Obstructive sleep apnea syndrome

disease
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Also known as apnea, obstructive sleepApneas, obstructive sleepobstructive sleep apneaobstructive sleep ApneasOSAHSsleep apnea hypopnea syndromesleep apnea syndrome, obstructivesleep Apneas, obstructivesyndrome, obstructive sleep apneasyndrome, sleep apnea, obstructivesyndrome, upper airway resistance, sleep apneaupper airway resistance sleep apnea syndrome

Summary

Obstructive sleep apnea syndrome (MONDO:0007147) is a disease with 16 cohort genes (111 GWAS associations across 30 studies) and 1,493 clinical trials. Top therapeutic interventions include atomoxetine, acetazolamide, and pitolisant.

At a glance

  • Cohort genes: 16
  • GWAS associations: 111
  • Clinical trials: 1,493

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nameobstructive sleep apnea syndrome
Mondo IDMONDO:0007147
EFOEFO:0003918
MeSHD020181
OMIM107650
DOIDDOID:0050848
ICD-10-CMG47.33
NCITC27168
SNOMED CT78275009
UMLSC0520679
MedGen101045
Is cancer (heuristic)no

Also known as: apnea, obstructive sleep · Apneas, obstructive sleep · obstructive sleep apnea · obstructive sleep apnea syndrome · obstructive sleep Apneas · OSAHS · sleep apnea hypopnea syndrome · sleep apnea syndrome, obstructive · sleep Apneas, obstructive · syndrome, obstructive sleep apnea · syndrome, sleep apnea, obstructive · syndrome, upper airway resistance, sleep apnea · upper airway resistance sleep apnea syndrome

Data availability: 111 GWAS associations (30 studies) · 1 HPO phenotype.

Disease family

An umbrella term covering 1 Mondo subtype.

Classification path: disease › human disease › disease by body system or component › syndromic diseaseobstructive sleep apnea syndrome

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

Subtypes (1): complex sleep apnea

Genetics & variants

GWAS landscape

111 GWAS associations across 30 studies. Top hits map to 28 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs14210851e-84FTOT0.09
rs15589023e-63FTOT0.08
rs620484026e-52FTO?1.08
rs131073251e-27SLC39A8C0.09
rs67243842e-19LINC01122C0.04
rs8694005e-16ETV5, DGKG?1.05
rs768808771e-14ETV5A0.05
rs111257591e-14LINC01122G0.04
rs751605949e-14ETV5C0.05
rs4666143e-13GAPVD1?0.96
rs588577764e-13LINC01122?0.97
chr1:1123184844e-13A0.03
chr15:463323653e-12A0.03
rs66794585e-12EEF1A1P11 - RN7SL831P?1.03
chr7:1146439285e-12G0.03
rs17651317e-12RPL12P30 - MPPED2G0.03
rs22773391e-11PRIM1, HSD17B6?0.95
chr1:731612921e-11G0.04
chr6:986616371e-11G0.04
chr7:18966901e-11C0.04
chr11:284547192e-11G0.04
rs4293585e-11APOE?0.96
rs125070266e-11PRDX4P1 - THAP12P9?1.03
rs778814541e-10THADA?1.05
rs5406063e-10CAMKMT - LINC01833?0.97
rs71205373e-10METTL15?0.97
rs64558937e-10PACRG-AS1, PACRG?1.62
rs37468048e-10SLC52A3?0.83
rs13732859e-10ZNF646P1 - LINC00558?1.03
rs105070841e-09LINC02409 - RMSTT1.12

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90475825Verma A2024126,695303,630Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90477490Verma A202438,01277,729Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90479998Verma A202438,01277,729Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90274865Sofer T202323,65184,817Genome-wide association study of obstructive sleep apnoea in the Million Veteran Program uncovers genetic heterogeneity by sex.
GCST90274866Sofer T202323,65184,817Genome-wide association study of obstructive sleep apnoea in the Million Veteran Program uncovers genetic heterogeneity by sex.
GCST90477488Verma A202419,14837,666Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST011922Strausz S202016,761201,194Genetic analysis of obstructive sleep apnoea discovers a strong association with cardiometabolic health.
GCST011921Strausz S202012,759146,972Genetic analysis of obstructive sleep apnoea discovers a strong association with cardiometabolic health.
GCST90258599Xu H20225,43815,152Genome-Wide Association Study of Obstructive Sleep Apnea and Objective Sleep-Related Traits Identifies Novel Risk Loci in Han Chinese Individuals.
GCST90477489Verma A20242,0944,439Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding4
Tier 2: splice/UTR1
Tier 3: regulatory1
Tier 4: intronic/intergenic44

MAF distribution

BucketVariants
common (>=0.05)48
low_freq (0.01-0.05)1
rare (<0.01)1
unknown0

Functional consequences

ConsequenceCount
intron_variant28
intergenic_variant9
unknown7
missense_variant4
5_prime_UTR_variant1
regulatory_region_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs14210851653767042T>C0.407intron_variantFTO1e-84Tier 4: intronic/intergenic
rs15589021653769662T>A0.33intron_variantFTO3e-63Tier 4: intronic/intergenic
rs620484021653769311G>A,T0.373intron_variantFTO6e-52Tier 4: intronic/intergenic
rs131073254102267552C>A,T0.083missense_variantSLC39A81e-27Tier 1: coding
rs6724384258652358C>T0.412intron_variantLINC011222e-19Tier 4: intronic/intergenic
rs8694003186108951T>A,C,G0.1875_prime_UTR_variantETV5, DGKG5e-16Tier 2: splice/UTR
rs768808773186084839A>C0.134intron_variantETV51e-14Tier 4: intronic/intergenic
rs11125759258686264G>A0.368intron_variantLINC011221e-14Tier 4: intronic/intergenic
rs751605943186092692C>A,G,T0.141intron_variantETV59e-14Tier 4: intronic/intergenic
rs4666149125265428C>T0.464intron_variantGAPVD13e-13Tier 4: intronic/intergenic
rs58857776258663549C>A,T0.448intron_variantLINC011224e-13Tier 4: intronic/intergenic
chr1:1123184840.384e-13Tier 4: intronic/intergenic
chr15:463323650.4783e-12Tier 4: intronic/intergenic
rs6679458196480697G>A,C,T0.456intergenic_variantEEF1A1P11 - RN7SL831P5e-12Tier 4: intronic/intergenic
chr7:1146439280.4465e-12Tier 4: intronic/intergenic
rs17651311130382991G>C,T0.309intergenic_variantRPL12P30 - MPPED27e-12Tier 4: intronic/intergenic
rs22773391256752285T>A,G0.159missense_variantPRIM1, HSD17B61e-11Tier 1: coding
chr1:731612920.221e-11Tier 4: intronic/intergenic
chr6:986616370.2671e-11Tier 4: intronic/intergenic
chr7:18966900.1951e-11Tier 4: intronic/intergenic
chr11:284547190.3592e-11Tier 4: intronic/intergenic
rs4293581944908684T>C0.193missense_variantAPOE5e-11Tier 1: coding
rs12507026445179317A>C,T0.423intergenic_variantPRDX4P1 - THAP12P96e-11Tier 4: intronic/intergenic
rs77881454243530154A>T0.132intron_variantTHADA1e-10Tier 4: intronic/intergenic
rs540606244911368A>G0.381intergenic_variantCAMKMT - LINC018333e-10Tier 4: intronic/intergenic
rs71205371128378090A>G,T0.489intergenic_variantMETTL153e-10Tier 4: intronic/intergenic
rs64558936163311957C>T0.05intron_variantPACRG-AS1, PACRG7e-10Tier 4: intronic/intergenic
rs374680420763771G>A0.05missense_variantSLC52A38e-10Tier 1: coding
rs13732851353473943G>A0.311intron_variantZNF646P1 - LINC005589e-10Tier 4: intronic/intergenic
rs105070841297359374C>A,T0.18intergenic_variantLINC02409 - RMST1e-09Tier 4: intronic/intergenic

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 6 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
PLCB1Orphanet:293181Epilepsy of infancy with migrating focal seizures
PLCB1Orphanet:697160Infantile epileptic spasms syndrome
FTOOrphanet:210144Lethal polymalformative syndrome, Boissel type
MRE11Orphanet:145Hereditary breast and/or ovarian cancer syndrome
MRE11Orphanet:240760Nijmegen breakage syndrome-like disorder
MRE11Orphanet:251347Ataxia-telangiectasia-like disorder

Cohort genes → proteins

16 cohort genes, 14 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only16

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
PLCB1HGNC:15917ENSG00000182621Q9NQ661-phosphatidylinositol 4,5-bisphosphate phosphodiesterase beta-1gwas
CDH4HGNC:1763ENSG00000179242P55283Cadherin-4gwas
CAMK1DHGNC:19341ENSG00000183049Q8IU85Calcium/calmodulin-dependent protein kinase type 1Dgwas
TSPAN18HGNC:20660ENSG00000157570Q96SJ8Tetraspanin-18gwas
CCDC162PHGNC:21565ENSG00000203799coiled-coil domain containing 162, pseudogenegwas
FTOHGNC:24678ENSG00000140718Q9C0B1Alpha-ketoglutarate-dependent dioxygenase FTOgwas
LINC01619HGNC:27409ENSG00000257242G3V211Uncharacterized protein encoded by LINC01619gwas
RMSTHGNC:29893ENSG00000255794rhabdomyosarcoma 2 associated transcriptgwas
SMCO2HGNC:34448ENSG00000165935A6NFE2Single-pass membrane and coiled-coil domain-containing protein 2gwas
GPR83HGNC:4523ENSG00000123901Q9NYM4G-protein coupled receptor 83gwas
C11orf97HGNC:49544ENSG00000257057A0A1B0GVM6Uncharacterized protein C11orf97gwas
ARRB1HGNC:711ENSG00000137486P49407Beta-arrestin-1gwas
MRE11HGNC:7230ENSG00000020922P49959Double-strand break repair protein MRE11gwas
NEDD1HGNC:7723ENSG00000139350Q8NHV4Protein NEDD1gwas
NRG1HGNC:7997ENSG00000157168Q02297Pro-neuregulin-1, membrane-bound isoformgwas
ATP2B4HGNC:817ENSG00000058668P23634Plasma membrane calcium-transporting ATPase 4gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
PLCB11-phosphatidylinositol 4,5-bisphosphate phosphodiesterase beta-1Catalyzes the hydrolysis of 1-phosphatidylinositol 4,5-bisphosphate into diacylglycerol (DAG) and inositol 1,4,5-trisphosphate (IP3) and mediates intracellular signaling downstream of G protein-coupled receptors.
CDH4Cadherin-4Cadherins are calcium-dependent cell adhesion proteins.
CAMK1DCalcium/calmodulin-dependent protein kinase type 1DCalcium/calmodulin-dependent protein kinase that operates in the calcium-triggered CaMKK-CaMK1 signaling cascade and, upon calcium influx, activates CREB-dependent gene transcription, regulates calcium-mediated granulocyte function and res…
TSPAN18Tetraspanin-18Plays a role in the cell surface localization of ORAI1 and may participate in the regulation of Ca(2+) signaling and the VWF release in response to inflammatory stimuli.
FTOAlpha-ketoglutarate-dependent dioxygenase FTORNA demethylase that mediates oxidative demethylation of different RNA species, such as mRNAs, tRNAs and snRNAs, and acts as a regulator of fat mass, adipogenesis and energy homeostasis.
GPR83G-protein coupled receptor 83G-protein coupled receptor for PEN, a neuropeptide produced from the precursor protein, proSAAS (encoded by PCSK1N).
ARRB1Beta-arrestin-1Functions in regulating agonist-mediated G-protein coupled receptor (GPCR) signaling by mediating both receptor desensitization and resensitization processes.
MRE11Double-strand break repair protein MRE11Core component of the MRN complex, which plays a central role in double-strand break (DSB) repair, DNA recombination, maintenance of telomere integrity and meiosis.
NEDD1Protein NEDD1Required for mitosis progression.
NRG1Pro-neuregulin-1, membrane-bound isoformDirect ligand for ERBB3 and ERBB4 tyrosine kinase receptors.
ATP2B4Plasma membrane calcium-transporting ATPase 4Calcium/calmodulin-regulated and magnesium-dependent enzyme that catalyzes the hydrolysis of ATP coupled with the transport of calcium out of the cell.

Protein-family classification

Druggable: 5 · Difficult: 2 · Unknown: 9 · Druggable fraction: 0.31

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Antibody/Immunoglobulin11.8×0.717
Kinase11.7×0.717
Enzyme (other)21.5×0.717
GPCR11.5×0.717
Scaffold/PPI11.1×0.717
Other/Unknown91.0×0.717
Transcription factor10.5×0.873

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
PLCB1Enzyme (other)yes3.1.4.11C2_dom, PLipase_C_PInositol-sp_X_dom, PI-PLC_fam
CDH4Other/UnknownnoCadherin_Y-type_LIR, Cadherin-like_dom, Cadherin_pro_dom
CAMK1DKinaseyes2.7.11.17Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
TSPAN18Other/UnknownnoTetraspanin_animals, Tetraspanin_EC2_sf, Tetraspanin/Peripherin
CCDC162POther/Unknownno
FTOEnzyme (other)yes1.14.11.53FTO_C, FTO_cat_dom, FTO
LINC01619Other/Unknownno
RMSTOther/Unknownno
SMCO2Other/UnknownnoSMCO2/5
GPR83GPCRyesGPCR_Rhodpsn, NPY_rcpt, GPCR_Rhodpsn_7TM
C11orf97Other/UnknownnoC11orf97-like
ARRB1Other/UnknownnoArrestin, Arrestin-like_N, Arrestin-like_C
MRE11Other/UnknownnoMre11, Calcineurin-like_PHP, Mre11_DNA-bd
NEDD1Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_CS
NRG1Antibody/ImmunoglobulinyesEGF, Neuregulin_C, Ig_sub2
ATP2B4Transcription factornoP_typ_ATPase, ATPase_P-typ_cation-transptr_N, ATPase_P-typ_cation-transptr_C

Expression context

Cohort genes with no expression data: 0.

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

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)16
unknown0

Top tissues across cohort

TissueCohort genes
oocyte3
ganglionic eminence2
ventricular zone2
middle temporal gyrus2
bronchial epithelial cell2
leukocyte2
monocyte2
secondary oocyte2
Brodmann (1909) area 231
endothelial cell1
superior frontal gyrus1
adrenal tissue1
parietal lobe1
postcentral gyrus1
cardiac atrium1
cardiac muscle of right atrium1
left ventricle myocardium1
mucosa of transverse colon1
primordial germ cell in gonad1
rectum1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
PLCB1278ubiquitousmarkerendothelial cell, Brodmann (1909) area 23, superior frontal gyrus
CDH4118broadyesventricular zone, ganglionic eminence, adrenal tissue
CAMK1D260ubiquitousmarkermiddle temporal gyrus, parietal lobe, postcentral gyrus
TSPAN18194broadmarkercardiac muscle of right atrium, left ventricle myocardium, cardiac atrium
CCDC162P158tissue_specificmarkerprimordial germ cell in gonad, rectum, mucosa of transverse colon
FTO294ubiquitousmarkercortical plate, bronchial epithelial cell, Brodmann (1909) area 10
LINC01619154broadmarkermonocyte, leukocyte, bone marrow cell
RMST130broadmarkerright lobe of thyroid gland, left lobe of thyroid gland, thyroid gland
SMCO2120markermale germ line stem cell (sensu Vertebrata) in testis, lower esophagus mucosa, esophagus mucosa
GPR83115tissue_specificmarkercerebellar vermis, cerebellum, middle temporal gyrus
C11orf9796tissue_specificmarkerbronchial epithelial cell, right uterine tube, bronchus
ARRB1248ubiquitousmarkermonocyte, leukocyte, mononuclear cell
MRE11254ubiquitousmarkercalcaneal tendon, oocyte, secondary oocyte
NEDD1241ubiquitousmarkersecondary oocyte, oocyte, skeletal muscle tissue of rectus abdominis
NRG1209ubiquitousmarkerventricular zone, ganglionic eminence, oocyte
ATP2B4292tissue_specificmarkersaphenous vein, cauda epididymis, body of uterus

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
ARRB14,413
MRE113,932
ATP2B43,368
FTO2,496
PLCB12,235
CAMK1D2,071
NEDD11,659
CDH41,250
GPR83772
TSPAN18542

Structural data

PDB: 7 · AlphaFold-only: 7 · No structure: 2

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
ARRB1P4940732
FTOQ9C0B128
NRG1Q0229711
MRE11P4995910
CAMK1DQ8IU857
NEDD1Q8NHV42
ATP2B4P236342

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
TSPAN18Q96SJ890.53
PLCB1Q9NQ6684.55
CDH4P5528379.02
GPR83Q9NYM476.29
C11orf97A0A1B0GVM664.33
SMCO2A6NFE259.65
LINC01619G3V21136.20

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 147. Enrichment computed across 16 evidence-associated genes (9 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 9 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
GRB7 events in ERBB2 signaling1211.5×0.070NRG1
Sensing of DNA Double Strand Breaks1211.5×0.070MRE11
Reversal of alkylation damage by DNA dioxygenases1181.3×0.070FTO
Fatty Acids bound to GPR40 (FFAR1) regulate insulin secretion1158.6×0.070PLCB1
TGFBR3 regulates TGF-beta signaling1158.6×0.070ARRB1
Acetylcholine regulates insulin secretion1126.9×0.070PLCB1
PI3K events in ERBB4 signaling1115.3×0.070NRG1
STING mediated induction of host immune responses1115.3×0.070MRE11
Reduction of cytosolic Ca++ levels1105.7×0.070ATP2B4
Defective homologous recombination repair (HRR) due to PALB2 loss of function1105.7×0.070MRE11
HDR through MMEJ (alt-NHEJ)197.6×0.070MRE11
Downregulation of ERBB2:ERBB3 signaling190.6×0.070NRG1
IRF3-mediated induction of type I IFN190.6×0.070MRE11
ERBB2 Activates PTK6 Signaling190.6×0.070NRG1
Diseases of DNA Double-Strand Break Repair190.6×0.070MRE11
Defective homologous recombination repair (HRR) due to BRCA2 loss of function190.6×0.070MRE11
SHC1 events in ERBB4 signaling179.3×0.070NRG1
Platelet calcium homeostasis179.3×0.070ATP2B4
ERBB2 Regulates Cell Motility179.3×0.070NRG1
PI3K events in ERBB2 signaling174.6×0.070NRG1
GRB2 events in ERBB2 signaling170.5×0.070NRG1
Activation of SMO170.5×0.070ARRB1
Resolution of D-Loop Structures170.5×0.070MRE11
G beta:gamma signalling through PLC beta163.4×0.070PLCB1
Diseases of DNA repair163.4×0.070MRE11
Presynaptic function of Kainate receptors160.4×0.070PLCB1
SHC1 events in ERBB2 signaling152.9×0.070NRG1
DNA Double Strand Break Response152.9×0.070MRE11
Long-term potentiation152.9×0.070NRG1
Signaling by ERBB2 TMD/JMD mutants152.9×0.070NRG1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 11 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
regulation of white fat cell proliferation11532.0×0.019FTO
regulation of granulocyte chemotaxis11532.0×0.019CAMK1D
mitochondrial double-strand break repair via homologous recombination11532.0×0.019MRE11
cellular response to glyceraldehyde11532.0×0.019PLCB1
negative regulation of monocyte extravasation11532.0×0.019PLCB1
regulation of mitotic recombination1766.0×0.019MRE11
phosphatidylinositol catabolic process1766.0×0.019PLCB1
ERBB3 signaling pathway1766.0×0.019NRG1
activation of meiosis involved in egg activation1766.0×0.019PLCB1
negative regulation of the force of heart contraction1766.0×0.019ATP2B4
negative regulation of arginine catabolic process1766.0×0.019ATP2B4
positive regulation of peptidyl-tyrosine autophosphorylation1766.0×0.019NRG1
cellular response to fluoride1766.0×0.019PLCB1
negative regulation of citrulline biosynthetic process1766.0×0.019ATP2B4
RNA repair1510.7×0.020FTO
regulation of respiratory system process1510.7×0.020FTO
regulation of retrograde trans-synaptic signaling by endocanabinoid1510.7×0.020PLCB1
negative regulation of cellular response to vascular endothelial growth factor stimulus1510.7×0.020ATP2B4
cellular response to acetylcholine1510.7×0.020ATP2B4
protein localization to cell periphery1510.7×0.020TSPAN18
telomeric 3’ overhang formation1383.0×0.020MRE11
inositol trisphosphate metabolic process1383.0×0.020PLCB1
positive regulation of developmental growth1383.0×0.020PLCB1
response to hydrostatic pressure1383.0×0.020ATP2B4
regulation of brown fat cell differentiation1383.0×0.020FTO
calcium ion export1383.0×0.020ATP2B4
ERBB signaling pathway1306.4×0.021NRG1
negative regulation of secretion1306.4×0.021NRG1
positive regulation of respiratory burst1306.4×0.021CAMK1D
desensitization of G protein-coupled receptor signaling pathway1255.3×0.021ARRB1

Therapeutics

Drugs indicated for this disease

2 approved, 10 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
ArmodafinilApproved (phase 4)
ModafinilApproved (phase 4)
BudesonidePhase 3 (in late-stage trials)
DexamethasonePhase 3 (in late-stage trials)
DexmedetomidinePhase 3 (in late-stage trials)
FentanylPhase 3 (in late-stage trials)
IbuprofenPhase 3 (in late-stage trials)
Mometasone FuroatePhase 3 (in late-stage trials)
MontelukastPhase 3 (in late-stage trials)
MorphinePhase 3 (in late-stage trials)
SolriamfetolPhase 3 (in late-stage trials)
ZopiclonePhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Acetazolamide, Atomoxetine, Atorvastatin, Dalfampridine, Desipramine, Dimethyl Fumarate, Dronabinol, Eszopiclone, Lipoic Acid, Alpha, Mannitol, Oxybutynin, Oxygen, Oxytocin, Propofol, Propranolol, Quetiapine, Ramelteon, Sulthiame, Tiagabine.

Drug target analysis

Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 14

Druggability breadth: 6 of 16 evidence-associated genes (38%) 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
CAMK1DFEDRATINIB
FTOFLUORESCEIN

Top cohort targets by molecule count

SymbolMoleculesMax phase
CAMK1D254
FTO184
PLCB100
CDH400
TSPAN1800
CCDC162P00
LINC0161900
RMST00
SMCO200
GPR8300

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
FEDRATINIB4CAMK1D
RUXOLITINIB4CAMK1D
NERATINIB4CAMK1D
ENTRECTINIB4CAMK1D
TOFACITINIB CITRATE4CAMK1D
TOFACITINIB4CAMK1D
BOSUTINIB4CAMK1D
UPADACITINIB4CAMK1D
NINTEDANIB4CAMK1D
SUNITINIB4CAMK1D
MIDOSTAURIN4CAMK1D
FLUORESCEIN4FTO
DEMECLOCYCLINE4FTO
ROXADUSTAT4FTO
MECLOFENAMIC ACID4FTO
AMILORIDE4FTO
TACRINE4FTO
ENTACAPONE4FTO
LESTAURTINIB3CAMK1D
RUBOXISTAURIN3CAMK1D
NAFAMOSTAT MESYLATE3FTO
DIACEREIN3FTO
AMONAFIDE3FTO
QUERCETIN3FTO
FORETINIB2CAMK1D
SU-0148132CAMK1D
ILORASERTIB2CAMK1D
R-4062CAMK1D
BI-25362CAMK1D
SOTRASTAURIN2CAMK1D

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

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

SymbolAssaysType breakdown
CAMK1D276Binding:274, Functional:2
FTO153Binding:153
MRE1136Binding:36
PLCB111Binding:9, Functional:2
ARRB15Binding:4, Functional:1
GPR832Binding:2

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
PLCB13.1.4.11phosphoinositide phospholipase C
CAMK1D2.7.11.17Ca2+/calmodulin-dependent protein kinase
FTO1.14.11.53mRNA N6-methyladenine demethylase

Cohort genes with high screening signal

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

SymbolChEMBL assays
CAMK1D276
FTO153

Pharmacogenomics

Cohort genes with a PharmGKB record: 15; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
FEDRATINIB4CAMK1D
RUXOLITINIB4CAMK1D
NERATINIB4CAMK1D
ENTRECTINIB4CAMK1D
TOFACITINIB CITRATE4CAMK1D
TOFACITINIB4CAMK1D
BOSUTINIB4CAMK1D
UPADACITINIB4CAMK1D
NINTEDANIB4CAMK1D
SUNITINIB4CAMK1D
MIDOSTAURIN4CAMK1D
FLUORESCEIN4FTO
DEMECLOCYCLINE4FTO
ROXADUSTAT4FTO
MECLOFENAMIC ACID4FTO
AMILORIDE4FTO
TACRINE4FTO
ENTACAPONE4FTO
LESTAURTINIB3CAMK1D
RUBOXISTAURIN3CAMK1D
NAFAMOSTAT MESYLATE3FTO
DIACEREIN3FTO
AMONAFIDE3FTO
QUERCETIN3FTO
FORETINIB2CAMK1D
SU-0148132CAMK1D
ILORASERTIB2CAMK1D
R-4062CAMK1D
BI-25362CAMK1D
SOTRASTAURIN2CAMK1D

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)2CAMK1D, FTO
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug1NRG1
DDruggable family + AlphaFold only, no drug2PLCB1, GPR83
EDifficult family or no structure, no drug11CDH4, TSPAN18, CCDC162P, LINC01619, RMST, SMCO2, C11orf97, ARRB1, MRE11, NEDD1 (+1 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
PLCB111
CDH40
TSPAN180
CCDC162P0
LINC016190
RMST0
SMCO20
GPR832
C11orf970
ARRB15
MRE1136
NEDD10
NRG10
ATP2B40

Clinical trials & evidence

Clinical trials

Clinical trials: 1,493.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified857
PHASE478
PHASE251
PHASE345
PHASE1/PHASE221
EARLY_PHASE118
PHASE117
PHASE2/PHASE313

Top trials by phase / activity

NCTPhaseStatusTitle
NCT04192656PHASE4RECRUITINGThe Effect of PAP on ISSHL Comorbided With OSA
NCT04227093PHASE4ACTIVE_NOT_RECRUITINGAcetazolamide Add-On Therapy to OSA Surgery
NCT04991389PHASE4RECRUITINGImproving Outcomes in Pediatric Obstructive Sleep Apnea With Computational Fluid Dynamics
NCT05209035PHASE4ACTIVE_NOT_RECRUITINGEvaluation of Trazodone in OSA-MCI
NCT06566482PHASE4RECRUITINGMini-dose Dexmedetomidine-Esketamine Supplemented Analgesia in Patients at High-risk of OSA
NCT06784479PHASE4ACTIVE_NOT_RECRUITINGCombination of Remimazolam and Propofol During Drug-induced Sleep Endoscopy
NCT07280468PHASE4RECRUITINGEndotype DIrected Treatment for OSA in Down Syndrome
NCT07564310PHASE4NOT_YET_RECRUITINGINFORMing Patients With Oximetry Data to Improve MAD Engagement
NCT00086281PHASE4COMPLETEDTrial of Effects of Oral Xyrem and Zolpidem on Sleep-Disordered Breathing in Obstructive Sleep Apnea Patients
NCT00100464PHASE4COMPLETEDSerotonin and the Upper Airway in Obstructive Sleep Apnea
NCT00203996PHASE4TERMINATEDPolycystic Ovary Syndrome (PCOS) and Sleep Apnea
NCT00307944PHASE4COMPLETEDStudy of Pantoprazole for Sleepiness Associated With Acid Reflux and Sleep Apnea
NCT00307957PHASE4COMPLETEDStudy to Determine the Effectiveness of Pillar Palatal Implants to Treat Obstructive Sleep Apnea
NCT00359216PHASE4COMPLETEDThe Effects of Mometasone Furoate Nasal Spray in Subjects With Sleep-disordered Breathing (SDB) Associated With Perennial Allergic Rhinitis (Study P04726)
NCT00360659PHASE4COMPLETEDVasoactive Hormones During the Night in Patients With Obstructive Sleep Apnea Before and After Treatment With CPAP.
NCT00400543PHASE4COMPLETEDEarly Signs of Atherosclerosis in Obstructive Sleep Apnea: Effects of Treatment
NCT00409487PHASE4COMPLETEDEffects of Continuous Positive Airway Pressure and Valsartan Treatments on Arterial Blood Pressure in OSAS Patients
NCT00410085PHASE4COMPLETEDRenal Hemodynamics and Tubular Function in Patients With Obstructive Sleep Apnea and Healthy Controls
NCT00456339PHASE4TERMINATEDSystemic Steroids Plus Antibiotics in Sleep Apnea Syndrome in Children
NCT00507117PHASE4COMPLETEDEzopiclone Improves the Quality of Overnight Polysomnography
NCT00518986PHASE4COMPLETEDEfficacy and Safety of Armodafinil for Adults With Excessive Sleepiness Obstructive Sleep Apnea/Hypopnea and Depression
NCT00519597PHASE4COMPLETEDContinuous Positive Airway Pressure (CPAP) Treatment in Coronary Artery Disease and Sleep Apnea
NCT00560586PHASE4COMPLETEDNasal Budesonide in Children With Rhinitis and/or Mild Obstructive Sleep Apnea Syndrome
NCT00612157PHASE4COMPLETEDContinuous Positive Airway Pressure (CPAP) Promotion And Prognosis - the Army Sleep Apnea Program (ASAP)
NCT00630474PHASE4COMPLETEDNasal Decongestion and Obstructive Sleep Apnea
NCT00633711PHASE4COMPLETEDEffects of Obstructive Sleep Apnea Treatment by Fixed CPAP and by Auto-CPAP (Somnosmart2)
NCT00714740PHASE4COMPLETEDTreatment of Patients With the Obstructive Sleep Apnea Syndrome at Altitude
NCT00727454PHASE4TERMINATEDEffects of Continuous Positive Airway Pressure (CPAP) in Heart Remodeling by Magnetic Resonance Imaging (MRI)
NCT00729963PHASE4COMPLETEDSibutramine Versus Continuous Positive Airway Pressure (CPAP)in Obstructive Sleep Apnea (OSA) Patients
NCT00730041PHASE4TERMINATEDPalatal Implants in Combination With Continuous Positive Airway Pressure to Treat Obstructive Sleep Apnea
NCT00741520PHASE4COMPLETEDCardiovascular Impact of Obstructive Sleep Apnea Treatment in Normotensive Patients
NCT00912171PHASE4COMPLETEDEfficacy of Oral Leukotriene in Long Term Therapy of Mild and Moderate Obstructive Sleep Apnea Syndrome in Children
NCT00912457PHASE4UNKNOWNDonepezil Treatment for Sleep Apnea Patients
NCT00928655PHASE4COMPLETEDContinuous Positive Airway Pressure and Acetazolamide to Treat Sleep Apnea Syndrome Patients at Altitude
NCT00952211PHASE4TERMINATEDBurden of Obstructive Sleep Apnea in Stroke (BOSAST)
NCT01027806PHASE4TERMINATEDEffect of Montelukast Therapy in Obstructive Sleep Apnea(OSA) Children
NCT01508754PHASE4COMPLETEDEfficacy of CPAP Treatment on Blood Pressure of Resistant Hypertension Patients With Obstructive Sleep Apnea Syndrome
NCT01524510PHASE4UNKNOWNValidation of Functional Imaging as Predictive Tool for Outcome of Mandibular Replacement Appliance Therapy in Obstructive Sleep Apnea Hypopnea Syndrome Patients
NCT01532050PHASE4COMPLETEDPROMAD: Predicting Therapeutic Outcome of Mandibular Advancement Device Treatment in Obstructive Sleep Apnea
NCT01535586PHASE4UNKNOWNA Randomized Cross Over Trial of Two Treatments for Obstructive Sleep Apnea in Veterans With Post Traumatic Stress Disorder

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
ATOMOXETINE414
ACETAZOLAMIDE412
PITOLISANT412
ESZOPICLONE411
SOLRIAMFETOL411
ZOPICLONE410
NEOSTIGMINE48
SUGAMMADEX47
ARMODAFINIL46
MONTELUKAST46
OXYBUTYNIN46
VENLAFAXINE46
KETOROLAC45
DRONABINOL44
DEXMEDETOMIDINE43
GUANFACINE43
TRAZODONE43
DONEPEZIL42
PAROXETINE42
RAMELTEON42
XYLOMETAZOLINE42
ACETAMINOPHEN41
AMLODIPINE41
BOSENTAN41
BUDESONIDE41
CLAVULANIC ACID41
DARIDOREXANT41
DIMETHYL FUMARATE41
GEFAPIXANT41
HYDROCHLOROTHIAZIDE41