Pit and fissure surface dental caries

disease
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Summary

Pit and fissure surface dental caries (MONDO:0005591) is a disease with 15 cohort genes (22 GWAS associations across 2 studies).

At a glance

  • Cohort genes: 15
  • GWAS associations: 22

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namepit and fissure surface dental caries
Mondo IDMONDO:0005591
UMLSC1290627
MedGen712983
Is cancer (heuristic)no

Data availability: 22 GWAS associations (2 studies).

Disease family

Classification path: disease › human disease › disease by body system or component › musculoskeletal system disorderskeletal system disordertooth disordertooth hard tissue diseasedental cariespit and fissure surface dental caries

Related subtypes (4): dentin caries, odontoclasia, enamel caries, smooth surface dental caries

Genetics & variants

GWAS landscape

22 GWAS associations across 2 studies. Top hits map to 10 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs172365292e-09KPNA4T1.78
rs171456382e-07LINC03053 - BCORC2.33
rs65603972e-07PIP5K1BT1.29
rs110820983e-07RPL12P40 - RN7SKP182A1.03
rs20463157e-07RLIG1P3 - RPSAP74T1.87
rs59676381e-06MIR1321 - SFR1P2A2.02
rs97889272e-06RBFOX1 - LINC02152A1.02
rs177369062e-06HAUS6P3 - LINC02854A0.74
rs132738912e-06FAM110BA0.95
rs128508042e-06LARP1BP3 - CCDC160T0.75
rs109589984e-06PTPRDA1.19
rs118226674e-06RN7SKP279 - DNAJB6P1A1.66
rs125427594e-06EFR3A - OC90T0.8
rs7585694e-06PDZD8 - EMX2OSA0.8
rs1974804e-06ADGRG6 - HIVEP2T1.43
rs93117455e-06FHITC2.99
rs95043616e-06EXOC2G1.16
rs68062536e-06GATA2-AS1 - LINC01565A1.56
rs20220687e-06PVALBA1.18
rs104867227e-06INHBA-AS1C1.22
rs71218007e-06MPPED2T0.71
rs170135249e-06CNTN4T1.83

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST002358Zeng Z201400Genome-wide association study of primary dentition pit-and-fissure and smooth surface caries.
GCST001897Zeng Z201300Genome-wide association studies of pit-and-fissure- and smooth-surface caries in permanent dentition.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR0
Tier 3: regulatory0
Tier 4: intronic/intergenic22

MAF distribution

BucketVariants
common (>=0.05)18
low_freq (0.01-0.05)4
rare (<0.01)0
unknown0

Functional consequences

ConsequenceCount
intron_variant13
intergenic_variant8
non_coding_transcript_exon_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs172365293160508519C>T0.034intron_variantKPNA42e-09Tier 4: intronic/intergenic
rs17145638X40026377T>C0.117intergenic_variantLINC03053 - BCOR2e-07Tier 4: intronic/intergenic
rs6560397968856996C>G,T0.467intron_variantPIP5K1B2e-07Tier 4: intronic/intergenic
rs110820981838618768C>A0.056intergenic_variantRPL12P40 - RN7SKP1823e-07Tier 4: intronic/intergenic
rs2046315889198871A>C,G,T0.132intergenic_variantRLIG1P3 - RPSAP747e-07Tier 4: intronic/intergenic
rs5967638X85840734G>A0.067intergenic_variantMIR1321 - SFR1P21e-06Tier 4: intronic/intergenic
rs9788927167879826A>C,T0.148intron_variantRBFOX1 - LINC021522e-06Tier 4: intronic/intergenic
rs17736906753914933A>C,G0.156intergenic_variantHAUS6P3 - LINC028542e-06Tier 4: intronic/intergenic
rs13273891858073900G>A0.193intron_variantFAM110B2e-06Tier 4: intronic/intergenic
rs12850804X134211258C>A,T0.135intergenic_variantLARP1BP3 - CCDC1602e-06Tier 4: intronic/intergenic
rs10958998910275798A>C,G0.029intron_variantPTPRD4e-06Tier 4: intronic/intergenic
rs1182266711127590676G>A,T0.055intergenic_variantRN7SKP279 - DNAJB6P14e-06Tier 4: intronic/intergenic
rs125427598132022590T>G0.288intergenic_variantEFR3A - OC904e-06Tier 4: intronic/intergenic
rs75856910117433642C>A,G,T0.362intron_variantPDZD8 - EMX2OS4e-06Tier 4: intronic/intergenic
rs1974806142749368C>T0.039intron_variantADGRG6 - HIVEP24e-06Tier 4: intronic/intergenic
rs9311745360016099T>C0.047intron_variantFHIT5e-06Tier 4: intronic/intergenic
rs95043616577820A>G0.45intron_variantEXOC26e-06Tier 4: intronic/intergenic
rs68062533128563854A>G0.17non_coding_transcript_exon_variantGATA2-AS1 - LINC015656e-06Tier 4: intronic/intergenic
rs20220682236803762A>G0.393intron_variantPVALB7e-06Tier 4: intronic/intergenic
rs10486722741772310C>T0.335intron_variantINHBA-AS17e-06Tier 4: intronic/intergenic
rs71218001130543030T>C0.346intron_variantMPPED27e-06Tier 4: intronic/intergenic
rs1701352432381443T>A,C,G0.058intron_variantCNTN49e-06Tier 4: intronic/intergenic

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 7 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
CHMOrphanet:180Choroideremia
BCOROrphanet:2712Oculofaciocardiodental syndrome
BCOROrphanet:457246Clear cell sarcoma of kidney
BCOROrphanet:520Acute promyelocytic leukemia
BCOROrphanet:568Microphthalmia, Lenz type
HIVEP2Orphanet:178469Autosomal dominant non-syndromic intellectual disability
INHBAOrphanet:213504Adenocarcinoma of ovary

Cohort genes → proteins

15 cohort genes, 12 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only15

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
MPPED2HGNC:1180ENSG00000066382Q15777Metallophosphoesterase MPPED2gwas
RBFOX1HGNC:18222ENSG00000078328Q9NWB1RNA binding protein fox-1 homolog 1gwas
EMX2OSHGNC:18511ENSG00000229847EMX2 opposite strand/antisense RNAgwas
CHMHGNC:1940ENSG00000188419P24386Rab proteins geranylgeranyltransferase component A 1gwas
BCORHGNC:20893ENSG00000183337Q6W2J9BCL-6 corepressorgwas
CNTN4HGNC:2174ENSG00000144619Q8IWV2Contactin-4gwas
FAM110BHGNC:28587ENSG00000169122Q8TC76Protein FAM110Bgwas
CCDC160HGNC:37286ENSG00000203952A6NGH7Coiled-coil domain-containing protein 160gwas
INHBA-AS1HGNC:40303ENSG00000224116INHBA antisense RNA 1gwas
HIVEP2HGNC:4921ENSG00000010818P31629Transcription factor HIVEP2gwas
LINC01446HGNC:50773ENSG00000205628long intergenic non-protein coding RNA 1446gwas
INHBAHGNC:6066ENSG00000122641P08476Inhibin beta A chaingwas
KPNA4HGNC:6397ENSG00000186432O00629Importin subunit alpha-3gwas
OC90HGNC:8100ENSG00000253117Q02509Otoconin-90gwas
PTPRDHGNC:9668ENSG00000153707P23468Receptor-type tyrosine-protein phosphatase deltagwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
MPPED2Metallophosphoesterase MPPED2Displays low metallophosphoesterase activity (in vitro).
RBFOX1RNA binding protein fox-1 homolog 1RNA-binding protein that regulates alternative splicing events by binding to 5’-UGCAUGU-3’ elements.
CHMRab proteins geranylgeranyltransferase component A 1Substrate-binding subunit of the Rab geranylgeranyltransferase (GGTase) complex.
BCORBCL-6 corepressorTranscriptional corepressor.
CNTN4Contactin-4Contactins mediate cell surface interactions during nervous system development.
FAM110BProtein FAM110BMay be involved in tumor progression.
HIVEP2Transcription factor HIVEP2This protein specifically binds to the DNA sequence 5’-GGGACTTTCC-3’ which is found in the enhancer elements of numerous viral promoters such as those of SV40, CMV, or HIV1.
INHBAInhibin beta A chainInhibins/activins are involved in regulating a number of diverse functions such as hypothalamic and pituitary hormone secretion, gonadal hormone secretion, germ cell development and maturation, erythroid differentiation, insulin secretion,…
KPNA4Importin subunit alpha-3Functions in nuclear protein import as an adapter protein for nuclear receptor KPNB1.
OC90Otoconin-90Major protein of the otoconia, a calcium carbonate structure in the saccule and utricle of the ear.
PTPRDReceptor-type tyrosine-protein phosphatase deltaCan bidirectionally induce pre- and post-synaptic differentiation of neurons by mediating interaction with IL1RAP and IL1RAPL1 trans-synaptically.

Protein-family classification

Druggable: 3 · Difficult: 2 · Unknown: 10 · Druggable fraction: 0.2

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
Phosphatase15.6×0.815
Antibody/Immunoglobulin11.9×0.815
Other/Unknown101.2×0.815
Scaffold/PPI11.1×0.856
Enzyme (other)10.8×0.856
Transcription factor10.6×0.856

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
MPPED2Other/UnknownnoCalcineurin-like_PHP, Calcineurin-like_Pesterase, Metallo-depent_PP-like
RBFOX1Other/UnknownnoRRM_dom, Nucleotide-bd_a/b_plait_sf, RBFOX1-3
EMX2OSOther/Unknownno
CHMEnzyme (other)yes2.5.1.60Rab_escort, GDP_dissociation_inhibitor, FAD/NAD-bd_sf
BCORScaffold/PPInoAnkyrin_rpt, BCOR, PUFD
CNTN4Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
FAM110BOther/UnknownnoFAM110_N, FAM110, FAM110_C
CCDC160Other/Unknownno
INHBA-AS1Other/Unknownno
HIVEP2Transcription factornoZnf_C2H2_type, Znf_C2H2_sf,
LINC01446Other/Unknownno
INHBAOther/UnknownnoInhibin_betaA, TGF-b_propeptide, TGF-b_C
KPNA4Other/UnknownnoArmadillo, Importin-a_IBB, ARM-like
OC90Other/UnknownnoPLA2, PLA2-like_dom, PLA2_Asp_AS
PTPRDPhosphataseyes3.1.3.48PTP_cat, Tyr_Pase_dom, Tyr_Pase_cat

Expression context

Cohort genes with no expression data: 0.

14 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)1
broad (>20)14
unknown0

Top tissues across cohort

TissueCohort genes
cortical plate6
ganglionic eminence4
middle temporal gyrus3
buccal mucosa cell3
Brodmann (1909) area 232
lateral nuclear group of thalamus2
cartilage tissue2
vena cava2
male germ line stem cell (sensu Vertebrata) in testis2
ventricular zone1
caput epididymis1
corpus epididymis1
kidney epithelium1
endothelial cell1
sperm1
olfactory segment of nasal mucosa1
oviduct epithelium1
amygdala1
nucleus accumbens1
tendon of biceps brachii1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
MPPED2255broadmarkerventricular zone, ganglionic eminence, cortical plate
RBFOX1220broadmarkermiddle temporal gyrus, Brodmann (1909) area 23, cortical plate
EMX2OS205broadmarkercorpus epididymis, kidney epithelium, caput epididymis
CHM264ubiquitousmarkerendothelial cell, Brodmann (1909) area 23, middle temporal gyrus
BCOR265ubiquitousmarkerbuccal mucosa cell, ganglionic eminence, cortical plate
CNTN4214broadmarkersperm, buccal mucosa cell, lateral nuclear group of thalamus
FAM110B238ubiquitousmarkercortical plate, cartilage tissue, middle temporal gyrus
CCDC160142broadmarkeroviduct epithelium, buccal mucosa cell, olfactory segment of nasal mucosa
INHBA-AS1142tissue_specificmarkernucleus accumbens, amygdala, ganglionic eminence
HIVEP2296ubiquitousmarkertendon of biceps brachii, vena cava, lateral nuclear group of thalamus
LINC01446120tissue_specificmarkermale germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad, placenta
INHBA235ubiquitousmarkercartilage tissue, saphenous vein, vena cava
KPNA4289ubiquitousmarkerbiceps brachii, skeletal muscle tissue of biceps brachii, skeletal muscle tissue of rectus abdominis
OC9017tissue_specificyesmale germ line stem cell (sensu Vertebrata) in testis, cortical plate, ganglionic eminence
PTPRD160broadmarkercortical plate, right hemisphere of cerebellum, cerebellar hemisphere

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
KPNA44,085
PTPRD3,052
RBFOX12,990
INHBA2,212
BCOR2,188
CNTN41,983
HIVEP21,489
CHM1,445
CCDC160989
MPPED2766

Structural data

PDB: 5 · AlphaFold-only: 7 · No structure: 3

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
KPNA4O0062917
INHBAP0847616
PTPRDP234688
BCORQ6W2J95
RBFOX1Q9NWB14

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
MPPED2Q1577795.43
CNTN4Q8IWV286.72
CHMP2438681.05
CCDC160A6NGH772.79
OC90Q0250966.43
FAM110BQ8TC7659.48
HIVEP2P3162936.43

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 29. Enrichment computed across 15 evidence-associated genes (6 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 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Antagonism of Activin by Follistatin1475.8×0.025INHBA
TGFBR3 regulates activin signaling1475.8×0.025INHBA
MECP2 regulates transcription factors1380.7×0.025RBFOX1
Peptide hormone biosynthesis1237.9×0.030INHBA
Glycoprotein hormones1158.6×0.033INHBA
Signaling by Activin1126.9×0.033INHBA
TP53 regulates transcription of several additional cell death genes whose specific roles in p53-dependent apoptosis remain uncertain1126.9×0.033CHM
Receptor-type tyrosine-protein phosphatases195.2×0.035PTPRD
Synaptic adhesion-like molecules190.6×0.035PTPRD
Signaling by TGFBR3161.4×0.044INHBA
Signaling by BMP159.5×0.044INHBA
NS1 Mediated Effects on Host Pathways147.6×0.049KPNA4
Peptide hormone metabolism145.3×0.049INHBA
Maturation of DENV proteins135.2×0.057KPNA4
Antimicrobial mechanism of IFN-stimulated genes132.8×0.057KPNA4
Influenza Infection129.3×0.057KPNA4
RAB geranylgeranylation128.8×0.057CHM
Post-translational modification: synthesis of GPI-anchored proteins128.0×0.057CNTN4
ISG15 antiviral mechanism125.0×0.060KPNA4
RAB GEFs exchange GTP for GDP on RABs120.7×0.067CHM
Interferon Signaling120.0×0.067KPNA4
Signaling by TGFB family members119.2×0.067INHBA
Cytokine Signaling in Immune system16.8×0.175KPNA4
Viral Infection Pathways15.1×0.217KPNA4
Infectious disease14.1×0.254KPNA4
Disease12.2×0.411KPNA4
Immune System12.2×0.411KPNA4
Metabolism of proteins12.1×0.411INHBA
Signal Transduction11.7×0.463INHBA

GO biological processes 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.

GO termCohort genesFoldFDRSample cohort genes
nervous system development420.4×0.003RBFOX1, CNTN4, INHBA, PTPRD
odontogenesis2117.0×0.007BCOR, INHBA
regulation of follicle-stimulating hormone secretion11872.4×0.009INHBA
cardiac fibroblast cell development11872.4×0.009INHBA
specification of axis polarity11872.4×0.009BCOR
androst-4-ene-3,17-dione biosynthetic process11872.4×0.009INHBA
roof of mouth development255.1×0.009BCOR, INHBA
progesterone secretion1936.2×0.012INHBA
positive regulation of ovulation1936.2×0.012INHBA
negative regulation of tooth mineralization1936.2×0.012BCOR
otolith mineralization1624.1×0.014OC90
negative regulation of follicle-stimulating hormone secretion1624.1×0.014INHBA
trans-synaptic signaling by trans-synaptic complex1624.1×0.014PTPRD
striatal medium spiny neuron differentiation1468.1×0.016INHBA
cellular response to oxygen-glucose deprivation1468.1×0.016INHBA
negative regulation of B cell differentiation1374.5×0.016INHBA
GABAergic neuron differentiation1374.5×0.016INHBA
protein geranylgeranylation1312.1×0.016CHM
negative regulation of phosphorylation1312.1×0.016INHBA
hemoglobin biosynthetic process1312.1×0.016INHBA
positive regulation of follicle-stimulating hormone secretion1312.1×0.016INHBA
testosterone biosynthetic process1312.1×0.016INHBA
cell surface receptor protein tyrosine phosphatase signaling pathway1234.1×0.020PTPRD
negative regulation of macrophage differentiation1234.1×0.020INHBA
presynaptic membrane assembly1187.2×0.022PTPRD
response to aldosterone1187.2×0.022INHBA
mesodermal cell differentiation1170.2×0.022INHBA
RNA transport1170.2×0.022RBFOX1
Sertoli cell differentiation1170.2×0.022INHBA
positive regulation of extrinsic apoptotic signaling pathway in absence of ligand1170.2×0.022INHBA

Therapeutics

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 15

Druggability breadth: 6 of 15 evidence-associated genes (40%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

SymbolMoleculesMax phase
MPPED200
RBFOX100
EMX2OS00
CHM00
BCOR00
CNTN400
FAM110B00
CCDC16000
INHBA-AS100
HIVEP200

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 2.

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

SymbolAssaysType breakdown
INHBA3Binding:3
BCOR2Binding:2
CHM1Binding:1
HIVEP21Binding:1
KPNA41Binding:1
PTPRD1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
CHM2.5.1.60protein geranylgeranyltransferase type II
PTPRD3.1.3.48protein-tyrosine-phosphatase

Pharmacogenomics

Cohort genes with a PharmGKB record: 13; with CPIC/DPWG dosing guidelines: 0.

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

Chemical tractability of cohort targets

0 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.

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug1PTPRD
DDruggable family + AlphaFold only, no drug2CHM, CNTN4
EDifficult family or no structure, no drug12MPPED2, RBFOX1, EMX2OS, BCOR, FAM110B, CCDC160, INHBA-AS1, HIVEP2, LINC01446, INHBA (+2 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
MPPED20
RBFOX10
EMX2OS0
CHM1
BCOR2
CNTN40
FAM110B0
CCDC1600
INHBA-AS10
HIVEP21
LINC014460
INHBA3
KPNA41
OC900
PTPRD1

Clinical trials & evidence

Clinical trials

Clinical trials: 0.