Primary biliary cholangitis

disease
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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):

TypeClassValueGeographyValidation
Annual incidence1-9 / 100 0003WorldwideValidated
Point prevalence1-5 / 10 00021.05WorldwideValidated
Annual incidence1-9 / 100 0002.57EuropeValidated
Point prevalence1-5 / 10 00025EuropeValidated
Annual incidence1-9 / 1 000 0000.9FranceValidated
Annual incidence1-9 / 100 0001.7SpainValidated
Annual incidence1-9 / 100 0002.5IcelandValidated
Annual incidence1-9 / 100 0001.1NetherlandsValidated
Annual incidence1-9 / 100 0001.7DenmarkValidated
Annual incidence1-9 / 100 0001.7FinlandValidated
Annual incidence1-9 / 100 0004.5United StatesValidated
Annual incidence1-9 / 100 0003CanadaValidated
Annual incidence1-9 / 100 0001Brunei DarussalamValidated
Annual incidence1-9 / 100 0002.1GreeceValidated
Annual incidence1-9 / 100 0002.3United KingdomValidated
Point prevalence1-5 / 10 00019.5SpainValidated
Point prevalence1-5 / 10 00038.3IcelandValidated
Point prevalence1-5 / 10 00013.2NetherlandsValidated
Point prevalence1-5 / 10 00012DenmarkValidated
Point prevalence1-5 / 10 00018FinlandValidated

Signs & symptoms

Clinical features (HPO)

41 HPO clinical features (Orphanet curated; top 41 by frequency):

HPO IDTermFrequency
HP:0000953Hyperpigmentation of the skinVery frequent (80-99%)
HP:0001394CirrhosisVery frequent (80-99%)
HP:0002613Biliary cirrhosisVery frequent (80-99%)
HP:0002908Conjugated hyperbilirubinemiaVery frequent (80-99%)
HP:0011971Dermatographic urticariaVery frequent (80-99%)
HP:0030167Antimitochondrial antibody positivityVery frequent (80-99%)
HP:0000820Abnormality of the thyroid glandFrequent (30-79%)
HP:0000952JaundiceFrequent (30-79%)
HP:0000989PruritusFrequent (30-79%)
HP:0001114XanthelasmaFrequent (30-79%)
HP:0001278Orthostatic hypotensionFrequent (30-79%)
HP:0001395Hepatic fibrosisFrequent (30-79%)
HP:0001399Hepatic failureFrequent (30-79%)
HP:0001402Hepatocellular carcinomaFrequent (30-79%)
HP:0001409Portal hypertensionFrequent (30-79%)
HP:0002240HepatomegalyFrequent (30-79%)
HP:0002841Recurrent fungal infectionsFrequent (30-79%)
HP:0002960AutoimmunityFrequent (30-79%)
HP:0003119Abnormal circulating lipid concentrationFrequent (30-79%)
HP:0003124HypercholesterolemiaFrequent (30-79%)
HP:0003155Elevated circulating alkaline phosphatase concentrationFrequent (30-79%)
HP:0003493Antinuclear antibody positivityFrequent (30-79%)
HP:0003496Increased circulating IgM levelFrequent (30-79%)
HP:0011040Abnormality of the intrahepatic bile ductFrequent (30-79%)
HP:0012203OnychomycosisFrequent (30-79%)
HP:0030948Elevated gamma-glutamyltransferase levelFrequent (30-79%)
HP:0000939OsteoporosisOccasional (5-29%)
HP:0001262Excessive daytime somnolenceOccasional (5-29%)
HP:0001541AscitesOccasional (5-29%)
HP:0001744SplenomegalyOccasional (5-29%)
HP:0002040Esophageal varixOccasional (5-29%)
HP:0002360Sleep abnormalityOccasional (5-29%)
HP:0002480Hepatic encephalopathyOccasional (5-29%)
HP:0002570SteatorrheaOccasional (5-29%)
HP:0002608Celiac diseaseOccasional (5-29%)
HP:0003073HypoalbuminemiaOccasional (5-29%)
HP:0003261Increased circulating IgA levelOccasional (5-29%)
HP:0003270Abdominal distentionOccasional (5-29%)
HP:0012115HepatitisOccasional (5-29%)
HP:0012378FatigueOccasional (5-29%)
HP:0004386Gastrointestinal inflammationVery rare (<1-4%)

Identifiers

Disease identifiers

FieldValue
Canonical nameprimary biliary cholangitis
Mondo IDMONDO:0005388
EFOEFO:1001486
MeSHD008105
OMIM109720
Orphanet186
DOIDDOID:12236
ICD-10-CMK74.3
ICD-11649193479
NCITC27167
SNOMED CT31712002
UMLSC0008312
MedGen3035
GARD0007459
MedDRA10004661, 10019137
NORD1604
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 disorderhepatobiliary disorderbiliary tract disorderprimary 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

rsIDp-valueGeneRisk alleleOdds ratio
rs77744343e-116HLA-DQB1 - MTCO3P1C0.46
rs66793565e-65IL12RB2C0.44
rs5894462e-55IL12A-AS1T0.35
HLA*DQA1:04016e-45?3.07
rs711526068e-44IKZF3CTTCTA0.27
rs125317119e-41TNPO3G0.42
rs92686414e-39TSBP1-AS1 - HLA-DRAC0.46
rs726785312e-38IL12RB2G1.61
rs596437203e-38EXOC3L4C0.32
rs71190447e-38Y_RNA - CXCR5G0.36
DQB1*04028e-36?3.93
rs23666433e-35LINC01100; IL12A-AS1; IL12A-AS1; IL12A-AS1; IL12A-AS1A0.62
rs2011503165e-35Y_RNA - CXCR5AT0.37
rs77750551e-33HLA-DQB1 - MTCO3P1C3.71
rs339387602e-33CTT0.26
DRB1*08013e-33?3.99
rs65330222e-32MANBAC0.23
rs22933702e-31TIMMDC1A0.29
rs118893413e-31STAT4T0.25
rs49794624e-31TNFSF15T1.62
rs92686448e-31HLA-DRA?1.96
rs37455163e-30SPIBA0.27
rs49794671e-29DELEC1A1.53
rs31298872e-29HLA-DRA?3.13
rs92751715e-29HLA-DQB1 - MTCO3P1G0.45
rs129190834e-26CLEC16AC0.22
rs13220575e-26TNFSF15 - DELEC1G0.44
rs562110639e-26TNFSF15 - DELEC1C0.44
rs75748659e-25STAT4; STAT4T0.72
rs111174323e-24LINC02132 - LINC01082A0.27

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90428827Yu X20248,02133,155Shared genetic architecture between autoimmune disorders and B-cell acute lymphoblastic leukemia: insights from large-scale genome-wide cross-trait analysis.
GCST90061440Cordell HJ20218,02116,489An international genome-wide meta-analysis of primary biliary cholangitis: novel risk loci and candidate drugs.
GCST90061442Cordell HJ20218,02116,489An international genome-wide meta-analysis of primary biliary cholangitis: novel risk loci and candidate drugs.
GCST005581Liu JZ20122,8618,514Dense fine-mapping study identifies new susceptibility loci for primary biliary cirrhosis.
GCST003129Cordell HJ20152,76410,475International genome-wide meta-analysis identifies new primary biliary cirrhosis risk loci and targetable pathogenic pathways.
GCST90061441Cordell HJ20212,4954,283An international genome-wide meta-analysis of primary biliary cholangitis: novel risk loci and candidate drugs.
GCST009956Juran BD20122,2165,594Immunochip 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.
GCST90828094Hitomi Y20242,1812,699A genome-wide association study identified PTPN2 as a population-specific susceptibility gene locus for primary biliary cholangitis.
GCST007036Hitomi Y20191,8551,719POGLUT1, the putative effector gene driven by rs2293370 in primary biliary cholangitis susceptibility locus chromosome 3q13.33.
GCST004145Kawashima M20171,3811,505Genome-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)

TierVariants
Tier 1: coding2
Tier 2: splice/UTR1
Tier 3: regulatory1
Tier 4: intronic/intergenic46

MAF distribution

BucketVariants
common (>=0.05)45
low_freq (0.01-0.05)1
rare (<0.01)0
unknown4

Functional consequences

ConsequenceCount
intron_variant26
intergenic_variant9
unknown5
intron_variant; intron_variant3
non_coding_transcript_exon_variant2
missense_variant2
intron_variant; intergenic_variant; intron_variant; intron_variant1
regulatory_region_variant; intergenic_variant; intron_variant1
3_prime_UTR_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs7774434632689801T>C0.05non_coding_transcript_exon_variantHLA-DQB1 - MTCO3P13e-116Tier 4: intronic/intergenic
rs6679356167354511C>A,T0.05intron_variantIL12RB25e-65Tier 4: intronic/intergenic
rs5894463160015740G>T0.05intron_variantIL12A-AS12e-55Tier 4: intronic/intergenic
HLA*DQA1:04010.226e-45Tier 4: intronic/intergenic
rs711526061739818962C>CTTCTA0.05intron_variantIKZF38e-44Tier 4: intronic/intergenic
rs125317117128977412A>C,G0.05intron_variantTNPO39e-41Tier 4: intronic/intergenic
rs9268641632439110C>T0.05intron_variantTSBP1-AS1 - HLA-DRA4e-39Tier 4: intronic/intergenic
rs72678531167332762T>C0.17intron_variantIL12RB22e-38Tier 4: intronic/intergenic
rs5964372014103098470A>C,G0.05intron_variantEXOC3L43e-38Tier 4: intronic/intergenic
rs711904411118867589G>A,C,T0.05intron_variantY_RNA - CXCR57e-38Tier 4: intronic/intergenic
DQB1*04028e-36Tier 4: intronic/intergenic
rs23666433;3;3;3160018698T>C,G0.3intron_variant; intergenic_variant; intron_variant; intron_variantLINC01100; IL12A-AS1; IL12A-AS1; IL12A-AS1; IL12A-AS13e-35Tier 4: intronic/intergenic
rs20115031611118869396AT>A0.05intron_variantY_RNA - CXCR55e-35Tier 4: intronic/intergenic
rs7775055632690139T>C0.05non_coding_transcript_exon_variantHLA-DQB1 - MTCO3P11e-33Tier 4: intronic/intergenic
rs339387602e-33Tier 4: intronic/intergenic
DRB1*08013e-33Tier 4: intronic/intergenic
rs65330224102637794T>A,C0.05intron_variantMANBA2e-32Tier 4: intronic/intergenic
rs22933703119501087G>A,C,T0.05intron_variantTIMMDC12e-31Tier 4: intronic/intergenic
rs118893412191079016C>T0.05intron_variantSTAT43e-31Tier 4: intronic/intergenic
rs49794629114804733C>G,T0.05intron_variantTNFSF154e-31Tier 4: intronic/intergenic
rs9268644632440267A>C0.177intron_variantHLA-DRA8e-31Tier 4: intronic/intergenic
rs37455161950423485A>G,T0.05intron_variantSPIB3e-30Tier 4: intronic/intergenic
rs49794679114867763C>T0.322intergenic_variantDELEC11e-29Tier 4: intronic/intergenic
rs3129887632442914G>A0.05intron_variantHLA-DRA2e-29Tier 4: intronic/intergenic
rs9275171632686195A>G,T0.05intergenic_variantHLA-DQB1 - MTCO3P15e-29Tier 4: intronic/intergenic
rs129190831611095073A>C,G,T0.05intron_variantCLEC16A4e-26Tier 4: intronic/intergenic
rs13220579114816094A>G,T0.05intron_variantTNFSF15 - DELEC15e-26Tier 4: intronic/intergenic
rs562110639114823617G>C0.05intergenic_variantTNFSF15 - DELEC19e-26Tier 4: intronic/intergenic
rs75748652;2191099907T>A,G0.28intron_variant; intron_variantSTAT4; STAT49e-25Tier 4: intronic/intergenic
rs111174321685985665G>A0.05intergenic_variantLINC02132 - LINC010823e-24Tier 4: intronic/intergenic

ClinVar germline variants

1 retrieved; paginated sample, class counts are floors:

1 conflicting classifications of pathogenicity

ClinVarVariant (HGVS)GeneClassificationReview
367235NM_004817.4(TJP2):c.3371C>T (p.Thr1124Met)TJP2Conflicting classifications of pathogenicitycriteria 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)

GeneHGNCEvidence routes
SPIBSPIBGWAS, Orphanet
TNFSF15TNFSF15GWAS, Orphanet
TYK2TYK2GWAS, Orphanet
TNPO3TNPO3GWAS, Orphanet
SPEF2SPEF2GWAS, Orphanet

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
ATXN2Orphanet:803Amyotrophic lateral sclerosis
ATXN2Orphanet:98756Spinocerebellar ataxia type 2
SCNN1AOrphanet:130Brugada syndrome
SCNN1AOrphanet:171876Generalized pseudohypoaldosteronism type 1
SCNN1AOrphanet:526Liddle syndrome
SCNN1AOrphanet:60033Idiopathic bronchiectasis
SPIBOrphanet:186Primary biliary cholangitis
STAT1Orphanet:319595Mendelian susceptibility to mycobacterial diseases due to partial STAT1 deficiency
STAT1Orphanet:391311Susceptibility to viral and mycobacterial infections due to STAT1 deficiency
STAT1Orphanet:391487STAT1-related autoimmune enteropathy and endocrinopathy-susceptibility to chronic infections syndrome
STAT4Orphanet:117Behçet disease
STAT4Orphanet:536Systemic lupus erythematosus
STAT4Orphanet:85408Rheumatoid factor-negative polyarticular juvenile idiopathic arthritis
STAT4Orphanet:85410Oligoarticular juvenile idiopathic arthritis
STAT4Orphanet:93552Pediatric systemic lupus erythematosus
TJP2Orphanet:238475Familial hypercholanemia
TJP2Orphanet:480483Progressive familial intrahepatic cholestasis type 4
TJP2Orphanet:90635Rare autosomal dominant non-syndromic sensorineural deafness type DFNA
TNFAIP3Orphanet:536Systemic lupus erythematosus
TNFAIP3Orphanet:674762Early-onset autoinflammatory syndrome due to A20 haploinsufficiency
TNFRSF1AOrphanet:32960Tumor necrosis factor receptor 1 associated periodic syndrome
TNFRSF1AOrphanet:329967Intermittent hydrarthrosis
TNFSF15Orphanet:186Primary biliary cholangitis
TYK2Orphanet:300865Primary cutaneous anaplastic large cell lymphoma
TYK2Orphanet:331226Susceptibility to infection due to TYK2 deficiency
TYK2Orphanet:98842Lymphomatoid papulosis
IKZF3Orphanet:67038B-cell chronic lymphocytic leukemia
IKZF3Orphanet:699590Immune dysregulation with immunodeficiency due to AIOLOS haploinsufficiency
IKZF3Orphanet:699593Combined immunodeficiency-lymphopenia-cancer predisposing syndrome due to AIOLOS deficiency
TIMMDC1Orphanet:2609Isolated complex I deficiency
CCR6Orphanet:220393Diffuse cutaneous systemic sclerosis
CCR6Orphanet:220402Limited cutaneous systemic sclerosis
CD28Orphanet:2584Classic mycosis fungoides
CD28Orphanet:3162Sézary syndrome
TNPO3Orphanet:186Primary biliary cholangitis
TNPO3Orphanet:55595TNP03-related limb-girdle muscular dystrophy D2
SOCS1Orphanet:619948Early-onset autoimmunity-autoinflammation-immunodeficiency syndrome due to SOCS1 haploinsufficiency
POGLUT1Orphanet:480682POGLUT1-related limb-girdle muscular dystrophy R21
POGLUT1Orphanet:79145Dowling-Degos disease
CISD2Orphanet:3463Wolfram syndrome
CTLA4Orphanet:2584Classic mycosis fungoides
CTLA4Orphanet:3162Sézary syndrome
CTLA4Orphanet:391490Adult-onset myasthenia gravis
CTLA4Orphanet:436159Autoimmune lymphoproliferative syndrome due to CTLA4 haploinsuffiency
CTLA4Orphanet:536Systemic lupus erythematosus
CTLA4Orphanet:900Granulomatosis with polyangiitis
SPEF2Orphanet:244Primary ciliary dyskinesia
SPEF2Orphanet:276234Non-syndromic male infertility due to sperm motility disorder
DDX6Orphanet:528084Non-specific syndromic intellectual disability
PPIP5K2Orphanet:90636Rare autosomal recessive non-syndromic sensorineural deafness type DFNB

Cohort genes → proteins

75 cohort genes, 70 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only74
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
RPL3HGNC:10332ENSG00000100316P39023Large ribosomal subunit protein uL3gwas
RPS6KA4HGNC:10433ENSG00000162302O75676Ribosomal protein S6 kinase alpha-4gwas
ATXN2HGNC:10555ENSG00000204842Q99700Ataxin-2gwas
SCNN1AHGNC:10599ENSG00000111319P37088Epithelial sodium channel subunit alphagwas
CXCR5HGNC:1060ENSG00000160683P32302C-X-C chemokine receptor type 5gwas
CCL20HGNC:10619ENSG00000115009P78556C-C motif chemokine 20gwas
BRAPHGNC:1099ENSG00000089234Q7Z569BRCA1-associated proteingwas
SPIBHGNC:11242ENSG00000269404Q01892Transcription factor Spi-Bgwas
STAT1HGNC:11362ENSG00000115415P42224Signal transducer and activator of transcription 1-alpha/betagwas
STAT4HGNC:11365ENSG00000138378Q14765Signal transducer and activator of transcription 4gwas
SYNGR1HGNC:11498ENSG00000100321O43759Synaptogyrin-1gwas
TJP2HGNC:11828ENSG00000119139Q9UDY2Tight junction protein 2clinvar
TNFAIP2HGNC:11895ENSG00000185215Q03169Tumor necrosis factor alpha-induced protein 2gwas
TNFAIP3HGNC:11896ENSG00000118503P21580Tumor necrosis factor alpha-induced protein 3gwas
TNFRSF1AHGNC:11916ENSG00000067182P19438Tumor necrosis factor receptor superfamily member 1Agwas
TNFSF15HGNC:11931ENSG00000181634O95150Tumor necrosis factor ligand superfamily member 15gwas
TNFSF8HGNC:11938ENSG00000106952P32971Tumor necrosis factor ligand superfamily member 8gwas
TYK2HGNC:12440ENSG00000105397P29597Non-receptor tyrosine-protein kinase TYK2gwas
IKZF3HGNC:13178ENSG00000161405Q9UKT9Zinc finger protein Aiolosgwas
TIMMDC1HGNC:1321ENSG00000113845Q9NPL8Complex I assembly factor TIMMDC1, mitochondrialgwas
DEXIHGNC:13267ENSG00000182108O95424Dexamethasone-induced proteingwas
SMIM29HGNC:1340ENSG00000186577Q86T20Small integral membrane protein 29gwas
DLEU1HGNC:13747ENSG00000176124O43261Leukemia-associated protein 1gwas
SCHIP1HGNC:15678ENSG00000151967P0DPB3Schwannomin-interacting protein 1gwas
ORMDL3HGNC:16038ENSG00000172057Q8N138ORM1-like protein 3gwas
CCR6HGNC:1607ENSG00000112486P51684C-C chemokine receptor type 6gwas
ELMO1HGNC:16286ENSG00000155849Q92556Engulfment and cell motility protein 1gwas
CD28HGNC:1653ENSG00000178562P10747T-cell-specific surface glycoprotein CD28gwas
CD58HGNC:1688ENSG00000116815P19256Lymphocyte function-associated antigen 3gwas
CD80HGNC:1700ENSG00000121594P33681T-lymphocyte activation antigen CD80gwas
TNPO3HGNC:17103ENSG00000064419Q9Y5L0Transportin-3gwas
SERBP1HGNC:17860ENSG00000142864Q8NC51SERPINE1 mRNA-binding protein 1gwas
OLIG3HGNC:18003ENSG00000177468Q7RTU3Oligodendrocyte transcription factor 3gwas
SOCS1HGNC:19383ENSG00000185338O15524Suppressor of cytokine signaling 1gwas
EXOC3L4HGNC:20120ENSG00000205436Q17RC7Exocyst complex component 3-like protein 4gwas
ZPBP2HGNC:20678ENSG00000186075Q6X784Zona pellucida-binding protein 2gwas
RNF145HGNC:20853ENSG00000145860Q96MT1RING finger protein 145gwas
SLC22A23HGNC:21106ENSG00000137266A1A5C7Solute carrier family 22 member 23gwas
POGLUT1HGNC:22954ENSG00000163389Q8NBL1Protein O-glucosyltransferase 1gwas
CRHR1HGNC:2357ENSG00000120088P34998Corticotropin-releasing factor receptor 1gwas
GSDMBHGNC:23690ENSG00000073605Q8TAX9Gasdermin-Bgwas
CISD2HGNC:24212ENSG00000145354Q8N5K1CDGSH iron-sulfur domain-containing protein 2gwas
CSNK2A2HGNC:2459ENSG00000070770P19784Casein kinase II subunit alpha'gwas
TRAFD1HGNC:24808ENSG00000135148O14545TRAF-type zinc finger domain-containing protein 1gwas
CFAP263HGNC:25002ENSG00000103021Q9H0I3Cilia- and flagella-associated protein 263gwas
CTLA4HGNC:2505ENSG00000163599P16410Cytotoxic T-lymphocyte protein 4gwas
MACIRHGNC:25052ENSG00000181751Q96GV9Macrophage immunometabolism regulatorgwas
PLEKHG6HGNC:25562ENSG00000008323Q3KR16Pleckstrin homology domain-containing family G member 6gwas
TMEM39AHGNC:25600ENSG00000176142Q9NV64Transmembrane protein 39Agwas
GIN1HGNC:25959ENSG00000145723Q9NXP7Gypsy retrotransposon integrase-like protein 1gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
RPL3Large ribosomal subunit protein uL3Component of the large ribosomal subunit.
RPS6KA4Ribosomal protein S6 kinase alpha-4Serine/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…
ATXN2Ataxin-2Involved in EGFR trafficking, acting as negative regulator of endocytic EGFR internalization at the plasma membrane.
SCNN1AEpithelial sodium channel subunit alphaThis is one of the three pore-forming subunits of the heterotrimeric epithelial sodium channel (ENaC), a critical regulator of sodium balance and fluid homeostasis.
CXCR5C-X-C chemokine receptor type 5Cytokine receptor that binds to B-lymphocyte chemoattractant (BLC).
CCL20C-C motif chemokine 20Acts as a ligand for C-C chemokine receptor CCR6.
BRAPBRCA1-associated proteinNegatively regulates MAP kinase activation by limiting the formation of Raf/MEK complexes probably by inactivation of the KSR1 scaffold protein.
SPIBTranscription factor Spi-BSequence 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.
STAT1Signal transducer and activator of transcription 1-alpha/betaSignal transducer and transcription activator that mediates cellular responses to interferons (IFNs), cytokine KITLG/SCF and other cytokines and other growth factors.
STAT4Signal transducer and activator of transcription 4Transcriptional regulator mainly expressed in hematopoietic cells that plays a critical role in cellular growth, differentiation and immune response.
SYNGR1Synaptogyrin-1May play a role in regulated exocytosis.
TJP2Tight junction protein 2Plays a role in tight junctions and adherens junctions.
TNFAIP2Tumor necrosis factor alpha-induced protein 2May play a role as a mediator of inflammation and angiogenesis.
TNFAIP3Tumor necrosis factor alpha-induced protein 3Ubiquitin-editing enzyme that contains both ubiquitin ligase and deubiquitinase activities.
TNFRSF1ATumor necrosis factor receptor superfamily member 1AReceptor for TNFSF2/TNF and homotrimeric TNFSF1/lymphotoxin-alpha.
TNFSF15Tumor necrosis factor ligand superfamily member 15Receptor for TNFRSF25 and TNFRSF6B.
TNFSF8Tumor necrosis factor ligand superfamily member 8Cytokine that binds to TNFRSF8/CD30.
TYK2Non-receptor tyrosine-protein kinase TYK2Tyrosine kinase of the non-receptor type involved in numerous cytokines and interferons signaling, which regulates cell growth, development, cell migration, innate and adaptive immunity.
IKZF3Zinc finger protein AiolosTranscription factor that plays an important role in the regulation of lymphocyte differentiation.
TIMMDC1Complex I assembly factor TIMMDC1, mitochondrialChaperone protein involved in the assembly of the mitochondrial NADH:ubiquinone oxidoreductase complex (complex I).
DLEU1Leukemia-associated protein 1May act as a tumor suppressor.
ORMDL3ORM1-like protein 3Plays 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.
CCR6C-C chemokine receptor type 6Receptor for the C-C type chemokine CCL20.
ELMO1Engulfment and cell motility protein 1Involved in cytoskeletal rearrangements required for phagocytosis of apoptotic cells and cell motility.
CD28T-cell-specific surface glycoprotein CD28Receptor that plays a role in T-cell activation, proliferation, survival and the maintenance of immune homeostasis.
CD58Lymphocyte function-associated antigen 3Ligand of the T-lymphocyte CD2 glycoprotein.
CD80T-lymphocyte activation antigen CD80Costimulatory molecule that belongs to the immunoglobulin superfamily that plays an important role in T-lymphocyte activation.
TNPO3Transportin-3Importin, which transports target proteins into the nucleus.
SERBP1SERPINE1 mRNA-binding protein 1Ribosome-binding protein that promotes ribosome hibernation, a process during which ribosomes are stabilized in an inactive state and preserved from proteasomal degradation.
OLIG3Oligodendrocyte transcription factor 3May determine the distinct specification program of class A neurons in the dorsal part of the spinal cord and suppress specification of class B neurons.
SOCS1Suppressor of cytokine signaling 1Essential 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).
ZPBP2Zona pellucida-binding protein 2Is implicated in sperm-oocyte interaction during fertilization.
RNF145RING finger protein 145E3 ubiquitin ligase that catalyzes the direct transfer of ubiquitin from E2 ubiquitin-conjugating enzyme to a specific substrate.
POGLUT1Protein O-glucosyltransferase 1Dual 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.
CRHR1Corticotropin-releasing factor receptor 1G-protein coupled receptor for CRH (corticotropin-releasing factor) and UCN (urocortin).
GSDMBGasdermin-BPrecursor of a pore-forming protein that acts as a downstream mediator of granzyme-mediated cell death.
CISD2CDGSH iron-sulfur domain-containing protein 2Regulator of autophagy that contributes to antagonize BECN1-mediated cellular autophagy at the endoplasmic reticulum.
CSNK2A2Casein 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.
TRAFD1TRAF-type zinc finger domain-containing protein 1Negative feedback regulator that controls excessive innate immune responses.
CFAP263Cilia- and flagella-associated protein 263Component of centriolar satellites contributing to primary cilium formation.
CTLA4Cytotoxic T-lymphocyte protein 4Inhibitory receptor acting as a major negative regulator of T-cell responses.
MACIRMacrophage immunometabolism regulatorRegulates the macrophage function, by enhancing the resolution of inflammation and wound repair functions mediated by M2 macrophages.
PLEKHG6Pleckstrin homology domain-containing family G member 6Guanine nucleotide exchange factor activating the small GTPase RHOA, which, in turn, induces myosin filament formation.
TMEM39ATransmembrane protein 39ARegulates autophagy by controlling the spatial distribution and levels of the intracellular phosphatidylinositol 4-phosphate (PtdIns(4)P) pools.
SPEF2Sperm flagellar protein 2Required for correct axoneme development in spermatozoa.
UGT3A1UDP-glucuronosyltransferase 3A1UDP-glucuronosyltransferases catalyze phase II biotransformation reactions in which lipophilic substrates are conjugated with glucuronic acid to increase water solubility and enhance excretion.
CCDC88BCoiled-coil domain-containing protein 88BActs as a positive regulator of T-cell maturation and inflammatory function.
DDX6Probable ATP-dependent RNA helicase DDX6Essential for the formation of P-bodies, cytosolic membrane-less ribonucleoprotein granules involved in RNA metabolism through the coordinated storage of mRNAs encoding regulatory functions.
UBLCP1Ubiquitin-like domain-containing CTD phosphatase 1Dephosphorylates 26S nuclear proteasomes, thereby decreasing their proteolytic activity.
DENND1BDENN domain-containing protein 1BGuanine 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.

FamilyGenesFoldFDR
Antibody/Immunoglobulin93.5×0.008
Kinase51.9×0.536
Scaffold/PPI51.1×0.784
Transporter11.0×0.784
GPCR31.0×0.784
Other/Unknown390.9×0.784
Transcription factor80.9×0.784
Enzyme (other)50.8×0.784

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
RPL3Other/UnknownnoRibosomal_uL3, Transl_B-barrel_sf, Ribosomal_uL3_CS
RPS6KA4KinaseyesProt_kinase_dom, AGC-kinase_C, Ser/Thr_kinase_AS
ATXN2Other/UnknownnoLsmAD_domain, PAM2_motif, LSM_dom_sf
SCNN1AOther/UnknownnoENaC, ENaC_chordates, ENaC_CS
CXCR5GPCRyesGPCR_Rhodpsn, Chemokine_CXCR5, GPCR_Rhodpsn_7TM
CCL20Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Chemokine_CC_DCCL
BRAPTranscription factornoZnf_UBP, Znf_RING, BRAP2/ETP1_RRM
SPIBOther/UnknownnoEts_dom, WH-like_DNA-bd_sf, WH_DNA-bd_sf
STAT1Transcription factornoSH2, STAT, p53-like_TF_DNA-bd_sf
STAT4Transcription factornoSH2, STAT, p53-like_TF_DNA-bd_sf
SYNGR1Other/UnknownnoMarvel, Synaptogyrin
TJP2Scaffold/PPInoSH3_domain, PDZ, ZO
TNFAIP2Other/UnknownnoEXOC3/Sec6, EXOC3/Sec6_C
TNFAIP3Transcription factornoZnf_A20, OTU_dom, OTU_Deubiquitinase
TNFRSF1AOther/UnknownnoDeath_dom, TNFR/NGFR_Cys_rich_reg, DEATH-like_dom_sf
TNFSF15Other/UnknownnoTNF_dom, TNF, Tumour_necrosis_fac-like_dom
TNFSF8Other/UnknownnoTNF_dom, Tumour_necrosis_fac-like_dom, TNF_CS
TYK2Kinaseyes2.7.10.2FERM_domain, Prot_kinase_dom, SH2
IKZF3Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Ikaros_C2H2-ZF
TIMMDC1Other/UnknownnoTIMMDC1
DEXIOther/UnknownnoDexamethasone-induced
SMIM29Other/UnknownnoSMIM29
DLEU1Other/Unknownno
SCHIP1Other/UnknownnoSCHIP_1_C, SCHIP_1
ORMDL3Other/UnknownnoORMDL
CCR6GPCRyesGPCR_Rhodpsn, Chemokine_rcpt, Chemokine_CCR6
ELMO1Scaffold/PPInoPH_domain, ELMO_dom, ARM-like
CD28Antibody/ImmunoglobulinyesCD28, Ig_V-set, Ig-like_fold
CD58Antibody/ImmunoglobulinyesIg-like_fold, CD2/SLAM_rcpt, Ig-like_dom_sf
CD80Antibody/ImmunoglobulinyesIg_sub, Ig-like_dom, Ig_V-set
TNPO3Other/UnknownnoARM-like, Exportin-1/Importin-b-like, ARM-type_fold
SERBP1Other/UnknownnoHABP4_PAIRBP1-bd, IHABP4_N, HABP4/SERBP1-like
OLIG3Transcription factornobHLH_dom, Olig3_bHLH, HLH_DNA-bd_sf
SOCS1Scaffold/PPInoSH2, SOCS_box, SOCS1_SH2
EXOC3L4Other/UnknownnoEXOC3/Sec6, EXOC3/Sec6_C
ZPBP2Antibody/ImmunoglobulinyesIg-like_dom, Sp38-bd, Ig-like_fold
RNF145Transcription factornoZnf_RING, Znf_RING-CH, Znf_RING/FYVE/PHD
SLC22A23TransporteryesMFS_sugar_transport-like, Sugar_transporter_CS, MFS_dom
POGLUT1Enzyme (other)yes2.4.1.376CAP10, O-Glucosyltr/Glycosyltrsf_90
CRHR1GPCRyesGPCR_2_secretin-like, GPCR_2_extracellular_dom, GPCR_2_CRF_rcpt
GSDMBOther/UnknownnoGasdermin, Gasdermin_pore, Gasdermin_PUB
CISD2Other/UnknownnoFeS-contain_CDGSH-typ, FeS-contain_mitoNEET_N, MitoNEET_CISD
CSNK2A2Kinaseyes2.7.11.1Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
TRAFD1Transcription factornoZnf_RING/FYVE/PHD, TRAFD1-XIAF1_Znf, Innate_Immune_Apopt_Reg
CFAP263Other/UnknownnoCCDC113/CCDC96_CC, CC_CF
CTLA4Antibody/ImmunoglobulinyesIg_sub, CTLA4, Ig_V-set
MACIROther/UnknownnoUNC119-bd
PLEKHG6Scaffold/PPInoDH_dom, PH_domain, PH-like_dom_sf
TMEM39AOther/UnknownnoUncharacterised_TMEM39
GIN1Other/UnknownnoIntegrase_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)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)1
broad (>20)74
unknown0

Top tissues across cohort

TissueCohort genes
granulocyte9
monocyte9
lymph node8
vermiform appendix8
right hemisphere of cerebellum6
cerebellar hemisphere5
mucosa of transverse colon5
pancreatic ductal cell5
right uterine tube4
left testis4
right testis4
mononuclear cell4
right lobe of liver4
blood4
cerebellar cortex3
spleen3
epithelium of nasopharynx3
gall bladder3
sperm3
leukocyte3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
RPL3307ubiquitousmarkerleft ovary, right ovary, type B pancreatic cell
RPS6KA4215ubiquitousmarkerright hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex
ATXN2286ubiquitousmarkerbuccal mucosa cell, colonic epithelium, olfactory bulb
SCNN1A283broadmarkernasal cavity epithelium, metanephros cortex, right uterine tube
CXCR5172tissue_specificmarkergranulocyte, spleen, lymph node
CCL20202broadmarkerepithelium of nasopharynx, cartilage tissue, gall bladder
BRAP286ubiquitousmarkerleft testis, right testis, testis
SPIB161broadmarkerlymph node, mucosa of transverse colon, vermiform appendix
STAT1294ubiquitousmarkerepithelium of nasopharynx, vermiform appendix, mononuclear cell
STAT4201broadmarkergranulocyte, sperm, middle temporal gyrus
SYNGR1298ubiquitousmarkerBrodmann (1909) area 10, right hemisphere of cerebellum, cerebellar hemisphere
TJP2134ubiquitousmarkercorpus callosum, descending thoracic aorta, thoracic aorta
TNFAIP2250ubiquitousmarkergranulocyte, monocyte, leukocyte
TNFAIP3274ubiquitousmarkervena cava, mucosa of paranasal sinus, vermiform appendix
TNFRSF1A292ubiquitousmarkertendon of biceps brachii, gall bladder, left uterine tube
TNFSF15149broadmarkercartilage tissue, jejunal mucosa, duodenum
TNFSF8179broadmarkermonocyte, leukocyte, mononuclear cell
TYK2288ubiquitousmarkergranulocyte, right hemisphere of cerebellum, adenohypophysis
IKZF3155broadmarkergranulocyte, lymph node, epithelium of nasopharynx
TIMMDC1259ubiquitousmarkerleft ventricle myocardium, cardiac muscle of right atrium, myocardium
DEXI282ubiquitousyesapex of heart, hindlimb stylopod muscle, left adrenal gland cortex
SMIM29225ubiquitousmarkeranterior cingulate cortex, amygdala, hypothalamus
DLEU1162ubiquitousmarkerprimordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, islet of Langerhans
SCHIP1133ubiquitousmarkerventricular zone, prefrontal cortex, Brodmann (1909) area 9
ORMDL3256ubiquitousmarkerright lobe of liver, bone marrow cell, granulocyte
CCR6103broadmarkerlymph node, vermiform appendix, spleen
ELMO1248ubiquitousmarkerprefrontal cortex, C1 segment of cervical spinal cord, corpus callosum
CD28154broadmarkerlymph node, vermiform appendix, blood
CD58278ubiquitousmarkerjejunal mucosa, monocyte, right lung
CD80143broadmarkermale 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)

SymbolInteractor count
RPL36,978
STAT16,459
DDX65,922
GAK5,838
CSNK2A25,255
SERBP15,155
ALDH24,554
TNFRSF1A4,523
TYK23,932
CTLA43,863

Intra-cohort edges

ABSources
ATXN2DDX6intact, string_interaction
ATXN2SH2B3string_interaction
BRAPTNFAIP3intact
CAPSLCFAP263string_interaction
CAPSLCLEC16Astring_interaction
CAPSLEXOC3L4string_interaction
CAPSLSPEF2string_interaction
CAPSLTMEM39Astring_interaction
CCL20CCR6biogrid_interaction, string_interaction
CD28CD58string_interaction
CD28CD80biogrid_interaction, intact, string_interaction
CD28CTLA4intact, string_interaction
CD58CD80string_interaction
CD58CLEC16Astring_interaction
CD58CTLA4string_interaction
CD58RPS6KA4string_interaction
CD80CTLA4biogrid_interaction, intact, string_interaction
CD80ZPBP2intact
CFAP263EXOC3L4string_interaction
CFAP263TMEM39Astring_interaction
CLEC16ADENND1Bstring_interaction
CLEC16ADEXIstring_interaction
CLEC16AMACIRstring_interaction
CLEC16ASH2B3string_interaction
CLEC16ATMEM39Astring_interaction
DENND1BGSDMBstring_interaction
DENND1BORMDL3string_interaction
DENND1BRPS6KA4string_interaction
DENND1BTNFAIP2string_interaction
DENND1BZPBP2string_interaction
DEXISOCS1string_interaction
DGKQGAKstring_interaction
DGKQTMEM175string_interaction
EXOC3L4RPS6KA4string_interaction
EXOC3L4TMEM39Astring_interaction
FGFRL1TNFSF8biogrid_interaction, intact
GAKTMEM175string_interaction
GIN1MACIRstring_interaction
GSDMBIKZF3string_interaction
GSDMBORMDL3string_interaction
GSDMBZPBP2string_interaction
HLA-DPB1SCNN1Aintact
HLA-DQA1HLA-DQB1biogrid_interaction, intact
HLA-DQA1SCNN1Aintact
IKZF3ORMDL3string_interaction
IKZF3SPIBstring_interaction
IKZF3ZPBP2string_interaction
MACIRPPIP5K2string_interaction
MACIRRPS6KA4string_interaction
MACIRTMEM39Astring_interaction

Structural data

PDB: 39 · AlphaFold-only: 31 · No structure: 5

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
RPL3P39023193
CSNK2A2P1978456
TYK2P2959752
SERBP1Q8NC5129
ALDH2P0509129
HLA-DQA1P0190928
CTLA4P1641022
PPIP5K2O4331421
GLRA3O7531119
ELMO1Q9255618
TMEM175Q9BSA918
TNFAIP3P2158017
TNFRSF1AP1943813
ORMDL3Q8N13813
CRHR1P3499811
GSDMBQ8TAX911
STAT1P4222410
CD28P1074710
HLA-DPB1P0444010
HLA-DQB1P0192010
DDX6P261969
TNFSF15O951507
GAKO149767
CCL20P785566
CD80P336816
TNPO3Q9Y5L06
POGLUT1Q8NBL16
CISD2Q8N5K14
SCNN1AP370883
CD58P192563

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
CAPSLQ8WWF891.88
UGT3A1Q6NUS891.48
STAT4Q1476586.87
ZPBP2Q6X78486.81
TNFAIP2Q0316986.05
SOCS1O1552484.20
DGKQP5282482.56
CXCR5P3230280.85
TNFSF8P3297180.07
EXOC3L4Q17RC778.98
RNF145Q96MT178.73
BRAPQ7Z56976.92
TMEM39AQ9NV6474.80
SLC22A23A1A5C773.39
CLEC16AQ2KHT372.17
TIMMDC1Q9NPL872.08
FGFRL1Q8N44172.04
RPS6KA4O7567672.00
SMIM29Q86T2071.70
SPEF2Q9C09371.30
GIN1Q9NXP770.95
CCDC88BA6NC9870.19
DEXIO9542469.88
PLEKHG6Q3KR1668.36
SPIBQ0189268.20
OLIG3Q7RTU363.67
SH2B3Q9UQQ263.45
SCHIP1P0DPB361.13
MACIRQ96GV958.00
DLEU1O4326155.08

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.

PathwayCohort genesFoldFDRSample cohort genes
Interleukin-35 Signalling565.2×1e-06STAT1, STAT4, TYK2, IL12A, IL12RB2
Interferon gamma signaling915.5×1e-06STAT1, SOCS1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1, IRF8 (+1 more)
Interleukin-10 signaling722.4×2e-06CCL20, TNFRSF1A, TYK2, CD80, IL12A, IL12B, IL1R1
Interleukin-21 signaling462.6×3e-05STAT1, STAT4, IL21, IL21R
Interleukin-12 signaling527.9×5e-05STAT4, TYK2, IL12A, IL12B, IL12RB2
Translocation of ZAP-70 to Immunological synapse434.8×2e-04HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1
Phosphorylation of CD3 and TCR zeta chains429.8×4e-04HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1
Co-inhibition by PD-1428.4×4e-04HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1
Interleukin-23 signaling352.1×7e-04STAT4, TYK2, IL12B
Generation of second messenger molecules419.0×0.002HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1
Differentiation of naive CD4+ T cells to T helper 1 cells (Th1 cells)336.1×0.002STAT1, STAT4, IL12RB2
Interleukin-4 and Interleukin-13 signaling68.5×0.002STAT1, TYK2, SOCS1, IL12A, IL12B, IL4R
Interferon alpha/beta signaling510.4×0.003STAT1, TYK2, SOCS1, IRF8, IRF5
Signaling by CSF3 (G-CSF)323.5×0.006STAT1, TYK2, SOCS1
Downstream TCR signaling58.8×0.006HLA-DPB1, HLA-DQA1, HLA-DRA, HLA-DRB1, NFKB1
Cytokine Signaling in Immune system84.5×0.008CCL20, STAT1, STAT4, CD80, SOCS1, SH2B3, IRF8, IRF5
Regulation of IFNA/IFNB signaling318.1×0.011STAT1, TYK2, SOCS1
Inactivation of CSF3 (G-CSF) signaling318.1×0.011STAT1, TYK2, SOCS1
Interleukin-20 family signaling317.4×0.011STAT1, STAT4, TYK2
TNFs bind their physiological receptors316.2×0.013TNFRSF1A, TNFSF15, TNFSF8
Co-stimulation by CD28315.6×0.014CD28, CD80, CTLA4
PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling56.6×0.014CD28, CD80, ICOS, IL1RL1, PDGFB
Interleukin-18 signaling239.1×0.016IL18R1, IL18RAP
Immune System142.5×0.016CCL20, STAT1, STAT4, SYNGR1, CCR6, CD28, CD58, CD80 (+6 more)
Interleukin-27 signaling228.4×0.028STAT1, TYK2
Interleukin-6 signaling226.1×0.031STAT1, TYK2
Constitutive Signaling by Aberrant PI3K in Cancer47.0×0.031CD28, CD80, ICOS, PDGFB
CD28 dependent Vav1 pathway224.1×0.034CD28, CD80
Signaling by SCF-KIT310.2×0.034STAT1, SOCS1, SH2B3
Interferon Signaling46.6×0.034STAT1, 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 termCohort genesFoldFDRSample cohort genes
immune response2512.0×2e-17CXCR5, CCL20, TNFSF15, TNFSF8, TYK2, CCR6, CD58, CD80 (+17 more)
positive regulation of type II interferon production920.6×2e-07TYK2, HLA-DPB1, IRF8, IL12A, IL12B, IL12RB2, IL18R1, IL1R1 (+1 more)
interleukin-12-mediated signaling pathway595.5×2e-07STAT4, TYK2, IL12A, IL12B, IL12RB2
peptide antigen assembly with MHC class II protein complex553.7×5e-06HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1
positive regulation of T cell activation627.1×1e-05CCDC88B, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1
positive regulation of T cell proliferation718.5×1e-05TYK2, CD28, CD80, CCDC88B, HLA-DPB1, IL12B, IL21
antigen processing and presentation of exogenous peptide antigen via MHC class II527.7×8e-05HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1
cytokine-mediated signaling pathway810.7×8e-05STAT4, TNFRSF1A, TYK2, SOCS1, IL12RB2, IL16, IL21R, IRF5
cell surface receptor signaling pathway via JAK-STAT617.8×9e-05STAT1, STAT4, TNFRSF1A, TYK2, SOCS1, IL12B
positive regulation of immune response524.6×1e-04HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, HLA-DRB1
interleukin-18-mediated signaling pathway386.0×3e-04IL18R1, IL18RAP, PDGFB
cellular response to virus612.3×6e-04TYK2, IL12A, IL21, IRF5, NFKB1, POU2AF1
inflammatory response124.6×6e-04RPS6KA4, CCL20, TNFAIP3, TNFRSF1A, MACIR, IL18R1, IL18RAP, IL1R1 (+4 more)
positive regulation of memory T cell differentiation357.3×8e-04HLA-DRA, HLA-DRB1, IL12B
germinal center B cell differentiation351.6×1e-03IRF8, IL21, POU2AF1
defense response to protozoan424.6×1e-03CCDC88B, IRF8, IL12B, IL4R
adaptive immune response86.9×1e-03CTLA4, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, IL18R1, IL18RAP, PRKCB
humoral immune response514.3×0.001CCR6, CD28, HLA-DQB1, HLA-DRB1, POU2AF1
T-helper 1 cell differentiation346.9×0.001STAT4, IL18R1, IL4R
antigen processing and presentation of endogenous peptide antigen via MHC class II2172.0×0.001HLA-DRA, HLA-DRB1
positive regulation of T cell mediated cytotoxicity420.8×0.001HLA-DRA, HLA-DRB1, IL12A, IL12B
T cell receptor signaling pathway69.3×0.002CD28, CTLA4, DENND1B, HLA-DPB1, HLA-DQB1, HLA-DRB1
macrophage differentiation419.1×0.002SPIB, SOCS1, HLA-DRB1, IL1RL1
myeloid dendritic cell antigen processing and presentation2114.6×0.003HLA-DRA, HLA-DRB1
thymocyte migration2114.6×0.003CCL20, CCR6
positive regulation of interleukin-12 production416.0×0.003IRF8, IL12B, IL16, IRF5
cell surface receptor signaling pathway85.2×0.004TNFSF15, CD28, CD80, CRHR1, IL12RB2, IL1R1, IL1RL2, IL7R
smooth muscle adaptation286.0×0.004IL1R1, PDGFB
positive regulation of mononuclear cell proliferation286.0×0.004IL12A, IL12B
regulation of T-helper cell differentiation286.0×0.004HLA-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.

DrugDevelopment status
Obeticholic AcidApproved (phase 4)
UrsodiolApproved (phase 4)
BezafibratePhase 3 (in late-stage trials)
BudesonidePhase 3 (in late-stage trials)
ColchicinePhase 3 (in late-stage trials)
ElafibranorPhase 3 (in late-stage trials)
FenofibratePhase 3 (in late-stage trials)
MethotrexatePhase 3 (in late-stage trials)
SaroglitazarPhase 3 (in late-stage trials)
SeladelparPhase 3 (in late-stage trials)
Taurolithocholic AcidPhase 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.

SymbolExample approved molecule
RPL3GENTAMICIN SULFATE
RPS6KA4FEDRATINIB
SCNN1AAMILORIDE
STAT1FILGOTINIB
TYK2FEDRATINIB
IKZF3POMALIDOMIDE
CCR6TEGASEROD MALEATE
CRHR1CRINECERFONT
CISD2ROSIGLITAZONE
CSNK2A2MITOXANTRONE
ALDH2DISULFIRAM
GAKMOMELOTINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
GAK774
TYK2724
CSNK2A2704
RPS6KA4344
CRHR164
STAT154
IKZF354
CCR634
ALDH234
SCNN1A24

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
GENTAMICIN SULFATE4RPL3
FEDRATINIB4CSNK2A2, GAK, RPS6KA4, TYK2
RUXOLITINIB4CSNK2A2, GAK, RPS6KA4, TYK2
NINTEDANIB4CSNK2A2, RPS6KA4, TYK2
SUNITINIB4CSNK2A2, GAK, RPS6KA4, TYK2
ERLOTINIB4GAK, RPS6KA4, TYK2
MIDOSTAURIN4GAK, RPS6KA4, TYK2
GEFITINIB4GAK, RPS6KA4
AMILORIDE4SCNN1A
FILGOTINIB4STAT1, TYK2
DEUCRAVACITINIB4STAT1, TYK2
TOFACITINIB4TYK2
UPADACITINIB4GAK, TYK2
BARICITINIB4GAK, TYK2
ABROCITINIB4TYK2
MOMELOTINIB4CSNK2A2, GAK, TYK2
AXITINIB4CSNK2A2, GAK, TYK2
RUXOLITINIB PHOSPHATE4TYK2
INFIGRATINIB PHOSPHATE4TYK2
INFIGRATINIB4TYK2
PACRITINIB4CSNK2A2, GAK, TYK2
TOFACITINIB CITRATE4TYK2
BOSUTINIB4GAK, TYK2
PEFICITINIB4TYK2
CRAVACITINIB4TYK2
PAZOPANIB4GAK, TYK2
DASATINIB4GAK, TYK2
CRIZOTINIB4TYK2
IMATINIB4CSNK2A2, GAK, TYK2
POMALIDOMIDE4IKZF3

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 8.

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

SymbolAssaysType breakdown
TYK21,083Binding:1043, Functional:39, ADMET:1
CSNK2A2793Binding:648, Functional:145
RPS6KA4389Binding:387, Functional:1, ADMET:1
GAK263Binding:260, Functional:3
CRHR1193Binding:139, Functional:54
STAT1147Binding:137, Functional:8, Unclassified:2
IKZF3101Binding:100, Functional:1
RPL390Binding:90
ALDH271Binding:66, Functional:5
CCR660Functional:33, Binding:27
CXCR533Binding:21, Functional:12
GLRA332Binding:28, Functional:4
TNFRSF1A24Binding:23, Functional:1
STAT420Binding:20
SCNN1A6Binding:4, ADMET:1, Functional:1
ELMO16Binding:6
CISD26Binding:6
ATXN25Binding:3, Functional:2
CD585Binding:3, Functional:2
UBLCP15Binding:5
DDX64Binding:4
PPIP5K24Binding:4
BRAP2Binding:2
HLA-DQA12Binding:2
TNFAIP31Binding:1
ORMDL31Binding:1
CD281Functional:1
TNPO31Binding:1
SERBP11Binding:1
TRAFD11Binding:1
CTLA41Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
TYK22.7.10.2non-specific protein-tyrosine kinase
POGLUT12.4.1.376, 2.4.2.63EGF-domain serine glucosyltransferase, EGF-domain serine xylosyltransferase
CSNK2A22.7.11.1non-specific serine/threonine protein kinase
UGT3A12.4.1.17glucuronosyltransferase
DDX63.6.4.13RNA helicase
DGKQ2.7.1.107diacylglycerol kinase (ATP)
PPIP5K22.7.4.21, 2.7.4.24inositol-hexakisphosphate 5-kinase, diphosphoinositol-pentakisphosphate 1-kinase
ALDH21.2.1.3aldehyde dehydrogenase (NAD+)

Cohort genes with high screening signal

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

SymbolChEMBL assays
RPS6KA4389
STAT1147
TYK21,083
IKZF3101
CRHR1193
CSNK2A2793
GAK263

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.

CompoundMax phaseCohort target (bioactivity)
GENTAMICIN SULFATE4RPL3
FEDRATINIB4CSNK2A2, GAK, RPS6KA4, TYK2
RUXOLITINIB4CSNK2A2, GAK, RPS6KA4, TYK2
NINTEDANIB4CSNK2A2, RPS6KA4, TYK2
SUNITINIB4CSNK2A2, GAK, RPS6KA4, TYK2
ERLOTINIB4GAK, RPS6KA4, TYK2
MIDOSTAURIN4GAK, RPS6KA4, TYK2
GEFITINIB4GAK, RPS6KA4
AMILORIDE4SCNN1A
FILGOTINIB4STAT1, TYK2
DEUCRAVACITINIB4STAT1, TYK2
TOFACITINIB4TYK2
UPADACITINIB4GAK, TYK2
ABROCITINIB4TYK2
MOMELOTINIB4CSNK2A2, GAK, TYK2
AXITINIB4CSNK2A2, GAK, TYK2
RUXOLITINIB PHOSPHATE4TYK2
INFIGRATINIB PHOSPHATE4TYK2
INFIGRATINIB4TYK2
PACRITINIB4CSNK2A2, GAK, TYK2
TOFACITINIB CITRATE4TYK2
BOSUTINIB4GAK, TYK2
PEFICITINIB4TYK2
CRAVACITINIB4TYK2
PAZOPANIB4GAK, TYK2
DASATINIB4GAK, TYK2
CRIZOTINIB4TYK2
IMATINIB4CSNK2A2, GAK, TYK2
POMALIDOMIDE4IKZF3

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)12RPL3, RPS6KA4, SCNN1A, STAT1, TYK2, IKZF3, CCR6, CRHR1, CISD2, CSNK2A2 (+2 more)
BPhased (≥1) drug, not yet approved3TNFRSF1A, ELMO1, DDX6
CDruggable family + PDB, no drug9CD28, CD58, CD80, POGLUT1, CTLA4, PPIP5K2, HLA-DPB1, HLA-DQA1, HLA-DQB1
DDruggable family + AlphaFold only, no drug6CXCR5, ZPBP2, SLC22A23, UGT3A1, DGKQ, FGFRL1
EDifficult family or no structure, no drug45ATXN2, 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).

SymbolChEMBL assaysDrugged partners (top 3)
CCL200CCR6
STAT420TYK2, STAT1
SOCS10TYK2
ZPBP20IKZF3
GSDMB0IKZF3
DGKQ0GAK
TMEM1750GAK
ATXN25
CXCR533
BRAP2
SPIB0
SYNGR10
TJP20
TNFAIP20
TNFAIP31
TNFSF150
TNFSF80
TIMMDC10
DEXI0
SMIM290
DLEU10
SCHIP10
ORMDL31
CD281
CD585
CD800
TNPO31
SERBP11
OLIG30
EXOC3L40

Clinical trials & evidence

Clinical trials

Clinical trials: 165.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified55
PHASE235
PHASE334
PHASE113
PHASE411
PHASE1/PHASE27
PHASE2/PHASE36
EARLY_PHASE14

Top trials by phase / activity

NCTPhaseStatusTitle
NCT04650243PHASE4RECRUITINGClinical Research of Tapering UDCA in PBC Patients With a Complete Response
NCT01510860PHASE4COMPLETEDUrsofalk Tablets (500 mg) Versus Ursofalk Capsules (250 mg) in the Treatment of Primary Biliary Cirrhosis
NCT02078882PHASE4COMPLETEDStudy of Abatacept (Orencia) to Treat Primary Biliary Cirrhosis
NCT02557360PHASE4COMPLETEDEffectiveness of S-adenosyl-L-methionine in Patients With Primary Biliary Cirrhosis
NCT03345589PHASE4UNKNOWNA Trial of 18-22mg/kg/d Ursodeoxycholic in Refractory Primary Biliary Cholangitis
NCT04376528PHASE4UNKNOWNMycophenolate Mofetil Versus Cyclosporin A in the Treatment of Primary Biliary Cholangitis-autoimmune Hepatitis Overlap Syndrome Due to Nonresponse to Standard Therapy
NCT04617561PHASE4UNKNOWNUrsodeoxycholic Acid Combined With Low Dose Glucocorticoid in the Treatment of PBC With AIH Features II
NCT04618575PHASE4UNKNOWNUrsodeoxycholic Acid Combined With Total Glucosides of Paeony in the Treatment of PBC With AIH Features 1
NCT04893993PHASE4UNKNOWNPBC Induced Fatigue Treated With Thiamine
NCT04933292PHASE4UNKNOWNA 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
NCT06371196PHASE4UNKNOWNClinical Study on the Treatment of Elevated Total Bilirubin in Primary Biliary Cholangitis With Baobao Dan Capsule
NCT03301506PHASE3ACTIVE_NOT_RECRUITINGStudy of Seladelpar in Participants With Primary Biliary Cholangitis (PBC)
NCT04526665PHASE3ACTIVE_NOT_RECRUITINGStudy of Elafibranor in Patients With Primary Biliary Cholangitis (PBC)
NCT05749822PHASE2/PHASE3RECRUITINGFenofibrate for Compensated Cirrhosis Patients With Primary Biliary Cholangitis
NCT05751967PHASE3RECRUITINGFenofibrate Combined With Ursodeoxycholic Acid in Subjects With Primary Biliary Cholangitis
NCT06016842PHASE3RECRUITINGA Long-Term Study of Elafibranor in Adult Participants With Primary Biliary Cholangitis
NCT06051617PHASE3RECRUITINGSeladelpar in Subjects With Primary Biliary Cholangitis (PBC) and Compensated Cirrhosis
NCT06060665PHASE3ACTIVE_NOT_RECRUITINGIntended to Determine the Effects of Seladelpar on Normalization of Alkaline Phosphatase Levels in Subjects With Primary Biliary Cholangitis (PBC)
NCT06174402PHASE2/PHASE3ACTIVE_NOT_RECRUITINGFenofibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cholangitis
NCT06365424PHASE2/PHASE3RECRUITINGFenofibrate in Patients With Primary Biliary Cholangitis (PBC)
NCT06383403PHASE3ACTIVE_NOT_RECRUITINGA Study of Elafibranor in Adults With Primary Biliary Cholangitis and Inadequate Response or Intolerance to Ursodeoxycholic Acid.
NCT06427395PHASE3ACTIVE_NOT_RECRUITINGOpen-Label Extension Study of Saroglitazar Magnesium in Participants With Primary Biliary Cholangitis
NCT06591468PHASE2/PHASE3ENROLLING_BY_INVITATIONA Multicenter, Randomized, Controlled Trial of Prednisone Combined With Ursodeoxycholic Acid in the Treatment of Primary Biliary Cholangitis With Moderate to Severe Interface Hepatitis Characteristics
NCT06730061PHASE3ACTIVE_NOT_RECRUITINGA Study of Elafibranor in Adult Japanese Participants With Primary Biliary Cholangitis (PBC)
NCT06755151PHASE3RECRUITINGFenofibrate in Primary Biliary Cholangitis: a Real World Study
NCT06755541PHASE3RECRUITINGFenofibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cholangitis: a Real World Study
NCT07216235PHASE3NOT_YET_RECRUITINGLong-Term Study to Evaluate the Safety and Efficacy in Participants With Primary Biliary Cholangitis of Saroglitazar Magnesium-V on Clinical Outcomes
NCT07282353PHASE3RECRUITINGA Study of CS0159 in Patients With PBC With Inadequate Response or Intolerance to UDCA
NCT07296458PHASE3RECRUITINGFIREFLY Trial: Fenofibrate Intervention—Randomized Evaluation in First-Line PBC Therapy
NCT07424677PHASE3NOT_YET_RECRUITINGStudy of Saroglitazar Magnesium for PBC Patients With Incomplete Response or Intolerant to UDCA Therapy
NCT00490620PHASE2/PHASE3COMPLETEDStudy of Combivir for Patients With Primary Biliary Cirrhosis
NCT00746486PHASE3TERMINATEDUrsodeoxycholic Acid Plus Budesonide Versus Ursodeoxycholic Acid Alone in Primary Biliary Cirrhosis (PBC)
NCT00805805PHASE3COMPLETEDStudy Comparing Tetrathiomolybdate vs Standard Treatment in Primary Biliary Cirrhosis
NCT00844402PHASE3COMPLETEDSafety and Efficacy of Long-Term Treatment With Atorvastatin in Patients With Primary Biliary Cirrhosis
NCT01473524PHASE3COMPLETEDPhase 3 Study of Obeticholic Acid in Patients With Primary Biliary Cirrhosis
NCT01654731PHASE3COMPLETEDPhase 3 Study of Bezafibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cirrhosis
NCT01857284PHASE3COMPLETEDSafety and Efficacy of Tauroursodeoxycholic Acid Versus Ursofalk in the Treatment of Adult Primary Biliary Cirrhosis
NCT02701166PHASE3UNKNOWNThe Effect of Bezafibrate on Cholestatic Itch
NCT02823353PHASE3COMPLETEDFenofibrate in Combination With Ursodeoxycholic Acid in Primary Biliary Cirrhosis
NCT02823366PHASE3UNKNOWNFenofibrate for Patients With Primary Biliary Cirrhosis Who Had An Inadequate Response to Ursodeoxycholic Acid

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
URSODIOL418
FENOFIBRATE49
OBETICHOLIC ACID47
SELADELPAR47
ELAFIBRANOR45
MARALIXIBAT CHLORIDE42
MYCOPHENOLATE MOFETIL42
THIAMINE ION42
ABATACEPT41
AZATHIOPRINE41
BARICITINIB41
CHOLESTYRAMINE41
CYCLOSPORINE41
ETRASIMOD41
METHYLPREDNISOLONE41
MODAFINIL41
MOEXIPRIL41
NALMEFENE41
ODEVIXIBAT41
PENTOXIFYLLINE41
RALTEGRAVIR41
TAURURSODIOL41
USTEKINUMAB41
BEZAFIBRATE35
SAROGLITAZAR35
ADEMETIONINE31
CILOFEXOR31
ALDAFERMIN22
SETANAXIB22
BERBERINE URSODEOXYCHOLATE21