Summary
Post-traumatic stress disorder (MONDO:0005146) is a disease with 35 cohort genes (516 GWAS associations across 40 studies) and 1,399 clinical trials. The dominant Reactome pathway is Regulation of insulin secretion (3 cohort genes). Top therapeutic interventions include prazosin, paroxetine, and propranolol.
At a glance
- Cohort genes: 35
- GWAS associations: 516
- ClinVar variants: 3
- Clinical trials: 1,399
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | post-traumatic stress disorder |
| Mondo ID | MONDO:0005146 |
| EFO | EFO:0001358 |
| MeSH | D013313 |
| DOID | DOID:2055 |
| ICD-10-CM | F43.1 |
| NCIT | C3389 |
| SNOMED CT | 47505003 |
| UMLS | C0038436 |
| MedGen | 21345 |
| Is cancer (heuristic) | no |
Also known as: combat neurosis · post-traumatic stress disorder · PTSD · traumatic neurosis
Data availability: 3 ClinVar variants · 516 GWAS associations (40 studies).
Disease family
Classification path: disease › human disease › disease by developmental or physiological process › psychiatric disorder › mental disorder › anxiety disorder › neurotic disorder › post-traumatic stress disorder
Genetics & variants
GWAS landscape
516 GWAS associations across 40 studies. Top hits map to 21 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs1476535 | 4e-20 | FOXP2 | T | 9.18 |
| rs62056789 | 1e-19 | MAPT, MAPT-IT1 | A | 0.02 |
| rs6759922 | 1e-18 | LINC01830 | A | 8.82 |
| rs488769 | 1e-18 | ZDHHC5 | A | 8.81 |
| rs10865093 | 9e-18 | LINC01830 | T | 8.59 |
| rs2186710 | 3e-17 | LINC02763 - NCAM1-AS2 | C | 8.46 |
| rs59145082 | 2e-16 | LINC01830 | ? | |
| rs7106434 | 4e-16 | NCAM1 | T | 8.12 |
| rs10789373 | 8e-16 | LINC01360 - LINC02238 | C | 8.06 |
| rs12128161 | 2e-15 | LINC01360 - LINC02238 | A | 7.95 |
| rs7431106 | 2e-15 | IP6K1 | A | 7.94 |
| rs11210146 | 4e-15 | KRT8P21 - RN7SKP19 | ? | |
| rs11130221 | 7e-15 | IP6K1 | C | 7.79 |
| rs1355178 | 1e-14 | LINC01830 | ? | |
| rs5015511 | 4e-14 | LINC01830 | ? | |
| rs28986300 | 8e-14 | GABBR1 | A | 7.47 |
| rs29242 | 8e-14 | GABBR1 | T | 7.46 |
| chr2:104454345 | 3e-13 | | A | 0.04 |
| rs9479138 | 3e-13 | ESR1 | T | 7.28 |
| rs7797335 | 3e-13 | FOXP2 | ? | |
| chr11:28630051 | 4e-13 | | A | 0.04 |
| rs10821163 | 4e-13 | PHF2 | C | 7.25 |
| rs2135029 | 4e-13 | SGCD | A | 7.25 |
| rs7523829 | 6e-13 | RN7SKP19 - LINC01360 | ? | |
| rs10235664 | 7e-13 | MAD1L1 | T | 0.02 |
| rs10992779 | 1e-12 | FAM120A | A | 7.13 |
| rs4632195 | 2e-12 | DCC | T | 7.06 |
| rs10229691 | 2e-12 | FOXP2 | ? | |
| rs139582054 | 2e-12 | GPX5 - SCAND3 | ? | |
| rs10992729 | 3e-12 | Y_RNA - FAM120AOS | T | 0.01 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90627735 | Nievergelt CM | 2024 | 137,136 | 1,085,746 | Genome-wide association analyses identify 95 risk loci and provide insights into the neurobiology of post-traumatic stress disorder. |
| GCST90627736 | Nievergelt CM | 2024 | 137,136 | 1,085,746 | Genome-wide association analyses identify 95 risk loci and provide insights into the neurobiology of post-traumatic stress disorder. |
| GCST90476515 | Verma A | 2024 | 102,584 | 332,738 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90271338 | Gong W | 2023 | 54,854 | 552,920 | Role of the Gut-Brain Axis in the Shared Genetic Etiology Between Gastrointestinal Tract Diseases and Psychiatric Disorders: A Genome-Wide Pleiotropic Analysis. |
| GCST90271326 | Gong W | 2023 | 53,400 | 584,648 | Role of the Gut-Brain Axis in the Shared Genetic Etiology Between Gastrointestinal Tract Diseases and Psychiatric Disorders: A Genome-Wide Pleiotropic Analysis. |
| GCST90480755 | Verma A | 2024 | 40,334 | 75,108 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90481787 | Verma A | 2024 | 40,334 | 75,108 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90271773 | Stein MB | 2021 | 36,301 | 178,107 | Genome-wide association analyses of post-traumatic stress disorder and its symptom subdomains in the Million Veteran Program. |
| GCST90271775 | Stein MB | 2021 | 36,301 | 178,107 | Genome-wide association analyses of post-traumatic stress disorder and its symptom subdomains in the Million Veteran Program. |
| GCST90455649 | Chen D | 2024 | 23,212 | 151,447 | Unraveling shared susceptibility loci and Mendelian genetic associations linking educational attainment with multiple neuropsychiatric disorders. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 50 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 50 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 34 |
| intergenic_variant | 12 |
| unknown | 3 |
| non_coding_transcript_exon_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs1476535 | 7 | 114430980 | C>A,G,T | 0.424 | intron_variant | FOXP2 | 4e-20 | Tier 4: intronic/intergenic |
| rs62056789 | 17 | 45898049 | A>C,T | 0.05 | non_coding_transcript_exon_variant | MAPT, MAPT-IT1 | 1e-19 | Tier 4: intronic/intergenic |
| rs6759922 | 2 | 22227377 | G>A,T | 0.457 | intron_variant | LINC01830 | 1e-18 | Tier 4: intronic/intergenic |
| rs488769 | 11 | 57683248 | A>C,T | 0.344 | intron_variant | ZDHHC5 | 1e-18 | Tier 4: intronic/intergenic |
| rs10865093 | 2 | 22236500 | T>C | 0.455 | intron_variant | LINC01830 | 9e-18 | Tier 4: intronic/intergenic |
| rs2186710 | 11 | 112956325 | C>A,G,T | 0.455 | intergenic_variant | LINC02763 - NCAM1-AS2 | 3e-17 | Tier 4: intronic/intergenic |
| rs59145082 | 2 | 22312386 | A>G,T | 0.05 | intron_variant | LINC01830 | 2e-16 | Tier 4: intronic/intergenic |
| rs7106434 | 11 | 112989857 | T>C | 0.462 | intron_variant | NCAM1 | 4e-16 | Tier 4: intronic/intergenic |
| rs10789373 | 1 | 73500186 | G>A,C,T | 0.394 | intergenic_variant | LINC01360 - LINC02238 | 8e-16 | Tier 4: intronic/intergenic |
| rs12128161 | 1 | 73371734 | C>A,G | 0.392 | intron_variant | LINC01360 - LINC02238 | 2e-15 | Tier 4: intronic/intergenic |
| rs7431106 | 3 | 49770941 | G>A | 0.491 | intron_variant | IP6K1 | 2e-15 | Tier 4: intronic/intergenic |
| rs11210146 | 1 | 73156324 | A>C,G,T | 0.05 | intergenic_variant | KRT8P21 - RN7SKP19 | 4e-15 | Tier 4: intronic/intergenic |
| rs11130221 | 3 | 49781669 | C>G,T | 0.489 | intron_variant | IP6K1 | 7e-15 | Tier 4: intronic/intergenic |
| rs1355178 | 2 | 22365653 | T>A,G | 0.05 | intron_variant | LINC01830 | 1e-14 | Tier 4: intronic/intergenic |
| rs5015511 | 2 | 22323980 | G>A,T | 0.05 | intron_variant | LINC01830 | 4e-14 | Tier 4: intronic/intergenic |
| rs28986300 | 6 | 29583119 | A>G | 0.064 | intron_variant | GABBR1 | 8e-14 | Tier 4: intronic/intergenic |
| rs29242 | 6 | 29631092 | T>C,G | 0.054 | intron_variant | GABBR1 | 8e-14 | Tier 4: intronic/intergenic |
| chr2:104454345 | | | | 0.462 | | | 3e-13 | Tier 4: intronic/intergenic |
| rs9479138 | 6 | 151894064 | T>A,G | 0.372 | intron_variant | ESR1 | 3e-13 | Tier 4: intronic/intergenic |
| rs7797335 | 7 | 114564074 | T>A,C,G | 0.05 | intron_variant | FOXP2 | 3e-13 | Tier 4: intronic/intergenic |
| chr11:28630051 | | | | 0.377 | | | 4e-13 | Tier 4: intronic/intergenic |
| rs10821163 | 9 | 93580778 | G>A,C,T | 0.339 | intron_variant | PHF2 | 4e-13 | Tier 4: intronic/intergenic |
| rs2135029 | 5 | 156429528 | G>A,T | 0.394 | intron_variant | SGCD | 4e-13 | Tier 4: intronic/intergenic |
| rs7523829 | 1 | 73292434 | G>A | 0.05 | intergenic_variant | RN7SKP19 - LINC01360 | 6e-13 | Tier 4: intronic/intergenic |
| rs10235664 | 7 | 2047179 | T>C | 0.05 | intron_variant | MAD1L1 | 7e-13 | Tier 4: intronic/intergenic |
| rs10992779 | 9 | 93542374 | A>G | 0.339 | intron_variant | FAM120A | 1e-12 | Tier 4: intronic/intergenic |
| rs4632195 | 18 | 53220378 | C>G,T | 0.476 | intron_variant | DCC | 2e-12 | Tier 4: intronic/intergenic |
| rs10229691 | 7 | 114384124 | G>A | 0.05 | intron_variant | FOXP2 | 2e-12 | Tier 4: intronic/intergenic |
| rs139582054 | 6 | 28567056 | C>G,T | 0.05 | intergenic_variant | GPX5 - SCAND3 | 2e-12 | Tier 4: intronic/intergenic |
| rs10992729 | 9 | 93418793 | C>A,G,T | 0.05 | intergenic_variant | Y_RNA - FAM120AOS | 3e-12 | Tier 4: intronic/intergenic |
ClinVar germline variants
3 retrieved; paginated sample, class counts are floors:
2 likely risk allele, 1 uncertain risk allele
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|
| 3024130 | NM_001709.5(BDNF):c.[*1785G>T;-21-14109C>G196G>A] | | Likely risk allele | no assertion criteria provided |
| 1722519 | NM_000719.7(CACNA1C):c.477+115699G>A | CACNA1C | Uncertain risk allele | no assertion criteria provided |
| 1712509 | NM_004117.4(FKBP5):c.106-2636A>G | FKBP5 | Likely risk allele | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 26 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| RPS29 | Orphanet:124 | Diamond-Blackfan anemia |
| SLC4A4 | Orphanet:93607 | Autosomal recessive proximal renal tubular acidosis |
| TLL1 | Orphanet:99103 | Atrial septal defect, ostium secundum type |
| TLL1 | Orphanet:99106 | Atrial septal defect, ostium primum type |
| TRPS1 | Orphanet:502 | Trichorhinophalangeal syndrome type 2 |
| TRPS1 | Orphanet:77258 | Trichorhinophalangeal syndrome type 1 |
| CACNA1C | Orphanet:101016 | Romano-Ward syndrome |
| CACNA1C | Orphanet:130 | Brugada syndrome |
| CACNA1C | Orphanet:528084 | Non-specific syndromic intellectual disability |
| CACNA1C | Orphanet:595098 | Timothy syndrome type 1 |
| CACNA1C | Orphanet:595105 | Timothy syndrome type 2 |
| CACNA1C | Orphanet:595109 | Atypical Timothy syndrome |
| ANKRD55 | Orphanet:85408 | Rheumatoid factor-negative polyarticular juvenile idiopathic arthritis |
| ANKRD55 | Orphanet:85410 | Oligoarticular juvenile idiopathic arthritis |
| TECRL | Orphanet:3286 | Catecholaminergic polymorphic ventricular tachycardia |
| DPP6 | Orphanet:228140 | Idiopathic ventricular fibrillation |
| DPP6 | Orphanet:2514 | Autosomal dominant primary microcephaly |
| AKT3 | Orphanet:83473 | Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome |
| AKT3 | Orphanet:99802 | Hemimegalencephaly |
| GABBR2 | Orphanet:3095 | Atypical Rett syndrome |
| GABBR2 | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| GRIN1 | Orphanet:178469 | Autosomal dominant non-syndromic intellectual disability |
| GRIN1 | Orphanet:1934 | Early infantile developmental and epileptic encephalopathy |
| GRIN1 | Orphanet:208447 | Bilateral generalized polymicrogyria |
| GRIN1 | Orphanet:88616 | Autosomal recessive non-syndromic intellectual disability |
| NDRG1 | Orphanet:99950 | Charcot-Marie-Tooth disease type 4D |
Cohort genes → proteins
35 cohort genes, 33 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 33 |
| multi_evidence | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| RPS29 | HGNC:10419 | ENSG00000213741 | P62273 | Small ribosomal subunit protein uS14 | gwas |
| SDC2 | HGNC:10659 | ENSG00000169439 | P34741 | Syndecan-2 | gwas |
| SLC4A4 | HGNC:11030 | ENSG00000080493 | Q9Y6R1 | Electrogenic sodium bicarbonate cotransporter 1 | gwas |
| TLL1 | HGNC:11843 | ENSG00000038295 | O43897 | Tolloid-like protein 1 | gwas |
| TRPS1 | HGNC:12340 | ENSG00000104447 | Q9UHF7 | Zinc finger transcription factor Trps1 | gwas |
| PTPRVP | HGNC:13421 | ENSG00000243323 | | protein tyrosine phosphatase receptor type V, pseudogene | gwas |
| CACNA1C | HGNC:1390 | ENSG00000151067 | Q13936 | Voltage-dependent L-type calcium channel subunit alpha-1C | clinvar |
| CSMD1 | HGNC:14026 | ENSG00000183117 | Q96PZ7 | CUB and sushi domain-containing protein 1 | gwas |
| UST | HGNC:17223 | ENSG00000111962 | Q9Y2C2 | Uronyl 2-sulfotransferase | gwas |
| TBC1D2 | HGNC:18026 | ENSG00000095383 | Q9BYX2 | TBC1 domain family member 2A | gwas |
| POGK | HGNC:18800 | ENSG00000143157 | Q9P215 | Pogo transposable element with KRAB domain | gwas |
| LGR6 | HGNC:19719 | ENSG00000133067 | Q9HBX8 | Leucine-rich repeat-containing G-protein coupled receptor 6 | gwas |
| COBL | HGNC:22199 | ENSG00000106078 | O75128 | Protein cordon-bleu | gwas |
| UNC13C | HGNC:23149 | ENSG00000137766 | Q8NB66 | Protein unc-13 homolog C | gwas |
| PRTFDC1 | HGNC:23333 | ENSG00000099256 | Q9NRG1 | Phosphoribosyltransferase domain-containing protein 1 | gwas |
| SIPA1L2 | HGNC:23800 | ENSG00000116991 | Q9P2F8 | Signal-induced proliferation-associated 1-like protein 2 | gwas |
| ADCY8 | HGNC:239 | ENSG00000155897 | P40145 | Adenylate cyclase type 8 | gwas |
| CYRIB | HGNC:25216 | ENSG00000153310 | Q9NUQ9 | CYFIP-related Rac1 interactor B | gwas |
| MEX3B | HGNC:25297 | ENSG00000183496 | Q6ZN04 | RNA-binding protein MEX3B | gwas |
| ANKRD55 | HGNC:25681 | ENSG00000164512 | Q3KP44 | Ankyrin repeat domain-containing protein 55 | gwas |
| TRMT9B | HGNC:26725 | ENSG00000250305 | Q9P272 | Probable tRNA methyltransferase 9B | gwas |
| TECRL | HGNC:27365 | ENSG00000205678 | Q5HYJ1 | Trans-2,3-enoyl-CoA reductase-like | gwas |
| ZMAT3 | HGNC:29983 | ENSG00000172667 | Q9HA38 | Zinc finger matrin-type protein 3 | gwas |
| DPP6 | HGNC:3010 | ENSG00000130226 | P42658 | A-type potassium channel modulatory protein DPP6 | gwas |
| MTRNR2L5 | HGNC:37162 | | P0CJ72 | Humanin-like 5 | gwas |
| FKBP5 | HGNC:3721 | ENSG00000096060 | Q13451 | Peptidyl-prolyl cis-trans isomerase FKBP5 | clinvar |
| MIR3166 | HGNC:38386 | ENSG00000266581 | | microRNA 3166 | gwas |
| AKT3 | HGNC:393 | ENSG00000117020 | Q9Y243 | RAC-gamma serine/threonine-protein kinase | gwas |
| GABBR2 | HGNC:4507 | ENSG00000136928 | O75899 | Gamma-aminobutyric acid type B receptor subunit 2 | gwas |
| GRIN1 | HGNC:4584 | ENSG00000176884 | Q05586 | Glutamate receptor ionotropic, NMDA 1 | gwas |
| LHX2 | HGNC:6594 | ENSG00000106689 | P50458 | LIM/homeobox protein Lhx2 | gwas |
| NDRG1 | HGNC:7679 | ENSG00000104419 | Q92597 | Protein NDRG1 | gwas |
| OTOR | HGNC:8517 | ENSG00000125879 | Q9NRC9 | Otoraplin | gwas |
| KAT2B | HGNC:8638 | ENSG00000114166 | Q92831 | Histone acetyltransferase KAT2B | gwas |
| PRKCA | HGNC:9393 | ENSG00000154229 | P17252 | Protein kinase C alpha type | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| RPS29 | Small ribosomal subunit protein uS14 | Component of the small ribosomal subunit. |
| SDC2 | Syndecan-2 | Cell surface proteoglycan which regulates dendritic arbor morphogenesis. |
| SLC4A4 | Electrogenic sodium bicarbonate cotransporter 1 | Electrogenic sodium/bicarbonate cotransporter with a Na(+):HCO3(-) stoichiometry varying from 1:2 to 1:3. |
| TLL1 | Tolloid-like protein 1 | Protease which processes procollagen C-propeptides, such as chordin, pro-biglycan and pro-lysyl oxidase. |
| TRPS1 | Zinc finger transcription factor Trps1 | Transcriptional repressor. |
| CACNA1C | Voltage-dependent L-type calcium channel subunit alpha-1C | Pore-forming, alpha-1C subunit of the voltage-gated calcium channel that gives rise to L-type calcium currents. |
| CSMD1 | CUB and sushi domain-containing protein 1 | Potential suppressor of squamous cell carcinomas. |
| UST | Uronyl 2-sulfotransferase | Sulfotransferase that utilizes 3’-phospho-5’-adenylyl sulfate (PAPS) to catalyze the transfer of a sulfo group to the 2-OH position of uronyl residues in glycosaminoglycan chains. |
| TBC1D2 | TBC1 domain family member 2A | Acts as a GTPase-activating protein for RAB7A. |
| LGR6 | Leucine-rich repeat-containing G-protein coupled receptor 6 | Receptor for R-spondins that potentiates the canonical Wnt signaling pathway and acts as a marker of multipotent stem cells in the epidermis. |
| COBL | Protein cordon-bleu | Plays an important role in the reorganization of the actin cytoskeleton. |
| UNC13C | Protein unc-13 homolog C | May play a role in vesicle maturation during exocytosis as a target of the diacylglycerol second messenger pathway. |
| PRTFDC1 | Phosphoribosyltransferase domain-containing protein 1 | Has low, barely detectable phosphoribosyltransferase activity (in vitro). |
| ADCY8 | Adenylate cyclase type 8 | Catalyzes the formation of cAMP in response to calcium entry leadings to cAMP signaling activation that affect processes suche as synaptic plasticity and insulin secretion. |
| CYRIB | CYFIP-related Rac1 interactor B | Negatively regulates RAC1 signaling and RAC1-driven cytoskeletal remodeling. |
| MEX3B | RNA-binding protein MEX3B | RNA-binding protein. |
| TRMT9B | Probable tRNA methyltransferase 9B | May modify wobble uridines in specific arginine and glutamic acid tRNAs. |
| ZMAT3 | Zinc finger matrin-type protein 3 | Acts as a bona fide target gene of p53/TP53. |
| DPP6 | A-type potassium channel modulatory protein DPP6 | Promotes cell surface expression of the potassium channel KCND2. |
| MTRNR2L5 | Humanin-like 5 | Plays a role as a neuroprotective and antiapoptotic factor. |
| FKBP5 | Peptidyl-prolyl cis-trans isomerase FKBP5 | Immunophilin protein with PPIase and co-chaperone activities. |
| AKT3 | RAC-gamma serine/threonine-protein kinase | AKT3 is one of 3 closely related serine/threonine-protein kinases (AKT1, AKT2 and AKT3) called the AKT kinase, and which regulate many processes including metabolism, proliferation, cell survival, growth and angiogenesis. |
| GABBR2 | Gamma-aminobutyric acid type B receptor subunit 2 | Component of a heterodimeric G-protein coupled receptor for GABA, formed by GABBR1 and GABBR2. |
| GRIN1 | Glutamate receptor ionotropic, NMDA 1 | Component of N-methyl-D-aspartate (NMDA) receptors (NMDARs) that function as heterotetrameric, ligand-gated cation channels with high calcium permeability and voltage-dependent block by Mg(2+). |
| LHX2 | LIM/homeobox protein Lhx2 | Acts as a transcriptional activator. |
| NDRG1 | Protein NDRG1 | Stress-responsive protein involved in hormone responses, cell growth, and differentiation. |
| KAT2B | Histone acetyltransferase KAT2B | Functions as a histone acetyltransferase (HAT) to promote transcriptional activation. |
| PRKCA | Protein kinase C alpha type | Calcium-activated, phospholipid- and diacylglycerol (DAG)-dependent serine/threonine-protein kinase that is involved in positive and negative regulation of cell proliferation, apoptosis, differentiation, migration and adhesion, tumorigenes… |
Protein-family classification
Druggable: 9 · Difficult: 9 · Unknown: 17 · Druggable fraction: 0.26
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|
| Complement | 1 | 7.7× | 0.557 |
| Ion channel | 1 | 3.2× | 0.557 |
| Protease | 2 | 2.1× | 0.557 |
| Scaffold/PPI | 4 | 2.0× | 0.557 |
| Kinase | 2 | 1.6× | 0.557 |
| GPCR | 2 | 1.4× | 0.557 |
| Transcription factor | 5 | 1.2× | 0.557 |
| Other/Unknown | 17 | 0.9× | 0.953 |
| Enzyme (other) | 1 | 0.3× | 0.953 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| RPS29 | Other/Unknown | no | | Ribosomal_uS14, Ribosomal_uS14_CS, RIbosomal_uS14_euk_arc |
| SDC2 | Other/Unknown | no | | Syndecan, Neurexin-like, Syndecan/Neurexin_dom |
| SLC4A4 | Other/Unknown | no | | HCO3_transpt_euk, Na/HCO3_transpt, HCO3_transpt-like_TM_dom |
| TLL1 | Protease | yes | | EGF-type_Asp/Asn_hydroxyl_site, EGF, CUB_dom |
| TRPS1 | Transcription factor | no | | Znf_GATA, Znf_C2H2_type, Znf_NHR/GATA |
| PTPRVP | Other/Unknown | no | | |
| CACNA1C | Ion channel | yes | | VDCCAlpha1, VDCC_L_a1su, VDCC_L_a1csu |
| CSMD1 | Complement | yes | | Sushi_SCR_CCP_dom, CUB_dom, Sperma_CUB_dom_sf |
| UST | Other/Unknown | no | | Sulfotransferase, Heparan_SO4_2-O-STrfase, P-loop_NTPase |
| TBC1D2 | Scaffold/PPI | no | | Rab-GAP-TBC_dom, PH_domain, PH-like_dom_sf |
| POGK | Transcription factor | no | | KRAB, aKRAB, DDE_SF_endonuclease_dom |
| LGR6 | GPCR | yes | | GPCR_Rhodpsn, LRRNT, Leu-rich_rpt |
| COBL | Other/Unknown | no | | WH2_dom, Cordon-bleu_ubiquitin_domain, COBL-like |
| UNC13C | Other/Unknown | no | | C2_dom, PKC_DAG/PE, MUN_dom |
| PRTFDC1 | Other/Unknown | no | | PRTase_dom, Hxn_phspho_trans, PRTase-like |
| SIPA1L2 | Scaffold/PPI | no | | Rap/Ran_GAP_dom, PDZ, SIPA1L_C |
| ADCY8 | Other/Unknown | no | | A/G_cyclase, Adcy_conserved_dom, A/G_cyclase_CS |
| CYRIB | Other/Unknown | no | | CYRIA/CYRIB_Rac1-bd, CYRI |
| MEX3B | Transcription factor | no | | Znf_RING, KH_dom, KH_dom_type_1 |
| ANKRD55 | Scaffold/PPI | no | | Ankyrin_rpt, Ankyrin_rpt-contain_sf |
| TRMT9B | Other/Unknown | no | | Methyltransf_11, SAM-dependent_MTases_sf, AlkB_tRNA_MeTrf/Diox |
| TECRL | Other/Unknown | no | | 3-oxo-5_a-steroid_4-DH_C, SRD5A/TECR, TECRL_Ubl |
| ZMAT3 | Transcription factor | no | | Matrin/U1-like-C_Znf_C2H2, Znf_C2H2_type, Znf_C2H2_jaz |
| DPP6 | Protease | yes | | Peptidase_S9_cat, Peptidase_S9B_N, AB_hydrolase_fold |
| MTRNR2L5 | Other/Unknown | no | | Humanin |
| FKBP5 | Other/Unknown | no | | PPIase_FKBP_dom, TPR-like_helical_dom_sf, TPR_rpt |
| MIR3166 | Other/Unknown | no | | |
| AKT3 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, AGC-kinase_C, PH_domain |
| GABBR2 | GPCR | yes | | GPCR_3, ANF_lig-bd_rcpt, GPCR3_GABA-B |
| GRIN1 | Other/Unknown | no | | Iontro_rcpt_C, Iono_Glu_rcpt_met, ANF_lig-bd_rcpt |
| LHX2 | Transcription factor | no | | HD, Znf_LIM, Homeodomain-like_sf |
| NDRG1 | Other/Unknown | no | | NDRG, AB_hydrolase_fold |
| OTOR | Scaffold/PPI | no | | SH3_domain, Otoraplin_SH3, SH3-like_dom_sf |
| KAT2B | Enzyme (other) | yes | 2.3.1.48 | GNAT_dom, Bromodomain, PCAF_N |
| PRKCA | Kinase | yes | 2.7.11.13 | C2_dom, Prot_kinase_dom, AGC-kinase_C |
Expression context
Cohort genes with no expression data: 1.
31 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 34 |
| unknown | 1 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| calcaneal tendon | 4 |
| lateral globus pallidus | 4 |
| Brodmann (1909) area 23 | 4 |
| ganglionic eminence | 4 |
| middle temporal gyrus | 3 |
| caput epididymis | 2 |
| buccal mucosa cell | 2 |
| primordial germ cell in gonad | 2 |
| secondary oocyte | 2 |
| right testis | 2 |
| right coronary artery | 2 |
| pons | 2 |
| monocyte | 2 |
| mononuclear cell | 2 |
| cortical plate | 2 |
| endothelial cell | 2 |
| ventricular zone | 2 |
| left ventricle myocardium | 2 |
| lateral nuclear group of thalamus | 2 |
| sperm | 2 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| RPS29 | 295 | ubiquitous | marker | caput epididymis, penis, parietal pleura |
| SDC2 | 290 | ubiquitous | marker | tibia, calcaneal tendon, synovial joint |
| SLC4A4 | 268 | ubiquitous | marker | jejunal mucosa, lateral globus pallidus, mucosa of sigmoid colon |
| TLL1 | 162 | broad | marker | secondary oocyte, buccal mucosa cell, primordial germ cell in gonad |
| TRPS1 | 284 | ubiquitous | marker | mammary duct, epithelium of mammary gland, calcaneal tendon |
| PTPRVP | 124 | | marker | right testis, left testis, testis |
| CACNA1C | 134 | broad | marker | apex of heart, right coronary artery, muscle layer of sigmoid colon |
| CSMD1 | 179 | broad | marker | Brodmann (1909) area 23, middle temporal gyrus, primary visual cortex |
| UST | 261 | ubiquitous | marker | pons, calcaneal tendon, adrenal tissue |
| TBC1D2 | 243 | ubiquitous | marker | monocyte, upper lobe of left lung, mononuclear cell |
| POGK | 274 | ubiquitous | marker | Brodmann (1909) area 46, cortical plate, ganglionic eminence |
| LGR6 | 201 | broad | marker | right coronary artery, descending thoracic aorta, thoracic aorta |
| COBL | 255 | broad | marker | inferior vagus X ganglion, parotid gland, lateral globus pallidus |
| UNC13C | 174 | broad | marker | secondary oocyte, oocyte, endothelial cell |
| PRTFDC1 | 240 | ubiquitous | marker | corpus callosum, ventricular zone, ganglionic eminence |
| SIPA1L2 | 254 | ubiquitous | marker | left ventricle myocardium, cardiac muscle of right atrium, pons |
| ADCY8 | 125 | ubiquitous | marker | lateral nuclear group of thalamus, dorsal motor nucleus of vagus nerve, caput epididymis |
| CYRIB | 286 | ubiquitous | marker | monocyte, mononuclear cell, leukocyte |
| MEX3B | 161 | ubiquitous | yes | sperm, ganglionic eminence, right testis |
| ANKRD55 | 169 | broad | marker | male germ line stem cell (sensu Vertebrata) in testis, sperm, primordial germ cell in gonad |
| TRMT9B | 226 | broad | marker | cerebellar vermis, cerebellar cortex, cerebellar hemisphere |
| TECRL | 135 | tissue_specific | yes | myocardium, heart right ventricle, left ventricle myocardium |
| ZMAT3 | 277 | ubiquitous | marker | postcentral gyrus, Brodmann (1909) area 23, parietal lobe |
| DPP6 | 221 | broad | marker | middle temporal gyrus, Brodmann (1909) area 23, endothelial cell |
| MTRNR2L5 | | | | |
| FKBP5 | 275 | ubiquitous | marker | mucosa of stomach, pericardium, skeletal muscle tissue of biceps brachii |
| MIR3166 | 25 | | yes | blood, gastrocnemius, lower esophagus muscularis layer |
| AKT3 | 231 | ubiquitous | marker | cortical plate, calcaneal tendon, embryo |
| GABBR2 | 193 | broad | marker | Brodmann (1909) area 23, lateral nuclear group of thalamus, middle temporal gyrus |
| GRIN1 | 215 | tissue_specific | marker | right hemisphere of cerebellum, right frontal lobe, cerebellar hemisphere |
Protein interactions among cohort
Intra-cohort edges: 8.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| FKBP5 | 4,900 |
| PRKCA | 4,530 |
| KAT2B | 4,410 |
| AKT3 | 3,392 |
| CACNA1C | 3,145 |
| NDRG1 | 2,778 |
| TRPS1 | 2,588 |
| ADCY8 | 2,527 |
| LHX2 | 2,347 |
| DPP6 | 2,224 |
Intra-cohort edges
| A | B | Sources |
|---|
| ADCY8 | CACNA1C | intact |
| ADCY8 | PRKCA | string_interaction |
| AKT3 | FKBP5 | biogrid_interaction |
| ANKRD55 | PRTFDC1 | string_interaction |
| CACNA1C | CSMD1 | string_interaction |
| CACNA1C | SLC4A4 | intact |
| COBL | PRTFDC1 | string_interaction |
| PRTFDC1 | TLL1 | string_interaction |
Structural data
PDB: 19 · AlphaFold-only: 14 · No structure: 2
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| RPS29 | P62273 | 200 |
| FKBP5 | Q13451 | 138 |
| GRIN1 | Q05586 | 85 |
| CACNA1C | Q13936 | 33 |
| GABBR2 | O75899 | 26 |
| KAT2B | Q92831 | 25 |
| DPP6 | P42658 | 8 |
| PRKCA | P17252 | 6 |
| MEX3B | Q6ZN04 | 2 |
| AKT3 | Q9Y243 | 2 |
| SDC2 | P34741 | 1 |
| SLC4A4 | Q9Y6R1 | 1 |
| TLL1 | O43897 | 1 |
| CSMD1 | Q96PZ7 | 1 |
| TBC1D2 | Q9BYX2 | 1 |
| COBL | O75128 | 1 |
| PRTFDC1 | Q9NRG1 | 1 |
| CYRIB | Q9NUQ9 | 1 |
| NDRG1 | Q92597 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| OTOR | Q9NRC9 | 89.09 |
| TECRL | Q5HYJ1 | 84.32 |
| UST | Q9Y2C2 | 79.64 |
| LGR6 | Q9HBX8 | 77.94 |
| ADCY8 | P40145 | 71.82 |
| ZMAT3 | Q9HA38 | 69.64 |
| MTRNR2L5 | P0CJ72 | 69.13 |
| POGK | Q9P215 | 68.59 |
| LHX2 | P50458 | 67.03 |
| ANKRD55 | Q3KP44 | 63.43 |
| TRMT9B | Q9P272 | 62.21 |
| UNC13C | Q8NB66 | 61.64 |
| SIPA1L2 | Q9P2F8 | 56.59 |
| TRPS1 | Q9UHF7 | 49.12 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 326. Enrichment computed across 35 evidence-associated genes (20 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 20 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Regulation of insulin secretion | 3 | 32.9× | 0.010 | CACNA1C, ADCY8, PRKCA |
| Axon guidance | 5 | 11.3× | 0.010 | RPS29, SDC2, CACNA1C, LHX2, PRKCA |
| Nervous system development | 5 | 10.7× | 0.010 | RPS29, SDC2, CACNA1C, LHX2, PRKCA |
| Integration of energy metabolism | 3 | 26.4× | 0.015 | CACNA1C, ADCY8, PRKCA |
| Developmental Biology | 7 | 5.1× | 0.017 | RPS29, SDC2, CACNA1C, AKT3, LHX2, KAT2B, PRKCA |
| Regulation of beta-cell development | 2 | 71.4× | 0.019 | AKT3, KAT2B |
| ESR-mediated signaling | 3 | 19.2× | 0.021 | FKBP5, AKT3, KAT2B |
| Signaling by ROBO receptors | 3 | 18.6× | 0.021 | RPS29, LHX2, PRKCA |
| GABA B receptor activation | 2 | 54.4× | 0.022 | ADCY8, GABBR2 |
| Syndecan interactions | 2 | 42.3× | 0.027 | SDC2, PRKCA |
| Calmodulin induced events | 2 | 38.1× | 0.027 | ADCY8, PRKCA |
| CaM pathway | 2 | 38.1× | 0.027 | ADCY8, PRKCA |
| Ca-dependent events | 2 | 36.8× | 0.027 | ADCY8, PRKCA |
| Rab regulation of trafficking | 2 | 36.8× | 0.027 | TBC1D2, AKT3 |
| Sensory Perception | 3 | 14.3× | 0.027 | SDC2, LHX2, PRKCA |
| Intracellular signaling by second messengers | 3 | 13.7× | 0.027 | ADCY8, AKT3, PRKCA |
| Signaling by ERBB2 | 2 | 34.6× | 0.029 | AKT3, PRKCA |
| FOXO-mediated transcription | 2 | 33.6× | 0.029 | AKT3, KAT2B |
| G-protein mediated events | 2 | 32.6× | 0.029 | ADCY8, PRKCA |
| DAG and IP3 signaling | 2 | 31.7× | 0.029 | ADCY8, PRKCA |
| SARS-CoV-2 Infection | 3 | 12.1× | 0.029 | RPS29, SDC2, AKT3 |
| Opioid Signalling | 2 | 26.6× | 0.034 | ADCY8, PRKCA |
| PLC beta mediated events | 2 | 26.6× | 0.034 | ADCY8, PRKCA |
| EPHB-mediated forward signaling | 2 | 26.6× | 0.034 | SDC2, GRIN1 |
| Visual phototransduction | 2 | 25.9× | 0.034 | SDC2, PRKCA |
| Disease | 6 | 3.9× | 0.038 | RPS29, SDC2, SLC4A4, ADCY8, AKT3, KAT2B |
| G alpha (z) signalling events | 2 | 23.3× | 0.039 | ADCY8, PRKCA |
| Defective SLC4A4 causes renal tubular acidosis, proximal, with ocular abnormalities and mental retardation (pRTA-OA) | 1 | 285.5× | 0.041 | SLC4A4 |
| Signaling by VEGF | 2 | 22.0× | 0.041 | AKT3, PRKCA |
| SARS-CoV Infections | 3 | 8.3× | 0.057 | RPS29, SDC2, AKT3 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 32 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| propylene metabolic process | 1 | 526.6× | 0.064 | GRIN1 |
| presynaptic signal transduction | 1 | 526.6× | 0.064 | SIPA1L2 |
| positive regulation of angiotensin-activated signaling pathway | 1 | 526.6× | 0.064 | PRKCA |
| response to glycine | 1 | 526.6× | 0.064 | GRIN1 |
| activation of protein kinase A activity | 1 | 263.3× | 0.064 | ADCY8 |
| response to phorbol 13-acetate 12-myristate | 1 | 263.3× | 0.064 | PRKCA |
| negative regulation of rRNA processing | 1 | 263.3× | 0.064 | KAT2B |
| positive regulation of memory T cell activation | 1 | 263.3× | 0.064 | CYRIB |
| positive regulation of dense core granule biogenesis | 1 | 263.3× | 0.064 | PRKCA |
| N-terminal peptidyl-lysine acetylation | 1 | 175.5× | 0.064 | KAT2B |
| oviduct epithelium development | 1 | 175.5× | 0.064 | CSMD1 |
| collateral sprouting in absence of injury | 1 | 175.5× | 0.064 | COBL |
| calcium ion transmembrane transport via high voltage-gated calcium channel | 1 | 175.5× | 0.064 | CACNA1C |
| dense core granule priming | 1 | 175.5× | 0.064 | UNC13C |
| membrane depolarization during atrial cardiac muscle cell action potential | 1 | 175.5× | 0.064 | CACNA1C |
| immune system development | 1 | 131.7× | 0.064 | CACNA1C |
| mammary gland branching involved in pregnancy | 1 | 131.7× | 0.064 | CSMD1 |
| protein kinase C signaling | 1 | 131.7× | 0.064 | PRKCA |
| cellular response to morphine | 1 | 131.7× | 0.064 | ADCY8 |
| negative regulation of mitochondrial membrane permeability involved in apoptotic process | 1 | 131.7× | 0.064 | MTRNR2L5 |
| positive regulation of transcription from RNA polymerase II promoter by glucose | 1 | 105.3× | 0.064 | KAT2B |
| somite specification | 1 | 105.3× | 0.064 | COBL |
| internal peptidyl-lysine acetylation | 1 | 105.3× | 0.064 | KAT2B |
| negative regulation of synaptic plasticity | 1 | 105.3× | 0.064 | UNC13C |
| positive regulation of adenylate cyclase activity | 1 | 105.3× | 0.064 | CACNA1C |
| cellular response to staurosporine | 1 | 105.3× | 0.064 | MTRNR2L5 |
| membrane depolarization during AV node cell action potential | 1 | 105.3× | 0.064 | CACNA1C |
| neuron-glial cell signaling | 1 | 105.3× | 0.064 | GABBR2 |
| positive regulation of artery morphogenesis | 1 | 105.3× | 0.064 | AKT3 |
| bone regeneration | 1 | 105.3× | 0.064 | LGR6 |
Therapeutics
Drugs indicated for this disease
0 approved, 14 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Acetylcysteine, Alprazolam, Atenolol, Balovaptan, Brexanolone, Buprenorphine, Cannabidiol, Cannabinol, Carvedilol, Daridorexant, Dextroamphetamine, Doxazosin, Dronabinol, Escitalopram, Ganaxolone, Glecaprevir, Iloperidone, Insulin Human, Ketamine, Lactose, Anhydrous, Levetiracetam, Levodopa, Losartan, Methylphenidate, Midazolam, Mifepristone, Modafinil, Nabiximols, Nitrogen, Nitrous Oxide, Oxygen, Oxytocin, Phenylephrine, Pibrentasvir, Prasterone, Pregnenolone Succinate, Psilocybin, Reboxetine, Risperidone, Ropivacaine, Serine, Sodium Chloride, Topiramate, Yohimbine.
Drug target analysis
Approved (phase 4): 7 · Phase ≥3: 8 · Phased (≥1): 9 · Undrugged: 26
Druggability breadth: 14 of 35 evidence-associated genes (40%) 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.
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| CACNA1C | 85 | 4 |
| GRIN1 | 39 | 4 |
| PRKCA | 39 | 4 |
| AKT3 | 18 | 4 |
| GABBR2 | 4 | 4 |
| FKBP5 | 3 | 4 |
| KAT2B | 3 | 3 |
| RPS29 | 2 | 4 |
| ADCY8 | 1 | 2 |
| SDC2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 3.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| PRKCA | 1,148 | Binding:1131, Functional:15, ADMET:2 |
| AKT3 | 660 | Binding:644, Functional:16 |
| CACNA1C | 575 | Binding:319, Functional:211, Toxicity:26, ADMET:19 |
| GRIN1 | 481 | Binding:435, Functional:40, ADMET:5, Toxicity:1 |
| KAT2B | 217 | Binding:217 |
| RPS29 | 96 | Binding:96 |
| GABBR2 | 57 | Binding:35, Functional:21, ADMET:1 |
| FKBP5 | 38 | Binding:38 |
| ADCY8 | 31 | Binding:28, Functional:2, ADMET:1 |
| SDC2 | 7 | Binding:7 |
| TLL1 | 5 | Binding:5 |
| NDRG1 | 4 | Binding:4 |
| LGR6 | 1 | Binding:1 |
| CYRIB | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| AKT3 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| KAT2B | 2.3.1.48 | histone acetyltransferase |
| PRKCA | 2.7.11.13 | protein kinase C |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|
| CACNA1C | 575 |
| AKT3 | 660 |
| GRIN1 | 481 |
| KAT2B | 217 |
| PRKCA | 1,148 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 35; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
29 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|
| GENTAMICIN SULFATE | 4 | RPS29 |
| REMIFENTANIL | 4 | CACNA1C |
| BEPRIDIL | 4 | CACNA1C |
| CLOTRIMAZOLE | 4 | CACNA1C |
| PROPIVERINE | 4 | CACNA1C |
| DIBUCAINE | 4 | CACNA1C |
| IMIPRAMINE | 4 | CACNA1C |
| DULOXETINE | 4 | CACNA1C |
| QUINIDINE | 4 | CACNA1C |
| ESTRADIOL | 4 | CACNA1C |
| TOLTERODINE | 4 | CACNA1C |
| PIMOZIDE | 4 | CACNA1C |
| NIMODIPINE | 4 | CACNA1C |
| NICARDIPINE | 4 | CACNA1C |
| AMLODIPINE | 4 | CACNA1C |
| VARDENAFIL | 4 | CACNA1C |
| CLEMASTINE | 4 | CACNA1C |
| ISRADIPINE | 4 | CACNA1C |
| TERFENADINE | 4 | CACNA1C |
| NISOLDIPINE | 4 | CACNA1C |
| SOLIFENACIN | 4 | CACNA1C |
| PINAVERIUM | 4 | CACNA1C |
| SILDENAFIL | 4 | CACNA1C |
| NIFEDIPINE | 4 | CACNA1C |
| XANOMELINE | 4 | CACNA1C |
| DILTIAZEM | 4 | CACNA1C |
| PRENYLAMINE | 4 | CACNA1C |
| OLICERIDINE | 4 | CACNA1C |
| ALVIMOPAN | 4 | CACNA1C |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 7 | RPS29, CACNA1C, FKBP5, AKT3, GABBR2, GRIN1, PRKCA |
| B | Phased (≥1) drug, not yet approved | 2 | ADCY8, KAT2B |
| C | Druggable family + PDB, no drug | 3 | TLL1, CSMD1, DPP6 |
| D | Druggable family + AlphaFold only, no drug | 1 | LGR6 |
| E | Difficult family or no structure, no drug | 22 | SDC2, SLC4A4, TRPS1, PTPRVP, UST, TBC1D2, POGK, COBL, UNC13C, PRTFDC1 (+12 more) |
Undrugged target profiles
26 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| SDC2 | 7 | — |
| SLC4A4 | 0 | — |
| TLL1 | 5 | — |
| TRPS1 | 0 | — |
| PTPRVP | 0 | — |
| CSMD1 | 0 | — |
| UST | 0 | — |
| TBC1D2 | 0 | — |
| POGK | 0 | — |
| LGR6 | 1 | — |
| COBL | 0 | — |
| UNC13C | 0 | — |
| PRTFDC1 | 0 | — |
| SIPA1L2 | 0 | — |
| CYRIB | 1 | — |
| MEX3B | 0 | — |
| ANKRD55 | 0 | — |
| TRMT9B | 0 | — |
| TECRL | 0 | — |
| ZMAT3 | 0 | — |
| DPP6 | 0 | — |
| MTRNR2L5 | 0 | — |
| MIR3166 | 0 | — |
| LHX2 | 0 | — |
| NDRG1 | 4 | — |
| OTOR | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 1,399.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 758 |
| PHASE2 | 137 |
| PHASE4 | 52 |
| PHASE1 | 51 |
| PHASE3 | 46 |
| PHASE2/PHASE3 | 24 |
| PHASE1/PHASE2 | 18 |
| EARLY_PHASE1 | 14 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT05391971 | PHASE4 | ACTIVE_NOT_RECRUITING | Effects of Stellate Ganglion Block in Post-traumatic Stress Disorder |
| NCT06414356 | PHASE4 | RECRUITING | The Effect of Outpatient Ketamine Infusion on Chronic Neuropathic Pain and PTSD |
| NCT06788522 | PHASE4 | NOT_YET_RECRUITING | The Effects of Orexin Antagonism on Fear Extinction in PTSD |
| NCT06903819 | PHASE4 | RECRUITING | Ketamine for Pain, Opioid Use, and Mental Health in Orthopedic Trauma Patients |
| NCT07192536 | PHASE4 | NOT_YET_RECRUITING | Accelerated Neuromodulation for Concurrent Post-Traumatic Stress Disorder (PTSD) & Chronic Pain in Veterans |
| NCT07382596 | PHASE4 | RECRUITING | Cervical Plexus Hydrodissection With D5W Versus NS for Treatment-Resistant PTSD |
| NCT00006489 | PHASE4 | COMPLETED | Treatment for Alcoholism and Post-Traumatic Stress Disorder (Naltrexone) |
| NCT00025740 | PHASE4 | COMPLETED | Clonazepam and Paroxetine for Rapid Treatment of Post-Traumatic Stress Disorder |
| NCT00050804 | PHASE4 | COMPLETED | Evaluation of Stress Disorders |
| NCT00120250 | PHASE4 | COMPLETED | Eszopiclone for Sleep Disturbance and Nightmares in Post-Traumatic Stress Disorder |
| NCT00134446 | PHASE4 | UNKNOWN | Transcranial Magnetic Stimulation for Post-Traumatic Stress Disorder |
| NCT00158262 | PHASE4 | COMPLETED | Effect of Propranolol on Preventing Posttraumatic Stress Disorder |
| NCT00203385 | PHASE4 | TERMINATED | Maintenance Phase Treatment With Divalproex for Post Traumatic Stress Disorder |
| NCT00203463 | PHASE4 | COMPLETED | Topiramate in the Treatment of Post Traumatic Stress Disorder (PTSD) |
| NCT00204737 | PHASE4 | COMPLETED | Short Course Glucocorticoid Treatment for PTSD |
| NCT00208130 | PHASE4 | COMPLETED | Topiramate in the Treatment of Posttraumatic Stress Disorder in Civilians |
| NCT00208182 | PHASE4 | COMPLETED | Risperidone in the Treatment of PTSD in Women Survivors of Domestic Abuse and Rape Trauma |
| NCT00208208 | PHASE4 | COMPLETED | Geodon (Ziprasidone) for Posttraumatic Stress Disorder |
| NCT00237393 | PHASE4 | COMPLETED | Quetiapine Treatment for Post-Traumatic Stress Disorder (PTSD) |
| NCT00302107 | PHASE4 | COMPLETED | A Placebo-Controlled Study of Mirtazapine for PTSD |
| NCT00330239 | PHASE4 | COMPLETED | Paroxetine Treatment in Outpatients With Comorbid PTSD and Substance Dependence |
| NCT00347269 | PHASE4 | COMPLETED | Primary Care Intervention Strategy for Anxiety Disorders |
| NCT00352469 | PHASE4 | COMPLETED | Trial of Seroquel SR for Alcohol Dependence and Comorbid Anxiety |
| NCT00391430 | PHASE4 | TERMINATED | Cognitive Behavioral Therapy Versus Sertraline in the Treatment of Post-Traumatic Stress Disorder |
| NCT00648375 | PHASE4 | TERMINATED | Effectiveness of Propranolol For Treating People With Post-Traumatic Stress Disorder |
| NCT00700999 | PHASE4 | COMPLETED | Brain Markers of Treatment Response in Post-Traumatic Stress Disorder (PTSD) |
| NCT00706173 | PHASE4 | WITHDRAWN | Trial of Hydrocortisone for Post-Traumatic Stress Disorder (PTSD) |
| NCT00917397 | PHASE4 | COMPLETED | The Outcome of Treatment of Traumatised Refugees With Psychotherapy and/or Antidepressants |
| NCT01087736 | PHASE4 | COMPLETED | Topiramate Treatment of Alcohol Use Disorders in Veterans With Post Traumatic Stress Disorder (PTSD): A Pilot Controlled Trial of Augmentation Therapy |
| NCT01271244 | PHASE4 | COMPLETED | Effects of Escitalopram on Autonomic Reactivity in Post Traumatic Stress Disorder |
| NCT01325168 | PHASE4 | COMPLETED | The Effect of Intranasal Oxytocin on Emphatic Abilities in Patients With Post Traumatic Stress Disorder (PTSD) |
| NCT01490697 | PHASE4 | COMPLETED | Developing Memory Reconsolidation Blockers as Novel Posttraumatic Stress Disorder (PTSD) Treatments |
| NCT01517711 | PHASE4 | COMPLETED | Tramadol Extended-Release (ER) for Posttraumatic Stress Disorder (PTSD) |
| NCT01569685 | PHASE4 | COMPLETED | The Treatment of Traumatised Refugees With Sertraline Versus Venlafaxine in Combination With Psychotherapy |
| NCT01681849 | PHASE4 | COMPLETED | Neural Circuits in Women With Abuse and Posttraumatic Stress Disorder |
| NCT01715519 | PHASE4 | COMPLETED | Vilazodone for the Treatment of Posttraumatic Stress Disorder |
| NCT01965366 | PHASE4 | COMPLETED | Dexamethasone Plus Virtual Reality Exposure Therapy for PTSD |
| NCT02199652 | PHASE4 | COMPLETED | Reducing Suicidal Ideation Through Treatment of Nightmares-Post Traumatic Stress Disorder (PTSD) |
| NCT02213900 | PHASE4 | COMPLETED | Preventing Post-Operative Delirium in Patients Undergoing a Pneumonectomy, Esophagectomy or Thoracotomy |
| NCT02258828 | PHASE4 | COMPLETED | An Open-Label Trial of Memantine for Cognitive Impairment in Patients With Post-Traumatic Stress Disorder |
Drugs tested across these trials (top 30)
- Cohort genes: RPS29, SDC2, SLC4A4, TLL1, TRPS1, CACNA1C, CSMD1, UST, TBC1D2, POGK, LGR6, COBL, UNC13C, PRTFDC1, SIPA1L2, ADCY8, CYRIB, MEX3B, ANKRD55, TRMT9B, TECRL, ZMAT3, DPP6, FKBP5, MIR3166, AKT3, GABBR2, GRIN1, LHX2, NDRG1, OTOR, KAT2B, PRKCA
- Drugs: Prazosin, Paroxetine, Propranolol, Sertraline, Quetiapine, Naltrexone, Ziprasidone, Cycloserine, Brexpiprazole, Cannabidiol, Perampanel, Topiramate, Venlafaxine, Brexanolone, Divalproex, Glecaprevir, Ketamine, Niacin, Nitrous Oxide, Pimavanserin, Riluzole, Suvorexant, Zonisamide, Atomoxetine, Buprenorphine, Carvedilol, Clonazepam, Clonidine