Pulmonary fibrosis and/or bone marrow failure, telomere-related, 5

disease
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Also known as PFBMFT5ZCCHC8-related telomere biology disorder

Summary

Pulmonary fibrosis and/or bone marrow failure, telomere-related, 5 (MONDO:0032865) is a disease with 1 cohort gene.

At a glance

  • Cohort genes: 1
  • ClinVar variants: 9

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical namepulmonary fibrosis and/or bone marrow failure, telomere-related, 5
Mondo IDMONDO:0032865
OMIM618674
UMLSC5231457
MedGen1684878
GARD0025762
Is cancer (heuristic)no

Also known as: PFBMFT5 · ZCCHC8-related telomere biology disorder

Data availability: 9 ClinVar variants · 1 GenCC gene-disease record.

Disease family

Classification path: disease › human disease › disease by body system or component › respiratory system disorderlower respiratory tract disorderlung disorderinterstitial lung diseasepulmonary fibrosispulmonary fibrosis and/or bone marrow failure, telomere-relatedpulmonary fibrosis and/or bone marrow failure, telomere-related, 5

Related subtypes (8): pulmonary fibrosis and/or bone marrow failure, Telomere-related, 1, pulmonary fibrosis and/or bone marrow failure, Telomere-related, 2, pulmonary fibrosis and/or bone marrow failure, Telomere-related, 4, pulmonary fibrosis and/or bone marrow failure, Telomere-related, 3, pulmonary fibrosis and/or bone marrow failure, telomere-related, 6, pulmonary fibrosis and/or bone marrow failure syndrome, telomere-related, 7, pulmonary fibrosis and/or bone marrow failure syndrome, telomere-related, 8, pulmonary fibrosis and/or bone marrow failure syndrome, telomere-related, 9

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

9 retrieved; paginated sample, class counts are floors:

4 uncertain significance, 2 benign, 1 conflicting classifications of pathogenicity, 1 pathogenic, 1 benign/likely benign

ClinVarVariant (HGVS)GeneClassificationReview
694674NM_017612.5(ZCCHC8):c.557C>T (p.Pro186Leu)ZCCHC8Pathogeniccriteria provided, single submitter
1029475NM_017612.5(ZCCHC8):c.508G>A (p.Gly170Arg)ZCCHC8Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1462451NM_017612.5(ZCCHC8):c.1370A>T (p.Gln457Leu)ZCCHC8Uncertain significancecriteria provided, multiple submitters, no conflicts
1675154NM_017612.5(ZCCHC8):c.550G>A (p.Gly184Arg)ZCCHC8Uncertain significancecriteria provided, single submitter
3067833NM_017612.5(ZCCHC8):c.574C>G (p.Pro192Ala)ZCCHC8Uncertain significancecriteria provided, single submitter
932915NM_017612.5(ZCCHC8):c.1487C>T (p.Thr496Ile)ZCCHC8Uncertain significancecriteria provided, multiple submitters, no conflicts
1684250NM_017612.5(ZCCHC8):c.1140+29A>GZCCHC8Benigncriteria provided, multiple submitters, no conflicts
1684251NM_017612.5(ZCCHC8):c.200-44T>CZCCHC8Benigncriteria provided, multiple submitters, no conflicts
786612NM_017612.5(ZCCHC8):c.1345+5G>AZCCHC8Benign/Likely benigncriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 4 · Orphanet: 0 · 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.

GeneClassificationInheritanceDiseaseRecords
ZCCHC8StrongAutosomal dominantpulmonary fibrosis and/or bone marrow failure, telomere-related4

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
ZCCHC8HGNC:25265ENSG00000033030Q6NZY4Zinc finger CCHC domain-containing protein 8gencc,clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
ZCCHC8Zinc finger CCHC domain-containing protein 8Scaffolding subunit of the trimeric nuclear exosome targeting (NEXT) complex that is involved in the surveillance and turnover of aberrant transcripts and non-coding RNAs.

Protein-family classification

Druggable: 0 · Difficult: 1 · Unknown: 0 · 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.

FamilyGenesFoldFDR
Transcription factor18.3×0.121

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
ZCCHC8Transcription factornoZnf_CCHC, PSP_pro-rich, NEXT_complex_subunit_ZCCHC8

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)

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

Top tissues across cohort

TissueCohort genes
cervix squamous epithelium1
endothelial cell1
sperm1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
ZCCHC8282ubiquitousmarkercervix squamous epithelium, sperm, endothelial cell

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

SymbolInteractor count
ZCCHC81,903

Structural data

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

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
ZCCHC8Q6NZY48

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 2. Enrichment computed across 1 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Nuclear RNA decay1308.6×0.006ZCCHC8
Regulation of endogenous retroelements by the Human Silencing Hub (HUSH) complex1163.1×0.006ZCCHC8

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 termCohort genesFoldFDRSample cohort genes
co-transcriptional lncRNA 3’ end processing, cleavage and polyadenylation pathway116852.0×3e-04ZCCHC8
snRNA catabolic process15617.3×4e-04ZCCHC8
mRNA 3’-end processing1561.7×0.003ZCCHC8
RNA processing1218.9×0.006ZCCHC8
mRNA splicing, via spliceosome191.6×0.011ZCCHC8

Therapeutics

Drug target analysis

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

Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

SymbolMoleculesMax phase
ZCCHC800

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

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

SymbolAssaysType breakdown
ZCCHC81Binding:1

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):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)0
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug0
EDifficult family or no structure, no drug1ZCCHC8

Undrugged target profiles

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

SymbolChEMBL assaysDrugged partners (top 3)
ZCCHC81

Clinical trials & evidence

Clinical trials

Clinical trials: 0.