Post-traumatic stress disorder

disease
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Also known as combat neurosisPTSDtraumatic neurosis

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

FieldValue
Canonical namepost-traumatic stress disorder
Mondo IDMONDO:0005146
EFOEFO:0001358
MeSHD013313
DOIDDOID:2055
ICD-10-CMF43.1
NCITC3389
SNOMED CT47505003
UMLSC0038436
MedGen21345
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 disordermental disorderanxiety disorderneurotic disorderpost-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

rsIDp-valueGeneRisk alleleOdds ratio
rs14765354e-20FOXP2T9.18
rs620567891e-19MAPT, MAPT-IT1A0.02
rs67599221e-18LINC01830A8.82
rs4887691e-18ZDHHC5A8.81
rs108650939e-18LINC01830T8.59
rs21867103e-17LINC02763 - NCAM1-AS2C8.46
rs591450822e-16LINC01830?
rs71064344e-16NCAM1T8.12
rs107893738e-16LINC01360 - LINC02238C8.06
rs121281612e-15LINC01360 - LINC02238A7.95
rs74311062e-15IP6K1A7.94
rs112101464e-15KRT8P21 - RN7SKP19?
rs111302217e-15IP6K1C7.79
rs13551781e-14LINC01830?
rs50155114e-14LINC01830?
rs289863008e-14GABBR1A7.47
rs292428e-14GABBR1T7.46
chr2:1044543453e-13A0.04
rs94791383e-13ESR1T7.28
rs77973353e-13FOXP2?
chr11:286300514e-13A0.04
rs108211634e-13PHF2C7.25
rs21350294e-13SGCDA7.25
rs75238296e-13RN7SKP19 - LINC01360?
rs102356647e-13MAD1L1T0.02
rs109927791e-12FAM120AA7.13
rs46321952e-12DCCT7.06
rs102296912e-12FOXP2?
rs1395820542e-12GPX5 - SCAND3?
rs109927293e-12Y_RNA - FAM120AOST0.01

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90627735Nievergelt CM2024137,1361,085,746Genome-wide association analyses identify 95 risk loci and provide insights into the neurobiology of post-traumatic stress disorder.
GCST90627736Nievergelt CM2024137,1361,085,746Genome-wide association analyses identify 95 risk loci and provide insights into the neurobiology of post-traumatic stress disorder.
GCST90476515Verma A2024102,584332,738Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90271338Gong W202354,854552,920Role of the Gut-Brain Axis in the Shared Genetic Etiology Between Gastrointestinal Tract Diseases and Psychiatric Disorders: A Genome-Wide Pleiotropic Analysis.
GCST90271326Gong W202353,400584,648Role of the Gut-Brain Axis in the Shared Genetic Etiology Between Gastrointestinal Tract Diseases and Psychiatric Disorders: A Genome-Wide Pleiotropic Analysis.
GCST90480755Verma A202440,33475,108Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90481787Verma A202440,33475,108Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.
GCST90271773Stein MB202136,301178,107Genome-wide association analyses of post-traumatic stress disorder and its symptom subdomains in the Million Veteran Program.
GCST90271775Stein MB202136,301178,107Genome-wide association analyses of post-traumatic stress disorder and its symptom subdomains in the Million Veteran Program.
GCST90455649Chen D202423,212151,447Unraveling 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)

TierVariants
Tier 1: coding0
Tier 2: splice/UTR0
Tier 3: regulatory0
Tier 4: intronic/intergenic50

MAF distribution

BucketVariants
common (>=0.05)50
low_freq (0.01-0.05)0
rare (<0.01)0
unknown0

Functional consequences

ConsequenceCount
intron_variant34
intergenic_variant12
unknown3
non_coding_transcript_exon_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs14765357114430980C>A,G,T0.424intron_variantFOXP24e-20Tier 4: intronic/intergenic
rs620567891745898049A>C,T0.05non_coding_transcript_exon_variantMAPT, MAPT-IT11e-19Tier 4: intronic/intergenic
rs6759922222227377G>A,T0.457intron_variantLINC018301e-18Tier 4: intronic/intergenic
rs4887691157683248A>C,T0.344intron_variantZDHHC51e-18Tier 4: intronic/intergenic
rs10865093222236500T>C0.455intron_variantLINC018309e-18Tier 4: intronic/intergenic
rs218671011112956325C>A,G,T0.455intergenic_variantLINC02763 - NCAM1-AS23e-17Tier 4: intronic/intergenic
rs59145082222312386A>G,T0.05intron_variantLINC018302e-16Tier 4: intronic/intergenic
rs710643411112989857T>C0.462intron_variantNCAM14e-16Tier 4: intronic/intergenic
rs10789373173500186G>A,C,T0.394intergenic_variantLINC01360 - LINC022388e-16Tier 4: intronic/intergenic
rs12128161173371734C>A,G0.392intron_variantLINC01360 - LINC022382e-15Tier 4: intronic/intergenic
rs7431106349770941G>A0.491intron_variantIP6K12e-15Tier 4: intronic/intergenic
rs11210146173156324A>C,G,T0.05intergenic_variantKRT8P21 - RN7SKP194e-15Tier 4: intronic/intergenic
rs11130221349781669C>G,T0.489intron_variantIP6K17e-15Tier 4: intronic/intergenic
rs1355178222365653T>A,G0.05intron_variantLINC018301e-14Tier 4: intronic/intergenic
rs5015511222323980G>A,T0.05intron_variantLINC018304e-14Tier 4: intronic/intergenic
rs28986300629583119A>G0.064intron_variantGABBR18e-14Tier 4: intronic/intergenic
rs29242629631092T>C,G0.054intron_variantGABBR18e-14Tier 4: intronic/intergenic
chr2:1044543450.4623e-13Tier 4: intronic/intergenic
rs94791386151894064T>A,G0.372intron_variantESR13e-13Tier 4: intronic/intergenic
rs77973357114564074T>A,C,G0.05intron_variantFOXP23e-13Tier 4: intronic/intergenic
chr11:286300510.3774e-13Tier 4: intronic/intergenic
rs10821163993580778G>A,C,T0.339intron_variantPHF24e-13Tier 4: intronic/intergenic
rs21350295156429528G>A,T0.394intron_variantSGCD4e-13Tier 4: intronic/intergenic
rs7523829173292434G>A0.05intergenic_variantRN7SKP19 - LINC013606e-13Tier 4: intronic/intergenic
rs1023566472047179T>C0.05intron_variantMAD1L17e-13Tier 4: intronic/intergenic
rs10992779993542374A>G0.339intron_variantFAM120A1e-12Tier 4: intronic/intergenic
rs46321951853220378C>G,T0.476intron_variantDCC2e-12Tier 4: intronic/intergenic
rs102296917114384124G>A0.05intron_variantFOXP22e-12Tier 4: intronic/intergenic
rs139582054628567056C>G,T0.05intergenic_variantGPX5 - SCAND32e-12Tier 4: intronic/intergenic
rs10992729993418793C>A,G,T0.05intergenic_variantY_RNA - FAM120AOS3e-12Tier 4: intronic/intergenic

ClinVar germline variants

3 retrieved; paginated sample, class counts are floors:

2 likely risk allele, 1 uncertain risk allele

ClinVarVariant (HGVS)GeneClassificationReview
3024130NM_001709.5(BDNF):c.[*1785G>T;-21-14109C>G196G>A]Likely risk alleleno assertion criteria provided
1722519NM_000719.7(CACNA1C):c.477+115699G>ACACNA1CUncertain risk alleleno assertion criteria provided
1712509NM_004117.4(FKBP5):c.106-2636A>GFKBP5Likely risk alleleno 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)

GeneOrphanet IDRare disease
RPS29Orphanet:124Diamond-Blackfan anemia
SLC4A4Orphanet:93607Autosomal recessive proximal renal tubular acidosis
TLL1Orphanet:99103Atrial septal defect, ostium secundum type
TLL1Orphanet:99106Atrial septal defect, ostium primum type
TRPS1Orphanet:502Trichorhinophalangeal syndrome type 2
TRPS1Orphanet:77258Trichorhinophalangeal syndrome type 1
CACNA1COrphanet:101016Romano-Ward syndrome
CACNA1COrphanet:130Brugada syndrome
CACNA1COrphanet:528084Non-specific syndromic intellectual disability
CACNA1COrphanet:595098Timothy syndrome type 1
CACNA1COrphanet:595105Timothy syndrome type 2
CACNA1COrphanet:595109Atypical Timothy syndrome
ANKRD55Orphanet:85408Rheumatoid factor-negative polyarticular juvenile idiopathic arthritis
ANKRD55Orphanet:85410Oligoarticular juvenile idiopathic arthritis
TECRLOrphanet:3286Catecholaminergic polymorphic ventricular tachycardia
DPP6Orphanet:228140Idiopathic ventricular fibrillation
DPP6Orphanet:2514Autosomal dominant primary microcephaly
AKT3Orphanet:83473Megalencephaly-polymicrogyria-postaxial polydactyly-hydrocephalus syndrome
AKT3Orphanet:99802Hemimegalencephaly
GABBR2Orphanet:3095Atypical Rett syndrome
GABBR2Orphanet:442835Non-specific early-onset epileptic encephalopathy
GRIN1Orphanet:178469Autosomal dominant non-syndromic intellectual disability
GRIN1Orphanet:1934Early infantile developmental and epileptic encephalopathy
GRIN1Orphanet:208447Bilateral generalized polymicrogyria
GRIN1Orphanet:88616Autosomal recessive non-syndromic intellectual disability
NDRG1Orphanet:99950Charcot-Marie-Tooth disease type 4D

Cohort genes → proteins

35 cohort genes, 33 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only33
multi_evidence2

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
RPS29HGNC:10419ENSG00000213741P62273Small ribosomal subunit protein uS14gwas
SDC2HGNC:10659ENSG00000169439P34741Syndecan-2gwas
SLC4A4HGNC:11030ENSG00000080493Q9Y6R1Electrogenic sodium bicarbonate cotransporter 1gwas
TLL1HGNC:11843ENSG00000038295O43897Tolloid-like protein 1gwas
TRPS1HGNC:12340ENSG00000104447Q9UHF7Zinc finger transcription factor Trps1gwas
PTPRVPHGNC:13421ENSG00000243323protein tyrosine phosphatase receptor type V, pseudogenegwas
CACNA1CHGNC:1390ENSG00000151067Q13936Voltage-dependent L-type calcium channel subunit alpha-1Cclinvar
CSMD1HGNC:14026ENSG00000183117Q96PZ7CUB and sushi domain-containing protein 1gwas
USTHGNC:17223ENSG00000111962Q9Y2C2Uronyl 2-sulfotransferasegwas
TBC1D2HGNC:18026ENSG00000095383Q9BYX2TBC1 domain family member 2Agwas
POGKHGNC:18800ENSG00000143157Q9P215Pogo transposable element with KRAB domaingwas
LGR6HGNC:19719ENSG00000133067Q9HBX8Leucine-rich repeat-containing G-protein coupled receptor 6gwas
COBLHGNC:22199ENSG00000106078O75128Protein cordon-bleugwas
UNC13CHGNC:23149ENSG00000137766Q8NB66Protein unc-13 homolog Cgwas
PRTFDC1HGNC:23333ENSG00000099256Q9NRG1Phosphoribosyltransferase domain-containing protein 1gwas
SIPA1L2HGNC:23800ENSG00000116991Q9P2F8Signal-induced proliferation-associated 1-like protein 2gwas
ADCY8HGNC:239ENSG00000155897P40145Adenylate cyclase type 8gwas
CYRIBHGNC:25216ENSG00000153310Q9NUQ9CYFIP-related Rac1 interactor Bgwas
MEX3BHGNC:25297ENSG00000183496Q6ZN04RNA-binding protein MEX3Bgwas
ANKRD55HGNC:25681ENSG00000164512Q3KP44Ankyrin repeat domain-containing protein 55gwas
TRMT9BHGNC:26725ENSG00000250305Q9P272Probable tRNA methyltransferase 9Bgwas
TECRLHGNC:27365ENSG00000205678Q5HYJ1Trans-2,3-enoyl-CoA reductase-likegwas
ZMAT3HGNC:29983ENSG00000172667Q9HA38Zinc finger matrin-type protein 3gwas
DPP6HGNC:3010ENSG00000130226P42658A-type potassium channel modulatory protein DPP6gwas
MTRNR2L5HGNC:37162P0CJ72Humanin-like 5gwas
FKBP5HGNC:3721ENSG00000096060Q13451Peptidyl-prolyl cis-trans isomerase FKBP5clinvar
MIR3166HGNC:38386ENSG00000266581microRNA 3166gwas
AKT3HGNC:393ENSG00000117020Q9Y243RAC-gamma serine/threonine-protein kinasegwas
GABBR2HGNC:4507ENSG00000136928O75899Gamma-aminobutyric acid type B receptor subunit 2gwas
GRIN1HGNC:4584ENSG00000176884Q05586Glutamate receptor ionotropic, NMDA 1gwas
LHX2HGNC:6594ENSG00000106689P50458LIM/homeobox protein Lhx2gwas
NDRG1HGNC:7679ENSG00000104419Q92597Protein NDRG1gwas
OTORHGNC:8517ENSG00000125879Q9NRC9Otoraplingwas
KAT2BHGNC:8638ENSG00000114166Q92831Histone acetyltransferase KAT2Bgwas
PRKCAHGNC:9393ENSG00000154229P17252Protein kinase C alpha typegwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
RPS29Small ribosomal subunit protein uS14Component of the small ribosomal subunit.
SDC2Syndecan-2Cell surface proteoglycan which regulates dendritic arbor morphogenesis.
SLC4A4Electrogenic sodium bicarbonate cotransporter 1Electrogenic sodium/bicarbonate cotransporter with a Na(+):HCO3(-) stoichiometry varying from 1:2 to 1:3.
TLL1Tolloid-like protein 1Protease which processes procollagen C-propeptides, such as chordin, pro-biglycan and pro-lysyl oxidase.
TRPS1Zinc finger transcription factor Trps1Transcriptional repressor.
CACNA1CVoltage-dependent L-type calcium channel subunit alpha-1CPore-forming, alpha-1C subunit of the voltage-gated calcium channel that gives rise to L-type calcium currents.
CSMD1CUB and sushi domain-containing protein 1Potential suppressor of squamous cell carcinomas.
USTUronyl 2-sulfotransferaseSulfotransferase 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.
TBC1D2TBC1 domain family member 2AActs as a GTPase-activating protein for RAB7A.
LGR6Leucine-rich repeat-containing G-protein coupled receptor 6Receptor for R-spondins that potentiates the canonical Wnt signaling pathway and acts as a marker of multipotent stem cells in the epidermis.
COBLProtein cordon-bleuPlays an important role in the reorganization of the actin cytoskeleton.
UNC13CProtein unc-13 homolog CMay play a role in vesicle maturation during exocytosis as a target of the diacylglycerol second messenger pathway.
PRTFDC1Phosphoribosyltransferase domain-containing protein 1Has low, barely detectable phosphoribosyltransferase activity (in vitro).
ADCY8Adenylate cyclase type 8Catalyzes the formation of cAMP in response to calcium entry leadings to cAMP signaling activation that affect processes suche as synaptic plasticity and insulin secretion.
CYRIBCYFIP-related Rac1 interactor BNegatively regulates RAC1 signaling and RAC1-driven cytoskeletal remodeling.
MEX3BRNA-binding protein MEX3BRNA-binding protein.
TRMT9BProbable tRNA methyltransferase 9BMay modify wobble uridines in specific arginine and glutamic acid tRNAs.
ZMAT3Zinc finger matrin-type protein 3Acts as a bona fide target gene of p53/TP53.
DPP6A-type potassium channel modulatory protein DPP6Promotes cell surface expression of the potassium channel KCND2.
MTRNR2L5Humanin-like 5Plays a role as a neuroprotective and antiapoptotic factor.
FKBP5Peptidyl-prolyl cis-trans isomerase FKBP5Immunophilin protein with PPIase and co-chaperone activities.
AKT3RAC-gamma serine/threonine-protein kinaseAKT3 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.
GABBR2Gamma-aminobutyric acid type B receptor subunit 2Component of a heterodimeric G-protein coupled receptor for GABA, formed by GABBR1 and GABBR2.
GRIN1Glutamate receptor ionotropic, NMDA 1Component 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+).
LHX2LIM/homeobox protein Lhx2Acts as a transcriptional activator.
NDRG1Protein NDRG1Stress-responsive protein involved in hormone responses, cell growth, and differentiation.
KAT2BHistone acetyltransferase KAT2BFunctions as a histone acetyltransferase (HAT) to promote transcriptional activation.
PRKCAProtein kinase C alpha typeCalcium-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.

FamilyGenesFoldFDR
Complement17.7×0.557
Ion channel13.2×0.557
Protease22.1×0.557
Scaffold/PPI42.0×0.557
Kinase21.6×0.557
GPCR21.4×0.557
Transcription factor51.2×0.557
Other/Unknown170.9×0.953
Enzyme (other)10.3×0.953

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
RPS29Other/UnknownnoRibosomal_uS14, Ribosomal_uS14_CS, RIbosomal_uS14_euk_arc
SDC2Other/UnknownnoSyndecan, Neurexin-like, Syndecan/Neurexin_dom
SLC4A4Other/UnknownnoHCO3_transpt_euk, Na/HCO3_transpt, HCO3_transpt-like_TM_dom
TLL1ProteaseyesEGF-type_Asp/Asn_hydroxyl_site, EGF, CUB_dom
TRPS1Transcription factornoZnf_GATA, Znf_C2H2_type, Znf_NHR/GATA
PTPRVPOther/Unknownno
CACNA1CIon channelyesVDCCAlpha1, VDCC_L_a1su, VDCC_L_a1csu
CSMD1ComplementyesSushi_SCR_CCP_dom, CUB_dom, Sperma_CUB_dom_sf
USTOther/UnknownnoSulfotransferase, Heparan_SO4_2-O-STrfase, P-loop_NTPase
TBC1D2Scaffold/PPInoRab-GAP-TBC_dom, PH_domain, PH-like_dom_sf
POGKTranscription factornoKRAB, aKRAB, DDE_SF_endonuclease_dom
LGR6GPCRyesGPCR_Rhodpsn, LRRNT, Leu-rich_rpt
COBLOther/UnknownnoWH2_dom, Cordon-bleu_ubiquitin_domain, COBL-like
UNC13COther/UnknownnoC2_dom, PKC_DAG/PE, MUN_dom
PRTFDC1Other/UnknownnoPRTase_dom, Hxn_phspho_trans, PRTase-like
SIPA1L2Scaffold/PPInoRap/Ran_GAP_dom, PDZ, SIPA1L_C
ADCY8Other/UnknownnoA/G_cyclase, Adcy_conserved_dom, A/G_cyclase_CS
CYRIBOther/UnknownnoCYRIA/CYRIB_Rac1-bd, CYRI
MEX3BTranscription factornoZnf_RING, KH_dom, KH_dom_type_1
ANKRD55Scaffold/PPInoAnkyrin_rpt, Ankyrin_rpt-contain_sf
TRMT9BOther/UnknownnoMethyltransf_11, SAM-dependent_MTases_sf, AlkB_tRNA_MeTrf/Diox
TECRLOther/Unknownno3-oxo-5_a-steroid_4-DH_C, SRD5A/TECR, TECRL_Ubl
ZMAT3Transcription factornoMatrin/U1-like-C_Znf_C2H2, Znf_C2H2_type, Znf_C2H2_jaz
DPP6ProteaseyesPeptidase_S9_cat, Peptidase_S9B_N, AB_hydrolase_fold
MTRNR2L5Other/UnknownnoHumanin
FKBP5Other/UnknownnoPPIase_FKBP_dom, TPR-like_helical_dom_sf, TPR_rpt
MIR3166Other/Unknownno
AKT3Kinaseyes2.7.11.1Prot_kinase_dom, AGC-kinase_C, PH_domain
GABBR2GPCRyesGPCR_3, ANF_lig-bd_rcpt, GPCR3_GABA-B
GRIN1Other/UnknownnoIontro_rcpt_C, Iono_Glu_rcpt_met, ANF_lig-bd_rcpt
LHX2Transcription factornoHD, Znf_LIM, Homeodomain-like_sf
NDRG1Other/UnknownnoNDRG, AB_hydrolase_fold
OTORScaffold/PPInoSH3_domain, Otoraplin_SH3, SH3-like_dom_sf
KAT2BEnzyme (other)yes2.3.1.48GNAT_dom, Bromodomain, PCAF_N
PRKCAKinaseyes2.7.11.13C2_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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)34
unknown1

Top tissues across cohort

TissueCohort genes
calcaneal tendon4
lateral globus pallidus4
Brodmann (1909) area 234
ganglionic eminence4
middle temporal gyrus3
caput epididymis2
buccal mucosa cell2
primordial germ cell in gonad2
secondary oocyte2
right testis2
right coronary artery2
pons2
monocyte2
mononuclear cell2
cortical plate2
endothelial cell2
ventricular zone2
left ventricle myocardium2
lateral nuclear group of thalamus2
sperm2

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
RPS29295ubiquitousmarkercaput epididymis, penis, parietal pleura
SDC2290ubiquitousmarkertibia, calcaneal tendon, synovial joint
SLC4A4268ubiquitousmarkerjejunal mucosa, lateral globus pallidus, mucosa of sigmoid colon
TLL1162broadmarkersecondary oocyte, buccal mucosa cell, primordial germ cell in gonad
TRPS1284ubiquitousmarkermammary duct, epithelium of mammary gland, calcaneal tendon
PTPRVP124markerright testis, left testis, testis
CACNA1C134broadmarkerapex of heart, right coronary artery, muscle layer of sigmoid colon
CSMD1179broadmarkerBrodmann (1909) area 23, middle temporal gyrus, primary visual cortex
UST261ubiquitousmarkerpons, calcaneal tendon, adrenal tissue
TBC1D2243ubiquitousmarkermonocyte, upper lobe of left lung, mononuclear cell
POGK274ubiquitousmarkerBrodmann (1909) area 46, cortical plate, ganglionic eminence
LGR6201broadmarkerright coronary artery, descending thoracic aorta, thoracic aorta
COBL255broadmarkerinferior vagus X ganglion, parotid gland, lateral globus pallidus
UNC13C174broadmarkersecondary oocyte, oocyte, endothelial cell
PRTFDC1240ubiquitousmarkercorpus callosum, ventricular zone, ganglionic eminence
SIPA1L2254ubiquitousmarkerleft ventricle myocardium, cardiac muscle of right atrium, pons
ADCY8125ubiquitousmarkerlateral nuclear group of thalamus, dorsal motor nucleus of vagus nerve, caput epididymis
CYRIB286ubiquitousmarkermonocyte, mononuclear cell, leukocyte
MEX3B161ubiquitousyessperm, ganglionic eminence, right testis
ANKRD55169broadmarkermale germ line stem cell (sensu Vertebrata) in testis, sperm, primordial germ cell in gonad
TRMT9B226broadmarkercerebellar vermis, cerebellar cortex, cerebellar hemisphere
TECRL135tissue_specificyesmyocardium, heart right ventricle, left ventricle myocardium
ZMAT3277ubiquitousmarkerpostcentral gyrus, Brodmann (1909) area 23, parietal lobe
DPP6221broadmarkermiddle temporal gyrus, Brodmann (1909) area 23, endothelial cell
MTRNR2L5
FKBP5275ubiquitousmarkermucosa of stomach, pericardium, skeletal muscle tissue of biceps brachii
MIR316625yesblood, gastrocnemius, lower esophagus muscularis layer
AKT3231ubiquitousmarkercortical plate, calcaneal tendon, embryo
GABBR2193broadmarkerBrodmann (1909) area 23, lateral nuclear group of thalamus, middle temporal gyrus
GRIN1215tissue_specificmarkerright hemisphere of cerebellum, right frontal lobe, cerebellar hemisphere

Protein interactions among cohort

Intra-cohort edges: 8.

Hub genes (top 10 by interactor count)

SymbolInteractor count
FKBP54,900
PRKCA4,530
KAT2B4,410
AKT33,392
CACNA1C3,145
NDRG12,778
TRPS12,588
ADCY82,527
LHX22,347
DPP62,224

Intra-cohort edges

ABSources
ADCY8CACNA1Cintact
ADCY8PRKCAstring_interaction
AKT3FKBP5biogrid_interaction
ANKRD55PRTFDC1string_interaction
CACNA1CCSMD1string_interaction
CACNA1CSLC4A4intact
COBLPRTFDC1string_interaction
PRTFDC1TLL1string_interaction

Structural data

PDB: 19 · AlphaFold-only: 14 · No structure: 2

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
RPS29P62273200
FKBP5Q13451138
GRIN1Q0558685
CACNA1CQ1393633
GABBR2O7589926
KAT2BQ9283125
DPP6P426588
PRKCAP172526
MEX3BQ6ZN042
AKT3Q9Y2432
SDC2P347411
SLC4A4Q9Y6R11
TLL1O438971
CSMD1Q96PZ71
TBC1D2Q9BYX21
COBLO751281
PRTFDC1Q9NRG11
CYRIBQ9NUQ91
NDRG1Q925971

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
OTORQ9NRC989.09
TECRLQ5HYJ184.32
USTQ9Y2C279.64
LGR6Q9HBX877.94
ADCY8P4014571.82
ZMAT3Q9HA3869.64
MTRNR2L5P0CJ7269.13
POGKQ9P21568.59
LHX2P5045867.03
ANKRD55Q3KP4463.43
TRMT9BQ9P27262.21
UNC13CQ8NB6661.64
SIPA1L2Q9P2F856.59
TRPS1Q9UHF749.12

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.

PathwayCohort genesFoldFDRSample cohort genes
Regulation of insulin secretion332.9×0.010CACNA1C, ADCY8, PRKCA
Axon guidance511.3×0.010RPS29, SDC2, CACNA1C, LHX2, PRKCA
Nervous system development510.7×0.010RPS29, SDC2, CACNA1C, LHX2, PRKCA
Integration of energy metabolism326.4×0.015CACNA1C, ADCY8, PRKCA
Developmental Biology75.1×0.017RPS29, SDC2, CACNA1C, AKT3, LHX2, KAT2B, PRKCA
Regulation of beta-cell development271.4×0.019AKT3, KAT2B
ESR-mediated signaling319.2×0.021FKBP5, AKT3, KAT2B
Signaling by ROBO receptors318.6×0.021RPS29, LHX2, PRKCA
GABA B receptor activation254.4×0.022ADCY8, GABBR2
Syndecan interactions242.3×0.027SDC2, PRKCA
Calmodulin induced events238.1×0.027ADCY8, PRKCA
CaM pathway238.1×0.027ADCY8, PRKCA
Ca-dependent events236.8×0.027ADCY8, PRKCA
Rab regulation of trafficking236.8×0.027TBC1D2, AKT3
Sensory Perception314.3×0.027SDC2, LHX2, PRKCA
Intracellular signaling by second messengers313.7×0.027ADCY8, AKT3, PRKCA
Signaling by ERBB2234.6×0.029AKT3, PRKCA
FOXO-mediated transcription233.6×0.029AKT3, KAT2B
G-protein mediated events232.6×0.029ADCY8, PRKCA
DAG and IP3 signaling231.7×0.029ADCY8, PRKCA
SARS-CoV-2 Infection312.1×0.029RPS29, SDC2, AKT3
Opioid Signalling226.6×0.034ADCY8, PRKCA
PLC beta mediated events226.6×0.034ADCY8, PRKCA
EPHB-mediated forward signaling226.6×0.034SDC2, GRIN1
Visual phototransduction225.9×0.034SDC2, PRKCA
Disease63.9×0.038RPS29, SDC2, SLC4A4, ADCY8, AKT3, KAT2B
G alpha (z) signalling events223.3×0.039ADCY8, PRKCA
Defective SLC4A4 causes renal tubular acidosis, proximal, with ocular abnormalities and mental retardation (pRTA-OA)1285.5×0.041SLC4A4
Signaling by VEGF222.0×0.041AKT3, PRKCA
SARS-CoV Infections38.3×0.057RPS29, 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 termCohort genesFoldFDRSample cohort genes
propylene metabolic process1526.6×0.064GRIN1
presynaptic signal transduction1526.6×0.064SIPA1L2
positive regulation of angiotensin-activated signaling pathway1526.6×0.064PRKCA
response to glycine1526.6×0.064GRIN1
activation of protein kinase A activity1263.3×0.064ADCY8
response to phorbol 13-acetate 12-myristate1263.3×0.064PRKCA
negative regulation of rRNA processing1263.3×0.064KAT2B
positive regulation of memory T cell activation1263.3×0.064CYRIB
positive regulation of dense core granule biogenesis1263.3×0.064PRKCA
N-terminal peptidyl-lysine acetylation1175.5×0.064KAT2B
oviduct epithelium development1175.5×0.064CSMD1
collateral sprouting in absence of injury1175.5×0.064COBL
calcium ion transmembrane transport via high voltage-gated calcium channel1175.5×0.064CACNA1C
dense core granule priming1175.5×0.064UNC13C
membrane depolarization during atrial cardiac muscle cell action potential1175.5×0.064CACNA1C
immune system development1131.7×0.064CACNA1C
mammary gland branching involved in pregnancy1131.7×0.064CSMD1
protein kinase C signaling1131.7×0.064PRKCA
cellular response to morphine1131.7×0.064ADCY8
negative regulation of mitochondrial membrane permeability involved in apoptotic process1131.7×0.064MTRNR2L5
positive regulation of transcription from RNA polymerase II promoter by glucose1105.3×0.064KAT2B
somite specification1105.3×0.064COBL
internal peptidyl-lysine acetylation1105.3×0.064KAT2B
negative regulation of synaptic plasticity1105.3×0.064UNC13C
positive regulation of adenylate cyclase activity1105.3×0.064CACNA1C
cellular response to staurosporine1105.3×0.064MTRNR2L5
membrane depolarization during AV node cell action potential1105.3×0.064CACNA1C
neuron-glial cell signaling1105.3×0.064GABBR2
positive regulation of artery morphogenesis1105.3×0.064AKT3
bone regeneration1105.3×0.064LGR6

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.

DrugDevelopment status
AripiprazolePhase 3 (in late-stage trials)
BrexpiprazolePhase 3 (in late-stage trials)
ClonidinePhase 3 (in late-stage trials)
CyclobenzaprinePhase 3 (in late-stage trials)
CycloserinePhase 3 (in late-stage trials)
DesipraminePhase 3 (in late-stage trials)
EstradiolPhase 3 (in late-stage trials)
FluoxetinePhase 3 (in late-stage trials)
MidomafetaminePhase 3 (in late-stage trials)
NaltrexonePhase 3 (in late-stage trials)
ParoxetinePhase 3 (in late-stage trials)
PrazosinPhase 3 (in late-stage trials)
PropranololPhase 3 (in late-stage trials)
SertralinePhase 3 (in late-stage trials)

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.

SymbolExample approved molecule
RPS29GENTAMICIN SULFATE
CACNA1CREMIFENTANIL
FKBP5TACROLIMUS ANHYDROUS
AKT3CAPIVASERTIB
GABBR2BACLOFEN
GRIN1DEXTROMETHORPHAN
PRKCAINGENOL MEBUTATE

Top cohort targets by molecule count

SymbolMoleculesMax phase
CACNA1C854
GRIN1394
PRKCA394
AKT3184
GABBR244
FKBP534
KAT2B33
RPS2924
ADCY812
SDC200

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
GENTAMICIN SULFATE4RPS29
REMIFENTANIL4CACNA1C
BEPRIDIL4CACNA1C
CLOTRIMAZOLE4CACNA1C
PROPIVERINE4CACNA1C
DIBUCAINE4CACNA1C
IMIPRAMINE4CACNA1C
DULOXETINE4CACNA1C
QUINIDINE4CACNA1C
ESTRADIOL4CACNA1C
TOLTERODINE4CACNA1C
PIMOZIDE4CACNA1C
NIMODIPINE4CACNA1C
NICARDIPINE4CACNA1C
AMLODIPINE4CACNA1C
VARDENAFIL4CACNA1C
CLEMASTINE4CACNA1C
ISRADIPINE4CACNA1C
TERFENADINE4CACNA1C
NISOLDIPINE4CACNA1C
SOLIFENACIN4CACNA1C
PINAVERIUM4CACNA1C
SILDENAFIL4CACNA1C
NIFEDIPINE4CACNA1C
XANOMELINE4CACNA1C
DILTIAZEM4CACNA1C
PRENYLAMINE4CACNA1C
OLICERIDINE4CACNA1C
PROPRANOLOL4CACNA1C
ALVIMOPAN4CACNA1C

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 3.

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

SymbolAssaysType breakdown
PRKCA1,148Binding:1131, Functional:15, ADMET:2
AKT3660Binding:644, Functional:16
CACNA1C575Binding:319, Functional:211, Toxicity:26, ADMET:19
GRIN1481Binding:435, Functional:40, ADMET:5, Toxicity:1
KAT2B217Binding:217
RPS2996Binding:96
GABBR257Binding:35, Functional:21, ADMET:1
FKBP538Binding:38
ADCY831Binding:28, Functional:2, ADMET:1
SDC27Binding:7
TLL15Binding:5
NDRG14Binding:4
LGR61Binding:1
CYRIB1Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
AKT32.7.11.1non-specific serine/threonine protein kinase
KAT2B2.3.1.48histone acetyltransferase
PRKCA2.7.11.13protein kinase C

Cohort genes with high screening signal

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

SymbolChEMBL assays
CACNA1C575
AKT3660
GRIN1481
KAT2B217
PRKCA1,148

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.

CompoundMax phaseCohort target (bioactivity)
GENTAMICIN SULFATE4RPS29
REMIFENTANIL4CACNA1C
BEPRIDIL4CACNA1C
CLOTRIMAZOLE4CACNA1C
PROPIVERINE4CACNA1C
DIBUCAINE4CACNA1C
IMIPRAMINE4CACNA1C
DULOXETINE4CACNA1C
QUINIDINE4CACNA1C
ESTRADIOL4CACNA1C
TOLTERODINE4CACNA1C
PIMOZIDE4CACNA1C
NIMODIPINE4CACNA1C
NICARDIPINE4CACNA1C
AMLODIPINE4CACNA1C
VARDENAFIL4CACNA1C
CLEMASTINE4CACNA1C
ISRADIPINE4CACNA1C
TERFENADINE4CACNA1C
NISOLDIPINE4CACNA1C
SOLIFENACIN4CACNA1C
PINAVERIUM4CACNA1C
SILDENAFIL4CACNA1C
NIFEDIPINE4CACNA1C
XANOMELINE4CACNA1C
DILTIAZEM4CACNA1C
PRENYLAMINE4CACNA1C
OLICERIDINE4CACNA1C
ALVIMOPAN4CACNA1C

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)7RPS29, CACNA1C, FKBP5, AKT3, GABBR2, GRIN1, PRKCA
BPhased (≥1) drug, not yet approved2ADCY8, KAT2B
CDruggable family + PDB, no drug3TLL1, CSMD1, DPP6
DDruggable family + AlphaFold only, no drug1LGR6
EDifficult family or no structure, no drug22SDC2, 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).

SymbolChEMBL assaysDrugged partners (top 3)
SDC27
SLC4A40
TLL15
TRPS10
PTPRVP0
CSMD10
UST0
TBC1D20
POGK0
LGR61
COBL0
UNC13C0
PRTFDC10
SIPA1L20
CYRIB1
MEX3B0
ANKRD550
TRMT9B0
TECRL0
ZMAT30
DPP60
MTRNR2L50
MIR31660
LHX20
NDRG14
OTOR0

Clinical trials & evidence

Clinical trials

Clinical trials: 1,399.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified758
PHASE2137
PHASE452
PHASE151
PHASE346
PHASE2/PHASE324
PHASE1/PHASE218
EARLY_PHASE114

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05391971PHASE4ACTIVE_NOT_RECRUITINGEffects of Stellate Ganglion Block in Post-traumatic Stress Disorder
NCT06414356PHASE4RECRUITINGThe Effect of Outpatient Ketamine Infusion on Chronic Neuropathic Pain and PTSD
NCT06788522PHASE4NOT_YET_RECRUITINGThe Effects of Orexin Antagonism on Fear Extinction in PTSD
NCT06903819PHASE4RECRUITINGKetamine for Pain, Opioid Use, and Mental Health in Orthopedic Trauma Patients
NCT07192536PHASE4NOT_YET_RECRUITINGAccelerated Neuromodulation for Concurrent Post-Traumatic Stress Disorder (PTSD) & Chronic Pain in Veterans
NCT07382596PHASE4RECRUITINGCervical Plexus Hydrodissection With D5W Versus NS for Treatment-Resistant PTSD
NCT00006489PHASE4COMPLETEDTreatment for Alcoholism and Post-Traumatic Stress Disorder (Naltrexone)
NCT00025740PHASE4COMPLETEDClonazepam and Paroxetine for Rapid Treatment of Post-Traumatic Stress Disorder
NCT00050804PHASE4COMPLETEDEvaluation of Stress Disorders
NCT00120250PHASE4COMPLETEDEszopiclone for Sleep Disturbance and Nightmares in Post-Traumatic Stress Disorder
NCT00134446PHASE4UNKNOWNTranscranial Magnetic Stimulation for Post-Traumatic Stress Disorder
NCT00158262PHASE4COMPLETEDEffect of Propranolol on Preventing Posttraumatic Stress Disorder
NCT00203385PHASE4TERMINATEDMaintenance Phase Treatment With Divalproex for Post Traumatic Stress Disorder
NCT00203463PHASE4COMPLETEDTopiramate in the Treatment of Post Traumatic Stress Disorder (PTSD)
NCT00204737PHASE4COMPLETEDShort Course Glucocorticoid Treatment for PTSD
NCT00208130PHASE4COMPLETEDTopiramate in the Treatment of Posttraumatic Stress Disorder in Civilians
NCT00208182PHASE4COMPLETEDRisperidone in the Treatment of PTSD in Women Survivors of Domestic Abuse and Rape Trauma
NCT00208208PHASE4COMPLETEDGeodon (Ziprasidone) for Posttraumatic Stress Disorder
NCT00237393PHASE4COMPLETEDQuetiapine Treatment for Post-Traumatic Stress Disorder (PTSD)
NCT00302107PHASE4COMPLETEDA Placebo-Controlled Study of Mirtazapine for PTSD
NCT00330239PHASE4COMPLETEDParoxetine Treatment in Outpatients With Comorbid PTSD and Substance Dependence
NCT00347269PHASE4COMPLETEDPrimary Care Intervention Strategy for Anxiety Disorders
NCT00352469PHASE4COMPLETEDTrial of Seroquel SR for Alcohol Dependence and Comorbid Anxiety
NCT00391430PHASE4TERMINATEDCognitive Behavioral Therapy Versus Sertraline in the Treatment of Post-Traumatic Stress Disorder
NCT00648375PHASE4TERMINATEDEffectiveness of Propranolol For Treating People With Post-Traumatic Stress Disorder
NCT00700999PHASE4COMPLETEDBrain Markers of Treatment Response in Post-Traumatic Stress Disorder (PTSD)
NCT00706173PHASE4WITHDRAWNTrial of Hydrocortisone for Post-Traumatic Stress Disorder (PTSD)
NCT00917397PHASE4COMPLETEDThe Outcome of Treatment of Traumatised Refugees With Psychotherapy and/or Antidepressants
NCT01087736PHASE4COMPLETEDTopiramate Treatment of Alcohol Use Disorders in Veterans With Post Traumatic Stress Disorder (PTSD): A Pilot Controlled Trial of Augmentation Therapy
NCT01271244PHASE4COMPLETEDEffects of Escitalopram on Autonomic Reactivity in Post Traumatic Stress Disorder
NCT01325168PHASE4COMPLETEDThe Effect of Intranasal Oxytocin on Emphatic Abilities in Patients With Post Traumatic Stress Disorder (PTSD)
NCT01490697PHASE4COMPLETEDDeveloping Memory Reconsolidation Blockers as Novel Posttraumatic Stress Disorder (PTSD) Treatments
NCT01517711PHASE4COMPLETEDTramadol Extended-Release (ER) for Posttraumatic Stress Disorder (PTSD)
NCT01569685PHASE4COMPLETEDThe Treatment of Traumatised Refugees With Sertraline Versus Venlafaxine in Combination With Psychotherapy
NCT01681849PHASE4COMPLETEDNeural Circuits in Women With Abuse and Posttraumatic Stress Disorder
NCT01715519PHASE4COMPLETEDVilazodone for the Treatment of Posttraumatic Stress Disorder
NCT01965366PHASE4COMPLETEDDexamethasone Plus Virtual Reality Exposure Therapy for PTSD
NCT02199652PHASE4COMPLETEDReducing Suicidal Ideation Through Treatment of Nightmares-Post Traumatic Stress Disorder (PTSD)
NCT02213900PHASE4COMPLETEDPreventing Post-Operative Delirium in Patients Undergoing a Pneumonectomy, Esophagectomy or Thoracotomy
NCT02258828PHASE4COMPLETEDAn Open-Label Trial of Memantine for Cognitive Impairment in Patients With Post-Traumatic Stress Disorder

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
PRAZOSIN415
PAROXETINE414
PROPRANOLOL48
SERTRALINE48
QUETIAPINE47
NALTREXONE46
ZIPRASIDONE46
CYCLOSERINE45
BREXPIPRAZOLE44
CANNABIDIOL43
PERAMPANEL43
TOPIRAMATE43
VENLAFAXINE43
BREXANOLONE42
DIVALPROEX SODIUM42
GLECAPREVIR42
KETAMINE HYDROCHLORIDE42
NIACIN42
NITROUS OXIDE42
PIMAVANSERIN42
RILUZOLE42
SUVOREXANT42
ZONISAMIDE42
ATOMOXETINE41
ATOMOXETINE HYDROCHLORIDE41
BUPRENORPHINE HYDROCHLORIDE41
CARVEDILOL41
CLONAZEPAM41
CLONIDINE41
CLONIDINE HYDROCHLORIDE41