Obesity disorder
diseaseOn this page
Also known as obesityobesity disease
Summary
Obesity disorder (MONDO:0011122) is a disease caused by HTR2C (GenCC Strong), with 75 cohort genes (1,352 GWAS associations across 202 studies) and 7,775 clinical trials. The dominant Reactome pathway is MECP2 regulates transcription factors (3 cohort genes). Top therapeutic interventions include orlistat, rimonabant, and sibutramine.
At a glance
- Causal gene: HTR2C (GenCC Strong)
- Cohort genes: 75
- GWAS associations: 1,352
- ClinVar variants: 248
- Clinical trials: 7,775
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | obesity disorder |
| Mondo ID | MONDO:0011122 |
| EFO | EFO:0001073 |
| Orphanet | 521399 |
| DOID | DOID:9970 |
| NCIT | C3283 |
| SNOMED CT | 414916001 |
| UMLS | C0028754 |
| MedGen | 18127 |
| Is cancer (heuristic) | no |
Also known as: obesity · obesity disease
Data availability: 248 ClinVar variants · 1,352 GWAS associations (202 studies) · 1 GenCC gene-disease record · 1 HPO phenotype.
Disease family
An umbrella term covering 2 Mondo subtypes.
Classification path: disease › human disease › disease by etiologic mechanism › nutritional disorder › overnutrition › obesity disorder
Related subtypes (3): abdominal obesity-metabolic syndrome, hypervitaminosis D, hypervitaminosis A
Subtypes (2): morbid obesity, inherited obesity
Genetics & variants
GWAS landscape
1,352 GWAS associations across 202 studies. Top hits map to 14 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs1421085 | 6e-291 | FTO | T | 0.14 |
| rs11642015 | 5e-162 | FTO | C | 0.14 |
| rs8043757 | 5e-110 | FTO | T | 1.23 |
| rs1558902 | 2e-81 | FTO | A | 1.14 |
| rs7185735 | 1e-79 | FTO | G | 1.33 |
| rs663129 | 2e-62 | RNU4-17P - MC4R | ? | 1.13 |
| rs13130484 | 1e-51 | PRDX4P1 - THAP12P9 | C | 0.06 |
| rs13107325 | 6e-51 | SLC39A8 | C | 0.11 |
| rs12463617 | 4e-47 | LINC01875 - TMEM18 | ? | 0.9 |
| chr2:622827 | 5e-46 | T | 0.07 | |
| rs6567160 | 1e-42 | LINC03111 - RNU4-17P | T | 0.06 |
| rs688671 | 1e-40 | RNU4-17P - MC4R | ? | 1.1 |
| rs7186573 | 2e-40 | SGF29 | ? | |
| rs6711012 | 3e-40 | LINC01875 - TMEM18 | C | 1.18 |
| chr3:185824004 | 5e-39 | T | 0.08 | |
| rs574367 | 9e-38 | LINC01741 - SEC16B | ? | 1.12 |
| chr16:28833299 | 1e-37 | C | 0.05 | |
| rs538656 | 2e-36 | RNU4-17P - MC4R | T | 1.15 |
| rs7204797 | 2e-34 | TMEM219 | ? | |
| rs10938397 | 3e-34 | PRDX4P1 - THAP12P9 | G | 1.12 |
| rs1800437 | 5e-34 | GIPR | G | 0.06 |
| rs2644112 | 3e-33 | IPO9 | ? | |
| rs35796073 | 8e-33 | LINC01875 - TMEM18 | C | 0.07 |
| rs2568952 | 9e-33 | LINC02796 | C | 0.05 |
| chr3:185805294 | 3e-32 | C | 0.07 | |
| rs889398 | 1e-30 | CYB5B - NFAT5 | ? | |
| chr14:79890677 | 3e-30 | C | 0.05 | |
| rs7132908 | 6e-30 | FAIM2 | G | 0.04 |
| rs13028310 | 3e-29 | LINC01875 - TMEM18 | T | 0.07 |
| rs6809651 | 7e-29 | ETV5 | G | 0.07 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90079764 | Backman JD | 2021 | 171,670 | 194,798 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083750 | Backman JD | 2021 | 171,670 | 194,798 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90079763 | Backman JD | 2021 | 170,856 | 195,879 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083749 | Backman JD | 2021 | 170,856 | 195,879 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90081522 | Backman JD | 2021 | 104,086 | 142,553 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90085508 | Backman JD | 2021 | 104,086 | 142,553 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST008976 | Jia X | 2018 | 48,286 | 250,671 | Multivariate analysis of genome-wide data to identify potential pleiotropic genes for type 2 diabetes, obesity and coronary artery disease using MetaCCA. |
| GCST90093121 | Park S | 2021 | 17,545 | 36,283 | Interactions between Polygenic Risk Scores, Dietary Pattern, and Menarche Age with the Obesity Risk in a Large Hospital-Based Cohort. |
| GCST90244581 | Kim YS | 2022 | 16,429 | 34,379 | Lifestage Sex-Specific Genetic Effects on Metabolic Disorders in an Adult Population in Korea: The Korean Genome and Epidemiology Study. |
| GCST90244583 | Kim YS | 2022 | 8,616 | 22,597 | Lifestage Sex-Specific Genetic Effects on Metabolic Disorders in an Adult Population in Korea: The Korean Genome and Epidemiology Study. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 2 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 2 |
| Tier 4: intronic/intergenic | 45 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 50 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 21 |
| unknown | 13 |
| intergenic_variant | 11 |
| missense_variant | 2 |
| regulatory_region_variant | 2 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs1421085 | 16 | 53767042 | T>C | 0.407 | intron_variant | FTO | 6e-291 | Tier 4: intronic/intergenic |
| rs11642015 | 16 | 53768582 | C>G,T | 0.328 | intron_variant | FTO | 5e-162 | Tier 4: intronic/intergenic |
| rs8043757 | 16 | 53779538 | A>G,T | 0.4 | intron_variant | FTO | 5e-110 | Tier 4: intronic/intergenic |
| rs1558902 | 16 | 53769662 | T>A | 0.41 | intron_variant | FTO | 2e-81 | Tier 4: intronic/intergenic |
| rs7185735 | 16 | 53788739 | A>G,T | 0.4 | intron_variant | FTO | 1e-79 | Tier 4: intronic/intergenic |
| rs663129 | 18 | 60171168 | G>A | 0.05 | intron_variant | RNU4-17P - MC4R | 2e-62 | Tier 4: intronic/intergenic |
| rs13130484 | 4 | 45173674 | C>A,T | 0.428 | intergenic_variant | PRDX4P1 - THAP12P9 | 1e-51 | Tier 4: intronic/intergenic |
| rs13107325 | 4 | 102267552 | C>A,T | 0.083 | missense_variant | SLC39A8 | 6e-51 | Tier 1: coding |
| rs12463617 | 2 | 629244 | A>C,T | 0.05 | intergenic_variant | LINC01875 - TMEM18 | 4e-47 | Tier 4: intronic/intergenic |
| chr2:622827 | 0.174 | 5e-46 | Tier 4: intronic/intergenic | |||||
| rs6567160 | 18 | 60161902 | T>C | 0.229 | intergenic_variant | LINC03111 - RNU4-17P | 1e-42 | Tier 4: intronic/intergenic |
| rs688671 | 18 | 60200293 | A>G,T | 0.05 | intergenic_variant | RNU4-17P - MC4R | 1e-40 | Tier 4: intronic/intergenic |
| rs7186573 | 16 | 28576068 | T>C | 0.05 | intron_variant | SGF29 | 2e-40 | Tier 4: intronic/intergenic |
| rs6711012 | 2 | 624034 | G>A,C,T | 0.18 | intergenic_variant | LINC01875 - TMEM18 | 3e-40 | Tier 4: intronic/intergenic |
| chr3:185824004 | 0.151 | 5e-39 | Tier 4: intronic/intergenic | |||||
| rs574367 | 1 | 177904075 | G>T | 0.05 | intron_variant | LINC01741 - SEC16B | 9e-38 | Tier 4: intronic/intergenic |
| chr16:28833299 | 0.395 | 1e-37 | Tier 4: intronic/intergenic | |||||
| rs538656 | 18 | 60183189 | G>T | 0.24 | intergenic_variant | RNU4-17P - MC4R | 2e-36 | Tier 4: intronic/intergenic |
| rs7204797 | 16 | 29956694 | C>T | 0.05 | intron_variant | TMEM219 | 2e-34 | Tier 4: intronic/intergenic |
| rs10938397 | 4 | 45180510 | A>G | 0.43 | intergenic_variant | PRDX4P1 - THAP12P9 | 3e-34 | Tier 4: intronic/intergenic |
| rs1800437 | 19 | 45678134 | G>A,C | 0.207 | missense_variant | GIPR | 5e-34 | Tier 1: coding |
| rs2644112 | 1 | 201836978 | T>C | 0.05 | intron_variant | IPO9 | 3e-33 | Tier 4: intronic/intergenic |
| rs35796073 | 2 | 636819 | C>A,T | 0.156 | regulatory_region_variant | LINC01875 - TMEM18 | 8e-33 | Tier 3: regulatory |
| rs2568952 | 1 | 72289422 | C>G | 0.396 | intron_variant | LINC02796 | 9e-33 | Tier 4: intronic/intergenic |
| chr3:185805294 | 0.134 | 3e-32 | Tier 4: intronic/intergenic | |||||
| rs889398 | 16 | 69522812 | C>T | 0.05 | regulatory_region_variant | CYB5B - NFAT5 | 1e-30 | Tier 3: regulatory |
| chr14:79890677 | 0.207 | 3e-30 | Tier 4: intronic/intergenic | |||||
| rs7132908 | 12 | 49869365 | G>A,C | 0.387 | 3_prime_UTR_variant | FAIM2 | 6e-30 | Tier 2: splice/UTR |
| rs13028310 | 2 | 632591 | T>A,C,G | 0.172 | intergenic_variant | LINC01875 - TMEM18 | 3e-29 | Tier 4: intronic/intergenic |
| rs6809651 | 3 | 186096853 | G>A | 0.141 | intron_variant | ETV5 | 7e-29 | Tier 4: intronic/intergenic |
ClinVar germline variants
248 retrieved; paginated sample, class counts are floors:
98 uncertain significance, 51 conflicting classifications of pathogenicity, 24 pathogenic, 17 benign/likely benign, 17 likely pathogenic, 14 benign, 13 likely benign, 10 pathogenic/likely pathogenic, 4 risk factor
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 267861 | 46;XX;t(2;11)(q11.2;p13)dn | Pathogenic | criteria provided, single submitter | |
| 267923 | 46;XX;t(10;15)(q25.2;q11.2) | Pathogenic | criteria provided, single submitter | |
| 268036 | 46;XX;t(2;10)(q22;22.3)dn | Pathogenic | criteria provided, single submitter | |
| 917498 | NM_005912.3(MC4R):c.[105C>A;110A>T] | Pathogenic | no assertion criteria provided | |
| 1330180 | GRCh37/hg19 12p13.33-13.31(chr12:146240-8330229)x3 | ANO2 | Pathogenic | criteria provided, single submitter |
| 626905 | NM_001195305.3(BBIP1):c.109C>T (p.Gln37Ter) | BBIP1 | Pathogenic | no assertion criteria provided |
| 523249 | GRCh37/hg19 15q11.2(chr15:22765628-23300287) | CYFIP1 | Pathogenic | criteria provided, single submitter |
| 39679 | NM_015214.3(DDHD2):c.1978G>C (p.Asp660His) | DDHD2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1332907 | NM_022552.5(DNMT3A):c.1647C>A (p.Cys549Ter) | DNMT3A | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1047892 | GRCh37/hg19 19p13.3(chr19:3976203-4345430) | EEF2 | Pathogenic | criteria provided, single submitter |
| 631526 | NM_015047.3(EMC1):c.313C>T (p.Arg105Ter) | EMC1 | Pathogenic | criteria provided, single submitter |
| 1179191 | NM_006208.3(ENPP1):c.2344C>T (p.Arg782Ter) | ENPP1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 11985 | NM_000170.3(GLDC):c.1545G>C (p.Arg515Ser) | GLDC | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 374113 | NM_000516.7(GNAS):c.85C>T (p.Gln29Ter) | GNAS | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 523254 | GRCh37/hg19 16p11.2(chr16:29592783-30190568) | INO80E | Pathogenic | criteria provided, single submitter |
| 14420 | NM_000238.4(KCNH2):c.1682C>T (p.Ala561Val) | KCNH2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14318 | NM_005912.2(MC4R):c.105C>A (p.Tyr35Ter) | MC4R | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14329 | NM_005912.3(MC4R):c.812G>A (p.Cys271Tyr) | MC4R | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14331 | NM_005912.3(MC4R):c.947T>G (p.Ile316Ser) | MC4R | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 327713 | NM_005912.3(MC4R):c.494G>A (p.Arg165Gln) | MC4R | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 36487 | NM_005912.3(MC4R):c.835_836dup (p.Phe280fs) | MC4R | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 435828 | NM_005912.3(MC4R):c.750_751del (p.Ile251fs) | MC4R | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 435831 | NM_005912.3(MC4R):c.181G>A (p.Glu61Lys) | MC4R | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 492863 | NM_005912.3(MC4R):c.838T>C (p.Phe280Leu) | MC4R | Pathogenic | no assertion criteria provided |
| 562356 | NM_005912.3(MC4R):c.466C>T (p.Gln156Ter) | MC4R | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1330175 | GRCh37/hg19 16p12.2(chr16:21751992-22546976)x1 | NPIPB4 | Pathogenic | criteria provided, single submitter |
| 636300 | NM_021969.3(NR0B2):c.227del (p.Phe76fs) | NR0B2 | Pathogenic | criteria provided, single submitter |
| 1330178 | GRCh37/hg19 8p23.3-23.1(chr8:10501-7214947)x1 | OR4F21 | Pathogenic | criteria provided, single submitter |
| 206608 | NM_002693.3(POLG):c.1270_1271del (p.Leu424fs) | POLG | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13355 | NM_000939.4(POMC):c.-11C>A | POMC | Pathogenic | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 1 · Orphanet: 85 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 5
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|---|---|
| BDNF | BDNF | GWAS, Orphanet |
| SH2B1 | SH2B1 | GWAS, Orphanet |
| LEPR | LEPR | GWAS, Orphanet |
| MC4R | MC4R | GWAS, Orphanet |
| POMC | POMC | GWAS, Orphanet |
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 |
|---|---|---|---|---|
| HTR2C | Strong | Autosomal dominant | obesity disorder |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| BDNF | Orphanet:661 | Congenital central hypoventilation syndrome |
| BDNF | Orphanet:893 | WAGR syndrome |
| SH2B1 | Orphanet:261197 | Proximal 16p11.2 microdeletion syndrome |
| SH2B1 | Orphanet:261222 | Distal 16p11.2 microdeletion syndrome |
| SH2B1 | Orphanet:329249 | Severe early-onset obesity-insulin resistance syndrome due to SH2B1 deficiency |
| LEPR | Orphanet:179494 | Obesity due to leptin receptor gene deficiency |
| MC4R | Orphanet:71529 | Obesity due to melanocortin 4 receptor deficiency |
| POMC | Orphanet:71526 | Obesity due to pro-opiomelanocortin deficiency |
| SCN1A | Orphanet:1942 | Epilepsy with myoclonic-atonic seizures |
| SCN1A | Orphanet:2382 | Lennox-Gastaut syndrome |
| SCN1A | Orphanet:293181 | Epilepsy of infancy with migrating focal seizures |
| SCN1A | Orphanet:33069 | Dravet syndrome |
| SCN1A | Orphanet:36387 | Genetic epilepsy with febrile seizure plus |
| SCN1A | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| SCN1A | Orphanet:569 | Familial or sporadic hemiplegic migraine |
| SCNN1A | Orphanet:130 | Brugada syndrome |
| SCNN1A | Orphanet:171876 | Generalized pseudohypoaldosteronism type 1 |
| SCNN1A | Orphanet:526 | Liddle syndrome |
| SCNN1A | Orphanet:60033 | Idiopathic bronchiectasis |
| SDCCAG8 | Orphanet:110 | Bardet-Biedl syndrome |
| SDCCAG8 | Orphanet:3156 | Senior-Loken syndrome |
| SHH | Orphanet:220386 | Semilobar holoprosencephaly |
| SHH | Orphanet:280195 | Septopreoptic holoprosencephaly |
| SHH | Orphanet:280200 | Microform holoprosencephaly |
| SHH | Orphanet:476119 | Autosomal dominant preaxial polydactyly-upperback hypertrichosis syndrome |
| SHH | Orphanet:485275 | Acquired schizencephaly |
| SHH | Orphanet:93321 | Isolated radial hemimelia |
| SHH | Orphanet:93336 | Polydactyly of a triphalangeal thumb |
| SHH | Orphanet:93405 | Syndactyly type 4 |
| SHH | Orphanet:93924 | Lobar holoprosencephaly |
| SHH | Orphanet:93925 | Alobar holoprosencephaly |
| SHH | Orphanet:93926 | Midline interhemispheric variant of holoprosencephaly |
| SHH | Orphanet:988 | Tibial hemimelia-polysyndactyly-triphalangeal thumb syndrome |
| SHH | Orphanet:98938 | Colobomatous microphthalmia |
| SIM1 | Orphanet:171829 | 6q16 microdeletion syndrome |
| SIM1 | Orphanet:369873 | Obesity due to SIM1 deficiency |
| SIM1 | Orphanet:398079 | SIM1-related Prader-Willi-like syndrome |
| SLC32A1 | Orphanet:1934 | Early infantile developmental and epileptic encephalopathy |
| SLC32A1 | Orphanet:36387 | Genetic epilepsy with febrile seizure plus |
| SMARCA4 | Orphanet:1465 | Coffin-Siris syndrome |
| SMARCA4 | Orphanet:231108 | Rhabdoid tumor predisposition syndrome |
| SMARCA4 | Orphanet:370396 | Small cell carcinoma of the ovary |
| SMARCA4 | Orphanet:466962 | SMARCA4-deficient sarcoma of thorax |
| ARID1A | Orphanet:1465 | Coffin-Siris syndrome |
| SOS1 | Orphanet:2024 | Hereditary gingival fibromatosis |
| SOS1 | Orphanet:648 | Noonan syndrome |
| SOX11 | Orphanet:1465 | Coffin-Siris syndrome |
| SREBF1 | Orphanet:388 | Hirschsprung disease |
| TBCE | Orphanet:2323 | Sanjad-Sakati syndrome |
| TBCE | Orphanet:496756 | Early-onset progressive encephalopathy-spastic ataxia-distal spinal muscular atrophy syndrome |
Cohort genes → proteins
75 cohort genes, 73 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 39 |
| gwas_and_clinvar | 5 |
| multi_evidence | 31 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| BDNF | HGNC:1033 | ENSG00000176697 | P23560 | Neurotrophic factor BDNF precursor form | gwas,clinvar |
| SH2B1 | HGNC:30417 | ENSG00000178188 | Q9NRF2 | SH2B adapter protein 1 | gwas,clinvar |
| LEPR | HGNC:6554 | ENSG00000116678 | P48357 | Leptin receptor | gwas,clinvar |
| MC4R | HGNC:6932 | ENSG00000166603 | P32245 | Melanocortin receptor 4 | gwas,clinvar |
| POMC | HGNC:9201 | ENSG00000115138 | P01189 | Pro-opiomelanocortin | gwas,clinvar |
| HTR2C | HGNC:5295 | ENSG00000147246 | P28335 | 5-hydroxytryptamine receptor 2C | gencc |
| RGS6 | HGNC:10002 | ENSG00000182732 | P49758 | Regulator of G-protein signaling 6 | gwas |
| RPL27A | HGNC:10329 | ENSG00000166441 | P46776 | Large ribosomal subunit protein uL15 | gwas |
| SCN1A | HGNC:10585 | ENSG00000144285 | P35498 | Sodium channel protein type 1 subunit alpha | clinvar |
| SCNN1A | HGNC:10599 | ENSG00000111319 | P37088 | Epithelial sodium channel subunit alpha | gwas |
| SDCCAG8 | HGNC:10671 | ENSG00000054282 | Q86SQ7 | Serologically defined colon cancer antigen 8 | gwas |
| SHH | HGNC:10848 | ENSG00000164690 | Q15465 | Sonic hedgehog protein | clinvar |
| SIM1 | HGNC:10882 | ENSG00000112246 | P81133 | Single-minded homolog 1 | clinvar |
| SLC32A1 | HGNC:11018 | ENSG00000101438 | Q9H598 | Vesicular inhibitory amino acid transporter | clinvar |
| SLC8A1 | HGNC:11068 | ENSG00000183023 | P32418 | Sodium/calcium exchanger 1 | gwas |
| SMARCA4 | HGNC:11100 | ENSG00000127616 | P51532 | SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 4 | clinvar |
| ARID1A | HGNC:11110 | ENSG00000117713 | O14497 | AT-rich interactive domain-containing protein 1A | clinvar |
| SOS1 | HGNC:11187 | ENSG00000115904 | Q07889 | Son of sevenless homolog 1 | clinvar |
| SOX11 | HGNC:11191 | ENSG00000176887 | P35716 | Transcription factor SOX-11 | gwas |
| SPRY2 | HGNC:11270 | ENSG00000136158 | O43597 | Protein sprouty homolog 2 | gwas |
| SREBF1 | HGNC:11289 | ENSG00000072310 | P36956 | Sterol regulatory element-binding protein 1 | clinvar |
| TBCE | HGNC:11582 | ENSG00000284770 | Q15813 | Tubulin-specific chaperone E | gwas |
| TBX3 | HGNC:11602 | ENSG00000135111 | O15119 | T-box transcription factor TBX3 | clinvar |
| TCF4 | HGNC:11634 | ENSG00000196628 | P15884 | Transcription factor 4 | gwas |
| TFAP2B | HGNC:11743 | ENSG00000008196 | Q92481 | Transcription factor AP-2-beta | gwas |
| ANO2 | HGNC:1183 | ENSG00000047617 | Q9NQ90 | Anoctamin-2 | clinvar |
| TNKS | HGNC:11941 | ENSG00000173273 | O95271 | Poly [ADP-ribose] polymerase tankyrase-1 | gwas |
| UBE2E3 | HGNC:12479 | ENSG00000170035 | Q969T4 | Ubiquitin-conjugating enzyme E2 E3 | gwas |
| UCP3 | HGNC:12519 | ENSG00000175564 | P55916 | Putative mitochondrial transporter UCP3 | clinvar |
| WWOX | HGNC:12799 | ENSG00000186153 | Q9NZC7 | WW domain-containing oxidoreductase | gwas |
| ZNF248 | HGNC:13041 | ENSG00000198105 | Q8NDW4 | Zinc finger protein 248 | gwas |
| SCAPER | HGNC:13081 | ENSG00000140386 | Q9BY12 | S phase cyclin A-associated protein in the endoplasmic reticulum | clinvar |
| GPRC5B | HGNC:13308 | ENSG00000167191 | Q9NZH0 | G-protein coupled receptor family C group 5 member B | gwas |
| KIF4A | HGNC:13339 | ENSG00000090889 | O95239 | Chromosome-associated kinesin KIF4A | clinvar |
| FBXO11 | HGNC:13590 | ENSG00000138081 | Q86XK2 | F-box only protein 11 | clinvar |
| CABP5 | HGNC:13714 | ENSG00000105507 | Q9NP86 | Calcium-binding protein 5 | gwas |
| CYFIP1 | HGNC:13759 | ENSG00000273749 | Q7L576 | Cytoplasmic FMR1-interacting protein 1 | clinvar |
| RTN4 | HGNC:14085 | ENSG00000115310 | Q9NQC3 | Reticulon-4 | gwas |
| CMYA5 | HGNC:14305 | ENSG00000164309 | Q8N3K9 | Cardiomyopathy-associated protein 5 | gwas |
| MRPS22 | HGNC:14508 | ENSG00000175110 | P82650 | Small ribosomal subunit protein mS22 | gwas |
| VPS45 | HGNC:14579 | ENSG00000136631 | Q9NRW7 | Vacuolar protein sorting-associated protein 45 | gwas |
| CAMK1G | HGNC:14585 | ENSG00000008118 | Q96NX5 | Calcium/calmodulin-dependent protein kinase type 1G | gwas |
| DEAF1 | HGNC:14677 | ENSG00000177030 | O75398 | Deformed epidermal autoregulatory factor 1 homolog | clinvar |
| OR10R1P | HGNC:14813 | ENSG00000227445 | olfactory receptor family 10 subfamily R member 1 pseudogene | gwas | |
| OR6Y1 | HGNC:14823 | ENSG00000197532 | Q8NGX8 | Olfactory receptor 6Y1 | gwas |
| MUC15 | HGNC:14956 | ENSG00000169550 | Q8N387 | Mucin-15 | gwas |
| OR6P1 | HGNC:15036 | ENSG00000186440 | Q8NGX9 | Olfactory receptor 6P1 | gwas |
| CAST | HGNC:1515 | ENSG00000153113 | P20810 | Calpastatin | clinvar |
| TDH | HGNC:15547 | ENSG00000154316 | Q8IZJ6 | Inactive L-threonine 3-dehydrogenase, mitochondrial | gwas |
| NAV3 | HGNC:15998 | ENSG00000067798 | Q8IVL0 | Neuron navigator 3 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| BDNF | Neurotrophic factor BDNF precursor form | Important signaling molecule that activates signaling cascades downstream of NTRK2. |
| SH2B1 | SH2B adapter protein 1 | Adapter protein for several members of the tyrosine kinase receptor family. |
| LEPR | Leptin receptor | Receptor for hormone LEP/leptin. |
| MC4R | Melanocortin receptor 4 | G protein-coupled receptor that binds melanocyte-stimulating hormones (alpha- and beta-MSH) and corticotropin/ACTH, which are peptide products of the POMC precursor. |
| POMC | Pro-opiomelanocortin | Precursor protein of pituitary hormones that are involved in diverse physiological processes, including the regulation of energy balance, stress response, immune function and skin pigmentation. |
| HTR2C | 5-hydroxytryptamine receptor 2C | G-protein coupled receptor for 5-hydroxytryptamine (serotonin). |
| RGS6 | Regulator of G-protein signaling 6 | Regulates G protein-coupled receptor signaling cascades. |
| RPL27A | Large ribosomal subunit protein uL15 | Component of the large ribosomal subunit. |
| SCN1A | Sodium channel protein type 1 subunit alpha | Pore-forming subunit of Nav1.1, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes. |
| SCNN1A | Epithelial sodium channel subunit alpha | This is one of the three pore-forming subunits of the heterotrimeric epithelial sodium channel (ENaC), a critical regulator of sodium balance and fluid homeostasis. |
| SDCCAG8 | Serologically defined colon cancer antigen 8 | Plays a role in the establishment of cell polarity and epithelial lumen formation. |
| SHH | Sonic hedgehog protein | The C-terminal part of the sonic hedgehog protein precursor displays an autoproteolysis and a cholesterol transferase activity. |
| SIM1 | Single-minded homolog 1 | Transcriptional factor that may have pleiotropic effects during embryogenesis and in the adult. |
| SLC32A1 | Vesicular inhibitory amino acid transporter | Antiporter that exchanges vesicular protons for cytosolic 4-aminobutanoate or to a lesser extend glycine, thus allowing their secretion from nerve terminals. |
| SLC8A1 | Sodium/calcium exchanger 1 | Mediates the exchange of one Ca(2+) ion against three to four Na(+) ions across the cell membrane, and thereby contributes to the regulation of cytoplasmic Ca(2+) levels and Ca(2+)-dependent cellular processes. |
| SMARCA4 | SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 4 | ATPase involved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology). |
| ARID1A | AT-rich interactive domain-containing protein 1A | Involved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology). |
| SOS1 | Son of sevenless homolog 1 | Promotes the exchange of Ras-bound GDP by GTP. |
| SOX11 | Transcription factor SOX-11 | Transcription factor that acts as a transcriptional activator. |
| SPRY2 | Protein sprouty homolog 2 | Antagonist of fibroblast growth factor (FGF) pathways via inhibition of FGF-mediated phosphorylation of ERK1/2. |
| SREBF1 | Sterol regulatory element-binding protein 1 | Precursor of the transcription factor form (Processed sterol regulatory element-binding protein 1), which is embedded in the endoplasmic reticulum membrane. |
| TBCE | Tubulin-specific chaperone E | Tubulin-folding protein; involved in the second step of the tubulin folding pathway and in the regulation of tubulin heterodimer dissociation. |
| TBX3 | T-box transcription factor TBX3 | Transcriptional repressor involved in developmental processes. |
| TCF4 | Transcription factor 4 | Transcription factor that binds to the immunoglobulin enhancer Mu-E5/KE5-motif. |
| TFAP2B | Transcription factor AP-2-beta | Sequence-specific DNA-binding protein that interacts with inducible viral and cellular enhancer elements to regulate transcription of selected genes. |
| ANO2 | Anoctamin-2 | Calcium-activated chloride channel (CaCC) which may play a role in olfactory signal transduction. |
| TNKS | Poly [ADP-ribose] polymerase tankyrase-1 | Poly-ADP-ribosyltransferase involved in various processes such as Wnt signaling pathway, telomere length and vesicle trafficking. |
| UBE2E3 | Ubiquitin-conjugating enzyme E2 E3 | Accepts ubiquitin from the E1 complex and catalyzes its covalent attachment to other proteins. |
| UCP3 | Putative mitochondrial transporter UCP3 | Putative transmembrane transporter that plays a role in mitochondrial metabolism via an as yet unclear mechanism. |
| WWOX | WW domain-containing oxidoreductase | Putative oxidoreductase. |
| ZNF248 | Zinc finger protein 248 | May be involved in transcriptional regulation. |
| SCAPER | S phase cyclin A-associated protein in the endoplasmic reticulum | CCNA2/CDK2 regulatory protein that transiently maintains CCNA2 in the cytoplasm. |
| GPRC5B | G-protein coupled receptor family C group 5 member B | G-protein coupled receptor involved in the regulation of cell volume. |
| KIF4A | Chromosome-associated kinesin KIF4A | Iron-sulfur (Fe-S) cluster binding motor protein that has a role in chromosome segregation during mitosis. |
| FBXO11 | F-box only protein 11 | Substrate recognition component of a SCF (SKP1-CUL1-F-box protein) E3 ubiquitin-protein ligase complex which mediates the ubiquitination and subsequent proteasomal degradation of target proteins, such as DTL/CDT2, BCL6, SNAI1 and PRDM1/BLI… |
| CABP5 | Calcium-binding protein 5 | Inhibits calcium-dependent inactivation of L-type calcium channel and shifts voltage dependence of activation to more depolarized membrane potentials. |
| CYFIP1 | Cytoplasmic FMR1-interacting protein 1 | Component of the CYFIP1-EIF4E-FMR1 complex which binds to the mRNA cap and mediates translational repression. |
| RTN4 | Reticulon-4 | Required to induce the formation and stabilization of endoplasmic reticulum (ER) tubules. |
| CMYA5 | Cardiomyopathy-associated protein 5 | May serve as an anchoring protein that mediates the subcellular compartmentation of protein kinase A (PKA) via binding to PRKAR2A. |
| VPS45 | Vacuolar protein sorting-associated protein 45 | May play a role in vesicle-mediated protein trafficking from the Golgi stack through the trans-Golgi network. |
| CAMK1G | Calcium/calmodulin-dependent protein kinase type 1G | Calcium/calmodulin-dependent protein kinase belonging to a proposed calcium-triggered signaling cascade. |
| DEAF1 | Deformed epidermal autoregulatory factor 1 homolog | Transcription factor that binds to sequence with multiple copies of 5’-TTC[CG]G-3’ present in its own promoter and that of the HNRPA2B1 gene. |
| OR6Y1 | Olfactory receptor 6Y1 | Odorant receptor. |
| MUC15 | Mucin-15 | May play a role in the cell adhesion to the extracellular matrix. |
| OR6P1 | Olfactory receptor 6P1 | Odorant receptor. |
| CAST | Calpastatin | Specific inhibition of calpain (calcium-dependent cysteine protease). |
| NAV3 | Neuron navigator 3 | Is involved in microtubule cytoskeleton organization and plays a role in cell migration. |
| MACROD2 | ADP-ribose glycohydrolase MACROD2 | Removes ADP-ribose from aspartate and glutamate residues in proteins bearing a single ADP-ribose moiety. |
| SOX6 | Transcription factor SOX-6 | Transcription factor that plays a key role in several developmental processes, including neurogenesis, chondrocytes differentiation and cartilage formation. |
| OLFM4 | Olfactomedin-4 | May promote proliferation of pancreatic cancer cells by favoring the transition from the S to G2/M phase. |
Protein-family classification
Druggable: 19 · Difficult: 21 · Unknown: 35 · Druggable fraction: 0.25
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 |
|---|---|---|---|
| Transcription factor | 16 | 1.8× | 0.147 |
| GPCR | 6 | 1.9× | 0.419 |
| Ion channel | 1 | 1.5× | 0.738 |
| Kinase | 4 | 1.5× | 0.738 |
| Antibody/Immunoglobulin | 3 | 1.2× | 0.738 |
| Scaffold/PPI | 5 | 1.1× | 0.738 |
| Transporter | 1 | 1.0× | 0.799 |
| Other/Unknown | 35 | 0.8× | 0.956 |
| Enzyme (other) | 4 | 0.6× | 0.956 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| BDNF | Other/Unknown | no | Nerve_growth_factor-rel, Nerve_growth_factor_CS, Nerve_growth_factor-like | |
| SH2B1 | Scaffold/PPI | no | SH2, PH_domain, PH-like_dom_sf | |
| LEPR | Antibody/Immunoglobulin | yes | Hematopoietin_rcpt_Gp130_CS, Hempt_rcpt_S_F1_CS, FN3_dom | |
| MC4R | GPCR | yes | Mcort_rcpt_4, GPCR_Rhodpsn, Melcrt_ACTH_rcpt | |
| POMC | Other/Unknown | no | PMOC, Mcrtin_ACTH_cent, Opioid_neuropept | |
| HTR2C | GPCR | yes | GPCR_Rhodpsn, 5HT2C_rcpt, 5HT_rcpt | |
| RGS6 | Other/Unknown | no | DEP_dom, G-protein_gamma-like_dom, RGS | |
| RPL27A | Other/Unknown | no | Ribosomal_uL15_CS, Ribosomal_uL15/eL18, Rbsml_uL15_N | |
| SCN1A | Ion channel | yes | Na_channel_asu, Ion_trans_dom, Na_channel_a1su | |
| SCNN1A | Other/Unknown | no | ENaC, ENaC_chordates, ENaC_CS | |
| SDCCAG8 | Other/Unknown | no | SDCCAG8 | |
| SHH | Other/Unknown | no | Hedgehog_signalling_dom, Hedgehog, Hedgehog_Hint | |
| SIM1 | Transcription factor | no | PAS, PAC, SIM_C | |
| SLC32A1 | Other/Unknown | no | AA_transpt_TM | |
| SLC8A1 | Other/Unknown | no | DnaJ_domain, NaCa_exhngr1, Calx_beta | |
| SMARCA4 | Other/Unknown | no | SNF2_N, Bromodomain, Helicase_C-like | |
| ARID1A | Other/Unknown | no | ARID_dom, ARM-like, ARM-type_fold | |
| SOS1 | Scaffold/PPI | no | DH_dom, Ras-like_Gua-exchang_fac_N, PH_domain | |
| SOX11 | Transcription factor | no | HMG_box_dom, SOX-12/11/4, HMG_box_dom_sf | |
| SPRY2 | Other/Unknown | no | Sprouty, Sprouty_domain | |
| SREBF1 | Transcription factor | no | bHLH_dom, HLH_DNA-bd_sf | |
| TBCE | Other/Unknown | no | Ubiquitin-like_dom, CAP-Gly_domain, Ubiquitin-like_domsf | |
| TBX3 | Transcription factor | no | TF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS | |
| TCF4 | Transcription factor | no | 7.6.2.3 | bHLH_dom, HLH_DNA-bd_sf, NeuroDiff_E-box_TFs |
| TFAP2B | Transcription factor | no | TF_AP2, TF_AP2_beta, TF_AP2_C | |
| ANO2 | Other/Unknown | no | Anoctamin, Anoct_dimer, Anoctamin_TM | |
| TNKS | Scaffold/PPI | no | 2.4.2.30 | SAM, Ankyrin_rpt, Poly(ADP-ribose)pol_cat_dom |
| UBE2E3 | Enzyme (other) | yes | 2.3.2.23 | UBC, UBQ-conjugating_enzyme/RWD, UBQ-conjugating_AS |
| UCP3 | Transporter | yes | MCP, MCP_transmembrane, MCP_dom_sf | |
| WWOX | Scaffold/PPI | no | WW_dom, SDR_fam, WW_dom_sf | |
| ZNF248 | Transcription factor | no | KRAB, Znf_C2H2_type, KRAB_dom_sf | |
| SCAPER | Transcription factor | no | Matrin/U1-like-C_Znf_C2H2, Znf_C2H2_type, SCAPER_N | |
| GPRC5B | GPCR | yes | GPCR_3_C, RA-inducible_GPCR3 | |
| KIF4A | Other/Unknown | no | Kinesin_motor_dom, Kinesin_motor_CS, P-loop_NTPase | |
| FBXO11 | Transcription factor | no | F-box_dom, Znf_UBR, PbH1 | |
| CABP5 | Other/Unknown | no | EF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS | |
| CYFIP1 | Other/Unknown | no | Cytoplasmic_FMR1-int, CYRIA/CYRIB_Rac1-bd | |
| RTN4 | Other/Unknown | no | Reticulon, RTN1-4 | |
| CMYA5 | Antibody/Immunoglobulin | yes | B30.2/SPRY, SPRY_dom, FN3_dom | |
| MRPS22 | Other/Unknown | no | Ribosomal_mS22 | |
| VPS45 | Other/Unknown | no | Sec1-like, Sec1-like_dom2, Sec1-like_sf | |
| CAMK1G | Kinase | yes | 2.7.11.17 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| DEAF1 | Transcription factor | no | SAND_dom, Znf_MYND, SAND-like_dom_sf | |
| OR10R1P | Other/Unknown | no | ||
| OR6Y1 | GPCR | yes | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM | |
| MUC15 | Other/Unknown | no | Mucin-15 | |
| OR6P1 | GPCR | yes | GPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM | |
| CAST | Other/Unknown | no | Prot_inh_calpain, Calpastatin | |
| TDH | Other/Unknown | no | Epimerase_deHydtase, NAD(P)-bd_dom_sf, NAD(P)_epim/dehydratase | |
| NAV3 | Other/Unknown | no | CH_dom, AAA+_ATPase, ATPase_AAA_core |
Expression context
Cohort genes with no expression data: 0.
63 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 3 |
| moderate (6-20) | 0 |
| broad (>20) | 72 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cortical plate | 12 |
| middle temporal gyrus | 9 |
| Brodmann (1909) area 23 | 8 |
| ventricular zone | 8 |
| ganglionic eminence | 7 |
| calcaneal tendon | 6 |
| endothelial cell | 6 |
| sural nerve | 5 |
| colonic epithelium | 5 |
| male germ line stem cell (sensu Vertebrata) in testis | 5 |
| oocyte | 4 |
| right hemisphere of cerebellum | 4 |
| buccal mucosa cell | 4 |
| cerebellar hemisphere | 3 |
| right uterine tube | 3 |
| adenohypophysis | 3 |
| bone marrow cell | 3 |
| epithelial cell of pancreas | 3 |
| tendon of biceps brachii | 3 |
| right adrenal gland | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| BDNF | 189 | ubiquitous | yes | saphenous vein, pons, oocyte |
| SH2B1 | 253 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| LEPR | 272 | broad | marker | trabecular bone tissue, choroid plexus epithelium, trigeminal ganglion |
| MC4R | 69 | broad | yes | pancreatic ductal cell, right uterine tube, prefrontal cortex |
| POMC | 161 | broad | marker | adenohypophysis, pituitary gland, right testis |
| HTR2C | 79 | tissue_specific | marker | choroid plexus epithelium, lateral globus pallidus, superior vestibular nucleus |
| RGS6 | 185 | broad | marker | cortical plate, sural nerve, middle temporal gyrus |
| RPL27A | 188 | ubiquitous | marker | bone marrow cell, adenohypophysis, ganglionic eminence |
| SCN1A | 154 | tissue_specific | marker | Brodmann (1909) area 23, lateral nuclear group of thalamus, primary visual cortex |
| SCNN1A | 283 | broad | marker | nasal cavity epithelium, metanephros cortex, right uterine tube |
| SDCCAG8 | 134 | ubiquitous | marker | corpus callosum, calcaneal tendon, thyroid gland |
| SHH | 131 | broad | marker | buccal mucosa cell, right lobe of liver, epithelial cell of pancreas |
| SIM1 | 76 | broad | yes | renal medulla, skeletal muscle tissue of biceps brachii, biceps brachii |
| SLC32A1 | 69 | broad | marker | nucleus accumbens, putamen, prefrontal cortex |
| SLC8A1 | 249 | ubiquitous | marker | heart right ventricle, adrenal tissue, endothelial cell |
| SMARCA4 | 295 | ubiquitous | marker | ganglionic eminence, cortical plate, cervix squamous epithelium |
| ARID1A | 286 | ubiquitous | marker | bone marrow cell, ventricular zone, embryo |
| SOS1 | 289 | ubiquitous | marker | colonic epithelium, jejunal mucosa, tendon of biceps brachii |
| SOX11 | 93 | broad | marker | ganglionic eminence, cortical plate, embryo |
| SPRY2 | 281 | ubiquitous | marker | cartilage tissue, tibial nerve, right hemisphere of cerebellum |
| SREBF1 | 172 | ubiquitous | marker | left adrenal gland, right adrenal gland, left adrenal gland cortex |
| TBCE | 134 | ubiquitous | yes | ventricular zone, hindlimb stylopod muscle, cortical plate |
| TBX3 | 243 | ubiquitous | marker | right adrenal gland cortex, right adrenal gland, adrenal cortex |
| TCF4 | 292 | ubiquitous | marker | endothelial cell, skin of hip, pericardium |
| TFAP2B | 128 | broad | marker | corpus epididymis, cauda epididymis, oocyte |
| ANO2 | 165 | tissue_specific | marker | sural nerve, left testis, calcaneal tendon |
| TNKS | 295 | ubiquitous | yes | middle temporal gyrus, medial globus pallidus, Brodmann (1909) area 23 |
| UBE2E3 | 134 | ubiquitous | marker | ganglionic eminence, cortical plate, stromal cell of endometrium |
| UCP3 | 224 | tissue_specific | marker | gastrocnemius, hindlimb stylopod muscle, muscle of leg |
| WWOX | 286 | ubiquitous | marker | parotid gland, cervix squamous epithelium, cranial nerve II |
Protein interactions among cohort
Intra-cohort edges: 33.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| SMARCA4 | 8,138 |
| WWOX | 5,892 |
| BDNF | 5,587 |
| SHH | 4,953 |
| RPL27A | 4,738 |
| SETD2 | 4,668 |
| SREBF1 | 4,089 |
| POMC | 3,655 |
| SOS1 | 3,625 |
| ARID1A | 3,476 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ALPK1 | CABP5 | string_interaction |
| ARID1A | CDH18 | string_interaction |
| ARID1A | SMARCA4 | biogrid_interaction, intact, string_interaction |
| ARID1A | SOX11 | string_interaction |
| CABP5 | TCF4 | biogrid_interaction, intact |
| CDH10 | CDH18 | string_interaction |
| CHAMP1 | POGZ | biogrid_interaction, string_interaction |
| FANCL | GPRC5B | string_interaction |
| GHRL | MC4R | string_interaction |
| GHRL | POMC | string_interaction |
| GHRL | UCP3 | string_interaction |
| GPRC5B | HTR2C | intact |
| GPRC5B | NEGR1 | string_interaction |
| GPRC5B | TNNI3K | string_interaction |
| HTR2C | POMC | string_interaction |
| HTR2C | RTN4 | intact |
| LEPR | MC4R | string_interaction |
| LEPR | POMC | string_interaction |
| LEPR | SH2B1 | string_interaction |
| LYPLAL1 | TFAP2B | string_interaction |
| MACROD2 | RBFOX1 | string_interaction |
| MACROD2 | WWOX | string_interaction |
| MC4R | NEGR1 | string_interaction |
| MC4R | POMC | string_interaction |
| MC4R | SH2B1 | string_interaction |
| MC4R | SIM1 | string_interaction |
| MC4R | TFAP2B | string_interaction |
| NEGR1 | SH2B1 | string_interaction |
| NEGR1 | TFAP2B | string_interaction |
| POMC | SIM1 | string_interaction |
| SIM1 | SLC32A1 | string_interaction |
| SMARCA4 | SOX11 | string_interaction |
| TFAP2B | TNNI3K | string_interaction |
Structural data
PDB: 50 · AlphaFold-only: 23 · No structure: 2
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| RPL27A | P46776 | 193 |
| SOS1 | Q07889 | 91 |
| MRPS22 | P82650 | 77 |
| SETD2 | Q9BYW2 | 43 |
| TNKS | O95271 | 42 |
| SMARCA4 | P51532 | 31 |
| SHH | Q15465 | 20 |
| POMC | P01189 | 13 |
| PRMT6 | Q96LA8 | 13 |
| MC4R | P32245 | 12 |
| LEPR | P48357 | 9 |
| KSR2 | Q6VAB6 | 9 |
| FARS2 | O95363 | 9 |
| HTR2C | P28335 | 8 |
| FANCL | Q9NW38 | 8 |
| ARID1A | O14497 | 7 |
| TBCE | Q15813 | 6 |
| SLC8A1 | P32418 | 5 |
| SPRY2 | O43597 | 5 |
| TCF4 | P15884 | 5 |
| CYFIP1 | Q7L576 | 5 |
| TNNI3K | Q59H18 | 5 |
| SOX11 | P35716 | 4 |
| MACROD2 | A1Z1Q3 | 4 |
| GHRL | Q9UBU3 | 4 |
| RBFOX1 | Q9NWB1 | 4 |
| CHAMP1 | Q96JM3 | 4 |
| SCNN1A | P37088 | 3 |
| DEAF1 | O75398 | 3 |
| KAT6B | Q8WYB5 | 3 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| VPS45 | Q9NRW7 | 90.65 |
| OR4F21 | O95013 | 90.19 |
| OR6Y1 | Q8NGX8 | 86.47 |
| OR6P1 | Q8NGX9 | 85.34 |
| OLFM4 | Q6UX06 | 83.34 |
| CDKAL1 | Q5VV42 | 82.72 |
| HS6ST3 | Q8IZP7 | 81.20 |
| CABP5 | Q9NP86 | 79.89 |
| SLC32A1 | Q9H598 | 78.69 |
| SDCCAG8 | Q86SQ7 | 78.67 |
| CDH10 | Q9Y6N8 | 78.29 |
| CDH18 | Q13634 | 77.57 |
| TDH | Q8IZJ6 | 77.16 |
| ANO2 | Q9NQ90 | 74.81 |
| GPRC5B | Q9NZH0 | 74.39 |
| UCP3 | P55916 | 62.65 |
| SIM1 | P81133 | 60.70 |
| CAST | P20810 | 59.67 |
| SOX6 | P35712 | 56.48 |
| ZNF248 | Q8NDW4 | 55.52 |
| MUC15 | Q8N387 | 52.21 |
| NAV3 | Q8IVL0 | 48.21 |
| CMYA5 | Q8N3K9 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 638. Enrichment computed across 181 evidence-associated genes (126 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 126 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| MECP2 regulates transcription factors | 3 | 54.4× | 0.008 | RBFOX1, MECP2, PPARG |
| Signal Transduction | 28 | 2.3× | 0.009 | BDNF, MC4R, SHH, SMARCA4, SOS1, SPRY2, TCF4, RTN4 (+20 more) |
| Signaling by NTRKs | 6 | 8.6× | 0.014 | BDNF, SOS1, KIDINS220, IRS1, MAP2K1, MAP2K5 |
| BDNF activates NTRK2 (TRKB) signaling | 2 | 90.6× | 0.019 | BDNF, NTRK2 |
| Activated NTRK2 signals through RAS | 3 | 27.2× | 0.019 | BDNF, SOS1, NTRK2 |
| Signaling by Leptin | 3 | 24.7× | 0.019 | SH2B1, LEPR, IRS1 |
| Activated NTRK2 signals through FRS2 and FRS3 | 3 | 22.7× | 0.019 | BDNF, SOS1, NTRK2 |
| Anti-inflammatory response favouring Leishmania parasite infection | 4 | 12.5× | 0.019 | ADCY3, ADCY9, ITPR3, MYH9 |
| Leishmania parasite growth and survival | 4 | 12.5× | 0.019 | ADCY3, ADCY9, ITPR3, MYH9 |
| G alpha (s) signalling events | 8 | 4.7× | 0.019 | MC4R, POMC, ADCY3, ADCY9, ADRB3, GIPR, GNAS, MC3R |
| Signaling by GPCR | 11 | 3.5× | 0.019 | MC4R, SHH, SOS1, ADCY3, ADCY9, ADRB3, HTR2C, ITPR3 (+3 more) |
| Diseases of signal transduction by growth factor receptors and second messengers | 9 | 4.1× | 0.020 | BDNF, SHH, SOS1, KSR2, AMER1, IRS1, LRRFIP1, MAP2K1 (+1 more) |
| Signaling by NTRK1 (TRKA) | 5 | 7.8× | 0.021 | SOS1, KIDINS220, IRS1, MAP2K1, MAP2K5 |
| Loss of MECP2 binding ability to 5mC-DNA | 2 | 45.3× | 0.028 | BDNF, MECP2 |
| Activated NTRK2 signals through PLCG1 | 2 | 45.3× | 0.028 | BDNF, NTRK2 |
| GPCR downstream signalling | 10 | 3.5× | 0.028 | MC4R, SOS1, ADCY3, ADCY9, ADRB3, HTR2C, ITPR3, MC3R (+2 more) |
| PKA activation in glucagon signalling | 3 | 16.0× | 0.029 | ADCY3, ADCY9, GNAS |
| MITF-M-regulated melanocyte development | 6 | 5.4× | 0.029 | MC4R, SMARCA4, ARID1A, TBX3, MC3R, ASAH1 |
| Signalling to ERKs | 3 | 14.3× | 0.038 | SOS1, KIDINS220, MAP2K1 |
| Formation of lateral plate mesoderm | 2 | 36.2× | 0.038 | SHH, FOXF1 |
| Opioid Signalling | 4 | 8.4× | 0.038 | POMC, ADCY3, ADCY9, ITPR3 |
| Activated NTRK2 signals through FYN | 2 | 30.2× | 0.045 | BDNF, NTRK2 |
| NTRK2 activates RAC1 | 2 | 30.2× | 0.045 | BDNF, NTRK2 |
| Activated NTRK2 signals through CDK5 | 2 | 30.2× | 0.045 | BDNF, NTRK2 |
| RMTs methylate histone arginines | 5 | 5.8× | 0.045 | SMARCA4, ARID1A, PRMT6, PRMT7, DNMT3A |
| G alpha (z) signalling events | 4 | 7.4× | 0.050 | ADCY3, ADCY9, GNAS, PRKCH |
| Sensory Perception | 6 | 4.5× | 0.050 | SCNN1A, ANO2, ADCY3, ITPR3, KCNMA1, MYH9 |
| Growth hormone receptor signaling | 3 | 11.3× | 0.051 | SH2B1, IRS1, PRL |
| Signaling by NTRK2 (TRKB) | 2 | 25.9× | 0.052 | BDNF, SOS1 |
| Activated NTRK2 signals through PI3K | 2 | 25.9× | 0.052 | BDNF, NTRK2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 165 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| feeding behavior | 5 | 16.5× | 0.018 | MC4R, NEGR1, HTR2C, NTRK2, PYY |
| glial cell proliferation | 4 | 21.5× | 0.023 | LEPR, SOX11, EEF2, MECP2 |
| negative regulation of locomotion | 2 | 102.1× | 0.032 | GHRL, CARTPT |
| regulation of feeding behavior | 3 | 34.0× | 0.032 | LEPR, MC4R, MC3R |
| regulation of appetite | 3 | 30.6× | 0.032 | POMC, HTR2C, PTER |
| regulation of heart rate by chemical signal | 2 | 68.1× | 0.035 | SREBF1, CARTPT |
| positive regulation of growth rate | 2 | 68.1× | 0.035 | GHRL, RFTN1 |
| response to melanocyte-stimulating hormone | 2 | 68.1× | 0.035 | MC4R, POMC |
| cAMP biosynthetic process | 3 | 25.5× | 0.035 | ADCY3, ADCY9, CARTPT |
| adenylate cyclase-activating adrenergic receptor signaling pathway | 3 | 21.9× | 0.035 | ADCY9, ADRB3, GNAS |
| negative regulation of insulin secretion | 4 | 12.0× | 0.035 | SREBF1, GHRL, INHBB, IRS1 |
| insulin-like growth factor receptor signaling pathway | 4 | 12.0× | 0.035 | SOS1, IRS1, MAP2K1, MAP2K5 |
| response to nutrient | 5 | 9.0× | 0.035 | SREBF1, UCP3, GIPR, MAF, PPARG |
| social behavior | 5 | 8.2× | 0.035 | NEGR1, RPTOR, MECP2, NRXN1, NRXN3 |
| negative regulation of transcription by RNA polymerase II | 22 | 2.4× | 0.035 | SHH, SMARCA4, SOX11, SREBF1, TBX3, TFAP2B, DEAF1, PHF6 (+14 more) |
| positive regulation of heart growth | 2 | 51.1× | 0.043 | PROX1, BASP1 |
| neuron cell-cell adhesion | 3 | 18.0× | 0.043 | NCAM2, NRXN1, NRXN3 |
| circadian rhythm | 5 | 7.4× | 0.043 | SREBF1, MTNR1A, NR0B2, NTRK2, PROX1 |
| positive regulation of synapse assembly | 5 | 7.4× | 0.043 | BDNF, GHRL, LINGO2, NRXN1, NTRK2 |
| positive regulation of cold-induced thermogenesis | 6 | 6.0× | 0.043 | LEPR, SMARCA4, GHRL, KSR2, ADRB3, GNAS |
| embryonic digestive tract morphogenesis | 3 | 17.0× | 0.049 | SHH, SOX11, FOXF1 |
| brain-derived neurotrophic factor receptor signaling pathway | 2 | 40.9× | 0.056 | BDNF, NTRK2 |
| ductus arteriosus closure | 2 | 40.9× | 0.056 | TFAP2B, FOXF1 |
| cellular response to glucagon stimulus | 3 | 15.3× | 0.056 | ADCY3, ADCY9, GNAS |
| positive regulation of DNA-templated transcription | 15 | 2.5× | 0.056 | SHH, SMARCA4, ARID1A, TCF4, TFAP2B, DEAF1, KAT6B, INO80D (+7 more) |
| nervous system development | 11 | 3.1× | 0.058 | BDNF, SIM1, SMARCA4, ARID1A, SOX11, TCF4, TFAP2B, NAV3 (+3 more) |
| negative regulation of eating behavior | 2 | 34.0× | 0.072 | MC4R, CARTPT |
| vascular endothelial cell response to laminar fluid shear stress | 3 | 13.3× | 0.072 | ADCY3, ADCY9, GNAS |
| generation of precursor metabolites and energy | 4 | 8.3× | 0.072 | POMC, ADRB3, ENPP1, GIPR |
| adenylate cyclase-modulating G protein-coupled receptor signaling pathway | 4 | 8.2× | 0.072 | MC4R, ADRB3, GIPR, GNAT2 |
Therapeutics
Drugs indicated for this disease
17 approved, 39 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Choriogonadotropin Alfa | Approved (phase 4) |
| Clobenzorex | Approved (phase 4) |
| Dexfenfluramine | Approved (phase 4) |
| Diethylpropion | Approved (phase 4) |
| Ephedrine | Approved (phase 4) |
| Fenfluramine | Approved (phase 4) |
| Liraglutide | Approved (phase 4) |
| Lorcaserin | Approved (phase 4) |
| Mazindol | Approved (phase 4) |
| Mefenorex | Approved (phase 4) |
| Orlistat | Approved (phase 4) |
| Phentermine | Approved (phase 4) |
| Rimonabant | Approved (phase 4) |
| Semaglutide | Approved (phase 4) |
| Setmelanotide | Approved (phase 4) |
| Sibutramine | Approved (phase 4) |
| Tirzepatide | Approved (phase 4) |
| Acetaminophen | Phase 3 (in late-stage trials) |
| Allopurinol | Phase 3 (in late-stage trials) |
| Armodafinil | Phase 3 (in late-stage trials) |
| Beloranib | Phase 3 (in late-stage trials) |
| Bupropion | Phase 3 (in late-stage trials) |
| Caffeine | Phase 3 (in late-stage trials) |
| Cagrilintide | Phase 3 (in late-stage trials) |
| Calcium | Phase 3 (in late-stage trials) |
| Cholecalciferol | Phase 3 (in late-stage trials) |
| Dexmedetomidine | Phase 3 (in late-stage trials) |
| Diazoxide | Phase 3 (in late-stage trials) |
| Efpeglenatide | Phase 3 (in late-stage trials) |
| Enoxaparin Sodium | Phase 3 (in late-stage trials) |
| Ergocalciferol | Phase 3 (in late-stage trials) |
| Estradiol | Phase 3 (in late-stage trials) |
| Exenatide | Phase 3 (in late-stage trials) |
| Fentanyl | Phase 3 (in late-stage trials) |
| Fish Oil | Phase 3 (in late-stage trials) |
| Fospropofol | Phase 3 (in late-stage trials) |
| Icosapent | Phase 3 (in late-stage trials) |
| Lamotrigine | Phase 3 (in late-stage trials) |
| Lidocaine | Phase 3 (in late-stage trials) |
| MK-0557 | Phase 3 (in late-stage trials) |
| Mazdutide | Phase 3 (in late-stage trials) |
| Metformin | Phase 3 (in late-stage trials) |
| Metreleptin | Phase 3 (in late-stage trials) |
| Milk Thistle | Phase 3 (in late-stage trials) |
| Misoprostol | Phase 3 (in late-stage trials) |
| Morphine | Phase 3 (in late-stage trials) |
| Naltrexone | Phase 3 (in late-stage trials) |
| Otenabant | Phase 3 (in late-stage trials) |
| Probenecid | Phase 3 (in late-stage trials) |
| Propofol | Phase 3 (in late-stage trials) |
| Retatrutide | Phase 3 (in late-stage trials) |
| Rosuvastatin | Phase 3 (in late-stage trials) |
| Sodium Chloride | Phase 3 (in late-stage trials) |
| Somatropin | Phase 3 (in late-stage trials) |
| Taranabant | Phase 3 (in late-stage trials) |
| Topiramate | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Alcohol, Apitegromab, Avexitide, Betahistine, Betaine, Bromocriptine, Calcium Carbonate, Cannabinol, Cinnamon, Corn Oil, Dapagliflozin, Dasatinib Anhydrous, Dextrose, Ecnoglutide, Enclomiphene, Estrone, Fallypride, Fenofibrate, Fluoxetine, Glucagon, Inulin, Konjac Mannan, Metoprolol, Nabilone, Naloxone, Niacin, Olive Oil, Onabotulinumtoxina, Orforglipron, Oxitriptan, Oxytocin, Pioglitazone, Pramlintide, Quercetin, Secretin, Sevoflurane, Sitagliptin, Starch, Sugammadex, Syrup, Tadalafil, Testosterone, Tryptophan, Vancomycin, Vigabatrin, Zinc Sulfate, Zonisamide.
Drug target analysis
Approved (phase 4): 12 · Phase ≥3: 12 · Phased (≥1): 16 · Undrugged: 59
Druggability breadth: 79 of 181 evidence-associated genes (44%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| MC4R | BEPRIDIL |
| HTR2C | PIMOZIDE |
| RPL27A | GENTAMICIN SULFATE |
| SCN1A | MEXILETINE HYDROCHLORIDE |
| SCNN1A | AMILORIDE |
| SHH | VISMODEGIB |
| SOS1 | IDARUBICIN |
| SREBF1 | CALCIFEDIOL ANHYDROUS |
| TNKS | NIRAPARIB |
| CAMK1G | FEDRATINIB |
| PRMT6 | SULFATHIAZOLE |
| TNNI3K | FEDRATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| HTR2C | 276 | 4 |
| SCN1A | 94 | 4 |
| MC4R | 57 | 4 |
| TNNI3K | 20 | 4 |
| CAMK1G | 14 | 4 |
| TNKS | 9 | 4 |
| SOS1 | 5 | 4 |
| SETD2 | 3 | 2 |
| SCNN1A | 2 | 4 |
| SMARCA4 | 2 | 2 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| BEPRIDIL | 4 | MC4R, SCN1A |
| CLOTRIMAZOLE | 4 | HTR2C, MC4R |
| IMIPRAMINE | 4 | HTR2C, MC4R, SCN1A |
| RIMONABANT | 4 | MC4R |
| DESLORATADINE | 4 | HTR2C, MC4R |
| DULOXETINE | 4 | HTR2C, MC4R |
| SORAFENIB TOSYLATE | 4 | MC4R |
| DESERPIDINE | 4 | MC4R |
| NAFARELIN | 4 | MC4R |
| GRAMICIDIN | 4 | MC4R |
| ROSIGLITAZONE | 4 | MC4R |
| ROFECOXIB | 4 | MC4R |
| ANTAZOLINE | 4 | MC4R |
| MODAFINIL | 4 | MC4R |
| PIMOZIDE | 4 | HTR2C, MC4R, SCN1A |
| AMLODIPINE | 4 | HTR2C, MC4R |
| RIFAXIMIN | 4 | HTR2C, MC4R |
| CLEMASTINE | 4 | HTR2C, MC4R |
| TERFENADINE | 4 | HTR2C, MC4R |
| IVACAFTOR | 4 | MC4R |
| BREMELANOTIDE | 4 | MC4R |
| COSYNTROPIN | 4 | MC4R |
| LINAGLIPTIN | 4 | MC4R |
| PRENYLAMINE | 4 | MC4R, SCN1A |
| METHACYCLINE | 4 | MC4R |
| BOSUTINIB | 4 | HTR2C, MC4R, TNNI3K |
| ASTEMIZOLE | 4 | HTR2C, MC4R |
| FENOTEROL | 4 | MC4R |
| SETMELANOTIDE | 4 | MC4R |
| CLOMIPRAMINE | 4 | HTR2C, MC4R |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 11.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| HTR2C | 1,235 | Binding:928, Functional:290, ADMET:14, Unclassified:2, Toxicity:1 |
| MC4R | 663 | Binding:364, Functional:293, ADMET:6 |
| SOS1 | 421 | Binding:409, Functional:12 |
| SMARCA4 | 230 | Binding:207, ADMET:12, Functional:11 |
| TNKS | 226 | Binding:223, Functional:3 |
| PRMT6 | 194 | Binding:179, Functional:15 |
| SCN1A | 149 | Binding:115, Functional:18, ADMET:14, Toxicity:2 |
| CAMK1G | 137 | Binding:136, Functional:1 |
| TNNI3K | 92 | Binding:92 |
| RPL27A | 90 | Binding:90 |
| SETD2 | 64 | Binding:64 |
| TCF4 | 31 | Binding:31 |
| KSR2 | 28 | Binding:28 |
| SHH | 27 | Binding:23, Functional:4 |
| KAT6B | 22 | Binding:20, Functional:2 |
| KIF4A | 20 | Binding:20 |
| SREBF1 | 17 | Binding:17 |
| SLC8A1 | 9 | Binding:8, Functional:1 |
| ANO2 | 8 | Binding:5, ADMET:3 |
| CYFIP1 | 7 | Binding:7 |
| RTN4 | 7 | Binding:7 |
| SCNN1A | 6 | Binding:4, ADMET:1, Functional:1 |
| ARID1A | 6 | Binding:6 |
| CHAMP1 | 6 | Binding:6 |
| MACROD2 | 4 | Binding:2, Toxicity:2 |
| GHRL | 4 | Binding:4 |
| PHF6 | 4 | Binding:4 |
| LEPR | 3 | Binding:3 |
| FARS2 | 3 | Binding:3 |
| BDNF | 2 | Binding:2 |
| GPRC5B | 2 | Binding:2 |
| FBXO11 | 2 | Binding:2 |
| LYPLAL1 | 2 | Binding:2 |
| MRPS22 | 1 | Binding:1 |
| CDKAL1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| TCF4 | 7.6.2.3 | ABC-type glutathione-S-conjugate transporter |
| TNKS | 2.4.2.30 | NAD+ ADP-ribosyltransferase |
| UBE2E3 | 2.3.2.23, 2.3.2.24 | E2 ubiquitin-conjugating enzyme, (E3-independent) E2 ubiquitin-conjugating enzyme |
| CAMK1G | 2.7.11.17 | Ca2+/calmodulin-dependent protein kinase |
| MACROD2 | 3.1.1.106 | O-acetyl-ADP-ribose deacetylase |
| KAT6B | 2.3.1.48 | histone acetyltransferase |
| PRMT6 | 2.1.1.319 | type I protein arginine methyltransferase |
| SETD2 | 2.1.1.359 | [histone H3]-lysine36 N-trimethyltransferase |
| KSR2 | 2.7.11.25 | mitogen-activated protein kinase kinase kinase |
| FANCL | 2.3.2.27 | RING-type E3 ubiquitin transferase |
| FARS2 | 6.1.1.20 | phenylalanine-tRNA ligase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| MC4R | 663 |
| HTR2C | 1,235 |
| SCN1A | 149 |
| SMARCA4 | 230 |
| SOS1 | 421 |
| TNKS | 226 |
| CAMK1G | 137 |
| PRMT6 | 194 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 75; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
27 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| BEPRIDIL | 4 | MC4R, SCN1A |
| CLOTRIMAZOLE | 4 | HTR2C, MC4R |
| IMIPRAMINE | 4 | HTR2C, MC4R, SCN1A |
| DESLORATADINE | 4 | HTR2C, MC4R |
| DULOXETINE | 4 | HTR2C, MC4R |
| SORAFENIB TOSYLATE | 4 | MC4R |
| DESERPIDINE | 4 | MC4R |
| NAFARELIN | 4 | MC4R |
| GRAMICIDIN | 4 | MC4R |
| ROFECOXIB | 4 | MC4R |
| ANTAZOLINE | 4 | MC4R |
| MODAFINIL | 4 | MC4R |
| PIMOZIDE | 4 | HTR2C, MC4R, SCN1A |
| RIFAXIMIN | 4 | HTR2C, MC4R |
| CLEMASTINE | 4 | HTR2C, MC4R |
| TERFENADINE | 4 | HTR2C, MC4R |
| IVACAFTOR | 4 | MC4R |
| BREMELANOTIDE | 4 | MC4R |
| COSYNTROPIN | 4 | MC4R |
| LINAGLIPTIN | 4 | MC4R |
| PRENYLAMINE | 4 | MC4R, SCN1A |
| METHACYCLINE | 4 | MC4R |
| BOSUTINIB | 4 | HTR2C, MC4R, TNNI3K |
| ASTEMIZOLE | 4 | HTR2C, MC4R |
| FENOTEROL | 4 | MC4R |
| SETMELANOTIDE | 4 | MC4R |
| CLOMIPRAMINE | 4 | HTR2C, MC4R |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 12 | MC4R, HTR2C, RPL27A, SCN1A, SCNN1A, SHH, SOS1, SREBF1, TNKS, CAMK1G (+2 more) |
| B | Phased (≥1) drug, not yet approved | 4 | SMARCA4, TCF4, SETD2, CHAMP1 |
| C | Druggable family + PDB, no drug | 7 | LEPR, UBE2E3, MACROD2, NEGR1, KSR2, ALPK1, FARS2 |
| D | Druggable family + AlphaFold only, no drug | 6 | UCP3, GPRC5B, CMYA5, OR6Y1, OR6P1, OR4F21 |
| E | Difficult family or no structure, no drug | 46 | BDNF, SH2B1, POMC, RGS6, SDCCAG8, SIM1, SLC32A1, SLC8A1, ARID1A, SOX11 (+36 more) |
Undrugged target profiles
59 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| POMC | 0 | MC4R |
| SIM1 | 0 | MC4R |
| ARID1A | 6 | SMARCA4 |
| SOX11 | 0 | SMARCA4 |
| GPRC5B | 2 | TNNI3K |
| POGZ | 0 | CHAMP1 |
| BDNF | 2 | — |
| SH2B1 | 0 | — |
| LEPR | 3 | — |
| RGS6 | 0 | — |
| SDCCAG8 | 0 | — |
| SLC32A1 | 0 | — |
| SLC8A1 | 9 | — |
| SPRY2 | 0 | — |
| TBCE | 0 | — |
| TBX3 | 0 | — |
| TFAP2B | 0 | — |
| ANO2 | 8 | — |
| UBE2E3 | 0 | — |
| UCP3 | 0 | — |
| WWOX | 0 | — |
| ZNF248 | 0 | — |
| SCAPER | 0 | — |
| KIF4A | 20 | — |
| FBXO11 | 2 | — |
| CABP5 | 0 | — |
| CYFIP1 | 7 | — |
| RTN4 | 7 | — |
| CMYA5 | 0 | — |
| MRPS22 | 1 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 7,775.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE3 | 358 |
| PHASE4 | 351 |
| PHASE2 | 256 |
| PHASE2/PHASE3 | 82 |
| PHASE1/PHASE2 | 53 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02400359 | PHASE4 | ACTIVE_NOT_RECRUITING | Lorcaserin in Obesity: Identification of CNS Targets Using fMRI |
| NCT02944500 | PHASE4 | ACTIVE_NOT_RECRUITING | Saxenda: Underlying Mechanisms and Clinical Outcomes |
| NCT03024879 | PHASE4 | ENROLLING_BY_INVITATION | The Effect of Motilin on the Frequency and Amount of Food Intake |
| NCT03851627 | PHASE4 | RECRUITING | Effects of Testosterone Undecanoate vs Placebo on Intrahepatic Fat Content in Overweight/Obese Men With T2DM or Prediabetes and Hypogonadism |
| NCT03938389 | PHASE4 | ACTIVE_NOT_RECRUITING | The Renin-Angiotensin-Aldosterone System in Adiposity, Blood Pressure and Glucose in African Americans |
| NCT04297592 | PHASE4 | ENROLLING_BY_INVITATION | Antibiotic Prophylaxis in High-Risk Arthroplasty Patients |
| NCT05051436 | PHASE4 | RECRUITING | The Effects of Mirabegron and Tadalafil on Glucose Tolerance in Prediabetics |
| NCT05176626 | PHASE4 | ACTIVE_NOT_RECRUITING | Long-term Effectiveness of the Antiobesity Medication Phentermine |
| NCT05264727 | PHASE4 | ACTIVE_NOT_RECRUITING | Glucagon Suppression by Hyperglycemia in the Presence and Absence of Amino Acid Infusion |
| NCT05320796 | PHASE4 | RECRUITING | The Bioavailability and Effect on Pouch pH of Esomeprazole After Gastric Bypass |
| NCT05744479 | PHASE4 | RECRUITING | Metformin for Antipsychotic-induced Weight Gain in Adults With Intellectual Disability |
| NCT05804591 | PHASE4 | RECRUITING | Pregabalin in the Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy (LSG). |
| NCT05919797 | PHASE4 | RECRUITING | Weight Loss Study: Genetics and Response to Naltrexone/Bupropion |
| NCT05949008 | PHASE4 | ACTIVE_NOT_RECRUITING | Effect of Metformin, a Drug Used to Treat Diabetes, vs Placebo |
| NCT05975580 | PHASE4 | RECRUITING | Pharmacotherapy in Conjunction With Lifestyle Counseling for Management of Weight Regain After Bariatric Surgery |
| NCT06000462 | PHASE4 | ACTIVE_NOT_RECRUITING | The Effect of Dapagliflozin on Weight Loss in Obese Adults Without Diabetes |
| NCT06098079 | PHASE4 | ACTIVE_NOT_RECRUITING | Effect of Naltrexone Hydrochloride ER and Bupropion Hydrochloride ER Combination (Contrave®/Mysimba®) on Major Adverse Cardiovascular Events (MACE) |
| NCT06184633 | PHASE4 | RECRUITING | DUTCH Weight Control in Atrial Fibrillation Study |
| NCT06191848 | PHASE4 | RECRUITING | Subcutaneous Tirzepatide Once-weekly in Patients With Obesity and Knee Osteoarthritis (STOP KNEE-OA) |
| NCT06283381 | PHASE4 | RECRUITING | The ESG Integrity Study: Effect of Proton Pump Inhibitors on the Structural Integrity of Endoscopic Sleeve Gastroplasty |
| NCT06287307 | PHASE4 | NOT_YET_RECRUITING | Semaglutide 2.4mg for Low Responders After Bariatric Surgery |
| NCT06374875 | PHASE4 | RECRUITING | Fibrosis Lessens After Metabolic Surgery |
| NCT06396416 | PHASE4 | RECRUITING | Obesity Management for Kidney TRANSPLANTation: OK-TRANSPLANT 2 |
| NCT06438146 | PHASE4 | RECRUITING | LIROH - Liraglutide for Obesity in HIV |
| NCT06571383 | PHASE4 | ACTIVE_NOT_RECRUITING | STEP TEENS Weight Maintenance: A Research Study on How Well Semaglutide Helps Teenagers With Excess Body Weight to Lose Weight and Maintain Weight Loss |
| NCT06606821 | PHASE4 | RECRUITING | The Effects of Tirzepatide in People With Overweight/Obesity and Coronary Artery Disease |
| NCT06742710 | PHASE4 | RECRUITING | Liraglutide Treatment in Obese Infertile PCOS Women |
| NCT06770049 | PHASE4 | RECRUITING | Phenotype-Tailored Lifestyle Intervention for Obesity: A Randomized Trial |
| NCT06801015 | PHASE4 | ACTIVE_NOT_RECRUITING | Effects of Long-Acting GLP-1 (Glucagon-like Peptide-1) or Dual Incretin (GLP-1 and GIP [Glucose-dependent Insulinotropic Peptide]) Modulation on Gastric Motor Functions |
| NCT06809166 | PHASE4 | RECRUITING | Metabolic and Behavioural Effects of CONTRAVE as Potential Mechanisms of Weight Loss in Adults With Obesity |
| NCT06814938 | PHASE4 | RECRUITING | A Study of a Novel Precision Medicine Approach For Obesity |
| NCT06845345 | PHASE4 | ENROLLING_BY_INVITATION | Effect of an Early Time Restricted Eating Mediterranean Diet Compared to Naltrexone/Bupropion on Liver Fibrosis in People With Cardiometabolic Risk Factors in a Hospital Outpatient Clinic (MEDFAST-study) |
| NCT06852391 | PHASE4 | RECRUITING | JOULE - Metabolic Adaptation to Weight Loss in Response to a Behavioural Lifestyle Program With or Without Semaglutide in Adolescents With Obesity |
| NCT06854614 | PHASE4 | ACTIVE_NOT_RECRUITING | Sequential or CombinaTion Anti-obesitY Medication With Muscle Preservation for Weight Loss and MaintEnance: A PragmAtic Randomized CoNtrolled Trial (STAY-LEAN Trial) |
| NCT06857942 | PHASE4 | RECRUITING | A Study to Investigate the Effectiveness of Tirzepatide (LY3298176) Following Initiation of Ixekizumab (LY2439821) in Participants With Moderate-to-Severe Plaque PsO and Obesity or Overweight in Clinical Practice (TOGETHER AMPLIFY-PsO) |
| NCT06861439 | PHASE4 | ACTIVE_NOT_RECRUITING | GLP-1s to Enhance Lasting Optimal Weight |
| NCT06864026 | PHASE4 | RECRUITING | A Study to Investigate Effectiveness of Tirzepatide Following Initiation of Ixekizumab in Participants With Active Psoriatic Arthritis and Overweight or Obesity in Clinical Practice (TOGETHER AMPLIFY-PsA) |
| NCT06901245 | PHASE4 | RECRUITING | Tirzepatide in PWS, HO and GNSO |
| NCT06992726 | PHASE4 | NOT_YET_RECRUITING | Improvement of Fish Oil in Obesity With Mild Cognitive Impairment |
| NCT07057310 | PHASE4 | ENROLLING_BY_INVITATION | Aging Well: Targeting Obesity With GLP-1 Agonists to Enhance Physical and Vascular Health in Postmenopausal Women |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ORLISTAT | 4 | 20 |
| RIMONABANT | 4 | 20 |
| SIBUTRAMINE | 4 | 19 |
| EXENATIDE | 4 | 9 |
| CHOLECALCIFEROL | 4 | 7 |
| ERGOCALCIFEROL | 4 | 4 |
| METFORMIN | 4 | 4 |
| ROSIGLITAZONE | 4 | 4 |
| AMLODIPINE | 4 | 3 |
| ENOXAPARIN SODIUM | 4 | 3 |
| DESFLURANE | 4 | 2 |
| FENOFIBRATE | 4 | 2 |
| INSULIN DETEMIR | 4 | 2 |
| IRBESARTAN | 4 | 2 |
| LOSARTAN | 4 | 2 |
| PIOGLITAZONE | 4 | 2 |
| TESTOSTERONE | 4 | 2 |
| ZONISAMIDE | 4 | 2 |
| ATORVASTATIN | 4 | 1 |
| CASPOFUNGIN | 4 | 1 |
| DAPSONE | 4 | 1 |
| DIETHYLPROPION | 4 | 1 |
| ETHAMBUTOL | 4 | 1 |
| HYDROCHLOROTHIAZIDE | 4 | 1 |
| INFLIXIMAB | 4 | 1 |
| INSULIN HUMAN, ISOPHANE | 4 | 1 |
| MICAFUNGIN | 4 | 1 |
| OCTREOTIDE ACETATE | 4 | 1 |
| PENTOXIFYLLINE | 4 | 1 |
| SULFAMETHOXAZOLE | 4 | 1 |
Related Atlas pages
- Cohort genes: BDNF, SH2B1, LEPR, MC4R, POMC, HTR2C, RGS6, RPL27A, SCN1A, SCNN1A, SDCCAG8, SHH, SIM1, SLC32A1, SLC8A1, SMARCA4, ARID1A, SOS1, SOX11, SPRY2, SREBF1, TBCE, TBX3, TCF4, TFAP2B, ANO2, TNKS, UBE2E3, UCP3, WWOX, ZNF248, SCAPER, GPRC5B, KIF4A, FBXO11, CABP5, CYFIP1, RTN4, CMYA5, MRPS22, VPS45, CAMK1G, DEAF1, OR6Y1, MUC15, OR6P1, CAST, NAV3, MACROD2, SOX6, OLFM4, NEGR1, CDH10, CDH18, KAT6B, GHRL, PHF6, RBFOX1, PRMT6, SETD2, KSR2, CRB2, POGZ, HS6ST3, OR4F21, TNNI3K, CHAMP1, LYPLAL1, BDNF-AS, FANCL, ALPK1, CDKAL1, FARS2
- Drugs: Orlistat, Rimonabant, Sibutramine, Exenatide, Cholecalciferol, Ergocalciferol, Metformin, Rosiglitazone, Amlodipine, Enoxaparin, Desflurane, Fenofibrate, Insulin Detemir, Irbesartan, Losartan, Pioglitazone, Testosterone, Zonisamide, Atorvastatin, Caspofungin, Dapsone, Diethylpropion, Ethambutol, Hydrochlorothiazide, Infliximab, Insulin Human, Isophane, Micafungin, Octreotide Acetate, Pentoxifylline, Sulfamethoxazole