Obesity disorder

disease
On 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

FieldValue
Canonical nameobesity disorder
Mondo IDMONDO:0011122
EFOEFO:0001073
Orphanet521399
DOIDDOID:9970
NCITC3283
SNOMED CT414916001
UMLSC0028754
MedGen18127
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 disorderovernutritionobesity 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

rsIDp-valueGeneRisk alleleOdds ratio
rs14210856e-291FTOT0.14
rs116420155e-162FTOC0.14
rs80437575e-110FTOT1.23
rs15589022e-81FTOA1.14
rs71857351e-79FTOG1.33
rs6631292e-62RNU4-17P - MC4R?1.13
rs131304841e-51PRDX4P1 - THAP12P9C0.06
rs131073256e-51SLC39A8C0.11
rs124636174e-47LINC01875 - TMEM18?0.9
chr2:6228275e-46T0.07
rs65671601e-42LINC03111 - RNU4-17PT0.06
rs6886711e-40RNU4-17P - MC4R?1.1
rs71865732e-40SGF29?
rs67110123e-40LINC01875 - TMEM18C1.18
chr3:1858240045e-39T0.08
rs5743679e-38LINC01741 - SEC16B?1.12
chr16:288332991e-37C0.05
rs5386562e-36RNU4-17P - MC4RT1.15
rs72047972e-34TMEM219?
rs109383973e-34PRDX4P1 - THAP12P9G1.12
rs18004375e-34GIPRG0.06
rs26441123e-33IPO9?
rs357960738e-33LINC01875 - TMEM18C0.07
rs25689529e-33LINC02796C0.05
chr3:1858052943e-32C0.07
rs8893981e-30CYB5B - NFAT5?
chr14:798906773e-30C0.05
rs71329086e-30FAIM2G0.04
rs130283103e-29LINC01875 - TMEM18T0.07
rs68096517e-29ETV5G0.07

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90079764Backman JD2021171,670194,798Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083750Backman JD2021171,670194,798Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90079763Backman JD2021170,856195,879Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083749Backman JD2021170,856195,879Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90081522Backman JD2021104,086142,553Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90085508Backman JD2021104,086142,553Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST008976Jia X201848,286250,671Multivariate analysis of genome-wide data to identify potential pleiotropic genes for type 2 diabetes, obesity and coronary artery disease using MetaCCA.
GCST90093121Park S202117,54536,283Interactions between Polygenic Risk Scores, Dietary Pattern, and Menarche Age with the Obesity Risk in a Large Hospital-Based Cohort.
GCST90244581Kim YS202216,42934,379Lifestage Sex-Specific Genetic Effects on Metabolic Disorders in an Adult Population in Korea: The Korean Genome and Epidemiology Study.
GCST90244583Kim YS20228,61622,597Lifestage 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)

TierVariants
Tier 1: coding2
Tier 2: splice/UTR1
Tier 3: regulatory2
Tier 4: intronic/intergenic45

MAF distribution

BucketVariants
common (>=0.05)50
low_freq (0.01-0.05)0
rare (<0.01)0
unknown0

Functional consequences

ConsequenceCount
intron_variant21
unknown13
intergenic_variant11
missense_variant2
regulatory_region_variant2
3_prime_UTR_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs14210851653767042T>C0.407intron_variantFTO6e-291Tier 4: intronic/intergenic
rs116420151653768582C>G,T0.328intron_variantFTO5e-162Tier 4: intronic/intergenic
rs80437571653779538A>G,T0.4intron_variantFTO5e-110Tier 4: intronic/intergenic
rs15589021653769662T>A0.41intron_variantFTO2e-81Tier 4: intronic/intergenic
rs71857351653788739A>G,T0.4intron_variantFTO1e-79Tier 4: intronic/intergenic
rs6631291860171168G>A0.05intron_variantRNU4-17P - MC4R2e-62Tier 4: intronic/intergenic
rs13130484445173674C>A,T0.428intergenic_variantPRDX4P1 - THAP12P91e-51Tier 4: intronic/intergenic
rs131073254102267552C>A,T0.083missense_variantSLC39A86e-51Tier 1: coding
rs124636172629244A>C,T0.05intergenic_variantLINC01875 - TMEM184e-47Tier 4: intronic/intergenic
chr2:6228270.1745e-46Tier 4: intronic/intergenic
rs65671601860161902T>C0.229intergenic_variantLINC03111 - RNU4-17P1e-42Tier 4: intronic/intergenic
rs6886711860200293A>G,T0.05intergenic_variantRNU4-17P - MC4R1e-40Tier 4: intronic/intergenic
rs71865731628576068T>C0.05intron_variantSGF292e-40Tier 4: intronic/intergenic
rs67110122624034G>A,C,T0.18intergenic_variantLINC01875 - TMEM183e-40Tier 4: intronic/intergenic
chr3:1858240040.1515e-39Tier 4: intronic/intergenic
rs5743671177904075G>T0.05intron_variantLINC01741 - SEC16B9e-38Tier 4: intronic/intergenic
chr16:288332990.3951e-37Tier 4: intronic/intergenic
rs5386561860183189G>T0.24intergenic_variantRNU4-17P - MC4R2e-36Tier 4: intronic/intergenic
rs72047971629956694C>T0.05intron_variantTMEM2192e-34Tier 4: intronic/intergenic
rs10938397445180510A>G0.43intergenic_variantPRDX4P1 - THAP12P93e-34Tier 4: intronic/intergenic
rs18004371945678134G>A,C0.207missense_variantGIPR5e-34Tier 1: coding
rs26441121201836978T>C0.05intron_variantIPO93e-33Tier 4: intronic/intergenic
rs357960732636819C>A,T0.156regulatory_region_variantLINC01875 - TMEM188e-33Tier 3: regulatory
rs2568952172289422C>G0.396intron_variantLINC027969e-33Tier 4: intronic/intergenic
chr3:1858052940.1343e-32Tier 4: intronic/intergenic
rs8893981669522812C>T0.05regulatory_region_variantCYB5B - NFAT51e-30Tier 3: regulatory
chr14:798906770.2073e-30Tier 4: intronic/intergenic
rs71329081249869365G>A,C0.3873_prime_UTR_variantFAIM26e-30Tier 2: splice/UTR
rs130283102632591T>A,C,G0.172intergenic_variantLINC01875 - TMEM183e-29Tier 4: intronic/intergenic
rs68096513186096853G>A0.141intron_variantETV57e-29Tier 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

ClinVarVariant (HGVS)GeneClassificationReview
26786146;XX;t(2;11)(q11.2;p13)dnPathogeniccriteria provided, single submitter
26792346;XX;t(10;15)(q25.2;q11.2)Pathogeniccriteria provided, single submitter
26803646;XX;t(2;10)(q22;22.3)dnPathogeniccriteria provided, single submitter
917498NM_005912.3(MC4R):c.[105C>A;110A>T]Pathogenicno assertion criteria provided
1330180GRCh37/hg19 12p13.33-13.31(chr12:146240-8330229)x3ANO2Pathogeniccriteria provided, single submitter
626905NM_001195305.3(BBIP1):c.109C>T (p.Gln37Ter)BBIP1Pathogenicno assertion criteria provided
523249GRCh37/hg19 15q11.2(chr15:22765628-23300287)CYFIP1Pathogeniccriteria provided, single submitter
39679NM_015214.3(DDHD2):c.1978G>C (p.Asp660His)DDHD2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1332907NM_022552.5(DNMT3A):c.1647C>A (p.Cys549Ter)DNMT3APathogeniccriteria provided, multiple submitters, no conflicts
1047892GRCh37/hg19 19p13.3(chr19:3976203-4345430)EEF2Pathogeniccriteria provided, single submitter
631526NM_015047.3(EMC1):c.313C>T (p.Arg105Ter)EMC1Pathogeniccriteria provided, single submitter
1179191NM_006208.3(ENPP1):c.2344C>T (p.Arg782Ter)ENPP1Pathogeniccriteria provided, multiple submitters, no conflicts
11985NM_000170.3(GLDC):c.1545G>C (p.Arg515Ser)GLDCPathogeniccriteria provided, multiple submitters, no conflicts
374113NM_000516.7(GNAS):c.85C>T (p.Gln29Ter)GNASPathogeniccriteria provided, multiple submitters, no conflicts
523254GRCh37/hg19 16p11.2(chr16:29592783-30190568)INO80EPathogeniccriteria provided, single submitter
14420NM_000238.4(KCNH2):c.1682C>T (p.Ala561Val)KCNH2Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
14318NM_005912.2(MC4R):c.105C>A (p.Tyr35Ter)MC4RPathogeniccriteria provided, multiple submitters, no conflicts
14329NM_005912.3(MC4R):c.812G>A (p.Cys271Tyr)MC4RPathogeniccriteria provided, multiple submitters, no conflicts
14331NM_005912.3(MC4R):c.947T>G (p.Ile316Ser)MC4RPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
327713NM_005912.3(MC4R):c.494G>A (p.Arg165Gln)MC4RPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
36487NM_005912.3(MC4R):c.835_836dup (p.Phe280fs)MC4RPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
435828NM_005912.3(MC4R):c.750_751del (p.Ile251fs)MC4RPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
435831NM_005912.3(MC4R):c.181G>A (p.Glu61Lys)MC4RPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
492863NM_005912.3(MC4R):c.838T>C (p.Phe280Leu)MC4RPathogenicno assertion criteria provided
562356NM_005912.3(MC4R):c.466C>T (p.Gln156Ter)MC4RPathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
1330175GRCh37/hg19 16p12.2(chr16:21751992-22546976)x1NPIPB4Pathogeniccriteria provided, single submitter
636300NM_021969.3(NR0B2):c.227del (p.Phe76fs)NR0B2Pathogeniccriteria provided, single submitter
1330178GRCh37/hg19 8p23.3-23.1(chr8:10501-7214947)x1OR4F21Pathogeniccriteria provided, single submitter
206608NM_002693.3(POLG):c.1270_1271del (p.Leu424fs)POLGPathogeniccriteria provided, multiple submitters, no conflicts
13355NM_000939.4(POMC):c.-11C>APOMCPathogeniccriteria 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)

GeneHGNCEvidence routes
BDNFBDNFGWAS, Orphanet
SH2B1SH2B1GWAS, Orphanet
LEPRLEPRGWAS, Orphanet
MC4RMC4RGWAS, Orphanet
POMCPOMCGWAS, 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.

GeneClassificationInheritanceDiseaseRecords
HTR2CStrongAutosomal dominantobesity disorder

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
BDNFOrphanet:661Congenital central hypoventilation syndrome
BDNFOrphanet:893WAGR syndrome
SH2B1Orphanet:261197Proximal 16p11.2 microdeletion syndrome
SH2B1Orphanet:261222Distal 16p11.2 microdeletion syndrome
SH2B1Orphanet:329249Severe early-onset obesity-insulin resistance syndrome due to SH2B1 deficiency
LEPROrphanet:179494Obesity due to leptin receptor gene deficiency
MC4ROrphanet:71529Obesity due to melanocortin 4 receptor deficiency
POMCOrphanet:71526Obesity due to pro-opiomelanocortin deficiency
SCN1AOrphanet:1942Epilepsy with myoclonic-atonic seizures
SCN1AOrphanet:2382Lennox-Gastaut syndrome
SCN1AOrphanet:293181Epilepsy of infancy with migrating focal seizures
SCN1AOrphanet:33069Dravet syndrome
SCN1AOrphanet:36387Genetic epilepsy with febrile seizure plus
SCN1AOrphanet:442835Non-specific early-onset epileptic encephalopathy
SCN1AOrphanet:569Familial or sporadic hemiplegic migraine
SCNN1AOrphanet:130Brugada syndrome
SCNN1AOrphanet:171876Generalized pseudohypoaldosteronism type 1
SCNN1AOrphanet:526Liddle syndrome
SCNN1AOrphanet:60033Idiopathic bronchiectasis
SDCCAG8Orphanet:110Bardet-Biedl syndrome
SDCCAG8Orphanet:3156Senior-Loken syndrome
SHHOrphanet:220386Semilobar holoprosencephaly
SHHOrphanet:280195Septopreoptic holoprosencephaly
SHHOrphanet:280200Microform holoprosencephaly
SHHOrphanet:476119Autosomal dominant preaxial polydactyly-upperback hypertrichosis syndrome
SHHOrphanet:485275Acquired schizencephaly
SHHOrphanet:93321Isolated radial hemimelia
SHHOrphanet:93336Polydactyly of a triphalangeal thumb
SHHOrphanet:93405Syndactyly type 4
SHHOrphanet:93924Lobar holoprosencephaly
SHHOrphanet:93925Alobar holoprosencephaly
SHHOrphanet:93926Midline interhemispheric variant of holoprosencephaly
SHHOrphanet:988Tibial hemimelia-polysyndactyly-triphalangeal thumb syndrome
SHHOrphanet:98938Colobomatous microphthalmia
SIM1Orphanet:1718296q16 microdeletion syndrome
SIM1Orphanet:369873Obesity due to SIM1 deficiency
SIM1Orphanet:398079SIM1-related Prader-Willi-like syndrome
SLC32A1Orphanet:1934Early infantile developmental and epileptic encephalopathy
SLC32A1Orphanet:36387Genetic epilepsy with febrile seizure plus
SMARCA4Orphanet:1465Coffin-Siris syndrome
SMARCA4Orphanet:231108Rhabdoid tumor predisposition syndrome
SMARCA4Orphanet:370396Small cell carcinoma of the ovary
SMARCA4Orphanet:466962SMARCA4-deficient sarcoma of thorax
ARID1AOrphanet:1465Coffin-Siris syndrome
SOS1Orphanet:2024Hereditary gingival fibromatosis
SOS1Orphanet:648Noonan syndrome
SOX11Orphanet:1465Coffin-Siris syndrome
SREBF1Orphanet:388Hirschsprung disease
TBCEOrphanet:2323Sanjad-Sakati syndrome
TBCEOrphanet:496756Early-onset progressive encephalopathy-spastic ataxia-distal spinal muscular atrophy syndrome

Cohort genes → proteins

75 cohort genes, 73 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only39
gwas_and_clinvar5
multi_evidence31

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
BDNFHGNC:1033ENSG00000176697P23560Neurotrophic factor BDNF precursor formgwas,clinvar
SH2B1HGNC:30417ENSG00000178188Q9NRF2SH2B adapter protein 1gwas,clinvar
LEPRHGNC:6554ENSG00000116678P48357Leptin receptorgwas,clinvar
MC4RHGNC:6932ENSG00000166603P32245Melanocortin receptor 4gwas,clinvar
POMCHGNC:9201ENSG00000115138P01189Pro-opiomelanocortingwas,clinvar
HTR2CHGNC:5295ENSG00000147246P283355-hydroxytryptamine receptor 2Cgencc
RGS6HGNC:10002ENSG00000182732P49758Regulator of G-protein signaling 6gwas
RPL27AHGNC:10329ENSG00000166441P46776Large ribosomal subunit protein uL15gwas
SCN1AHGNC:10585ENSG00000144285P35498Sodium channel protein type 1 subunit alphaclinvar
SCNN1AHGNC:10599ENSG00000111319P37088Epithelial sodium channel subunit alphagwas
SDCCAG8HGNC:10671ENSG00000054282Q86SQ7Serologically defined colon cancer antigen 8gwas
SHHHGNC:10848ENSG00000164690Q15465Sonic hedgehog proteinclinvar
SIM1HGNC:10882ENSG00000112246P81133Single-minded homolog 1clinvar
SLC32A1HGNC:11018ENSG00000101438Q9H598Vesicular inhibitory amino acid transporterclinvar
SLC8A1HGNC:11068ENSG00000183023P32418Sodium/calcium exchanger 1gwas
SMARCA4HGNC:11100ENSG00000127616P51532SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 4clinvar
ARID1AHGNC:11110ENSG00000117713O14497AT-rich interactive domain-containing protein 1Aclinvar
SOS1HGNC:11187ENSG00000115904Q07889Son of sevenless homolog 1clinvar
SOX11HGNC:11191ENSG00000176887P35716Transcription factor SOX-11gwas
SPRY2HGNC:11270ENSG00000136158O43597Protein sprouty homolog 2gwas
SREBF1HGNC:11289ENSG00000072310P36956Sterol regulatory element-binding protein 1clinvar
TBCEHGNC:11582ENSG00000284770Q15813Tubulin-specific chaperone Egwas
TBX3HGNC:11602ENSG00000135111O15119T-box transcription factor TBX3clinvar
TCF4HGNC:11634ENSG00000196628P15884Transcription factor 4gwas
TFAP2BHGNC:11743ENSG00000008196Q92481Transcription factor AP-2-betagwas
ANO2HGNC:1183ENSG00000047617Q9NQ90Anoctamin-2clinvar
TNKSHGNC:11941ENSG00000173273O95271Poly [ADP-ribose] polymerase tankyrase-1gwas
UBE2E3HGNC:12479ENSG00000170035Q969T4Ubiquitin-conjugating enzyme E2 E3gwas
UCP3HGNC:12519ENSG00000175564P55916Putative mitochondrial transporter UCP3clinvar
WWOXHGNC:12799ENSG00000186153Q9NZC7WW domain-containing oxidoreductasegwas
ZNF248HGNC:13041ENSG00000198105Q8NDW4Zinc finger protein 248gwas
SCAPERHGNC:13081ENSG00000140386Q9BY12S phase cyclin A-associated protein in the endoplasmic reticulumclinvar
GPRC5BHGNC:13308ENSG00000167191Q9NZH0G-protein coupled receptor family C group 5 member Bgwas
KIF4AHGNC:13339ENSG00000090889O95239Chromosome-associated kinesin KIF4Aclinvar
FBXO11HGNC:13590ENSG00000138081Q86XK2F-box only protein 11clinvar
CABP5HGNC:13714ENSG00000105507Q9NP86Calcium-binding protein 5gwas
CYFIP1HGNC:13759ENSG00000273749Q7L576Cytoplasmic FMR1-interacting protein 1clinvar
RTN4HGNC:14085ENSG00000115310Q9NQC3Reticulon-4gwas
CMYA5HGNC:14305ENSG00000164309Q8N3K9Cardiomyopathy-associated protein 5gwas
MRPS22HGNC:14508ENSG00000175110P82650Small ribosomal subunit protein mS22gwas
VPS45HGNC:14579ENSG00000136631Q9NRW7Vacuolar protein sorting-associated protein 45gwas
CAMK1GHGNC:14585ENSG00000008118Q96NX5Calcium/calmodulin-dependent protein kinase type 1Ggwas
DEAF1HGNC:14677ENSG00000177030O75398Deformed epidermal autoregulatory factor 1 homologclinvar
OR10R1PHGNC:14813ENSG00000227445olfactory receptor family 10 subfamily R member 1 pseudogenegwas
OR6Y1HGNC:14823ENSG00000197532Q8NGX8Olfactory receptor 6Y1gwas
MUC15HGNC:14956ENSG00000169550Q8N387Mucin-15gwas
OR6P1HGNC:15036ENSG00000186440Q8NGX9Olfactory receptor 6P1gwas
CASTHGNC:1515ENSG00000153113P20810Calpastatinclinvar
TDHHGNC:15547ENSG00000154316Q8IZJ6Inactive L-threonine 3-dehydrogenase, mitochondrialgwas
NAV3HGNC:15998ENSG00000067798Q8IVL0Neuron navigator 3clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
BDNFNeurotrophic factor BDNF precursor formImportant signaling molecule that activates signaling cascades downstream of NTRK2.
SH2B1SH2B adapter protein 1Adapter protein for several members of the tyrosine kinase receptor family.
LEPRLeptin receptorReceptor for hormone LEP/leptin.
MC4RMelanocortin receptor 4G protein-coupled receptor that binds melanocyte-stimulating hormones (alpha- and beta-MSH) and corticotropin/ACTH, which are peptide products of the POMC precursor.
POMCPro-opiomelanocortinPrecursor protein of pituitary hormones that are involved in diverse physiological processes, including the regulation of energy balance, stress response, immune function and skin pigmentation.
HTR2C5-hydroxytryptamine receptor 2CG-protein coupled receptor for 5-hydroxytryptamine (serotonin).
RGS6Regulator of G-protein signaling 6Regulates G protein-coupled receptor signaling cascades.
RPL27ALarge ribosomal subunit protein uL15Component of the large ribosomal subunit.
SCN1ASodium channel protein type 1 subunit alphaPore-forming subunit of Nav1.1, a voltage-gated sodium (Nav) channel that directly mediates the depolarizing phase of action potentials in excitable membranes.
SCNN1AEpithelial sodium channel subunit alphaThis is one of the three pore-forming subunits of the heterotrimeric epithelial sodium channel (ENaC), a critical regulator of sodium balance and fluid homeostasis.
SDCCAG8Serologically defined colon cancer antigen 8Plays a role in the establishment of cell polarity and epithelial lumen formation.
SHHSonic hedgehog proteinThe C-terminal part of the sonic hedgehog protein precursor displays an autoproteolysis and a cholesterol transferase activity.
SIM1Single-minded homolog 1Transcriptional factor that may have pleiotropic effects during embryogenesis and in the adult.
SLC32A1Vesicular inhibitory amino acid transporterAntiporter that exchanges vesicular protons for cytosolic 4-aminobutanoate or to a lesser extend glycine, thus allowing their secretion from nerve terminals.
SLC8A1Sodium/calcium exchanger 1Mediates 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.
SMARCA4SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 4ATPase involved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology).
ARID1AAT-rich interactive domain-containing protein 1AInvolved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology).
SOS1Son of sevenless homolog 1Promotes the exchange of Ras-bound GDP by GTP.
SOX11Transcription factor SOX-11Transcription factor that acts as a transcriptional activator.
SPRY2Protein sprouty homolog 2Antagonist of fibroblast growth factor (FGF) pathways via inhibition of FGF-mediated phosphorylation of ERK1/2.
SREBF1Sterol regulatory element-binding protein 1Precursor of the transcription factor form (Processed sterol regulatory element-binding protein 1), which is embedded in the endoplasmic reticulum membrane.
TBCETubulin-specific chaperone ETubulin-folding protein; involved in the second step of the tubulin folding pathway and in the regulation of tubulin heterodimer dissociation.
TBX3T-box transcription factor TBX3Transcriptional repressor involved in developmental processes.
TCF4Transcription factor 4Transcription factor that binds to the immunoglobulin enhancer Mu-E5/KE5-motif.
TFAP2BTranscription factor AP-2-betaSequence-specific DNA-binding protein that interacts with inducible viral and cellular enhancer elements to regulate transcription of selected genes.
ANO2Anoctamin-2Calcium-activated chloride channel (CaCC) which may play a role in olfactory signal transduction.
TNKSPoly [ADP-ribose] polymerase tankyrase-1Poly-ADP-ribosyltransferase involved in various processes such as Wnt signaling pathway, telomere length and vesicle trafficking.
UBE2E3Ubiquitin-conjugating enzyme E2 E3Accepts ubiquitin from the E1 complex and catalyzes its covalent attachment to other proteins.
UCP3Putative mitochondrial transporter UCP3Putative transmembrane transporter that plays a role in mitochondrial metabolism via an as yet unclear mechanism.
WWOXWW domain-containing oxidoreductasePutative oxidoreductase.
ZNF248Zinc finger protein 248May be involved in transcriptional regulation.
SCAPERS phase cyclin A-associated protein in the endoplasmic reticulumCCNA2/CDK2 regulatory protein that transiently maintains CCNA2 in the cytoplasm.
GPRC5BG-protein coupled receptor family C group 5 member BG-protein coupled receptor involved in the regulation of cell volume.
KIF4AChromosome-associated kinesin KIF4AIron-sulfur (Fe-S) cluster binding motor protein that has a role in chromosome segregation during mitosis.
FBXO11F-box only protein 11Substrate 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…
CABP5Calcium-binding protein 5Inhibits calcium-dependent inactivation of L-type calcium channel and shifts voltage dependence of activation to more depolarized membrane potentials.
CYFIP1Cytoplasmic FMR1-interacting protein 1Component of the CYFIP1-EIF4E-FMR1 complex which binds to the mRNA cap and mediates translational repression.
RTN4Reticulon-4Required to induce the formation and stabilization of endoplasmic reticulum (ER) tubules.
CMYA5Cardiomyopathy-associated protein 5May serve as an anchoring protein that mediates the subcellular compartmentation of protein kinase A (PKA) via binding to PRKAR2A.
VPS45Vacuolar protein sorting-associated protein 45May play a role in vesicle-mediated protein trafficking from the Golgi stack through the trans-Golgi network.
CAMK1GCalcium/calmodulin-dependent protein kinase type 1GCalcium/calmodulin-dependent protein kinase belonging to a proposed calcium-triggered signaling cascade.
DEAF1Deformed epidermal autoregulatory factor 1 homologTranscription 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.
OR6Y1Olfactory receptor 6Y1Odorant receptor.
MUC15Mucin-15May play a role in the cell adhesion to the extracellular matrix.
OR6P1Olfactory receptor 6P1Odorant receptor.
CASTCalpastatinSpecific inhibition of calpain (calcium-dependent cysteine protease).
NAV3Neuron navigator 3Is involved in microtubule cytoskeleton organization and plays a role in cell migration.
MACROD2ADP-ribose glycohydrolase MACROD2Removes ADP-ribose from aspartate and glutamate residues in proteins bearing a single ADP-ribose moiety.
SOX6Transcription factor SOX-6Transcription factor that plays a key role in several developmental processes, including neurogenesis, chondrocytes differentiation and cartilage formation.
OLFM4Olfactomedin-4May 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.

FamilyGenesFoldFDR
Transcription factor161.8×0.147
GPCR61.9×0.419
Ion channel11.5×0.738
Kinase41.5×0.738
Antibody/Immunoglobulin31.2×0.738
Scaffold/PPI51.1×0.738
Transporter11.0×0.799
Other/Unknown350.8×0.956
Enzyme (other)40.6×0.956

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
BDNFOther/UnknownnoNerve_growth_factor-rel, Nerve_growth_factor_CS, Nerve_growth_factor-like
SH2B1Scaffold/PPInoSH2, PH_domain, PH-like_dom_sf
LEPRAntibody/ImmunoglobulinyesHematopoietin_rcpt_Gp130_CS, Hempt_rcpt_S_F1_CS, FN3_dom
MC4RGPCRyesMcort_rcpt_4, GPCR_Rhodpsn, Melcrt_ACTH_rcpt
POMCOther/UnknownnoPMOC, Mcrtin_ACTH_cent, Opioid_neuropept
HTR2CGPCRyesGPCR_Rhodpsn, 5HT2C_rcpt, 5HT_rcpt
RGS6Other/UnknownnoDEP_dom, G-protein_gamma-like_dom, RGS
RPL27AOther/UnknownnoRibosomal_uL15_CS, Ribosomal_uL15/eL18, Rbsml_uL15_N
SCN1AIon channelyesNa_channel_asu, Ion_trans_dom, Na_channel_a1su
SCNN1AOther/UnknownnoENaC, ENaC_chordates, ENaC_CS
SDCCAG8Other/UnknownnoSDCCAG8
SHHOther/UnknownnoHedgehog_signalling_dom, Hedgehog, Hedgehog_Hint
SIM1Transcription factornoPAS, PAC, SIM_C
SLC32A1Other/UnknownnoAA_transpt_TM
SLC8A1Other/UnknownnoDnaJ_domain, NaCa_exhngr1, Calx_beta
SMARCA4Other/UnknownnoSNF2_N, Bromodomain, Helicase_C-like
ARID1AOther/UnknownnoARID_dom, ARM-like, ARM-type_fold
SOS1Scaffold/PPInoDH_dom, Ras-like_Gua-exchang_fac_N, PH_domain
SOX11Transcription factornoHMG_box_dom, SOX-12/11/4, HMG_box_dom_sf
SPRY2Other/UnknownnoSprouty, Sprouty_domain
SREBF1Transcription factornobHLH_dom, HLH_DNA-bd_sf
TBCEOther/UnknownnoUbiquitin-like_dom, CAP-Gly_domain, Ubiquitin-like_domsf
TBX3Transcription factornoTF_T-box, p53-like_TF_DNA-bd_sf, TF_T-box_CS
TCF4Transcription factorno7.6.2.3bHLH_dom, HLH_DNA-bd_sf, NeuroDiff_E-box_TFs
TFAP2BTranscription factornoTF_AP2, TF_AP2_beta, TF_AP2_C
ANO2Other/UnknownnoAnoctamin, Anoct_dimer, Anoctamin_TM
TNKSScaffold/PPIno2.4.2.30SAM, Ankyrin_rpt, Poly(ADP-ribose)pol_cat_dom
UBE2E3Enzyme (other)yes2.3.2.23UBC, UBQ-conjugating_enzyme/RWD, UBQ-conjugating_AS
UCP3TransporteryesMCP, MCP_transmembrane, MCP_dom_sf
WWOXScaffold/PPInoWW_dom, SDR_fam, WW_dom_sf
ZNF248Transcription factornoKRAB, Znf_C2H2_type, KRAB_dom_sf
SCAPERTranscription factornoMatrin/U1-like-C_Znf_C2H2, Znf_C2H2_type, SCAPER_N
GPRC5BGPCRyesGPCR_3_C, RA-inducible_GPCR3
KIF4AOther/UnknownnoKinesin_motor_dom, Kinesin_motor_CS, P-loop_NTPase
FBXO11Transcription factornoF-box_dom, Znf_UBR, PbH1
CABP5Other/UnknownnoEF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS
CYFIP1Other/UnknownnoCytoplasmic_FMR1-int, CYRIA/CYRIB_Rac1-bd
RTN4Other/UnknownnoReticulon, RTN1-4
CMYA5Antibody/ImmunoglobulinyesB30.2/SPRY, SPRY_dom, FN3_dom
MRPS22Other/UnknownnoRibosomal_mS22
VPS45Other/UnknownnoSec1-like, Sec1-like_dom2, Sec1-like_sf
CAMK1GKinaseyes2.7.11.17Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
DEAF1Transcription factornoSAND_dom, Znf_MYND, SAND-like_dom_sf
OR10R1POther/Unknownno
OR6Y1GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
MUC15Other/UnknownnoMucin-15
OR6P1GPCRyesGPCR_Rhodpsn, Olfact_rcpt, GPCR_Rhodpsn_7TM
CASTOther/UnknownnoProt_inh_calpain, Calpastatin
TDHOther/UnknownnoEpimerase_deHydtase, NAD(P)-bd_dom_sf, NAD(P)_epim/dehydratase
NAV3Other/UnknownnoCH_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)

BucketGenes
narrow (1-5 tissues)3
moderate (6-20)0
broad (>20)72
unknown0

Top tissues across cohort

TissueCohort genes
cortical plate12
middle temporal gyrus9
Brodmann (1909) area 238
ventricular zone8
ganglionic eminence7
calcaneal tendon6
endothelial cell6
sural nerve5
colonic epithelium5
male germ line stem cell (sensu Vertebrata) in testis5
oocyte4
right hemisphere of cerebellum4
buccal mucosa cell4
cerebellar hemisphere3
right uterine tube3
adenohypophysis3
bone marrow cell3
epithelial cell of pancreas3
tendon of biceps brachii3
right adrenal gland3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
BDNF189ubiquitousyessaphenous vein, pons, oocyte
SH2B1253ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
LEPR272broadmarkertrabecular bone tissue, choroid plexus epithelium, trigeminal ganglion
MC4R69broadyespancreatic ductal cell, right uterine tube, prefrontal cortex
POMC161broadmarkeradenohypophysis, pituitary gland, right testis
HTR2C79tissue_specificmarkerchoroid plexus epithelium, lateral globus pallidus, superior vestibular nucleus
RGS6185broadmarkercortical plate, sural nerve, middle temporal gyrus
RPL27A188ubiquitousmarkerbone marrow cell, adenohypophysis, ganglionic eminence
SCN1A154tissue_specificmarkerBrodmann (1909) area 23, lateral nuclear group of thalamus, primary visual cortex
SCNN1A283broadmarkernasal cavity epithelium, metanephros cortex, right uterine tube
SDCCAG8134ubiquitousmarkercorpus callosum, calcaneal tendon, thyroid gland
SHH131broadmarkerbuccal mucosa cell, right lobe of liver, epithelial cell of pancreas
SIM176broadyesrenal medulla, skeletal muscle tissue of biceps brachii, biceps brachii
SLC32A169broadmarkernucleus accumbens, putamen, prefrontal cortex
SLC8A1249ubiquitousmarkerheart right ventricle, adrenal tissue, endothelial cell
SMARCA4295ubiquitousmarkerganglionic eminence, cortical plate, cervix squamous epithelium
ARID1A286ubiquitousmarkerbone marrow cell, ventricular zone, embryo
SOS1289ubiquitousmarkercolonic epithelium, jejunal mucosa, tendon of biceps brachii
SOX1193broadmarkerganglionic eminence, cortical plate, embryo
SPRY2281ubiquitousmarkercartilage tissue, tibial nerve, right hemisphere of cerebellum
SREBF1172ubiquitousmarkerleft adrenal gland, right adrenal gland, left adrenal gland cortex
TBCE134ubiquitousyesventricular zone, hindlimb stylopod muscle, cortical plate
TBX3243ubiquitousmarkerright adrenal gland cortex, right adrenal gland, adrenal cortex
TCF4292ubiquitousmarkerendothelial cell, skin of hip, pericardium
TFAP2B128broadmarkercorpus epididymis, cauda epididymis, oocyte
ANO2165tissue_specificmarkersural nerve, left testis, calcaneal tendon
TNKS295ubiquitousyesmiddle temporal gyrus, medial globus pallidus, Brodmann (1909) area 23
UBE2E3134ubiquitousmarkerganglionic eminence, cortical plate, stromal cell of endometrium
UCP3224tissue_specificmarkergastrocnemius, hindlimb stylopod muscle, muscle of leg
WWOX286ubiquitousmarkerparotid gland, cervix squamous epithelium, cranial nerve II

Protein interactions among cohort

Intra-cohort edges: 33.

Hub genes (top 10 by interactor count)

SymbolInteractor count
SMARCA48,138
WWOX5,892
BDNF5,587
SHH4,953
RPL27A4,738
SETD24,668
SREBF14,089
POMC3,655
SOS13,625
ARID1A3,476

Intra-cohort edges

ABSources
ALPK1CABP5string_interaction
ARID1ACDH18string_interaction
ARID1ASMARCA4biogrid_interaction, intact, string_interaction
ARID1ASOX11string_interaction
CABP5TCF4biogrid_interaction, intact
CDH10CDH18string_interaction
CHAMP1POGZbiogrid_interaction, string_interaction
FANCLGPRC5Bstring_interaction
GHRLMC4Rstring_interaction
GHRLPOMCstring_interaction
GHRLUCP3string_interaction
GPRC5BHTR2Cintact
GPRC5BNEGR1string_interaction
GPRC5BTNNI3Kstring_interaction
HTR2CPOMCstring_interaction
HTR2CRTN4intact
LEPRMC4Rstring_interaction
LEPRPOMCstring_interaction
LEPRSH2B1string_interaction
LYPLAL1TFAP2Bstring_interaction
MACROD2RBFOX1string_interaction
MACROD2WWOXstring_interaction
MC4RNEGR1string_interaction
MC4RPOMCstring_interaction
MC4RSH2B1string_interaction
MC4RSIM1string_interaction
MC4RTFAP2Bstring_interaction
NEGR1SH2B1string_interaction
NEGR1TFAP2Bstring_interaction
POMCSIM1string_interaction
SIM1SLC32A1string_interaction
SMARCA4SOX11string_interaction
TFAP2BTNNI3Kstring_interaction

Structural data

PDB: 50 · AlphaFold-only: 23 · No structure: 2

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
RPL27AP46776193
SOS1Q0788991
MRPS22P8265077
SETD2Q9BYW243
TNKSO9527142
SMARCA4P5153231
SHHQ1546520
POMCP0118913
PRMT6Q96LA813
MC4RP3224512
LEPRP483579
KSR2Q6VAB69
FARS2O953639
HTR2CP283358
FANCLQ9NW388
ARID1AO144977
TBCEQ158136
SLC8A1P324185
SPRY2O435975
TCF4P158845
CYFIP1Q7L5765
TNNI3KQ59H185
SOX11P357164
MACROD2A1Z1Q34
GHRLQ9UBU34
RBFOX1Q9NWB14
CHAMP1Q96JM34
SCNN1AP370883
DEAF1O753983
KAT6BQ8WYB53

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
VPS45Q9NRW790.65
OR4F21O9501390.19
OR6Y1Q8NGX886.47
OR6P1Q8NGX985.34
OLFM4Q6UX0683.34
CDKAL1Q5VV4282.72
HS6ST3Q8IZP781.20
CABP5Q9NP8679.89
SLC32A1Q9H59878.69
SDCCAG8Q86SQ778.67
CDH10Q9Y6N878.29
CDH18Q1363477.57
TDHQ8IZJ677.16
ANO2Q9NQ9074.81
GPRC5BQ9NZH074.39
UCP3P5591662.65
SIM1P8113360.70
CASTP2081059.67
SOX6P3571256.48
ZNF248Q8NDW455.52
MUC15Q8N38752.21
NAV3Q8IVL048.21
CMYA5Q8N3K9

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.

PathwayCohort genesFoldFDRSample cohort genes
MECP2 regulates transcription factors354.4×0.008RBFOX1, MECP2, PPARG
Signal Transduction282.3×0.009BDNF, MC4R, SHH, SMARCA4, SOS1, SPRY2, TCF4, RTN4 (+20 more)
Signaling by NTRKs68.6×0.014BDNF, SOS1, KIDINS220, IRS1, MAP2K1, MAP2K5
BDNF activates NTRK2 (TRKB) signaling290.6×0.019BDNF, NTRK2
Activated NTRK2 signals through RAS327.2×0.019BDNF, SOS1, NTRK2
Signaling by Leptin324.7×0.019SH2B1, LEPR, IRS1
Activated NTRK2 signals through FRS2 and FRS3322.7×0.019BDNF, SOS1, NTRK2
Anti-inflammatory response favouring Leishmania parasite infection412.5×0.019ADCY3, ADCY9, ITPR3, MYH9
Leishmania parasite growth and survival412.5×0.019ADCY3, ADCY9, ITPR3, MYH9
G alpha (s) signalling events84.7×0.019MC4R, POMC, ADCY3, ADCY9, ADRB3, GIPR, GNAS, MC3R
Signaling by GPCR113.5×0.019MC4R, SHH, SOS1, ADCY3, ADCY9, ADRB3, HTR2C, ITPR3 (+3 more)
Diseases of signal transduction by growth factor receptors and second messengers94.1×0.020BDNF, SHH, SOS1, KSR2, AMER1, IRS1, LRRFIP1, MAP2K1 (+1 more)
Signaling by NTRK1 (TRKA)57.8×0.021SOS1, KIDINS220, IRS1, MAP2K1, MAP2K5
Loss of MECP2 binding ability to 5mC-DNA245.3×0.028BDNF, MECP2
Activated NTRK2 signals through PLCG1245.3×0.028BDNF, NTRK2
GPCR downstream signalling103.5×0.028MC4R, SOS1, ADCY3, ADCY9, ADRB3, HTR2C, ITPR3, MC3R (+2 more)
PKA activation in glucagon signalling316.0×0.029ADCY3, ADCY9, GNAS
MITF-M-regulated melanocyte development65.4×0.029MC4R, SMARCA4, ARID1A, TBX3, MC3R, ASAH1
Signalling to ERKs314.3×0.038SOS1, KIDINS220, MAP2K1
Formation of lateral plate mesoderm236.2×0.038SHH, FOXF1
Opioid Signalling48.4×0.038POMC, ADCY3, ADCY9, ITPR3
Activated NTRK2 signals through FYN230.2×0.045BDNF, NTRK2
NTRK2 activates RAC1230.2×0.045BDNF, NTRK2
Activated NTRK2 signals through CDK5230.2×0.045BDNF, NTRK2
RMTs methylate histone arginines55.8×0.045SMARCA4, ARID1A, PRMT6, PRMT7, DNMT3A
G alpha (z) signalling events47.4×0.050ADCY3, ADCY9, GNAS, PRKCH
Sensory Perception64.5×0.050SCNN1A, ANO2, ADCY3, ITPR3, KCNMA1, MYH9
Growth hormone receptor signaling311.3×0.051SH2B1, IRS1, PRL
Signaling by NTRK2 (TRKB)225.9×0.052BDNF, SOS1
Activated NTRK2 signals through PI3K225.9×0.052BDNF, 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 termCohort genesFoldFDRSample cohort genes
feeding behavior516.5×0.018MC4R, NEGR1, HTR2C, NTRK2, PYY
glial cell proliferation421.5×0.023LEPR, SOX11, EEF2, MECP2
negative regulation of locomotion2102.1×0.032GHRL, CARTPT
regulation of feeding behavior334.0×0.032LEPR, MC4R, MC3R
regulation of appetite330.6×0.032POMC, HTR2C, PTER
regulation of heart rate by chemical signal268.1×0.035SREBF1, CARTPT
positive regulation of growth rate268.1×0.035GHRL, RFTN1
response to melanocyte-stimulating hormone268.1×0.035MC4R, POMC
cAMP biosynthetic process325.5×0.035ADCY3, ADCY9, CARTPT
adenylate cyclase-activating adrenergic receptor signaling pathway321.9×0.035ADCY9, ADRB3, GNAS
negative regulation of insulin secretion412.0×0.035SREBF1, GHRL, INHBB, IRS1
insulin-like growth factor receptor signaling pathway412.0×0.035SOS1, IRS1, MAP2K1, MAP2K5
response to nutrient59.0×0.035SREBF1, UCP3, GIPR, MAF, PPARG
social behavior58.2×0.035NEGR1, RPTOR, MECP2, NRXN1, NRXN3
negative regulation of transcription by RNA polymerase II222.4×0.035SHH, SMARCA4, SOX11, SREBF1, TBX3, TFAP2B, DEAF1, PHF6 (+14 more)
positive regulation of heart growth251.1×0.043PROX1, BASP1
neuron cell-cell adhesion318.0×0.043NCAM2, NRXN1, NRXN3
circadian rhythm57.4×0.043SREBF1, MTNR1A, NR0B2, NTRK2, PROX1
positive regulation of synapse assembly57.4×0.043BDNF, GHRL, LINGO2, NRXN1, NTRK2
positive regulation of cold-induced thermogenesis66.0×0.043LEPR, SMARCA4, GHRL, KSR2, ADRB3, GNAS
embryonic digestive tract morphogenesis317.0×0.049SHH, SOX11, FOXF1
brain-derived neurotrophic factor receptor signaling pathway240.9×0.056BDNF, NTRK2
ductus arteriosus closure240.9×0.056TFAP2B, FOXF1
cellular response to glucagon stimulus315.3×0.056ADCY3, ADCY9, GNAS
positive regulation of DNA-templated transcription152.5×0.056SHH, SMARCA4, ARID1A, TCF4, TFAP2B, DEAF1, KAT6B, INO80D (+7 more)
nervous system development113.1×0.058BDNF, SIM1, SMARCA4, ARID1A, SOX11, TCF4, TFAP2B, NAV3 (+3 more)
negative regulation of eating behavior234.0×0.072MC4R, CARTPT
vascular endothelial cell response to laminar fluid shear stress313.3×0.072ADCY3, ADCY9, GNAS
generation of precursor metabolites and energy48.3×0.072POMC, ADRB3, ENPP1, GIPR
adenylate cyclase-modulating G protein-coupled receptor signaling pathway48.2×0.072MC4R, 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.

DrugDevelopment status
Choriogonadotropin AlfaApproved (phase 4)
ClobenzorexApproved (phase 4)
DexfenfluramineApproved (phase 4)
DiethylpropionApproved (phase 4)
EphedrineApproved (phase 4)
FenfluramineApproved (phase 4)
LiraglutideApproved (phase 4)
LorcaserinApproved (phase 4)
MazindolApproved (phase 4)
MefenorexApproved (phase 4)
OrlistatApproved (phase 4)
PhentermineApproved (phase 4)
RimonabantApproved (phase 4)
SemaglutideApproved (phase 4)
SetmelanotideApproved (phase 4)
SibutramineApproved (phase 4)
TirzepatideApproved (phase 4)
AcetaminophenPhase 3 (in late-stage trials)
AllopurinolPhase 3 (in late-stage trials)
ArmodafinilPhase 3 (in late-stage trials)
BeloranibPhase 3 (in late-stage trials)
BupropionPhase 3 (in late-stage trials)
CaffeinePhase 3 (in late-stage trials)
CagrilintidePhase 3 (in late-stage trials)
CalciumPhase 3 (in late-stage trials)
CholecalciferolPhase 3 (in late-stage trials)
DexmedetomidinePhase 3 (in late-stage trials)
DiazoxidePhase 3 (in late-stage trials)
EfpeglenatidePhase 3 (in late-stage trials)
Enoxaparin SodiumPhase 3 (in late-stage trials)
ErgocalciferolPhase 3 (in late-stage trials)
EstradiolPhase 3 (in late-stage trials)
ExenatidePhase 3 (in late-stage trials)
FentanylPhase 3 (in late-stage trials)
Fish OilPhase 3 (in late-stage trials)
FospropofolPhase 3 (in late-stage trials)
IcosapentPhase 3 (in late-stage trials)
LamotriginePhase 3 (in late-stage trials)
LidocainePhase 3 (in late-stage trials)
MK-0557Phase 3 (in late-stage trials)
MazdutidePhase 3 (in late-stage trials)
MetforminPhase 3 (in late-stage trials)
MetreleptinPhase 3 (in late-stage trials)
Milk ThistlePhase 3 (in late-stage trials)
MisoprostolPhase 3 (in late-stage trials)
MorphinePhase 3 (in late-stage trials)
NaltrexonePhase 3 (in late-stage trials)
OtenabantPhase 3 (in late-stage trials)
ProbenecidPhase 3 (in late-stage trials)
PropofolPhase 3 (in late-stage trials)
RetatrutidePhase 3 (in late-stage trials)
RosuvastatinPhase 3 (in late-stage trials)
Sodium ChloridePhase 3 (in late-stage trials)
SomatropinPhase 3 (in late-stage trials)
TaranabantPhase 3 (in late-stage trials)
TopiramatePhase 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.

SymbolExample approved molecule
MC4RBEPRIDIL
HTR2CPIMOZIDE
RPL27AGENTAMICIN SULFATE
SCN1AMEXILETINE HYDROCHLORIDE
SCNN1AAMILORIDE
SHHVISMODEGIB
SOS1IDARUBICIN
SREBF1CALCIFEDIOL ANHYDROUS
TNKSNIRAPARIB
CAMK1GFEDRATINIB
PRMT6SULFATHIAZOLE
TNNI3KFEDRATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
HTR2C2764
SCN1A944
MC4R574
TNNI3K204
CAMK1G144
TNKS94
SOS154
SETD232
SCNN1A24
SMARCA422

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
BEPRIDIL4MC4R, SCN1A
CLOTRIMAZOLE4HTR2C, MC4R
IMIPRAMINE4HTR2C, MC4R, SCN1A
RIMONABANT4MC4R
DESLORATADINE4HTR2C, MC4R
DULOXETINE4HTR2C, MC4R
SORAFENIB TOSYLATE4MC4R
DESERPIDINE4MC4R
NAFARELIN4MC4R
GRAMICIDIN4MC4R
ROSIGLITAZONE4MC4R
ROFECOXIB4MC4R
ANTAZOLINE4MC4R
MODAFINIL4MC4R
PIMOZIDE4HTR2C, MC4R, SCN1A
AMLODIPINE4HTR2C, MC4R
RIFAXIMIN4HTR2C, MC4R
CLEMASTINE4HTR2C, MC4R
TERFENADINE4HTR2C, MC4R
IVACAFTOR4MC4R
BREMELANOTIDE4MC4R
COSYNTROPIN4MC4R
LINAGLIPTIN4MC4R
PRENYLAMINE4MC4R, SCN1A
METHACYCLINE4MC4R
BOSUTINIB4HTR2C, MC4R, TNNI3K
ASTEMIZOLE4HTR2C, MC4R
FENOTEROL4MC4R
SETMELANOTIDE4MC4R
CLOMIPRAMINE4HTR2C, MC4R

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 11.

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

SymbolAssaysType breakdown
HTR2C1,235Binding:928, Functional:290, ADMET:14, Unclassified:2, Toxicity:1
MC4R663Binding:364, Functional:293, ADMET:6
SOS1421Binding:409, Functional:12
SMARCA4230Binding:207, ADMET:12, Functional:11
TNKS226Binding:223, Functional:3
PRMT6194Binding:179, Functional:15
SCN1A149Binding:115, Functional:18, ADMET:14, Toxicity:2
CAMK1G137Binding:136, Functional:1
TNNI3K92Binding:92
RPL27A90Binding:90
SETD264Binding:64
TCF431Binding:31
KSR228Binding:28
SHH27Binding:23, Functional:4
KAT6B22Binding:20, Functional:2
KIF4A20Binding:20
SREBF117Binding:17
SLC8A19Binding:8, Functional:1
ANO28Binding:5, ADMET:3
CYFIP17Binding:7
RTN47Binding:7
SCNN1A6Binding:4, ADMET:1, Functional:1
ARID1A6Binding:6
CHAMP16Binding:6
MACROD24Binding:2, Toxicity:2
GHRL4Binding:4
PHF64Binding:4
LEPR3Binding:3
FARS23Binding:3
BDNF2Binding:2
GPRC5B2Binding:2
FBXO112Binding:2
LYPLAL12Binding:2
MRPS221Binding:1
CDKAL11Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TCF47.6.2.3ABC-type glutathione-S-conjugate transporter
TNKS2.4.2.30NAD+ ADP-ribosyltransferase
UBE2E32.3.2.23, 2.3.2.24E2 ubiquitin-conjugating enzyme, (E3-independent) E2 ubiquitin-conjugating enzyme
CAMK1G2.7.11.17Ca2+/calmodulin-dependent protein kinase
MACROD23.1.1.106O-acetyl-ADP-ribose deacetylase
KAT6B2.3.1.48histone acetyltransferase
PRMT62.1.1.319type I protein arginine methyltransferase
SETD22.1.1.359[histone H3]-lysine36 N-trimethyltransferase
KSR22.7.11.25mitogen-activated protein kinase kinase kinase
FANCL2.3.2.27RING-type E3 ubiquitin transferase
FARS26.1.1.20phenylalanine-tRNA ligase

Cohort genes with high screening signal

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

SymbolChEMBL assays
MC4R663
HTR2C1,235
SCN1A149
SMARCA4230
SOS1421
TNKS226
CAMK1G137
PRMT6194

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.

CompoundMax phaseCohort target (bioactivity)
BEPRIDIL4MC4R, SCN1A
CLOTRIMAZOLE4HTR2C, MC4R
IMIPRAMINE4HTR2C, MC4R, SCN1A
DESLORATADINE4HTR2C, MC4R
DULOXETINE4HTR2C, MC4R
SORAFENIB TOSYLATE4MC4R
DESERPIDINE4MC4R
NAFARELIN4MC4R
GRAMICIDIN4MC4R
ROFECOXIB4MC4R
ANTAZOLINE4MC4R
MODAFINIL4MC4R
PIMOZIDE4HTR2C, MC4R, SCN1A
RIFAXIMIN4HTR2C, MC4R
CLEMASTINE4HTR2C, MC4R
TERFENADINE4HTR2C, MC4R
IVACAFTOR4MC4R
BREMELANOTIDE4MC4R
COSYNTROPIN4MC4R
LINAGLIPTIN4MC4R
PRENYLAMINE4MC4R, SCN1A
METHACYCLINE4MC4R
BOSUTINIB4HTR2C, MC4R, TNNI3K
ASTEMIZOLE4HTR2C, MC4R
FENOTEROL4MC4R
SETMELANOTIDE4MC4R
CLOMIPRAMINE4HTR2C, MC4R

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)12MC4R, HTR2C, RPL27A, SCN1A, SCNN1A, SHH, SOS1, SREBF1, TNKS, CAMK1G (+2 more)
BPhased (≥1) drug, not yet approved4SMARCA4, TCF4, SETD2, CHAMP1
CDruggable family + PDB, no drug7LEPR, UBE2E3, MACROD2, NEGR1, KSR2, ALPK1, FARS2
DDruggable family + AlphaFold only, no drug6UCP3, GPRC5B, CMYA5, OR6Y1, OR6P1, OR4F21
EDifficult family or no structure, no drug46BDNF, 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).

SymbolChEMBL assaysDrugged partners (top 3)
POMC0MC4R
SIM10MC4R
ARID1A6SMARCA4
SOX110SMARCA4
GPRC5B2TNNI3K
POGZ0CHAMP1
BDNF2
SH2B10
LEPR3
RGS60
SDCCAG80
SLC32A10
SLC8A19
SPRY20
TBCE0
TBX30
TFAP2B0
ANO28
UBE2E30
UCP30
WWOX0
ZNF2480
SCAPER0
KIF4A20
FBXO112
CABP50
CYFIP17
RTN47
CMYA50
MRPS221

Clinical trials & evidence

Clinical trials

Clinical trials: 7,775.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE3358
PHASE4351
PHASE2256
PHASE2/PHASE382
PHASE1/PHASE253

Top trials by phase / activity

NCTPhaseStatusTitle
NCT02400359PHASE4ACTIVE_NOT_RECRUITINGLorcaserin in Obesity: Identification of CNS Targets Using fMRI
NCT02944500PHASE4ACTIVE_NOT_RECRUITINGSaxenda: Underlying Mechanisms and Clinical Outcomes
NCT03024879PHASE4ENROLLING_BY_INVITATIONThe Effect of Motilin on the Frequency and Amount of Food Intake
NCT03851627PHASE4RECRUITINGEffects of Testosterone Undecanoate vs Placebo on Intrahepatic Fat Content in Overweight/Obese Men With T2DM or Prediabetes and Hypogonadism
NCT03938389PHASE4ACTIVE_NOT_RECRUITINGThe Renin-Angiotensin-Aldosterone System in Adiposity, Blood Pressure and Glucose in African Americans
NCT04297592PHASE4ENROLLING_BY_INVITATIONAntibiotic Prophylaxis in High-Risk Arthroplasty Patients
NCT05051436PHASE4RECRUITINGThe Effects of Mirabegron and Tadalafil on Glucose Tolerance in Prediabetics
NCT05176626PHASE4ACTIVE_NOT_RECRUITINGLong-term Effectiveness of the Antiobesity Medication Phentermine
NCT05264727PHASE4ACTIVE_NOT_RECRUITINGGlucagon Suppression by Hyperglycemia in the Presence and Absence of Amino Acid Infusion
NCT05320796PHASE4RECRUITINGThe Bioavailability and Effect on Pouch pH of Esomeprazole After Gastric Bypass
NCT05744479PHASE4RECRUITINGMetformin for Antipsychotic-induced Weight Gain in Adults With Intellectual Disability
NCT05804591PHASE4RECRUITINGPregabalin in the Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy (LSG).
NCT05919797PHASE4RECRUITINGWeight Loss Study: Genetics and Response to Naltrexone/Bupropion
NCT05949008PHASE4ACTIVE_NOT_RECRUITINGEffect of Metformin, a Drug Used to Treat Diabetes, vs Placebo
NCT05975580PHASE4RECRUITINGPharmacotherapy in Conjunction With Lifestyle Counseling for Management of Weight Regain After Bariatric Surgery
NCT06000462PHASE4ACTIVE_NOT_RECRUITINGThe Effect of Dapagliflozin on Weight Loss in Obese Adults Without Diabetes
NCT06098079PHASE4ACTIVE_NOT_RECRUITINGEffect of Naltrexone Hydrochloride ER and Bupropion Hydrochloride ER Combination (Contrave®/Mysimba®) on Major Adverse Cardiovascular Events (MACE)
NCT06184633PHASE4RECRUITINGDUTCH Weight Control in Atrial Fibrillation Study
NCT06191848PHASE4RECRUITINGSubcutaneous Tirzepatide Once-weekly in Patients With Obesity and Knee Osteoarthritis (STOP KNEE-OA)
NCT06283381PHASE4RECRUITINGThe ESG Integrity Study: Effect of Proton Pump Inhibitors on the Structural Integrity of Endoscopic Sleeve Gastroplasty
NCT06287307PHASE4NOT_YET_RECRUITINGSemaglutide 2.4mg for Low Responders After Bariatric Surgery
NCT06374875PHASE4RECRUITINGFibrosis Lessens After Metabolic Surgery
NCT06396416PHASE4RECRUITINGObesity Management for Kidney TRANSPLANTation: OK-TRANSPLANT 2
NCT06438146PHASE4RECRUITINGLIROH - Liraglutide for Obesity in HIV
NCT06571383PHASE4ACTIVE_NOT_RECRUITINGSTEP TEENS Weight Maintenance: A Research Study on How Well Semaglutide Helps Teenagers With Excess Body Weight to Lose Weight and Maintain Weight Loss
NCT06606821PHASE4RECRUITINGThe Effects of Tirzepatide in People With Overweight/Obesity and Coronary Artery Disease
NCT06742710PHASE4RECRUITINGLiraglutide Treatment in Obese Infertile PCOS Women
NCT06770049PHASE4RECRUITINGPhenotype-Tailored Lifestyle Intervention for Obesity: A Randomized Trial
NCT06801015PHASE4ACTIVE_NOT_RECRUITINGEffects 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
NCT06809166PHASE4RECRUITINGMetabolic and Behavioural Effects of CONTRAVE as Potential Mechanisms of Weight Loss in Adults With Obesity
NCT06814938PHASE4RECRUITINGA Study of a Novel Precision Medicine Approach For Obesity
NCT06845345PHASE4ENROLLING_BY_INVITATIONEffect 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)
NCT06852391PHASE4RECRUITINGJOULE - Metabolic Adaptation to Weight Loss in Response to a Behavioural Lifestyle Program With or Without Semaglutide in Adolescents With Obesity
NCT06854614PHASE4ACTIVE_NOT_RECRUITINGSequential or CombinaTion Anti-obesitY Medication With Muscle Preservation for Weight Loss and MaintEnance: A PragmAtic Randomized CoNtrolled Trial (STAY-LEAN Trial)
NCT06857942PHASE4RECRUITINGA 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)
NCT06861439PHASE4ACTIVE_NOT_RECRUITINGGLP-1s to Enhance Lasting Optimal Weight
NCT06864026PHASE4RECRUITINGA 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)
NCT06901245PHASE4RECRUITINGTirzepatide in PWS, HO and GNSO
NCT06992726PHASE4NOT_YET_RECRUITINGImprovement of Fish Oil in Obesity With Mild Cognitive Impairment
NCT07057310PHASE4ENROLLING_BY_INVITATIONAging Well: Targeting Obesity With GLP-1 Agonists to Enhance Physical and Vascular Health in Postmenopausal Women

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
ORLISTAT420
RIMONABANT420
SIBUTRAMINE419
EXENATIDE49
CHOLECALCIFEROL47
ERGOCALCIFEROL44
METFORMIN44
ROSIGLITAZONE44
AMLODIPINE43
ENOXAPARIN SODIUM43
DESFLURANE42
FENOFIBRATE42
INSULIN DETEMIR42
IRBESARTAN42
LOSARTAN42
PIOGLITAZONE42
TESTOSTERONE42
ZONISAMIDE42
ATORVASTATIN41
CASPOFUNGIN41
DAPSONE41
DIETHYLPROPION41
ETHAMBUTOL41
HYDROCHLOROTHIAZIDE41
INFLIXIMAB41
INSULIN HUMAN, ISOPHANE41
MICAFUNGIN41
OCTREOTIDE ACETATE41
PENTOXIFYLLINE41
SULFAMETHOXAZOLE41