Pituitary stalk interruption syndrome

disease
On this page

Also known as ectopic neurohypophysishypoplastic anterior pituitary, missing stalk, and ectopic posterior pituitaryPSIS

Summary

Pituitary stalk interruption syndrome (MONDO:0019828) is a disease with 27 cohort genes and 1 clinical trial. The dominant Reactome pathway is Hedgehog ‘on’ state (4 cohort genes). Top therapeutic interventions include setmelanotide.

At a glance

  • Prevalence: Unknown (Worldwide)
  • Cohort genes: 27
  • ClinVar variants: 32
  • Phenotypes (HPO): 17
  • Clinical trials: 1

Clinical features

Signs & symptoms

Clinical features (HPO)

17 HPO clinical features (Orphanet curated; top 17 by frequency):

HPO IDTermFrequency
HP:0011755Ectopic posterior pituitaryObligate (100%)
HP:0000864Abnormality of the hypothalamus-pituitary axisVery frequent (80-99%)
HP:0001508Failure to thriveVery frequent (80-99%)
HP:0004322Short statureVery frequent (80-99%)
HP:0000821HypothyroidismFrequent (30-79%)
HP:0000823Delayed pubertyFrequent (30-79%)
HP:0001943HypoglycemiaFrequent (30-79%)
HP:0008736Hypoplasia of penisFrequent (30-79%)
HP:0000028CryptorchidismOccasional (5-29%)
HP:0000786Primary amenorrheaOccasional (5-29%)
HP:0000835Adrenal hypoplasiaOccasional (5-29%)
HP:0000873Diabetes insipidusOccasional (5-29%)
HP:0001249Intellectual disabilityOccasional (5-29%)
HP:0001250SeizureOccasional (5-29%)
HP:0001263Global developmental delayOccasional (5-29%)
HP:0001522Death in infancyOccasional (5-29%)
HP:0100842Septo-optic dysplasiaOccasional (5-29%)

Identifiers

Disease identifiers

FieldValue
Canonical namepituitary stalk interruption syndrome
Mondo IDMONDO:0019828
Orphanet95496
ICD-111474283222
NCITC121150
SNOMED CT715727009
UMLSC4053775
MedGen883774
GARD0013209
Is cancer (heuristic)no

Also known as: ectopic neurohypophysis · hypoplastic anterior pituitary, missing stalk, and ectopic posterior pituitary · PSIS

Data availability: 32 ClinVar variants · 6 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by body system or component › syndromic diseasepituitary stalk interruption 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, obstructive sleep apnea 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, 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

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

32 retrieved; paginated sample, class counts are floors:

19 uncertain significance, 5 likely pathogenic, 3 conflicting classifications of pathogenicity, 3 pathogenic, 2 pathogenic/likely pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
978570NM_001378964.1(CDON):c.2764G>A (p.Glu922Lys)CDONPathogeniccriteria provided, single submitter
974009NM_000135.4(FANCA):c.1193_1196del (p.Val398fs)FANCAPathogeniccriteria provided, single submitter
978574NM_001130969.3(NSMF):c.53C>A (p.Ser18Ter)LOC130003121Pathogeniccriteria provided, single submitter
978576NM_002941.4(ROBO1):c.2929del (p.Ala977fs)ROBO1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
978579NM_002941.4(ROBO1):c.3450C>A (p.Tyr1150Ter)ROBO1Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
978575NM_001130823.3(DNMT1):c.2858A>G (p.Asp953Gly)DNMT1Likely pathogeniccriteria provided, single submitter
929679NM_004629.2(FANCG):c.256C>T (p.Gln86Ter)FANCGLikely pathogeniccriteria provided, multiple submitters, no conflicts
978562NM_032551.5(KISS1R):c.710G>C (p.Arg237Pro)KISS1RLikely pathogeniccriteria provided, single submitter
1077098NC_000003.11:g.78945148_79288919delROBO1Likely pathogeniccriteria provided, single submitter
978583NM_003070.5(SMARCA2):c.787T>A (p.Ser263Thr)SMARCA2Likely pathogeniccriteria provided, single submitter
180652NM_001375883.1(GPR161):c.-5T>AGPR161Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
659978NM_000264.5(PTCH1):c.3929G>A (p.Gly1310Asp)PTCH1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
978578NM_002941.4(ROBO1):c.719G>C (p.Cys240Ser)ROBO1Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
978573NM_001374828.1(ARID1B):c.5384A>T (p.Asn1795Ile)ARID1BUncertain significancecriteria provided, single submitter
978561NM_001378615.1(CC2D2A):c.2356G>A (p.Glu786Lys)CC2D2AUncertain significancecriteria provided, single submitter
978582NM_017780.4(CHD7):c.6476C>A (p.Ser2159Tyr)CHD7Uncertain significancecriteria provided, single submitter
2580941NM_001378457.1(DMXL2):c.4485_4486insTATTTCTATTAGGTACAACTTT (p.Ile1496delinsTyrPheTyrTer)DMXL2Uncertain significancecriteria provided, single submitter
978565NM_000142.5(FGFR3):c.875A>T (p.Glu292Val)FGFR3Uncertain significancecriteria provided, single submitter
2581088NM_001374353.1(GLI2):c.1317+1G>AGLI2Uncertain significancecriteria provided, single submitter
978571NM_001374353.1(GLI2):c.2404G>A (p.Val802Met)GLI2Uncertain significancecriteria provided, multiple submitters, no conflicts
2497672NM_020204.3(LHX9):c.1063C>A (p.Pro355Thr)LHX9Uncertain significancecriteria provided, single submitter
978569NM_001018115.3(FANCD2):c.1278_1278+6delLOC107303338Uncertain significancecriteria provided, single submitter
978580NM_015909.4(NBAS):c.1118T>C (p.Leu373Pro)NBASUncertain significancecriteria provided, single submitter
2581089NM_000325.6(PITX2):c.522C>A (p.Tyr174Ter)PITX2Uncertain significancecriteria provided, single submitter
978577NM_000303.3(PMM2):c.255_256del (p.Asn86fs)PMM2Uncertain significancecriteria provided, single submitter
978568NM_002880.4(RAF1):c.1756G>C (p.Ala586Pro)RAF1Uncertain significancecriteria provided, single submitter
995978NM_002941.4(ROBO1):c.1690C>T (p.Pro564Ser)ROBO1Uncertain significancecriteria provided, single submitter
978581NM_032444.4(SLX4):c.3143C>T (p.Ser1048Phe)SLX4Uncertain significancecriteria provided, single submitter
978566NM_003108.4(SOX11):c.885C>G (p.Asp295Glu)SOX11Uncertain significancecriteria provided, single submitter
2581090NM_003193.5(TBCE):c.89C>T (p.Pro30Leu)TBCEUncertain significancecriteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 38 · Orphanet: 91 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
LHX4DefinitiveAutosomal dominantshort stature-pituitary and cerebellar defects-small sella turcica syndrome8
HESX1StrongAutosomal dominantcombined pituitary hormone deficiencies, genetic form12
ROBO1StrongAutosomal dominantpituitary hormone deficiency, combined or isolated, 810
CDONSupportiveAutosomal dominantpituitary stalk interruption syndrome5
GPR161SupportiveAutosomal dominantpituitary stalk interruption syndrome3

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
ROBO1Orphanet:95496Pituitary stalk interruption syndrome
CDONOrphanet:220386Semilobar holoprosencephaly
CDONOrphanet:280195Septopreoptic holoprosencephaly
CDONOrphanet:280200Microform holoprosencephaly
CDONOrphanet:93924Lobar holoprosencephaly
CDONOrphanet:93925Alobar holoprosencephaly
CDONOrphanet:93926Midline interhemispheric variant of holoprosencephaly
CDONOrphanet:95496Pituitary stalk interruption syndrome
GPR161Orphanet:95496Pituitary stalk interruption syndrome
LHX4Orphanet:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or function
LHX4Orphanet:85442Short stature-pituitary and cerebellar defects-small sella turcica syndrome
LHX4Orphanet:95494Combined pituitary hormone deficiencies, genetic forms
LHX4Orphanet:95496Pituitary stalk interruption syndrome
HESX1Orphanet:226307Hypothyroidism due to deficient transcription factors involved in pituitary development or function
HESX1Orphanet:3157Septo-optic dysplasia spectrum
HESX1Orphanet:478Kallmann syndrome
HESX1Orphanet:95494Combined pituitary hormone deficiencies, genetic forms
HESX1Orphanet:95496Pituitary stalk interruption syndrome
SMARCA2Orphanet:3051Nicolaides-Baraitser syndrome
SMARCA2Orphanet:637013SMARCA2-related blepharophimosis-intellectual disability syndrome
SOX11Orphanet:1465Coffin-Siris syndrome
TBCEOrphanet:2323Sanjad-Sakati syndrome
TBCEOrphanet:496756Early-onset progressive encephalopathy-spastic ataxia-distal spinal muscular atrophy syndrome
TBCEOrphanet:93324Autosomal recessive Kenny-Caffey syndrome
TBX19Orphanet:199296Congenital isolated ACTH deficiency
NBASOrphanet:391677Short stature-optic atrophy-Pelger-Huët anomaly syndrome
NBASOrphanet:464724Fever-associated acute infantile liver failure syndrome
ARID1BOrphanet:1465Coffin-Siris syndrome
ARID1BOrphanet:2510566q25.2q25.3 microdeletion syndrome
CHD7Orphanet:138CHARGE syndrome
CHD7Orphanet:39041Omenn syndrome
CHD7Orphanet:432Normosmic congenital hypogonadotropic hypogonadism
CHD7Orphanet:478Kallmann syndrome
VPS13BOrphanet:193Cohen syndrome
SLX4Orphanet:84Fanconi anemia
CC2D2AOrphanet:1454Joubert syndrome with hepatic defect
CC2D2AOrphanet:2318Joubert syndrome with oculorenal defect
CC2D2AOrphanet:564Meckel syndrome
CC2D2AOrphanet:791Retinitis pigmentosa
DMXL2Orphanet:1934Early infantile developmental and epileptic encephalopathy
DMXL2Orphanet:453533Polyendocrine-polyneuropathy syndrome
DMXL2Orphanet:90635Rare autosomal dominant non-syndromic sensorineural deafness type DFNA
DNMT1Orphanet:314404Autosomal dominant cerebellar ataxia-deafness-narcolepsy syndrome
DNMT1Orphanet:456318Hereditary sensory neuropathy-deafness-dementia syndrome
FANCAOrphanet:84Fanconi anemia
FANCGOrphanet:84Fanconi anemia
FGFR3Orphanet:15Achondroplasia
FGFR3Orphanet:1860Thanatophoric dysplasia type 1
FGFR3Orphanet:2363Lacrimoauriculodentodigital syndrome
FGFR3Orphanet:251576Gliosarcoma

Cohort genes → proteins

27 cohort genes, 27 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence27

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
ROBO1HGNC:10249ENSG00000169855Q9Y6N7Roundabout homolog 1gencc,clinvar
CDONHGNC:17104ENSG00000064309Q4KMG0Cell adhesion molecule-related/down-regulated by oncogenesgencc,clinvar
GPR161HGNC:23694ENSG00000143147Q8N6U8G-protein coupled receptor 161gencc,clinvar
LHX4HGNC:21734ENSG00000121454Q969G2LIM/homeobox protein Lhx4gencc
HESX1HGNC:4877ENSG00000163666Q9UBX0Homeobox expressed in ES cells 1gencc
SMARCA2HGNC:11098ENSG00000080503P51531SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 2clinvar
SOX11HGNC:11191ENSG00000176887P35716Transcription factor SOX-11clinvar
TBCEHGNC:11582ENSG00000284770Q15813Tubulin-specific chaperone Eclinvar
TBX19HGNC:11596ENSG00000143178O60806T-box transcription factor TBX19clinvar
LHX9HGNC:14222ENSG00000143355Q9NQ69LIM/homeobox protein Lhx9clinvar
NBASHGNC:15625ENSG00000151779A2RRP1NBAS subunit of NRZ tethering complexclinvar
ARID1BHGNC:18040ENSG00000049618Q8NFD5AT-rich interactive domain-containing protein 1Bclinvar
CHD7HGNC:20626ENSG00000171316Q9P2D1ATP-dependent chromatin remodeler CHD7clinvar
VPS13BHGNC:2183ENSG00000132549Q7Z7G8Intermembrane lipid transfer protein VPS13Bclinvar
SLX4HGNC:23845ENSG00000188827Q8IY92Structure-specific endonuclease subunit SLX4clinvar
CC2D2AHGNC:29253ENSG00000048342Q9P2K1Coiled-coil and C2 domain-containing protein 2Aclinvar
DMXL2HGNC:2938ENSG00000104093Q8TDJ6DmX-like protein 2clinvar
DNMT1HGNC:2976ENSG00000130816P26358DNA (cytosine-5)-methyltransferase 1clinvar
FANCAHGNC:3582ENSG00000187741O15360Fanconi anemia group A proteinclinvar
FANCGHGNC:3588ENSG00000221829O15287Fanconi anemia group G proteinclinvar
FGFR3HGNC:3690ENSG00000068078P22607Fibroblast growth factor receptor 3clinvar
GLI2HGNC:4318ENSG00000074047P10070Zinc finger protein GLI2clinvar
KISS1RHGNC:4510ENSG00000116014Q969F8KiSS-1 receptorclinvar
PITX2HGNC:9005ENSG00000164093Q99697Pituitary homeobox 2clinvar
PMM2HGNC:9115ENSG00000140650O15305Phosphomannomutase 2clinvar
PTCH1HGNC:9585ENSG00000185920Q13635Protein patched homolog 1clinvar
RAF1HGNC:9829ENSG00000132155P04049RAF proto-oncogene serine/threonine-protein kinaseclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
ROBO1Roundabout homolog 1Receptor for SLIT1 and SLIT2 that mediates cellular responses to molecular guidance cues in cellular migration, including axonal navigation at the ventral midline of the neural tube and projection of axons to different regions during neuro…
CDONCell adhesion molecule-related/down-regulated by oncogenesComponent of a cell-surface receptor complex that mediates cell-cell interactions between muscle precursor cells.
GPR161G-protein coupled receptor 161Key negative regulator of Shh signaling, which promotes the processing of GLI3 into GLI3R during neural tube development.
LHX4LIM/homeobox protein Lhx4May play a critical role in the development of respiratory control mechanisms and in the normal growth and maturation of the lung.
HESX1Homeobox expressed in ES cells 1Required for the normal development of the forebrain, eyes and other anterior structures such as the olfactory placodes and pituitary gland.
SMARCA2SWI/SNF-related matrix-associated actin-dependent regulator of chromatin subfamily A member 2ATPase involved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology).
SOX11Transcription factor SOX-11Transcription factor that acts as a transcriptional activator.
TBCETubulin-specific chaperone ETubulin-folding protein; involved in the second step of the tubulin folding pathway and in the regulation of tubulin heterodimer dissociation.
TBX19T-box transcription factor TBX19Transcriptional regulator involved in developmental processes.
LHX9LIM/homeobox protein Lhx9Involved in gonadal development.
NBASNBAS subunit of NRZ tethering complexInvolved in Golgi-to-endoplasmic reticulum (ER) retrograde transport; the function is proposed to depend on its association in the NRZ complex which is believed to play a role in SNARE assembly at the ER.
ARID1BAT-rich interactive domain-containing protein 1BInvolved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology).
CHD7ATP-dependent chromatin remodeler CHD7ATP-dependent chromatin-remodeling factor, slides nucleosomes along DNA; nucleosome sliding requires ATP.
VPS13BIntermembrane lipid transfer protein VPS13BMediates the transfer of lipids between membranes at organelle contact sites.
SLX4Structure-specific endonuclease subunit SLX4Regulatory subunit that interacts with and increases the activity of different structure-specific endonucleases.
CC2D2ACoiled-coil and C2 domain-containing protein 2AComponent of the tectonic-like complex, a complex localized at the transition zone of primary cilia and acting as a barrier that prevents diffusion of transmembrane proteins between the cilia and plasma membranes.
DMXL2DmX-like protein 2May serve as a scaffold protein for MADD and RAB3GA on synaptic vesicles.
DNMT1DNA (cytosine-5)-methyltransferase 1DNA methyltransferase that methylates CpG residues.
FANCAFanconi anemia group A proteinDNA repair protein that may operate in a postreplication repair or a cell cycle checkpoint function.
FANCGFanconi anemia group G proteinDNA repair protein that may operate in a postreplication repair or a cell cycle checkpoint function.
FGFR3Fibroblast growth factor receptor 3Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of cell proliferation, differentiation and apoptosis.
GLI2Zinc finger protein GLI2Functions as a transcription regulator in the hedgehog (Hh) pathway.
KISS1RKiSS-1 receptorReceptor for kisspeptins (kisspeptin-10, kisspeptin-13, kisspeptin-14 and metastin/kisspeptin-54).
PITX2Pituitary homeobox 2May play a role in myoblast differentiation.
PMM2Phosphomannomutase 2Involved in the synthesis of the GDP-mannose and dolichol-phosphate-mannose required for a number of critical mannosyl transfer reactions.
PTCH1Protein patched homolog 1Acts as a receptor for sonic hedgehog (SHH), indian hedgehog (IHH) and desert hedgehog (DHH).
RAF1RAF proto-oncogene serine/threonine-protein kinaseSerine/threonine-protein kinase that acts as a regulatory link between the membrane-associated Ras GTPases and the MAPK/ERK cascade, and this critical regulatory link functions as a switch determining cell fate decisions including prolifer…

Protein-family classification

Druggable: 8 · Difficult: 10 · Unknown: 9 · Druggable fraction: 0.3

Family distribution

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

FamilyGenesFoldFDR
Transcription factor82.5×0.097
Antibody/Immunoglobulin22.2×0.624
Kinase22.0×0.624
GPCR21.8×0.624
Protease11.4×0.702
Scaffold/PPI21.3×0.702
Other/Unknown90.6×0.995
Enzyme (other)10.4×0.995

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
ROBO1Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
CDONAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
GPR161GPCRyesGPCR_Rhodpsn, GPCR_Rhodpsn_7TM
LHX4Transcription factornoHD, Znf_LIM, Homeodomain-like_sf
HESX1Transcription factornoHD, Homeodomain-like_sf, Homeobox_CS
SMARCA2Other/UnknownnoSNF2_N, Bromodomain, Helicase_C-like
SOX11Transcription factornoHMG_box_dom, SOX-12/11/4, HMG_box_dom_sf
TBCEOther/UnknownnoUbiquitin-like_dom, CAP-Gly_domain, Ubiquitin-like_domsf
TBX19Transcription factornoTF_T-box, TF_Brachyury, p53-like_TF_DNA-bd_sf
LHX9Transcription factornoHD, Znf_LIM, Homeodomain-like_sf
NBASScaffold/PPInoQuino_amine_DH_bsu, Sec39_domain, WD40/YVTN_repeat-like_dom_sf
ARID1BOther/UnknownnoARID_dom, BAF250/Osa, BAF250_C
CHD7Other/UnknownnoSNF2_N, Chromo/chromo_shadow_dom, Helicase_C-like
VPS13BOther/UnknownnoVPS13_VAB, VPS13_N, VPS13B
SLX4Other/UnknownnoBTB/POZ_dom, Rad18_UBZ4, SKP1/BTB/POZ_sf
CC2D2AProteaseyesC2_dom, CC2D2AN-C2, C2_domain_sf
DMXL2Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, Rav1p_C
DNMT1Transcription factorno2.1.1.37BAH_dom, C5_MeTfrase, Znf_CXXC
FANCAOther/UnknownnoFANCA, Fanconi_A_N, Fanconi_A_C
FANCGOther/UnknownnoTPR-like_helical_dom_sf, TPR_rpt, FANCG
FGFR3Kinaseyes2.7.10.1Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2
GLI2Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, GLI-like
KISS1RGPCRyesGPCR_Rhodpsn, KiSS_1_rcpt, GPCR_Rhodpsn_7TM
PITX2Transcription factornoHD, OAR_dom, Homeodomain-like_sf
PMM2Enzyme (other)yes5.4.2.8PMM, HAD-SF_hydro_IIB, HAD_sf
PTCH1Other/UnknownnoSSD, TM_rcpt_patched, HMGCR/SNAP/NPC1-like_SSD
RAF1Kinaseyes2.7.10.2Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, PKC_DAG/PE

Expression context

Cohort genes with no expression data: 0.

23 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)27
unknown0

Top tissues across cohort

TissueCohort genes
ventricular zone8
ganglionic eminence5
calcaneal tendon4
cortical plate4
sural nerve4
tibia3
buccal mucosa cell3
male germ line stem cell (sensu Vertebrata) in testis2
primordial germ cell in gonad2
colonic epithelium2
germinal epithelium of ovary2
secondary oocyte2
bronchial epithelial cell2
right hemisphere of cerebellum2
myometrium1
pancreatic ductal cell1
sperm1
embryo1
hindlimb stylopod muscle1
adenohypophysis1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
ROBO1287ubiquitousmarkerventricular zone, ganglionic eminence, tibia
CDON222ubiquitousmarkerventricular zone, ganglionic eminence, calcaneal tendon
GPR161266ubiquitousmarkercortical plate, ganglionic eminence, myometrium
LHX4166tissue_specificyesbuccal mucosa cell, sperm, pancreatic ductal cell
HESX1167broadmarkerbuccal mucosa cell, male germ line stem cell (sensu Vertebrata) in testis, primordial germ cell in gonad
SMARCA2301ubiquitousmarkercalcaneal tendon, colonic epithelium, cortical plate
SOX1193broadmarkerganglionic eminence, cortical plate, embryo
TBCE134ubiquitousyesventricular zone, hindlimb stylopod muscle, cortical plate
TBX19167tissue_specificyesadenohypophysis, pituitary gland, lower esophagus mucosa
LHX984broadmarkergerminal epithelium of ovary, male germ line stem cell (sensu Vertebrata) in testis, ovary
NBAS293ubiquitousmarkercalcaneal tendon, primordial germ cell in gonad, ventricular zone
ARID1B256ubiquitousmarkerbone marrow cell, colonic epithelium, sural nerve
CHD7269ubiquitousmarkersecondary oocyte, cerebellar vermis, sural nerve
VPS13B291ubiquitousmarkersural nerve, nipple, bronchial epithelial cell
SLX4175ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
CC2D2A247ubiquitousmarkerright uterine tube, bronchial epithelial cell, bronchus
DMXL2269ubiquitousmarkermonocyte, mononuclear cell, leukocyte
DNMT1266ubiquitousmarkeroocyte, secondary oocyte, sural nerve
FANCA185ubiquitousmarkerright testis, ventricular zone, left testis
FANCG242ubiquitousmarkerventricular zone, ganglionic eminence, right hemisphere of cerebellum
FGFR3262broadmarkerupper leg skin, skin of hip, upper arm skin
GLI2211ubiquitousmarkertibia, germinal epithelium of ovary, ventricular zone
KISS1R109broadyespons, buccal mucosa cell, endothelial cell
PITX2166broadmarkergingiva, biceps brachii, gingival epithelium
PMM2139ubiquitousmarkerbody of pancreas, calcaneal tendon, rectum
PTCH1275ubiquitousmarkertibia, dorsal root ganglion, trigeminal ganglion
RAF1299ubiquitousmarkergastrocnemius, muscle of leg, ventricular zone

Protein interactions among cohort

Intra-cohort edges: 14.

Hub genes (top 10 by interactor count)

SymbolInteractor count
DNMT17,179
RAF16,574
CHD74,819
FGFR34,510
SMARCA24,237
PTCH13,368
SLX43,122
GLI23,112
FANCA3,036
PITX22,389

Intra-cohort edges

ABSources
ARID1BSMARCA2biogrid_interaction, string_interaction
ARID1BSOX11string_interaction
CDONGLI2string_interaction
CDONPTCH1intact, string_interaction
CHD7KISS1Rstring_interaction
CHD7RAF1intact
DMXL2LHX4string_interaction
FANCAFANCGbiogrid_interaction, intact, string_interaction
FANCASLX4string_interaction
GLI2GPR161string_interaction
GLI2PTCH1string_interaction
GPR161PTCH1string_interaction
HESX1TBX19string_interaction
LHX4TBX19string_interaction

Structural data

PDB: 21 · AlphaFold-only: 6 · No structure: 0

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
RAF1P0404976
SMARCA2P5153132
DNMT1P2635827
PTCH1Q1363516
FGFR3P2260715
ROBO1Q9Y6N712
SLX4Q8IY927
PMM2O153057
TBCEQ158136
FANCAO153606
FANCGO152876
KISS1RQ969F86
SOX11P357164
CDONQ4KMG03
CHD7Q9P2D13
PITX2Q996973
GPR161Q8N6U82
ARID1BQ8NFD52
LHX4Q969G21
HESX1Q9UBX01
LHX9Q9NQ691

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
NBASA2RRP174.42
CC2D2AQ9P2K169.46
TBX19O6080664.24
GLI2P1007042.68
VPS13BQ7Z7G8
DMXL2Q8TDJ6

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 111. Enrichment computed across 27 evidence-associated genes (22 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 22 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Hedgehog ‘on’ state428.8×0.001CDON, GPR161, GLI2, PTCH1
GLI proteins bind promoters of Hh responsive genes to promote transcription2148.3×0.003GLI2, PTCH1
Ligand-receptor interactions2129.8×0.003CDON, PTCH1
Fanconi Anemia Pathway338.0×0.003SLX4, FANCA, FANCG
Hedgehog ‘off’ state324.3×0.005GPR161, GLI2, PTCH1
Activation of SMO257.7×0.008CDON, PTCH1
Formation of the canonical BAF (cBAF) complex257.7×0.008SMARCA2, ARID1B
Signaling by ROBO receptors316.9×0.010ROBO1, LHX9, LHX4
Formation of neuronal progenitor and neuronal BAF (npBAF and nBAF)241.5×0.013SMARCA2, ARID1B
t(4;14) translocations of FGFR31519.1×0.016FGFR3
Defective PMM2 causes PMM2-CDG1519.1×0.016PMM2
Signaling by FGFR3 fusions in cancer1519.1×0.016FGFR3
Regulation of endogenous retroelements233.5×0.016SMARCA2, ARID1B
RUNX1 interacts with co-factors whose precise effect on RUNX1 targets is not known227.3×0.019SMARCA2, ARID1B
Regulation of MITF-M-dependent genes involved in pigmentation224.1×0.021SMARCA2, ARID1B
Developmental Biology63.9×0.021ROBO1, CDON, SMARCA2, LHX9, ARID1B, LHX4
Regulation of expression of SLITs and ROBOs39.4×0.024ROBO1, LHX9, LHX4
MITF-M-dependent gene expression216.5×0.040SMARCA2, ARID1B
TFAP2 (AP-2) family regulates transcription of other transcription factors1129.8×0.043PITX2
SLIT2:ROBO1 increases RHOA activity1129.8×0.043ROBO1
RUNX2 regulates chondrocyte maturation1103.8×0.045GLI2
Regulation of cortical dendrite branching1103.8×0.045ROBO1
RMTs methylate histone arginines213.3×0.045SMARCA2, ARID1B
Transcriptional regulation by RUNX1213.3×0.045SMARCA2, ARID1B
PKR-mediated signaling212.8×0.046FANCA, FANCG
Synthesis of GDP-mannose186.5×0.047PMM2
Negative feedback regulation of MAPK pathway186.5×0.047RAF1
Axon guidance36.2×0.048ROBO1, LHX9, LHX4
FGFR3b ligand binding and activation174.2×0.048FGFR3
Inactivation of CDC42 and RAC1164.9×0.048ROBO1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 27 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
pituitary gland development372.0×0.004TBX19, GLI2, HESX1
nose development2178.3×0.004CHD7, HESX1
ventricular septum morphogenesis348.0×0.004ROBO1, SOX11, PITX2
heart morphogenesis341.6×0.004TBX19, CHD7, PTCH1
camera-type eye development339.8×0.004CC2D2A, HESX1, PITX2
nervous system development610.2×0.004ROBO1, CDON, SMARCA2, SOX11, ARID1B, VPS13B
positive regulation of hormone secretion2124.8×0.006SOX11, KISS1R
positive regulation of transcription by RNA polymerase II84.4×0.014CDON, SMARCA2, SOX11, CHD7, LHX4, GLI2, PITX2, RAF1
positive regulation of MAPK cascade411.9×0.014ROBO1, CDON, FGFR3, RAF1
embryonic digestive tract morphogenesis269.3×0.015SOX11, PITX2
female gonad development259.4×0.015LHX9, FANCA
face development259.4×0.015CHD7, RAF1
smoothened signaling pathway320.1×0.015CDON, CC2D2A, GLI2
developmental growth254.3×0.016TBCE, GLI2
negative regulation of transcription by RNA polymerase II74.6×0.016SMARCA2, SOX11, DNMT1, GLI2, HESX1, PITX2, PTCH1
regulation of G0 to G1 transition249.9×0.018SMARCA2, ARID1B
right ventricular compact myocardium morphogenesis1624.1×0.018CHD7
subthalamic nucleus development1624.1×0.018PITX2
gonad morphogenesis1624.1×0.018LHX9
epigenetic programming of gene expression1624.1×0.018DNMT1
negative regulation of developmental growth1624.1×0.018FGFR3
superior vena cava morphogenesis1624.1×0.018PITX2
dorsal spinal cord interneuron anterior axon guidance1624.1×0.018LHX9
negative regulation of smoothened signaling pathway involved in dorsal/ventral neural tube patterning1624.1×0.018GPR161
negative regulation of transcription regulatory region DNA binding1624.1×0.018SOX11
regulation of nucleotide-excision repair244.6×0.018SMARCA2, ARID1B
embryonic hindlimb morphogenesis243.0×0.018CHD7, PITX2
thyroid gland development240.3×0.018HESX1, RAF1
cell fate specification239.0×0.018CDON, TBX19
regulation of mitotic metaphase/anaphase transition236.7×0.018SMARCA2, ARID1B

Therapeutics

Drug target analysis

Approved (phase 4): 3 · Phase ≥3: 5 · Phased (≥1): 6 · Undrugged: 21

Druggability breadth: 10 of 27 evidence-associated genes (37%) 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
DNMT1DECITABINE
FGFR3PONATINIB
RAF1VEMURAFENIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
FGFR3644
RAF1314
DNMT164
KISS1R33
SMARCA222
PMM213
ROBO100
CDON00
GPR16100
LHX400

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
DECITABINE4DNMT1
AZACITIDINE4DNMT1
CEPHALOTHIN4DNMT1
PONATINIB4FGFR3
PEMIGATINIB4FGFR3
NINTEDANIB4FGFR3
FEDRATINIB4FGFR3
LENVATINIB4FGFR3
AXITINIB4FGFR3
SORAFENIB4FGFR3, RAF1
INFIGRATINIB PHOSPHATE4FGFR3
INFIGRATINIB4FGFR3
ENTRECTINIB4FGFR3
CERITINIB4FGFR3
VANDETANIB4FGFR3
NINTEDANIB ESYLATE4FGFR3
BRIGATINIB4FGFR3
ERDAFITINIB4FGFR3
FUTIBATINIB4FGFR3
PAZOPANIB4FGFR3, RAF1
SUNITINIB4FGFR3
DASATINIB4FGFR3, RAF1
CRIZOTINIB4FGFR3
MIDOSTAURIN4FGFR3
VEMURAFENIB4RAF1
REGORAFENIB4RAF1
DABRAFENIB4RAF1
NILOTINIB4RAF1
TOVORAFENIB4RAF1
ERLOTINIB4RAF1

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 4.

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

SymbolAssaysType breakdown
FGFR3975Binding:948, Functional:18, ADMET:9
RAF1839Binding:803, Functional:31, ADMET:5
SMARCA2311Binding:274, Functional:25, ADMET:12
DNMT1233Binding:229, Functional:3, ADMET:1
KISS1R48Binding:24, Functional:24
GLI26Binding:6
PTCH14Binding:4
PMM23Binding:3
GPR1612Binding:2
NBAS1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
DNMT12.1.1.37DNA (cytosine-5-)-methyltransferase
FGFR32.7.10.1receptor protein-tyrosine kinase
PMM25.4.2.8phosphomannomutase
RAF12.7.10.2non-specific protein-tyrosine kinase

Cohort genes with high screening signal

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

SymbolChEMBL assays
SMARCA2311
DNMT1233
FGFR3975
RAF1839

Pharmacogenomics

Cohort genes with a PharmGKB record: 27; 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)
DECITABINE4DNMT1
AZACITIDINE4DNMT1
CEPHALOTHIN4DNMT1
PONATINIB4FGFR3
PEMIGATINIB4FGFR3
NINTEDANIB4FGFR3
FEDRATINIB4FGFR3
LENVATINIB4FGFR3
AXITINIB4FGFR3
SORAFENIB4FGFR3, RAF1
INFIGRATINIB PHOSPHATE4FGFR3
INFIGRATINIB4FGFR3
ENTRECTINIB4FGFR3
CERITINIB4FGFR3
VANDETANIB4FGFR3
NINTEDANIB ESYLATE4FGFR3
BRIGATINIB4FGFR3
ERDAFITINIB4FGFR3
FUTIBATINIB4FGFR3
PAZOPANIB4FGFR3, RAF1
SUNITINIB4FGFR3
DASATINIB4FGFR3, RAF1
CRIZOTINIB4FGFR3
MIDOSTAURIN4FGFR3
VEMURAFENIB4RAF1
REGORAFENIB4RAF1
DABRAFENIB4RAF1
NILOTINIB4RAF1
TOVORAFENIB4RAF1
ERLOTINIB4RAF1

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)3DNMT1, FGFR3, RAF1
BPhased (≥1) drug, not yet approved3SMARCA2, KISS1R, PMM2
CDruggable family + PDB, no drug3ROBO1, CDON, GPR161
DDruggable family + AlphaFold only, no drug1CC2D2A
EDifficult family or no structure, no drug17LHX4, HESX1, SOX11, TBCE, TBX19, LHX9, NBAS, ARID1B, CHD7, VPS13B (+7 more)

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
ROBO10
CDON0
GPR1612
LHX40
HESX10
SOX110
TBCE0
TBX190
LHX90
NBAS1
ARID1B0
CHD70
VPS13B0
SLX40
CC2D2A0
DMXL20
FANCA0
FANCG0
GLI26
PITX20
PTCH14

Clinical trials & evidence

Clinical trials

Clinical trials: 1.

Phase distribution (across all retrieved trials)

PhaseTrials
PHASE31

Top trials by phase / activity

NCTPhaseStatusTitle
NCT06760546PHASE3RECRUITINGA Trial of Setmelanotide in Patients With Congenital Hypothalamic Obesity (Sub-study of NCT05774756)

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
SETMELANOTIDE41
CHEMBL406749101