Summary
Primary angle-closure glaucoma (MONDO:0001868) is a disease (an umbrella term covering 5 Mondo subtypes) with 11 cohort genes (180 GWAS associations across 13 studies) and 20 clinical trials.
At a glance
- Umbrella term: 5 Mondo subtypes
- Cohort genes: 11
- GWAS associations: 180
- Clinical trials: 20
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | primary angle-closure glaucoma |
| Mondo ID | MONDO:0001868 |
| EFO | EFO:1001506 |
| DOID | DOID:1405 |
| ICD-10-CM | H40.2 |
| NCIT | C34640 |
| SNOMED CT | 392288006 |
| UMLS | C0017606 |
| MedGen | 42225 |
| Is cancer (heuristic) | no |
Data availability: 180 GWAS associations (13 studies) · 1 GenCC gene-disease record.
Disease family
An umbrella term covering 5 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › disorder of orbital region › eye disorder › glaucoma › angle-closure glaucoma › primary angle-closure glaucoma
Related subtypes (1): neovascular glaucoma
Subtypes (5): interval angle-closure glaucoma, acute closed-angle glaucoma, residual stage angle-closure glaucoma, chronic closed-angle glaucoma, hereditary glaucoma, primary closed-angle
Genetics & variants
GWAS landscape
180 GWAS associations across 13 studies. Top hits map to 43 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs12193446 | 4e-116 | LAMA2 | ? | 0.77 |
| rs634990 | 5e-83 | LINC02252 - GJD2 | ? | 1.14 |
| rs7744813 | 3e-76 | KCNQ5 | ? | 0.88 |
| rs3138142 | 1e-58 | RDH5 | ? | 1.15 |
| rs7188859 | 7e-53 | RBFOX1 | ? | 1.12 |
| rs11606250 | 1e-50 | LRRC4C | ? | 0.86 |
| rs12913832 | 6e-49 | HERC2 | A | 0.28 |
| rs10089517 | 5e-48 | TOX-DT - RNA5SP267 | ? | 1.11 |
| rs1550094 | 2e-46 | PRSS56 | ? | 1.12 |
| rs724154 | 4e-29 | LINC00554 - NDUFA12P1 | ? | 0.92 |
| rs17713847 | 1e-25 | MYO5B, SNHG22 | ? | 0.9 |
| rs62168236 | 4e-25 | METAP2P1 - RNU7-2P | ? | 1.08 |
| rs2808514 | 6e-25 | LINC00862 | ? | 1.08 |
| rs736141 | 2e-24 | RGR | ? | 1.08 |
| rs9747347 | 3e-24 | NPLOC4, TSPAN10 | ? | 0.93 |
| rs3753841 | 1e-23 | COL11A1 | G | 1.21 |
| rs1353386 | 1e-23 | CFAP299 - BMP3 | ? | 0.91 |
| rs1007366 | 1e-23 | RASGRF1 | ? | 0.93 |
| rs5442 | 3e-23 | CDCA3, GNB3 | ? | 0.87 |
| rs7829127 | 9e-23 | ZMAT4 | ? | 0.92 |
| rs2855532 | 3e-21 | BMP4 | ? | 1.07 |
| rs6534642 | 6e-21 | ANTXR2 | ? | 1.08 |
| rs320067 | 8e-21 | LMCD1-AS1 | ? | 1.07 |
| rs2017760 | 9e-21 | LINC02942 | ? | 0.93 |
| rs746970 | 1e-20 | GLIS3 | G | 0.83 |
| rs2969180 | 5e-20 | SHISA6 | ? | 0.93 |
| rs11024102 | 8e-19 | PLEKHA7 | G | 1.2 |
| rs2155413 | 3e-18 | DLG2 | ? | 0.94 |
| rs7895108 | 5e-18 | KCNMA1 | ? | 0.94 |
| rs374522377 | 7e-18 | PCMTD1 | A | 0.45 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST90475876 | Verma A | 2024 | 7,129 | 439,835 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST003467 | Khor CC | 2016 | 5,612 | 12,451 | Genome-wide association study identifies five new susceptibility loci for primary angle closure glaucoma. |
| GCST90832109 | Luben RN | 2025 | 3,183 | 773,214 | GWAS for primary angle-closure glaucoma identifies loci related to ocular biometry and morphology. |
| GCST90832110 | Luben RN | 2025 | 3,183 | 773,214 | GWAS for primary angle-closure glaucoma identifies loci related to ocular biometry and morphology. |
| GCST90477665 | Verma A | 2024 | 2,113 | 117,948 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480068 | Verma A | 2024 | 2,113 | 117,948 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477664 | Verma A | 2024 | 1,066 | 58,199 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90079907 | Backman JD | 2021 | 926 | 387,004 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90083893 | Backman JD | 2021 | 926 | 387,004 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90435984 | Zhou W | 2018 | 705 | 397,761 | Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 4 |
| Tier 2: splice/UTR | 2 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 44 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 47 |
| low_freq (0.01-0.05) | 3 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 36 |
| intergenic_variant | 6 |
| missense_variant | 4 |
| 5_prime_UTR_variant | 2 |
| synonymous_variant | 1 |
| unknown | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs12193446 | 6 | 129498893 | A>G | 0.05 | intron_variant | LAMA2 | 4e-116 | Tier 4: intronic/intergenic |
| rs634990 | 15 | 34713872 | T>A,C,G | 0.05 | intron_variant | LINC02252 - GJD2 | 5e-83 | Tier 4: intronic/intergenic |
| rs7744813 | 6 | 72933566 | C>A,G,T | 0.05 | intron_variant | KCNQ5 | 3e-76 | Tier 4: intronic/intergenic |
| rs3138142 | 12 | 55721801 | C>A,T | 0.05 | synonymous_variant | RDH5 | 1e-58 | Tier 4: intronic/intergenic |
| rs7188859 | 16 | 7410425 | T>C | 0.05 | intron_variant | RBFOX1 | 7e-53 | Tier 4: intronic/intergenic |
| rs11606250 | 11 | 40127750 | G>A | 0.05 | intron_variant | LRRC4C | 1e-50 | Tier 4: intronic/intergenic |
| rs12913832 | 15 | 28120472 | A>C,G | 0.24 | intron_variant | HERC2 | 6e-49 | Tier 4: intronic/intergenic |
| rs10089517 | 8 | 59266162 | C>A | 0.05 | intron_variant | TOX-DT - RNA5SP267 | 5e-48 | Tier 4: intronic/intergenic |
| rs1550094 | 2 | 232520686 | G>A,C,T | 0.05 | missense_variant | PRSS56 | 2e-46 | Tier 1: coding |
| rs724154 | 13 | 100021362 | G>A,C | 0.05 | intergenic_variant | LINC00554 - NDUFA12P1 | 4e-29 | Tier 4: intronic/intergenic |
| rs17713847 | 18 | 49849792 | G>A | 0.05 | 5_prime_UTR_variant | MYO5B, SNHG22 | 1e-25 | Tier 2: splice/UTR |
| rs62168236 | 2 | 146059911 | G>A,T | 0.05 | intron_variant | METAP2P1 - RNU7-2P | 4e-25 | Tier 4: intronic/intergenic |
| rs2808514 | 1 | 200373953 | A>G | 0.05 | intron_variant | LINC00862 | 6e-25 | Tier 4: intronic/intergenic |
| rs736141 | 10 | 84256734 | T>A,C | 0.05 | intron_variant | RGR | 2e-24 | Tier 4: intronic/intergenic |
| rs9747347 | 17 | 81639794 | T>A,C,G | 0.05 | intron_variant | NPLOC4, TSPAN10 | 3e-24 | Tier 4: intronic/intergenic |
| rs3753841 | 1 | 102914362 | G>A,C,T | 0.05 | missense_variant | COL11A1 | 1e-23 | Tier 1: coding |
| rs1353386 | 4 | 81025926 | A>C,G,T | 0.05 | intergenic_variant | CFAP299 - BMP3 | 1e-23 | Tier 4: intronic/intergenic |
| rs1007366 | 15 | 79087199 | G>A | 0.05 | intron_variant | RASGRF1 | 1e-23 | Tier 4: intronic/intergenic |
| rs5442 | 12 | 6845700 | G>A | 0.05 | missense_variant | CDCA3, GNB3 | 3e-23 | Tier 1: coding |
| rs7829127 | 8 | 40868875 | A>G,T | 0.05 | intron_variant | ZMAT4 | 9e-23 | Tier 4: intronic/intergenic |
| rs2855532 | 14 | 53953247 | G>A,C | 0.05 | 5_prime_UTR_variant | BMP4 | 3e-21 | Tier 2: splice/UTR |
| rs6534642 | 4 | 79907967 | T>C,G | 0.05 | intron_variant | ANTXR2 | 6e-21 | Tier 4: intronic/intergenic |
| rs320067 | 3 | 8152912 | G>A,C | 0.05 | intron_variant | LMCD1-AS1 | 8e-21 | Tier 4: intronic/intergenic |
| rs2017760 | 1 | 207282076 | T>G | 0.05 | intron_variant | LINC02942 | 9e-21 | Tier 4: intronic/intergenic |
| rs746970 | 9 | 4217822 | A>G,T | 0.26 | intron_variant | GLIS3 | 1e-20 | Tier 4: intronic/intergenic |
| rs2969180 | 17 | 11504584 | G>A,C | 0.05 | intron_variant | SHISA6 | 5e-20 | Tier 4: intronic/intergenic |
| rs11024102 | 11 | 16987058 | T>A,C | 0.05 | intron_variant | PLEKHA7 | 8e-19 | Tier 4: intronic/intergenic |
| rs2155413 | 11 | 84923746 | C>A,G | 0.05 | intron_variant | DLG2 | 3e-18 | Tier 4: intronic/intergenic |
| rs7895108 | 10 | 77301700 | G>A,T | 0.05 | intron_variant | KCNMA1 | 5e-18 | Tier 4: intronic/intergenic |
| rs374522377 | 8 | 51880038 | A>T | 0.015 | intron_variant | PCMTD1 | 7e-18 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 1 · Orphanet: 8 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 1
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|
| GLIS3 | GLIS3 | GWAS, Orphanet |
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.
| Gene | Classification | Inheritance | Disease | Records |
|---|
| SPATA13 | Moderate | Autosomal dominant | primary angle-closure glaucoma | |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| CHAT | Orphanet:98914 | Presynaptic congenital myasthenic syndromes |
| COL11A1 | Orphanet:2021 | Fibrochondrogenesis |
| COL11A1 | Orphanet:440354 | Autosomal dominant myopia-midfacial retrusion-sensorineural hearing loss-rhizomelic dysplasia syndrome |
| COL11A1 | Orphanet:560 | Marshall syndrome |
| COL11A1 | Orphanet:90635 | Rare autosomal dominant non-syndromic sensorineural deafness type DFNA |
| COL11A1 | Orphanet:90654 | Stickler syndrome type 2 |
| GLIS3 | Orphanet:79118 | Neonatal diabetes-congenital hypothyroidism-congenital glaucoma-hepatic fibrosis-polycystic kidneys syndrome |
| DPM2 | Orphanet:329178 | Congenital muscular dystrophy with intellectual disability and severe epilepsy |
Cohort genes → proteins
11 cohort genes, 11 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|
| gwas_only | 10 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| SPATA13 | HGNC:23222 | ENSG00000182957 | Q96N96 | Spermatogenesis-associated protein 13 | gencc |
| FERMT2 | HGNC:15767 | ENSG00000073712 | Q96AC1 | Fermitin family homolog 2 | gwas |
| EPDR1 | HGNC:17572 | ENSG00000086289 | Q9UM22 | Mammalian ependymin-related protein 1 | gwas |
| ST18 | HGNC:18695 | ENSG00000147488 | O60284 | Suppression of tumorigenicity 18 protein | gwas |
| CHAT | HGNC:1912 | ENSG00000070748 | P28329 | Choline O-acetyltransferase | gwas |
| COL11A1 | HGNC:2186 | ENSG00000060718 | P12107 | Collagen alpha-1(XI) chain | gwas |
| PLEKHA7 | HGNC:27049 | ENSG00000166689 | Q6IQ23 | Pleckstrin homology domain-containing family A member 7 | gwas |
| GLIS3 | HGNC:28510 | ENSG00000107249 | Q8NEA6 | Zinc finger protein GLIS3 | gwas |
| DPM2 | HGNC:3006 | ENSG00000136908 | O94777 | Dolichol phosphate-mannose biosynthesis regulatory protein | gwas |
| PCMTD1 | HGNC:30483 | ENSG00000168300 | Q96MG8 | Protein-L-isoaspartate O-methyltransferase domain-containing protein 1 | gwas |
| EEIG1 | HGNC:31419 | ENSG00000167106 | Q5T9C2 | Early estrogen-induced gene 1 protein | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| SPATA13 | Spermatogenesis-associated protein 13 | Acts as a guanine nucleotide exchange factor (GEF) for RHOA, RAC1 and CDC42 GTPases. |
| FERMT2 | Fermitin family homolog 2 | Scaffolding protein that enhances integrin activation mediated by TLN1 and/or TLN2, but activates integrins only weakly by itself. |
| EPDR1 | Mammalian ependymin-related protein 1 | Binds anionic lipids and gangliosides at acidic pH. |
| ST18 | Suppression of tumorigenicity 18 protein | Repressor that binds to DNA sequences containing a bipartite element consisting of a direct repeat of the sequence 5’-AAAGTTT-3’ separated by 2-9 nucleotides. |
| CHAT | Choline O-acetyltransferase | Catalyzes the reversible synthesis of acetylcholine (ACh) from acetyl CoA and choline at cholinergic synapses. |
| COL11A1 | Collagen alpha-1(XI) chain | May play an important role in fibrillogenesis by controlling lateral growth of collagen II fibrils. |
| PLEKHA7 | Pleckstrin homology domain-containing family A member 7 | Required for zonula adherens biogenesis and maintenance. |
| GLIS3 | Zinc finger protein GLIS3 | Acts both as a repressor and an activator of transcription. |
| DPM2 | Dolichol phosphate-mannose biosynthesis regulatory protein | Regulates the biosynthesis of dolichol phosphate-mannose. |
| PCMTD1 | Protein-L-isoaspartate O-methyltransferase domain-containing protein 1 | Substrate recognition component of an ECS (Elongin BC-CUL5-SOCS-box protein) E3 ubiquitin ligase complex which mediates the ubiquitination and subsequent proteasomal degradation of target proteins. |
| EEIG1 | Early estrogen-induced gene 1 protein | Key component of TNFSF11/RANKL- and TNF-induced osteoclastogenesis pathways, thereby mediates bone resorption in pathological bone loss conditions. |
Protein-family classification
Druggable: 1 · Difficult: 5 · Unknown: 5 · Druggable fraction: 0.09
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 |
|---|
| Scaffold/PPI | 3 | 4.7× | 0.090 |
| Transcription factor | 2 | 1.5× | 0.784 |
| Enzyme (other) | 1 | 1.1× | 0.822 |
| Other/Unknown | 5 | 0.8× | 0.840 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| SPATA13 | Scaffold/PPI | no | | DH_dom, SH3_domain, PH_domain |
| FERMT2 | Scaffold/PPI | no | | PH_domain, PH-like_dom_sf, FERM_central |
| EPDR1 | Other/Unknown | no | | Ependymin, Ependymin_CS |
| ST18 | Transcription factor | no | | Znf_C2H2C, Myelin_TF, Znf_C2H2C_sf |
| CHAT | Enzyme (other) | yes | 2.3.1.6 | Carn_acyl_trans, CAT-like_dom_sf, Cho/carn_acyl_trans_1_2 |
| COL11A1 | Other/Unknown | no | | Fib_collagen_C, Laminin_G, Collagen |
| PLEKHA7 | Scaffold/PPI | no | | WW_dom, PH_domain, PH-like_dom_sf |
| GLIS3 | Transcription factor | no | | Znf_C2H2_type, Znf_C2H2_sf, GLI-like |
| DPM2 | Other/Unknown | no | | DPM2 |
| PCMTD1 | Other/Unknown | no | | PCMT, SAM-dependent_MTases_sf |
| EEIG1 | Other/Unknown | no | | NT-C2, EEIG1/2-like |
Expression context
Cohort genes with no expression data: 0.
11 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) | 11 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| pancreatic ductal cell | 3 |
| epithelial cell of pancreas | 2 |
| sural nerve | 2 |
| decidua | 2 |
| C1 segment of cervical spinal cord | 2 |
| cauda epididymis | 1 |
| metanephric glomerulus | 1 |
| cerebellar vermis | 1 |
| pons | 1 |
| corpus callosum | 1 |
| spinal cord | 1 |
| male germ line stem cell (sensu Vertebrata) in testis | 1 |
| primordial germ cell in gonad | 1 |
| putamen | 1 |
| cartilage tissue | 1 |
| periodontal ligament | 1 |
| tibia | 1 |
| lower esophagus mucosa | 1 |
| buccal mucosa cell | 1 |
| body of pancreas | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| SPATA13 | 250 | | marker | epithelial cell of pancreas, pancreatic ductal cell, sural nerve |
| FERMT2 | 290 | ubiquitous | marker | decidua, cauda epididymis, metanephric glomerulus |
| EPDR1 | 248 | ubiquitous | marker | pons, cerebellar vermis, decidua |
| ST18 | 192 | broad | marker | corpus callosum, C1 segment of cervical spinal cord, spinal cord |
| CHAT | 68 | tissue_specific | marker | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, putamen |
| COL11A1 | 209 | broad | marker | tibia, cartilage tissue, periodontal ligament |
| PLEKHA7 | 214 | broad | marker | sural nerve, pancreatic ductal cell, lower esophagus mucosa |
| GLIS3 | 213 | ubiquitous | marker | buccal mucosa cell, epithelial cell of pancreas, pancreatic ductal cell |
| DPM2 | 265 | ubiquitous | marker | body of pancreas, endometrium epithelium, left lobe of thyroid gland |
| PCMTD1 | 256 | ubiquitous | marker | oviduct epithelium, tendon of biceps brachii, cardiac muscle of right atrium |
| EEIG1 | 279 | ubiquitous | marker | gall bladder, C1 segment of cervical spinal cord, islet of Langerhans |
Protein interactions among cohort
Intra-cohort edges: 23.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| COL11A1 | 2,433 |
| PLEKHA7 | 2,300 |
| FERMT2 | 1,747 |
| CHAT | 1,743 |
| GLIS3 | 1,717 |
| PCMTD1 | 1,121 |
| EPDR1 | 1,010 |
| DPM2 | 1,010 |
| EEIG1 | 885 |
| SPATA13 | 831 |
Intra-cohort edges
| A | B | Sources |
|---|
| COL11A1 | EEIG1 | string_interaction |
| COL11A1 | PCMTD1 | string_interaction |
| COL11A1 | PLEKHA7 | string_interaction |
| COL11A1 | ST18 | string_interaction |
| DPM2 | EEIG1 | string_interaction |
| DPM2 | EPDR1 | string_interaction |
| DPM2 | PCMTD1 | string_interaction |
| DPM2 | ST18 | string_interaction |
| EEIG1 | EPDR1 | string_interaction |
| EEIG1 | FERMT2 | string_interaction |
| EEIG1 | GLIS3 | string_interaction |
| EEIG1 | PCMTD1 | string_interaction |
| EEIG1 | PLEKHA7 | string_interaction |
| EEIG1 | ST18 | string_interaction |
| EPDR1 | FERMT2 | string_interaction |
| EPDR1 | GLIS3 | string_interaction |
| EPDR1 | PCMTD1 | string_interaction |
| EPDR1 | PLEKHA7 | string_interaction |
| EPDR1 | ST18 | string_interaction |
| FERMT2 | PCMTD1 | string_interaction |
| PCMTD1 | PLEKHA7 | string_interaction |
| PCMTD1 | ST18 | string_interaction |
| PLEKHA7 | ST18 | string_interaction |
Structural data
PDB: 6 · AlphaFold-only: 5 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| CHAT | P28329 | 8 |
| FERMT2 | Q96AC1 | 6 |
| EPDR1 | Q9UM22 | 3 |
| PLEKHA7 | Q6IQ23 | 3 |
| PCMTD1 | Q96MG8 | 2 |
| ST18 | O60284 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| DPM2 | O94777 | 91.96 |
| SPATA13 | Q96N96 | 72.49 |
| EEIG1 | Q5T9C2 | 69.30 |
| COL11A1 | P12107 | 53.06 |
| GLIS3 | Q8NEA6 | 49.95 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 23. Enrichment computed across 11 evidence-associated genes (5 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 5 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Synthesis of dolichyl-phosphate mannose | 1 | 761.3× | 0.008 | DPM2 |
| Defective DPM1 causes DPM1-CDG | 1 | 761.3× | 0.008 | DPM2 |
| Defective DPM3 causes DPM3-CDG | 1 | 761.3× | 0.008 | DPM2 |
| Defective DPM2 causes DPM2-CDG | 1 | 761.3× | 0.008 | DPM2 |
| RAC1 GTPase cycle | 2 | 24.4× | 0.012 | FERMT2, SPATA13 |
| Acetylcholine Neurotransmitter Release Cycle | 1 | 134.3× | 0.023 | CHAT |
| Cell-extracellular matrix interactions | 1 | 134.3× | 0.023 | FERMT2 |
| Synthesis of glycosylphosphatidylinositol (GPI) | 1 | 126.9× | 0.023 | DPM2 |
| Synthesis of PC | 1 | 81.6× | 0.030 | CHAT |
| MET activates PTK2 signaling | 1 | 76.1× | 0.030 | COL11A1 |
| Collagen chain trimerization | 1 | 51.9× | 0.040 | COL11A1 |
| Developmental Lineage of Pancreatic Ductal Cells | 1 | 45.7× | 0.041 | COL11A1 |
| Maturation of DENV proteins | 1 | 42.3× | 0.041 | DPM2 |
| Assembly of collagen fibrils and other multimeric structures | 1 | 40.1× | 0.041 | COL11A1 |
| Collagen degradation | 1 | 35.1× | 0.042 | COL11A1 |
| Collagen biosynthesis and modifying enzymes | 1 | 34.1× | 0.042 | COL11A1 |
| Non-integrin membrane-ECM interactions | 1 | 30.9× | 0.043 | COL11A1 |
| RAC3 GTPase cycle | 1 | 23.8× | 0.053 | FERMT2 |
| CDC42 GTPase cycle | 1 | 14.5× | 0.081 | SPATA13 |
| RHO GTPase cycle | 1 | 12.0× | 0.093 | SPATA13 |
| Signaling by Rho GTPases | 1 | 6.8× | 0.147 | SPATA13 |
| Signaling by Rho GTPases, Miro GTPases and RHOBTB3 | 1 | 6.7× | 0.147 | SPATA13 |
| Signal Transduction | 1 | 2.0× | 0.404 | SPATA13 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 11 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| myofibroblast contraction | 1 | 766.0× | 0.026 | EPDR1 |
| acetylcholine biosynthetic process | 1 | 510.7× | 0.026 | CHAT |
| zonula adherens maintenance | 1 | 510.7× | 0.026 | PLEKHA7 |
| dolichol phosphate mannose biosynthetic process | 1 | 510.7× | 0.026 | DPM2 |
| adherens junction maintenance | 1 | 383.0× | 0.026 | FERMT2 |
| tendon development | 1 | 383.0× | 0.026 | COL11A1 |
| cell-matrix adhesion | 2 | 29.8× | 0.026 | FERMT2, EPDR1 |
| positive regulation of wound healing, spreading of epidermal cells | 1 | 306.4× | 0.029 | FERMT2 |
| positive regulation of mesenchymal stem cell proliferation | 1 | 191.5× | 0.029 | FERMT2 |
| proteoglycan metabolic process | 1 | 170.2× | 0.029 | COL11A1 |
| positive regulation of integrin activation | 1 | 170.2× | 0.029 | FERMT2 |
| dolichyl monophosphate biosynthetic process | 1 | 170.2× | 0.029 | DPM2 |
| pore complex assembly | 1 | 170.2× | 0.029 | PLEKHA7 |
| protein localization to cell junction | 1 | 170.2× | 0.029 | FERMT2 |
| integrin activation | 1 | 127.7× | 0.036 | FERMT2 |
| epithelial cell-cell adhesion | 1 | 109.4× | 0.038 | PLEKHA7 |
| negative regulation of vascular permeability | 1 | 102.1× | 0.038 | FERMT2 |
| interleukin-6-mediated signaling pathway | 1 | 102.1× | 0.038 | ST18 |
| chondrocyte development | 1 | 85.1× | 0.041 | COL11A1 |
| detection of mechanical stimulus involved in sensory perception of sound | 1 | 85.1× | 0.041 | COL11A1 |
| dolichol-linked oligosaccharide biosynthetic process | 1 | 76.6× | 0.041 | DPM2 |
| phosphatidylcholine biosynthetic process | 1 | 73.0× | 0.041 | CHAT |
| interleukin-1-mediated signaling pathway | 1 | 73.0× | 0.041 | ST18 |
| cartilage condensation | 1 | 69.6× | 0.041 | COL11A1 |
| ventricular cardiac muscle tissue morphogenesis | 1 | 63.8× | 0.041 | COL11A1 |
| filopodium assembly | 1 | 58.9× | 0.041 | SPATA13 |
| positive regulation of focal adhesion assembly | 1 | 58.9× | 0.041 | FERMT2 |
| regulation of cell morphogenesis | 1 | 56.7× | 0.041 | FERMT2 |
| neuromuscular synaptic transmission | 1 | 54.7× | 0.041 | CHAT |
| protein localization to membrane | 1 | 54.7× | 0.041 | FERMT2 |
Therapeutics
Drugs indicated for this disease
0 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 10
Druggability breadth: 5 of 11 evidence-associated genes (45%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| CHAT | 1 | 3 |
| SPATA13 | 0 | 0 |
| FERMT2 | 0 | 0 |
| EPDR1 | 0 | 0 |
| ST18 | 0 | 0 |
| COL11A1 | 0 | 0 |
| PLEKHA7 | 0 | 0 |
| GLIS3 | 0 | 0 |
| DPM2 | 0 | 0 |
| PCMTD1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| CHAT | 7 | Binding:7 |
| FERMT2 | 5 | Binding:5 |
| EPDR1 | 1 | Binding:1 |
| PLEKHA7 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| CHAT | 2.3.1.6 | choline O-acetyltransferase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 11; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
1 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) |
|---|
| COENZYME_A | 3 | CHAT |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 1 | CHAT |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 10 | SPATA13, FERMT2, EPDR1, ST18, COL11A1, PLEKHA7, GLIS3, DPM2, PCMTD1, EEIG1 |
Undrugged target profiles
10 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| SPATA13 | 0 | — |
| FERMT2 | 5 | — |
| EPDR1 | 1 | — |
| ST18 | 0 | — |
| COL11A1 | 0 | — |
| PLEKHA7 | 1 | — |
| GLIS3 | 0 | — |
| DPM2 | 0 | — |
| PCMTD1 | 0 | — |
| EEIG1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 20.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 20 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT05163951 | Not specified | RECRUITING | Trabeculectomy Versus Peripheral Iridectomy Plus Goniotomy in Advanced PACG |
| NCT06952153 | Not specified | RECRUITING | Comparison of Phaco Surgery With Goniosynechialysis Versus Trabeculectomy in Glaucoma Treatment |
| NCT07517302 | Not specified | RECRUITING | Kahook Dual Blade Goniotomy in Chronic Primary Angle-Closure Glaucoma |
| NCT07523139 | Not specified | RECRUITING | Vitreous Zonule in Primary Angle-Closure Glaucoma |
| NCT07539675 | Not specified | RECRUITING | The Multi-Omics Analysis of Lens Zonule Relaxation in The PACG Pathogenesis |
| NCT07549438 | Not specified | NOT_YET_RECRUITING | Predicting the Risk of Partial Ciliary Block After Cataract and Goniosynechialysis Surgery in Primary Angle-Closure Disease |
| NCT01266343 | Not specified | COMPLETED | Comparison of Anterior Chamber Paracentesis and Conventional Mannitol Infusion in Patients With Primary Acute Angle-closure Glaucoma |
| NCT01301378 | Not specified | TERMINATED | Patch Graft Material Safety and Effectiveness in Covering Glaucoma Drainage Device Tube |
| NCT02279472 | Not specified | UNKNOWN | Optical Coherence Tomography Quantitative Analysis of Changes in Anterior Chamber After Laser Peripheral Lridotomy |
| NCT03647033 | Not specified | COMPLETED | Phacoemulsification Versus Phacoemulsification With Micro-bypass Stent |
| NCT04254458 | Not specified | COMPLETED | Corneal Densitometry in Acute Primary Angle Closure Glaucoma |
| NCT04609345 | Not specified | UNKNOWN | Prevalence of Ocular Surface Disease in Malaysian Glaucoma Patients |
| NCT04622605 | Not specified | COMPLETED | Hydrus Microstent and Lens Extraction for the Treatment of Primary Angle-Closure Glaucoma |
| NCT04736264 | Not specified | UNKNOWN | Malay Glaucoma Eye Study II Navigation, Mobility and Reading Ability in Primary Glaucoma |
| NCT04972435 | Not specified | COMPLETED | Effect of Multifocal Intraocular Lens on Contrast Sensitivity in Primary Angle-Closure Patients |
| NCT05052242 | Not specified | COMPLETED | Evaluation of Ocular Biometry in PACD With Two Swept Source Optical Coherence Tomography Devices |
| NCT06184620 | Not specified | COMPLETED | Correlation Between Angle Closure Glaucoma Data and Lens Zonule Status |
| NCT06252246 | Not specified | COMPLETED | The Effect of Phacoemulsification on Intraocular Pressure in Primary Angle Closure Glaucoma (PACG) Patients At Phanat Nikhom Hospital, Chonburi Province |
| NCT06333470 | Not specified | UNKNOWN | Liwan Eye Study: the Fourth Follow-up |
| NCT07495449 | Not specified | COMPLETED | Effect of Infusion Warming on Mannitol Infusion Pain in Patients With Acute Ocular Hypertension |
- Cohort genes: SPATA13, FERMT2, EPDR1, ST18, CHAT, COL11A1, PLEKHA7, GLIS3, DPM2, PCMTD1, EEIG1