Summary
Osteoarthritis, hand (MONDO:0006632) is a disease with 16 cohort genes (78 GWAS associations across 21 studies).
At a glance
- Cohort genes: 16
- GWAS associations: 78
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | osteoarthritis, hand |
| Mondo ID | MONDO:0006632 |
| EFO | EFO:1000789 |
| UMLS | C0263746 |
| MedGen | 472992 |
| Is cancer (heuristic) | no |
Data availability: 78 GWAS associations (21 studies).
Disease family
Classification path: disease › human disease › disease by body system or component › musculoskeletal system disorder › skeletal system disorder › bone disorder › bone inflammation disease › arthritic joint disease › osteoarthritis › osteoarthritis, hand
Related subtypes (4): osteoarthritis, knee, osteoarthritis, hip, osteoarthritis, spine, osteoarthritis, toe
Genetics & variants
GWAS landscape
78 GWAS associations across 21 studies. Top hits map to 21 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs10851633 | 2e-22 | ALDH1A2 | T | 1.09 |
| rs2430740 | 3e-18 | C12orf60 | T | 0.87 |
| rs11631127 | 7e-18 | ALDH1A2 | C | 1.46 |
| rs11071366 | 5e-17 | ALDH1A2 | A | 0.9 |
| rs10500759 | 5e-17 | TEAD1 | A | 0.93 |
| rs7294636 | 3e-16 | C12orf60 | A | 1.16 |
| rs11588850 | 3e-16 | SNAP47 | A | 0.87 |
| rs4764133 | 2e-15 | C12orf60 - ERP27 | T | 0.83 |
| rs11071365 | 4e-14 | ALDH1A2 | A | 1.11 |
| rs17013495 | 8e-14 | MEPE - HSP90AB3P | T | 1.4 |
| rs10916199 | 2e-13 | ZNF847P - SNAP47 | A | 0.31 |
| rs3821269 | 3e-13 | TGFA | A | 1.06 |
| rs1800801 | 4e-13 | MGP, C12orf60 | T | 1.37 |
| rs1366202 | 1e-11 | LVRN | A | 1.14 |
| rs9379268 | 1e-11 | HULC | A | 1.12 |
| rs10831903 | 2e-11 | TEAD1 | T | 0.91 |
| rs3993110 | 4e-11 | TEAD1 | A | 1.09 |
| rs11243284 | 4e-11 | HULC | C | 1.35 |
| rs2241058 | 5e-11 | CYP26B1 | A | 0.93 |
| rs34255979 | 5e-11 | FOXA3 - IRF2BP1 | T | 0.92 |
| rs8112559 | 7e-11 | IRF2BP1 - MYPOP | C | 1.13 |
| rs9396861 | 9e-11 | RNF144B | A | 1.13 |
| rs11550348 | 2e-10 | IRF2BP1 | A | 0.85 |
| rs4760611 | 2e-10 | COL2A1 - SENP1 | T | 1.07 |
| rs10062749 | 3e-10 | SPRY4-AS1 | T | 1.06 |
| rs10415961 | 4e-10 | SLC44A2 - ILF3-DT | C | 0.92 |
| rs11588154 | 6e-10 | CIMAP2 | T | 0.83 |
| rs10407692 | 7e-10 | ILF3 | A | 1.06 |
| rs7748189 | 3e-09 | IMPDH1P9 - RNF144B | A | 1.07 |
| rs72660316 | 4e-09 | RAP1GAP | T | 1.07 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90566797 | Hatzikotoulas K | 2025 | 39,454 | 814,447 | Translational genomics of osteoarthritis in 1,962,069 individuals. |
| GCST90034527 | Boer CG | 2021 | 20,901 | 282,881 | Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations. |
| GCST90061026 | Boer CG | 2021 | 20,901 | 282,881 | Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations. |
| GCST90061037 | Boer CG | 2021 | 20,901 | 282,881 | Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations. |
| GCST90566803 | Hatzikotoulas K | 2025 | 16,653 | 759,835 | Translational genomics of osteoarthritis in 1,962,069 individuals. |
| GCST90566796 | Hatzikotoulas K | 2025 | 16,039 | 690,450 | Translational genomics of osteoarthritis in 1,962,069 individuals. |
| GCST90034528 | Boer CG | 2021 | 10,804 | 255,814 | Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations. |
| GCST90061027 | Boer CG | 2021 | 10,804 | 255,814 | Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations. |
| GCST90061038 | Boer CG | 2021 | 10,804 | 255,814 | Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations. |
| GCST90034529 | Boer CG | 2021 | 10,536 | 236,919 | Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 47 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 50 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 27 |
| intergenic_variant | 16 |
| unknown | 2 |
| TF_binding_site_variant | 1 |
| 5_prime_UTR_variant | 1 |
| synonymous_variant | 1 |
| missense_variant | 1 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs10851633 | 15 | 58030867 | C>A,G,T | 0.372 | intron_variant | ALDH1A2 | 2e-22 | Tier 4: intronic/intergenic |
| rs2430740 | 12 | 14889004 | T>C,G | 0.384 | intergenic_variant | C12orf60 | 3e-18 | Tier 4: intronic/intergenic |
| rs11631127 | 15 | 57977811 | G>A,C | 0.424 | intron_variant | ALDH1A2 | 7e-18 | Tier 4: intronic/intergenic |
| rs11071366 | 15 | 58042046 | A>C,G,T | 0.386 | intron_variant | ALDH1A2 | 5e-17 | Tier 4: intronic/intergenic |
| rs10500759 | 11 | 12801041 | G>A | 0.406 | intron_variant | TEAD1 | 5e-17 | Tier 4: intronic/intergenic |
| rs7294636 | 12 | 14901082 | G>A | 0.373 | TF_binding_site_variant | C12orf60 | 3e-16 | Tier 3: regulatory |
| rs11588850 | 1 | 227739541 | A>G | 0.174 | intron_variant | SNAP47 | 3e-16 | Tier 4: intronic/intergenic |
| rs4764133 | 12 | 14911429 | C>G,T | 0.39 | intergenic_variant | C12orf60 - ERP27 | 2e-15 | Tier 4: intronic/intergenic |
| rs11071365 | 15 | 58041928 | G>A | 0.385 | intron_variant | ALDH1A2 | 4e-14 | Tier 4: intronic/intergenic |
| rs17013495 | 4 | 87885460 | C>T | 0.404 | intron_variant | MEPE - HSP90AB3P | 8e-14 | Tier 4: intronic/intergenic |
| rs10916199 | 1 | 227714771 | A>G | 0.19 | intergenic_variant | ZNF847P - SNAP47 | 2e-13 | Tier 4: intronic/intergenic |
| rs3821269 | 2 | 70471458 | A>C,G | 0.495 | intron_variant | TGFA | 3e-13 | Tier 4: intronic/intergenic |
| rs1800801 | 12 | 14885854 | C>A,G,T | 0.372 | 5_prime_UTR_variant | MGP, C12orf60 | 4e-13 | Tier 2: splice/UTR |
| rs1366202 | 5 | 116006862 | A>C,G,T | 0.18 | intron_variant | LVRN | 1e-11 | Tier 4: intronic/intergenic |
| rs9379268 | 6 | 8950663 | A>C,G,T | 0.305 | intergenic_variant | HULC | 1e-11 | Tier 4: intronic/intergenic |
| rs10831903 | 11 | 12737113 | C>T | 0.395 | intron_variant | TEAD1 | 2e-11 | Tier 4: intronic/intergenic |
| rs3993110 | 11 | 12772983 | A>C | 0.392 | intron_variant | TEAD1 | 4e-11 | Tier 4: intronic/intergenic |
| rs11243284 | 6 | 8945086 | C>G,T | 0.289 | intergenic_variant | HULC | 4e-11 | Tier 4: intronic/intergenic |
| rs2241058 | 2 | 72134736 | C>A,G,T | 0.158 | intron_variant | CYP26B1 | 5e-11 | Tier 4: intronic/intergenic |
| rs34255979 | 19 | 45881572 | C>T | 0.114 | intergenic_variant | FOXA3 - IRF2BP1 | 5e-11 | Tier 4: intronic/intergenic |
| rs8112559 | 19 | 45887197 | C>G | 0.114 | intron_variant | IRF2BP1 - MYPOP | 7e-11 | Tier 4: intronic/intergenic |
| rs9396861 | 6 | 18403902 | C>A,G,T | 0.39 | intron_variant | RNF144B | 9e-11 | Tier 4: intronic/intergenic |
| rs11550348 | 19 | 45884086 | G>A | 0.119 | synonymous_variant | IRF2BP1 | 2e-10 | Tier 4: intronic/intergenic |
| rs4760611 | 12 | 48027666 | C>A,T | 0.165 | intergenic_variant | COL2A1 - SENP1 | 2e-10 | Tier 4: intronic/intergenic |
| rs10062749 | 5 | 142425523 | G>C,T | 0.27 | intron_variant | SPRY4-AS1 | 3e-10 | Tier 4: intronic/intergenic |
| rs10415961 | 19 | 10649305 | G>C,T | 0.327 | intergenic_variant | SLC44A2 - ILF3-DT | 4e-10 | Tier 4: intronic/intergenic |
| rs11588154 | 1 | 54836263 | T>A,C,G | 0.166 | intron_variant | CIMAP2 | 6e-10 | Tier 4: intronic/intergenic |
| rs10407692 | 19 | 10660107 | A>G | 0.336 | intron_variant | ILF3 | 7e-10 | Tier 4: intronic/intergenic |
| rs7748189 | 6 | 18385658 | G>A | 0.275 | intergenic_variant | IMPDH1P9 - RNF144B | 3e-09 | Tier 4: intronic/intergenic |
| rs72660316 | 1 | 21608200 | T>A,C | 0.139 | intron_variant | RAP1GAP | 4e-09 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 4 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| CCDC91 | Orphanet:38 | Acrokeratoelastoidosis of Costa |
| F2 | Orphanet:325 | Congenital factor II deficiency |
| F2 | Orphanet:329217 | Cerebral sinovenous thrombosis |
| MGP | Orphanet:85202 | Keutel syndrome |
Cohort genes → proteins
16 cohort genes, 15 distinct canonical proteins.
Evidence partition
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| SUPT3H | HGNC:11466 | ENSG00000196284 | O75486 | Transcription initiation protein SPT3 homolog | gwas |
| UVRAG | HGNC:12640 | ENSG00000198382 | Q9P2Y5 | UV radiation resistance-associated gene protein | gwas |
| WNT11 | HGNC:12776 | ENSG00000085741 | O96014 | Protein Wnt-11 | gwas |
| CDC5L | HGNC:1743 | ENSG00000096401 | Q99459 | Cell division cycle 5-like protein | gwas |
| STXBP6 | HGNC:19666 | ENSG00000168952 | Q8NFX7 | Syntaxin-binding protein 6 | gwas |
| FAT3 | HGNC:23112 | ENSG00000165323 | Q8TDW7 | Protocadherin Fat 3 | gwas |
| CCDC91 | HGNC:24855 | ENSG00000123106 | Q7Z6B0 | Coiled-coil domain-containing protein 91 | gwas |
| ERP27 | HGNC:26495 | ENSG00000139055 | Q96DN0 | Endoplasmic reticulum resident protein 27 | gwas |
| ZNF678 | HGNC:28652 | ENSG00000181450 | Q5SXM1 | Zinc finger protein 678 | gwas |
| PSMG1 | HGNC:3043 | ENSG00000183527 | O95456 | Proteasome assembly chaperone 1 | gwas |
| ENPP3 | HGNC:3358 | ENSG00000154269 | O14638 | Ectonucleotide pyrophosphatase/phosphodiesterase family member 3 | gwas |
| DISC1FP1 | HGNC:33625 | ENSG00000261645 | | DISC1 fusion partner 1 | gwas |
| ETS2 | HGNC:3489 | ENSG00000157557 | P15036 | Protein C-ets-2 | gwas |
| F2 | HGNC:3535 | ENSG00000180210 | P00734 | Prothrombin | gwas |
| MGP | HGNC:7060 | ENSG00000111341 | P08493 | Matrix Gla protein | gwas |
| NOVA1 | HGNC:7886 | ENSG00000139910 | P51513 | RNA-binding protein Nova-1 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| SUPT3H | Transcription initiation protein SPT3 homolog | Probable transcriptional activator. |
| UVRAG | UV radiation resistance-associated gene protein | Versatile protein that is involved in regulation of different cellular pathways implicated in membrane trafficking. |
| WNT11 | Protein Wnt-11 | Ligand for members of the frizzled family of seven transmembrane receptors. |
| CDC5L | Cell division cycle 5-like protein | DNA-binding protein involved in cell cycle control. |
| STXBP6 | Syntaxin-binding protein 6 | Forms non-fusogenic complexes with SNAP25 and STX1A and may thereby modulate the formation of functional SNARE complexes and exocytosis. |
| FAT3 | Protocadherin Fat 3 | May play a role in the interactions between neurites derived from specific subsets of neurons during development. |
| CCDC91 | Coiled-coil domain-containing protein 91 | Involved in the regulation of membrane traffic through the trans-Golgi network (TGN). |
| ERP27 | Endoplasmic reticulum resident protein 27 | Specifically binds unfolded proteins and may recruit protein disulfide isomerase PDIA3 to unfolded substrates. |
| ZNF678 | Zinc finger protein 678 | May be involved in transcriptional regulation. |
| PSMG1 | Proteasome assembly chaperone 1 | Chaperone protein which promotes assembly of the 20S proteasome as part of a heterodimer with PSMG2. |
| ENPP3 | Ectonucleotide pyrophosphatase/phosphodiesterase family member 3 | Hydrolase that metabolizes extracellular nucleotides, including ATP, GTP, UTP and CTP. |
| ETS2 | Protein C-ets-2 | Transcription factor activating transcription. |
| F2 | Prothrombin | Thrombin, which cleaves bonds after Arg and Lys, converts fibrinogen to fibrin and activates factors V, VII, VIII, XIII, and, in complex with thrombomodulin, protein C. |
| MGP | Matrix Gla protein | Associates with the organic matrix of bone and cartilage. |
| NOVA1 | RNA-binding protein Nova-1 | RNA-binding protein which regulates alternative splicing of pre-mRNAs in the brain and spinal cord in a sequence-specific manner. |
Protein-family classification
Druggable: 4 · Difficult: 2 · Unknown: 10 · Druggable fraction: 0.25
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|
| Phosphatase | 1 | 5.2× | 0.489 |
| Protease | 1 | 2.3× | 0.489 |
| Enzyme (other) | 2 | 1.5× | 0.489 |
| Other/Unknown | 10 | 1.1× | 0.489 |
| Transcription factor | 2 | 1.0× | 0.594 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| SUPT3H | Other/Unknown | no | | TFIID_TAF13, Histone-fold |
| UVRAG | Enzyme (other) | yes | 2.7.1.137 | C2_dom, UV_resistance/autophagy_Atg14, C2_domain_sf |
| WNT11 | Other/Unknown | no | | Wnt, Wnt_CS, Wnt_C |
| CDC5L | Transcription factor | no | | SANT/Myb, Homeodomain-like_sf, Myb_dom |
| STXBP6 | Other/Unknown | no | | Sec3-PIP2_bind, STXBP6_PH, STXBP6_SNARE |
| FAT3 | Other/Unknown | no | | EGF-type_Asp/Asn_hydroxyl_site, EGF, Laminin_G |
| CCDC91 | Other/Unknown | no | | CCDC91 |
| ERP27 | Enzyme (other) | yes | 5.3.4.1 | Thioredoxin-like_sf |
| ZNF678 | Transcription factor | no | | Znf_C2H2_type, Znf_C2H2_sf |
| PSMG1 | Other/Unknown | no | | Proteasome_assmbl_chp_1 |
| ENPP3 | Phosphatase | yes | 3.6.1.9 | Somatomedin_B_dom, Endo_G_ENPP1-like_dom, Phosphodiest/P_Trfase |
| DISC1FP1 | Other/Unknown | no | | |
| ETS2 | Other/Unknown | no | | Ets_dom, Pointed_dom, SAM/pointed_sf |
| F2 | Protease | yes | 3.4.21.5 | Kringle, GLA_domain, Trypsin_dom |
| MGP | Other/Unknown | no | | GLA_domain, Osteocalcin/MGP, MGP |
| NOVA1 | Other/Unknown | no | | KH_dom, KH_dom_type_1, KH_dom_type_1_sf |
Expression context
Cohort genes with no expression data: 0.
13 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 16 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| male germ line stem cell (sensu Vertebrata) in testis | 4 |
| buccal mucosa cell | 3 |
| primordial germ cell in gonad | 2 |
| sperm | 2 |
| left testis | 2 |
| right testis | 2 |
| testis | 2 |
| adrenal tissue | 1 |
| calcaneal tendon | 1 |
| corpus callosum | 1 |
| adipose tissue of abdominal region | 1 |
| omental fat pad | 1 |
| peritoneum | 1 |
| male germ cell | 1 |
| endothelial cell | 1 |
| lateral globus pallidus | 1 |
| lateral nuclear group of thalamus | 1 |
| Brodmann (1909) area 23 | 1 |
| middle temporal gyrus | 1 |
| body of pancreas | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| SUPT3H | 206 | ubiquitous | yes | primordial germ cell in gonad, sperm, male germ line stem cell (sensu Vertebrata) in testis |
| UVRAG | 279 | ubiquitous | marker | adrenal tissue, corpus callosum, calcaneal tendon |
| WNT11 | 178 | broad | marker | omental fat pad, peritoneum, adipose tissue of abdominal region |
| CDC5L | 290 | ubiquitous | marker | buccal mucosa cell, sperm, male germ cell |
| STXBP6 | 252 | ubiquitous | marker | lateral nuclear group of thalamus, endothelial cell, lateral globus pallidus |
| FAT3 | 194 | broad | marker | buccal mucosa cell, Brodmann (1909) area 23, middle temporal gyrus |
| CCDC91 | 282 | ubiquitous | marker | left testis, right testis, testis |
| ERP27 | 180 | broad | marker | body of pancreas, kidney epithelium, epithelial cell of pancreas |
| ZNF678 | 233 | ubiquitous | yes | male germ line stem cell (sensu Vertebrata) in testis, buccal mucosa cell, primordial germ cell in gonad |
| PSMG1 | 134 | ubiquitous | marker | left testis, right testis, testis |
| ENPP3 | 181 | tissue_specific | marker | jejunal mucosa, ileal mucosa, seminal vesicle |
| DISC1FP1 | 118 | broad | yes | male germ line stem cell (sensu Vertebrata) in testis, bone marrow cell, sural nerve |
| ETS2 | 287 | ubiquitous | marker | skin of abdomen, mucosa of urinary bladder, skin of leg |
| F2 | 117 | tissue_specific | marker | right lobe of liver, liver, male germ line stem cell (sensu Vertebrata) in testis |
| MGP | 274 | ubiquitous | marker | ascending aorta, thoracic aorta, descending thoracic aorta |
| NOVA1 | 241 | ubiquitous | marker | cortical plate, cerebellum, cerebellar hemisphere |
Protein interactions among cohort
Intra-cohort edges: 2.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| CDC5L | 5,930 |
| PSMG1 | 3,355 |
| F2 | 2,709 |
| ETS2 | 2,131 |
| WNT11 | 2,017 |
| UVRAG | 1,937 |
| FAT3 | 1,660 |
| MGP | 1,645 |
| SUPT3H | 1,603 |
| NOVA1 | 1,481 |
Intra-cohort edges
| A | B | Sources |
|---|
| CCDC91 | ZNF678 | string_interaction |
| F2 | MGP | string_interaction |
Structural data
PDB: 11 · AlphaFold-only: 4 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| F2 | P00734 | 475 |
| CDC5L | Q99459 | 37 |
| PSMG1 | O95456 | 13 |
| SUPT3H | O75486 | 4 |
| UVRAG | Q9P2Y5 | 3 |
| ENPP3 | O14638 | 3 |
| MGP | P08493 | 3 |
| NOVA1 | P51513 | 3 |
| ERP27 | Q96DN0 | 2 |
| ETS2 | P15036 | 2 |
| CCDC91 | Q7Z6B0 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| WNT11 | O96014 | 90.35 |
| STXBP6 | Q8NFX7 | 87.31 |
| ZNF678 | Q5SXM1 | 76.20 |
| FAT3 | Q8TDW7 | |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 58. 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.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Gamma-carboxylation, transport, and amino-terminal cleavage of proteins | 1 | 1268.9× | 0.023 | F2 |
| Defective factor VIII causes hemophilia A | 1 | 1268.9× | 0.023 | F2 |
| R-HSA-9651496 | 1 | 423.0× | 0.026 | F2 |
| Defective F8 cleavage by thrombin | 1 | 423.0× | 0.026 | F2 |
| R-HSA-140875 | 1 | 317.2× | 0.026 | F2 |
| Defective factor XII causes hereditary angioedema | 1 | 317.2× | 0.026 | F2 |
| Diseases of hemostasis | 1 | 317.2× | 0.026 | F2 |
| R-HSA-140837 | 1 | 158.6× | 0.039 | F2 |
| Transport of gamma-carboxylated protein precursors from the endoplasmic reticulum to the Golgi apparatus | 1 | 141.0× | 0.039 | F2 |
| Gamma-carboxylation of protein precursors | 1 | 126.9× | 0.039 | F2 |
| Removal of aminoterminal propeptides from gamma-carboxylated proteins | 1 | 126.9× | 0.039 | F2 |
| SARS-CoV-2 modulates autophagy | 1 | 115.3× | 0.039 | UVRAG |
| R-HSA-140877 | 1 | 105.7× | 0.039 | F2 |
| Translation of Replicase and Assembly of the Replication Transcription Complex | 1 | 97.6× | 0.039 | UVRAG |
| Fibrin formation | 1 | 97.6× | 0.039 | F2 |
| Translation of Replicase and Assembly of the Replication Transcription Complex | 1 | 90.6× | 0.040 | UVRAG |
| Vitamin B5 (pantothenate) metabolism | 1 | 84.6× | 0.040 | ENPP3 |
| Complement cascade | 1 | 70.5× | 0.043 | F2 |
| Amplification and propagation of coagulation cascade | 1 | 70.5× | 0.043 | F2 |
| Dengue Virus-Host Interactions | 2 | 10.2× | 0.045 | CDC5L, F2 |
| Formation of the ureteric bud | 1 | 55.2× | 0.049 | WNT11 |
| Initiation of coagulation cascade | 1 | 52.9× | 0.049 | F2 |
| Platelet Aggregation (Plug Formation) | 1 | 48.8× | 0.049 | F2 |
| Gamma carboxylation, hypusinylation, hydroxylation, and arylsulfatase activation | 1 | 47.0× | 0.049 | F2 |
| WNT ligand biogenesis and trafficking | 1 | 47.0× | 0.049 | WNT11 |
| Thrombin signalling through proteinase activated receptors (PARs) | 1 | 39.6× | 0.056 | F2 |
| Oncogene Induced Senescence | 1 | 37.3× | 0.057 | ETS2 |
| PCP/CE pathway | 1 | 33.4× | 0.061 | WNT11 |
| Regulation of clotting cascade | 1 | 25.9× | 0.073 | F2 |
| Regulation of Complement cascade | 1 | 25.9× | 0.073 | F2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 15 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| SNARE complex assembly | 2 | 187.2× | 0.007 | UVRAG, STXBP6 |
| regulation of protein serine/threonine kinase activity | 1 | 1123.5× | 0.031 | UVRAG |
| proteasome core complex assembly | 1 | 1123.5× | 0.031 | PSMG1 |
| ectodermal cell fate commitment | 1 | 561.7× | 0.031 | ETS2 |
| basophil activation involved in immune response | 1 | 561.7× | 0.031 | ENPP3 |
| cloacal septation | 1 | 561.7× | 0.031 | WNT11 |
| primary heart field specification | 1 | 374.5× | 0.031 | WNT11 |
| positive regulation of transforming growth factor beta2 production | 1 | 374.5× | 0.031 | WNT11 |
| ureteric bud morphogenesis | 1 | 374.5× | 0.031 | WNT11 |
| negative regulation of mast cell proliferation | 1 | 374.5× | 0.031 | ENPP3 |
| pyrimidine nucleotide metabolic process | 1 | 280.9× | 0.031 | ENPP3 |
| Wnt signaling pathway, calcium modulating pathway | 1 | 280.9× | 0.031 | WNT11 |
| negative regulation of mast cell activation involved in immune response | 1 | 280.9× | 0.031 | ENPP3 |
| maintenance of Golgi location | 1 | 280.9× | 0.031 | UVRAG |
| negative regulation of fibroblast growth factor production | 1 | 280.9× | 0.031 | WNT11 |
| nucleoside triphosphate catabolic process | 1 | 224.7× | 0.031 | ENPP3 |
| paraxial mesoderm formation | 1 | 224.7× | 0.031 | WNT11 |
| notochord morphogenesis | 1 | 224.7× | 0.031 | WNT11 |
| convergent extension involved in axis elongation | 1 | 224.7× | 0.031 | WNT11 |
| neutrophil-mediated killing of gram-negative bacterium | 1 | 224.7× | 0.031 | F2 |
| mesonephric duct development | 1 | 224.7× | 0.031 | WNT11 |
| negative regulation of mesenchymal cell proliferation | 1 | 187.2× | 0.031 | WNT11 |
| maintenance of epithelial cell apical/basal polarity | 1 | 160.5× | 0.031 | WNT11 |
| negative regulation of exocytosis | 1 | 160.5× | 0.031 | STXBP6 |
| neuroendocrine cell differentiation | 1 | 160.5× | 0.031 | WNT11 |
| thrombin-activated receptor signaling pathway | 1 | 160.5× | 0.031 | F2 |
| positive regulation of phospholipase C-activating G protein-coupled receptor signaling pathway | 1 | 160.5× | 0.031 | F2 |
| positive regulation of autophagosome maturation | 1 | 160.5× | 0.031 | UVRAG |
| atrial septum development | 1 | 140.4× | 0.031 | WNT11 |
| obsolete cytolysis by host of symbiont cells | 1 | 140.4× | 0.031 | F2 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 14
Druggability breadth: 5 of 16 evidence-associated genes (31%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|
| F2 | INDIGOTINDISULFONATE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| F2 | 48 | 4 |
| ENPP3 | 1 | 3 |
| SUPT3H | 0 | 0 |
| UVRAG | 0 | 0 |
| WNT11 | 0 | 0 |
| CDC5L | 0 | 0 |
| STXBP6 | 0 | 0 |
| FAT3 | 0 | 0 |
| CCDC91 | 0 | 0 |
| ERP27 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 4.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| F2 | 1,269 | Binding:1216, Functional:38, ADMET:13, Toxicity:2 |
| ENPP3 | 58 | Binding:51, ADMET:7 |
| PSMG1 | 5 | Binding:5 |
| UVRAG | 2 | Binding:2 |
| CDC5L | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| UVRAG | 2.7.1.137 | phosphatidylinositol 3-kinase |
| ERP27 | 5.3.4.1 | protein disulfide-isomerase |
| ENPP3 | 3.6.1.9 | nucleotide diphosphatase |
| F2 | 3.4.21.5 | thrombin |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| F2 | 1,269 |
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.
| Compound | Max phase | Cohort target (bioactivity) |
|---|
| INDIGOTINDISULFONATE | 4 | F2 |
| ARGATROBAN | 4 | F2 |
| BENZOYL PEROXIDE | 4 | F2 |
| SUCCIMER | 4 | F2 |
| EDOXABAN | 4 | F2 |
| METHYLPREDNISOLONE ACETATE | 4 | F2 |
| LIOTHYRONINE | 4 | F2 |
| CAPTOPRIL | 4 | F2 |
| RIVAROXABAN | 4 | F2 |
| TELOTRISTAT | 4 | F2 |
| LUSUTROMBOPAG | 4 | F2 |
| APIXABAN | 4 | F2 |
| HEXAMIDINE | 4 | F2 |
| MELAGATRAN | 4 | F2 |
| CIANIDANOL | 4 | F2 |
| BORTEZOMIB | 4 | F2 |
| DEQUALINIUM | 4 | F2 |
| SULFAGUANIDINE | 4 | F2 |
| BETRIXABAN | 4 | F2 |
| XIMELAGATRAN | 4 | F2 |
| BIVALIRUDIN | 4 | F2 |
| DABIGATRAN ETEXILATE | 4 | F2 |
| PENTAMIDINE | 4 | F2 |
| GENTIAN VIOLET | 4 | F2 |
| SURAMIN | 3 | ENPP3 |
| NAFAMOSTAT | 3 | F2 |
| MILVEXIAN | 3 | F2 |
| DABIGATRAN | 3 | F2 |
| QUERCETIN | 3 | F2 |
| CAMOSTAT | 3 | F2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 1 | F2 |
| B | Phased (≥1) drug, not yet approved | 1 | ENPP3 |
| C | Druggable family + PDB, no drug | 2 | UVRAG, ERP27 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 12 | SUPT3H, WNT11, CDC5L, STXBP6, FAT3, CCDC91, ZNF678, PSMG1, DISC1FP1, ETS2 (+2 more) |
Undrugged target profiles
14 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| SUPT3H | 0 | — |
| UVRAG | 2 | — |
| WNT11 | 0 | — |
| CDC5L | 1 | — |
| STXBP6 | 0 | — |
| FAT3 | 0 | — |
| CCDC91 | 0 | — |
| ERP27 | 0 | — |
| ZNF678 | 0 | — |
| PSMG1 | 5 | — |
| DISC1FP1 | 0 | — |
| ETS2 | 0 | — |
| MGP | 0 | — |
| NOVA1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 0.
- Cohort genes: SUPT3H, UVRAG, WNT11, CDC5L, STXBP6, FAT3, CCDC91, ERP27, ZNF678, PSMG1, ENPP3, DISC1FP1, ETS2, F2, MGP, NOVA1