Seborrheic keratosis
disease diseaseOn this page
Also known as basal cell papillomakeratosis Seborrheicakeratosis, seborrheic, somatic
Summary
Seborrheic keratosis (MONDO:0008420) is a disease (an umbrella term covering 5 Mondo subtypes) with 2 cohort genes (84 GWAS associations across 14 studies) and 23 clinical trials. Top therapeutic interventions include hydrogen peroxide, fusidate sodium, and petrolatum.
At a glance
- Umbrella term: 5 Mondo subtypes
- Cohort genes: 2
- GWAS associations: 84
- ClinVar variants: 23
- Clinical trials: 23
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | seborrheic keratosis |
| Mondo ID | MONDO:0008420 |
| EFO | EFO:0005584 |
| MeSH | D017492 |
| OMIM | 182000 |
| DOID | DOID:6498 |
| ICD-10-CM | L82 |
| NCIT | C9006 |
| SNOMED CT | 398838000 |
| UMLS | C0022603 |
| MedGen | 5957 |
| Is cancer (heuristic) | no |
Also known as: basal cell papilloma · keratosis Seborrheica · keratosis, seborrheic, somatic
Data availability: 23 ClinVar variants · 84 GWAS associations (14 studies).
Disease family
An umbrella term covering 5 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › integumentary system disorder › skin disorder › keratosis › seborrheic keratosis
Related subtypes (8): keratosis follicularis spinulosa decalvans, acquired keratosis, cholesteatoma, palmoplantar keratosis, porokeratosis, hereditary papulotranslucent acrokeratoderma, acrokeratosis verruciformis, trichostasis spinulosa
Subtypes (5): inflamed seborrheic keratosis, inverted follicular keratosis, melanoacanthoma, vulvar seborrheic keratosis, eyelid seborrheic keratosis
Genetics & variants
GWAS landscape
84 GWAS associations across 14 studies. Top hits map to 20 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs2853672 | 1e-185 | TERT | C | 0.15 |
| rs12203592 | 3e-158 | IRF4 | C | 0.2 |
| chr5:1292868 | 6e-127 | A | 0.2 | |
| rs16891982 | 5e-72 | SLC45A2 | C | 0.27 |
| chr3:189199930 | 1e-62 | A | 0.09 | |
| rs1126809 | 6e-50 | TYR | G | 0.09 |
| rs9290890 | 2e-45 | TPRG1 - TP63 | A | 0.09 |
| chr3:189490949 | 1e-38 | A | 0.11 | |
| rs6059655 | 4e-36 | RALY | A | 0.11 |
| chr2:33051529 | 1e-33 | G | 0.07 | |
| rs11217816 | 4e-33 | POU2F3 - TLCD5 | G | 0.06 |
| rs4268748 | 3e-31 | DEF8 | T | 0.07 |
| rs7568453 | 1e-27 | TTC27 - LINC00486 | A | 0.07 |
| chr2:202126615 | 6e-27 | A | 0.06 | |
| chr11:120317713 | 4e-24 | G | 0.09 | |
| rs4776888 | 4e-23 | SMAD3 | C | 0.05 |
| rs11611584 | 9e-23 | KRT6A - KRT5 | C | 0.09 |
| rs34560261 | 2e-22 | SEMA4B | C | 0.08 |
| rs1049207 | 5e-22 | PPL | C | 0.05 |
| chr2:32820495 | 3e-21 | C | 0.08 | |
| rs2036204 | 2e-20 | ANKRD50 | A | 0.06 |
| rs75507031 | 9e-20 | CASP8, FLACC1 | C | 0.06 |
| rs2476601 | 3e-18 | AP4B1-AS1, PTPN22 | A | 0.08 |
| chr1:151532372 | 8e-18 | C | 0.05 | |
| chr1:201298866 | 9e-18 | G | 0.05 | |
| rs75596709 | 1e-17 | TBCD | G | 0.07 |
| chr2:232485833 | 2e-17 | A | 0.06 | |
| chr9:16881877 | 2e-17 | C | 0.05 | |
| rs117744081 | 3e-15 | CPVL | A | 0.12 |
| rs11170164 | 3e-15 | KRT5 | C | 0.09 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90476206 | Verma A | 2024 | 88,990 | 303,479 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90473976 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 30,519 | 427,921 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90667946 | UK Biobank Whole-Genome Sequencing Consortium | 2025 | 30,519 | 427,921 | Whole-genome sequencing of 490,640 UK Biobank participants. |
| GCST90080369 | Backman JD | 2021 | 10,168 | 361,048 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90084355 | Backman JD | 2021 | 10,168 | 361,048 | Exome sequencing and analysis of 454,787 UK Biobank participants. |
| GCST90476205 | Verma A | 2024 | 4,518 | 50,328 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90478813 | Verma A | 2024 | 3,192 | 112,982 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90480469 | Verma A | 2024 | 3,192 | 112,982 | Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program. |
| GCST90436622 | Zhou W | 2018 | 3,092 | 403,439 | Efficiently controlling for case-control imbalance and sample relatedness in large-scale genetic association studies. |
| GCST90044526 | Jiang L | 2021 | 2,684 | 453,664 | A generalized linear mixed model association tool for biobank-scale data. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 6 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 44 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 36 |
| low_freq (0.01-0.05) | 2 |
| rare (<0.01) | 0 |
| unknown | 12 |
Functional consequences
| Consequence | Count |
|---|---|
| unknown | 25 |
| intron_variant | 12 |
| missense_variant | 6 |
| intergenic_variant | 6 |
| synonymous_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs2853672 | 5 | 1292868 | C>A,G | 0.482 | intron_variant | TERT | 1e-185 | Tier 4: intronic/intergenic |
| rs12203592 | 6 | 396321 | C>G,T | 0.16 | intron_variant | IRF4 | 3e-158 | Tier 4: intronic/intergenic |
| chr5:1292868 | 6e-127 | Tier 4: intronic/intergenic | ||||||
| rs16891982 | 5 | 33951588 | C>A,G | 0.037 | missense_variant | SLC45A2 | 5e-72 | Tier 1: coding |
| chr3:189199930 | 0.431 | 1e-62 | Tier 4: intronic/intergenic | |||||
| rs1126809 | 11 | 89284793 | G>A | 0.283 | missense_variant | TYR | 6e-50 | Tier 1: coding |
| rs9290890 | 3 | 189478776 | A>C | 0.477 | intergenic_variant | TPRG1 - TP63 | 2e-45 | Tier 4: intronic/intergenic |
| chr3:189490949 | 1e-38 | Tier 4: intronic/intergenic | ||||||
| rs6059655 | 20 | 34077942 | A>G | 0.092 | intron_variant | RALY | 4e-36 | Tier 4: intronic/intergenic |
| chr2:33051529 | 0.422 | 1e-33 | Tier 4: intronic/intergenic | |||||
| rs11217816 | 11 | 120320288 | G>A | 0.349 | intergenic_variant | POU2F3 - TLCD5 | 4e-33 | Tier 4: intronic/intergenic |
| rs4268748 | 16 | 89960104 | T>C | 0.281 | intron_variant | DEF8 | 3e-31 | Tier 4: intronic/intergenic |
| rs7568453 | 2 | 32823995 | A>C,G,T | 0.368 | intergenic_variant | TTC27 - LINC00486 | 1e-27 | Tier 4: intronic/intergenic |
| chr2:202126615 | 0.267 | 6e-27 | Tier 4: intronic/intergenic | |||||
| chr11:120317713 | 4e-24 | Tier 4: intronic/intergenic | ||||||
| rs4776888 | 15 | 67091921 | C>A,G,T | 0.446 | intron_variant | SMAD3 | 4e-23 | Tier 4: intronic/intergenic |
| rs11611584 | 12 | 52512251 | C>A | 0.087 | intron_variant | KRT6A - KRT5 | 9e-23 | Tier 4: intronic/intergenic |
| rs34560261 | 15 | 90191194 | C>T | 0.162 | intron_variant | SEMA4B | 2e-22 | Tier 4: intronic/intergenic |
| rs1049207 | 16 | 4884563 | C>A,G,T | 0.445 | synonymous_variant | PPL | 5e-22 | Tier 4: intronic/intergenic |
| chr2:32820495 | 3e-21 | Tier 4: intronic/intergenic | ||||||
| rs2036204 | 4 | 124698876 | A>G | 0.196 | intron_variant | ANKRD50 | 2e-20 | Tier 4: intronic/intergenic |
| rs75507031 | 2 | 201296039 | C>A,T | 0.28 | intron_variant | CASP8, FLACC1 | 9e-20 | Tier 4: intronic/intergenic |
| rs2476601 | 1 | 113834946 | A>G,T | 0.096 | missense_variant | AP4B1-AS1, PTPN22 | 3e-18 | Tier 1: coding |
| chr1:151532372 | 0.407 | 8e-18 | Tier 4: intronic/intergenic | |||||
| chr1:201298866 | 0.417 | 9e-18 | Tier 4: intronic/intergenic | |||||
| rs75596709 | 17 | 82794256 | G>A,T | 0.099 | intron_variant | TBCD | 1e-17 | Tier 4: intronic/intergenic |
| chr2:232485833 | 0.182 | 2e-17 | Tier 4: intronic/intergenic | |||||
| chr9:16881877 | 0.406 | 2e-17 | Tier 4: intronic/intergenic | |||||
| rs117744081 | 7 | 29092663 | A>G | 0.032 | missense_variant | CPVL | 3e-15 | Tier 1: coding |
| rs11170164 | 12 | 52519884 | C>A,G,T | 0.06 | missense_variant | KRT5 | 3e-15 | Tier 1: coding |
ClinVar germline variants
23 retrieved; paginated sample, class counts are floors:
16 uncertain significance, 5 pathogenic, 1 pathogenic/likely pathogenic, 1 likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 16332 | NM_000142.5(FGFR3):c.742C>T (p.Arg248Cys) | FGFR3 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 16339 | NM_000142.5(FGFR3):c.746C>G (p.Ser249Cys) | FGFR3 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 13652 | NM_006218.4(PIK3CA):c.3140A>G (p.His1047Arg) | PIK3CA | Pathogenic | reviewed by expert panel |
| 13655 | NM_006218.4(PIK3CA):c.1633G>A (p.Glu545Lys) | PIK3CA | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 376050 | NM_006218.4(PIK3CA):c.1035T>A (p.Asn345Lys) | PIK3CA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 39705 | NM_006218.4(PIK3CA):c.3139C>T (p.His1047Tyr) | PIK3CA | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 376492 | NM_006218.4(PIK3CA):c.113G>A (p.Arg38His) | PIK3CA | Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1006390 | NM_006218.4(PIK3CA):c.1082A>G (p.Tyr361Cys) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 1209560 | NM_006218.4(PIK3CA):c.2980C>T (p.His994Tyr) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 2441860 | NM_006218.4(PIK3CA):c.1873G>A (p.Asp625Asn) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 3225343 | NM_006218.4(PIK3CA):c.1860A>T (p.Glu620Asp) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 3258063 | NM_006218.4(PIK3CA):c.1189C>T (p.Pro397Ser) | PIK3CA | Uncertain significance | criteria provided, single submitter |
| 3306571 | NM_006218.4(PIK3CA):c.314T>G (p.Val105Gly) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 3588946 | NM_006218.4(PIK3CA):c.1442G>A (p.Ser481Asn) | PIK3CA | Uncertain significance | criteria provided, single submitter |
| 3588947 | NM_006218.4(PIK3CA):c.1701A>T (p.Lys567Asn) | PIK3CA | Uncertain significance | criteria provided, single submitter |
| 3588948 | NM_006218.4(PIK3CA):c.2949G>A (p.Met983Ile) | PIK3CA | Uncertain significance | criteria provided, single submitter |
| 403909 | NM_006218.4(PIK3CA):c.1130C>G (p.Pro377Arg) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 403919 | NM_006218.4(PIK3CA):c.341A>G (p.Asn114Ser) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 526637 | NM_006218.4(PIK3CA):c.2651A>G (p.Lys884Arg) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 526641 | NM_006218.4(PIK3CA):c.436G>A (p.Val146Ile) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 660732 | NM_006218.4(PIK3CA):c.2048G>C (p.Arg683Thr) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 936426 | NM_006218.4(PIK3CA):c.1494G>T (p.Trp498Cys) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 965858 | NM_006218.4(PIK3CA):c.1476T>G (p.Ile492Met) | PIK3CA | Uncertain significance | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 28 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| FGFR3 | Orphanet:15 | Achondroplasia |
| FGFR3 | Orphanet:1860 | Thanatophoric dysplasia type 1 |
| FGFR3 | Orphanet:2363 | Lacrimoauriculodentodigital syndrome |
| FGFR3 | Orphanet:251576 | Gliosarcoma |
| FGFR3 | Orphanet:251579 | Giant cell glioblastoma |
| FGFR3 | Orphanet:35099 | Non-syndromic bicoronal craniosynostosis |
| FGFR3 | Orphanet:429 | Hypochondroplasia |
| FGFR3 | Orphanet:53271 | Muenke syndrome |
| FGFR3 | Orphanet:794 | Saethre-Chotzen syndrome |
| FGFR3 | Orphanet:85164 | Camptodactyly-tall stature-scoliosis-hearing loss syndrome |
| FGFR3 | Orphanet:85165 | Severe achondroplasia-developmental delay-acanthosis nigricans syndrome |
| FGFR3 | Orphanet:93262 | Crouzon syndrome-acanthosis nigricans syndrome |
| FGFR3 | Orphanet:93274 | Thanatophoric dysplasia type 2 |
| PIK3CA | Orphanet:140944 | CLOVES syndrome |
| PIK3CA | Orphanet:144 | Lynch syndrome |
| PIK3CA | Orphanet:168984 | CLAPO syndrome |
| PIK3CA | Orphanet:201 | Cowden syndrome |
| PIK3CA | Orphanet:210159 | Adult hepatocellular carcinoma |
| PIK3CA | Orphanet:221061 | Familial cerebral cavernous malformation |
| PIK3CA | Orphanet:2495 | Meningioma |
| PIK3CA | Orphanet:276280 | Hemihyperplasia-multiple lipomatosis syndrome |
| PIK3CA | Orphanet:295239 | Macrodactyly of fingers, unilateral |
| PIK3CA | Orphanet:295243 | Macrodactyly of toes, unilateral |
| PIK3CA | Orphanet:314662 | Segmental progressive overgrowth syndrome with fibroadipose hyperplasia |
| PIK3CA | Orphanet:60040 | Megalencephaly-capillary malformation-polymicrogyria syndrome |
| PIK3CA | Orphanet:714737 | Diffuse capillary malformation with overgrowth |
| PIK3CA | Orphanet:90308 | Capillary-lymphatic-venous malformation with segmental distribution |
| PIK3CA | Orphanet:99802 | Hemimegalencephaly |
Cohort genes → proteins
2 cohort genes, 2 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| FGFR3 | HGNC:3690 | ENSG00000068078 | P22607 | Fibroblast growth factor receptor 3 | clinvar |
| PIK3CA | HGNC:8975 | ENSG00000121879 | P42336 | Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoform | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| FGFR3 | Fibroblast growth factor receptor 3 | Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of cell proliferation, differentiation and apoptosis. |
| PIK3CA | Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoform | Phosphoinositide-3-kinase (PI3K) phosphorylates phosphatidylinositol (PI) and its phosphorylated derivatives at position 3 of the inositol ring to produce 3-phosphoinositides. |
Protein-family classification
Druggable: 2 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 2 | 27.7× | 0.001 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| FGFR3 | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Ig_sub2 |
| PIK3CA | Kinase | yes | 2.7.1.137 | PI3K_Ras-bd_dom, PI3/4_kinase_cat_dom, PI3K_accessory_dom |
Expression context
Cohort genes with no expression data: 0.
2 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) | 2 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| skin of hip | 1 |
| upper arm skin | 1 |
| upper leg skin | 1 |
| adrenal tissue | 1 |
| calcaneal tendon | 1 |
| tendon | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| FGFR3 | 262 | broad | marker | upper leg skin, skin of hip, upper arm skin |
| PIK3CA | 284 | ubiquitous | marker | calcaneal tendon, adrenal tissue, tendon |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| PIK3CA | 5,157 |
| FGFR3 | 4,510 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| FGFR3 | PIK3CA | string_interaction |
Structural data
PDB: 2 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PIK3CA | P42336 | 135 |
| FGFR3 | P22607 | 15 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 69. Enrichment computed across 2 evidence-associated genes (2 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 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| PI-3K cascade:FGFR3 | 2 | 634.4× | 1e-04 | FGFR3, PIK3CA |
| Signaling by FGFR3 in disease | 2 | 496.5× | 1e-04 | FGFR3, PIK3CA |
| PI3K Cascade | 2 | 271.9× | 3e-04 | FGFR3, PIK3CA |
| Constitutive Signaling by Aberrant PI3K in Cancer | 2 | 126.9× | 0.001 | FGFR3, PIK3CA |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 2 | 96.8× | 0.001 | FGFR3, PIK3CA |
| t(4;14) translocations of FGFR3 | 1 | 5710.0× | 0.002 | FGFR3 |
| Signaling by FGFR3 fusions in cancer | 1 | 5710.0× | 0.002 | FGFR3 |
| PIP3 activates AKT signaling | 2 | 66.8× | 0.002 | FGFR3, PIK3CA |
| RAF/MAP kinase cascade | 2 | 61.1× | 0.002 | FGFR3, PIK3CA |
| MET activates PI3K/AKT signaling | 1 | 951.7× | 0.006 | PIK3CA |
| Activated NTRK3 signals through PI3K | 1 | 951.7× | 0.006 | PIK3CA |
| FGFR3b ligand binding and activation | 1 | 815.7× | 0.006 | FGFR3 |
| Activated NTRK2 signals through PI3K | 1 | 815.7× | 0.006 | PIK3CA |
| Signaling by LTK in cancer | 1 | 815.7× | 0.006 | PIK3CA |
| PI3K/AKT activation | 1 | 634.4× | 0.006 | PIK3CA |
| IRS-mediated signalling | 1 | 519.1× | 0.006 | PIK3CA |
| PI3K events in ERBB4 signaling | 1 | 519.1× | 0.006 | PIK3CA |
| Co-stimulation by ICOS | 1 | 519.1× | 0.006 | PIK3CA |
| Signaling by activated point mutants of FGFR3 | 1 | 475.8× | 0.006 | FGFR3 |
| Signaling by FGFR4 in disease | 1 | 475.8× | 0.006 | PIK3CA |
| Erythropoietin activates Phosphoinositide-3-kinase (PI3K) | 1 | 475.8× | 0.006 | PIK3CA |
| FGFR3c ligand binding and activation | 1 | 439.2× | 0.006 | FGFR3 |
| Phospholipase C-mediated cascade; FGFR3 | 1 | 439.2× | 0.006 | FGFR3 |
| Signaling by PDGFRA transmembrane, juxtamembrane and kinase domain mutants | 1 | 439.2× | 0.006 | PIK3CA |
| Signaling by PDGFRA extracellular domain mutants | 1 | 439.2× | 0.006 | PIK3CA |
| Signaling by LTK | 1 | 439.2× | 0.006 | PIK3CA |
| Signaling by FLT3 ITD and TKD mutants | 1 | 380.7× | 0.006 | PIK3CA |
| Constitutive Signaling by EGFRvIII | 1 | 356.9× | 0.006 | PIK3CA |
| PI3K events in ERBB2 signaling | 1 | 335.9× | 0.006 | PIK3CA |
| Signaling by ERBB2 ECD mutants | 1 | 335.9× | 0.006 | PIK3CA |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 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 muscle inactivity | 1 | 8426.0× | 0.003 | PIK3CA |
| negative regulation of developmental growth | 1 | 8426.0× | 0.003 | FGFR3 |
| response to butyrate | 1 | 8426.0× | 0.003 | PIK3CA |
| positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction | 2 | 78.4× | 0.003 | FGFR3, PIK3CA |
| fibroblast growth factor receptor apoptotic signaling pathway | 1 | 4213.0× | 0.003 | FGFR3 |
| response to L-leucine | 1 | 2808.7× | 0.003 | PIK3CA |
| bone maturation | 1 | 2808.7× | 0.003 | FGFR3 |
| cellular response to hydrostatic pressure | 1 | 2808.7× | 0.003 | PIK3CA |
| positive regulation of phospholipase activity | 1 | 1685.2× | 0.004 | FGFR3 |
| negative regulation of actin filament depolymerization | 1 | 1404.3× | 0.004 | PIK3CA |
| regulation of cellular respiration | 1 | 1404.3× | 0.004 | PIK3CA |
| regulation of actin filament organization | 1 | 1203.7× | 0.004 | PIK3CA |
| autosome genomic imprinting | 1 | 1203.7× | 0.004 | PIK3CA |
| negative regulation of fibroblast apoptotic process | 1 | 1203.7× | 0.004 | PIK3CA |
| endochondral bone growth | 1 | 842.6× | 0.005 | FGFR3 |
| cardiac muscle cell contraction | 1 | 842.6× | 0.005 | PIK3CA |
| positive regulation of protein localization to membrane | 1 | 842.6× | 0.005 | PIK3CA |
| TORC2 signaling | 1 | 766.0× | 0.005 | PIK3CA |
| phosphatidylinositol-3-phosphate biosynthetic process | 1 | 648.1× | 0.005 | PIK3CA |
| anoikis | 1 | 648.1× | 0.005 | PIK3CA |
| relaxation of cardiac muscle | 1 | 648.1× | 0.005 | PIK3CA |
| response to dexamethasone | 1 | 601.9× | 0.005 | PIK3CA |
| vasculature development | 1 | 561.7× | 0.005 | PIK3CA |
| negative regulation of macroautophagy | 1 | 561.7× | 0.005 | PIK3CA |
| chondrocyte proliferation | 1 | 526.6× | 0.005 | FGFR3 |
| vascular endothelial growth factor signaling pathway | 1 | 526.6× | 0.005 | PIK3CA |
| negative regulation of anoikis | 1 | 443.5× | 0.006 | PIK3CA |
| response to muscle stretch | 1 | 383.0× | 0.006 | PIK3CA |
| positive regulation of tyrosine phosphorylation of STAT protein | 1 | 366.4× | 0.006 | FGFR3 |
| phosphatidylinositol-mediated signaling | 1 | 351.1× | 0.006 | PIK3CA |
Therapeutics
Drugs indicated or in trials for this disease
1 approved drug — disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Status |
|---|---|
| Hydrogen Peroxide | Approved (phase 4) |
1 drug in clinical trials for this disease (phase 2–3, investigational): efficacy not established — a trial record, not an indication.
| Drug | Highest phase |
|---|---|
| Ingenol Mebutate | Phase 2 |
Drug target analysis
Approved (phase 4): 2 · Phase ≥3: 2 · Phased (≥1): 2 · Undrugged: 0
Druggability breadth: 2 of 2 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| FGFR3 | PONATINIB |
| PIK3CA | IDELALISIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| PIK3CA | 67 | 4 |
| FGFR3 | 64 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| PONATINIB | 4 | FGFR3 |
| PEMIGATINIB | 4 | FGFR3 |
| NINTEDANIB | 4 | FGFR3 |
| FEDRATINIB | 4 | FGFR3, PIK3CA |
| LENVATINIB | 4 | FGFR3 |
| AXITINIB | 4 | FGFR3 |
| SORAFENIB | 4 | FGFR3 |
| INFIGRATINIB PHOSPHATE | 4 | FGFR3 |
| INFIGRATINIB | 4 | FGFR3 |
| ENTRECTINIB | 4 | FGFR3 |
| CERITINIB | 4 | FGFR3 |
| VANDETANIB | 4 | FGFR3 |
| NINTEDANIB ESYLATE | 4 | FGFR3 |
| BRIGATINIB | 4 | FGFR3 |
| ERDAFITINIB | 4 | FGFR3 |
| FUTIBATINIB | 4 | FGFR3 |
| PAZOPANIB | 4 | FGFR3 |
| SUNITINIB | 4 | FGFR3, PIK3CA |
| DASATINIB | 4 | FGFR3, PIK3CA |
| CRIZOTINIB | 4 | FGFR3, PIK3CA |
| MIDOSTAURIN | 4 | FGFR3, PIK3CA |
| IDELALISIB | 4 | PIK3CA |
| ALPELISIB | 4 | PIK3CA |
| DUVELISIB | 4 | PIK3CA |
| COPANLISIB | 4 | PIK3CA |
| ROMIDEPSIN | 4 | PIK3CA |
| COPANLISIB HYDROCHLORIDE | 4 | PIK3CA |
| LENIOLISIB | 4 | PIK3CA |
| BELINOSTAT | 4 | PIK3CA |
| INAVOLISIB | 4 | PIK3CA |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 2.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| PIK3CA | 2,034 | Binding:2009, ADMET:19, Toxicity:4, Functional:2 |
| FGFR3 | 975 | Binding:948, Functional:18, ADMET:9 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| FGFR3 | 2.7.10.1 | receptor protein-tyrosine kinase |
| PIK3CA | 2.7.1.137, 2.7.1.153, 2.7.11.1 | phosphatidylinositol 3-kinase, phosphatidylinositol-4,5-bisphosphate 3-kinase, non-specific serine/threonine protein kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| FGFR3 | 975 |
| PIK3CA | 2,034 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 2; 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.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| PONATINIB | 4 | FGFR3 |
| PEMIGATINIB | 4 | FGFR3 |
| NINTEDANIB | 4 | FGFR3 |
| FEDRATINIB | 4 | FGFR3, PIK3CA |
| LENVATINIB | 4 | FGFR3 |
| AXITINIB | 4 | FGFR3 |
| SORAFENIB | 4 | FGFR3 |
| INFIGRATINIB PHOSPHATE | 4 | FGFR3 |
| INFIGRATINIB | 4 | FGFR3 |
| ENTRECTINIB | 4 | FGFR3 |
| CERITINIB | 4 | FGFR3 |
| VANDETANIB | 4 | FGFR3 |
| NINTEDANIB ESYLATE | 4 | FGFR3 |
| BRIGATINIB | 4 | FGFR3 |
| ERDAFITINIB | 4 | FGFR3 |
| FUTIBATINIB | 4 | FGFR3 |
| PAZOPANIB | 4 | FGFR3 |
| SUNITINIB | 4 | FGFR3, PIK3CA |
| DASATINIB | 4 | FGFR3, PIK3CA |
| CRIZOTINIB | 4 | FGFR3, PIK3CA |
| MIDOSTAURIN | 4 | FGFR3, PIK3CA |
| IDELALISIB | 4 | PIK3CA |
| ALPELISIB | 4 | PIK3CA |
| DUVELISIB | 4 | PIK3CA |
| COPANLISIB | 4 | PIK3CA |
| ROMIDEPSIN | 4 | PIK3CA |
| COPANLISIB HYDROCHLORIDE | 4 | PIK3CA |
| LENIOLISIB | 4 | PIK3CA |
| BELINOSTAT | 4 | PIK3CA |
| INAVOLISIB | 4 | PIK3CA |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 2 | FGFR3, PIK3CA |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 23.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 12 |
| PHASE2 | 6 |
| PHASE3 | 3 |
| PHASE4 | 1 |
| PHASE1/PHASE2 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03487588 | PHASE4 | COMPLETED | An A Study Assessing Subject Satisfaction With A-101 Topical Solution for Seborrheic Keratoses |
| NCT02667236 | PHASE3 | COMPLETED | A Study of A-101 Solution 40% in Subjects With Seborrheic Keratosis. |
| NCT02667275 | PHASE3 | COMPLETED | A Randomized, Double-Blind, Vehicle-Controlled Study in Subjects With Seborrheic Keratosis |
| NCT02667288 | PHASE3 | COMPLETED | An Open-Label Safety Study of A-101 Solution |
| NCT06108024 | PHASE2 | RECRUITING | A Trial to Evaluate the Safety and Efficacy of SM-020 Gel 1.0% in Subjects With Seborrheic Keratosis |
| NCT01214564 | PHASE2 | COMPLETED | Study to Evaluate the Safety and Efficacy of PEP005(Ingenol Mebutate) Gel, 0.05%, in Patients With Seborrhoeic Keratosis |
| NCT01986920 | PHASE1/PHASE2 | COMPLETED | Study of Safety, Tolerability and Effectiveness of A-101 in Subjects With Seborrheic Keratosis |
| NCT02160626 | PHASE2 | COMPLETED | Dose-Response Profile of A-101 in Subjects With Seborrheic Keratosis |
| NCT02260180 | PHASE2 | COMPLETED | Study of A-101 for the Treatment of Seborrheic Keratosis |
| NCT03148691 | PHASE2 | COMPLETED | A Randomized, Vehicle-Controlled Study of 2 Concentrations of A-101 for the Treatment of Seborrheic Keratosis |
| NCT05136144 | PHASE2 | UNKNOWN | Adaptive Design Study for Safety and Efficacy of Treatment Regimens With SM-020 in Subjects With Seborrheic Keratosis |
| NCT00540566 | Not specified | COMPLETED | Optical Biopsy of Human Skin in Conjunction With Laser Treatment |
| NCT01159860 | Not specified | COMPLETED | Is Cryosurgery or Curettage More Effective at Treating Seborrheic Keratoses? |
| NCT03846531 | Not specified | COMPLETED | Nano-Pulse Stimulation (NPS) in Seborrheic Keratosis Study |
| NCT04229277 | Not specified | COMPLETED | Fast Track Diagnosis of Skin Cancer by Advanced Imaging |
| NCT04249115 | Not specified | TERMINATED | Nano-Pulse Stimulation (NPS) in Seborrheic Keratosis Optimization Study |
| NCT04688749 | Not specified | TERMINATED | Use of Electrical Impedance Spectroscopy (EIS) for Early Diagnosis of Skin Damage |
| NCT05353374 | Not specified | COMPLETED | Effectiveness of Sodium Fusidate Ointment Compared to Petrolatum for Wound Healing Following Cauterization |
| NCT06046144 | Not specified | COMPLETED | Comparison of 3 in Vivo Microscopic Imaging Techniques for the Diagnosis of Pigmented Tumors |
| NCT07095348 | Not specified | COMPLETED | Relationship Between Serum Xanthine Oxidase Levels and Seborrheic Keratosis |
| NCT07334600 | Not specified | COMPLETED | Effect of 1% Andaliman Fruit Extract Cream on Facial Seborrheic Keratosis |
| NCT07384299 | Not specified | COMPLETED | Impact of Skin Type on Wonud Healing and Scarring Following Facial Skin Surgery |
| NCT07441538 | Not specified | COMPLETED | Optimizing the Timing for Facial Surgical Dressing Removal |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| HYDROGEN PEROXIDE | 4 | 8 |
| FUSIDATE SODIUM | 4 | 1 |
| PETROLATUM | 3 | 1 |
| VEHICLE | 0 | 4 |
Related Atlas pages
- Cohort genes: FGFR3, PIK3CA
- Drugs: Hydrogen Peroxide, Fusidate, Petrolatum