia, mucosa of paranasal sinus, trabecular bone tissue
SGPL1286ubiquitousmarkeresophagus squamous epithelium, epithelium of esophagus, upper leg skin
SMARCAL1264ubiquitousmarkerprimordial germ cell in gonad, stromal cell of endometrium, sural nerve
BTNL2106yessural nerve, ventricular zone, primordial germ cell in gonad
TRPC6180broadmarkerright lung, lower esophagus muscularis layer, lower esophagus
WT1168broadmarkergerminal epithelium of ovary, renal glomerulus, metanephric glomerulus
NPHS247tissue_specificmarkerrenal glomerulus, metanephric glomerulus, kidney epithelium
ANLN222ubiquitousmarkercorpus callosum, inferior vagus X ganglion, C1 segment of cervical spinal cord
AVIL217tissue_specificmarkerdorsal root ganglion, cerebellar hemisphere, gastrocnemius
TP53RK222ubiquitousmarkerventricular zone, ganglionic eminence, cortical plate
ACTN4145ubiquitousmarkerpopliteal artery, tibial artery, smooth muscle tissue
PLCE1271broadmarkerrenal glomerulus, metanephric glomerulus, ventricular zone
OSGEP254ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
KIRREL297tissue_specificmarkerbody of pancreas, pancreas, left ventricle myocardium
COQ8B227ubiquitousmarkerright uterine tube, adenohypophysis, pituitary gland
HCG23
DDX5312tissue_specificmarkerprimordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, sperm
CLCN5218ubiquitousmarkerrenal medulla, secondary oocyte, corpus epididymis
SULF2256ubiquitousmarkerdecidua, body of uterus, myometrium
KCTD11132ubiquitousmarkerlower esophagus mucosa, tibial nerve, esophagus mucosa
CDK20199ubiquitousmarkerright uterine tube, right adrenal gland cortex, right adrenal gland
SLC35F1185broadmarkerventricular zone, endothelial cell, Brodmann (1909) area 46

Protein interactions among cohort

Intra-cohort edges: 105.

Hub genes (top 10 by interactor count)

SymbolInteractor count
FN18,860
ANLN6,413
MYH95,533
RUNX24,101
WT13,938
ITSN23,717
XPO53,620
HLA-DRB13,448
ACTN43,303
REN3,244

Intra-cohort edges

ABSources
ACTN4ALMS1string_interaction
ACTN4ANLNbiogrid_interaction, string_interaction
ACTN4INF2string_interaction
ACTN4MYH9biogrid_interaction, string_interaction
ACTN4MYO1Estring_interaction
ACTN4NPHS1string_interaction
ACTN4NPHS2string_interaction
ACTN4PLCE1string_interaction
ACTN4PODXLstring_interaction
ACTN4SYNPObiogrid_interaction, string_interaction
ACTN4TRPC6string_interaction
ALMS1AVILbiogrid_interaction, string_interaction
ANLNINF2intact, string_interaction
ANLNMYO1Eintact, string_interaction
ARHGAP24INF2string_interaction
ARHGAP24KANK4string_interaction
ARHGAP24NPHS1string_interaction
ARHGAP24NPHS2string_interaction
BTNL2HLA-DQB1intact
BTNL2HLA-DRB1string_interaction
BTNL2LAMB2biogrid_interaction
CLCN5CTNSstring_interaction
COL4A3COL4A4string_interaction
COL4A3LMX1Bstring_interaction
COL4A3MYH9string_interaction
COL4A3NPHS1string_interaction
COL4A3NPHS2string_interaction
COL4A4COL4A5string_interaction
COL4A4INF2string_interaction
COL4A4LMX1Bstring_interaction
COL4A4MYH9string_interaction
COL4A4NPHS1string_interaction
COL4A4NPHS2string_interaction
COL4A5LAMA5string_interaction
COL4A5NPHS1string_interaction
COL4A5NPHS2string_interaction
COQ2COQ8Bstring_interaction
COQ2MYO1Estring_interaction
COQ2PDSS2string_interaction
COQ2PLCE1string_interaction
COQ8BINF2string_interaction
COQ8BMYO1Estring_interaction
COQ8BNPHS1string_interaction
COQ8BNPHS2string_interaction
COQ8BPDSS2string_interaction
COQ8BPLCE1string_interaction
DGKEINF2string_interaction
DLC1TNS2string_interaction
FAT1KIRREL2string_interaction
FAT1NPHS1string_interaction

Structural data

PDB: 42 · AlphaFold-only: 28 · No structure: 4

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
HLA-DRB1P01911108
RENP0079791
FN1P0275165
GLAP0628031
WT1P1954428
HLA-DQA1P0190928
AGXTP2154917
PREX1Q8TCU614
ITGB4P1614413
ITSN1Q1581111
INF2Q27J8110
HLA-DQB1P0192010
ITSN2Q9NZM38
DHTKD1Q96HY78
MYH9P355798
DLC1Q96QB17
TPRKBQ9Y3C47
NUP93Q8N1F77
TRPC6Q9Y2106
TP53RKQ96S446
CTNSO609316
TNS2Q63HR25
KANK1Q146785
ACTN4O437075
RUNX2Q139504
XPO5Q9HAV43
ANLNQ9NQW63
PLCE1Q9P2123
TTC21BQ7Z4L53
SGPL1O954702

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
DGKEP5242986.18
CDK20Q8IZL986.08
BTNL2Q9UIR085.97
COQ2Q96H9685.64
KCTD11Q693B185.00
ITGA3P2600683.88
MYO1EQ1296580.46
PDSS2Q86YH680.28
TBC1D8BQ0IIM879.33
GPC5P7833378.66
SLC35F1Q5T1Q478.53
COQ8BQ96D5377.00
LAMB2P5526875.94
KIRREL2Q6UWL675.30
NPHS2Q9NP8575.00
SULF2Q8IWU574.16
AXDND1Q5T1B070.90
LMX1BO6066370.79
ARHGAP24Q8N26466.68
PAX2Q0296261.52
KANK4Q5T7N357.17
FOXD2O6054855.97
PODXLO0059253.66
PARM1Q6UWI252.35
SYNPOQ8N3V750.70
FAT1Q14517
ALMS1Q8TCU4
MXRA5Q9NR99

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 243. Enrichment computed across 74 evidence-associated genes (49 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 49 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Laminin interactions754.4×8e-09COL4A3, COL4A4, COL4A5, ITGA3, ITGB4, LAMA5, LAMB2
Attachment of bacteria to epithelial cells660.8×5e-08COL4A3, COL4A4, COL4A5, FN1, LAMA5, LAMB2
Non-integrin membrane-ECM interactions722.1×2e-06COL4A3, COL4A4, COL4A5, FN1, ITGB4, LAMA5, LAMB2
ECM proteoglycans618.4×5e-05COL4A3, COL4A4, COL4A5, FN1, LAMA5, LAMB2
Fibronectin matrix formation446.6×7e-05COL4A3, COL4A4, COL4A5, FN1
Nephrin family interactions438.8×1e-04NPHS2, ACTN4, KIRREL2, NPHS1
MET activates PTK2 signaling431.1×3e-04FN1, ITGA3, LAMA5, LAMB2
Ubiquinol biosynthesis353.8×6e-04COQ8B, PDSS2, COQ2
Anchoring fibril formation346.6×8e-04COL4A3, COL4A4, COL4A5
Integrin cell surface interactions513.7×8e-04COL4A3, COL4A4, COL4A5, FN1, ITGA3
MET promotes cell motility336.8×0.002ITGA3, LAMA5, LAMB2
Crosslinking of collagen fibrils335.0×0.002COL4A3, COL4A4, COL4A5
Assembly of collagen fibrils and other multimeric structures416.4×0.002COL4A3, COL4A4, COL4A5, ITGB4
Signaling by MET319.4×0.008ITGA3, LAMA5, LAMB2
tRNA modification in the nucleus and cytosol317.9×0.010TP53RK, OSGEP, TPRKB
Collagen chain trimerization315.9×0.013COL4A3, COL4A4, COL4A5
Signaling by PDGF315.5×0.013COL4A3, COL4A4, COL4A5
NCAM1 interactions315.2×0.013COL4A3, COL4A4, COL4A5
Developmental Lineage of Pancreatic Ductal Cells314.0×0.016FN1, LAMA5, LAMB2
Nephron development235.9×0.017WT1, PAX2
Translocation of ZAP-70 to Immunological synapse225.9×0.028HLA-DQA1, HLA-DRB1
RHOQ GTPase cycle311.1×0.028ITSN1, DLC1, PREX1
Collagen degradation310.8×0.028COL4A3, COL4A4, COL4A5
Collagen biosynthesis and modifying enzymes310.4×0.030COL4A3, COL4A4, COL4A5
Phosphorylation of CD3 and TCR zeta chains222.2×0.035HLA-DQA1, HLA-DRB1
Co-inhibition by PD-1221.2×0.035HLA-DQA1, HLA-DRB1
RHOB GTPase cycle39.4×0.035ANLN, DLC1, PREX1
RHOA GTPase cycle46.1×0.036ANLN, ARHGAP24, DLC1, PREX1
SLC-mediated transport of oligopeptides1233.1×0.036CTNS
RHOC GTPase cycle39.0×0.036ANLN, DLC1, PREX1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 67 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
glomerular basement membrane development6137.2×8e-10WT1, SULF2, COL4A3, COL4A4, MYO1E, NPHS1
glomerular filtration455.9×2e-04NPHS2, SULF2, TBC1D8B, MYO1E
metanephric podocyte development2251.5×0.002NPHS2, LAMB2
clathrin-dependent synaptic vesicle endocytosis2251.5×0.002ITSN1, ITSN2
podocyte development368.6×0.002PODXL, MYO1E, NPHS1
glomerulus development358.0×0.002WT1, PLCE1, MYO1E
peptide antigen assembly with MHC class II protein complex347.2×0.003HLA-DQA1, HLA-DQB1, HLA-DRB1
ubiquinone biosynthetic process341.9×0.003COQ8B, PDSS2, COQ2
integrin-mediated signaling pathway512.0×0.004FN1, ITGA3, ITGB4, LAMA5, MYH9
negative regulation of Rho protein signal transduction334.3×0.005KANK1, DLC1, ITGA3
kidney development510.5×0.006TNS2, SGPL1, WT1, SULF2, REN
tRNA threonylcarbamoyladenosine modification2100.6×0.007OSGEP, TPRKB
metanephric epithelium development2100.6×0.007WT1, PAX2
antigen processing and presentation of exogenous peptide antigen via MHC class II324.3×0.010HLA-DQA1, HLA-DQB1, HLA-DRB1
metanephric mesenchyme development271.9×0.010WT1, PAX2
podocyte cell migration271.9×0.010ANLN, KANK1
negative regulation of ruffle assembly271.9×0.010KANK1, ARHGAP24
positive regulation of immune response321.6×0.011HLA-DQA1, HLA-DQB1, HLA-DRB1
cell adhesion84.5×0.012PODXL, KIRREL2, COL4A3, FAT1, FN1, ITGB4, LAMA5, LAMB2
negative regulation of smoothened signaling pathway320.4×0.012RUNX2, KCTD11, CDK20
positive regulation of T cell activation319.9×0.012HLA-DQA1, HLA-DQB1, HLA-DRB1
isoprenoid biosynthetic process250.3×0.017PDSS2, COQ2
mesonephros development245.7×0.018PAX2, REN
mesodermal cell differentiation245.7×0.018ITGA3, ITGB4
mesenchymal to epithelial transition245.7×0.018WT1, PAX2
branching involved in ureteric bud morphogenesis316.4×0.018WT1, LAMA5, PAX2
positive regulation of canonical Wnt signaling pathway49.2×0.019KANK1, SULF2, TTC21B, GPC5
collagen-activated tyrosine kinase receptor signaling pathway238.7×0.023COL4A3, COL4A5
negative regulation of substrate adhesion-dependent cell spreading233.5×0.029ACTN4, KANK1
actin cytoskeleton organization55.9×0.029NPHS2, ACTN4, KANK1, DLC1, MYH9

Therapeutics

Drugs indicated for this disease

15 approved, 9 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
Betamethasone AcetateApproved (phase 4)
BumetanideApproved (phase 4)
ChlorothiazideApproved (phase 4)
ChlorthalidoneApproved (phase 4)
CholestyramineApproved (phase 4)
Cortisone AcetateApproved (phase 4)
DexamethasoneApproved (phase 4)
Ethacrynic AcidApproved (phase 4)
FurosemideApproved (phase 4)
HydrochlorothiazideApproved (phase 4)
Methylprednisolone AcetateApproved (phase 4)
PrednisoloneApproved (phase 4)
PrednisoneApproved (phase 4)
SpironolactoneApproved (phase 4)
TriamtereneApproved (phase 4)
CorticotropinPhase 3 (in late-stage trials)
MizoribinePhase 3 (in late-stage trials)
Mycophenolate MofetilPhase 3 (in late-stage trials)
Mycophenolic AcidPhase 3 (in late-stage trials)
PentoxifyllinePhase 3 (in late-stage trials)
PhenolPhase 3 (in late-stage trials)
RituximabPhase 3 (in late-stage trials)
Tacrolimus AnhydrousPhase 3 (in late-stage trials)
TelitaciceptPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Abatacept, Aldesleukin, Alirocumab, Atorvastatin, Belimumab, Daratumumab, Enoxaparin Sodium, Obinutuzumab, Ofatumumab, Pirfenidone, Sodium Chloride.

Drug target analysis

Approved (phase 4): 5 · Phase ≥3: 5 · Phased (≥1): 10 · Undrugged: 64

Druggability breadth: 31 of 74 evidence-associated genes (42%) 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
SGPL1FINGOLIMOD
TP53RKGILTERITINIB
COQ8BFEDRATINIB
GLACLOTRIMAZOLE
RENCAPTOPRIL

Top cohort targets by molecule count

SymbolMoleculesMax phase
GLA624
REN134
COQ8B94
TP53RK64
SGPL114
TRPC612
ACTN412
CDK2012
NUP9312
MYH912

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
FINGOLIMOD4SGPL1
GILTERITINIB4TP53RK
FEDRATINIB4COQ8B
VANDETANIB4COQ8B
ERLOTINIB4COQ8B
CRIZOTINIB4COQ8B
CLOTRIMAZOLE4GLA
METHYSERGIDE4GLA
MIGALASTAT4GLA
PINACIDIL ANHYDROUS4GLA
DOXAZOSIN MESYLATE4GLA
AMPICILLIN SODIUM4GLA
PHENOXYBENZAMINE HYDROCHLORIDE4GLA
METHYSERGIDE MALEATE4GLA
ACRISORCIN4GLA
NOMIFENSINE MALEATE4GLA
INAMRINONE4GLA
AMILORIDE HYDROCHLORIDE4GLA
PHENOL4GLA
FLUPHENAZINE HYDROCHLORIDE4GLA
PRAZOSIN HYDROCHLORIDE4GLA
PSEUDOEPHEDRINE4GLA
PHENYTOIN SODIUM4GLA
RIBAVIRIN4GLA
SOTALOL HYDROCHLORIDE4GLA
DIGOXIN4GLA
PRAZOSIN4GLA
DOMPERIDONE4GLA
CIMETIDINE4GLA
MASOPROCOL4GLA

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 10.

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

SymbolAssaysType breakdown
REN541Binding:472, Functional:68, ADMET:1
GLA114Binding:104, Functional:10
COQ8B77Binding:77
TP53RK40Binding:40
CDK2040Binding:40
TRPC630Binding:30
SGPL119Binding:19
HLA-DRB117Binding:17
MYH910Binding:10
AGXT8Binding:8
XPO57Binding:7
ACTN47Binding:7
NUP937Binding:7
ITSN15Binding:5
ITGA35Binding:5
CTNS2Binding:2
HLA-DQA12Binding:2
ITGB42Binding:2
OSGEP1Binding:1
KCTD111Binding:1
INF21Binding:1
TPRKB1Binding:1
DGKE1Binding:1
FN11Binding:1
PAX21Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
SGPL14.1.2.27sphinganine-1-phosphate aldolase
TP53RK2.7.11.1non-specific serine/threonine protein kinase
PLCE13.1.4.11phosphoinositide phospholipase C
PDSS22.5.1.91all-trans-decaprenyl-diphosphate synthase
DHTKD11.2.1.1052-oxoglutarate dehydrogenase system
COQ22.5.1.394-hydroxybenzoate polyprenyltransferase
DGKE2.7.1.107diacylglycerol kinase (ATP)
AGXT2.6.1.44, 2.6.1.51alanine-glyoxylate transaminase, serine-pyruvate transaminase
GLA3.2.1.22alpha-galactosidase
REN3.4.23.15renin

Cohort genes with high screening signal

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

SymbolChEMBL assays
GLA114
REN541

Pharmacogenomics

Cohort genes with a PharmGKB record: 71; 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.

CompoundMax phaseCohort target (bioactivity)
FINGOLIMOD4SGPL1
GILTERITINIB4TP53RK
FEDRATINIB4COQ8B
VANDETANIB4COQ8B
ERLOTINIB4COQ8B
CRIZOTINIB4COQ8B
CLOTRIMAZOLE4GLA
METHYSERGIDE4GLA
MIGALASTAT4GLA
PINACIDIL ANHYDROUS4GLA
DOXAZOSIN MESYLATE4GLA
AMPICILLIN SODIUM4GLA
PHENOXYBENZAMINE HYDROCHLORIDE4GLA
METHYSERGIDE MALEATE4GLA
ACRISORCIN4GLA
NOMIFENSINE MALEATE4GLA
INAMRINONE4GLA
AMILORIDE HYDROCHLORIDE4GLA
PHENOL4GLA
FLUPHENAZINE HYDROCHLORIDE4GLA
PRAZOSIN HYDROCHLORIDE4GLA
PSEUDOEPHEDRINE4GLA
PHENYTOIN SODIUM4GLA
RIBAVIRIN4GLA
SOTALOL HYDROCHLORIDE4GLA
DIGOXIN4GLA
PRAZOSIN4GLA
DOMPERIDONE4GLA
CIMETIDINE4GLA
MASOPROCOL4GLA

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)5SGPL1, TP53RK, COQ8B, GLA, REN
BPhased (≥1) drug, not yet approved5TRPC6, ACTN4, CDK20, NUP93, MYH9
CDruggable family + PDB, no drug12TNS2, PLCE1, OSGEP, DHTKD1, CTNS, AGXT, FN1, HLA-DQA1, HLA-DQB1, HLA-DRB1 (+2 more)
DDruggable family + AlphaFold only, no drug9BTNL2, KIRREL2, SULF2, SLC35F1, PDSS2, COQ2, DGKE, ITGA3, MXRA5
EDifficult family or no structure, no drug43KANK4, ITSN1, PODXL, XPO5, KANK1, DLC1, ITSN2, RUNX2, SMARCAL1, WT1 (+33 more)

Undrugged target profiles

64 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
NPHS20TRPC6
PLCE10TRPC6
OSGEP1TP53RK
COL4A40MYH9
INF21ACTN4
TPRKB1TP53RK
WDR730TP53RK
SYNPO0ACTN4
MYO1E0ACTN4
TNS20
KANK40
ITSN15
PODXL0
XPO57
KANK10
DLC10
ITSN20
RUNX20
SMARCAL10
BTNL20
WT10
ANLN0
AVIL0
KIRREL20
HCG230
DDX530
CLCN50
SULF20
KCTD111
SLC35F10

Clinical trials & evidence

Clinical trials

Clinical trials: 104.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified52
PHASE215
PHASE413
PHASE313
PHASE15
PHASE2/PHASE34
PHASE1/PHASE22

Top trials by phase / activity

NCTPhaseStatusTitle
NCT00308321PHASE4UNKNOWNLong Term Tapering or Standard Steroids for Nephrotic Syndrome
NCT01021540PHASE4COMPLETEDProspective Study Evaluating the Effect of Repository Corticotropin in the Treatment of Various Nephrotic Syndromes
NCT01028287PHASE4COMPLETEDAdrenocorticotropic Hormone (ACTH) Treatment of Nephrotic Range Proteinuria in Diabetic Nephropathy (NRDN)
NCT01162005PHASE4COMPLETEDTherapeutic Effect of Tacrolimus on Primary Nephrotic Syndrome in Children
NCT01895894PHASE4COMPLETEDMycophenolate Mofetil in Pediatric Steroid Dependent Nephrotic Syndrome
NCT02238418PHASE4COMPLETEDEfficacy of Usual Vitamin D Supplementation and Its Impact on Children and Adolescents Calciuria.
NCT02382575PHASE4UNKNOWNEfficacy and Safety of Rituximab to That of Calcineurin Inhibitors in Children With Steroid Resistant Nephrotic Syndrome
NCT02427880PHASE4COMPLETEDRole of Acetazolamide and Hydrochlorothiazide Followed by Furosemide in Treating Nephrotic Edema
NCT03210688PHASE4COMPLETEDActive Vitamin D And Reduced Dose Prednisolone for Treatment in Minimal Change Nephropathy
NCT03347357PHASE4COMPLETEDPharmacokinetics of Tacrolimus in Children
NCT05696977PHASE4UNKNOWNEffect of Obesity on Cyclosporine Blood Trough Level in Nephrotic Syndrome Patients
NCT05966818PHASE4UNKNOWNEffect of Dapagliflozin in Non-Diabetic Patients With Nephrotic Syndrome.
NCT06026787PHASE4COMPLETEDClinical Value of Adding Dapagliflozin in Patients With Nephrotic Syndrome
NCT05716880PHASE3RECRUITINGKetoanalogues for Muscle Mass Loss in Nephrotic Syndrome
NCT06635720PHASE3ACTIVE_NOT_RECRUITINGREduced-dose Steroid PrOtocol for Childhood Nephrotic SyndromE (RESPONSE)
NCT07214818PHASE2/PHASE3ACTIVE_NOT_RECRUITINGSGLT2 Inhibitors in Adult Primary Nephrotic Syndrome
NCT00035334PHASE2/PHASE3COMPLETEDStudy of the Safety and Efficacy of NC-503 in Secondary (AA) Amyloidosis
NCT00354731PHASE3COMPLETEDEfficacy of Pentoxifylline on Primary Nephrotic Syndrome
NCT00362531PHASE2/PHASE3COMPLETEDTacrolimus Combined With Prednisone Treatment of Idiopathic Membranous Nephropathy and Nephrotic Syndrome
NCT00615667PHASE3COMPLETEDProspective, Multicenter Study of the Efficacy and Tolerance of Tacrolimus on Refractory Nephrotic Syndrome (RNS)
NCT00981838PHASE3COMPLETEDRituximab in Multirelapsing Minimal Change Disease (MCD) or Focal Segmental Glomerulosclerosis (FSGS)
NCT01197040PHASE3COMPLETEDEvaluation of Low Dose Corticosteroids Efficiency, Associated With Myfortic ® in the Treatment of Nephrotic Syndrome
NCT01309477PHASE3COMPLETEDThe Efficacy and Tolerance of Tacrolimus Sustained-release Capsules on Refractory Nephrotic Syndrome (RNS)
NCT02132195PHASE3COMPLETEDAdrenocorticotropic Hormone (ACTH) for Frequently Relapsing and Steroid Dependent Nephrotic Syndrome
NCT02257697PHASE3COMPLETEDA Study to Evaluate the Efficacy and Safety of Mizoribine in the Treatment of Refractory Nephrotic Syndrome
NCT02438982PHASE3COMPLETEDEfficacy and Safety of Rituximab to That of Calcineurin Inhibitors in Children With Steroid Dependent Nephrotic Syndrome
NCT03141970PHASE3COMPLETEDPrednisolone Trial in Children Younger Than 4 Years
NCT03501459PHASE3UNKNOWNLymphocyte Markers As Predictors Of Responsiveness To Rituximab Among Patients With Idiopathic Nephrotic Syndrome
NCT04558892PHASE2/PHASE3TERMINATEDAnti-Xa Activity of Enoxaparin for Prevention of Venous Thromboembolism in Severe Nephrotic Syndrome.
NCT05079789PHASE3TERMINATEDAmiloride in Nephrotic Syndrome
NCT00977977PHASE2RECRUITINGRituximab Plus Cyclosporine in Idiopathic Membranous Nephropathy
NCT03949855PHASE2RECRUITINGBelimumab With Rituximab for Primary Membranous Nephropathy
NCT06983028PHASE2RECRUITINGAtacicept in Multiple Glomerular Diseases
NCT07313787PHASE2NOT_YET_RECRUITINGEffects of Meal Macronutrients on Postprandial Lipids
NCT00001212PHASE2COMPLETEDDrug Therapy in Lupus Nephropathy
NCT00001959PHASE2COMPLETEDPirfenidone to Treat Kidney Disease (Focal Segmental Glomerulosclerosis)
NCT00004466PHASE2TERMINATEDPilot Study of Atorvastatin in Children With Chronic Hyperlipidemia Secondary to Nephrotic Syndrome
NCT00004990PHASE2COMPLETEDOnce-A-Month Steroid Treatment for Patients With Focal Segmental Glomerulosclerosis
NCT02394106PHASE2TERMINATEDOfatumumab in Children With Drug Resistant Idiopathic Nephrotic Syndrome
NCT02394119PHASE2COMPLETEDOfatumumab Versus Rituximab in Children With Steroid and Calcineurin Inhibitor Dependent Idiopathic Nephrotic Syndrome

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
TACROLIMUS ANHYDROUS48
CORTICOTROPIN44
FUROSEMIDE42
MONTELUKAST42
ACETAZOLAMIDE41
ALFACALCIDOL41
ALIROCUMAB41
AMILORIDE41
BELIMUMAB41
CYCLOSPORINE41
DALTEPARIN SODIUM41
DEXTROSE41
EDOXABAN41
MYCOPHENOLATE MOFETIL41
PENTOXIFYLLINE41
PIRFENIDONE41
PREDNISOLONE41
RITUXIMAB41
ATACICEPT31
MIZORIBINE31
CHEMBL456492301
CHEMBL40635201
CHEMBL430320301
CHEMBL464313601