Retinal degeneration
diseaseOn this page
Also known as retina degenerationretina, Degeneration Of
Summary
Retinal degeneration (MONDO:0004580) is a disease (an umbrella term covering 6 Mondo subtypes) caused by GNAT1 (GenCC Strong), with 7 cohort genes (18 GWAS associations across 12 studies) and 69 clinical trials. Top therapeutic interventions include aflibercept, metformin, and valproic acid.
At a glance
- Causal gene: GNAT1 (GenCC Strong)
- Umbrella term: 6 Mondo subtypes
- Cohort genes: 7
- GWAS associations: 18
- ClinVar variants: 8
- Clinical trials: 69
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | retinal degeneration |
| Mondo ID | MONDO:0004580 |
| MeSH | D012162 |
| DOID | DOID:8466 |
| NCIT | C34979 |
| SNOMED CT | 95695004 |
| UMLS | C0035304 |
| MedGen | 48432 |
| Is cancer (heuristic) | no |
Also known as: retina degeneration · retina, Degeneration Of
Data availability: 8 ClinVar variants · 18 GWAS associations (12 studies) · 2 GenCC gene-disease records.
Disease family
An umbrella term covering 6 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › nervous system disorder › retinal disorder › retinal degeneration
Related subtypes (31): retinal ischemia, rubeosis iridis, retinal vascular disorder, retinitis, retinal nerve fiber layer disorder, retinal edema, night blindness, hypertensive retinopathy, macular holes, retinal detachment, iris hypoplasia with glaucoma, angioid streaks, bradyopsia, myopic macular degeneration, osteogenesis imperfecta-retinopathy-seizures-intellectual disability syndrome, congenital retinal arteriovenous communication, Eales disease, central serous chorioretinopathy, achromatopsia, cancer-associated retinopathy, persistent placoid maculopathy, inherited vitreoretinopathy, retina neoplasm, retinal ciliopathy, melanoma associated retinopathy, isolated foveal hypoplasia, acute macular neuroretinopathy, autoimmune retinopathy, proliferative vitreoretinopathy, isolated chorioretinal dystrophy, torpedo maculopathy
Subtypes (6): peripheral retinal degeneration, macular degeneration, retinoschisis, inherited retinal dystrophy, cone dystrophy 5, X-linked, cone dystrophy 1, X-linked
Genetics & variants
GWAS landscape
18 GWAS associations across 12 studies. Top hits map to 14 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs10094560 | 1e-27 | COL22A1 | C | 0.16 |
| chr1:196670757 | 6e-25 | C | 0.18 | |
| rs10922102 | 5e-21 | CFH | C | 0.13 |
| chr8:139910411 | 1e-15 | C | 0.14 | |
| rs2724374 | 4e-15 | MIR29B2CHG, CD46 | G | 0.33 |
| rs188940293 | 4e-13 | NPR3 - LINC02120 | G | 2.31 |
| rs184710851 | 4e-13 | LINC01036 | C | 2.67 |
| rs552547322 | 5e-13 | LINC01748 - NFIA | C | 2.6 |
| rs11187838 | 9e-13 | PLCE1, PLCE1-AS1 | G | 0.1 |
| rs35589948 | 1e-12 | PROX1-AS1 | A | 0.11 |
| rs144723593 | 4e-12 | ZNF398 | T | 2.39 |
| rs556012468 | 2e-11 | ARSJ - UGT8 | T | 2.47 |
| rs146233573 | 2e-11 | MACROD2 | A | 3.59 |
| rs375188715 | 2e-11 | DSCR4, KCNJ6 | G | 2.62 |
| rs145358702 | 3e-11 | ICE1 - HMGB3P3 | C | 3.46 |
| rs550441859 | 4e-11 | DSTNP5 - PARD3B | G | 2.81 |
| rs376807810 | 3e-10 | SLC28A1 | ? | |
| rs80312929 | 2e-08 | TTF2 | ? |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90475858 | Verma A | 2024 | 7,208 | 433,853 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477643 | Verma A | 2024 | 3,209 | 116,093 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480052 | Verma A | 2024 | 3,209 | 116,093 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477638 | Verma A | 2024 | 1,738 | 447,679 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90651268 | Liu TY | 2025 | 1,354 | 219,284 | Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population. |
| GCST90477642 | Verma A | 2024 | 1,204 | 57,511 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90477637 | Verma A | 2024 | 510 | 121,003 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480050 | Verma A | 2024 | 510 | 121,003 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90481904 | Verma A | 2024 | 323 | 59,353 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90651517 | Liu TY | 2025 | 208 | 219,284 | Diversity and longitudinal records: Genetic architecture of disease associations and polygenic risk in the Taiwanese Han population. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 1 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 17 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 7 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 9 |
| unknown | 2 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 10 |
| intergenic_variant | 4 |
| unknown | 2 |
| non_coding_transcript_exon_variant | 1 |
| 3_prime_UTR_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs10094560 | 8 | 138897795 | C>A,T | 0.371 | intron_variant | COL22A1 | 1e-27 | Tier 4: intronic/intergenic |
| chr1:196670757 | 0.391 | 6e-25 | Tier 4: intronic/intergenic | |||||
| rs10922102 | 1 | 196699157 | C>T | 0.373 | intron_variant | CFH | 5e-21 | Tier 4: intronic/intergenic |
| chr8:139910411 | 0.316 | 1e-15 | Tier 4: intronic/intergenic | |||||
| rs2724374 | 1 | 207767846 | G>A,C,T | 0.227 | intron_variant | MIR29B2CHG, CD46 | 4e-15 | Tier 4: intronic/intergenic |
| rs188940293 | 5 | 32855536 | G>A,C | 0.001 | intron_variant | NPR3 - LINC02120 | 4e-13 | Tier 4: intronic/intergenic |
| rs184710851 | 1 | 187500087 | C>A,T | 0.001 | intron_variant | LINC01036 | 4e-13 | Tier 4: intronic/intergenic |
| rs552547322 | 1 | 60793613 | C>A,T | 0.001 | intron_variant | LINC01748 - NFIA | 5e-13 | Tier 4: intronic/intergenic |
| rs11187838 | 10 | 94278929 | G>A,C,T | 0.438 | non_coding_transcript_exon_variant | PLCE1, PLCE1-AS1 | 9e-13 | Tier 4: intronic/intergenic |
| rs35589948 | 1 | 213955870 | A>C,G | 0.32 | intron_variant | PROX1-AS1 | 1e-12 | Tier 4: intronic/intergenic |
| rs144723593 | 7 | 149143094 | T>C | 0 | intergenic_variant | ZNF398 | 4e-12 | Tier 4: intronic/intergenic |
| rs556012468 | 4 | 114161723 | T>C | 0.001 | intergenic_variant | ARSJ - UGT8 | 2e-11 | Tier 4: intronic/intergenic |
| rs146233573 | 20 | 16049888 | A>G | 0 | 3_prime_UTR_variant | MACROD2 | 2e-11 | Tier 2: splice/UTR |
| rs375188715 | 21 | 37989069 | G>A | 0 | intron_variant | DSCR4, KCNJ6 | 2e-11 | Tier 4: intronic/intergenic |
| rs145358702 | 5 | 5976113 | C>G,T | 0 | intergenic_variant | ICE1 - HMGB3P3 | 3e-11 | Tier 4: intronic/intergenic |
| rs550441859 | 2 | 204400279 | G>A,T | 0 | intergenic_variant | DSTNP5 - PARD3B | 4e-11 | Tier 4: intronic/intergenic |
| rs376807810 | 15 | 84939980 | C>A,T | intron_variant | SLC28A1 | 3e-10 | Tier 4: intronic/intergenic | |
| rs80312929 | 1 | 117074272 | A>G | intron_variant | TTF2 | 2e-08 | Tier 4: intronic/intergenic |
ClinVar germline variants
8 retrieved; paginated sample, class counts are floors:
3 pathogenic, 2 pathogenic/likely pathogenic, 2 likely pathogenic, 1 conflicting classifications of pathogenicity
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 996695 | NM_003680.4(YARS1):c.806T>C (p.Phe269Ser) | LOC126805688 | Pathogenic/Likely pathogenic | no assertion criteria provided |
| 374139 | NM_000329.3(RPE65):c.1338+1G>A | RPE65 | Pathogenic | reviewed by expert panel |
| 30261 | NM_003322.6(TULP1):c.1198C>T (p.Arg400Trp) | TULP1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 429215 | NM_206933.4(USH2A):c.14219C>A (p.Ala4740Asp) | USH2A | Pathogenic | reviewed by expert panel |
| 48615 | NM_206933.4(USH2A):c.920_923dup (p.His308fs) | USH2A | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 870334 | NM_003043.6(SLC6A6):c.1196G>T (p.Gly399Val) | SLC6A6 | Likely pathogenic | criteria provided, single submitter |
| 870335 | NM_003043.6(SLC6A6):c.233C>A (p.Ala78Glu) | SLC6A6 | Likely pathogenic | criteria provided, single submitter |
| 638149 | NM_152558.5(IQCE):c.895_904del (p.Val301fs) | IQCE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 10 · Orphanet: 10 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| UBAP1L | Definitive | Autosomal recessive | inherited retinal dystrophy | 3 |
| GNAT1 | Strong | Autosomal recessive | retinal degeneration | 7 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| UBAP1L | Orphanet:1872 | Cone rod dystrophy |
| GNAT1 | Orphanet:714096 | Congenital stationary night blindness, Riggs type |
| RPE65 | Orphanet:364055 | Severe early-childhood-onset retinal dystrophy |
| RPE65 | Orphanet:65 | Leber congenital amaurosis |
| RPE65 | Orphanet:791 | Retinitis pigmentosa |
| TULP1 | Orphanet:65 | Leber congenital amaurosis |
| TULP1 | Orphanet:791 | Retinitis pigmentosa |
| USH2A | Orphanet:231178 | Usher syndrome type 2 |
| USH2A | Orphanet:791 | Retinitis pigmentosa |
| IQCE | Orphanet:93334 | Postaxial polydactyly type A |
Cohort genes → proteins
7 cohort genes, 7 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 7 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| UBAP1L | HGNC:40028 | ENSG00000246922 | F5GYI3 | Ubiquitin-associated protein 1-like | gencc |
| GNAT1 | HGNC:4393 | ENSG00000114349 | P11488 | Guanine nucleotide-binding protein G(t) subunit alpha-1 | gencc |
| RPE65 | HGNC:10294 | ENSG00000116745 | Q16518 | Retinoid isomerohydrolase | clinvar |
| SLC6A6 | HGNC:11052 | ENSG00000131389 | P31641 | Sodium- and chloride-dependent taurine transporter | clinvar |
| TULP1 | HGNC:12423 | ENSG00000112041 | O00294 | Tubby-related protein 1 | clinvar |
| USH2A | HGNC:12601 | ENSG00000042781 | O75445 | Usherin | clinvar |
| IQCE | HGNC:29171 | ENSG00000106012 | Q6IPM2 | IQ domain-containing protein E | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| GNAT1 | Guanine nucleotide-binding protein G(t) subunit alpha-1 | Functions as a signal transducer for the rod photoreceptor RHO. |
| RPE65 | Retinoid isomerohydrolase | Critical isomerohydrolase in the retinoid cycle involved in regeneration of 11-cis-retinal, the chromophore of rod and cone opsins. |
| SLC6A6 | Sodium- and chloride-dependent taurine transporter | Mediates sodium- and chloride-dependent transport of taurine. |
| TULP1 | Tubby-related protein 1 | Required for normal development of photoreceptor synapses. |
| USH2A | Usherin | Involved in hearing and vision as member of the USH2 complex. |
| IQCE | IQ domain-containing protein E | Component of the EvC complex that positively regulates ciliary Hedgehog (Hh) signaling. |
Protein-family classification
Druggable: 2 · Difficult: 0 · Unknown: 5 · Druggable fraction: 0.29
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 |
|---|---|---|---|
| Antibody/Immunoglobulin | 1 | 4.2× | 0.456 |
| Enzyme (other) | 1 | 1.7× | 0.456 |
| Other/Unknown | 5 | 1.3× | 0.456 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| UBAP1L | Other/Unknown | no | UMA, UBAP1, UBAP1_C | |
| GNAT1 | Other/Unknown | no | Gprotein_alpha_su, Gprotein_alpha_I, GproteinA_insert | |
| RPE65 | Enzyme (other) | yes | 3.1.1.64 | Carotenoid_Oase |
| SLC6A6 | Other/Unknown | no | Na/ntran_symport, Na/ntran_symport_taurine, SNS_sf | |
| TULP1 | Other/Unknown | no | Tubby_C, Tubby_C_CS, Tubby-like_C | |
| USH2A | Antibody/Immunoglobulin | yes | Laminin_G, LE_dom, FN3_dom | |
| IQCE | Other/Unknown | no | IQ_motif_EF-hand-BS, CellDiv_DevSignal_Domain |
Expression context
Cohort genes with no expression data: 0.
6 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) | 7 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| male germ line stem cell (sensu Vertebrata) in testis | 2 |
| retina | 2 |
| cerebellar cortex | 1 |
| cerebellar hemisphere | 1 |
| right hemisphere of cerebellum | 1 |
| endometrium epithelium | 1 |
| frontal pole | 1 |
| neuron projection bundle connecting eye with brain | 1 |
| pigmented layer of retina | 1 |
| mucosa of paranasal sinus | 1 |
| olfactory segment of nasal mucosa | 1 |
| palpebral conjunctiva | 1 |
| primordial germ cell in gonad | 1 |
| tendon of biceps brachii | 1 |
| buccal mucosa cell | 1 |
| right lobe of liver | 1 |
| left testis | 1 |
| right testis | 1 |
| sural nerve | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| UBAP1L | 171 | tissue_specific | yes | right hemisphere of cerebellum, cerebellar hemisphere, cerebellar cortex |
| GNAT1 | 97 | tissue_specific | marker | neuron projection bundle connecting eye with brain, endometrium epithelium, frontal pole |
| RPE65 | 92 | tissue_specific | marker | pigmented layer of retina, retina, male germ line stem cell (sensu Vertebrata) in testis |
| SLC6A6 | 265 | ubiquitous | marker | mucosa of paranasal sinus, palpebral conjunctiva, olfactory segment of nasal mucosa |
| TULP1 | 134 | tissue_specific | marker | primordial germ cell in gonad, tendon of biceps brachii, retina |
| USH2A | 30 | tissue_specific | marker | male germ line stem cell (sensu Vertebrata) in testis, right lobe of liver, buccal mucosa cell |
| IQCE | 231 | ubiquitous | marker | left testis, right testis, sural nerve |
Protein interactions among cohort
Intra-cohort edges: 2.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| USH2A | 2,332 |
| GNAT1 | 1,865 |
| RPE65 | 1,414 |
| SLC6A6 | 1,193 |
| IQCE | 1,124 |
| TULP1 | 760 |
| UBAP1L | 164 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| GNAT1 | RPE65 | string_interaction |
| RPE65 | TULP1 | string_interaction |
Structural data
PDB: 3 · AlphaFold-only: 4 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| SLC6A6 | P31641 | 45 |
| TULP1 | O00294 | 2 |
| GNAT1 | P11488 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| RPE65 | Q16518 | 95.34 |
| IQCE | Q6IPM2 | 69.36 |
| UBAP1L | F5GYI3 | 66.48 |
| USH2A | O75445 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 16. Enrichment computed across 7 evidence-associated genes (4 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 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Activation of the phototransduction cascade | 1 | 237.9× | 0.035 | GNAT1 |
| Activation of SMO | 1 | 158.6× | 0.035 | IQCE |
| The canonical retinoid cycle in rods (twilight vision) | 1 | 129.8× | 0.035 | RPE65 |
| SLC-mediated transport of neurotransmitters | 1 | 102.0× | 0.035 | SLC6A6 |
| Inactivation, recovery and regulation of the phototransduction cascade | 1 | 79.3× | 0.035 | GNAT1 |
| Amino acid transport across the plasma membrane | 1 | 75.1× | 0.035 | SLC6A6 |
| Visual phototransduction | 1 | 64.9× | 0.035 | RPE65 |
| Signaling by Hedgehog | 1 | 46.0× | 0.039 | IQCE |
| R-HSA-425366 | 1 | 45.3× | 0.039 | SLC6A6 |
| Hedgehog ‘on’ state | 1 | 39.6× | 0.040 | IQCE |
| R-HSA-425393 | 1 | 32.4× | 0.044 | SLC6A6 |
| Sensory Perception | 1 | 23.8× | 0.055 | RPE65 |
| SLC-mediated transmembrane transport | 1 | 14.8× | 0.081 | SLC6A6 |
| G alpha (i) signalling events | 1 | 9.7× | 0.113 | GNAT1 |
| Transport of small molecules | 1 | 6.3× | 0.160 | SLC6A6 |
| Signal Transduction | 1 | 2.5× | 0.339 | IQCE |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| detection of light stimulus involved in visual perception | 3 | 277.8× | 6e-06 | RPE65, TULP1, GNAT1 |
| visual perception | 4 | 45.4× | 2e-05 | RPE65, TULP1, USH2A, GNAT1 |
| retina homeostasis | 2 | 321.0× | 3e-04 | RPE65, TULP1 |
| eye photoreceptor cell development | 2 | 240.7× | 4e-04 | TULP1, GNAT1 |
| photoreceptor cell maintenance | 2 | 102.4× | 0.002 | TULP1, USH2A |
| negative regulation of cyclic-nucleotide phosphodiesterase activity | 1 | 2407.4× | 0.003 | GNAT1 |
| zeaxanthin biosynthetic process | 1 | 2407.4× | 0.003 | RPE65 |
| background adaptation | 1 | 1203.7× | 0.006 | GNAT1 |
| dopamine secretion | 1 | 802.5× | 0.007 | GNAT1 |
| retinal cone cell differentiation | 1 | 802.5× | 0.007 | GNAT1 |
| neural tissue regeneration | 1 | 601.9× | 0.007 | GNAT1 |
| import across plasma membrane | 1 | 601.9× | 0.007 | SLC6A6 |
| G protein-coupled opsin signaling pathway | 1 | 481.5× | 0.007 | GNAT1 |
| maintenance of animal organ identity | 1 | 481.5× | 0.007 | USH2A |
| inner ear receptor cell differentiation | 1 | 481.5× | 0.007 | USH2A |
| visual behavior | 1 | 401.2× | 0.007 | GNAT1 |
| taurine transmembrane transport | 1 | 401.2× | 0.007 | SLC6A6 |
| gamma-aminobutyric acid import | 1 | 401.2× | 0.007 | SLC6A6 |
| vitamin A metabolic process | 1 | 343.9× | 0.007 | RPE65 |
| alanine transport | 1 | 343.9× | 0.007 | SLC6A6 |
| sensory perception of umami taste | 1 | 343.9× | 0.007 | GNAT1 |
| protein localization to photoreceptor outer segment | 1 | 343.9× | 0.007 | TULP1 |
| phagocytosis, recognition | 1 | 300.9× | 0.008 | TULP1 |
| hair cell differentiation | 1 | 300.9× | 0.008 | USH2A |
| sensory perception of light stimulus | 1 | 267.5× | 0.008 | USH2A |
| retinal rod cell differentiation | 1 | 267.5× | 0.008 | GNAT1 |
| regulation of opsin-mediated signaling pathway | 1 | 240.7× | 0.008 | GNAT1 |
| phototransduction, visible light | 1 | 185.2× | 0.010 | GNAT1 |
| cellular response to electrical stimulus | 1 | 185.2× | 0.010 | GNAT1 |
| inner ear auditory receptor cell differentiation | 1 | 172.0× | 0.011 | USH2A |
Therapeutics
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 6
Druggability breadth: 2 of 7 evidence-associated genes (29%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SLC6A6 | 1 | 3 |
| UBAP1L | 0 | 0 |
| GNAT1 | 0 | 0 |
| RPE65 | 0 | 0 |
| TULP1 | 0 | 0 |
| USH2A | 0 | 0 |
| IQCE | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| TAURINE | 3 | SLC6A6 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| SLC6A6 | 5 | Binding:4, Functional:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| RPE65 | 3.1.1.64, 5.3.3.22 | retinoid isomerohydrolase, lutein isomerase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 7; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
1 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| TAURINE | 3 | SLC6A6 |
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 | 1 | SLC6A6 |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 2 | RPE65, USH2A |
| E | Difficult family or no structure, no drug | 4 | UBAP1L, GNAT1, TULP1, IQCE |
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) |
|---|---|---|
| UBAP1L | 0 | — |
| GNAT1 | 0 | — |
| RPE65 | 0 | — |
| TULP1 | 0 | — |
| USH2A | 0 | — |
| IQCE | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 69.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 35 |
| PHASE1/PHASE2 | 11 |
| PHASE1 | 8 |
| PHASE2 | 7 |
| PHASE3 | 3 |
| EARLY_PHASE1 | 3 |
| PHASE4 | 1 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00716586 | PHASE4 | COMPLETED | Treatment of Cystoid Macular Edema in Patients With Retinal Degeneration |
| NCT06305416 | PHASE3 | RECRUITING | A Efficacy and Safety Study of Ranibizumab 10mg/ml Injection (Incepta) in Patients With Diabetic Macular Edema |
| NCT02157077 | PHASE3 | COMPLETED | Aflibercept After Ranibizumab in Exudative Age-related Macular Degeneration |
| NCT03954626 | PHASE3 | COMPLETED | Study to Collect Safety and ECG Data on Brolucizumab 6 mg Intravitreal Treatment in Patients With Wet AMD |
| NCT04855045 | PHASE2/PHASE3 | UNKNOWN | An Open-label, Dose Escalation and Double-masked, Randomized, Controlled Trial Evaluating Safety and Tolerability of Sepofarsen in Children (<8 Years of Age) With LCA10 Caused by Mutations in the CEP290 Gene. |
| NCT04545736 | PHASE1/PHASE2 | RECRUITING | Oral Metformin for Treatment of ABCA4 Retinopathy |
| NCT05474729 | PHASE1/PHASE2 | RECRUITING | Minocycline for Chronic Autoimmune Uveitis |
| NCT06789445 | PHASE1/PHASE2 | RECRUITING | A Study to Investigate the Safety of OpCT-001 in Adults Who Have Primary Photoreceptor Disease (CLARICO) |
| NCT06852963 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | A Repeat-Dose, Open-Label, Two Arm Safety and Efficacy Study of Two Doses of VP-001 Administered Intravitreally in Participants With Confirmed PRPF31 Mutation-Associated Retinal Dystrophy, Including Participants Previously Treated With VP001 |
| NCT07174687 | PHASE2 | RECRUITING | SGLT2 Inhibitors in Geographic Atrophy |
| NCT00643747 | PHASE1/PHASE2 | COMPLETED | Safety Study of RPE65 Gene Therapy to Treat Leber Congenital Amaurosis |
| NCT01278277 | PHASE1/PHASE2 | UNKNOWN | Saffron Supplementation in Stargardt’s Disease |
| NCT01399515 | PHASE2 | COMPLETED | Efficacy and Safety of Oral Valproic Acid for Retinitis Pigmentosa |
| NCT01494805 | PHASE1/PHASE2 | COMPLETED | Safety and Efficacy Study of rAAV.sFlt-1 in Patients With Exudative Age-Related Macular Degeneration |
| NCT02144103 | PHASE1/PHASE2 | UNKNOWN | Effectiveness and Safety of Adipose-Derived Regenerative Cells for Treatment of Glaucomatous Neurodegeneration |
| NCT02348359 | PHASE2 | TERMINATED | X-82 to Treat Age-related Macular Degeneration |
| NCT03846193 | PHASE1/PHASE2 | TERMINATED | FOCUS: A Phase I/II First in Human Study to Evaluate the Safety and Efficacy of GT005 Administered in Subjects With Dry AMD |
| NCT03872479 | PHASE1/PHASE2 | UNKNOWN | Single Ascending Dose Study in Participants With LCA10 |
| NCT04643886 | PHASE2 | TERMINATED | A Multiple Dose Study of Repeat Intravitreal Injections of GEM103 in Dry Age-related Macular Degeneration |
| NCT04684394 | PHASE2 | TERMINATED | A Multiple Dose Study of Repeat Intravitreal Injections of GEM103 in Neovascular Age-related Macular Degeneration |
| NCT04919473 | PHASE1/PHASE2 | COMPLETED | Dose-Escalation Study to Evaluate the Safety and Tolerability of Intravitreal vMCO-I in Patients With Advanced Retinitis Pigmentosa |
| NCT04945772 | PHASE2 | COMPLETED | Efficacy and Safety of MCO-010 Optogenetic Therapy in Adults With Retinitis Pigmentosa [RESTORE] |
| NCT06011798 | PHASE2 | COMPLETED | Assess the Efficacy and Safety of Repeat Intravitreal Injections of Foselutoclax (UBX1325) in Patients With DME (ASPIRE) |
| NCT00877032 | PHASE1 | COMPLETED | Safety And Tolerability Study Of RN6G In Patients With Dry, Age-Related Macular Degeneration |
| NCT01003691 | PHASE1 | COMPLETED | Safety And Tolerability Study Of RN6G In Subjects With Advanced Dry, Age-Related Macular Degeneration Including Geographic Atrophy |
| NCT01024998 | PHASE1 | COMPLETED | Safety and Tolerability Study of AAV2-sFLT01 in Patients With Neovascular Age-Related Macular Degeneration (AMD) |
| NCT02330978 | PHASE1 | COMPLETED | Intravitreal Mesenchymal Stem Cell Transplantation in Advanced Glaucoma. |
| NCT02543229 | PHASE1 | COMPLETED | Study Evaluating the Safety, Pharmacokinetics and Pharmacodynamics of OPT-302 With or Without Lucentis™ in Patients With Wet AMD |
| NCT03772938 | PHASE1 | UNKNOWN | Stem Cells Therapy in Degenerative Diseases of the Retina |
| NCT04246866 | PHASE1 | COMPLETED | First in Human Study to Evaluate the Safety and Tolerability of GEM103 in Geographic Atrophy Secondary to Dry Age Related Macular Degeneration |
| NCT06455826 | PHASE1 | COMPLETED | MAD of IVT VP-001 in PRPF31 Mutation-Associated Retinal Dystrophy Subjects (Wallaby) |
| NCT06289452 | EARLY_PHASE1 | ACTIVE_NOT_RECRUITING | Safety and Efficacy Study of IVB102 Injection in Subjects With X-linked Retinoschisis |
| NCT07269665 | EARLY_PHASE1 | NOT_YET_RECRUITING | First-in-Human, Dose Escalation Trial of AXV-101 in BBS1-Related Retinal Degeneration |
| NCT03078309 | EARLY_PHASE1 | UNKNOWN | The Effects of Cannabis on Visual Functions in Healthy and Retinitis Pigmentosa Patients |
| NCT01432847 | Not specified | RECRUITING | Cell Collection to Study Eye Diseases |
| NCT01736293 | Not specified | ACTIVE_NOT_RECRUITING | Natural History of Eye Diseases Related to ABCA4 Mutations |
| NCT02617966 | Not specified | RECRUITING | Rod and Cone Mediated Function in Retinal Disease |
| NCT04129021 | Not specified | RECRUITING | High Resolution, High-speed Multimodal Ophthalmic Imaging |
| NCT04765345 | Not specified | ACTIVE_NOT_RECRUITING | Rate of Progression of PCDH15-Related Retinal Degeneration in Usher Syndrome 1F |
| NCT05355415 | Not specified | RECRUITING | Adaptive Optics Imaging of Outer Retinal Diseases |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| AFLIBERCEPT | 4 | 3 |
| METFORMIN | 4 | 1 |
| VALPROIC ACID | 4 | 1 |
| SOZINIBERCEPT | 3 | 1 |
| LUSACOMFAR ALFA | 2 | 3 |
| BRINRETIGENE VESGEDPARVOVEC | 2 | 1 |
| FOSELUTOCLAX | 2 | 1 |
| SEPOFARSEN | 2 | 1 |
| X-82 | 2 | 1 |
Related Atlas pages
- Cohort genes: UBAP1L, GNAT1, RPE65, SLC6A6, TULP1, USH2A, IQCE
- Drugs: Aflibercept, Metformin, Valproic Acid, Sozinibercept