Pulmonary disease, chronic obstructive, susceptibility to
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Summary
Pulmonary disease, chronic obstructive, susceptibility to (MONDO:0100167) is a disease with 17 cohort genes. The dominant Reactome pathway is Xenobiotics (4 cohort genes).
At a glance
- Cohort genes: 17
- ClinVar variants: 32
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | pulmonary disease, chronic obstructive, susceptibility to |
| Mondo ID | MONDO:0100167 |
| UMLS | C3838076 |
| MedGen | 854229 |
| Is cancer (heuristic) | no |
Data availability: 32 ClinVar variants.
Disease family
Classification path: disease susceptibility › inherited disease susceptibility › pulmonary disease, chronic obstructive, susceptibility to
Related subtypes (283): microvascular complications of diabetes, susceptibility, Mycobacterium tuberculosis, susceptibility, bacteremia, susceptibility, pregnancy loss, recurrent, susceptibility, autoimmune thyroid disease, susceptibility to, susceptibility to HIV infection, appendicitis, proneness to, atherosclerosis susceptibility, multiple sclerosis, susceptibility to, dyslexia, susceptibility to, 1, endometriosis, susceptibility to, 1, osteoarthritis susceptibility 2, essential hypertension, genetic, osteoarthritis susceptibility 1, otitis media, susceptibility to, pelvic organ prolapse, susceptibility to, pulmonary edema of mountaineers, susceptibility to, sarcoidosis, susceptibility to, 1, strabismus, susceptibility to, thyrotoxic periodic paralysis, susceptibility to, 1, predisposition to invasive fungal disease due to CARD9 deficiency, celiac disease, susceptibility to, 1, hemolytic uremic syndrome, atypical, susceptibility to, 1, hypervitaminosis a, susceptibility to, kuru, susceptibility to, leprosy, susceptibility to, 3, nonarteritic anterior ischemic optic neuropathy, susceptibility to, diabetes mellitus, insulin-dependent, X-linked, susceptibility to, coronary heart disease, susceptibility to, 3, dyslexia, susceptibility to, 9, systemic lupus erythematosus, susceptibility to, 15, Leber optic atrophy, susceptibility to, dyslexia, susceptibility to, 2, Helicobacter pylori infection, susceptibility to, epilepsy, idiopathic generalized, susceptibility to, 1, inherited susceptibility to asthma, renal dysplasia, cystic, susceptibility to, systemic lupus erythematosus, susceptibility to, 1, leishmaniasis, tegumentary, susceptibility to, xanthomatosis, susceptibility to, hyperlipidemia, combined, 1, urinary tract infections, recurrent, susceptibility to, hypertension, essential, susceptibility to, 1, hepatic fibrosis, severe, susceptibility to, due to Schistosoma mansoni infection, dyslexia, susceptibility to, 3, Ascaris lumbricoides infection, susceptibility to, hypertension, essential, susceptibility to, 2, epilepsy, idiopathic generalized, susceptibility to, 7, systemic lupus erythematosus, susceptibility to, 2, systemic lupus erythematosus, susceptibility to, 3, nephrolithiasis, uric acid, susceptibility to, atrioventricular septal defect, susceptibility to, 2, vitiligo-associated multiple autoimmune disease susceptibility 1, polysubstance abuse, susceptibility to, dyslexia, susceptibility to, 6, glaucoma, normal tension, susceptibility to, anorexia nervosa, susceptibility to, 1, stroke, susceptibility to, 1, dyslexia, susceptibility to, 5, epilepsy, idiopathic generalized, susceptibility to, 2, familial meningioma, celiac disease, susceptibility to, 5, systemic lupus erythematosus with hemolytic anemia, susceptibility to, 1, hypertension, essential, susceptibility to, 3, coronary heart disease, susceptibility to, 1, bulimia nervosa, susceptibility to, 1, leprosy, susceptibility to, 2, epilepsy, idiopathic generalized, susceptibility to, 9, Parkinson disease 11, autosomal dominant, susceptibility to, focal segmental glomerulosclerosis 3, susceptibility to, autoimmune disease, susceptibility to, 1, osteoarthritis susceptibility 3, systemic lupus erythematosus with nephritis, susceptibility to, 1, systemic lupus erythematosus with nephritis, susceptibility to, 2, systemic lupus erythematosus with nephritis, susceptibility to, 3, coronary heart disease, susceptibility to, 2, coronary heart disease, susceptibility to, 4, autoimmune disease, susceptibility to, 2, autoimmune disease, susceptibility to, 3, systemic lupus erythematosus, susceptibility to, 4, myocardial infarction, susceptibility to, major depressive disorder 1, legionnaire disease, susceptibility to, myocardial infarction, susceptibility to, 2, major depressive disorder 2, hypertension, essential, susceptibility to, 4, epilepsy, idiopathic generalized, susceptibility to, 3, myoclonic epilepsy, juvenile, susceptibility to, 3, orofacial cleft 6, susceptibility to, coronary heart disease, susceptibility to, 5, attention deficit-hyperactivity disorder, susceptibility to, 1, attention deficit-hyperactivity disorder, susceptibility to, 2, attention deficit-hyperactivity disorder, susceptibility to, 3, attention deficit-hyperactivity disorder, susceptibility to, 4, Alzheimer disease 9, susceptibility to respiratory infections associated with CD8alpha chain mutation, dyslexia, susceptibility to, 8, autoimmune disease, susceptibility to, 4, hepatitis C virus, susceptibility to, epilepsy, idiopathic generalized, susceptibility to, 4, celiac disease, susceptibility to, 4, celiac disease, susceptibility to, 2, celiac disease, susceptibility to, 3, leprosy, susceptibility to, 1, systemic lupus erythematosus, susceptibility to, 5, systemic lupus erythematosus, susceptibility to, 6, opioid dependence, susceptibility to, 1, systemic lupus erythematosus, susceptibility to, 7, systemic lupus erythematosus, susceptibility to, 8, hypertension, essential, susceptibility to, 5, hypertension, essential, susceptibility to, 6, Parkinson disease 13, autosomal dominant, susceptibility to, West Nile virus, susceptibility to, hepatitis B virus, susceptibility to, Buruli ulcer, susceptibility to, osteoarthritis susceptibility 4, systemic lupus erythematosus, susceptibility to, 9, coronary heart disease, susceptibility to, 7, hypertension, essential, susceptibility to, 7, leprosy, susceptibility to, 4, hypertension, essential, susceptibility to, 8, epilepsy, idiopathic generalized, susceptibility to, 13, coronary heart disease, susceptibility to, 8, myoclonic epilepsy, juvenile, susceptibility to, 4, susceptibility to visceral leishmaniasis, 2, susceptibility to visceral leishmaniasis, 3, celiac disease, susceptibility to, 6, epilepsy, idiopathic generalized, susceptibility to, 5, epilepsy, childhood absence, susceptibility to, 6, celiac disease, susceptibility to, 7, celiac disease, susceptibility to, 8, celiac disease, susceptibility to, 9, celiac disease, susceptibility to, 10, celiac disease, susceptibility to, 11, celiac disease, susceptibility to, 12, celiac disease, susceptibility to, 13, coronary heart disease, susceptibility to, 9, systemic lupus erythematosus, susceptibility to, 10, systemic lupus erythematosus, susceptibility to, 11, systemic lupus erythematosus, susceptibility to, 12, epilepsy, childhood absence, susceptibility to, 5, attention deficit-hyperactivity disorder, susceptibility to, 5, attention deficit-hyperactivity disorder, susceptibility to, 6, systemic lupus erythematosus, susceptibility to, 13, sarcoidosis, susceptibility to, 2, sarcoidosis, susceptibility to, 3, osteoarthritis susceptibility 5, osteoarthritis susceptibility 6, focal segmental glomerulosclerosis 4, susceptibility to, epilepsy, idiopathic generalized, susceptibility to, 8, herpes simplex encephalitis, susceptibility to, 2, attention deficit-hyperactivity disorder, susceptibility to, 7, epilepsy, idiopathic generalized, susceptibility to, 10, pelvic organ prolapse, susceptibility to, 2, systemic lupus erythematosus, susceptibility to, 14, leprosy, susceptibility to, 5, thyrotoxic periodic paralysis, susceptibility to, 2, hearing loss, cisplatin-induced, susceptibility to, susceptibility to mononeuropathy of the median nerve, mild, fatty liver disease, nonalcoholic, susceptibility to, 2, leprosy, susceptibility to, 6, autoimmune disease, susceptibility to, 6, Parkinson disease 5, autosomal dominant, susceptibility to, aspergillosis, susceptibility to, sick sinus syndrome 3, susceptibility to, Parkinson disease 18, autosomal dominant, susceptibility to, epilepsy, juvenile myoclonic, susceptibility to, 9, dengue virus, susceptibility to, coronary heart disease, susceptibility to, 6, podoconiosis, susceptibility to, peripartum cardiomyopathy, susceptibility to, influenza, severe, susceptibility to, thyrotoxic periodic paralysis, susceptibility to, 3, human herpesvirus 8, susceptibility to, epilepsy, idiopathic generalized, susceptibility to, 12, herpes simplex encephalitis, susceptibility to, 3, herpes simplex encephalitis, susceptibility to, 4, pulmonary hypertension, neonatal, susceptibility to, craniosynostosis 5, susceptibility to, melioidosis, susceptibility to, chronic mountain sickness, susceptibility to, herpes simplex encephalitis, susceptibility to, 7, epilepsy, idiopathic generalized, susceptibility to, 14, hereditary neoplastic syndrome, autosomal recessive Mendelian susceptibility to mycobacterial diseases due to partial IFNgammaR1 deficiency, autosomal recessive Mendelian susceptibility to mycobacterial diseases due to partial IFNgammaR2 deficiency, susceptibility to localized juvenile periodontitis, inherited susceptibility to mycobacterial diseases, neural tube defects, susceptibility to, multiple system atrophy 1, susceptibility to, nephrolithiasis susceptibility caused by SLC26A1, myoclonic epilepsy, juvenile, susceptibility to, 1, epilepsy, childhood absence, susceptibility to, 1, autism, susceptiblity to, susceptibility to visceral leishmaniasis, 1, malaria, susceptibility to, spondyloarthropathy, susceptibility to, herpes simplex encephalitis, susceptibility to, 1, epilepsy, idiopathic generalized, susceptibility to, 18, epilepsy, idiopathic generalized, susceptibility to, 15, hepatitis, fulminant viral, susceptibility to, epilepsy, idiopathic generalized, susceptibility to, 16, autosomal recessive mendelian susceptibility to mycobacterial diseases due to partial jak1 deficiency, aortic aneurysm, familial thoracic 11, susceptibility to, craniosynostosis 7, amyotrophic lateral sclerosis, susceptibility to, 24, amyotrophic lateral sclerosis, susceptibility to, 25, epilepsy, juvenile myoclonic, susceptibility to, 10, susceptibility to angioedema induced by ACE inhibitors, epidermodysplasia verruciformis, susceptibility to, exfoliation syndrome, susceptibility to, basal cell carcinoma, susceptibility to, graft-versus-host disease, susceptibility to, narcolepsy, susceptibility to, restless legs syndrome, susceptibility to, psoriasis, susceptibility to, age related macular degeneration, susceptibility to, allergic rhinitis, susceptibility to, dermatitis, atopic, susceptibility to, Hirschsprung disease, susceptibility to, diabetes mellitus, ketosis-prone, schizophrenia, susceptibility to, radioulnar synostosis, nonsyndromic, susceptibility to, lumbar disk herniation, susceptibility to, lumbar disk degeneration, susceptibility to, psoriatic arthritis, susceptibility to, migraine with or without aura, susceptibility to, Alzheimer disease, susceptibility to, mitochondrial, Asperger syndrome, susceptibility to, tobacco addiction, susceptibility to, lipodystrophy, partial, acquired, susceptibility to, Graves disease, susceptibility to, 1, epilepsy, idiopathic generalized, susceptibility to, 17, breast-ovarian cancer, familial, susceptibility to, blepharospasm, benign essential, susceptibility to, hemorrhage, intracerebral, susceptibility to, IgA nephropathy, susceptibility to, hemolytic uremic syndrome, atypical, susceptibility to, 7, vitiligo-associated multiple autoimmune disease susceptibility 6, delayed sleep phase syndrome, susceptibility to, encephalitis, acute, infection-induced, susceptibility to, malignant hyperthermia, susceptibility to, multicentric Castleman disease, susceptibility to, pelvic organ prolapse, susceptibility to, 1, amyotrophic lateral sclerosis, susceptibility to, 13, Graves disease, susceptibility to, X-linked 2, autoimmune thyroid disease, susceptibility to, 5, atrioventricular septal defect, susceptibility to, 1, epilepsy, juvenile myoclonic, susceptibility to, 6, autoimmune disease, susceptibility to, 5, epilepsy, idiopathic generalized, susceptibility to, 6, seasonal affective disorder, susceptibility to, ventricular fibrillation during myocardial infarction, susceptibility to, UV-induced skin damage, susceptibility to, antisocial behavior, susceptibility to, aplastic anemia, susceptibility to, cardiomyopathy, familial hypertrophic, 4, susceptibility to, cirrhosis, noncryptogenic, susceptibility to, coronary artery disease, severe, susceptibility to, dengue fever, susceptibility to, dengue hemorrhagic fever, susceptibility to, dengue shock syndrome, susceptibility to, dyslexia, susceptibility to, 4, dyslexia, susceptibility to, 7, efavirenz central nervous system toxicity, susceptibility to, obesity, susceptibility to, bleeding disorder, platelet-type, 13, susceptibility to, Schistosoma mansoni infection, susceptibility/resistance to, Parkinson disease 24, autosomal dominant, susceptibility to, iron overload, susceptibility to, hydrocephalus, congenital, 5, susceptibility to, hearing loss, noise-induced, susceptibility to, hyperemesis gravidarum, susceptibility to, Parkinson disease 26, autosomal dominant, susceptibility to, epilepsy, idiopathic generalized, susceptibility to, 19, polycystic kidney disease 9, susceptibility to, rhabdomyolysis, susceptibility to, scoliosis, isolated, susceptibility to, dystonia 38, susceptibility to, gallbladder disease 4, epilepsy, juvenile absence, susceptibility to, GBA1-related Parkinson disease, susceptibility, SH2B3-related immune system disorder
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
32 retrieved; paginated sample, class counts are floors:
22 association, 5 protective, 2 benign, 2 benign; association, 1 risk factor
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 15897 | NG_023030.1:g.4769GT[30_?] | HMOX1 | risk factor | no assertion criteria provided |
| 1693593 | NM_014862.4(ARNT2):c.32-9124C>T | ARNT2 | association | no assertion criteria provided |
| 1693594 | NM_014862.4(ARNT2):c.31+6098A>G | ARNT2 | association | no assertion criteria provided |
| 1693590 | NM_020183.6(BMAL2):c.31+13565T>C | BMAL2 | association | no assertion criteria provided |
| 1693591 | NM_020183.6(BMAL2):c.285-60A>C | BMAL2 | association | no assertion criteria provided |
| 1693605 | NM_020183.6(BMAL2):c.31+11413G>A | BMAL2 | protective | no assertion criteria provided |
| 1693607 | NM_000781.3(CYP11A1):c.269+1460C>T | CYP11A1 | association | no assertion criteria provided |
| 1693606 | NM_000103.4(CYP19A1):c.452-1333G>T | CYP19A1 | association | no assertion criteria provided |
| 1693596 | NM_000770.3(CYP2C8):c.1292-404G>A | CYP2C8 | association | no assertion criteria provided |
| 1693597 | NM_000770.3(CYP2C8):c.482-166A>G | CYP2C8 | association | no assertion criteria provided |
| 1693598 | NM_000771.4(CYP2C9):c.1150-1847G>A | CYP2C9 | association | no assertion criteria provided |
| 1693614 | NM_000771.4(CYP2C9):c.961+729T>G | CYP2C9 | association | no assertion criteria provided |
| 1693587 | NM_000775.4(CYP2J2):c.148C>T (p.Leu50=) | CYP2J2 | association | no assertion criteria provided |
| 1693599 | NM_024514.5(CYP2R1):c.225+1110A>G | CYP2R1 | association | no assertion criteria provided |
| 1693592 | NM_006668.2(CYP46A1):c.357-124G>A | CYP46A1 | protective | no assertion criteria provided |
| 1693611 | NM_001010969.4(CYP4A22):c.691T>C (p.Cys231Arg) | CYP4A22 | association | no assertion criteria provided |
| 1693612 | NM_178134.3(CYP4Z1):c.1068-409G>A | CYP4A22-AS1 | association | no assertion criteria provided |
| 1693613 | NM_001099772.2(CYP4B1):c.*437T>C | CYP4B1 | association | no assertion criteria provided |
| 1693602 | NM_004528.4(MGST3):c.192-423G>A | LOC126805899 | association | no assertion criteria provided |
| 1693600 | NM_020300.5(MGST1):c.-22-1869G>A | MGST1 | association | no assertion criteria provided |
| 1693601 | NM_020300.5(MGST1):c.*57T>G | MGST1 | protective | no assertion criteria provided |
| 1693603 | NM_001267598.2(MGST1):c.221+8635G>T | MGST1 | protective | no assertion criteria provided |
| 1693604 | NM_020300.5(MGST1):c.221+2528G>C | MGST1 | association | no assertion criteria provided |
| 1693588 | NM_004528.4(MGST3):c.*58G>T | MGST3 | association | no assertion criteria provided |
| 1693589 | NM_004528.4(MGST3):c.*282G>T | MGST3 | protective | no assertion criteria provided |
| 1693608 | NM_004528.4(MGST3):c.-6C>T | MGST3 | association | no assertion criteria provided |
| 1693609 | NM_004528.4(MGST3):c.-8+936G>A | MGST3 | association | no assertion criteria provided |
| 1693610 | NM_004528.4(MGST3):c.-7-2921C>T | MGST3 | association | no assertion criteria provided |
| 17746 | NM_000684.3(ADRB1):c.1165G>C (p.Gly389Arg) | ADRB1 | Benign; association | no assertion criteria provided |
| 375654 | NM_000770.3(CYP2C8):c.1196A>G (p.Lys399Arg) | CYP2C8 | Benign; association | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 8 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| ARNT2 | Orphanet:3157 | Septo-optic dysplasia spectrum |
| CYP2R1 | Orphanet:289157 | Hypocalcemic vitamin D-dependent rickets |
| CYP11A1 | Orphanet:168558 | 46,XY difference of sex development-adrenal insufficiency due to CYP11A1 deficiency |
| CYP11A1 | Orphanet:289548 | Inherited isolated adrenal insufficiency due to partial CYP11A1 deficiency |
| CYP19A1 | Orphanet:178345 | Aromatase excess syndrome |
| CYP19A1 | Orphanet:91 | Aromatase deficiency |
| HMOX1 | Orphanet:562509 | Heme oxygenase-1 deficiency |
| HMOX1 | Orphanet:586 | Cystic fibrosis |
Cohort genes → proteins
17 cohort genes, 16 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 17 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| ARNT2 | HGNC:16876 | ENSG00000172379 | Q9HBZ2 | Aryl hydrocarbon receptor nuclear translocator 2 | clinvar |
| BMAL2 | HGNC:18984 | ENSG00000029153 | Q8WYA1 | Basic helix-loop-helix ARNT-like protein 2 | clinvar |
| CYP4A22 | HGNC:20575 | ENSG00000162365 | Q5TCH4 | Cytochrome P450 4A22 | clinvar |
| CYP2R1 | HGNC:20580 | ENSG00000186104 | Q6VVX0 | Vitamin D 25-hydroxylase | clinvar |
| CYP11A1 | HGNC:2590 | ENSG00000140459 | P05108 | Cholesterol side-chain cleavage enzyme, mitochondrial | clinvar |
| CYP19A1 | HGNC:2594 | ENSG00000137869 | P11511 | Aromatase | clinvar |
| CYP2C8 | HGNC:2622 | ENSG00000138115 | P10632 | Cytochrome P450 2C8 | clinvar |
| CYP2C9 | HGNC:2623 | ENSG00000138109 | P11712 | Cytochrome P450 2C9 | clinvar |
| CYP2J2 | HGNC:2634 | ENSG00000134716 | P51589 | Cytochrome P450 2J2 | clinvar |
| CYP46A1 | HGNC:2641 | ENSG00000036530 | Q9Y6A2 | Cholesterol 24-hydroxylase | clinvar |
| CYP4B1 | HGNC:2644 | ENSG00000142973 | P13584 | Cytochrome P450 4B1 | clinvar |
| ADRB1 | HGNC:285 | ENSG00000043591 | P08588 | Beta-1 adrenergic receptor | clinvar |
| CYP4A22-AS1 | HGNC:43715 | ENSG00000225506 | CYP4A22 antisense RNA 1 | clinvar | |
| GSTP1 | HGNC:4638 | ENSG00000084207 | P09211 | Glutathione S-transferase P | clinvar |
| HMOX1 | HGNC:5013 | ENSG00000100292 | P09601 | Heme oxygenase 1 | clinvar |
| MGST1 | HGNC:7061 | ENSG00000008394 | P10620 | Microsomal glutathione S-transferase 1 | clinvar |
| MGST3 | HGNC:7064 | ENSG00000143198 | O14880 | Glutathione S-transferase 3, mitochondrial | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| ARNT2 | Aryl hydrocarbon receptor nuclear translocator 2 | Transcription factor that plays a role in the development of the hypothalamo-pituitary axis, postnatal brain growth, and visual and renal function. |
| BMAL2 | Basic helix-loop-helix ARNT-like protein 2 | Transcriptional activator which forms a core component of the circadian clock. |
| CYP4A22 | Cytochrome P450 4A22 | Catalyzes the omega- and (omega-1)-hydroxylation of various fatty acids such as laurate and palmitate. |
| CYP2R1 | Vitamin D 25-hydroxylase | A cytochrome P450 monooxygenase involved in activation of vitamin D precursors. |
| CYP11A1 | Cholesterol side-chain cleavage enzyme, mitochondrial | A cytochrome P450 monooxygenase that catalyzes the side-chain hydroxylation and cleavage of cholesterol to pregnenolone, the precursor of most steroid hormones. |
| CYP19A1 | Aromatase | A cytochrome P450 monooxygenase that catalyzes the conversion of C19 androgens, androst-4-ene-3,17-dione (androstenedione) and testosterone to the C18 estrogens, estrone and estradiol, respectively. |
| CYP2C8 | Cytochrome P450 2C8 | A cytochrome P450 monooxygenase involved in the metabolism of various endogenous substrates, including fatty acids, steroid hormones and vitamins. |
| CYP2C9 | Cytochrome P450 2C9 | A cytochrome P450 monooxygenase involved in the metabolism of various endogenous substrates, including fatty acids and steroids. |
| CYP2J2 | Cytochrome P450 2J2 | A cytochrome P450 monooxygenase involved in the metabolism of polyunsaturated fatty acids (PUFA) in the cardiovascular system. |
| CYP46A1 | Cholesterol 24-hydroxylase | P450 monooxygenase that plays a major role in cholesterol homeostasis in the brain. |
| CYP4B1 | Cytochrome P450 4B1 | Cytochromes P450 are a group of heme-thiolate monooxygenases. |
| ADRB1 | Beta-1 adrenergic receptor | G protein-coupled receptor for catecholamines that couples to G(s) proteins to activate adenylate cyclase and cAMP-dependent pathway. |
| GSTP1 | Glutathione S-transferase P | Catalyzes conjugation of reduced glutathione to a wide number of exogenous and endogenous hydrophobic electrophiles. |
| HMOX1 | Heme oxygenase 1 | Catalyzes the oxidative cleavage of heme at the alpha-methene bridge carbon, released as carbon monoxide (CO), to generate biliverdin IXalpha, while releasing the central heme iron chelate as ferrous iron. |
| MGST1 | Microsomal glutathione S-transferase 1 | Conjugation of reduced glutathione to a wide number of exogenous and endogenous hydrophobic electrophiles. |
| MGST3 | Glutathione S-transferase 3, mitochondrial | Displays both glutathione S-transferase and glutathione peroxidase activities toward oxyeicosanoids, as part of cellular detoxification as well as synthesis of bioactive metabolites. |
Protein-family classification
Druggable: 10 · Difficult: 2 · Unknown: 5 · Druggable fraction: 0.59
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 |
|---|---|---|---|
| Enzyme (other) | 9 | 6.3× | 1e-05 |
| GPCR | 1 | 1.4× | 0.837 |
| Transcription factor | 2 | 1.0× | 0.837 |
| Other/Unknown | 5 | 0.5× | 0.993 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| ARNT2 | Transcription factor | no | PAS, Nuc_translocat, PAC | |
| BMAL2 | Transcription factor | no | PAS, Nuc_translocat, bHLH_dom | |
| CYP4A22 | Other/Unknown | no | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS | |
| CYP2R1 | Enzyme (other) | yes | 1.14.14.24 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS |
| CYP11A1 | Enzyme (other) | yes | 1.14.15.6 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS |
| CYP19A1 | Enzyme (other) | yes | 1.14.14.14 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS |
| CYP2C8 | Enzyme (other) | yes | 1.14.14.1 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS |
| CYP2C9 | Enzyme (other) | yes | 1.14.99.38 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS |
| CYP2J2 | Enzyme (other) | yes | 1.14.14.24 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_E_grp-I_CYP2J-like |
| CYP46A1 | Enzyme (other) | yes | 1.14.14.25 | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS |
| CYP4B1 | Other/Unknown | no | Cyt_P450, Cyt_P450_E_grp-I, Cyt_P450_CS | |
| ADRB1 | GPCR | yes | GPCR_Rhodpsn, ADRB1_rcpt, ADR_fam | |
| CYP4A22-AS1 | Other/Unknown | no | ||
| GSTP1 | Enzyme (other) | yes | 2.5.1.18 | GST_pi, Glutathione_S-Trfase_N, GST_C |
| HMOX1 | Enzyme (other) | yes | 1.14.14.18 | Haem_Oase, Haem_Oase-like, Haem_Oase-like_multi-hlx |
| MGST1 | Other/Unknown | no | Membr-assoc_MAPEG, MAPEG-like_dom_sf, MGST1-like | |
| MGST3 | Other/Unknown | no | Membr-assoc_MAPEG, MAPEG-like_dom_sf, MAPEG |
Expression context
Cohort genes with no expression data: 0.
17 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 17 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| liver | 3 |
| right lobe of liver | 3 |
| jejunal mucosa | 3 |
| middle temporal gyrus | 2 |
| lower esophagus mucosa | 2 |
| quadriceps femoris | 2 |
| left testis | 2 |
| sperm | 2 |
| right adrenal gland | 2 |
| right adrenal gland cortex | 2 |
| bronchial epithelial cell | 2 |
| frontal pole | 1 |
| lateral globus pallidus | 1 |
| amniotic fluid | 1 |
| esophagus squamous epithelium | 1 |
| male germ cell | 1 |
| adrenal tissue | 1 |
| placenta | 1 |
| right testis | 1 |
| apex of heart | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| ARNT2 | 246 | ubiquitous | marker | lateral globus pallidus, middle temporal gyrus, frontal pole |
| BMAL2 | 200 | ubiquitous | marker | lower esophagus mucosa, esophagus squamous epithelium, amniotic fluid |
| CYP4A22 | 77 | tissue_specific | marker | right lobe of liver, liver, quadriceps femoris |
| CYP2R1 | 252 | ubiquitous | marker | sperm, male germ cell, left testis |
| CYP11A1 | 136 | broad | marker | adrenal tissue, right adrenal gland, right adrenal gland cortex |
| CYP19A1 | 159 | tissue_specific | marker | placenta, right testis, left testis |
| CYP2C8 | 185 | tissue_specific | marker | right lobe of liver, liver, sperm |
| CYP2C9 | 157 | tissue_specific | marker | right lobe of liver, jejunal mucosa, liver |
| CYP2J2 | 243 | broad | marker | jejunal mucosa, apex of heart, heart left ventricle |
| CYP46A1 | 198 | broad | marker | middle temporal gyrus, putamen, Brodmann (1909) area 46 |
| CYP4B1 | 239 | tissue_specific | marker | bronchial epithelial cell, epithelium of bronchus, bronchus |
| ADRB1 | 205 | broad | marker | heart right ventricle, parotid gland, bronchial epithelial cell |
| CYP4A22-AS1 | 132 | tissue_specific | marker | male germ line stem cell (sensu Vertebrata) in testis, quadriceps femoris, thymus |
| GSTP1 | 293 | ubiquitous | marker | lower esophagus mucosa, right uterine tube, olfactory segment of nasal mucosa |
| HMOX1 | 230 | ubiquitous | marker | cartilage tissue, spleen, monocyte |
| MGST1 | 258 | ubiquitous | marker | right adrenal gland, right adrenal gland cortex, left adrenal gland |
| MGST3 | 293 | ubiquitous | marker | corpus epididymis, jejunal mucosa, skeletal muscle tissue of rectus abdominis |
Protein interactions among cohort
Intra-cohort edges: 3.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| HMOX1 | 4,054 |
| CYP19A1 | 3,732 |
| GSTP1 | 3,521 |
| CYP2C9 | 2,250 |
| MGST3 | 2,162 |
| CYP11A1 | 2,123 |
| CYP46A1 | 1,944 |
| CYP2C8 | 1,730 |
| ADRB1 | 1,702 |
| CYP4B1 | 1,617 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| GSTP1 | MGST1 | string_interaction |
| GSTP1 | MGST3 | string_interaction |
| MGST1 | MGST3 | string_interaction |
Structural data
PDB: 10 · AlphaFold-only: 6 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| GSTP1 | P09211 | 68 |
| HMOX1 | P09601 | 26 |
| CYP46A1 | Q9Y6A2 | 21 |
| CYP2C9 | P11712 | 15 |
| CYP19A1 | P11511 | 11 |
| ADRB1 | P08588 | 7 |
| CYP2C8 | P10632 | 5 |
| CYP11A1 | P05108 | 4 |
| CYP2R1 | Q6VVX0 | 3 |
| BMAL2 | Q8WYA1 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| CYP4B1 | P13584 | 94.34 |
| CYP2J2 | P51589 | 93.90 |
| MGST3 | O14880 | 92.78 |
| CYP4A22 | Q5TCH4 | 89.57 |
| MGST1 | P10620 | 78.65 |
| ARNT2 | Q9HBZ2 | 59.49 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 60. Enrichment computed across 17 evidence-associated genes (16 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 16 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Xenobiotics | 4 | 124.1× | 1e-06 | ARNT2, CYP2C8, CYP2C9, CYP2J2 |
| Endogenous sterols | 4 | 98.5× | 2e-06 | ARNT2, CYP11A1, CYP19A1, CYP46A1 |
| Synthesis of epoxy (EET) and dihydroxyeicosatrienoic acids (DHET) | 3 | 267.7× | 3e-06 | CYP2C8, CYP2C9, CYP2J2 |
| Fatty acids | 3 | 133.8× | 2e-05 | CYP4A22, CYP2J2, CYP4B1 |
| Glutathione conjugation | 3 | 93.1× | 5e-05 | GSTP1, MGST1, MGST3 |
| Biosynthesis of maresin-like SPMs | 2 | 237.9× | 3e-04 | CYP2C8, CYP2C9 |
| Synthesis of (16-20)-hydroxyeicosatetraenoic acids (HETE) | 2 | 158.6× | 6e-04 | CYP2C8, CYP2C9 |
| Miscellaneous substrates | 2 | 119.0× | 7e-04 | CYP4A22, CYP4B1 |
| Eicosanoids | 2 | 119.0× | 7e-04 | CYP4A22, CYP4B1 |
| CYP2E1 reactions | 2 | 119.0× | 7e-04 | CYP2C8, CYP2C9 |
| Biological oxidations | 3 | 24.3× | 0.001 | ARNT2, MGST1, MGST3 |
| Aflatoxin activation and detoxification | 2 | 79.3× | 0.001 | MGST1, MGST3 |
| Synthesis of Leukotrienes (LT) and Eoxins (EX) | 2 | 71.4× | 0.002 | CYP4A22, CYP4B1 |
| Aspirin ADME | 2 | 39.6× | 0.005 | CYP2C8, CYP2C9 |
| Defective CYP27B1 causes VDDR1B | 1 | 713.8× | 0.005 | CYP2R1 |
| Defective CYP19A1 causes AEXS | 1 | 713.8× | 0.005 | CYP19A1 |
| Phase II - Conjugation of compounds | 2 | 34.8× | 0.005 | MGST1, MGST3 |
| Defective CYP11A1 causes AICSR | 1 | 142.8× | 0.022 | CYP11A1 |
| Regulation of HMOX1 expression and activity | 1 | 142.8× | 0.022 | HMOX1 |
| Estrogen biosynthesis | 1 | 119.0× | 0.023 | CYP19A1 |
| Vitamins | 1 | 119.0× | 0.023 | CYP2R1 |
| Aryl hydrocarbon receptor signalling | 1 | 119.0× | 0.023 | ARNT2 |
| Adrenoceptors | 1 | 79.3× | 0.033 | ADRB1 |
| Synthesis of bile acids and bile salts via 24-hydroxycholesterol | 1 | 54.9× | 0.043 | CYP46A1 |
| Vitamin D (calciferol) metabolism | 1 | 54.9× | 0.043 | CYP2R1 |
| Heme degradation | 1 | 51.0× | 0.043 | HMOX1 |
| Pregnenolone biosynthesis | 1 | 51.0× | 0.043 | CYP11A1 |
| Cytochrome P450 - arranged by substrate type | 1 | 44.6× | 0.048 | ARNT2 |
| The NLRP3 inflammasome | 1 | 42.0× | 0.049 | HMOX1 |
| Transcriptional Regulation by NPAS4 | 1 | 35.7× | 0.055 | ARNT2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 16 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| xenobiotic metabolic process | 6 | 55.9× | 1e-07 | CYP2R1, CYP2C8, CYP2C9, CYP2J2, CYP46A1, GSTP1 |
| obsolete organic acid metabolic process | 3 | 451.4× | 2e-06 | CYP2R1, CYP2C8, CYP2J2 |
| icosanoid biosynthetic process | 3 | 316.0× | 5e-06 | CYP4A22, CYP2C8, CYP2C9 |
| epoxygenase P450 pathway | 3 | 166.3× | 3e-05 | CYP2C8, CYP2C9, CYP2J2 |
| sterol metabolic process | 3 | 158.0× | 3e-05 | CYP11A1, CYP19A1, CYP46A1 |
| linoleic acid metabolic process | 3 | 131.7× | 4e-05 | CYP4A22, CYP2J2, GSTP1 |
| lipid hydroxylation | 2 | 300.9× | 4e-04 | CYP4A22, CYP2C8 |
| oxidative demethylation | 2 | 263.3× | 5e-04 | CYP2C8, CYP2C9 |
| vitamin D metabolic process | 2 | 191.5× | 8e-04 | CYP2R1, CYP11A1 |
| omega-hydroxylase P450 pathway | 2 | 191.5× | 8e-04 | CYP2C8, CYP2C9 |
| response to estradiol | 3 | 37.2× | 1e-03 | ARNT2, CYP19A1, GSTP1 |
| negative regulation of ferroptosis | 2 | 100.3× | 0.002 | GSTP1, HMOX1 |
| estrogen metabolic process | 2 | 78.0× | 0.004 | CYP2C8, CYP2C9 |
| xenobiotic catabolic process | 2 | 70.2× | 0.004 | CYP2C8, CYP2C9 |
| arachidonate metabolic process | 2 | 60.2× | 0.005 | CYP4A22, MGST3 |
| long-chain fatty acid biosynthetic process | 2 | 55.4× | 0.006 | CYP2C8, CYP2C9 |
| prostanoid metabolic process | 1 | 1053.2× | 0.007 | MGST3 |
| response to cesium ion | 1 | 1053.2× | 0.007 | CYP2R1 |
| urea metabolic process | 1 | 1053.2× | 0.007 | CYP2C9 |
| nitric oxide storage | 1 | 1053.2× | 0.007 | GSTP1 |
| cellular response to lipid hydroperoxide | 1 | 1053.2× | 0.007 | MGST1 |
| steroid hormone biosynthetic process | 1 | 1053.2× | 0.007 | CYP11A1 |
| steroid metabolic process | 2 | 42.1× | 0.007 | CYP2C8, CYP2C9 |
| positive regulation of heart rate by epinephrine-norepinephrine | 1 | 526.6× | 0.010 | ADRB1 |
| positive regulation of the force of heart contraction by epinephrine-norepinephrine | 1 | 526.6× | 0.010 | ADRB1 |
| wound healing involved in inflammatory response | 1 | 526.6× | 0.010 | HMOX1 |
| heme oxidation | 1 | 526.6× | 0.010 | HMOX1 |
| smooth muscle hyperplasia | 1 | 526.6× | 0.010 | HMOX1 |
| biphenyl metabolic process | 1 | 526.6× | 0.010 | CYP4B1 |
| negative regulation of leukocyte proliferation | 1 | 526.6× | 0.010 | GSTP1 |
Therapeutics
Drug target analysis
Approved (phase 4): 11 · Phase ≥3: 11 · Phased (≥1): 11 · Undrugged: 6
Druggability breadth: 14 of 17 evidence-associated genes (82%) 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 |
|---|---|
| CYP4A22 | PAZOPANIB |
| CYP2R1 | PAZOPANIB |
| CYP11A1 | AMINOGLUTETHIMIDE |
| CYP19A1 | CLOTRIMAZOLE |
| CYP2C8 | CLOTRIMAZOLE |
| CYP2C9 | BEPRIDIL |
| CYP2J2 | BEPRIDIL |
| CYP46A1 | EFAVIRENZ |
| CYP4B1 | PAZOPANIB |
| ADRB1 | LABETALOL HYDROCHLORIDE |
| GSTP1 | ETHACRYNIC ACID |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| CYP2C9 | 357 | 4 |
| ADRB1 | 154 | 4 |
| CYP2C8 | 62 | 4 |
| CYP19A1 | 40 | 4 |
| CYP2J2 | 25 | 4 |
| CYP46A1 | 4 | 4 |
| GSTP1 | 2 | 4 |
| CYP4A22 | 1 | 4 |
| CYP2R1 | 1 | 4 |
| CYP11A1 | 1 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PAZOPANIB | 4 | CYP2C8, CYP2C9, CYP2J2, CYP2R1, CYP4A22, CYP4B1 |
| AMINOGLUTETHIMIDE | 4 | CYP11A1, CYP19A1 |
| CLOTRIMAZOLE | 4 | ADRB1, CYP19A1, CYP2C8, CYP2C9 |
| FLUCONAZOLE | 4 | CYP19A1, CYP2C9 |
| EXEMESTANE | 4 | CYP19A1 |
| POSACONAZOLE | 4 | CYP19A1, CYP2C9 |
| ANASTROZOLE | 4 | CYP19A1 |
| ESTRONE | 4 | CYP19A1 |
| LETROZOLE | 4 | CYP19A1 |
| TESTOLACTONE | 4 | CYP19A1 |
| KETOCONAZOLE | 4 | CYP19A1, CYP2C8, CYP2C9 |
| FLUOROURACIL | 4 | CYP19A1 |
| OSILODROSTAT | 4 | CYP19A1 |
| TESTOSTERONE | 4 | CYP19A1 |
| NIMESULIDE | 4 | CYP19A1, CYP2C9 |
| MICONAZOLE | 4 | ADRB1, CYP19A1, CYP2C9, CYP2J2 |
| SIMVASTATIN | 4 | CYP2C8 |
| PHENELZINE | 4 | CYP2C8, CYP2C9 |
| MONTELUKAST SODIUM | 4 | CYP2C8, CYP2C9 |
| MIFEPRISTONE | 4 | CYP2C8, CYP2C9 |
| DANAZOL | 4 | CYP2C8, CYP2C9, CYP2J2 |
| NICARDIPINE | 4 | CYP2C8, CYP2C9, CYP2J2 |
| ISRADIPINE | 4 | CYP2C8, CYP2C9 |
| IBRUTINIB | 4 | CYP2C8, CYP2C9 |
| LUMACAFTOR | 4 | CYP2C8, CYP2C9 |
| ANIDULAFUNGIN | 4 | CYP2C8 |
| RESMETIROM | 4 | CYP2C8, CYP2C9 |
| ZANUBRUTINIB | 4 | CYP2C8, CYP2C9 |
| VOXELOTOR | 4 | CYP2C8, CYP2C9 |
| NORTRIPTYLINE | 4 | ADRB1, CYP2C8 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 9.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| CYP2C9 | 3,498 | ADMET:3425, Binding:71, Functional:1, Toxicity:1 |
| CYP2C8 | 1,025 | ADMET:1005, Binding:19, Toxicity:1 |
| ADRB1 | 809 | Binding:509, Functional:290, ADMET:10 |
| CYP19A1 | 728 | Binding:698, ADMET:17, Functional:13 |
| CYP2J2 | 260 | ADMET:255, Binding:5 |
| CYP4A22 | 183 | ADMET:181, Binding:2 |
| CYP2R1 | 183 | ADMET:181, Binding:2 |
| CYP4B1 | 183 | ADMET:181, Binding:2 |
| GSTP1 | 126 | Binding:107, ADMET:19 |
| CYP46A1 | 27 | Binding:24, ADMET:3 |
| HMOX1 | 23 | Binding:22, ADMET:1 |
| MGST3 | 10 | Binding:9, ADMET:1 |
| MGST1 | 3 | ADMET:2, Binding:1 |
| CYP11A1 | 1 | Functional:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| CYP2R1 | 1.14.14.24 | vitamin D 25-hydroxylase |
| CYP11A1 | 1.14.15.6 | cholesterol monooxygenase (side-chain-cleaving) |
| CYP19A1 | 1.14.14.14 | aromatase |
| CYP2C8 | 1.14.14.1 | unspecific monooxygenase |
| CYP2C9 | 1.14.99.38 | cholesterol 25-monooxygenase |
| CYP2J2 | 1.14.14.24, 1.14.14.73, 1.14.14.74, 1.14.14.75 | vitamin D 25-hydroxylase, albendazole monooxygenase (sulfoxide-forming), albendazole monooxygenase (hydroxylating), fenbendazole monooxygenase (4’-hydroxylating) |
| CYP46A1 | 1.14.14.25 | cholesterol 24-hydroxylase |
| GSTP1 | 2.5.1.18 | glutathione transferase |
| HMOX1 | 1.14.14.18 | heme oxygenase (biliverdin-producing) |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| CYP4A22 | 183 |
| CYP2R1 | 183 |
| CYP19A1 | 728 |
| CYP2C8 | 1,025 |
| CYP2C9 | 3,498 |
| CYP2J2 | 260 |
| CYP4B1 | 183 |
| ADRB1 | 809 |
| GSTP1 | 126 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 16; with CPIC/DPWG dosing guidelines: 3.
Cohort genes with a CPIC/DPWG dosing guideline
| Symbol | CPIC guidelines |
|---|---|
| CYP2C8 | 1 |
| CYP2C9 | 1 |
| ADRB1 | 1 |
Chemical tractability of cohort targets
30 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) |
|---|---|---|
| PAZOPANIB | 4 | CYP2C8, CYP2C9, CYP2J2, CYP2R1, CYP4A22, CYP4B1 |
| AMINOGLUTETHIMIDE | 4 | CYP11A1, CYP19A1 |
| CLOTRIMAZOLE | 4 | ADRB1, CYP19A1, CYP2C8, CYP2C9 |
| FLUCONAZOLE | 4 | CYP19A1, CYP2C9 |
| EXEMESTANE | 4 | CYP19A1 |
| POSACONAZOLE | 4 | CYP19A1, CYP2C9 |
| ANASTROZOLE | 4 | CYP19A1 |
| ESTRONE | 4 | CYP19A1 |
| LETROZOLE | 4 | CYP19A1 |
| TESTOLACTONE | 4 | CYP19A1 |
| KETOCONAZOLE | 4 | CYP19A1, CYP2C8, CYP2C9 |
| FLUOROURACIL | 4 | CYP19A1 |
| OSILODROSTAT | 4 | CYP19A1 |
| TESTOSTERONE | 4 | CYP19A1 |
| NIMESULIDE | 4 | CYP19A1, CYP2C9 |
| MICONAZOLE | 4 | ADRB1, CYP19A1, CYP2C9, CYP2J2 |
| SIMVASTATIN | 4 | CYP2C8 |
| PHENELZINE | 4 | CYP2C8, CYP2C9 |
| MONTELUKAST SODIUM | 4 | CYP2C8, CYP2C9 |
| MIFEPRISTONE | 4 | CYP2C8, CYP2C9 |
| DANAZOL | 4 | CYP2C8, CYP2C9, CYP2J2 |
| NICARDIPINE | 4 | CYP2C8, CYP2C9, CYP2J2 |
| ISRADIPINE | 4 | CYP2C8, CYP2C9 |
| IBRUTINIB | 4 | CYP2C8, CYP2C9 |
| LUMACAFTOR | 4 | CYP2C8, CYP2C9 |
| ANIDULAFUNGIN | 4 | CYP2C8 |
| RESMETIROM | 4 | CYP2C8, CYP2C9 |
| ZANUBRUTINIB | 4 | CYP2C8, CYP2C9 |
| VOXELOTOR | 4 | CYP2C8, CYP2C9 |
| NORTRIPTYLINE | 4 | ADRB1, CYP2C8 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 11 | CYP4A22, CYP2R1, CYP11A1, CYP19A1, CYP2C8, CYP2C9, CYP2J2, CYP46A1, CYP4B1, ADRB1 (+1 more) |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | HMOX1 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 5 | ARNT2, BMAL2, CYP4A22-AS1, MGST1, MGST3 |
Undrugged target profiles
6 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| ARNT2 | 0 | — |
| BMAL2 | 0 | — |
| CYP4A22-AS1 | 0 | — |
| HMOX1 | 23 | — |
| MGST1 | 3 | — |
| MGST3 | 10 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 0.