Primary ciliary dyskinesia 35

Summary

Primary ciliary dyskinesia 35 (MONDO:0014910) is a disease caused by ODAD4 (GenCC Strong), with 1 cohort gene.

At a glance

• Causal gene: ODAD4 (GenCC Strong)
• Cohort genes: 1
• ClinVar variants: 11

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

Field	Value
Canonical name	primary ciliary dyskinesia 35
Mondo ID	MONDO:0014910
OMIM	617092
DOID	DOID:0110620
UMLS	C4310721
MedGen	934688
GARD	0016188
Is cancer (heuristic)	no

Also known as: CILD35 · ciliary dyskinesia, primary, 35 · ciliary dyskinesia, primary, type 35 · primary ciliary dyskinesia caused by mutation in TTC25 · primary ciliary dyskinesia type 35 · TTC25 primary ciliary dyskinesia

Data availability: 11 ClinVar variants · 3 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by body system or component › syndromic disease › primary ciliary dyskinesia › primary ciliary dyskinesia 35

Related subtypes (58): ciliary discoordination due to random ciliary orientation, ciliary dyskinesia with transposition of ciliary microtubules, ciliary dyskinesia with defective radial spokes, ciliary dyskinesia with excessively long cilia, Stromme syndrome, primary ciliary dyskinesia 1, ciliary dyskinesia, primary, 36, X-linked, primary ciliary dyskinesia 2, primary ciliary dyskinesia 3, primary ciliary dyskinesia 4, primary ciliary dyskinesia 5, primary ciliary dyskinesia 6, primary ciliary dyskinesia 7, primary ciliary dyskinesia 8, primary ciliary dyskinesia 9, primary ciliary dyskinesia 10, primary ciliary dyskinesia 11, primary ciliary dyskinesia 12, primary ciliary dyskinesia 13, primary ciliary dyskinesia 14, primary ciliary dyskinesia 15, primary ciliary dyskinesia 16, primary ciliary dyskinesia 17, primary ciliary dyskinesia 18, primary ciliary dyskinesia 19, primary ciliary dyskinesia 20, primary ciliary dyskinesia 21, primary ciliary dyskinesia 22, primary ciliary dyskinesia 23, primary ciliary dyskinesia 24, primary ciliary dyskinesia 25, primary ciliary dyskinesia 26, primary ciliary dyskinesia 27, primary ciliary dyskinesia 28, primary ciliary dyskinesia 29, primary ciliary dyskinesia 30, primary ciliary dyskinesia 32, primary ciliary dyskinesia 33, primary ciliary dyskinesia 34, ciliary dyskinesia, primary, 46, ciliary dyskinesia, primary, 47, and lissencephaly, ciliary dyskinesia, primary, 48, without situs inversus, ciliary dyskinesia, primary, 39, ciliary dyskinesia, primary, 40, ciliary dyskinesia, primary, 41, ciliary dyskinesia, primary, 42, ciliary dyskinesia, primary, 43, ciliary dyskinesia, primary, 44, ciliary dyskinesia, primary, 45, ciliary dyskinesia, primary, 37, ciliary dyskinesia, primary, 38, ciliary dyskinesia, primary, 54, ciliary dyskinesia, primary, 49, without situs inversus, ciliary dyskinesia, primary, 50, ciliary dyskinesia, primary, 51, ciliary dyskinesia, primary, 52, ciliary dyskinesia, primary, 53, CFAP46-related primary ciliary dyskinesia

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

11 retrieved; paginated sample, class counts are floors:

5 pathogenic, 3 uncertain significance, 3 likely pathogenic

ClinVar	Variant (HGVS)	Gene	Classification	Review
254127	NM_031421.5(ODAD4):c.114+1G>T	ODAD4	Pathogenic	criteria provided, single submitter
254128	NM_031421.5(ODAD4):c.425_426insT (p.Lys142fs)	ODAD4	Pathogenic	no assertion criteria provided
3893221	NM_031421.5(ODAD4):c.716G>A (p.Trp239Ter)	ODAD4	Pathogenic	criteria provided, single submitter
4292842	NM_031421.5(ODAD4):c.650_653dup (p.Leu219fs)	ODAD4	Pathogenic	criteria provided, single submitter
869383	NM_031421.5(ODAD4):c.245del (p.Lys82fs)	ODAD4	Pathogenic	criteria provided, multiple submitters, no conflicts
1325249	NM_031421.5(ODAD4):c.316C>T (p.Arg106Ter)	ODAD4	Likely pathogenic	criteria provided, single submitter
2690771	NM_031421.5(ODAD4):c.1630G>T (p.Asp544Tyr)	ODAD4	Likely pathogenic	criteria provided, single submitter
4849438	NM_031421.5(ODAD4):c.1528+1del	ODAD4	Likely pathogenic	criteria provided, single submitter
1034109	NM_031421.5(ODAD4):c.340C>T (p.Arg114Trp)	ODAD4	Uncertain significance	criteria provided, multiple submitters, no conflicts
1184300	NM_031421.5(ODAD4):c.1993_1997del (p.Asn665fs)	ODAD4	Uncertain significance	criteria provided, single submitter
800740	NM_031421.5(ODAD4):c.158G>A (p.Arg53His)	ODAD4	Uncertain significance	criteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 4 · Orphanet: 1 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

Gene	Classification	Inheritance	Disease	Records
ODAD4	Strong	Autosomal recessive	primary ciliary dyskinesia 35	4

Orphanet rare-disease linkage (cohort genes)

Gene	Orphanet ID	Rare disease
ODAD4	Orphanet:244	Primary ciliary dyskinesia

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

Subset	Genes
multi_evidence	1

Cohort genes (full)

Symbol	HGNC	Ensembl	UniProt	Name	Evidence
ODAD4	HGNC:25280	ENSG00000204815	Q96NG3	Outer dynein arm-docking complex subunit 4	gencc,clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

Symbol	Protein name	Function (lead sentence)
ODAD4	Outer dynein arm-docking complex subunit 4	Component of the outer dynein arm-docking complex (ODA-DC) that mediates outer dynein arms (ODA) binding onto the doublet microtubule.

Protein-family classification

Druggable: 0 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.0

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
Other/Unknown	1	1.8×	0.558

Per-gene assignment

Symbol	Family	Druggable?	EC	InterPro (top 3)
ODAD4	Other/Unknown	no		TPR-like_helical_dom_sf, TPR_rpt, ODAD4

Expression context

Cohort genes with no expression data: 0.

1 cohort gene are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

Bucket	Genes
narrow (1-5 tissues)	0
moderate (6-20)	0
broad (>20)	1
unknown	0

Top tissues across cohort

Tissue	Cohort genes
bronchial epithelial cell	1
right uterine tube	1
sperm	1

Per-gene tissue summary (top 30)

Symbol	Bgee breadth	FANTOM5 breadth	SCXA	Top tissues
ODAD4	196	ubiquitous	marker	right uterine tube, bronchial epithelial cell, sperm

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

Symbol	Interactor count
ODAD4	1,923

Structural data

PDB: 1 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

Symbol	UniProt	PDB entries
ODAD4	Q96NG3	1

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 0. Enrichment computed across 1 evidence-associated genes (0 with Reactome annotation).

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO term	Cohort genes	Fold	FDR	Sample cohort genes
protein localization to motile cilium	1	3370.4×	0.002	ODAD4
epithelial cilium movement involved in determination of left/right asymmetry	1	1296.3×	0.002	ODAD4
mucociliary clearance	1	1296.3×	0.002	ODAD4
cerebrospinal fluid circulation	1	887.0×	0.002	ODAD4
outer dynein arm assembly	1	732.7×	0.002	ODAD4
cilium movement	1	391.9×	0.004	ODAD4
lung development	1	198.3×	0.006	ODAD4
brain development	1	79.5×	0.013	ODAD4
heart development	1	78.8×	0.013	ODAD4

Therapeutics

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 1

Druggability breadth: 0 of 1 evidence-associated genes (0%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

Symbol	Molecules	Max phase
ODAD4	0	0

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

Pharmacogenomics

Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

0 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.

Druggability pyramid

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

Tier	Definition	Genes	Symbols
A	Approved (phase 4 drug)	0
B	Phased (≥1) drug, not yet approved	0
C	Druggable family + PDB, no drug	0
D	Druggable family + AlphaFold only, no drug	0
E	Difficult family or no structure, no drug	1	ODAD4

Undrugged target profiles

1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

Symbol	ChEMBL assays	Drugged partners (top 3)
ODAD4	0	—

Clinical trials & evidence

Clinical trials

Clinical trials: 0.