Primary biliary cholangitis
diseaseOn this page
Also known as chronic non-suppurative destructive cholangitischronic nonsuppurative destructive cholangitisfamilial primary biliary cirrhosisHanot syndromePBCprimary Bilary cirrhosis (PBC)primary biliary cirrhosis
Summary
Primary biliary cholangitis (MONDO:0005388) is a disease (an umbrella term covering 5 Mondo subtypes) with 75 cohort genes (280 GWAS associations across 15 studies) and 165 clinical trials. The dominant Reactome pathway is Interleukin-35 Signalling (5 cohort genes). Top therapeutic interventions include ursodiol, fenofibrate, and obeticholic acid.
At a glance
- Prevalence: 1-5 / 10 000 (Worldwide) [Orphanet-validated]
- Umbrella term: 5 Mondo subtypes
- Cohort genes: 75
- GWAS associations: 280
- ClinVar variants: 1
- Phenotypes (HPO): 41
- Clinical trials: 165
Clinical features
Epidemiology
Prevalence records
28 prevalence record(s), Orphanet, top 20 (validated / broadest geography first):
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Annual incidence | 1-9 / 100 000 | 3 | Worldwide | Validated |
| Point prevalence | 1-5 / 10 000 | 21.05 | Worldwide | Validated |
| Annual incidence | 1-9 / 100 000 | 2.57 | Europe | Validated |
| Point prevalence | 1-5 / 10 000 | 25 | Europe | Validated |
| Annual incidence | 1-9 / 1 000 000 | 0.9 | France | Validated |
| Annual incidence | 1-9 / 100 000 | 1.7 | Spain | Validated |
| Annual incidence | 1-9 / 100 000 | 2.5 | Iceland | Validated |
| Annual incidence | 1-9 / 100 000 | 1.1 | Netherlands | Validated |
| Annual incidence | 1-9 / 100 000 | 1.7 | Denmark | Validated |
| Annual incidence | 1-9 / 100 000 | 1.7 | Finland | Validated |
| Annual incidence | 1-9 / 100 000 | 4.5 | United States | Validated |
| Annual incidence | 1-9 / 100 000 | 3 | Canada | Validated |
| Annual incidence | 1-9 / 100 000 | 1 | Brunei Darussalam | Validated |
| Annual incidence | 1-9 / 100 000 | 2.1 | Greece | Validated |
| Annual incidence | 1-9 / 100 000 | 2.3 | United Kingdom | Validated |
| Point prevalence | 1-5 / 10 000 | 19.5 | Spain | Validated |
| Point prevalence | 1-5 / 10 000 | 38.3 | Iceland | Validated |
| Point prevalence | 1-5 / 10 000 | 13.2 | Netherlands | Validated |
| Point prevalence | 1-5 / 10 000 | 12 | Denmark | Validated |
| Point prevalence | 1-5 / 10 000 | 18 | Finland | Validated |
Signs & symptoms
Clinical features (HPO)
41 HPO clinical features (Orphanet curated; top 41 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0000953 | Hyperpigmentation of the skin | Very frequent (80-99%) |
| HP:0001394 | Cirrhosis | Very frequent (80-99%) |
| HP:0002613 | Biliary cirrhosis | Very frequent (80-99%) |
| HP:0002908 | Conjugated hyperbilirubinemia | Very frequent (80-99%) |
| HP:0011971 | Dermatographic urticaria | Very frequent (80-99%) |
| HP:0030167 | Antimitochondrial antibody positivity | Very frequent (80-99%) |
| HP:0000820 | Abnormality of the thyroid gland | Frequent (30-79%) |
| HP:0000952 | Jaundice | Frequent (30-79%) |
| HP:0000989 | Pruritus | Frequent (30-79%) |
| HP:0001114 | Xanthelasma | Frequent (30-79%) |
| HP:0001278 | Orthostatic hypotension | Frequent (30-79%) |
| HP:0001395 | Hepatic fibrosis | Frequent (30-79%) |
| HP:0001399 | Hepatic failure | Frequent (30-79%) |
| HP:0001402 | Hepatocellular carcinoma | Frequent (30-79%) |
| HP:0001409 | Portal hypertension | Frequent (30-79%) |
| HP:0002240 | Hepatomegaly | Frequent (30-79%) |
| HP:0002841 | Recurrent fungal infections | Frequent (30-79%) |
| HP:0002960 | Autoimmunity | Frequent (30-79%) |
| HP:0003119 | Abnormal circulating lipid concentration | Frequent (30-79%) |
| HP:0003124 | Hypercholesterolemia | Frequent (30-79%) |
| HP:0003155 | Elevated circulating alkaline phosphatase concentration | Frequent (30-79%) |
| HP:0003493 | Antinuclear antibody positivity | Frequent (30-79%) |
| HP:0003496 | Increased circulating IgM level | Frequent (30-79%) |
| HP:0011040 | Abnormality of the intrahepatic bile duct | Frequent (30-79%) |
| HP:0012203 | Onychomycosis | Frequent (30-79%) |
| HP:0030948 | Elevated gamma-glutamyltransferase level | Frequent (30-79%) |
| HP:0000939 | Osteoporosis | Occasional (5-29%) |
| HP:0001262 | Excessive daytime somnolence | Occasional (5-29%) |
| HP:0001541 | Ascites | Occasional (5-29%) |
| HP:0001744 | Splenomegaly | Occasional (5-29%) |
| HP:0002040 | Esophageal varix | Occasional (5-29%) |
| HP:0002360 | Sleep abnormality | Occasional (5-29%) |
| HP:0002480 | Hepatic encephalopathy | Occasional (5-29%) |
| HP:0002570 | Steatorrhea | Occasional (5-29%) |
| HP:0002608 | Celiac disease | Occasional (5-29%) |
| HP:0003073 | Hypoalbuminemia | Occasional (5-29%) |
| HP:0003261 | Increased circulating IgA level | Occasional (5-29%) |
| HP:0003270 | Abdominal distention | Occasional (5-29%) |
| HP:0012115 | Hepatitis | Occasional (5-29%) |
| HP:0012378 | Fatigue | Occasional (5-29%) |
| HP:0004386 | Gastrointestinal inflammation | Very rare (<1-4%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | primary biliary cholangitis |
| Mondo ID | MONDO:0005388 |
| EFO | EFO:1001486 |
| MeSH | D008105 |
| OMIM | 109720 |
| Orphanet | 186 |
| DOID | DOID:12236 |
| ICD-10-CM | K74.3 |
| ICD-11 | 649193479 |
| NCIT | C27167 |
| SNOMED CT | 31712002 |
| UMLS | C0008312 |
| MedGen | 3035 |
| GARD | 0007459 |
| MedDRA | 10004661, 10019137 |
| NORD | 1604 |
| Is cancer (heuristic) | no |
Also known as: chronic non-suppurative destructive cholangitis · chronic nonsuppurative destructive cholangitis · familial primary biliary cirrhosis · Hanot syndrome · PBC · primary Bilary cirrhosis (PBC) · primary biliary cirrhosis
Data availability: 1 ClinVar variant · 280 GWAS associations (15 studies) · 30 cell lines.
Disease family
An umbrella term covering 5 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › digestive system disorder › hepatobiliary disorder › biliary tract disorder › primary biliary cholangitis
Related subtypes (14): bile duct disorder, biliary tract neoplasm, gallstones, bile reflux, postcholecystectomy syndrome, Alagille syndrome, isolated agenesis of gallbladder, cholelithiasis, ketamine-induced biliary dilatation, follicular cholangitis and pancreatitis, idiopathic ductopenia, Caroli syndrome, isolated congenital hepatic fibrosis, Rokitansky-Aschoff sinuses of the gallbladder
Subtypes (5): primary biliary cholangitis 1, primary biliary cholangitis 2, primary biliary cholangitis 3, primary biliary cholangitis 4, primary biliary cholangitis 5
Genetics & variants
GWAS landscape
280 GWAS associations across 15 studies. Top hits map to 19 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs7774434 | 3e-116 | HLA-DQB1 - MTCO3P1 | C | 0.46 |
| rs6679356 | 5e-65 | IL12RB2 | C | 0.44 |
| rs589446 | 2e-55 | IL12A-AS1 | T | 0.35 |
| HLA*DQA1:0401 | 6e-45 | ? | 3.07 | |
| rs71152606 | 8e-44 | IKZF3 | CTTCTA | 0.27 |
| rs12531711 | 9e-41 | TNPO3 | G | 0.42 |
| rs9268641 | 4e-39 | TSBP1-AS1 - HLA-DRA | C | 0.46 |
| rs72678531 | 2e-38 | IL12RB2 | G | 1.61 |
| rs59643720 | 3e-38 | EXOC3L4 | C | 0.32 |
| rs7119044 | 7e-38 | Y_RNA - CXCR5 | G | 0.36 |
| DQB1*0402 | 8e-36 | ? | 3.93 | |
| rs2366643 | 3e-35 | LINC01100; IL12A-AS1; IL12A-AS1; IL12A-AS1; IL12A-AS1 | A | 0.62 |
| rs201150316 | 5e-35 | Y_RNA - CXCR5 | AT | 0.37 |
| rs7775055 | 1e-33 | HLA-DQB1 - MTCO3P1 | C | 3.71 |
| rs33938760 | 2e-33 | CTT | 0.26 | |
| DRB1*0801 | 3e-33 | ? | 3.99 | |
| rs6533022 | 2e-32 | MANBA | C | 0.23 |
| rs2293370 | 2e-31 | TIMMDC1 | A | 0.29 |
| rs11889341 | 3e-31 | STAT4 | T | 0.25 |
| rs4979462 | 4e-31 | TNFSF15 | T | 1.62 |
| rs9268644 | 8e-31 | HLA-DRA | ? | 1.96 |
| rs3745516 | 3e-30 | SPIB | A | 0.27 |
| rs4979467 | 1e-29 | DELEC1 | A | 1.53 |
| rs3129887 | 2e-29 | HLA-DRA | ? | 3.13 |
| rs9275171 | 5e-29 | HLA-DQB1 - MTCO3P1 | G | 0.45 |
| rs12919083 | 4e-26 | CLEC16A | C | 0.22 |
| rs1322057 | 5e-26 | TNFSF15 - DELEC1 | G | 0.44 |
| rs56211063 | 9e-26 | TNFSF15 - DELEC1 | C | 0.44 |
| rs7574865 | 9e-25 | STAT4; STAT4 | T | 0.72 |
| rs11117432 | 3e-24 | LINC02132 - LINC01082 | A | 0.27 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90428827 | Yu X | 2024 | 8,021 | 33,155 | Shared genetic architecture between autoimmune disorders and B-cell acute lymphoblastic leukemia: insights from large-scale genome-wide cross-trait analysis. |
| GCST90061440 | Cordell HJ | 2021 | 8,021 | 16,489 | An international genome-wide meta-analysis of primary biliary cholangitis: novel risk loci and candidate drugs. |
| GCST90061442 | Cordell HJ | 2021 | 8,021 | 16,489 | An international genome-wide meta-analysis of primary biliary cholangitis: novel risk loci and candidate drugs. |
| GCST005581 | Liu JZ | 2012 | 2,861 | 8,514 | Dense fine-mapping study identifies new susceptibility loci for primary biliary cirrhosis. |
| GCST003129 | Cordell HJ | 2015 | 2,764 | 10,475 | International genome-wide meta-analysis identifies new primary biliary cirrhosis risk loci and targetable pathogenic pathways. |
| GCST90061441 | Cordell HJ | 2021 | 2,495 | 4,283 | An international genome-wide meta-analysis of primary biliary cholangitis: novel risk loci and candidate drugs. |
| GCST009956 | Juran BD | 2012 | 2,216 | 5,594 | Immunochip analyses identify a novel risk locus for primary biliary cirrhosis at 13q14, multiple independent associations at four established risk loci and epistasis between 1p31 and 7q32 risk variants. |
| GCST90828094 | Hitomi Y | 2024 | 2,181 | 2,699 | A genome-wide association study identified PTPN2 as a population-specific susceptibility gene locus for primary biliary cholangitis. |
| GCST007036 | Hitomi Y | 2019 | 1,855 | 1,719 | POGLUT1, the putative effector gene driven by rs2293370 in primary biliary cholangitis susceptibility locus chromosome 3q13.33. |
| GCST004145 | Kawashima M | 2017 | 1,381 | 1,505 | Genome-wide association studies identify PRKCB as a novel genetic susceptibility locus for primary biliary cholangitis in the Japanese population. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 2 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 1 |
| Tier 4: intronic/intergenic | 46 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 45 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 4 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 26 |
| intergenic_variant | 9 |
| unknown | 5 |
| intron_variant; intron_variant | 3 |
| non_coding_transcript_exon_variant | 2 |
| missense_variant | 2 |
| intron_variant; intergenic_variant; intron_variant; intron_variant | 1 |
| regulatory_region_variant; intergenic_variant; intron_variant | 1 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs7774434 | 6 | 32689801 | T>C | 0.05 | non_coding_transcript_exon_variant | HLA-DQB1 - MTCO3P1 | 3e-116 | Tier 4: intronic/intergenic |
| rs6679356 | 1 | 67354511 | C>A,T | 0.05 | intron_variant | IL12RB2 | 5e-65 | Tier 4: intronic/intergenic |
| rs589446 | 3 | 160015740 | G>T | 0.05 | intron_variant | IL12A-AS1 | 2e-55 | Tier 4: intronic/intergenic |
| HLA*DQA1:0401 | 0.22 | 6e-45 | Tier 4: intronic/intergenic | |||||
| rs71152606 | 17 | 39818962 | C>CTTCTA | 0.05 | intron_variant | IKZF3 | 8e-44 | Tier 4: intronic/intergenic |
| rs12531711 | 7 | 128977412 | A>C,G | 0.05 | intron_variant | TNPO3 | 9e-41 | Tier 4: intronic/intergenic |
| rs9268641 | 6 | 32439110 | C>T | 0.05 | intron_variant | TSBP1-AS1 - HLA-DRA | 4e-39 | Tier 4: intronic/intergenic |
| rs72678531 | 1 | 67332762 | T>C | 0.17 | intron_variant | IL12RB2 | 2e-38 | Tier 4: intronic/intergenic |
| rs59643720 | 14 | 103098470 | A>C,G | 0.05 | intron_variant | EXOC3L4 | 3e-38 | Tier 4: intronic/intergenic |
| rs7119044 | 11 | 118867589 | G>A,C,T | 0.05 | intron_variant | Y_RNA - CXCR5 | 7e-38 | Tier 4: intronic/intergenic |
| DQB1*0402 | 8e-36 | Tier 4: intronic/intergenic | ||||||
| rs2366643 | 3;3;3;3 | 160018698 | T>C,G | 0.3 | intron_variant; intergenic_variant; intron_variant; intron_variant | LINC01100; IL12A-AS1; IL12A-AS1; IL12A-AS1; IL12A-AS1 | 3e-35 | Tier 4: intronic/intergenic |
| rs201150316 | 11 | 118869396 | AT>A | 0.05 | intron_variant | Y_RNA - CXCR5 | 5e-35 | Tier 4: intronic/intergenic |
| rs7775055 | 6 | 32690139 | T>C | 0.05 | non_coding_transcript_exon_variant | HLA-DQB1 - MTCO3P1 | 1e-33 | Tier 4: intronic/intergenic |
| rs33938760 | 2e-33 | Tier 4: intronic/intergenic | ||||||
| DRB1*0801 | 3e-33 | Tier 4: intronic/intergenic | ||||||
| rs6533022 | 4 | 102637794 | T>A,C | 0.05 | intron_variant | MANBA | 2e-32 | Tier 4: intronic/intergenic |
| rs2293370 | 3 | 119501087 | G>A,C,T | 0.05 | intron_variant | TIMMDC1 | 2e-31 | Tier 4: intronic/intergenic |
| rs11889341 | 2 | 191079016 | C>T | 0.05 | intron_variant | STAT4 | 3e-31 | Tier 4: intronic/intergenic |
| rs4979462 | 9 | 114804733 | C>G,T | 0.05 | intron_variant | TNFSF15 | 4e-31 | Tier 4: intronic/intergenic |
| rs9268644 | 6 | 32440267 | A>C | 0.177 | intron_variant | HLA-DRA | 8e-31 | Tier 4: intronic/intergenic |
| rs3745516 | 19 | 50423485 | A>G,T | 0.05 | intron_variant | SPIB | 3e-30 | Tier 4: intronic/intergenic |
| rs4979467 | 9 | 114867763 | C>T | 0.322 | intergenic_variant | DELEC1 | 1e-29 | Tier 4: intronic/intergenic |
| rs3129887 | 6 | 32442914 | G>A | 0.05 | intron_variant | HLA-DRA | 2e-29 | Tier 4: intronic/intergenic |
| rs9275171 | 6 | 32686195 | A>G,T | 0.05 | intergenic_variant | HLA-DQB1 - MTCO3P1 | 5e-29 | Tier 4: intronic/intergenic |
| rs12919083 | 16 | 11095073 | A>C,G,T | 0.05 | intron_variant | CLEC16A | 4e-26 | Tier 4: intronic/intergenic |
| rs1322057 | 9 | 114816094 | A>G,T | 0.05 | intron_variant | TNFSF15 - DELEC1 | 5e-26 | Tier 4: intronic/intergenic |
| rs56211063 | 9 | 114823617 | G>C | 0.05 | intergenic_variant | TNFSF15 - DELEC1 | 9e-26 | Tier 4: intronic/intergenic |
| rs7574865 | 2;2 | 191099907 | T>A,G | 0.28 | intron_variant; intron_variant | STAT4; STAT4 | 9e-25 | Tier 4: intronic/intergenic |
| rs11117432 | 16 | 85985665 | G>A | 0.05 | intergenic_variant | LINC02132 - LINC01082 | 3e-24 | Tier 4: intronic/intergenic |
ClinVar germline variants
1 retrieved; paginated sample, class counts are floors:
1 conflicting classifications of pathogenicity
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 367235 | NM_004817.4(TJP2):c.3371C>T (p.Thr1124Met) | TJP2 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 61 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 5
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|---|---|
| SPIB | SPIB | GWAS, Orphanet |
| TNFSF15 | TNFSF15 | GWAS, Orphanet |
| TYK2 | TYK2 | GWAS, Orphanet |
| TNPO3 | TNPO3 | GWAS, Orphanet |
| SPEF2 | SPEF2 | GWAS, Orphanet |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| ATXN2 | Orphanet:803 | Amyotrophic lateral sclerosis |
| ATXN2 | Orphanet:98756 | Spinocerebellar ataxia type 2 |
| SCNN1A | Orphanet:130 | Brugada syndrome |
| SCNN1A | Orphanet:171876 | Generalized pseudohypoaldosteronism type 1 |
| SCNN1A | Orphanet:526 | Liddle syndrome |
| SCNN1A | Orphanet:60033 | Idiopathic bronchiectasis |
| SPIB | Orphanet:186 | Primary biliary cholangitis |
| STAT1 | Orphanet:319595 | Mendelian susceptibility to mycobacterial diseases due to partial STAT1 deficiency |
| STAT1 | Orphanet:391311 | Susceptibility to viral and mycobacterial infections due to STAT1 deficiency |
| STAT1 | Orphanet:391487 | STAT1-related autoimmune enteropathy and endocrinopathy-susceptibility to chronic infections syndrome |
| STAT4 | Orphanet:117 | Behçet disease |
| STAT4 | Orphanet:536 | Systemic lupus erythematosus |
| STAT4 | Orphanet:85408 | Rheumatoid factor-negative polyarticular juvenile idiopathic arthritis |
| STAT4 | Orphanet:85410 | Oligoarticular juvenile idiopathic arthritis |
| STAT4 | Orphanet:93552 | Pediatric systemic lupus erythematosus |
| TJP2 | Orphanet:238475 | Familial hypercholanemia |
| TJP2 | Orphanet:480483 | Progressive familial intrahepatic cholestasis type 4 |
| TJP2 | Orphanet:90635 | Rare autosomal dominant non-syndromic sensorineural deafness type DFNA |
| TNFAIP3 | Orphanet:536 | Systemic lupus erythematosus |
| TNFAIP3 | Orphanet:674762 | Early-onset autoinflammatory syndrome due to A20 haploinsufficiency |
| TNFRSF1A | Orphanet:32960 | Tumor necrosis factor receptor 1 associated periodic syndrome |
| TNFRSF1A | Orphanet:329967 | Intermittent hydrarthrosis |
| TNFSF15 | Orphanet:186 | Primary biliary cholangitis |
| TYK2 | Orphanet:300865 | Primary cutaneous anaplastic large cell lymphoma |
| TYK2 | Orphanet:331226 | Susceptibility to infection due to TYK2 deficiency |
| TYK2 | Orphanet:98842 | Lymphomatoid papulosis |
| IKZF3 | Orphanet:67038 | B-cell chronic lymphocytic leukemia |
| IKZF3 | Orphanet:699590 | Immune dysregulation with immunodeficiency due to AIOLOS haploinsufficiency |
| IKZF3 | Orphanet:699593 | Combined immunodeficiency-lymphopenia-cancer predisposing syndrome due to AIOLOS deficiency |
| TIMMDC1 | Orphanet:2609 | Isolated complex I deficiency |
| CCR6 | Orphanet:220393 | Diffuse cutaneous systemic sclerosis |
| CCR6 | Orphanet:220402 | Limited cutaneous systemic sclerosis |
| CD28 | Orphanet:2584 | Classic mycosis fungoides |
| CD28 | Orphanet:3162 | Sézary syndrome |
| TNPO3 | Orphanet:186 | Primary biliary cholangitis |
| TNPO3 | Orphanet:55595 | TNP03-related limb-girdle muscular dystrophy D2 |
| SOCS1 | Orphanet:619948 | Early-onset autoimmunity-autoinflammation-immunodeficiency syndrome due to SOCS1 haploinsufficiency |
| POGLUT1 | Orphanet:480682 | POGLUT1-related limb-girdle muscular dystrophy R21 |
| POGLUT1 | Orphanet:79145 | Dowling-Degos disease |
| CISD2 | Orphanet:3463 | Wolfram syndrome |
| CTLA4 | Orphanet:2584 | Classic mycosis fungoides |
| CTLA4 | Orphanet:3162 | Sézary syndrome |
| CTLA4 | Orphanet:391490 | Adult-onset myasthenia gravis |
| CTLA4 | Orphanet:436159 | Autoimmune lymphoproliferative syndrome due to CTLA4 haploinsuffiency |
| CTLA4 | Orphanet:536 | Systemic lupus erythematosus |
| CTLA4 | Orphanet:900 | Granulomatosis with polyangiitis |
| SPEF2 | Orphanet:244 | Primary ciliary dyskinesia |
| SPEF2 | Orphanet:276234 | Non-syndromic male infertility due to sperm motility disorder |
| DDX6 | Orphanet:528084 | Non-specific syndromic intellectual disability |
| PPIP5K2 | Orphanet:90636 | Rare autosomal recessive non-syndromic sensorineural deafness type DFNB |
Cohort genes → proteins
75 cohort genes, 70 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 74 |
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| RPL3 | HGNC:10332 | ENSG00000100316 | P39023 | Large ribosomal subunit protein uL3 | gwas |
| RPS6KA4 | HGNC:10433 | ENSG00000162302 | O75676 | Ribosomal protein S6 kinase alpha-4 | gwas |
| ATXN2 | HGNC:10555 | ENSG00000204842 | Q99700 | Ataxin-2 | gwas |
| SCNN1A | HGNC:10599 | ENSG00000111319 | P37088 | Epithelial sodium channel subunit alpha | gwas |
| CXCR5 | HGNC:1060 | ENSG00000160683 | P32302 | C-X-C chemokine receptor type 5 | gwas |
| CCL20 | HGNC:10619 | ENSG00000115009 | P78556 | C-C motif chemokine 20 | gwas |
| BRAP | HGNC:1099 | ENSG00000089234 | Q7Z569 | BRCA1-associated protein | gwas |
| SPIB | HGNC:11242 | ENSG00000269404 | Q01892 | Transcription factor Spi-B | gwas |
| STAT1 | HGNC:11362 | ENSG00000115415 | P42224 | Signal transducer and activator of transcription 1-alpha/beta | gwas |
| STAT4 | HGNC:11365 | ENSG00000138378 | Q14765 | Signal transducer and activator of transcription 4 | gwas |
| SYNGR1 | HGNC:11498 | ENSG00000100321 | O43759 | Synaptogyrin-1 | gwas |
| TJP2 | HGNC:11828 | ENSG00000119139 | Q9UDY2 | Tight junction protein 2 | clinvar |
| TNFAIP2 | HGNC:11895 | ENSG00000185215 | Q03169 | Tumor necrosis factor alpha-induced protein 2 | gwas |
| TNFAIP3 | HGNC:11896 | ENSG00000118503 | P21580 | Tumor necrosis factor alpha-induced protein 3 | gwas |
| TNFRSF1A | HGNC:11916 | ENSG00000067182 | P19438 | Tumor necrosis factor receptor superfamily member 1A | gwas |
| TNFSF15 | HGNC:11931 | ENSG00000181634 | O95150 | Tumor necrosis factor ligand superfamily member 15 | gwas |
| TNFSF8 | HGNC:11938 | ENSG00000106952 | P32971 | Tumor necrosis factor ligand superfamily member 8 | gwas |
| TYK2 | HGNC:12440 | ENSG00000105397 | P29597 | Non-receptor tyrosine-protein kinase TYK2 | gwas |
| IKZF3 | HGNC:13178 | ENSG00000161405 | Q9UKT9 | Zinc finger protein Aiolos | gwas |
| TIMMDC1 | HGNC:1321 | ENSG00000113845 | Q9NPL8 | Complex I assembly factor TIMMDC1, mitochondrial | gwas |
| DEXI | HGNC:13267 | ENSG00000182108 | O95424 | Dexamethasone-induced protein | gwas |
| SMIM29 | HGNC:1340 | ENSG00000186577 | Q86T20 | Small integral membrane protein 29 | gwas |
| DLEU1 | HGNC:13747 | ENSG00000176124 | O43261 | Leukemia-associated protein 1 | gwas |
| SCHIP1 | HGNC:15678 | ENSG00000151967 | P0DPB3 | Schwannomin-interacting protein 1 | gwas |
| ORMDL3 | HGNC:16038 | ENSG00000172057 | Q8N138 | ORM1-like protein 3 | gwas |
| CCR6 | HGNC:1607 | ENSG00000112486 | P51684 | C-C chemokine receptor type 6 | gwas |
| ELMO1 | HGNC:16286 | ENSG00000155849 | Q92556 | Engulfment and cell motility protein 1 | gwas |
| CD28 | HGNC:1653 | ENSG00000178562 | P10747 | T-cell-specific surface glycoprotein CD28 | gwas |
| CD58 | HGNC:1688 | ENSG00000116815 | P19256 | Lymphocyte function-associated antigen 3 | gwas |
| CD80 | HGNC:1700 | ENSG00000121594 | P33681 | T-lymphocyte activation antigen CD80 | gwas |
| TNPO3 | HGNC:17103 | ENSG00000064419 | Q9Y5L0 | Transportin-3 | gwas |
| SERBP1 | HGNC:17860 | ENSG00000142864 | Q8NC51 | SERPINE1 mRNA-binding protein 1 | gwas |
| OLIG3 | HGNC:18003 | ENSG00000177468 | Q7RTU3 | Oligodendrocyte transcription factor 3 | gwas |
| SOCS1 | HGNC:19383 | ENSG00000185338 | O15524 | Suppressor of cytokine signaling 1 | gwas |
| EXOC3L4 | HGNC:20120 | ENSG00000205436 | Q17RC7 | Exocyst complex component 3-like protein 4 | gwas |
| ZPBP2 | HGNC:20678 | ENSG00000186075 | Q6X784 | Zona pellucida-binding protein 2 | gwas |
| RNF145 | HGNC:20853 | ENSG00000145860 | Q96MT1 | RING finger protein 145 | gwas |
| SLC22A23 | HGNC:21106 | ENSG00000137266 | A1A5C7 | Solute carrier family 22 member 23 | gwas |
| POGLUT1 | HGNC:22954 | ENSG00000163389 | Q8NBL1 | Protein O-glucosyltransferase 1 | gwas |
| CRHR1 | HGNC:2357 | ENSG00000120088 | P34998 | Corticotropin-releasing factor receptor 1 | gwas |
| GSDMB | HGNC:23690 | ENSG00000073605 | Q8TAX9 | Gasdermin-B | gwas |
| CISD2 | HGNC:24212 | ENSG00000145354 | Q8N5K1 | CDGSH iron-sulfur domain-containing protein 2 | gwas |
| CSNK2A2 | HGNC:2459 | ENSG00000070770 | P19784 | Casein kinase II subunit alpha' | gwas |
| TRAFD1 | HGNC:24808 | ENSG00000135148 | O14545 | TRAF-type zinc finger domain-containing protein 1 | gwas |
| CFAP263 | HGNC:25002 | ENSG00000103021 | Q9H0I3 | Cilia- and flagella-associated protein 263 | gwas |
| CTLA4 | HGNC:2505 | ENSG00000163599 | P16410 | Cytotoxic T-lymphocyte protein 4 | gwas |
| MACIR | HGNC:25052 | ENSG00000181751 | Q96GV9 | Macrophage immunometabolism regulator | gwas |
| PLEKHG6 | HGNC:25562 | ENSG00000008323 | Q3KR16 | Pleckstrin homology domain-containing family G member 6 | gwas |
| TMEM39A | HGNC:25600 | ENSG00000176142 | Q9NV64 | Transmembrane protein 39A | gwas |
| GIN1 | HGNC:25959 | ENSG00000145723 | Q9NXP7 | Gypsy retrotransposon integrase-like protein 1 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| RPL3 | Large ribosomal subunit protein uL3 | Component of the large ribosomal subunit. |
| RPS6KA4 | Ribosomal protein S6 kinase alpha-4 | Serine/threonine-protein kinase that is required for the mitogen or stress-induced phosphorylation of the transcription factors CREB1 and ATF1 and for the regulation of the transcription factor RELA, and that contributes to gene activation… |
| ATXN2 | Ataxin-2 | Involved in EGFR trafficking, acting as negative regulator of endocytic EGFR internalization at the plasma membrane. |
| SCNN1A | Epithelial sodium channel subunit alpha | This is one of the three pore-forming subunits of the heterotrimeric epithelial sodium channel (ENaC), a critical regulator of sodium balance and fluid homeostasis. |
| CXCR5 | C-X-C chemokine receptor type 5 | Cytokine receptor that binds to B-lymphocyte chemoattractant (BLC). |
| CCL20 | C-C motif chemokine 20 | Acts as a ligand for C-C chemokine receptor CCR6. |
| BRAP | BRCA1-associated protein | Negatively regulates MAP kinase activation by limiting the formation of Raf/MEK complexes probably by inactivation of the KSR1 scaffold protein. |
| SPIB | Transcription factor Spi-B | Sequence specific transcriptional activator which binds to the PU-box, a purine-rich DNA sequence (5’-GAGGAA-3’) that can act as a lymphoid-specific enhancer. |
| STAT1 | Signal transducer and activator of transcription 1-alpha/beta | Signal transducer and transcription activator that mediates cellular responses to interferons (IFNs), cytokine KITLG/SCF and other cytokines and other growth factors. |
| STAT4 | Signal transducer and activator of transcription 4 | Transcriptional regulator mainly expressed in hematopoietic cells that plays a critical role in cellular growth, differentiation and immune response. |
| SYNGR1 | Synaptogyrin-1 | May play a role in regulated exocytosis. |
| TJP2 | Tight junction protein 2 | Plays a role in tight junctions and adherens junctions. |
| TNFAIP2 | Tumor necrosis factor alpha-induced protein 2 | May play a role as a mediator of inflammation and angiogenesis. |
| TNFAIP3 | Tumor necrosis factor alpha-induced protein 3 | Ubiquitin-editing enzyme that contains both ubiquitin ligase and deubiquitinase activities. |
| TNFRSF1A | Tumor necrosis factor receptor superfamily member 1A | Receptor for TNFSF2/TNF and homotrimeric TNFSF1/lymphotoxin-alpha. |
| TNFSF15 | Tumor necrosis factor ligand superfamily member 15 | Receptor for TNFRSF25 and TNFRSF6B. |
| TNFSF8 | Tumor necrosis factor ligand superfamily member 8 | Cytokine that binds to TNFRSF8/CD30. |
| TYK2 | Non-receptor tyrosine-protein kinase TYK2 | Tyrosine kinase of the non-receptor type involved in numerous cytokines and interferons signaling, which regulates cell growth, development, cell migration, innate and adaptive immunity. |
| IKZF3 | Zinc finger protein Aiolos | Transcription factor that plays an important role in the regulation of lymphocyte differentiation. |
| TIMMDC1 | Complex I assembly factor TIMMDC1, mitochondrial | Chaperone protein involved in the assembly of the mitochondrial NADH:ubiquinone oxidoreductase complex (complex I). |
| DLEU1 | Leukemia-associated protein 1 | May act as a tumor suppressor. |
| ORMDL3 | ORM1-like protein 3 | Plays an essential role in the homeostatic regulation of sphingolipid de novo biosynthesis by modulating the activity of the serine palmitoyltransferase (SPT) in response to ceramide levels. |
| CCR6 | C-C chemokine receptor type 6 | Receptor for the C-C type chemokine CCL20. |
| ELMO1 | Engulfment and cell motility protein 1 | Involved in cytoskeletal rearrangements required for phagocytosis of apoptotic cells and cell motility. |
| CD28 | T-cell-specific surface glycoprotein CD28 | Receptor that plays a role in T-cell activation, proliferation, survival and the maintenance of immune homeostasis. |
| CD58 | Lymphocyte function-associated antigen 3 | Ligand of the T-lymphocyte CD2 glycoprotein. |
| CD80 | T-lymphocyte activation antigen CD80 | Costimulatory molecule that belongs to the immunoglobulin superfamily that plays an important role in T-lymphocyte activation. |
| TNPO3 | Transportin-3 | Importin, which transports target proteins into the nucleus. |
| SERBP1 | SERPINE1 mRNA-binding protein 1 | Ribosome-binding protein that promotes ribosome hibernation, a process during which ribosomes are stabilized in an inactive state and preserved from proteasomal degradation. |
| OLIG3 | Oligodendrocyte transcription factor 3 | May determine the distinct specification program of class A neurons in the dorsal part of the spinal cord and suppress specification of class B neurons. |
| SOCS1 | Suppressor of cytokine signaling 1 | Essential negative regulator of type I and type II interferon (IFN) signaling, as well as that of other cytokines, including IL2, IL4, IL6 and leukemia inhibitory factor (LIF). |
| ZPBP2 | Zona pellucida-binding protein 2 | Is implicated in sperm-oocyte interaction during fertilization. |
| RNF145 | RING finger protein 145 | E3 ubiquitin ligase that catalyzes the direct transfer of ubiquitin from E2 ubiquitin-conjugating enzyme to a specific substrate. |
| POGLUT1 | Protein O-glucosyltransferase 1 | Dual specificity glycosyltransferase that catalyzes the transfer of glucose and xylose from UDP-glucose and UDP-xylose, respectively, to a serine residue found in the consensus sequence of C-X-S-X-P-C. |
| CRHR1 | Corticotropin-releasing factor receptor 1 | G-protein coupled receptor for CRH (corticotropin-releasing factor) and UCN (urocortin). |
| GSDMB | Gasdermin-B | Precursor of a pore-forming protein that acts as a downstream mediator of granzyme-mediated cell death. |
| CISD2 | CDGSH iron-sulfur domain-containing protein 2 | Regulator of autophagy that contributes to antagonize BECN1-mediated cellular autophagy at the endoplasmic reticulum. |
| CSNK2A2 | Casein kinase II subunit alpha' | Catalytic subunit of a constitutively active serine/threonine-protein kinase complex that phosphorylates a large number of substrates containing acidic residues C-terminal to the phosphorylated serine or threonine. |
| TRAFD1 | TRAF-type zinc finger domain-containing protein 1 | Negative feedback regulator that controls excessive innate immune responses. |
| CFAP263 | Cilia- and flagella-associated protein 263 | Component of centriolar satellites contributing to primary cilium formation. |
| CTLA4 | Cytotoxic T-lymphocyte protein 4 | Inhibitory receptor acting as a major negative regulator of T-cell responses. |
| MACIR | Macrophage immunometabolism regulator | Regulates the macrophage function, by enhancing the resolution of inflammation and wound repair functions mediated by M2 macrophages. |
| PLEKHG6 | Pleckstrin homology domain-containing family G member 6 | Guanine nucleotide exchange factor activating the small GTPase RHOA, which, in turn, induces myosin filament formation. |
| TMEM39A | Transmembrane protein 39A | Regulates autophagy by controlling the spatial distribution and levels of the intracellular phosphatidylinositol 4-phosphate (PtdIns(4)P) pools. |
| SPEF2 | Sperm flagellar protein 2 | Required for correct axoneme development in spermatozoa. |
| UGT3A1 | UDP-glucuronosyltransferase 3A1 | UDP-glucuronosyltransferases catalyze phase II biotransformation reactions in which lipophilic substrates are conjugated with glucuronic acid to increase water solubility and enhance excretion. |
| CCDC88B | Coiled-coil domain-containing protein 88B | Acts as a positive regulator of T-cell maturation and inflammatory function. |
| DDX6 | Probable ATP-dependent RNA helicase DDX6 | Essential for the formation of P-bodies, cytosolic membrane-less ribonucleoprotein granules involved in RNA metabolism through the coordinated storage of mRNAs encoding regulatory functions. |
| UBLCP1 | Ubiquitin-like domain-containing CTD phosphatase 1 | Dephosphorylates 26S nuclear proteasomes, thereby decreasing their proteolytic activity. |
| DENND1B | DENN domain-containing protein 1B | Guanine nucleotide exchange factor (GEF) for RAB35 that acts as a regulator of T-cell receptor (TCR) internalization in TH2 cells. |
Protein-family classification
Druggable: 23 · Difficult: 13 · Unknown: 39 · Druggable fraction: 0.31
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 |
|---|---|---|---|
| Antibody/Immunoglobulin | 9 | 3.5× | 0.008 |
| Kinase | 5 | 1.9× | 0.536 |
| Scaffold/PPI | 5 | 1.1× | 0.784 |
| Transporter | 1 | 1.0× | 0.784 |
| GPCR | 3 | 1.0× | 0.784 |
| Other/Unknown | 39 | 0.9× | 0.784 |
| Transcription factor | 8 | 0.9× | 0.784 |
| Enzyme (other) | 5 | 0.8× | 0.784 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| RPL3 | Other/Unknown | no | Ribosomal_uL3, Transl_B-barrel_sf, Ribosomal_uL3_CS | |
| RPS6KA4 | Kinase | yes | Prot_kinase_dom, AGC-kinase_C, Ser/Thr_kinase_AS | |
| ATXN2 | Other/Unknown | no | LsmAD_domain, PAM2_motif, LSM_dom_sf | |
| SCNN1A | Other/Unknown | no | ENaC, ENaC_chordates, ENaC_CS | |
| CXCR5 | GPCR | yes | GPCR_Rhodpsn, Chemokine_CXCR5, GPCR_Rhodpsn_7TM | |
| CCL20 | Other/Unknown | no | Chemokine_CC_CS, Chemokine_IL8-like_dom, Chemokine_CC_DCCL | |
| BRAP | Transcription factor | no | Znf_UBP, Znf_RING, BRAP2/ETP1_RRM | |
| SPIB | Other/Unknown | no | Ets_dom, WH-like_DNA-bd_sf, WH_DNA-bd_sf | |
| STAT1 | Transcription factor | no | SH2, STAT, p53-like_TF_DNA-bd_sf | |
| STAT4 | Transcription factor | no | SH2, STAT, p53-like_TF_DNA-bd_sf | |
| SYNGR1 | Other/Unknown | no | Marvel, Synaptogyrin | |
| TJP2 | Scaffold/PPI | no | SH3_domain, PDZ, ZO | |
| TNFAIP2 | Other/Unknown | no | EXOC3/Sec6, EXOC3/Sec6_C | |
| TNFAIP3 | Transcription factor | no | Znf_A20, OTU_dom, OTU_Deubiquitinase | |
| TNFRSF1A | Other/Unknown | no | Death_dom, TNFR/NGFR_Cys_rich_reg, DEATH-like_dom_sf | |
| TNFSF15 | Other/Unknown | no | TNF_dom, TNF, Tumour_necrosis_fac-like_dom | |
| TNFSF8 | Other/Unknown | no | TNF_dom, Tumour_necrosis_fac-like_dom, TNF_CS | |
| TYK2 | Kinase | yes | 2.7.10.2 | FERM_domain, Prot_kinase_dom, SH2 |
| IKZF3 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, Ikaros_C2H2-ZF | |
| TIMMDC1 | Other/Unknown | no | TIMMDC1 | |
| DEXI | Other/Unknown | no | Dexamethasone-induced | |
| SMIM29 | Other/Unknown | no | SMIM29 | |
| DLEU1 | Other/Unknown | no | ||
| SCHIP1 | Other/Unknown | no | SCHIP_1_C, SCHIP_1 | |
| ORMDL3 | Other/Unknown | no | ORMDL | |
| CCR6 | GPCR | yes | GPCR_Rhodpsn, Chemokine_rcpt, Chemokine_CCR6 | |
| ELMO1 | Scaffold/PPI | no | PH_domain, ELMO_dom, ARM-like | |
| CD28 | Antibody/Immunoglobulin | yes | CD28, Ig_V-set, Ig-like_fold | |
| CD58 | Antibody/Immunoglobulin | yes | Ig-like_fold, CD2/SLAM_rcpt, Ig-like_dom_sf | |
| CD80 | Antibody/Immunoglobulin | yes | Ig_sub, Ig-like_dom, Ig_V-set | |
| TNPO3 | Other/Unknown | no | ARM-like, Exportin-1/Importin-b-like, ARM-type_fold | |
| SERBP1 | Other/Unknown | no | HABP4_PAIRBP1-bd, IHABP4_N, HABP4/SERBP1-like | |
| OLIG3 | Transcription factor | no | bHLH_dom, Olig3_bHLH, HLH_DNA-bd_sf | |
| SOCS1 | Scaffold/PPI | no | SH2, SOCS_box, SOCS1_SH2 | |
| EXOC3L4 | Other/Unknown | no | EXOC3/Sec6, EXOC3/Sec6_C | |
| ZPBP2 | Antibody/Immunoglobulin | yes | Ig-like_dom, Sp38-bd, Ig-like_fold | |
| RNF145 | Transcription factor | no | Znf_RING, Znf_RING-CH, Znf_RING/FYVE/PHD | |
| SLC22A23 | Transporter | yes | MFS_sugar_transport-like, Sugar_transporter_CS, MFS_dom | |
| POGLUT1 | Enzyme (other) | yes | 2.4.1.376 | CAP10, O-Glucosyltr/Glycosyltrsf_90 |
| CRHR1 | GPCR | yes | GPCR_2_secretin-like, GPCR_2_extracellular_dom, GPCR_2_CRF_rcpt | |
| GSDMB | Other/Unknown | no | Gasdermin, Gasdermin_pore, Gasdermin_PUB | |
| CISD2 | Other/Unknown | no | FeS-contain_CDGSH-typ, FeS-contain_mitoNEET_N, MitoNEET_CISD | |
| CSNK2A2 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| TRAFD1 | Transcription factor | no | Znf_RING/FYVE/PHD, TRAFD1-XIAF1_Znf, Innate_Immune_Apopt_Reg | |
| CFAP263 | Other/Unknown | no | CCDC113/CCDC96_CC, CC_CF | |
| CTLA4 | Antibody/Immunoglobulin | yes | Ig_sub, CTLA4, Ig_V-set | |
| MACIR | Other/Unknown | no | UNC119-bd | |
| PLEKHG6 | Scaffold/PPI | no | DH_dom, PH_domain, PH-like_dom_sf | |
| TMEM39A | Other/Unknown | no | Uncharacterised_TMEM39 | |
| GIN1 | Other/Unknown | no | Integrase_cat-core, RNaseH-like_sf, RNaseH_sf |
Expression context
Cohort genes with no expression data: 0.
64 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) | 1 |
| broad (>20) | 74 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| granulocyte | 9 |
| monocyte | 9 |
| lymph node | 8 |
| vermiform appendix | 8 |
| right hemisphere of cerebellum | 6 |
| cerebellar hemisphere | 5 |
| mucosa of transverse colon | 5 |
| pancreatic ductal cell | 5 |
| right uterine tube | 4 |
| left testis | 4 |
| right testis | 4 |
| mononuclear cell | 4 |
| right lobe of liver | 4 |
| blood | 4 |
| cerebellar cortex | 3 |
| spleen | 3 |
| epithelium of nasopharynx | 3 |
| gall bladder | 3 |
| sperm | 3 |
| leukocyte | 3 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| RPL3 | 307 | ubiquitous | marker | left ovary, right ovary, type B pancreatic cell |
| RPS6KA4 | 215 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| ATXN2 | 286 | ubiquitous | marker | buccal mucosa cell, colonic epithelium, olfactory bulb |
| SCNN1A | 283 | broad | marker | nasal cavity epithelium, metanephros cortex, right uterine tube |
| CXCR5 | 172 | tissue_specific | marker | granulocyte, spleen, lymph node |
| CCL20 | 202 | broad | marker | epithelium of nasopharynx, cartilage tissue, gall bladder |
| BRAP | 286 | ubiquitous | marker | left testis, right testis, testis |
| SPIB | 161 | broad | marker | lymph node, mucosa of transverse colon, vermiform appendix |
| STAT1 | 294 | ubiquitous | marker | epithelium of nasopharynx, vermiform appendix, mononuclear cell |
| STAT4 | 201 | broad | marker | granulocyte, sperm, middle temporal gyrus |
| SYNGR1 | 298 | ubiquitous | marker | Brodmann (1909) area 10, right hemisphere of cerebellum, cerebellar hemisphere |
| TJP2 | 134 | ubiquitous | marker | corpus callosum, descending thoracic aorta, thoracic aorta |
| TNFAIP2 | 250 | ubiquitous | marker | granulocyte, monocyte, leukocyte |
| TNFAIP3 | 274 | ubiquitous | marker | vena cava, mucosa of paranasal sinus, vermiform appendix |
| TNFRSF1A | 292 | ubiquitous | marker | tendon of biceps brachii, gall bladder, left uterine tube |
| TNFSF15 | 149 | broad | marker | cartilage tissue, jejunal mucosa, duodenum |
| TNFSF8 | 179 | broad | marker | monocyte, leukocyte, mononuclear cell |
| TYK2 | 288 | ubiquitous | marker | granulocyte, right hemisphere of cerebellum, adenohypophysis |
| IKZF3 | 155 | broad | marker | granulocyte, lymph node, epithelium of nasopharynx |
| TIMMDC1 | 259 | ubiquitous | marker | left ventricle myocardium, cardiac muscle of right atrium, myocardium |
| DEXI | 282 | ubiquitous | yes | apex of heart, hindlimb stylopod muscle, left adrenal gland cortex |
| SMIM29 | 225 | ubiquitous | marker | anterior cingulate cortex, amygdala, hypothalamus |
| DLEU1 | 162 | ubiquitous | marker | primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, islet of Langerhans |
| SCHIP1 | 133 | ubiquitous | marker | ventricular zone, prefrontal cortex, Brodmann (1909) area 9 |
| ORMDL3 | 256 | ubiquitous | marker | right lobe of liver, bone marrow cell, granulocyte |
| CCR6 | 103 | broad | marker | lymph node, vermiform appendix, spleen |
| ELMO1 | 248 | ubiquitous | marker | prefrontal cortex, C1 segment of cervical spinal cord, corpus callosum |
| CD28 | 154 | broad | marker | lymph node, vermiform appendix, blood |
| CD58 | 278 | ubiquitous | marker | jejunal mucosa, monocyte, right lung |
| CD80 | 143 | broad | marker | male germ line stem cell (sensu Vertebrata) in testis, lower lobe of lung, pancreatic ductal cell |
Protein interactions among cohort
Intra-cohort edges: 71.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| RPL3 | 6,978 |
| STAT1 | 6,459 |
| DDX6 | 5,922 |
| GAK | 5,838 |
| CSNK2A2 | 5,255 |
| SERBP1 | 5,155 |
| ALDH2 | 4,554 |
| TNFRSF1A | 4,523 |
| TYK2 | 3,932 |
| CTLA4 | 3,863 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ATXN2 | DDX6 | intact, string_interaction |
| ATXN2 | SH2B3 | string_interaction |
| BRAP | TNFAIP3 | intact |
| CAPSL | CFAP263 | string_interaction |
| CAPSL | CLEC16A | string_interaction |
| CAPSL | EXOC3L4 | string_interaction |
| CAPSL | SPEF2 | string_interaction |
| CAPSL | TMEM39A | string_interaction |
| CCL20 | CCR6 | biogrid_interaction, string_interaction |
| CD28 | CD58 | string_interaction |
| CD28 | CD80 | biogrid_interaction, intact, string_interaction |
| CD28 | CTLA4 | intact, string_interaction |
| CD58 | CD80 | string_interaction |
| CD58 | CLEC16A | string_interaction |
| CD58 | CTLA4 | string_interaction |
| CD58 | RPS6KA4 | string_interaction |
| CD80 | CTLA4 | biogrid_interaction, intact, string_interaction |
| CD80 | ZPBP2 | intact |
| CFAP263 | EXOC3L4 | string_interaction |
| CFAP263 | TMEM39A | string_interaction |
| CLEC16A | DENND1B | string_interaction |
| CLEC16A | DEXI | string_interaction |
| CLEC16A | MACIR | string_interaction |
| CLEC16A | SH2B3 | string_interaction |
| CLEC16A | TMEM39A | string_interaction |
| DENND1B | GSDMB | string_interaction |
| DENND1B | ORMDL3 | string_interaction |
| DENND1B | RPS6KA4 | string_interaction |
| DENND1B | TNFAIP2 | string_interaction |
| DENND1B | ZPBP2 | string_interaction |
| DEXI | SOCS1 | string_interaction |
| DGKQ | GAK | string_interaction |
| DGKQ | TMEM175 | string_interaction |
| EXOC3L4 | RPS6KA4 | string_interaction |
| EXOC3L4 | TMEM39A | string_interaction |
| FGFRL1 | TNFSF8 | biogrid_interaction, intact |
| GAK | TMEM175 | string_interaction |
| GIN1 | MACIR | string_interaction |
| GSDMB | IKZF3 | string_interaction |
| GSDMB | ORMDL3 | string_interaction |
| GSDMB | ZPBP2 | string_interaction |
| HLA-DPB1 | SCNN1A | intact |
| HLA-DQA1 | HLA-DQB1 | biogrid_interaction, intact |
| HLA-DQA1 | SCNN1A | intact |
| IKZF3 | ORMDL3 | string_interaction |
| IKZF3 | SPIB | string_interaction |
| IKZF3 | ZPBP2 | string_interaction |
| MACIR | PPIP5K2 | string_interaction |
| MACIR | RPS6KA4 | string_interaction |
| MACIR | TMEM39A | string_interaction |
Structural data
PDB: 39 · AlphaFold-only: 31 · No structure: 5
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| RPL3 | P39023 | 193 |
| CSNK2A2 | P19784 | 56 |
| TYK2 | P29597 | 52 |
| SERBP1 | Q8NC51 | 29 |
| ALDH2 | P05091 | 29 |
| HLA-DQA1 | P01909 | 28 |
| CTLA4 | P16410 | 22 |
| PPIP5K2 | O43314 | 21 |
| GLRA3 | O75311 | 19 |
| ELMO1 | Q92556 | 18 |
| TMEM175 | Q9BSA9 | 18 |
| TNFAIP3 | P21580 | 17 |
| TNFRSF1A | P19438 | 13 |
| ORMDL3 | Q8N138 | 13 |
| CRHR1 | P34998 | 11 |
| GSDMB | Q8TAX9 | 11 |
| STAT1 | P42224 | 10 |
| CD28 | P10747 | 10 |
| HLA-DPB1 | P04440 | 10 |
| HLA-DQB1 | P01920 | 10 |
| DDX6 | P26196 | 9 |
| TNFSF15 | O95150 | 7 |
| GAK | O14976 | 7 |
| CCL20 | P78556 | 6 |
| CD80 | P33681 | 6 |
| TNPO3 | Q9Y5L0 | 6 |
| POGLUT1 | Q8NBL1 | 6 |
| CISD2 | Q8N5K1 | 4 |
| SCNN1A | P37088 | 3 |
| CD58 | P19256 | 3 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| CAPSL | Q8WWF8 | 91.88 |
| UGT3A1 | Q6NUS8 | 91.48 |
| STAT4 | Q14765 | 86.87 |
| ZPBP2 | Q6X784 | 86.81 |
| TNFAIP2 | Q03169 | 86.05 |
| SOCS1 | O15524 | 84.20 |
| DGKQ | P52824 | 82.56 |
| CXCR5 | P32302 | 80.85 |
| TNFSF8 | P32971 | 80.07 |
| EXOC3L4 | Q17RC7 | 78.98 |
| RNF145 | Q96MT1 | 78.73 |
| BRAP | Q7Z569 | 76.92 |
| TMEM39A | Q9NV64 | 74.80 |
| SLC22A23 | A1A5C7 | 73.39 |
| CLEC16A | Q2KHT3 | 72.17 |
| TIMMDC1 | Q9NPL8 | 72.08 |
| FGFRL1 | Q8N441 | 72.04 |
| RPS6KA4 | O75676 | 72.00 |
| SMIM29 | Q86T20 | 71.70 |
| SPEF2 | Q9C093 | 71.30 |
| GIN1 | Q9NXP7 | 70.95 |
| CCDC88B | A6NC98 | 70.19 |
| DEXI | O95424 | 69.88 |
| PLEKHG6 | Q3KR16 | 68.36 |
| SPIB | Q01892 | 68.20 |
| OLIG3 | Q7RTU3 | 63.67 |
| SH2B3 | Q9UQQ2 | 63.45 |
| SCHIP1 | P0DPB3 | 61.13 |
| MACIR | Q96GV9 | 58.00 |
| DLEU1 | O43261 | 55.08 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 327. Enrichment computed across 109 evidence-associated genes (73 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 73 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Interleukin-35 Signalling | 5 | 65.2× | 1e-06 | STAT1, STAT4, TYK2, IL12A, IL12RB2 |
| Interferon gamma signaling | 9 | 15.5× | 1e-06 | STAT1, SOCS1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1, IRF8 (+1 more) |
| Interleukin-10 signaling | 7 | 22.4× | 2e-06 | CCL20, TNFRSF1A, TYK2, CD80, IL12A, IL12B, IL1R1 |
| Interleukin-21 signaling | 4 | 62.6× | 3e-05 | STAT1, STAT4, IL21, IL21R |
| Interleukin-12 signaling | 5 | 27.9× | 5e-05 | STAT4, TYK2, IL12A, IL12B, IL12RB2 |
| Translocation of ZAP-70 to Immunological synapse | 4 | 34.8× | 2e-04 | HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1 |
| Phosphorylation of CD3 and TCR zeta chains | 4 | 29.8× | 4e-04 | HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1 |
| Co-inhibition by PD-1 | 4 | 28.4× | 4e-04 | HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1 |
| Interleukin-23 signaling | 3 | 52.1× | 7e-04 | STAT4, TYK2, IL12B |
| Generation of second messenger molecules | 4 | 19.0× | 0.002 | HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1 |
| Differentiation of naive CD4+ T cells to T helper 1 cells (Th1 cells) | 3 | 36.1× | 0.002 | STAT1, STAT4, IL12RB2 |
| Interleukin-4 and Interleukin-13 signaling | 6 | 8.5× | 0.002 | STAT1, TYK2, SOCS1, IL12A, IL12B, IL4R |
| Interferon alpha/beta signaling | 5 | 10.4× | 0.003 | STAT1, TYK2, SOCS1, IRF8, IRF5 |
| Signaling by CSF3 (G-CSF) | 3 | 23.5× | 0.006 | STAT1, TYK2, SOCS1 |
| Downstream TCR signaling | 5 | 8.8× | 0.006 | HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1, NFKB1 |
| Cytokine Signaling in Immune system | 8 | 4.5× | 0.008 | CCL20, STAT1, STAT4, CD80, SOCS1, SH2B3, IRF8, IRF5 |
| Regulation of IFNA/IFNB signaling | 3 | 18.1× | 0.011 | STAT1, TYK2, SOCS1 |
| Inactivation of CSF3 (G-CSF) signaling | 3 | 18.1× | 0.011 | STAT1, TYK2, SOCS1 |
| Interleukin-20 family signaling | 3 | 17.4× | 0.011 | STAT1, STAT4, TYK2 |
| TNFs bind their physiological receptors | 3 | 16.2× | 0.013 | TNFRSF1A, TNFSF15, TNFSF8 |
| Co-stimulation by CD28 | 3 | 15.6× | 0.014 | CD28, CD80, CTLA4 |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 5 | 6.6× | 0.014 | CD28, CD80, ICOS, IL1RL1, PDGFB |
| Interleukin-18 signaling | 2 | 39.1× | 0.016 | IL18R1, IL18RAP |
| Immune System | 14 | 2.5× | 0.016 | CCL20, STAT1, STAT4, SYNGR1, CCR6, CD28, CD58, CD80 (+6 more) |
| Interleukin-27 signaling | 2 | 28.4× | 0.028 | STAT1, TYK2 |
| Interleukin-6 signaling | 2 | 26.1× | 0.031 | STAT1, TYK2 |
| Constitutive Signaling by Aberrant PI3K in Cancer | 4 | 7.0× | 0.031 | CD28, CD80, ICOS, PDGFB |
| CD28 dependent Vav1 pathway | 2 | 24.1× | 0.034 | CD28, CD80 |
| Signaling by SCF-KIT | 3 | 10.2× | 0.034 | STAT1, SOCS1, SH2B3 |
| Interferon Signaling | 4 | 6.6× | 0.034 | STAT1, SOCS1, IRF8, IRF5 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 98 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| immune response | 25 | 12.0× | 2e-17 | CXCR5, CCL20, TNFSF15, TNFSF8, TYK2, CCR6, CD58, CD80 (+17 more) |
| positive regulation of type II interferon production | 9 | 20.6× | 2e-07 | TYK2, HLA-DPB1, IRF8, IL12A, IL12B, IL12RB2, IL18R1, IL1R1 (+1 more) |
| interleukin-12-mediated signaling pathway | 5 | 95.5× | 2e-07 | STAT4, TYK2, IL12A, IL12B, IL12RB2 |
| peptide antigen assembly with MHC class II protein complex | 5 | 53.7× | 5e-06 | HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1 |
| positive regulation of T cell activation | 6 | 27.1× | 1e-05 | CCDC88B, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1 |
| positive regulation of T cell proliferation | 7 | 18.5× | 1e-05 | TYK2, CD28, CD80, CCDC88B, HLA-DPB1, IL12B, IL21 |
| antigen processing and presentation of exogenous peptide antigen via MHC class II | 5 | 27.7× | 8e-05 | HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1 |
| cytokine-mediated signaling pathway | 8 | 10.7× | 8e-05 | STAT4, TNFRSF1A, TYK2, SOCS1, IL12RB2, IL16, IL21R, IRF5 |
| cell surface receptor signaling pathway via JAK-STAT | 6 | 17.8× | 9e-05 | STAT1, STAT4, TNFRSF1A, TYK2, SOCS1, IL12B |
| positive regulation of immune response | 5 | 24.6× | 1e-04 | HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1 |
| interleukin-18-mediated signaling pathway | 3 | 86.0× | 3e-04 | IL18R1, IL18RAP, PDGFB |
| cellular response to virus | 6 | 12.3× | 6e-04 | TYK2, IL12A, IL21, IRF5, NFKB1, POU2AF1 |
| inflammatory response | 12 | 4.6× | 6e-04 | RPS6KA4, CCL20, TNFAIP3, TNFRSF1A, MACIR, IL18R1, IL18RAP, IL1R1 (+4 more) |
| positive regulation of memory T cell differentiation | 3 | 57.3× | 8e-04 | HLA-DRA, HLA-DRB1, IL12B |
| germinal center B cell differentiation | 3 | 51.6× | 1e-03 | IRF8, IL21, POU2AF1 |
| defense response to protozoan | 4 | 24.6× | 1e-03 | CCDC88B, IRF8, IL12B, IL4R |
| adaptive immune response | 8 | 6.9× | 1e-03 | CTLA4, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, IL18R1, IL18RAP, PRKCB |
| humoral immune response | 5 | 14.3× | 0.001 | CCR6, CD28, HLA-DQB1, HLA-DRB1, POU2AF1 |
| T-helper 1 cell differentiation | 3 | 46.9× | 0.001 | STAT4, IL18R1, IL4R |
| antigen processing and presentation of endogenous peptide antigen via MHC class II | 2 | 172.0× | 0.001 | HLA-DRA, HLA-DRB1 |
| positive regulation of T cell mediated cytotoxicity | 4 | 20.8× | 0.001 | HLA-DRA, HLA-DRB1, IL12A, IL12B |
| T cell receptor signaling pathway | 6 | 9.3× | 0.002 | CD28, CTLA4, DENND1B, HLA-DPB1, HLA-DQB1, HLA-DRB1 |
| macrophage differentiation | 4 | 19.1× | 0.002 | SPIB, SOCS1, HLA-DRB1, IL1RL1 |
| myeloid dendritic cell antigen processing and presentation | 2 | 114.6× | 0.003 | HLA-DRA, HLA-DRB1 |
| thymocyte migration | 2 | 114.6× | 0.003 | CCL20, CCR6 |
| positive regulation of interleukin-12 production | 4 | 16.0× | 0.003 | IRF8, IL12B, IL16, IRF5 |
| cell surface receptor signaling pathway | 8 | 5.2× | 0.004 | TNFSF15, CD28, CD80, CRHR1, IL12RB2, IL1R1, IL1RL2, IL7R |
| smooth muscle adaptation | 2 | 86.0× | 0.004 | IL1R1, PDGFB |
| positive regulation of mononuclear cell proliferation | 2 | 86.0× | 0.004 | IL12A, IL12B |
| regulation of T-helper cell differentiation | 2 | 86.0× | 0.004 | HLA-DRA, HLA-DRB1 |
Therapeutics
Drugs indicated for this disease
2 approved, 9 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Obeticholic Acid | Approved (phase 4) |
| Ursodiol | Approved (phase 4) |
| Bezafibrate | Phase 3 (in late-stage trials) |
| Budesonide | Phase 3 (in late-stage trials) |
| Colchicine | Phase 3 (in late-stage trials) |
| Elafibranor | Phase 3 (in late-stage trials) |
| Fenofibrate | Phase 3 (in late-stage trials) |
| Methotrexate | Phase 3 (in late-stage trials) |
| Saroglitazar | Phase 3 (in late-stage trials) |
| Seladelpar | Phase 3 (in late-stage trials) |
| Taurolithocholic Acid | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Ademetionine, Baricitinib, Cilofexor, Emtricitabine, Etrasimod, Moexipril, Odevixibat, Pentoxifylline, Raltegravir, Tenofovir Disoproxil, Ustekinumab, Zidovudine.
Drug target analysis
Approved (phase 4): 12 · Phase ≥3: 12 · Phased (≥1): 15 · Undrugged: 60
Druggability breadth: 51 of 109 evidence-associated genes (47%) 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.
| Symbol | Example approved molecule |
|---|---|
| RPL3 | GENTAMICIN SULFATE |
| RPS6KA4 | FEDRATINIB |
| SCNN1A | AMILORIDE |
| STAT1 | FILGOTINIB |
| TYK2 | FEDRATINIB |
| IKZF3 | POMALIDOMIDE |
| CCR6 | TEGASEROD MALEATE |
| CRHR1 | CRINECERFONT |
| CISD2 | ROSIGLITAZONE |
| CSNK2A2 | MITOXANTRONE |
| ALDH2 | DISULFIRAM |
| GAK | MOMELOTINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| GAK | 77 | 4 |
| TYK2 | 72 | 4 |
| CSNK2A2 | 70 | 4 |
| RPS6KA4 | 34 | 4 |
| CRHR1 | 6 | 4 |
| STAT1 | 5 | 4 |
| IKZF3 | 5 | 4 |
| CCR6 | 3 | 4 |
| ALDH2 | 3 | 4 |
| SCNN1A | 2 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| GENTAMICIN SULFATE | 4 | RPL3 |
| FEDRATINIB | 4 | CSNK2A2, GAK, RPS6KA4, TYK2 |
| RUXOLITINIB | 4 | CSNK2A2, GAK, RPS6KA4, TYK2 |
| NINTEDANIB | 4 | CSNK2A2, RPS6KA4, TYK2 |
| SUNITINIB | 4 | CSNK2A2, GAK, RPS6KA4, TYK2 |
| ERLOTINIB | 4 | GAK, RPS6KA4, TYK2 |
| MIDOSTAURIN | 4 | GAK, RPS6KA4, TYK2 |
| GEFITINIB | 4 | GAK, RPS6KA4 |
| AMILORIDE | 4 | SCNN1A |
| FILGOTINIB | 4 | STAT1, TYK2 |
| DEUCRAVACITINIB | 4 | STAT1, TYK2 |
| TOFACITINIB | 4 | TYK2 |
| UPADACITINIB | 4 | GAK, TYK2 |
| BARICITINIB | 4 | GAK, TYK2 |
| ABROCITINIB | 4 | TYK2 |
| MOMELOTINIB | 4 | CSNK2A2, GAK, TYK2 |
| AXITINIB | 4 | CSNK2A2, GAK, TYK2 |
| RUXOLITINIB PHOSPHATE | 4 | TYK2 |
| INFIGRATINIB PHOSPHATE | 4 | TYK2 |
| INFIGRATINIB | 4 | TYK2 |
| PACRITINIB | 4 | CSNK2A2, GAK, TYK2 |
| TOFACITINIB CITRATE | 4 | TYK2 |
| BOSUTINIB | 4 | GAK, TYK2 |
| PEFICITINIB | 4 | TYK2 |
| CRAVACITINIB | 4 | TYK2 |
| PAZOPANIB | 4 | GAK, TYK2 |
| DASATINIB | 4 | GAK, TYK2 |
| CRIZOTINIB | 4 | TYK2 |
| IMATINIB | 4 | CSNK2A2, GAK, TYK2 |
| POMALIDOMIDE | 4 | IKZF3 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 8.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| TYK2 | 1,083 | Binding:1043, Functional:39, ADMET:1 |
| CSNK2A2 | 793 | Binding:648, Functional:145 |
| RPS6KA4 | 389 | Binding:387, Functional:1, ADMET:1 |
| GAK | 263 | Binding:260, Functional:3 |
| CRHR1 | 193 | Binding:139, Functional:54 |
| STAT1 | 147 | Binding:137, Functional:8, Unclassified:2 |
| IKZF3 | 101 | Binding:100, Functional:1 |
| RPL3 | 90 | Binding:90 |
| ALDH2 | 71 | Binding:66, Functional:5 |
| CCR6 | 60 | Functional:33, Binding:27 |
| CXCR5 | 33 | Binding:21, Functional:12 |
| GLRA3 | 32 | Binding:28, Functional:4 |
| TNFRSF1A | 24 | Binding:23, Functional:1 |
| STAT4 | 20 | Binding:20 |
| SCNN1A | 6 | Binding:4, ADMET:1, Functional:1 |
| ELMO1 | 6 | Binding:6 |
| CISD2 | 6 | Binding:6 |
| ATXN2 | 5 | Binding:3, Functional:2 |
| CD58 | 5 | Binding:3, Functional:2 |
| UBLCP1 | 5 | Binding:5 |
| DDX6 | 4 | Binding:4 |
| PPIP5K2 | 4 | Binding:4 |
| BRAP | 2 | Binding:2 |
| HLA-DQA1 | 2 | Binding:2 |
| TNFAIP3 | 1 | Binding:1 |
| ORMDL3 | 1 | Binding:1 |
| CD28 | 1 | Functional:1 |
| TNPO3 | 1 | Binding:1 |
| SERBP1 | 1 | Binding:1 |
| TRAFD1 | 1 | Binding:1 |
| CTLA4 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| TYK2 | 2.7.10.2 | non-specific protein-tyrosine kinase |
| POGLUT1 | 2.4.1.376, 2.4.2.63 | EGF-domain serine glucosyltransferase, EGF-domain serine xylosyltransferase |
| CSNK2A2 | 2.7.11.1 | non-specific serine/threonine protein kinase |
| UGT3A1 | 2.4.1.17 | glucuronosyltransferase |
| DDX6 | 3.6.4.13 | RNA helicase |
| DGKQ | 2.7.1.107 | diacylglycerol kinase (ATP) |
| PPIP5K2 | 2.7.4.21, 2.7.4.24 | inositol-hexakisphosphate 5-kinase, diphosphoinositol-pentakisphosphate 1-kinase |
| ALDH2 | 1.2.1.3 | aldehyde dehydrogenase (NAD+) |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| RPS6KA4 | 389 |
| STAT1 | 147 |
| TYK2 | 1,083 |
| IKZF3 | 101 |
| CRHR1 | 193 |
| CSNK2A2 | 793 |
| GAK | 263 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 70; 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 | RPL3 |
| FEDRATINIB | 4 | CSNK2A2, GAK, RPS6KA4, TYK2 |
| RUXOLITINIB | 4 | CSNK2A2, GAK, RPS6KA4, TYK2 |
| NINTEDANIB | 4 | CSNK2A2, RPS6KA4, TYK2 |
| SUNITINIB | 4 | CSNK2A2, GAK, RPS6KA4, TYK2 |
| ERLOTINIB | 4 | GAK, RPS6KA4, TYK2 |
| MIDOSTAURIN | 4 | GAK, RPS6KA4, TYK2 |
| GEFITINIB | 4 | GAK, RPS6KA4 |
| AMILORIDE | 4 | SCNN1A |
| FILGOTINIB | 4 | STAT1, TYK2 |
| DEUCRAVACITINIB | 4 | STAT1, TYK2 |
| TOFACITINIB | 4 | TYK2 |
| UPADACITINIB | 4 | GAK, TYK2 |
| ABROCITINIB | 4 | TYK2 |
| MOMELOTINIB | 4 | CSNK2A2, GAK, TYK2 |
| AXITINIB | 4 | CSNK2A2, GAK, TYK2 |
| RUXOLITINIB PHOSPHATE | 4 | TYK2 |
| INFIGRATINIB PHOSPHATE | 4 | TYK2 |
| INFIGRATINIB | 4 | TYK2 |
| PACRITINIB | 4 | CSNK2A2, GAK, TYK2 |
| TOFACITINIB CITRATE | 4 | TYK2 |
| BOSUTINIB | 4 | GAK, TYK2 |
| PEFICITINIB | 4 | TYK2 |
| CRAVACITINIB | 4 | TYK2 |
| PAZOPANIB | 4 | GAK, TYK2 |
| DASATINIB | 4 | GAK, TYK2 |
| CRIZOTINIB | 4 | TYK2 |
| IMATINIB | 4 | CSNK2A2, GAK, TYK2 |
| POMALIDOMIDE | 4 | IKZF3 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 12 | RPL3, RPS6KA4, SCNN1A, STAT1, TYK2, IKZF3, CCR6, CRHR1, CISD2, CSNK2A2 (+2 more) |
| B | Phased (≥1) drug, not yet approved | 3 | TNFRSF1A, ELMO1, DDX6 |
| C | Druggable family + PDB, no drug | 9 | CD28, CD58, CD80, POGLUT1, CTLA4, PPIP5K2, HLA-DPB1, HLA-DQA1, HLA-DQB1 |
| D | Druggable family + AlphaFold only, no drug | 6 | CXCR5, ZPBP2, SLC22A23, UGT3A1, DGKQ, FGFRL1 |
| E | Difficult family or no structure, no drug | 45 | ATXN2, CCL20, BRAP, SPIB, STAT4, SYNGR1, TJP2, TNFAIP2, TNFAIP3, TNFSF15 (+35 more) |
Undrugged target profiles
60 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| CCL20 | 0 | CCR6 |
| STAT4 | 20 | TYK2, STAT1 |
| SOCS1 | 0 | TYK2 |
| ZPBP2 | 0 | IKZF3 |
| GSDMB | 0 | IKZF3 |
| DGKQ | 0 | GAK |
| TMEM175 | 0 | GAK |
| ATXN2 | 5 | — |
| CXCR5 | 33 | — |
| BRAP | 2 | — |
| SPIB | 0 | — |
| SYNGR1 | 0 | — |
| TJP2 | 0 | — |
| TNFAIP2 | 0 | — |
| TNFAIP3 | 1 | — |
| TNFSF15 | 0 | — |
| TNFSF8 | 0 | — |
| TIMMDC1 | 0 | — |
| DEXI | 0 | — |
| SMIM29 | 0 | — |
| DLEU1 | 0 | — |
| SCHIP1 | 0 | — |
| ORMDL3 | 1 | — |
| CD28 | 1 | — |
| CD58 | 5 | — |
| CD80 | 0 | — |
| TNPO3 | 1 | — |
| SERBP1 | 1 | — |
| OLIG3 | 0 | — |
| EXOC3L4 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 165.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 55 |
| PHASE2 | 35 |
| PHASE3 | 34 |
| PHASE1 | 13 |
| PHASE4 | 11 |
| PHASE1/PHASE2 | 7 |
| PHASE2/PHASE3 | 6 |
| EARLY_PHASE1 | 4 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04650243 | PHASE4 | RECRUITING | Clinical Research of Tapering UDCA in PBC Patients With a Complete Response |
| NCT01510860 | PHASE4 | COMPLETED | Ursofalk Tablets (500 mg) Versus Ursofalk Capsules (250 mg) in the Treatment of Primary Biliary Cirrhosis |
| NCT02078882 | PHASE4 | COMPLETED | Study of Abatacept (Orencia) to Treat Primary Biliary Cirrhosis |
| NCT02557360 | PHASE4 | COMPLETED | Effectiveness of S-adenosyl-L-methionine in Patients With Primary Biliary Cirrhosis |
| NCT03345589 | PHASE4 | UNKNOWN | A Trial of 18-22mg/kg/d Ursodeoxycholic in Refractory Primary Biliary Cholangitis |
| NCT04376528 | PHASE4 | UNKNOWN | Mycophenolate Mofetil Versus Cyclosporin A in the Treatment of Primary Biliary Cholangitis-autoimmune Hepatitis Overlap Syndrome Due to Nonresponse to Standard Therapy |
| NCT04617561 | PHASE4 | UNKNOWN | Ursodeoxycholic Acid Combined With Low Dose Glucocorticoid in the Treatment of PBC With AIH Features II |
| NCT04618575 | PHASE4 | UNKNOWN | Ursodeoxycholic Acid Combined With Total Glucosides of Paeony in the Treatment of PBC With AIH Features 1 |
| NCT04893993 | PHASE4 | UNKNOWN | PBC Induced Fatigue Treated With Thiamine |
| NCT04933292 | PHASE4 | UNKNOWN | A Randomised Clinical Trial Assessing the Efficacy and Safety of Mycophenolate Mofetil Versus Azathioprine for Induction of Remission in Treatment Primary Biliary Cholangitis-Autoimmune Hepatitis Overlap Syndrome |
| NCT06371196 | PHASE4 | UNKNOWN | Clinical Study on the Treatment of Elevated Total Bilirubin in Primary Biliary Cholangitis With Baobao Dan Capsule |
| NCT03301506 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Seladelpar in Participants With Primary Biliary Cholangitis (PBC) |
| NCT04526665 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Elafibranor in Patients With Primary Biliary Cholangitis (PBC) |
| NCT05749822 | PHASE2/PHASE3 | RECRUITING | Fenofibrate for Compensated Cirrhosis Patients With Primary Biliary Cholangitis |
| NCT05751967 | PHASE3 | RECRUITING | Fenofibrate Combined With Ursodeoxycholic Acid in Subjects With Primary Biliary Cholangitis |
| NCT06016842 | PHASE3 | RECRUITING | A Long-Term Study of Elafibranor in Adult Participants With Primary Biliary Cholangitis |
| NCT06051617 | PHASE3 | RECRUITING | Seladelpar in Subjects With Primary Biliary Cholangitis (PBC) and Compensated Cirrhosis |
| NCT06060665 | PHASE3 | ACTIVE_NOT_RECRUITING | Intended to Determine the Effects of Seladelpar on Normalization of Alkaline Phosphatase Levels in Subjects With Primary Biliary Cholangitis (PBC) |
| NCT06174402 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Fenofibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cholangitis |
| NCT06365424 | PHASE2/PHASE3 | RECRUITING | Fenofibrate in Patients With Primary Biliary Cholangitis (PBC) |
| NCT06383403 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Elafibranor in Adults With Primary Biliary Cholangitis and Inadequate Response or Intolerance to Ursodeoxycholic Acid. |
| NCT06427395 | PHASE3 | ACTIVE_NOT_RECRUITING | Open-Label Extension Study of Saroglitazar Magnesium in Participants With Primary Biliary Cholangitis |
| NCT06591468 | PHASE2/PHASE3 | ENROLLING_BY_INVITATION | A Multicenter, Randomized, Controlled Trial of Prednisone Combined With Ursodeoxycholic Acid in the Treatment of Primary Biliary Cholangitis With Moderate to Severe Interface Hepatitis Characteristics |
| NCT06730061 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Elafibranor in Adult Japanese Participants With Primary Biliary Cholangitis (PBC) |
| NCT06755151 | PHASE3 | RECRUITING | Fenofibrate in Primary Biliary Cholangitis: a Real World Study |
| NCT06755541 | PHASE3 | RECRUITING | Fenofibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cholangitis: a Real World Study |
| NCT07216235 | PHASE3 | NOT_YET_RECRUITING | Long-Term Study to Evaluate the Safety and Efficacy in Participants With Primary Biliary Cholangitis of Saroglitazar Magnesium-V on Clinical Outcomes |
| NCT07282353 | PHASE3 | RECRUITING | A Study of CS0159 in Patients With PBC With Inadequate Response or Intolerance to UDCA |
| NCT07296458 | PHASE3 | RECRUITING | FIREFLY Trial: Fenofibrate Intervention—Randomized Evaluation in First-Line PBC Therapy |
| NCT07424677 | PHASE3 | NOT_YET_RECRUITING | Study of Saroglitazar Magnesium for PBC Patients With Incomplete Response or Intolerant to UDCA Therapy |
| NCT00490620 | PHASE2/PHASE3 | COMPLETED | Study of Combivir for Patients With Primary Biliary Cirrhosis |
| NCT00746486 | PHASE3 | TERMINATED | Ursodeoxycholic Acid Plus Budesonide Versus Ursodeoxycholic Acid Alone in Primary Biliary Cirrhosis (PBC) |
| NCT00805805 | PHASE3 | COMPLETED | Study Comparing Tetrathiomolybdate vs Standard Treatment in Primary Biliary Cirrhosis |
| NCT00844402 | PHASE3 | COMPLETED | Safety and Efficacy of Long-Term Treatment With Atorvastatin in Patients With Primary Biliary Cirrhosis |
| NCT01473524 | PHASE3 | COMPLETED | Phase 3 Study of Obeticholic Acid in Patients With Primary Biliary Cirrhosis |
| NCT01654731 | PHASE3 | COMPLETED | Phase 3 Study of Bezafibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cirrhosis |
| NCT01857284 | PHASE3 | COMPLETED | Safety and Efficacy of Tauroursodeoxycholic Acid Versus Ursofalk in the Treatment of Adult Primary Biliary Cirrhosis |
| NCT02701166 | PHASE3 | UNKNOWN | The Effect of Bezafibrate on Cholestatic Itch |
| NCT02823353 | PHASE3 | COMPLETED | Fenofibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cirrhosis |
| NCT02823366 | PHASE3 | UNKNOWN | Fenofibrate for Patients With Primary Biliary Cirrhosis Who Had An Inadequate Response to Ursodeoxycholic Acid |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| URSODIOL | 4 | 18 |
| FENOFIBRATE | 4 | 9 |
| OBETICHOLIC ACID | 4 | 7 |
| SELADELPAR | 4 | 7 |
| ELAFIBRANOR | 4 | 5 |
| MARALIXIBAT CHLORIDE | 4 | 2 |
| MYCOPHENOLATE MOFETIL | 4 | 2 |
| THIAMINE ION | 4 | 2 |
| ABATACEPT | 4 | 1 |
| AZATHIOPRINE | 4 | 1 |
| BARICITINIB | 4 | 1 |
| CHOLESTYRAMINE | 4 | 1 |
| CYCLOSPORINE | 4 | 1 |
| ETRASIMOD | 4 | 1 |
| METHYLPREDNISOLONE | 4 | 1 |
| MODAFINIL | 4 | 1 |
| MOEXIPRIL | 4 | 1 |
| NALMEFENE | 4 | 1 |
| ODEVIXIBAT | 4 | 1 |
| PENTOXIFYLLINE | 4 | 1 |
| RALTEGRAVIR | 4 | 1 |
| TAURURSODIOL | 4 | 1 |
| USTEKINUMAB | 4 | 1 |
| BEZAFIBRATE | 3 | 5 |
| SAROGLITAZAR | 3 | 5 |
| ADEMETIONINE | 3 | 1 |
| CILOFEXOR | 3 | 1 |
| ALDAFERMIN | 2 | 2 |
| SETANAXIB | 2 | 2 |
| BERBERINE URSODEOXYCHOLATE | 2 | 1 |
Related Atlas pages
- Cohort genes: RPL3, RPS6KA4, ATXN2, SCNN1A, CXCR5, CCL20, BRAP, SPIB, STAT1, STAT4, SYNGR1, TJP2, TNFAIP2, TNFAIP3, TNFRSF1A, TNFSF15, TNFSF8, TYK2, IKZF3, TIMMDC1, DEXI, SMIM29, DLEU1, SCHIP1, ORMDL3, CCR6, ELMO1, CD28, CD58, CD80, TNPO3, SERBP1, OLIG3, SOCS1, EXOC3L4, ZPBP2, RNF145, SLC22A23, POGLUT1, CRHR1, GSDMB, CISD2, CSNK2A2, TRAFD1, CFAP263, CTLA4, MACIR, PLEKHG6, TMEM39A, GIN1, SPEF2, UGT3A1, CCDC88B, DDX6, UBLCP1, CAPSL, DENND1B, DGKQ, TMEM175, CLEC16A, PPIP5K2, SH2B3, ARID3A, FGFRL1, ALDH2, GAK, MIR4772, GLRA3, HLA-DPB1, HLA-DQA1, HLA-DQB1
- Drugs: Ursodiol, Fenofibrate, Obeticholic Acid, Seladelpar, Elafibranor, Maralixibat Chloride, Mycophenolate Mofetil, Thiamine Ion, Abatacept, Azathioprine, Baricitinib, Cholestyramine, Cyclosporine, Etrasimod, Methylprednisolone, Modafinil, Moexipril, Nalmefene, Odevixibat, Pentoxifylline, Raltegravir, Taurursodiol, Ustekinumab, Bezafibrate, Saroglitazar, Ademetionine, Cilofexor