Summary
Nicotine dependence (MONDO:0008575) is a disease with 30 cohort genes (317 GWAS associations across 46 studies) and 738 clinical trials. The dominant Reactome pathway is Highly calcium permeable nicotinic acetylcholine receptors (7 cohort genes). Top therapeutic interventions include bupropion, varenicline, and nicotine.
At a glance
- Cohort genes: 30
- GWAS associations: 317
- Clinical trials: 738
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | nicotine dependence |
| Mondo ID | MONDO:0008575 |
| EFO | EFO:0003768 |
| MeSH | D014029 |
| DOID | DOID:0050742 |
| ICD-10-CM | F17, F17.2 |
| ICD-11 | 1699574100 |
| NCIT | C54203 |
| SNOMED CT | 56294008 |
| UMLS | C0028043 |
| MedGen | 45086 |
| Is cancer (heuristic) | no |
Also known as: nicotine addiction · tobacco use disorder
Data availability: 317 GWAS associations (46 studies) · 1 GenCC gene-disease record.
Disease family
Classification path: disease › human disease › disease by developmental or physiological process › psychiatric disorder › substance-related disorder › substance dependence › drug dependence › nicotine dependence
Related subtypes (9): barbiturate dependence, hallucinogen dependence, cocaine dependence, methamphetamine dependence, alcohol and nicotine codependence, opiate dependence, cannabis dependence, phencyclidine abuse, alcohol dependence
Genetics & variants
GWAS landscape
317 GWAS associations across 46 studies. Top hits map to 16 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs10519203 | 5e-267 | HYKK | ? | |
| rs8034191 | 1e-70 | HYKK | T | 0.06 |
| rs11072774 | 2e-64 | CHRNB4 | ? | |
| rs11667314 | 4e-43 | CYP2F2P - CYP2A6 | ? | |
| rs73229093 | 3e-33 | GULOP | C | 0.07 |
| rs144553930 | 3e-28 | EGLN2, RAB4B-EGLN2 | ? | |
| rs151176846 | 9e-28 | CHRNA4 | T | 0.09 |
| chr1:73966712 | 9e-25 | | G | 0.05 |
| rs12731986 | 3e-24 | LINC01360 - LINC02238 | ? | |
| rs111596452 | 1e-23 | FAM163B - DBH | ? | |
| chr3:49347357 | 2e-23 | | C | 0.05 |
| rs13036436 | 3e-23 | CHRNA4 | G | 0.06 |
| rs9792277 | 4e-23 | SMIM19 - CHRNB3 | ? | |
| chr11:112851961 | 1e-22 | | G | 0.04 |
| chr2:45153508 | 2e-22 | | C | 0.05 |
| chr9:133609376 | 1e-21 | | ? | 0.1 |
| chr9:133607931 | 2e-21 | | ? | 0.1 |
| rs2007153 | 2e-21 | DBH | ? | |
| rs11637630 | 4e-21 | CHRNA3 | ? | |
| rs9646181 | 7e-21 | SEMA6D | ? | |
| rs13009175 | 1e-20 | RPL6P5 - METAP2P1 | ? | |
| rs6011779 | 5e-20 | CHRNA4 | ? | |
| rs1051730 | 6e-20 | CHRNA3 | T | 0.1 |
| rs11783093 | 8e-19 | GULOP | C | 0.06 |
| rs215600 | 2e-18 | PDE1C | ? | |
| chr2:104219692 | 2e-18 | | G | 0.04 |
| rs17243470 | 3e-18 | MORF4L1 | ? | |
| rs12042444 | 3e-18 | LINC01360 - LINC02238 | C | 0.04 |
| rs56219480 | 5e-18 | CHRNA5 | ? | |
| rs12440014 | 6e-18 | CHRNB4 | C | 0.05 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90708780 | Toikumo S | 2024 | 174,021 | 565,874 | Multi-ancestry meta-analysis of tobacco use disorder identifies 461 potential risk genes and reveals associations with multiple health outcomes. |
| GCST90476528 | Verma A | 2024 | 150,428 | 254,189 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90308686 | Rajagopal VM | 2023 | 60,960 | 433,754 | Rare coding variants in CHRNB2 reduce the likelihood of smoking. |
| GCST90308692 | Rajagopal VM | 2023 | 60,960 | 433,754 | Rare coding variants in CHRNB2 reduce the likelihood of smoking. |
| GCST90081377 | Backman JD | 2021 | 48,661 | 326,806 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90085363 | Backman JD | 2021 | 48,661 | 326,806 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90476527 | Verma A | 2024 | 47,064 | 64,470 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480769 | Verma A | 2024 | 47,064 | 64,470 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90079798 | Backman JD | 2021 | 32,828 | 337,667 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083784 | Backman JD | 2021 | 32,828 | 337,667 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 50 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 48 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 2 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 26 |
| unknown | 15 |
| intergenic_variant | 7 |
| synonymous_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs10519203 | 15 | 78521704 | G>A,C,T | 0.05 | intron_variant | HYKK | 5e-267 | Tier 4: intronic/intergenic |
| rs8034191 | 15 | 78513681 | T>C | 0.05 | intron_variant | HYKK | 1e-70 | Tier 4: intronic/intergenic |
| rs11072774 | 15 | 78660355 | C>A,G,T | 0.05 | intergenic_variant | CHRNB4 | 2e-64 | Tier 4: intronic/intergenic |
| rs11667314 | 19 | 40835078 | T>C | 0.05 | intron_variant | CYP2F2P - CYP2A6 | 4e-43 | Tier 4: intronic/intergenic |
| rs73229093 | 8 | 27584812 | C>T | 0.159 | intron_variant | GULOP | 3e-33 | Tier 4: intronic/intergenic |
| rs144553930 | 19 | 40807356 | C>T | 0.05 | intron_variant | EGLN2, RAB4B-EGLN2 | 3e-28 | Tier 4: intronic/intergenic |
| rs151176846 | 20 | 63366148 | T>C | 0.075 | intron_variant | CHRNA4 | 9e-28 | Tier 4: intronic/intergenic |
| chr1:73966712 | | | | 0.398 | | | 9e-25 | Tier 4: intronic/intergenic |
| rs12731986 | 1 | 73419155 | C>A,G,T | 0.05 | intron_variant | LINC01360 - LINC02238 | 3e-24 | Tier 4: intronic/intergenic |
| rs111596452 | 9 | 133620172 | T>C | 0.05 | intron_variant | FAM163B - DBH | 1e-23 | Tier 4: intronic/intergenic |
| chr3:49347357 | | | | 0.283 | | | 2e-23 | Tier 4: intronic/intergenic |
| rs13036436 | 20 | 63357030 | G>A,C | 0.254 | intron_variant | CHRNA4 | 3e-23 | Tier 4: intronic/intergenic |
| rs9792277 | 8 | 42690684 | G>A,C | 0.05 | intergenic_variant | SMIM19 - CHRNB3 | 4e-23 | Tier 4: intronic/intergenic |
| chr11:112851961 | | | | 0.444 | | | 1e-22 | Tier 4: intronic/intergenic |
| chr2:45153508 | | | | 0.342 | | | 2e-22 | Tier 4: intronic/intergenic |
| chr9:133609376 | | | | | | | 1e-21 | Tier 4: intronic/intergenic |
| chr9:133607931 | | | | | | | 2e-21 | Tier 4: intronic/intergenic |
| rs2007153 | 9 | 133638697 | T>C | 0.05 | intron_variant | DBH | 2e-21 | Tier 4: intronic/intergenic |
| rs11637630 | 15 | 78607377 | G>A,C,T | 0.05 | intron_variant | CHRNA3 | 4e-21 | Tier 4: intronic/intergenic |
| rs9646181 | 15 | 47580975 | C>G,T | 0.05 | intron_variant | SEMA6D | 7e-21 | Tier 4: intronic/intergenic |
| rs13009175 | 2 | 145365368 | C>T | 0.05 | intergenic_variant | RPL6P5 - METAP2P1 | 1e-20 | Tier 4: intronic/intergenic |
| rs6011779 | 20 | 63352965 | C>G,T | 0.05 | intron_variant | CHRNA4 | 5e-20 | Tier 4: intronic/intergenic |
| rs1051730 | 15 | 78601997 | G>A,C,T | 0.35 | synonymous_variant | CHRNA3 | 6e-20 | Tier 4: intronic/intergenic |
| rs11783093 | 8 | 27567832 | C>T | 0.129 | intron_variant | GULOP | 8e-19 | Tier 4: intronic/intergenic |
| rs215600 | 7 | 32294030 | G>A,C | 0.05 | intron_variant | PDE1C | 2e-18 | Tier 4: intronic/intergenic |
| chr2:104219692 | | | | 0.495 | | | 2e-18 | Tier 4: intronic/intergenic |
| rs17243470 | 15 | 78880424 | T>G | 0.05 | intron_variant | MORF4L1 | 3e-18 | Tier 4: intronic/intergenic |
| rs12042444 | 1 | 73522466 | C>A,G,T | 0.445 | intergenic_variant | LINC01360 - LINC02238 | 3e-18 | Tier 4: intronic/intergenic |
| rs56219480 | 15 | 78571682 | C>G,T | 0.05 | intron_variant | CHRNA5 | 5e-18 | Tier 4: intronic/intergenic |
| rs12440014 | 15 | 78634384 | C>G,T | 0.255 | intron_variant | CHRNB4 | 6e-18 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 2 · Orphanet: 18 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 1
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|
| CYP2A6 | CYP2A6 | GWAS, GenCC |
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|
| CYP2A6 | No Known Disease Relationship | Unknown | nicotine dependence | 2 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| ADAMTSL1 | Orphanet:521445 | Microcephaly-facial dysmorphism-ocular anomalies-multiple congenital anomalies syndrome |
| HAX1 | Orphanet:99749 | Kostmann syndrome |
| MAGI2 | Orphanet:656 | Hereditary steroid-resistant nephrotic syndrome |
| CHRNA4 | Orphanet:98784 | Sleep-related hypermotor epilepsy |
| CHRNB2 | Orphanet:98784 | Sleep-related hypermotor epilepsy |
| CTNNA3 | Orphanet:293888 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant |
| CTNNA3 | Orphanet:293899 | Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant |
| CTNNA3 | Orphanet:293910 | Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant |
| DBH | Orphanet:230 | Dopamine beta-hydroxylase deficiency |
| GLIS3 | Orphanet:79118 | Neonatal diabetes-congenital hypothyroidism-congenital glaucoma-hepatic fibrosis-polycystic kidneys syndrome |
| DNMT3B | Orphanet:2268 | ICF syndrome |
| DNMT3B | Orphanet:269 | Facioscapulohumeral dystrophy |
| DVL1 | Orphanet:3107 | Autosomal dominant Robinow syndrome |
| GABBR1 | Orphanet:178469 | Autosomal dominant non-syndromic intellectual disability |
| PEX2 | Orphanet:44 | Neonatal adrenoleukodystrophy |
| PEX2 | Orphanet:642965 | Autosomal recessive ataxia due to PEX2 deficiency |
| PEX2 | Orphanet:772 | Infantile Refsum disease |
| PEX2 | Orphanet:912 | Zellweger syndrome |
Cohort genes → proteins
30 cohort genes, 30 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 29 |
| gwas_and_gencc | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| CYP2A6 | HGNC:2610 | ENSG00000255974 | P11509 | Cytochrome P450 2A6 | gwas,gencc |
| ADAMTSL1 | HGNC:14632 | ENSG00000178031 | Q8N6G6 | ADAMTS-like protein 1 | gwas |
| CACNA2D3 | HGNC:15460 | ENSG00000157445 | Q8IZS8 | Voltage-dependent calcium channel subunit alpha-2/delta-3 | gwas |
| CHRNA6 | HGNC:15963 | ENSG00000147434 | Q15825 | Neuronal acetylcholine receptor subunit alpha-6 | gwas |
| HAX1 | HGNC:16915 | ENSG00000143575 | O00165 | HCLS1-associated protein X-1 | gwas |
| SULT1B1 | HGNC:17845 | ENSG00000173597 | O43704 | Sulfotransferase 1B1 | gwas |
| MAGI2 | HGNC:18957 | ENSG00000187391 | Q86UL8 | Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 2 | gwas |
| CHRNA3 | HGNC:1957 | ENSG00000080644 | P32297 | Neuronal acetylcholine receptor subunit alpha-3 | gwas |
| CHRNA4 | HGNC:1958 | ENSG00000101204 | P43681 | Neuronal acetylcholine receptor subunit alpha-4 | gwas |
| CHRNA5 | HGNC:1959 | ENSG00000169684 | P30532 | Neuronal acetylcholine receptor subunit alpha-5 | gwas |
| CHRNB2 | HGNC:1962 | ENSG00000160716 | P17787 | Neuronal acetylcholine receptor subunit beta-2 | gwas |
| CHRNB3 | HGNC:1963 | ENSG00000147432 | Q05901 | Neuronal acetylcholine receptor subunit beta-3 | gwas |
| CHRNB4 | HGNC:1964 | ENSG00000117971 | P30926 | Neuronal acetylcholine receptor subunit beta-4 | gwas |
| SLC22A23 | HGNC:21106 | ENSG00000137266 | A1A5C7 | Solute carrier family 22 member 23 | gwas |
| CTNNA3 | HGNC:2511 | ENSG00000183230 | Q9UI47 | Catenin alpha-3 | gwas |
| DBH | HGNC:2689 | ENSG00000123454 | P09172 | Dopamine beta-hydroxylase | gwas |
| ERCC6L2-AS1 | HGNC:27858 | ENSG00000175611 | Q8WZB0 | Putative uncharacterized protein ERCC6L2-AS1 | gwas |
| GLIS3 | HGNC:28510 | ENSG00000107249 | Q8NEA6 | Zinc finger protein GLIS3 | gwas |
| ARHGAP25 | HGNC:28951 | ENSG00000163219 | P42331 | Rho GTPase-activating protein 25 | gwas |
| ZNF608 | HGNC:29238 | ENSG00000168916 | Q9ULD9 | Zinc finger protein 608 | gwas |
| TANC1 | HGNC:29364 | ENSG00000115183 | Q9C0D5 | Protein TANC1 | gwas |
| DNMT3B | HGNC:2979 | ENSG00000088305 | Q9UBC3 | DNA (cytosine-5)-methyltransferase 3B | gwas |
| DLGAP3 | HGNC:30368 | ENSG00000116544 | O95886 | Disks large-associated protein 3 | gwas |
| DVL1 | HGNC:3084 | ENSG00000107404 | O14640 | Segment polarity protein dishevelled homolog DVL-1 | gwas |
| FAM163B | HGNC:33277 | ENSG00000196990 | P0C2L3 | Protein FAM163B | gwas |
| HYKK | HGNC:34403 | ENSG00000188266 | A2RU49 | Hydroxylysine kinase | gwas |
| GABBR1 | HGNC:4070 | ENSG00000204681 | Q9UBS5 | Gamma-aminobutyric acid type B receptor subunit 1 | gwas |
| GNAI1 | HGNC:4384 | ENSG00000127955 | P63096 | Guanine nucleotide-binding protein G(i) subunit alpha-1 | gwas |
| NR5A2 | HGNC:7984 | ENSG00000116833 | O00482 | Nuclear receptor subfamily 5 group A member 2 | gwas |
| PEX2 | HGNC:9717 | ENSG00000164751 | P28328 | Peroxisome biogenesis factor 2 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| CYP2A6 | Cytochrome P450 2A6 | Exhibits a high coumarin 7-hydroxylase activity. |
| CACNA2D3 | Voltage-dependent calcium channel subunit alpha-2/delta-3 | The alpha-2/delta subunit of voltage-dependent calcium channels regulates calcium current density and activation/inactivation kinetics of the calcium channel. |
| CHRNA6 | Neuronal acetylcholine receptor subunit alpha-6 | Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection… |
| HAX1 | HCLS1-associated protein X-1 | Recruits the Arp2/3 complex to the cell cortex and regulates reorganization of the cortical actin cytoskeleton via its interaction with KCNC3 and the Arp2/3 complex. |
| SULT1B1 | Sulfotransferase 1B1 | Sulfotransferase that utilizes 3’-phospho-5’-adenylyl sulfate (PAPS) as sulfonate donor to catalyze the sulfate conjugation of dopamine, small phenols such as 1-naphthol and p-nitrophenol and thyroid hormones, including 3,3’-diiodothyronin… |
| MAGI2 | Membrane-associated guanylate kinase, WW and PDZ domain-containing protein 2 | Seems to act as a scaffold molecule at synaptic junctions by assembling neurotransmitter receptors and cell adhesion proteins. |
| CHRNA3 | Neuronal acetylcholine receptor subunit alpha-3 | Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection… |
| CHRNA4 | Neuronal acetylcholine receptor subunit alpha-4 | Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection… |
| CHRNA5 | Neuronal acetylcholine receptor subunit alpha-5 | Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection… |
| CHRNB2 | Neuronal acetylcholine receptor subunit beta-2 | Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection… |
| CHRNB3 | Neuronal acetylcholine receptor subunit beta-3 | Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection… |
| CHRNB4 | Neuronal acetylcholine receptor subunit beta-4 | Component of neuronal acetylcholine receptors (nAChRs) that function as pentameric, ligand-gated cation channels with high calcium permeability among other activities. nAChRs are excitatory neurotrasnmitter receptors formed by a collection… |
| CTNNA3 | Catenin alpha-3 | May be involved in formation of stretch-resistant cell-cell adhesion complexes. |
| DBH | Dopamine beta-hydroxylase | Catalyzes the hydroxylation of dopamine to noradrenaline (also known as norepinephrine), and is thus vital for regulation of these neurotransmitters. |
| GLIS3 | Zinc finger protein GLIS3 | Acts both as a repressor and an activator of transcription. |
| ARHGAP25 | Rho GTPase-activating protein 25 | GTPase activator for the Rho-type GTPases by converting them to an inactive GDP-bound state. |
| ZNF608 | Zinc finger protein 608 | Transcription factor, which represses ZNF609 transcription. |
| TANC1 | Protein TANC1 | May be a scaffold component in the postsynaptic density. |
| DNMT3B | DNA (cytosine-5)-methyltransferase 3B | Required for genome-wide de novo methylation and is essential for the establishment of DNA methylation patterns during development. |
| DLGAP3 | Disks large-associated protein 3 | May play a role in the molecular organization of synapses and neuronal cell signaling. |
| DVL1 | Segment polarity protein dishevelled homolog DVL-1 | Participates in Wnt signaling by binding to the cytoplasmic C-terminus of frizzled family members and transducing the Wnt signal to down-stream effectors. |
| HYKK | Hydroxylysine kinase | Catalyzes the GTP-dependent phosphorylation of 5-hydroxy-L-lysine. |
| GABBR1 | Gamma-aminobutyric acid type B receptor subunit 1 | Component of a heterodimeric G-protein coupled receptor for GABA, formed by GABBR1 and GABBR2. |
| GNAI1 | Guanine nucleotide-binding protein G(i) subunit alpha-1 | Guanine nucleotide-binding proteins (G proteins) function as transducers downstream of G protein-coupled receptors (GPCRs) in numerous signaling cascades. |
| NR5A2 | Nuclear receptor subfamily 5 group A member 2 | Orphan nuclear receptor that binds DNA as a monomer to the 5’-TCAAGGCCA-3’ sequence and controls expression of target genes: regulates key biological processes, such as early embryonic development, cholesterol and bile acid synthesis pathw… |
| PEX2 | Peroxisome biogenesis factor 2 | E3 ubiquitin-protein ligase component of a retrotranslocation channel required for peroxisome organization by mediating export of the PEX5 receptor from peroxisomes to the cytosol, thereby promoting PEX5 recycling. |
Protein-family classification
Druggable: 9 · Difficult: 7 · Unknown: 14 · Druggable fraction: 0.3
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|
| Nuclear receptor | 1 | 12.9× | 0.674 |
| Transporter | 1 | 2.6× | 0.724 |
| Kinase | 2 | 1.9× | 0.724 |
| Scaffold/PPI | 3 | 1.7× | 0.724 |
| Enzyme (other) | 3 | 1.2× | 0.751 |
| Transcription factor | 4 | 1.1× | 0.751 |
| Antibody/Immunoglobulin | 1 | 1.0× | 0.813 |
| GPCR | 1 | 0.8× | 0.813 |
| Other/Unknown | 14 | 0.8× | 0.883 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| CYP2A6 | Enzyme (other) | yes | 1.14.14.1 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_E_grp-I_CYP2A-like |
| ADAMTSL1 | Antibody/Immunoglobulin | yes | | TSP1_rpt, Ig_sub2, Ig_sub |
| CACNA2D3 | Other/Unknown | no | | VWF_A, VWA_N, VDCC_a2/dsu |
| CHRNA6 | Other/Unknown | no | | Nicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel |
| HAX1 | Other/Unknown | no | | HAX-1 |
| SULT1B1 | Enzyme (other) | yes | 2.8.2.1 | Sulfotransferase_dom, P-loop_NTPase |
| MAGI2 | Kinase | yes | | WW_dom, PDZ, Guanylate_kin-like_dom |
| CHRNA3 | Other/Unknown | no | | Nicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel |
| CHRNA4 | Other/Unknown | no | | Nicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel |
| CHRNA5 | Other/Unknown | no | | Nicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel |
| CHRNB2 | Other/Unknown | no | | Nicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel |
| CHRNB3 | Other/Unknown | no | | Nicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel |
| CHRNB4 | Other/Unknown | no | | Nicotinic_acetylcholine_rcpt, Neurotrans-gated_channel_TM, Neur_channel |
| SLC22A23 | Transporter | yes | | MFS_sugar_transport-like, Sugar_transporter_CS, MFS_dom |
| CTNNA3 | Other/Unknown | no | | Alpha_catenin, Vinculin/catenin, Alpha-catenin/vinculin-like_sf |
| DBH | Enzyme (other) | yes | 1.14.17.1 | Cu2_ascorb_mOase_N, DBH-like, DOMON_domain |
| ERCC6L2-AS1 | Other/Unknown | no | | |
| GLIS3 | Transcription factor | no | | Znf_C2H2_type, Znf_C2H2_sf, GLI-like |
| ARHGAP25 | Scaffold/PPI | no | | RhoGAP_dom, PH_domain, Rho_GTPase_activation_prot |
| ZNF608 | Transcription factor | no | | Znf_C2H2_type, ZN608/ZN609 |
| TANC1 | Scaffold/PPI | no | | Ankyrin_rpt, TPR-like_helical_dom_sf, TPR_rpt |
| DNMT3B | Transcription factor | no | 2.1.1.37 | PWWP_dom, C5_MeTfrase, Znf_FYVE_PHD |
| DLGAP3 | Other/Unknown | no | | SAPAP |
| DVL1 | Scaffold/PPI | no | | DEP_dom, DIX, PDZ |
| FAM163B | Other/Unknown | no | | FAM163, FAM163B |
| HYKK | Kinase | yes | 2.7.1.81 | Aminoglycoside_PTrfase, Kinase-like_dom_sf, Pseudomonas-type_ThrB |
| GABBR1 | GPCR | yes | | Sushi_SCR_CCP_dom, ANF_lig-bd_rcpt, GPCR3_GABA-B |
| GNAI1 | Other/Unknown | no | | Gprotein_alpha_su, Gprotein_alpha_I, GproteinA_insert |
| NR5A2 | Nuclear receptor | yes | | Nucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt, Nuclear_hrmn_rcpt |
| PEX2 | Transcription factor | no | | Znf_RING, Pex_N, Znf_RING/FYVE/PHD |
Expression context
Cohort genes with no expression data: 0.
23 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 30 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| male germ line stem cell (sensu Vertebrata) in testis | 4 |
| pancreatic ductal cell | 4 |
| right lobe of liver | 3 |
| corpus callosum | 3 |
| primordial germ cell in gonad | 3 |
| ganglionic eminence | 3 |
| ileal mucosa | 3 |
| right frontal lobe | 3 |
| liver | 2 |
| Brodmann (1909) area 23 | 2 |
| buccal mucosa cell | 2 |
| heart right ventricle | 2 |
| hindlimb stylopod muscle | 2 |
| calcaneal tendon | 2 |
| cortical plate | 2 |
| ventricular zone | 2 |
| granulocyte | 2 |
| cardiac muscle of right atrium | 2 |
| anterior cingulate cortex | 2 |
| olfactory segment of nasal mucosa | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| CYP2A6 | 182 | tissue_specific | yes | right lobe of liver, liver, paraflocculus |
| ADAMTSL1 | 182 | ubiquitous | marker | lower esophagus muscularis layer, lower esophagus, sural nerve |
| CACNA2D3 | 205 | broad | marker | middle temporal gyrus, Brodmann (1909) area 23, endothelial cell |
| CHRNA6 | 80 | tissue_specific | marker | pancreatic ductal cell, male germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell |
| HAX1 | 295 | ubiquitous | marker | apex of heart, heart right ventricle, hindlimb stylopod muscle |
| SULT1B1 | 161 | broad | marker | rectum, mucosa of transverse colon, jejunal mucosa |
| MAGI2 | 267 | ubiquitous | marker | calcaneal tendon, corpus callosum, Brodmann (1909) area 23 |
| CHRNA3 | 179 | broad | marker | pigmented layer of retina, thymus, primordial germ cell in gonad |
| CHRNA4 | 138 | tissue_specific | yes | right lobe of liver, cortical plate, cingulate cortex |
| CHRNA5 | 172 | ubiquitous | yes | ventricular zone, ganglionic eminence, primordial germ cell in gonad |
| CHRNB2 | 208 | broad | yes | tongue squamous epithelium, cervix squamous epithelium, type B pancreatic cell |
| CHRNB3 | 71 | tissue_specific | marker | male germ line stem cell (sensu Vertebrata) in testis, pancreatic ductal cell, ileal mucosa |
| CHRNB4 | 125 | broad | marker | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, right testis |
| SLC22A23 | 247 | ubiquitous | marker | pancreatic ductal cell, ileal mucosa, ganglionic eminence |
| CTNNA3 | 211 | broad | marker | corpus callosum, heart right ventricle, medial globus pallidus |
| DBH | 146 | tissue_specific | marker | right lobe of liver, liver, right adrenal gland |
| ERCC6L2-AS1 | 173 | ubiquitous | marker | granulocyte, male germ line stem cell (sensu Vertebrata) in testis, bone marrow cell |
| GLIS3 | 213 | ubiquitous | marker | buccal mucosa cell, epithelial cell of pancreas, pancreatic ductal cell |
| ARHGAP25 | 233 | broad | marker | granulocyte, blood, spleen |
| ZNF608 | 241 | ubiquitous | marker | cardiac muscle of right atrium, embryo, ganglionic eminence |
| TANC1 | 257 | ubiquitous | marker | upper arm skin, cardiac muscle of right atrium, left ventricle myocardium |
| DNMT3B | 184 | ubiquitous | marker | secondary oocyte, oocyte, hair follicle |
| DLGAP3 | 150 | broad | yes | right frontal lobe, anterior cingulate cortex, nucleus accumbens |
| DVL1 | 290 | ubiquitous | marker | hindlimb stylopod muscle, gastrocnemius, lower esophagus mucosa |
| FAM163B | 133 | broad | yes | right frontal lobe, anterior cingulate cortex, Brodmann (1909) area 9 |
| HYKK | 170 | ubiquitous | marker | olfactory segment of nasal mucosa, calcaneal tendon, ileal mucosa |
| GABBR1 | 194 | ubiquitous | yes | right hemisphere of cerebellum, cerebellar hemisphere, right frontal lobe |
| GNAI1 | 281 | ubiquitous | marker | corpus callosum, cortical plate, inferior vagus X ganglion |
| NR5A2 | 159 | broad | marker | body of pancreas, pancreas, islet of Langerhans |
| PEX2 | 291 | ubiquitous | marker | seminal vesicle, ventricular zone, olfactory segment of nasal mucosa |
Protein interactions among cohort
Intra-cohort edges: 19.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| DNMT3B | 4,378 |
| MAGI2 | 3,246 |
| DVL1 | 2,949 |
| CTNNA3 | 2,306 |
| HAX1 | 2,243 |
| CHRNA4 | 1,989 |
| NR5A2 | 1,829 |
| GLIS3 | 1,717 |
| GABBR1 | 1,688 |
| TANC1 | 1,641 |
Intra-cohort edges
| A | B | Sources |
|---|
| ARHGAP25 | FAM163B | string_interaction |
| CHRNA3 | CHRNA5 | intact, string_interaction |
| CHRNA3 | CHRNB2 | biogrid_interaction, intact |
| CHRNA3 | CHRNB4 | string_interaction |
| CHRNA3 | FAM163B | string_interaction |
| CHRNA3 | HYKK | string_interaction |
| CHRNA4 | CHRNA5 | string_interaction |
| CHRNA4 | CHRNA6 | string_interaction |
| CHRNA4 | CHRNB2 | biogrid_interaction, intact, string_interaction |
| CHRNA5 | CHRNB2 | intact |
| CHRNA5 | CHRNB4 | intact |
| CHRNA5 | FAM163B | string_interaction |
| CHRNA5 | HYKK | string_interaction |
| CHRNA6 | CHRNB3 | string_interaction |
| CHRNB3 | FAM163B | string_interaction |
| CHRNB4 | FAM163B | string_interaction |
| CHRNB4 | HYKK | string_interaction |
| DLGAP3 | MAGI2 | biogrid_interaction, intact |
| FAM163B | HYKK | string_interaction |
Structural data
PDB: 16 · AlphaFold-only: 14 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| GNAI1 | P63096 | 640 |
| DNMT3B | Q9UBC3 | 47 |
| NR5A2 | O00482 | 28 |
| GABBR1 | Q9UBS5 | 24 |
| CHRNB2 | P17787 | 15 |
| CHRNA4 | P43681 | 12 |
| CYP2A6 | P11509 | 11 |
| MAGI2 | Q86UL8 | 5 |
| CHRNA3 | P32297 | 5 |
| CHRNB4 | P30926 | 4 |
| DVL1 | O14640 | 3 |
| CHRNA6 | Q15825 | 2 |
| SULT1B1 | O43704 | 2 |
| CHRNB3 | Q05901 | 1 |
| DBH | P09172 | 1 |
| ARHGAP25 | P42331 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| HYKK | A2RU49 | 93.89 |
| CACNA2D3 | Q8IZS8 | 83.30 |
| CHRNA5 | P30532 | 82.04 |
| CTNNA3 | Q9UI47 | 81.65 |
| PEX2 | P28328 | 81.17 |
| SLC22A23 | A1A5C7 | 73.39 |
| ADAMTSL1 | Q8N6G6 | 71.26 |
| TANC1 | Q9C0D5 | 62.14 |
| HAX1 | O00165 | 60.06 |
| FAM163B | P0C2L3 | 57.19 |
| DLGAP3 | O95886 | 50.83 |
| GLIS3 | Q8NEA6 | 49.95 |
| ERCC6L2-AS1 | Q8WZB0 | 46.16 |
| ZNF608 | Q9ULD9 | 44.80 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 69. Enrichment computed across 30 evidence-associated genes (22 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 22 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Highly calcium permeable nicotinic acetylcholine receptors | 7 | 403.7× | 8e-17 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Highly calcium permeable postsynaptic nicotinic acetylcholine receptors | 7 | 330.3× | 4e-16 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Presynaptic nicotinic acetylcholine receptors | 7 | 302.8× | 6e-16 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Acetylcholine binding and downstream events | 7 | 259.6× | 2e-15 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Postsynaptic nicotinic acetylcholine receptors | 7 | 259.6× | 2e-15 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Transmission across Chemical Synapses | 8 | 27.7× | 2e-09 | CACNA2D3, CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Highly sodium permeable postsynaptic acetylcholine nicotinic receptors | 4 | 296.6× | 4e-09 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| Neurotransmitter receptors and postsynaptic signal transmission | 7 | 31.9× | 1e-08 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Neuronal System | 8 | 16.1× | 1e-07 | CACNA2D3, CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| Catecholamine biosynthesis | 1 | 129.8× | 0.053 | DBH |
| Negative regulation of TCF-dependent signaling by DVL-interacting proteins | 1 | 103.8× | 0.060 | DVL1 |
| WNT mediated activation of DVL | 1 | 64.9× | 0.081 | DVL1 |
| Regulation of gene expression in early pancreatic precursor cells | 1 | 64.9× | 0.081 | NR5A2 |
| Lysine catabolism | 1 | 51.9× | 0.093 | HYKK |
| Presynaptic depolarization and calcium channel opening | 1 | 43.3× | 0.093 | CACNA2D3 |
| CYP2E1 reactions | 1 | 43.3× | 0.093 | CYP2A6 |
| WNT5:FZD7-mediated leishmania damping | 1 | 43.3× | 0.093 | DVL1 |
| Adenylate cyclase inhibitory pathway | 1 | 34.6× | 0.109 | GNAI1 |
| SUMOylation of DNA methylation proteins | 1 | 30.5× | 0.117 | DNMT3B |
| GABA B receptor activation | 1 | 24.7× | 0.125 | GABBR1 |
| Cytosolic sulfonation of small molecules | 1 | 23.6× | 0.125 | SULT1B1 |
| Class I peroxisomal membrane protein import | 1 | 23.6× | 0.125 | PEX2 |
| Xenobiotics | 1 | 22.6× | 0.125 | CYP2A6 |
| ADP signalling through P2Y purinoceptor 12 | 1 | 22.6× | 0.125 | GNAI1 |
| Nephrin family interactions | 1 | 21.6× | 0.125 | MAGI2 |
| Activation of G protein gated Potassium channels | 1 | 17.9× | 0.134 | GABBR1 |
| Adrenaline,noradrenaline inhibits insulin secretion | 1 | 17.9× | 0.134 | GNAI1 |
| Inhibition of voltage gated Ca2+ channels via Gbeta/gamma subunits | 1 | 17.9× | 0.134 | GABBR1 |
| Disassembly of the destruction complex and recruitment of AXIN to the membrane | 1 | 16.2× | 0.143 | DVL1 |
| SUMOylation of intracellular receptors | 1 | 15.3× | 0.146 | NR5A2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 28 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| behavioral response to nicotine | 6 | 401.2× | 2e-13 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB4 |
| synaptic transmission, cholinergic | 7 | 200.6× | 2e-13 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| acetylcholine receptor signaling pathway | 7 | 156.0× | 1e-12 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| membrane depolarization | 7 | 127.7× | 4e-12 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| response to nicotine | 7 | 105.3× | 1e-11 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, GABBR1 |
| monoatomic ion transmembrane transport | 7 | 52.0× | 2e-09 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 |
| neuromuscular synaptic transmission | 5 | 107.5× | 3e-08 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB3 |
| presynaptic modulation of chemical synaptic transmission | 5 | 81.3× | 1e-07 | CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB3 |
| synaptic transmission involved in micturition | 3 | 451.4× | 4e-07 | CHRNA3, CHRNB2, CHRNB4 |
| monoatomic ion transport | 5 | 27.9× | 2e-05 | CHRNA3, CHRNA4, CHRNB2, CHRNB4, SLC22A23 |
| regulation of dopamine secretion | 3 | 129.0× | 3e-05 | CHRNA6, CHRNA4, CHRNB2 |
| locomotory behavior | 4 | 25.6× | 3e-04 | CHRNA3, CHRNB2, CHRNB4, DBH |
| chemical synaptic transmission | 5 | 13.8× | 5e-04 | CHRNA6, CHRNA4, CHRNA5, CHRNB2, DBH |
| signal transduction | 9 | 5.2× | 5e-04 | CHRNA6, MAGI2, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4 (+1 more) |
| response to acetylcholine | 2 | 150.5× | 0.001 | CHRNA3, CHRNB2 |
| visual learning | 3 | 32.8× | 0.002 | CHRNB2, DBH, TANC1 |
| regulation of smooth muscle contraction | 2 | 86.0× | 0.003 | CHRNA3, CHRNB4 |
| nervous system process | 2 | 86.0× | 0.003 | CHRNA4, CHRNB2 |
| smooth muscle contraction | 2 | 57.3× | 0.007 | CHRNB2, CHRNB4 |
| regulation of dendrite morphogenesis | 2 | 52.3× | 0.008 | CHRNA3, CHRNB2 |
| receptor clustering | 2 | 44.6× | 0.010 | MAGI2, DVL1 |
| leukocyte mediated immunity | 1 | 601.9× | 0.013 | DBH |
| regulation of acetylcholine secretion, neurotransmission | 1 | 601.9× | 0.013 | CHRNA3 |
| lateral geniculate nucleus development | 1 | 601.9× | 0.013 | CHRNB2 |
| positive regulation of glucocorticoid biosynthetic process | 1 | 601.9× | 0.013 | NR5A2 |
| regulation of presynapse organization | 1 | 601.9× | 0.013 | CACNA2D3 |
| zygotic genome activation | 1 | 601.9× | 0.013 | NR5A2 |
| regulation of vascular associated smooth muscle cell proliferation | 1 | 601.9× | 0.013 | DBH |
| regulation of postsynapse organization | 2 | 37.6× | 0.013 | TANC1, DVL1 |
| B cell activation | 2 | 32.5× | 0.013 | CHRNA4, CHRNB2 |
Therapeutics
Drugs indicated for this disease
2 approved, 12 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Acetylcysteine, Ademetionine, Aluminum Hydroxide, Ascorbic Acid, Aspirin, Aticaprant, Baclofen, Cannabidiol, Clavulanic Acid, Cycloserine, Donepezil, Doxazosin, Gabapentin, Galantamine, Gemfibrozil, Guanfacine, Insulin Human, Labetalol, Lactose, Anhydrous, Lorcaserin, Mecamylamine, Moclobemide, Niacin, Nortriptyline, Ondansetron, Prazosin, Progesterone, Psilocybin, Ramelteon, Rimonabant, Selegiline, Semaglutide, St. John’S Wort, Taranabant, Tolcapone, Vitamin E, Zileuton.
Drug target analysis
Approved (phase 4): 11 · Phase ≥3: 12 · Phased (≥1): 13 · Undrugged: 17
Druggability breadth: 18 of 30 evidence-associated genes (60%) 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.
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| CHRNA4 | 64 | 4 |
| CHRNB2 | 26 | 4 |
| CHRNA3 | 21 | 4 |
| CHRNB4 | 20 | 4 |
| CYP2A6 | 14 | 4 |
| GNAI1 | 7 | 4 |
| GABBR1 | 4 | 4 |
| CACNA2D3 | 2 | 4 |
| CHRNA5 | 2 | 4 |
| CHRNA6 | 1 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|
| PAZOPANIB | 4 | CYP2A6 |
| CANNABIDIOL | 4 | CYP2A6 |
| NICOTINE | 4 | CHRNA3, CHRNA4, CHRNA5, CHRNA6, CHRNB2, CHRNB3 |
| TRANYLCYPROMINE | 4 | CYP2A6 |
| AMPHETAMINE | 4 | CYP2A6 |
| METHOXSALEN | 4 | CYP2A6 |
| DASATINIB | 4 | CYP2A6 |
| PILOCARPINE | 4 | CYP2A6 |
| ISONIAZID | 4 | CYP2A6 |
| NIMODIPINE | 4 | CACNA2D3 |
| TACRINE | 4 | CACNA2D3 |
| VARENICLINE | 4 | CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB4 |
| MECAMYLAMINE | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| ONDANSETRON | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| TROPISETRON | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| ACETYLCHOLINE | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| BUPROPION | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| GRANISETRON | 4 | CHRNA3, CHRNA4, CHRNB2 |
| PONATINIB | 4 | CHRNA4 |
| CHLOROPROCAINE | 4 | CHRNA4 |
| ANISOTROPINE | 4 | CHRNA4 |
| PALONOSETRON | 4 | CHRNA4 |
| CHLORPHENTERMINE | 4 | CHRNA4 |
| PYRVINIUM | 4 | CHRNA4 |
| DIPHEMANIL | 4 | CHRNA4 |
| SERTINDOLE | 4 | CHRNA4 |
| ATRACURIUM | 4 | CHRNA4 |
| NITAZOXANIDE | 4 | CHRNA4 |
| ILOPERIDONE | 4 | CHRNA4 |
| MOXISYLYTE | 4 | CHRNA4 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 5.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| CHRNB2 | 696 | Binding:567, Functional:127, Toxicity:1, ADMET:1 |
| CHRNA4 | 624 | Binding:497, Functional:125, Toxicity:1, ADMET:1 |
| CHRNA3 | 436 | Binding:343, Functional:91, ADMET:2 |
| CYP2A6 | 414 | ADMET:387, Binding:27 |
| CHRNB4 | 407 | Binding:309, Functional:96, ADMET:2 |
| NR5A2 | 254 | Binding:243, Functional:11 |
| GABBR1 | 94 | Binding:71, Functional:22, ADMET:1 |
| DNMT3B | 76 | Binding:75, Functional:1 |
| CHRNA6 | 34 | Binding:33, ADMET:1 |
| CHRNB3 | 25 | Binding:20, Functional:4, ADMET:1 |
| GNAI1 | 23 | Functional:14, Binding:9 |
| CHRNA5 | 21 | Binding:16, Functional:4, ADMET:1 |
| CACNA2D3 | 13 | Binding:13 |
| DVL1 | 11 | Binding:10, Functional:1 |
| DBH | 7 | Binding:6, Functional:1 |
| HAX1 | 3 | Binding:3 |
| SULT1B1 | 3 | ADMET:3 |
| PEX2 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| CYP2A6 | 1.14.14.1 | unspecific monooxygenase |
| SULT1B1 | 2.8.2.1, 2.8.2.2 | aryl sulfotransferase, alcohol sulfotransferase |
| DBH | 1.14.17.1 | dopamine beta-monooxygenase |
| DNMT3B | 2.1.1.37 | DNA (cytosine-5-)-methyltransferase |
| HYKK | 2.7.1.81 | hydroxylysine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| CYP2A6 | 414 |
| CHRNA3 | 436 |
| CHRNA4 | 624 |
| CHRNB2 | 696 |
| CHRNB4 | 407 |
| NR5A2 | 254 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 29; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
26 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|
| PAZOPANIB | 4 | CYP2A6 |
| CANNABIDIOL | 4 | CYP2A6 |
| TRANYLCYPROMINE | 4 | CYP2A6 |
| METHOXSALEN | 4 | CYP2A6 |
| DASATINIB | 4 | CYP2A6 |
| PILOCARPINE | 4 | CYP2A6 |
| ISONIAZID | 4 | CYP2A6 |
| NIMODIPINE | 4 | CACNA2D3 |
| TACRINE | 4 | CACNA2D3 |
| MECAMYLAMINE | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| ONDANSETRON | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| TROPISETRON | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| ACETYLCHOLINE | 4 | CHRNA3, CHRNA4, CHRNB2, CHRNB4 |
| GRANISETRON | 4 | CHRNA3, CHRNA4, CHRNB2 |
| PONATINIB | 4 | CHRNA4 |
| CHLOROPROCAINE | 4 | CHRNA4 |
| ANISOTROPINE | 4 | CHRNA4 |
| PALONOSETRON | 4 | CHRNA4 |
| CHLORPHENTERMINE | 4 | CHRNA4 |
| PYRVINIUM | 4 | CHRNA4 |
| DIPHEMANIL | 4 | CHRNA4 |
| SERTINDOLE | 4 | CHRNA4 |
| ATRACURIUM | 4 | CHRNA4 |
| NITAZOXANIDE | 4 | CHRNA4 |
| ILOPERIDONE | 4 | CHRNA4 |
| MOXISYLYTE | 4 | CHRNA4 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 11 | CYP2A6, CACNA2D3, CHRNA6, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4, GABBR1 (+1 more) |
| B | Phased (≥1) drug, not yet approved | 2 | DBH, DNMT3B |
| C | Druggable family + PDB, no drug | 3 | SULT1B1, MAGI2, NR5A2 |
| D | Druggable family + AlphaFold only, no drug | 3 | ADAMTSL1, SLC22A23, HYKK |
| E | Difficult family or no structure, no drug | 11 | HAX1, CTNNA3, ERCC6L2-AS1, GLIS3, ARHGAP25, ZNF608, TANC1, DLGAP3, DVL1, FAM163B (+1 more) |
Undrugged target profiles
17 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| FAM163B | 0 | CHRNB3 |
| HYKK | 0 | CHRNA3, CHRNA5, CHRNB4 |
| NR5A2 | 254 | — |
| ADAMTSL1 | 0 | — |
| HAX1 | 3 | — |
| SULT1B1 | 3 | — |
| MAGI2 | 0 | — |
| SLC22A23 | 0 | — |
| CTNNA3 | 0 | — |
| ERCC6L2-AS1 | 0 | — |
| GLIS3 | 0 | — |
| ARHGAP25 | 0 | — |
| ZNF608 | 0 | — |
| TANC1 | 0 | — |
| DLGAP3 | 0 | — |
| DVL1 | 11 | — |
| PEX2 | 1 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 738.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 391 |
| PHASE2 | 128 |
| PHASE4 | 72 |
| PHASE1 | 54 |
| PHASE3 | 34 |
| PHASE1/PHASE2 | 22 |
| EARLY_PHASE1 | 22 |
| PHASE2/PHASE3 | 15 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT05206435 | PHASE4 | ACTIVE_NOT_RECRUITING | Methadone-Maintained Smokers Switching to E-Cigarettes |
| NCT05515354 | PHASE4 | RECRUITING | Smoking Cessation and Menstrual Cycle Phase |
| NCT05587361 | PHASE4 | RECRUITING | Beta-Adrenergic Modulation of Drug Cue Reactivity |
| NCT06254001 | PHASE4 | RECRUITING | Effectiveness of Combined Tobacco Treatment in Hospitalized Subjects |
| NCT06534047 | PHASE4 | RECRUITING | Transcranial Magnetic Stimulation for Nicotine Dependence: An Effectiveness-Implementation Trial |
| NCT06688539 | PHASE4 | RECRUITING | E-cigarette Cessation in Adults Who Co-use Cannabis |
| NCT06798324 | PHASE4 | RECRUITING | tDCS Plus Varenicline for Smoking Cessation |
| NCT06966362 | PHASE4 | NOT_YET_RECRUITING | Varenicline for Smoking Reduction in Veterans Not Ready To Quit |
| NCT07145866 | PHASE4 | NOT_YET_RECRUITING | Varenicline and Accelerated Transcranial Magnetic Stimulation (TMS) for Quitting Nicotine Use (Pilot Study) |
| NCT00006170 | PHASE4 | COMPLETED | Bupropion and Weight Control for Smoking Cessation - 1 |
| NCT00046813 | PHASE4 | TERMINATED | Nicotine Patch for Nicotine Dependence in Individuals With Schizophrenia or Schizoaffective Disorder - 1 |
| NCT00061061 | PHASE4 | COMPLETED | Tobacco Cessation in Postmenopausal Women (Part I) - 1 |
| NCT00119210 | PHASE4 | TERMINATED | Pilot Study of Bupropion for Smoking Cessation in Postpartum Non-breastfeeding Women |
| NCT00142831 | PHASE4 | COMPLETED | Bupropion as an Adjunct to the Nicotine Patch Plus CBT |
| NCT00176449 | PHASE4 | COMPLETED | A Comparison of Bupropion SR and Placebo for Smoking Cessation |
| NCT00178685 | PHASE4 | COMPLETED | Smokers’ Health Project: Self-Determination and Maintaining Tobacco Abstinence |
| NCT00186446 | PHASE4 | COMPLETED | Treatment of Nicotine Dependence and Acute Depression |
| NCT00307203 | PHASE4 | COMPLETED | Safety and Effectiveness of Sustained Release Bupropion in Treating Individuals With Schizophrenia Who Smoke |
| NCT00332644 | PHASE4 | COMPLETED | Smoking Cessation Medications: Efficacy, Mechanisms and Algorithms |
| NCT00365508 | PHASE4 | COMPLETED | Counseling and Nicotine Replacement Therapy in Helping Adult Smokers Quit Smoking |
| NCT00484692 | PHASE4 | COMPLETED | Randomized Trial of Ultrashort Psychotherapy vs Sustained-Release Bupropion for Smoking Cessation |
| NCT00511134 | PHASE4 | TERMINATED | Study of Lunesta Versus Placebo for Sleep Problems Related to Smoking Cessation and Zyban |
| NCT00548470 | PHASE4 | COMPLETED | Varenicline Effects In Schizophrenic Smokers |
| NCT00666978 | PHASE4 | COMPLETED | Health Education Counseling With or Without Bupropion in Helping African Americans Stop Smoking |
| NCT00727103 | PHASE4 | COMPLETED | Varenicline Treatment in Alcohol and Nicotine Dependent Patients With Schizophrenia |
| NCT00781755 | PHASE4 | WITHDRAWN | Treating Schizophrenic Smokers: Effects on Craving, Cues and Withdrawal |
| NCT00936299 | PHASE4 | COMPLETED | Bupropion for ADHD in Adolescents With Substance Use Disorder |
| NCT00948155 | PHASE4 | COMPLETED | Measuring Smoking Behaviors While Using Varenicline |
| NCT00948649 | PHASE4 | COMPLETED | Effects of Chantix on Relapse Prevention for Smoking Cessation |
| NCT01015170 | PHASE4 | COMPLETED | STOP Study: Effectiveness of Zyban in a Clinical Population |
| NCT01023659 | PHASE4 | COMPLETED | Distribution of Bupropion and Varenicline to Increase Smoking Cessation Attempts |
| NCT01047527 | PHASE4 | COMPLETED | An Effectiveness Trial of Maintenance Therapy for Nicotine Dependence |
| NCT01048944 | PHASE4 | COMPLETED | Nicotine Replacement Therapy (NRT) and Bupropion Mechanisms of Effectiveness in Smokers |
| NCT01116986 | PHASE4 | COMPLETED | Identifying Optimal Smoking Cessation Intervention Components (Cessation) |
| NCT01120704 | PHASE4 | COMPLETED | Evaluation of Treatments to Improve Smoking Cessation Medication Adherence |
| NCT01122238 | PHASE4 | COMPLETED | Identifying Treatments to Motivate Smokers to Quit |
| NCT01342523 | PHASE4 | COMPLETED | Evaluation of National Cancer Institute (NCI) Smoking Intervention Resources |
| NCT01390246 | PHASE4 | COMPLETED | Bupropion for Smoking Cessation During Pregnancy |
| NCT01553084 | PHASE4 | COMPLETED | A Comparative Effectiveness & Long Term Health Study in Wisconsin Smokers |
| NCT01554436 | PHASE4 | COMPLETED | Neuropsychological Prognosis Factors of Smoking Cessation |
Drugs tested across these trials (top 30)
- Cohort genes: CYP2A6, ADAMTSL1, CACNA2D3, CHRNA6, HAX1, SULT1B1, MAGI2, CHRNA3, CHRNA4, CHRNA5, CHRNB2, CHRNB3, CHRNB4, SLC22A23, CTNNA3, DBH, ERCC6L2-AS1, GLIS3, ARHGAP25, ZNF608, TANC1, DNMT3B, DLGAP3, DVL1, FAM163B, HYKK, GABBR1, GNAI1, NR5A2, PEX2
- Drugs: Bupropion, Varenicline, Nicotine, Memantine, Naltrexone, Baclofen, Fluoxetine, Lorcaserin, Menthol, Prazosin, Propranolol, Selegiline, Tolcapone, Acetylcysteine, Amphetamine, Atomoxetine, Cycloserine, Galantamine, Suvorexant, Zileuton, Clavulanic Acid, Dextrose, Eszopiclone, Gemfibrozil, Haloperidol, Isradipine, Ketamine, Labetalol, Levomilnacipran, Metyrapone