Send feedback

Refractive error

disease
On this page

Summary

Refractive error (MONDO:0004892) is a disease (an umbrella term covering 7 Mondo subtypes) whose subtypes are caused by variants in ARR3, CPSF1, LOXL3, and 7 other genes. It is a defect in the focusing of light on the retina as in astigmatism, myopia, or hyperopia (Mondo). This page aggregates 75 associated genes (2,199 GWAS associations across 29 studies) and 296 registered clinical trials. Top therapeutic interventions include brimonidine, cyclopentolate, and proparacaine.

At a glance

  • Umbrella term: 7 Mondo subtypes
  • Cohort genes: 75 (strongest-evidence selection; the list is capped)
  • GWAS associations: 2,199 (top 1% of diseases corpus-wide)
  • Clinical trials: 296 (top 2% of diseases corpus-wide)
  • Druggability snapshot: 0 of 75 cohort genes are drug-illuminated (an approved/clinical drug with curated evidence); 65 functionally characterized but not yet drugged (BIN3, CCL4, BMP2, BMP3). Atlas-derived.

Clinical features

Clinical description

Mondo: A defect in the focusing of light on the retina as in astigmatism, myopia, or hyperopia.

MeSH: Deviations from the average or standard indices of refraction of the eye through its dioptric or refractive apparatus.

Identifiers

Disease identifiers

FieldValue
Canonical namerefractive error
Mondo IDMONDO:0004892
MeSHD012030
DOIDDOID:9835
SNOMED CT39021009
UMLSC0034951
MedGen20508
Is cancer (heuristic)no

Data availability: 2,199 GWAS associations (29 studies).

Disease family

An umbrella term covering 7 Mondo subtypes.

Classification path: disease › human disease › disease by body system or component › disorder of orbital region › eye disorder › refractive error

Sibling subtypes (119): ptosis, eye accommodation disease, corneal disorder, asthenopia, lens disorder, ocular siderosis, coloboma, mucopolysaccharidosis type 1, lacrimal apparatus disorder, anterior dislocation of lens, uveal disorder, eyelid disorder, ocular hypotension, scotoma, exophthalmos, glaucoma, retinal disorder, eye allergy, optic neuritis, conjunctival disorder, … (+99 more under eye disorder)

Subtypes (7): presbyopia, myopia, anisometropia, hyperopia, astigmatism, … (+2 more)

Genetics & variants

GWAS landscape

2,199 GWAS associations across 29 studies. Top hits map to 37 distinct genes (as reported by GWAS).

Top associations by p-value

showing 30 of 2,199 associations by p-value:

rsIDp-valueGeneRisk alleleOdds ratio
rs121934461e-300LAMA2A0.11
rs6349902e-221LINC02252 - GJD2T0.06
rs176485243e-193RBFOX1C0.06
rs77448136e-188KCNQ5A0.05
rs116020083e-181LRRC4CA0.06
rs27412977e-118PRSS56A0.05
rs117771764e-106TOX-DT - RNA5SP267T0.04
rs5249521e-104LINC02252 - GJD2T0.24
rs95853274e-96NDUFA12P1 - PCCA-DTA0.03
rs168900579e-95ZMAT4A0.04
rs133801044e-83RASGRF1T0.03
rs29089722e-82SHISA6A0.03
rs174003251e-69PDE11A, PDE11A-AS1T0.08
rs28555302e-68BMP4C0.03
rs728685811e-67BMP3C0.06
rs174071651e-67KCNMA1A0.03
rs129656071e-66MYO5BT0.04
rs107464635e-64CD55A0.03
rs15500942e-61PRSS56A0.19
rs18205421e-58BICC1T0.02
rs618400362e-58FRMPD2A0.03
rs1785973e-58LMCD1-AS1T0.02
rs31381422e-57RDH5T0.21
rs10739861e-56DLG2T0.02
rs66723824e-56U3 - NMNAT1P2A0.03
rs621838083e-55METAP1DA0.03
rs107883338e-54CDHR1A0.02
rs65346429e-54ANTXR2T0.03
rs98572753e-53PXYLP1, ZBTB38A0.02
rs71888591e-52RBFOX1T0.17

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST90078860Backman JD2021386,78643,548Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90082846Backman JD2021386,78643,548Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90079424Backman JD202146,02035,830Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083410Backman JD202146,02035,830Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90079427Backman JD202145,98635,830Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083413Backman JD202145,98635,830Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90079428Backman JD20214,18877,628Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083414Backman JD20214,18877,628Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90079425Backman JD20214,18577,665Exome sequencing and analysis of 454,787 UK Biobank participants.
GCST90083411Backman JD20214,18577,665Exome sequencing and analysis of 454,787 UK Biobank participants.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding2
Tier 2: splice/UTR1
Tier 3: regulatory0
Tier 4: intronic/intergenic47

MAF distribution

BucketVariants
common (>=0.05)48
low_freq (0.01-0.05)2
rare (<0.01)0
unknown0

Functional consequences

6 consequence types:

ConsequenceCount
intron_variant35
intergenic_variant9
missense_variant2
synonymous_variant2
non_coding_transcript_exon_variant1
3_prime_UTR_variant1

Top variants

showing 30 of 50 variants:

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs121934466129498893A>G0.102intron_variantLAMA21e-300Tier 4: intronic/intergenic
rs6349901534713872T>A,C,G0.43intron_variantLINC02252 - GJD22e-221Tier 4: intronic/intergenic
rs17648524167409682G>A,C0.329intron_variantRBFOX13e-193Tier 4: intronic/intergenic
rs7744813672933566C>A,G,T0.39intron_variantKCNQ56e-188Tier 4: intronic/intergenic
rs116020081140127755A>T0.134intron_variantLRRC4C3e-181Tier 4: intronic/intergenic
rs27412972232522297A>G,T0.276intron_variantPRSS567e-118Tier 4: intronic/intergenic
rs11777176859263770C>G,T0.347intron_variantTOX-DT - RNA5SP2674e-106Tier 4: intronic/intergenic
rs5249521534713685T>A,C0.05intron_variantLINC02252 - GJD21e-104Tier 4: intronic/intergenic
rs958532713100037100G>A,T0.424intergenic_variantNDUFA12P1 - PCCA-DT4e-96Tier 4: intronic/intergenic
rs16890057840869063G>A0.216intron_variantZMAT49e-95Tier 4: intronic/intergenic
rs133801041579086479C>G,T0.411intron_variantRASGRF14e-83Tier 4: intronic/intergenic
rs29089721711503942T>A,C,G0.391intron_variantSHISA62e-82Tier 4: intronic/intergenic
rs174003252177701185T>C0.031missense_variantPDE11A, PDE11A-AS11e-69Tier 1: coding
rs28555301453955199G>A,C,T0.484non_coding_transcript_exon_variantBMP42e-68Tier 4: intronic/intergenic
rs72868581481033418G>A,C0.045intron_variantBMP31e-67Tier 4: intronic/intergenic
rs174071651077297465G>A0.331intron_variantKCNMA11e-67Tier 4: intronic/intergenic
rs129656071849864655T>G0.127intron_variantMYO5B1e-66Tier 4: intronic/intergenic
rs107464631207337251G>A,C,T0.282intron_variantCD555e-64Tier 4: intronic/intergenic
rs15500942232520686G>A,C,T0.05missense_variantPRSS562e-61Tier 1: coding
rs18205421058555883T>A,C,G0.498intron_variantBICC11e-58Tier 4: intronic/intergenic
rs618400361048198248A>C0.27intron_variantFRMPD22e-58Tier 4: intronic/intergenic
rs17859738155254C>T0.419intron_variantLMCD1-AS13e-58Tier 4: intronic/intergenic
rs31381421255721801C>A,T0.05synonymous_variantRDH52e-57Tier 4: intronic/intergenic
rs10739861184927691T>A,C,G0.39intron_variantDLG21e-56Tier 4: intronic/intergenic
rs66723821164225062G>A0.226intergenic_variantU3 - NMNAT1P24e-56Tier 4: intronic/intergenic
rs621838082172015170G>A,C,T0.232intron_variantMETAP1D3e-55Tier 4: intronic/intergenic
rs107883331084200393C>A,T0.454intron_variantCDHR18e-54Tier 4: intronic/intergenic
rs6534642479907967T>C,G0.215intron_variantANTXR29e-54Tier 4: intronic/intergenic
rs98572753141359346C>A0.339intron_variantPXYLP1, ZBTB383e-53Tier 4: intronic/intergenic
rs7188859167410425T>C0.05intron_variantRBFOX11e-52Tier 4: intronic/intergenic

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 58 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Genes curated across subtypes (GenCC)

Genes with a Definitive or Strong GenCC gene–disease validity classification for this term’s subtypes (up to three levels down), ranked by the number of subtypes they are curated for.

10 genes:

GeneSubtypesExample subtypes
ARR31myopia 26, X-linked, female-limited
CPSF11myopia 27
LOXL31myopia 28, autosomal recessive
LRPAP11myopia 23, autosomal recessive
MYRF1hyperopia
P3H21myopia, high, with cataract and vitreoretinal degeneration
P4HA21myopia
SCO21myopia 6
SLC39A51myopia 24, autosomal dominant
ZNF6441myopia 21, autosomal dominant

Orphanet rare-disease linkage (cohort genes)

58 cohort genes:

GeneOrphanet IDRare disease
BMP2Orphanet:26129520p12.3 microdeletion syndrome
BMP2Orphanet:93396Brachydactyly type A2
BMP4Orphanet:139471Microphthalmia with brain and digit anomalies
BMP4Orphanet:199306Cleft lip/palate
BMP4Orphanet:828Stickler syndrome
BMP4Orphanet:93100Renal agenesis, unilateral
SEMA3DOrphanet:388Hirschsprung disease
SIX3Orphanet:220386Semilobar holoprosencephaly
SIX3Orphanet:280195Septopreoptic holoprosencephaly
SIX3Orphanet:280200Microform holoprosencephaly
SIX3Orphanet:485275Acquired schizencephaly
SIX3Orphanet:93924Lobar holoprosencephaly
SIX3Orphanet:93925Alobar holoprosencephaly
SIX3Orphanet:93926Midline interhemispheric variant of holoprosencephaly
SIX6Orphanet:35612Nanophthalmos
SIX6Orphanet:435930Colobomatous optic disc-macular atrophy-chorioretinopathy syndrome
SIX6Orphanet:98938Colobomatous microphthalmia
TCF7L2Orphanet:528084Non-specific syndromic intellectual disability
TFAP2BOrphanet:46627Char syndrome
TFAP2BOrphanet:466729Familial patent arterial duct
TGFBR1Orphanet:284973Marfan syndrome type 2
TGFBR1Orphanet:60030Loeys-Dietz syndrome
TGFBR1Orphanet:65748Multiple self-healing squamous epithelioma
TGFBR1Orphanet:91387Familial thoracic aortic aneurysm and aortic dissection
THRBOrphanet:566243Resistance to thyroid hormone due to a mutation in thyroid hormone receptor beta
TJP2Orphanet:238475Familial hypercholanemia
TJP2Orphanet:480483Progressive familial intrahepatic cholestasis type 4
TJP2Orphanet:90635Rare autosomal dominant non-syndromic sensorineural deafness type DFNA
TNFSF12Orphanet:696931Common variable immunodeficiency phenotype due to TWEAK deficiency
ZIC2Orphanet:220386Semilobar holoprosencephaly
ZIC2Orphanet:280195Septopreoptic holoprosencephaly
ZIC2Orphanet:280200Microform holoprosencephaly
ZIC2Orphanet:93924Lobar holoprosencephaly
ZIC2Orphanet:93925Alobar holoprosencephaly
ZIC2Orphanet:93926Midline interhemispheric variant of holoprosencephaly
CA8Orphanet:1766Dysequilibrium syndrome
CACNA1DOrphanet:324321Sinoatrial node dysfunction and deafness
CACNA1DOrphanet:369929Primary hyperaldosteronism-seizures-neurological abnormalities syndrome
ADAMTSL1Orphanet:521445Microcephaly-facial dysmorphism-ocular anomalies-multiple congenital anomalies syndrome
ZEB2Orphanet:261537Mowat-Wilson syndrome due to monosomy 2q22
ZEB2Orphanet:261552Mowat-Wilson syndrome due to a ZEB2 point mutation
ZEB2Orphanet:626Large/giant congenital melanocytic nevus
ARID2Orphanet:1465Coffin-Siris syndrome
RCBTB1Orphanet:99002Reticular dystrophy of the retinal pigment epithelium
BICC1Orphanet:730Autosomal dominant polycystic kidney disease
C14orf39Orphanet:399805Male infertility with azoospermia or oligozoospermia due to single gene mutation
TTC8Orphanet:110Bardet-Biedl syndrome
TTC8Orphanet:791Retinitis pigmentosa
ANTXR2Orphanet:2028Juvenile hyaline fibromatosis
ANTXR2Orphanet:2176Infantile systemic hyalinosis
COL10A1Orphanet:174Metaphyseal chondrodysplasia, Schmid type
COL6A1Orphanet:610Bethlem muscular dystrophy
COL6A1Orphanet:646113Intermediate collagen VI-related muscular dystrophy
COL6A1Orphanet:75840Ullrich congenital muscular dystrophy
PNPT1Orphanet:101111Spinocerebellar ataxia type 25
PNPT1Orphanet:319514Combined oxidative phosphorylation defect type 13
PNPT1Orphanet:90636Rare autosomal recessive non-syndromic sensorineural deafness type DFNB
LRMDAOrphanet:352745Oculocutaneous albinism type 7

Cohort genes → proteins

75 cohort genes, 73 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only75

Cohort genes

showing 60 of 75 cohort genes:

SymbolHGNCEnsemblUniProtNameEvidence
RNU6-1HGNC:10227ENSG00000206625RNA, U6 small nuclear 1gwas
RORBHGNC:10259ENSG00000198963Q92753Nuclear receptor ROR-betagwas
BIN3HGNC:1054ENSG00000147439Q9NQY0Bridging integrator 3gwas
CCL4HGNC:10630ENSG00000275302P13236C-C motif chemokine 4gwas
BMP2HGNC:1069ENSG00000125845P12643Bone morphogenetic protein 2gwas
BMP3HGNC:1070ENSG00000152785P12645Bone morphogenetic protein 3gwas
BMP4HGNC:1071ENSG00000125378P12644Bone morphogenetic protein 4gwas
SEMA3DHGNC:10726ENSG00000153993O95025Semaphorin-3Dgwas
SETMARHGNC:10762ENSG00000170364Q53H47Histone-lysine N-methyltransferase SETMARgwas
SH3GL2HGNC:10831ENSG00000107295Q99962Endophilin-A1gwas
ST8SIA1HGNC:10869ENSG00000111728Q92185Alpha-N-acetylneuraminide alpha-2,8-sialyltransferasegwas
SIX3HGNC:10889ENSG00000138083O95343Homeobox protein SIX3gwas
SIX6HGNC:10892ENSG00000184302O95475Homeobox protein SIX6gwas
SLC14A2HGNC:10919ENSG00000132874Q15849Urea transporter 2gwas
SNTB1HGNC:11168ENSG00000172164Q13884Beta-1-syntrophingwas
SSR1HGNC:11323ENSG00000124783P43307Translocon-associated protein subunit alphagwas
SYN3HGNC:11496ENSG00000185666O14994Synapsin-3gwas
TCF7L2HGNC:11641ENSG00000148737Q9NQB0Transcription factor 7-like 2gwas
TFAP2BHGNC:11743ENSG00000008196Q92481Transcription factor AP-2-betagwas
TGFBR1HGNC:11772ENSG00000106799P36897TGF-beta receptor type-1gwas
THRBHGNC:11799ENSG00000151090P10828Thyroid hormone receptor betagwas
MPPED2HGNC:1180ENSG00000066382Q15777Metallophosphoesterase MPPED2gwas
TJP2HGNC:11828ENSG00000119139Q9UDY2Tight junction protein 2gwas
TNFSF12HGNC:11927ENSG00000239697O43508Tumor necrosis factor ligand superfamily member 12gwas
USP25HGNC:12624ENSG00000155313Q9UHP3Ubiquitin carboxyl-terminal hydrolase 25gwas
VIPR2HGNC:12695ENSG00000106018P41587Vasoactive intestinal polypeptide receptor 2gwas
ZIC2HGNC:12873ENSG00000043355O95409Zinc finger protein ZIC 2gwas
C4BPAHGNC:1325ENSG00000123838P04003C4b-binding protein alpha chaingwas
HIVEP3HGNC:13561ENSG00000127124Q5T1R4Transcription factor HIVEP3gwas
CA8HGNC:1382ENSG00000178538P35219Carbonic anhydrase-related proteingwas
SCAND3HGNC:13851ENSG00000232040Q6R2W3SCAN domain-containing protein 3gwas
CACNA1DHGNC:1391ENSG00000157388Q01668Voltage-dependent L-type calcium channel subunit alpha-1Dgwas
CDRT15HGNC:14395ENSG00000223510Q96T59CMT1A duplicated region transcript 15 proteingwas
ADAMTSL1HGNC:14632ENSG00000178031Q8N6G6ADAMTS-like protein 1gwas
DSCAML1HGNC:14656ENSG00000177103Q8TD84Cell adhesion molecule DSCAML1gwas
ZEB2HGNC:14881ENSG00000169554O60315Zinc finger E-box-binding homeobox 2gwas
DNAJB12HGNC:14891ENSG00000148719Q9NXW2DnaJ homolog subfamily B member 12gwas
DYNLRB2HGNC:15467ENSG00000168589Q8TF09Dynein light chain roadblock-type 2gwas
TFAP2DHGNC:15581ENSG00000008197Q7Z6R9Transcription factor AP-2-deltagwas
KIRREL1HGNC:15734ENSG00000183853Q96J84Kin of IRRE-like protein 1gwas
RALYHGNC:15921ENSG00000125970Q9UKM9RNA-binding protein Ralygwas
CD34HGNC:1662ENSG00000174059P28906Hematopoietic progenitor cell antigen CD34gwas
AMOTL2HGNC:17812ENSG00000114019Q9Y2J4Angiomotin-like protein 2gwas
NTMHGNC:17941ENSG00000182667Q9P121Neurotrimingwas
ARID2HGNC:18037ENSG00000189079Q68CP9AT-rich interactive domain-containing protein 2gwas
RBFOX1HGNC:18222ENSG00000078328Q9NWB1RNA binding protein fox-1 homolog 1gwas
RCBTB1HGNC:18243ENSG00000136144Q8NDN9RCC1 and BTB domain-containing protein 1gwas
ZNF366HGNC:18316ENSG00000178175Q8N895Zinc finger protein 366gwas
ST18HGNC:18695ENSG00000147488O60284Suppression of tumorigenicity 18 proteingwas
ZKSCAN8P1HGNC:18777ENSG00000226314ZKSCAN8 pseudogene 1gwas
TOXHGNC:18988ENSG00000198846O94900Thymocyte selection-associated high mobility group box protein TOXgwas
GJD2HGNC:19154ENSG00000159248Q9UKL4Gap junction delta-2 proteingwas
NPAS3HGNC:19311ENSG00000151322Q8IXF0Neuronal PAS domain-containing protein 3gwas
BICC1HGNC:19351ENSG00000122870Q9H694Protein bicaudal C homolog 1gwas
C14orf39HGNC:19849ENSG00000179008Q8N1H7Protein SIX6OS1gwas
TTC8HGNC:20087ENSG00000165533Q8TAM2Tetratricopeptide repeat protein 8gwas
LRFN5HGNC:20360ENSG00000165379Q96NI6Leucine-rich repeat and fibronectin type-III domain-containing protein 5gwas
LYPLAL1HGNC:20440ENSG00000143353Q5VWZ2Lysophospholipase-like protein 1gwas
TRAM1HGNC:20568ENSG00000067167Q15629Translocating chain-associated membrane protein 1gwas
CLUHGNC:2095ENSG00000120885P10909Clusteringwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

showing 60 of 66 cohort genes:

SymbolProtein nameFunction (lead sentence)
RORBNuclear receptor ROR-betaNuclear receptor that binds DNA as a monomer to ROR response elements (RORE) containing a single core motif half-site 5’-AGGTCA-3’ preceded by a short A-T-rich sequence.
BIN3Bridging integrator 3Involved in cytokinesis and septation where it has a role in the localization of F-actin.
CCL4C-C motif chemokine 4Monokine with inflammatory and chemokinetic properties.
BMP2Bone morphogenetic protein 2Growth factor of the TGF-beta superfamily that plays essential roles in many developmental processes, including cardiogenesis, neurogenesis, and osteogenesis.
BMP3Bone morphogenetic protein 3Growth factor of the TGF-beta superfamily that plays an essential role in developmental process by inducing and patterning early skeletal formation and by negatively regulating bone density.
BMP4Bone morphogenetic protein 4Growth factor of the TGF-beta superfamily that plays essential roles in many developmental processes, including neurogenesis, vascular development, angiogenesis and osteogenesis.
SEMA3DSemaphorin-3DInduces the collapse and paralysis of neuronal growth cones.
SETMARHistone-lysine N-methyltransferase SETMARProtein derived from the fusion of a methylase with the transposase of an Hsmar1 transposon that plays a role in DNA double-strand break repair, stalled replication fork restart and DNA integration.
SH3GL2Endophilin-A1Implicated in endocytosis.
ST8SIA1Alpha-N-acetylneuraminide alpha-2,8-sialyltransferaseCatalyzes the addition of sialic acid in alpha 2,8-linkage to the sialic acid moiety of the ganglioside GM3 to form ganglioside GD3; gangliosides are a subfamily of complex glycosphingolipds that contain one or more residues of sialic acid.
SIX3Homeobox protein SIX3Transcriptional regulator which can act as both a transcriptional repressor and activator by binding a ATTA homeodomain core recognition sequence on these target genes.
SIX6Homeobox protein SIX6May be involved in eye development.
SLC14A2Urea transporter 2Mediates the transport of urea driven by a concentration gradient across the cell membrane of the renal inner medullary collecting duct which is critical to the urinary concentrating mechanism.
SNTB1Beta-1-syntrophinAdapter protein that binds to and probably organizes the subcellular localization of a variety of membrane proteins.
SSR1Translocon-associated protein subunit alphaTRAP proteins are part of a complex whose function is to bind calcium to the ER membrane and thereby regulate the retention of ER resident proteins.
SYN3Synapsin-3May be involved in the regulation of neurotransmitter release and synaptogenesis.
TCF7L2Transcription factor 7-like 2Participates in the Wnt signaling pathway and modulates MYC expression by binding to its promoter in a sequence-specific manner.
TFAP2BTranscription factor AP-2-betaSequence-specific DNA-binding protein that interacts with inducible viral and cellular enhancer elements to regulate transcription of selected genes.
TGFBR1TGF-beta receptor type-1Transmembrane serine/threonine kinase forming with the TGF-beta type II serine/threonine kinase receptor, TGFBR2, the non-promiscuous receptor for the TGF-beta cytokines TGFB1, TGFB2 and TGFB3.
THRBThyroid hormone receptor betaNuclear hormone receptor that can act as a repressor or activator of transcription.
MPPED2Metallophosphoesterase MPPED2Displays low metallophosphoesterase activity (in vitro).
TJP2Tight junction protein 2Plays a role in tight junctions and adherens junctions.
TNFSF12Tumor necrosis factor ligand superfamily member 12Binds to FN14 and possibly also to TNRFSF12/APO3.
USP25Ubiquitin carboxyl-terminal hydrolase 25Deubiquitinating enzyme that hydrolyzes ubiquitin moieties conjugated to substrates and thus, functions in various biological processes including inflammation and immune response.
VIPR2Vasoactive intestinal polypeptide receptor 2G protein-coupled receptor activated by the neuropeptides vasoactive intestinal peptide (VIP) and pituitary adenylate cyclase-activating polypeptide (ADCYAP1/PACAP).
ZIC2Zinc finger protein ZIC 2Acts as a transcriptional activator or repressor.
C4BPAC4b-binding protein alpha chainControls the classical pathway of complement activation.
HIVEP3Transcription factor HIVEP3Plays a role of transcription factor; binds to recognition signal sequences (Rss heptamer) for somatic recombination of immunoglobulin and T-cell receptor gene segments; Also binds to the kappa-B motif of gene such as S100A4, involved in c…
CA8Carbonic anhydrase-related proteinDoes not have a carbonic anhydrase catalytic activity.
CACNA1DVoltage-dependent L-type calcium channel subunit alpha-1DVoltage-sensitive calcium channels (VSCC) mediate the entry of calcium ions into excitable cells and are also involved in a variety of calcium-dependent processes, including muscle contraction, hormone or neurotransmitter release, gene exp…
DSCAML1Cell adhesion molecule DSCAML1Cell adhesion molecule that plays a role in neuronal self-avoidance.
ZEB2Zinc finger E-box-binding homeobox 2Transcriptional inhibitor that binds to DNA sequence 5’-CACCT-3’ in different promoters.
DNAJB12DnaJ homolog subfamily B member 12Acts as a co-chaperone with HSPA8/Hsc70; required to promote protein folding and trafficking, prevent aggregation of client proteins, and promote unfolded proteins to endoplasmic reticulum-associated degradation (ERAD) pathway.
DYNLRB2Dynein light chain roadblock-type 2Acts as one of several non-catalytic accessory components of the cytoplasmic dynein 1 complex that are thought to be involved in linking dynein to cargos and to adapter proteins that regulate dynein function.
TFAP2DTranscription factor AP-2-deltaSequence-specific DNA-binding protein that interacts with inducible viral and cellular enhancer elements to regulate transcription of selected genes.
KIRREL1Kin of IRRE-like protein 1Required for proper function of the glomerular filtration barrier.
RALYRNA-binding protein RalyRNA-binding protein that acts as a transcriptional cofactor for cholesterol biosynthetic genes in the liver.
CD34Hematopoietic progenitor cell antigen CD34Possible adhesion molecule with a role in early hematopoiesis by mediating the attachment of stem cells to the bone marrow extracellular matrix or directly to stromal cells.
AMOTL2Angiomotin-like protein 2Regulates the translocation of phosphorylated SRC to peripheral cell-matrix adhesion sites.
NTMNeurotriminNeural cell adhesion molecule.
ARID2AT-rich interactive domain-containing protein 2Involved in transcriptional activation and repression of select genes by chromatin remodeling (alteration of DNA-nucleosome topology).
RBFOX1RNA binding protein fox-1 homolog 1RNA-binding protein that regulates alternative splicing events by binding to 5’-UGCAUGU-3’ elements.
RCBTB1RCC1 and BTB domain-containing protein 1May be involved in cell cycle regulation by chromatin remodeling.
ZNF366Zinc finger protein 366Has transcriptional repression activity.
ST18Suppression of tumorigenicity 18 proteinRepressor that binds to DNA sequences containing a bipartite element consisting of a direct repeat of the sequence 5’-AAAGTTT-3’ separated by 2-9 nucleotides.
TOXThymocyte selection-associated high mobility group box protein TOXTranscriptional regulator with a major role in neural stem cell commitment and corticogenesis as well as in lymphoid cell development and lymphoid tissue organogenesis.
GJD2Gap junction delta-2 proteinOne gap junction consists of a cluster of closely packed pairs of transmembrane channels, the connexons, through which materials of low MW diffuse from one cell to a neighboring cell.
NPAS3Neuronal PAS domain-containing protein 3May play a broad role in neurogenesis.
BICC1Protein bicaudal C homolog 1Putative RNA-binding protein.
C14orf39Protein SIX6OS1Meiotic protein that localizes to the central element of the synaptonemal complex and is required for chromosome synapsis during meiotic recombination.
TTC8Tetratricopeptide repeat protein 8The BBSome complex is thought to function as a coat complex required for sorting of specific membrane proteins to the primary cilia.
LRFN5Leucine-rich repeat and fibronectin type-III domain-containing protein 5Cell adhesion molecule that mediates homophilic cell-cell adhesion in a Ca(2+)-independent manner.
LYPLAL1Lysophospholipase-like protein 1Palmitoyl thioesterase that catalyzes depalmitoylation of CGAS and KCNMA1.
TRAM1Translocating chain-associated membrane protein 1Involved in the translocation of nascent protein chains into or through the endoplasmic reticulum (ER) membrane by facilitating the proper chain positioning at the SEC61 channel.
CLUClusterinFunctions as extracellular chaperone that prevents aggregation of non native proteins.
GALNT15Polypeptide N-acetylgalactosaminyltransferase 15Catalyzes the initial reaction in O-linked oligosaccharide biosynthesis, the transfer of an N-acetyl-D-galactosamine residue to a serine or threonine residue on the protein receptor.
ANTXR2Anthrax toxin receptor 2Necessary for cellular interactions with laminin and the extracellular matrix.
COL10A1Collagen alpha-1(X) chainType X collagen is a product of hypertrophic chondrocytes and has been localized to presumptive mineralization zones of hyaline cartilage.
COL6A1Collagen alpha-1(VI) chainCollagen VI acts as a cell-binding protein.
TMC3Transmembrane channel-like protein 3Probable component of an ion channel.

Protein-family classification

Druggable: 19 · Difficult: 17 · Unknown: 39 · Druggable fraction: 0.25

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/Immunoglobulin83.1×0.049
Nuclear receptor210.3×0.097
Complement13.6×0.735
Transcription factor121.3×0.735
Ion channel11.5×0.960
Scaffold/PPI51.1×0.960
Transporter11.0×0.960
Other/Unknown390.9×0.960
Protease10.5×0.960
Enzyme (other)30.5×0.960
Kinase10.4×0.960
GPCR10.3×0.960

Per-gene assignment

showing 60 of 75 cohort genes:

SymbolFamilyDruggable?ECInterPro (top 3)
RNU6-1Other/Unknownno
RORBNuclear receptoryesNucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt, Nuclear_hrmn_rcpt
BIN3Scaffold/PPInoBAR_dom, AH/BAR_dom_sf, Bin3_BAR
CCL4Other/UnknownnoChemokine_CC_CS, Chemokine_IL8-like_dom, Interleukin_8-like_sf
BMP2Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGF-beta-like
BMP3Other/UnknownnoTGF-b_C, TGF-beta-like, BMP3/BMP3B
BMP4Other/UnknownnoTGF-b_propeptide, TGF-b_C, TGF-beta-like
SEMA3DAntibody/ImmunoglobulinyesSemap_dom, Ig_sub, Ig-like_dom
SETMAREnzyme (other)yes2.1.1.357SET_dom, Transposase_1, Post-SET_dom
SH3GL2Scaffold/PPInoSH3_domain, BAR_dom, AH/BAR_dom_sf
ST8SIA1Enzyme (other)yes2.4.3.8Glyco_trans_29, Sialyl_trans, GT29-like_sf
SIX3Transcription factornoHD, Homeodomain-like_sf, SIX1_SD
SIX6Transcription factornoHD, Homeodomain-like_sf, SIX1_SD
SLC14A2TransporteryesUrea_transporter, Ammonium/urea_transptr
SNTB1Scaffold/PPInoPDZ, PH_domain, PH-like_dom_sf
SSR1Other/UnknownnoTRAP_alpha
SYN3Other/UnknownnoSynapsin, ATP_grasp_subdomain_1, PreATP-grasp_dom_sf
TCF7L2Other/UnknownnoHMG_box_dom, CTNNB1-bd_N, TCF/LEF
TFAP2BTranscription factornoTF_AP2, TF_AP2_beta, TF_AP2_C
TGFBR1Kinaseyes2.7.10.2TGFB_receptor, Activin_recp, Prot_kinase_dom
THRBNuclear receptoryesNucl_hrmn_rcpt_lig-bd, Znf_hrmn_rcpt, Nuclear_hrmn_rcpt
MPPED2Other/UnknownnoCalcineurin-like_PHP, Calcineurin-like_Pesterase, Metallo-depent_PP-like
TJP2Scaffold/PPInoSH3_domain, PDZ, ZO
TNFSF12Other/UnknownnoTNF_dom, Tumour_necrosis_fac-like_dom, TNF_Ligand_Superfamily
USP25ProteaseyesPeptidase_C19_UCH, UIM_dom, UBA-like_sf
VIPR2GPCRyesGPCR_2_secretin-like, GPCR_2_VIP_rcpt, GPCR_2_extracellular_dom
ZIC2Transcription factornoZf-C2H2_type, Znf_C2H2_sf, Znf_ZIC
C4BPAComplementyesSushi_SCR_CCP_dom, Sushi/SCR/CCP_sf, C4bp_oligo
HIVEP3Transcription factornoZf-C2H2_type, Znf_CCHC_HIVEP, Znf_C2H2_sf
CA8Enzyme (other)yes4.2.1.1CA_dom, Carbonic_anhydrase_a-class_CS, Carbonic_anhydrase_a-class
SCAND3Transcription factornoIntegrase_cat-core, SCAN_dom, RNaseH-like_sf
CACNA1DIon channelyesVDCCAlpha1, VDCC_L_a1su, LVDCC_a1dsu
CDRT15Other/Unknownno
ADAMTSL1Antibody/ImmunoglobulinyesTSP1_rpt, Ig_sub2, Ig_sub
DSCAML1Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, FN3_dom
ZEB2Transcription factornoHD, Di19_Zn-bd, Homeodomain-like_sf
DNAJB12Other/UnknownnoDnaJ_domain, DUF1977_DnaJ-like, DnaJ_domain_CS
DYNLRB2Other/UnknownnoRoadblock/LAMTOR2_dom, DYNLRB1/2
TFAP2DTranscription factornoTF_AP2, TF_AP2_C
KIRREL1Antibody/ImmunoglobulinyesIg_sub2, Ig_sub, Ig-like_dom
RALYOther/UnknownnoRRM_dom, Nucleotide-bd_a/b_plait_sf, hnRNP_C
CD34Other/UnknownnoCD34, CD34/Podocalyxin
AMOTL2Other/UnknownnoAngiomotin, Angiomotin_C, Angiomotin-like
NTMAntibody/ImmunoglobulinyesIg_sub2, Ig_sub, Ig-like_dom
ARID2Other/UnknownnoARID_dom, DNA-bd_RFX, Zf-C2H2_type
RBFOX1Other/UnknownnoRRM_dom, Nucleotide-bd_a/b_plait_sf, RBFOX1-3
RCBTB1Other/UnknownnoBTB/POZ_dom, Reg_chr_condens, RCC1/BLIP-II
ZNF366Transcription factornoZf-C2H2_type, Znf_C2H2_sf, C2H2-ZF_domain-containing
ST18Transcription factornoZnf_C2H2C, Myelin_TF, Znf_C2H2C_sf
ZKSCAN8P1Other/Unknownno
TOXOther/UnknownnoHMG_box_dom, HMG_box_dom_sf, TOX_protein
GJD2Other/UnknownnoConnexin, Connexin36, Connexin_N
NPAS3Transcription factornoPAS, bHLH_dom, PAS_fold_3
BICC1Other/UnknownnoSAM, KH_dom, KH_dom_type_1
C14orf39Other/UnknownnoSIX6OS1
TTC8Other/UnknownnoTPR-like_helical_dom_sf, TPR_rpt, BBS8
LRFN5Antibody/ImmunoglobulinyesLeu-rich_rpt, Leu-rich_rpt_typical-subtyp, Ig_sub2
LYPLAL1Other/UnknownnoPLipase/COase/thioEstase, AB_hydrolase_fold, LYPA1-2/EST-like
TRAM1Other/UnknownnoTLC-dom, Translocation_assoc_membrane
CLUOther/UnknownnoClusterin-like, Clusterin_N, Clusterin_C

Expression context

Cohort genes with no expression data: 0.

69 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

20 tissues:

TissueCohort genes
male germ line stem cell (sensu Vertebrata) in testis9
cortical plate7
sural nerve6
Brodmann (1909) area 236
endothelial cell6
ventricular zone6
primordial germ cell in gonad6
calcaneal tendon6
corpus callosum5
middle temporal gyrus5
buccal mucosa cell5
pigmented layer of retina4
ganglionic eminence4
left testis4
stromal cell of endometrium4
adrenal tissue3
right adrenal gland3
right adrenal gland cortex3
pancreatic ductal cell3
tibia3

Per-gene tissue summary

showing 60 of 75 cohort genes:

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
RNU6-1117broadyessural nerve, adrenal tissue, corpus callosum
RORB196broadmarkerendothelial cell, Brodmann (1909) area 23, middle temporal gyrus
BIN3259ubiquitousmarkersural nerve, right adrenal gland cortex, right adrenal gland
CCL4131tissue_specificmarkergranulocyte, spleen, bone marrow
BMP2238broadmarkercartilage tissue, pancreatic ductal cell, pigmented layer of retina
BMP3126tissue_specificmarkermuscle layer of sigmoid colon, male germ line stem cell (sensu Vertebrata) in testis, rectum
BMP4189ubiquitousmarkerpigmented layer of retina, retina, rectum
SEMA3D183ubiquitousmarkerbuccal mucosa cell, tendon of biceps brachii, spleen
SETMAR250ubiquitousmarkerbody of uterus, popliteal artery, tibial artery
SH3GL2193broadmarkerBrodmann (1909) area 23, middle temporal gyrus, endothelial cell
ST8SIA1224broadmarkerventricular zone, ganglionic eminence, cortical plate
SIX392broadmarkerpigmented layer of retina, retina, nasal cavity epithelium
SIX634tissue_specificmarkeradenohypophysis, pituitary gland, cranial nerve II
SLC14A2100tissue_specificmarkerprimordial germ cell in gonad, hair follicle, right adrenal gland
SNTB1245ubiquitousmarkerright adrenal gland, right adrenal gland cortex, left adrenal gland
SSR1302ubiquitousmarkercorpus epididymis, caput epididymis, trabecular bone tissue
SYN3176broadmarkerprimordial germ cell in gonad, cortical plate, primary visual cortex
TCF7L2291ubiquitousmarkerlateral nuclear group of thalamus, endothelial cell, pancreatic ductal cell
TFAP2B128broadmarkercorpus epididymis, cauda epididymis, oocyte
TGFBR1269ubiquitousmarkersaphenous vein, tibia, visceral pleura
THRB267ubiquitousmarkerBrodmann (1909) area 23, middle temporal gyrus, tibia
MPPED2255broadmarkerventricular zone, ganglionic eminence, cortical plate
TJP2134ubiquitousmarkercorpus callosum, descending thoracic aorta, thoracic aorta
TNFSF12134tissue_specificmarkerright coronary artery, thoracic aorta, ascending aorta
USP25285ubiquitousmarkersperm, male germ cell, skeletal muscle tissue of rectus abdominis
VIPR2169broadmarkermucosa of stomach, apex of heart, heart left ventricle
ZIC2139broadmarkercerebellar cortex, cerebellar hemisphere, cerebellum
C4BPA166tissue_specificmarkerright lobe of liver, liver, lower lobe of lung
HIVEP3234ubiquitousmarkerbuccal mucosa cell, endothelial cell, Brodmann (1909) area 23
CA8184broadmarkermetanephros cortex, right hemisphere of cerebellum, primordial germ cell in gonad
SCAND3170broadyesprimordial germ cell in gonad, left testis, testis
CACNA1D219broadmarkerbuccal mucosa cell, adrenal tissue, right lung
CDRT15127yesright testis, male germ line stem cell (sensu Vertebrata) in testis, left testis
ADAMTSL1182ubiquitousmarkerlower esophagus muscularis layer, lower esophagus, sural nerve
DSCAML1187broadmarkercortical plate, germinal epithelium of ovary, C1 segment of cervical spinal cord
ZEB2290ubiquitousmarkercortical plate, sural nerve, monocyte
DNAJB12290ubiquitousmarkertongue squamous epithelium, diaphragm, type B pancreatic cell
DYNLRB2182broadmarkerbronchial epithelial cell, right uterine tube, bronchus
TFAP2D25markeroocyte, buccal mucosa cell, secondary oocyte
KIRREL1207ubiquitousmarkerstromal cell of endometrium, right coronary artery, descending thoracic aorta
RALY294ubiquitousmarkerganglionic eminence, granulocyte, ventricular zone
CD34220broadmarkerapex of heart, right atrium auricular region, omental fat pad
AMOTL2289ubiquitousmarkeramniotic fluid, sural nerve, mammary duct
NTM231ubiquitousmarkerright hemisphere of cerebellum, cerebellar cortex, cerebellar hemisphere
ARID2253ubiquitousmarkersperm, pancreatic ductal cell, secondary oocyte
RBFOX1220broadmarkermiddle temporal gyrus, Brodmann (1909) area 23, cortical plate
RCBTB1280ubiquitousmarkermucosa of paranasal sinus, pigmented layer of retina, decidua
ZNF366157broadmarkersural nerve, male germ line stem cell (sensu Vertebrata) in testis, colonic epithelium
ST18192broadmarkercorpus callosum, C1 segment of cervical spinal cord, spinal cord
ZKSCAN8P1133broadyesmale germ line stem cell (sensu Vertebrata) in testis, corpus callosum, right hemisphere of cerebellum
TOX231ubiquitousmarkercortical plate, endothelial cell, ventricular zone
GJD270tissue_specificmarkerislet of Langerhans, primordial germ cell in gonad, tongue squamous epithelium
NPAS3215broadmarkerendothelial cell, ventricular zone, corpus callosum
BICC1236ubiquitousmarkergerminal epithelium of ovary, renal medulla, parietal pleura
C14orf39129broadmarkerprimordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis, adenohypophysis
TTC8247ubiquitousmarkerleft ovary, islet of Langerhans, adrenal tissue
LRFN5195broadmarkermiddle temporal gyrus, Brodmann (1909) area 23, Brodmann (1909) area 46
LYPLAL1255ubiquitousmarkerkidney epithelium, left ventricle myocardium, calcaneal tendon
TRAM1303ubiquitousmarkerchoroid plexus epithelium, visceral pleura, germinal epithelium of ovary
CLU294ubiquitousmarkerlateral globus pallidus, calcaneal tendon, paraflocculus

Protein interactions among cohort

Intra-cohort edges: 11.

Hub genes (top 10 by interactor count)

SymbolInteractor count
CD344,757
CLU4,040
BMP43,892
TGFBR13,529
TCF7L23,311
CCL43,196
PNPT13,041
ZEB22,986
BMP22,819
TJP22,735

Intra-cohort edges

11 intra-cohort edges:

ABSources
BMP4CLUbiogrid_interaction
BMP4SIX6string_interaction
CAGE1MPPED2biogrid_interaction
CLUTFAP2Dbiogrid_interaction
CLUTGFBR1biogrid_interaction
KCTD15TFAP2Bstring_interaction
LYPLAL1TFAP2Bstring_interaction
NPAS3RBFOX1string_interaction
SIX3SIX6biogrid_interaction
SIX3ZIC2string_interaction
TFAP2BTFAP2Dbiogrid_interaction

Structural data

PDB: 42 · AlphaFold-only: 31 · No structure: 2

Cohort genes with PDB structures

30 cohort genes:

SymbolUniProtPDB entries
TGFBR1P3689745
THRBP1082834
GJD2Q9UKL424
BMP2P1264321
ANTXR2P5833514
SLC14A2Q1584911
PNPT1Q8TCS811
C4BPAP040039
L3MBTL3Q96JM79
CCL4P132368
USP25Q9UHP37
CACNA1DQ016686
SETMARQ53H475
SH3GL2Q999624
RBFOX1Q9NWB14
LRFN5Q96NI64
SSR1P433073
TCF7L2Q9NQB03
VIPR2P415873
BICC1Q9H6943
SNTB1Q138842
TJP2Q9UDY22
NTMQ9P1212
ARID2Q68CP92
LYPLAL1Q5VWZ22
CLUP109092
KCTD15Q96SI12
BMP3P126451
SYN3O149941
TFAP2BQ924811

AlphaFold-only cohort genes (by pLDDT)

30 cohort genes:

SymbolUniProtpLDDT
MPPED2Q1577795.43
RCBTB1Q8NDN992.98
BIN3Q9NQY092.83
ST8SIA1Q9218588.71
TRAM1Q1562984.56
TTC8Q8TAM284.48
SEMA3DO9502584.10
SIX6O9547581.68
RORBQ9275379.48
BMP4P1264479.12
LRMDAQ9H2I878.40
GALNT15Q8N3T177.98
LRIT2A6NDA977.76
KIRREL1Q96J8475.58
LRIT1Q9P2V473.66
SCAND3Q6R2W372.39
ADAMTSL1Q8N6G671.26
SIX3O9534370.38
AMOTL2Q9Y2J467.35
CAGE1Q8TC2063.17
TFAP2DQ7Z6R962.75
CD34P2890660.99
TMC3Q7Z5M559.93
C14orf39Q8N1H758.97
ZNF366Q8N89557.54
NPAS3Q8IXF056.50
TOXO9490054.57
CDRT15Q96T5952.21
ZIC2O9540951.36
LINC00862A6NCI550.09

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 592. Enrichment computed across 173 evidence-associated genes (97 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 97 annotated cohort genes). Counts and members are kept as ground-truth.

30 pathways by enrichment:

PathwayCohort genesFoldFDRSample cohort genes
Signal Transduction373.9×4e-11CCL4, BMP2, SH3GL2, TCF7L2, TGFBR1, TJP2, VIPR2, AMOTL2 (+29 more)
Neuronal System146.4×1e-05SYN3, GJD2, DLG2, GABRR1, GNB3, GRIA4, GRIK1, GRIN2B (+6 more)
Neurotransmitter receptors and postsynaptic signal transmission99.3×8e-05DLG2, GABRR1, GNB3, GRIA4, GRIK1, GRIN2B, KCNJ2, KCNJ5 (+1 more)
Transmission across Chemical Synapses107.8×8e-05SYN3, DLG2, GABRR1, GNB3, GRIA4, GRIK1, GRIN2B, KCNJ2 (+2 more)
Gastrulation616.1×2e-04BMP4, TCF7L2, TFAP2B, ZIC2, ZEB2, NOG
Metabolism of proteins232.9×2e-04BMP4, ST8SIA1, SSR1, TCF7L2, TFAP2B, TGFBR1, THRB, USP25 (+15 more)
Signaling by Receptor Tyrosine Kinases115.9×2e-04SH3GL2, COL6A1, APH1B, ALKAL2, EGR3, ALKAL1, FLT1, GRIN2B (+3 more)
Sensory Perception87.8×6e-04CACNA1D, CAMKMT, GNB3, GPC5, GPC6, KCNJ2, KCNMA1, RDH5
Post-translational protein modification173.4×6e-04BMP4, ST8SIA1, TFAP2B, TGFBR1, THRB, USP25, ADAMTSL1, NTM (+9 more)
Activation of kainate receptors upon glutamate binding2117.7×0.003GNB3, GRIK1
G protein gated Potassium channels335.3×0.003GNB3, KCNJ2, KCNJ5
Negative regulation of activity of TFAP2 (AP-2) family transcription factors335.3×0.003TFAP2B, TFAP2D, KCTD15
Potassium Channels68.3×0.004GNB3, KCNA4, KCNJ2, KCNJ5, KCNMA1, KCNQ5
Extracellular matrix organization85.2×0.006BMP2, BMP4, SNTB1, COL10A1, COL6A1, EFEMP1, FBN1, LAMA2
Signaling by GPCR104.1×0.006CCL4, VIPR2, CD55, DRD1, FSHB, GNB3, GRM3, PDE10A (+2 more)
CREB1 phosphorylation through NMDA receptor-mediated activation of RAS signaling327.2×0.006DLG2, GRIN2B, RASGRF1
Elastic fibre formation413.8×0.006BMP2, BMP4, EFEMP1, FBN1
Signaling by TGFB family members67.1×0.006BMP2, TGFBR1, APH1B, FBN1, MYCN, NOG
Nitric oxide stimulates guanylate cyclase325.2×0.006KCNMA1, PDE10A, PDE11A
GABA receptor activation413.1×0.007GABRR1, GNB3, KCNJ2, KCNJ5
Molecules associated with elastic fibres412.7×0.007BMP2, BMP4, EFEMP1, FBN1
Inwardly rectifying K+ channels322.1×0.008GNB3, KCNJ2, KCNJ5
cGMP effects322.1×0.008KCNMA1, PDE10A, PDE11A
Developmental Biology172.5×0.008BMP4, SH3GL2, TCF7L2, TFAP2B, ZIC2, CACNA1D, DSCAML1, ZEB2 (+9 more)
Platelet homeostasis411.5×0.008GNB3, KCNMA1, PDE10A, PDE11A
Signaling by Nuclear Receptors66.3×0.008CYP26A1, GNB3, AREG, NCOA2, NRIP1, RDH5
G alpha (s) signalling events75.3×0.008VIPR2, DRD1, FSHB, GNB3, PDE10A, PDE11A, PDE3A
GPCR downstream signalling94.0×0.008CCL4, VIPR2, DRD1, FSHB, GNB3, GRM3, PDE10A, PDE11A (+1 more)
RNA Polymerase II Transcription133.0×0.008RORB, BMP2, TCF7L2, TFAP2B, THRB, HIVEP3, TFAP2D, ARID2 (+5 more)
Complement cascade319.6×0.008C4BPA, CLU, CD55

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 144 annotated cohort genes). Counts and members are kept as ground-truth.

30 GO terms by enrichment:

GO termCohort genesFoldFDRSample cohort genes
DNA-templated transcription2437.5×5e-29RORB, SIX3, TCF7L2, TFAP2B, THRB, ZIC2, HIVEP3, ZEB2 (+16 more)
positive regulation of ERK5 cascade2117.0×0.033ALKAL2, ALKAL1
post-embryonic eye morphogenesis278.0×0.065EFEMP1, FBN1
regulation of hormone metabolic process246.8×0.065TCF7L2, GNB3
myofibroblast differentiation246.8×0.065TGFBR1, ZEB2
positive regulation of odontogenesis246.8×0.065BMP2, CD34
negative regulation of complement activation246.8×0.065CLU, CD55
telencephalon development320.6×0.065BMP2, BMP4, SIX3
glutamate receptor signaling pathway319.5×0.065GRIA4, GRIK1, GRIN2B
camera-type eye development410.0×0.065SNTB1, EFEMP1, FBN1, PRSS56
negative regulation of receptor guanylyl cyclase signaling pathway239.0×0.070PDE10A, PDE11A
telencephalon regionalization239.0×0.070BMP2, SIX3
positive regulation of epithelial to mesenchymal transition48.8×0.070BMP2, BMP4, TCF7L2, TGFBR1
skeletal system development65.2×0.070BMP2, BMP3, TGFBR1, COL10A1, FBN1, NOG
ventricular compact myocardium morphogenesis233.4×0.084TGFBR1, NOG
positive regulation of odontoblast differentiation233.4×0.084BMP2, BMP4
heart induction229.3×0.085BMP2, BMP4
DNA integration229.3×0.085SETMAR, SCAND3
mesenchymal cell differentiation229.3×0.085BMP2, TGFBR1
negative regulation of cAMP/PKA signal transduction312.5×0.085PDE10A, PDE11A, PDE3A
central nervous system development64.8×0.085SH3GL2, ZIC2, DSCAML1, ZEB2, CYP26A1, GRIK1
complement activation, classical pathway311.3×0.092C4BPA, CLU, CD55
visual perception73.9×0.092RORB, SIX3, SIX6, ZIC2, LRIT1, EFEMP1, RDH5
ovarian follicle rupture1117.0×0.099NRIP1
NK T cell lineage commitment1117.0×0.099TOX
proximal/distal axis specification1117.0×0.099SIX3
regulation of skeletal muscle contraction via regulation of action potential1117.0×0.099KCNJ2
RNA import into mitochondrion1117.0×0.099PNPT1
vascular endothelial growth factor receptor-1 signaling pathway1117.0×0.099FLT1
extracellular structure organization1117.0×0.099TGFBR1

Therapeutics

Drugs indicated or in trials for this disease

No drug has an approved disease-direct ChEMBL indication for this disease.

3 drugs in clinical trials for this disease (phase 2–3, investigational): efficacy not established — a trial record, not an indication.

DrugHighest phase
Carboxymethylcellulose SodiumPhase 2
GlycerinPhase 2
RiboflavinPhase 2

Drug target analysis

Approved (phase 4): 5 · Phase ≥3: 6 · Phased (≥1): 7 · Undrugged: 68

Druggability breadth: 57 of 173 evidence-associated genes (33%) 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
RORBTretinoin
TGFBR1Crizotinib
THRBResmetirom
CACNA1DAmiodarone
L3MBTL3Chlorpheniramine

Top cohort targets by molecule count

SymbolMoleculesMax phase
THRB1174
CACNA1D484
TGFBR1284
RORB24
VIPR223
SSR112
L3MBTL314
RNU6-100
BIN300
CCL400

Drugs targeting cohort genes

30 drugs:

MoleculeMax phaseTargets in cohort
Tretinoin4RORB
Crizotinib4TGFBR1
Dabrafenib4TGFBR1
Dasatinib4CACNA1D, TGFBR1
Momelotinib4TGFBR1
Nintedanib4TGFBR1
Resmetirom4THRB
Acetazolamide4THRB
Acetohexamide4THRB
Acetylcysteine4THRB
Altretamine4THRB
Amantadine Hydrochloride4THRB
Amiloride Hydrochloride4THRB
Aminocaproic Acid4THRB
Aminopyrine4THRB
Amiodarone4CACNA1D, THRB
Amoxapine4THRB
Atorvastatin4THRB
Azaribine4THRB
Benzbromarone4THRB
Bisoprolol Fumarate4THRB
Bithionol4THRB
Carbetapentane4THRB
Chlormadinone Acetate4THRB
Chlormezanone4THRB
Chlorpropamide4THRB
Clomipramine Hydrochloride4THRB
Cyclothiazide4THRB
Cytarabine4THRB
Daunorubicin4THRB

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 5.

Cohort genes with ChEMBL bioactivity

18 cohort genes by assay count:

SymbolAssaysType breakdown
TGFBR1541Binding:516, Functional:13, ADMET:12
CACNA1D233Binding:145, Functional:81, Toxicity:5, ADMET:2
THRB169Binding:129, Functional:40
RORB90Binding:87, Functional:3
L3MBTL350Binding:49, Functional:1
VIPR227Functional:14, Binding:13
BMP222Binding:18, Functional:4
TCF7L222Binding:22
USP2519Binding:19
SSR17Binding:7
ARID27Binding:7
ANTXR23Binding:3
BMP42Binding:2
LYPLAL12Binding:2
BIN31Binding:1
SETMAR1Binding:1
DNAJB121Binding:1
TRAM11Binding:1

Cohort enzymes (BRENDA EC)

5 cohort enzymes:

SymbolEC numbersNames
SETMAR2.1.1.357, 2.7.7.B22[histone H3]-lysine36 N-dimethyltransferase,
ST8SIA12.4.3.8alpha-N-acetylneuraminate alpha-2,8-sialyltransferase
TGFBR12.7.10.2, 2.7.11.30non-specific protein-tyrosine kinase, receptor protein serine/threonine kinase
CA84.2.1.1carbonic anhydrase
PNPT12.7.7.8polyribonucleotide nucleotidyltransferase

Cohort genes with high screening signal

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

3 cohort genes:

SymbolChEMBL assays
TGFBR1541
THRB169
CACNA1D233

Pharmacogenomics

Cohort genes with a PharmGKB record: 75; with CPIC/DPWG dosing guidelines: 0.

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

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.

30 compounds:

CompoundMax phaseCohort target (bioactivity)
Tretinoin4RORB
Crizotinib4TGFBR1
Dabrafenib4TGFBR1
Dasatinib4CACNA1D, TGFBR1
Momelotinib4TGFBR1
Nintedanib4TGFBR1
Resmetirom4THRB
Acetazolamide4THRB
Acetohexamide4THRB
Acetylcysteine4THRB
Altretamine4THRB
Amantadine Hydrochloride4THRB
Amiloride Hydrochloride4THRB
Aminocaproic Acid4THRB
Aminopyrine4THRB
Amiodarone4CACNA1D, THRB
Amoxapine4THRB
Atorvastatin4THRB
Azaribine4THRB
Benzbromarone4THRB
Bisoprolol Fumarate4THRB
Bithionol4THRB
Carbetapentane4THRB
Chlormadinone Acetate4THRB
Chlormezanone4THRB
Chlorpropamide4THRB
Clomipramine Hydrochloride4THRB
Cyclothiazide4THRB
Cytarabine4THRB
Daunorubicin4THRB

Druggability pyramid

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

TierDefinitionGenesSymbols
AApproved (phase 4 drug)5RORB, TGFBR1, THRB, CACNA1D, L3MBTL3
BPhased (≥1) drug, not yet approved2SSR1, VIPR2
CDruggable family + PDB, no drug8SETMAR, SLC14A2, USP25, C4BPA, CA8, DSCAML1, NTM, LRFN5
DDruggable family + AlphaFold only, no drug6SEMA3D, ST8SIA1, ADAMTSL1, KIRREL1, LRIT1, LRIT2
EDifficult family or no structure, no drug54RNU6-1, BIN3, CCL4, BMP2, BMP3, BMP4, SH3GL2, SIX3, SIX6, SNTB1 (+44 more)

Undrugged target profiles

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

showing 60 of 68 cohort genes:

SymbolChEMBL assaysDrugged partners (top 3)
RNU6-10—
BIN31—
CCL40—
BMP222—
BMP30—
BMP42—
SEMA3D0—
SETMAR1—
SH3GL20—
ST8SIA10—
SIX30—
SIX60—
SLC14A20—
SNTB10—
SYN30—
TCF7L222—
TFAP2B0—
MPPED20—
TJP20—
TNFSF120—
USP2519—
ZIC20—
C4BPA0—
HIVEP30—
CA80—
SCAND30—
CDRT150—
ADAMTSL10—
DSCAML10—
ZEB20—
DNAJB121—
DYNLRB20—
TFAP2D0—
KIRREL10—
RALY0—
CD340—
AMOTL20—
NTM0—
ARID27—
RBFOX10—
RCBTB10—
ZNF3660—
ST180—
ZKSCAN8P10—
TOX0—
GJD20—
NPAS30—
BICC10—
C14orf390—
TTC80—
LRFN50—
LYPLAL12—
TRAM11—
CLU0—
GALNT150—
CAGE10—
CCZ1B0—
ANTXR23—
COL10A10—
LINC008620—

Clinical trials & evidence

Clinical trials

Clinical trials: 296.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified274
Phase 38
Phase 46
Phase 25
Phase 12
Phase 2/31

Top trials by phase / activity

showing 40 of 296 trials:

NCTPhaseStatusSponsorTitle
NCT00348621Phase 4COMPLETEDJohns Hopkins UniversityA Study of Interventions to Reduce Disability From Visual Loss in Nursing Home Residents
NCT01250925Phase 4COMPLETEDMassachusetts Eye and Ear InfirmaryEffect of Contact Lens Wear on Immune Cell Density and Morphology of the Ocular Surface
NCT02177539Phase 4UNKNOWNPontificia Universidad Catolica de ChileA New More Efficient Cycloplegia Scheme
NCT04283331Phase 4UNKNOWNBeeran Meghpara, MDAnesthetic Impregnated Bandage Soft Contact Lens (BSCL) in Pain Management After Photorefractive Keratectomy (PRK)
NCT05449015Phase 4UNKNOWNShanghai Eye Disease Prevention and Treatment CenterStudy on the Effect of Two Ways of Cycloplegia on Biological Parameters of Ciliary Muscle
NCT06077682Phase 4UNKNOWNIslamic Hospital, JordanCycloplegic Refraction in Pediatric Patients With Esotropia
NCT00038753Phase 3UNKNOWNNational Eye Institute (NEI)Vision In Preschoolers Study (VIP Study)
NCT00317525Phase 3COMPLETEDAmerican Optometric AssociationEffects of Different Add Powers on the Comfort and Productivity of Computer Users With Fixed or Free Head Movement
NCT00318045Phase 3UNKNOWNVision Council of AmericaEffects of Optical Blur on Performance and Comfort of Computer Users
NCT00585026Phase 3TERMINATEDUniversity of Alabama at BirminghamRandomized Clinical Trial of Bifocal Lenses Versus Computer-specific Progressive Addition Lenses
NCT01322919Phase 3COMPLETEDTechnolas Perfect Vision GmbHSafety and Efficacy Study to Evaluate the Treatment of Both Near and Distance Vision in a Simultaneous Laser Procedure
NCT04465279Phase 2/3COMPLETEDAlexandria UniversityTrifocal Diffractive Intraocular Lens After Cataract Extraction With Phacoemulsification
NCT05656027Phase 3COMPLETEDLENZ Therapeutics, IncPhase 3 Evaluation of the Safety and Efficacy of LNZ100 & LNZ101 for the Treatment of Presbyopia
NCT05728944Phase 3COMPLETEDLENZ Therapeutics, IncPhase 3 Efficacy Study of LNZ100 & LNZ101 for the Treatment of Presbyopia
NCT05753189Phase 3COMPLETEDLENZ Therapeutics, IncPhase 3 Safety Study of LNZ100 and LNZ101 for the Treatment of Presbyopia Subjects
NCT00918697Phase 2COMPLETEDShahid Beheshti University of Medical SciencesMechanical Versus Alcohol Epithelial Debridement During Hotorefractive Keratectomy (PRK)
NCT03552016Phase 2WITHDRAWNUniversity of Missouri-ColumbiaEvaluation of Progression of Myopia in Children Treated With Vitamin B2 and Outdoor Sunlight Exposure
NCT05059041Phase 2COMPLETEDOhio State UniversityDilated Versus Non-Dilated Wavefront Corrections for Patients With Down Syndrome
NCT05294328Phase 2COMPLETEDLENZ Therapeutics, IncEvaluation of the Safety and Effectiveness of Aceclidine/Brimonidine (LNZ101) and Aceclidine (LNZ100) in the Treatment of Presbyopia
NCT05431543Phase 2COMPLETEDLENZ Therapeutics, IncEvaluation of the Safety and Effectiveness of Aceclidine (LNZ101) and Aceclidine + Brimonidine (LNZ100) in the Treatment of Presbyopia
NCT01122004Phase 1UNKNOWNShahid Beheshti University of Medical SciencesThe Effect of Gabapentin (Neurentin) and Pregabalin (Lyrica) in Pain Reduction After Photorefractive Keratectomy
NCT05936489Phase 1COMPLETEDLENZ Therapeutics, IncPlasma Pharmacokinetics and Safety of LNZ101 and LNZ100 Ophthalmic Solutions in Healthy Adult Subjects With Presbyopia
NCT03030755Not specifiedRECRUITINGThe Cleveland ClinicCorneal Elastography and Patient Specific Modeling
NCT04077086Not specifiedACTIVE_NOT_RECRUITINGQueen’s University, BelfastCorrecting Myopia Among Secondary School Children to Increase Academic High School Attendance Rates in Rural Communities
NCT04632784Not specifiedACTIVE_NOT_RECRUITINGOphtec BVClinical Trial With Artiflex Presbyopic (Artiplus)
NCT04740593Not specifiedACTIVE_NOT_RECRUITINGErasmus Medical CenterThe Effect of Early Glasses on the Development of Amblyopia
NCT04793893Not specifiedACTIVE_NOT_RECRUITINGEye Hospital Pristina KosovoTreatment of Residual Hypermetropic Refraction on Young Patients After LASIK Using Human Fresh Corneal Lenticule Implantation With ReLEX Smile Surgery
NCT05458323Not specifiedRECRUITINGQueen’s University, BelfastCognitive Level Enhancement Through Vision Exams and Refraction
NCT05550740Not specifiedACTIVE_NOT_RECRUITINGShanghai Eye Disease Prevention and Treatment CenterRepeated Low-Level Red-Light Therapy for Shortening Axial Length
NCT05670626Not specifiedENROLLING_BY_INVITATIONKasr El Aini HospitalCorrelation Between Preoperative Refraction and Anterior Segment Parameters With ICL Vault
NCT05733182Not specifiedRECRUITINGThe Hong Kong Polytechnic UniversityEffect of Colour Temperature of Reading Lamp on Refractive Error Development
NCT05856786Not specifiedRECRUITINGUniversity of NebraskaTo Study the Effects of Refractive Surgery on OCT Measurements in the Eye
NCT06849895Not specifiedNOT_YET_RECRUITINGShanghai Eye Disease Prevention and Treatment CenterReal-World Study of Myopia Prevention and Control in Children
NCT06913491Not specifiedACTIVE_NOT_RECRUITINGSuperior UniversityEfficacy of PEEK Acuity Versus ETDRS Chart for Assessment of Visual Acuity and Refractive Error
NCT06996353Not specifiedRECRUITINGLondon Vision ClinicClinical Data Collection of Myopic Patients After PTK-PRK With CZM MEL 90 Excimer Laser
NCT07001124Not specifiedACTIVE_NOT_RECRUITINGSuperior UniversityComparative Efficacy of Duochrome Test Verse +1 Blur Test in Detecting Refracting Error Across Different Ages
NCT07240480Not specifiedNOT_YET_RECRUITINGTrakya UniversityAssessing the Turkish DDIVAT for Visual Acuity Measurement
NCT07241806Not specifiedNOT_YET_RECRUITINGAssiut UniversityMeasurment of Optic Disc Parameters, RNFL Thickness and Ganglion Cell Complex in Myopic, Hypermetropic and Emmetropic Patients Using OCT and Axial Length Measurments
NCT07257536Not specifiedNOT_YET_RECRUITINGZhongshan Ophthalmic Center, Sun Yat-sen UniversityXinxing Eye Cohort Study
NCT07333248Not specifiedNOT_YET_RECRUITINGSeva Canada SocietyStrengthening Community- to- Hospital Eye Care Pathways From Boko Eye Care Center in Rural Assam

Drugs tested across these trials

28 drugs:

MoleculeMax phaseTrials referencing
Brimonidine48
Cyclopentolate42
Proparacaine42
Tropicamide42
Benoxinate41
Hydrogen Peroxide41
Phenylephrine41
Riboflavin41
Tobramycin41
Aceclidine36
Etafilcon A36
Senofilcon A34
Comfilcon A32
Nelfilcon A32
Astaxanthin31
Enfilcon A31
Galyfilcon A31
Lotrafilcon B31
Maxacalcitol31
Ocufilcon D31
Balafilcon A11
CHEMBL145755002
CHEMBL51156501
CHEMBL526727901
CHEMBL412707401
CHEMBL135805301
Hefilcon A-11
Nesofilcon A-11

Other drugs named in trials

Drugs named in these trials’ interventions but not in the ChEMBL table above — includes investigational drugs not yet in ChEMBL. Linked where an Atlas drug page exists.

14 drugs named in trials:

DrugMax trial phase
1% atropinePhase 4
Cyclopentolate+tropicamide+phenylephrinePhase 4
Proparacaine OphthalmicPhase 4
Aceclidine ophthalmic solutionPhase 3
Aceclidine+Brimonidine combination ophthalmic solutionPhase 3
Oral RiboflavinPhase 2
Aceclidine + BrimonidinePhase 1
PregabalinPhase 1
Atropine Sulfate 0.05% Ophthalmic SolutionNot specified
FID 114657 eye drops (10 ml)Not specified
OfloxacinNot specified
Oxybuprocaine 0.4%Not specified
Proxymetacaine 0.5%Not specified
Tobramycin and dexamethasoneNot specified