Respiratory failure
diseaseOn this page
Also known as acute and chronic respiratory failureacute respiratory failurechronic respiratory failurefailure, respiratory
Summary
Respiratory failure (MONDO:0021113) is a disease with 6 cohort genes (56 GWAS associations across 31 studies) and 888 clinical trials. Top therapeutic interventions include oxygen, norepinephrine, and thiamine ion.
At a glance
- Cohort genes: 6
- GWAS associations: 56
- ClinVar variants: 6
- Clinical trials: 888
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | respiratory failure |
| Mondo ID | MONDO:0021113 |
| EFO | EFO:0009686 |
| MeSH | D012131 |
| DOID | DOID:11162 |
| ICD-11 | 370028006 |
| NCIT | C26872 |
| SNOMED CT | 39871006 |
| UMLS | C1145670 |
| MedGen | 257837 |
| Is cancer (heuristic) | no |
Also known as: acute and chronic respiratory failure · acute respiratory failure · chronic respiratory failure · failure, respiratory · respiratory failure
Data availability: 6 ClinVar variants · 56 GWAS associations (31 studies).
Disease family
An umbrella term covering 2 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › respiratory system disorder › lower respiratory tract disorder › lung disorder › respiratory failure
Related subtypes (32): aspiration pneumonia, lung abscess, pneumonic plague, pulmonary alveolar proteinosis, pulmonary systemic sclerosis, obstructive lung disease, bronchiolitis, pulmonary immaturity, rheumatoid arthritis-associated interstitial lung disease, pulmonary embolism and infarction, acute chest syndrome, fungal lung infectious disease, middle lobe syndrome, pulmonary coin lesion, pulmonary plasma cell granuloma, silo filler disease, pulmonary alveolar microlithiasis, pulmonary venoocclusive disease, acute lung injury, interstitial lung disease, hantavirus pulmonary syndrome, pulmonary non-tuberculous mycobacterial infection, lung neoplasm, occupational lung disease, Wilson-Mikity syndrome, neonatal aspiration syndrome, pneumonitis, vanishing lung syndrome, restrictive pulmonary disease, shrinking lung syndrome, dystrophic pulmonary ossification, pulmonary artery disease
Subtypes (2): acute respiratory failure, respiratory paralysis
Genetics & variants
GWAS landscape
56 GWAS associations across 31 studies. Top hits map to 25 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs35081325 | 6e-72 | LZTFL1 | T | 1.66 |
| rs73064425 | 3e-30 | LZTFL1 | T | 2.34 |
| rs55853698 | 1e-24 | CHRNA5 | T | 0.08 |
| rs2109069 | 2e-23 | DPP9 | A | 1.27 |
| rs35731912 | 2e-21 | LZTFL1 | T | 1.78 |
| rs12461964 | 2e-21 | CYP2F2P - CYP2A6 | A | 0.08 |
| rs17486278 | 8e-21 | CHRNA5 | A | 0.08 |
| rs13050728 | 2e-19 | IFNAR2-IL10RB, IFNAR2 | T | 1.16 |
| chr15:78896129 | 3e-17 | A | 0.08 | |
| rs2269899 | 8e-14 | OAS3 | C | 0.84 |
| rs35705950 | 8e-13 | MUC5AC - MUC5B | G | 0.09 |
| rs143334143 | 2e-12 | CCHCR1 | A | 1.29 |
| rs559056188 | 2e-12 | RDX, LINC02715 | T | 2.21 |
| rs568112263 | 5e-12 | LINC02392 - LINC02822 | C | 2.51 |
| rs1819040 | 3e-11 | KANSL1 | A | 0.88 |
| rs11085727 | 4e-11 | TYK2 | T | 1.18 |
| chr20:61992700 | 4e-11 | G | 0.06 | |
| rs11085725 | 1e-10 | TYK2 | T | 1.27 |
| rs10774671 | 1e-10 | OAS1 | G | 0.9 |
| rs505922 | 2e-10 | ABO | C | 1.1 |
| rs687289 | 4e-10 | ABO | A | 1.24 |
| chr14:24665566 | 2e-09 | A | 2.31 | |
| rs78531133 | 3e-09 | DST | A | 1.67 |
| rs9501257 | 4e-09 | HLA-DPB1 | G | 1.24 |
| rs77534576 | 2e-08 | TAC4-AS1 - RNU6-1313P | T | 1.44 |
| rs550057 | 2e-08 | ABO | T | 1.19 |
| chr9:5073770 | 2e-08 | T | 1.13 | |
| rs1405655 | 3e-08 | NR1H2 | C | 1.09 |
| rs12610495 | 3e-08 | DPP9 | G | 1.29 |
| rs1886814 | 4e-08 | FOXP4-AS1 | C | 1.24 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90476035 | Verma A | 2024 | 32,246 | 399,549 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90476036 | Verma A | 2024 | 24,849 | 411,900 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90278684 | Degenhardt F | 2022 | 14,467 | 1,306,293 | Detailed stratified GWAS analysis for severe COVID-19 in four European populations. |
| GCST90473742 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 8,637 | 449,803 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90667932 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 8,637 | 449,803 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90478169 | Verma A | 2024 | 7,281 | 109,873 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480266 | Verma A | 2024 | 7,281 | 109,873 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90278686 | Degenhardt F | 2022 | 6,526 | 719,075 | Detailed stratified GWAS analysis for severe COVID-19 in four European populations. |
| GCST90478171 | Verma A | 2024 | 5,862 | 112,646 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480262 | Verma A | 2024 | 5,862 | 112,646 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 4 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 38 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 30 |
| low_freq (0.01-0.05) | 7 |
| rare (<0.01) | 2 |
| unknown | 4 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 28 |
| unknown | 6 |
| intergenic_variant | 4 |
| 5_prime_UTR_variant | 1 |
| splice_region_variant | 1 |
| splice_acceptor_variant | 1 |
| 3_prime_UTR_variant | 1 |
| missense_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs35081325 | 3 | 45848429 | A>G,T | 0.085 | intron_variant | LZTFL1 | 6e-72 | Tier 4: intronic/intergenic |
| rs73064425 | 3 | 45859597 | C>T | 0.084 | intron_variant | LZTFL1 | 3e-30 | Tier 4: intronic/intergenic |
| rs55853698 | 15 | 78565597 | T>G | 0.335 | 5_prime_UTR_variant | CHRNA5 | 1e-24 | Tier 2: splice/UTR |
| rs2109069 | 19 | 4719431 | G>A | 0.323 | intron_variant | DPP9 | 2e-23 | Tier 4: intronic/intergenic |
| rs35731912 | 3 | 45848457 | C>T | 0.081 | intron_variant | LZTFL1 | 2e-21 | Tier 4: intronic/intergenic |
| rs12461964 | 19 | 40835324 | A>G,T | 0.474 | intron_variant | CYP2F2P - CYP2A6 | 2e-21 | Tier 4: intronic/intergenic |
| rs17486278 | 15 | 78575140 | A>C | 0.32 | intron_variant | CHRNA5 | 8e-21 | Tier 4: intronic/intergenic |
| rs13050728 | 21 | 33242905 | T>A,C | 0.355 | intron_variant | IFNAR2-IL10RB, IFNAR2 | 2e-19 | Tier 4: intronic/intergenic |
| chr15:78896129 | 0.34 | 3e-17 | Tier 4: intronic/intergenic | |||||
| rs2269899 | 12 | 112944151 | C>T | 0.334 | intron_variant | OAS3 | 8e-14 | Tier 4: intronic/intergenic |
| rs35705950 | 11 | 1219991 | G>A,T | 0.11 | splice_region_variant | MUC5AC - MUC5B | 8e-13 | Tier 2: splice/UTR |
| rs143334143 | 6 | 31153649 | G>A | 0.106 | intron_variant | CCHCR1 | 2e-12 | Tier 4: intronic/intergenic |
| rs559056188 | 11 | 110029398 | T>A | 0.001 | intron_variant | RDX, LINC02715 | 2e-12 | Tier 4: intronic/intergenic |
| rs568112263 | 12 | 90486677 | C>A,G | 0.001 | intergenic_variant | LINC02392 - LINC02822 | 5e-12 | Tier 4: intronic/intergenic |
| rs1819040 | 17 | 46142465 | T>A,C,G | 0.175 | intron_variant | KANSL1 | 3e-11 | Tier 4: intronic/intergenic |
| rs11085727 | 19 | 10355447 | C>T | 0.28 | intron_variant | TYK2 | 4e-11 | Tier 4: intronic/intergenic |
| chr20:61992700 | 0.208 | 4e-11 | Tier 4: intronic/intergenic | |||||
| rs11085725 | 19 | 10351837 | C>G,T | 0.264 | intron_variant | TYK2 | 1e-10 | Tier 4: intronic/intergenic |
| rs10774671 | 12 | 112919388 | G>A,C | 0.324 | splice_acceptor_variant | OAS1 | 1e-10 | Tier 2: splice/UTR |
| rs505922 | 9 | 133273813 | C>T | 0.352 | intron_variant | ABO | 2e-10 | Tier 4: intronic/intergenic |
| rs687289 | 9 | 133261703 | A>C,G,T | 0.348 | intron_variant | ABO | 4e-10 | Tier 4: intronic/intergenic |
| chr14:24665566 | 2e-09 | Tier 4: intronic/intergenic | ||||||
| rs78531133 | 6 | 56842705 | G>A | 0.03 | intron_variant | DST | 3e-09 | Tier 4: intronic/intergenic |
| rs9501257 | 6 | 33087578 | A>C,G,T | 0.078 | 3_prime_UTR_variant | HLA-DPB1 | 4e-09 | Tier 2: splice/UTR |
| rs77534576 | 17 | 49863303 | C>T | 0.034 | intergenic_variant | TAC4-AS1 - RNU6-1313P | 2e-08 | Tier 4: intronic/intergenic |
| rs550057 | 9 | 133271182 | T>A,C | 0.274 | intron_variant | ABO | 2e-08 | Tier 4: intronic/intergenic |
| chr9:5073770 | 2e-08 | Tier 4: intronic/intergenic | ||||||
| rs1405655 | 19 | 50379362 | T>A,C,G | 0.323 | intron_variant | NR1H2 | 3e-08 | Tier 4: intronic/intergenic |
| rs12610495 | 19 | 4717660 | A>G,T | 0.259 | intron_variant | DPP9 | 3e-08 | Tier 4: intronic/intergenic |
| rs1886814 | 6 | 41534945 | A>C | 0.044 | intron_variant | FOXP4-AS1 | 4e-08 | Tier 4: intronic/intergenic |
ClinVar germline variants
6 retrieved; paginated sample, class counts are floors:
3 pathogenic, 2 uncertain significance, 1 pathogenic/likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 400 | NM_019892.6(INPP5E):c.1132C>T (p.Arg378Cys) | INPP5E | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1299473 | NM_001284401.2(TAMM41):c.329A>G (p.Tyr110Cys) | TAMM41 | Pathogenic | no assertion criteria provided |
| 1299474 | NM_001284401.2(TAMM41):c.806dup (p.Asn269fs) | TAMM41 | Pathogenic | no assertion criteria provided |
| 1192322 | NM_005427.4(TP73):c.613G>T (p.Glu205Ter) | TP73 | Pathogenic | criteria provided, single submitter |
| 318546 | NM_001089.3(ABCA3):c.1336G>A (p.Asp446Asn) | ABCA3 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1339481 | NM_002204.4(ITGA3):c.1766G>C (p.Arg589Pro) | ITGA3 | Uncertain significance | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 11 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| TP73 | Orphanet:70573 | Small cell lung cancer |
| PMPCA | Orphanet:1170 | Autosomal recessive cerebelloparenchymal disorder type 3 |
| INPP5E | Orphanet:1454 | Joubert syndrome with hepatic defect |
| INPP5E | Orphanet:220493 | Joubert syndrome with ocular defect |
| INPP5E | Orphanet:475 | Isolated Joubert syndrome |
| INPP5E | Orphanet:75858 | MORM syndrome |
| ABCA3 | Orphanet:2032 | Idiopathic pulmonary fibrosis |
| ABCA3 | Orphanet:217563 | Neonatal acute respiratory distress syndrome |
| ABCA3 | Orphanet:440402 | Interstitial lung disease due to ABCA3 deficiency |
| ABCA3 | Orphanet:685082 | Pediatric acute respiratory distress syndrome |
| ITGA3 | Orphanet:306504 | Interstitial lung disease-nephrotic syndrome-epidermolysis bullosa syndrome |
Cohort genes → proteins
6 cohort genes, 6 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 6 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| TP73 | HGNC:12003 | ENSG00000078900 | O15350 | Tumor protein p73 | clinvar |
| PMPCA | HGNC:18667 | ENSG00000165688 | Q10713 | Mitochondrial-processing peptidase subunit alpha | clinvar |
| INPP5E | HGNC:21474 | ENSG00000148384 | Q9NRR6 | Phosphatidylinositol polyphosphate 5-phosphatase type IV | clinvar |
| TAMM41 | HGNC:25187 | ENSG00000144559 | Q96BW9 | Phosphatidate cytidylyltransferase, mitochondrial | clinvar |
| ABCA3 | HGNC:33 | ENSG00000167972 | Q99758 | Phospholipid-transporting ATPase ABCA3 | clinvar |
| ITGA3 | HGNC:6139 | ENSG00000005884 | P26006 | Integrin alpha-3 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| TP73 | Tumor protein p73 | Participates in the apoptotic response to DNA damage. |
| PMPCA | Mitochondrial-processing peptidase subunit alpha | Substrate recognition and binding subunit of the essential mitochondrial processing protease (MPP), which cleaves the mitochondrial sequence off newly imported precursors proteins. |
| INPP5E | Phosphatidylinositol polyphosphate 5-phosphatase type IV | Phosphatidylinositol (PtdIns) phosphatase that specifically hydrolyzes the 5-phosphate of phosphatidylinositol-3,4,5-trisphosphate (PtdIns(3,4,5)P3), phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2) and phosphatidylinositol 3,5-bispho… |
| TAMM41 | Phosphatidate cytidylyltransferase, mitochondrial | Catalyzes the conversion of phosphatidic acid (PA) to CDP-diacylglycerol (CDP-DAG), an essential intermediate in the synthesis of phosphatidylglycerol, cardiolipin and phosphatidylinositol. |
| ABCA3 | Phospholipid-transporting ATPase ABCA3 | Catalyzes the ATP-dependent transport of phospholipids such as phosphatidylcholine and phosphoglycerol from the cytoplasm into the lumen side of lamellar bodies, in turn participates in the lamellar bodies biogenesis and homeostasis of pul… |
| ITGA3 | Integrin alpha-3 | Integrin alpha-3/beta-1 is a receptor for fibronectin, laminin, collagen, epiligrin, thrombospondin and CSPG4. |
Protein-family classification
Druggable: 4 · Difficult: 1 · Unknown: 1 · Druggable fraction: 0.67
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 |
|---|---|---|---|
| Transporter | 1 | 13.0× | 0.377 |
| Protease | 1 | 6.1× | 0.377 |
| Antibody/Immunoglobulin | 1 | 4.9× | 0.377 |
| Enzyme (other) | 1 | 2.0× | 0.610 |
| Transcription factor | 1 | 1.4× | 0.647 |
| Other/Unknown | 1 | 0.3× | 0.993 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| TP73 | Transcription factor | no | SAM, p53_tumour_suppressor, p53-like_TF_DNA-bd_sf | |
| PMPCA | Protease | yes | 3.4.24.64 | Pept_M16_Zn_BS, Peptidase_M16_C, Metalloenz_LuxS/M16 |
| INPP5E | Enzyme (other) | yes | 3.1.3.36 | IPPc, Endo/exonu/phosph_ase_sf, INPP5E |
| TAMM41 | Other/Unknown | no | Tam41 | |
| ABCA3 | Transporter | yes | ABC_transporter-like_ATP-bd, AAA+_ATPase, ABC2_TM | |
| ITGA3 | Antibody/Immunoglobulin | yes | Integrin_alpha, FG-GAP, Int_alpha_beta-p |
Expression context
Cohort genes with no expression data: 0.
4 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) | 6 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| right uterine tube | 2 |
| upper lobe of left lung | 2 |
| olfactory segment of nasal mucosa | 1 |
| pancreatic ductal cell | 1 |
| adrenal tissue | 1 |
| apex of heart | 1 |
| right lobe of liver | 1 |
| oocyte | 1 |
| secondary oocyte | 1 |
| granulocyte | 1 |
| male germ line stem cell (sensu Vertebrata) in testis | 1 |
| primordial germ cell in gonad | 1 |
| lower lobe of lung | 1 |
| upper lobe of lung | 1 |
| metanephric glomerulus | 1 |
| right coronary artery | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| TP73 | 132 | broad | marker | right uterine tube, olfactory segment of nasal mucosa, pancreatic ductal cell |
| PMPCA | 276 | ubiquitous | marker | right lobe of liver, adrenal tissue, apex of heart |
| INPP5E | 279 | ubiquitous | yes | right uterine tube, secondary oocyte, oocyte |
| TAMM41 | 136 | ubiquitous | yes | primordial germ cell in gonad, granulocyte, male germ line stem cell (sensu Vertebrata) in testis |
| ABCA3 | 222 | ubiquitous | marker | lower lobe of lung, upper lobe of lung, upper lobe of left lung |
| ITGA3 | 149 | ubiquitous | marker | metanephric glomerulus, right coronary artery, upper lobe of left lung |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| PMPCA | 3,679 |
| TP73 | 2,320 |
| ITGA3 | 2,079 |
| ABCA3 | 1,436 |
| INPP5E | 1,309 |
| TAMM41 | 869 |
Structural data
PDB: 3 · AlphaFold-only: 3 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| TP73 | O15350 | 28 |
| ABCA3 | Q99758 | 2 |
| INPP5E | Q9NRR6 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| PMPCA | Q10713 | 88.46 |
| ITGA3 | P26006 | 83.88 |
| TAMM41 | Q96BW9 | 73.42 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 44. Enrichment computed across 6 evidence-associated genes (5 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 5 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Defective ABCA3 causes SMDP3 | 1 | 2284.0× | 0.010 | ABCA3 |
| ARL13B-mediated ciliary trafficking of INPP5E | 1 | 761.3× | 0.019 | INPP5E |
| Diseases associated with surfactant metabolism | 1 | 571.0× | 0.019 | ABCA3 |
| Activation of PUMA and translocation to mitochondria | 1 | 228.4× | 0.027 | TP73 |
| TP53 Regulates Transcription of Caspase Activators and Caspases | 1 | 190.3× | 0.027 | TP73 |
| TP53 Regulates Transcription of Death Receptors and Ligands | 1 | 190.3× | 0.027 | TP73 |
| Regulation of TP53 Activity through Association with Co-factors | 1 | 163.1× | 0.027 | TP73 |
| TP53 regulates transcription of several additional cell death genes whose specific roles in p53-dependent apoptosis remain uncertain | 1 | 152.3× | 0.027 | TP73 |
| Synthesis of PIPs at the Golgi membrane | 1 | 126.9× | 0.027 | INPP5E |
| Processing of SMDT1 | 1 | 126.9× | 0.027 | PMPCA |
| ABC transporters in lipid homeostasis | 1 | 120.2× | 0.027 | ABCA3 |
| MET promotes cell motility | 1 | 120.2× | 0.027 | ITGA3 |
| TP53 Regulates Transcription of Genes Involved in Cytochrome C Release | 1 | 108.8× | 0.027 | TP73 |
| Mitochondrial calcium ion transport | 1 | 108.8× | 0.027 | PMPCA |
| Basigin interactions | 1 | 87.8× | 0.029 | ITGA3 |
| ABC transporter disorders | 1 | 87.8× | 0.029 | ABCA3 |
| Laminin interactions | 1 | 76.1× | 0.029 | ITGA3 |
| MET activates PTK2 signaling | 1 | 76.1× | 0.029 | ITGA3 |
| Surfactant metabolism | 1 | 73.7× | 0.029 | ABCA3 |
| PI Metabolism | 1 | 71.4× | 0.029 | INPP5E |
| Transport of small molecules | 2 | 10.1× | 0.029 | PMPCA, ABCA3 |
| Signaling by MET | 1 | 63.4× | 0.030 | ITGA3 |
| Cargo trafficking to the periciliary membrane | 1 | 49.6× | 0.037 | INPP5E |
| Phospholipid metabolism | 1 | 40.1× | 0.043 | INPP5E |
| Protein localization | 1 | 38.1× | 0.044 | PMPCA |
| Mitochondrial protein import | 1 | 33.6× | 0.048 | PMPCA |
| Disorders of transmembrane transporters | 1 | 27.9× | 0.056 | ABCA3 |
| Integrin cell surface interactions | 1 | 26.9× | 0.056 | ITGA3 |
| ABC-family protein mediated transport | 1 | 24.3× | 0.059 | ABCA3 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| response to xenobiotic stimulus | 3 | 34.5× | 0.005 | TP73, ABCA3, ITGA3 |
| positive regulation of protein homooligomerization | 1 | 2808.7× | 0.008 | ABCA3 |
| regulation of phosphatidylcholine metabolic process | 1 | 1404.3× | 0.008 | ABCA3 |
| positive regulation of lung ciliated cell differentiation | 1 | 1404.3× | 0.008 | TP73 |
| positive regulation of intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator | 1 | 1404.3× | 0.008 | TP73 |
| negative regulation of cell projection organization | 1 | 936.2× | 0.008 | ITGA3 |
| response to gonadotropin | 1 | 936.2× | 0.008 | ITGA3 |
| xenobiotic export from cell | 1 | 936.2× | 0.008 | ABCA3 |
| renal filtration | 1 | 936.2× | 0.008 | ITGA3 |
| negative regulation of protein localization to cilium | 1 | 936.2× | 0.008 | INPP5E |
| lung development | 2 | 66.1× | 0.008 | ABCA3, ITGA3 |
| cerebrospinal fluid secretion | 1 | 702.2× | 0.009 | TP73 |
| response to inositol | 1 | 702.2× | 0.009 | INPP5E |
| positive regulation of phospholipid efflux | 1 | 702.2× | 0.009 | ABCA3 |
| cardiolipin biosynthetic process | 1 | 561.7× | 0.010 | TAMM41 |
| regulation of lipid biosynthetic process | 1 | 468.1× | 0.011 | ABCA3 |
| organelle assembly | 1 | 468.1× | 0.011 | ABCA3 |
| positive regulation of phospholipid transport | 1 | 401.2× | 0.012 | ABCA3 |
| obsolete protein processing involved in protein targeting to mitochondrion | 1 | 351.1× | 0.013 | PMPCA |
| negative regulation of cardiac muscle cell proliferation | 1 | 312.1× | 0.013 | TP73 |
| nephron development | 1 | 312.1× | 0.013 | ITGA3 |
| mesodermal cell differentiation | 1 | 255.3× | 0.015 | ITGA3 |
| phosphatidylglycerol metabolic process | 1 | 234.1× | 0.015 | ABCA3 |
| CDP-diacylglycerol biosynthetic process | 1 | 216.1× | 0.015 | TAMM41 |
| positive regulation of cell size | 1 | 216.1× | 0.015 | TP73 |
| dendritic spine maintenance | 1 | 216.1× | 0.015 | ITGA3 |
| regulation of BMP signaling pathway | 1 | 200.6× | 0.016 | ITGA3 |
| digestive tract morphogenesis | 1 | 165.2× | 0.018 | TP73 |
| phospholipid homeostasis | 1 | 165.2× | 0.018 | ABCA3 |
| xenobiotic transmembrane transport | 1 | 156.0× | 0.018 | ABCA3 |
Therapeutics
Drugs indicated for this disease
1 approved, 13 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Nitric Oxide | Approved (phase 4) |
| Almitrine | Phase 3 (in late-stage trials) |
| Azithromycin | Phase 3 (in late-stage trials) |
| Dexamethasone | Phase 3 (in late-stage trials) |
| Dexmedetomidine | Phase 3 (in late-stage trials) |
| Fentanyl | Phase 3 (in late-stage trials) |
| Fospropofol | Phase 3 (in late-stage trials) |
| Hydroxychloroquine | Phase 3 (in late-stage trials) |
| Isoflurane | Phase 3 (in late-stage trials) |
| Midazolam | Phase 3 (in late-stage trials) |
| Nitrogen | Phase 3 (in late-stage trials) |
| Propofol | Phase 3 (in late-stage trials) |
| Sevoflurane | Phase 3 (in late-stage trials) |
| Testosterone Undecanoate | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Albuterol, Alteplase, Aspirin, Cholecalciferol, Clopidogrel, Etomidate, Fondaparinux, L-Citrulline, Lucinactant, Mefloquine, Morphine, Remifentanil, Tirofiban.
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 6
Druggability breadth: 2 of 6 evidence-associated genes (33%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| TP73 | 0 | 0 |
| PMPCA | 0 | 0 |
| INPP5E | 0 | 0 |
| TAMM41 | 0 | 0 |
| ABCA3 | 0 | 0 |
| ITGA3 | 0 | 0 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 2.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| ITGA3 | 5 | Binding:5 |
| PMPCA | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| PMPCA | 3.4.24.64 | mitochondrial processing peptidase |
| INPP5E | 3.1.3.36 | phosphoinositide 5-phosphatase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 6; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
0 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 2 | INPP5E, ABCA3 |
| D | Druggable family + AlphaFold only, no drug | 2 | PMPCA, ITGA3 |
| E | Difficult family or no structure, no drug | 2 | TP73, TAMM41 |
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) |
|---|---|---|
| TP73 | 0 | — |
| PMPCA | 1 | — |
| INPP5E | 0 | — |
| TAMM41 | 0 | — |
| ABCA3 | 0 | — |
| ITGA3 | 5 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 888.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 760 |
| PHASE2 | 33 |
| PHASE4 | 32 |
| PHASE3 | 31 |
| PHASE2/PHASE3 | 12 |
| PHASE1/PHASE2 | 9 |
| PHASE1 | 9 |
| EARLY_PHASE1 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04496362 | PHASE4 | ACTIVE_NOT_RECRUITING | Veno-venous Extracorporeal Membrane Oxygenation (VV-ECMO) Heparin Study |
| NCT06401083 | PHASE4 | RECRUITING | The Effect of an Additional Pre-extubational Loading Dose of Caffeine-citrate |
| NCT06881927 | PHASE4 | NOT_YET_RECRUITING | Eduction in ImmunoSuppressive Regimen Among Kidney Transplant Recipients Patients Admitted to the Intensive Care Unit for Septic Shock and/or Acute Respiratory Failure |
| NCT00208078 | PHASE4 | TERMINATED | Effect of Non-Invasive Ventilation in Cystic Fibrosis Patient With Chronic Respiratory Failure. |
| NCT00291460 | PHASE4 | UNKNOWN | Inspiratory Muscle Training in Hypercapnic COPD |
| NCT00355732 | PHASE4 | COMPLETED | Chronic Obstructive Pulmonary Disease and Weaning From Mechanical Ventilation in Difficult to Wean Patients |
| NCT00560287 | PHASE4 | UNKNOWN | Non-Invasive Ventilation in Amyotrophic Lateral Sclerosis |
| NCT00600639 | PHASE4 | TERMINATED | Non-Invasive Mechanical Ventilation in Elderly Patients |
| NCT00698958 | PHASE4 | COMPLETED | Ambulatory Adaptation to Non-Invasive Mechanical Ventilation |
| NCT00708149 | PHASE4 | COMPLETED | Comparison of the Efficacy for Stress Ulcer Prophylaxis Between the Patients Received Lansoprazole OD and Control Group Weaning From Mechanical Ventilator in Respiratory Care Center: a Randomized Control Trial |
| NCT00732537 | PHASE4 | COMPLETED | Inhaled Nitric Oxide by Oxygen Hood in Neonates |
| NCT00925860 | PHASE4 | COMPLETED | Non-Positive Pressure Ventilation in Hypoxemic Patients |
| NCT01204281 | PHASE4 | COMPLETED | Proportional Assist Ventilation (PAV) in Early Stage of Critically Ill Patients |
| NCT01280019 | PHASE4 | UNKNOWN | FRC Guided Therapy in Acute Respiratory Failure |
| NCT01472302 | PHASE4 | COMPLETED | Closed Loop Ventilation Strategy in Intensive Care Unit (ICU) Patients |
| NCT01572337 | PHASE4 | COMPLETED | Early Non-invasive Ventilation Outside the Intensive Care Unit |
| NCT01941524 | PHASE4 | COMPLETED | Brain Oxygenation and Function of Preterm Newborns During Administration of Two Different Surfactant Preparations |
| NCT02203019 | PHASE4 | COMPLETED | Study of Sedative Medications in Patients With Severe Infection and Respiratory Failure |
| NCT02491346 | PHASE4 | UNKNOWN | A Trial Comparing SGC and Conventional Empiric Treatment for Glucose Control in Critically Ill Patients With Mechanical Ventilation in ICU |
| NCT02497729 | PHASE4 | COMPLETED | Checklists and Upright Positioning in Endotracheal Intubation of Critically Ill Patients (Check-UP) Trial |
| NCT02526862 | PHASE4 | COMPLETED | Prevention of Pressure Ulcers in Patients Under Non-Invasive Mechanical Ventilation |
| NCT02958150 | PHASE4 | UNKNOWN | Dexmedetomidine Versus Standard Clinical Practice During Non Invasive Mechanical Ventilation |
| NCT03026777 | PHASE4 | COMPLETED | Preventing Cardiovascular collaPse With Administration of Fluid Resuscitation Before Endotracheal Intubation |
| NCT03337373 | PHASE4 | COMPLETED | The Study of Pharmacokinetics and Pharmacodynamics of Cisatracurium |
| NCT03625687 | PHASE4 | TERMINATED | Pan-genotypic Direct Acting Antiviral Therapy in Donor HCV-positive to Recipient HCV-negative Lung Transplant |
| NCT03787732 | PHASE4 | COMPLETED | Preventing Cardiovascular Collapse With Administration of Fluid Resuscitation During Induction and Intubation |
| NCT03962725 | PHASE4 | TERMINATED | Avoiding Neuromuscular Blockers to Reduce Complications |
| NCT04092621 | PHASE4 | UNKNOWN | Rapid Atrial Fibrillation Treatment Strategy |
| NCT04350086 | PHASE4 | WITHDRAWN | Use of Dexmedetomidine in Light to Moderate Sedation in the Patient in the Palliative Situation of a Sars-cov-2 / COVID-19 Infection |
| NCT05277896 | PHASE4 | COMPLETED | Randomized Trial of Sedative Choice for Intubation |
| NCT05322447 | PHASE4 | COMPLETED | High-dose L-Carnitine and Diaphragmatic Function Assessed by Ultrasonography in Patients With Respiratory Failure. |
| NCT05843123 | PHASE4 | COMPLETED | Comparison of Gas Exchange Between Two Invasive Mechanical Ventilation Modes in Children |
| NCT05014581 | PHASE3 | RECRUITING | Preventing Cardiovascular Collapse With Vasopressors During Tracheal Intubation |
| NCT05527704 | PHASE3 | ACTIVE_NOT_RECRUITING | the Inhaled β2-adrenergic Receptor Agonist for Transient Tachypnoea of the Newborn (the REFSAL Trial) |
| NCT06066502 | PHASE3 | RECRUITING | Precision Ventilation vs Standard Care for Acute Respiratory Distress Syndrome |
| NCT06503016 | PHASE3 | RECRUITING | The Effect of phoSPHocreatine on mEdical Emergency Team (Met) tREated Patients |
| NCT06815679 | PHASE2/PHASE3 | NOT_YET_RECRUITING | Physiological Effects of Nebulized Salbutamol in Acute Respiratory Failure Patients on HFNC |
| NCT00000562 | PHASE3 | COMPLETED | Extracorporeal Support for Respiratory Insufficiency (ECMO) |
| NCT00148642 | PHASE3 | COMPLETED | Silver-Coated Endotracheal Tube to Reduce Ventilator Associated Pneumonia (VAP) |
| NCT00221520 | PHASE3 | UNKNOWN | Sedation in the Intensive Care Unit |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| OXYGEN | 4 | 21 |
| NOREPINEPHRINE | 4 | 5 |
| THIAMINE ION | 4 | 4 |
| AMIODARONE | 4 | 3 |
| ETOMIDATE | 4 | 3 |
| FONDAPARINUX | 4 | 3 |
| CAFFEINE CITRATE | 4 | 2 |
| CISATRACURIUM | 4 | 2 |
| CLOPIDOGREL | 4 | 2 |
| DEXMEDETOMIDINE | 4 | 2 |
| ILOPROST | 4 | 2 |
| NITROUS ACID | 4 | 2 |
| SODIUM NITROPRUSSIDE | 4 | 2 |
| ACYCLOVIR | 4 | 1 |
| ALTEPLASE | 4 | 1 |
| ARFORMOTEROL | 4 | 1 |
| ARGATROBAN | 4 | 1 |
| BERACTANT | 4 | 1 |
| BIVALIRUDIN | 4 | 1 |
| ESKETAMINE | 4 | 1 |
| FENTANYL | 4 | 1 |
| FORMOTEROL | 4 | 1 |
| FUROSEMIDE | 4 | 1 |
| HEPARIN | 4 | 1 |
| HYDROXYCHLOROQUINE | 4 | 1 |
| IPRATROPIUM BROMIDE | 4 | 1 |
| MEFLOQUINE | 4 | 1 |
| MODAFINIL | 4 | 1 |
| NICARDIPINE | 4 | 1 |
| PARATHYROID HORMONE | 4 | 1 |
Related Atlas pages
- Cohort genes: TP73, PMPCA, INPP5E, TAMM41, ABCA3, ITGA3
- Drugs: Oxygen, Norepinephrine, Thiamine Ion, Amiodarone, Etomidate, Fondaparinux, Caffeine, Cisatracurium, Clopidogrel, Dexmedetomidine, Iloprost, Nitrous Acid, Sodium Nitroprusside, Acyclovir, Alteplase, Arformoterol, Argatroban, Beractant, Bivalirudin, Esketamine, Fentanyl, Formoterol, Furosemide, Heparin, Hydroxychloroquine, Ipratropium Bromide, Mefloquine, Modafinil, Nicardipine, Parathyroid Hormone